NCG550487_Regional Office Historical File Pre 2018

Re:NCG550487
Subject: Re: NCG550487
From: "[e-mail]" <[e-mail]>
Date: Tue, 20 Jan 2009 07:42:21 -0500 (EST)
To: <[e-mail]>
Thanks for the update, Barbara. When BIMS is back online I'll make
NCG550487 inactive.
CHW
1 of 1 1/20/2009 9:24 AM

NCDENR
North Carolina Department of Environment and Natural Res9urces
Division of Water Quality AND s
Michael F. Easley, Governor llialtiaG. Ross,Jr.,Secretary
Alan W. Klimek, P.E., Director
January 30, 2007
JAN 3 C 2007
CERTIFIED MAIL-RETURN RECEIPT REQUESTED
Jack W. & Lou Ann Barnes
3017 Wagonwheel Ct
Belmont, NC 28012 WATER i IT
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG550487
Gaston County
Dear Sir or Madam:
You are receiving this notice because Gaston County tax records indicate that you own the
property at:
3017 Wagonwheel Ct
Belmont, NC 28012
The property was previously covered under General Permit NCG550000 for the discharge
of domestic wastewater. That coverage expired on July 31, 1997; the owner who obtained
coverage did not respond to renewal notices from the Division. If this property is still
discharging wastewater, you must renew coverage under NCG550000.
The Certificate of Coverage (CoC) specific to your property [NCG550487] was last issued
on September 30, 1993. The Division needs information from you to determine if coverage under
NCG550000 is still necessary.
• If your property still has a wastewater system like the ones described in the
enclosed Technical Bulletin, you must renew the subject CoC. Complete the
enclosed form and submit it to the address on the form.
➢ If you are not sure what type of system your property has, contact Michael
Parker in the NC DENR Mooresville Regional Office at [phone]. That
person [or other staff members] can help you determine if you should renew your
CoC.
➢ If you know that your property no longer discharges wastewater, contact me at
the address or phone number listed below to request rescission of the CoC.
➢ If you have already mailed a renewal request, you may disregard this
notice.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 �TOne
512 North Salisbury Street,Raleigh,North Carolina 27604 NprthCarohna
Phone: [phone],extension 511/FAX [phone]/[e-mail] atura!!y
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

NCG550487 renewal notice
Page 2
The attached application form shows the information the Division has on file for your
property. Please verify that the provided information is correct, or make corrections on the
form. Complete the additional questions, then sign and date the form.
The completed form should be submitted to the address listed below the signature block.
If you have any questions concerning this matter, please contact me at the telephone
number or e-mail address listed below. Please reference CoC number NCG550487 when
you make contact. (If it is difficult to reach me, please be aware that your facility is one of
over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your attention to this matter.
cc: Central Files
NPDES file
Sincerely,
Charles H. Weaver, Jr.
NPDES Unit
//O IV t4_1t"f 4,(_
�i

sue STATE o
State of North Carolina
Department of Natural Resources and Community Development
Mooresville Regional Office
James G. Martin, Governor Albert F. Hilton, Regional Manager
William W. Cobey, Jr., Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
January 26, 1989
Mr. Roger Wilson
3017 Wagonwheel Court
Belmont, North Carolina 28012
Subject: NPDES Permit No. NC 0074896
Roger Wilson Residence
Gaston County, NC
Dear Mr. Wilson:
Our records indicate that NPDES Permit No. NC 0074896 was
issued on January 19, 1989 for the discharge of wastewater to the
surface waters of the State from your facility. The purpose of
this letter is to advise you of the importance of the Permit and
the liabilities in the event of failure to comply with the terms
and conditions of the Permit. If you have not already done so,
it is suggested that you thoroughly read the Permit. Of
particular importance is Page M3 .
Page M3 sets forth the effluent limitations and monitoring
requirements for your discharge(s) . Your discharge( s) must not
exceed any of the limitations set forth. The section headed
"Monitoring Requirements" describes the measurement frequencies,
sample types and sampling locations. Upon commencement of your
discharge (or operation) , you must initiate the required
monitoring. The monitoring results must be entered on the DMR
forms furnished to you by this Agency. If you have not received
these forms, they should be arriving shortly. If you fail to
receive the form, please contact this Office as quickly as
possible. I have enclosed a sample of the "Effluent" reporting
form (DEM Form MR-1) , plus instructions for completing the form.
It is imperative that all applicable parts be completed.
The remaining Parts of the Permit (Parts II and III ) set
forth definitions, general conditions and special conditions
applicable to the operation of wastewater treatment facilities
and/or discharge( s) . The conditions include special reporting
requirements in the event of noncompliance, bypasses, treatment
unit/process failures, etc. Also addressed are requirements for
a certified wastewater treatment plant operator if you are
919 North Main Street, P.O. Box 950, Mooresville, N.C. 28115-0950•Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Mr. Roger Wilson
Page Two
January 26, 1989
operating wastewater treatment facilities. Any changes in
operation of wastewater treatment facilities, quantity and type
of wastewater being treated or discharged, expansions and/or
upgrading of wastewater treatment facilities must be permitted or
approved by this Agency. Failure to comply with the terms and
conditions of an NPDES Permit subjects the Permittee to
enforcement action.
As a final note, an NPDES Permit is normally issued for a
five-year period. Permits are not automatically renewed.
Renewal requests must be submitted to this Agency no later than
180 days prior to expiration. Please make note of the expiration
date of your Permit. This date is set forth on Page M-1 or I-1
of the Permit. Also note that NPDES Permits are not
transferable. If you, as the Permittee, cease to need this
Permit, then you should request that the Permit be rescinded.
As mentioned previously, the purpose of this letter is to
advise you of the importance of your NPDES Permit. Please read
the Permit and contact this Office at 704/663-1699 in Mooresville
if you have any questions or need clarification. We look forward
to providing any assistance.
Sincerely,
D. Rex Gleason, P. E.
Water Quality Regional Supervisor
Enclosure
DRG:se

