NCG550447_Regional Office Historical File Pre 2018

Pr
DENR-SWP Mooresville Regional Office
To: Charles Weaver
From: Barbara Sifford
CC:
Date: 12/21/2011
Re: NCG550447
Single Family Residence
3902 Pine Cove Drive
Gastonia
Comments: I have confirmed with the City of Gastonia that this residence was connected to city sewer in 2007.
A site visit that I made on December 8,also confirmed that the sewer line is at his house and there is
an aerial crossing the creek to pick up his connection.
Enclosed is the rescission form that the current home owner signed even though they did not
understand what they were being asked to do. Some of the confusion is that the permit was issued to
the owner of the adjacent lot that does not have a sewer connection(they are still on septic). In
researching the tax records they owned this lot and built the house and sold it.
If you have any questions please call if not we can removed this one from our expired data files.
Thanks,
Barbara

FOR AGENCY USE ONLY
4 •;i Division of Water Quality/Surface Water Protection Date Received
Year Month Day
National Pollutant Discharge Elimination System
NCDENR
NORTH CAROLINA DEPARTMENT OF RESCISSION REQUEST FORM
ENVIRONMENT AND NATURAL RESOURCES
Please fill out and return this form if you no longer need your NPDES permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
(
2) Owner/Facility Information: *Final correspondence will be mailed to the addrenoted below
Owner/Facility Name - .a,N1e S GiG`r1MA vt 1 cDc ti t S+lei/11 0 fP.-
Facility Contact *�
Street Address 1 d of vie, C131/41-e-- D
City 1 State_IJC_ ZIP Code
D
County E-mail Address 11�Y}-o t
.01.-C .40 .Caf'
Telephone No. 7 Oy 47 O " ( -f 36 Fax:
3) Reason for rescission request(This is required information. Attach separate sheet if necessary):
❑ Facility closed or is closing on MN . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
�` . If the facility will continue operations under the new owner it
���❑ Facility sold to � �L �,~�� on ;
may be more appropriate to request an ownership chap a to reissue to permit to the new owner.
Other: O ► ye- n1i r evqte S+ cec% ss ton
li.) e.h 1 kck%)t t(1 i di. c ± f.C_t 5S%v Yl i . W -
he p tt d 1-K e 5 eul•eY C> S 1. e w.er-e., o tool "col "to do.
4) Certification:
I, a a authorized representative, hereby request rescission of coverage under the NPDES Permit for the subject facility.
4L.5 I a iliar with the information contained in this request and to the best of my knowledge and belief such information
is tr , complete and accurate.
Signaturejog/yid %.9- \2', 1 7 Date ) a 5 - ( I
jc A L.. S-tv,v4.01 4
Print or type name of person signing above Title
Please return this completed rescission request form to: Ms. Barbara Sifford
Mooresville Regional Office
610 E. Center Ave., Suite 301
Mooresville, North Carolina 28115

Page 1 of 1
GUN
(3+:; i,* #�?'4 Gaston Conty, NC
�^, � Office of the Director of Revenue,GIS Division
_ - Disclaimer:The information provided is not to be considered as a Legal
Document or Description.The Map and Parcel Data is believed to be accurate,
�� but Gaston County does not guarantee its accuracy.
� ' �� Values based on last general reappraisal-2007 w
.....„""
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Print Date:11/22/2011
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PARCEL INFORMATION
PID#: 149030 PROPERTY ADDRE
BASEMENT:YES
PIN#:3574-00-9259 DEED BOOK:4172 #BEDROOMS:3
NEIGH.HOOD#: 5B060 DEED PAGE:0511
#BATHS:3
NEIGH.HOOD NAME. SOUTHWOOD DEED TYPE:WD
MULTI-STRUCTURES: NO
OWNER ID#: 1474157 SALES AMOUNT:$196,000 ACREAGE: 1.92
DEED RECORDING DATE: 10/31/2005
CURRENT OWNER 1: GERMANN JAMES M&
TAX DISTRICT: GASTONIA CITY
PLAT BOOK.026
CURRENT OWNER 2: STOIMENOFF DAVID L TOWNSHIP CODE: 10
MAILING ADDRESS 1: 3902 PINE COVE DR PLAT PAGE:026
LEGAL DESC 1: SOUTHWOOD TOWNSHIP DESC: GASTONIA TOWNSHIP
MAILING ADDRESS 2- VOLUNTARY AG DIST: No
CITY: GASTONIA LEGAL DESC 2: L 4
STATE: NC STRUCTURE CODE#: R1
LAND VALUE:$65,416
ZIP CODE: 28056-9209 STRUCTURE TYPE: RESIDENTIAL 1 STORY MPV.VALUE.$150,312
I
JAN1 OWNER 1: GERMANN JAMES M& YEAR B TOTAL VALUE.$215,728
JAN1 OWNER 2: STOIMENOFF DAVID L SQ FT: 1564 PRESENT USE VALUE ASSESSMENT. NO
—�tkI�:� ; eCI rye 7 �
http://egov 1.co.gaston.nc.us/servlet/com.esri.esrimap.Esrimap?ServiceName=MSO VER... 11/22/2011

GASTON COUNTY 2011 149030 PAGE 2
15
1
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D= AC R11 COVERED PORCH C= AC R23 ATTACHED MASONRY GARAGE F= AC WDK WOOD DECK
G= MA R1 RES 1 STORY

GASTON COUNTY, NC YR 2011 REQUESTED BY DTURBYFI RUN 9/29/11 TIME 9:51:33 PAGE 1
SOUTHWOOD GERMANN JAMES M & GERMANN JAMES M & NBHD: 5B060 149030
L 4 3902 PINE COVE DR 3902 PINE COVE DR 3574-00-9259 PAR DESC3: AB11K
10 120A 083 04 000 GASTONIA NC 28056-9209 GASTONIA NC 28056-9209 3902 PINE COVE DR
Plat Bk/Pg 026 026 1474157 1474157 3574 00 9259 00 00
Bldg No. 1 Appraiser: WTB Appr Date: 5/17/2001 APPR: BK APPR DT: 4/05/2010 LAND VALUE 65,416 65,416
Imp Desc: R1 RESIDENTIAL 1 STORY Eff Yr: USE CODE: 1111 RES SINGLE FAM MISC VALUE 1,188 1,188
Grade : C AVERAGE QLTY 100 Act Yr Bt: 1989 DISTRICT: 180 GASTONIA CITY BLDG VALUE 149,124 149,124
1.00 Stories/ 6 Rms/ 3 Bed/ 3.0 Bth/ HBth NBHD: 5B060 SOUTHWOOD TOTAL VALUE 215,728 215,728
Finished Area: 1,564.00 ASV SqFt 137.93 Sales SqFt 125.32 2010 PRIOR YEAR 215,728 215,728
COMPONENT TYPE/CODE/DESC PCT UNITS RATE STR# STR% SIZ' HGT% PER% CDS% COST %CMPL
AC BSMT BASEMENT 30 469.20 11.40 100.00 84.00 4,493
AC BSMTR BASEMENT RECREATION 70 1094.80 18.90 100.00 84.00 17,381
AC R11 COVERED PORCH 100 200.00 25.05 100.00 5,010
AC R23 ATTACHED MASONRY GAR 100 528.00 27.30 100.00 14,414
AC WDK WOOD DECK 100 180.00 15.00 100.00 2,700
MA R1 RES 1 STORY 100 1564.00 78.30 1.00 84.00 102,867
- AR 10 FHA W-A/C 100 1564.00 2.50 3,910
- BI 20 Adequate 100 1.00 .00 0
- EW 18 BRICK VENEER 100 1564.00 3.50 84.00 4,598
- FC 25 TILE/CARPET 100 1564.00 .00 0
- FN 03 CONT WALL BRK 100 1564.00 .00 84.00 0
- FO Y FIREPLACE OPENING 100 1.00 1800.00 1,800
- FS Y FIREPLACE STACK 100 1.00 1800.00 1,800
- IF 01 DRYWALL 100 1564.00 .00 0
- PL Y ADDED FIXTURES YES 100 7.00 960.00 6,720
- RC 08 ASPHALT SHINGLES 100 1564.00 .00 0
- RT 03 DOUBLE PITCH/GABLE 100 1564.00 .00 0
RCN. . . PCT COMPLETE 100 x 165,693
QUAL. . QG C AVERAGE QLTY 100 100.00 x 165,693
DEPR. . GD GOOD CDU 10.00 - 16,569 16,569 T
--FMV. . . MKT 5B060 SOUTHWOOD 100.00 x 149,124 EXCD:
PROPERTY NOTES: BOOK PAGE DT DATE QS SALES PRICE
4172 0511 WD 10/31/2005 D 196,000
3461 0677 WD 5/24/2002 185,000
PERMIT NO TYPE DATE AMOUNT
BLDG CODE DESC UNITS EYB DT PCT ADD.DEPR PCT QGCD VALUE EXCD %COMP
101 004 Shed-Masonry 12 X 16 192.00 1992 MAV 30.00 C 1,188 100
.00
.00
.00
LND LAND TOTAL ACRES: 1.920 TOT CURRENT
# ZONE TYPE/CODE LAND QTY LAND ACRES LAND RATE DPTH DPT% TOP$ LOC% SIZ% SHP% OTH% ADJ FMV EXMPT
1 AC RB 1.000 1.000 .00 .00 .00 .00 .00 .00 .00 .00 49,500
2 AC RU .920 .920 .00 .00 .00 .00 .00 .00 .00 .00 15,916
149030 3902 PINE COVE DR

