WQ0010197_Regional Office Historical File Pre 2018 (3)

EFIRINC.
7here Is A Di er�TM
& EFIRD,INC. AWF
ENVIRONMENTAL, HEALTH & SAFETY DEPARTMENT to
ENVIRONMENTAL, HEALTH & SAFETY HEALTH PHONE [phone] FAX [phone]
� V ,
I /
March 15, 2004
D. Rex Gleason, P.E.
Water Quality Regional Supervisor G
North Carolina Department of Environment & Natural Resources ep
Mooresville Regional Office >--�
919 North Main Street
Mooresville, NC 28115
Ref: Wastewater Recycle System
Permit No. WQ0010197
American & Efird, Inc.
Mount Holly, Gaston County, NC
Dear Mr. Gleason,
Per item 25 of the above referenced permit, we respectfully request a renewal within
the required 6-month period. There have been no changes to the system with the
exception of a loading reduction due to business conditions. No residuals have been
removed to date.
You may contact me at [phone] if you have any questions or comments.
cerely,
eeves, P.E.
Corporate Environmental Engineer
Cy: John Bowyer
John Eapen
Bane Shaw
Steve Patrick
John Smith
i4.
AND NfiNi
MAR 1 6 2004
DreevesLWastewater/alum renewal
Quality Sewing Thread & Yarn Since 1891
P.O. BOX 507 • MOUNT HOLLY, NC 28120 • PHONE [phone] • http;//www.amefird.com
OA

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Water Resources LINDA CULPEPPER
ENVIRONMENTAL QUALITY Interim Director
December 11, 2017
JIMMY SUMMERS — VICE PRESIDENT OF EHS/SUSTAINABILITY
AMERICAN & EFIRD LLC
POST OFFICE BOX 507
MOUNT HOLLY, NORTH CAROLINA 28120-0507
Subject: Permit No. WQOO10197
American & Efird — Mount
Holly CLRS
Closed -Loop Recycle System
Gaston County
Dear Mr. Summers:
In accordance with your permit renewal request received -September 21, 2017, we are forwarding
herewith Permit No. WQ0010197 dated December 11, 2017, to American & Efird LLC for the continued
operation of the subject wastewater treatment and closed -loop recycle facilities. Please note that this
renewed permit shall become effective on May .l, 2018 (i.e., the day after the expiration date of the existing
permit).
- This permit shall be effective from May 1, 2018 until April 30, 2023, shall void Permit No.
WQ0010197 issued December 5, 2011, and shall be subject to the conditions and limitations as specified
therein., Please .pay particular attention to the monitoring requirements listed in Section IV for they may
differ from the previous permit issuance. Failure to establish an adequate system for collecting and
maintaining the required operational information shall result in future compliance problems.
Please note the following permit conditions have been removed since the last.permit issuance
dated .December 5, 201.1:: .
➢ Old Conditions IIA. and 115. — These conditions have been removed because there is no
disposal system: associated with this facility.
Please note the following permit condition is new since the last permit issuance dated
December 5, 2011:
➢ Condition IVA. - This condition requires that the Permittee maintain a'record of all residuals
removed from the facility.
➢ Condition IV.5. - This condition requires that the Permittee keep a maintenance log at the
facility.
''- NothtngComparesrr..
State of North Carolina Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge. Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6332

Mr. Jimmy Summers
December 11, 2017
Page 2 of 2
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and fled with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh; NC 21699-6714. Unless.such demands are made, this permit shall be final and binding.
If you need additional information concerning this permit, please contact Alice M. Wessner at (919)
807-6425 or [e-mail].
Sincerely,
?Linda Culpepper, Interim Director
?Linda
of Water Resources
cc: Gaston County Health Department (Electronic Copy)
Mooresville Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central. Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
CLOSED -LOOP RECYCLE SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
American & Efird LLC
Gaston County
191i7: .1
continued operation of a 68,000 gallon per day (GPD) wastewater treatment and closed -loop recycle facility
consisting of:
a 1.0 million gallon (MG) unlined settling basin to remove solids from the existing alum floc basin, to
remove drain water, and to remove existing sand filter backwash; a pumping facility to pump the clarified
water back to the head of the water treatment plant raw water reservoir; and all associated piping, valves,
controls, and appurtenances
to serve the American & Efird — Mt. Holly CLRS, with no discharge of wastes to surface waters, pursuant
to the application received September 21, 2017, and in conformity with the project plans, specifications,
and other supporting data subsequently filed and approved by the Department of Environmental Quality
and considered a part of this permit.
This permit shall be effective from May 1, 2018 until April 30, 2023, shall void Permit No. WQ0010197
issued December 5, 2011, and shall be subject to the following specified conditions and limitations:
I. SCHEDULES
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application.
[ 15A NCAC 02T .0105(d), 02T .0106, 02T .0109]
WQ0010197 Version 4.0 Shell Version 171103 Page 1 of 5

H. PERFORMANCE STANDARDS
The subject non -discharge facilities shall be effectively maintained and operated at all times so there is
no discharge to the surface waters, nor any contravention of groundwater or surface water standards.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions
due to improper operation and maintenance, the Permittee shall take immediate corrective actions
including Division required actions, such as the construction of additional or replacement wastewater
treatment or recycle facilities. [15A NCAC 02T .0108(b)(1)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface
water resulting from the operation of this facility. [ 15A NCAC 02B .0200, 02L .0100]
3. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for storage and treatment units permitted under 15A NCAC 02H .0200 shall be as
follows (all distances in feet):
i. Any well with the exception of a Division approved groundwater monitoring well: 100
I Any property line: 50
[15A NCAC 02H .02190)]
III. OPERATION AND MAINTENANCE REOUIREMENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater resulting
from the operation of this facility. The Permittee shall maintain an Operation and Maintenance Plan,
which at a minimum shall include operational functions, maintenance schedules, safety measures and
a spill response plan. [15A NCAC 02T .1007]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or more
certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules. [15A NCAC 02T .0117] °
3. . Public access to the wastewater treatment facilities and closed -loop recycle system shall be prohibited.
[15A NCAC 02T .1000(a)(1)]
4. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T .1008. [15A NCAC 02T .1008, 02T .1100]
5. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited. [-15A NCAC 02T .0108(b)(1)]
6. Freeboard in the 1.0 million gallon (MG) unlined settling basin shall not be less than two feet at any
time. [15A NCAC 02T .1005(b)(6)]
7. A gauge to monitor waste levels in the 1.0 million gallon (MG) unlined settling basin shall be provided.
This gauge shall have readily visible permanent markings, at inch or tenth of a foot increments,
indicating the following elevations: maximum liquid level at the top of the temporary liquid storage
volume; minimum liquid level at the bottom of the temporary liquid storage volume; and the lowest
point on top of the dam. [ 15A NCAC 02T .0108(b)(1)]
WQ0010197 Version 4.0 Shell Version 171103 Page 2 of 5

8. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs, and
other woody vegetation shall not be allowed to grow on the earthen dikes or embankments. Earthen
embankment areas shall be kept mowed or otherwise controlled and accessible. [15A NCAC 02T
.0108(b)(1)]
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water analyses)
necessary to ensure groundwater and surface water protection shall be established, and an acceptable
sampling reporting schedule shall be followed. [ 15A NCAC 02T .0108(c)]
2. A Division certified laboratory shall conduct all laboratory analyses for the required effluent,
groundwater or surface water parameters. [15A NCAC 02H .0800]
3. Freeboard (i.e., waste level to the lowest embankment elevation) in the 1.0 million gallon (MG) unlined
settling basin shall be measured to the nearest inch or tenth of a foot, and recorded weekly. Weekly
freeboard records shall be maintained at the facility for a period of no less than five years, and shall be
made available to the Division upon request. [ 15A NCAC 02T .0108(c)]
4. A record shall be maintained of all residuals removed from this facility. This record shall be maintained
at the facility for a period of no less than five years, and shall be made available to the Division upon
request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
[15A NCAC 02T .0108(b)(1)]
5. A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for a
period of no less than five years, and shall be made available' to the Division upon request. At a
minimum, this log shall include:
a. Visual observations of the plant and plant site; and
b. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing, inspections
and cleanings, etc.).
[ I SA NCAC 02T .0108(b)(1)]
WQ0010197 Version 4.0 Shell Version 171103 Page 3 of 5

1�
6. Noncompliance Notification:
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours, or on the next working day following
the occurrence or first knowledge of the occurrence of any of the following:
a. Treatment of wastes abnormal in quantity or characteristic, including the known passage of a
hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone]. Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
betaken to ensure the problem does not recur. [15A NCAC 02T .0105(1), 02T .0108(b)(1)]
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and recycle facilities. [15A NCAC 02T .0108(b)]
2. The Permittee or their designee shall inspect the wastewater treatment and recycle facilities to prevent
malfunctions, facility deterioration and operator errors resulting in discharges, which may cause the
release of wastes to the environment, a threat to human health or a public nuisance. The Permittee shall
maintain an inspection log that includes, at a minimum, the date and time of inspection, observations
made, and any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this
inspection log for a period of five years from the date of the inspection, and this log shall be made
available to the Division upon request. [15A NCAC 02T .0108(b)]
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and recycle facilities permitted
herein at any reasonable time for the purpose of determining compliance with this permit; may inspect
or copy any records required to be maintained under the terms and conditions of this permit, and may
collect groundwater, surface water or leachate samples. [G.S. 143-21.5.3(a)(2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to an
enforcement action by the Division in accordance with North Carolina General Statutes 143-215.6A to
143-215.6C. [G.S. 143-215.6A to 143-215.6C]
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with the
conditions of this permit, the Division approved plans and specifications, and other supporting
documentation. [ 15A NCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T .0105(n).
[G.S. 143-21.5.1 ]
WQ0010197 Version 4.0 Shell Version 171103 Page 4 of 5

4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules in
15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4 and
under General Permit NCGO10000; any requirements pertaining to wetlands under 15A NCAC 02B
.0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of the
General Statutes. [15A NCAC 02T .0105(c)(6)]
In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner. [15A NCAC
02T .0104]
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the facilities
permitted herein. [15A NCAC 02T .0108(b)(1)]
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority. [15A NCAC 02T
.01050)]
8. This permit is subject to revocation or unilateral modification upon 60 days' notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 62T .0110. [ 15A NCAC 02T .0110]
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b). [15A
NCAC 02T .0120]
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to pay
the annual fee accordingly shall be cause for the Division to revoke this permit. [15A NCAC 02T
.0105(e)(3)]
Permit issued this the 11t' day of December 2017
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
?Linda Culpepper, Interim Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0010197
WQ0010197 Version 4.0 Shell Version 171103 Page 5 of 5

%i
0.11
o
UT. HOLLY CAMPUS AM RW" & IsFIRD, INC
B l j t a Yount Holly. N.C.
9 CORPORATE ENGINEMM

State of North Carolina
Department of Environmental Quality
Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
Division of Water Resources NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
RECEIVED/NCDENR/DWR
September 21, 2017
SEP252017
To: I � -®- VV, NS' Andpew �Pitner"�/'Co y�Bas i ger:
WOROS
From: Alice Wessner, Water Quality Permitting Section - Non -Discharge Permitting UnitMOORESVILLE REGIONAL OFFICE
Permit Number: WQ0010197 Permit Type: Closed -Loop Recycle
Applicant: American & Efird, LLC Project Type: Renewal
Owner Type: Organization Owner in BIMS? Yes
Facility Name: American & Efird - Mount Holly CLRS Facility in BIMS? Yes
Signature Authority: Jimmy Summers Title: VP EHS/Sustainability
Address: Post Office Box 507, Mount Holly, North Carolina 28120-0507 County: Gaston
Fee Category: Closed -Loop Recycle Fee Amount: $0
Comments/Other Information:
Attached, you will find all information submitted in support of the above -referenced application for your review,
comment, and/or action. Within 45 calendar days, please take the following actions:
® Return this form completed. ® Return a completed staff report.
❑ Attach an Attachment B for Certification. ❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and
return it to the appropriate Central Office Water Quality Permitting Section contact person listed above.
RO-WQROS Reviewer: r
Date: / U
FORM: WQROSNDARR 09-15 Page 1 of 1

Water Resources
ENVIRONMENTAL QUALITY
September 21, 2017
JIMMY SUMMERS — VP EHS/SUSTAINABILITY
AMERICAN & EFIRD, LLC
POST OFFICE BOX 507
MOUNT HOLLY, NORTH CAROLINA 28120-0507
Dear Mr. Summers:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERnnMAN
RECEIVEDINCDEI�I�JNO
SEP 2 5 2017
WGiROS
MOORESVILLE REGIONAL OFFICE
Subject: Acknowledgement of
Application No. WQ0010197
American & Efird - Mount Holly
CLRS
Closed -Loop Recycle System
Gaston County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on September 21, 2017. Your application package has been assigned
the number listed above, and the primary reviewer is Alice Wessner.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Alice Wessner at [phone] or [e-mail].
Sincerely,
Nathaniel D. Thornburg, Supervisor
Division of Water Resources
cc: bore v 1pl R�egionalX ce �lU tern, ualityx regio t ©n erai> Section
Permit File WQ0010197
" Nothhig+ Compares``.__.._
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6332

State of North Carolina
Department of Environmental Quality
Division of Water Resources
"Division of Water Resources
I. PERMITTEE INFORMATION:
1. Permittee's name: American & Efird LLC
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 06-16
2. Signature authority's name: Jimmy Summers per 15A NCAC 02T .0106(b) Title: VP EHS/ Sustainability
3. Permittee's mailing address: 22 American Street
City: Mt. Holly State: NC Zip: 28120-
4. Permittee's contact information: Phone number: 704 951-2576 Email Address: Jimmy. Summers(a_amefird.com
II. FACILITY INFORMATION:
Facility name: American & Efird - Mt. Holly Waste Water Treatment Plant
ti
Facility's physical address: 2-6 American Street RECEIVEDINCDEQIDWR
City: Mt. Holly State: NC Zip: 28120- County: Gaston
S E P 2 1 2017
III. PERMIT INFORMATION:
1. Existing permit number: WQ0010197 and most recent issuance date: December 5, 2011 Non -Discharge
Permitting Unit
2. Existing permit type: Closed -Loop Recycle
3. Has the facility been constructed? ® Yes or ❑ No
Applicant's Certification per 15A NCAC 02T .0106(b):
SO nn V"RICS
Authority's name & title from Application Item I.2.)
that this application for
0A . 14o U y Wes 6e w--t-er T tm+,-�t
(Facility name from Application Item II.1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed and that
if all required supporting information and attachments are not included, this application package will be returned to me as incomplete.
I further certify that the Applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
compliant with any active compliance schedule, and do not have any overdue annual fees per 15A NCAC 02T .0105(e).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalti s up to $25,000 per violation. p
Signature: Date:
FORM: NDSR 06-16 Page 1 of 1

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
CLOSED -LOOP RECYCLE SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
American & Efird, LLC
Gaston County
FOR THE
continued operation of a 68,000 gallon per day (GPD) wastewater treatment and closed -loop recycle
facility consisting o£
a 1.0 million gallon (MG) unlined settling basin to remove solids from the existing alum floc basin, to
remove drain water, and to remove existing sand filter backwash; a pumping facility to pump the clarified
water back to the head of the water treatment plant raw water reservoir; and all associated piping, valves,
and appurtenances
to serve American & Efird — Mt. Holly WWTP, with no discharge of wastes to surface waters, pursuant to
the application received November 10, 2011, and subsequent additional information received by the
Division of Water Quality, and in conformity with the project plans, specifications, and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
This permit shall be effective from the date of issuance until April 30, 2018, shall void Permit No.
WQ0010197 issued May 15, 2009, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
WQ0010197 Version 3.1 Shell Version 111103 Page 1 of 5

H ~ PERFORMANCE STANDARDS
The subject non -discharge facilities shall be effectively maintained and operated at all times so there
is no discharge to the surface waters, nor any contravention of groundwater or surface water
standards. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions due to improper operation and maintenance, the Permittee shall take immediate
corrective actions including Division required actions, such as the construction of additional or
replacement wastewater treatment or recycle facilities.
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility.
3. The setbacks for Treatment and/or Storage Units permitted prior to September 1, 2006 shall be as
follows (all distances in feet):
i. Surface waters:
50
ii. Any well with the exception of a Division approved groundwater monitoring well: 100
iii. Any property line: 50
4. The compliance boundary for the settling lagoon is specified by rules in 15A NCAC 02L,
Groundwater Classifications and Standards. This disposal system was individually permitted on or
after December 30, 1983; therefore, the compliance boundary is established at either 250 feet from
the waste disposal area, or 50 feet within the property boundary, whichever is closest to the waste
disposal area. An exceedance of groundwater standards at or beyond the compliance boundary is
subject to remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement
actions in accordance with North Carolina General Statute 143-215.6A through 143-215.6C.
The review boundary is established around the disposal systems midway between the compliance
boundary and the perimeter of the waste disposal area. Any exceedance of standards at the review
boundary shall require action in accordance with 15A NCAC 02L .0106.
III. OPERATION AND MAINTENANCE REQUIREMENTS
The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan pursuant to 15A NCAC 02T .1007, which at a minimum shall include operational
functions, maintenance schedules, safety measures and a spill response plan.
Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules.
3. Public access to the wastewater treatment facilities closed -loop recycle system shall be controlled.
4. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T .1008.
5. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited.
6. Freeboard in the settling lagoon shall not be less than two (2) feet at any time.
WQ0010197 Version 3.1 Shell Version 111103 Page 2 of 5

7. A gauge to monitor waste levels in the settling lagoon shall be provided. This gauge shall have
readily visible permanent markings indicating the following elevations: maximum liquid level at the
top of the temporary liquid storage volume; minimum liquid level at the bottom of the temporary
liquid storage volume; and the lowest point on top of the dam.
8. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the earthen dikes or embankments.
Earthen embankment areas shall be kept mowed or otherwise controlled and accessible.
IV. MONITORING AND REPORTING REQUIREMENTS
Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed.
2. Per 15A NCAC 02H .0800, a Division certified laboratory shall conduct all laboratory analyses for
the required effluent, groundwater or surface water parameters.
3. Freeboard (i.e., waste level to the lowest embankment elevation) in the settling lagoon shall be
recorded weekly. Weekly freeboard records shall be maintained at the facility for a period of no less
than five years, and shall be made available to the Division upon request.
4. A record shall be maintained of all residuals removed from this facility. This record shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
5. Noncompliance Notification:
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours, or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the facility resulting in the treatment of significant amounts of wastes that is
abnormal in quantity or characteristic, including the known passage of a hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur.
WQ0010197 Version 3.1 Shell Version 111103 Page 3 of 5

V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and recycle facilities.
2. The Permittee or their designee shall inspect the wastewater treatment and recycle facilities to prevent
malfunctions, facility deterioration and operator errors resulting in discharges, which may cause the
release of wastes to the environment, a threat to human health or a public nuisance. The Permittee
shall maintain an inspection log that includes, at a minimum, the date and time of inspection,
observations made, and any maintenance, repairs, or corrective actions taken. The Permittee shall
maintain this inspection log for a period of five years from the date of the inspection, and this log
shall be made available to the Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and recycle facilities
permitted herein at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records required to be maintained under the terms and conditions of this
permit, and may collect groundwater, surface water or leachate samples.
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation.
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n).
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCGO 10000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
5. In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner.
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein.
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority pursuant to 15A NCAC
02T .01050).
WQ0010197 Version 3.1 Shell Version 111103 Page 4 of 5

8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b).
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 5th day of December 2011
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0010197
WQ0010197 Version 3.1 Shell Version 111103 Page 5 of 5

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Beverly Eaves Perdue
Governor
AN x-,
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North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director -
December 5, 2011
John Eapen — Vice President Environmental, Health & Safety
American & Efird, LLC
22 American Street
Mount Holly, NC 28120
Dear Mr. Eapen:
1 4 2011"
Subject: Permit No. WQ0010197
American & Efird — Mt. Holly
Wastewater Treatment Plant
Closed -Loop Recycle System
Gaston County
In accordance with your permit change of ownership request received November 10, 2011, and
subsequent additional information received November 18, 2011, we are forwarding herewith Permit No.
WQ001'0197 dated December 5, 2011, to American. & Efird, LLC for the continued operation of the
subject wastewater treatment and closed -loop recycle facilities. In this permit, the Permittee has been
changed from American & Efird, Inc. to American & Efird, LLC.
Please note that on August 5, 2009, Session Law 2009-406, entitled "An Act to Extend Certain
Government Approvals Affecting the Development of Real Property Within the State," was enacted by
the General Assembly and signed into law. The Act, known as the Permit Extension Act of 2009, extends
the expiration date of certain government approvals and permits. In addition, Session Law 2010-177
extended the Act by another year. Permit No. WQ0010197 falls within the scope of this Act and is
therefore being extended until April 30, 2018. A renewal application must still be submitted six months
in advance of the extended expiration date.
This pen -nit shall be effective from the date of issuance until April 30, 2018, shall void Permit No.
WQ0010197 issued May 15, 2009, and shall be subject to the conditions and limitations as specified
therein.
If any parts, requirements or limitations contained in this _permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall 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 at 6714. Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-674E;
Internet: www.ncwaterauality.ora
011O
1�' CIth s k i€ i E __
reelnan
An Equal Opportunity ; Affirmative Action Empiover

Mr. Eapen
December 5, 2011
Page 2 of 2
If you need additional information concerning this permit, please contact Chonticha McDaniel at
[phone] or [e-mail].
Sincerely,
U
Coleen H. Sullins
cc: Gaston County Health.Department
Iv,rei �efeional.:Cfi'e > �tuiProtee ion Fectan
Permit File WQ0010197
Notebook File WQ0010197

r
i
NORTH CAROLINA
ENVIRONMENTAL, MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
CLOSED -LOOP RECYCLE SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
American & Efrd., LLC
Gaston County
FOR THE
continued operation of a 68,000 gallon per day (GPD) wastewater treatment and closed -loop recycle
facility consisting of:
a 1.0 million gallon (MG) unlined settling basin to remove solids from the existing alum floc basin, to
remove drain water, and to remove existing sand filter backwash; a pumping facility to pump the clarified
water back to the head of the water treatment plant raw water reservoir; and all associated piping, valves,
and appurtenances
to serve American & Efird — Mt. Holly WWTP, with no discharge of wastes to surface waters, pursuant to
the application received November 10, 2011, and subsequent additional information received by the
Division of Water Quality, and in conformity with the project plans, specifications, and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
This permit shall be effective from the date of issuance until April 30, 2018, shall void Permit No.
WQ0010197 issued May 15, 2009, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
1. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
WQ0010197 Version 3.1 Shell Version 1 11103 Page 1 of 5

II. PERFORMANCE STANDARDS
The subject non -discharge facilities shall�be effectively maintained and operated at all times so there
is no discharge to the surface waters, nor any contravention of groundwater or surface water
standards. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions due to improper operation and maintenance, the Permittee shall take immediate
corrective actions including Division required actions, such as the construction of additional or
replacement wastewater treatment or recycle facilities.
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility.
3. The setbacks for Treatment and/or Storage Units permitted prior to September 1, 20.06 shall be as
follows (all distances in feet):
i. Surface waters:
50
ii. Any well with the exception of a Division approved groundwater monitoring well: 100
iii. Any property line:
50
4. The compliance boundary for the settling lagoon is specified by rules in 15A NCAC 02L,
Groundwater Classifications and Standards. This disposal system was individually permitted on or
after December 30, 1983; therefore, the compliance boundary is established at either 250 feet from
the waste disposal area, or 50 feet within the property boundary, whichever is closest to the waste
disposal area. An exceedance of groundwater standards at or beyond the compliance boundary is
subject to remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement
actions in'accordance with North Carolina General Statute 143-215.6A through 143-215.6C.
5. The review boundary is established around the disposal systems midway between the compliance
boundary and the perimeter of the waste disposal area. Any exceedance of standards at the review
boundary shall require action in accordance with 15A NCAC 02L .0106.
III. OPERATION AND MAINTENANCE REQUIREMENTS
The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan pursuant to 15A NCAC 02T .1007, which at a minimum shall includeoperational
functions, maintenance schedules, safety measures and a spill response plan.
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules.
3. Public access to the wastewater treatment facilities closed -loop recycle system shall be controlled.
4. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T .1008.
5. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited.
6. Freeboard in the settling lagoon shall not be less than two (2) feet at any time.
WQ0010197 Version 3.1 Sbell Version 111103 . . Pave 2 of 5

