NCG550121_Regional Office Historical File Pre 2018

r 17 05:46p Permit: NO3550121
Inspection Date: 05/31,2017 704-812-8855
Owner-Facility: 1011 Kelly Road
Inspection Type: Compliance Ewaluation p.4
RECEIVEDINCDENRIDWR
LUG - 8 2017
WQROS
MOORESVILLE REGIONAL OFFICE
Operations & Maintenance Yes No NA NE
Does the facility analyze process control parameters,for ex:MLSS,MCRT,Settleable 11 1:1 • El
Solids,pH, DO,Sludge Judge,and other that are applicable?
Comment: Inspectors could not verify chlorine tablets were in use,the last time the septic tank was
pumped,and the location of the effluent pine.
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• page# 4

Aug 0717 05:46p 704-812-8855 p.3
Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: 05/31/2017 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the-permittee submitted a new ❑ ❑ U ❑
application?
Is the facility as described in the permit? • ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ I ❑ ❑
Is access to the plant site restricted to the general public? ❑ ❑ U ❑
Is the inspector granted access to all areas for inspection? ❑ ❑ U ❑
Comment: The subject permit expires on 7/31/2018.
Perrnitee did not attend the inspection.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? ❑ ❑ ❑
Is all required information readily available, complete and current? ❑ • ❑ ❑
Are all records maintained for 3 years(lab.reg.required 5 years)? ❑ ❑ • ❑
Are analytical results consistent with data reported on DMRs? ❑ ❑ • ❑
Is the chain-of-custody complete? El El • ❑
Dates,times and location of sampling ❑
Name of individual performing the sampling ❑
Results of analysis and calibration ❑
Dates of analysis ❑
Name of person performing analyses ❑
Transported COCs ❑
Are DMRs complete:do they include all permit parameters? ❑ El • El
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ M ❑
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator ❑ ❑ • ❑
on each shift?
Is the ORC visitation log available and current? 0 ❑ • 0
Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ • ❑
Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ • 0
Is a copy of the current NPDES permit available on site? ❑ ❑ • ❑
Facility has copy of previous year's Annual Report on file for review? ❑ El S ❑
Comment No records were available for review during the inspection.
Operations & Maintenance Yes No NA NE
Is the plant generally dean with acceptable housekeeping? El El • El
Pages/ 3

717 05:46p 704-812-8855 p.5
ork Order# 6870040110 1891910 Create Date: i0,5112201 D Tax : 6.750%
•
Job Comments Tech Comments
08/7/2017 primp septic 1-4 Call Linda ensoute
704-516-€356 mb
System Owner System Location
Gro:nds John OS-1011 Kelly Road
1011 Kelly Road 1011 Kelly Road
Mount Holly, NC, 28120 Mount Holly, NC, 28120
(704) -827-4816 x (704)-827-1816 x
John Grounds / Mobile
Call to Confirm:
K-Zyme Approx Gals:
Custom Clean Gust Home : No
Zabel Filter Service Type: Standard
Inspection1T5 Frequency
Previous Serv:
Service Date Build Up
MON 08/07/2017 02:00 PM Depth Below Grade:
County: GASTON Township:
Description Qty Unit Price - Ext Price
Environmental Compliance - Reaidenti8l5000 $19.50
Pumping 1 265. 0000 $265.00
Subtotal $284.50
Tax $0.00
Total $2 8 4.50
Disposal Permit SDTF36-04 Pumping Permit NCS01373 Plumbing Permit:31032 Location Details
Tank Observations : We suggest these 3 keys to keep your system healthy Payment Detail
1)Regular Servicing Type: Check
ElSystem Operating Fine 2)Use IC-Lyme Bacteria Additive
Waste Code: 3)Use a Filler Cant#:
Waste Consistency [ j Excessive Solids [ j Heavy Sludge Exp.Date:
•
Disposal Point: PO Number: none
Disposal Volume : Gals Tons/CY
PH: Prior to Loading: Lab Terms: Due on Receipt
Inlet Baffle Outlet Baffle Backflushes Runback Tank Level
Truck: Shop to Shop Break [ j
Tech Initials: OnSite Break [ )
Tech Name: Billy Stiles Sales Rep: No Rep
CSR: Monica Ballard Customer Signature
Tech Notes :
:'• -* Stanley
' P.
; environmental
Stanley Environmental (877)-263-8186 Solutions
Remit Payment to: 131 Mariposa Rd, Stanley, NC 28164

ROYCQOPER
Governor
MICHAEL S. REGAN
Secretary
Environmental S. JAY ZIMMERMAN
Quality Director
June 15, 2017
Ms. Linda Grounds
1011 Kelly Road
Mt Holly,NC 28120
Subject: Notice of Deficiency
Compliance Evaluation Inspection
NOD-2017-PC-0189
1011 Kelly Road
Certificate of Coverage No.NCG550121
Gaston County
Dear Ms. Grounds:
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted
at the subject facility on June 13, 2017, by Ori Tuvia.
The main area of concern found during the inspection was that the septic tank has not
been pumped in the last 5 years. The permit requires that the Septic tank should be pumped at
least every 5 years and a record of pumping must be available for review during the inspection.
Additionally, it was indicated that due to no flow, no sampling could be performed. If
flow is observed in the future, sampling must be conducted.
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Ori Tuvia at(704) 235-2190, or at
[e-mail]
Sincerely,
W. Corey Basinger
Regional Supervisor
Mooresville Regional Office
Division of Water Resources
Cc: NPDES Unit
MRO Files
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115
Phone:[phone] Fax:[phone]\Customer Service:1-877-623-6748
Internet:www.ncwateraualitv.oro

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 Li 2 I5 I 3 NCG550121 111 121 17/06/13 117 18 I( I 19 Ls]I 20I
2111 1 I I I I I I I I I I I I I I I I I I I I 1 1 1 I I I I I I I I I II I I I I I r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
6711.0 1 70 L_�, i 71 IN I 72 N I 731 I 1741
l
I I I I 1 I 180
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Numbed
11:05AM 17/06/13 13/08/01
1011 Kelly Road
1011 Kelly Rd Exit Time/Date Permit Expiration Date
Mount Holly NC 28120 11:35AM 17/06/13 18/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Linda Grounds,1011 Kelly Rd Mount Holly NC 28120///
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance II Records/Reports Self-Monitoring Program
Sludge Handling Disposal III Facility Site Review II Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ori A Tuvia • MRO WQ//704-663-1699/
6/is
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W.Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. SJd. l
...viesoudefriceLootzr,.
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG550121 111 121 17/06/13 117 18 1ls,.I
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: 06/13/2017 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new El 0 � ❑
application?
Is the facility as described in the permit? • ❑ 0 El
#Are there any special conditions for the permit? 0 II ❑ 0
Is access to the plant site restricted to the general public? El ❑ • 0
Is the inspector granted access to all areas for inspection? • 0 El ❑
Comment: The subject permit expires on 7/31/2018.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? ❑ • ❑ El
Is all required information readily available, complete and current? El 0 0
Are all records maintained for 3 years(lab. reg. required 5 years)? 0 ❑ El
Are analytical results consistent with data reported on DMRs? 0 0 • ❑
Is the chain-of-custody complete? El El • El
Dates,times and location of sampling El
Name of individual performing the sampling El
Results of analysis and calibration ❑
Dates of analysis ❑
Name of person performing analyses ❑
Transported COCs ❑
Are DMRs complete:do they include all permit parameters? El 0 • ❑
Has the facilitysubmitted its annual compliance report to users and DWQ? 0 El
P P
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator El El • ❑
on each shift?
Is the ORC visitation log available and current? ❑ ❑ • ❑
Is the ORC certified at grade equal to or higher than the facility classification? El ❑ 1111 El
Is the backup operator certified at one grade less or greater than the facility classification? El ❑ • El
Is a copy of the current NPDES permit available on site? • ❑ ❑ El
Facility has copy of previous year's Annual Report on file for review? ❑ 0 • ❑
Comment: Records of sampling (flow permitting) and septic tank beingpumped should be kept to be
reviewed in future inspections.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? • El ❑ ❑
Page# 3

Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: 06/13/2017 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Does the facility analyze process control parameters,for ex: MLSS,MCRT,Settleable 0 0 • 0
Solids, pH, DO,Sludge Judge, and other that are applicable?
Comment: Septic tank has not been pumped in the last 5 years
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ 0
Is septic tank pumped on a schedule? ❑ NI 0 0
Are pumps or syphons operating properly? ❑ ❑ A 0
Are high and low water alarms operating properly? 0 ❑ • ❑
Comment: Septic tank has not been pumped in the last 5 years
Sand Filters (Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational? ❑ ❑ • 0
Is the distribution box level and watertight? 0 ❑ • 0
Is sand filter free of ponding? • ❑ 0 0
Is the sand filter effluent re-circulated at a valid ratio? 0 0 0
#Is the sand filter surface free of algae or excessive vegetation? 0 0 • 0
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) 0 0 • ❑
Comment: •
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? • ❑__❑_ 0
Are the tablets the proper size and type? ❑ ❑ 0
Number of tubes in use? 2
Is the level of chlorine residual acceptable? 0 ❑ • 0
Is the contact chamber free of growth,or sludge buildup? • ❑ 0 0
Is there chlorine residual prior to de-chlorination? ❑ • ❑ ❑
Comment: Chlorine tablets were observed in the chlorinator.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? • 0 0 0
Are the receiving water free of foam other than trace amounts and other debris? • 0 0 0
If effluent (diffuser pipes are required) are they operating properly? 0 0 III 0
Page# 4

Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: O6/13/2017 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Comment: No flow was observed during the inspection.
•
•
Page# 5

. ".DOPER
Governor
, F
F.
MICHAEL S. REGAN
Secretary
Environmental S. JAY ZIMMERMAN
Quality Director
June 6, 2017
Ms. Linda Grounds or current tenant
1011 Kelly Road
Mt Holly, NC 28120
Subject: Notice of Deficiency
Compliance Evaluation Inspection
NOD-2017-PC-0189
1011 Kelly Road
Certificate of Coverage No. NCG550121
Gaston County
Dear Ms. Grounds:
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted at
the subject facility on May 31, 2017, by Ori Tuvia.
The following deficiencies were found during the inspection, and should be corrected:
1) No chlorine tablets were found on site or in the chlorinator.
2) Records of sampling (flow permitting) and septic tank being pumped were not available
for review during the inspection. Records should be available to be reviewed in future
inspections.
Please send any supporting data you to:
Mooresville Regional Office 610 East Center Ave,Suite 301 Mooresville, NC 28115.
The report should be self-explanatory; however, should you have any questions concerning
this report, please do not hesitate to contact Ori Tuvia at(704) 235-2190, or at
[e-mail]
Sincerely,
W. Corey Basinger
Regional Supervisor
Mooresville Regional Office
Division of Water Resources
Cc: NPDES Unit, MRO Files
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115
Phone:[phone] Fax:[phone]\Customer Service:1-877-623-6748
Internet:www.ncwaterquality.orq

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 2 1s 1 3 I NCG550121 111 121 17/05/31 117 18 I,.I 19 Ls] 20 Li
21I I I I I I I I I I II I [ I I I I I I I I I I I I I I I I I I I I I II I I I I I r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
67 Ito ( 70 LI 71 IN I 72 I N I 73I I 174 751 I I I I 180
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 12:55PM 17/05/31 13/08/01
1011 Kelly Road
1011 Kelly Rd Exit Time/Date Permit Expiration Date
Mount Holly NC 28120 01:15PM 17/05/31 18/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Linda Grounds,1011 Kelly Rd Mount Holly NC 28120///
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
II Permit Operations&Maintenance II Records/Reports Self-Monitoring Program
II Facility Site Review
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ori A Tuvia MRO WQ//704-663-1699/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W.Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
AA.Pe ' plAies
Page#

NPDES yr/mo/day Inspection Type 1
31 NCG550121 I11 121 17/05/31 117 18 Li
I
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: 05/31/2017 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new 0 0 • 0
application?
Is the facility as described in the permit? • 0 0 0
#Are there any special conditions for the permit? 0 • 0 0
Is access to the plant site restricted to the general public? 0 0 11 0
Is the inspector granted access to all areas for inspection? 0 0 II ❑
Comment: The subject permit expires on 7/31/2018.
Permitee did not attend the inspection.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? 0 0 • 0
Is all required information readily available, complete and current? 0 11 0 0
Are all records maintained for 3 years(lab. reg. required 5 years)? 0 0 II 0
Are analytical results consistent with data reported on DMRs? 0 0 • 0
Is the chain-of-custody complete? 0 0 • 0
Dates,times and location of sampling ❑
Name of individual performing the sampling 0
Results of analysis and calibration ❑
Dates of analysis 0
Name of person performing analyses ❑
Transported COCs ❑
Are DMRs complete:do they include all permit parameters? 0 0 • 0
Has the facility submitted its annual compliance report to users and DWQ? 0 0 111 0
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator 0 0 • ❑
on each shift?
Is the ORC visitation log available and current? 0 0 III 0
Is the ORC certified at grade equal to or higher than the facility classification? 0 0 • 0
Is the backup operator certified at one grade less or greater than the facility classification? 0 0 • 0
Is a copy of the current NPDES permit available on site? 0 0 U ❑
Facility has copy of previous year's Annual Report on file for review? 0 0 • 0
Comment: No records were available for review during the inspection.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 0 II 0
Page# 3

Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: 05/31/2017 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ • 0
Solids, pH, DO,Sludge Judge,and other that are applicable?
Comment: Inspectors could not verify chlorine tablets were in use,the last time the septic tank was
pumped, and the location of the effluent pipe.
Page# 4

ROY COOPER
Governor
F ILE
MICHAEL S. REGAN
Secretary
Environmental S. JAY ZIMMERMAN
Quality Director
May 5, 2017
Mr. Linda Grounds or current tenant
1011 Kelly Road
Mt Holly,NC 28120
Subject: Compliance Evaluation Inspection
1011 Kelly Road
Certificate of Coverage No. NCG550121
Gaston County
Dear Mrs. Grounds or current tenant:
Please be advised that NCDEQ inspector will be coming to inspect subject permit on
May 31, 2017, at about 1 PM. Your presence during the inspection is advised to discuss
compliance with the conditions listed in subject permit.
If you wish to reschedule or have any questions, please contact Ori Tuvia at (704)235-
2190, or via email at [e-mail].
Sincerely,
Ori Tuvia, Environmental Engineer
Mooresville Regional Office
Division of Water Resources, DEQ
•
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115
Phone:[phone] Fax [phone]\Customer Service:1-877-623-6748

Fr 41,00A F ILE
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
May 22,2015
Mr. John Grounds
1011 Kelly Road
Mount Holly,North Carolina 28120
Subject: Compliance Evaluation Inspection
Grounds Single Family Residence
COC#NCG550121
Gaston County
Dear Mr. Grounds:
Enclosed is a copy of the Compliance Evaluation Inspection report(CEI)for the inspection
conducted at the subject facility on May 20,2015 by Mr. Barry Love with this Office. Thank you for your
assistance and cooperation during the inspection.
The report should be self-explanatory. Please take special note of the comments sections for things
which need to be addressed. Pool chlorine tablets were being used. These are harmful to aquatic life and only
tablets approved for wastewater use should be used(calcium hypochlorite). Please provide documentation to
this office when you have purchased new tablets. No analytical results were available at the time of the
inspection. The permit requires annual monitoring of the system. Please provide a copy of the analytical
results when available. The septic tank should be pumped every five years or as needed.
If you have any questions, comments, or need assistance with understanding any aspect of your
permit or this report,please do not hesitate to contact me at(704)-663-1699.
Sincerely,
Barry Love,Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources,NCDENR
Cc: MRO SFR- Grounds
Central Files
Mooresville Regional Office,610 East Center Avenue,Suite 301,Mooresville,NC 28115
Phone:[phone]\Internet:www.ncwaterquality.org
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

United States Environmental Protection Agency
Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 ��, 2 IF I 3 I NCG550121 111 121 15/05/20 117 18 Lirs 19 I G I 20I I
1 1 1 1 1 1 1 1 1 1 1 1 1 ( 1 1 1 1 1 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ------- Reserved---------
67( I 70 it
Li 71 I t 72 i I 731 1 174
751 1 1 I 1 1 1 I80
Section B:Facility Data
I� I
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) 12:00PM 15/05/20 13/08/01
1011 Kelly Road
1011 Kelly Rd Exit Time/Date Permit Expiration Date
Mount Holly NC 28120 12:35PM 15/05/20 18/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible OfficialTitle/Phone and Fax Number
Contacted
Linda Grounds,1011 Kelly Rd Mount Holly NC 28120///
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
III Permit III Operations&Maintenance Records/Reports Facility Site Review
II Effluent/Receiving Waters Laboratory
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Barry F Love MRO WQ//704-663-1699 Ext.263/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG550121 Ill 121 15/05/20 117 18 Lc]
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
•
Page# 2

Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: 05/20/2015 Inspection Type: Compliance Evaluation
Operations& Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? • ❑ 0 0
Does the facility analyze process control parameters,for ex: MLSS, MCRT,Settleable ❑ 0 • 0
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: No analytical data was available. The permittee needs to have analysis of the wastewater
done to be in compliance with the permit requirements.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ • ❑
application?
Is the facility as described in the permit? ❑ ❑ ❑ •
#Are there any special conditions for the permit? ❑ • ❑ ❑
Is access to the plant site restricted to the general public? ❑ ❑ • ❑
Is the inspector granted access to all areas for inspection? • ❑ ❑ ❑
Comment:
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? 0 ❑ • ❑
Is septic tank pumped on a schedule? 0 0 ❑ •
Are pumps or syphons operating properly? ❑ ❑ • ❑
Are high and low water alarms operating properly? ❑ ❑ • ❑
Comment: The septic tank was last pumped on 5/13/2010 according to an invoice in the file. The
permit requires that the septic tank be pumped every 5 years,so it is due again.
Sand Filters (Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational? ❑ ❑ IN ❑
Is the distribution box level and watertight? 0 ❑ ❑ IN
Is sand filter free of ponding? II ❑ ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ ❑ II
#Is the sand filter surface free of algae or excessive vegetation? • ❑ 0 ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ ❑ •
Comment: The sand filter is underground.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? • 0 ❑ ❑
Are the tablets the proper size and type? ❑ • ❑ ❑
Page# 3

Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: 05/20/2015 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Number of tubes in use? 2
Is the level of chlorine residual acceptable? ❑ ❑ ❑ IN
Is the contact chamber free of growth, or sludge buildup? • ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑ •
Comment: Pool tablets were being used. The permittee was advised that these were unacceptable as
they are harmful to aquatic life. Only tablets approved for wastewater use should be used
(calcium hypochlorite).
Page# 4

Inspection Date: 5/z 0 /) .5 Start 1 2 6"5r e- End Time:_J /, 3 s r
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
10/28/2014 1 s�.e Permittee: L t " del & y d 3 �f J,,i,' N G✓V C4 el CIs a� P mit: /`/C Ss o ) a.
Address: /0 II /t.._ it/ /4 0. c )M 0 } r�'J .25 i� t -mail-
Phone:( 7c''f ) Sz 7 - Li g /b Cell Phone:( ) - County: G eA s fro n
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Doesn't Did Not
Yes /No Apply Investigate
1. Is the current resident in the home the Permittee? lEr ❑ ❑ ❑
2. If not does the resident rent from the permittee? ❑ lef . I- El
3. Change of Ownership form needed? (mail the form with the inspection letter) 0 ❑ ❑
4. Is there a inspection and maintenance agreement with a contractor? ❑ E 0 0
5. If yes to#4 who is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumped/cleaned as need
6. Is all wastewater from the home connected to the se ti tank? CI ❑
7. Does the permittee/resident know where the septic tank is located?
8. Has the septic tank been pumped in the last 5 years? ow,C Lin 4 5 /y�aJ`s, 10Cl / CI ❑
I.,/if.G H QC 17,.e"9. W S I'1 Y . , ST CI I/♦ �1✓
9. If yes to#8 date, if known If proof, describe _TA 3/7.0/ 0 v�o r(c f - .
J
(: 4 7'•;/..)
10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one)
11. If Yes to ' when was the filter cleaned? By who?
S D-FILTER/ REATMENT PODS YES NO 0 If no proceed to the next section.
ccessible sa!n .ilWer surfaces shall be raked and leveled every six months and any vegetative growth shall be removed manually.
12. Is system something other than a sand filter? ❑ ❑ ❑
13. If yes, what kind? (examples-Peat, Textile or brand name-Advantex, etc.)
14. Does the permittee know where the filter is?
❑ V ❑
15. If above ground does the filter require maintenance? ❑ ❑ ❑
If maintenace is required explain in the comment section.
DISINFECTION/UV YES ❑ NO ❑ If no proceed to the next section.
The ultraviolet unit shall be checked weekly.The lamps and sleeves should be cleaned or replaced as needed to ensure proper disinfection.
16. Is UV working? ❑ ❑ ❑ ❑
17. Has the UV Unit been serviced and bulbs cleaned? El ❑ ❑ ❑
18. Who completes the weekly check for the UV?( Non-Discharge)
DISINFECTION/TABLETS YES ❑ NO ❑ If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation.
19. Does the permittee have the correct ciplorir to I s?(f none, mark No) ❑ CI
Cam ❑
22. Does the Permittee know the location 6,0tion of the ch El Elor•inator'?
23. Were chlorine tablets observed in the chlorinato [121 ❑ ❑ ❑
_.._. -- oX way 0/7 ❑ ❑ ❑
24. Are tablets contacting water? If possible poke them to determine.
DECHLOR(Discharge only) YES ❑ NO ❑ If no proceed to the next section.
The dechlorinator unit shall be checked weekly to ensure continuous and proper operation.
25. Does the permittee know where the dechlor is? CICI Cl CI
26. Does the permittee have the correct dechlor tablets? ❑ ❑ ❑ ❑
27. Were dechlor tablets observed in the dechlorination chamber? ❑ ❑ ❑ 0

DRAFT Doesn't Did Not
Yes No Apply Investigate
28. Are tablets contacting water? If possible poke them to determine. ❑ ❑ ❑ ❑
PUMP TANK YES ❑ NO ❑ If no proceed to the next section.
All pump and alarm sytems shall be inspected monthly.(non-discharge)
29. Is the pump working? ❑ 0 0 ❑
30. Is the audible and visual high water alarm operational? ❑ 0 ❑ ❑
31. Did the permittee know how to check the pump& high water alarm? ❑ ❑ ❑ ❑
32. Last functional test?
DISCHARGE ONLY YES El NO ❑ If no proceed to the next section.
A visual review of the outfall location shall be executed twice each year(one at the time of sampling to ensure no visib solids or evidence of a malfunction.
33. Does the permittee know where the outfall is? ❑ ❑ ❑
34. Were you able to locate the outfall? u ❑ El Cl
35. Is the end of the discharge pipe visible? If not, explain why. Er El ❑ ❑
36. Is outlet discharging? "------ El CI
37. Is right of way maintained around the discharge point? E ❑ ❑ ❑
38. Any Lab Results available? CI ❑ CI
39. Is there evidence of solids around the discharge point? ❑ ❑ ❑
DRIP or SPRAY YES ❑ NO ❑ If no proceed to the next section.
The irrigation sysetm shall be inspected monthly to ensure the system is free of leaks and equipment is operating as designed.
40. Is the system DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler heads.
41. Are the buffers adequate? ❑ ❑ ❑ ❑
42. Is the site free of ponding and runoff? ❑ ❑ ❑ ❑
43. Does the application equipment appear to be working properly? ❑ ❑ ❑ ❑
44. Is there a two wire fence? ❑ ❑ ❑ ❑
GENERAL
45. Are the treatment units locked and or secured? ❑ ❑ / CI37. Has resident had any sewage problems? If yes explain in the comment section. ❑
37. Is the system compliant? ❑ ❑ ❑ ❑
38. Is the system failing? If yes,take pictures if possible. ❑ CI EllQ>0
39. If system is failing, any sign of children or animals contacting sewage? CI ❑ ❑
Comments: Photos Taken? YES ❑ J NO ❑
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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
May 4, 2015
Ms. Linda Grounds
1011 Kelly Road
Mount Holly,NC 28120
Subject: Compliance Evaluation Inspection
Single Family Residence Wastewater
Treatment System
NPDES Permit No. NCG550121
Gaston County
Dear Ms. Grounds:
Division of Water Resources (DWR) database records show that you currently own/operate a
single family residence (SFR) wastewater treatment and disposal system. Such being the case, it is
necessary to conduct a comprehensive inspection of your system and your records in order to verify
that your system is operating properly and to determine the compliance status of the system pursuant
to your NCG550455 permit. We anticipate such an inspection would take approximately one hour,
provided that all needed documentation and data is readily available at the time of the site visit.
Due to the difficulties involved with scheduling inspections with homeowners who work
during the workday, I would like to pre-schedule this site visit with you to ensure we can meet and
complete the inspection as expeditiously as possible. In order to set up a time that will be beneficial
to your schedule, please contact me at 704-663-1699,between the hours of 8AM and 5PM, Monday
through Friday to set up the best possible time for me to visit your residence.
Also, in the interest of conducting the most efficient inspection possible, we ask that you have
the following items on hand at the time of the site visit. These items include the following:
1. Permit/Certificate of Coverage: Issued by DWR, you would have received this via regular
U.S. Postal Service mail.
2. A Schematic of the Treatment/Disposal System: Please have available all schematics or other
technical drawings and/or design specifications that show the complete and/or partial layout of
your treatment/disposal system.
Mooresville Regional Office
610 East Center Avenue,Suite 301, Mooresville,North Carolina 28115
Phone:[phone]/Fax:[phone]/Customer Service 1-877-623-6748
Internet:www.ncdenr.gov
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

