NCG550501_Regional Office Historical File Pre 2018

ROY COOPER
N Governor
; MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Water Resources Director
ENVIRONMENTAL QUALITY
RECENED/NCDENR/DWR
July 17, 2017 JUL 18 2017
Francis W. & Tara C. Morley WOROS
148 Grassy Court MOORESVILLE REGIONAL OFFICE
Gastonia, NC 28052
Subject: NPDES General Permit NCG550000
Transfer of NCG550501
148 Grassy Court
Gaston County
Dear Permittees:
The Division hereby transmits Certificate of Coverage (CoC) NCG550501, issued under
NPDES General Permit NCG550000. This action is taken to show that you are now the
owner of the subject facility. This CoC is issued pursuant to the requirements of North
Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U.S. Environmental Protection Agency dated October 15, 2007 (or as
subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in the
General Permit are unacceptable to you, you have the right to request an individual NPDES
permit upon written request within thirty (30) days following receipt of this letter. Unless
such a request is made, this transfer of the subject CoC shall be final and binding.
This CoC is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the CoC. This permit does not affect the
legal requirements to obtain other permits which may be required by any other Federal,
state, or local government. If you have any questions concerning this matter, please contact
Emily Phillips at [phone] or via e-mail [[e-mail]].
cerely,
(-'
S. Jay Zimmerman, P.G.
Director
cc: r _ ,: ': e
NPDES Unit
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
hops://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
CERTIFICATE OF COVERAGE NCG550501
Under GENERAL PERMIT NCG550000
TO DISCHARGE 100%-DOMESTIC AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
In compliance with the provisions 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,
Francis W. & Tara C. Morley
are hereby authorized to operate a wastewater treatment facility with a discharge of<1000
gallons per day); discharging from
148 Grassy Court
Gastonia
Gaston County
to receiving waters designated as Crowders Creek [stream segment 11-135] a waterbody
currently classified C located within sub-basin 03-08-37 of the Catawba River Basin, in
accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, II, and III of General Permit NCG550000 as attached.
This certificate of coverage shall become effective July 17, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 17, 2017.
dif (-;il
Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of the Environmental Management Commission

A
General Permit NCG550000
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY
RESIDENCES AND OTHER 100% DOMESTIC DISCHARGES WITH
SIMILAR CHARACTERISTICS 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, this permit is hereby issued to all owners or operators, hereafter
permittees, which are covered by this permit as evidenced by receipt of a Certificate
of Coverage by the Environmental Management Commission to allow the discharge of
treated domestic wastewater in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective August 1, 2013.
This permit shall expire at midnight on July 31, 2018.
Thomas A. Reeder, P.E.,Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 1 of 16 Pages

General Permit NCG550000
PART I
MONITORING,CONTROLS,AND LIMITATIONS FOR PERMITTED DISCHARGES
A. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Applicability of Coverage
This permit authorizes discharges(pursuant to the conditions described in this permit)to all waters
of the state unless otherwise excluded in this section. Discharges to the following waters are
excluded from permit coverage and will require an individual permit to discharge:
Waters classified as WSI(Water Supply I)
Waters classified as HQW(High Quality Waters,excluding WS II)
Waters classified as SA
Waters classified as ORW(Outstanding Resource Waters)
Waters located in the Randleman Lake Watershed
Applicable to Treatment Systems:
1) Single Pass Filter Systems discharging less than 1000 gallons per day(applicable to existing
facilities only)
2) Multi-Phase Filter Systems(Primary&Secondary Single Pass,Recirculating Sand Filters as well
as other alternative technologies that provide treatment equivalent to,or greater than,
recirculating sand filters)discharging less than 1000 gallons per day
Treatment system requirements for existing systems (built prior to August 1,2007)systems:
• Septic Tank
• Sand or media filter component(Single Pass Filter Systems, Multi-Phase Filter Systems)
• Disinfection. (All facilities adding chlorination after the August 1,2007 will also be required to
add dechlorination. If a system had chlorination before August 1,2007,then the addition of
dechlorination is not required)
Treatment system requirements for new and existing systems(built after August 1,2007):
• Septic tank(with riser)
• Filter media
• Recirculating pump tank(s)per approved design(Multi-Phase Filter Systems only)
• Primary& Secondary Single Pass Filter Systems(Multi-Phase Filter Systems only)
• Filter media component per approved design
• Disinfection unit(Chlorination/dechlorination,or equivalent means of disinfection),
• Effluent pipe/outfall with aeration/erosion control (rip rap)
For purposes of this permit,failed or failing systems that require replacement will be subject to
requirements for new systems built after August 1, 2007.
For purposes of this permit, systems that were constructed prior to August 1, 2007 that did not have
a valid permit shall be required to get a valid permit. They will not be required to replace or
upgrade systems installed prior to August 1, 2007 unless they are failing and require replacement.
Page 2 of 16 Pages

,
General Permit NCG550000
During the period beginning on August 1,2013 and lasting until expiration,the Permittee is
authorized to discharge domestic wastewater from outfall 001. Such discharges shall be limited and
monitored by the Permittee as specified below:
PARAMETER LIMITS MONITORING REQUIREMENTS
Monthly Daily Measurement Sample Sample
Average Maximum Frequency Type Location'
Flow2[50050] Annually Estimate Effluent
BOD, 5-Day,20°C3[00310] 30.0 mg/1 45.0 mg/I Annually Grab Effluent
Total Suspended Solids3 30.0 mg/1 45.0 mg/1 Annually Grab Effluent
[00530]
Fecal Coliform3 200/100 ml 400/100 ml Annually Grab Effluent
(Geometric mean) [31616)
Total Residual Chlorine3'
[50060] Annually Grab Effluent
Enterococci3'5 Annually Grab Effluent
1. Effluent is defined as wastewater leaving the treatment system,prior to discharge into a creek or
other water body.
2. The wastewater discharge flow from this facility may not in any case exceed 1000 gallons per
day.
3. A North Carolina certified laboratory must perform the wastewater analysis.
4. Receiving stream chlorine levels are not to exceed 17 µg/L. The sample shall be taken from the
effluent pipe,prior to discharge into a creek or other waterbody.
5. Applicable for discharges to SB and SC waters only. In SB and SC waters,the requirement for a
fecal coliform sample is not required.
There shall be no discharge of floating solids or foam visible in other than trace amounts.
Page 3 of 16 Pages

General Permit NCG550000
Permit Conditions
(Operation&Maintenance)
1) The tablet chlorinator and dechlorinator[if applicable] shall be inspected weekly to ensure
there is an adequate supply of tablets for continuous&proper operation. The dechlorinator
unit shall be labeled"dechlorination only".
2) Treatment systems shall be maintained at all times to prevent seepage of sewage to the surface
of the ground.
3) Septic tanks and secondary tank(recirculating/pump tanks) shall be inspected at least yearly to
determine if solids must be removed or if other maintenance is necessary. Septic tanks shall be
pumped out every five years or when the solids level is found to be more than 1/3 of the liquid
depth in any compartment,whichever is greater. All tanks should be emptied of their contents
whenever any of the tanks meet this requirement. Effluent filters shall be inspected at least
once a year,cleaned and reinstalled or replaced. Contents removed from septic tanks shall be
disposed at a location and in a manner compliant with all local and state regulations.
4) All system components,including but not necessarily limited to, septic tanks,surface sand
filters,other filter components,pump/recirculation tanks, controls and alarms,disinfection
units,dechlorination apparatus,and the outfalls shall be maintained at all times and in good
operating order.
•
5) All monitoring data shall be retained onsite for a minimum of five years and available for
inspection. The permittee shall notify the Division upon receipt of a sampling or monitoring
report indicating noncompliance with the permit.
6) A visual review of the outfall location shall be executed twice each year(one at the time of
sampling)to ensure that no visible solids or other obvious evidence of system malfunctioning
is observed. Any visible signs of a malfunctioning system shall be documented and steps taken
to correct the problem.
Transfer Coverage from Other Permits
7) Upon issuance of this general permit, all existing and acting certificates of coverage issued in
conjunction with the NCG5700000 permits will be eligible for coverage under this permit.
8) Upon issuance of this general permit,all existing and active individual permits issued since
June of 2010 for discharge of domestic wastewater from single family residences and other
100%domestic discharges with similar characteristics will be eligible for coverage under this
permit.
This permit does not affect the legal requirements to obtain other permits that may be required by the
North Carolina Department of Natural Resources, or any other federal or local governmental permit.
Page 4 of 16 Pages

General Permit NCG550000
PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events.These samples shall be
representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days.These samples shall be representative of
the wastewater discharged during the sample period.
Act or"the Act"
The Federal Water Pollution Control Act,also known as the Clean Water Act(CWA),as amended,33 USC 1251,et.
seq.
Annual Average
The arithmetic mean of all"daily discharges"of a pollutant measured during the calendar year.In the case of fecal
coliform,the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system,which is
not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day.However,for purposes of this permit,any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Ouarter
One of the following distinct periods:January through March,April through June,July through September,and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 mL in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period.The
Director may designate the most appropriate method(specific number and size of aliquots necessary,the time interval
between grab samples,etc.)on a case-by-case basis. Samples may be collected manually or automatically.Composite
samples may be obtained by the following methods:
(1) Continuous:a single,continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume:a series of grab samples collected at equal time intervals over a 24 hour period
of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection,or
(3) Variable time/constant volume:a series of grab samples of equal volume collected over a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point.Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer,and the
preset gallon interval between sample collection fixed at no greater than 1/24 of the expected total daily flow at
the treatment system,or
(4) Constant time/constant volume:a series of grab samples of equal volume collected over a 24-hour period at a
constant time interval.Use of this method requires prior approval by the Director.This method may only be
used in situations where effluent flow rates vary less than 15 percent.The following restrictions also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
➢ Influent samples shall not be collected more than once per hour.
Page 5 of 16 Pages

General Permit NCG550000
➢ Permittees with wastewater treatment systems whose detention time<24 hours shall collect effluent grab
samples at intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect effluent
grab samples at least every six hours;there must be a minimum of four samples during a 24-hour sampling
period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility.Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling.For pollutants measured in units of mass,the"daily discharge"is calculated as
the total mass of the pollutant discharged over the day.For pollutants expressed in other units of measurement,the
"daily discharge"is calculated as the average measurement of the pollutant over the day.(40 CFR 122.2;see also
"Composite Sample,"above.)
Daily Maximum
The highest"daily discharge"during the calendar month.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. Sampling shall be conducted on weekdays except where holidays or other disruptions of normal operations
prevent weekday sampling.If sampling is required for all seven days of the week for any permit parameter(s),that
requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWO or"the Division"
The Division of Water Quality,Department of Environment and Natural Resources.
Effluent
Wastewater discharged following all treatment processes from a water pollution control facility or other point source
whether treated or untreated.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit.Completion of facility closure will allow this
permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N=the number of individual values.For purposes of
calculating the geometric mean,values of"0"(or"<[detection level]")shall be considered= 1.
Grab Sample
Individual samples of at least 100 mL collected over a period of time not exceeding 15 minutes.Grab samples can be
collected manually.Grab samples must be representative of the discharge(or the receiving stream,for instream
samples).
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance.To the extent practical,instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the samples and flow are representative of the discharge
during that sampling period.
Page 6 of 16 Pages

General Permit NCG650000
Monthly Average(concentration limit)
The arithmetic mean of all"daily discharges"of a pollutant measured during the calendar month.In the case of fecal
coliform or other bacterial parameters or indicators,the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Quality.
Quarterly Average(concentration limit)
The arithmetic mean of all samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property,damage to the treatment facilities which causes them to become inoperable,or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass.Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1)of the CWA.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements.An upset does not include noncompliance caused by
operational error,improperly designed treatment facilities,inadequate treatment facilities,lack of preventive
maintenance,or careless or improper operation.
Weekly Average(concentration limit)
The arithmetic mean of all"daily discharges"of a pollutant measured during the calendar week.In the case of fecal
coliform or other bacterial parameters or indicators,the geometric mean of such discharges.
Section B. General Conditions •
1. Duty to Comply
The Permittee must comply with all conditions of this permit.Any permit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action;for permit termination,revocation and reissuance,or
modification;or denial of a permit renewal application[40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a)of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d)of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal,even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s]301,302,306,307,308,318 or 405 of the Act,or
any permit condition or limitation implementing any such sections in a permit issued under section 402,or any
requirement imposed in a pretreatment program approved under sections 402(a)(3)or 402(b)(8)of the Act,is
subject to a civil penalty not to exceed$37,500 per day for each violation. [33 USC 13l 9(d)and 40 CFR
l 22.41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301,302,306,307,308,318,or 405 of
the Act,or any condition or limitation implementing any of such sections in a permit issued under section 402
of the Act,or any requirement imposed in a pretreatment program approved under section 402(a)(3)or
402(b)(8)of the Act,is subject to criminal penalties of$2,500 to$25,000 per day of violation,or
imprisonment of not more than 1 year,or both.In the case of a second or subsequent conviction for a negligent
violation,a person shall be subject to criminal penalties of not more than$50,000 per day of violation,or by
imprisonment of not more than 2 years,or both. [33 USC 1319(c)(1)and 40 CFR 122.41(a)(2)]
d. Any person who knowingly violates such sections,or such conditions or limitations is subject to criminal
penalties of$5,000 to$50,000 per day of violation,or imprisonment for not more than 3 years,or both.In the •
case of a second or subsequent conviction for a knowing violation,a person shall be subject to criminal
penalties of not more than$100,000 per day of violation,or imprisonment of not more than 6 years,or both.
[33 USC 1319(c)(2)and 40 CFR 122.41(a)(2)]
e. Any person who knowingly violates section 301,302,303,306,307,308,318 or 405 of the Act,or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act,and
Page 7 of 16 Pages