A gauge to monitor waste levels in the settling lagoon shall be provided. This gauge shall have
readily visible permanent markings indicating the following elevations: maximum liquid level at the
top of the temporary liquid storage volume; minimum liquid level at the bottom of the temporary
liquid storage volume; and the lowest point on top of the dam.
8. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the earthen dikes or embankments.
Earthen embankment areas shall be kept mowed or otherwise controlled and accessible.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed.
2. Per. 15A NCAC 02H .0800, a Division certified laboratory shall conduct all laboratory analyses for
the required effluent, groundwater or surface water parameters.
Freeboard (i.e., waste level to the lowest embankment elevation) in the. settling lagoon shall be
recorded weekly. Weekly freeboard records shall be maintained at the facility for a period of no less
than five years, and shall be made available to the Division upon request.
4. A record shall be maintained of all residuals removed from this facility. This record shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b.. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
5. Noncompliance Notification:
The Permittee shall report by telephone to the* Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours, or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the facility resulting in the treatment of significant amounts of wastes that is
abnormal in quantity or characteristic, including the known passage of a hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur.
WQ0010197 Version 3.1 Shell Version 111103 Page 3 of 5

1
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
. wastewater treatment and recycle facilities.
2. The Permittee or their designee shall inspect the wastewater treatment and recycle facilities to prevent
malfunctions, facility deterioration and operator errors resulting in discharges, which may cause the
release of wastes to the environment, a threat to human health or a public nuisance. The Permittee
shall maintain an inspection log that includes, at a minimum, the date and time of inspection,
observations made, and any maintenance, repairs, or corrective actions taken. The Permittee shall
maintain this inspection log for a period of five years from the date of the inspection, and this log
shall be made available to the Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and recycle facilities
permitted herein at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records required to be maintained under the terms and conditions of this
permit, and may collect groundwater, surface water or leachate samples.
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and specifications, and other supporting
documentation.
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T
.0105(n).
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCGO10000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of
Chapter 143 of the General Statutes.
5. In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner.
The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein.
The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority pursuant to 15A NCAC
02T .01050).
WQ0010197 Version 3.1 Shell Version 111103 Pale 4 of 5

8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b).
10. The Permittee. shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 5"' day of December 2011
J
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
S;;/ $oleeoh. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0010197
WQOO10197 Version 3.1 Shell Version 111103 Page 5 of 5

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Finley, Peggy
From: Finley, Peggy
Sent: Tuesday, November 22, 2011 10:26 AM
To: Mcdaniel, Chonticha
Subject: WQ0010197
American & Efird
Gaston Co.
Chonticha:
This office has no objection to the request for a name change for the referenced permit.
Peggy
Please note the change in email address
Peggy Finley - [e-mail]
North Carolina Dept. of Environment & Natural Resources
Div. of Water Quality - Aquifer Protection Section
Iredell County Government Center
610 E Center St., Suite 301
Mooresville, NC 28115
Ph: [phone] Fax: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
1

AOUIFER PROTECTION SECTION
TICATION REVIEW REOUEST FO
Date: November 17, 2011
To: ❑
Landon Davidson, ARO-APS
❑
Art Barnhardt, FRO-APS
®
Andrew Pitner, MRO-APS
❑
Jay Zimmerman, RRO-APS
k?
NOV
2 1 2011
❑ David May,
❑ Charlie Stehman, WiRO-APS
❑ Sherri Knight, WSRO-APS
From: Chonticha McDaniel ❑AFO❑GW Protection❑GW Planning ®LAU
E-Mail: chonticha.mcdaniel(a�ncdenr.gov
Telephone: [phone] Fax:[phone]
A. Permit Number: WQ0010197 B. Owner: American & Efird Inc.
C. Facility/Operation: American & Efird Incorporated-WWTP
❑ Proposed ® Existing ® Facility ❑ Operation
D. Application:
1. Permit Type: ❑ Animal ❑ Surface Irrigation ❑ Reclaimed ❑ H-R Infiltration
® Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
❑ UIC - (5A7) open loop geothermal ❑ Single Family Residence
❑ Residuals
2. Project Type: ❑ New ❑ Major Mod. ® Minor Mod. ❑ Renewal ❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
RO Staff Report is not required. RO reviewer can send comments via email.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
® Return a Completed APSARR Form.
❑ BIMS indicates monitoring wells locations are not complete. Please update monitoring well
locations not currently in BIMS.
❑ BIMS indicates ongoing ❑ NDMR ❑NDAR ❑ GW monitoring violations. Please investigate
reoccurring compliance issues and summarize results in staff report.
❑ . Attach Well Construction Data Sheet.
❑ Process Attachment B for Certification by the Land Application Unit (LAU).
❑ Issue an Attachment B Certification from the RO.*
*coordinating site visits and reviews, as well as additional information requests with other RO-APS
representatives in order to prepare a complete Attachment B for certification. Refer to the RPP SOP for
additional detail.
Please indicate the name and date assigned in the spaces below, make a copy of this sheet, and return it to
the appropriate Central Office -Aquifer Protection Section contact person listed above.
RO-APS Reviewer:
Date:
FORM: APSARR 03/10 Page 1 of 1

Beverly Eaves Perdue
Governor
S; . k
71
HCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
November 15, 2011
John Eapen — Vice President Environmental, Health & Safety
American & Efird, LLC
22 American Street
Mt. Holly, NC 28120
Dear Mr. Eapen:
Dee Freeman
Secretary
Subject: Acknowledgement of
Application No. WQ0010197
American & Efird Incorporated
- WWTP
Wastewater Recycyling System
Gaston County
The Aquifer Protection Section acknowledges receipt of your permit application and supporting
documentation received on November 10, 2011. Your application package has been assigned the number
listed above, and the primary reviewer is Chonticha McDaniel.
Central and Mooresville Regional Office staff will perform a detailed review of the provided
application, and may contact you with a request for additional information. To ensure maximum
efficiency in processing permit applications, the Aquifer Protection Section requests your assistance in
providing a timely and complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Chonticha McDaniel at [phone] or [e-mail].
Sincerely,
for Jon Risgaard
Land Application Unit Supervisor
cc: Mooresville Regional Office; Aquifer Protection -Section _ [
Permit File WQ0010197
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh. North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748
Internet: www.ncwatereualitv.org
An Equal Opportunity \,Affirmative Action Ernplo;rer
One
N i-thCarol.ina
Nwly

.,'
Innovate. Create. Deliver.
November 3, 2011
Mr. Ken Pickle
North Carolina Department of Environment and Natural Resources
Stormwater Permitting Unit
North Carolina Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Permit No. WQ0010197
Closed -Loop Recycle System
Gaston County
Submission of Ownership Change Form
Dear Mr. Pickle:
111@29TRI
NOV - 8 2011
DENR-WATEROUALITY
"MWSAND STORMWATER WKli
I have enclosed with this letter a completed Permit Name/Ownership Change
form for this permit. The certifications in the form have been signed by both the current
permit holder and the new applicant.
The filing of this form results from a transaction in which the ownership of this
system has been transferred from American & Efird, Inc. to American & Efird, LLC.
Please note that the operations of the company and the personnel responsible for
compliance with this permit remain the same.
If you have any questions or need additional information, please let me know.
Sincerely,
John Eapen
Vice- President Environmental, Health and Safety
Enclosure
RECEIVliD / DENR / DVVQ
Ag Lifer Pr0f{.cfinn Srirflo
NOV 10 2011
American & Efird, Inc. ® P.O. Box 507, Mount Holly, NC 28120 • 704.827.4311 e www.amefird.com

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
PERMIT NAME/OWNERSHIP CHANGE
Any changes made to this form will result in the application being returned.
(THIS FORMMAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
For more information, visit our web site at., hyp:llporiaLncdearr.o)z web/wq/apsllau.
I. REOUIRED ITEMS
1. Submit one original of the completed and appropriately executed Permit Name/Ownership Change Form.
For a change of ownership, the certification must be signed by both the current permit holder and the ncw
applicant. For a name change only, the certification must be signed by the applicant.
2. Provide legal documentation of the transfer of ownership (such as a contract, deed, article of incorporation,
etc.) for ownership changes.
3. Change of Ownership Applications for Homeowners Associations (HOAs) shall include the HOAs bylaws,
covenants, etc. (15A 02T .0115(c)]
4. Submit a properly executed Operation and Maintenance Agreement for all Single Family -Residence Surface
Irrigation permits requesting a change of ownership.
H. CURRENT PERMIT INFORMATION
1, Penmitnumber: WQ0010197
2. Permit holder's name: American &Efird, Inc.
3. Permit's signing official's name and title: John Eapen Vice President Environmental, Health & Safety.
(Person legally responsible for permit)
4. Mailing address: 22 American Street
City: Mt. Holly
Telephone number. 7( 04 ) 951-2578
Vice President Environmental, Health & Safety
(title)
State: - NC Zip; 28120
Facsimile number: 7( 04 •) 827-2618
III. NEW OWNERINAME INFORMATION
1. This request. for a permit change is a result of:
X a. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. New owner's name (name to be used in permit): American & Efird, LLC
FORM: PNOC 09-06 Page 1 of 2
� L"11V .
J ii (:i i�ir Jvti

DEN
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
John Eapen
American & Efird, Inc.
P.O. Box 507
Mount Holly, North Carolina 28120
Dear Mr. Eapen:
Division of Water Quality
Coleen H. Sullins
Director
May 15, 2009
Dee Freeman
Secretary
Subject: Permit No. WQ0010197
American & Efird, Inc. - WWTP
Closed -Loop Recycle System
Gaston County
In accordance with your permit renewal request received March 17, 2009, we are forwarding
herewith Permit No. WQ0010197, dated May 15, 2009, to American & Efird, Inc. for the continued
operation of the subject closed -loop wastewater recycle facilities.
This permit shall be effective from the date of issuance until April 30, 4 shall void Permit No.
WQ0010197 issued December 17, 2004 and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements in this permit. Failure to establish
an adequate system for collecting and maintaining the required operational information will result in
future compliance problems. Please note that since the last permit issuance, the Division has created
a new permit shell.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of
this permit. 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, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made this permit shall be final and binding.
D MAY 1 3 Zppg D
- AQ U
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604 One
Phone: [phone] FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748 I�T�I�®I�12
Internet: www.nmaterauality.org 3
An Equal Opportunity 1 Affirmative Action Employer F" "�

Mr. John Eapen
May 15, 2009
Page 2 of 2
If you need additional information concerning this matter, please contact Lori Montgomery at
[phone] or [e-mail].
Sincerely,
�,, ,Col n H. Sullins
cc: —Gaston um, _ ealt� _ Depaxtment
,es�i�l�l Regional C�}ffc , Aquikfe -ction Section
Technical Assistance and Certification Unit
APS Central Files
LAU Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
CLOSED -LOOP RECYCLE SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
American & Efird, Inc.
Gaston County
FOR THE
continued operation of a 68,000 gallon per day (GPD) closed -loop recycle system consisting of: a 1.0
million gallon (MG) unlined settling basin to remove solids from the existing alum floc basin, to remove
drain water, and to remove existing sand filter backwash; a pumping facility to pump the clarified water
back to the head of the water treatment plant raw water reservoir; and all associated piping, valves, and
appurtenances to serve the American & Efird, Inc. Mount Holly Wastewater Treatment Plant,
with no discharge of wastes to the surface waters, pursuant to the application received March 17,. 2009,
received by the Division of Water Quality (Division), and in conformity with the project plan,
specifications, and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until April 30, 2014, shall void Permit No.
WQ0010197 issued December 17, 2004, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note that Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
H. PERFORMANCE STANDARDS
1. The closed -loop recycle system shall be effectively maintained and operated at all times so that there
is no discharge to the surface waters, nor any contravention of groundwater or surface water
standards. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions due to improper operation and maintenance, the Permittee shall take immediate
corrective actions including those actions that may be required by the Division, such as the
construction of additional or replacement wastewater treatment, recycle, or disposal facilities.
WQ10197 Version 3.0 Shell Version 090415 Page 1 of 6

2. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to ground
or surface waters resulting from the operation of this facility.
3. The facilities permitted herein must be constructed according to the following setbacks:
a. The setbacks for Treatment and/or Storage Units permitted prior to September 1, 2006 shall be as
follows (all distances in feet):
i. Surface waters: 50
ii. Any well with the exception of a Division approved groundwater monitoring well: 100
iii. Any property line: 50
4. The compliance boundary for the settling lagoon is specified by rules in 15A NCAC 02L,
Groundwater Classifications and Standards. This disposal system was individually permitted on or
after December 30, 1983; therefore, the compliance boundary is established at either 250 feet from
the waste disposal area, or 50 feet within the property boundary, whichever is closest to the waste
disposal area. An exceedance of groundwater standards at or beyond the compliance boundary is
_subject to remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement
actions in accordance with North Carolina General Statute 143-215.6A through 143-215.6C.
5. The review boundary is established around the disposal systems midway between the compliance
boundary and the perimeter of the waste disposal area. Any exceedance of standards at the review
boundary shall require action in accordance with 15A NCAC 02L .0106.
M. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater
resulting from the operation of this facility. The Permittee shall maintain an Operation and
Maintenance Plan pursuant to 15A NCAC 02T .1007 including operational functions, maintenance
schedules, safety measures, and a spill response plan.
2. Upon classification of the wastewater treatment and closed -loop recycle facilities by the Water
Pollution Control System Operators Certification Commission (WPCSOCC), the Permittee shall
designate and employ a certified operator to be in responsible charge (ORC) and one or more certified
operator(s) to be back-up ORC(s) of the facilities in accordance with 15A NCAC 08G .0200. The
ORC shall visit the facilities in accordance with 15A NCAC 08G .0200 or as specified in this permit
and shall comply with all other conditions specified in these rules.
3. Public access to the wastewater treatment equipment, wastewater storage structure(s), and closed -loop
recycle system shall be controlled.
4. The residuals generated from these treatment facilities must be disposed / utilized in accordance with
15A NCAC 02T .1100. The Permittee shall maintain a residual management plan pursuant to 15A
NCAC 02T .1008.
5. Diversion or bypassing of untreated wastewater from the treatment facilities is prohibited.
6. Freeboard in the settling lagoon shall not be less than two (2) feet at any time.
7. A waste -level gauge to monitor waste levels in the settling lagoon shall be provided. This gauge shall
have readily visible permanent markings indicating the maximum liquid level at the top of the
temporary liquid storage volume, minimum liquid level at the bottom of the temporary liquid storage
volume, and the lowest point on top of the dam elevations.
WQ10197 Version 3.0 Shell Version 090415 Page 2 of 6

8. A protective vegetative cover shall be established and maintained on all earthen basin embankments
(outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the earthen basin dikes or embankments.
Earthen basin embankment areas shall be kept mowed or otherwise controlled and accessible.
IV. MONITORING AND REPORTING REOUMEMENTS
Any monitoring (including groundwater, surface water, soil or plant tissue analyses) deemed
necessary by the Division to ensure surface and ground water protection will be established and an
acceptable sampling reporting schedule shall be followed.
2. All laboratory analyses for effluent, ground waters, or surface waters shall be made by a laboratory
certified by the Division for the required parameter(s) under 15A NCAC 02H .0800.
3. Freeboard (waste level to the lowest elevation on the top of the embankment) in the settling lagoon
shall be recorded weekly. Freeboard recording results shall be maintained at the facility for a period
of no less than five years, and shall be made available to the Division upon request.
4. A record shall be maintained of all residuals removed from this facility. This record shall include the
name of the hauler, permit authorizing the disposal or a letter from a municipality agreeing to accept
the residuals, date the residuals were hauled, and volume of residuals removed.
5. Noncompliance Notification:
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the wastewater treatment facility which results in the treatment of significant
amounts of wastes which are abnormal in quantity or characteristic, such as the dumping of the
contents of a basin or tank; the known passage of a slug of hazardous substance through the
facility; or any other unusual circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate wastewater treatment such as mechanical or electrical failures of pumps, aerators,
compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to
receiving waters.
d. Any time that self -monitoring information indicates that the facility has gone out of compliance
with its permit requirements.
For any emergency that requires immediate reporting (e.g., discharges to surface waters, imminent
failure of a storage structure, etc.) outside normal business hours must be reported to the Division's
Emergency Response personnel at telephone number [phone], [phone], or (919) 733-
3300. Persons reporting such occurrences by telephone shall also file a written report in letter form
within five (5) days following first knowledge of the occurrence. This report must outline the actions
taken or proposed to be taken to ensure that the problem does not recur.
WQ10197 Version 3.0 Shell Version 090415 Page 3 of 6

V. INSPECTIONS
1. Adequate inspection and maintenance shall be provided by the Permittee to ensure proper operation
of the subject facilities.
The Permittee or his designee shall inspect the wastewater treatment and recycle facilities to prevent
malfunctions and deterioration, operator errors and discharges which may cause or lead to the release
of wastes to the environment, a threat to human health, or a nuisance. The Permittee shall keep an
inspection log or summary including at least the date and time of inspection, observations made, and
any maintenance, repairs, or corrective actions taken by the Permittee. This log of inspections shall
be maintained by the Permittee for a period of five years from the date of the inspection and shall be
made available upon request to the Division or other permitting authority.
3. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the disposal site or
facility at any reasonable time for the purpose of determining compliance with this permit; may
inspect or copy any records that must be maintained under the terms and conditions of this permit,
and may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL CONDITIONS
1. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
2. This permit shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data. No variances to applicable rules governing the construction
and / or operation of the permitted facilities are granted unless specifically requested and granted in
this permit.
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other government agencies (local, state,
and federal) that have jurisdiction. Of particular concern to the Division are applicable river buffer
rules in 15A NCAC 02B .0200, erosion and sedimentation control requirements in 15A NCAC
Chapter 4 and under the Division's General Permit NCGO10000, and any requirements pertaining to
wetlands under 15A NCAC 02B .0200 and 02H .0500.
In the event there is a desire for the facilities to change ownership, or there is a name change of the
Permittee, a formal permit request must be submitted to the Division on official Division form(s),
documentation from the parties involved, and other supporting materials as may be appropriate. The
approval of this request will be considered on its merits and may or may not be approved. The
Permittee of record shall remain fully responsible for compliance until a permit is issued to the new
owner.
6. The Permittee shall retain a set of approved plans and specifications for the life of the facilities
permitted herein.
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority.
WQ10197 Version 3.0 Shell Version 090415 Page 4 of 6

The Permittee must pay the annual fee within thirty (30)
Failure to pay the fee accordingly may cause the Divisio
Permit issued this the 15t' day of May, 2009
n
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Co n H. ins, Director
Division f ater Quality
By Authority of the Environmental Management Commission
Permit Number WQ0010197
WQ10197 Version 3.0 Sbell Version 090415 Page 5 of 6

Permit No. WQ0010197
May 15, 2009
ENGINEER'S CERTIFICATION
Partial Final
1, , as a duly registered Professional Engineer in the State
of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of
the project,
Project Name
Location and County
for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the construction such that the construction was observed to be built within substantial
compliance and intent of this permit, the approved plans and specifications, and other supporting
materials.
Signature
Date
Registration No.
WQ10197 Version 3.0 Shell Version 090415 Page 6 of 6

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AQUIFER PROTECTION REGIONAL STAFF REPORT
Date: 3/25/09 County: Gaston
To: Aquifer Protection Central Office Permittee: American & Efird, Inc.
Central Office Reviewer: Lori Montgomery Project Name: A & E Plant #15 Alum Floc Basin
Application No.: WQ0010197
L GENERAL INFORMATION
1. This application is for Renewal X
❑ Minor Modification ❑ Major Modification
Surface Irrigation Reuse X Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included ❑ 503 regulated ❑ 503
exempt
❑ Distribution of Residuals ❑ Surface Disposal
❑ Closed -loop Groundwater Remediation ❑ Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? Last inspection - 9/30/08
a. Date of site visit:
b. Person contacted and contact information:
c. Site visit conducted by: Peggy Finley
d. Inspection Report in BIMS? Yes
2. Is the following information entered into the BIMS record for this application correct?
X Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current
application.
For Treatment Facilities:
a. Location:
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
industrial wastewater
For Disposal and Injection Sites:
,(If multiple sites either indicate which sites the information applies to, copy and paste a new section
into the document for each site, or attach additional pages for each site)
a. Location(s):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
FORM: A&E Staff report 3-26-09 1

AQUIFER PROTECTION REGIONAL STAFF REPORT
II RENEWALS AND MINOR MODIFICA TION APPLICA TIONS
Discrintion of Waste and Facilities
1. Are there appropriately certified ORCs for the facilities? NA
2. Is the design, maintenance and operation of the treatment facilities adequate for the type of waste
and disposal system? YES
3. Are the site conditions maintained appropriately and adequately assimilating the waste? YES
4. Has the site changed in any way that may affect the permit? NO
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division? YES
6. Are the existing application rates (hydraulic or nutrient) still acceptable? NA
7. Is the existing groundwater monitoring program adequate? NA
8. Will seasonal or other restrictions be required for added sites? NA
9. Are there any buffer conflicts? NO
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit
correct? YES
11. Were monitoring wells properly constructed and located? NA
12. Has a review of all self -monitoring data been conducted? Please summarize any findings from
this review: NA
13. Check all that apply: X. No compliance issues ... Notice(s) of violation within the last
permit cycle ... Current enforcement action ... Currently under SOC, JOC, moratorium
14.If any items checked, please explain and attach any documents that may help clarify
answer/comments
15. Have all the compliance dates/conditions in the existing permit, (SOC, JOC) been complied with?
16. Are there any issues related to compliance/enforcement that should be resolved before issuing the
permit?
FORM: A&E Staff report 3-26-09 2

A.
AQUIFER PROTECTION REGIONAL STAFF REPORT
Y. EVAL UATIONAND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application. 'There have been no
changes to the recycle system. It has been properly maintained.
2. Attach Well Construction Data Sheet - if needed information is available
3. Do you foresee any problems with issuance/renewal of this permit? X No.
4. List any items that you would like APS Central Office to obtain through an additional information
request. Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued.
Make sure that you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend be included in the
permit when issued. Make sure that you provide a reason for each special condition:
Condition Reason
7. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review of draft permit by regional office; Issue upon receipt of needed additional
information and engineering review; X Issue; ❑ Deny. If deny, please state reasons:
8. Signature of report preparer(s):
Signature of APS regional supervisor:
Date:
FORM: A&E Staff report 3-26-09 3

AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FORM
Date: March 18, 2009
To: ❑
Landon Davidson, ARO-APS
❑
Art Barnhardt, FRO-APS
®
Andrew Pitner, MRO-APS
❑
Jay Zimmerman, RRO-APS
From: Lori Montgomery, Land Application Unit
Telephone: [phone]
E-Mail: [e-mail]
A. Permit Number: WQ0010197
B. Owner: American & Efird, Inc.
❑ David May, WaRO-APS
❑ Charlie Stehman, WiRO-APS
❑ Sherri Knight, WSRO-APS
Fax:
C. Facility/Operation: American & Efird, Inc. - WWTP
❑ Proposed ® Existing ® Facility
D. Application:
5. -6048_-..R.
ti
LDWQ
0
NR MRO
fer Protection
❑ Operation
1. Permit Type: ❑ Animal ❑ Surface Irrigation ❑ Reuse ❑ H-R Infiltration
® Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
❑ UIC - (5A7) open loop geothermal
For Residuals: ❑Land App. ❑ D&M ❑Surface Disposal
[_1503 ❑ 503 Exempt ❑Animal .
2.•,.Project Type: ❑ New. ❑ , Major Mod. ; ❑ Minor Mod. ® Renewal ❑ Renewal w/ Mod: .
E. Comments/Other Information: ❑ I would like to accompany you on a site visit..
Attached, you will find all information submitted in support of the above -referenced application: for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
® Return a Completed APSARR Form.
❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification by the LAPCU.
❑ Issue an Attachment B Certification from the RO.*
* Remember that you will be responsible for coordinating site visits and reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office -Aquifer Protection Section contact person
listed above.
RO-APS Reviewer:
Date:
FORM: APSARR 07/06 Page 1 of 1