Ms. Grounds
May 4,2015
Page 2
3. Documentation of Analytical Monitoring: Required in Part I(A) of the General NCG550000
permit,please have available all official records of analytical monitoring conducted to date.
4. Documentation of Septic Tank Inspections/Pumping: Required in Part I(A) of the General
NCG550000 permit, please have available all records of annual septic tank inspections and
any septic tank pumping.
5. Chlorination/Dechlorination Tablets: Please have available the original containers in which
both the chlorination and dechlorination tablets were stored when you purchased them. If the
containers are not available, documentation of purchase or the location where purchased
should be provided.
If for some reason you're unable to contact us, we will make every effort to contact you to
schedule the review of your system. If you have questions or concerns about this letter or the
proposed inspection, I can be contacted between the hours of 8AM and 5PM, Monday through
Friday at 704-663-1699.
Sincerely,
Barry Love,Environmental Specialist
Water Quality Regional Operations
Mooresville Regional Office-NCDENR

A 7A,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality •
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director JUL - 8 Zplp Secretary
May 3, 2010
• _6aze6. 2 C g/8.
Ms. Linda Grounds
1011 Kelly Road Lpoy)ii9tiv,' 6-f x S l `� Ey
Mount Holly,NC 28120
Subject: Compliance Evaluation 7/3/A
NPDES Permit No.NCG550121
Gaston County
Dear Ms. Grounds:
Enclosed is a copy of the Compliance Evaluation Inspection(CEI) for the inspection conducted at the
subject facility on April 20, 2010,by Ms. Barbara Sifford with this Office. Thank you for your assistance and
cooperation during the inspection. The system appeared to be operational and maintained.
Analytical data for compliance monitoring for the treatment system has not been completed. The tank
has not been pumped at the frequency required by the permit. The homeowner was given a sketch of the system
by the previous owner as the site plans which are not drawn to scale. The septic tank should be pumped at least
every 5 years to keep from overloading the sand filter bed.
The chlorine tablet dispenser box and effluent box need to be cleaned out so that the tablet can be placed
in the flow of the water and decaying vegetation is not using the disinfection properties of the chlorine. Pool
chlorine is not permissible for this system. Chlorine tablets for wastewater treatment can be purchased from
USA Blue Book on line or McCall Brothers plumbing supply in Charlotte.
You can download a copy of the permit and technical bulletin for information from our web site
http://portal.ncdenr.org/web/wq. During the inspection you were provided a copy of commercial certified
laboratories in North Carolina for contracting the annual analytical for this system as stated in your permit.
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115 One
Phone:[phone] Fax:[phone] Customer Service:1-877-623-6748 NorthCarolina
Internet wuvx,.ncwaterquaiity.org Naturally
Equal Opportunity t Affirmative Action Employer—5d%Recycledl10%Post Consumer paper

�2
SFR—Grounds
April 20,2010
Please submit a copy of the analysis, and documentation that the septic tank has been pumped to this
office within 90 days to complete your files.
The enclosed reports should be self-explanatory. If you have any questions, comments, or need
assistance with understanding any aspect of your permit or this report,please do not hesitate to contact me at
[phone],ext 2196.
Sincerely,
lfi.r' < , t
Barbara Sifford
Technical Consultant
Surface Water Protection
Mooresville Regional Office
Enclosure—Inspection report

_ Stanley Environmental Solutions, Inc.
5NLEY 131 Mariposa Rd
Stanley NC 28164
[phone]
ENVIRONMENTAL SOLUTIONS INC. [phone]
www.stanievenviro.com
Work Order & Manifest
11966051310
Job Name U Call Ahead 111 Confirmed Job Date Job Frequency Start End
;Grounds,John 5/13/2010 , 7:00 AM 7:30 AM
Job Description: Truck# Driver
Trk 11
Service Information
John Grounds Phone: [phone] Fax:
1011 Kelly Road Alt Contact: mobile Alt Phone: [phone]
'Mount Holly NC 28120 E-Mail:
i
Terms Class Type PO# Sales Rep
COD Stanley:Septic Pumping iResidential EL
•
Item Description Quantity Rate Amount
Septic Pumping Both Ends Add On - Add On Fee to pump both ends of Gallons Pumped: 1 S25.0000 $25.00
Septic Tank,irregardless of county or size 1 t9Dt,
Septic Pumping GL One End - Septic Pumping in Gaston or Lincoln County Gallons Pumped: 1 $170.0000 $170.00;%,
ONE end
ivers ments:
�r (r t Job Subtotal: $195.00,
�a. , I,00o . 1441 ov$ ctr.r.i Ovil. ,A,..0, .3a.,r.i.1.,4) , IlST S. .,
{ Service Non Tax $0.00
"ett. bell hus Gr1•t E"i'' " Account Balance: $0.00
Total Due: $195.00
11.1111112131111 1 O
Time Out: Grease Disp Loca: Grease Gals Dispd:
Septic Disp Loc: Septic Gals Dispd: Other Disp Loc: Other Gals Dispd:
ii . :'
Job Notes and Instructions
Pump septic tank
y Store Stamp /.6.4.,v,......._, 5. -,�. '� ,
1/4„
t I By:
( ({ N `r``lttr .'-_®tie
Driver ignat..me: lea:
When you provide a check as payment,you authorize us to use information from the check to make a one time electronic fund transfer from your
account,or to process payment as a check transaction.You authorize us to collect a fee of$25 for NC,and$30 for SC,plus a bank fee charged to
the merchant through electronic fund transfer from your account if your payment is returned unpaid.A 1.5%late fee is applied to all accounts past
due.DISPOSAL SITE PERMIT#SDTF36.04,PUMPING PERMIT#NCS01132
•
Page 1 of 2

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
May 3, 2010
•
Ms. Linda Grounds
1011 Kelly Road
Mount Holly,NC 28120
Subject: Compliance Evaluation
NPDES Permit No.NCG550121
Gaston County •
Dear Ms. Grounds:
Enclosed is a copy of the Compliance Evaluation Inspection (CEI) for the inspection conducted at the
subject facility on April 20, 2010,by Ms. Barbara Sifford with this Office. Thank you for your assistance and
cooperation during the inspection. The system appeared to be operational and maintained.
Analytical data for compliance monitoring for the treatment system has not been completed. The tank
has not been pumped at the frequency required by the permit. The homeowner was given a sketch of the system
by the previous owner as the site plans which are not drawn to scale. The septic tank should be pumped at least
every 5 years to keep from overloading the sand filter bed.
The chlorine tablet dispenser box and effluent box need to be cleaned out so that the tablet can be placed
in the flow of the water and decaying vegetation is not using the disinfection properties of the chlorine.Pool
chlorine is not permissible for this system. Chlorine tablets for wastewater treatment can be purchased from
USA Blue Book on line or McCall Brothers plumbing supply in Charlotte.
You can download a copy of the permit and technical bulletin for information from our web site
http://portal.ncdenr.org/web/wq. During the inspection you were provided a copy of commercial certified
laboratories in North Carolina for contracting the annual analytical for this system as stated in your permit.
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115 One
Phone:[phone] Fax:[phone]\Customer Service:1-877-623-6748 NorthCarolina
Internet:www.ncwaterquality.org
An Equal Opportunity\Affirmative Action Employer—50%Recycled/10%Post Consumer paper Naturally

Page 2
SFR—Grounds
April 20,2010
Please submit a copy of the analysis, and documentation that the septic tank has been pumped to this
office within 90 days to complete your files.
The enclosed reports should be self-explanatory. If you have any questions, comments, or need
assistance with understanding any aspect of your permit or this report,please do not hesitate to contact me at
[phone],ext 2196.
Sincerely,
�i '(c (a. cam' L11"--C
Barbara Sifford
Technical Consultant
Surface Water Protection
Mooresville Regional Office
Enclosure—Inspection report

United States Environmental Protection Agency Form Approved.
EPA Washington,O.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding (Le., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 151 31 NCG550121 111 121 10/04/20 117 181 CI 191 si 20I
Remarks
21111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -------- —Reserved----------_-_-
67I 169 70 I I 711 I 721 N I 731 I 174 751 I I I I 1 I 180
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
09:00 AM 10/04/20 07/08/01
1011 Kelly Road
1011 Kelly Rd Exit Time/Date Permit Expiration Date
Mount Holly NC 28120 11:00 AM 10/04/20 12/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Linda Grounds,1011 Kelly Rd Mount Holly NC 28120/// No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
■Permit II Operations&Maintenance •Records/Reports •Self-Monitoring Program
Sludge Handling Disposal •Facility Site Review III Compliance Schedules II Laboratory
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Barbara Sifford MRO WQ//704-663-1699 Ext.2196/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type
31 NCG550121 111 12I 10/04/20 117 181 C I
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
•
Page# 2

Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: 04/20/2010 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? ■ n n n
Is the facility as described in the permit? ■ n n n
#Are there any special conditions for the permit? U n n n
Is access to the plant site restricted to the general public? ■ n n n
Is the inspector granted access to all areas for inspection? ■ n n n
Comment: Home owner has a sketch of the system given to him by the previous
owner(Deese).
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n n n
Does the facility analyze process control parameters,for ex: MLSS, MCRT,Settleable Solids, pH, DO,Sludge n 0 • 0
Judge,and other that are applicable?
Comment: No process control for SFR
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? n n U n
Are all other parameters(excluding field parameters)performed by a certified lab? n n U n
#Is the facility using a contract lab? n ■ n n
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees Celsius)? n n ■ n
Incubator(Fecal Coliform)set to 44.5 degrees Celsius+/-0.2 degrees? n n ■ n
Incubator(BOD)set to 20.0 degrees Celsius+/-1.0 degrees? n n ■ n
Comment: No previous analytical had been performed on the discharge. Home owner
was given a copy of the certified labs for NC and a copy of the NCG55 general permit
with the parameters listed for annual evaluation.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ■ n n n
Are the tablets the proper size and type?• ■ n n n
2
Number of tubes in use?
Is the level of chlorine residual acceptable? n n n ■
Is the contact chamber free of growth,or sludge buildup? n n n ■
Is there chlorine residual prior to de-chlorination? n n n ■
Comment: Tablets were in the chlorinator tubes, need to make sure they are in
contact with the discharge from the sand beds. It is recommended that the aeration box
discharge sampling point be cleared of the decayed vegetation to collect a sample.
Page# 3

Permit: NCG550121 Owner-Facility: 1011 Kelly Road
Inspection Date: 04/20/2010 Inspection Type: Compliance Evaluation
Yes No NA NE
Septic Tank
(if pumps are used) Is an audible and visual alarm operational?
nn ■ n
Is septic tank pumped on a schedule? n ■ n n
Are pumps or syphons operating properly? ■ nn ❑
Are high and low water alarms operating properly? nn ■ n
Comment: Septic tank has not been pumped since the current owner purchased the
property 10 years ago. The homeowner was given a copy of the permit with the
requirements to pump every 3-5 years as necessary.
Yes No NA NE
Compliance Schedules
is there a compliance schedule for this facility? ■ nnn
Is the facility compliant with the permit and conditions for the review period?
n ■ nn
Comment: Homeowner is to have the effluent analyzed and submit a copy to this
office.
Page# 4

A:*A,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor January 23, 2006 William G. Ross,Jr., Secretary
Alan W. Klimek, P.E., Director
Linda Grounds
1011 Kelly Road
Mount Holly,NC 28120
Subject: NPDES Permit NCG550121
Gaston County
Dear Ms. Grounds <or> Current Occupant:
Our files indicate that the domestic wastewater discharge permit that was issued to Linda
Grounds for a domestic wastewater discharge from the subject single family residence has
expired. The Surface Water Protection Section requests that you contact our staff to work
toward acquiring the necessary permitting, or if a change in property ownership has occurred.
Initially, all active sites must be properly permitted, and then adhere to the appropriate General
Permit conditions which became effective on August 1, 2002 and will expire on July 31, 2007.
Pursuant to the conditions of North Carolina General Permit NCG550000, the following
documentation is required to be maintained, and readily available for inspection for a period of at
least three (3) years:
O All operation and maintenance activities relating to the wastewater treatment system
O Analytical monitoring results for the parameters listed in Part I, Section A — "Effluent
Limitations and Monitoring Requirements — Final" to be performed annually by a North
Carolina Certified Laboratory
O Inspections of septic tank and disinfection/dechlorination apparatus (if applicable)
Thank you in advance for your cooperation. Should you have any questions concerning
this matter, please contact me at [phone].
Sincerely,
ames B. Bealle III
Environmental Technician
enclosures
cc: Gaston County Environmental Health Department
Mooresville Regional Office One
610 East Center Avenue,Suite 301, Mooresville,North Carolina 28115 NorthCarolina Phone: [phone]/Fax:[phone]/Internet:h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper Naturally