71e/ pin
t

Page lof1
uTJ?V ,
off}G *+**'?'� Gaston County, NC ( �s
Office of the Director of Revenue,GIS Division
V
isi( & x Disclaimer:The information provided is not to be considered as a Legal Document or Description.The Map and Parcel Data is believed to be accurate,
'` but Gaston County does not guarantee its accuracy.
. Values based on last general reappraisal-2007
11T �8 6�'j• Print Date:11/22/2011
• Photo Not Available
Print Scale 1:756 or 1"=63'
3
1
1 PHtLLII h Jlbf I"REY A.
( .
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CC�
A CARVER WILLIAM PERRY
4
\ .
BAKER BBLAKELY M
GERMANN JAMES M
Gaston County,NC
PARCEL INFORMATION
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1 Page 1 of 1
DISCLAIMER:This is a product of the Gaston County GIS.The data depicted here have been developed with extensive cooperation
from other county departments.as well as other federal,state and local governments'agencies.Gaston County expressly disclaims
responsibility for damages or liability that may arise from the use of this data.
*QUALIFY CODE:The codes shown are only used for internal fax Office analysisand for providing information to the NC Dept.of
Revenue.Users should use all sources of information.including a review of the deed document to determine the suitability of the information
for their specific purpose.
** INDICATED SALES AMOUNT:This is a calculation of the indicated sales consideration as reflected by the excise stamps affixed to the
deed document.The excise tax is imposed by State law. Users should review the deed document to determine the sales amount.
Parcel Deed History Quali fy Code Description
Parcel Date Deed Deed Qualify Instrument Indicated
Deed Name Sales Amount
Number Recorded Book Page Code* Type *K
GERMANN JAMES M&
149030 10/31/2005 STOIME:NOFF DAVID L WIRT 4172 0511 D WD $196,000
OF SURVIVORSHIP
149030 05/24/2002 1✓NUICO'II'PERRY D AND WIFE 3461 0677 WD $185,000
KATHY L
149030 09/26/1997 JONES DONALD C 2707 0547 U WD $0
149030 10/01/1996 JONES DONALD C SHARON A 2.593 0977 WD $158,000
149030 01/31/1996 JENKINS CAROL H 2519 0948 E WD $0
149030 06/16/1995 JENKINS CLINTON D CAROL H 2462 0575 WD $156,000
149030 05/01/1992 EI.,ROD DARRELL R KAR.EN M 2176 0628 WD $149,000
149030 01/01/1991 RANSOM, BOBBY C JR& 2085 0233 WD $145,000
149030 01/01/1899 CARVER,WILLIAM P& BETTY 1342 0209 C $0
i-1
http://egov l.co.gaston.nc.us/website/ParcelDataSite/saleshistory/ParcelDeedHistory.aspx... 11/22/2011

46
i‘I
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
November 23, 2011
Mr. James Germann &
Mr. David Stoimenoff
3902 Pine Cove Dr.
Gastonia, NC 28056
Subject: NPDES Permit No. NCG550447
Gaston County
Dear Sirs:
Records with the Division of Water Quality indicate that this residence had a Single Family Discharge
permit that has ceased discharging to Catawba Creek. I am trying to clean up the data base and get the files
correct. I have contacted the City of Gastonia to confirm that your residence is connected to a sewer line at this
time.
If you would please respond to this letter by completing the enclosed form, a formal rescission request,
I would greatly appreciate it. Records indicate that you were contacted in 2006 by this office but the permit
was not removed from the data base. This requires a signature from the owner of the property.
Thanks so much for your assistance in this matter. If you have any questions please feel free to call me
at 704-663-1699. Please return the form to the address listed.
Sincerely,
if(L ./U4. <C'
Barbara Sifford
Technical Consultant
Mooresville Regional Office
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115 One
.KT One
Phone:[phone] Fax:[phone] Customer Service:1-877.623-6748 rollna
Internet:www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer-50%Recycledil0%Post Consumer paper Naturally'

FOR AGENCY USE ONLY
L, •`' 41 s Division of Water Quality/Surface Water Protection Date Received
Year Month Day
National Pollutant Discharge Elimination System
NCDENR
NORTH GRouNA DEPARTMENT OF RESCISSION REQUEST FORM
ENVIRONMENT AND NATURAL RESOURCES
Please fill out and return this form if you no longer need your NPDES permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
2) Owner/Facility Information: *Final correspondence will be mailed to the address noted below
Owner/Facility Name
Facility Contact
Street Address
City State ZIP Code
County E-mail Address
Telephone No. Fax:
3) Reason for rescission request(This is required information. Attach separate sheet if necessary):
El Facility closed or is closing on inx :: . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to��'� on �� 4sr . If the facility will continue operations under the new owner it
t �
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Permit for the subject facility.
I am familiar with the information contained in this request and to the best of my knowledge and belief such information
is true, complete and accurate.
Signature Date
Print or type name of person signing above Title
Please return this completed rescission request form to: Ms. Barbara Sifford
Mooresville Regional Office
610 E. Center Ave., Suite 301
Mooresville, North Carolina 28115

Sifford, Barbara
06 / 114 ,.0=
From: Bynum, Mike[[e-mail]]
Sent: Monday, November 28, 2011 10:21 AM 4-74:\))9)4911.,
To: utilities; Sifford, Barbara
Subject: RE: 3904 Pineview Dr. (1
Barbara, \)-6
We have Lot 4 as 3902 Pine Cove Dr.The street name was changed when we annexed the area in 1996. 3902 Pine Cove
Drive connected to city sewer on April 27, 2007. 3904 Pine Cove Dr is Lot 5. Is has not connected yet. Sewer is available
in the street for this address.
Thanks,
Mike Bynum
From: Smith,Teresa On Behalf Of utilities
Sent: Monday, November 28, 2011 9:22 AM
To: Bynum, Mike
Subject: FW: 3904 Pineview Dr.
From: Sifford, Barbara [mailto:[e-mail]]
Sent: Friday, November 18, 2011 2:15 PM
To: utilities
Subject: 3904 Pineview Dr.
I am working on cleaning up some old files with the DWQ. Records indicate that this system was going to connect to City
of Gastonia sewer service. This has been several years ago and nothing has been noted since then. Can you provide any
information for this residence as to service availability. The home owner name at that time was Darrell Elrod. This
system would have discharged into a UT of Catawba Creek. The residence is located in the cul-de-sac of Pineview Drive.
Lot 4 . Any information would be greatly appreciated.
Please note new email address
Barbara Sifford - [e-mail]
Technical Consultant
North Carolina Dept.of Environment& Natural Resources
Div.of Water Quality
610 E. Center Ave.,Suite 301
Mooresville, NC 28115
Ph: 704.663.1699 DWQ
Direct line 704-235-2196 desk(preferred)
Fax: [phone]
************************************************************************
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties unless the context is exempt by statute or other
regulation.
************************************************************************
i