General Permit NCG550000
who knows at that time that he thereby places another person in imminent danger of death or serious bodily
injury,shall,upon conviction,be subject to a fine of not more than$250,000 or imprisonment of not more than
15 years,or both.In the case of a second or subsequent conviction for a knowing endangerment violation,a
person shall be subject to a fine of not more than$500,000 or by imprisonment of not more than 30 years,or
both.An organization,as defined in section 309(c)(3)(B)(iii)of the CWA,shall,upon conviction of violating
the imminent danger provision,be subject to a fine of not more than$1,000,000 and can be fined up to
$2,000,000 for second or subsequent convictions. [40 CFR 122.41(a)(2)]
f. Under state law,a civil penalty of not more than$25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms,conditions,or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301,302,
306,307,308,318 or 405 of this Act,or any permit condition or limitation implementing any of such sections
in a permit issued under section 402 of this Act.Administrative penalties for Class I violations are not to
exceed$16,000 per violation,with the maximum amount of any Class I penalty assessed not to exceed
$37,500.Penalties for Class II violations are not to exceed$16,000 per day for each day during which the
violation continues,with the maximum amount of any Class II penalty not to exceed$177,500.[33 USC
1319(g)(2)and 40 CFR 122.41(a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment[40
CFR 122.41(d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on"Bypassing"(Part II.C.4),"Upsets"(Part II.C.5)and"Power Failures"
(Part II.C.7),nothing in this permit shall be construed to relieve the Permittee from any responsibilities,liabilities,
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act,33
USC 1319.Furthermore,the Permittee is responsible for consequential damages,such as fish kills,even though the
responsibility for effective compliance may be temporarily suspended. •
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee from
any responsibilities,liabilities,or penalties to which the Permittee is or may be subject to under NCGS 143-215.75
et seq.or Section 311 of the Federal Act,33 USG 1321.Furthermore,the Permittee is responsible for
consequential damages,such as fish kills,even though the responsibility for effective compliance may be
temporarily suspended.
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[40 CFR 122.41(g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
7. Severability
The provisions of this permit are severable.If any provision of this permit,or the application of any provision of
this permit to any circumstances,is held invalid,the application of such provision to other circumstances,and the
remainder of this permit,shall not be affected thereby[NCGS 150B-23].
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority,within a reasonable time,any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying,revoking and reissuing,or
terminating this permit or to determine compliance with this permit.The Permittee shall also furnish to the Permit
Issuing Authority upon request,copies of records required by this permit[40 CFR 122.41(h)].
9. Signatory Requirements
All applications,reports,or information submitted to the Permit Issuing Authority shall be signed and certified[40
CFR 122.41(k)].
Page 8 of 16 Pages

General Permit NCG550000
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer.For the purpose of this Section,a responsible
corporate officer means: (a)a president,secretary,treasurer or vice president of the corporation in charge
of a principal business function,or any other person who performs similar policy or decision making
functions for the corporation,or(b)the manager of one or more manufacturing,production,or operating
facilities,provided,the manager is authorized to make management decisions which govern the operation
of the regulated facility including having the explicit or implicit duty of making major capital investment
recommendations,and initiating and directing other comprehensive measures to assure long term
environmental compliance with environmental laws and regulations;the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate information for permit
application requirements;and where authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor,respectively;or
(3) For a municipality,State,Federal,or other public agency: by either a principal executive officer or
ranking elected official[40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a.above or by a duly authorized representative of that person.A
person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the overall operation
of the regulated facility or activity,such as the position of plant manager,operator of a well or well field,
superintendent,a position of equivalent responsibility,or an individual or position having overall
responsibility for environmental matters for the company.(A duly authorized representative may thus be
either a named individual or any individual occupying a named position.);and
(3) The written authorization is submitted to the Permit Issuing Authority[40 CFR 122.22]
c. Changes to authorization: If an authorization under paragraph(b)of this section is no longer accurate because
a different individual or position has responsibility for the overall operation of the facility,a new authorization
satisfying the requirements of paragraph(b)of this section must be submitted to the Director prior to or
together with any reports,information,or applications to be signed by an authorized representative[40 CFR
122.22]
d. Certification.Any person signing a document under paragraphs a.or b.of this section shall make the following
certification[40 CFR 122.22].NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
"I cert , under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that quaked personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief true, accurate, and complete.lam aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
10. Permit Actions
This permit may be modified,revoked and reissued,or terminated for cause.The filing of a request by the
Permittee for a permit modification,revocation and reissuance,or termination,or a notification of planned changes
or anticipated noncompliance does not stay any permit condition[40 CFR 122.41(f)].
11. Permit Modification.Revocation and Reissuance,or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the permit,
revoking and reissuing the permit,or terminating the permit as allowed by the laws,rules,and regulations
contained in Title 40,Code of Federal Regulations,Parts 122 and 123;Title 15A of the North Carolina
Administrative Code,Subchapter 02H.0100;and North Carolina General Statute 143.215.1 et.al.
12. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division.Failure to pay the fee in a timely manner in accordance with 15A NCAC 02H.0105(b)(2)
may cause this Division to initiate action to revoke the permit.
Page 9 of 16 Pages

General Permit NCG550000
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
For purposes of this permit,this requirement does not apply until the permittee receives a letter from the Division
notifying them of classification of the facility.
Owners of classified water pollution control systems must designate operators,certified by the Water Pollution
Control System Operators Certification Commission(WPCSOCC),of the appropriate type and grade for the
system,and,for each classification must[T15A NCAC 08G.0201]:
a. designate one Operator In Responsible Charge(ORC)who possesses a valid certificate of the type and grade
at least equivalent to the type and grade of the system;
b. designate one or more Back-up Operator(s)in Responsible Charge(Back-up ORCs)who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system,with the
exception of no backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year;and
c. submit a signed completed"Water Pollution Control System Operator Designation Form"to the Commission
(or to the local health department for owners of subsurface systems)countersigned by the designated certified
operators,designating the Operator in Responsible Charge(ORC)and the Back-up Operator in Responsible
Charge(Back-up ORC):
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system;or
(2) within 120 calendar days following:
➢ receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge(ORC)and Back-up Operator in Responsible Charge(Back-up ORC)
of the proper type and grade;or
➢ a vacancy in the position of Operator in Responsible Charge(ORC)or Back-up Operator in
Responsible Charge(Back-up ORC).
(3) within seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or
designating at least one of the responsibilities.
The ORC of each Class I facility(or the Back-up ORC,when acting as surrogate for the ORC)must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system;the treatment
facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 08G.0204.
2. Proper Operation and Maintenance
The Permittee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances)which are installed or used by the Permittee to achieve compliance with the conditions
of this permit.Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures.This provision requires the Permittee to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit[40 CFR 122.41(e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and maintenance
of the facility,and all documentation required thereof,whether acting as a contract operator[subcontractor] or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit[40 CFR 122.41(c)].
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations[40 CFR 122.41(m)(2)]
Page 10 of 16 Pages

General Permit NCG550000
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded,but
only if it also is for essential maintenance to assure efficient operation.These bypasses are not subject to the
provisions of Paragraphs b.and c.of this section.
b. Notice[40 CFR 122.41(m)(3)]
(1) Anticipated bypass.If the Permittee knows in advance of the need for a bypass,it shall submit prior notice,
if possible at least ten days before the date of the bypass;including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass.The Permittee shall submit notice of an unanticipated bypass as required in Part
II.E.6.(24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass,unless:
(A)Bypass was unavoidable to prevent loss of life,personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass,such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime.This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance;and
(C) The Permittee submitted notices as required under Paragraph b.of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system-wide collection system
permit associated with the treatment facility.
(3) The Permit Issuing Authority may approve an anticipated bypass,after considering its adverse effects,if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1)of this section.
5. Upsets
a. Effect of an upset[40 CFR 122.41(n)(2)]: An upset constitutes an affirmative defense to an action brought for
noncompliance with such technology based permit effluent limitations if the requirements of paragraph b.of
this condition are met.No determination made during administrative review of claims that noncompliance was
caused by upset,and before an action for noncompliance,is final administrative action subject to judicial
review.
b. Conditions necessary for a demonstration of upset: Any Permittee who wishes to establish the affirmative
defense of upset shall demonstrate,through properly signed,contemporaneous operating logs,or other relevant
evidence that:
(1)An upset occurred and that the Permittee can identify the cause(s)of the upset;
(2)The Permittee facility was at the time being properly operated;and
(3)The Permittee submitted notice of the upset as required in Part II.E.6.(b)of this permit.
(4)The Permittee complied with any remedial measures required under Part ll.B.2.of this permit.
c. Burden of proof[40 CFR 122.41(n)(4)]: The Permittee seeking to establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids,sludges,filter backwash,or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States except as permitted
by the Commission.The Permittee shall comply with all applicable state and Federal regulations governing the
disposal of sewage sludge,including 40 CFR 503,Standards for the Use and Disposal of Sewage Sludge;40 CFR
Part 258,Criteria For Municipal Solid Waste Landfills;and 15A NCAC Subchapter 2T,Waste Not Discharged To
Surface Waters.The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
Page 11 of 16 Pages

General Permit NCG550000
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards(as required by 15A NCAC 02H.0124)to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by means
of alternate power sources,standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
1. Representative Sampling
Samples collected and measurements taken,as required herein,shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents.All samples shall be taken at the monitoring points specified in this
permit and,unless otherwise specified,before the effluent joins or is diluted by any other wastestream,body of
water,or substance.Monitoring points shall not be changed without notification to and the approval of the Permit
Issuing Authority[40 CFR 122.41(j)].
2. Reporting
Monitoring results obtained during the previous month(s)shall be summarized for each month and reported on a
monthly Discharge Monitoring Report(DMR)Form(MR 1, 1.1,2,3)or alternative forms approved by the
Director,postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the case of a new
facility,on the last day of the month following the commencement of discharge.Duplicate signed copies of these,
and all other reports required herein,shall be submitted to the following address:
NC DENR/Division of Water Quality/Surface Water Protection Section
ATTENTION:Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
3. Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges.The
devices shall be installed,calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device.Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10%from the true discharge rates throughout the range of expected discharge
volumes.Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once-through condenser cooling water flow monitored by pump logs,or pump hour meters as specified in Part I of
this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division.Permittees should contact the Division's
Laboratory Certification Section(919 733-3908 or http://portal.ncdenr.org/web/wq/lab/cert)for information
regarding laboratory certifications.
Facilities whose personnel are conducting testing of field-certified parameters only must hold the appropriate field
parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations(published pursuant to NCGS
143-215.63 et.seq.),the Water and Air Quality Reporting Acts,and to regulations published pursuant to Section
304(g),33 USC 1314,of the CWA(as amended),and 40 CFR 136;or in the case of sludge use or disposal,
approved under 40 CFR 136,unless otherwise specified in 40 CFR 503,unless other test procedures have been
specified in this permit[40 CFR 122.41].
To meet the intent of the monitoring required by this permit,all test procedures must produce minimum detection
and reporting levels that are below the permit discharge requirements and all data generated must be reported down
to the minimum detection or lower reporting level of the procedure.If no approved methods are determined
capable of achieving minimum detection and reporting levels below permit discharge requirements,then the most
sensitive(method with the lowest possible detection and reporting level)approved method must be used.
Page 12 of 16 Pages

General Permit NCG550000
5. Penalties for Tampering
The CWA provides that any person who falsifies,tampers with,or knowingly renders inaccurate,any monitoring
device or method required to be maintained under this permit shall,upon conviction,be punished by a fine of not
more than$10,000 per violation,or by imprisonment for not more than two years per violation,or by both.If a
conviction of a person is for a violation committed after a first conviction of such person under this paragraph,
punishment is a fine of not more than$20,000 per day of violation,or by imprisonment of not more than 4 years,or
both[40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge use
and disposal activities,which shall be retained for a period of at least five years(or longer as required by 40 CFR
503),the Permittee shall retain records of all monitoring information,including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
➢ copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement,report or application.This period may be extended by request of the Director at any time[40 CFR
122.41].
7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit,the Permittee shall record the
following information[40 CFR 122.41]:
a. The date,exact place,and time of sampling or measurements;
b. The individual(s)who performed the sampling or measurements;
c. The date(s)analyses were performed;
d. The individual(s)who performed the analyses;
e. The analytical techniques or methods used;and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director,or an authorized representative(including an authorized contractor acting
as a representative of the Director),upon the presentation of credentials and other documents as may be required
by law,to;
a. Enter,at reasonable times,upon the Permittee's premises where a regulated facility or activity is located or
conducted,or where records must be kept under the conditions of this permit;
b. Have access to and copy,at reasonable times,any records that must be kept under the conditions of this permit;
c. Inspect at reasonable times any facilities,equipment(including monitoring and control equipment),practices,
or operations regulated or required under this permit;and
d. Sample or monitor at reasonable times,for the purposes of assuring permit compliance or as otherwise
authorized by the CWA,any substances or parameters at any location[40 CFR 122.41(i)].
Section E Reporting 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.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility[40 CFR 122.41(1)].Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29(b);or
Page 13 of 16 Pages

General Permit NCG550000
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged.This notification applies to pollutants subject neither to effluent limitations in the permit,nor to
notification requirements under 40 CFR 122.42(a)(1);or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices,and
such alteration,addition or change may justify the application of permit conditions that are different from or
absent in the existing permit,including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit[40 CFR 122.41(1)(2)].
4. Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CFR 122.61.The Director may condition approval in accordance with NCGS 143-215.1,in
particular NCGS 143-215.1(b)(4)b.2.,and may require modification or revocation and reissuance of the permit,or
a minor modification,to identify the new permittee and incorporate such other requirements as may be necessary
under the CWA [40 CFR 122.41(1)(3), 122.61]or state statute.
5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit[40 CFR 122.41(1)(4)].
a. Monitoring results must be reported on a Discharge Monitoring Report(DMR)(See Part lI.D.2)or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by this permit using test procedures
approved under 40 CFR Part 136 and at a sampling location specified in this permit or other appropriate
instrument governing the discharge,the results of such monitoring shall be included in the calculation and
reporting of the data submitted on the DMR.
6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment.Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances.The written submission
shall contain a description of the noncompliance,and its cause;the period of noncompliance,including exact
dates and times,and if the noncompliance has not been corrected,the anticipated time it is expected to
continue;and steps taken or planned to reduce,eliminate,and prevent reoccurrence of the noncompliance[40
CFR 122.41(1)(6)].
b. The Director may waive the written report on a case-by-case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at(800)662-7956,[phone] or(919)733-3300.
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II.E.5 and 6.of this permit at the
time monitoring reports are submitted.The reports shall contain the information listed in Part II.E.6.of this permit
[40 CFR 122.41(1)(7)].
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application,or submitted
incorrect information in a permit application or in any report to the Director,it shall promptly submit such facts or
information[40 CFR 122.41(1)(8)].
Page 14 of 16 Pages