„.SWFo
4yT�d ,a o y
jam 1'
RECEIVED `” -
• MfISlON OE ENVIRONMENTAL MARASEMEM
JAN 26 1989
State of North Carolina
Departmeo : atural Resources and Community Development
Division of!Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor January 19, 1989 R. Paul Wilms
William W. Cobey, Jr., Secretary Director
Mr. Roger Wilson
3017 Wagonwheel Court
Belmont, NC 28012
Subject: Permit No. NC0074896
Roger Wilson Residence
Gaston County
Dear Mr. Wilson:
In accordance with your application for discharge permit received on July 21,
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, D.3.
addresses the requirements to be followed in case of change in ownership or control of
this discharge.
This permit does not affect the legal requirements to obtain other permits
which may be required by the Division of Environmental Management or permits required
by the Division of Land Resources, Coastal Area Management Act or any other Federal or
Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Mr. Mack
Wiggins at telephone number 919/733-5083.
: naiSfrfl dBy
ARTHU MCt:3"7Ry
R.Far: Wilms
cc: Mr. Jim Patrick, EPA
angt03641141e Rem 2 Ofifi
Pollution Prevention Pays
P.O. Box 27687, Raleigh,North Carolina 27611-7687 Telephone [phone]

Permit No. NC0074896
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
To DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215. 1,
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
Mr. Roger Wilson
is hereby authorized to discharge wastewater from a facility located at
Roger Wilson Residence
3017 Wagonwheel Court
Belmont
Gaston County
to receiving waters designated as an unnamed tributary to South Fork Catawba River
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 January 19, 1989.
This permit and the authorization to discharge shall expire at midnight on
December' 31, 19.93.
Signed this day January 19, 1989.
Original Signed By
ARTHUR MOUBERRY
For;
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0074896
SUPPLEMENT TO PERMIT COVER SHEET
Mr.. Roger Wilson
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 South Fork Catawba River, 100
feet south of the existing system in the defined channel, and
3. After receiving an Authorization to Construct from the Division of
Environmental Management, construct and operate a 0.00045 MGD wastewater
treatment facility located at 3017 Wagonwheel Court, Belmont, Gaston County
(See Part III of this Permit), and
4. Discharge from said treatment works at the location specified on the
attached map into an unnamed tributary to South Fork Catawba River which
is classified Class WS-III waters in the Catawba River Basin.

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A. (). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final NPDE.,S No. !�„007489�r
6
During the period beginning on the effective date of the Permit and lasting until expiration, the
Permittee is authorized to discharge from outfall(s) serial number(s) 001. Such discharges shall be limited
and monitored by the Permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Lbs/day Other Units (Specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency Type Location
Flow 450 GPD
BOD, 5Day, 20 Degrees C 15.0 mg/1 22.5 mg/1
Total Suspended Residue 30.0 mg/1 45. 0 mg/1
NH3 as N 4. 0 mg/1 6. 0 mg/1
Dissolved 0xyge (minimum) 6. 0 mg/i 6.0 mg/1
Fecal Coliform (geometric mean) 1000. 0/100 ml 2000.0/100 ml
Total Residual Chlorine
Temperature
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous
disinfection of the effluent.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
M3

PART I
"Act" used herein means the Federal Water Pollution Control Act, As
Amended.
"DEM" used herein means the Division of Environmental Management of
the Department of Natural Resources and Community Development.
"EMC" used herein means the North Carolina Environmental Management
Commission.
Definitions
a. The monthly average, other than for fecal coliform bacteria, is
the arithmetic mean of all the composite samples collected in a
one-month period. The monthly average for fecal coliform bacteria
is the geometric mean of samples collected in a one-month period.
b. The weekly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected during a
one-week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one-week period.
c. Flow, M3/day (MGD) : The flow limit expressed in this permit is the
24-hour average flow, averaged monthly. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month.
d. Arithmetic Mean: The arithmetic mean of any set of values is the
summation of the individual values divided by the number of indi-
vidual values.
e. Geometric Mean: The geometric mean of any set of values is the Nth
root of the product of the individual values where N is equal to the
number of individual values. The geometric mean is equivalent to
the antilog of the arithmetic mean of the logarithms of the indi-
vidual values. For purposes of calculating the geometric mean,
values of zero (0) shall be considered to be one .(1) .

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

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

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

PART III
A. PREVIOUS PERMITS
All previous State water quality permits issued to this facility,
whether for construction or operation, or discharge, are hereby
revoked by issuance of this permit. The conditions, requirements,
terms, and provisions of this permit authorizing discharge under the
National Pollutant Discharge Elimination System govern discharges
from this facility.
B. CONSTRUCTION
No construction of wastewater treatment facilities or additions thereto
shall be begun until Final Plans and Specifications have been submitted
to the Division of Environmental Management and written approval and
Authorization to Construct have been issued. If no objections to Final
Plans and Specifications have been made by the DEM after 30 days follow-
ing receipt of the plans or issuance of this permit, whichever is latter,
the plans may be considered approved and construction authorized.
C. SPECIAL CONDITIONS
1. The Permittee shall be responsible for the following items regard-
ing the maintenance of the treatment system:
a. Septic tanks shall be maintained at all times to prevent
seepage of sewage or effluents to the surface of the ground.
b. Septic tanks need routine maintenance and should be checked
at least yearly to determine if solids need to be removed
or other maintenance performed.
c. Contents removed from septic tanks shall be discharged into
an approved sewer system, buried or plowed under at an
approved location within 24 hours, or otherwise disposed of
at a location and in a manner approved by the State or local
agency.
2. The permittee shall properly connect to an operational publicly-
owned wastewater collection system within 180 days of its availability
to the site.

