NC0067865_Regional Office Historical File Pre 2018

State of North Carolina
Department of Environment,
At(W1 • A
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
GOE H IV F
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
May 22, 1995
CERTIFIED MAIL
RETURN RECEIPT REQUESTED t,s"o ) .. 5
LYNDA W. HANCOCK • , , M,.,,f„ ,;
HANCOCK PROPERTY (LYNDA) r:-
133 LYNLAND LANE
GASTONIA, NC 28056
SUBJECT: NOTICE OF VIOLATION AND REVOCATION FOR NON-PAYMENT
NPDES PERMIT NO. NC0067865
HANCOCK PROPERTY (LYNDA)
GASTON COUNTY
Dear Permittee:
Payment of the required annual administering and compliance
monitoring fee of $450.00 for this year has not been received for the
subject permit. This fee is required by Title 15 North Carolina
Administrative Code 2H .0105, under the authority of North Carolina
General Statutes 143-215.3(a)(1), (la) and (lb). Because this fee was
not fully paid within 30 days after being billed, this letter initiates
action to revoke the subject permit, pursuant to 15 NCAC 2H .0105
(b)(2)(k)(4), and G.S. 143-215. 1(b)(3).
Effective 60 days from receipt of this notice, subject permit is
hereby revoked unless the required Annual Administering and Compliance
Monitoring Fee is received within that time. Your payment should be
sent to:
N.C. Department of Environment, Health, and Natural Resources
Division of Environmental Management
Budget Office
P.O. Box 29535
Raleigh, NC 27626-0535
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper

Discharges without a permit are subject to the enforcement
authority of the Division of Environmental Management.
If you are dissatisfied with this decision, you have the right to
request an administrative hearing within thirty (30) days following
receipt of this Notice, identifying the specific issues to be
contended. This request must be in the form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes, and
filed with the Office of Administrative Hearings, Post Office Drawer
27447, Raleigh, North Carolina, 27611-7447. Unless such request for
hearing is made or payment is received, revocation shall be final and
binding. If you have any questions, please contact:
Mr. Keith Overcash, Mooresville Regional Supervisor, [phone].
Since ly,
A. Preston Howard, .
cc: Supervisor, Water Quality Permits and Engineering Unit
Mooresville Regional Office
County Health Department

State of North Carolina
Department of Environment,
J�ol� Health and Natural Resources
P� Division of Environmental Management
James B. Hunt, Jr., Governor
1
+ Jonathan B. Howes, Secretary
1 A. Preston Howard, Jr., P.E., Director
1�
Ms. Lynda Hancock
133 Lynland Lane
Gastonia, NC 28056
Dear Ms. Hancock:
1: DEHNF1
October 7, 1994
N.C. DEPT. OF
ENVIRONMENT, HEALTH,
& NATURAL RESOURC:rS
nr.T !; IWA.
DIVISION OF ENVIRONWIINTI ^t ''ANAGEUNT
MOORESVILLE RECIJNAL OFFICE
Subject: NPDES Permit Application Return
NCO067865
Lynda Hancock Property
Gaston County
On June 6, 1991, the Division of Environmental Management received your
application for the discharge of wastewater from the proposed facility. The Division is
returning your application based on your conversation with Mr. Jay Lucas of my staff on
October 3, 1994 in which you requested return of the application.
If in the future, you determine that you wish to have a discharge, you must first
apply for and receive a new NPDES permit. Discharging without a valid NPDES permit will
subject the discharger to a civil penalty of up to $10,000 per day.
If you have any questions regarding this matter please contact Jay Lucas at (919)
733-5083.
Sincerely,
Yr-/
A. Preston Howard, Jr., P.E.
Enclosure
cc:
Facr rties Assessment
Permit File
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

To: Permits and Engineering Unit
Water Quality Section
Date: July 12, 1991
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Gaston
NPDES Permit No. : NC0067865
MRO No. 91-157
PART I - GENERAL INFORMATION
1. Facility and Address: Lynda Hancock Property
133 Lynland Lane
Gastonia, North Carolina 28056
2. Date of Investigation: July 11, 1991
3 . Report Prepared By: G. T. Chen
4. Person Contacted and Telephone Number: Ms. Lynda W. Hancock
and Mr. John H. Hancock, property owners; 704/824-2496
5. Directions to Site: From the junction of Bud Wilson Road
(S. R. 2423) and Union Road (N. C. Highway 274) south of
Gastonia, Gaston County, travel south on S. R. 2423
approximately 1. 40 miles. The approved discharge point into
an unnamed tributary to Crowders Creek is approximately
1,400 feet west of the road in a densely wooded area.
6. Discharge Point(s) , List for all discharge Points: -
Latitude: 35° 10' 15"
Longitude: 81° 10' 00"
Attach a USGS Map Extract and indicate treatment plant site
and discharge point on map.
USGS Quad No. : G 14 NW
7. Size (land available for expansion and upgrading) : The
existing site encompasses approximately 150 acres. There is
ample land area available for expansion/upgrading.
8. Topography (relationship to flood plain included) : The
terrain is mildly rolling with slopes generally less than
12% toward receiving stream. The site does not appear to be
in a flood plain.
9. Location of Nearest Dwelling: None within 1,000 feet of the
site.
10. Receiving Stream or Affected Surface Waters: Unnamed
tributary to Crowders Creek

Page Two
a. Classification: C
b. River Basin and Subbasin No. : Catawba and 03-08-37
c. Describe receiving stream features and pertinent
downstream uses: The designated receiving stream in a
densely wooded area is an unnamed tributary to Crowders
Creek. The tributary is approximately 10 to 12 feet
wide with a mud bottom and shallow water; however, the
stream appears to have a continuous flow. Downstream
users are unknown.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of Wastewater: 100% Domestic
0% Industrial
a. Volume of Wastewater: 0.200 MGD (Design Capacity)
b. Types and quantities of industrial wastewater: N/A
c. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only) : N/A
2. Production Rates (industrial discharges only) in Pounds:
N/A
3. Description of Industrial Process (for industries only) and
Applicable CFR Part and Subpart: N/A
4. Type of Treatment (specify whether proposed or existing) :
The subject Permit was issued to Ms. Lynda Hancock for the
construction and operation of a wastewater treatment
facility to serve a housing development yet to be
constructed. An on-site investigation performed by staff of
this Office also indicated that no treatment facility has
been built.
5. Sludge Handling and Disposal Scheme: Sludge will be
periodically removed and disposed at a municipal wastewater
treatment plant if and when the approved facility is built.
6. Treatment Plant Classification: Less than 5 points; no
rating (include rating sheet) . N/A
7. SIC Code(s) : 9999
Wastewater Code(s) :
Primary: 05
Secondary:
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

Page Three
3. Additional effluent limits requests: N/A
4. Air Quality and/or Groundwater concerns or hazardous waste
utilized at this facility that may impact water quality, air
quality or groundwater? The previously approved wasteflow
of 200,000 gpd is entirely domestic. When properly treated
prior to discharge, it should not adversely impact the
environment.
5. Other: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
Engineering plans and specifications for the projected
wastewater treatment facility should be submitted to the State
Review Group for review and approval upon request for an
Authorization to Construct.
It is recommended that the subject request be approved and a
new permit be issued to the applicant as requested. It is also
recommended that the permit be voided if the Permittee fails to
submit a request for an Authorization to Construct for the
subject facility within six (6) months of its issuance.
,Roy-lsxi 6WAK. 7- Lc-9/
Signature of Report Preparer Date
/). 7-2 � �%7/�/�(
Water Quality egional Supervisor Date

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State of North I - olina
Department of Environment, Health, and Natural Resource,
Division of Environmental Management of 141".v
512 North Salisbury Street • Raleigh, North llit 76tiA t r,tE10
James G.Martin,Governor M e T.Everett,Ph.D.
William W.Cobey,Jr.,Secretary 0-2
Director
.Lune 28, 1991 �, ,� ;i�t
p1V01 -yet.E i� ::,:,,,
Agai'
Hs. Lynda W. Hancock ubject : N=DES Permit Application
133 Lynland Lane N=DES Permit No .NC0067865
Gastonia, NC 28056
Lynda Hancock Property
Dear Ms. Hancock Gaston County
This is to acknowledge receipt of the foll wing documents on June 6, 1991:
N/ Application Fore.
Engineering Prcrosal (for proposed co trol facilities) ,
"\/ Request for permit renewal,
-\L Application Prcoessing Fee of $250 .00,
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reducticn and Recycling,
_ Interbasin Transfer,
Other ,
The items checked below are needed before review can begin :
Application For:. ,
Engineering proetsal (see attachment) ,
Application Processing Fee of
- Delegation of Authority (see attached)
Biocide Sheet (see attached)
- Engineering Economics Alternatives An lysis,
Local Government Signoff,
Source Reduction. and Recycling,
Interbasin Transfer,
Other
Pollution Prevention Pays
P.O.Box 27687,Raleigh,North Carolina 2761�-7687 Telephone [phone]

If the application is not :.ade complete w thin thirty (30) days, it will be
returned to you and may be resubmitted wh n complete .
This application has been assigned to Angela Y. Griffin
(919/733-5083) of our Perm_ts Unit for reiriew. You will be advised of any
comments recommendations, questions or otter information necessary for the
review of the application .
I am, by copy of this letter, requesting hat 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 rerson listed move .
S n erely, _.
M Dale Overcash, P .E .
CC : Mooresville Regional Office ,05°
Cr t c,ol �.0,-'
,0-2

RTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
E1VIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMBER
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM G FOR AGENCY ado oIo ko 17Ig161s—
USE DATE RECEIVED
To be filed only by services, wholesale and retail trade,
and other commercial establishments including vessels 9 1 / [ 01 4v ( o l�
• YEAR MO. DAY
ex-. 7z. 35�/
Do not attempt to complete this form without reading the accompanying instructionsSOj�.f3�
Please print or type U
1. Name, address, and telephone number of facility producing discharge
A. Name Lynda W. Hancock
B. Street address
133 Lynland Lane
C. City Gastonia D. State _: V. C.
E. County Gaston F. ZIP 28O5FZ_
G. Telephone No. 704 824-2496
Area
Code
2. SIC �t,
(Leave blank) �A cT '"
,
3. Number of employees
N/A c 9�YT o cs (�'' ,tt��
4. Nature of business Single Family Residential DeveloprTt' ' 119‘
n S. (a) Check here if discharge occurs all yeareT, or
(b) Check the month(s) discharge occurs:
1.0 January 2.0 February 3.0 March 4.0 April 5,eMay •
6.0 June 7.0 July 8.o August 9.0 September 10.00tober
11.o November 12.o December
(c) How many days per week:
1.01 2.0 2-3 3.04-5 4.$7 6-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
discharging (percent)
Discharge per -- —
operating day 0.1-999 1000-4999 5000-9999 10,000- 50,000 None 0.1- 30- 65- 95-
49,999 or more 29.9 64.9 94.9 100
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitary, daily 0. 2 MGD X
average
B. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify
D. Maximum per operat-
ing day for combined
discharge (all types)

7. If any of the types of waste identified in item 6, either treated or un-
treated, are discharged to places other than surface waters, check below
as applicable.
111,111
Waste water is discharged to: 0.1-999 1000-4999 5000-9999 10,000-49,999 50,000 or more
(1) (2) (3) (4) (5)
A. Municipal :ewer system
II• IkIIII rlrnnnil well
C. Septic tank
U. Evaporation lagoon or pond
E. Other, specify:
8. Number of separate discharge points:
A.Igl 8.02-3 C.o 4-5 D.o 6 or more
9. Name of receiving water or waters UT Crowders Creek
10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances added as a result of your operations.
activities, or processes: ammonia, cyanide, aluminum, beryllium, cadmium,
chromium, copper, lead, mercury, nickel , selenium, zinc, phenols, oil and
grease, and chlorine (residual).
A.Clyes Bono
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.
Lynda W. Hancock
Printed Name of Person Signing
Owner
("1Title
,e,cam 3� ' G % /
Date Appli tion Signed
vIzL 17k, WIZ;71/—e-CeiL
Signature/f Applicant
•
North Carolina General Statute 143-215.6(b) (2) provides that: Any person who knowingly makes
any false statement representation, or certification in any application, -record, report, plan,
or other document files or required to be maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, or who falsifies, tampers with,
or knowly renders inaccurate any- recording or monitoring device or method required to be
operated or maintained under Article 2.1:or regulations .of the Environmental Management Commission
implementing that Article, shall be-.'gu .itv- of a misdemeanor punishable by a fine not to exceed
$10,000, or by imprisonment not to exceed six months, or by both. (18 L .S.C. Section lO)1 prow: -,1
a punislmlent by a fine of-not more than $10,000 or imprisonment not more than 5 years, or both,
for a similar. offense.)

Permit No. NC0067865
r
kz.
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,
Ms. Lynda W. Hancock
is hereby authorized to discharge wastewater from a facility located at
Lynda Hancock Property
NCSR 2423
Gastonia, NC
Gaston County
to receiving waters designated as unnamed tributary to Crowders Creek in the Catawba River Basin
in accordance with effluent limitations,monitoring requirements, and other conditions set forth in
Parts I, II, and III hereof.
This permit shall become effective
This permit and the authorization to discharge shall expire at midnight on September 30, 1996
Signed this day
• •u
A. Presto oward, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

r.
Permit No. NC0067865
SUPPLEMENT TO PERMIT COVER SHEET
Ms. Lynda W. Hancock
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility, and
2. Make an outlet into unnamed tributary to Crowders Creek, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management,construct and operate a 0.200 MGD wastewater treatment facility located at
Lynda Hancock Property, NCSR 2423, Gastonia, NC, Gaston County (See Part III of
this Permit), and
4. Discharge from said treatment works at the location specified on the attached map into
unnamed tributary to Crowders Creek which is classified class C waters in the Catawba
River Basin.

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A. ( ). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS WINTER (November 1 - March 31) Permit No. NC0067865
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
Measurement Sample *Sample
Monthly Avg, Weekly Avg, Daily Max Frequency Tyne Location
Flow 0.200 WO Continuous Recording I or E
BOD, 5 day, 20°C 30.0 mg/I 45.0 mg/I 3/Week Composite E,I
Total Suspended Residue 30.0 mg/I 45.0 mg/I 3/Week Composite E,I
NH3 as N 5.0 m g/I 3/Week Composite E
Dissolved Oxygen** 3/Week Grab E, U, D
Fecal Coliform (geometric mean) 200.0 /100 ml 400.0 /100 ml 3/Week Grab E,U,D
Total Residual Chlorine 28.0 µg/I 3/Week Grab E
Total Nitrogen (NO2 + NO3 + TKN) Quarterly Composite E
Total Phosphorus Quarterly Composite E
Conductivity 3/Week Grab E,U,D
Temperature, °C*** Daily Grab E,U,D
* Sample locations: E-Effluent,I-Influent,U -Upstream 50 feet from outfall, D-Downstream 300 feet from outfall.
Upstream and downstream samples shall be grab samples. Stream samples shall be collected three times per week during June,July, August,
and September and once per week during the remaining months of the year.
**The daily average dissolved oxygen effluent concentration shall not be less than 5.0 mg/l.
***Instream samples for temperature shall be collected three times per week.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units and shall be monitored three times per week at the effluent
by grab sample.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

A. ().EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS SUMMER (April 1 -October 31) Permit No. NC0067865
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
Measurement Sample *Sample
Monthly Avg, Weekly Avg, Daily Max Freauency Tvpe Location
Flow 0.200 Ma) Continuous Recording I or E
BOD, 5 day, 20°C 17.0 mg/I 25.5 mg/I 3/Week Composite E,I
Total Suspended Residue 30.0 mg/I 45.0 mg/I 3/Week Composite E,I
NH3 as N 2.0 mg/I 3/Week Composite E
Dissolved Oxygen** 3/Week Grab E, U, D
Fecal Coliform (geometric mean) 200.0 /100 ml 400.0 /100 ml 3/Week Grab E,U,D
Total Residual Chlorine 28.0 µg/I 3/Week Grab E
Total Nitrogen (NO2 + NO3 + TKN) Quarterly Composite E
Total Phosphorus Quarterly Composite E
Conductivity 3/Week Grab E,U,D
Temperature, °C*** Daily Grab E,U,D
* Sample locations: E -Effluent,I-Influent,U-Upstream 50 from outfall,D-Downstream 300 feet from outfall.
Upstream and downstream samples shall be grab samples. Stream samples shall be collected three times per week during June,July, August,
and September and once per week during the remaining months of the year.
**The daily average dissolved oxygen effluent concentration shall not be less than 5.0 mg/1.
***Instream samples for temperature shall be collected three times per week.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units and shall be monitored three times per week at the effluent
by grab sample.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

Part III Permit No. NC0067865
r,
E. Protection of Water Quality Standards Condition
Upon findings by the Division of Environmental Management that impacts on the receiving stream
by the operation of this facility are sufficient to cause violations of water quality standards, this
permit shall be revoked and reissued, or, modified to require such measures, including but not
limited to, monitoring and reporting, initiation of specific management practices, or construction
and operation of additional treatment facilities.
F. Toxicity Reopener Condition
This permit shall be modified, or revoked and reissued to incorporate toxicity limitations and
monitoring requirements in the event toxicity testing or other studies conducted on the effluent or
receiving stream indicate that detrimental effects may be expected in the receiving stream as a result
of this discharge.

NPDES WASTE LOAD ALLOCATION
11
.--A.,,
Modeler Date Rec. #
PERMIT NO.: NC0067865 31,03 'AO t 11/37:7
PERMITTEE NAME: Ms. Lynda W. Hancock 2
FACILITY l TAME: Lynda Hancock Property Drainage Area(mi. ) 02,S Avg. Streamflow (cfs): .2.7
Facility Statics' Existing 7Q10 (cfs)0,is- Winter 7Q10 (cfs) 0,72- 30Q2 (cfs) /,o
Permit Status: Renewal Toxicity Limits: IWC % Acute/Chronic
Major Minor Instream Monitoring:
Pipe No.: _ 001 Parameters r7-0.-t 2)b
Fe..,,? r•-..,
Design Capacity: 0.200 MGD Upstream /y Location
41: 4-4vc-
Domestic (% of Flow): 100 % Downstream Y Location34o j
Industrial (% of Flow): G
Effluent Summer Winter
Comments: Characteristics
NO A TO C OR COMPLIANCE DATA BOD5 (mg/1) /7 30
NH3-N (mg/1) S
D.O. (mg/1) 5 S
RECEIVING STREAM:unnamed tributary to Crowders Creek
Class: C TSS (mg/1) 30 A
Sub-Basin: 03-08-37 • F. Col. (/100 ml) ACrO 2
Reference USGS Quad: G 14 NW (please attach)
County: Gaston
pH (SU) 6-9 G-,
Regional Office: Mooresville Regional Office 40. aLL-c.60 a I 21
Previous Exp. Date: 1/31/92 Treatment Plant Class: IIoriginally ,l
-t. /f d 7 V , .
Classification changes within three miles: rogo, Aw...4 ...1 /
f
Requested by: Angela Y. Griffin Date: 6//28/91
Prepared by: A. 4. Date: 119 93 Comments:
Reviewe y• Date:
t.obi 3 S s iv / 0 9 93