General Permit NCG550000
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible,but in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic,such as the dumping of the contents of a sludge
digester;the known passage of a slug of hazardous substance through the facility;or any other unusual
circumstances.
b. Any process unit failure,due to known or unknown reasons,that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps,aerators,compressors,etc.
c. Any failure of a pumping station,sewer line,or treatment facility resulting in a by-pass without treatment of all
or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence.Also see reporting requirements for municipalities in Part IV.C.2.c.of this permit.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3(a)(2)or Section 308 of the Federal Act,33
USC 1318,all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division.As required by the Act,effluent data shall not be considered confidential.Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215.1(b)(2)or in Section 309 of the Federal Act.
11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement,representation,or certification in
any record or other document submitted or required to be maintained under this permit,including monitoring
reports or reports of compliance or noncompliance shall,upon conviction,be punished by a fine of not more than
$25,000 per violation,or by imprisonment for not more than two years per violation,or by both[40 CFR 122.41].
Page 15 of 16 Pages

General Permit NCG550000
PART III
OTHER REQUIREMENTS
Section A. Construction
a. The Permittee shall not commence construction of wastewater treatment facilities,nor add to the plant's treatment
capacity,nor change the treatment process(es)utilized at the treatment plant unless(1)the Division has issued an
Authorization to Construct(AtC)permit or(2)the Permittee is exempted from such AtC permit requirements
under Item b.of this Section.
b. In accordance with NCGS 143-215.1(a5)[SL 2011-394],no permit shall be required to enter into a contract for the
construction,installation,or alteration of any treatment work or disposal system or to construct,install,or alter any
treatment works or disposal system within the State when the system's or work's principle function is to conduct,
treat,equalize,neutralize,stabilize,recycle,or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above,the permit issued for the
discharge may be modified if required by federal regulation.
c. Issuance of an AtC will not occur until Final Plans and Specifications for the proposed construction have been
submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall,upon written notice from the Director,conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe(40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge,on a routine or frequent basis,of
any toxic pollutant which is not limited in the permit,if that discharge will exceed the highest of the following
"notification levels";
(1) One hundred micrograms per liter(100 µg/L);
(2) Two hundred micrograms per liter(200 µg/L)for acrolein and acrylonitrile;five hundred micrograms per liter
(500 µg/L)for 2,4-dinitrophenol and for 2-methyl-4,6-dinitrophenol;and one milligram per liter(1 mg/L)for
antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge,on a non-routine or infrequent
basis,of a toxic pollutant which is not limited in the permit,if that discharge will exceed the highest of the
following"notification levels";
(1) Five hundred micrograms per liter(500 µg/L);
(2) One milligram per liter(1 mg/L)for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
by this permit.The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State.This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
Page 16 of 16 Pages

CO 7
or
MI AE EGAN
Secretary
Environmental S. JAY ZIMMERMAN
Quality Director
June 15, 2017
Mr. Morley Francis
148 Grassy Court
Gastonia,NC 28052
Subject: Notice of Deficiency
Compliance Evaluation Inspection
NOD-2017-PC-0195
148 Grassy Court
Certificate of Coverage No.NCG550501
Gaston County
Dear Mr. Francis:
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted
at the subject facility on June 13, 2017,by Ori Tuvia. Your cooperation during the site visit was
much appreciated.
The following deficiencies were found during the inspection, and should be corrected:
1) Change of ownership on the permit is needed, form was provided.
2) Annual permit fee for the year 2016 is past due, Invoice was provided.
3) No sampling results were available to be reviewed during the inspection. Permitee
must perform and maintain records so they can be reviewed during future inspections.
List of approved labs was provided.
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Ori Tuvia at(704) 235-2190, or at
[e-mail].
Sincerely,
..7004,1176-441'"
W. Corey Basinger
Regional Supervisor
Mooresville Regional Office
Division of Water Resources
Cc: NPDES Unit
MRO Files
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.ncwaterouality.orp

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20480 OMB No.2040-0057
Water Compliance Inspection 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 iti i 2 is l 3 NCG550501 111 121 17/06/13 117 18 191 I 20I
21I I I I I I I I I I II I I I 1 1 I I I I I I I 1 I I I I I I I I I I II I I I I 1166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved `
67 I1.0 I 70 I-!1, i 71 t l 72 I N I 73I I 174 751 I I I I I I 180
Section B:Facility Data
1
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) 09:30AM 17/06/13 13/08/01
148 Grassy Court
148 Grassy Ct Exit Time/Date Permit Expiration Date
Gastonia NC 28052 10:05AM 17/06/13 18/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Morley Francis///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Peter Giese,148 Grassy Ct Gastonia NC 28052//704-868-3283/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
▪ Permit III Operations&Maintenance III Records/Reports 111 Self-Monitoring Program
▪ Sludge Handling Disposal I 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/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W.Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. /R
.2116 r2 peQ - •
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG550501 Ill 121 17/06/13 117 18 I C
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
•
•
Page# 2

Permit: NCG550501 Owner-Facility: 148 Grassy Court
Inspection Date: 06/13/2017 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 ❑ ❑ 11 ❑
application?
Is the facility as described in the permit? • 0 0 ❑
#Are there any special conditions for the permit? 0 • 0 ❑
Is access to the plant site restricted to the general public? 0 0 • 0
Is the inspector granted access to all areas for inspection? • 0 0 ❑
Comment: Change of ownership on the permit is needed,form was provided during the inspection.
Annual permit fee for the year 2016 is past due, Invoice was provided during the inspection.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? 0 ❑
Is all required information readily available,complete and current? ❑ ❑ • 0
Are all records maintained for 3 years(lab. reg. required 5 years)? ❑ ❑ U ❑
Are analytical results consistent with data reported on DMRs? ❑ 0 • 0
Is the chain-of-custody complete? 0 ❑ 11 ❑
Dates,times and location of sampling 0
Name of individual performing the sampling ❑
Results of analysis and calibration ❑
Dates of analysis 0
Name of person performing analyses ❑
Transported COCs ❑
Are DMRs complete:do they include all permit parameters? 0 ❑ • 0
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 0 ❑ • 0
on each shift?
Is the ORC visitation log available and current? 0 ❑ • 0
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? 0 ❑ II 0
Is a copy of the current NPDES permit available on site? 0 ❑ � ❑
Facility has copy of previous year's Annual Report on file for review? ❑ 0 • ❑
Comment: No sampling results were available to be reviewed during the inspection. Permitee must
perform and maintain records so they can be reviewed during future inspections. (list of
approved labs was provided)
Operations & Maintenance Yes No NA NE
Page# 3

Permit: NCG550501 Owner-Facility: 148 Grassy Court
Inspection Date: 06/13/2017 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? MEIDEI
Does the facility analyze process control parameters,for ex: MLSS,MCRT,Settleable 0 ❑ • 0
Solids, pH, DO,Sludge Judge,and other that are applicable?
Comment: Could not find outfall location. Sampling poet is adjacent to the chlorine box.
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? 0 ❑ 0
Is septic tank pumped on a schedule? • 0 0 0
Are pumps or syphons operating properly? ❑ ❑ • ❑
Are high and low water alarms operating properly? ❑ ❑ • 0
Comment: Septic pump was pumped on 6/9/2017 by Ray's Septic.
Sand Filters (Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational? 0 0 • 0
Is the distribution box level and watertight? ❑ ❑ ❑
Is sand filter free of ponding? • ❑ 0 0
Is the sand filter effluent re-circulated at a valid ratio? ❑ 0 0
#Is the sand filter surface free of algae or excessive vegetation? • ❑ 0 0
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) 0 ❑ III 0
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? • 0 0 ❑
Are the tablets the proper size and type? • ❑ 0 0
Number of tubes in use? 2
Is the level of chlorine residual acceptable? ❑ ❑ U ❑
Is the contact chamber free of growth, or sludge buildup? • ❑ 0 ❑
Is there chlorine residual prior to de-chlorination? 0 III ❑ ❑
Comment: Proper chlorine tablets were observed in the chlorinator.
Page# 4

ROY COOPER
FILEGovernor
MICHAEL S. REGAN
Secretary
Environmental •
S. JAY ZIMMERMAN
Quality Director
May 5, 2017
Mr. Morley Francis or current tenant
148 Grassy Court
Gastonia,NC 28052
Subject: Compliance Evaluation Inspection
148 Grassy Court
Certificate of Coverage No.NCG550501
Gaston County
Dear Mr. Francis or current tenant:
Please be advised that NCDEQ inspector will be coming to inspect subject permit on
May 31, 2017, at about 11 AM. Your presence during the inspection is advised to discuss
compliance with the conditions listed in subject permit.
If you wish to reschedule or have any questions, please contact Ori Tuvia at(704) 235-
2190, or via email at [e-mail].
•
Sincerely,
Ori Tuvia, Environmental Engineer
Mooresville Regional Office
Division of Water Resources,DEQ
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115
Phone;(704)663-16991 Fax:[phone] Customer Service:1-877-623-6748
Internet www.ncwaterquality.orq

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Environmental S. JAY ZIMMERMAN
Quality Director
May 5, 2017
Mr. Peter Giese or current tenant
148 Grassy Court
Gastonia,NC 28052
Subject: Compliance Evaluation Inspection
148 Grassy Court
Certificate of Coverage No. NCG550501
Gaston County
Dear Mr. Giese or current tenant:
Please be advised that NCDEQ inspector will be coming to inspect subject permit on
May 31, 2017, at about 11 AM. Your presence during the inspection is advised to discuss
compliance with the conditions listed in subject permit.
If you wish to reschedule or have any questions, please contact Ori Tuvia at (704) 235-
2190, or via email at [e-mail].
Sincerely,
Environmental Engineer
Mooresville Regional Office
Division of Water Resources, DEQ
jol Or
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115
Phone:[phone] t Fax:[phone] Customer Service:1-877-623-6748

6 -
�Y �-y 'S ,Se �� r
P c

FILE
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
May 26,2015
Mr. Peter Giese
148 Grassy Court
Gastonia,North Carolina 28052
Subject: Compliance Evaluation Inspection
Giese Single Family Residence
COC#NCG550501
Gaston County
Dear Mr. Giese:
Enclosed is a copy of the Compliance Evaluation Inspection report(CEI)for the inspection
conducted at the subject facility on May 20, 2015 by Mr. Barry Love with this Office. Thank you for your
assistance and cooperation during the inspection.
The report should be self-explanatory. Please take special note of the comments sections for things
which need to be addressed. No analytical results were available at the time of the inspection. The permit
requires annual monitoring of the system. Please provide a copy of the analytical results when available.
If you have any questions, comments, or need assistance with understanding any aspect of your
permit or this report,please do not hesitate to contact me at(704)-663-1699.
Sincerely,
-
Barry Love,Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources,NCDENR
Cc: MRO SFR-Giese
Central Files
Mooresville Regional Office,610 East Center Avenue,Suite 301,Mooresville,NC 28115
Phone:[phone]\Internet:www.ncwaterquality.org
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

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.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I,,, 2 I_15 I 3 I NCG550501 111 12 I 15/05/20 117 18 u,i 19 I I 201 1
211111I11111111IIIIIIIIIIIII11111IIIIIIIII1I f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -- Reserved--- --
67I I 701 I 71 1 1 72 I ti I 731 I 174 75� 11 1 1 1 1 180
Section B:Facility Data L_J
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) 02:50PM 15/05/20 13/08/01
148 Grassy Court
148 Grassy Ct Exit Time/Date Permit Expiration Date
Gastonia NC 28052 03:15PM 15/05/20 18/07/31
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
Peter Giese,148 Grassy Ct Gastonia NC 28052//704-868-3283/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
▪ Permit Operations&Maintenance II Records/Reports 111 Facility Site Review
▪ Effluent/Receiving Waters IN Laboratory
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
Barry F Love MRO WQ//704-663-1699 Ext.263/
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
31 NCG550501 111 121 15/05/20 117 18 i L i
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

Permit NCG550501 Owner-Facility: 148 Grassy Court
Inspection Date: 05/20/2015 Inspection Type: Compliance Evaluation
Operations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? II 0 0 ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT,Settleable ❑ 0 • ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: No analytical sampling has been performed. The permit requires annual analytical
sampling.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new 0 0 • 0
application?
Is the facility as described in the permit? • ❑ ❑ ❑
#Are there any special conditions for the permit? 0 0 � ❑
Is access to the plant site restricted to the general public? El ❑ 11 ❑
Is the inspector granted access to all areas for inspection? • ❑ 0 El
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? • ❑ 0 ❑
Are the receiving water free of foam other than trace amounts and other debris? • ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ 0 • El
Comment: The outfall at the creek bank has been covered with soil and wasn't visible. The outfall
should be located and cleared so analytical samples can be collected.
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? 0 0 • 0
Is septic tank pumped on a schedule? • 0 0 0
Are pumps or syphons operating properly? 0 0 • 0
Are high and low water alarms operating properly? ❑ ❑ • ❑
Comment: The septic tank was last pumped 2 years ago.
Sand Filters (Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational? ❑ ❑ • ❑
Is the distribution box level and watertight? ❑ ❑ 0 IN
Is sand filter free of ponding? • ❑ ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ ❑ •
#Is the sand filter surface free of algae or excessive vegetation? • ❑ ❑ ❑
Page# 3