Date: August 25, 1988
NPDES STAFF REPORND RECOMMENDATIONS
County: Gaston
NPDES Permit No. NC 0074896
PART I - GENERAL INFORMATION
1. Facility and Address: jer Wilso
3017 Wagonwheel Court
Belmont, North Carolina 28012
2. Date of Investigation: August 10, 1988
3 . Report Prepared By: Allen Hardy, Environmental Engineer I
4. Person Contacted: No one contacted; telephone number -
(704) 825-1803
5. Directions to Site: Travel south on I-85 to Belmont and
take Highway 273 South. Proceed to Gaither Road (S. R.
2531) located on the west side of Highway 273 . On Gaither
Road go approximately . 3 mile to Rawhide Drive, take left
and proceed about 400 ' , then take a right on Wagonwheel
Court. The house is on the left about 400 ' from the
intersection.
6. Discharge Point - Latitude: 35° 12 ' 27"
Longitude: 81° 2 ' 00"
Attach a USGS Map Extract and indicate treatment plant site
and discharge point on map.
USGS Quad No. : G 14 NE
7. Size ( land available for expansion and upgrading) : Minimum
room is available for any expansion or upgrading.
8. Topography (relationship to flood plain included) : Mostly
flat; <5% slopes.
9. Location of Nearest Dwelling: The nearest dwelling is
approximately 50 feet away.
10. Receiving Stream or Affected Surface Waters: Unnamed
tributary to South Fork River.
a. Classification: WS-III
b. River Basin and Subbasin No. : Catawba 030836

Page Two
c. Describe receiving stream features and pertinent
downstream uses: There was not any distinct receiving
stream at this location, just natural swales that seem
to catch runoff from all areas. A distinct channel
started forming about 100 ' beyond this residence.
There was not any flow in this area on this inspection
date. There are no known downstream users.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% Domestic
0% Industrial
a. Volume of Wastewater: .00045 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:
Existing - The existing system was installed in 1986
consisting of a 1000 gallon septic tank with a 915 SF
nitrification field. In 1988 a 360 SF x 2 feet deep
seepage pit was added.
Proposal - The proposal is to add a subsurface sand filter
trench consisting of a bottom layer of 1-1/2" x 1/2" stone
with drain pipe, a 2 ' filter sand bed and a top layer of
1-1/2" stone with a distribution pipe. The sand filter
would be connected to the end of the existing nitrification
field system through a box that would maintain full
utilization of the existing system prior to discharge into
the proposed sand filter. The sand filter system would be
sized using a design flow loading rate of 1.15 GPD/SF for
up to 450 gpd full system design flow.
Filter bed discharge will be chlorinated and discharged
into an unnamed tributary approximately one mile from the
main channel of the South Fork of the Catawba River.
5. Sludge Handling and Disposal Scheme: ;N/A
6. Treatment Plant Classification: Unknown at this time
7. SIC Code(s) : 9999
Wastewater Code(s) : 04

Page Three
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants
Funds (municipals only) ? No
2 . Special monitoring requests: No
3 . Additional effluent limits requests: No
4. Other: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The applicant, Roger Allen Wilson, proposes to construct a
subsurface sand filter system which will connect to an existing
nitrification field system. The sand filter system would use a
design flow loading rate of 1.15 GPD/SF for up to 450 gpd
maximum design flow loading.
The Gaston County Health Department stated that they were
hesitant to permit any additional subsurface facilities due to
the problems experienced with excessive groundwater during wet
weather periods.
Due to the location of the residence and the proposed waste
treatment system, there is no defined channel suitable for
discharge; however, approximately 100 feet due south is the
start of an acceptable discharge point.
Due to the fact that the Gaston County Health Department
will not permit any additional subsurface facilities because of
problems caused by excessive groundwater amounts, we recommend
that you do not permit the subsurface sand filter. However, we
will recommend that a surface sand filter be installed provided
it has adequate lining to prevent any further groundwater
problems, and that the discharge point be located in the channel
stated above. Also, the permit should require connection to an
area-wide sewer system as soon as one becomes available.
It is recommended that the permit be issued with conditions
noted above.
W - WA."--- 41,4
Signature of Report Pr rer
Water Quality R gional Supervisor

Date: August 25, 1988
FACILITY NAME: Roger Wilson Residence PERMIT: NC 0074896
RECEIVING STREAM: UT S. Fork River CLASS: WS-III
SUBBASIN: 030836
COUNTY: Gaston REGIONAL OFFICE: MRO
REFERENCE USGS QUAD: G 14 NE EXISTING: PROPOSED: X
ELEVATION: 665 ' DRAINAGE AREA: .063 mi2
HYDROLOGIC GROUP: C DESIGN TEMPERATURE: 25°C
Elev. Dist. Slope Comments: A letter from the
SLOPE: 665 -- -- Gaston County Health Dept.
Outfall 660 .02 250 states that they are
650 . 15 67 reluctant to permit any
640 .03 333 additional facilities at
630 .03 333 this residence. Due to the
620 .08 125 fact that there is no other
610 . 05 200 feasible alternative, and
600 .07 141 every option has been tried,
590 . 03 333 this Department recommends
580 .09 111 that the Permit be issued.
570 .12 83
Avg. Slope = 140 fpm
RECOMMENDED EFFLUENT LIMITS
Wasteflow (gpd) : 450
BOD (mg/1) : 15
NH 5N (mg/1) : 4
D.3O. (mg/1) : 6
pH (SU) : 6-8.5
Fecal Coliform ( /100 ml) : 1000
TSS (mg/1) : 30
q 1 DATE: Sf Z�l f��''
RECOMMENDED BY: /J?k1L•� k. !`�`�
APPROVED BY:
DATE: e-2 - 1'
Regional Engineer: / l/ --~, `�
Regional Supervisor: i'f L -e = , DATE: 1ri/ V1 V
ROUTE to Technical Support Group and Permits & Engineering Unit
(Enclose copy of USGS topographical map showing location of
discharger)