FACT SHEET FOR WASTELOAD ALLOCATION
Request# 6327 gAt'
Facility Name: Lynda Hancock Property �,a vlyst A�Yr
NPDES No.: NC0067865 s rrst DEao
Type of Waste: 100%Domestic cow'�'
Facility Status: Existing 2 1993
Permit Status: Renewal Sul
Receiving Stream: UT Crowders Creek �,�H,,g�kENt
Stream Classification: C Eh��p°R �►� �E►C'E
Subbasin: 030837 QREy`lLE
County: Gaston Stream Characterise.
Regional Office: Mooresville USGS #
Requestor: err I, Date:
Date of Request: 7/1/91 Drainage Area(mi2): 2.5
Topo Quad: G14NW Summer 7Q10(cfs): 0.45
Winter 7Q10(cfs): 0.72
Average o vv cfs : 2.9 •
30Q2 (cfs '�. "P OF N14 yRAL
RESOURCES AND
IWC(674:)MMUNITV DEVELOPMENT
AUG 1 8 1993
Wasteload Allocation Summary
(approach taken,correspondence with region,EPA,etc.) [ RON:�ENTAI NAN9GCMElti
WLA has been held awaiting results of QUAL2E model on Crowders� :tE REIIONAI OFFICE !,
Recommend renewal of permit with NH3 Choice limits and a chlorine limit.
No ATC issued to date. r=
J I
-'I
Special Schedule Requirements and additional comments from Reviewers:
,
•
Recommended by: Date: 7/21/93 _
7/ 3/93
Reviewed by
Instream Assessmen : Date: 7 o?%
6:51
Regional Supervisor: 1) G Date:
_f4-
Permits &Engineering: Date:_
AUG 21 1993
RETURN TO TECHNICAL SERVICES BY:

2
CONVENTIONAL PARAMETERS
Existing Limits:
Monthly Average
Summer Winter
Wasteflow (MGD): 0.200 0.200
BOD5 (mg/I): 17 30
NH3N(mg/1): 14 nr
DO(mg/1): 5 5
TSS (mg/1): 30 30
Fecal Col. (/100 ml): 1000 1000
pH (SU): 6-9 6-9
Residual Chlorine (µg/I): monitor monitor
Temperature (°C): monitor monitor
TP(mg/1): monitor monitor
TN(mg/1): monitor monitor
Recommended Limits:
Monthly Average
Summer Winter WQ or EL
Wasteflow (MGD): 0.200 0.200
BOD5(mg/1): 17 30 WQ
NH3N (mg/1): 2 5 WQ
DO(mg/I): 5 5 WQ
TSS (mg/1): 30 30
Fecal Col. (/100 ml): 200 200
pH (SU): 6-9 6-9
Residual Chlorine (µg/1): 28 28
Temperature (°C): monitor monitor
TP(mg/I): monitor monitor
TN (mg/1): monitor monitor
Limits Changes Due To: parameter(s) Affected
Change in 7Q10 data
Change in stream classification
Relocation of discharge
Change in wasteflow
Other(onsite toxicity study, interaction,etc.)
Instream data
New regulations/standards/procedures NH3, Fecal
New facility information
_X_ Parameter(s) are water quality limited. For some parameters,the available load capacity of
the immediate receiving water will be consumed. This may affect future water quality based
effluent limitations for additional dischargers within this portion of the watershed.
OR
No parameters are water quality limited, but this discharge may affect future allocations.

3
INSTREAM MONITORING REQUIREMENTS
Upstream Location: 5°C ` `'`"d
Downstream Location: 900 ^�'-� dui
Parameters:�,r..�•u. Dn�
Special instream monitoring locations monitoring uencies:
MISCELLANEOUS INFORMATION&SPECIAL CONDITIONS
Adequacy of Existing Treatment
Has the facility demonstrated the ability to meet the proposed new limits with existing treatment
facilities? Yes No
If no,which parameters cannot be met?
Would a "phasing in" of the new limits be appropriate?Yes No
If yes, please provide a schedule(and basis for that schedule)with the regional
office recommendations:
If no, why not?
Special Instructions or Conditions
Wasteload sent to EPA? (Major) (Y or N)
(If yes,then attach schematic, toxics spreadsheet,copy of model,or, if not modeled,then old
assumptions that were made, and description of how it fits into basinwide plan)
Additional Information attached? (Y or N) If yes,explain with attachments.

Permit No. NC0067873
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERM I T
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,
MS. LYNDA W. HANCOCK
is hereby authorized to discharge wastewater from a facility located
off Candlewick Trail
Gaston County
to receiving waters designated as an unnamed tributary to Crowders Creek in the
Catawba River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions
set forth in Part I , II, and III hereof.
This permit shall become effective
This permit and the authorization to discharge shall expire at midnight on
Signed this day of
DRAFT
R. PAUL WILMS, DIRECTOR
DIVISION OF ENVIRONMENTAL MANAGEMENT
BY AUTHORITY OF THE ENVIRONMENTAL
MANAGEMENT COMMISSION
M1 & 11

PP
Permit No. NC0067873
SUPPLEMENT TO PERMIT COVER SHEET
Ms. Lynda W. Hancock
is hereby authorized to:
1 . Enter into a contract for construction of a Wastewater Treatment Facility, and
2. Make an outlet into an unnamed tributary to Crowders Creek, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management construct and operate a 0.07 MGD Wastewater Treatment Facility
consisting of two 0.035 MGD package extended aeration plants with aeration
basin, clarifier, chlorine contact chamber and aerobic digestor located at the
proposed subdivision off Candlewick Trail, Gaston County (See Part III of
this Permit) , and
4. Discharge from said treatment works into an unnamed tributary to Crowders
Creek which is classified Class "C" waters in the Catawba River Basin.

11
3
w •
A. ( 1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final WINTER (NOVEMBER 1 - MARCH 31)
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) on.
Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics Discharge Limitations 1 Monitoring Requirements
Kq/day (lbs/dtv) Other-Units (Specify) Measurement Stele * Ste�le_
Monthly Avg., Weekly Avg. Monthly Avg. weekly Avg. requen cy Type Location
Flow 0.07 M G D 0ontinuous Recording I or E
BUD, 5Day, 20oC 10.0 mg/I 15.0 mg/I 2/Month Composite E
Total Suspended Residue 30.0 mg/I 45.0 mg/I 1/Month Composite E
NII3 as N 4.0 mg/I 6.0 mg/I 2/Month Composite E
Dissolved Oxygen (minimum) 6.0 mg/I 6. 0 mg/I Weekly Grab E,U,D
Fecal Coliform (geometric mean) 1000.0/100 mi. 2000.0/100 mi. 2/Month Grab E,U,D
Residual Chlorine Daily Grab E
Temperature • Weekly Grab E,U,D
Total Nitrogen (NO2 + NO3 + TKN) . .Quarterly Composite E
Total Phosphorus Quarterly Composite E
*Sample locations: E - Effluent, I - Influent, U - Upstream, D - Downstream
6.0 standard units nor greater than 9.0 standard units and 0 .A 3The pH shall not be less than cn
shall be monitored 2/Month at the effluent by grab sample. .4 z
There shall be no discharge of floating solids or visible foam. in other than trace amounts. w o 0

1111111
w .
A. ( 1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final SUMMER (APRIL 1 - OCTOBER 31)
During the period beginning on the effective date of the Permitand lasting until expiration,
the pennittee is authorized to discharge from outfall(s) serial number(s) on.
Such discharges shall be limited and monitored by the penni ttee as specified below:
Effluent Characteristics Discharge Limitations Monitoring requirements
Kg day (lbs/day) Other-Units (Specify) Measurement aSa .it * Ste�le__
Monthly Avg. Weekly Avg. Monthly Avg. weekly Avg.; cy requen Type Location
Flow o 0.07 M G D Continuous Recording I or E
BOD, 5Day, 20 C 5.0 mg/I 7. 5 mg/1 2/Month Composite E
Total Suspended Residue 30.0 mg/I 45.0 mg/I 2/Month Composite E
NH3 as N 2.0 mg/I 3. 0 mg/I 2/Month Composite E
Dissolved Oxygen (minimum) 6.0 mg/I 6.0 mg/I Weekly Grab E,U,D
Fecal Coliform (geometric mean) 1000.0/100 ml. 2000. 0/100 ml. 2/Month Grab E,U,D
Residual Chlorine Daily Grab. E
Temperature Weekly Grab E,U,D
Total Nitrogen (NO2 + NO3 + TKN) Quarterly Composite E
Total Phosphorus Quarterly Composite E
*Sample locations: E - Effluent, I - Influent, U - Upstream, D - Downstream
I
A A O O
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units and a, e
shall be monitored 2/Month at the effluent by grab sample. v Z
There shall be no discharge of floating solids or visible foam in other than trace amounts. W o

Part III Continued
Permit No. NC0067873
F. Toxicity Repener
This permit shall be modified, or revoked and reissued to
incorporate toxicity limitations and monitoring requirements in the
event toxicity testing or other studies conducted on the effluent
or receiving stream indicate that detrimental effects may be
expected in the receiving stream as a result of this discharge .
G. If this facility is built in phases , plans and specifications for
the next phase shall be submitted when the flow to the existing
units reaches 80Z of the design capacity of the facilities on line.
At no time may the flow tributary to the facility exceed the design
capacity of the existing units .
H. The permittee shall properly connect to an operational publicly
owned wastewater collection system within 180 days of its
availability to the site .
I . Other Conditions
1 . The proposed wastewater treatment plant and the proposed point
of discharge shall be no closer than 400 feet to any existing
residence.
2. The proposed wastewater treatment plant must be constructed
with suitable fencing barriers and surrounding trees and shrubs
as deemed appropriate by the Division of Environmental
Management as an aesthetic buffer .
3. No new residences may be constructed within 100 feet of the
barriers surrounding the proposed wastewater treatment plant.