Pirr-
A . A
NCDENR
North Carolina Department of Environment and Natural Resources .s
Division of Water Quality
Michael F. Easley,Governor William G. Ross,Jr., Secretary
Alan W. Klimek, P.E., Director
February 21, 2006 FEB 2 7 2006
Ms. Linda Grounds
1011 Kelly Road
Mount Holly, NC 28120 WATER
�-,,q P l !TV c r
Subject: Renewal of coverage/General Permit NCG55OOOO
Grounds residence
Certificate of Coverage NCG55O121
Rorke County
Dear Ms. Grounds:
In accordance with your status as the owner of the permitted residence, the Division is forwarding
herewith Certificate of Coverage NCG55O121 to discharge under NCG5500OO. This action is a renewal of
an existing CoC, rather than a new discharge application. This permit is issued pursuant to the
requirements of North Carolina General Statue 143-215 .1 and the Memorandum of Agreement between
North Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently
amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required
by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required. If you have any
questions concerning this permit,please contact Charles H.Weaver, Jr. at telephone number 919 733-5083,
extension 511.
Sincerely,
Alan W. Klimek, P.E.
cc: Central Files
NPDES file
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 NorthCarolina
Phone: [phone]/FAX [phone] I Internet:h2o.enr.state.nc.us Naturally
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550121
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations
promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution
Control Act,as amended,
Linda Grounds
is hereby authorized to operate a wastewater treatment facility that includes a septic tank, primary & secondary
sandfilters, chlorine disinfection, cascade aeration and associated appurtenances with the discharge of treated
wastewater from
1011 Kelly Road
Mount Holly
Gaston County
to receiving waters designated as an unnamed tributary to Taylors Creek in the Catawba River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV hereof.
This certificate of coverage shall become effective February 21, 2006.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 21, 2006.
•
s�. /Aan W.Klimek,P.E.,Director
Division of Water Quality
By Authority of the Environmental Management Commission

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NCG55012I
Facility
Latitude:35°19'20" ,47,7-7---,-...
,.. ..,--,,.. .L.....„,
Longitude:81°03'56" Location a..,,,,,. , ..„.
Quad:F14SE
Linda Grounds
Stream Class:WS-IV residence
Subbasin:30833
Not to SCALE
Receiving Stream:UT Taylors Creek o;d,

IWState of North Carolina
Department of Environment , 0\
and Natural Resourcest,
67 A • • Sill,
n
Division of Water Quality ( i
AimmamminkI
James B. Hunt, Jr., Governor
Bill Holman, Secretary NCDENR
Kerr T. Stevens, Director
October 12, 1999 & ;.
Ms. Linda Grounds OCT
Grounds, Linda-Residence
1011 Kelly Road SIB ;::: •, ,'AI
Mt. Holly, North Carolina 28120 t
Subject: Permit Modification-Name and
Ownership Change
Grounds, Linda-Residence
Permit No. NCG550121_______
(formerly Deese, Don-Residence
aston Cry --
Dear Ms. Grounds:
In accordance with your request received November 9, 1998, the Division is forwarding the subject
permit. The changes in this permit are only with regard to a name and an ownership. All other terms and
conditions in the original permit remain unchanged and in full effect. This permit modification 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.
This permit does not affect the legal requirement to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act, or any other Federal or Local government permit that may be required.
The application fee that you submitted is being returned herein. As of January 1, 1999, the fee
structure for our permits has been revised to and no longer requires a fee for these changes.
If you have any questions concerning this permit, please contact Ms. Vanessa Wiggins at telephone
number(919)733-5083, extension 520.
Sincerely,
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Kerr T. Stevens
cc: Central Files
Mooresville Regional Office, Water Quality Section
Stormwater and General Permits Unit
Point Source Compliance Unit
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/ 10%post-consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGSS0000
CERTIFICATE OF COVERAGE No. NCG550121
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1,other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission,and the
Federal Water Pollution Control Act,as amended,
Linda Grounds
is hereby authorized to discharge wastewater from a facility located at the
Grounds,Linda-Residence
1011 Kelly Farm Road
Mount Holly,NC
Gaston County
to receiving waters designated as subbasin 30833 in the Catawba River Basin
in accordance with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,II,III
and IV hereof.
This Certificate of Coverage shall become effective October 11, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 11, 1999.
O WGLLIAM CGINAL MED BILLS
IKerr T.Stevens,Director
Division of Water Quality
By Authority of the Environmental Management Commission

ti a co __
9L5 �c
Q� NORTH CAROLINA DEPARTMENT OF
,� el)
O V 'ENVIRONMENT AND NATURAL RESOURCES
a_ \1 � N O�` 0' MOORESVILLE REGIONAL OFFICE
ArgrA \ok•
voc. )? re-
NCDENR ak �O
\ DIVISION OF WATER QUALITY
JAMES B.HUNT JR. June 3, 1999
GOVERNOR
Don C. Deese
Post Office Box 189
Mount Holly,North Carolina 28120
WAYNE McDEvm
SECRETARY
Subject: Wastewater Discharge Permit
Don Deese Residence
NPDES Permit No. NCG550000
Cert. of Coverage No.NCG550121
Gaston County,NC
Dear Mr. Deese:
Our files indicate that the subject wastewater discharge permit was issued to Don
Deese for a wastewater discharge from the subject residence. The Mooresville Regional
Office requests that you contact this Office if you do not have a copy of the subject permit,
' if a change in property ownership has occurred,or if you have any questions regarding this
matter.
Pursuant to conditions of North Carolina General Permit Number NCG550000,
- the the following documentation must be kept and readily available for inspection for a period
of at least three years:
► required maintenance activities relating to the wastewater treatment system
► yearly sample analyses results for the parameters listed on the effluent
limitation/monitoring page of the permit
► required inspections of disinfection apparatus and septic tanks
Please do not hesitate to contact Linda Love at [phone] if you have any
questions.
Sincerely,
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
cc: Gaston County Health Department
LL 919 NORTH MAIN STREET,MOORESVILLE,NORTH CAROLINA 28115
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER-50% RECYCLED/1 0%POST-CONSUMER PAPER

State of North Carolina
Department of Environment,
Health and Natural Resources 4 • •
Division of Water Quality APR 5 1999
James B. Hunt, Jr., Governor Brom r,F H N
Wayne McDevitt, Secretary ,:zt zti.,i lri t
A. Preston Howard, Jr., P.E., Director July 21, 1997
Don C.Deese
P.O. Box 189
Mount Holly,NC 28120
Subject: Certificate of Coverage No. NCG550121
Renewal of General Permit
Deese,Don-Residence
Gaston County
Dear Permittee:
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31, 2002. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated December 6, 1983. If any
parts,measurement frequencies or sampling requirements contained in this permit are unacceptable to you,you have
the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, the Division of Land Resources, Coastal Area Management Act or any other Federal or Local
governmental permit that may be required.
If you have any questions concerning this permit,please contact the NPDES Group at the address below.
Sincerely,
1),-0-1
fe-37A. Preston Howard,Jr.,P.E.
cc: Central Files
Mooresville Regional Off'"
NPDES Group
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX [phone] p&[e-mail]
An Equal Opportunity Affirmative Action Employer 50% recycled / 10%post-consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550121
TO DISCHARGE DOMESTIC WASTEWATERFROM SINGLE FAMILY RESIDENCES
AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission,and the Federal Water Pollution Control Act, as amended,
Don C. Deese
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility
located at
Deese,Don-Residence
1011 Kelly Farm Road
Mount Holly
Gaston County
to receiving waters designated as subbasin 30833 in the Catawba River Basin
in accordance with the effluent limitations,monitoring requirements, and other conditions set forth
in Parts I, II, III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective August 1, 1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21, 1997.
•
iditrrA--.
felVA. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
DepaetmEilt of Environment,
Health and Natural Resources 7r7lir•
•
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary H N 1 1
A. Preston Howard, Jr., P.E., Director
September 30,199 '�$�s0°1-p aE '
St? 2 S 1993
DON C. DEESE a4 k: '
DEESE RESIDENCE (DON) �'� "'i
PO BOX 1891
MT HOLLY NC 28120 Subject: DEESE '1 SIDENCE (DON)
Certificate of Coverage NCG550121
General Permit NCG550000
Formerly NPDES Permit NC0045632
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
NC0045632. 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
DON C. DEESE
DEESE RESIDENCE (DON)
Certificate of Coverage No. NCG550121
The issuance of this Certificate of Coverage is an administrative action initiated by the Division of
Environmental Management and therefore,no fees are due at this time. In accordance with current rules,there
are no annual administrative and compliance monitoring fees for coverage under general permits. The only fee
you will be responsible for is a renewal fee at the time of renewal. The current permit expires July 31,1997.
This coverage will remain valid through the duration of the attached general permit. The Division will be
responsible for the reissuance of the general permit and at such time,you will be notified of the procedures to
follow to continue coverage under the reissued permit. Unless you fail to follow the procedures for continued
coverage,you will continue to be permitted to discharge in accordance with the attached general permit.
The issuance of this Certificate of Coverage does not preclude the Permittee from complying with any and all
statutes,rules,regulations,or ordinances which may be required by the Division of Environmental Management
or permits required by the Division of Land Resources,the Coastal Area Management Act or any Federal or Local
other governmental permit that may be required.
If you have any questions or need additional information regarding this matter,please contact either the
Mooresville Regional Office,Water Quality Section at telephone number 704/663-1699,or a review engineer in
the NPDES Group in the Central Office at telephone number 919/733-5083.
S' erely,
A.Preston Howar .,P.E.
d.,
cc: Mooresville Regional Office
Central Files

! I+
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT G
,cv TOSCO&
DZIOVAND
COSIKUNITT WELD
GENERAL PERMIT NO. NCG550000 SEp 2 8 1993
CERTIFICATE OF COVERAGE No.NCG550121
�I�19N 9F ENVIRUNMENit� MAA6EM[N
gOpRES �
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,
DEESE RESIDENCE (DON)
is hereby authorized to discharge treated domestic wastewater from a facility located at
DEESE RESIDENCE (DON)
Gaston County
to receiving waters designated as the UT TAYLORS 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

Permit No. NC0045632
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,
Don C. Deese
is hereby authorized to discharge wastewater from a facility located at
Deese Residence
on NCSR 1924
northwest of Mount Holly
Gaston County
to receiving waters designated as an unnamed tributary to Taylors 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 July 31, 1996
Signed this day
0c
A. Preston - . , 4 1 ., Director
Division of : 1;a -ntal Management
By Authority 'i e Environmental Management Commission

Permit No. NC0045632
SUPPLEMENT TO PERMIT COVER SHEET
Don C. Deese
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of a septic tank,
nitrification field, subsurface sandfilter and tablet chlorinator located at Deese Residence,on
NCSR 1924, northwest of Mount Holly, 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 Taylors 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. NC0045632
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 360 CAD
BOD, 5 day, 20°C 30.0 mg/I 45.0 mg/I
Total Suspended Residue 30.0 mg/I 45.0 mg/1
NH3 as N
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.

SOC PRIORITY PROJECT: Yes No X
If Yes, SOC No.
To: Permits and Engineering Unit
Water Quality Section
Attention: Mack Wiggins -
Date: November 17, 1992
NPDES STAFF REPORT AND RECOMMENDATION
County: Gaston
Permit No. NC0045632
PART I - GENERAL INFORMATION
1. Facility and Address : Deese Residence
Post Office Box 189
Kelly Farm Road
Mount Holly, North Carolina 28120
2 . Date of Investigation: 11-16-92
3. Report Prepared By: G. T. Chen
4 . Persons Contacted and Telephone Number: Mr. Don C. Deese,
Property Owner; (704) 827-8259
5 . Directions to Site: From the intersection of Kelly/West Land
Farm Road (SR 1924) and Lane Road (SR 2085) in west Mount
Holly, travel west on SR 1924 approximately 0.6 mile. Deese
residence is the fourth house past the Green Meadows Golf
Course, on the left (south) side of the road.
6 . Discharge Point(s) . List for all discharge points:
Latitude: 35° 19 ' 20" Longitude: 81° 03 ' 56"
Attach a U.S.G.S. map extract and indicate treatment facility
site and discharge point on map.
USGS Quad No. : F 14 SE USGS Name: Mount Holly, NC
7 . Site size and expansion are consistent with application?
Yes X No If No, explain:
8. Topography (relationship to flood plain included) : Uniformly
.sloping toward receiving water at the rate of 3 to 5%. The
treatment facilities are subsurface and could be affected by
infiltration during wet seasons.
9. Location of nearest dwelling: One dwelling within 100 feet of

the discharge point.
10. Receiving stream or affected surface waters: Unnamed
tributary to Taylors Creek
a. Classification: C
b. River Basin and Subbasin No. : Catawba and 03-08-33
c. Describe receiving stream features and pertinent
downstream uses: The receiving water is a narrow and
shallow drainage ditch which enters Taylors Creek via a
private pond in the Green Meadows Golf Course. Down-
stream users are not known.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted: 0.00045 MGD
(Ultimate Design Capacity)
b. What is the current permitted capacity of the wastewater
treatment facility? 0. 00045 MGD
c. Actual treatment capacity of the current facility
(current design capacity) ? 0. 00045 MGD
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two
years: N/A
e. Please provide a description of existing or substantially
constructed wastewater treatment facilities: The
existing facility consists of a 1, 000 gallon septic tank,
1125 square feet of nitrification field, a subsurface
sand filter and tablet chlorination.
f. Please provide a description of proposed wastewater
treatment facilities: N/A
g. Possible toxic impacts to surface waters: N/A
h. Pretreatment Program (POTWs only) : N/A
in development: approved:
should be required: not needed:
2 . Residuals handling and utilization/disposal scheme:
a. If residuals are being land applied, please specify DEM
permit no. :
Residuals Contractor:
NPDES Permit Staff Report
Version 10/92
Page 2