L(._,,_ :„,
•
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1, /CA
NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMBER
,4b4 APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM 0 FOR /1(I410 b HIY18I714
AGENCY
USE DATE RECEIVED
To be filed only by services, wholesale and retail trade,
and other COmmer ial establishments including essel 1 1 l 1 l
�/ a,4' /0 f� /.� / ,7 /,t S /�d is iv e) YEAR MO. DAY
Do not attempt to complete this form without reading the accompanying instructions ,
Please print or type
1
1. Name, address, and teleoh number of facility producin d charge
A. Name ' O frif A/1/-./1/ AZ r-/S f
(7
B. Street addressd ?6 i 7 `17. , fir✓ `2/A z-r l 7-
C. City l 3 ' />y /- T D. State IV C
E. County ,A`5 /7 F. ZIP -Z / 2—
G. Telephone No. d4, r2- 5- /6 93 N. C DEPT 0p NAArea Rkg "1,
Code CUM UIVI3YEsoURC I)gZ F;utFg
mti
2. SIC !'." ,
LINIZI
,Z
(Leave blank)
3. Number of employees J`,//� kill" ,
71:1 �*" E
4. Nature of business /:----', 7 //,-` `T /f n / u .Y/-mil` fe''
5. (a) Check here if discharge occurs all year re; or
(b) Check the month(s) discharge occurs: . //
1.o January 2.0 February 3.0 March 4.0 April 5.0 May
6.0 June 7.0July 8.0August 9.0 September 10.0October
11.O November 12.0 December
(c) How many days per week:
1.0 1 2.0 2-3 3.0 4-5 46-7 •
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 50004999 10.000- 50,000 None 0.1- 30- 65- 95-
49,999 or more 29.9 64.9 94.9 100
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitary, daily )%average
- . - . • ♦ 1 4
B. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify
0. Maximum peri ___
operat-
ing day for combined
discharge (all types)

3r
7, if any of the types of waste identified in item 6, either treated or un- �J
' 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)
w- - P
A. Munir.ipal cewer system
r
H. UnuIP•riiro nul well
C. Septic tank
D. Evaporation lagoon or pond
E. Other._,specify: TA Li _
cI,7 1 c �,a,v- 1/
A'/ f- 'f 1°iPA1-4'n-
8. Number of separate discharge points:
A.k1#1 8.02-3 C.0 4-5 8.0 6 or more
a7' ' 9. Name of receiving water or waters /1A//1/-,1-1 .1-0 ) /fi Lr I:Yrc'y _Af $' 7W / l�aP
10. Does your discharge contain or is it possible for your discharge to contain
'f- one or more of the following substances jddtd as a result of your operations,
-, � , activities, or processes: ammonia. cyan{—aluminum, beryllium. cadmium.
-- . + chromium, copper. lead. mercury. nickel, selenium, zinc. phenols, oil and
.-� , grease, and chlorine (residual).
, I certify that I am familiar with the information contained in the application and
my knowledge and belief such information is true. complete, and
�„�.. . that to the best of
- :.1. accurate.
�G Orit �4. Ilds� 4/
.
Printed ame of Person Signing
Title
—?- •
Date Application Signed 1
Signatu f Applicant
North Carolina General Statute 143-215.6(b) (2) provides that: Any person who knowingly maksa '4-''
anyfalse statement representation, or certification in anys licatioa record re '-'
P . pP ►' . port. plan --;-1
or other document files or required to be maintained under Article 21 or regulations of the ";;r=
environmental Management Commission implementing that Article, or aha fa►J, ifiea, tempers -'ith.
* knoll,'knoll,' renders inaccurate any-recording or mon.itOri*1 date or s*thod required .to be .
rdrstisd or maintained under Ayc5a1e 21 or re ulattees:act the *e rtaltt t .e l ;'
lcswntimi that Ar.ticlle, *WI°been"" tie-of a *ts anor �ia>b1b by lit• 1� 0 l a
,fln." oar b 1<iethasiesi: trot- to ss4ot4 ilr iaarathe 6 or.by
both ° i$ tee- c x1�
,
sz #a'l r b $ fat etrue t t 4l ` r ,
+
J+

. . •�
py s . G A S T O N COUNTY ENVIRONMENTAL HEALTH
o 1 lliwh
c, 611 North Highland Street, Gastonia, North Carolina 28052
February 23 , 1988
Roy Riddle
3041 Wagonwheel Court
Belmont, North Carolina 28012
Dear Mr. Riddle :
With reference to the problems each of you have been
experiencing it is felt that conventional repairs to the septic
system will not be satisfactory. This is due to the excessive
amount of ground water present during wet weather.
It is felt that a sandfilter or sandfilters can be
engineered to treat and dispose of the wastewater to a nearby
creek.
First you or Mr. Yadko should contact the Division of
Environmental Management , Mooresville, North Carolina by calling
704-663-1699 . These are the people responsible for this type of
system. Please call them for the necessary procedures . We feel
this is the best , s• lution for your problem.
Sincerely,
cLu,.0Cf: 0!,---.L--
David Oliver, R. S .
• Registered Sanitarian
Environmental Health Section
DEO: lw
.

J �
, A! , ,,9� _ �� j>..:a -t �`.� <rrrt,.0 ., _._ 9 .,`& .z , T " 'c'''4:' 4::' i.-a' sa.'.3 Y k
;(7e �� d"`SfATFv F i'I
e
• x `cd)
ti (1. x
ECEIVED .
','I-
u *MIN OF ENVIkONMENTAI MAN '.,,`.» ,
-'
i 'JUL 28 1988 ,4 ,1
State of North Carolina 7`6
i RESVIItE
DepartmenWOts Natural Resources and Community Development ;'
1. Division of Environmental Management ,. H
_ rp
+,, 512 North Salisbury Sheet • Raleigh, North Carolina 27611
James G. Martin, Governor R. Paul Wilms
A
S. Thomas Rhodes, Secretary Director
V
1.14 Subject : NPDES Permit Application kry ,r'
,,. NPDES Permit No. NCO°
F County
' Dear ,�' %,,f o ',`
,
5
This is to acknowledge receipt of the following documents on '4.
,i Application Form, w
O Engineering Proposal (for proposed control facilities) ,
Request for permit renewal , % ;1
4‘",.4 Application Processing Fee of $y '
{ Other / _ µ t f for` •..1
,,V The items checked below are needed, before review can beginI
i h, ,.. °` °` -.
Application form ( Copy enclosed) , , '' "
b? Engineering Proposal (See Attachment) , r;-
_ Application Processing Fee of $ ,
Other _<, ` . , ,- 'li �-
f '
If the application is not made complete within thirty (30) days , it will '
4+ be returned to you and may be resubmitted when complete . x1
,ray ?.;"
A. 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 .,s
for the review of the application. .. x,'
.1
ti11
`' I am, by copy of this letter, requesting that our Regional Office R=
Supervisor prepare a staff report and recommendations regarding this ▪ 1
• discharge . If you have any questions regarding this application, please ' y,i
contact the review person listed above . .0
4
'4 1 1
L
Sincerely, _ ...,,
,
,ei
v s r i ':,,, fp,1 I
Arthur Mouberry, P.E . 'd
M '<< / v/ Supervisor, Permits and Engineering , .ip,
u'" Pollution Prevention Pays
r
` P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] `▪ rl
4:. ` ' ^' 7 ;,., n Equal Opportunity Affirmative Action Employes,;