,.�q....+,k .o .w-. -.^^...,*"�.'fl'•.Rl-'V^+eew rrw.s---...o�w-w.�`+.v,Tf"' "^�'w.+ -.... ...�-...�. .,.. _ .. ..
I
li ,V
,...»
of �,M^�_ 1' N. C. DEFT OF
( ItESOURC NA7'UttAL
i' COM1ILT ITY J_ND
DEVELOpi!E I,
State of North Carolina •
Department of Natural Resources and Community De' lo �
Division of Environmental Management 1)IVIS10 1
512 North SalisburyStreet • Raleigh, North Carolin ,EAVIRONMEMTAC L'„„�;; ��
1 ILLS KEl l AL FIG.;" r i
' James G. Martin, Governor .giaul Wilms 1
S. Thomas Rhodes, Secretary Director
Subject : NPDES Permit Application 1
NPDES Permit No. NCOO
County j
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: i
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
t for the review of the application.
t I am, by copy of this letter, requesting that our Regional Office
E Supervisor prepare a staff report and recommendations regarding this
discharge . If you have any questions regarding this application, please
k contact the review person listed above .
Sincerely,
I
Arthur Mouberry, P.E.
Supervisor, Permits and Engineering
,
• cc :
t Pollution Prevention Pays
1libm...
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

•
A1d
'-I
N. C. DEPT'. OF NATURAL RESOURCES AND COMMUNITY DEV. FOR AGENCY USE
• ENVIRONMENTAL MANAGEMENT COMMISSION Ad4 .
ea }.
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM .
APPLICATION FOR PERMIT TO DISCHARGE WASTEWATER ck4 0097 - ,e
STANDARD FORM C —MANUFACTURING AND COMMERQ 4I. 6,0 40 fece Ae d
SECTION I. APPLICANT AND FACILITY DESCRIPTION '- ' �! �D
Unless otherwise specified on this form all Items are to be completed. If an item Is not applicable Indicate'NA.'
rik—
ADDITIONAL INSTRUCTIONS FOR SELECTED ITEMS APPEAR IN SEPARATE INSTRUCTION BOOKLET AS INIPLIN PE0. REF.EA TO
• BOOKLET BEFORE FILLING OUT THESE ITEMS.
• Please Print or Type
t. Legal Name of Applicant 0..1 Lynda W. Hancock
(see Instructions) .i•s'ti8:'•`'
:�;:
2. Mailing Address of Applicant rv:• .;:::
``=�:.r;_'.. Rt . 4 Box 593—A
(see Instructions) '
Number Q Street 11Q20
iNta,�
• City Me
r Gastonia -
M N.0 •
State a1O c' '
Zip Code :,1O2d' 28054 r,,,R .A.,.rr•-c•••''
3. Applicant's Authorized Agent ' -` f: I'
(see instructions) None ~
i 4'
Name and Title ' Aa f,a."1
Number a Street Address ltlaC -
j r-1vi 1 ,,!N i ! !, N
City 140.i.'
State :1.:03a.: .- �.�.. . ..
•
• Zip Code 4 O30;
Telephone ( 03f 704 824-2496
• „>••• :•,s` Area Number
• 4. Previous Application > Code
if a previous application for a Y'»< >4
National or Federal discharge per- •
s"s•%x:::5:4
mit has been made,give the date ..;„-: •
of application. Use numeric --
designation for date. 404 YR MO DAY •
I certify that I am familiar with the information contained In this application and that to the best of my knowledge and belief such information
is true,complete,and accurate.
Lynda W_ Hancock OW Owner
_ >
Printed Name of Person Signing Title
t >
i: ;,. 86 6 26
L/yn MAP,
YR MO DAY
•
Ackto
Signature of Applicant or Authorized Agent Date Application Sinned
•
! orth Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly makes
,ny false statement representation, or certification in any application, record, report, plan,
3r other document files or required to be maintained under Article 21 or regulations of the
3nvironnental Management Commission implementing that Article, or who falsifies, tampers with,
)r knowly renders inaccurate any recording or monitoring device or method required -:to be
,perated cr maintained under Article 21 or regulations of the _Environmental Management Commissio:
implementing that Article, shall be guilty of a misdemeanor ai.inishable by a fine net to exceed•
0_0,00/0, or by imprisonment not to exceed six months, or by both. (1S U.S.C- Section 1001 providt
punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or •both,
-n,- a Rimilar offense.) •

5. Facility/Activity(see Instructions) FOR AGENCY USE
Give the name,ownership,and l I 1 1 .l t physical location of the plant or
other operating facility where dlc-
charge(s)does or will occur. Treatment Plant for
Name 101.0,.
Residential Subdivision
Ownership(Public,Private or
Both Public and Private) 11y05b.> ❑PUB ❑PR ❑BPP
Check block If Federal Facility 7@5ct` ❑FED .
and give GSA Inventory Control ;? < ;
Number 440 r-
VOWS
:WiAA
Location ^ SR 2423 (Bud Wilson Rd. )
;•::s<s�;
Street & Number 46..i.
city �.ia,¢ae.
(Southeast Site )
County <'1O tt
State .143,l"' .
6. Nature of Business State the 1:Cia:
Single Family Subdivision
nature of the business conducted
at the plant or operating facility.
:0 t 2:;.; AGENCY USE .
f r .{ tb aa
gee ;
7. Facility Intake Water (see Instruc-
tions) Indicate water Intake volume
per day by sources. Estimate
average volume per day In thousand
gallons per day. • 70,000
000
Municipal or private water system <'t07:s' thousand gallons per day
Surface water 70r;7b thousand gallons per day
Groundwater a07d thousand gallons per day
• Other* .107d:'. thousand gallons per day
Total Item 7 • :�.1o7a- 7n r nnn thousand gallons per day
•1 f there is intake water from
'other,'specify the source. 107f'.
8. Facility Water Use Estimate
average volume per day In thousand
gallons per day for the following ,
types of water usage at the facility.
(see instructions)
Noncontact cooling water 1 o0a . thousand gallons per day
Boiler feed water ..1011b thousand gallons per day
Process water(Including contact •
cooling water) 100C` thousand gallons per day .
W Sanitary water 70 r OOO
lOt1.:::: thousand gallons Per day
Other' .10 RS.V thousand gallons per day
Total Item 8 '(t*:f : 70 r 000 thousand gallons per day
•If there ere•discharges to ' 1.'
'other,'specify. 1oisf?x
If there Is'Sanitary'water use,give ` �0 700
the number of people served. 1d/1.ts, peo0ie served. -
• • I-2 •

•
DISCHARGE SERIAL NUMBER
•
001
FOR AGENCY USE
Municipal Storm Water Transport
System 0 STS -
Well(Injection) ❑WEL
Other ❑OTH
If 'other' is checked, specify t0flk
6. Discharge Point—Lat/Long Give
the precise,location of the point
of discharge to the nearest second. •
�,
Latitude 20•�e DEG 10 MIN 00 SEC
Longitude 204. 81 DEG 8 MIN 30 SEC
•
•
7. Discharge Receiving Water Name
•
Name the waterway at the point ,,2O7e••
of discharge.(see Instructions) • UT Crowder t S Creek
•
For Agency Use For Agency Use
If the discharge is through an out- 303e
Major Minor Sub t. ,
tall that extends beyond the shore- 207p;• .
line or is below the mean low - '20ya`. •
water line,complete Item 8.
8. Offshore Discharge •
a. Discharge Distance from Shore 20Sa N/A feet
b. Discharge Depth Below Water
Surface 2011b feet
9. Discharge Type and Occurrence
a. Type of Discharge Check '
whether the discharge is con- 2011a_ 05(con)Continuous
tinuous or intermittent.
(see instructions) ❑(int) Intermittent
b. Discharge Occurrence Days per
Week Enter the average num- 20$b .ldays per week
ber of days per week(during
•
periods of discharge)this dis-
charge occurs.
c. Discharge Occurrence—Months
• If this discharge normally 20fc OJAN OFEB ❑MAR . ❑APR
operates(either intermittently, j
or continuously)on less than • - ❑MA ❑JUN ❑JUL ['AUG
a year-around basis(excluding -
shutdowns Mr routine mainte- OSEP ❑OCT ❑NOV ❑DEC
nance),check the months dur-
ing the year when the discharge
is operating. (see instructions)
'omplete items 10 and 11 if"inter- •
littent"is checked in item 9.a.
)therwise,proceed to Item 12.
•
0. Intermittent Discharge Quantity • ;
State the average volume per dis- 21O- . N/A thousand gallons per discharge occurrence.
charge occurrence in thousands of .
gallons. •
•
11. Intermittent Discharge Duration
and Frequency
a. Intermittent Discharge Duration
Per Day State the average 211a N/lihours per day
number of hours per day the
discharge is operating.
b. Intermittent Discharge A
Frequency State the average 21lb N discharge occurrences per day
•
number of discharge occur. '
rences per day during days
when discharging.
12. Maximum Flow Period Give the
time period in which the maximum 212. From N/Ato