Date: June 15, 1987
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Gaston
NPDES Permit No. NC 0070734
PART I - GENERAL INFORMATION U ( r r C9I Q?J I
�
1. Facility and Address: Carver Residence Wastewater
Treatment Plant
c/o William P. Carver
3904 Pineview Drive
Gastonia, North Carolina 28054
2. Date of Investigation: June 11, 1987
3. Report Prepared By: Michael L. Parker, Environmental)
Engineer I
Persons Contacted: Mr. and Mrs. William P. Carver
.4, Telephone Number: (704) 824-4210
1"" 5. Directions to Site: From the junction of S. R. 2302 (New
Hope Road) and S. R. 2634 (Southwood Drive) , travel west on
C S. R. 2634 approximately 0.1 mile and turn left onto S. R.
,a0l 2633 (Pineview Drive) . Travel approximately 0.45 miles.
� /v The site is located at the end of S. R. 7633.
Discharge Point - Latitude: 35° 12 ' 55"
Longitude: 81° 06 ' 26"
Attach a USGS Map Extract and indicate treatment plant site
ere r0 and discharge point on map.
rn--e tO USGS Quad No. : G 14 SE
/0 ante-'
7. Size (land available for expansion and upgrading) : There
is ample area available for construction of a wastewater
treatment facility to serve the proposed residence
(approximately 2 acres) .
8. Topography (relationship to flood plain included) : Hilly,
5-15% slopes. Wastewater treatment plant site is not
located in a flood plain.
9. Location of Nearest Dwelling: Two (2) within 300 feet of
the proposed site.
10. Receiving Stream or Affected Surface Waters: Unnamed
tributary to Catawba Creek
a. Classification: C
b. River Basin and Subbasin No. : Catawba 030837

Page Two
c. Describe receiving stream features and pertinent
downstream uses: Flow was observed in receiving
stream, although area has experienced little or no
rainfall in several weeks. No other discharges are
located on unnamed tributary prior to its junction
with Catawba Creek.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% Domestic
a. Volume of Wastewater: 0. 0004 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) :
Proposed treatment consist of a 1000 gallon septic tank
followed by a subsurface sand filter prior to discharge.
5. Sludge Handling and Disposal Scheme: Sludge will be
periodically removed by a septic tank pumper.
6. Treatment Plant Classification: Unknown at this time.
7. SIC Code(s) : 9999
Wastewater Code(s) : 04
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants
Funds (municipals only) ? No
2. Special monitoring requests: Recommend minimum monitoring
requirements be included in Permit.
3. Additional effluent limits requests: N/A
4. Other: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The applicant is proposing to construct a wastewater
treatment facility to serve a proposed three ( 3) bedroom home to
be built on an adjacent undeveloped lot. The local health
department has determined that no type of conventional or
alternative subsurface disposal facility can be constructed on

Page Three
the property due to poor soils. An examination of the soils by
the writer verified the County's findings.
Prior to issuance of an Authorization to Construct, all
applicable buffers regarding construction of a wastewater
treatment system should be shown on plans ( i.e. - 100 feet from
habitable dwelling, etc. ) .
A waste load allocation developed by the writer indicates
effluent limitations which, in the opinion of the Mooresville
Regional Office staff, are more stringent than a septic
tank/sand filter system can be expected to meet.
Prior to issuance of an Authorization to Construct,
applicant should satisfactorily demonstrate the ability of the
proposed facilities to comply with the effluent limitations.
Approval of a "subsurface" sand filter system cannot be
recommended in any event.
In order to ascertain whether the applicant consistently
operates and maintains the proposed facilities, this Office
recommends that some type of minimum monitoring requirements be
included in the Permit. This should be a requirement on all
single family dwellings which have waste load allocations that
reflect a BOD5 limitation less than 30 mg/l. Disinfection and
post aeration should also be included on plans prior to issuance
of an Authorization to Construct.
Pending review and approval of the waste load allocation,
it is recommended that the request for an NPDES Permit be
approved.
Signature of Report Preparer
Water Quality Regional Supervisor

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Date: 115/87
a c i 1 .i.ty Name : oSEA ei-0E� ReS• Permit : NOo070737
P n�,`
Receiving Stream: (I. T & emtAdi V- 2F.C1ass : - Sub-Basin : 63-08',1?
County : 1451ory Regional Office: friQe.
Reference USGS . Ouad : G It & E Existing : Proposed : 0
/ c ' O. I $ n1 . z
Elevation : (��7� Drainage Area:
Hydrologic Group : C.- Design Temperature : 25 °
Elea rhsi_ s/
Slope : Comments :
eK-411 10601 — o'f--ke2 disehn-aices Apo 9-4/5
bit 0 .0K 150 -rpm ; el--2E6M stlMeA)1-
6301 .09 LII
loth . /0 tot' •
btOf, , i 0
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bOO • o(P 167 .
. 31nni.
t}oe. 3 tope : 50'/• 39 Aide = /2a -Fp M
RECOMMENDED EFFLUENT LIMITS
Wasteflow (gpd) : ►0004 ..
BOD5 (mg/ I ) : 15•c
NH3-N (mg/ I ) : 4.0 _
D .O. tmg/ 1 ) : 4..0
pH (SU) : 6"8.5
Fecal Coli t/ 100m1 ) : lcoCA__
TSS Cmg/ 1 ) :
RECOMMENDED BY: 72'(4 P_.ii ( / Date: G ` 1 S- 87
APPROVED BY:
Regional Engineer : Date:
'Regional Supervisor : .71/ Date
.
ll ROUTE to Technical Support Group and Permits a Engineering Unit
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1
,,gIs,,,t ; State of North Carolina
Department of Natural Resources and Community Development
4; a Division of Environmental Management
..4.411.2 North Salisbury Street • Raleigh, North Carolina 27611
•
James G. Martin, Governor R. Paul Wilms
S. Thomas Rhodes, Secretary ' Director
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,
•
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

A NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMBER
PPLICATIONN FOR PERMIT TO DISCHARGE - SHORT FORM G FOR (1610I 10 17131M
AGENCY
All
� USE DATE RECEIVEII
To be filed only by services, wholesale and retail trade. � Io 151 ,
and other commercial establishment; including vessels ,,, n I1,
.� YEAR- MO. DAY
Do not attempt to complete this form without reading the accompanying instructions /;; 9O2J r(
Please print or type J__ 51t)7 , Gj2-11t24:1
1. Name, address, and telephone number of facility producing discharge 04/"6/1/-5
A. Name William P. Carver and wife. Betty H. Carver
B. Street address 3904 Pineview Drive
C. City Gastonia, - 0. State N r
E. County Gaston F. ZIP 28054
G. Telephone No. 704 824-4210
Area
Code , -. s.
2. SIC. IIIIIIIII■ _
(Leave blank)
3. Number of employees 3 Bedroom House- 3. 5 people "'
Residence
4. Nature of business "'
5. (a) Check here if discharge occurs all yearify or w
(b) Check the month(s) discharge occurs: "
LC/January 2.O February 3.O March 4.0 Apri 1 5.O May
6.0 June 7.O July 8.o August 9.O September 10.o October
11.0 November 12.0 December
(c) How many days per week:
1.01 2.0 2-3 3.0 4-5 4.0 6-7 •
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
discharging (percent)
Discharge per
operating day 0.1-999 1000-4999 5000-T999 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)
S.
A. Sanitary, daily X
average 400
B. Cooling water, etc..
daily average •
C. Other discharge(s), •
daily average;
Specify
D. Maximum per operat-
ing day for combined 400
discharge (all types)
1

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 11‘
as applicable.
Waste water is discharged to: 0,1-999 1000-4999 • 5000-9999 10.000-49,999 50.000 or more
(1) (2) (3) (4) (5)
A. Municipal Sewer System
II• Mink rll,Iiunul well
C. ;el1t.ic tank
U. Evaporation lagoon or pond
E. Other, specify:
B. Number of separate discharge points:
A.GNI B.02-3 C.o 4-5 D.0 6 or more
9. Name of receiving water or watersUnnamed Tributary to Catawba Creek
.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.Wyes B.ano
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.
William Perry Carver
Printed Name of Person Signing
Owner •
Title
May 7, 1987
Date Application Signed
(,) c
Signature of Applicant
North Carolina General Statute 143-215.6(b) (2) provides that: Any person who knowingly makes
any false statement representation, or certification in any application, '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 w_tb,
or knowly renders inaccurate any recording or monitoring dpvice or method required to be
operated or maintained under ATtiol 2.1.'oir• regulations •of the Environmental Management Com i_ssiul
implementing that Article, shal.l''be. ut3.tv of a misdemeanor punishable by aline not to exceed
$io,t1o0, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 prov::
a punishment by a fine of-not more than S10,000 or imprisonment not more than 5 years, or both,
for a similar offense.)