P r
rr
•
APPLICATION FOR PERMIT TO DISCHARGE
Development
TO: N.C. Department of Natural Resources and Community p r:
Environmental Management Commission`
µ v.
BY: Christopher Wrenn Homes, Inc.
810 Fast Second Avenue
Gastonia, N.C. 28052
'r ' Engineering Proposal Prepared By:
- r a+.
�
Joe H. Ratchford, P.E. ''�,`+ )/,)
T; N.C. License No. 7955 ' •;/ '1. ''>
Rt. 1 Box 218 <
Dallas, N.C. 28034 , ;: ,,, , ' ? ,
i r } Est
' FOR: Private Residence Located at: .�.
,..,, ...1.'..,,7,1 '1;
3 vet
'7 , 3017 Wagonwheel Court
,,, Belmont, N.C. 28012 ,,y � 79.5
x M
- (Roger Wilson Residence) ',LT g( /�rg�
r� fit...-.i. -; •`:,y
44
.Q
' �T�
o
qc- +';•S a'fie,. '{F .r +h��epry. y.� ' a f kt, _,. .., . . .... , x *., A t
Y,,.. .�. ,,, 5 S w { +,, y ,, ✓. Y f�y`P4�4Li.�.,,.v}, y'� ar N �',b`m
'" a. ice.,. -:4..t��'iY #+�m L•ti'' ,rsy,as+.+�: nF"-,a'xa a`".1 - $,-

•
NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMBER
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM 0 FOR /IC1010 lefts 19lc;
AGENCY
USE DATE RECEIVED
To be filed only by services, wholesale and retail trade.
' and other co muercial establishments including vessels S-1 ' I c 1 I R-1
C�Z }�2.t tJ.4--(✓ ,ZC ��c�CC�J 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 C-bfl-1 s-rc'+•} _'Jiz6-4 A^
B. Street address 8)O G1 r c62 &✓tr•
C. City 1 A. 0. State N1• C'.•
E. County c'Z, r orJ F. ZIP Z80.57_Z
G. Telephone No. 704 eG4cMc4
Area
Code
2. SIC 111111111111
(Leave blank)
•
3. Number of employees N/0
4. Nature of business ii 5I D5eqC_G--"TO1- W114O �.l Terms
lcMT N,..('CRGQ•eK . 713.67
5. (a) Check here If discharge occurs all year.)(:, or
WiLso. )
(b) Check the month(s) discharge-occurs:
1.O January 2.O February 3.O March 4.0 Apri l 5.O May
6.0 June 7.0July 8.OAugust 9.o September 10.00ctober
11.0 November 12.0 December
(c) How many days per week:
1.01 2.O 2-3 3.0 4-5 4./(6-7 •
6. Types of waste water discharged to surface watersonly (check as applicable)
Flow, gallons per operating day Volume treated before
discharging (percent)"
Discharge per - -
operating day 0.1-999 1000-4999 5000-9999 10.000- 50.000 None 0.1- 30- 65- 95-
49,999 or more 29.9 64.9 94.9 100
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitary. daily /
average V
8. Cooling water. etc..
daily average
C. Other discharge(s). . ,
daily average;
• Specify
-
0. 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.
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 ,cwI'r ;ystom
A
0. Ihulrrgrpund wl•II •
C. Septic tank
a
D. Evaporation lagoon or pond
E. Other, specify: T1-l- L)
ScV�ZC, -1-7N4tc_
I TZI-PIe,A..,-ncN, Pte%-7 _
•
8. Number of separate discharge points:
A. 1 B.0 2-3 C.0 4-5 D.0 6 or more
9. Name of receiving water or waters ON NA.MEE, -}TL r3 R y or- Srpo-s-14
.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.C1 yes B,�I/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.
• ,reeze y4tt,�b
Printed Name of Person Signing •
Title
•
July 11 , 1988
Date Application Signed , i^
Signature of 7 ca
•
'orth Carolina General Statute 143-215.6(b) (2) provides that: Any person who knowingly makes
ny false statement representation, or certification in any applicat .on, 'record, report, plan,
r other document files or required to be maintained under Article 21 or regulations of the
nvironmental Management Commission implem.nt .ng that Article, or who falsifies, tampers u±th,
r knowly renders inaccurate any.recording or monitoring device or method required to be
Aerated or maintained under ATtiele 2.1;•or regulations •of the Environmental Management Cot^rsis:ion
mplenenting that Article, shall`be.'guil.ty•.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:.:
punishment by a fine of'-not more than $10,000 or imprisonment not more than 5 years, or both,
or a similar offense.)