•
•
• FOR AGENCY USE
STANDARD FORM C — MANUFACTURING AND COMMERCIAL - I l 1
SECTION IL BASIC DISCHARGE DESCRIPTION
Complete this section for each discharge indicated in Section I, Item 9, that is to surface waters. T his includes discharges to municipal sewerage
systems in which the wastewater does not go through a treatment works prior to being discharged to surface waters. Discharges to wells must
be described where there are also discharges to surface waters from this facility. SEPARATE DESCRIPTIONS OF EACH DISCHARGE ARE
REQUIRED EVEN IF SEVERAL DISCHARGES ORIGINATE IN THE SAME FACILITY. All values for an existing discharge should be repre-
sentative of the twelve previous months of operation. If this is a proposed discharge,values should reflect best engineering estimates.
ADDITIONAL INSTRUCTIONS FOR SELECTED•ITEMS APPEAR IN SEPARATE INSTRUCTION BOOKLET AS INDICATED. REFER
TO BOOKLET BEFORE Fit.LING OUT THESE ITEMS.
I. Discharge Serial No.and Name
a. Dlscharge.Serial No. 201a 001
(see instructions)
•
b. Discharge Name •• 20tb N/A
Give name of discharge,I6 any.
(see instructions)
•
c. Previous Discharge Serial No.
If previous permit application N/A •
was made(or this discharge(see 20tc —
Item 4,Section I), provide previ-
ous discharge serial number.
•
2. Discharge Operating Dates
a. Discharge Began Date If the
discharge described below is in
operation, give the date(within 2o2a N/A
best estimate) the discharge YR MO
began.
b. Discharge to Begin Date If the
discharge has never occurred but 86 12
is planned for some future date, 202b
give the date(within best esti• YR MO
mate)the discharge will begin.
•
c. Discharge to End Date If dis-
charge is scheduled to be discon- .
tinued within the next 5 years, 202e N/A
give the date(within best esti- YR MO
(hate) the discharge will end.
3. Engineering Report Available
Check if an engineering report is
available to reviewing agency upon ,
request. (see instructions} 202 ❑
4. Discharge Location Nance the
political boundaries within which •
Agency Use
the point of discharge is located.
North Carolina
State 204a _ __- 204d
County 204b ._ Gaston _•, 2044
(if applicable) City or Town 204c _ 204f
5. Discharge Point Description •
Discharge is into (check one):
(see instructions)
Stream (includes ditches,arroyos, ,..yy
and other intermittent watercourses) 205a 1 TR
Lake OLKE
Ocean ❑OCE
Municipal Sanitary Wastewater ••
Transport System OMTS
Municipal Combined Sanitary and
Storm 'Transport System ❑MCS

•
•
FOR AGENCY USE
9. •All Facility Discharges and other
Losses;Number and Discharge(see •
instructions) Volume Specify the
number of discharge points and the
volume of water discharged or
lost from the facility according to .
the categories below. Estimate Number of Total Volume Used
average volume per day In thousand Discharge or Discharged,
gallons per day. Points Thousand Gal/Day
Surface Water •109 1` 1 109a2'.. 70 ,000
Sanitary wastewater transport 109b1': 109b2:.:.
System i.-
t•
Storm water transport system• FfO9a1 109e;
Combined sanitary and storm
water transport system . 109d1 1O9d '
Iiis
„,o'
Surface Impoundment with no 1
effluent *41,104a1 1014e2
t ..
•
Underground percolation 4JO91f 4:04f;`:
Well Injection . 10fg1;.. t1094z,;
< •
Waste acceptance firm 109111 .1Os1t2::?
•
Evaporation 10911' 141f„12:
Consumption 10911 10912 ;:
t1" 10
Other• 10914k2
Facility discharges and volume
Total Item 9. 10911 ` 1 1:o112 ;`. 70, 000
...
•If there are discharges to'other,'
specify. :10$m1
10. Permits,Licenses and Applications N/A
List all existing,pending or denied permits,licenses and applications related to discharges from this facility(see instructions).
Type of Permit Date Date Date Expiration
Issuing Agency For Agency Use or License 10 Number Filed Issued Denied Date
YR/MO/DA YR/MO/DA YR/MO/OA YR/MO/DA
2 iQ taJ t <>; 41 :y .
. . taJ + o.? ...(41_' ' ��(*. a >; •(f) '' • (VI ;^ (hJt.
r r k
t
a. '
K ::
3. :
a
11. Maps and Drawings See Attached
Attach all required maps and drawings to the back of this application.(see Instructions)
12. Additional Information See Attached
`'112' Item Number Information

•
•
(SZ)
(t+Z) (CZ) (ZZ)
• (Ti) (OZ) (6i)
• (RI) • (Li) (91)
• (MT) • (0i) • (CT)
• —• (.:I) (1 I) (Of) •atgI. •d to
1I1?70•A(Jgl q)ItM II!10P10 OM
(6) SOUSVS (9) • VJ SOdW (L) ut a6lewostp slut Jut sasfaaOld
luau•atcge a1sPM ay1 aquxap
SIC1J ) (9) U;IX1Wd (S) Wi(EdSd (P) •1alsooguotlanitsuiaw )0 II
awl ul patsll sopoa awl 6utsfl
co (Mr sapoZ suawalegy a)srM .q
• ALLOYS (E) • 'I`df1C�Sd (Z) • $$2I.7Sd
SdSegd U14 UI
pOaon.Zg3uOJ oq 01 Our 1.d 4udwd.all5rdw
mot; quanT33e Osfl -uO L 4 o6 tp dbprTs
3ig0.2ae pue uvr-zezaraa 0-troi4earsoTg3
1U • rwdw pdxrw ' eToi r
•
eCpttis /rl 6(01T44as 14uawque-71-W5PnTs •
pageAT40 uv !.4r..ldr pdpUd4Xd ' UOTJEZTienba
Mores- 1 Gu !.uad.Los-d6emos me.z quenIJuT 3o
(suotla•utsul
far!. _I5 L SUD -adhl 3-6p ed at ;o aq — — aas) a�lleuvu jal.q•••nl•^
ab1¢w1SIP fly; up o:xn sa,Il)(Jo
t Q t� ' nA L d� esoao ld a :anpellett 0S1Z . luawalege alseM awl agt/psa(1
PCB Qr'l '� p mj, saal{x1d wawaiegV aislM •e
tuawategy atteM 'St
1I1
3Sfl A0N3ON 21OA
T00
1:1391Nf1N ltfll/3s 3JUVHosio

•
•
•
DISCHARGE SERIAL NUMBER •
• 001
•
FOR AGENCY USE
13. Activity Description Givea Single Family Residential Subdivision
narrative description of activity I 213a I
producing this discharge.(see
Instructions)
•
•
•
•
•
•
•
14. Activity Causing Discharge For .
each SIC Code which describes
• the activity causing this discharge.
supply the type and maximum
amount of either the raw material
consumed(Item 14a)or the product
produced((tern 14b)in the units
specified in Table I of the Instruc-
tion Booklet. For SIC Codes not
•
listed in Table I,use raw material
or production units normally used
for measuring production,(sce
instructions)
•
•
•
a. Raw Materials N/A
Maximum Unit Shared Discharges
•
SIC Code Name Amount/Day (See Table I) (Serial Number)
214a (1) (2) (3) (4) _ — -- (5)
•
b. Products .
Maximum Unit Shared Discharges
SIC Code Name Amount/Day (See Table 1) (Serial Number)
2140' (1)
— --
IT •
•
.f

•
•
DISCHARGE SERIAL NUMBER
001
FOR AGENCY USE
16. Wastewater Characteristics
Check the box beside each constituent which Is present In the effluent (discharge water). This determination Is to be based on actual analysis
or best estlmate.(see Instructions)
Parameter Parameter
3 E.Gn' a` a
Color }+ Copper
00080 X 01042
Ammonia Iron
00610 X 01045
Organic nitrogen Lead
00605 01051
Nitrate Magnesium
00620 00927
Nitrite Manganese
00615 01055 •
Phosphorus Mercury
00665 71900 •
Sulfate Molybdenum
00945 01062
Sulfide Nickel
(l0745 01067
Sulfite Selenium
00740 01147
Bromide Silver --
71870 01077
•
Chloride Potassium
00940 00937
Cyanide Sodium
00720 00929
Fluoride Thallium •
00951 01059 •
Aluminum Titanium
01105 01152 •
Antimony Tin •
01097 01102
Arsenic Zinc
01002 01092
Beryllium Algicides•
01012 74051
Barium Chlorinated organic compounds•
(11007 74052
Boron Pesticides*
01022 74053
Cadmium Oil and grease
01027 00550
Calcium Phenols
00916 32730
Cobalt Surfactants
01037 38260
Chromium Chlorine •
01034 _ 50060 X
Fecal coliform bacteria Radioactivity*
74055 X 74050
•Specify substances,compounds and/or elements in Item 26.
Pesticides(insecticides, fungicides,and rodenticides)must be reported in terms of the acceptable common
names specified in Acceptable Common Names and Chemical Names for the Ingredient Statement on
Pesticide Labels, 2nd Edition,Environmental Protection Agency,Washington,D.C.20250,June 1972,as
•
required by Subsection 162.7(b)of the Regulations for the Enforcement of the Federal Insecticide, •
Fungicide,and Rodenticide Act.