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Department of Environment and Natural Resources fly''? v" 2C09
Division of Water Quality
INSTRUCTIONS FOR FORM: WWR 09-06
(RENEWAL WITHOUT MODIFICATION OF WASTEWATER NON -DISCHARGE SYSTEMS)
For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at:
http:Ah2o. enr.state. nc. us/lau/main.html
This form is for renewal without modification for all wastewater non -discharge systems. Wastewater non -discharge
systems include: High Rate Infiltration Systems; Infiltration/Evaporation Lagoons; Reclaimed Water Utilization
Systems; Wastewater Recycle Systems; Single Family Surface Irrigation Systems; and Surface Irrigation Systems.
This application may not be used for renewal of Land Application of Residuals Permits
A. Application Form (All Application Packages):
✓ Submit one (1) original and two (2) copies of the completed and appropriately executed application form.
Any changes made to this form will result in the application package being returned.
✓ If the Applicant is a corporation or company, it must be registered for business with the NC Secretary of
State(litti)://www.secretary.state.ne.us/Corporations/CSearcli aspx).
✓ If the Applicant is a partnership, sole proprietorship, trade name, or d/b/a enclose a copy of the certificate
filed with the register of deeds in the county of business.
✓ The application must be signed appropriately in accordance with 15A NCAC 2T .0106(b). An alternate
person may be designated as the signing official, provided that a delegation letter is provided from a person
who meets the referenced criteria. You may download an example delegation letter from the LAU web site.
✓ Submit three (3) copies of the most recently issued existing permit.
B. Additional Forms (Single Family Residence Surface Irrigation Systems Only):
✓ Submit one (1) original and two (2) copies of a completed and properly executed FORM: SFR O&M. This
Form may be downloaded at: http://l12o.enr.state.ne.us/lau/applications.html#Single
C. Site Map
✓ Submit three (3) copies of an updated site map if required as part of the original submittal in accordance
with 15A NCAC 2T .0105(d).
I. GENERAL INFORMATION:
1. Pernittee's name (Owner of the facility) American & Efird, Inc.
2. Complete mailing address of Permittee: P. O Box 507
City: Mount Holly State: NC Zip: 28120
Telephone number: L704J 951-2578 Facsimile number: L704J 827-0721
Email Address: [e-mail]
3. Facility name (name of the subdivision, shopping center, etc.): Finishing Plant #15 — Alum Floc Basin
4. Complete address of the physical location of the facility (if different from above):
20 American Street
City: Mount Holly State: NC Zip: 28120
5. County where project is located: Gaston
6. Name and affiliation of contact person who can answer questions about project: John Eapen
VP of Environmental Health & Safety _Email Address: [e-mail]
FORM: WWR 09-06
Page 1

II. PERMIT INFORMATION:
KECEIVED / DENR / DWQ
Aquifer Protect[o,'1 S80jon
1. Existing permit number _WQ0010197 and the issuance dateDecember 17, 2004 hill' lli �'� 2009
2. Existing pen -nit type:
❑ High -Rate Infiltration ❑ Evaporation Lagoons ❑ Reclaimed Water Utilization
❑ Single Family Surface Irrigation ❑ Surface Irrigation ® Wastewater Recycle
3. Has the treatment and disposal system been constructed? ® Yes ❑ No
4. If the system has not been constructed, would you like to rescind your permit (i.e. the permitted facilities
will not be needed)? ❑ Yes ❑ No
5. Has the wastewater system been connected to a municipal or community sewer system? ❑ Yes ® No
Applicant's Certification [signing authority must be in compliance with 15A NCAC 2T .0106(b)t
I, John Eapen, VP of Environmental Health & Safety (signing authority name and title)
attest that this application for Finishing Plant # 15 —Alum Floc Basin (facility name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge
of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement
action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against
the Division of Water Quality should a condition of this permit be violated. I also understand that if. all required
parts of this application package are not completed and that if all required supporting information and attachments
are not included, this application package will be returned to me as incomplete. I further certify that the applicant or
any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 2T .0105.
Note: In accordance with NC General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any
false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor,
which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: March 13, 2009
THE COMPLETED RENEWAL APPLICATION SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
2728 CAPITAL BOULEVARD
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
FORM: WWR 09-06 Page 2

NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
March 18, 2009
John Eapen
American & Efird, Inc
PO Box 507
Mount Holly, NC 28120
Natural Resources
Dee Freeman
=7retary
ni=NR7RO
D
WQ - Aquifer Protection
Subject: Acknowledgement of Application No. WQ0010197 ; ' -
American & Efird Inc. - WWTP
Wastewater Recycling System
Gaston
Dear Mr. Eapen:
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials on March 17, 2009. This application package has been assigned the number listed above and will be reviewed by
Lori Montgomery.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary. To ensure the
maximum efficiency in processing permit applications, the Division requests your assistance in providing a timely and complete
response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to final action by the
Division. Please also note at this time, processing permit applications can take as long as 60 - 90 days after receipt of a complete
application.
If you have any questions, please contact Lori Montgomery at 919-715-6187, or via e-mail at [e-mail]. If the
reviewer is unavailable, you may leave a message, and they will respond promptly. Also note that the Division•has reorganized. To
review our new organizational chart, go to http://h2o.enr.state.nc.us/documents/dwq_or cg hart.pdf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT.
Sincerely,
0
for Jon Risgaard
LAU Supervisor
cc: -- - -_- -_ - - --_
VeLnmit
Application File WQ0010197
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone]-FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service:1-877-623-6748
Internet: www.rimaterguality.orq
An Equal opportunity 1 Affirmative Action Employer
ne
NorthCarolina
XIAM`Y

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Innovate. Cre [ONMIENTAL, HEALTH & SAFETY DEPARTMENT
I�VNTAL, HEALTH & SAFETY HEALTH PHONE [phone] FAX [phone]
March 13, 2009
Rob Krebs
Surface Water Protection Supervisor
North Carolina Department of Environment & Natural Resources x4
Mooresville Regional Office,-
610 East Center Avenue, Suite 301'
Mooresville, NC 28115 MIAR 17 2009
Ref: Wastewater Recycle System Permit Renewal
Permit No. WQ0010197
American & Efird, Inc.
Mount Holly, Gaston County, NC
Dear Mr. Krebs,
n t.,i't f 1 �6frirflt6l 1
Per Condition 24 of the above referenced permit, we respectfully request the renewal of
this permit. There have been no changes to the system with the exception of a loading
reduction due to business conditions. No residuals have been removed to date.
American & Efird has submitted a completed form WWR 09-06 for renewal of the
permit without modification to the NC DENR Aquifer Protection Section in Raleigh.
You may contact me at [phone] if you have any questions or comments.
Sincerely,
John Eapen
Vice President of Environmental Health & Safety
Cy: John Bowyer
James Allen
John Smith
American & Efird, Inc. • P.O. Box 507, Mount Holly, NC 28120 • 704.827.4311 a www.amefird.com

t
AQUIFER PROTECTION REGIONAL STAFF REPORT
Date: 11/7/08
To: Aquifer Protection Central Office
Central Office Reviewer: Alice Wessner
Application No.: WQ0000612
County: Gaston
Permittee: ABF Freight System, Inc.
Project Name: Gaston Terminal
L GENERAL INFORMATION
1. This application is for Renewal X
❑ Minor Modification ❑ Major Modification
Surface Irrigation Reuse ❑ Recycle ❑ High Rate Infiltration X Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included ❑ 503 regulated ❑ 503 exempt
❑ Distribution of Residuals ❑ Surface Disposal
❑ Closed -loop Groundwater Remediation ❑ Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? X Yes or No.
a. Date of site visit: 11/6/08
b. Person contacted and contact information: Glenn Price, ORC 336/408-7924
c. Site visit conducted by: Peggy Finley
d. Inspection Report in BIMS: X Yes or No.
2. Is the following information entered into the BIMS record for this application correct?
X Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current
application.
For Treatment Facilities:
a. Location:
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
For Disposal and Injection Sites:
(If multiple sites either indicate which sites the information applies to, copy and paste a new section
into the document for each site, or attach additional pages for each site)
a. Location(s):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
FORM: ABF Staff rpt 11-7-08 1

AQUIFER PROTECTION REGIONAL STAFF REPORT
II.RENEWALSAND MINOR MODIFICA TION APPLICA TIONS
Discription of Waste and Facilities
1. Are there appropriately certified ORCs for the facilities? Yes
ORC - Glenn Price WW-2 20771
Back-up ORC Clifford Cain WW-3 11237
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage,
effluent storage, etc.) of the treatment facilities adequate for the type of waste and disposal
system? Yes
3. Are the site conditions (soils, topography, depth to water table, etc) maintained appropriately and
adequately assimilating the waste? Yes
4. Has the site changed in any way that may affect the permit Does the application (maps, plans, etc.)
represent the actual site (property lines, well surface drainage)? No
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division? Yes
6. Are the existing. application rates (hydraulic or nutrient) still acceptable? X YES or ❑ No.
7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring,
monitoring parameters, etc.) adequate? The current permit recycle required just one gw
monitoring sampling event upon re -activation of the plant in 2006.
8. Will seasonal or other restrictions be required for added sites? NA
9. Are there any buffer conflicts (treatment facilities or disposal sites)? No
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit
correct? Yes
11. Were monitoring wells properly constructed and located? Yes
12. Has a review of all self -monitoring data been conducted (GW, NDMR, NDAR as applicable)?
Yes. Please summarize any findings from this review: The permit has not required effluent
monitoring nor submission of NDMRs. The last groundwater monitoring event did not
indicate compliance problems.
13. Check all that apply: X No compliance issues
... Notice(s) of violation within the last
permit cycle ... Current enforcement action ... Currently under SOC, JOC, moratorium
14.If any items checked, please explain and attach any documents that may help clarify
answer/comments
15. Have all the compliance dates/conditions in the existing permit been complied with? NA
FORM: ABF Staff rpt 11-7-08 . 2

AQUIFER PROTECTION REGIONAL STAFF REPORT
16. Are there any issues related to compliance/enforcement that should be resolved before issuing the
permit? No
V. EVAL UATIONAND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application: This is an extended
aeration system with a design capacity of 9,000 gpd. It was originally part of an NPDES permit
but a non -discharge permit was issued after it became evident that there would never be a
discharge. The package plant was originally designed to accommodate domestic wastewater as
well as that from the truck garage. The flow over the last several years has been solely domestic
(office building) and is now estimated to be only 500 gpd. In July 2008, components of the
treatment system (diffusers, blowers, piping, chlorinator) were replaced. The 0.5 acre
evaporative basin is still overgrown with woody vegetation but has been cleared sufficiently to
locate the effluent pipe. The trickling flow produces only a wet spot on the ground below the
pipe. If Division policy requires continued groundwater monitoring, this office's
recommendation is found below.
2. Attach Well Construction Data Sheet - if needed information is available
3. Do you foresee any problems with issuance/renewal of this permit? Yes X No.
4. List any items that you would like APS Central Office to obtain through an additional information
request. Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued.
Make sure that you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend be included in the
permit when issued. Make sure that you provide a reason for each special condition:
Condition
Reason
Monitor wells MW-1 and MW-2 shall be
To assure that continued use of the
sampled annually in February for pH,
system does not contravene applicable
TDS, TOC, NO3-NO2, Chloride, VOCs
groundwater standards.
FORM: ABF Staff rpt 11-7-08

AQUIFER PROTECTION REGIONAL STAFF REPORT
7. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review of draft permit by regional office; Issue upon receipt of needed additional
information and engineering review; X Issue; ❑ Deny. If deny, please state reasons:
8. Signature of report preparer(s):
Signature of APS regional supervisor:
Date:
FORM: ABF Staff rpt 11-7-08 4

�OF W ATFR p
r? r
o �
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
December 17, 2004
MR. JOHN EAPEN
AMERICAN & EFIRD, INC. NC DEPT. OF ENVIRONMENT
PO Box 507 AND NATURAL RESOURCES
MOUNT HOLLY, NC 28120 RECEIVED
Subject:
e
JAN t 2 2005
MOORESVILLE REGIONAL OFFICE
DW&GROUNDWATER SECTION
Dear Mr. Eapen:
Alan W. Klimek, P.E. Director
Division of Water Quality
Permit No. WQ0010197
American & Efird, Inc.
Settling Lagoon for Alum Floc Basin
Wastewater Recycle System
Gaston County
In accordance with your permit renewal application package received on April 21, 2004, we are
forwarding herewith a renewed Permit No. WQ0010197, dated December 17, to American & Efird, Inc.
for the continued operation of the subject wastewater recycle system.
This permit shall be effective from the date of issuance until November 30, 2009; shall void Permit No.
WQ0010197, issued on October 26, 1999; and shall be subject to the conditions and limitations as
specified therein. Make note of this permit's expiration date and the fact that a permit renewal
application is due to the Division of Water Quality (Division) no later than six months prior to that date
(i.e., see Condition 24), as the Division does not send reminders to apply for permit renewal.
This permit approves the continued operation of the wastewater recycle program for another five-year
cycle. As always, remember to take the time to review this permit thoroughly, as some of the
conditions contained therein may have been added, changed, or deleted since the last issuance. Pay
particular attention to the monitoring requirements in this permit. Failure to establish an adequate
system for collecting and maintaining the required operational information will result in future
compliance problems.
If any parts, requirements, and/or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. This request shall be in the from of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, North Carolina 27699-6714. Unless such demands are made, this permit shall be final
and binding.
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636
Internet: http://h2o.enr.state.nc.us 2728 Capital Boulevard Raleigh, NC 27604
Noe Carolina
Atlwillf
Phone [phone] Customer Service
Fax [phone]
Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

Mr. John Eapen
Page 2
December 17, 2004
If you need any additional information concerning this matter, please contact Mr. Duane Leith by
telephone at [phone], or via e-mail at [e-mail].
Sincerel J
f/
for Alan W. Klimek, P.E.
cc: Gaston County Health Department _ __r�----=----�
Mooresville Regional Office -Aquifer Protection -Section— ;
Tecltikeal-Assistaric`e and Certification Unit
Aquifer Protection Section Central Files
i

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
RECYCLE SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
American & Efird, Inc.
Gaston County
FOR THE
continued operation of a 68,000 GPD settling basin wastewater recycle system consisting of a 1.0 million
gallon unlined settling basin to remove solids from the existing alum floc basin drain water and existing
sand filter backwash facilities wastewater, the pumping facilities to pump the clarified water back to the
head of the water treatment plant raw water reservoir, and all associated piping, valves, control, and
appurtenances to serve the American & Efird, Incorporated Mount Holly Wastewater Treatment Plant,
with no discharge of wastes to surface waters, pursuant to the permit renewal application package received
on April 21, 2004 and in conformity with the project plan, specifications, and other supporting data
subsequently filed and approved by the Department of Environment and Natural Resources and considered
a part of this permit.
This permit shall be effective from the date of issuance until November 30, 2009; shall void Permit No.
WQ0010197, issued on October 26, 1999; and shall be subject to the following specified conditions and
limitations:
This permit shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The facilities shall be properly maintained and operated at all times.
4. The following buffers shall be maintained
a) 100 feet between treatment/storage units and any wells,
b) 50 feet between treatment/storage units and surface waters, and
c) 50 feet between treatment/storage units and property lines.

Some of the buffers specified above may not have been included in previous permits for this
waste treatment and disposal system. These buffers are not intended to prohibit or prevent
modifications, which are required by the Division, to improve perfonnance of the existing
treatment facility. These buffers do, however, apply to modifications of the treatment and
disposal facilities that are for the purpose of increasing the flow that is tributary to the facility.
These buffers do apply to any expansion or modification of the irrigation areas and apply in
instances in which the sale of property would cause any of the buffers now complied with, for
the treatment and disposal facilities, to be violated. The applicant is advised that any
modifications to the existing facilities will require a permit modification.
This permit is not transferable. In the event there is a desire for the facilities to change ownership, or
there is a name change of the Pennittee, a formal permit request must be submitted to the Division of
Water Quality (Division) accompanied by an application fee, documentation from the parties
involved, and other supporting materials as may be appropriate. The approval of the request will be
considered on its merits and may or may not be approved.
6. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those actions that may be
required by this Division, such as the construction of additional or replacement treatment or
disposal facilities.
7. The residuals generated from these treatment facilities must be disposed in accordance with General
Statute 143-215.1 and in a manner approved by the Division.
The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface or groundwaters resulting from the operation of this facility.
9. The facilities shall be effectively maintained and operated as a non -discharge system to prevent the
discharge of any wastewater resulting from the operation of this facility.
10. Diversion or bypassing of untreated wastewater from the treatment facilities is prohibited.
11. Freeboard in the settling lagoon shall not be less than two feet at any time.
12. Any monitoring deemed necessary by the Division to insure surface and ground water protection
will be established and an acceptable sampling reporting schedule shall be followed.
13. Adequate inspection, maintenance, and cleaning shall be provided by the Permittee to insure proper
operation of the subject facilities.
14. The Permittee or his designee shall inspect the wastewater recycle facilities to prevent malfunctions
and deterioration, operator errors and discharges which may cause or lead to the release of wastes to
the environment, a threat to human health, or a nuisance. The Permittee shall maintain an inspection
log or summary including at least the date and time of inspection, observations made, and any
maintenance, repairs, or corrective actions taken by the Permittee. This log of inspections shall be
maintained by the Permittee for a period of three years from the date of the inspection and shall be
made available to the Division or other permitting authority, upon request.

15. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the recycle system at
any reasonable time for the purpose of determining compliance with this permit, may inspect or
copy any records that must be maintained under the terms and conditions of this permit, and may
obtain samples of groundwater, surface water, or leachate.
16. The annual administering and compliance fee must be paid by the Permittee within thirty (30) days
after being billed by the Division. Failure to pay the fee accordingly may cause the Division to
initiate action to revoke this permit as specified by 15A NCAC 2H .0205 (c)(4).
17. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
18. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances which may be imposed by other government agencies (local, state,
and federal) which have jurisdiction, including but not limited to applicable river buffer rules in 15A
NCAC 2B.0200, erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under
the Division's General Permit NCGO10000, and any requirements pertaining to wetlands under 15A
NCAC 213.0200 and 2H .0500.20.
19. A set of approved plans and specifications for the subject project must be retained by the Permittee
for the life of this project.
20. Noncompliance Notification:
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704)
663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the wastewater treatment facility which results in the treatment of significant
amounts of wastes which are abnormal in quantity or characteristic, such as the dumping of the
contents of a basin or tank, the known passage of a slug of hazardous substance through the
facility, or any other unusual circumstances;
b. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of
adequate wastewater treatment, such as mechanical or electrical failures of pumps, aerators,
compressors, etc.;
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly
to receiving waters without treatment of all or any portion of the influent to such station or
facility; or
d'. Any time that self -monitoring information indicates that the facility is not in compliance with its
permit limitations.
Occurrences outside normal business hours may also be reported to the Division's Emergency
Management personnel at telephone number [phone], or [phone]. Persons reporting
such occurrences by telephone shall also file a written report in letter form within five (5) days
following first knowledge of the occurrence. This report must outline the actions taken or proposed
to be taken to ensure that the problem does not recur.

21. Applicable Boundary Requirements:
a. The COMPLIANCE BOUNDARY for residuals land application programs is specified by
regulations in 15A NCAC 2L, Groundwater Classifications and Standards. The Compliance
Boundary for the storage/settling basin is established at either 250 feet from the basin or 50 feet
within the property boundary, whichever is closest to the source. An exceedance of
Groundwater Quality Standards at or beyond the Compliance Boundary is subject to immediate
remediation action according to 15A NCAC 2L .0106 (d)(2).
b. The REVIEW BOUNDARY shall be established midway between the Compliance Boundary
and the perimeter of the storage/settling basin. Any exceedance of Groundwater Quality
Standards at the Review Boundary shall require action in accordance with 15A NCAC 2L .0106
(d)(1). ,
22. Any groundwater quality monitoring, as deemed necessary by the Division, shall be provided.
23. Upon classification of the wastewater treatment and spray irrigation facilities by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), the Permittee shall designate and
employ a certified operator to be in responsible charge (ORC) and one or more certified operator(s)
to be back-up ORC(s) of the facilities in accordance with 15A NCAC 8G .0201. The ORC shall
visit the facilities in accordance with 15A NCAC 8G .0204 or as specified in this permit and shall
comply with all other conditions specified in these rules.
24. The Permittee, at least six (6) months prior to the expiration of this permit, shall request its
extension. Upon receipt of the request, the Commission will review the adequacy of the facilities
described therein, and if warranted, will extend the permit for such period of time and under such
conditions and limitations as it may deem appropriate.
Permit issued this the 17th day of December, 2004
NORTH C , LIMA E NMENTAL MANAGEMENT COMMISSION
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0010197
4

4. 1414%
DIVISION OF WATER QUALITY
GROUNDWATER SECTION
May 28, 2004
MEMORANDUM
To: Kim Colson
cc:'cirew_Ftner
Through: Debra Watts c&,2�
From: Thomas E. Cadwallader, P.E.
NC DEPT. OF ENVIRONMENT
AND NATURAL RESOURCES
RECEIVED
JUN J 2004
MOORESVILLE REGIOPIAL OFFICE
DWQ-GROUND6°/ATER SECTION
Subject: American & Efird, Inc -Mount Holly plant / Recycle
Gaston County
WQ0010197/GW04045
This application is for the renewal of a permit to operate a recycle basin and
appurtenances, which collect residuals from a water supply treatment facility. Recycle
waters in the amount of up to 68,000 gallons per day are directed to the basin as shown
on the attached Layout.
No changes to the existing permit are warranted as a result of this renewal. *0(\r-
v� Y tti�
S Vim-+ rr tU . (-C.6 - ck� tJ
The Groundwater Section has reviewed the subject renewal permit application and
recommends re -issuance of the permit with the following conditions:
1) Applicable Boundaries:
a) The COMPLIANCE BOUNDARY is specified by regulations in 15A NCAC 2L,
Groundwater Classifications and Standards. The Compliance Boundary for the
residual storage/settling basin is established at either 250 feet from the basin, or
50 feet within the property boundary, whichever is closest to the source. An
exceedance of Groundwater Quality Standards at or beyond the Compliance
Boundary is subject to remediation action according to 15A NCAC 2L
.0106(d)(2).
b) The REVIEW BOUNDARY is established midway between the Compliance
Boundary and the perimeter of the storage/settling basin. Any exceedance of
GW04045.doe
Page 1 of 2

W -k
standards at the Review Boundary shall require action in accordance with 15A
NCAC 2L .0106(d)(1).
2) Additional Requirements:
Any groundwater quality monitoring, as deemed necessary by the Division,
shall be provided.
If there are any questions please call Tom Cadwallader at 715-6173.
Attachment:
Layout of Recycle Basin and environs
GW04045.doc
Page 2 of 2

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NON -DISCHARGE REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
Date:, 05-20-04
To: Non -Discharge Permitting Unit
NDPU Reviewer: Duane Leith
Regional Login No: 04-35
County: Gaston
Permitee: American and Efird. Inc.
Application No.: W00010197
GENERAL INFORMATION
1. This application is (check all that apply): ❑ New ® Renewal
❑ Minor Modification ❑ Major Modification
❑ Surface Irrigation ❑ Reuse ® Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment 3B included as appropriate ❑ 503 regulated ❑ 503
exempt
❑ Distribution of Residuals ❑ Surface Disposal
2. Was a site visit conducted in order to prepare this report? ® Yes or ❑ No.
a. Date of site visit: 5-18-04
b. Person contacted and contact information:
c. Site visit conducted by: Dee Browder
d. Inspection report attached: ❑ Yes or ® No.
3. Is the following information entered into the BIMS record for this application correct?
® Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current
application.
For Treatment Facilities: The treatment and disposal site information is already in BIMS. This
information is not required in the current application shell unless it is not a permit issued by the
Dept. of Water Quality.
a. Location:
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
For Disposal Sites: This information (except for driving directions) has been entered into BIMS by
MRO. See the application for directions to each field.
a. Location(s):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
FORM: NDSRR 03/02 1