APPLICATION FOR PERMIT TO DISCHARGE July 8, 1988
Wrenn Home Builders
3017 Wagonwheel Court
Belmont, N.C.
Roger Wilson residence
1) Description
The facility is a 3 bedroom single family residence located in
the Rustic Trails subdivision near Belmont, N.C. The waste to be
discharged is the excess not treated in the existing septic tank/
nitrification field system. Discharge would be less than 450 GPD.
2) Alternatives and Options
The site soil conditions are only provisionally suitable at best.
The existing system was originally installed in 1986 consisting of
a 1000 gal. septic tank with a 915 SF nitrification field. In 1988,
a 360 SF x 2FT deep seepage pit was added. Due to poor soil conditions
and limited space, local Health Department officials are reluctant
to permit additional nitrification fields.
3) Proposal
The proposal is to add a subsurface sand filter trench consisting
of a bottom layer of 11" x 1" stone with drain pipe, a 2' filter
sand bed and a top layer of 11" x 1" stone with a distribution pipe.
The sand filter would be connected to the end of the existing nitri-
fication field system through a box that would maintain full
utilization of the existing system prior to discharge into the pro-
posed sand filter. The sand filter system would be sized using a
design flow loading rate of 1.15 GPD/SF for up to 450 GPD full system
design flow.
Filter bed discharge would be chlorinated as required and discharged
into an unnamed tributary approximately one mile from the main channel
of the South Fork of the Catawba River.

(.4) •61,j,-,-\I, ---:4-c,, ,,(.___ L.,.....D= c.,--\---k—k(?"' ^4',
4N
1 k BELMONT QUADRANGLE
..-FPC t c /a.-r-lc--)A1 --ff:>17 'Falvi
‘TE,,OF NORTki CAROLINA
NORTH CAROLINA-SOUTH CAROLINA ,.....ci".:1-
.
)F`NATURAL AND ECONOMIC RESOURCES -1C1 -DISCI trf.Li-e--c -
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SEPTIC TANK INSPECTION RECORD
F
Environmental Health Division
Code Date
• ( Gaston County Health Department
1 /- ----- -• • W-Gin ticr.-.1-"o -", J-a.,--.6( )i , .
Owner ' Permit By ' *
•
OCCUPANT OWNER
LOCATION - .1;1" 4/../.77 li(".3,...-1.-4- av;.-4 — ‘-i-d7 ./ a; .e.G.142 ,
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DESIGNED FOR: L3 Bedrooms, Washing Machine, Garbage Disposal; not more than C persons.
SEPTIC TANK: capacity /000 gallons; Block, Precast //.4-".. 4 Mfg.
NITRIFICATION FIELD. 9/6— sq. feet of trench: .5 .., lines in •.„5 dtGEBBIP.) bed ( •
s) . ..
Y,- ---fr's..5-4-24 6°/?eSet: long- . ."'' -•j feet Wide. k . . inch concrete 4137-teria cotta drain tile: /2----- ::'• 1
inches of crushed stone, with (F...-- inches under tile.
Seepage pit (s) 90 feet long. 4-1 feet wide. a. feet stone. / No. lines
SAND FILTER: feet long feet wide with lines on top and lines on
bottom. - inch tile. •
WATER SUPPLY: Municipal CCO-rnmuni Non Community Private : •
•
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Permit No. NC0074896
STATE OF NORTH CAROLINA
'DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
Imam
R � �v � PERMIT_
OF�t,ut1 NML MANAd�YL
To DISCHARGE WASTEWATER UNDER THE
NOV 15 1988
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
a
In compliance with tie provisions of North Carolina General Statute 143-215. 1,
other lawful standards anA regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal. Water Pollution Control Act, as
amended,
Mr. Roger Wilson
is hereby authorized to discharge wastewater from a facility located at
Roger. Wilson Residence
3017 Wagonwheel. Court
Belmont
Gaston County
to receiving waters designated as an unnamed tributary to South Fork Catawba. River
in the Catawba River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, and III hereof.
This permit shall become effective
This permit and the authorization to discharge shall expire at midnight on
Signed this day DR4fj
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management: Commi_bsion

c --s
Permit No. NC0074896
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Roger Wilson
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 South Fork Catawba River, 100
feet south of the existing system in the defined channel, and
3. After receiving an Authorization to Construct from the Division of
Environmental Management, construct and operate a 0.00045 MGD wastewater
treatment facility located at 3017 Wagonwheei Court, Belmont, Gaston County
(See Part III of this Permit), and
4. Discharge from said treatment works into an unnamed tributary to South
Fork Catawba River which is classified Class WS-III waters in the Catawba
River Basin.

A. O. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final NPDES No. NC0074896
During the period beginning on the effective date of the Permit and lasting until expiration, the
Permittee is authorized to discharge from outfall(s) serial number(s) 001. Such discharges shall be limited
and monitored by the Permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Lbs/day Other Units_(Specify) Measurement Sample Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency Type Location
Flow 450 GPD
BOD, 5Day, 20 Degrees C 15.0 mg/1 22.5 mg/1
Total Suspended Residue 30.0 mg/2 45. 0 mg/1
NH3 as N 4.0 mg/1 6.0 mg/1
Dissolved Oxygen (minimum) 6.0 mg/1 6.0 mg/1
Fecal Coliform (geometric mean) 1000.0/100 ml 2000.0/100 ml
Total Residual Chlorine
Temperature
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous
disinfection of the effluent.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
M3
t
4

Permit No. NC0074896
F. Toxicity Reopener
This permit shall be modified, or revoked and reissued to incorporte 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. POTW Connection Condition
The permittee shall properly connect to an operational publicly owned
wastewater collection system within 180 days of its availability to the site;
if the facility is in noncompliance with its permit effluent limitations for
three consecutive months.