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
1 111 2 I SI 31 NCG550447 111 121 06/04/20 117 181 cl 191 c1 201
u 1 ' I Remarks U LJ IJ
21111111111111111111111111I1II11111111II1II11111166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ---------Reserved----------
67I 1.0 169 70I 3 f 71 L N uJ 7211, 731 I 174 751 I I I I I 1 180
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)
11:00 AM 06/04/20 93/11/01
Elrod Darrell- Residence
3904 Pineview Dr r iveExit Time/Date Permit Expiration Date
Gastonia NC 28056 12:00 PM 06/04/20 97/07/31
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
Darrell Elrod,3904 Pineview Dr Gastonia NC 28056//704-824-4700/ No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
.Permit •Facility Site Review
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
James Bealle MRO WQ//704-663-1699/
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

Permit: NCG550447 Owner-Facility: Elrod Darrell-Residence
Inspection Date: 04/20/2006 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 application? 0 ■ 0 0
Is the facility as described in the permit? ❑ ■ ❑ ❑
#Are there any special conditions for the permit? 0 ■ 0 0
Is access to the plant site restricted to the general public? M ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑
Comment: Facility Operator/Homeowner is currently in the process of deactivating
system, and connecting with the City of Gastonia.
Page# 3

I r
`' City of Gastonia
1 North Carolina
r; 11
1 Inspections Division
67 a�'� G STON 150 S.York St.,Gastonia,NC 28052
' "` Phone:[phone]
/ lax Fax [phone]
�-. — .---,_.,. ..2.)› '',".. 0..grrZ,S41 • ‘'
.-a yrfJ Plumbing Permit
Permit No. 29652
Project Address: Type: PLUMBING
j 3902 PINE COVE DR.GASTONIA,NC 28056 Date: 06/15/2006
Project Location:
Building Owner: DAVID STOIMENOFF
� Contractor:
{ Address:
Phone:
\ State License No.:
City Privilege Lic.No
V "., x � , - +' -z �, . --.
xis IVA11 �1 1 i ' _ � E
i �x -:e'... s3 .3-w ^«'ro ' �i. "'* =.�.^F:. - �:�zrz�mS '� £ ,n `'`�x,«.� �.�� � ,._ =."
UNIT
ITEM ACCT.NO. QTY PRICE AMOUNT
INSPECTION FEE 10-540-355.00 1 30.00 30.00
SEWER CONNECTION 10-540-355.00 1 6.00 6.00
,,- u ' ``:,�t.,• , 10-540-355.00 $36.00
4' TECHNOLOGY SURCHARGE 19-540-355.01 36 0.05 1.80
ILLII
i II! CI o CO 19-540-355.01 $1.80
g N I PAID IN FULL Total Fee: $37.80
Ai '� t �-.!'. Q
8

City of Gastonia
North Carolina
Inspections Division
150 S.York St.,Gastonia,NC 28052
Phone:[phone]
V
OF G S ONIA Fax:[phone]
nci. ati NiWa rtiitar o a.York Strilet Plumbing Permit
Gastonia. NC nomPermit No. 29652
ID: 000800161083499 0R.56 Type: PLUMBING
Date: 06/15/2006
06/15/2006 18:52 Trn 10184
Cashier 15525 )FF
BLDG Permit 0 29652 $37.80
Subtotal $37.80
fax $8.88
Total $37. 81Z1
Payer: STUIF1EtaUFF, DAVID
Received CHECK 1,60
'heck t 29652
Change $0. 00 p s
3,14.00
UNIT
ACCT.NO. QTY PRICE AMOUNT
10-540-355.00 1 30.00 30.00
10-540-355.00 1 6.00 6.00
10-540-355.00 $36.00
TECHNOLOGY SURCHARGE 19-540-355.01 36 0.05 1.80
19-540-355.01 $1.80
PAID IN FULL Total Fee: $37.80
Y
Signature of Applicant Date
Phone the IVR system at [phone] to request inspections.

A.G DEFT:0f 1 'PO
�,• s . /` RESOURCES AND'A
S F aro
430MMUNITY DEVEWPMEn
;f, I JUL 0 1 1992
INISIttt BF E)ET!E?'F. TAt N SiYFh1
State of North Carolina 1111U1EStiliii MURAL OFFICE
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
June 30, 1992
Darrell&Karen Elrod
3902 Pineview Dr.
Gastonia, NC 28056
Subject: Permit No. NC0070734
Darrell&Karen Elrod Residence
Gaston County
Dear Mr.&Mrs. Elrod:
In accordance with your application for discharge permit received on March 18, 1992, 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 have the right to an adjudicatory hearing upon written request within
thirty (30) days following receipt of this letter. This request must be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the
Office of Administrative Hearings, Post Office Drawer 27447, Raleigh, North Carolina 27611
-7447. Unless such demand is made, this decision shall be final and binding.
Please take notice this permit is not transferable. Part II,B.2. 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.
Sincerely,
Original Signed By
Coleen H. Sullins
George T.Everett
cc. Mr. Jim Patrick,EPA
Pollution Prevention Pays
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Fr
Permit No. NC0070734
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
s.C,DEFT,O . _
TO DISCHARGE WASTEWATER UNDER THE nrsoURcE3 AND
• UNITY DL'vE•IAPMZF
NATIONAL POLLUTANT DISCHARGE ELIMINATION SM
JUL 0 1 1992
toRRESYIIIE oRE61DNM.Al OffICE
tiag
In compliance with the provision of North Carolina General Statute 143-215.1, pm 1�S
other lawful standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission,and the Federal Water Pollution Control Act, as amended,
Darrell and Karen Elrod
is hereby authorized to discharge wastewater from a facility located at
Darrell and Karen Elrod Residence
end of NCSR 2633
Gastonia
Gaston County
to receiving waters designated as an unnamed tributary to Catawba 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 August 1, 1992
This permit and the authorization to discharge shall expire at midnight on September 30, 1996
Signed this day June 30, 1992
Original Signed By
Coleen H. Sullins
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0070734
SUPPLEMENT TO PERMIT COVER SHEET
Darrell and Karen Elrod
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of a septic tank,
subsurface sandfilter,tablet chlorinator,chlorine contact tank,and cascade aeration located at
Darrell and Karen Elrod Residence,end of NCSR 2633, Gastonia,Gaston County (See Part
III of this Permit), and
2. Discharge from said treatment works at the location specified on the attached map into an
unnamed tributary to Catawba Creek which is classified Class C waters in the Catawba River
Basin.

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A. ().EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL Permit No. NC0070734
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 (specifyl Measurement ;:ample `Sample
Monthly Avg, Weekly Avg, Erequency Tyke Location
Flow 450 CAD
BOD, 5 day, 20°C 15.0 mg/I 22.5 mg/I
Total Suspended Residue 30.0 mg/I 45.0 mg/I
NH3 as N 4.0 mg/I 6.0 mg/I
Dissolved Oxygen**
Fecal Coliform (geometric mean) 200.0 /100 ml 400.0 /100 ml
Total Residual Chlorine
Temperature
**The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/l.
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous disinfection of the effluent.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

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.
5. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the
course of treatment or control of wastewaters shall be disposed of in
a manner such as to prevent any pollutant from such material from
entering waters of the State or navigable waters of the United
States.

PART I1
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 II1
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.

Part III Permit.No. NC0070734
D. Disposal Alternatives
The Permittee shall continually evaluate all wastewater disposal alternatives and pursue the most
environmentally sound alternative of the reasonably cost effective alternatives. If the facility is in
substantial non-compliance with the terms and conditions of the NPDES permit or governing rules,
regulations, or laws,the permittee shall submit a report in such form and detail as required by the
Division evaluating these alternatives and a plan of action within sixty(60) days of notification by
the Division.

re of North Carolina
artment of Environment,
th and Natural Resources ` • •ion of Environmental Management l I I�rs B. Hunt, Jr., Governor
than B. Howes, Secretary �. Preston Howard, Jr., P.E., Director p.11L%,oP i\
PlAgalifilir
September 30,1993 SEP 2 8 1993
OF �tiVISION fig
BOBBY C. RANSOM JR. WOO°
ELROD RESIDENCE (DARRELL)
1950 C ROBINWOOD ROAD
GASTONIA NC 28054 Subject: ELROD RESIDENCE (DARRELL)
Certificate of Coverage NCG550447
General Permit NCG550000
Formerly NPDES Permit NC0070734
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
NC0070734. 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

Page 2
BOBBY C. RANSOM JR.
ELROD RESIDENCE (DARRELL)
Certificate of Coverage No. NCG550447
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.
cc: Mooresville Regional Office
Central Files