RENEWAL AND MODIFICATIONAPPLICATIONS (use previous section for new or Maior
modification systems)
DESCRIPTION OF WASTE(S) AND FACILITIES
1. Are there appropriately certified ORCs for the facilities? ® Yes or ❑ No.
Operator in Charge: Certificate #: *note comments
Back- Operator in Charge: Certificate #: *note comments
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage,
effluent storage, etc) of the treatment facilities adequate for the type of waste and disposal system?
® Yes or ❑ No. If no, please explain:
3. Are the site conditions (soils, topography, etc) maintained appropriately and adequately assimilating
the waste? ® Yes or ❑ No. If no, please explain:
4. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
® Yes or ❑ No. If no, please explain:
5. Are the existing application rates (hydraulic or nutrient) .still acceptable? ❑ Yes or ❑ No. If no,
please explain: This is not applicable to this permit.
6. Are there any buffer conflicts (treatment facilities or aisposai sites)? ❑ Yes or ❑ No. If yes, please
attach a map showing conflict areas or attach any new maps you have received from the applicant to
be incorporated into the permit: This is not applicable to this permit.
7. Is the type and/or volume of waste(s) as written in the existing permit correct? ® Yes or ❑ No. If
no, please explain: _
8. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No. If no,
please explain:
9. Has a review of all self monitoring data been conducted? ❑ Yes or ® No. Please summarize any
findings resulting from this review: .
10. Check all that apply: ❑ No compliance issues; ❑ Notice(s) of violation within the last permit cycle;
❑ Current enforcement action(s) ❑ Currently under SOC; ❑ Currently under JOC; ❑ Currently
under moratorium. If any items checked, please explain and attach any documents that may help
clarify answer/comments (such as NOV, NOD etc): .
11. Have all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with?
❑ Yes or ❑ No. If no, please explain: _ /V/ R
12. Are there any issues related to compliance/enforcement that should be resolved before issuing this
permit? ❑ Yes or E3/No. If yes, please explain:
FORM: NDSRR 03/02 3

E VAL UA TION AND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.: The facility was well
maintained and operated at the time of the site visit. *Please not that the necessary ORC has not been
secured for the facility. The Certification and Training Unit is pursuing action to notify this facility of
this inadequacy.
2. List any items that you would like NDPU to obtain through an additional information request. Make
sure that you provide a reason for each item:
Item Reason
3. List specific Permit conditions that you recommend to be removed from the permit when issued.
Make sure that you provide a reason for each condition:
Condition Reason
4. List specific special conditions or compliance schedules that you recommend to be included in the
permit when issued. Make sure that you provide a reason for each special condition:
Condition Reason
5. Recommendation: ❑ Hold, pending receipt and review of add' 'oval information by regional office;
❑ Hold, pending review of draft permit by regional office;Issue; ❑ Deny. If deny, please state
reasons:
6. Signature of report preparer:
Signature of WQS regional supervisor.
Date: Zb
FORM: NDSRR 03/02 4

DD
NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
Date: 4/29/2004
To: ❑ Forrest Westall, ARO-WQS
❑ Paul Rawls, FRO-WQS
E�DG6n;;MRO-VVQ5°:„
❑ Ken Schuster, RRO-WQS
❑ Jim Mulligan, WaRO-WQS
❑ Rick Shiver, WiRO-WQS
❑ Steve Mauney, WSRO-WQS
From: Duane Leith, Non -Discharge Permitting Unit
Telephone: [phone] ext. 370
E-Mail. [e-mail]
® Debra Watts, CO-GWS .
Copies Sent to CO-GWS: 2
Copies Sent to RO-WQS: 1
® Distribute 1 Copies to RO-GWS
Fax: [phone]
A. Permit Number: WQ0010197
B. Owner: American & Efird, Inc.
C. Facility/Operation: Wastewater Recycle System
❑ Proposed ® Existing ❑ Facility ® Operation
D. Application:
1. Permit Type: ❑ CS (O&M) ❑ Surface Irrigation ❑ Reuse ❑ H-R Infiltration
® Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ❑ New ❑ Major Mod. ❑ Minor Mod. ® Renewal ❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
Recycle facility for a dyeing and finshing plant with an unlined settling basin.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
For RO-WQS:
® Return a Completed Form NDSRR. ❑ Attach Attachment B for Certification by the NDPU.
❑ Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-WQS and RO-GWS representatives in order to prepare a complete
Attachment B for certification. Refer to the RPP SOP for additional detail.
For CO-GWS:
® Return a Memorandum with Permit Condition Recommendations.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to r priate Non -Discharge Permitting Unit contact person listed above.
P = RAIRONNI %T•
RO-WQS Reviewer: Date:
900RF_ VI: ! _,i\yrt! OFFtCF
CO-GWS Reviewer:
Date: �.' •��
. :y
MAY 0 3 2004
FORM: N.D_ARR 09/02 Page 1 of 1 �h CTO

r
RECEIVED
WATER QUALITY SECTinh,+
'AMER CAN 7/9 ere Is A Ili' fe�e7'2ce.TM APR 2 1 ?On4
& EEIRD,ING p
NON -DISCHARGE PERM117ING
ENVIRONMENT
SAEETSEYDEPRTx4ENVIRONALHETH & (048014 70) 827 0721
/ April 19, 2004 4/3)
North Carolina Department of
Environment and Natural Resources
Division of Water Quality
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Non -Discharge Permit Renewal Application
To Whom It May Concern:
At this time, American & Efird, Inc. respectfully request the renewal of Recycle Facilities
Permit No. WQ0010197.
Please find enclosed one original and four (4) copies of the Non -Discharge Permit
Renewal Application for the American & Efird, Inc. Dyeing and Finishing Plant No. 15
Alum Basin located in Mount Holly, North Carolina. Also enclosed is a copy of the
renewal notice submitted to the Mooresville Regional Office.
Feel free to contact me at [phone] should you have any questions or require
further information.
ly,
Dawn C. Reeves, P.E.
Corporate Environmental Engineer
Enclosure
CY: Bane Shaw - letter only
Steve Patrick -
John Bowyer - "
John Eapen - "
John Smith - "
Dreeves/wastewater/a lumpermit04
gtTM
Quality Sewing Thread & Yarn Since 1891
P.O. BOX 507 - MOUNT HOLLY, NC 28120 - PHONE [phone] - http;Hwww.amefird.com

State of North Carolina
Department of Environment and Natural Resources RECEIVED
Division of Water Quality WATER QUALITY SECT ON
WASTEWATER RECYCLE SYSTEMS APR 21 2004
(THIS FORMMAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) NON -DISCHARGE PERMITTING
Application Number: (to be completed by DWQ)
I. GENERAL INFORMATION:
1. Project Name: Alum Basin
2. Applicant's name (Name of the owner of the facility. If a company or corporation it must be registered with
the Secretary of State): American & Efird. Inc.
3. Name and complete mailing address of applicant: John Eapen
City: Mount Holly State: NC Zip: 28120
Telephone number: [phone] Facsimile number: ( 704 ) 827-0121
Email Address: John.Eapen(ZDAmefird.com
4. Project name (name of the facility): American & Efird. Inc.
5. Complete address of the physical location of the facility if different from mailing address of applicant:
City:
6. County where project is located:
State:
Zip:
7. Name and complete address of engineering or consulting firm: ERM
7300 Carmel Ececutive Park
City: Charlotte State: NC Zip: 28226
Telephone number: ( 704) 541-8345 Facsimile number: [phone]
8. Name and affiliation of contact person who can answer questions about project:
American & Efird Email Address: dawn.reeves(iDamefird.com
II. PERMIT INFORMATION:
1. Project is: new; modification; _X renewal without modification
Note: Renewals without modifications should just fill out sections I & II; sign the applicants signature on Page 5.
2. Fee submitted: $ NA (See Instruction C.)
3. If this application is being submitted as a result of a modification to an existing permit, provide:
existing permit number
4. Applicant is
public, _X private
and the issuance date
5. If project disturbs more than one acre, provide date when an erosion and sedimentation control plan was
submitted to the Division of Land Resources, or local delegated program, for approval: NA
6. If project includes any stream or wetland impacts, provide date when Nationwide 12 or 404 pen -nit was
submitted for approval: NA
7. Provide buffers used to maintain compliance with any applicable river basin rules in 15A NCAC 2B .0200
(e.g., Neuse River basin buffer rules, etc.): NA
FORM: RFA 01-02 Page 3 of 5

oe
Professional Engineer's Certification:
I, , attest that this application for
has been reviewed by me and is
accurate, complete and consistent with the information supplied in the engineering plans, calculations, and all other
supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with this application and its instructions as well as all applicable
regulations and statutes. Although certain portions of this submittal package may have been developed by other
professionals, inclusion of these materials under my signature and seal signifies that I have reviewed this material
and have judged it to be consistent with the proposed design. Note: In accordance with NC General Statutes 143-
215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or certification in any
application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as civil
penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
RECEIVED
WATER (QUALITY SECT09
APR 2 1 2004
NON -DISCHARGE PERMITTING
Applicant's Certification:
I, John Eapen , attest that this application for American & Efird, Inc.
has been reviewed by me and is
accurate and complete to the best of my knowledge. I understand that any discharge of wastewater to surface waters
or the land will result in an immediate enforcement action which may include civil penalties, injunctive relief, and/or
criminal prosecution. I will make no claim against the Division of Water Quality should a condition of this permit be
violated. I also understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included, this application package will be returned to me as
incomplete. Note: In accordance with NC General Statutes 143-215.6A and 143-215.613, any person who
knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: C-eflu— Date: April 19, 2004
FORM: RFA O1-02 Page 4 of 5

r
A ' 5--/5- o �
&ereIs A Ili'f�ence.T'"AMERICAN
& FF RD,ING
ENVIRONMENTAL, HEALTH & SAFETY DEPARTMENT
ENVIRONMENTAL, HEALTH & SAFETY HEALTH PHONE [phone] FAX [phone]
March 15, 2004
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
North Carolina Department of Environment & Natural Resources
Mooresville Regional Office
919 North Main Street
Mooresville, NC 28115
Ref: Wastewater Recycle System
Permit No. WQ0010197
American & Efird, Inc.
Mount Holly, Gaston County, NC
Dear Mr. Gleason,
RECEIVED
WATER QUALITY SECTION)
APR 2 1 2004
NON -DISCHARGE PEWITTING
Per item 25 of the above referenced permit, we respectfully request a renewal within
the required 6-month period. There have been no changes to the system with the
exception of a loading reduction due to business conditions. No residuals have been
removed to date.
You may contact me at [phone] if you have any questions or comments.
I cerely,
eeves, P.E.
Corporate Environmental Engineer
Cy: John Bowyer
John Eapen
Bane Shaw
Steve Patrick
John Smith
Dreevesaastewater/alum renewal
QZla&l , Sewing 277irearl & Yarn Since 1891
P.O. BOX 507 m MOUNT HOLLY, NC 28120 e PHONE [phone] • http;//www.amefird.com

WA TF;9Q Michael F. Easley, Governor
�O G William G. Ross Jr., Secretary
Uj North Carolina Department of Environment and Natural Resources
p Alan W. Klimek, P.E., Director
,m Coleen H. Sullins, Deputy Director
l/" ) Division of Water Quality
pril 27, 2004
AND NA:, i.`PA° _ i ESOURCI g
John Ea en /c €�l00RES%,F�'. l,'_. " 0N!AL 0FFi6E
p l� 6
American & Efird, Inc
P O Box 507
Mt. Holly, N C 28120 APR 2 8 2004
Subject: Acknowledgement of Application No. WQ0010197
American & Efird- Alum Basin (�/+
Recycle System V?�:l�5a �' e, v3Cil®
Gaston County
Dear Mr. Eapen:
The Non -Discharge Permitting Unit of the Division of Water Quality acknowledges receipt of your permit
application and supporting materials on April 21, 2004. This application package has been assigned the
number listed above and will be reviewed by Reviewer.
The reviewer will perform a detailed review and contact you with a request for additional information if
necessary. To ensure the maximum efficiency in processing permit applications, the Division requests
your assistance in providing a timely and complete response to any additional information requests.
of a complete application.
must providerecommendations prior to
ng permit applications can take as long
If you have any questions, please contact Duane Leigh at 919-733-5083, extension 370, or via e-mail at
[e-mail]. If the reviewer is unavailable, you may leave a message, and they will respond
promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS
PROJECT.
Sincerely,
Kim . Colson, P.E.
Supervisor
A.
cc: Moores�ci I - 13egtnna Qfice, 'baler Quality --ection
ERM, 7300 Carmel Executive Park, Charlotte, NC 28226
Permit Application File WQ0010197
Non -Discharge Permitting Unit Internet http://h2o.enr.state.nc.us/ndpu NC[JEigaR
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

DIVISION OF WATER QUALITY
GROUNDWATER SECTION
MEMORANDUM
TO:__Andr_ew,Ptner, Mooresville Regional Office
FROM: Tom Cadwallader
SUBJECT: Application for ® Permit Renewal,
❑ New Permit
COMMENTS:
Facility Name: American & Efird, Inc.
County: Gaston
Type of Project: Recycle
APPLICABLE PERMIT NOs: WQ0010197
GW04045
May 6, 2004
❑ Permit Amendment
ANIMAL WASTE (DWQ)
NC DEPT OF ENVIRONMENT
AND NATURAL RESOURCES
RECEIVED
MAY 1 0 2004
MOORESVILLE REGI(XIAL OFFICE
DWQ-GROUNDWATER SECTION
❑ The Groundwater Section has received ONLY ONE (1) copy of the referenced permit application. A copy of the
application should have been sent to vour Regional Water Quality Supervisor, so please use that copy for
your review - IF A COPY HAS NOT BEEN RECEIVED IN THE REGIONAL OFFICE, PLEASE LET ME
KNOW.
® The Groundwater Section received two (2) copies of the referenced permit application. One copy of the
application documents we received is attached.
Please review the application materials for completeness. If you feel additional information is necessary, please
let me know no later than 5/16/2004. A copy of any formal request for additional information
will be forwarded to you.
If you do not need any additional information to complete your review, please provide your final comments
by 5/27/2004. If you request and/or receive additional information, your final comments
are due no later than 14 days after you receive the additional information.
(rev. 10/24/03)

NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
Date: 4/29/2004
To:
- reVatts COsWS '
❑ Forrest Westall, ARO-WQS ��Debra
❑ Paul Rawls, FRO-WQS
® Rex Gleason, MRO-WQS Copies Sent to CO-GWS: 2
❑ Ken Schuster, RRO-WQS
❑ Jim Mulligan, WaRO-WQS
❑ Rick Shiver, WiRO-WQS Copies Sent to RO-WQS: 1
❑ Steve Mauney, WSRO-WQS ® Distribute 1 Copies to RO-GWS
From: Duane Leith, Non -Discharge Permitting Unit o
Telephone: [phone] ext. 370 Fax: [phone] .P'
n
E-Mail: [e-mail] X_
—<
A.
Permit Number: WQ0010197
B.
Owner: American & Efird, Inc.
�'r=
C.
Facility/Operation: Wastewater Recycle System o
❑ Proposed ® Existing ❑ Facility ® Operationrn
D.
Application:
1. Permit Type: ❑ CS (O&M) ❑ Surface Irrigation ❑ Reuse ❑ H-R Infiltration
® Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ❑ New ❑ Major Mod. ❑ Minor Mod. ® Renewal ❑ Renewal w/ Mod.
E.
Comments/Other Information: ❑ I would like to accompany you on a site visit.
Recycle facility for a dyeing and. finshing plant with an unlined settling basin.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
For RO-WQS:
® Return a Completed Form NDSRR. ❑ Attach Attachment B for Certification by the NDPU.
❑ Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-WQS and RO-GWS representatives in order to prepare a complete
Attachment B for certification. Refer to the RPP SOP for additional detail.
For CO-GWS:
® Return a Memorandum with Permit Condition Recommendations.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Non -Discharge Permitting Unit contact person listed above.
RO-WQS Reviewer:
CO-GWS Reviewer: CO-0 W C�J—_f -
Date:
Date: S 1 U 1 u q-
2 Cf"'Q0-
v W -tr_ pcw 4T
FORM: N.DARR 09/02 Page 1 of 1

f
RECEIVED
7Ihees A Pffif-OP"_- M WATER (QUALITY SEiTICn�
AMERICANAPR 2 2004
A77�
& EFIRD,INC.
ENVIRONMENTAL,ENVIRONMENT
& SAFEL Y PHONEHEALTH
04 8014 SAFETY DEPARTMENT 7z�-Ogq ,ISCHARGE PERMITTING
April 19, 2004
North Carolina Department of
Environment and Natural Resources
Division of Water Quality
Non -Discharge Permitting Unit
1617 Mail Service Center RECEIVED
Raleigh, North Carolina 27699-1617 WATER QUALITY SECT►r Al
Subject: Non -Discharge Permit Renewal Application APR 2 1 2004
NON -DISCHARGE PERMITTING
To Whom It May Concern:
At this time, American & Efird, Inc. respectfully request the renewal of Recycle Facilities
Permit No. WQ0010197.
Please find enclosed one original and four (4) copies of the Non -Discharge Permit
Renewal Application for the American & Efird, Inc. Dyeing and Finishing Plant No. 15
Alum Basin located in Mount Holly, North Carolina. Also enclosed is a copy of the
renewal notice submitted to the Mooresville Regional Office.
Feel free to contact me at [phone] should you have any questions or require
further information.
rely,
Dawn C. Reeves, P.E.
Corporate Environmental Engineer
Enclosure
CY
Bane Shaw
Steve Patrick
John Bowyer
John Eapen
John Smith
- letter only
Dreeves/wastewater/alumpermit04
A!L TM
Quality Sewing Thread & Yam Since 1891
P.O. BOX 507 • MOUNT HOLLY, NC 28120 • PHONE [phone] • http;//www.amefird.com

r
!J
State of North Carolina RECEIVED
Department of Environment and Natural Resources WATER QUALITY SEk Tlr-
Division of Water Quality APR 2 1 ?004
WASTEWATER RECYCLE SYSTEMS
(THIS FORMMAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL) NON -DISCHARGE PERMITTING
Application Number: (to be completed by DWQ)
I. GENERAL INFORMATION:
1. Project Name: Alum Basin
2. Applicant's name (Name of the owner of the facility. If a company or corporation it must be registered with
the Secretary of State): American & Efird, Inc.
3. Name and complete mailing address of applicant: John Eapen
City: Mount Holly State: NC Zip: 28120
Telephone number: [phone] Facsimile number: ( 704 ) 827-0121
Email Address: John.Eapen0,Amefird.com
4. Project name (name of the facility): American & Efird, Inc.
5. Complete address of the physical location of the facility if different from mailing address of applicant:
City: State: Zip:
6. County where project is located: Gaston
7. Name and complete address of engineering or consulting firm: ERM
7300 Carmel Ececutive Park
City: Charlotte State: NC Zip: 28226
Telephone number: [phone] Facsimile number: [phone]
8. Name and affiliation of contact person who can answer questions about project:
American & Efird Email Address: dawn.reeves(a,amefird.com
II. PERMIT INFORMATION:
1. Project is: new; modification; _X renewal without modification
Note: Renewals without modifications should just fill out sections I & II; sign the applicants signature on Page 5.
2. Fee submitted: $ NA (See Instruction C.)
3. If this application is being submitted as a result of a modification to an existing permit, provide:
existing permit number and the issuance date
4. Applicant is: public, _X private
5. If project disturbs more than one acre, provide date when an erosion and sedimentation control plan was
submitted to the Division of Land Resources, or local delegated program, for approval: NA
6. If project includes any stream or wetland impacts, provide date when Nationwide 12 or 404 permit was
submitted for approval: NA
7. Provide buffers used to maintain compliance with any applicable river basin rules in 15A NCAC 2B .0200
(e.g., Neuse River basin buffer rules, etc.): NA
FORM: RFA 01-02 Page 3 of 5

M
Ir
Professional Engineer's Certification:
I, , attest that this application for
has been reviewed by me and is
accurate, complete and consistent with the information supplied in the engineering plans, calculations, and all other
supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with this application and its instructions as well as all applicable
regulations and statutes. Although certain portions of this submittal package may have been developed by other
professionals, inclusion of these materials under my signature and seal signifies that I have reviewed this material
and have judged it to be consistent with the proposed design. Note: In accordance with NC General Statutes 143-
215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or certification in any
application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as civil
penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
RECEIVED
WATER (QUALITY SEC;T'(-,'%,!
APR 2 1 ZQn4
NON -DISCHARGE PERMITTING
Applicant's Certification:
I, John Eapen , attest that this application for American & Efird, Inc.
has been reviewed by me and is
accurate and complete to the best of my knowledge. I understand that any discharge of wastewater to surface waters
or the land will result in an immediate enforcement action which may include civil penalties, injunctive relief, and/or
criminal prosecution. I will make no claim against the Division of Water Quality should a condition of this permit be
violated. I also understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included, this application package will be returned to me as
incomplete. Note: In accordance with NC General Statutes 143-215.6A and 143-215.613, any person who
knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: u� Date: April 19, 2004
FORM: RFA 01-02 Page 4 of 5

Rye''5- /5,0/�/-
AMERIC N
7 eeAs A Ili' ere�2c . "
& EARD,ING
ENVIRONMENTAL, HEALTH & SAFETY DEPARTMENT
ENVIRONMENTAL, HEALTH & SAFETY HEALTH PHONE [phone] FAX [phone]
March 15, 2004
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
North Carolina Department of Environment & Natural Resources
Mooresville Regional Office
919 North Main Street
Mooresville, NC 28115
Ref: Wastewater Recycle System
Permit No. WQ0010197
American & Efird, Inc.
Mount Holly, Gaston County, NC
Dear Mr. Gleason,
RECEIVED
WATER QUALITY SFrTI01%
APR 2 1 2nnA
NON -DISCHARGE PERMITTING
Per item 25 of the above referenced permit, we respectfully request a renewal within
the required 6-month period. There have been no changes to the system with the
exception of a loading reduction due to business conditions. No residuals have been
removed to date.
You may contact me at [phone] if you have any questions or comments.
cerely,
eeves, P.E.
Corporate Environmental Engineer
Cy: John Bowyer
John Eapen
Bane Shaw
Steve Patrick
John Smith
Dreeves�yastewater/alum renewal
gi�
Q uaZity Sewing Thread & Yarn Since 1891
P.O. BOX 507 m MOUNT HOLLY, NC 28120 ® PHONE [phone] • http;//www.amefird.com

4' 1
O�O� W AT F9QG
r
D�'<
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Ms. Dawn Reeves
American & Efird, Inc
20 American Street
Mount Holly, NC 28120
Dear Ms. Reeves:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E. Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
March 24, 2004
System: American & Efird, Inc Wastewater System
Classification: Grade 1 Physical Chemical System
Permit: WQ0010197
Subject: No Designated Operator in Responsible Charge
(ORC) and Back-up Operator in Responsible Charge
(BORC)
On August 17, 2001, the Water Pollution Control System Operator Certification Commission
reclassified this facility as a grade one physical chemical facility. In it's certified letter dated August
17, 2001, the Commission specifically stated that the American and Efird, Inc. must have a certified
grade one physical chemical operator as Operator in Responsible Charge (ORC) and a Back-up
Operator in Responsible Charge (BORC) by December 31, 2003. Our records show that you have
not designated an ORC and BORC.
The Commission made a special exception to the Operators Certification Commission Rules
NCAC 8A .0202(a)(2)(B) to allow American and Efird, Inc. and others two years to hire an
operator or have existing operators trained and certified. There were more than seven (7)
physical chemical schools offered and eight (8) examinations offered during this two-year period.
In addition, the Commission sent out a letter dated December 10, 2002 reminding American and
Efird, Inc. of the permit requirement to have certified operators in place by the December 31, 2003
deadline.
If your operators have not attend a physical chemical school, they should contact N.C. American
Water Works Association [phone], or Environmental Training Associates at [phone],
or Lenoir Community College at [phone] ext. 133.
By failing to designate a properly certified ORC and back ORC, you are in violation of NCAC 8A
.0202(a)(2)(B) and the subject permit. Violations of permit conditions are subject to the assessment
of civil penalties. Please be advised that nothing in this letter should be taken as resolving you of
the responsibility and liability for any past or future violations for your failure to designate an
appropriate ORC and backup ORC by December 31, 2003.
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone] 1 Comer Service