Permit: NCG550501 Owner-Facility: 148 Grassy Court
Inspection Date: 05/20/2015 Inspection Type: Compliance Evaluation
Sand Filters (Low rate) Yes No NA NE
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ 0 II
Comment: Underground. No wetness in area.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? 0 • 0 0
Are all other parameters(excluding field parameters)performed by a certified lab? 0 • ❑ 0
#Is the facility using a contract lab? 0 • 0 0
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees 0 0 • 0
Celsius)?
Incubator(Fecal Coliform)set to 44.5 degrees Celsius+/-0.2 degrees? 0 0 • 0
Incubator(BOD)set to 20.0 degrees Celsius+/-1.0 degrees? 0 0 II 0
Comment: Analytical samples have not been collected. The permit requires analytical sampling on an
annual basis.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? • 0 0 0
Are the tablets the proper size and type? • 0 0 0
Number of tubes in use? 2
Is the level of chlorine residual acceptable? 0 0 0 U
Is the contact chamber free of growth, or sludge buildup? • 0 0 0
Is there chlorine residual prior to de-chlorination? 0 0 0 II
Comment:
Page# 4

z ;50e,"
Inspection Date: s�z. `'�) S Start MRAET End Time: 3 11 5r ,,..,
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
10/28/2014
Permittee: ID, 4-- ., G- ; -e. S Permit: N G 6-550-5-0 1
Address: /ti S 6 -mossy c�f) Ge,S4v�,'1 et E-mail-
Phone:( 70u- ) 86 - '22,S3 Cell Phone:(/°Li- ) 9 13 - 57 -2 k County: 6 5+..
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Doesn't Did Not
Yes /No Apply Investigate
1. Is the current resident in the home the Permittee? In- ❑ ❑ ❑
2. If not does the resident rent from the permittee? ❑ ❑ ❑/ ❑
3. Change of Ownership form needed?(mail the form with the inspection letter) ❑ ❑ [Ei ❑
4. Is there a inspection and maintenance agreement with a contractor? ❑ ❑ E Cl
5. If yes to#4 who is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumped/cleaned as eed
6. Is all wastewater from the home connected to the septic tank? ❑ ❑ ❑
7. Does the permittee/resident know where the septic tank is located? ❑ ❑ ❑
8. Has the septic tank been pumped in the last 5 years? 2..7 v a.,5 o (f )() ❑ ❑ ❑ ❑
9. If yes to#8 date, if known 0 c-fo 1 y- If proof, describe .
10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one)
11. If Yes to filter when was the filter cleaned? By who?
ND FILItkfiTREATMENT PODS YES U NO U If no proceed to the next section.
Accessib e saner surfaces shall be raked and leveled every six months and any vegetative growth shall be removed manually.
12. Is system something other than a sand filter? ❑ ❑ Er 0
13. If yes, what kind? (examples- Peat, Textile or brand name-Advantex, etc.)
14. Does the permittee know where the filter is? ❑ ❑ Er ❑
15. If above ground does the filter require maintenance? [ ❑ ❑ ❑
If maintenace is required explain in the comment section.
DISINFECTION/UV YES ❑ NO ❑ If no proceed to the next section.
The ultraviolet unit shall be checked weekly.The lamps and sleeves should be cleaned or replaced as needed to❑ensure"roper disinfe ❑n.
16. Is UV working? _�'II
17. Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ❑ ❑
18. Who completes the weekly check for the UV?( Non-Discharge)
DISINFECTION/TABLETS YES ❑ NO ❑ If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation. ❑ ❑
19. Does the permittee have the correct chlorine tablets?(If none, mark No) rL�J�
llElEi
22. Does the Permittee know the location of the chlorinator? ❑ ❑ ❑
23. Were chlorine tablets observed in the chlorinator? ❑ ❑
v��
VI
24. Are tablets contacting water? If possible poke them to determine.4A ^ ❑ ❑ ❑
�
DECHLOR(Discharge only) YES ❑ NO ❑ If no proceed to the next section.
The dechiorinator unit shall be checked weekly to ensure continuous and proper operation.
25. Does the permittee know where the dechlor is? ❑ ❑ ❑ ❑
26. Does the permittee have the correct dechlor tablets? ❑ 0 0 ❑
27. Were dechlor tablets observed in the dechlorination chamber? ❑ 0 0 0

DRAFT Doesn't Did Not
Yes No Apply Investigate
28. Are tablets contacting water? If possible poke them to determine. ❑ ❑ ❑ ❑
PUMP TANK YES ❑ NO ❑ If no proceed to the next section.
All pump and alarm sytems shall be inspected monthly.(non-discharge)
29. Is the pump working? ❑ ❑ ❑ ❑
30. Is the audible and visual high water alarm operational? ❑ ❑ ❑ ❑
31. Did the permittee know how to check the pump& high water alarm? ❑ ❑ ❑ ❑
32. Last functional test?
DISCHARGE ONLY YES ❑ NO ❑ If no proceed to the next section.
A visual review of the outfall location shall be executed twice each year(one at the time of sampling to ensure no ws a solids or evidence of a malfunction.
33. Does the permittee know where the outfall is? ❑ ❑ ❑
34. Were you able to locate th9 outfall? n d.¢-6-±3 v o�Y,d how ❑ [ EJ CI
G oVe ✓t.c o✓N✓ Y v.su r� $�6n,4 e-h. ❑ ❑ ❑
35. Is the end of the discharge pipe visible?/ J If not, explain why.
f N GIaq 1-t. grw 01/4. ' ,A s 'I.), oV
IE -
36. Is outlet discharging? o« q CI ❑
1111=] El Cl37. Is right of way maintained around the discharge point?
38. Any Lab Results available? ❑ ❑ CI
39. Is there evidence of solids around the discharge point? ❑ ❑ ❑ fEt -
DRIP or SPRAY YES ❑ NO ❑ If no proceed to the next section.
The irrigation sysetm shall be inspected monthly to ensure the system is free of leaks and equipment is operating as designed.
40. Is the system DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler heads.
41. Are the buffers adequate? ❑ ❑ ❑ ❑
42. Is the site free of ponding and runoff? ❑ ❑ ❑ ❑
43. Does the application equipment appear to be working properly? ❑ ❑ ❑ ❑
44. Is there a two wire fence? ❑ ❑ ❑ ❑
GENERAL
45. Are the treatment units locked and or secured? ❑ CIn. ❑
37. Has resident had any sewage problems? If yes explain in the comment section. El CI37. Is the system compliant? ❑ DI ❑
38. Is the system failing? If yes,take pictures if possible. ❑ 121 - ❑ ❑
39. If system is failing, any sign of children or animals contacting sewage? CI CI ❑
Comments: Photos Taken? YES ❑ NO ❑
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r rA FILE
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
May 4, 2015
Mr. Peter Giese
148 Grassy Court
Gastonia,NC 28052
Subject: Compliance Evaluation Inspection
Single Family Residence Wastewater
Treatment System
NPDES Permit No. NCG550501
Gaston County
Dear Mr. Giese:
Division of Water Resources (DWR) database records show that you currently own/operate a
single family residence (SFR) wastewater treatment and disposal system. Such being the case, it is
necessary to conduct a comprehensive inspection of your system and your records in order to verify
that your system is operating properly and to determine the compliance status of the system pursuant
to your NCG550455 permit. We anticipate such an inspection would take approximately one hour,
provided that all needed documentation and data is readily available at the time of the site visit.
Due to the difficulties involved with scheduling inspections with homeowners who work
during the workday, I would like to pre-schedule this site visit with you to ensure we can meet and
complete the inspection as expeditiously as possible. In order to set up a time that will be beneficial
to your schedule, please contact me at 704-663-1699,between the hours of 8AM and 5PM, Monday
through Friday to set up the best possible time for me to visit your residence.
Also, in the interest of conducting the most efficient inspection possible, we ask that you have
the following items on hand at the time of the site visit. These items include the following:
1. Permit/Certificate of Coverage: Issued by DWR, 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.
Mooresville Regional Office
610 East Center Avenue,Suite 301, Mooresville,North Carolina 28115
Phone:[phone]/Fax:[phone]/Customer Service 1-877-623-6748
Internet:www.ncdenr.gov
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

Mr. Giese
May 4,2015
Page 2
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
any 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. If the
containers are not available, documentation of purchase or the location where purchased
should be provided.
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
proposed inspection, I can be contacted between the hours of 8AM and 5PM, Monday through
Friday at 704-663-1699.
Sincerely,
Barry Love,Environmental Specialist
Water Quality Regional Operations
Mooresville Regional Office-NCDENR

Q ivucnaci r. nasicy,uovernor
William G. Ross,Jr.,Secretary
V
North Carolina Department of Environment and Natural Resources
-c
Coleen H.Sullins,Director
Division of Water Quality
23 May 2008 .
Mr. Peter Giese
148 Grassy Court
Gastonia, NC 28052
Subject: Single Family Residence Wastewater Treatment
System
NPDES General Wastewater Permit No./Certificate
of Coverage NCG550501
Compliance Evaluation Inspection ,
Dear Mr. Giese:
Division of Water Quality (DWQ) database records show that you currently own/operate a single
family residence (SFR) wastewater treatment and disposal system. 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 your NCG550501 permit. 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 Mr. Ron Boone, of our office,
at 704-663-1699, between the hours of 8AM and 4PM, Monday through Friday. Please contact Mr.
Boone 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.
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 Surface Water Protection Phone[phone] Customer Service
Internet: h2o.enr.state.nc.us 610 East Center Avenue,Suite 301 Mooresville,NC 28115 FAX [phone]
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper NOne
he lina
Naturally

pr,u, Ls May am
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 Mr. Boone between
the hours of 8AM and 4PM, Monday through Friday at 704-663-1699. If he is not there when you call,
please leave your name and a good contact phone number and he will return your call as soon as possible.
Sincerely,
/7-11 g
Robert B. Krebs
Surface Water Protection Section Supervisor
Division of Water Quality
Mooresville Regional Office

ivucnaer r.tasrey,uovemor
William G.Ross,Jr.,Secretary
plW
--INorth Carolina Department of Environment and Natural Resources
Coleen H.Sullins,Director
Division of Water Quality
27 June 2008 c --
Mr. Peter Giese
148 Grassy Court
Gastonia,NC 28052
Subject: Compliance Evaluation Inspection
Single Family Residence Wastewater Treatment
System
NPDES General Wastewater Permit No./Certificate
of Coverage NCG550501
Gaston County
Dear Mr. Giese:
1. Mr. Ron Boone of the NC Division of Water Quality (DWQ), Mooresville Regional Office (MRO)
conducted a compliance evaluation inspection (CEI) on 25 June 2008 of the wastewater treatment system
(WWTS) that serves your single family residence (SFR). Your cooperation and assistance during the CEI
was greatly appreciated. This letter is a summary/follow up for the CEI and inspection checklists are
attached for your records.
2. Inspection of the system revealed only one concern:
A. Analytical monitoring is not being conducted in accordance with Part I(A) of the permit. You must
complete this monitoring annually using a NC certified laboratory.
3. No other discrepancies were noted during the inspection. The system appears to be well operated and
maintained. There were no signs of system failure noted.
4. Please take all steps necessary to correct the discrepancies noted above in paragraph 2. You should be
aware that failure to comply with any condition of your permit (NCG550535) constitutes a failure to
comply with NC General Statute (NCGS) 143-215.1, for which the Department has been delegated the
authority to assess civil penalties not to exceed $25,000 per day, per violation, in accordance with NCGS
143-215.6A.
ne
NA Cu 2Vat
North Carolina Division of Water Quality Mooresville Regional Office Surface Water Protection Phone[phone] Customer Service
Internet: h2o.enr.state.nc.us 610 East Center Avenue,Suite 301 Mooresville,NC 28115 FAX [phone] 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

5. We appreciate your time and understanding of our mission to preserve the natural resources of our great
state. Should you have any questions about the inspection or this letter, please contact Ms. Barbara
Sifford at 704-663-1699.
P
;:=A:
Sincerely,
1. 4';' ''''''...-../2 t----- _0
"' ` Robert B. Krebs
Surface Water Protection Section Supervisor IIt-
;'. Division of Water Quality :'
''*' Mooresville Regional Office
"4
, . Attachments:
-: 1. Water Comp InspectionP liance Report
,
'RI 2. Field Inspection Checklist A;
CC: NPDES West Unit
' Central Files
YOMMIMMer
Ry �
V
i
ter'
T.
,W.
''V 3
J '
,,A
4

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.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IA 2 I 31 NCG550501 111 121 08/06/25 117 18I IJ cj 191 j 20uI
,--' Remarks 1=
21IIIIIIII1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
671 169 70I I 711 I 72I t4I 731 I 174 751 11 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)
01:00 PM 08/06/25 07/08/17
148 Grassy Court
148 Grassy Ct Exit Time/Date Permit Expiration Date
Gastonia NC 28052 02:15 PM 08/06/25 12/07/31
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
Peter Giese,148 Grassy Ct Gastonia NC 28052//704-868-3283/ No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
▪Permit •Operations& Maintenance MI Records/Reports I Self-Monitoring Program
▪Sludge Handling Disposal •Facility Site Review Effluent/Receiving Waters El Laboratory
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
Ron Boone MRO WQ//704-663-1699 Ext.2202/
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
31 NCG550501 111 12I 08/06/25 1
17 18IJ
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
See attached letter.
Page# 2

Permit: NCG550501 Owner-Facility: 148 Grassy Court
Inspection Date: 06/25/2008 Inspection Type: Compliance Evaluation
Operations&Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? • n n ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge 0 0 ■ ❑
Judge, and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? 001110
Is the facility as described in the permit? ❑ ❑ 111 ❑
#Are there any special conditions for the permit? 0 • 0 0
Is access to the plant site restricted to the general public? ■ ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑
Comment:
Record Keeping Yes No NA NE
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 0
Results of analysis and calibration 0
Dates of analysis 0
Name of person performing analyses 0
Transported COCs ❑
Are DMRs complete:do they include all permit parameters? ❑ ❑ E1 ❑
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? 0 0 • 0
Is the ORC certified at grade equal to or higher than the facility classification? 00 . 0
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? . 000
Page# 3

Permit: NCG550501 Owner-Facility: 148 Grassy Court
Inspection Date: 06/25/2008 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? n n • n
Comment: No analytical monitoring has been conducted.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ n n n
Are the receiving water free of foam other than trace amounts and other debris? ■ ❑ n n
If effluent (diffuser pipes are required) are they operating properly? ■ n n n
Comment:
Septic Tank Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational? 001110
Is septic tank pumped on a schedule? ■ n n n
Are pumps or syphons operating properly? n n ■ n
Are high and low water alarms operating properly? n n ■ n
Comment:
Sand Filters (Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational? n n ■ n
Is the distribution box level and watertight? 0 0 0 ■
Is sand filter free of ponding? ■ n n n
Is the sand filter effluent re-circulated at a valid ratio? n n ■ n
#Is the sand filter surface free of algae or excessive vegetation? n n ■ n
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) n n U n
Comment:
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? n n ■ n
Are all other parameters(excluding field parameters)performed by a certified lab? n n ■ n
#Is the facility using a contract lab? n n ■ n
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees Celsius)? n n ■ n
Incubator(Fecal Coliform)set to 44.5 degrees Celsius+/-0.2 degrees? n n • n
Incubator(BOD)set to 20.0 degrees Celsius+/- 1.0 degrees? n n ■
Comment: No analytical monitoring has been conducted.
Disinfection-Tablet Yes No NA NE
Page# 4

Permit: NCG550501 Owner-Facility: 148 Grassy Court
Inspection Date: 06/25/2008 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? U ❑ ❑ ❑
Are the tablets the proper size and type? ■ ❑ ❑ ❑
Number of tubes in use? 2
Is the level of chlorine residual acceptable? 0 0 0 •
Is the contact chamber free of growth, or sludge buildup? M ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? 0 0 0 ■
Comment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ E ❑
Is sample collected below all treatment units? ❑ ❑ ■ ❑
Is proper volume collected? ❑ ❑ ■ ❑
Is the tubing clean? ❑ ❑ E ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees Celsius)? 00110
Is the facility sampling performed as required by the permit(frequency, sampling type representative)? ❑ ❑ ■ ❑
Comment: No analytical monitoring has been conducted.
Page# 5