145!;
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management -
512 North Salisbury Street • Raleigh, North Carolina 27604
James B.Hunt,Jr,Governor A.Preston Howard,Jr.,P.E.
Jonathan B.Howes,Secretary Director
DIVISION OF ENVIRONMENTAL MANAGEMENT
April 6, 1993
Mr. Robert J. Robson
3017 Wagonwheel Court
Belmont, North Carolina 28012
Subject: NPDES PERMIT NO. NC0074896
3017 Wagonwheel Court
Gaston County, NC
Dear Mr. Robson:
Attached is a letter that was forwarded to Mr. Roger
Wilson, the former occupant of the subject dwelling, by the
North Carolina Division of Environmental Management
concerning renewal of the subject Permit. The Permit was
issued to Mr. Wilson for the operation of a discharge
facility (septic tank/sand filter) . A recent on-site
investigation conducted by staff of this Office indicated
that you are the current occupapt and owner of the dwelling.
North Carolina General Statute (NCGS) 143-215 . (a) ( 1)
makes it unlawful to discharge wastewater to the surface
waters of the State without a permit. Therefore, it is
necessary for you to immediately apply for the re-issuance
of the subject Permit. You should also request that the
Permit be renewed. Failure to comply with the cited NCGS
may result in an enforcement action, which could include
civil penalties of up to $10,000 per day per violation.
REGIONAL OFFICES
Asheville Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 919/486.1541 704/663-1699 919/571-4700 919/946.6481 919/395-3900 919/896-7007
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Mr. Robert J. Robson
Page Two
April 6, 1993
If you have any questions regarding this matter, please
contact Mr. G. T. Chen or me at (704 ) 663-1699 .
Sincerely
D. Rex Gleason, P. E.
Water Quality Regional Supervisor
Attachments
cc: Gaston County Health Department
Permit and Engineering Unit
gtc

�1 .*STATE
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management -
512 North Salisbury Street• Raleigh,North Carolina 27604
James B.Hunt,Jr.,Governor March 19, 1993 Jonathan B.Howes,Secretary.
ROGER WILSON
WILSON RESIDENCE (ROGER)
3017 WAGONWHEEL COURT
BELMONT, NC 28012
Subject: NPDES PERMIT NO. NC0074896
GASTON COUNTY
Dear Permittee:
The subject permit issued on 1/19/89 expires on 12/31/93. North
Carolina General Statute (NCGS) 143-215. 1(c) requires that an
application for permit renewal be filed at least 180 days prior to the
expiration date. As of the date of this letter, the Division of
Environmental Management had not received an application for renewal.
If operation of a discharge or waste treatment facility is to occur
after the permit's expiration date, or if continuation of the permit is
desired, it must not be allowed to expire. A renewal request must be
submitted no later than 180 days prior to the permit's expiration date.
Operation of the waste treatment works or continuation of a discharge
after the expiration date would constitute a violation of NCGS 143-215. 1
and could result in assessment of civil penalties of up to $10,000 per
day. If continuation of the permit is desired, failure to request
renewal at least 180 days prior to expiration will result in a civil
assessment of at least $250.00; larger penalties may be assessed
depending upon the delinquency of the request.
A renewal application shall consist of the following information:
1. A letter requesting the renewal.
2. The completed application form (copy attached), signed and
submitted in triplicate, referenced in Title 15 of North Carolina
Administrative Code (15A NCAC) Subchapter 2H .0105(a).
3. A processing fee (see attached schedule) in accordance with 15A
NCAC 2H .0105(b). The application processing fee is based on the
design or permitted flow, whichever is appropriate, listed in the
first categories of facilities.
Regional Offices
Asheville Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 919/486-1541 704/663-1699 919/571-4700 919/946-6481 919/395-3900 919/896-7007
Pollution Prevention Pays
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

4. Primary industries listed in Appendix A of Title 40 of the
Code of Federal Regulations, Part 122 shall also submit a
priority pollutant analysis in accordance with Part 122.21.
5. Facilities which have not been constructed within the last
permit cycle and are therefore, considered "new" facilities,
shall also submit an Engineering Alternatives Analysis,
referenced in 15A NCAC Subchapter 2H .0103 and Subchapter
2B .0201(c).
6. If the facility covered by this permit contains some type of
treatment works, a narrative description of the sludge management
plan must be submitted with the application for the renewal.
In addition to penalities referenced above, a permit renewal
request received after the expiration date will be considered as
a new application and will require the higher application fee.
15A NCAC 2H .0105(b)(2) requires payment of an annual
Administrative and Compliance Monitoring fee for most permitted
facilities. You will be billed separately for that fee (if
applicable), after your permit is approved.
The letter requesting renewal, the completed Permit application,
and appropriate fee should be sent to:
Permits and Engineering Unit
Division of Environmental Management
Post Office Box 29535
Raleigh, North Carolina 27626-0535
The check should be made payable to the North Carolina Department of
Environment, Health, and Natural Resources which may be abbreviated as
DEHNR.
If there are questions or a need for additional information
regarding the permit renewal procedure, please contact me or any
individual in the NPDES Group at telephone number (919) 733-5083.
Sincerely,
Coleen Sullins, P.E.
Supervisor, NPDES Permits Group
cc: Mooresville Regional Office
Permits and Engineering Unit
Central Files

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State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street• Raleigh,North Carolina 27604
James B.Hunt,Jr.,Governor March 19, 1993 Jonathan B.Howes,Secretary.
ROGER WILSON-
WILSON RESIDENCE (ROGER)
3 1Q 7 WAGONWHEEL COURT
BELMONT, NC 28012
Subject: NPDES PERMIT NO. NC0074896
GASTON COUNTY
Dear Permittee:
The subject permit issued on 1/19/89 expires on 12/31/93. North
Carolina General Statute (NCGS) 143-215. 1(c) requires that an
application for permit renewal be filed at least 180 days prior to the
expiration date. As of the date of this letter, the Division of
Environmental Management had not received an application for renewal.
If operation of a discharge or waste treatment facility is to occur
after the permit's expiration date, or if continuation of the permit is
desired, it must not be allowed to expire. A renewal request must be
submitted no later than 180 days prior to the permit's expiration date.
Operation of the waste treatment works or continuation of a discharge
after the expiration date would constitute a violation of NCGS 143-215. 1
and could result in assessment of civil penalties of up to $10,000 per
day. If continuation of the permit is desired, failure to request
renewal at least 180 days prior to expiration will result in a civil
assessment of at least $250.00; larger penalties may be assessed
depending upon the delinquency of the request.
A renewal application shall consist of the following information:
1. A letter requesting the renewal.
2. The completed application form (copy attached), signed and
submitted in triplicate, referenced in Title 15 of North Carolina
Administrative Code (15A NCAC) Subchapter 2H .0105(a).
3. A processing fee (see attached schedule) in accordance with 15A
NCAC 2H .0105(b). The application processing fee is based on the
design or permitted flow, whichever is appropriate, listed in the
first categories of facilities.
Regional Offices
Asheville Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 919/486-1541 704/663-1699 919/571-4700 919/946-6481 919/395-3900 919/896-7007
Pollution Prevention Pays
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