•
STATE OF NORTH CAROLINA IL a sort.OF NATURAL
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESes AND
DIVISION OF ENVIRONMENTAL MANAGEMENT' DEVELOPMENT
SEP281993
GENERAL PERMIT NO. NCG550000 MI IF mr1AgN*ENrA1 MANAGEMENT
CERTIFICATE OF COVERAGE No.NCG550447 Nomoyau Isiah Off10E
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,
ELROD RESIDENCE (DARRELL)
is hereby authorized to discharge treated domestic wastewater from a facility located at
ELROD RESIDENCE (DARRELL)
Gaston County
to receiving waters designated as the UT CATAWBA 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

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
MOORESVILLE REGIONAL OFFICE
7:51,
NCDENR DIVISION OF WATER QUALITY
June 3, 1999
JAMES B.HUNT JR.GOVERNOR Bobby C. Ransom, Jr. or Current Occupant
1950 C Robinwood Road
Gastonia, North Carolina 28054
WAYNE MCDEVITr. , .,- Subject: Wastewater Discharge Permit
SECRETARY Darrell Elrod Residence
NPDES Permit No. NCG550000
Cert. of Coverage No.NCG550447
Gaston County,NC
Dear Mr. Ransom or Current Occupant:
, Our files indicate that the subject wastewater discharge permit was issued to Bobby
a C. Ransom, Jr. for a wastewater discharge from the subject residence. Division records
- . indicate that the permit has not been renewed as required. Please contact the Mooresville
Regional Office immediately to clarify if the permit is still required for the residence.
f' ; k. ,a According to North Carolina General Statute 143-215.1 (a), no person shall operate any
-,' sewer system, treatment works, or disposal system within the State without a permit.
r
Pursuant to NCGS 143-215.6A, a civil penalty of not more than ten thousand
dollars ($10,000.00) or ten thousand dollars ($10,000.00)per day if the violation is of a
.,. f �; < continuing nature, may be assessed against any person who is required but fails to apply
, a' for or secure a permit required by NCGS 143-215.1, or who violates or fails to act in
accordance with the terms, conditions, or requirements of any permit required by NCGS
;4 S
,,,.,.. r,. ..... 143-215.1.
, t Please contact Linda Love at(704) 663-1699 to resolve this matter.
a - ..- Sincerely,
m,.:1
D. Rex Gleason, P.E.
.w.. Water Quality Regional Supervisor
r cc: Gaston County Health Department
LL
,R
r
t 919 NORTH MAIN STREET,MOORESVILLE, NORTH CAROLINA 28115
a
& 1` r y x, 1 PHONE [phone] FAX [phone]
'41 A. ..< AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER-50%RECYCLED/10%POST-CONSUMER PAPER

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eft
.46,
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street• Raleigh,North Carolina 27604
James G.Martin,Governor George T.Everett,Ph.D
William W.Cobey,Jr.,Secretary Director
April 3, 1992
Certified Mail
Return Receipt Requested
Bobby C. Ransom Jr.
Ransom Residence
3902 Pineview Drive
Gastonia, NC 28056
SUBJECT: Request for Remission of Civil Penalty
Puisuant to N.C.G.S. 143-215.6A(f)
Ransom Residence
Gaston County
Permit No: NC0070734
File No: RV 92-03
Dear Mr. Ransom:
I considered the information submitted in support of your request for remission in accordance with
G.S. 143.215.6A(f) and my delegation under G.S. 143-215.6A(h) and have not found grounds to modify
the assessment of$250.00.
Should you choose to pay the full penalties, you may tender payment to Robert Farmer using the
P.O. Box address listed at the bottom of this letter on or before April 22, 1992. Please make checks
payable to the Department of Environment, Health, and Natural Resourceop weeks of, 4. U
You also have the option of presenting your request to the Committee on Civil Penalty Remissions
which is comprised of members of the Environmental Management Commission. The committee may
consider such requests and render final and binding decisions in these matters. You may argue your
request before the committee and Division Staff will argue against any reduction of the assessment.
Pollution Prevention Pays
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Should you choose to present your request to the committee, please notify Robert Farmer at the
same address on or before April 22, 1992. Your request will be scheduled to be heard on the agenda of
the next scheduled committee meeting and you will be notified of the date and time. If a response is not
received by the Division regarding this notice, then your request will be scheduled on the agenda for an
upcoming committee meeting.
Thank you for your cooperation in this matter and should you have any questions, please feel free
to contact Robert Farmer at [phone].
Since ly,
George . Everett
cc. Attorney General's Office
Mooresville Regional Office
Enforcement File
Central Files

aGM OF NARpR�
` " puNITY DEVE* ?pIIENZr
Bobby & Lisa Ransom
APR 2 4 1992 1950 C Robinson Road
Gastonia, NC 28054
IM MON OF FNV!RONJSf ; 704-866-4985
MRQRESVILL ,, ., .. .T
__ . E_ Grfiy RE�t.,,,1 r
April 22, 1992
Mr. D. Rex Gleason
Department of Environmental Health & Resources
919 North Main Street
Mooresville, NC 28115
Re: Bobby & Lisa Ransom
3902 Pineview Drive
Gastonia, NC 28054
Permit #NC0070734
Dear Mr. Gleason:
This letter is to advise the agency that we will be transferring our home to the new buyers, Darrell
& Karen Elrod, on or about April 30th, 1992. A copy of this letter will be given to them to serve
as a notice that they are required to request that a new permit be issued in their names after the
property is transferred.
The permit they will be requesting is for the sand filter septic system located on said property.
Respectfully,
isGam-Rat,.00„--
a Ransom

4:71 4 A ler;‘
r 60.,t c.
c_92_/(1(t/)
Iv
(II, _ m .
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
June 30, 1992
Darrell & Karen Elrod
3902 Pineview Drive
Gastonia, NC 28056
Subject: NPDES Permit No. NC0070734
Darrell & Karen Elrod
Residence
Gaston County, NC
Dear Mr. & Mrs. Elrod:
Our records indicate that NPDES Permit No. NC0070734 was
issued on June 30, 1992 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 4.
Page 4 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 forms, 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 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
P.O Bar 950,919 North Main Street,Mooresville, N.C.28115-0950•Telephone [phone]•FAX [phone]
An Equal Opportunity Affirmative Action Employer

//lir
Darrell & Karen Elrod
Page Two
June 30, 1992
event of noncompliance, bypasses, treatment 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 1 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.
cerely, /iketa-g')/a.C_
D. Rex Gleason, P. E.
Water Quality Regional Supervisor
Enclosure
DRG:ssl

Permit No. NC0070734
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT N.C. DEPT. OF NATrIVARE-
RESCURrES AND
PERMIT COMMUNI7 YLE VELOFNEEN 4
TO DISCHARGE WASTEWATER UNDER THE ;`1';" 1 4 1992
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTE
pun OF ENVIRGNr!7R! ,YANAGEMLN;
MOORESVILLE RELIZAL OFFICE
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. Bobby C. Ransom, Jr.
is hereby authorized to discharge wastewater from a facility located at
Bobby C. Ransom,Jr. Residence
end of NCSR 2633
Gastonia
Gaston County
to receiving waters designated as an unnamed tributary to Catawba 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 September 30, 1996
Signed this day
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0070734
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Bobby C. Ransom, Jr.
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of a septic tank,
subsurface sandfilter,tablet chlorinator,chlorine contact tank, and cascade aeration located at
Bobby C. Ransom, Jr. Residence,end of NCSR 2633, Gastonia,Gaston County (See Part III
of this Permit), and
2. Discharge from said treatment works at the location specified on the attached map into an
unnamed tributary to Catawba Creek which is classified Class C waters in the Catawba River
Basin.

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A. ().EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL Permit No. NC0070734
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 Tvoe Location
Flow 450 CPO
BOD, 5 day, 20°C 15.0 mg/I 22.5 mg/I
Total Suspended Residue 30.0 mg/I 45.0 mg/I
NH3 as N 4.0 mg/I 6.0 mg/I
Dissolved Oxygen**
Fecal Coliform (geometric mean) 200.0 /100 ml 400.0 /100 ml
Total Residual Chlorine
Temperature
**The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/l.
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous disinfection of the effluent.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

1;Fr
Part III Permit No. NC0070734
D. Disposal Alternatives
The Permittee shall continually evaluate all wastewater disposal alternatives and pursue the most
environmentally sound alternative of the reasonably cost effective alternatives. If the facility is in
substantial non-compliance with the terms and conditions of the NPDES permit or governing rules,
regulations, or laws,the permittee shall submit a report in such form and detail as required by the
Division evaluating these alternatives and a plan of action within sixty (60) days of notification by
the Division.