. .
. .
DISCHARGE SERIAL NUMBER
. 001 •
FOR AGENCY USE
17. Description of Intake and Discharge
For each of the parameters listed below,enter In the appropriate box the value or code letter answer called for.(see instructions)
In addition,enter the parameter name and code and all required values for any of the following parameters If they were checked in Item 16;
ammonia,cyanide,aluminum,arsenic,beryllium,cadmium,chromium,copper,lead,mercury, nickel,selenium,zinc,phenols,oil and grease,
and chlorine(residual).
Influent
I Effluent
uea .4`
14 4'17 IS T 0 c
o .c = e i
.a. " 1•. ••7 ..• r
4) 'a 7 'a .9 .4:j ...... ID
Parameter and Code «. g ,,,,, 1., it. > 8 0 > '' . o o.
o ....
II >•• o ›.
« 3 < >. E •cr '',3 leo E .0 .0 r3 0
NOWs... • 1.: .4
..r = .< z u ° A' ' E •`-'. V . V U U
0 ••••• T• 7 >•••• .7 >•. 76'
.. i t •g g . ..
• .b 2 r4 ...4 .§ i
• ; '4 . zo A • . x ..... U al 17 X ••••••
XOt .0 aCA ‹ trii:1 ... c
tl. < 2 < 41
•
"4 (1) (2) (3) (4) (5) (6) (7) (8)
Flow* •
Gallons per day -
00056 0 .07 0.07
PH •
Units
00400 - 4 6 9
. .
Temperature(winter)
• F
74028
_ Temperature(summer)
"
'F .
74027
Biochemical Oxygen Demand
(BOD 5-day)
mg/I 250 11
00310
1
Chemical Oxygen Demand(COD)•
mg/I
00340
Total Suspended(nonhilterable)
Solids
mg/1 250 30
00530
Specific Conductance
micromhos/cm at 256 C
00095 I4
Settleable Matter(residue)
in1/1
1 .
00545
*Other discharges sharing intake flow(serial numbers).(see instructions)
. ,

•
DISCHARGE SERIAL NUMBER
001 FOR AGENCY USE
17. (Cont'd.)
Influent Effluent
Parameter and Code .E '° 'O o A > q < w
< 3 < •E es E V 17 V ° =
c b A a. :9 „ c St $ u •; x St �', L.; a E _
a3 �i � x � � •' " x '� $ e 7i� E
owca < .� owq wa z < rn
,, (1) (2) (3) (4) (5) (6) (7) (8)
.
N H 3 N 25 4
18. Plant Controls Check if the fol-
lowing plant controls are available
for this discharge. N/A
Alternate power source for major APS
pumping facility.
Alarm or emergency procedure for " 0 ALM
power or equipment failure
Complete item 19 If discharge is
from cooling and/or steam water
generation and water treatment
additives are used.
19. Water Treatment Additives If the
discharge is treated with any con-
ditioner,Inhibitor,or algiclde,
answer the following:
a. Name of Material(s) -218a N/A
b. Name and address of manu-
facturer ma
c. Quantity(pounds added per
<#t30c
million gallons of water treated). •

•
OISCHARGE SERIAL NUMBER
001 FOR AGENCY USE
•
•
d. Chemical composition of these Z1 1d.
additives(see Instructions).
•
Complete Items 20-25 If there Is a thermal discharge
(e.g.,associated with a steam and/or power generation
plant,steel mill,petroleum refinery,or any other
manufacturing process)and the total discharge flow Is
10 million gallons per day or more. (see Instructions)
20. Thermal Discharge Source Check O;i°
the appropriate Item(s)indicating@ / •
the source of the discharge. (see i> 3j N A
Instructions) " '^ '
Boiler Slowdown >? ❑BLBO
Boller Chemical Cleaning BCCL
M.- .4..}},�,,,�.�. ❑
Ash Pond Overflow v'::': QAPOF
•
Boiler Water Treatment—Evappra- Q EPBO
tor Biowdown :;'
Oil or Coat Fired Plants—Effluent QOCFP
from Air Pollution Control Devices
Condense Cooling Water 0 COND
Cooling Tower Slowdown ❑CTBD
Manufacturing Process Q MFPR
Other DOTHR
•
21. Discharge/Receiving Water Temper-
ature Difference •
Give the maximum temperature
difference between the discharge
and receiving waters for summer N/A
and winter operating conditions.
(see instructions)
Summer :'22t.a °F.
Winter `'z221b • °F.
•
22. Oischarge Temperature, Rate of -2 `: ;,,
Change Per Hour ??2': N A°F./hour
Give the maximum possible rate of
•
temperature change per hour of
discharge under operating con-
ditions. (see instructions)
23. Water Temperature,Percentile
Report(Frequency of Occurrence)
In the table below,enter the •
temperature which is exceeded 10%
of the year,5%of the year, 1%of N/A
the year and not at all(maximum
yearly temperature). (see Instructions) i>
Frequency of occurrence 10% 5% 1% Maximum
°F °F °F °F
a. Intake Water Temperature 223e.
(Subject to natural changes)
°F °F °F of
b. Discharge Water Temperature 2.23..13
24. Water Intake Velocity 224::>: N/Afeet/sec.
(see instructions)
25. Retention Time Give the length of
time. In minutes, from start of
water temperature rash to discharge
of cooling water. (see Instructions)
II-8

•
•
OiSCHARGE SERIAL NUMBER
001
FOR AGENCY USE
•
26. Additional Information
226: Item See Attached
Information
•
•
•
11-9

FOR AGENCY USE
STANDARD FORM C - MANUFACTURING AND COMMERCIAL as
SECTION III. WASTE ABATEMENT REQUIREMENTS& IMPLEMENTATION (CONSTRUCTION)SCHEDULE
This section requires information on any uncompleted Implementation schedule which may have been Imposed for construction of waste abate-
ment facilities. Such requirements and Implementation schedules may have been established by local.State,or Federal agencies or by court
action. In addition to completing the following Items,a copy of an official Implementation schedule should be attached to this application.
IF YOU ARE SUBJECT TO SEVERAL DIFFERENT IMPLEMENTATION SCHEDULES,EITHER BECAUSE OF DIFFERENT LEVELS OF
AUTHORITY IMPOSING DIFFERENT SCHEDULES(Itfm la.)AND/OR STAGED CONSTRUCTION OF SEPARATE OPERATION UNITS
(Item lc),SUBMIT A SEPARATE SECTION III FOR EACH ONE.
. FOR AGENCY USE
1. Improvements 3004; ;pa:.. •IRRcfs �o' gp h 30 0s
a. Discharge Serial Number « Q'� •� �' ": 0.�•���.i '*x
Affected List the discharge ,i �•. CC1 w4 #se. n>.a z
serial numbers,assigned In • � >z, . '`
= ,
Section II,that are covered by e
t 41
this Implementation schedule. r5. '
tip.
b. Authority Imposing Require-
mints Check the appropriate ? Via;
. Item Indicating the authority for •
Implementation schedule. If
the Identical implementation
schedule has been ordered by
more than one authority,check N/A
the appropriate items. (see
Instructions)
Locally developed plan 301'6?' ❑LOC
Areawide Plan DARE
Basic Plan ❑BAS
State approved Implements .
tion schedule ❑SOS
Federal approved water
quality standards implements
tion plan. OWQS
Federal enforcement proced-
ure or action ❑ENF
State court order ❑CRT
Federal court order ❑FED
c. Facility Requirement. Specify
the 3-character code of those 3-character
listed below that best describes (general)
in general terms the require-
ment of the Implementation ": fa': NEW
schedule and the applicable six-
character abatement code(s)
from Table II of the instruction
booklet. If more than one .201d: 6-character
schedule applies to the facility (specific)
because of a staged construction : (see Table II)
schedule,state the stage of con- PSCREE, PEQUAL, BACTI V r PSEDIM,
structlon being described hero •
PMIXED, CCLDIS, MPOSTA, SAEROB
with the appropriate general
action code. Submit a separate
Section III for each stage of
construction planned. -
New Facility NEW
Modification(no Increase in capacity or treatment) MOD
Increase In Capacity INC
Increase In Treatment Level INT
•
Both increase In Treatment Level and Capacity ICT
Process Change PRO
Elimination of Discharge ELI
f11_1

•
FOR AGENCY USE
2. Implementation Schedule and 3. Actual Completion Dates
Provide dates Imposed by schedule and any actual dates of completion for Implementation steps listed below..
Indicate dates as accurately as possible. (see Instructions)
Implementation Steps 2. Schedule(Yr./Mo./Day) 3. Actual Completion(Yr./Mo./Oay)
a. Preliminary plan complete $O
yY�i��
b. Final plan submission + 1( 11 I�/ 8 ft,� `' —/—/
60:, 12 1 86 lF k,
c. Final plan complete
•
d. Financing complete&contract awarded
_/_ —/ 87
7 1 86 0,040.t
e. Site acquired a :ky
f. Begin action(e.g.,construction) b2!
g. End action(e.g.,construction) p" �.
h. Discharge Began yti2t! -/ 87
I. Operational level attained 3if,7,( 5 / 1 /8 7

N. C. DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE.ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE
ADDITIONAL REQUIRED INFORMATION
I" APPLICATION NUMBER
•
DISCHARGE SERIAL NUMBER
r
REFER TO DIRECTIONS ON REVERSE$IDE BEFORE ATTEMPTING TO COMPLETE THIS FORM
u u -
. 43 ? 0 a� ;
a > F- y° i EE >. o t-
o3a 3c uco > > u � „
•— uH u
Parameter A ' n > A
. a, A E. ; E E
(Code) ago SQ� G <: > al 74
> 0
wa e
Za rn
r
REMARKS:
•
I certify that I am familiar with the Information contained In this report and that to the
best of my knowledge and belief such Information is true,complete and accurate.
Date Form Completed Name of Authorized Agent Signature