Ms. Dawn Reeves
March 24, 2004
Page 2
If you do have operators serving as ORC and BORC who holds physical chemical certifications, then
our records need to be updated. Please complete the enclosed ORC and BORC designation form and
record to us within 15 days.
If you have questions concerning this matter or if this office can be of further assistance, please call
me at [phone], extension 341 or e-mail [e-mail].
Sincerely,
James Pugh, Education and Training Specialist
Technical Assistance and Certification Unit
Enclosure
cc: Mooresville Regional Office
Central Files
Discharge Enforcement/Compliance Unit
TAC Facility Files
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
NCDENR
Customer Service
1-877.623-6748

Water Pollution Control System ORC Designation Form
WPCSOCC
NCAC 15A:08G .0201
General Information:
Permittee Owner/Officer Name:
Mailing Address:
City: State: Zip:
Telephone Number:
Signature: Date:
Facility Information:
Facility.
Permit Number: County:
! SUBMIT A SEPARATE FORM FOR EACH TYPE OF SYSTEM!
Mark (X) Type of Facility Class (1— 4) Class
Wastewater Plant Spray Irrigation N/A
Physical/Chemical Land Application N/A
Collection System Subsurface N/A
Operator in Responsible Charge:
Print Name:
Social Security # :
Certificate Type and Grade: Certificate #:
Work Telephone: ( Signature:
.............................................. ■ ...............................
Back -Up Operator in Responsible Charge:
Print Name:
Social Security # :
Certificate Type and Grade: Certificate #:
Work Telephone: (_� Signature:
Mail or Fax to: WPCSOCC
1618 Mail Service Center
Raleigh, N.C. 27699-1618
Fax: [phone]
:NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone] Customer Service
1-877-623-6748

L
s
r -
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
MOORESVILLE REGIONAL OFFICE
DIVISION OF WATER QUALITY
November 2, 1999
John Eapen
American & Efird, Inc.
P.O. Box 507
Mount Holly, North Carolina 28120
Subject: Permit No. WQ0010197
American & Efird, Mt. Holly, NC
Wastewater Recycle System
Gaston County, NC
Dear Mr. Eapen:
Our records show that Permit No. WQ0010197 was issued on October 26, 1999 for your
non -discharge wastewater treatment 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 requested that you and other
appropriate persons thoroughly read the Permit.
The Permit sets forth specific performance standards, operation and maintenance
requirements, monitoring requirements, plus general conditions applicable to non -discharge
permits. Failure to comply with the terms and conditions of the Permit subject the Permittee to
enforcement action pursuant to Section 143-215.6 of the North Carolina General Statutes in the
form of civil or criminal penalties.
Please note that the subject Permit expires on September 30, 2004. Condition No. 25
of the Permit requires that a renewal request be submitted at least six (6) months prior to
expiration. Also, the Permit is non -transferable until such time that the Permittee has requested
a name change to the new Permittee.
As mentioned previously, the purpose of this letter is to advise you of the importance of
your 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.
DRG: de
Sincerely,
e ,
i
D. Rex Gleason, P. E.
Water Quality Regional Supervisor
919 NORTH MAIN STREET, MOORESVILLE, NORTH CAROLINA 28115
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST -CONSUMER PAPER

V&
State of North Carolina
Environment
\---'b if
W'A
Department of
�\ ` •
2
and Natural Resources
Division of Water Quality
;k
James B. Hunt, Jr., Governor
NCDENR
Bill Holman, Secretary
Kerr T. Stevens, Director
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NX%URAL4RESOURCES
October 26, 1999 -
John Eapen
American & Efird, Inc.
PO Box 507
Mount Holly, NC 28120
Subject: Permit No. WQ0010197
American & Efird, Mount Holly, NC
Settling Lagoon for Alum Floc Basin
Wastewater Recycle System
Gaston County
Dear Mr. Eapen:
In accordance with your application received August 6, 1999, we are forwarding herewith Permit No.
WQ0010197, dated October 26, 1999, to American & Efird, Inc. for the continued operation of the subject water
treatment plant settling basin wastewater recycle system.
This permit shall be effective from the date of issuance until September 30, 2004, shall void Permit No.
WQ0010197 issued January 31, 1995 and shall be subject to the conditions and limitations as specified therein.
Please pay particular attention to the monitoring requirements in this permit. Failure to establish an adequate
system for collecting and maintaining the required operational information will result in future compliance
problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General Statutes,
and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless
such demands are made this permit shall be final and binding.
If you need additional information concerning this matter, please contact Kristin Miguez at [phone]
extension 524.
Sinc e
L 4 Kerr T. Stevens
/11�
cc: Gaston County Health Department
1l�mrtesonllejiZr resrr�el�0 c Water Quality--Secti� o- n,
Mooresville Regional Office, Groundwater Section
Technical Assistance and Certification Unit
Non -Discharge Compliance/Enforcement Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
RECYCLE SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and
other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
American & Efird, Inc.
Gaston County
FOR THE
continued operation of a 68,000 GPD settling basin wastewater recycle system consisting of a 1.0 million gallon
unlined settling basin to remove solids from the existing alum floc basin drain water and existing sand filter
backwash facilities wastewater, the pumping facilities to pump the clarified water back to the head of the water
treatment plant raw water reservoir, and all associated piping, valves, control, and appurtenances to serve the
American & Efird, Incorporated Mount Holly Wastewater Treatment Plant with no discharge of wastes to the
surface waters, pursuant to the application received August 6, 1999, and in conformity with the project plan,
specifications, and other supporting data subsequently filed and approved by the Department of Environment and
Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until September 30, 2004, shall void Permit No.
WQ0010197 issued January 31, 1995, and shall be subject to the following specified conditions and limitations:
This permit shall become voidable unless the facilities are constructed in accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes described in the application and
other supporting data.
The facilities shall be properly maintained and operated at all times.
4. This permit is not transferable. In the event there is a desire for the facilities to change ownership, or there.is
a name change of the Permittee, a formal permit request must be submitted to the Division of Water Quality
(Division) accompanied by an application fee, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of the request will be considered on its merits and may or may
not be approved.
5. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those actions that may be required by this
Division, such as the construction of additional or replacement treatment or disposal facilities.

or
6. The Mooresville Regional Office, telephone number [phone], shall be notified at least forty-eight (48)
hours in advance of operation of the installed facilities so that an in -place inspection can be made. Such
notification to the regional supervisor shall be made during the normal office hours from 8:00 a.m. until 5:00
p.m. on MGnday through Friday, excluding State Holidays.
7. The residuals generated from these treatment facilities must be disposed in accordance with General Statute
143-215.1 and in a manner approved by the Division.
The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface or
groundwaters resulting from the operation of this facility.
9. The facilities shall be effectively maintained and operated as a non -discharge system to prevent the discharge
of any wastewater resulting from the operation of this facility.
10. Diversion or bypassing of untreated wastewater from the treatment facilities is prohibited.
11. Freeboard in the settling lagoon shall not be less than two feet at any time.
12. Any monitoring deemed necessary by the Division to insure surface and ground water protection will be
established and an acceptable sampling reporting schedule shall be followed.
13. Adequate inspection, maintenance, and cleaning shall be provided by the Permittee to insure proper operation
of the subject facilities.
14. The Permittee or his designee shall inspect the wastewater recycle facilities to prevent malfunctions and
deterioration, operator errors and discharges which may cause or lead to the release of wastes to the
environment, a threat to human health, or a nuisance. The Permittee shall maintain an inspection log or
summary including at least the date and time of inspection, observations made, and any maintenance, repairs,
or corrective actions taken by the Permittee. This log of inspections shall be maintained by the Permittee for
a period of three years from the date of the inspection and shall be made available to the Division or other
permitting authority, upon request.
15. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the recycle system at any
reasonable time for the purpose of determining compliance with this permit, may inspect or copy any records
that must be maintained under. the terms and conditions of this permit, and may obtain samples of
groundwater, surface water, or leachate.
16. The annual administering and compliance fee must be paid by the Permittee within thirty (30) days after
being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate action to
revoke this permit as specified by 15A NCAC 2H .0205 (c)(4).
17. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to an
enforcement action by the Division in accordance with North Carolina General Statute 143-215.6A to 143-
215.6C.
18. The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules,
regulations, or ordinances which may be imposed by other government agencies (local, state, and federal)
which have jurisdiction.
19. A set of approved plans and specifications for the subject project must be retained by the Permittee for the
life of this project.

AW
20. Noncompliance Notification:
The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704) 663-
1699, as soon as possible, but in no case more than 24 hours or on the next working day following the
occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the wastewater treatment facility which results in the treatment of significant amounts
ZD
of wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a basin
or tank, the known passage of a slug of hazardous substance through the facility, or any other unusual
circumstances;
b. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of
adequate wastewater treatment, such as mechanical or electrical failures of pumps, aerators, compressors,
etc.;
Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or facility; or
d. Any time that self -monitoring information indicates that the facility is not in compliance with its permit
limitations.
Persons reporting such occurrences by telephone shall also file a written report in letter form within five (5)
days following first knowledge of the occurrence. This report must outline the actions taken or proposed to
be taken to ensure that the problem does not recur.
21. The bottom of the subject settling lagoon shall be constructed at an elevation no lower than 585 feet (mean
sea level). This elevation (585 feet) is to avoid contact with the seasonal high water table and to adhere to
North Carolina State Regulations, under Administrative Code Section 15A NCAC 2H .0219.
22. Waste shall not be applied or discharged onto or below the land surface when the vertical separation between
the waste and the seasonal high water table is less than one foot.
23. Any groundwater quality monitoring, as deemed necessary by the Division, shall be provided.
24. The COMPLIANCE BOUNDARY for the disposal system is specified by regulations in 15A NCAC 2L,
Groundwater Classifications & Standards. The Compliance Boundary for the disposal system individually
permitted after December 31, 1983 is established at either (1) 250 feet from the waste disposal area, or (2)
within 50 feet of the property boundary, whichever is closest to the waste disposal area. An exceedance of
Groundwater Quality Standards at or beyond the Compliance Boundary is subject to immediate remediation
action in addition to the penalty provisions applicable under General Statute 143-215.6A(a)(1).
In accordance with 15A NCAC 2L, a REVIEW BOUNDARY is established around the disposal system
midway between the Compliance Boundary and the perimeter of the waste disposal area. Any exceedance of
standards at the Review Boundary shall require remediation action on the part of the Permittee.
25. The Permittee, at least six (6) months prior to the expiration of this permit, shall request its extension. Upon
receipt of the request, the Commission will review the adequacy of the facilities described therein, and if
warranted, will extend the permit for such period of time and under such conditions and limitations as it may
deem appropriate.

Permit issued this the twenty-sixth day of October, 1999
NORTH C OLINA E IRONMENTAL MANAGEMENT COMMISSION
i/
Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0010197
4

DIVISION OF WATER QUALITY
GROUNDWATER SECTION
September 27, 1999
MEMORANDUM
To: Kim Colson
Water Quality Section
Through: Ted L. Bush, J .
From: Brian Wootton it'
Subject: American & Efird, Inc.
Recycle System
Gaston County
Permit No. WQ0010197/GW99150
Joni Cardin: SERG Review Engineer
SEP 20 1999
6 ' ' ENT
The Groundwater Section has reviewed the subject permit renewal request for the continued
operation of the 68,000 GPD settling basin wastewater recycle system to accommodate alum
wastewater from the Mount Holly Water Treatment Plant. Groundwater monitoring is not necessary
at this time, since the wastewater consists of alum (which binds to the lagoon bottom) and does not
leach out to groundwater.
Based upon the Groundwater Section's review of the subject permit application and
supporting documentation, the Groundwater Section makes the following recommendations:
The COMPLIANCE BOUNDARY for the disposal system is specified by regulations in
15A NCAC 2L, Groundwater Classifications and Standards. The Compliance Boundary for
the disposal system individually permitted after December 31, 1983 is established at either
(1) 250 feet from the waste disposal area, or (2) within 50 feet of the property boundary,
whichever is closest to the waste disposal area. An exceedance of Groundwater Quality
Standards at or beyond the Compliance Boundary is subject to immediate remediation action
in addition to the penalty provisions applicable under General Statute 143-215.6A(a)(1).
In accordance with 15A NCAC 2L, a REVIEW BOUNDARY is established around the
disposal system midway between the Compliance Boundary and the perimeter of the waste
disposal area. Any exceedance of standards at the Review Boundary shall require
remediation action on the part of the permittee.
2. Any groundwater quality monitoring, as deemed necessary by the Division, shall be
provided.
cc: : axtb_ara Chris Est%an
Permit Files

GROUNDWATER SECTION GW # c!�T�
DIVISION OF ENVIRONMENTAL MANAGEMENT
RECORD OF WASTE DISPOSAL PERMIT APPLICATION REVIEW
REVIEW BY - �--e� DATE �% FIELD INVESTIGATION? (Y/N) -�
FACILITY NAM-E--r'�-=�-> �` ��� r� G . COUNTY
LOCATION ZOO �i��=—�^ J` I /, 11�2
TYPE OF DISPOSAL SYSTEM (LAGOON, ETC.) DESIGN CAP. (GPD)
DESCRIPTION OF FACILITY - �- -Y- �` -���-� - 4 �cGt�c��-ram
SIZE OF IMPOUNDMENTS &/OR SIZE OF APPLICATION AREA
WASTE SOURCE: MUN. SLUDGE MUN. W. WATER: PRIMARY SECONDARY TERTIARY
IND. SLUDGE IND. WELL WATER ETHERS:
DISTANCE FROM WASTE SOURCE TO NEAREST: STREAM 5-Jr---FT., WELL 2 FT.
FOR WELL: TYPE OF USE , DEPTH PUMP RATE (EST.)
WHAT DESIGN CONDITIONS WILL REDUCE/INCREASE CHANCE OF GW CONTAMINATION:
WHAT NATURAL SITE CONDITIONS WILL REDUCE/INCREASE CHANCE OF GW CONTAMINATION:
DEPTH TO: BEDROCK > Zn FT., SEASONAL HIGH W.T. FT., ANNUAL W.T. FLUX SA T.
SURFICIAL AQUIFER BEDROCK/ARTESIAN AQUIFER
GEN. LITHOLOGY
❑ MEASURED
HYD. COND. FTIDAY ❑ ESTIMATED
THICKNESS FT.
NO. OF MONITER WELLS: PROPOSED: UP DOWN
FROM WORKSHEET: SITE NUMERICAL DESCRIPTION= -
T 1
SITE GRADE (HYDROGEOL.) =
PROPOSED SAMPLING SCHEDULE & PARAMETER(S):
❑ MEASURED
FT./DAY
❑ ESTIMATED
; EXISTING: UP DOWN
2 3 4 5 6 6A 66
SITUATION GRADE=
HAVE THERE BEEN ANY EXCEEDANCES OF THE GROUNDWATER STANDARDS? YES NO
HAS ANY ENFORCEMENT ACTION BEEN TAKEN? YES NO DATE OF ACTION:
BRIEF SUMMARY OF ENFORCEMENT ACTION TAKEN:
REMARKS/ RECOMMENDATIONS (Continue on reverse, if necessary):
GW-48 Revised 04/94
'15.r 1 -
4.
GL_��
HYD. REGIONAL SUPERVISOR

DIVISION OF WATER QUALITY
GROUNDWATER SECTION -
IL
MFNI0RANDITPVT
el>/ (fx111 / e Regional Office
FROM: ,/�%`LQ e) ,G 0 /-/O,-1
SUBJECT: Application for 11 Permit Renewal,
New Permit
C0iVfA VTS.
Permit Amendment
Repair/Alteration of Exist. Disposal System [DEHJ
Facility Name:
Countv:it.t/��
Type of Project: -&Cv C lie -
APPLICABLE PERMIT NO.s: WQ C0167tl % GW
DEH ANIMAL WASTE (DWQ)
EPA (CONST. GRANTS)
A to C
The Groundwater Section has received ONLY ONE (1) copy of the referenced permit application. A copy of the
application should have been sent to your Regional Water Quality Supervisor, so please use that copy for
your review - IF A COPY HAS NOT BEEN RECEIVED N THE REGIONAL OFFICE, PLEASE LET ME
KNOW.
The Groundwater Section has received ONLY ONE (11 copy of the referenced permit application. A copy of the
application should have been sent to , DEH's Regional Soil Specialist, so please use
that copy for your review - IF A COPY HAS NOT BEEN RECEIVED N THE REGIONAL OFFICE, PLEASE
LET ME KNOW.
The Groundwater Section received two (2) copies of the referenced permit application. One copy of the
application documents we received is attached.
Please review the application materiais for completeness. If you feel additional information is necessary, please
let me know no later than <3 p der 3. /lfj9A copy of any formal request for additional information
will be .forwarded to you.
If you do no need anv additional information to complete your review, please provide your final comments
by ��,¢i e,nb�r /D, rQy 9, If you request and/or receive additional information, your final comments
\9-98TRAN.SHL (rev. 9/29/98)

I.
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
Non -Discharge Permit Application Form
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
RECYCLE FACILITIES
GENERAL INFORMATION:
1. Applicant's, name (please specify the name of the municipality, corporation, individual, etc.): .
AMDUCA/J
2. Print Owners or Signing Official's name and titre (the person who is legally responsible for the facility and its compliance):
Jo l� N C- fF P-6
3. Mailing address: o (2 SO 4-
City: Mouv►+ State: N C- Zip; ? i a D
Telephone Number. (
4. Project Name (please specify the name of the facility or establishment - should be consistent on all documents included:
5. . Location of Recycle Facility (Street Address): cz)' A-vq _94 ( C
City: . 1 oU -Ai 061l gam• - Zip; �. I a C7
6. Contact person who can answer questions about application:
'Name: 36h' V% '0 P�e_ 6 Telephone number.
3 S o . 0(o aU I ° OCR' facility � Latitude: ; Longitude: of recycle facili location .
8. Application Date:-
9. Fee Submitted: $ NA [The permit processing fee should be as specified in 15A NCAC 2H .0205(c)(5)j _
10. County where project is located:
II. : PERMIT INFORMATION:
1. Application No. (will be completed by DEM): �(
2. Specify whether project is: new; ' a renewal`; modification
` For renewals, complete only sections3, I , and applicant signature (on page 5). Submit only pages 1 and 5 (original and
three copies of each). Engineer's signature not requiredfor renewal without other modifications.
3. If this application is being submitted as a result of a renewal or modification to an existing permi Hsst*e:existtng;permit
dumber W, co 1C)
°I and its issue date
4. Specify whether the applicant is public or . private. 1(��
��on-O�sv�atge
FORM: RF 02/95
Page 1 of 6

Name and Complete Address of Engineering Finn:
City:
Telephone Number:
State:
Professional Engineer's Certification:
attest that this application for
Zip:
has been reviewed by me and is accurate and complete to the best of my knowledge. I further attest that to the best of my knowledge
the proposed design has been prepared in accordance with the applicable regulations. Although certain portions of this submittal
package may have been developed by other profcssionals, inclusion of these materials under my signature and seal signifies that -I have
reviewed this material and have judged it to be consistent with the proposed design.
i
North Carolina Professional Engineer's Seal, Signature, and Date:
Applicant's Certification: r
Jy� �. �Ca 2Y1 2,�i CdVI t �Tira{ �►'1C
I. P attest [hat this application for +
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application package
will be returned to me as incomplete.
Date---_---�..
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALI: SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT 'TO THE I=OLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF ENVIROMNIENTAL MANAGEMENT
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: [phone]
FORti : RF 06/94
Page 5 of 6

ENVIRONMENTAL, HEALTH & SAFETY DEPARTMENT
ENVIRONMENTAL, HEALTH & SAFETY PHONE [phone] (EXT. 2576) FAX [phone]
Residuals Management Plan
Residuals generated by the Alum Basin (basin) covered by Recycle Unit Permit No.
WQ0010197 shall be handled in accordance with North Carolina General Statute 143-
215.1. Based on engineering judgement and solids accrual rates, the first residual
removed from the basin could take place during the year 2004. When the basin
capacity decreases to a point that indicates excess solids, the residuals will be removed
and applied to the land adjacent to the basin. The solids shall be sloped in a manner to
promote liquid drainage back into the basin while maintaining safe working slopes.
Representative samples shall be gathered for applicable analytical testing before the
residuals are removed off -site.
Dreeves/wastewater/alumpermit

SOC Priority Project: Yes No X
' If Yes, SOC No.
To: Permits -and Engineering Unit
Water Quality Section
Attention: Joni Cardin
Date: September 14,1999
NON -DISCHARGE STAFF REPORT AND RECOMMENDATION
. County: Gaston
Permit No. WQ0010197
PART I - GENERAL INFORMATION
1. Facility and Address: .American and Efird, Inc.
Water Treatment Recycle Facility
American Street
Mount Holly, North Carolina 28210
2. Date of Investigation: September 8, 1999
3. Report Prepared by: Samar Bou-Ghazale, Env. Engineer I
4. Persons Contacted and Telephone Number: John Eapen, (704')
822-6041, ext. 2578.
5. Directions to Site: From the intersection of NC Hwy 273 and
Oak Grove Street in the Town of Mount Holly., travel southeast
on Oak Grove Street to the intersection -with American .Street.
'Turn right onto American Street. The plant is located at the
end of .the road.
6. Size (land available for expansion and upgrading)-: There is
adequate .area for expansion and upgrading.
7. Topography (relationship to 100 year flood plain included).:
Flat slopes; the WWT facilities do not appear to be -located
within the 100 year flood .plain.
.Attach a U.S.G.S. map extract and indicate facility site.
U.S.G.S. Quad No.: F14SE
U.S.G.S. Quad Name: Mount Holly, NC
Latitude: 35' 17' 06" Longitude 81' 00' 42"
8. Any buffer conflicts with location of nearest dwelling -and

Page Two
water supply well? Yes No X If Yes, explain:
9. Watershed Stream Basin Information: Catawba River
a. Watershed Classification: WS-IV CA
b. River Basin and Subbasin No.: 030833
c. Distance to surface water from disposal system:
Approximately 700 feet..
PART II - DESCRIPTION OF WASTES AND TREATMENT WORKS
1.. a. Volume : 0.068 MGD (design capacity)
Residuals: N/A
b. Types and quantities of industrial wastewater: N/A
C. Pretreatment Program (POTWs only): N/A
2. Treatment Facilities
a. Current permitted capacity of the facility: N/A
b. Actual treatment capacity of the current facility (design
volume): N/A
C. Please provide a description of existing or substantially
constructed wastewater treatment facilities: The
treatment consists of a 1 MG settling basin.
d. Please provide a description of proposed wastewater
treatment facilities: N/A
3. Residuals handling and utilization/disposal scheme:
a. If Residuals are being land applied, please specify DWQ
Permit No: N/A
Residual Contractor: N/A
Telephone No.: N/A
b. Residuals stabilization: PSRP PFRP Other
C. Landfill: N/A
d. Other disposal/utilization scheme (Specify): The
existing basin has a storage capacity for residuals of
approximately 6 years.

Page Three
4. Treatment plant classification
sheet): No rating.
5.- SIC Code(s).: 2269
Wastewater Code(s)
Primary: 21 Secondary:
Main Treatment Unit Code: 50000
(attach completed rating
PART III - OTHER PERTINENT INFORMATION
1.. Is this facility being constructed with Construction Grant
funds (municipals only)? N/A
2. Special monitoring requests: N/A
3. Important SOC, JOC or Compliance Schedule dates (.Please
indicate).: N/A
4. Air quality and/or groundwater concerns or hazardous materials
utilized at this facility that may impact water quality, air
quality, or groundwater: There are no known air quality.,
groundwater, or hazardous material concerns.
5. Other Special Items: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The applicant, American and Efird Inc., has applied for the
renewal of its wastewater recycle permit for the facility's water
treatment plant. The filter backwash and.alum sludge are
discharged into a settling basin. The existing 1 MG settling
basin recycles the effluent back to the raw water reservoir..
It is recommended that the permit be issued .as requested.