NPDE% FACILITY AND PERMIT DATA
RETRIEVE OPTION TRXID 6NU KEY NCO070734
PERSONAL DATA FACILITY APPLYING FOR PERMIT REGION
FACILITY NAME> ELROD RESIDENCE (DARRELL) COUNTY> GA%TON 03
ADDRESS: MAILING (REQUIRED) LOCATION (REQUIRED)
STREET : 3902 PINEVIEW DRIVE STREET : 3904 PINEVIEW DRIVE
CITY : GASTONIA ST NC ZIP 28056 CITY : GA%TONIA %T NC ZIP 28056
TELEPHONE 704 824 4700 DATE FEE PAID : 03/18/92 AMOUNT : 120.00
STATE CONTACT> WIGGIN% PERSON IN CHARGE BOBBY C. RANSOM JR.
i =PROPO%ED . 2=EXI%T . 3=CLO%ED I i =MAJOR . 2=MINOR 2 i =MUN . 2=NON-MUN 2
LAT : 302550 LONG : 08106250 N=NEW . M=MODIFICATION . R=REI%%UE> R
DATE APP RCVD 03/18/92 WA%TELOAD REQ% 0308/92
DATE STAFF REP REQ% 0308/92 WA%TELOAD RCVD 03/19/92
DATE STAFF REP RCVD 03/31 /92 %CH TO ISSUE 06/01 /92
DATE TO P NOTICE 0407/92 DATE DRAFT PREPARED � 04/Oi /��^��^��
�� '
DATE OT AG COM REQ% / / DATE DENIED
DATE OT AG COM RCVD / / DATE RETURNED
DATE TO EPA / / DATE ISSUED / / ASSIGN/CHANGE PERMIT
DATE FROM EPA / / EXPIRATION DATE 05/31 /92
FEE CODE ( 5 ) i =( >iOMGD) . 2=( }iMGD) . 3=( }0. iMGD) . 4=( (0. iMGD) . 5=%F . 6=(GP25 . 64 . 79) .
7=(GP49 . 73)8=(GP76)9=(GPi3 . 34 . 30 . 52)0=(NOFEE) DI%/C 04 CONBILL ( )
COMMENTS : 05
MESSAGE :

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#410111101-
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-0.449
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street•Raleigh,North Carolina 27626
James G. Martin,Governor George T. Everett,Ph. D.
William W. Cobey,Jr., Secretary Director
July 30, 1991
Mr. Bobby C. Ransom
3902 Pineview Drive
Gastonia, NC 28056
N. C. DEPT. O; NATURAL
tND
C •:r TENT Subject: NPDES No. NC0070734
Bobby C. Ransom & Lisa K. Ransom
1 1991 formerly issued to
William P. Carver
c Gaston County
DIYISI'h
1,!ENT
OffICE
Dear Mr. Ransom:
In accordance with your request received June 6, 1991, we are forwarding herewith the
subject permit now issued to Bobby C. Ransom & Lisa K. Ransom. The only changes in this
permit are in name and ownership as well as update the permit to current DEM regulations.
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 an adjudicatory hearing upon written request
within thirty (30) days following receipt of this letter. This request must be in the form of a
written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed
with the Office of Administrative Hearings, Post Office Drawer 27447, Raleigh, North Carolina
27611-7447. Unless such demand is made, this decision shall be final and binding.
Please take notice that this permit is not transferable. Part II, B. 2. addresses the
requirements to be followed in case of change in ownership or control of this discharge.
This permit does not affect the legal requirement 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.
Pollution Prevention Pays
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

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.rA''•V ' 4 i If you have any questions concerning this permit, please contact Mr. Mack Wiggins at
telephone number 919/733-5083.
Sincerely,
ilk',/,',•4 -.t. ''!P '1,'-' 'i,r; v 4I,"'''' ” '1' ' ( 4r1" ' r, Original sigeed by
' ,,l''''-4.4'..\ ,:i• 7,0-'1.'' -
Dale Overcash for
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George T. Everett
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cc: Mr. Jim Patrick, EPA
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Permit No. NC0070734
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
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,
N. C. DI p r. „, � Mr. Bobby C. Ransom, Jr.
7. 1 TT AL
is here yuthorized to discharge wastewater from a facility located at
T
e j Bobby C. Ransom, Jr. Residence
JUL1 f 991 end of NCSR 2633
DIVISION OF Gastonia
Fii. Gastonia
NOORES1! W,.l Gaston County
si
u;l�aE
to receiving waters designated as an unnamed tributary to Catawba 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 July 30, 1991
This permit and the authorization to discharge shall expire at midnight on May 31, 1992
Signed this day July 30, 1991
O iainal siseed by
Dale Overcesh for
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

C
Permit No. NC0070734
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Bobby C. Ransom, Jr.
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility, and
2. Make an outlet into an unnamed tributary to Catawba Creek, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management,construct and operate a 0.00045 MGD wastewater treatment facility located
at Bobby C. Ransom, Jr. Residence, end of NCSR 2633, 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 an
unnamed tributary to Catawba Creek which is classified class C waters in the Catawba
River Basin.

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A. ( ). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS'FINAL Permit No. NC0070734
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 450 GPO
BOD, 5 day, 20°C 15.0 mg/I 22.5 mg/I
Total Suspended Residue 30.0 mg/I 45.0 mg/I
NH3 as N 4.0 mg/I 6.0 mg/I
Dissolved Oxygen** 6.0 mg/I 6.0 mg/I
Fecal Coliform (geometric mean) 200.0 /100 ml 400.0 /100 ml
Total Residual Chlorine
Temperature
** The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/l.
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous disinfection of the effluent.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

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.

9
. /; ,„.swra
°ft 16 V )
•
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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 R. Paul Wilms
S. Thomas Rhodes, Secretary June 26, 1987 Director
r*
CERTIFIED MAIL Co nhF : n,
RETURN RECEIPT REQUEST
i4 L4pL'L 1���
Mr. William P. Carver JU, B \'r
3904 Pineview Drive8�
Gastonia, North Carolina 28054 ilyz pf
h.
4044
SUBJECT : Permit No. NC0070734 '7
William P. Carver - Residence `"u p .
Gaston County
Dear Mr. Carver:
In accordance with your application for discharge permit received on May 13,
1987, we are forwarding herewith the subject State NPDES Permit. This permit
is issued pursuant to the requirements of North Carolina General Statute 43-215. 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 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, B. 2. addresses
the requirements to be followed in case of change in ownership or control of this
discharge.
This permit does not affect the legal requirement 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.
Continued . . .
Pollution Prevention Pays
PO Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Page Two
Mr. William P. Carver
If you have any questions concerning this permit, please contact Mr. Dale
Overcash, at telephone number 919/733-5083.
ORIGINAL Sl Sin rly,
ARTHUR MOUSfRRY
FOR R. Paul Wilms
cc: Mr. Jim Patrick, EPA
DO/gwt

Permit No. NC0070734
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES & 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,
WILLIAM P. CARVER
is hereby authorized to discharge wastewater from a facility located at
William P. Carver - Residence
end of NCSR 2633 (Pineview Drive)
Gaston County
to receiving waters designated as an unnamed tributary to Catawba Creek in the Catawba
River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions
set forth in Part I, II, and III hereof.
This permit shall become effective June 26, 1987.
This permit and the authorization to discharge shall expire at midnight on May 31,
1992.
Signed this day of June 26, 1987.
04' '1i(%NtC (''V
1
R. PAUL WILMS, DIRECTOR
DIVISION OF ENVIRONMENTAL MANAGEMENT
BY AUTHORITY OF THE ENVIRONMENTAL
MANAGEMENT COMMISSION
M1 & 11

Permit No. NC0070734
SUPPLEMENT TO PERMIT COVER SHEET
William P. Carver
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility;
2. Make an outlet into an unnamed tributary to Catawba Creek;
3. After receiving an Authorization to Construct from the Division of Environmental
Management construct and operate a 450 GPD wastewater treatment facility located
at the end of NCSR 2633 (Pineview Drive) in Gaston County (See Part Ill of this
Permit) ; and
4. Discharge from said treatment works into an unnamed tributary to Catawba Creek
which is classified Class "C" waters in the Catawba River Basin.