IIIIIIIIIIIIrr
Telephone No. :
b. Residuals stabilization: PSRP:
RFRP:
Other:
c. Landfill:
- - d. Other disposal/utilization scheme (specify) : Sludge is
removed by Cline Septic Tank Service and taken to a
municipal wastewater treatment facility for final
disposal.
3. Treatment plant classification (attach completed rating
sheet) : Single Family Dwelling, no rating.
4 . SIC Code(s) : 4952
Wastewater Code(s) of actual wastewater, not particular
facilities, i.e. , non-contact cooling water discharge from a
metal plating company would be 14, not 56 .
Primary: 04 Secondary:
Main Treatment Unit Code: 44007
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant
Funds or are any public monies involved (municipals only) ?
N/A
2 . Special monitoring or limitations (including toxicity)
requests: N/A
3. Important SOC, JOC or Compliance Schedule dates: (please
indicate) N/A
Date
Submission of Plans and Specifications
Begin Construction
Complete Construction
4 . Alternative Analysis Evaluation: Has the facility evaluated
all of the non-discharge options available. Please provide
regional perspective for each option evaluated.
Spray Irrigation: Insufficient land area for spray
irrigation.
NPDES Permit Staff Report
Version 10/92
Page 3

Connection to Regional Sewer System: If and when area-wide
sewer system becomes available.
Subsurface: Existing facility was converted from a subsurface
disposal system.
Other Disposal Options: N/A
5. : Other Special Items: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
It is recommended that the NPDES Permit for this facility be
renewed.
v451'-'1"'-7.,"LV(/- 64-w"'-
Signature of Report Preparer
/3, /77--Sz 4;-�--�
Water Quality gional Supervisor .
//O' 2—
Date
NPDES Permit Staff Report
Version 10/92
Page 4

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N011 0 4 1992
State of North Carolina IIVISION OF IV;RCtini T !.
Department of Environment, Health and Natural ResquE REGIONAL 0 � ;d.�r
Division of Environmental Management ICE
512 North Salisbury Street•Raleigh,North Carolina 27604
James G.Martin,Governor A.Preston Howard,Jr.,P.E.
William W.Cobey,Jr.,Secretary Acting Director
October 30, 1992
Don C. Deese Subject: NPDES Permit Application
PO Box 189, Kelly Farm Road NPDES Permit NO.NC0045632
Mount Holly, NC 28120 Deese Residence
Gaston County
Dear Mr. Deese :
This is to acknowledge receipt of the following documents on October 30, 1992:
Application Form
Engineering Proposal (for proposed control facilities) ,
Request for permit renewal,
4 Application Processing Fee of $120.00,
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
Other ,
The items checked below are needed before review can begin:
_ Application Form ,
Engineering proposal (see attachment) ,
Application Processing Fee of
_ Delegation of Authority (see attached)
Biocide Sheet (see attached)
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
4 Other Need engineering alternative analysis.
Pollution Prevention Pays
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

f 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 Mack Wiggins
(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 applications,
please contact the review person listed above.
Sincerely,
C leen H. S ins, P .E.
CC: Mooresville Regional Office

•
AROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
RONMENTAL MANAGEMENT COMMISSION
ATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLIUI110N NIIMbfA
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM Dp p FOR kIa4, F1i5k131a
USE DATE RECEIVED
10 be filed only by services. wholesale and retail trade, �i d 1 a ' y
and other commercial establishments including vessels
PEAR MO. DAY
@/(.,- 6 Z Z
•
Do not attempt to complete this form without reading the accompanying instructions 4/°70 rro
�
Please print or type
1. Name, address, end telephone number of facility producing discharge ie
A. Name TD OLJ e,. %)EESG G .t. Y_ 2,
B. Street address PO• goY /1'S9 4e/%y /tr i , oA-
C. City /71r /404,y / 0. State ific
E. County C%/43TOlC.i F. ZIP -0r/,id
G. Telephone No. 70 4 5',7 3?5-4
Area
Code
2. SIC ■■111 •
(Leave blank) .c�
3. Number of employees A/bi .__ -
,�.,
4. Nature of business (2eudeAdce )
5. (a) Check here if discharge occurs all year s; or ;U
(b) Check the month(s) discharge occurs:
I.o January 2.0 February 3.0 March 4.0 April 5.0 May
6.0 June 7.0 July 8.0 August 9.0 September 10.o October
11.0 November 12.0 December
(c) Mow many days per week:
1.01 2.02.3 3.04-5 4.01417
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operatin9 day Volume treated before
discharging (percent)
Discharge da 0.1-999 11000.4999 5000-i'999 10,000- 50,000 None 0.1- 30- 1 65- 95.
operating dayy 49,499 or more 29.9 64.9 94.9 100
(1) (2) (3) (4) _ (5) (6) (7) (8) (9) (10)
A. Sanitary, daily ✓ V
average
1
B. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify -ter
S ,
0. Maximum per operat-
ing day for combined
discharge (all types)

1 ,
the types of waste identified in item 6. either treated er to-
ted. are discMaried to places other than surface waters, check i>elew
prir
pplicable.
waste water is discharged to: 0.1-999 1000-4999 S000-9199 i0,000-49,90 S0,000 or more
(1) (2) (2) (4) (S)
A. Municipal sewer system
•
•
N. IIettIre plaint, we I I
•
A + 1
C. Septic tank • ,..'/'
U. Evaporation lagoon or pond
E. Other, specify:
8. Number of separate discharge points:
A.sr/ 8.02-3 C.0 4-S 0.06 or more
9. Name of receiving water or waters
.10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances 194t4 as a result of your operations.
activities, or processes: ammonia, cyan1 ed ,, aluminum, beryllium, cadmium.
chromium, copper, lead, mercury, nickel, selenium, zinc, phenols, ell and
grease, and chlorine (residual).
A. yes yes d.Flo .
i certify that I am familiar with the information contained in the application end
that to the best of my knowledge and belief such information Is true, complete, and
accurate.
1`�. 0A/ e 7EEsC •
•
Printed Kane of Person Signing
4z iI,t R 1 2E5/?E.c c e
Title
9-17 - ?-
Data Application Signed
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 applicat$.on,'record, report, plan,
or other document files or required to be maintained'under Article 21 or regulations of the
Environmental Management Commissf,on implementing that Article, or who falsifies, tampers with,
or knowly renders inaccurate any ricordin$ or nonitoritsg Ovine or t3ethod required to be
operated or maintained under Apt4'nle. 21.or regulations •of the Environmental Management Coa.ieNi
implementing that Article, shal31be'.'guiity,-of a misdemeanor punishable by aline not to exceed
worn, 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.)

c..SUITqyvt
RECEIVED
REC . ... �
*v*S0N OF ENVIRONMENTAL NANA4� �'~~• ,
MAY 4 1 ate of North Carolina
Department ofillkieWl Resources and Community Development
REGIONAL
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor R. Paul Wilms
S. Thomas Rhodes, Secretary M a y 2 , 1988 Director
Mr. Don C. Deese
PO Box 189
Mount Holly, NC 28120
Subject : Permit No . NC0045632
Deese Residence
Gaston County
Dear Mr . Deese :
In accordance with your application for discharge permit received on
January 19 , 1988, we are forwarding herewith the subject State - NPDES
permit . This permit is issued pursuant to the requirements of North Carolina
General Statute 143-215 . 1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection Agency dated December 6 , 1983.
If any parts , measurement frequencies or sampling requirements
contained in this permit are unacceptable to you, you may request a waiver
or modification pursuant to Regulation 15 NCAC 2B . 0508(b) by written
request to the Director identifying the specific issues to be contended.
Unless such request is made within 30 days following receipt of this permit ,
this permit shall be final and binding . Should your request be denied , you
will have the right to request an adjudicatory hearing .
Please take notice that this permit is not transferable . Part II, 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 .
If you have any questions concerning this permit , please contact Mr.
Mack Wiggins , at telephone number 919/733-5083 .
Sincere y,
v• 0l
Oy RV t4ul�ZY
Wilms
F0
cc : Mr . Jim Patrick, EPA
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] .
e F „I Clnnr,mmiry AFFirrr»tive. Arrinn Emolover

4
Permit No. NC0045632
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',
Mr. Donnie C. Deese
is hereby authorized to discharge wastewater from a facility
located at
Donnie C. Deese Residence
Kelly Road
Gaston County
to receiving waters designated as an unnamed tributary to Taylors
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 June 1 , 1988
This permit and the authorization to discharge shall expire
at midnight on May 31 , 1993
Signed this day of May 2, 1988 ORIGINAL SIGNED BY
ARTHUR MOUBERRY RR
R. Paul Director
Division of Environmental Management
By Authority of the Environmental
Management Commission

Page 2 of 2
Permit No. NC0045632
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Donnie C. Deese
is hereby authorized to:
1 . Continue to operate a septic tank/nitrification
field with an overflow type subsurface sand filter with
effluent disinfection facilities located at the Donnie
C. Deese residence on Kelly Road in Gaston County
(See Part III of this Permit) , and
2 . Discharge from said treatment works into an unnamed
tributary to Taylors Creek which is classified Class "C"
waters in the Catawba River Basin.

. (1) . EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final
During the period beginning on the effective date of the permit and lasting until expiration, the permittee is
authorized to discharge from outfall(s) serial number(s) 001. Such discharges shall be limited and monitored
by the permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Kg/day (lbs/day) Other Units (Specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency T Location
Flow 450 GPD
BOD,5Day,20 C 30.0 mg/1 45.0 mg/1
Total Suspended Residue 30.0 mg/1 45.0 mg/1 •
NH3 as N
Dissolved Oxygen (minimum) 6.0 mg/1 6.0 mg/1
Fecal Coliform (geometric mean) 1000.0/100m1 2000.0/100ml
Total 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.
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.
NC0045632

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 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 prtvent
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.

Date: February 12, 1988
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Gaston
NPDES Permit No. NC 0045632
PART I - GENERAL INFORMATION
1. Facility and Address: Donnie C. Deese Residence
Kelly Road, P. 0. Box 189
Mount Holly, NC 28120
2 . Date of Investigation: February 11, 1988
3 . Report Prepared By: G. T. Chen
4. Person Contacted and Telephone Number: Donnie C. Deese;
(704) 827-8259
5. Directions to Site: From the intersection of Kelly/West
Land Farm Road (S. R. 1924) and Lane Road (S. R. 2085) in
West Mount Holly, travel west on Kelly Road approximately
0. 6 mile. Deese residence is the fourth house past the
Green Meadows Golf Course, on the left (south) side of the
road.
6 . Discharge Point - Latitude: 35° 19 ' 20"
Longitude: 81° 03 ' 56"
Attach a USGS Map Extract and indicate treatment plant site
and discharge point on map.
USGS Quad No. : F 14 SE
7 . Size ( land available for expansion and upgrading) : Ample
land area available for expansion and/or upgrading, if
necessary.
8 . Topography ( relationship to flood plain included) :
Uniformly sloping toward receiving water at 3-5%. The
treatment facilities are subsurface and could be affected
by infiltration during wet seasons.
9 . Location of Nearest Dwelling: One dwelling within 100 feet
of the discharge point.
10 . Receiving Stream or Affected Surface Waters: Unnamed
tributary to Taylors Creek
a. Classification: C
b. River Basin and Subbasin No. : 03-08-33

Page Two
c. Describe receiving stream features and pertinent
downstream uses: Fish and wildlife propagation,
agriculture, secondary recreation, etc. Downstream
users are not known.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% Domestic
0% Industrial
a. Volume of Wastewater: 0. 0010 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) :
Deese residence is being served by an existing facility
which consists of a 1000 gallon septic tank, 1125 square
feet of nitrification field, a subsurface sand filter and
tablet chlorination.
5. Sludge Handling and Disposal Scheme: Sludge is removed as
often as needed by certified septic tank services and
disposed of properly in accordance with the requirements of
the Department of Human Resources and the Division of
Environmental Management.
6 . Treatment Plant Classification: N/A
7. SIC Code(s) : 4952
Wastewater Code( s) : 04
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants
Funds (municipals only) ? N/A
2 . Special monitoring requests: N/A
3 . Additional effluent limits requests: N/A
4 . Other: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The effluent generated from Deese residence is discharged,
via an unnamed tributary ( a shallow drainage ditch ) :ntc d rohd
which is in the water course of Taylors Creek: that

Page Three
southeastly through the Green Meadows Golf Course. Therefore,
the effluent should be recognized as discharged into an unnamed
tributary to Taylors Creek, but not to Dutchman' s Creek as
previously reported.
It is recommended that the NPDES Permit for this facility
be renewed. Furthermore, it is recommended that the discharge
to the surface waters be ceased and connected to the area-wide
sewer system when it becomes available.
as"0
A:4/1 661'ij
Signature Report Preparer
Water Quality gional Supervisor

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alY,S._ y.'y 1R1 fdA SkSU f
J A N Z6 1988 -,
• MooRESY
,, ate 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 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

January 14 , 1988
Permits and Engineering Unit
NC DIV. , ENVIRONMENTAL MANAGEMENT
P.O. Box 27687
Raleigh, NC 27611- 7687
Subject: Renewal , NPDES Permit No. NC0045632
I have enclosed the completed application and a
check for $150 . 00 for a renewal of the subject
permit.
Should you need anything further, please let me
know.
Respectfully,
Don Deese
P. O. Box 189
Mt . Holly, NC 28120