Form 101 NC Division of Water Quality
Surface Water Protection Section
SINGLE FAMILY WASTEWATER TREATMENT/DISPOSAL SYSTEM FIELD
INSPECTION CHECKLIST
Inspector Name(s): Ron Boone Date of Inspection: 25 Arrival Time: 0100PM Departure Time: 0215PM
June 2008
Property Owner Name: Peter Giese Phone Number(s): 704-868-3283 Certificate of Coverage#:
NCG550501
Physical Address of Treatment System: 148 City: Gastonia Zip Code: County: Gaston
Grassy Court 28052
Mailing Address of Property Owner: 148 City: Gastonia Zip Code: County: Gaston
Grassy Court 28052
# Question Yes No N/A N/E Remarks:
I. Residency/Ownership
Is the Permittee the current owner of the Single Family
1 Home? (Verify current ownership of the location
producing the discharge.)
e of System :-_>-_ __ __ _==___:_:_-__<--__ ---____,___<____ _._~__-_=====_=_-__-- _~__-=_'_='=___:__>=_-= __='_=_==_____________
Knowledge -----_----_- -
P rmittee s -- -------- -
m La out/ e - - - - ------_-- - - -----_-- -
1 Does permittee have a map showing the layout of the X
treatment system?
2 Does permittee know where the septic tank is located? X
3 Does permittee know where the sandfilter(s) is/are X
located?
4 Does permittee know where the Chlorinator is located? X
5 Does permittee know where chlorine tablets go? If not, X
instruct them.
Does permittee know where the dechlorination unit is?
6 (Only new facilities constructed after August 1, 2007 X
{Effective date of latest general permit}are required to
install dechlorination.)
7 Does permittee know the location of the outlet/discharge? X
III. System
m History
--- - - -- - -------
1 Has sewage ever backed up into the house? X
2 Have there been any other sewage problems at all? X
Monitoring =___-_________ _ -----=---` --===---_- -;____-_____ =-`====--_- - ___==_________ =_____-- `------=-----_- --_`__: _
IV. Analytical o ---------- --- - --=__--_--
1 Has the permittee conducted the required analytical
monitoring?
2 Does permittee have analytical monitoring results on site?
Is analytical monitoring conducted by a NC certified11.1
3 X
laboratory?
Do analytical monitoring results show compliance with
4 permit limits? (Check for compliance with permit limits X
using Form 102.)
V. Septic Tank
1 Has the septic tank been pumped in last 3 to 5 years? If X
yes, when?
Page 1 of 3 SFR Inspection Checklist Peter Giese Gastonia Gaston Cty NCG550501 0806 CEI.xls 6/26/2008,3:40 PM

rm 101 o1 NC Division of Water Quality
Surface Water Protection Section
# Question Yes No N/A N/E Remarks:
VI. Chlorination :____: :____=______=:_--=_ _ ____=_=_======- ====___________=_====== ___ _ _=====
- -- - - __- - - - - -
Are the chlorine tablets wastewater rated? (Inspect
1 original container for wastewater rating. If not, require X
permittee to get tablets rated for wastewater.)
2 Are there chlorine tablets in the chlorinator? X
VII. h rin i -___-_--=_=>====- - = _____= =_____ ________ _ .....======..... _ = --_:=__- ____
Dec to anon - -
Are the dechlorination tablets wastewater rated? (Inspect
original container for wastewater rating. If not, require
1 permittee to get tablets rated for wastewater. Only new X
facilities constructed after August 1, 2007 {Effective date
of latest general permit} are required to install
dechlorination.)
2 Are there dechlorination tablets in the dechlorinator? X
Ultraviolet(UV) = -
-------------------------------------------- -
1 Is the UV disinfection system working? X
2 Does permittee know how to determine if the UV system X
is working?
3 Do they know how to clean and replace UV bulbs? X
4 Do they have extra UV bulbs on site? X
IX. Pump Systems _ --
1 Is/are the pump(s) working? X
2 Is the high water alarm in the pump tank operational? X
3 Does the permittee know how to check the pump and X
high water alarm to ensure operability?
X. Detecting Possible Problems/System Failure
1 Is there any evidence of sewage surfacing or ponding X
anywhere on the grounds?
2 Is there any overflow or soggy soils on the property? X
Is there any sewage on the ground near the septic tank,
3 distribution box(es), sand filters or contact chambers, X
indicating a possible failure of the system?
Does any area of the property appear to be greener with
4 vegetation growth than any where else on the property? X
(Indicates a possible sandfilter failure.) _
If standing sewage or possible system failure is observed,
are there signs of human and animal traffic in the area?
5 (Need to understand if human contact/vector concerns X
are evident/prevalent.)
XI. Effluent Pipe 8 Discharge - -:-- - _:1 Did you observe the end of the discharge pipe? X •
2 Was the outlet discharging? X
3 Was the discharge clear and free of solids? X
4 Is there any evidence of solids at the end of the pipe or in X
nearby ditches or creeks?
Page 2 of 3 SFR Inspection Checklist Peter Giese Gastonia Gaston Cty NCG550501 0806 CEI.xls 6/26/2008, 3:40 PM

Form 101 NC Division of Water Quality
Surface Water Protection Section
# Question Yes No N/A N/E Remarks:
Is the outlet submerged in stream flow, or does it appear
5 that it may become submerged under slightly higher X
stream flows? (Outlet should never be submerged.)
XII. Illegal Discharges - _
Is all wastewater from the home connected to drain into
1
the septic tank? X
Is there any discharge of gray water(i.e. washing
machine or dishwashing machine wastewater)from the
2 residence straight into the creek, ditch, stream, etc? (If X
yes, then the discharge must be connected to drain into
the septic tank immediately. Any discharge of untreated
wastewater into the environment is illegal.)
NOTES: Owner must begin conducting annual analytical monitoring in accordance with
Part IA of the permit.
Page 3 of 3 SFR Inspection Checklist Peter Giese Gastonia Gaston Cty NCG550501 0806 CEI.xls 6/26/2008,3:40 PM

pipirP47- 6,
)� 3 0-1)2` Michael F.Easley,Governor
r William G.Ross,Jr.,Secretary
North Carolina Department of Environment and Natural Resources
Coleen H.Sullins,Director
Division of Water Quality
23 May 2008
M . eter Giese
14 Grass
Gastonia,NC 28052
i Subject: Single Family Residence Wastewater Treatment
System
NPDES General Wastewater Permit No./Certificate
of Coverage NCG550501
Compliance Evaluation Inspection
Dear Mr. Giese:
Division of Water Quality (DWQ) database records show that you currently own/operate a single
family residence (SFR) wastewater treatment and disposal system. 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 your NCG550501 permit. 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 Mr. Ron Boone, of our office,
at 704-663-1699, between the hours of 8AM and 4PM, Monday through Friday. Please contact Mr.
Boone 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.
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 Surface Water Protection Phone[phone] Customer Service
Internet h2o.enr.state.nc.us 610 East Center Avenue,Suite 301 Mooresville,NC 28115 FAX [phone]
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper NO Cra!arolina
tu

se Single Family Residence Wastewater Treatment System
550501 23 May 2008
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 Mr. Boone between
the hours of 8AM and 4PM, Monday through Friday at 704-663-1699. If he is not there when you call,
please leave your name and a good contact phone number and he will return your call as soon as possible.
Sincerely,
Robert B. Krebs
Surface Water Protection Section Supervisor
Division of Water Quality
Mooresville Regional Office

R
©1� �,
NCDENR
North Carolina Department of Environment and Natu : esources
Division of Water Quality 4t:
Michael F. Easley, Governor ¢ ;;` p `; _y 'g,
• - "li , ►
August 17, 2007
Peter Giese
148 Grassy Court
Gastonia, NC 28052
Subject: Renewal of coverage/General Permit NCG550000
148 Grassy Court
Certificate of Coverage NCG550501
Gaston County
Dear Permittee:
In accordance with your renewal application [received on January 29, 2007],the Division is renewing
Certificate of Coverage (CoC)NCG550501 to discharge under NCG550000. 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 May 9, 1994 [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 other permits which may be required by
the Division of Water Quality 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 the requirements of the General Permit, please contact Toya
Fields [919 733-5083, extension 551 or [e-mail]] or Susan Wilson [919 733-5083,extension 510
or [e-mail]].
Sincerely,
for Coleen H. Sullins
cc: Central Files
NPDES file
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 , One
512 North Salisbury Street,Raleigh,North Carolina 27604 NorthCarolina
Phone: [phone]/FAX [phone]/Internet:www.ncwaterquality.org !V'atura/IjIAn Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550501
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS 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,
Peter Giese
is hereby authorized to discharge domestic wastewater [480 GPD] from a facility located at
148 Grassy Court
Gastonia
Gaston County
to receiving waters designated as Crowders Creek in subbasin 03-08-37 of the Catawba 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 August 17, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 17, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

AiviA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor January 17, 2006 William G. Ross,Jr., Secretary
Alan W. Klimek, P.E., Director
Peter Giese
148 Grassy Court
Gastonia,NC 28052
Subject: NPDES Permit NCG550501
Gaston County
Dear Mr. Giese <or> Current Occupant:
Our files indicate that a domestic wastewater discharge permit was issued to Peter Giese
for a domestic wastewater discharge from the subject single family residence. The Surface
Water Protection Section requests that you contact our staff if you do not have a copy of the
current permit, if a change in property ownership has occurred, or should you have any questions
regarding system operations and monitoring requirements.
Pursuant to the conditions of North Carolina General Permit NCG550000, the following
documentation is required to be maintained, and readily available for inspection for a period of at
least three (3) years:
O All operation and maintenance activities relating to the wastewater treatment system
O Analytical monitoring results for the parameters listed in Part I, Section A — "Effluent
Limitations and Monitoring Requirements — Final" to be performed annually by a North
Carolina Certified Laboratory
O Inspections of septic tank and disinfection/dechlorination apparatus (if applicable)
Thank you in advance for your cooperation. Should you have any questions concerning
this matter, please contact me at [phone].
Sincerely,
s B. Bealle III
Environmental Technician
enclosures
cc: Gaston County Environmental Health Department
Mooresville Regional Office One
610 East Center Avenue,Suite 301, Mooresville,North Carolina 28115 NorthCarol
Phone: [phone]/Fax:[phone]/Internet:h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper Naturally

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
MOORESVILLE REGIONAL OFFICE
s
NCDENR
DIVISION OF WATER QUALITY
JAMES B.HUNT - June 3, 1999
GOVERNOR �3
Peter Giese
148 Grassy Court
Gastonia,North Carolina 28052
WAYNE MCDEV .
7 SECRETARY
Subject: Wastewater Discharge Permit
Peter Giese Residence
; ,24 NPDES Permit No. NCG550000
V Cert. of Coverage No. NCG550501
41.440'31,.: Gaston County, NC
• Dear Mr. Giese:
Our files indicate that the subject wastewater discharge permit was issued to Peter
Giese for a wastewater discharge from the subject residence. The Mooresville Regional
Office requests that you contact this Office if you do not have a copy of the subject permit,
r if a change in property ownership has occurred,or if you have any questions regarding this
matter.
r Pursuant to conditions of North Carolina General Permit Number NCG550000,
the following documentation must be kept and readily available for inspection for a period
of at least three years:
r Pr
required maintenance activities relating to the wastewater treatment system
yearly sample analyses results for the parameters listed on the effluent
limitation/monitoring page of the permit
= required inspections of disinfection apparatus and septic tanks
Please do not hesitate to contact Linda Love at [phone] if you have any
questions.
.ti.
--� - `"-` Sincerely,
Lt1''D. Rex Gleason, P.E.
Water Quality Regional Supervisor
, „,
cc: Gaston County Health Department
x>sLL 919 NORTH MAIN STREET,MOORESVILLE, NORTH CAROLINA 281 15
`, „�.,,,, ,� PHONE [phone] FAX [phone]
n. Y AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER-50% RECYCLED/1O%POST-CONSUMER PAPER

State of North Carolina
_--� Mpartment of Environment,
Health and Natural Resources ` • •
Division of Environmental Management
James B. Hunt, Jr., Governor — —
Jonathan B. Howes, Secretary H N
A. Preston Howard, Jr., P.E., Director
September 30, 1' g°�
PETER GIESE ck ��.,w
GIESE RESIDENCE (PETER) t�S`
148 GRASSY COURT 0 ' � � �s
GASTONIA NC 28052 Subject: GIESE RESIDENCE, (PETER)
Certificate of Coverage NCG550501
General Permit NCG550000
Formerly NPDES Permit NC0076015
Gaston County
Dear Permittee:
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
NC0076015. 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 II, 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 50%recycled-10%post-consumer paper

.41
Page 2
Ph 1 hR GIESE
GIESE RESIDENCE, (PETER)
Certificate of Coverage No. NCG550501
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.
S' erely,
A.Preston Howar .,P.E.d...
cc: Mooresville Regional Office
Central Files

N.G fir.or iuen(x.
STATE OF NORTH CAROLINA IMIOCROIS AND g
rr
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATUROiDMIEWItt
t
DIVISION OF ENVIRONMENTAL MANAGEMENT
SEP 2 8 1993
GENERAL PERMIT NO. NCG550000 EE VEL ��
41161
CERTIFICATE OF COVERAGE No.NCG550501
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,
GIESE RESIDENCE, (PETER)
is hereby authorized to discharge treated domestic wastewater from a facility located at
GIESE RESIDENCE, (PETER)
Gaston County
to receiving waters designated as the CROWDERS CREEK/CATAWBA RIVER BASIN
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.
. /
C— /
d_A.Preston Howar.,Jr.,P.E.,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources lirrA
Division of Water Quality
.0c r
James B. Hunt, Jr. Governor "�`'` . GIE? NI FR.
Wayne McDevitt, Secretary 44 l;,
A. Preston Howard, Jr., P.E., Director BAR 29 1999 July 21, 1997
Peter Giese ".;, fgeop n
148 Grassy Court eiirkt
r
Gastonia,NC 28052
Subject: Certificate of Coverage No. NCG550501
Renewal of General Permit
Giese,Peter-Residence
Gaston County
Dear Permittee:
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31,2002. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated December 6,1983. If any
parts,measurement frequencies or sampling requirements contained in this permit are unacceptable to you,you have
the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, 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 the NPDES Group at the address below.
Sincerely,
•
1)k49r4c
grker."1----^'
A. Preston Howard,Jr.,P.E.
cc: Central Files
NPDES Group
`
witm
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX[phone] p&[e-mail]
An Equal Opportunity Affirmative Action Employer 50%recycled /10%post-consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550501
TO DISCHARGE DOMESTIC WASTEWATERFROM SINGLE FAMILY RESIDENCES
AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS 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,
Peter Giese
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility
located at
Giese,Peter-Residence
148 Grassy Court
Gastonia
Gaston County
to receiving waters designated as subbasin 30837 in the Catawba River Basin
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 August 1, 1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21, 1997.
. /4-frE,(---. 4. 97,14.,,k.„'
fe-IVA. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