3
W
A. (i). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final
During the period beginning on the effective date of the Permiand lasting until expiration,
the pennittee is authorized to discharge from outfall(s) serial number(s) on.
Such discharges shall be limited and monitored by the pennittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Kglday (lbs/day) Other-Units (Specify) Measurement Sa le Sample
Monthly Avg. Weekly Avg. Monthly Avg. weekly Avg. Frequency Type Loc
ation
Flow 450 GPD
BOb,5Day, 20°C 15.0 mg/I 22. 5 mg/I
Total Suspended Residue 30. 0 mg/I 45. 0 mg/I
NH as N 4.0 mg/I 6. 0 mg/I
Digsolved Oxygen (minimum) 6.0 mg/I 6. 0 mg/I
Fecal Coliform (geometric mean) 1000. 0/100 mI. 2000. 0/100 ml.
Residual Chlorine
Temperature
The chlorinator shall be inspected weekly to insure there is an ample supply of chlorine tablets for
continuous disinfection of the effluent.
t
-v-o-v
CI CD fi OP
ThepH shall not be less than 6.0 standard units norgreater than " `*9.o standard units. C.
� z
There shall be no discharge of floating solids or visible foam in other than trace amounts. w •c 0

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

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

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

PART III
A. PREVIOUS PERMITS
All previous State water quality permits issued to this facility,
whether for construction or operation, or discharge, are hereby
revoked by issuance of this permit. The conditions, requirements,
terms, and provisions of this permit authorizing discharge under 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.

e,,.SrArf 4%
•
t'
715(%
�,.
K OF ENVIRO?.MENTAL PAA^A,� a
1 An
DEC 1 I,` 7 State of North Carolina
Departro1Eof Natural Resources and Community Development
smoked.`mar Division of Environmental Management
• 512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor R. Paul Wilms
S. Thomas Rhodes, Secretary November 12, 1987 Director
Mr. William Carver
3904 Pineview Drive
Gastonia, NC 28054
SUBJECT: Permit No. NC0070734
Authorization to Construct
Wastewater Treatment System
Carver Residence
Gaston County
Dear Mr. Carver:
A letter of request for an Authorization to Construct was received October 12,
1987, by the Division and final plans and specifications for the subject facilities
have been reviewed and found to be satisfactory. Authorization is hereby granted for
the construction of a 450 GPD wastewater treatment facility consisting of a 2,000
gallon septic tank, a distribution tank, a 400 square foot primary sand filter, a 200
square foot secondary sand filter, a tablet chlorinator,chlorine contact tank and a
cascade aerator.
This Authorization to Construct is issued in accordance with Part III paragraph C
of the NPDES Permit No. NC0070734 issued June 26, 1987, and shall be subject to
revocation unless the wastewater treatment facilities are constructed in accordance
with the conditions and limitations specified in Permit No. NC0070734.
The sludge wastes generated from these treatment facilities must be disposed of
in accordance with G.S. 143-215. 1 and in a manner approvable by the North Carolina
Division of Environmental Management.
The Mooresville Regional Office, telephone no. 704-663- 169g shall be notified in
advance of backfill.ing of the installed system 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.
In event the facilities fail to perform satisfactorily in meeting its NPDES
permit effluent limits, the Permittee shall take such immediate corrective action as
may he required by this Division, including the construction of additional wastewater
treatment and disposal facilities.
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Frnu1(lnrv-.n,niti, Affi.,..aN.,. Arr:.,..FmnL..,..

The septic tank must be pumped once a year and the filters must be rehabilitated
as needed but should be inspected no less than once every three years of operation.
The sand media of the sub-surface filter must comply with the Division's sand
specifications.
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 with the approved
plans and specifications.
If you have any questions or need information, please contact Ms. Babette
Mckemie, telephone number 919/733-5083.
Sincerely yours,
R. Paul Wilms
cc: Gaston County Department
De artment
Mooresville Regional Supervisor
Dennis Ramsey
Fox & Ritter, Inc.
Engineer's Certification
I , as a duly registered Professional Engineer in the
State of North Carolina, hereby certify that construction of these permitted
facilities has been completed in accordance with the approved plans and
specifications.
Signature Registration Number Date
Permit No. NC0070734

r`}.=-,' .-� ',.. 11 '.. .€F ..1 1,, x '',...:A-,.'e. .< _ xb.Y; .i 4e5.41'.- .r d XI- e: _ .az3.. . .,,s f.5 ,' , .k.d
5
�1.. d aSTAFo� . r'1p
? ir ir w7 ' a1.�
' t y ,
RECEIVED s
&vistON OF ENVIRONMEN/AL MMANAGEM�E, r
State of North Carolina ,�'
Department of Natural Resources and Community Development R
x' Division of Environmental Management r f,
�,as ,,.
aEsronal.512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governorit
s-' / / ,y' / S. Thomas Rhodes, Secretary ,.
~ r l%/ r i'. ,• f r+• E •- 'I` F j / fir ,,,,�x'�„.7;:,vc,,.,..-y' //.,-'6,14',A',,j A•,
1 f,, ./ C L r t.•; i X �`... ,,./�"4e'•`: fr jf, ',rr., r-'.,r^y--"' ✓^`1,y.e` i<'
' Y`, s .: � +tee.
Dear ,,r•.5 / , )6/4 .;e' ; '
r We acknowledr receipt of the following documents: V /(,,,;' 19 ;`, 7
,.° , ' erit application --", ,, .'/ � ..a
;a V engineering plans
,
;v Y specifications ,fP
other
Your project has been assigned to (3! ,0 ,r'`1 ",' ,1 /C' for a detailed engineering review. :
t All project documents will be reviewed with respect to the proposed wastewater facilities. This review will not commit t r
p l P p P '_'
"' this Division to approving any expansion of these treatment facilities or increase of flowrate in the future. 5, 6,
1,A
; c
.," Prior to the issuance of the permit, you will be advised of the recommendations any comments of this Division. $ '
You will also be informed of any matter which needs to be resolved. , {1,'
{
Our reviews are scheduled based on receipt date of complete informations. The items checked below are needed :I,
}" ' before your project can be reviewed. I, _,,,,j„ (At de( / ,,, ` ¢¢F i ¶ }
- permitapplication (copies ,,, 1; f' r i,4? ✓'f� „,„
,,, enclosed) J 7f ,.
engineering plans (signed and sealed by N.C.P.EJ ?rt � f ~ `` " " �' F' }, ~f
f It N r( ,=��f� ...--7 - (... ,f;;>,..;4
' s cifications (signed and sealed byN.C.P.E.) ! -75 "- , °, '
{othIer additional information detailed on attachment h. L
J I/ 1
a The above checked information is needed by - r ; . ,a 7. . If not received, your application
`, package will be returned as incomplete. Please be aware that the Division's Regional Office
y„
' must provide RECOMMENDATIONS from the Regional Supervisor or a Procedure Four Evaluation for this project,
prior to final action by the Division. ,,
.4..% If you have any questions, please call the review engineer at this telephone number 919/733-5083.
.11
Sincerely, i'
a
rjj(�:rP it l�
Mks CC: � :
i h �."'N tI
Io f f P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
41 a: t An Wit, An Equal Opportunity Affirmative Action Employer U rP per t , t w>y',, ,,,..," 1

'LL1° e a STATE
ECEIVEL, J
1317— a OFENVIRONMENTAt M�ti. . 'va ,,WO.
DEC Y 198?
State of North Carolina
VILLE
Department aural 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 November 12, 1987 Director
Mr. William Carver
3904 Pineview Drive
Gastonia, NC 28054
SUBJECT: Permit No. NC0070734
Authorization to Construct
Wastewater Treatment: System
Carver Residence
Gaston County
Dear Mr. Carver:
A letter of request for an Authorization to Construct was received October 12,
1987, by the Division and final plans and specifications for the subject facilities
have been reviewed and found to be satisfactory. Authorization is hereby granted for
the construction of a 450 GPD wastewater treatment facility consisting of a 2,000
gallon septic tank, a distribution tank, a 400 square foot primary sand filter, a 200
square foot secondary sand filter, a tablet chlorinator, chlorine contact tank and a
cascade aerator.
This Authorization to Construct is issued in accordance with Part III paragraph C
of the NPDES Permit No. NC0070734 issued June 26, 1987, and shall be subject to
revocation unless the wastewater treatment facilities are constructed in accordance
with the conditions and limitations specified in Permit No. NC0070734.
The sludge wastes generated from these treatment facilities must be disposed of
in accordance with G.S. 1.43-215. 1 and in a manner approvable by the North Carolina
Division of Environmental Management.
The Mooresville Regional Office, telephone no. 704-663-1699 shall be notified in
advance of backfill.ing of the installed system so that an i.n-place inspection can he
made. Such notification to the Regional Super.vi_sor 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.
In event the facilities fail to perform satisfactorily in meeting its NPDES
permit effluent limits, the Permittee shall take such immediate corrective action as
may be required by this Division, including the construction of additional wastewater
treatment and disposal facilities.
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
A..F......E( .,........:.., AU..._.....:.._ A. C......L..r