•
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 D FOR A/1AL')1,:,) 4
AGENCY
USE DATE RECEIVED
To be filed only by services, wholesale and retail trade,
and other commercial establishments including vessels l�l 5 I ':-1 1 1 I
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 e- I L'Sf — i Cry C'c'e
B. Street address /O y ? 4D -- f,- ;?iX /8C9
c. City /y1 %. e t/' A/a D. State
E. County i�t�Tc F. ZIP -1
G. Telephone No. 76 7 5 7 X25-7
Area
Code
2. SIC
(Leave blank) ,, // ''-
3. Number of employees /1/1
4. Nature of business /1/
5. (a) Check here if discharge occurs all year Q; or
(b) Check the month(s) discharge occurs:
1.a January 2.0 February 3.0 March 4.0 Apri 1 5.O May
6.o June 7.0 July 8.0 August 9.0 September 10.0 October `" 3
11.0 November 12.o December BAN "cs 3
(c) How many days per week: { ,jyBaa3+
1.01 2.0 2-3 3.0 4-5 4.O'6-7 �'17
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 wore 29.9 64.9 94.9 100
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitary, daily
average
8. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify
D. Maximum per operat-
ing day for combined
discharge (all types)

. If any of the types of waste identified in item 6, either treated or un-
treated, are discharged to places other than surface waters, check below
as applicable.
Waste water is discharged to: 0.1-999 1000-4999 5000-9999 10,000-49,999 50,000 or more
(1) (2) (3) (4) (5)
, f
A. Municipal :ewer ,ystem
1 - .
•
If. Ihulrr.irnuncl wi•II
, , -
f.. >c it.l c tank 4Ar F7� - I .
U. Evaporation lagoon or pond
E. Other, specify:
8. Number of /eparate discharge points:
A.4'/1 B.o 2-3 C.O 4-5 D.O 6 or more
9. Name of receiving water or waters VA... .1J?r77.1) -/Riif£iAPil re D.4Tr, - 1—e-e =.ems .7.c, 2.7,./45
Ie,4-7-441.ri?,4 tie,L'te M'.t.i,.
.10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances adde( 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). /l/,f(/t
A.O yes 8. 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.
e JLJJe- c'_ 1DEF2-Se
Printed Name of Person Signing
Title
i - i -/- 3' f /7
Date Application Signed
j
i 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 applicat .on, 'record, report, plan,
or other document files or required to be maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, or who falsifies, tampers with,
or knowly renders inaccurate any:recording or monitoring device or method required to be
operated or maintained under AptJcie 2.1:oc regulations .of the Environmental Management Commission
implementing that Article, s.hal-I be.'gi43.tv,-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 $1O,0OO or imprisonment not more than 5 years, or both,
for a sinilar offense.)

Permit No. NC0045632
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,
Mr. Donnie C. Deese
is hereby authorized to discharge wastewater from a facility
located at
Donnie C. Deese Residence
Kelly Road
Gaston County
to receiving waters designated as an unnamed tributary to Taylors
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
c' !
Signed this day of
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental
Management Commission

Page 2 of 2
Permit No. NC0045632
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Donnie C. Deese
is hereby authorized to:
1 . Continue to operate a septic tank/nitrification
field with an overflow type subsurface sand filter with
effluent disinfection facilities located at the Donnie
C. Deese residence on Kelly Road in Gaston County
(See Part III of this Permit) , and
2. Discharge from said treatment works into an unnamed
tributary to Taylors Creek which is classified Class "C"
waters in the Catawba River Basin.

11111111
(1) . EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final
During the period beginning on the effective date of the permit and lasting until expiration, the permittee is
authorized to discharge from outfall(s) serial number(s) 001. Such discharges shall be limited and monitored
by the permittee as specified below:
ffluent Characteristics Discharge Limitations Monitoring Requirements
Kg/day (lbs/day) Other Units (Specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency Location
low 450 GPD
]1D,5Day,20 C 30.0 mg/1 45.0 mg/1
Dtal Suspended Residue 30.0 mg/1 45.0 mg/1
i3 as N
issolved Oxygen (minimum) 6.0 mg/1 6.0 mg/1
?cal Coliform (geometric mean) 1000.0/100ml 2000.0/100ml
Dtal Residual Chlorine
rnperature
Be chlorinator shall be inspected weekly to insure there is an ample supply of chlorine tablets for continuous
lisinfection of the effluent.
he pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
:tere shall be no discharge of floating solids or visible foam in other than trace amounts.
NC0045632

N. C. r F:",. C, N f,..y U RAI.
C©n.i._,,,
+^mh
ty1T- I FIT.)
fa;4p1y 11, 1983
Mr. Donnie C. Deese �.1:( .. Y
P. 0. Box 189
Mt. Holly, North Carolina 28120
Subject: Permit No. NC0045632
Deese, (Don) Residence
Gaston County
Dear Mr. Deese:
In accordance with your application for discharge Permit received March 30,
1983, we are forwarding herewith the subject State - NPDES Permit. This permit
is issued pursuant to the requirements of North Carolina General Statutes 143-215.1
and the Memorandum of Agreement between North Carolina and the U. S. Environmental
Protection Agency dated October 19, 1975.
If any parts, requirements, or limitations contained in this Permit are
unacceptable to you, y.,., have the right to an adjudicatory hearing before a
hearing officer upon written demand to the Director within 30 days following
receipt of this Permit, identifying the specific issues to be contended. Unless
such demand is made, this Permit shall be final and binding.
Please take notice that this Permit is not transferable. Part II , 8.2.
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 Penults
which may be required by the Division of Environmental :lanagemmment. If you have
any questions concerning this Permit, please contact Mr. David T. Adkins,
telephone [phone].
Sipipmelsigxeum9,
FORREST R. WESTALL
FOR
Robert F. He l ms
cc: ter. Jim Patrick, EPA
-
Mooresville Regional Manager

Permit No. NC 0045632
•
STATE OF NORTH CAROLINA �[�DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT p
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
To Discharge Wastewater Under the NATIONAL
POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
Mr. Donnie C. Deese
is hereby authorized to discharge wastewater from a facility located at
Donnie C. Deese Residence
Gaston County
to receiving waters designated an unnamed tributary to Dutchman 's 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 11, 1983
This permit and the authorization to discharge shall expire at midnight
on June 30, 1988
Signed this day of July 11, 1983
Original Signed By
FORREST R. WESTALL
FOR
Robert F. Helms, Director
Division of Environmental Management
By Authority of the Environmental
Management Commission
M1 & I1

•
Permit No. NC0045632
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Donnie C. Deese
is hereby authorized to:
1. Continue to operate a septic tank, nitrification field with an
overflow type subsurface sand filter with effluent disinfection
facilities located at the Donnie C. Deese residence in Gaston
County (Note Part III , Condition No. E of•this Permit) , and
2. Discharge from said treatment works into an unnamed tributary
to Dutchman 's Creek which is classified Class "C" waters .

w
A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - Final
During the period beginning on the effective date of the Permitand lasting until expiration,
the permittee is authorized to discharge from outfall (s) serial number(s) 001.
Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Kg/day (lbs/day) Other-Units (Specify) Measurement Sample Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency Type Location
How 450 GPD
BOD, 5Day, 20°C 30 mg/1 45 mg/1
TSS 30 mg/1 45 mg/1
Fecal Coliform Bacteria (geometric mean) 1000/100 ml 2000/100 ml
Dissolved Oxygen (minimum) 6 .0 mg/1 6.0 mg/1
•
z -ov 'V
rn cu
O -T ca -s
O a !D c+
The pH shall not be less than 6.0 standard units nor greater than 8.5 standard units. CTI ;
w z
N O
There shall be no discharge of floating solids or visible foam in other than trace amounts. . 0
,

Part I
Permit No. NC
B. SCHEDULE OF COMPLIANCE
1 . The permittee shall achieve compliance with the effluent limitations
specified for discharges in accordance with the following schedule:
•
2. No later than 14 calendar days following a date identified in the above
schedule of compliance, the permittee shall submit either a report of
progress or, in the case of specific actions being required by identified
dates, a written notice of compliance or noncompliance. In the latter
case, the notice shall include the cause of noncompliance, any remedial
actions taken, and the probability of meeting the next scheduled requirement.
M4 & I4

Part I
Permit No. NC
"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.
C. MONITORING AND REPORTING
1 . Representative Sampling
Samples and measurements taken as required herein shall be representative
of the volume and nature of the monitored discharge.
2. Reporting
Monitoring results obtained during the previous month(s) shall be
summarized for each month and reported on a Monthly Monitoring Report
Form (DEM No. MR 1 .0, 1 .1 , and 1.4) , postmarked no later than the
45th day following the completed reporting period.
The first report is due on . Duplicate signed copies of
these, and all other reports required herein, shall be submitted to
the following address:
Division of Environmental Management
Water Quality Section
Post Office Box 27687
Raleigh, North Carolina 27611
3. 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 individual
values.
M5

Part I
Permit No. NC
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 equiva-
lent to the antilog of the arithmetic mean of the logarithms of
the individual values. For purposes of calculating the geometric
mean, values of zero (0) shall be considered to be one (1).
f. Composite Sample: A "composite sample" is any of the following:
(1 ) Not less than four influent or effluent portions collected
at regular intervals over a period of 24 hours and composited
in proportion to flow.
(2) Not less than four equal volume influent or effluent portions
collected over a period of 24 hours at intervals proportional
to the flow.
(3) An influent or effluent portion collected continuously over
a period of 24 hours at a rate proportional to the flow.
g. Grab Sample: A "grab sample" is a single influent or effluent
portion which is not a composite sample. The sample(s) shall be
collected at the period(s) most representative of the total discharge.
4. Test Procedures
Test procedures for the analysis of pollutants shall conform to the EMC
regulations published pursuant to N. C. G. S. 143-215.63 et seq, The
Water and Air Quality Reporting Act, and to regulations published pursuant
to Section 304(g) , 33 USC 1314, of the Federal Water Pollution Control Act,
As Amended, and Regulation 40 CFR 136.
5. Recording Results
For each measurement or sample taken pursuant to the requirements of
this permit, the permittee shall record the following information:
a. The exact place, date, and time of sampling;
b. The dates the analyses were performed; and
c. The person(s) who performed the analyses.
M6

•
PART I
Permit No. NC
6. Additional Monitoring by Permittee
If the permittee monitors any pollutant at the location(s) designated
herein more frequently than required by this permit, using approved
analytical methods as specified above, the results of such monitoring
shall be included in the calculation and reporting of the values required
in the Monthly Monitoring Report Form (DEM No. MR 1 .0, 1 .1 , and 1.4)
Such increased frequency shall also be indicated. The DEM may require
more frequent monitoring or the monitoring of other pollutants not
required in this permit by written notification.
7. Records Retention
All records and information resulting from the monitoring activities
required by this Permit including all records of analyses performed and
calibration and maintenance of instrumentation and recordings from
continuous monitoring instrumentation shall be retained for a minimum of
three (3) years, or longer if requested by the Division of Environmental
Management or the Regional Administrator of the Environmental Protection
Agency.
M7

PART II
Permit No. NC
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. Non compliance Notification
If, for any reason, the permittee does not comply with or will be unable
to comply with any effluent limitation specified in this permit, the per-
mittee shall provide the Division of Environmental Management with the
following information, in writing, within five (5) days of becoming aware
of such condition:
a. A description of the discharge and cause of noncompliance; and
b. The period of noncompliance, including exact dates and times; or,
if not corrected; the anticipated time the noncompliance is expected
to continue, and steps being taken to reduce, eliminate and prevent
recurrence of the noncomplying discharge.
3. Facilities Operation
The permittee shall at all times maintain in good working order and
operate as efficiently as possible all treatment or control facilities
or systems installed or used by the permittee to achieve compliance with
the terms and conditions of this permit.
4. 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 accelerated or
additional monitoring as necessary to determine the nature and impact of
the noncomplying discharge.
5. Bypassing
Any diversion from or bypass of facilities necessary to maintain compliance
with the terms and conditions of this permit is prohibited, except (i) where
M P S T 7

PART II
Permit No. NC
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.
6. 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 materials from
entering waters of the State or navigable waters of the United States.
7. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. In accordance with the Schedule of Compliance contained in Part I,
provide an alternative power source sufficient to operate the waste-
water control facilities;
or, if such alternative power source is not in existence, and no date for
its implementation appears in Part I ,
b. Halt, reduce or otherwise control production and/or all discharges
from wastewater control facilities upon the reduction, loss, or
failure of the primary source of power to said wastewater control
facilities.
8. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore
or offshore physical structures or facilities or the undertaking of any
work in any navigable waters.
I8