�, /ry
/haw
� � A. C. Dr,PT. car NAB.
rr a
''�! d. - 1 1990
•...,.s
IMS13 6F r,: ;:Fnum
State of North Carolina MGORESYIl1E kL1JVIL OFF1C6/
Department of Environment,Health and Natural Resources
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
October 26, 1990
Mr. Peter Giese, Owner
4114 Snowbrook
Gastonia,North Carolina 28052
Subject: Permit No. NC0076015
Authorization to Construct
Giese Residence
Lot#19-Meadowglen Subdivision
Wastewater Treatment Facility
Gaston County
Dear Mr.Giese:
A letter of request for an Authorization to Construct was received October 3, 1990 by the
Division and final plans and specifications for the subject project have been reviewed and found to
be satisfactory. Authorization is hereby granted for the construction of a wastewater treatment
facility consisting of a 1,000 gallon precast septic tank, a distribution box, a surface sand filter
approximately 6 feet by 70 feet, a tablet type chlorinator, a 73 gallon chlorine contact tank, and a
rip-rap type cascade aerator with discharge of treated wastewater into Crowder's Creek classified C
waters.
This Authorization to Construct is issued in accordance with Part III paragraph B of
NPDES Permit No. NC0076015 issued October 16, 1989, and shall be subject to revocation
unless the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0076015.
The sludge generated from these treatment facilities must be disposed of in accordance with
G.S. 143-215.1 and in a manner approved by the North Carolina Division of Environmental
Management.
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.
The Mooresville Regional Office, phone no. [phone], shall be notified at least
forty-eight (48) hours in advance of operation of the installed facilities so that an in-place
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Pollution Prevention Pays
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Mr. Giese
-I October 26, 1990
Page Two
Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the permitted facility has
been installed in accordance with the NPDES Permit, this Authorization to Construct and the
approved plans and specifications. Mail the Certification to the Permits and Engineering Unit,
P.O. Box 27687, Raleigh, NC 27611.
A copy of the approved plans and specifications shall be maintained on file by the Permittee
for the life of the facility.
The sand media of the surface sand filter must comply with the Division's sand
specifications. The engineer's certification will be evidence that this certification has been met.
A leakage test shall be performed on the septic tank and dosing tank to insure that any
exfiltration occurs at a rate which does not exceed twenty (20) gallons per twenty-four(24) hour
per 1,000 gallons of tank capacity. The engineer's certification will serve as proof of compliance
with this condition.
Failure to abide by the requirements contained in this Authorization to Construct may
subject the Permittee to an enforcement action by the Division of Environmental Management in
accordance with North Carolina General Statute 143-215.6.
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules,regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal)which have jurisdiction.
One (1) set of approved plans and specifications is being forwarded to you. If you have
any questions or need additional information,please contact Mr. Mark Hawes, telephone number
919/733-5083.
$rvYj15t
VA-C‘a
cc: Gaston County Health Department
Mooresville Regional Office

Permit No. NC0076015
Authorization to Construct
October 26, 1990
Engineer's Certification
I, , as a duly registered Professional Engineer in the State of North
Carolina,having been authorized to observe(periodically,weekly,full time)the construction of the
project, , for the
Project Name Location
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the approved plans and specifications.
Signature Registration No.
Date

Date: February 13 , 1989
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Gaston
NPDES Permit No. NC 0076015
PART I - GENERAL INFORMATION
1. Facility and Address: Peter Giese Residence
4114 Snow Brook
Gastonia, North Carolina 28052
2. Date of Investigation: February 10, 1989
3 . Report Prepared By: G. T. Chen
4. Person Contacted and Telephone Number: Mr. Peter Giese,
owner of the property; ( 704) 868-3283
5 . Directions to Site: From the intersection of Highway 29/74
and State Road 1136 (Myrtle School Road/Davis Park Road) in
west Gastonia, Gaston County, travel south on S. R. 1136
approximately 1.73 miles to the junction with Hedgewood
Circle (S. R. 1146) . Turn right, proceed on S. R. 1146
approximately 250 feet, then turn left and proceed for
approximately 0. 2 mile to the entrance of Meadow Glen
Subdivision. Proceed west on Cricket Lane (no road sign or
S. R. number) from the entrance approximately 0. 2 mile to
the junction with Grassy Road (no road sign or State Road
number) . Turn right at the junction and proceed north/west
on Grassy Road approximately 0 . 15 mile. The proposed site
is approximately 300 feet northwest of the end of the road,
in a wooded area.
6. Discharge Point - Latitude: 35° 13 ' 45"
Longitude: 81° 13 ' 47"
Attach a USGS Map Extract and indicate treatment plant site
and discharge point on map.
USGS Quad No. : G 14 NW
7 . Size ( land available for expansion and upgrading) : Ample
land area available for the proposed septic tank/subsurface
sand filter trench system and future expansion/upgrading,
if necessary.
8. Topography (relationship to flood plain included) : Sloping
toward Crowders Creek at the rate of 1-4%. The proposed
site for the facility does not appear to be in a flood
plain.
9. Location of Nearest Dwelling: A number of dwellings would
be within 500 feet of the proposed facility in the future.

A
Page Two
10. Receiving Stream or Affected Surface Waters: Crowders
Creek
a. Classification: C
b. River Basin and Subbasin No. : 03-08-37
c. Describe receiving stream features and pertinent
downstream uses: Fish and wildlife propagation,
secondary recreation, agriculture, etc. Downstream
users are not known.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100o Domestic
0o Industrial
a. Volume of Wastewater: 0 . 00048 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) :
No engineering proposal has been submitted. However, the
applicant proposes to construct a septic tank/subsurface
sand filter system to meet DEM and DHR requirements.
5. Sludge Handling and Disposal Scheme: Sludge generated from
this facility will be disposed of properly in accordance
with the requirements of the DEM and DHR.
6. Treatment Plant Classification: N/A
7 . SIC Code(s) : 4952
Wastewater Code( s) : 04
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants
Funds (municipals only) ? N/A
2. Special monitoring requests: N/A
3 . Additional effluent limits requests: N/A
4. Other: N/A

Page Three
PART IV - EVALUATION AND RECOMMENDATIONS
The applicant proposes to construct a septic
tank/subsurface sand filter system for his future residence.
The proposed domestic wasteflow of 480 gpd is to be discharged
into an unnamed tributary to Crowders Creek. It should be noted
that the applicant has previously been denied construction of a
ground absorption system by the Gaston County Environmental
Health Department because the soil of the proposed site was
unsuitable for such purpose.
There was little flow observed in the designated receiving
water on the day of the investigation. It is our opinion that
the designated receiving stream, a natural drainageway, will not
meet the 7Q10/30Q2 criteria. However, the applicant was advised
to discharge the proposed wasteflow directly to Crowders Creek
which is approximately 550 feet west of the proposed facility
site.
It is recommended that an NPDES Discharge Permit be issued
to the applicant on condition that the projected wasteflow be
discharged to Crowders Creek, not the unnamed tributary as
previously proposed. The Authorization to Construct should also
reflect requirements that the disposal facility be constructed
as a septic tank/surface sand filter system with chlorination
device. Furthermore, it is recommended that the discharge be
connected to an area-wide system as soon as one becomes
available.
•-itt9:" 7-41'4 a-VC!
Signature I Report Preparer
N' Rfz,_ / urn
Water Quality Re•/•nal Supervisor

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cc,-'c,' DEPARTMENT OF THE INTERIOR &as�o 7 C'ad4ey
GEOLOGICAL SURVEY
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dF.
NPDES SFR WASTELOAD ALLOCATION
� Date . 4.2 -/3
.' Faai l i ty• Neme : P..e/..0' 6/6e /'(tSld/em Permit : /Y®PlS p/7l'A4ND. //C07 ,/5
Receiving Stream: (rD%de6 c4-eek Class : G Sub-Basin : �3 -oB 37
County : UAS/-6/I Regional Officer /440/FS7)/1/�
Reference USGS Quad : 6 14 Nry Existing : Proposed : v
Elevation : /✓A Drainage Area : /J'/4
Hydrologic Group : N/A Design Temperature : /VA
Slope : Comments :
• :�. po,00sed ioce/V'240.• al l!/I!l4r17ed-/i, ry �O
N/� s / <anat car ritej "i
74/t9/3dv Cti*./i4,
:, 12" i 5 I"P1o/n/jleiided ikat life 17roiee d' ' '
he d aor¢ed fo erozodes efeeA wvA, /`s g #4 '-
:3. rf ;s rPatote. ed kat/fe A be 6045/ray/ed as a
S iC *14k/ to,O//d,4/ rfysiot /diML ci ,i,fed,1
d'el/M .
RECOMMENDED EFFLUENT LIMITS
Wasteflow (gpd) : 4)9D
BOD5 Cmg/ 1 ) : 3 D
NH3-N Cmg/ I ) : NiA
D .O . (mg/ I ) : /SI lA
pH C S U) : /d//4
Fecal Coli ( / 100m1 ) : - 211�
TSS Cmg/ I ) :
RECOMMENDED BY : l . I L 11)-t1/ Date : D2 `1 i - 99
APPROVED BY :
Regional Engineer : 0 �--e, • L `, Date : Z /VI
'Regional Supervisor : / / 7/49 g Date: 277'IA,
ROUTE to Technical Support Group and Permits & Engineering Unit
CEnclose copy of USGS topographical map showing location of discharger )

PIIIIIIIIIIIIIIIIIIIFIIIIFF-
RECEIVED ' , ''`fin..
S ISaN Of ENVIRONMENTAL MANASEM ' t - >
26 1989 •�,,,,
, , ) 1
JAN
MOORESVILLE
'°"AL mate of North Carolina
Deparirnent of.Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor - R. Paul Wilms
S. Thomas Rhodes, Secretary Director
i
Subject : NPDES Permit Application
NPDES Permit No. NC00
County
Dear •
This is to acknowledge receipt of the following documents on {
Application Form,
Engineering Proposal (for proposed control facilities) ,
Request for permit renewal ,
Application Processing Fee of $_ ,
Other
The items checked below are needed before review can begin:
•
Application form _ (Copy enclosed) ,
Engineering Proposal See Attachment) ,
Application Processing Fee of $ ,
Other
•
•
If the application is not made 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 will 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 .
Sincerely, ,
1
Arthur Mouberry, P.E.
Supervisor, Permits and Engineering
cc :
•
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

4 J 2 c .0D
1_i �.-89
NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT a.D •
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMBER
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR A 1C111t171lol01 i 1?
AGENCY
USE DATE RECEIVED
To be filed only by services, wholesale and retail trade, gl / I Q 1/ I 1 la"
and other commercial establishments including vessels
r YEAR 140. DAll
1,
Do not attempt to complete this form without reading the accompanying instructions " "
Please print or type J L `.! 1 ;:: !: L;'j •
1. Name, address, and telephone number of facility producing discharge
A. Name
B. Street address Ige 6 A'3'Y Caber
C. City (,4STOA,'f'1 D. State Arol...,
E. County 645TON (�/[� (� RECFIVeDZIP ,-.2005
1 Bc+'S-3 Z133
G. Telephone No. 7C .4n�OF ENvJRONuEHTAL II WOO
Area
Code rtbliv 11 1989
2. SiC 1 l
1 ` I MOORESvj(E
(Leave blank) �
3. Number of employees ` '///� ,
4. Nature of business fVA// x,L - /- 'U/L7 a) ././/'L7
5. (a) Check here if discharge occurs all year, or
(b) Check the months) discharge occurs:
1.0 January 2.0February 3.0 March 4.0 April 5.0May
6.0 June 7.0 July 8.0 August 9.0 September 10.0 October
11.O November 12.0 December
(c) How many days per week:
1.01 2.02-3 3.04-5 4,46-7 •
6. Types of waste water discharged to surface waters only (check as applicable)
I I
e
Flow, gallons per operating day Volume )
dischhaasrging treated(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) (3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitary. daily
average
B. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify
♦ v -• - I _
D. Maximum per operat-
ing day for combined �//:/1
discharge (all types) 7 e

7. 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.
Waste water is discharged to: 0.1-999 1000-4999 , 5000-9999 10,000-41.999 50,000 or more
(1) (2) (3) (4) (5)
A. Municipal cower :ysteam
Im, ihuk•,imams, wi'I I
w
C. ;ept.ir tank
U. Evaporation lagoon or pond
E. Other, specify:
SAW() rlirEr.Q-- X
8. Number of separate discharge points:
A.Al B.o2-3 C.0 4-5 D.o 6 or more .
9. Name of receiving water or waters r Ri/30 1.�1ZY Cil' 6"ecxu•DoS CRk.
. 10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances added as a result of your operations.
activities, or processes: ammonia, cyanide, aluminum, beryllium, cadmium,
chromium. copper. lead, mercury, nickel, selenium, zinc, phenols, oil and
grease, and chlorine (residual).
A.0yes 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_
Printed Name of Person Signing
Title
Date Application Signed
Signature of 4pl icant
•
North Carolina General Statute 143-215.6(b) (2) provides that: Any person who knowingly maids
any false statement representation, or certification in any applicatj.on, 'record, report, plan,
or other document files or required to be maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, or who falsifies, tampers u 1 t`c ,
or knowly renders inaccurate any. recortding or monitoring 4pvice or method required to be
operated or maintained under Article 21:'oc regulatioes .of the Environmental Management Cotiissr
Implementing that Article, shall`be ''gut i.tv, of a misdemeanor punishable by aline not to exceed
$10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 prow:.
a punishment by a fine of-not more than $10,000 or imprisonment not more than 5 years, or both,
for a similar offense.)