Water Quality Regional .Supervisor
Date

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,:5j-0 0
State of North Carolina
Department of Environment:.::
and Natural Resources `
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne MCDevItt, Secretary
Kerr T. Stevens, Director ,-
1�.
Mr. John Eapen
American & Efrid, Inc.
Post Office Box 507
Mount Holly, North Carolina 28120
August 10, 1999
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Applications No. WQ0010197
American & Efrid, Inc.
Recycle Facilities
Gaston County
Dear Mr. Eapen:
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on August 6, 1999. This application has been assigned the number listed above.
Your project has been assigned to Ms. Joni Cardin for a detailed engineering review. Should there be
any questions concerning your project, the review will contact you with a request for additional information.
Be aware that the Division's Regional Office, copied below, must provide recommendations from the
Regional Supervisor or a Procedure Four Evaluation for this project, prior to final action by the division.
If you have any questions, please contact Ms. Joni Cardin at 919/733-5083 ext. 509. If the engineer is
unavailable, you may leave a message on their voice mail and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING -INQUIRES ON
THIS PROJECT.
Sincerely,
I, —Mr. Kim H. Colson, P.E.
Supervisor, Non -Discharge Permit�Ulnniltng
cc:,Moores�Kille Regional -Office, Water Quality--
1617 Mail Service Center, Raleigh North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
Non -Discharge Permit Application Form
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
RECYCLE FACILITIES
I. GENERAL INFORMATION:
1. Applicant's, name (please specify the name of the municipality, corporation, individual, etc.):
Ain1E2.1CAiJ
2. Print Owners or Signing Official's name and title (the person who is legally responsible for the facility and its compliance):
3. _Mailing address: ° so-4-
city: h0ull+ State: N C- Zip: okD
Telephone Number. ( y ) Z Z^ f� o f V o� S
4. Project Name (please specify the name of the facility or establishment should be consistent on all documents included:
5. Location of Recycle Facility (Street Address): a ® Av,, ` C Soy e
City: 1 o U A+- �� � l +1 State: � C_ Zip: a C7
6. Contact person who can answer questions about application: ,
Name: Jokq.V% (� _e VA Telephone number:
7. Latitude: _3 S C, O Longitude: 0 0c), �� I of recycle facility location
8. Application Date:
9. Fee Submitted: $ n (The permit processing fee should be as specified in 15A NCAC 2H .0205(c)(5).] _
10. County where project is located.. 0 S _
II. :PERMIT INFORMATION:
1. Application No. (will be completed by DE�(M):
2: Specify whether project is: new; ' ` renewal`; modification
For renewals, complete only sections I, II, and applicantsignature (on page 5). Submit only pages 1 and 5 (original and
three copies of each). Engineer's.signature not requiredf'or renewal without other modifications.
3. If this application is being submitted as a result of a renewal or modification to an existing permitplistlt�h'eex�istitig permit
number W Q CQ 10 1,� �' and its' issue date 1 �' 1 i S
�r, ® 6
4. Specify whether the applicant is public or private.���
FORM: RF 02/95, Page 1 of 6

ENVIRONMENTAL, HEALTH & SAFETY DEPARTMENT
ENVIRONMENTAL, HEALTH & SAFETY PHONE [phone] (EXT. 2576) FAX [phone]
Residuals Management Plan
Residuals generated by the Alum Basin (basin) covered by Recycle Unit Permit No.
WQ0010197 shall be handled in accordance with North Carolina General Statute 143-
215.1. Based on engineering judgement and solids accrual rates, the first residual
removed from the basin could take place during the year 2004. When the basin
capacity decreases to a point that indicates excess solids, the residuals will be removed
and applied to the land adjacent to the basin. The solids shall be sloped in a manner to
promote liquid drainage back into the basin while maintaining safe working slopes.
Representative samples shall be gathered for applicable analytical testing before the
residuals are removed off -site.
D reeves/wastewater/al umpermit

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
JOHN EAPEN
AMERICAN & EFIRD, INC-WWTP
AMERICAN STREET
MOUNT HOLLY, NC 28210
Dear Permittee:
�1�
D E N R
,April 10, 1999 may, c
APR 12 S�i9y
Subject: PERMIT NOgT
`?VQ0010197
AMERICAN & EFIRD, INC-WWTP
GASTON COUNTY
Our files indicate that the subject permit issued on 1/31/95 expires on 12/31/99. We have not
received a request for renewal from you as of this date.
A renewal request shall consist of a letter asking for permit renewal and four (4) copies of a
completed application. For permitted facilities with treatment works, a narrative description of the
residuals management plan, which is in effect at the permitted facility, must also be submitted with the
renewal application. Applications may be returned to the applicant if incomplete.
The General Assembly passed legislation incorporating renewal fees into the annual fee.
Please be advised that this permit must not be allowed to expire. You must submit the renewal
request at least 180 days prior to the permit's expiration date, as required by the 15 NCAC 2H .0211.
Failure to request a renewal at least 180 days prior to the permit expiration date and/or operation of a
facility without a valid permit may result in the assessment of civil penalties. NCGS 143-215.6A allows
for the assessment of Civil penalties up to $10,000 per violation per day.
The letter requesting renewal, along with the completed Non -Discharge Permit Application must
be sent to:
Division of Water Quality
Non -Discharge Permitting Unit
P. O. Box 29535
Raleigh, North Carolina 27626-0535
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone,919-733-5083 FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

If you have any questions concerning this matter, please contact Ms. Kimberly Young at
919 733-5083 extension 574.
Sincerely,
itJr(i L ��
Kim H. Colson, P.E., Supervisor
Non -Discharge Permitting Unit
cc: Mooresville Regional Office
Central Files

State of North Ccirolina
DepartMent of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Mr. John Eapen
American & Efird, Inc.
American Street
Mount Holly, North Carolina 28210
Dear Mr. Eapen:
0
/N 4
Meg
"JE A J AL ,
& NATURAL RESOURCES
January 31, 1995
FEB 6 1995
Moll OF 61VI[1OHME11TAL MANAGEMENT'
Subject: Permit No GWjIly OFFICE
American & Efird, Mount Holly, N.C.
Water Treatment Plant Modification
Settling Lagoon for Alum Floc Basin
Wastewater Recycle System
Gaston County
In accordance with your application received October 25,1994, we are forwarding herewith Permit
No. WQ0010197 dated January 31, 1995, to American & Efird, Inc. for the construction and operation of
the subject water treatment plant settling basin wastewater recycle system. Please be advised of permit
condition No. 22, which states the bottom of the subject settling lagoon shall be constructed at an elevation
of no lower than 585 feet (mean sea Level). .
This permit shall be effective from the date of issuance until December 31, 1999, and shall be
subject to the conditions and limitations as specified therein. Please pay particular attention to the
monitoring requirements in this permit. Failure to establish an adequate system for collecting and
maintaining the required operational information will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B of North
Carolina General Statutes, and filed with the Office of Administrative Hearings, P.O. Drawer 27447,
Raleigh, NC 27611-7447. Unless such demands are made this permit shall be final and binding.
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this matter, please contact Mr. John Seymour at [phone].
.r
Sincerely,
A. PrestonvHoward, Jr., P.E.
cc: Gaston County Health Department
©o a us Mlle Regional Office, Water Quality Section
Mooresv"vilI eg onal-Office, Groundwater Sectro
Central Groundwater Section, Jack Floyd
ERM Southeast, Inc.
Training and Certification Unit
Facilities Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 101/6 post -consumer paper

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAIt"MAXP, CIIALTM
RALEIGH NATURAL, RESOURCES
RECYCLE SYSTEM PERMIT FEB 6 1995
DMS1D � 9 . T
tiDD1i1aSME t EMP4 OFQgE
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
Amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
American and Efird, Inc.
Gaston County
FOR THE
construction and operation of a 68,000 GPD settling basin wastewater recycle system consisting of 1.0
million gallon unlined settling basin to remove solids from the existing alum floc basin drain water and
existing sand filter backwash facilities wastewater,, the pumping facilities to pump the clarified water back
to the head of the water treatment plant raw water reservoir, and all associated piping, valves, controls and
appurtenances to serve the American & Efird, Incorporated's Mount Holly, N.C. Water Treatment Plant
with no discharge of wastes to the surface waters, pursuant to the application received October 25, 1994,
and in conformity with the project plan, specifications, and other supporting data subsequently filed and
approved by the Department of Environment, Health and Natural Resources and considered a part of this
permit.
This permit shall be effective from the date of issuance until December 31, 1999, and shall be
subject to the following specified conditions and limitations:
1. This permit shall become voidable unless the facilities are constructed in accordance with
the conditions of this permit, the approved plans and specifications, and other supporting
data.
2. This permit is effective only with respect to the nature and volume of wastes described in
the application and other supporting data
3. The facilities shall be properly maintained and operated at all times.
4. This permit. is not transferable. In the event there is a desire for the facilities to change
ownership, or there is a name change of the Permittee, a formal permit request must be
submitted to the Division of Environmental Management accompanied by an application
fee, documentation from the parties involved, and other supporting materials as may be
appropriate. The approval of the request will be considered on its merits and may or may
not be approved.

18. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division of Environmental Management in
accordance with North Carolina General Statute 143-215.6(a) to 143-215.6(c).
19. The issuance of this permit does not preclude the Permittee from complying with any and
all statutes, rules, regulations, or ordinances which may be imposed by other government
agencies (local, state, and federal) which have jurisdiction.
20. A set of approved plans and specifications for the subject project must be retained by the
Permittee for the life of this projr ct.
21. Noncompliance Notification: "
The Permittee shall report by telephone to the Mooresville Regional Office, telephone
number 704/ 663-1699 as soon as possible, but in no case more than 24 hours or on the
next working day following the occurrence or first knowledge of the occurrence of any of
the following: _
a. Any occurrence at the wastewater treatment facility which results in the treatment of
significant amounts of wastes which are abnormal in quantity or characteristic, such as
the dumping of the contents of a basin or tank, the known passage of a slug of
hazardous substance through the facility, or any other unusual circumstances;
b. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater treatment, such as mechanical or electrical failures of
pumps, aerators, compressors, etc.;
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass
directly to receiving waters without treatment of all or any portion of the influent to
such station or facility; or
d. Any time that self -monitoring information indicates that the facility is not in compliance
with its permit limitations.
Persons reporting such occurrences by telephone shall also file a written report in letter
form within 15 days following first knowledge of the occurrence. This report must outline
the actions taken or proposed to be taken to ensure that the problem does not recur.
22. The bottom of the subject settling lagoon shall be constructed at an elevation of no lower
than 585 feet (mean sea level). This elevation (585 feet) is to avoid- contact with the
seasonal high water table and to adhere to North Carolina State Regulations, under
Administrative Code Section 15A NCAC 2H .0219.
23. 'Waste shall not be applied or discharged onto or below the land surface when the vertical
separation between the waste and the seasonal high water table is less than one foot.
24. Any groundwater quality monitoring, as deemed necessary by the Division, shall be
provided.
25. The COMPLIANCE BOUNDARY for the disposal system is specified by regulations in
15A NCAC 2L, Groundwater Classifications -and Standards. The Compliance Boundary is
for the disposal system constructed after December 31, 1983 is established at either (1) 250
feet from the waste disposal area, or.(2) 50 feet within the property boundary, whichever is
closest to the waste disposal area. An exceedance of Groundwater Quality Standards at or
beyond the Compliance Boundary is subject to immediate remediation action in addition -to
the penalty provisions applicable under General Statute 143-215.6A(a)(1).
3

In accordance with 15A NCAC 2L, a REVIEW BOUNDARY is established around the
disposal systems midway between the Compliance Boundary and the perimeter of the
waste disposal area. Any exceedance of standards at the Review Boundary shall require
remediation action on the part of the permittee.
26. No additives shall be used in the subject unlined settling lagoon without written
authorization from the Division, due to the proximity of the groundwater to the bottom of
the unlined lagoon and adherence of North Carolina State Regulations, concerning
groundwater standards.
27. Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of
the wastewater treatment facilities. The operator must hold a certificate of the type and
grade at least equivalent to or greater than the classification assigned to the wastewater
treatment facilities by the Certification Commission. The Permittee must also employ a
.certified back-up operator of the appropriate type and grade to comply with the conditions
of Title 15A, Chapter 8A, .0202. The ORC of the facility must visit each Class I facility at
least weekly and each Class II, III, and IV facility at least daily, excluding weekends and
holidays, and must properly manage. and document daily operation and maintenance of the
facility and must comply with all other conditions of Title 15A, Chapter 8A, .0202.
28. The Permittee, at least six (6) months prior to the expiration of this permit, shall request its
extension. Upon receipt of the request, the Commission will review the adequacy of the
facilities described therein, and if warranted, will extend the permit for such period of time
and under such conditions and limitations as it may deem appropriate.
Permit issued this the 31st day of January, 1995
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
t'n (""CXJ oo
A. Preston oward; Jr., P E., Director
Division ofEnvironmental Management
By Authority of the Environmental Management Commission
Permit Number WQ0010197
4

Permit No. WQ0010197
January 31, 1995
► N DRIMMO wallIZ
1, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the
project, for the
Project Name Location
Permittee hereby state_that, to the best of my abilities, due care and diligence was used in the observation
of the construction such that the construction was observed to be built within substantial compliance and
intent of this permit, the approved plans and specifications, and other supporting materials.
Signature Registration No.
Date

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4854 IV sw
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DMSIONGF ENVIR®NtIMENTAI MANAGEMENT
GRO NDWATERSECTI©N
January 18, 1995
To: Carolyn McCaskill
Through: Bob Cheek 2�, �,
From: Brian Wootton 96W
Subject: Amendment to Comments written 11/28/94
American and Efird, Inc.
Recycle Facility
Gaston County
WQ0010197/GW94222
(John Seymour: DEM SERG Review Engineer)
N.C. DEPT. OF
ENVIRONMENT, HEALTH,
& NATURAL RESOUPC:ES
OMSIOR OF ENVIROIIPii , ._a1
MOORESVILLE REGUAL w i llA
The Groundwater Section recommends that the comments written 11/28/94, be
amended. We feel that a liner is not needed at this facility, based on the success of other
unlined alum sludge lagoons (permitted facilities) and the recommended bottom elevation
of the lagoon, stated in the engineer's report (submitted with the permit application). We
concur with the engineer's recommendation that the lagoon should be constructed so that
the depth of the bottom of the lagoon is no deeper than elevation 585 feet above sea level.
This elevation (585 feet) is to avoid contact with the seasonal high water table and to
adhere to North Carolina State Regulations (15A NCAC .0219). We have no objection to
issuance of the permit, provided that the following conditions are included:
1. The bottom of the lagoon shall be constructed at an elevation of no lower
than 585 feet (mean sea, level).
2. Waste shall not be applied or discharged onto or below the land surface when
the vertical separation between the waste and the seasonal high water table
is less than one foot.
1

3. The COMPLIANCE BOUNDARY for the disposal system is specified by
regulations in 15A NCAC 2L, Groundwater Classifications and Standards.
The Compliance Boundary is for the disposal system constructed after
December 31, 1983 is established at either (1) 250 feet from the waste
disposal area, or (2) 50 feet within the property boundary, whichever is
closest to the waste disposal area. An exceedance of Groundwater Quality
Standards at or beyond the Compliance Boundary is subject to immediate
remediation action in addition to the penalty provisions applicable under
General Statute 143-215.6A(a)(1).
In accordance with 15A NCAC 2L, a REVIEW BOUNDARY is established
around the disposal systems midway between the Compliance Boundary and
the perimeter of the waste disposal area. Any exceedance of standards at
the Review Boundary shall require remediation action on the part of the
permittee.
4. Any groundwater quality monitoring, as deemed necessary by the Division,
shall be provided.
cc: arliara Clusfian
Central Files
Permit Files
700

DIVISION OF ENVIRONMENTAL MANAGEMENT N.C. DEPT. OF" .
ENVIRONMENT, HZ,r.T t
& NATURAL RESOURC: S
GROUNDWATER SECTION
DEC 14 1994
November 28, 1994
DIVISION OF ENVIRONMENTAL MANAGEMENT
MOORESVILLE REGIONAL OFFICE
MEMORANDUM
To: Carolyn McCaskill
Through: Bob Cheek �v(-
From: Brian Wootton 157111
Subject: American and Efird, Inc.
Recycle Facility
Gaston County
WQ0010197/GW94222
(John Seymour: DEM SERG Review Engineer)
The Groundwater Section has reviewed the subject permit application request for the
operation of the new recycle lagoon facility. The lagoon will contain backwash water from
sandfilters and the water will consist of the additive alum. We have no objection to issuance
of the permit, provided that the following conditions are included:
1. Waste shall not be applied or discharged onto or below the land surface when
thevertical separation between the waste and the seasonal high water table is
less than one foot. If the area is to be utilized for industrial waste and has a
separation of less than three feet, and in other areas as designated by the
Director, a demonstration must be made using predicative calculations or
modeling methods, acceptable to the Director, that such placement will not
result in contravention of classified groundwater standards.
2. The lagoon shall have a liner of natural material at least one foot in thickness,
compacted to 95% proctor standard dry density and installed and compacted in
layers no thicker than six inches, with a hydraulic conductivity of no greater
than 1 x 10-6 cm/sec when compacted, or a synthetic liner of sufficient

thickness to exhibit structural integrity and effective hydraulic conductivity no
greater than that of the natural material. Following installation and inspection
of the lagoon liner, and prior to waste disposal operations, verification of the
liner's compliance with hydraulic conductivity and thickness specifications must
be provided to the Division of Environmental Management, Groundwater
Section, by the project engineer.
3. The COMPLIANCE BOUNDARY for the disposal system is specified by
regulations in 15A NCAC 2L, Groundwater Classifications and Standards. The
Compliance Boundary is for the disposal system constructed after December 31,
1983 is established at either (1) 250 feet from the waste disposal area, or (2) 50
feet within the property boundary, whichever is closest to the waste disposal
area. An exceedance of Groundwater Quality Standards at or beyond the
Compliance Boundary is subject to immediate remediation action in addition to
the penalty provisions applicable under General Statute 143-215.6A(a)(1).
In accordance with 15A NCAC 2L, a REVIEW BOUNDARY is established
around the disposal systems midway between the Compliance Boundary and the
perimeter of the waste disposal area. Any exceedance of standards at the
Review Boundary shall require remediation action on the part of the permittee.
4. Any groundwater quality monitoring, as deemed necessary by the Division,
shall be provided.
cc: BarbaraChristian-,
Central Files
Permit Files
2

mod: /�/1�i9�✓ w�9c-�c�t� _ w Q +* O O 1819 �
GROUNDWATER SECTION GW#1 9q
DIVISION OF ENVIRONMENTAL MANAGEMENT
RECORD OF WASTE DISPOSAL PERMIT APPLICATION REVIEW
REVIEW BY eCX8 KOLEZS DATE 1I11012V FIELD INVESTIGATION? Y& l(9 4LI
FACILITYNAME g6 Ef;'R7 =N)C-' COUNTY GASTonl
LOCATION G A CA o'-'
TYPE OF DISPOSAL SYSTEM (LAGOON, ETC.) DESIGN CAP. (GPD) ^^4
DESCRIPTION OF FACILITY 5�{-tc �3r1 s c:J -Fr 3 R� w,es O� SA"Q k5
SIZE OF IMPOUNDMENT (FT. SO.) &/OR SIZE OF APPLICATION AREA
WASTE SOURCE: MUN. SLUDGE MUN. W. WATER: / PRIMARY SECQNDARY TERTIARY
IND. SLUDGE IND. WELL WATER—�-oTHERS: Ra w -A 41"Im
DISTANCE FROM WASTE SOURCE TO NEAREST: STREAM Sop FT., WELL — FT.
FOR WELL: TYPE OF USE — , DEPTH — PUMP RATE (EST.)
WHAT DESIGN CONDITIONS WILL REDUCEANCREASE CHANCE OF GW CONTAMINATION: AOJ 'fo
uJr�f�r �s Awn. Msu. r .31w-Q �, 1iuDJScr,.oe.. Qtac�s�
WHAT NATURAL SITE CONDITIONS WILL REDUCE/INCREASE CHANCE OF GW CONTAMINATION: 4D •�z....9..A%L�
i � ► o' f Q n'r,a LL T sae_ - c­_&..ram SE
DEPTH TO: BEDROCK FT., SEASONAL HIGH W.T. Il FT., ANNUAL W.T. FLUX -=� FT.
SURFICIAL AQUIFER
GEN. LITHOLOGY
HYD. COND. o ❑ MEASURED
ESTIMATED
THICKNESS
z-0
FT.
BEDROCK/ARTESIAN AQUIFER
❑ MEASURED
to '`/ FT./DAY S ESTIMATED
NO. OF MONITER WELLS: PROPOSED: UP o DOWN ; EXISTING: UP o DOWN
FROM WORKSHEET: SITE NUMERICAL DESCRIPTION= -
T 1 2 3 4 5 6 6A 6B
SITE GRADE (HYDROGEOL) _ SITUATION GRADE=
PROPOSED SAMPLING SCHEDULE & PARAMETER(S): u >;
HAVE THERE BEEN ANY EXCEEDANCES OF THE GROUNDWATER STANDARDS? YES NO •�
HAS ANY ENFORCEMENT ACTION BEEN TAKEN? YES NO ✓ DATE OF ACTION:
BRIEF SUMMARY OF ENFORCEMENT ACTION TAKEN: 0 Q'--)E
REMARKS/ RECOMMENDATIONS (Continue on reverse, if necessary): SCE- t,-1-rA,-*"
GW-48 Revised 04194
HYD. REGIONAL SUPERVISOR

10 November 1994
American & Efird, Inc.
Permit Review
GW #94222
WQ #010197
The.recycle lagoon is designed for containing the backwash
waters of the sandfilters, and acting as a settling pond. The
water is then pumped back to the raw water holding pond for re-
use. The only additive to this water is the alum for
flocculation purposes. Two discrepancies surfaced during our
site visit:
1. The permit application stated that the lagoon basin
bottom was to be approximately 10 feet below the
existing grade. The plant engineer, in contrast, said
that the excavation would be limited to less than two
feet. Which is correct? The water table is 10 feet
below grade.
2. The permit application indicated that the basin would
be lined with a concrete liner. The plant engineer
said it would be a natural liner. Which is correct?
If natural liner is chosen then they must comply with
15A NCAC 2H .0219(f).
The Mooresville Regional Office recommends permit issuance
without groundwater monitoring if the applicant can show the
construction of the recycle basin is in compliance with 15A NCAC
2H .0219(d) and .0219(f).