' PART II
Permit No. NC
B. RESPONSIBILITIES
1 . Right of Entry
The permittee shall allow the Director of the Division of Environmental
Management, the Regional Administrator, and/or their authorized represen-
tatives, upon the presentations of credentials:
a. The 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 eny discharge of pollutants.
2. Transfer of Ownership or Control
This permit is not transferable. In the event of any change in control
or ownership of-facilities from which the authorized discharge emanates
or is contemnleted, the permittee shall notify the prospective owner or
controller by letter of the existence of this permit and of the need to
obtain a permit it the name of the prospective owner. A copy of the
letter shall he .forwarded to the Division of Environmental Management.
3. Availability of Reports
Except for data determined to be confidential under N. C. G. S. 143-215.
3(a)(2) or Section 308 of the Federal Act, 33 USC 1318, all reports prepared
in accordance with the terms shall be available for public inspection at the
offices of the Division of Environmental Management. As required by the Act,
effluent data shall not be considered confidential . Knowingly making any
false statement on any such report may result in the imposition of criminal
penalties as provided for in N. C. G. S. 143-215.6(b)(2) or in Section
309 of the Federal Act.
4. Permit Modification
After notice and opportunity for a hearing pursuant to N. C. G. S. 143-
215.1 (b)(2) and G. S. 143-215.1 (e) respectively, this permit may be
modified, suspended, or revoked in whole or in part during its term for
cause including, :eut not limited to, the following:
a. Violation of any terms or conditions of this permit;
b. Obtainiro thss permit by misrepresentation or failure to disclose
fully i relevant facts; or
c. A change in any condition that requires either a temporary or
permanent reduction or elimination of the authorized discharge.
M 10 & I 9

PART II
Permit No. NC
5. Toxic Pollutants
Notwithstanding Part II, B-4 above, if a toxic effluent standard or
prohibition (including any schedule of compliance specified in such
effluent standard or prohibition) is established under Section 307(a)
of the Act for a toxic pollutant which is present in the discharge and
such standard or prohibition is more stringent than any limitation for
such pollutant in this permit, this permit shall be revised or modified
in accordance with the toxic effluent standard or prohibition and the
permittee so notified.
6. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II, A-5)
and "Power Failures" (Part II , A-7) , nothing in this permit shall be
construed to relieve the permittee from civil or criminal penalties for
noncompliance pursuant to N. C. G. S. 143-215.6 or Section 309 of the
Federal Act, 33 USC 1319.
7. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution
of any legal action or relieve the permittee from any responsibilities,
liabilities, or penalties to which the permittee is or may be subject
under N. C. G. S. 143-215.75 et seq. or Section 311 of the Federal Act,
33 USC 1321 .
8. 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.
9. Severabi l i ty
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 circum-
stance, is held invalid, the application of such provision to other cir-
cumstances, and the remtinder of this permit shall not be affected thereby.
M 11 & I10

PART II
Permit No NC
10. 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 enforcement procedures as
provided in N. C. G. S. 143-215.6 and 33 USC 1251 et seq..
I 11

• PART ill
•
Permit No. NC0045632
B. 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 it governse under the discharges fational
romthis
Pollutant9
facility.
C. 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 has been issued. If no objections to Final
Plans and Specifications has been made by the DEM after 30 days following
receipt of the plans or issuance ved andthis constructionwhichever authorizeds latter, the
plans may be consideredpp
D. Certified Operator - NOT APPLICABLE
Pursuant to Chapter 90A of North Carolina General Statutes, the permittee
shall employ a certified wastewater treatment plant operator in responsible
charge of the wastewater treatment facilities. Such operator must hold a
certification of the grade
facilities.
E. to the classification assigned to
the wastewater treatment
E. The wastewater treatment facility shall be abandoned and the discharge of
wastewater diverted to the municipal and/or county sewage system as soon
as it becomes available.
$
M15 & I12

— 14,11f -cl`r-17411&cf
1pV
STAFF REPORT AND RECOMMENDATIONS
.,
Part I - INSPECTION OF PROPOSED WASTEWATER TREATMENT PLANT SITE
1. Place visited: Don Deese Residence
S. R. 1924 :
- Mt. Holly, North Carolina 23120
n : ,.: is
2. Date: June, 1978 and March 6, 1979 z
• tl
R l>
01,. s k 3. By: Melinda Wilson, D. Rex Gleason \\ .,° : h
4. Persons contacted: Mr. Gary Lindler, Mr. Charles Cannon, Jr. Dick '
Landry, '-1r. 3ill Haislip, Gaston County Health Department; Mr. Mike
" : Groves, Groundwater Section; Ir. Don Deese, Owner. ;w
�;
4 . 5. Directions to site: Take 27 North from Mt. Holly to the intersection 7
.. . with S. R. 1924. Go left on S.. R. 1924 for approximately 1 .56 mile.
w The residence is on the left.
414
6. The bearing and distance to the proposed point of effluent discharge '_ •'
h; i s: At Latitude 35°20' 30" and Longitude 91°04' 9O", *,4,,
L9-de, 7. Size: Ample area fore size of wastewater treatment facility. b r
y.
{ 3. Topography:. Slightly rolling. "' ';
9. Location of Nearest. Trelling: One approximately 75 feet from proposed
discharge point adjacent to t'ie proposed site of facilities. ,�
10. Receiving Stream: Unnamed tributaryto Dutchman's. Creek " '"�
, (pond on •x h
} Westland Golf Club property).
pis (a) . Classification: C J
r.
(b) Minimum 7-Day, 10-Year discharge at site: 0,0 cfs '"�'
;- "' (c) Usage: Fishing, boating, wading and any other usage except for "
a
` ° bathing or as a source of water supply for drinking, culinary «- " -
, w" 4. r - • .W or food-processing purposes.
Part II - DESCRIPTION OF EXISTING AND PROPOSED TREATMENT WORKS
The existing wastewater system consists of a 1000 gallon septic tank and
'-' 1125 square feet of nitrification field. There is also a 3' x 25' x 4'
},
stone washer pit for the laundry waste. The applicant has submitted a
Permit Application and plans to construct a subsurface sand filter to
treat the wastewater. The proposed system will consist of a septic tank „ {
(existing) and nitrification lines (existing) , subsurface sand filter and ,,; 4
chlorination facilities with a discharge into an unnamed tributary to
Dutchman's Creek.
The septic tank system was approved by the Gaston County Health Depart-
, ment. The existing system has malfunctioned ever since installation due
,, to soil characteristics not being suitable for a subsurface system and r"
the high water table. The wastewater comes out on the ground and also
backs up into the house.
r
a:

Page Two
Part III - EVALUATION AND RECOMMENDATIONS
Alternatives to constructing a discharge system have been thoroughly
investigated. Also the feasibility of locating a more suitable discharge
point was investigated. However, the proposed discharge into the unnamed
tributary (ditch) on Mr. Deese's property leading to a pond on the Westland
Golf Course has been determined to be the most feasible and accessible
to surface waters for the discharge. Mr. Edward M. Osinski , President
of Westland Golf Club, Inc. , has given verbal approval to Mr. Deese
to allow the subject discharge to cross the golf course via the drainage
ditch. It is, tierefore, recommended that the proposed sand filter be
approved and a Permit issued for the discharge. The subject facilities
should be capable of achieving secondary effluent limitations, which
limitations have in the past been approved for sinil family dwellings,
and are also set forth in the subject Pe riit.
A special condition of the Permit will be to rec;ui r the discharge
to the surface waters to he ceased and connoc`e ; to the area-wide sewer
system when it becomes available.

d _
e
oC
APR 4 sig, DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMITS ACID April 3, 1979
ENGINEERING
P
MEMORANDUM TO: A. C. Turnage )(,)6 � , cry
Y r
FROM: D. Rex Gleason
‘NA"—
hiAND .AMk
SUBJECT: Don Deese Residence
Application for NPDES Permit
Gaston County, North Carolina
Attached find a copy of a letter from Mr. Don Deese regarding efforts
made to obtain contractual easement across the Westland Golf Club property
for the conveyance of wastewater from proposed wastewater treatment facilities
serving Mr. Deese's home. Mr. Deese explains that written easement could not
be obtained; however, he advises that Mr. Edward M. Osinski , President of
Westland Golf Club, Inc. , has given verbal approval for Mr. Deese to discharge
across the golf course property.
In light of the fact that there is no feasible alternative for disposing
of the wastewater from Mr. Deese's residence (see my memorandum to you dated
March 26, 1979) other than discharging or piping across the golf course
property, it is requested that you advise if this Office should proceed with
the preparation of an NPDES Permit reflecting such a discharge. Also advise
of appropriate facilities for treating the wastewater. I would recommend
that a single subsurface sand filter that is properly lined be installed at
the tail end of the nitrification field as has been proposed. Also a small
tablet type chlorinator unit should follow the sand filter. The discharge
would be into the drainage ditch on Mr. Deese's property, which would convey
the wastewater across the golf course to a small lake on the golf course.
Use of the existing drainage in lieu of piping was suggested by Mr. Osinski
to prevent disturbing the golf course.
If you have questions regarding this, please advise.
Attachment
cc: Craig Bromby
DRG:ss

1
M:3; n 1573 Y
' -. AND AR
,! yi4T'' March 26, 1979
Mr. Rex Gleason
N.C. Bept. of Natural Resources
and Community Development .
119 West Main Street
Mooresville, N.C. 28115
Dear Mr. Gleason:
As you are aware on March 5, 1979, we met with Mr. Edward M. Osinski,
President, Westland Golf Club Inc., and discussed the matter of discharging
water across the golf course through an existing dry-ditch. His indications
to us and Mr. Dick Landry of the Gaston County Health Department was that
this was totally acceptable to him and he would allow us to do so.
I then had my attorney draw up a formal easement for Mr. Osinskits sig-
nature. Upon delivery he agreed he would look over and sign amid glitik the
easement which appeared acceptable to him. However, approximately a week
later, Mr. Osinski said his attorney had advised him not to sign this
formal document. But he reassured me he would be more than lammutkam
willing to give me verbal permission to discharge across his property.
Therefore I ask that you please start proceedings on the necessary sand
filter permit, so that construction may begin as soon as possible.
Sin ely yo ,
A IL t., A V..e.,e-44..--
Don Deese
P.O. Box 189
Westland Farm Road
Mt. Holly, N.C. 2812.0
cc; Dick Landry

Permit No. NC 0 0 45632
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,
Mr. Donnie C. Deese
is hereby authorized to discharge wastewater from a facility located at
Donnie C. Deese Residence
Gaston County
to receiving waters
Unnamed tributary to Dutchman's Creek in the Catawba River Basin
in accordance with effluent limitations , monitoring requirements, and other
conditions set forth in Parts I , II , and III hereof.
This permit shall become effective MAY 8 1979
This permit and the authorization to discharge shall expire at midnight
on DEC 3 1 1983
Signed this day of MAY, 8, 1 79,
Original Signed VI
A. E. McRORIH
A. F. McRorie, Director
Division of Environmental Management
By Authority of the Environmental
Management Commission
M 1 & I 1

Page of
Permit No. NC
0045632
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Donnie C. Deese
is hereby authorized to:
1 . Enter into a contract for construction of an overflow type subsurface
sand filter with disinfection facilities to be added to the existing
septic tank nitrification field system,
2. Make an outlet into an unnamed tributary to Dutchman's Creek,
3. Construct and operate an overflow type subsurface sand filter with
effluent disinfection facilities located at the Donnie C. Deese
residence in Gaston County (Note Part III, Condition No. E of this
Permit), and
4. Discharge from said treatment works into an unnamed tributary to
Dutchman's Creek which is classified Class "Cu.

CO
A. ( 1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL
During the period beginning on the effective date and lasting until expiration,
the permittee is authorized to discharge from outfall(s) serial number(s) 001 .
Such discharges shall be limited and monitored by the permittee as specified below:
Lffluent Characteristics Discharge Limitations * Monitoring Requirements
Kg/day (lbs/da ) Other Units (Specify) Measurement Sample Sample
Monthly Avg. Weekly Avg. Monthly Avg. weekly Avg. Frequency Type Location
Flow .001 MGD
BOD5 30 mg/1 45 mg/1
TSS 30 mg/1 45 mg/1
Fecal Coliform Bacteria (Geometric Mean) 1000/100 ml 2000/100 ml
*Monitoring requirements are waived on single family dwellings.
z -v-CI"CI
The pH shall not be less than 6.0 standard units nor greater than 8.5 standard units.
moo
There shall be no discharge of floating solids or visible foam in other than trace amounts. •
co

Part I
Permit No. NC
B. SCHEDULE OF COMPLIANCE
1. The permittee shall achieve compliance with the effluent limitations
specified for discharges in accordance with the following schedule:
NOT APPLICABLE
2. No later than 14 calendar days following a date identified in the above
schedule of compliance, the permittee shall submit either a report of
progress or, in the case of specific actions being required by identified
dates, a written notice of compliance or noncompliance. In the latter
case, the notice shall include the cause of noncompliance, any remedial
actions taken, and the probability of meeting the next scheduled requirement.
M4 & 14

Part I
Permit No. NC
"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.
C. MONITORING AND REPORTING
1 . Representative Sampling lVO T A -
measurements taken as required h�
ir
Samples and shall be representative
of the volume and nature of the monitored discharge.
2. Reporting
Monitoring results obtained during the previous month(s) shall be
summarized for each month and reported on a Monthly Monitoring Report
Form (DEM No. MR 1 .0, 1 .1 , aad,1.4) , postmarked no later than the
45th day following the completed reporting period.
The first report is due on . Duplicate signed copies of
these, and all other reports required herein, shall be submitted to
the following address:
Division of Environmental Management
Water Quality Section
Post Office Box 27687
Raleigh, North Carolina 27611
3. 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 individual
values.
M5