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} - = GASTON COUNTY ENVIRONMENT Ldr7;
d
' UI10. 611 North Highland Street, Gastonia, North Carolina 28052
kik
*'/ '- ,RECEIVED
gli
y'January 25, 1989
JAN 2 1989
PERMITS & Ef Gl fry,,,
Mr . Mark Wiggins
Permits & Engineering
Post Office Box 27687
Raleigh, N. C. 27611-7687
Re: Mr. Peter Giese
Lot #19 Meadowglen Subdivision
• Gastonia, N. C .
Dear Mr. Wiggins :
Mr . Peter Giese recuested that I forward you information
regarding the above referenced property. As I understand, Mr .
Giese has begun the process for applying for a sand filter
discharge sewage disposal system.
Enclosed are copies of all the correspondence related to Lot 19 ,
a copy of the soil site evaluation wor >shet and soil map of the
area .
If you need further information regardin_ this lot and area,
please advise .
Sincerely,
James O . McEntire , R. S .
Sanitarian •
JO_M/of
N. C. DEPT. OF NATURAyil
f)ILTIZCES AND
JAN 7, 1 1
1« .......1. I..-,.. OffIC

R' •
•, GASTON COUNTY ENVIRONMENTAL HEALTH
41.11.0. 611 North Highland Street, Gastonia, North Carolina 28052
•
January 24 , 1989
Mr . Peter Giese •
4114 Snowbrook Lane
Gastonia, N . C . 28052
Re: Lot 19 , Meadowglen
148 Grassy Court
Dear Mr . Giese :
The above referenced lot has been evaluated to determine
suitability for a conventional on-site sewage disposal system. •
The lot is situated at the end of Grassy Court in Meadowglen
Subdivision, Gastonia, N. C. The lot is eight acres in size ,
most of which lies in the Crowders Creek flood plain. The area
which is not in the flood plain is divided by a drainage valley
and a stream.
Soils on the _'7iah around between the end of the street and the
flood plain are generally 14" deep, except for a limited area
near the front of the lot where soils are 18" to 22" deco
overlaying a hard pan of gray saprolite .
A ridge the drainage valley and the small stream
small --� �� netwe:e?�. �.
has a limited area with an appling-like soil and a soil depth of
30" to 36" . However , the area is not sufficient in size for the
installation of a nitrification field. The ridge - is narrow and
is less than 50 ' from the stream.
Lot 19 is not suitable for an on-site sewage disposal system due
• to the following:
1 . Shallow to saprolite
2 . Massive clan
3 . Complex topography
4 . Insufficient area with provisionally suitable soils
It is my opinion that Lot 19 is also not suitable for any
alternate or modified on-site sewage disposal system.

s
•
If you should have any questions regarding this matter , please
contact me at 866-3334 , from 8 : 00 - 9 : 00 A .M. Monday through
Friday.
Sincerely ,
/614,,,,,E2e, D- 711 lam- - / g.. -
James 0 . McEntire , R . S .
Environmental Health Section
JOM/mf

• SCIL/SITE EVAU:AllC,:= -1.:ORKSHELI PAH,
ts,ner /--p I-- 7 (-- a c--- - -7-r-c, ,:.......zil>--,‘ Address
'roper ty LocationAlf-•k,... --c-, zzi- 6 /-"6-'/./fri. --- 2 L 1-- i 9 --
'roperty Size --- 1)- r-c--5 Structure ...4-4:,'t,-'-; , .:,,-' ,.- ,-/ , 7.- i
ource of Water V/-.• ,---. ,-- .'.:-..• -
' •
articipants //.;di., /1_ "// C.T.c,f-/--4.,,, X..$. z.7.::.-44 A,..-.. "i.:1;..- -w.c--.: /::•-.2'5,,<-_,..E.,7J-r.-,:.' /f.. ,- '
erson(s) Contacted /el'. y.,-../k. ,..,1 ( . . 4
Soil Factors Area I Area 2 • Area 3 Area 4 Area 5 Area 6
. Slope & Topography Cfs..7) L--.-§ ' C_IV .--s->
...._.. (...S ) S
' 15% 15-30% PS PS PS PS PS P.S
30% or Complex U U U U •U U
. Horizon I Depth _,,-.. ___
c_ /() 0 - / Z. - ).-- c.---) — (
i •
Texture S 6)U SU S 6)U S (.5_S) U S (15.S)U S P',.; U
S.,.----e-r- ---
Structure S U Se57 u SU SU s oat)
. S PS U
Consistence Sq.,. 0 SU S )1.1 S(P_S)U ScP1S3 U S PS U
,..
Horison 2 Depth AC 7 2._
Texture S (r,fs, u S PS U S PS U .,.
S PS U 'S (PS U S PS U
t.c...,#-,(.1./
Structure S Pf., U S PS'U S P3 U sts' u S PS U S PS U
Consistence S 6, u S PS U S U U SPU S PS U S PS U
Horizon 3 Depth
Texture S PS(If-; s rs IL-. S PS(U. . S PS U---• S PS U S PS U
__.-•
• ...!..c:.;:.-c;., •-•-6..--:.,..<•• r
Structure S PS U / S PS U S PS U S PS U S PS U S PS U
Consistence S PS U S PS U S PS U S PS U S PSU S PS U
. Restrictive (>48") S PS U S PS U S PS U S PS li S PS U S PS U
. Horizon (36-48")(<36")
. Depth to (>48")(36-48") S PS U S PS U S PS U ' S PS U S PS U S PS U
Water cable (<36")
. Available Space S PS U 6. Application Rate/ ) 7 . Site Class S PS U
....-1
=men ts : Diagram: 1.
- .,
-
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.---- ,.1
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---)--..,„1.4,
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.
/Goc
G �. STON COUNT(:s •:.' .- .
: • . ) E\'VIRO.N�fE�\'T':iL HEALTH
<o r,"
A.,.8� c. 611 N. Highland Street, Gastonia . North Carolina 28052
July 25 , 1986
Mrs. Mozelle Arrowood •
5404 Harvest Lane
Gastonia, North Carolina 28052
Dear Mrs. Arrowood :
On July 9 , 1986 the evaluation of Meadowglen Subdivision,
located off Hedgewood Circle, Gaston County, North Carolina, was
completed by Mr. James 0. McEntire R. S . and Mr. William P.
Carlin, R. S.
The lots evaluated at this time were lots 9 , 10 , 11 , 12 , 13 ,
14 , 17 , 18 , 19 , 20 and 21 . They were evaluated to determine
suitability for residential septic tank on-site sewage disposal
systems.
The results of the evaluation were that lots 9, 10 , 11 , 12 ,
13 , 14 , 17 , 18, 19 , ' 20 , and 21 were unsuitable for septic tank
on-site sewage disposal systems due to the following reasons:
A. Shallow to saprolite
B. Massive clay
C. Shallow seasonal water table
D. Complex topography
E. Insufficient area of provisionally suitable soils
Should there be any questions regarding this matter, please
contact me at 866-3139 , Monday through Friday, 8 :00 a.m. - 9 :00
a.m.
These lots are in addition to those referred to in Gaston
County Environmental Health letter dated June 16 , 1986 .
Sincerely,
'9/ 77
c- - )6:1- P- ---..,
William P. Carlin, R. S.
Sanitarian
Environmental Health Section

„. T
i C ��
hQ_', ,-,!d'.0, G A S T O N COUNTY ENVIRONMENTAL HEALTH
,111 .
lin c,'.ir;,
611 North Highland Street, Gastonia, North Carolina 28052
June 22, 1988
Mr. Paul Jean
500 Montana Drive
Gastonia, North Carolina 28054
RE: Lot 19 .
Meadow Glen Subdivision
Dear Mr. Jean:
The above referenced lot has been evaluated;.tadetermine suitability
for a residential on-site sewage treatment and disposal system. The lot was
determined to be UNSUITABLE for the following reasons:
1. Unsuitable soil depth. Soils are generally 14” deep except at
the upper end of the lot adjacent to the cul-de-sac, where the soils are
18" - 22" deep in a limited space.
•
The area where soils are 18" to 22" deep the soils overlay a hard pan of
gray saprolite.
The regaining soils of 14" deep overlay blue and gray 2:1 clays.
Only approximately 45,000 square feet more or less lie outside the
Crowders Creek flood plain. The remainder of the eight (8) acre tract is in
the flood plain area.
I recommend that you contact the office of Mr. Rex Gleason, Natural
Resources and Community Development, Mooresville Regional Office,
704-663-1699, to request an application for an off-site disposal system.
•
If I can he of any further assistance, please advise.
Sincerely,
12t--7- __ c.._.i. •/7( ----,X1. 6.( 7 1 \ ,
James O. McEntire, R.S.
Registered Sanitarian
Environmental Health Division
JOM:lw __

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U. S. DEPARTMENT OF AGRICULTURE SOIL SURVEY FIELD SHEET
SOIL CONSERVATION SERVICE GASTON COUNTY, NORTH CAROLINA
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STATE AGRICULTURAL EXPERIMENT STATION .,
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State of North Carolina
Department of Environment, Health, and Natural Resources
Mooresville Regional Office
James G. Martin, Governor Albert F. Hilton, Regional Manager
William W. Cobey, Jr., Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT
October 25, 1989
Mr. Peter Giese
4114 Snowbrook
Gastonia, North Carolina 28052
Subject: NPDES Permit No. NC 0076015
Peter Giese Residence
Gaston County, NC
Dear Mr. Giese:
Our records indicate that NPDES Permit No. NC 0076015
was issued on October 16, 1989 for the discharge of. wastewater to
the surface waters of the State from your facility. The purpose
of .this letter is to advise you of the importance of the Permit
and the liabilities in the event of failure to comply with the
terms and conditions of the Permit. If you have not already done
so, it is suggested that you thoroughly read the Permit. Of
particular importance is Page M3 .
Page M3 sets forth the effluent limitations and monitoring
requirements for your discharge(s) . Your discharge(s) must not
exceed any of the limitations set forth. The section headed
"Monitoring Requirements" describes the measurement frequencies,
sample types and sampling locations. Upon commencement of your
discharge (or operation) , you must initiate the required
monitoring. The monitoring results must be entered on the
reporting forms furnished to you by this Agency. If you have not
received these forms, they should be arriving shortly. If you
fail to receive the form, please contact this Office as quickly
as possible. I have enclosed a sample of the "Effluent"
reporting form (DEM Form MR-1) , plus instructions for completing
the form. It is imperative that all applicable parts be
completed, and the original and one copy be submitted as
required.
The remaining Parts of the Permit (Parts II and III) set
forth definitions, general conditions and special conditions
applicable to the operation of wastewater treatment facilities
and/or discharge( s) . The conditions include special reporting
requirements in the event of noncompliance, bypasses, treatment
919 North Main Street, Mooresville, N.C. 28115•Telephone [phone]• FAX [phone]
An Equal Opportunity Affirmative Action Employer

Mr. Peter Giese
Page Two
October 25, 1989
unit/process failures, etc. Also addressed are requirements for
a certified wastewater treatment plant operator if you are
operating wastewater treatment facilities . Any changes in
operation of wastewater treatment facilities, quantity and type
of wastewater being treated or discharged, expansions and/or
upgrading of wastewater treatment facilities must be permitted or
approved by this Agency.
Failure to comply with the terms and conditions of an NPDES
Permit subjects the Permittee to enforcement action pursuant to
Section 143-215. 6 of the North Carolina General Statutes. A
civil penalty of up to $10,000 per violation plus criminal
penalties may be assessed for such violations. If you find at
any time that you are unable to comply with the terms and
conditions of the Permit, you should contact this Office
immediately. A Consent Order may be necessary while pursuing
action to obtain compliance.
As a final note, an NPDES Permit is normally issued for a
five-year period. Permits are not automatically renewed.
Renewal requests must be submitted to this Agency no later than
180 days prior to expiration. Please make note of the expiration
date of your Permit. This date is set forth on Page M-1 or I-i
of the Permit. Also note that NPDES Permits are not
transferable. If you, as the Permittee, cease to need this
Permit, then you should request that the Permit be rescinded.
As mentioned previously, the purpose of this letter is to
advise you of the importance of your NPDES Permit. Please read
the Permit and contact this Office at 704/663-1699 in Mooresville
if you have any questions or need clarification. We look forward
to providing any assistance.
Sincerely,
D. Rex Gleason, P. E.
Water Quality Regional Supervisor
Enclosure
DRG:se

1;
Permit No.NC0076015
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.Peter Giese
is hereby authorized to discharge wastewater from a faciilty located at
Mr. Peter Giese Residence
Lot#19, Meadowglen Subdivision
South of Gastonia
Gaston County
to receiving waters designated as Crowders Creek in the Catawba 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
DRAFT
R. Paul Wilms,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0076015
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Peter Giese
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treament facility, and
2. Make an outlet into Crowders Creek and,
3. After receiving an Authorization to Construct from the Division of Environmental
Management, construct and operate a 0.00048 MGD wastewater treatment facility located
at Mr. Peter Giese Residence,Lot#19, Meadowglen Subdivision , South of Gastonia,
Gaston County (See Part III of this Permit), and
4. Discharge from said treatment works at the location specified on the attached map into
Crowders Creek which is classified class C waters in the Catawba River Basin.

A. ( ). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Permit No. NC0076015
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 Discharge Limitations Monitoring Requirements
Units (specify} Measurement Sample *Sample
Monthly Avg. Weekly Avg, Frequency Type Location
Flow 480 GPD
BOD, 5 day, 20°C 30.0 mg/I 45.0 mg/I
Total Suspended Residue 30.0 mg/I 45.0 mg/I
NH3 as N
Fecal Coliform (geometric mean) 200.0 /100 ml 400.0 /100 ml
Total Residual Chlorine
Temperature
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.

r •
.....STATE,;
_iftv :((
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. Peter. Giese
4114 Snowbrook
Gastonia, NC 28052
Subject: Permit No. NC0076015
Peter Giese Residence
Gaston County
Dear Mr. Giese:
In accordance with your application for discharge permit received on January
12, 1989, we are forwarding herewith the subject: State - NPDES permit. This permit is
issued pursuant to the requirements of North Carolina. General Statute 143-215. 1 and
the. Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in
this permit are unacceptable to you, you may request a waiver or modification pursuant
to Regulation 15 NCAC 2B .0508(b) by written request to 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 he final and binding. Should your request
be denied, you will have the right to request an adjudicatory hearing.
Please take notice that this permit is not transferable. Part li, D.3.
addresses the requirements to be followed in case of change in 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 Environmental Management or permits required
by the Division of Land Resources, Coastal Area Management Act or any other. Federal or
Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Mr-. Mack
Wiggins at telephone number 919/733-5083.
Original Signed By
DONALD SAFRIT N. C. DEPT. OF NATURdif
F,.,.0_-;7CES AND
R. Paul Wilms
1 ocvELOPmENT
cc: Mr. Jim Patrick, EPA
11110 _ �61111101111Ve a 1geg
:: r, ,. .,..E Tii l
Pollution Prevention Pays,i_iLL.I :E RMJNAI Or,
P.O.Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Enual Onnortunity Affirm2tiw A,-.,.... Fm„im,.r

•
Permit No. NC0076015
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.Peter Giese
is hereby authorized to discharge wastewater from a facility located at
Mr. Peter Giese Residence
Lot#19, Meadowglen Subdivision
South of Gastonia
Gaston County
to receiving waters designated as Crowders Creek in the Catawba 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 October 16, 1989
This permit and the authorization to discharge shall expire at midnight on April 30, 1994
Signed this day October 16, 1989
Original Signed By
DONALD SAFRIT
R. Paul Wilms,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

i
Permit No. NC0076015
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Peter Giese
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility, and
2. Make an outlet into Crowders Creek and,
3. After receiving an Authorization to Construct from the Division of Environmental
Management,construct and operate a 0.00048 MGD wastewater treatment facility located
at Mr. Peter Giese Residence,Lot#19, Meadowglen Subdivision , South of Gastonia,
Gaston County (See Part III of this Permit), and
4. Discharge from said treatment works at the location specified on the attached map into
Crowders Creek which is classified class C waters in the Catawba River Basin.
L

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A. ().EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Permit No. NC0076015
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 Discharge Limitations Monitoring Requirements
Units (specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Frequency Type Location
Flow 480 GPD
BOD. 5 day, 20°C 30.0 mg/I 45.0 mg/I
Tota. suspended Residue 30.0 mg/I 45.0 mg/I
NH3 as N
Fecal Coliform (geometric mean) 200.0 /100 ml 400.0 /100 ml
Total Residual Chlorine
Temperature
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, M3/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 11
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.
S. 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 the
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.

RECEIVED ,, ATtc
N.
4YISION Of ENVIRONMENTAL MARABEMENI +'y,'i� n•
t T
MAY 4 1989
MOESVILLE OEEI
REGIONAL GR VVV
OR
t:.. 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 May 1, 1989 R. Paul Wilms
William W. Cobey, Jr., Secretary Director
Mr. Peter Giese
4114 Snowbrook
Gastonia, NC 28052
Subject: Permit No. NC0076015
Peter Giese Residence
Gaston County
Dear Mr. Giese:
In accordance with your application for discharge permit received on January
12, 1989, we are forwarding herewith the subject State - NPDES permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215. 1 and
the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in
this permit are unacceptable to you, you may request a waiver or modification pursuant
to Regulation 15 NCAC 2B .0508(b) by written request to 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 an adjudicatory hearing.
Please take notice that this permit is not transferable. Part II, D.3.
addresses the requirements to be followed in case of change in 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 Environmental Management or permits required
by the Division of Land Resources, Coastal Area Management Act or any other Federal or
Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Mr. Mack
Wiggins at telephone number 919/733-5083.
C incerel ,
lo,rlki J,�IlyC Sy
ARTHUR +}IOt1SERRY
1 'Paul Wilms
cc: Mr. Jim Patrick, EPA
11.111111111111111.11111111111111111,
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]

Permit No. NC0076015
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 provisions 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. Peter Giese
is hereby authorized to discharge wastewater from a facility located at
Peter Giese Residence
Lot #19, Meadowglen Subdivision off Cricket Lane
South of Gastonia
Gaston County
to receiving waters designated as Crowders Creek in the Catawba 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 May 1 , 1989.
This permit and the authorization to discharge shall expire at midnight on
April 30, 1994.
Signed this day May 1 , 1989.
Original Signed By
ARTHUR MOUBERRY
FOr:
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0076015
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Peter Giese
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility,
and
2. Make an outlet into Crowders Creek, approximately 550 feet west of the
facility
3. After receiving an Authorization to Construct from the Division of
Evironmental Management, construct and operate a 0.0048 MGD of wastewater
treatment facility to include chlorination located at Lot #19, Meadowglen
Subdivision off Cricket Lane, South of Gastonia (See Part III of this
Permit) and
4. Discharge from said treatment works at the location specified on the
attached map into Crowders Creek which is classified C waters in the Catawba
River Basin.

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UNITED STATES N/WES 1imr . No. NC076Og
F��T DEPARTMENT OF THE INTERIOR ,�,1
GEOLOGICAL SURVEY ����� ���`�
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A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final
NPDES No. NC0076015
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(s) 001. Such discharges shall be limited
and monitored by the Permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Lbs/day Other Units (Specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency . Location
Flow 480 GPD
BOD, 5Day, 20 Degrees C 15.0 mg/1 22.5 mg/1
Total Suspended Residue 30.0 mg/1 45.0 mg/1
NH3 as N 4.0 mg/1 6.0 mg/1
Fecal Coliform (geometric mean) 6.0 mg/1 6.0 mg/1
Total Residual Chlorine 1000.0/100 ml 2000.0/100 ml
Temperature
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 and shall be
monitored 2/month at the effluent by grab sample.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
M3

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, M3/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 11
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.
S. 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 the
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.

Permit No. NC0076015
D. The permittee shall discharge wastewater direct into Crowders Creek
approximately 550 feet west of the facility site.

"
,,,
State of North Carolina
Department of Natural Resources and Community Development
Mooresville Regional Office
James G. Martin, Governor Albert F. Hilton, Regional Manager
William W. Cobey, Jr., Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT
May 5, 1989
Mr. Peter Giese
4114 Snowbrook
Gastonia, North Carolina 28052
Subject: NPDES Permit No. NC 0076015
Peter Giese Residence
Gaston County, NC
Dear Mr. Giese:
Our records indicate that NPDES Permit No. NC 0076015 was
issued on May 1, 1989 for the discharge of wastewater to the
surface waters of the State from your facility. The purpose of
this letter is to advise you of the importance of the Permit and
the liabilities in the event of failure to comply with the terms
and conditions of the Permit. If you have not already done so,
it is suggested that you thoroughly read the Permit. Of
particular importance is Page M3 .
Page M3 sets forth the effluent limitations and monitoring
requirements for your discharge( s) . Your discharge( s) must not
exceed any of the limitations set forth. The section headed
"Monitoring Requirements" describes the measurement frequencies,
sample types and sampling locations. Upon commencement of your
discharge (or operation) , you must initiate the required
monitoring. The monitoring results must be entered on the DMR
forms furnishedto you by this Agency. If you have not received
these forms, they should be arriving shortly. If you fail to
receive the form, please contact this Office as quickly as
possible. I have enclosed a sample of the "Effluent" reporting
form (DEM Form MR-1) , plus instructions for completing the form.
It is imperative that all applicable parts be completed.
The remaining Parts of the Permit (Parts II and III) set
forth definitions, general conditions and special conditions
applicable to the operation of wastewater treatment facilities
and/or discharge( s) . The conditions include special reporting
requirements in the event of noncompliance, bypasses, treatment
unit/process failures, etc. Also addressed are requirements for
a certified wastewater treatment plant operator if you are
919 North Main Street, P.O. Box 950, Mooresville, N.C. 28115-0950•Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Mr. Peter Giese
Page Two
May 5, 1989
operating wastewater treatment facilities. Any changes in
operation of wastewater treatment facilities, quantity and type
of wastewater being treated or discharged, expansions and/or
upgrading of wastewater treatment facilities must be permitted or
approved by this Agency. Failure to comply with the terms and
conditions of an NPDES Permit subjects the Permittee to
enforcement action.
As a final note, an NPDES Permit is normally issued for a
five-year period. Permits are not automatically renewed.
Renewal requests must be submitted to this Agency no later than
180 days prior to expiration. Please make note of the expiration
date of your Permit. This date is set forth on Page M-1 or I-i
of the Permit. Also note that NPDES Permits are not
transferable. If you, as the Permittee, cease to need this
Permit, then you should request that the Permit be rescinded.
As mentioned previously, the purpose of this letter is to
advise you of the importance of your NPDES Permit. Please read
the Permit and contact this Office at 704/663-1699 in Mooresville
if you have any questions or need clarification. We look forward
to providing any assistance.
Sincerely,
l�. ��). ``44'1\
D. Rex Gleason, P. E.
Water Quality Regional Supervisor
Enclosure
DRG: se

RE(�EIVeD Permit No. NC0076015
OF ETINTRONMENTAL MANAGEMENT
APR 18 1989
. SWLLEoraas, STATE OF NORTH CAROL I NA
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 provisions 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. Peter Giese
is hereby authorized to discharge wastewater from a facility located at
Peter Giese Residence
Lot ##19, Meadowglen Subdivision off Cricket Lane
South of Gastonia
Gaston County
to receiving waters designated as Crowders Creek in the Catawba 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
a.
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0076015
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Peter Giese
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility,
and
2. Make an outlet into Crowders Creek, approximately 550 feet west of the
facility
3. After receiving an Authorization to Construct from the Division of
Evironmental Management, construct and operate a 0.00048 MGD of wastewater
treatment facility to include chlorination located at Lot #19, Meadowglen
Subdivision off Cricket Lane, South of Gastonia (See Part III of this
Permit) and
4. Discharge from said treatment works at the location specified on the
attached map into Crowders Creek which is classified C waters in the Catawba
River Basin.

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UNITED STATES NAVES '.ni. No, NC4076a/5
c's-p� DEPARTMENT OF THE INTERIOR 0d-Cio/2 CDGl,21�y
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GEOLOGICAL SURVEY
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A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final NPDES No. NC0076015
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(s) 001. Such discharges shall be limited
and monitored by the Permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Lbs/day Other Units (Specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency Type Location
Flow 480 GPD
BOD, 5Day, 20 Degrees C 15.0 mg/1 22.5 mg/1
Total Suspended Residue 30.0 mg/1 45.0 mg/1
NH3 as N 4.0 mg/1 6.0 mg/1
Dissolved Oxygen (minimum) 6.0 mg/1 6.0 mg/1
Fecal Coliform (geometric mean) 1000.0/100 ml 2000. 0/100 ml
Total Residual Chlorine
Temperature
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 and shall be
monitored 2/month at the effluent by grab sample.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
M3

•
Permit No. NC0076015
D. The permittee shall discharge wastewater direct into Crowders Creek
approximately 550 feet west of the facility site.

4''' RECEIVED
Permit No. NC0076015
OF ENVIRONMENTAL MANAMENIEIU
MAO ;NO 1989
f
MOORESVILLE
INWEJLTAITIE OF NORTH CAROL I NA
DEPARTMENT OF NATURAL RESOUfCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
To DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions 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. Peter Giese
is hereby authorized to discharge wastewater from a facility located at
Peter Giese Residence
Lot ##19, Meadowglen Subdivision off Cricket Lane
South of Gastonia
Gaston County
to receiving waters designated as Crowders Creek in the Catawba 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
p-- , A f.
0 .
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0076015
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Peter Giese
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility,
and
2. Make an outlet into Crowders Creek, approximately 550 feet west of the
facility
3. After receiving an Authorization to Construct from the Division of
Evironmental Management, construct and operate a 0.00048 MGD of wastewater
treatment facility to include chlorination located at Lot ##19, Meadowglen
Subdivision off Cricket Lane, South of Gastonia (See Part III of this
Permit) and
4. Discharge from said treatment works at the location specified on the
attached map into Crowders Creek which is classified C waters in the Catawba
River Basin.

.. /9.zfer Dgse / 5-161ef)cE
, UNITED STATES WES /17771 . No, NCDr6D/3--
(`-ass DEPARTMENT OF THE INTERIOR OQsloi7 eD��Zy
GEOLOGICAL SURVEY
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A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENT'S Final NPDES No. NC0076015
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 numbers) 001. Such discharges shall be limited
and monitored by the Permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Lbs/day Other Units (Specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency Type Location
•
Flow , 480 GPD
BOD, 5Day, 20 Degrees C 15. 0 mg/1 22.5 mg/1
Total Suspended Residue 30.0 tg/1 45.0 mg/1
NH3 as N 4.0 mg/1 6.0 mg/1
Fecal Coliform (geometric mean) 6.0 mg/1 6.0 mg/1
Total Residual Chlorine 1000.0/100 ml 2000.0/100 ml
Temperature
•
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 and shall be
monitored 2/month at the effluent by grab sample.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
M3

1
Permit No. NC0076015
D. The permittee shall discharge wastewater direct into Crowders Creek
approximately 550 feet west of the facility site.

w
Permit No. NC0076015
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 provisions 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. Peter Giese
is hereby authorized to discharge wastewater from a facility located at
Peter Giese Residence
Lot ##19, Meadowglen Subdivision off Cricket Lane
South of Gastonia
Gaston County
to receiving waters designated as Crowders Creek in the Catawba 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 D RAFT
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

k
Permit No. NC0076015
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Peter Giese
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility,
and
2. Make an outlet into Crowders Creek, approximately 550 feet west of the
facility
3. After receiving an Authorization to Construct from t Division of
Evironmental Management, construct and operate a .0048 MGD of wastewater
treatment facility to include chlorination locate a' Lot #19, Meadowglen
Subdivision off Cricket Lane, South of Gastonia (See Part III of this
Permit) and
4. Discharge from said treatment works at the location specified on the
attached map into Crowders Creek which is classified C waters in the Catawba
River Basin.

peher Dgse /es%(4efice
UNITED STATES /yfZDES No. NC
.
F-pc DEPARTMENT OF THE INTERIOR eas1on C tilf?
GEOLOGICAL SURVEY
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A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREiENTS Final NPDES No. NC0076015
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(s) 001. Such discharges shall be limited
and monitored by the Permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Lbs/day Other Units (Specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency Type Location
•
Flow 480 GPD
BOD, 5Day, 20 Degrees C 15.0 mg/1 22.5 mg/1
Total Suspended Residue 30.0 mg/1 45.0 mg/1
NH3 as N 4.0 mg/1 6.0 mg/1
Fecal Coliform (geometric mean) 6.0 mg/1 6.0 mg/1
Total Residual Chlorine 1000.0/100 ml 2000.0/100 ml
Temperature
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 and shall be
monitored 2/month at the effluent by grab sample.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
M3

Permit No. NC0076015
D. The permittee shall discharge wastewater direct into Crowders Creek
approximately 550 feet west of the facility site.