SOC Priority Project:
If Yes, SOC No.:
Jd'L/
Yes No X
To: Permits and Engineering Unit
Water Quality Section
Attention: John Seymour
Date: November 15, 1994
NON -DISCHARGE STAFF REPORT AND RECOMMENDATION
County: Gaston
Permit No. WQ0010197
PART I - GENERAL INFORMATION
1. Facility and Address: American and Efird, Inc.
Water Treatment Recycle Facility
American Street
Mount Holly, North Carolina 28210
2. Date of Investigation: November 9, 1994
3. Report Prepared by: Kim H. Colson, Environmental Engineer I
4. Persons Contacted and Telephone Number: John Bowyer, P. E.,
[phone], ext. 2531.
5. Directions to Site: From the intersection of NC Hwy 273 and
Oak Grove Street in the Town of Mount Holly, travel southeast
on Oak Grove Street to the intersection of American Street.
Turn right onto American Street, the plant is located at the
end of the road.
6. Size (land available for expansion and upgrading): There is
adequate area for expansion and upgrading.
7. Topography (relationship to 100 year flood plain included):
Flat slopes; the WWT facilities do not appear to be located
within the 100 year flood plain.
Attach a U.S.G.S. map extract and indicate facility site.
U.S.G.S. Quad No.: F14SE
U.S.G.S. Quad Name: Mount Holly, NC
Latitude: 35' 17' 06" Longitude: 81' 00' 42"
8. Any buffer conflicts with location of nearest dwelling and
water supply well? Yes No X If Yes, explain:
9. Watershed Stream Basin Information: Catawba River
a. Watershed Classification: WS-IV CA
b. River Basin and Subbasin No.: 030833
C. Distance to surface water from disposal system:
Approximately 700 feet. .
i

Page Three
3. Important SOC, JOC or Compliance Schedule dates (Please
indicate): N/A
4. Air quality and/or groundwater concerns or hazardous materials
utilized at this facility that may impact water quality, air
quality, or groundwater: There are no known air quality,
groundwater, or hazardous waste concerns.
5. Other Special Items: N/A
PART IV — EVALUATION AND RECOMMENDATIONS
The applicant, American and Efird, has applied for a recycle
permit for the facility's water treatment plant. The filter
backwash and alum sludge currently are discharged into Mount
Holly's sewer system. The facility will construct a 1 MG settling
basin and recycle the effluent back to the raw water reservoir.
It is recommended that the permit be issued as requested.
Signature of Report Preparer
Water. Quality R gional Supervisor
Date

Opv
cb
� • V f \ yr .p cA- \ .•
ZY
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dD Lim
ifl
.� �• j�
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����.. _ R _E_ R � \\'!`i_• m �. 0� � �) mf /�.� P/l
` c� / \' �� -w / ^ 3 C V •/ - (1 \V \\
��� � Z• �L �q'r -- ' \\\`��\�_%J gA ` � J f n� ) U ���J ,%' t7�i _� � �s (��l `'i[��•
JIF
, \_ ---r- r --- � \ _ '- ; � i " r� f _ _ _ `� �r` �,ui� _/ �. ) 1-v ; t '.fie • 3 •'• � .
MOUNTAIN ISLAND 0.5 M rQ
o
PAW CREEK 4 Ml. al I (MOUNTAIN ISLAND LAKE) '
V ti 4854 IV SW
u W
O

RATING SCALE FOR CLASSIFICATION OF WATER POLLUTION CONTROL SYSTEMS
e
Name of Facility: Arnett%,At4 ZEi:iR6 VATz-,7- %—1 & 1?6 Yuc i4r-IL17Y
Owner or Contact Person: 3oaN E,aa_M
Mailing Address: #Aourr 1kz&.w' nl C- "2 ,Wz 10
County: AAsr- Telephone: -4-014 — 8ZZ- &0\4
Present Classification: New Facility ✓ Existing Facility
NPDES Per. No. NC00 Nondisc. Per. No.W0ox,%2k11C4 Health Dept.Per No.
Rated by: Ku & N. CoL-soy-► /MRo Telephone: -4oy-A&3- ibcia Date:Ji �
Reviewed by:, L Health Dept. Telephone:
Regional Office Telephone:
Central Office Telephone:
ORC: Grade: Telephone:
Check Classification(s): Subsurface Spray Irrigation Land Application
Wastewater Classification: (Circle One) I - II III IV Total Points: Z A /0!?A 7 7"-/6
SISSURFAM CIASSIMA710N
(check all units that apply)
1.
_ —septic tanks
2.
pump tanks
3.
siphon or pump -dosing systems
4.
_ sand filters
5.
grease trapinierceptor
6
oil/water separatonr
7__gravity
subsurface treatment and disposal:
8.
pressure "surface treatment and disposal:
SPRAY iRRIGATiON CLASSIFICATION
(check all units that apply)
1. _preliminary
treatment (definition no. 32 )
2.
lagoons
3.
septic tanks
4_pump
tanks
5.
_ pumps
6—sand
filter:
7L_grease
trapintarosptor
8.
owwater separators
O_dlainfection
to.
chemical addition for nutrient/algae control
11.
spray irrigation of wastewater
In addition to the above classifications. pretreatment of wastewater in excess of these components shall
be rated using the point rating system and will require an operator with an appropriate dual certification.
LAND APPLICATIONMESIDUALS CLASSIFICATION (Applies only to permit holder)
I. Land application of biosolids, residuals or contaminated soils on a designated site.
WASTEWATER TREATMENT FACILITY CLASSIFICATION
The following systems shaft be assigned a Class I classification, unless the flow is of a significant quantity or the technology is unusually
complex, to require consideration by the Commission on a case -by -case basis: (Check y Appropriate)
1. OiVwater Separator Systems consisting only of physical separation, pumps and disposal;
2Septic TanklSand Filler Systems consisting only of septic tanks, dosing apparatus, pumps,sand filters, disinfection
and, dlrec discharge;
3,__Lagoon Systems consisting only of preliminary treatment, lagoons, pumps, disinfection, necessary chemical treatment for
algae or nutrient control, and dead discharge;
4. Ciosed400p Recycle Systems:
5. -_Groundwater Remediation Systems consisting only of oWwater separators, pumps, air -stripping, carbon adsorption, disinfection
and disposal;
6. Aquacufture operations with discharge to surface walem:
7. Water Plant sludge handling and back -wash water treatment;
8. Seafood processing consisting of screening and disposal.
O. Single-family discharging systems, with the exception of Aerobic Treatment Units, will be classified if permitted after July 1,
1993 or K upon inspection by the Division, it Is found that the system Is not being adequately operated or maintained. Such
systems will be notified of the classification or reclassirication by the Commission, in writing.

(15) Electrodalyslc. Process for removing Ionized salts from water through the use of Ion -selective ion -exchange membranes;
(16) Filter Press. A process operated mechanically for partially dewatering sludge;
(17) Foam Separation. The planned frothing of wastewater or wastewater effluent as a meats of ramc4ng excessive amounts of detergent materials through
the introduction of air -in the form of fine bubbles; also called foam fractionation;
(18) Grit Removal. The process of removing grt and other heavy mineral matter from wastewater;
(19) Imhoff TanlL A deep two story wastewater tank consisting or an upper sedimentation chamber and a lower sludge digestion chamber.
(2Q) Instrumented Flow Measurement. A device which Indicates and records rate of flow;
(21) Ion Exchange. A chemical process In which Ions from two different molecules are exchanged;
(22) Land application:
(a) Sludge Disposal. A final sludge disposal method by which wet sludge may be applied to land either by spraying on the surface or by subsurface injection
O.e., chisel plow); (not applicable for types of sludge described in (11) of this Rule];
(b) Treated Effluent. The process of spraying treated wastewater onto a land area or otter methods of application of wastewaterpdo a land area as a
means of final disposal or treatment;
(23) Microccreen. A low speed, continuously back -washed, rotating drum filler operating under gravity conditions as a polishing method for removing
suspended solids from effluent;
(24) Nitrification Pmceas. The biochemical conversion of unoxidized nitrogen (ammonia and organic nitrogen) to oxidized nitrogen (usually nitrate);
(25) Nitrogenous Stage. A separate stage of wastewater treatment' designed for the specific purpose of converting ammonia nitrogen to nitrate nitrogen;
(26) Phosphate Removal, Biological. The removal of phosphorus from wastewater by an oxirJanoxic process designed to enhance luxury uptake of phosphorus
by the mk:roargankms;
(27) Polishing Pond. A holding pond following secondary treatment with sufllolent detention time to allow settling of finely suspended solids;
(28) Post Aeration. Aeration following conventlonal secondary treatment units to Increase effluent D.O. or for any other purpose;
(29) Post Aeration. (Cascade) A polishing method by which dissolved oxygen Is added to the effluent by a nonmachanical, gravity means of flowing down a
series of steps or weirs; The flow occurring across the steps or weirs moves in a fairly thin layer and the operation of the cascade requires no operator
adjustment; thus, zero points are assigned even though this Is an essential step to meeting the limits of the discharge permit;
(30) Powdered to Granular Activated Carbon Food. A biophysical carbon process that utilizes biological activity and organic absorption by using powdered or
granular activated carbon; Virgin or regenerated carbon Is feed controlled Into the aystem;
(31) Proaeration. A tank constructed to provide aeration prior to primary treatment;
(32) Preliminary Units. Unit operations In the treatment process, such as screening and comminution, that prepare the liquor for subsequent major operations;
(33) Industrial Pretreatrnant.
(a) Pre-treatment Unit, Industrial. The conditioning of a waste at its sourcebefore discharge, to remove or to neutralize substances Injurious to sewers and
treatment processes or to effect a partial reduction in load on the treatment process which Is operated by the same governing body as the wastewater
treatment plant being rated;
b) Pre-treatment Program, Industrial - must be a State or EPA required program to receive points on the rating sheet;
(34) Primary Clarifiers. The first settling tanks through which wastewater Is paused in a treatment works for the purpose of removing settleable and suspended
solids and SOD which Is associated with the solids;
(35) Pumps. All Influent, effluent and in-plart pumps;
(36) Radiation Disinfection or sterilization process utilizing devices emitting ultraviolet or gamma rays;
(37) Reveres Osmosis. A treatment process In which a heavy contaminated liquid is pressurized through a membrane forming nearly pure liquid free from
wapended solids;
(38) Rotating Biological Contractors. A fixed biological growth process In which wastewater flows though tanks In which a series of partially submerged circular
surfaces are rotated;
(39) Sand Filters:
(a)'Intermktent Biological. Filtration of o luert following septic tanks, lagoons, or some other treatment process in which further bgdecomposklon is
expected to produce, desired effluents; Hydraulic "ding rates on these filters are computed in gpd/ac and have a requiting low gpnV&f (lose than one);
b) Recirculating biological - the same type of sand filter as defined in Subparagraph (39) (a) of this Rule with the added capability to recycle effluent back
through the sand filter,
(40) Sand or Mixed-Medla Filters. A polishing process by which effluent limits are achieved through a further reduction of suspended solids;
(a) low rate — gravity, hydraulically baled filter with loading rates In the one to three gpmx'd range;
(b) high rate — a pressure, hydraulically loaded filter with loading rates in the five gprrVd range; At any rate, the loading rate visit exceed three gpr✓d;
(4.1) Secondary Ciarillers. A tarts which follows the biologics) unit of treatment plant and which has the purpose of removing sludges associated with the
biological treatment units;
(42) Separate Sludge Reiteration A pan of the contact stabilization process where the activated sludge Is transferred to.a tank and aerated before returning it
to the contact basin.
(43) Septic Tank A single -story settling tank In which settled sludge is In contact with the wastewater flowing through the tank; shell not be applicable for
septic tank systems serving single family residences having capacity of 2,000 gallons or less which discharge to a nitrification field;
(44) Sludge Digestion The process by which organic or volatile matter and sludge Is gasified, liquefied, mineralized or converted into more stable organic matter
through the activity of living organisms, which Includes aerated holing tanks;
(45) Sludge Drying Bods. An area comprising natural or artificial layers of porous materials upon which digested sewage sludge Is dried by drainage and
evaporation;
(46) Sludge Elutriatbn. A process of sludge conditioning In which certain constituents are mmoved by successive washings with fresh water or plant effluent;
(47) Sludge Gas Utilization. The process of using sewage gas for the purpose of heating buildings, driving engines, etc.;
(48) Sludge Hoidng Tank (Aerated and Nonaerated). A tank utilized for small wastewater treatment plants nit containing a digester In which sludge may be
kept fresh, and supernatant withdrawn prior to a drying method (i.e. sludge drying beds): This may be done by adding a small amount of air simply to keep the
sludge fresh, but not necessarily an amount that would be required to achieve stabilization of organic matter. A rhonaeraled tank would simply be used to
decant sludge prior to dewatering and would not allow long periods (several days of detention) without resulting odor problems;
(49) Sludge Incinerators. A furnace designed to bum sludge and to remove all moisture and combustible materials and reduce the sludge to a sterile ash;
(50) Sludge Stabilization (Chemical or Thermal). A process to make treated sludge less odorous and putrsscble, and to reduce the pathogenic organism
content; This may be done by pH adjustment, chkxi a dosing, or by heal treatment;
(51) Sludge Thickener. A type of sedimentation tank in which the sludge Is permitted to settle and thicken through agitation and gravity;
(52) Stabilization Lagoon A type of oxidation lagoon in which biological oxidation of organic matter Is effected by natural transfer of oxygen to the waterfront
air (not a polishing pond);
(53) Stand -By Power Supply. On she or portable electrical generating equipment;
(54) Static Screens. A stationary screen designed to remove solids, including no"bdogradable particulate (floatable solids, suspended solids and.BOD
roductlon) from municipal and Industrial wastewater treatment systems;
(56) Tertiary Treatment A. stage of treatment following secondary which Is primarily for the purpose of effluent polishing; A settling lagoon or sand or Coal filter
might be employed for this purpose;
(56) Thermal Pollution Control Device. A device providing for the transfer of Feat from a fluid flowing In tubes to another fluid outside the tubes, or via vsrsa;
or other means of regulating iiquid temperatures;
(57) Thermal Sludge Conditioner. A conditioning process by which heat Is added for a protracted period of time to Improve the dewalerabli ty of sludge by the
solub)ItzbV and hydrauflzing of the smatler and more highly hydrated sludge panicles; Inhalation
(58) Toxic Materials. Those wastes or corrblhatbns of wastes. Including disease -causing agents which after dischargs and upon exposure. ingestion.
or assimilation Into ary organism, either directly from the environment or Indirectly by Ingestion through food chains, will cause death, disease. behavioral
abnormalities. cancer, genetic mtrtatloms, physiological malfunctions (Including malfunctions In reproduction) or physics) defomhalbns, in such organisms or their
offspring; Toxic materlals include, by way of illustration and not Omhatbn: head, cadr lum, chromium, mercury, vanadium, arsenic, zine. oMo-nitro-chlorobenzene
(ONCB), polychlorinated blphenyb (PCBs; and dichiorodiphhenyl trichloroethane (DDT); and any other materials that have or may thereafter be determined to have
toxic properties;
(69) Trickling Filter. A biological troatred unit consisting of a material such as broken stone or rock over which wastewater is distributed; A high rate trickling
titer is one which operated at between 10 and 30 mgd per acre. A low rase trickling finer is one which is designed to operate at one to four mgd per acre;
(60) Trickling Filter (Packed Tower). A plug flow type of operation in which wastewater flows down through successlve layers of media or filtrate material; Organic
malarial is removed continually by the active biological fixed growth In each successive layer. This method may produce 'secondary' quality effluent, or may be
adapted to produce a nWied effluent;
(61) Vacuum Filter. Centrifuges, or Filter Presses. Devices which are designed to remove excess water from either digested or undigested skxdge prior to disposal
or further trey ment.

GR0UND14ATER POLLUTION SOURCE EVALUATION
RANKING CP,ITEP,IA
J THREAT TO GROUNDWATER
Probability of Groundwater Violations
3 Violations documented or highly probable
ODefault
1 Violations unlikely .
Extent of Groundwater Contamination
3 Mappable, migrating plume
CDefaul t
1 Insignificant contamination expected
Seriousness of.Groundwater Threat
3 One of most serious in DEM region
/
(� 2/ Default
1 Not considered a serious problem
FEASIBILITY FOR TAKING ACTION
Feasibility for Remedial Action
(' 3) Remedial action both feasible and desirable
2 Default
1 No remedial action recommended
Desirability of Remedial Action
3 One of top regional office priorities
Defau] t
1 Not a priority incident
THREAT TO PEOPLE OR ECONOMY
How Hazardous to Health/Economy
3 People or business advised of contamination
)Default
1- No expected impacts on people or business
Number of People at Risk
3 4 or more family units, or $10,000 loss
0 Default
1 No people or other interests at risk
Seriousness of People Threat
3 Strong DEM concern over threat to people
0 Default
1 No threat to people or economy
FEASIBILITY OF RECLASSIFYING GROUNDWATER
Need to Reclassifv Groundwater
3 Groundwater should be relassified RS or GC
() Default
1 No reclass. nor remedial action recommended
Desirability of Reclassification
3 One of top reclassification priorities
2 / Default
1 Not a priority incident
THREAT OF POLLUTANTS
How Toxic are Pollutants (use Sax)
3 High value
2 Mod value
1 Low or None value
Quantity of Pollutants in Ground
3 Reportable quantity of hazardous material
.(CERCLA def.) or quantity of real concern
Default
1 Not of concern to regional office
Seriousness of Pollutant Threat
3 One of most serious in DEM region
Default
1 Not a serious threat
RANK SCORE:
Source Name:
Control Number: _ a Q
County: `wLa'
Ranker:
Date :

FMB
MAR 2 5
rol Number
County Number
FCont5
0
GROUNDWATER POLLUTION SOURCE INVENTORY0(05
Source Name
OWNERSHIP
r —fit
me y-i'Can �T ° /l+rt/�(�
•��y
0 Private
2 Municipal
Source Address
a YvVt St.
3 County
4 State
City
County
Region
Af. 0%
1
GrasfOH
5 Federal
6 Military
Owner/Operator
y/. B ,q� c
7¢ Quad Name
77
u ip a Sources a i e
oun y Source s
YES
POTENTIAL SOURCE OF GROUNDWATER POLLUTION
LOCATION
OPERATION TYPE
TYPE OF WASTE
DISPOSAL FACILITY
OTHER SOURCE
©Facility
1 Municipal
1 Gasoline/diesel
L✓ Lagoon, etc.
1
Agricultural Activity
2 Highway
(T Industrial
2 Other oil
2 Landfill-contro.
2
Salt water intrusion
3 Railroad
3 Agricultural
3 Solvents
3 Landfill-uncont.
3
Chemical stock pile
4 Waterway
4 Oil and gas
4 Corrosives
4 Land application
4
River infiltration
5 Pipeline
5 Mining
0 Other chemical
5 Abandoned site
5
Mine drainage
6 Dumpsite
6 Other Source
6 Sewage/septage
6 Sewer system
6
Intentional dump
7 Other
7 Sludge
7 Septic tank
7
Spill
8 Leachate
8 Injection well
8
Leak --above ground
9 Other solids
9 Disposal well
9
Leak --underground
10 In use
10 Gas
WASTE:
STATUS OF SOURCE: 2 Inactive
11 Pest/herbicides
CQus}�� fb�N�•ti ro.Y.
ew o
3 Other
12 Fertilizers
POLLUTION STATUS AND CROSS-REFERENCES
GROUNDWATER POLLUTION
FACILITY PERMITTED: Yes No
1 Confirmed IQ Rank
1 NPDES
6 Mining
la Potential 2 Tabulate
No: j� L' C90 O 7
2 DEM Nondischarge
C) Q No:
7 Hazardous Waste (RCRA)
MONITORING WELLS
No:
No:
1 No monitoring
2 State has data
3 Well Construction
8 Solid Waste
(Landfill)
3 Data at facility
No:
No:
4� Status unknown
4 Capacity Use
9 Oil Terminal
Registration
DATABASE CROSS-REFERENCE
No:
No:
1 ERRIS (CERCLA) list
5 UIC
0 Air Quality
ID:
No:
No:
2 Surface Impoundment (SIA)
Comments
ID:
3 GW Pollution Source Inv.
Date:
4 Other DEM investigation
Date:
Compiler:
Date:

C i•I ILI It rim I 3' 9WKW-1,21
MEMORANDUM
DATE: % Ald /Q}y
FRCM: Jack Floyd
SuB=: Application for , /RII�iQL/ANaIDN of Permit No.
v NEW PE JV=
Facility Name:
county: ('a s fay
Type of Project: /Qgdd�? /�1r/c� Vic,<�Psv1
Central Office Contact:
Applicable Permit Numbers: WQ �/ / �i' GW cj;V2 2 Z
DEH AC
/ EPA
✓ The Groundwater Section has received a copy of the above referenced
permit application. A copy of the application package is attached.
The Groundwater Section has received a copy of the above referenced
permit application, which has been sent to the regional office water
quality supervisor. If a copy has not been sent to 'the regional
office please let me know.
The Groundwater Section has received the subject Division of
Environmental Health project for review. A copy of the application
has been forwarded to , Regional Soil
Specialist. Please coordinate your review with the regional soil
specialist.
Please review the application materials for completeness and submit
any request for additional information to the central office contact on
or before f 1/y V / 5/ A copy of the formal request for
additional information will be forwarded to you.
f��;
If you do not require any additional information to complete your revie
please provide your final comments by 1VJY 03 dS�
If you have any questions, please let me know as soon as possiblg*dz �2`%h; ;

PERMIT APPLICATION

' State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
Non -Discharge Permit Application Form
(THIS FORMMAYBEPHOTOCOPIED FOR IISEASANORIGINAL6., ,
RECYCLE FACILITIES ,Sy4
L GENERAL INFORMATION:
1. Applicant's name (please specify the name of the municipality, corporation, individual, etc.):
American & Efird. Inc.
2. Print Owners or Signing Official's name and title (the person who is legally responsible for the facility and its compliance):
Mr. John Eapen
3. Mailing Address: American 5treet
City. Mount Holly State: NC Zip: 28210
Telephone Number. [phone]
4. Project Name (please specify the name of the facility or establishment - should be consistent on all documents included):
American & Efird. Mount Holly. NC Water Treatment Plant Modification
5. Location of Recycle Facility (Street Address): American Street
City. Mount Holly State: NC Zip: 28210
6. Contact person who can answer questions about application:
Name: Mr. Oudney Fox Telephone Number: [phone]
7. Latitude: 35 de® 17 06" ;Longitude: 81 de® 00' 39" of recycle facility location
8. Application Date: 10/24/94
9. Fee Submitted S 400.00 [ The permit processing fee should be as specified in 15A NCAC 21i0205(cx5).]
10. County where project is located Gaston
11 PERNM INFORMATION:
1. Application No. (will be completed by DEM):
2. Specify whether project is: X- new, renewal'; modification
' For renewals, complete sections 1, II, and applicant signature (on page 6). Submit only pages 1 and 6 (original and
three copies of each). Engineer's signature not required for renewal without other modifications.
3. If this application is being submitted as a result of a renewal or modification to an existing permit, list the existing permit '
number and its' issue date
4. Specify whether the applicant is public or x private.
FORM RF 06/94 Page 1 of 6

IIL INFORMATION ON WASTEWATER:
1. Nature of Wastewater. % Domestic; % Commercial; 100 % Industrial;
% Other waste (specify):
2. Please provide a one or two word description specifying the origin of the wastewater, such as school, subdivision, hospital,
commercial, industrial, apartments, etc.:
3. Volume of water generated by this project 68.000 gallons per day
4. Explanation of how recycle water volume was determined: 2 sources: alum floc basin and 4 rapid sand filters.
Ka -in, u a i/ •. 1
IV. DESIGN INFORMATION
Provide a brief listing of the components of the recycle facilities, including dimensions, capacities, and detention times of
tanks, Pumping facilities, high water alarms, filters, ponds, lagoons, etc.:
f%JI !
I 1 •11 - 11 1/ •. 1 :1!
:1! IL ■- ./ /1 11 /1
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2. Name of closest downslope waters: Catawba River
3. Classification of closest downslope surface waters: WS-IV-CA (as established by the Environmental Management
Commission & specified on page 4 of this application - This classification must be provided by the appropriate Regional
Office prior to the submittal of the application).
4. If a power failure at the facility could impact waters classified as WS, SA, B, or SB, describe which of the measures are
being implemented to prevent such impact, as required in 15A NCAC 2H .0200:
FORIVL• RF 06/94 Page 2 of 6

The Facilities must conform to the following buffers (and all other applicable buffers):
a) 400 feet between a lagoon and any residence under separate ownership;
b) 100 feet between a surface sand filter and any residence under separate ownership;
c) 100 feet between the recycle facilities and any private or public water supply source;
d) 100 feet between the recycle facilities and any streams classified as WS or B and any waters classified as SA or SB;
e) 100 feet between the recycle facilities and any other stream, canal, marsh, costal waters, lake or impoundment;
f) 50 feet between the recycle facilities and property lines.
6. If any of the buffers specified in No. 5 above are not being met, please -explain how the proposed buffers will provide equal
or better protection of the Waters of the State with no increased potential for nuisance conditions:
Are any of the components of the recycle facility located within the 100-year flood plain? Yes-, x No. If Yes,
briefly describe the protective measures being taken to protect against flooding.
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF
ENVIRONMENTAL MANAGEMENT UNLESS ALL OF THE APPLICABLE ITEMS ARE
INCLUDED WITH THE SUBMITTAL
a. One original and three copies of the completed and appropriately executed application form.
b. The appropriate permit processing fee, in accordance with 15A NCAC 2H .0205(cx5).
C. Five sets of detailed plans and specifications signed and sealed by a North Carolina Professional Engineer. The plans must include a
general location map,.a site map which indicates where any borings or hand auger samples were taken, along with buffers, structures,
and property lines. Each sheet of the plans and the first page of the specifications must be signed and sealed
d. For industrial wastewater, a complete chemical analysis of the typical wastewater must be provided The analysis may include, but
shall not be limited to, Total Organic Carbon, BOD, COD, Chlorides, Phosphorus, Nitrates, Phenol, Total Trihalomethanes, TCLP
analysis, Total Halogenated Compounds, Total Chloroform, and Total Dissolved Solids.
e. If lagoons are part of the facilities and the recycle water is industrial, provide a hydrogeological description of the subsurface to a depth
of 20 feet or bedrock, whichever is less. The number of borings shall be sufficient to define the following for the area underlying each
major soil type at the site: significant changes in lithology, the vertical permeability of the unsaturated zone, the hydraulic conductivity
of the saturated zone, and the depth of the mean seasonal high water table.
f. Five copies of all reports, evaluations, agreements, supporting calculations, etc., must be supplied as part of the specifications which
are signed and sealed by a North Carolina Professional Engineer. Although certain portions of this required submittal must be
developed by other professionals, inclusion of these materials under the signature and seal of a North Carolina Professional Engineer
signifies that he has reviewed the material and has judged it to be consistent with his proposed design.
g. 1 Five (5) copies of the existing permit if a renewal or a modification.
FORM RF 06/94 Page 3 of 6