Directions.—For each parameter listed, complete the than 1-5 minutes).
information requested in each column in the units specified #C For composite sample
mr of hours oveo be
ecrt replaced
composite
the
according to the instructions given below.
average Column 1.—Enter the daily average value of the intake sample was collected. Composite samples are corn-
water at the point it enters the facility. If intake water is binations of individual samples obtained at intervals
from more than one source, and enters the facility at over a time period. Either the volume of each in-
separate entry points, the value given in column I should be dividual sample is directly proportional to discharge
weighted proportional to the quantity of flow contributed flow rates or the sampling interval (for constant-
from each source. If water is treated before use,corilpletion volume samples) is inversely proportional to the
of this column is not required (sec instructions for column• flow rates over the time period used to produce the
2).Values of intake are not required for mining activities. • composite.
Column 2.—If all or part of intake water is treated before
use, provide values for total intake here instead of in NA If"CONT' was entered in column
l con6 ins all parameters
Column 1. Also describe briefly, i#t item 26 "additional Analytical methods.—Appendix
information," the type of treatment performed on intake with their reporting levels, test descriptions, and references.
water (e.g., rapid sand filtration, coagulation, flocculation, The parameter values can be determined either by use of one
ion exchange, etc.) and the percent of intake water of the standard hods analytical
methods
th d aps proved by described h d in table
ble An or
l
contributing to this discharge that has been treated. by previously State
Column 3.—Supply daily average value for the days when Administrator or Director of a federally approved
discharge is actually operating or is expected to be operat- program (or their authorized representatives) which has
ing (a new discharge). Daily average values are to be corn- jurisdiction over the State in which the discharge occurs. If
puted by weighting the daily value in proportion to the daily the test used is not one shown in table A, the test procedure
flow. If a discharge occurs irregularly, the value supplied should be referenced in"Remarks" or on a separate sheet. If
in the column marked "Daily Average" should represent values are determined to be less than the detectable limit(as
an average for the average for the days the discharge actually determined by_referenced standard analytical techniques
occurs. Average values are not to be supplied for pH, and/or instrument manufacturer's literature), specify "LT
specific conductance, and bacteriological parameters (e.g., (afire of d toth tableclle i it)"e in
ihe005prog ri and
espace.
For
coliform bacteria).
Columns 4 and S.—Supply minimum and maximum value of less than this are determined, specify "LT .005. Do not
observed (or expected for new discharge) over any one day enter
r descriptors per such ls it is asy " reasoned L, Rt C ," "Nhat," etc.,,
• when the discharge is operating.
Column 6.—Specify the average frequency of analysis for more of the required parameters is not present in the initial
each parameter as number analyses per number of days(e.g., untreated or treated process water and/or the discharge,
"3/7" is equivalent to three analyses performed every 7 enter an "A" (meaning"absent") in the appropriate space.
days).• ues
Ifo continuous,than
"CONT." �len raba aalyses are In order for mple col- recommended that)theyr be��ba barted sedo be on fromrepresentative,
at least five to
conducted on more to one individualB
Each of
le ed during the same day, a analysis
stherequency average ofould seven analyses the the composite samtplesoshc should heobtainediby compo icing
reflect lid one analysis whose valuefrequent samples in proportion to flow over an operating
individual grab sample measurements. Average frequency day. Samples shouldbe taken during period of maximum
should he based on if operating month. production, if possible. If samples are taken at periods of
Column 7.—Specify the number of analyses performed at lss than makimurn production, state in "Remarks" the
the average frequency specified in column 6,up to 365.
Column 8.._Specify sample type as follows: percent of maximum production that was obtained during
(., For grab sample (individual sample collected in less the sampling period.

WASTEWATER TREATMENT FACILITIES
PROPOSED SUBDIVISION
LYNDA HANCOCK PROPERTY
GASTON COUNTY, N.C.
( Southeast Site)
Basis Of Design
f.
1 . Development Description
Type Subdivision
Location Gaston County
Number of Units 175
Type Dwellings Single Family Homes
Type Waste Domestic
2. Process Basis of Design
Projected Flow Per Unit 400 gpd
Projected Avg. Daily Flow 70,000 gpd
Wastewater Characteristics
B0D5 250-300 mg/1
TSS 200-250 mg/1
NH3 -N 25-30 mg/1
Discharge Stream UT Crowder 's Creek
Effluent Limits (anticipated)
GODS 11 mg/1
TSS 6 mg/1
NH3-N 7 mg/1
DO 6 mg/1
PH 6-8. 5
Fecal Coloform 1000/100 ml

•
3. Component Basis of Design
Preliminary Treatment Screening & Equalization
Biological Treatment 24 Hour Aeration
Disinfection Chlorination
Reaeration Mechanical Reaeration
Sludge Processing Aerobic Sludge Digestion
Tertiary Treatment Mixed Med Filtration
Component Design
Screening Manual-Inclined Bar Screen
Equalization
Volume Total 17, 500 Gal .
Type Variable Level
Influent Pumping Dual Submersible Grinder Pumps
Aeration
Detention 24 Hours
Total Volume 70,000 Gal .
Type Plant Package Type
Setting
Detention Four Hours @ Avg. Daily Flow
Overflow Rate (Max . ) 250 gpd/sf
Sludge Recycle 0-100%
Sludge Holding Tank
Volume (Total ) 4, 200 Gal .
Disinfection
Detention 30 Min.
Type Tablet
Reaeration
Type Mechanical Aeration
Detention 10 Min.
Flow Measuring
Type Indicator-Recorder for
90 V. Notch Weir
Sensor Float Actuated w/
Stilling Well
Effluent Filtration
Type Mixed Media, Gravity
(Sand & Archacite)
Design Loading 1 . 5 gpm/sf
Total Filter Area 30 sf
Accessories Automatic Backwash &
Return

r
INFLUENT SCREENING
00 FLOW EQUALIZATION
I
FLOW SPLITTER BOX
V y
AEROBIC SLUDGE HOLDING
a
24 HOUR EXTENDED
AERATION ACTIVATED
SLUDGE TREATMENT
A A
a a
0 H o
H H
O 0
W O W O
U) 0 U) 0
as at--
SETTLING
CHLORINATION
Y t
FILTRATION
REAERATION
FLOW MEASURING
____ _UT - CROWDERS CREEK
PROPOSED SUBDIVISION PROCESS FLOW SCHEMATIC ESP ASSOCIATES
LYNDA HANCOCK PROPERTY SOUTHEAST SITE P.O. BOX 700
GASTON COUNTY
PINEVILLE , N.C. 28134

—
.,} ti STAFF hrrUrcT Is..;;:
:.1�0i";.`1t.N:?:,TIO:\S
County: Gaston
NPDES Permit No. NC 0067873
PART I - GENERAL INFORMATION
1. Facility and Address: Lynda Hancock Subdivision, Southeast
Route 4, Box 593-A
Gastonia, N. C. 28054
2. Date of Investigation: 8/28/86
3. Report Prepared By: J. Thurman Horne, P. E.
4. Persons Contacted and Telephone Number: Mr. Dale Stewart, P. E.
(704) 542-7317
5. Directions to Site: From the intersection of State Road 2423 (Bud Wilson
Road) and N. C. Highway 274, travel south on State Road 2423 approximately
1.9 mi., turn left (east) on Candlewick Trail, go approximately 0.4 mi. , to
the end of Candlewick Trail. The proposed site is approximately 700 feet
north of the end of Candlewick, behind an existing house and thru some woods.
6. Discharge Point - Latitude: 3519'55"
Longitude: 81 09'30"
Attach a USGS Map Extract and indicate treatment plant site and discharge
point on map.
USGS Quad No. G14NW
7. Size (land available for expansion and upgrading) : The existing site
encompasses approximately 100 acres. There is adequate land available
to construct the proposed facilities and for future expansion and modification,
if necessary.
8. Topography (relationship to flood plain included): The terrain is mildly
rolling with slopes generally less than 15%. In the immediate vicinity of
the proposed WWTP site, slopes increase to approximately 15-30%.
The proposed site does not appear to be within any flood plain.
9. Location of nearest dwelling: Approximately 150-200 feet.
10. Receiving stream or affected surface waters: An unnamed tributary to
Crowders Creek.
a. Classification: C
b. River Basin and Subbasin No. : 03-08-37
c. Describe receiving stream features and pertinent downstream uses:
The proposed discharge is into a stream which traverses a new residential
development. ThP stream is easily accessible to residents (creek passes
thru their yards) and it is likely that children will occasionally play
in the water. Otherwise, there are no known users of the stream for any
reasonable distance downstream other than for agriculture and secondary
recreation.

-2-
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% Domestic
a. Volume of Wastewater: .070 MGD
b. Types and quantities of industrial wastewater: N/A.
c Prevalent toxic constituents in wastewater: N/A.
d. Pretreatment Program 00TWs only): N/A.
2. Production rates (industrial discharges only) in pounds: N/A.
3. Description of industrial process (for industries only) and applicable
CFR Part and Subpart: N/A.
4. Type of treatment (specify whether proposed or existing): The applicant
proposes to construct wastewater treatment facilities in two (2) phases.
Each phase will be designed to treat35,000 GPD for an ultimate total design
flow of 70,000 GPD. A flow equalization basin, a flow diversion box, a
bar screen and instrumented flow measurement will be constructed to serve
the two (2) 35,000 GPD phases. Each phase will be a 35,000 GPD package
extended aeration plant consisting of an aeration basin (diffused), a
clarifier, a chlorine contact chamber (tablet) and an aerobic digestor.
5. Sludge handling and disposal scheme: Sludge will be periodically removed
and disposed at a municipal WWTP.
6. Treatment plant classification: (Based on the preliminary engineering
design) - Class II
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: Refer to Part IV
PART IV - EVALUATION AND RECOMMENDATIONS
The proposed site is located in a geographic depression where several new homes
have recently been constructed. The construction of a WWTP in this area could
result in odor nuisances due to the meteorlogical effects of such siting.
Also, as indicated in Part I-10, it is likely that children will frequently
play in the waters, just below the proposed discharge. Technical Services
has determined that the estimated 7Q10 flow is zero and that the estimated
30Q2 flow is only 0.06 cfs.
For these reasons, the investigator believes this site is only marginally suitable
for construction of a WWTP. We are aware that the present policy for such
circumstances is to issue a permit with 5 & 2 (BOD and NH3 as N respectively)
limits. Therefore, the MRO recommends that the permit be issued with the