•
•
The septic tank must be pumped once a year and the filters must he rehabilitated
as needed but should be inspected no less than once every three years of operation.
The sand media of the sub-surface filter must comply with the Division's sand
specifications.
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 with the approved
plans and specifications.
If you have any questions or need information, please contact. Ms. Babette
Mckemie, telephone number 919/733-5083.
Sincerely yours,
4d,f4714. .
R. Paul Wilms /
cc: Gaston County Health Department
Mooresville Regional Supervisor
Dennis Ramsey
Fox & Ritter, Inc.
Engineer's Certification
I , as a duly registered Professional Engineer in the
State of North Carolina, hereby certify that construction of these permitted
facilities has been completed in accordance with the approved plans and
specifications.
Signature Registration Number Date
Permit No. NC0070734

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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
November 19, 1990
Ms. Alice Schmidt, Broker
Coldwell Banker
Residential Real Estate
1201 East Garrison Boulevard
Gastonia, North Carolina 28054
Subject: Adequacy of Wastewater
Treatment Facility
3902 Pineview Drive
Gastonia, Gaston County, NC
Dear Ms. Schmidt:
This Office is in receipt of your November 9, 1990 letter,
whereby you have requested a statement from this Office regarding
the adequacy of the wastewater treatment facilities serving the
subject dwelling.
NPDES Permit No. NC0070734 was issued to a Mr. William T.
Carver on June 26, 1987 for the discharge of wastewater into an
unnamed tributary of Catawba Creek. The subject Permit is not
transferable; therefore, the new owner of the dwelling must apply
to this Agency to have the Permit reissued in his/her name.
Until such reissuance is effective, the current Permittee remains
liable for the requirements associated with the Permit.
As regards your request for the adequacy statement, to our
knowledge the facilities were installed per the approved plans
and specifications. Therefore, we have no objection to the
continued use of these facilities by any potential owners of the
dwelling. However, it is required that the new owner apply for
the new ( reissued) Permit.
919 North Main Street, Mooresville, N.C. 28115•Telephone [phone]• FAX [phone]
An Equal Opportunity Affirmative Action Employer

%
Ms. Alice Schmidt
Page Two
November 19 , 1990
If you have questions regarding this matter, please feel
free to contact this Office.
Sincerely,
D. Rex Gleason, P. E.
Water Quality Regional Supervisor
cc: Gaston County Health Department
Mr. Don Safrit
DRG:se

C.DEPT.OE NAB
RESOURCES AND
A MEMBER OF THE SEARS FINANCIAL NETWORK
COp3MUNITY DEVELOPMENT
COLDWeu rT. 1 5 1990
BAN Kept b
o�VNDORESYILLE REGI�NAL1 OFFICERi
COLDWELL BANKER
RESIDENTIAL REAL ESTATE
1201 EAST GARRISON BLVD.
GASTONIA,NC 28054
[phone]
November 9, 1990
Mr. Rex Gleason
N.C. Dept. of Health & Natural Resource
P.O.B. 950
Moorsville , N.C. 26115
Dear Mr. Gleason:
I am the listing agent for Mr. & Mrs. Perry Carver at 3902 Pine-
view Dr. Gastonia, N.C. 26056. I am requesting an approval letter
on the septic system that was installed tnere . Permit # N.C.0070734,
we are anticipating a Nov. 21st closing. Mr. Dennis Fox will inspect
the system for function operation.
I would also appreciate if you would send an application for the
new buyers. Thank you for your attention of these matters.
Sincerely,
Alice Schmidt , Broker

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Shop drawings D Prints 0 Plans 0 Samples 0 Specifications
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THESE ARE TRANSMITTED as checked below:
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0 For approval 0 Approved as submitted D Resubmit copies for approval
--' D For your use 0 Approved as noted D Submit copies for distribution
,.- - 0 As requested 0 Returned for corrections 0 Return corrected prints
it. 0 For review and comment 0
0 FOR BIDS DUE 19 0 PRINTS RETURNED AFTER LOAN TO US
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REMARKS
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SIGNED:
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NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMBER
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM 0 FOR 11 I I 1 11 I
AGENCY
USE DATE RECEIVED
To be filed only by services, wholesale and retail trade, I 1 I I 1
and other commercial establishments including vessels
YEAR MO. DAY
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
1. Name, address, and telephone number of facility producing discharge
A. Name William P_ rarvPr.
8. Street address 3904 Pineview Drive
C.-City
0. State N. C.
E. County Gaston F. ZIP 28054
G. Telephone No. 704 824-4210
Area
Code
2. SIC ■■■.
(Leave blank)
3. Number of employees Household
4. Nature of business Residential
5. (a) Check here if discharge occurs all yearn[, or
(b) Check the month(s) discharge occurs:
1.o January 2.0 February 3.O March 4.0 Apri l 5.O May
6.o June 7.O July 8.O August 9.O September 10.0 October
11.0 November 12.0 December
(c) How many days per week:
1.01 2.0 2-3 3.0 4-5 4.OX6-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
discharging (percent)
Discharge per -
operating day 0.1-999 1000-4999 5000-9999 10,000- 50,000 None 0.1- 30- 65- 95-
49,999 or more 29.9 64.9 94.9 100
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitary, daily
average 400 100
8. Cooling water, etc..
daily average
C. Other discharge(s).
daily average;
Specify
D. Maximum per operat-
ing day for combined
discharge (all types)

7. If any of the types of waste identified in item 6, either t sated or un-
treated, are discharged to places other than surface water,., check below
as applicable.
Waste water is discharged to: 0.1-999 1000-4999 - 5000-9999 10,000-49.999 50,000 or more
(1) (2) (3) (4) (5)
A. Municipal .ewer system
r
•
D. Iludv p yrrnuu) wv I I
a
C. ;ept.lr tank
U. Evaporation lagoon or pond
E. Other, specify:
8. Number of separate discharge points:
A.fi1 8.02-3 C.o4-5 D.06 or more
9. Name of receiving water or waters Tributary to Catawba Creek
.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.Ilyes D.O 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.
William P. Carver •
Printed Name of Person Signing
Owner
Title
9/30/87
Date Application Signed
1)
Signature of Applicant
North Carolina General Statute 143-215.6(b) (2) provides that: Any person who knowingly makes
any false statement representation, or certification in any application, '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+±th,
or knowly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under Artlale 2:l•;or regulations •of the Environmental Management Commission
implementing that Article, shall-be 'gtiaty, of a misdemeanor punishable by a •fine 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.)

Tti ,,.51ilrL v
0tr-p� 0 �
OIV�S �i :
WN Of �Yvl? N NtNI�: MahA6[M!•'
� OCT 9 State of North Carolina
t v Department,;pt,Natural Resources and Community Development
r"''" *'&'"Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor R. Paul Wilms
S. Thomas Rhodes, Secretary Oe' , 5—/ /f.k7 Director
�! /)C/JQi_t .
K ._/io�a s/ c'z�rk ,/lvc•
/-as t CO.5 9,r•a r A/C a O5'/
SUBJECT: NPDES Permit Application
(41 /7 4,, f.
640s/P„ County
Dear if/7-. Fc,K •
On Oc k6er , the Division of Environmental Management
received a NPDES Permit Application for the subject facility. The application is
considered incomplete. Therefore, the Division of Environmental Management is
returning the application.
A complete application must, at a minimum, contain the following information:
A check for $150.00 ($100.00 processing fee and $50.00 public
/ notice fee);
d The attached application, completed and signed by the appropriate
official, and submitted in triplicate;
For permit renewals, a letter-requesting renewal ;
Engineering Proposal (see attached) ;
Nutrient Sensitive/ Waters Information/ (see attached);
✓ Other 4)/SC/Su,y� kca 6 n ( 10.-e .�:b/7 njkr,ted Cvn cc GSGS ,frr ,o)
The Division of Environmental Management will initiate the permit review process
upon receipt of the above requested information. The receipt of the above
information does not preclude this Division from requesting additional information
at a future date.
If you have any questions, please contact Mr. Dale Overcash at (919) 733-5083.
Sincere ,
Arthur Mouberry, P.E.
�
Supervisor, Permits and Engineering
cc:AWL
�-w�• •f Regional Office
Pollution Prevention Pays
P.O. Box 27687, Raleigh,North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer Y_.,,