Part I
Page of
Permit No. NC
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 equiva-
lent to the antildg of the arithmetic mean of the logarithms of
the individual values. For purposes of calculating the geometric
mean, values of zero (0) shall be considered to be one (1 ).
f. Composite Sample: A "composite sample" is any of the following:
(1 ) Not less than four influent or effluent portions collected
at regular intervals over a period of 24 hours and composited
in proportion to flow.
(2) Not less than four equal volume influent or effluent portions
collected over a period of 24 hours at intervals proportional
to the flow.
(3) An influent or effluent portion collected continuously over
a period of 24 hours at a rate proportional to the flow.
g. Grab Sample: A "grab sample" is a single influent or effluent
portion which is not a composite sample. The sample(s) shall be
collected at the period(s) most representative of the total discharge.
4. Test Procedures
Test procedures for the analysis of pollutants shall conform to the EMC
regulations published pursuant to N. C. G. S. 143-215.63 et seq, The
Water and Air Quality Reporting Act, and to regulations published pursuant
to Section 304(g) , 33 USC 1314, of the Federal Water Pollution Control Act,
As Amended, and Regulation 40 CFR 136.
5. Recording Results
For each measurement or sample taken pursuant to the requirements of
this permit, the permittee shall record the following information:
a. The exact place, date, and time of sampling;
b. The dates the analyses were performed; and
c. The person(s) who performed the analyses.
M6

PART I
Page of
Permit No. NC
6. Additional Monitoring by Permittee
If the permittee monitors any pollutant at the location(s) designated
herein more frequently than required by this permit, using approved
analytical methods as specified above, the results of such monitoring
shall be included in the calculation and reporting of the values required
in the Monthly Monitoring Report Form (DEM No. MR 1 .0, 1 .1 , and 1.4)
Such increased frequency shall also be indicated. The DEM may require
more frequent monitoring or the monitoring of other pollutants not
required in this permit by written notification.
7. Records Retention
All records and information resulting from the monitoring activities
required by this Permit including all records of analyses performed and
calibration and maintenance of instrumentation and recordings from
continuous monitoring instrumentation shall be retained for a minimum of
three (3) years, or longer if requested by the Division of Environmental
Management or the Regional Administrator of the Environmental Protection
Agency.
M 7

•
PART II
Permit No. NC
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. Non compliance Notification
If, for any reason, the permittee does not comply with or will be unable
to comply with any effluent limitation specified in this permit, the per-
mittee shall provide the Division of Environmental Management with the
following information, in writing, within five (5) days of becoming aware
of such condition:
a. A description of the discharge and cause of noncompliance; and
b. The period of noncompliance, including exact dates and times; or,
if not corrected; the anticipated time the noncompliance is expected
to continue, and steps being taken to reduce, eliminate and prevent
recurrence of the noncomplying discharge.
3. Facilities Operation
The permittee shall at all times maintain in good working order and
operate as efficiently as possible all treatment or control facilities
or systems installed or used by the permittee to achieve compliance with
the terms and conditions of this permit.
4. 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 accelerated or
additional monitoring as necessary to determine the nature and impact of
the noncomplying discharge.
5. Bypassing
Any diversion from or bypass of facilities necessary to maintain compliance
with the terms and conditions of this permit is prohibited, except (i) where
M 8 & I 7

PART II
Page of
Permit No. NC
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.
6. 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 materials from
entering waters of the State or navigable waters of the United States.
7. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. In accordance with the Schedule of Compliance contained in Part I,
provide an alternative power source sufficient to operate the waste-
water control facilities;
or, if such alternative power source is not in existence, and no date for
its implementation appears in Part I,
b. Halt, reduce or otherwise control production and/or all discharges
from wastewater control facilities upon the reduction, loss, or
failure of the primary source of power to said wastewater control
facilities.
8. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore
or offshore physical structures or facilities or the undertaking of any
work in any navigable waters.
I8

.
PART II
Page of
Permit No. NC
B. RESPONSIBILITIES
1 . Right of Entry
The permittee shall allow the Director of the Division of Environmental
Management, the Regional Administrator, and/or their authorized represen-
tatives, upon the presentations of credentials:
a. The 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 control
or ownership of facilities from which the authorized discharge emanates
or is contemplated, the permittee shall notify the prospective 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. Availability of Reports
Except for data determined to be confidential under N. C. G. S. 143-215.
3(a)(2) or Section 308 of the Federal Act, 33 USC 1318, all reports prepared
in accordance with the terms shall be available for public inspection at the
offices of the Division of Environmental Management. As required by the Act,
effluent data shall not be considered confidential . Knowingly making any
false statement on any such report may result in the imposition of criminal
penalties as provided for in N. C. G. S. 143-215.6(b)(2) or in Section
309 of the Federal Act.
4. Permit Modification
After notice and opportunity for a hearing pursuant to N. C. G. S. 143-
215.1 (b)(2) and G. S. 143-215.1 (e) respectively, this permit may be
modified, suspended, or revoked in whole or in part during its term for
cause including, but not limited to, the following:
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.
M 10 & I 9

PART II
Page of
Permit No. NC
5. Toxic Pollutants
Notwithstanding Part II, B-4 above, if a toxic effluent standard or
prohibition (including any schedule of compliance specified in such
effluent standard or prohibition) is established under Section 307(a)
of the Act for a toxic pollutant which is present in the discharge and
such standard or prohibition is more stringent than any limitation for
such pollutant in this permit, this permit shall be revised or modified
in accordance with the toxic effluent standard or prohibition and the
permittee so notified.
6. Civil and Criminal Liability •
Except as provided in permit conditions on "Bypassing" (Part II , A-5)
and "Power Failures" (Part II , A-7), nothing in this permit shall be
construed to relieve the permittee from civil or criminal penalties for
noncompliance pursuant to N. C. G. S. 143-215.6 or Section 309 of the
Federal Act, 33 USC 1319.
7. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution
of any legal action or relieve the permittee from any responsibilities,
liabilities, or penalties to which the permittee is or may be subject
under N. C. G. S. 143-215.75 et seq. or Section 311 of the Federal Act,
33 USC 1321 .
8. 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.
9. 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 circum-
stance, is held invalid, the application of such provision to other cir-
cumstances, and the remainder of this permit shall not be affected thereby.
M 11 & 110

PART II
Page of
Permit No NC
10. 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 enforcement procedures as
provided in N. C. G. S. 143-215.6 and 33 USC 1251 et seq..
T 11

. . • • PART III
Page of
Permit No. NC
t` 45 f i 3 2
B. 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 governs discharges from this
facility.
C. Construction n' .r R — . , ,,, n, 7 I
tV 1 i_,
No construction of wastewater trea'tment 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 has been issued. If no objections to Final
Plans and Specifications has been made by the DEM after 30 days following
receipt of the plans or issuance of this permit, whichever is latter, the
plans may be considered approved and construction authorized.
D. Certified Operator APUND/E3aolina
Pursuant to CI `GI General Statutes, the permittee
shall employ a certified wastewater treatment play,,, operator in responsible
charge of the wastewater treatment facilities. Such operator must hold a
certification of the grade equivalent to the classification assigned to
the wastewater treatment facilities.
E. The wastewater treatment facility shall be abandoned and the discharge
of wastewater diverted to the municipal and/or county sewage system as
soon as it becomes available.
M15 & I12

TIISION OF ENVIRONMENTAL MANAGEMENT
May 8, 1979
Mr. Don Deese
P. 0. Box 189
Mount Holly, NC 28120
Subject: Permit No. NC0045632
Don C. Deese Residence
Gaston County
Dear Mr. Deese:
In accordance with your application for discharge Permit received
June 27, 1978, we are forwarding herewith the subject State - NPDES
Permit. This Permit is issued pursuant to the requirements of North
Carolina General Statutes 143-215.1 and the Memorandum of Agreement
between North Carolina and the U. S. Environmental Protection Agency
dated October 19, 1975.
If any parts, requirements, or limitations contained in this Permit
are unacceptable to you, you have the right to an adjudicatory hearing
before a hearing officer upon written demand to the Director within 30
days following receipt of this Permit, identifying the specific issues
to be contended. Unless such demand is made, this Permit 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.
If you have any questions concerning this Permit, please contact us.
Sincerely yours,
U-i s „ii Signed B4
A. F. McRORIH
A. F. McRorie
Director
cc: ' /Mooresville Regional Office
Mooresville Reg. Office Manager
Mr. George Harlow, EPA

STAFF REPORT AND RECOMMENDATIONS
PART I: - INSPECTION OF EXISTING WASTEWATER TREATMENT PLANT SITE
1 . a. Place Visited: Don Deese Residence
b. Mailing Address: Post Office Box 189.
Westland Farm Road
Mt. Holly, N. C. 28120
2. Date of Investigation: 3/2/83 Date of Report: 5/23/83
3. By: Larry D. Coble, Tana Fryer, Michael L. Parker
4. a. Persons Contacted: Mr. Donnie C. Deese g
b. Phone No. : (.704) 596-4393 �"
5. .Directions to Site: Travel north. on Highway 27 from Mt. Holly to the
intersection with SR 1924. Go left on SR 1924 (Kelly Road) past the
intersection with SR 2805 (Lane Road). The residence is the fourth
house on the left past the Green Meadows Golf Center.
6. a. The coordinat6s to the existing pointoof effluent discharge are:
Latitude: 35 20'30 Longitude: 81 04'00"
b. USGS Quad No. : F 14 SE (see attached map)
7. Size (land available for expansion and upgrading): Ample area is available
for the existing facility and for any future expansion.
8. Topography: Slightly rolling 3-8% slopes
9. Location of Nearest Dwelling: One within 75 feet of the discharge point.
10. Receiving Stream: U. T. to Dutchman's- Creek (Pond on Westland Golf Club
Property) .
a. Classification: C
b. Minimum 7-Day, 10-Year Discharge at site: 0.0 cfs
c. River Basin and Sub-Basin No. : Catawba 03-08-36
PART II - DESCRIPTION OF EXISTING TREATMENT FACILITIES
1 . Existing Facilities: The existing facilities consisted of a 1000 gallon septi
tank, 1125 square feet of nitrification field, a subsurface sandfilter and
tablet chlorination.
2. Proposed Modifications: N/A.
PART III - EVALUATION AND RECOMMENDATIONS
1 . Performance Evaluation: Samples taken during the facility inspection revealec
the following results:
BODS 5.9 mg/1
TSS 8 mg/1
Fecal Coliform < 10/100 ml
NH3 as N .04 mg/1
It should beonoted that samples were taken after a recent rainfall event.

-2-
2. 0 & M Evaluation: The chlorinator did not contain any chlorine tablets.
3. Recommendations and/or Special Conditions: It is recommended that the
NPDES Permit for this facility be renewed.

•
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North Carolina Department of Natural
Y Resources &Community Development
James B. Hunt, Jr., Governor Joseph W. Grimsley, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT April 1, 1983
Mr. Donnie C. Deese c l
P. 0. Box 189
Mount Holly, North Carolina 28120
c,DIM Or
gESOUFrcliB AND
CONION.i'tY D WP 7ECT: Application for NPDES Permit
No. NC0045632
- 5 RECD Gaston ' County
Dear Mr. Deese :
l���iH=- p� �d'J3�'�N�d'�'�Al' YANAGEYEI�
Receipt of the td '" e ��SE is hereby acknowledged:
Application Form
Engineering Proposal (for proposed control facilities)
x Request for permit renewal
Other
If any of the items listed below are checked, the application received is
incomplete and the indicated item(s) must be received before review can begin:
Application Form (copies enclosed)
Engineering Proposal (See (b) 1-5 on attached)
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 Mr. David T. Adkins
(919/733-5181) of our Permits Unit for review and preparation of a draft per-
mit. Once the permit is drafted, public notice must be issued for forty-five
(4S) days prior to final action on the issuance or denial of the permit. You
will be advised of any comments, recommendations, questions or other informa-
tion necessary for the review of the application.
I am, by copy of this letter, requesting that our Regional Office Super-
visor 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,
ORIGINAL SIGNED BY
DAVID T. ADKINS -{-off
William C. Mills, Supervisor
Permits and Engineering Unit
cc:
Mr. David T. Adkins
P. 0. Box 27687 Raleigh,N. C.2 76 1 1-7687
An Equal Opportunity Affirmative Action Employer
4

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P.O. Box 189
tO ori.--4s Westland Farm Road
...,, .',1.
• Mt. Holly, NC 28120
,.*. %.,..5.
March, 24, 1983
, -
Mr. D. Rex Gleason, P.E. 0 1
Water Quality Regional Engineer r
N.. _
NORTH CAROLINA DEPARTMENT OF NATURAL
RESOURCES & COMMUNITY DEVELOPMENT
P.O. Box 950 1 “
,--..
Mooresville, NC 28115-0950
Dear Mr. Gleason:
This is to request renewal of Permit No. NC 0045632, which
is scheduled to expire December 31, 1983.
y!•.te r..
,..
Your cooperation in this matter is greatly appreciated. . ,
.,,..,,
Sincerely yours, ..
.0:- • 1.-<' .
re
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.r.-, ','''.•
Donnie C. Deese
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