-3-
following special conditions:
1. The proposed WWTP and the proposed point of discharge shall
be no closer than 400 feet to any existing residence.
2. The proposed WWTP must be constructed with suitable fencing,
barriers and surrounding trees and shrubs as deemed appropriate
by DEM as an aesthetic buffer.
3. No new residences may be constructed within 100 feet of the
barriers surrounding the proposed WWTP.
Note: This application for NPDES Permit was submitted concurrent with an
application for a second site by the same applicant (refer to NPDES
No. NC 0067865) . The applicant is uncertain as to how this project
will finally develop and may desire to construct two (2) WWTP's "Or may
determine that it is best to construct one (1) WWTP at site No. 1
(NPDES No. NC 0067865) and pump the flow from this portion of the
development to that site. The investigator has encouraged the
applicant to pursue this option but at this point, the applicant
still wants to pursue obtaining two (2) NPDES Permits.
S ture of repor reparer
Water Quality Regional Supervisor

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� • • ,NTERIO —GEOLOGICAL SURVEY.RfyTON,VIRGIN,♦-'9T9

NPDES WASTE IONu ALLOCATION En•ineer Date Rec.
[/ / �-o i�1111It'r1�1.,
,. Facility Name: • L N.1 el a ll a-n c-o c-!L, _ S l Date '7 l6 -
1 Existing o � /
Proposed M Permit„ ND. : /U C-o o (p 1 c '7 3 Pipe No. : 1 County: Ca-off»
: L !tE
fl Design rapani 10''(t ) 0 . 0 / , Industrial (% of Flow) : Domestic ( % of Flow) :0 vU
Receiving Stream:SF P Tit. - '6C r (5 �� � Class: Sub-Basin: 0 3 0 3 -1
J rE v,� //
Reference USGS Qiadyf,,„ .. , • /V0 (Pease attach) Requestor: Z-r Sc� S ��Regional Office AO
C-ao`�^ S
(Guideline limitations, if applicable, are to be listed on the back of this form. )
v
Design Temp.: -- Drainage Area I(mi2) : (5,/8 Avg. Streamflow (cfs) : O.07
7Q10 (cfs) O Winter 7Q10 (cfs) 0 30Q2 (cfs) 0.0G
Location of D.O. minimum (miles below outfall) : Slope (fpm) 14
'
Velocity (fps) : - Kl (base e, per day) : - K2 (base e. cer day) : _
t
$UMMti✓ 4-8y
Effluent hbnthly t Effluent - :'�ntnly
Characteristics Average Comments Characteristics ).verage Comments
g , 13 o s- S Ali/ 13 ops /0 Alla
Amr4
MA
IA
D.o. d b Alit D b. d G s$1,1 R
TSS 3° Mst1 1-55 3o m�,c1/J
Gol Ah ioo0*'Jou4 ,f c44 co reg., moo 1/ou.,/
ff c 9 S.Q.
Crigt+ 6-' S.o
- dion e Comments• I I M7:'rl:� F1Gaii: L:�F1!:,I:::[) t.1F�t N In V T.!i:ION
Prouc��us �ro,� la:c!:,t:a��lnl�a:�l::!:; �Tt�Rev 'r• 4,19.,..
• .tion O ZE:I C) I".L0W !:;'TI::I:::FIi"f!:i .
Cbnf '.tion O
• epared By: 4+111. Reviewed By: ti.,{/1 Date: 9VS/84

PPPrr* -
WASTELOAD ALLOCATION APPROVAL FORM Request No. :3364
Facility Name : LYNDA HANCOCK - SOUTHEAST '
Type of Waste : DOMESTIC
Status : PROPOSED
Receiving Stream : UT CROWDERS CREEK
Stream Class : C
Subbasin : 030837
County : GASTON
Regional Office : MRO Drainage Area (sq mi ) : 0. 18
Requestor : SALEH Summer 7010 (cfs) : 0
Date of Request : 7/16/86 Winter 7010 (cfs) : 0
Quad : G14NW Average Flow (cfs) : .07
acQ2 =: , 06,
RECOMMENDED EFFLUENT LIMITS
: SUMMER WINTER
Wasteflow (mgd ) : .07 .07
5-Day BOD (mg/1 ) : 5
Ammonia Nitrogen (mg/1 ) : 2 N‘fil,--). y
Dissolved Oxygen (mg/1 ) : 6 6
TSS (mg/1 ) : 30 30
- ecal Coliform (#/100m1 ) : 1000 1000
rH (SU) : 6-9 6-9
:
COMMENTS
THE FLOWS FOR THIS PROPOSED DISCHARGER ARE 7Q10=0 AND 30Q24c.06.
4?
Recommended by 14ei._ ....4444-.- Date
Reviewed by:
/ I
Tech. Support Supervisor ..../ rAk _d/ -lip Date
;4.,1
Regional Supervisor: , ' //ire 11/ Date LLi...LX
II /
Permits & Engineerine _______ Date _ A__
Water Quality Section Chief lit 1 )fr; &414441 Date 5:7/2i4?4.

4:1",(-/ (1
p('
u1110LYNDA W. HANCOCK
V' I 133 Lynland Lane
Gastonia, North Carolina 28056
( 704) 824-2496
May 30 , 1991
Mr. Dale Overcash, P.E.
Supervisor - NPDES Permits Group 1�3t�` 1 yr
N. C. Division of Environmental Management SUN 6
-
Post Office Box 27687 i� fy�5/` 1991
Raleigh, North Carolina 27687 SOUaF'l f;
Re: Hancock Property fcluf�gt on ENT
NPDES Permit No. NC0067865 f
Dear Mr. Overcash:
In response to your April 19, 1991 letter, please find enclosed a
completed permit application and $250. 00 check for processing.
This letter represents our official request for renewal of NPDES
NC0067865 . No changes or revisions in the permit are being
requested.
At this time, although we have not proceeded with the development
of this property due to a variety of circumstances, we wish to
retain these permit rights due to the lack of public sewer
facilities and generally very poor soils on the property.
LandDesign Engineering Services represents our interest on an
engineering basis for the property and is authorized to answer any
questions or provide additional information in support of the
application as you require.
Thank you for your cooperation.
Very truly yours, (7
44, 1�GZ
Lynda W. Hancock
cc: Rex Gleason

NORTH CAROLINA DEPT. OF .NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICAT ION NUMBER ' •
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM G FOR r I ] I I I I I
AGENCY
USE DATE RECEIVED
To be filed only by services, wholesale and retail trade,
and other commercial establishments including vessels I 1 1 1
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 Lynda W. Hancock
B. Street address 133 Lynland Lane
C. City Gastonia D. State N.C.
E. County Gaston F. ZIP 28056
G. Telephone No. 704 /124-74gE �' , T,,.��
Area n, or
Code `�'►t; 1
;, 1... !A�l�tAt
2. SIC utO
(Leave blank) s/ ' 199y
�R�s3'f1;'lq,,
3. Number of employees N/A Lf fit, r>; +{
4. Nature of business Single Family Residential Development OFF4-
5. (a) Check here if discharge occurs all yearm , or
(b) Check the month(s) discharge occurs:
l.o January 2,o February 3.0 March 4.o Apri l 5.o May
6.0 June 7.0 July 8.0 August 9.0 September 10.0 October
11.0 November.- 12.0 December
(c) How many days per week:
" 1.01 2.02-3 3.04-5 4.816-7 •
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
discharging (percent)
Discharge per
operating day 0.1-999 1000-4999 5000-5;999 10,000- 50,000 None 0.1- 30- 65- 95-
49,999 or more 29.9 64.9 94.9 100
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitary, daily D. 2 MGD X
average
B. Cooling water, etc. ,
daily average
C. Other discharge(s),
daily average;
Specify
D, Maximum per operat-
ing day for combined
discharge (all types)

7. If any of the types of waste identified in item 6, either treated or un-
treated. are discharged to places other than surface waters, check below N/A
as applicable.
Waste water is discharged to: 0.1-999 1000-4999 - 5000-9999 10,000-49,999 50,000 or more
(1) (2) (3) (4) (5)
A. Municipal :ewer system
U. IIntlrriirmni i Wr11
C. Septic tank
U. Evaporation lagoon or pond
E. Other, specify:
8. Number of separate discharge points:
A_Qi;1 B. 02-3 C.o 4-5 D.o 6 or more
9. Name of receiving water or waters UT Crowders Creek
10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances added as a result of your operations,
activities, or processes: ammonia, cyanide, aluminum, beryllium, cadmium,
chromium, copper, lead, mercury, nickel , selenium, zinc, phenols, oil and
grease, and chlorine (residual).
A,dyes B.C1 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.
Lynda W. Hancock
Printed Name of Person Signing
Owner
Title
i Signed
I Date App cation Signed
7
Signature f Applicant
orth Carolina General Statute 143-215 .6(b) (2) provides that: Any person who knowingly makes
ny false statement representation, or certification in any application, ''record, report, plan,
r other document files or required to be maintained under Article 21 or regulations of the
nvironnental Management Commission implemgnting that Article, or who falsifies, tampers with,
r knowly renders. inaccurate any recording or monitoring device or method required to be
perated or maintained under ArtiCie 2.1,'or• regulations .of the Environmental Management Cornn_issi.c
mplementl'ng that Article, shall be.'gui3.ty .o.f a misdemeanor punishable by a fine not to exceed
10,000, or by imprisonment,' riot to exceed six months, or by both. (18 U.S.C. Section 1001 prove
punishment by a fine of'siot more than $1O,0O0 or imprisonment not more than 5 years, or both,
or a similar. offense.)