4. Primary industries listed in Appendix A of Title 40 of the
Code of Federal Regulations, Part 122 shall also submit a
priority pollutant analysis in accordance with Part 122.21.
5. Facilities which have not been constructed within the last
permit cycle and are therefore, considered "new" facilities,
shall also submit an Engineering Alternatives Analysis,
referenced in 15A NCAC Subchapter 2H .0103 and Subchapter
2B .0201(c).
6. If the facility covered by this permit contains some type of
treatment works, a narrative description of the sludge management
plan must be submitted with the application for the renewal.
In addition to penalities referenced above, a permit renewal
request received after the expiration date will be considered as
a new application and will require the higher application fee.
15A NCAC 2H .0105(b)(2) requires payment of an annual
Administrative and Compliance Monitoring fee for most permitted
facilities. You will be billed separately for that fee (if
applicable), after your permit is approved.
The letter requesting renewal, the completed Permit application,
and appropriate fee should be sent to:
Permits and Engineering Unit
Division of Environmental Management
Post Office Box 29535
Raleigh, North Carolina 27626-0535
The check should be made payable to the North Carolina Department of
Environment, Health, and Natural Resources which may be abbreviated as
DEHNR.
If there are questions or a need for additional information
regarding the permit renewal procedure, please contact me or any
individual in the NPDES Group at telephone number (919) 733-5083.
Sincerely,
Coleen Sullins, P.E.
Supervisor, NPDES Permits Group
cc: Mooresville Regional Office
Permits and Engineering Unit
Central Files

NPDES PERMIT APPLICATION PROCESSING FEES
NEW TIMELY NAME CHANGES*
APPLICATION/ RENEWALS
MAJOR WITHOUT MAJOR
MODIFICATION/ MODIFICATION
LATE RENEWAL
>10,000,000 Gallons Per Day
Industrial $400 $400 $50
Domestic/Cooling Water $400 $400 $50
1,000,001 - 10,000,000 Gallons Per Day
Industrial $400 $300 $50
Domestic/Cooling Water $400 $300 $50
100,001 - 1,000,000 Gallons Per Day
Industrial $400 $250 $50
Domestic/Cooling Water $400 $250 $50
1,001 - 100,000 Gallons Per Day
Industrial $400 $200 $50
Domestic/Cooling Water $400 $200 $50
</= 1,000 Gallons Per Day
Single Family Dwelling $240 $240 $50
General Permits
Domestic(Single Family) $240 $240 $50
Industrial $400 $400 $50
Construction(Stormwater) $50 $50 $50
Stormwater
Municipal Separate System $400 $400 $50
Industrial Activity $400 $400 $50
*The fee for name changes also applies to any other minor modification listed under 15A NCAC
2H .0114(b).
Checks or money orders shall be made out to the: "NC DEPARTMENT OF EHNR"

NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM 0-SFR FOR AGENCY USE
1 IOr UMBER
I I 1
DATE RECEIVED
I
YEAR MONTH DAY
TO BE FILED BY SINGLE FAMILY RESIDENCES ONLY
FEES: NEW APPLICATION $240 PERMIT MODIFICATION $240
PERMIT RENEWAL $240 PERMIT NAME CHANGE $50
1. Mailing address of applicant:
A. Name
B. Street Address
C. City
D. County
E ZIP Code
F. Telephone No. (Home) (Work)
AREA AREA
CODE CODE
2. Location of residence producing discharge:
A. Street Address and State Road #
A(1) Parcel/Lot # Deed Book #/Page#
B. City
C. County
D. ZIP Code
3. This NPDES Permit application applies to which of the following (check appropriate space):
A. New or Proposed
B. Existing Unpermitted
C. Existing Renewal
D. Modification
E Renewal w/ Modification
Description of Modification
4. Number of bedrooms at residence: Number of Homes on System:
5. Type of system being used to treat wastewater (check appropriate space):
A. Septic Tank and Sand Filter _
B. Septic Tank, Dual or Recirculating Sandfilters, Cascade Reaeration
C. Conventional Septic Tank _
D. Other (describe treatment)
6. Does your treatment system have chlorination? Yes No
(continued on back)
Short Form D-SFR
Revised 3/93

•
7. Name of receiving water or waters which will accept the discharge
8. Is any activity being performed at the residence which would generate wastes other than domestic wastes,
such as photographic processing? Yes No
If yes, please explain;
I certify that I am familiar with the information contained in the
application and that to the best of my knowledge and belief such
information is true, complete and accurate.
Printed Name of Person Signing
Title (homeowner, etc.)
Date Application Signed
Signature of Applicant
Mall three copies of the completed application, a map or drawing showing the location of
discharge, along with the appropriate processing fee to:
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION - PERMITS & ENGINEERING UNIT
ATTENTION: NPDES GROUP
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
North Carolina General Statute 143-215.6(B) provides that: Any person who knowingly me
any false statement, representation, or certification in any application, record, report,
or other document filed or required to be maintained under Article 21 or regulations of
Environmental Management Commission Implementing that Article, or who falsifies, tan.
with, or knowingly renders Inaccurate any recording or monitoring device or method rec
to be operated or maintained under Article 21 or regulations of the Environmental Manage
Commission Implementing that Article, shall be guilty of a misdemeanor punishable by a
not to exceed $10,000, or by Imprisonment not to exceed six months, or by both, (18 U.:
Section 1001 provides a punishment by a fine of not more than $10,000 or Imprisonment
more than 5 years, or both, for a similar offense).
Short Form D-SFR
Revised 3/93