' V. V O,.� a+ . V. N 4 " V.
This form must be completed by the appropriate DLM regional offlee and included as a pact of the project
submittal information.
INSTRUCTIONS TO NC PROFESSIONAL ENGINEER:
The ClasWkaCkm of the dowruiope surface w= (the surface waters tbat'any overflow from the fadlity would flow toward)
in which the recycle facility will be commxted must be deurtair ed by the appropriate DEEM regional office. Therefore, you
are megWred. prior to submittal of the application package, to submit this form, with items I through 7 completed.
to the appsoprim Division of Envit0nmenW 11danagement Regional Water Quality Supervisor (sea page 6 of 6). At a
minimum. you must include an 8.5" by 11' copy of the portion of a 7.5 minute USGS Topographic Map which snows the
looStioo of the rwycie facility and the downslope surface waters in which Ww will be located. Identify the closest downslope
surface waters on the attached map copy. Once the regional office bas completed the classification,
reincorporate this completed page and the topographic trap into the complete appllcation form and
submit the Application package.
1. . Appfcant (specify name of the municipality, corporation. individual, etc.): American & E f i rd inc.
2.`a=&CoWieteatidrmsoftogineerittgfj= EEM`Soutneast, Inc. 7300 Carmel Executive Park
Suite 200
Charlotte NC 28226
i elephone number: ( 704 ) 5+ 1-8345
3. American & Efird_, Inc. Mount: Holly, ZvC Water Treatment Plant Modification
4. Name of cizest downslope surface waters: Catawba River
S. COMCAWs) where the recycle facility and surface waters are located: Gaston County
6, %4Apn=e=ddatC: Mount Holl uadran le :forth Carolina 7.5 minute series (to o) 1970
7.
TO
.NC Ptofessional Engineer's Seal. Signature, and Date:
IF • •• �i ��� :i
1LITY SUPERVISOR
Please provide me with the classification of fa watershed where these sewers will be constructed. as identified on the attached
map seimti
Name of surface waters:
xJp 4G
Clusifim on (as established by the tavironmental Management Commission):
iarc�osod classification. if applicable: A)4
Signature of regional office personnel•
(All amadunents mast be signed) -
Date:.
FORM: RF 06194 _ . Page 4 of 6

Name and Complete Address of Engineering Firm: ERM-Southeast. Inc.. 7300 Carmel Executive Park, Suite 200
City: Charlotte State: NC Zip: 28226
Telephone Number. (4) 541-8345
Professional Engineer's Certification:
I, Ken 13. Pickle , attest that this application for American & Efird. Inc.
has been reviewed by me and is accurate and complete to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with the applicable regulations. Although certain portions of this submittal package may have
been prepared by other professionals, inclusion of these materials under my signature and seal signifies that I have reviewed this material and
have judged it to be consistent with the proposed design
North Carolina Professional Engineer's Seal, Signature, and Date:
+s""l"''".
A
cEA'L �
18245
f � b
Applicant's Certification
I, John Eapen , attest that this application for American & Efird. Inc.
has been reviewed by me and is accurate and consistent to the best of my knowledge. I understand that if all required parts of this application
are not completed and that if all required supporting information and attachments re not included, this application package will be returned to me
as incomplete.
Signature Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER [phone]
FORM: RF 06/94 Page 5 of 6

GENERAL LOCATION MAP

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/� "Hall � I I ' / / - -�•
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Jatfer r\ V���EN�4�E -�i soosaI
// i9� Tank 4yEI��1 Isposal -/
658%/ CCem I
i_L.� -."V — -NE •__,`• �. .vwT`% ,�
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40
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-2093)
SOURCE USCS MOUNT HOLLY QUAD SCALE IN FEET
7.5 MINUTE SERIES (.1970)
0 2000
ERM—Southeast, Inc. SITE LOCATI®N MAP
CHARE•OTTZ' NOS CAROLINA AMERICAN & EF'IRD 1
ERM MT. HOLLY, NORTH CAROUNA

SITE AMP
C�
ALUM SLUDGE AND FILTER
BACKWASH BASIN LAYOUT

PROCESS AND FLOW DLAGRAM

4197DIAG.CWG 10-7-94 AM 1=1 KH/DF
ERM—Southeast, Inc.
CHARLOTTE, NORTH CAROUNA
ERM
SAND FILTERS (15' DIA. EACH)
PROCESS FLOW DIAGRAM /WATER PLANT
AMERICAN & EFIRD, INC.
MOUNT HOLLY, NORTH CAROLINA
NT
FIGURE
2

GEOTECIINICAL EVALUATION

REPORT OF SUBSURFACE EXPLORATION
AMERICAN AND ELFIRD
EQUALIZATION BASIN
MT. HOLLY, NORTH CAROLINA
AT&E JOB NO. AE-1365, REPORT NO. G-51710

caiofinas
1 division
® atianta testing
& engineering
102 pilgrim road / greenville. south carolina 29607 / [phone]
September 12, 1994
ERM Southeast, Inc.
Suite 200
7300 Carmel Executive Park
Charlotte, North Carolina 28226
Attention: Mr. Ken Pickle
Re: American and Efird
Equalization Basin
Mt. Holly, North Carolina
AT&E Job AE-1365
Report No. G-51710
Gentlemen:
Atlanta Testing & Engineering has completed the subsurface exploration for the referenced
project, as authorized by Mr. Pickle, and we submit.the findings herein. The purposes of the
exploration were to evaluate subsurface conditions in the area of a proposed equalization basin
and provide geotechnical engineering recommendations for either.a concrete lined lagoon or an
on -ground tank. This report presents a brief discussion or our understanding of the project, the
exploration procedures and results, and our conclusions and recommendations regarding the
above considerations.
REPORT SUMMARY.
For your convenience our conclusions are summarized below. This brief tabulation should not
be used in design or construction without first reviewing the more detailed information presented
in the remainder of the text.
georgic f I o r i d a carolinas
M340MA'

AT&E Job No. AE-1365
Report No. G-51710
Page 2
1. All of the borings encountered moderate consistency alluvial soils from the ground
surface to depths of approximately 12 to 18 feet. The alluvial soils were underlain by low
to moderate consistency residual soils.
2. Ground water was encountered at depths ranging from approximately, --
the ground surface 1(elevabons M ��0 90). Several feet of fluctuation can be expected
throughout the life of the facility.
' 3. All four borings penetrated to the planned termination depth of .20 feet without
encountering either partially weathered rock or auger refusal.
4. Conditions are satisfactory for constructing an excavated lagoon at the project site. We
recommend that the lagoon bottom be constructed at eiev d' or higher to reduce the
chances of encountering ground water during construction.
5. The on -site soils which are excavated from the center of the lagoon could be used to
construct earthen dikes, if necessary.,
6. ' Lightly loaded structures. including a ground supported tank, could be supported on
shallow spread footings. We recommend that allowable bearing pressures not exceed
2,000 pounds per square foot (psf). This relatively low bearing pressure is to avoid
excessive settlements in the loose residual soil zone encountered at depths of 13 to 20
feet.
PROJECT INFORMATION
An equalization basin will be constructed in an existing flood plain of the Catawba River near the
existing American and Efird plant. We were provided two altemative basin locations at the
project site. Each location encompasses an area roughly 75 feet square. We understand the
basin was originally designed for the bottom to be at approxima ely elevaion 76,= which is

AT&E Job No. AE-1365
Report No. G-51710
Page 3
approximately 15 feet below the ground surface. This bottom elevation could be adjusted with
the addition of a pump station.
The excavated basin would be a concr�eNlinedM#MVwith side slopes of 2H:1V or flatter.
Some lightly loaded, manhole=type structures will be constructed in the vicinity of the basin. A
50-ton carbon dioxide tank will also be constructed near the basin. This tank will be supported
on cradles, each with total loads of approximately 50 kips.
An alternative design for the equalization basin would be an above ground (ground supported)
tank. We understand it would be on the order of 40 feet in diameter and 24 feet high. It is
expected to apply net bearing pressure of approximately 1500 pounds per square foot (psf) to
the foundation soil and will be supported on either a ring wall or slab (mat) foundation.
EXPLORATION AND TESTING PROCEDURES
Originally, the locations of eight soil test borings were identified ERM personnel. However,
based on evaluation of boring data as they were drilled, the drilling program was reduced to a
total of four borings. The original numbering system was used for these four borings.
The project was initiated by Atlanta Testing & Engineering personnel performing a visual site
reconnaissance and locating the borings in the field by estimating right angles and measuring
distances from existing manholes. The approximate boring locations are referenced on the
Boring Location Plan (Plate 1) in the Appendix. Ground surface elevations were surveyed by
Atlanta Testing &-Engineering personnel referencing the upper. manhole which we understand
has a rim elevation of 90.57 feet. The ground surface elevations at the boring locations are
referenced on the attached Test Boring Records. Because of the methods used, the boring
locations and elevations should both be considered approximate.
Soil test borings were drilled with a CME 550 drill rig utilizing hollow stem augers. The borings
were extended to a termination depth of 20 feet below the ground surface, and standard
penetration tests were performed at approximate 5 foot intervals. The purposes of the

AT&E Job No. AE-1365
Report No. G-51710
Page 4
penetration tests were to estimate soil consistencies and collect samples for visual review. Soil
descriptions and standard penetration test results are included on the Test Boring Records.
SITE AND SUBSURFACE CONDITIONS
SITE DESCRIPTION
The project site is located in a heavily wooded portion of the Catawba River flood plain. The
specific basin locations are approximately 65 feet from an existing sanitary sewer line as shown
on the attached Boring Location Plan. The ground surface is relatively flat, but it slopes gently
downhill to the south, toward the river. According to the information provided by ERM Southeast,
Inc., the ground surface ranges from approximately elevation 91 to elevation 86 in the proposed
construction area. The surveying performed by Atlanta Testing & Engineering agreed with these
elevations. The site is currently covered with both thick undergrowth and mature trees.
SUBSURFACE CONDITIONS.
The borings encountered between 4 and 8 inches of organic topsoil at the ground surface.
Alluvial. soils were then encountered beneath, the topsoil to depths ranging from about 13 to 18
feet. Alluvial soils are formed by deposition by flowing water. Geologically, alluvium is a recent
deposit and is frequently found in a soft or loose condition. Also, rapid changes in soil types and
consistencies can, occur in relatively short horizontal and vertical distances. The alluvial soils
at this site consisted mainly of sandy silt with varying clay content. Some layers of silty fine to
coarse sand were also encountered. Standard penetration resistances ranged from 6 to 23
blows per foot (bpf).
Residual soils were encountered beneath the alluvium to the boring termination depths of 20
feet. Residual soils are those which have been derived by the chemical and physical weathering.
of the parent bedrock. At this site, the upper few feet of the residual soil consisted of soft sandy
silt to very loose silty sand with penetration resistances of 3 to 4 bpf. With depth, penetration
resistances increased to 6 to 24 bpf. The looser residual soil zones were encountered in the

ATBE Job No. AE-1365
Report No. G-51710
Page 5
upper end of the proposed construction area in borings SB-2 and SIB-3. However, these soft
residual soil zones are typical in flood plain areas, and they can be expected to occur
intermittently throughout the project site.
Ground water was encountered both at the time of drilling and within a few hours after drilling
at depths ranging from approximately 10 to 1-1--feet-�below_the�ground-surface-(elevation_77'o]
'per In the soil borings; we identified no obvious zones where the coloring would indicate a
seasonal high water level. Experience with similar site and geologic conditions indicate that as
much asF'fhrme_-t� fi .e fedt` t~gr d- d w to er fludfwation�,can occur with seasonal and yearly rainfall
variations.
CONCLUSIONS AND RECOMMENDATIONS
This report. has been prepared for the exclusive use of ERM Southeast, and American and Efird,
Inc. for specific application to the project discussed herein. The work was performed in
accordance with generally accepted standards of geotechnical engineering practice within North
Carolina at the time of the exploration. No other warranty is expressed or implied.
The following conclusions and recommendations do not reflect variations in subsurface
conditions from those encountered by the borings. Should such conditions be encountered
during construction, it will be necessary for us to re-evaluate our conclusions and
recommendations based upon the conditions encountered.
If changes are made to the design, location, or grades of the facility, our recommendations must
be considered invalid unless the changes are reviewed by our firm and the conclusions and
recommendations to this report are verified or modified in writing. We should also be allowed
to review applicable portions of the final plans and specification prior to construction to check
that our recommendations have been properly interpreted and implemented.

ATBE Job No. AE-1365 .
Report No. G-51710
Page 6
GENERAL DISCUSSION
Ground water levels at the time of drilling ranged from approximately elevation 77 to 79 feet.
Further, soft soils were encountered below elevation 77 in SB-2 and SB-3. Ground water levels .
can be expected to vary several feet in elevation with seasonal changes in rainfall variation;
therefore, ground water levels can be expected to rise to at least elevation 83 to 84. If the basin
excavation extends below approximately elevation 84, ground water control will most likely be
necessary during construction and possibly permanently. It will most likely be necessary to over
excavate 1-1/2 to 2 feet and backfill with coarse crushed stone to provide the drainage layer for
ground water control and to stabilize the excavation which will most likely be unstable due to the
inflowing ground water and the low consistency existing soils. We recommend that the basin
bottom elevation belr»alseci to a leastlevatrort 85 to ao:id_signifcarstainfluence fromthe_grund J
v+rater:leveloth{rinQg a after cansttiui Lon. Based on conversations with ERM personnel,
we anticipate that this recommendation will be adhered to if an equalization basin is excavated
at the site.
Another alternative being considered for the equalization basin is an on -ground tank -
approximately 40 feet in diameter and applying a maximum foundation pressure on the order of
1500 psf. The foundation stresses applied to the soils will result in some settlement in the soft
soils existing at the project site. We have performed a preliminary settlement analysis using
empirical correlations of the standard penetration resistances to settlement behavior of the soils.
The proposed tank can be expected to settle between 1 and 2 inches with a maximum
differential settlement of less than 1 inch across a distance equal to the tank radius. Typically,
tanks of this nature and associated piping are relatively tolerant to settlement, and we anticipate
that this settlement magnitude will be tolerable. If not, we recommend performing additional
borings and specific testing related to settlement to obtain better estimates of the soil settlements
under the tank loads.
The following sections of this report present recommendations for both of the above alternatives.
We can consider other alternatives if changes are made in the design approach or if neither of
these is considered feasible. We can also provide detailed recommendations for ground water

AT&E Job No. AE-1365
Report No. G-51710
Page 7
control and excavation stabilization, should the owners or designers desire to pursue an
equalization basin with a lower bottom elevation.
EARTHWORK RECOMMENDATIONS
Stripping and Subgrade Evaluation.- To prepare the site for construction, all topsoil, root .
systems, and organics -should be stripped from the embankment or structure areas. We
anticipate that stripping will average approximately 1 foot, but deeper stripping may be required
to remove any large root systems or isolated zones of soft soils or organics.
After stripping, areas that are to receive fill or areas that are at existing grade should be
evaluated by a geotechnical engineer. The evaluation should include observing the subgrade
being proofrolled with several passes of heavily loaded rubber tired equipment, such as a loaded
dump truck or scraper. Any areas judged to deflect or rut excessively, and cannot be stabilized
by continued rolling, should be undercut to firm soils before placement of structural fill.
Fill Placement - After the site is stripped and evaluated, structural fill may be used for the dike
embankments or under proposed structures. Soils excavated from the upper 5 to 8 feet (minus
organics) at the project site can be reused as structural fill, although some moisture adjustment
may be necessary to achieve sufficient compaction. If excavations extend below the ground
water level, the soil moisture content will most likely be well above the optimum moisture content,
and considerable drying .may be necessary to use these soils as structural fill.
If soil is transported to the site for use as fill, it should have a maximum liquid limit of less than
50 and a maximum particle size of. less than 4 inches. Structural fill should be placed in
relatively thin (6 to 8 inch maximum) layers and compacted to at least 95 percent of the soil's
maximum dry density as determined by the standard Proctor compaction test (ASTM D-698).
In -place density testing should be performed as a check that the recommended compaction
criteria has been achieved. A suggested testing frequency is one test per vertical foot of fill for
every 3,000 to 5,000 square feet in area fills and one test for every 100 to 150 feet of utility

AT&E Job No. AE-1365
Report No. G-51710
Page 8
trench backfill. In areas smaller than 10,000 square feet, a minimum of three density tests
should be performed per area per visit.
Excavation Difficulty - Neither partially weathered rack nor auger refusal were encountered in
any of the four borings performed at the site: Thus, rock excavation (blasting or the use of
pneumatic tools) will most likely not be necessary to perform excavations at the project site. The
depth of bedrock can vary significantly.and isolated boulders can be present within the residual
soil zone; therefore, provisions for rock excavation should be included in the project
specifications and the grading contract.
Ground Water Control - We recommend that large excavations be' limited to approximately
elevation 85 or above to prevent the need for extensive ground water control. If large .
excavations below that elevation are inevitable, we should be contacted to provide additional
recommendations for construction and permanent ground water control.
Some minor excavations (utility trenches and manhole type excavations) will most likely extend
below ground water levels at the site. In these areas, it is likely that pumps placed in shallow
sumps in the excavations will most likely adequately dewaterthe excavations during construction.
Where excavations are to remain open for a long period of time (overnight), it may be necessary
to place a thin bedding layer of crushed stone to allow a drainage pathway for the inflowing
ground water and to stabilize the bottom of the excavation for construction.
Earth Sloaes - Permanent cut and fill slopes should be inclined no steeper than 2H:1 V and
temporary slopes no steeper than 1.5H:1 V. Furthermore, if a lagoon type equalization basin is
constructed and the liner is not expected to be waterproof, 3H:1 V slopes should be considered
to reduce the risk of minor slope sloughing as water seeps through the dikes.
FOUNDATION RECOMMENDATIONS
The boring results indicate that proposed structures and embankment dikes can be supported
on the natural soils or new structural fill. We recommend designing any footings for a maximum

AT&E Job No. AE-1365
Report No. G-51710
Page 9
allowable net soil bearing pressure of 2000 psf. This relatively low bearing pressure is intended
to minimize settlements in the sort soil zone existing in some borings. Even though computed
footing dimensions may be less, column footings should be at least 24 inches wide and strip
footings should be at least 18 inches wide. These dimensions facilitate hand cleaning of the
footing subgrade and placement of reinforcing steel. These dimensions also reduce the potential
for localized punching failure. All exterior foundation bottoms should bear at least 18 inches
below finished grade for. protective embedment.
All foundation excavations should be evaluated by qualified geotechnical personnel prior to
concrete placement to observe that the exposed soils are consistent with boring results. This
evaluation is particularly important because the alluvial soils present at the project site may have
isolated zones of organics or low consistency soils. If any such soils are encountered, the
engineer can provide recommendations for correcting the area oe provide geotechnical guidance
should any unforeseen construction problems develop.
Any disturbed or water softened soils should be selectively removed from the excavation bottoms
before placing reinforcing steel. Footing subgrade soils will soften if exposed to weather
extremes. If footing concrete cannot be placed the same day as the excavation is completed,
the excavation should be covered with polyethylene sheeting, 6 to 8 inches of crushed stone,
or a thin concrete mud mat. If these protective measures are not'implemented, over excavation
of the disturbed .soil may be necessary.
SLAB ( MAT ) RECOMMENDATIONS
On -grade slabs or mat foundations may also be supported on the in -place soils or new structural
fill. The mat can be designed. using a modulus of subgrade reaction of 200 pounds per cubic
inch. The mat should be designed to withstand a maximum differential settlement of up to 1
inch, as discussed in the General Discussion section of this report.
We recommend that any slab or mat subgrades be evaluated by a geotechnical engineer in a
manner similar to that discussed for foundations. Areas judged by the engineer to .be

ATE Job No. AE-1365
Report No. G-51710
Page 10
unsatisfactory for concrete placement should be undercut to firm soils and replaced with
compacted structural fill or crushed stone.
ACKNOWLEDGEMENT
1
Atlanta Testing & Engineering appreciates the opportunity to be of service to you by performing
this exploration. We look forward to being of continued service to you on this or other projects
in the near future. Please call if you have any questions concerning this report or if we may be
of further service.
Respectfully submitted,
ATLANTA TESTING & ENGINEERING
David D. Wilson, P.E.
Senior Engineer
NC Registration # 17088
DDWrI

APPENDIX
Boring Location Plan (Plate 1)
Section A A' (Plate 2)
Test Boring Record
Boring Procedures

Sewer Line
Proposed Basin Areas
Cross Section A -A' Shown on Plate 2
Manhole
Rim Elevation = 90.57
atlanta testing PLATE JOB NUMBER AE1365 SCALE 1"=40'
& engineering_
b' Boring Location Plan American & -Efird Equalization Basin 1 REPORT No. G-51710 DATE 9-9-94
CAROURAS DIVISION Mt. Holly, North Carolina ORAVM BY 1)1q CHECKED BY

A'
A
S[i-2
•
90
-—--.....-
sc3-390
—
%
`��•_
S [i-6
Ground Surface
j0
22
2,0
Alluvial Soils
23
2 2
80
0
80
17
Water_Table
Low
A
T
-
Consistency
-"
Zone
Residual Soils
3
\
6
\
13
r
2 4-
70
4
70
-
-- �-
�6 j14
Vertical Scale: 1"=5' Standard Penetration P,oriotaiu:c:::
atlanta testingJOBNUMBER SCALE
PLATE AE1365 See Above
8G eIl �uneerin``� Section A -A'
-- 6 b American & Gfird Equilizatiou Basin 2' REPORT No G-51710 DATE 9-9-94
CAROUNASDIIISION Alt, Holly, North Carolina DRAM BY W CHECKED BY

atlanta testing & engineering TEST BORING RECORD
Geotechnical & Material Engineers
Project American Efrid
JOB NO. AE-1365
REPORT NO. G-51710
Ground Elevation 90.4 Feet BORING NO. SB-2
Water Level at Completion of Drilling 11 Feet Sheet 1 of I
Water Level at 24 Hours
Date 8-29-94
DEPTH
(Fll
MATERIAL DESCRIPTION
Sate-
le
STANDARD PENETRATION TEST
BLOWS / 6-INCH
BLOW
COUNT I
0
8 Inches Topsoil
Alluvium - Firm Red and Yellowish Brown Sandy Silt with Trace Clay
1
2-3-4
7
I
2
6-10-12
22
Alluvium - Very Stiff Red and Yellowish Broom Sandy Silt
5
.3
3-4-5
I
i
9
Alluvium - Stiff Red and Yellow Sandy Silt
10
4
2-2-2
4
Residual - Soft Yellowish Brown and White Sandy Silt
t5
5
4-14-20
24
Very Firm Dark Yellowish Brown Sandy Silt
— 20
—
—
—
Boring Terminated at 20 Feet
I
I
25
_
—
I
I
_ 90
REMARKS:
BLOW COUNT IS THE NUMBER OF BLOWS OF 140 I.B. HAMMER
FAI I INr. qn m RFnmRFn Tn nPIVF t d IN I M ceuci am t c'r

atianta testing & engineering
Geofechnlcai & Material Engineers
TEST BORING RECORD
Project American Efrid
JOB NO. AE-1365
REPORT NO. G-51710
Ground Elevation 89.2 Feet BORING NO. SBr-3
Water Level at Completion of Drilling 11 Feet Sheet 1 of 1
Water Level at 24 Hours Date 8-29-'94
DEPTH
(FT)
MATERIAL DESCRIPTION
Sato-
ple
STANDARD PENETRATION TEST
BLOWS / 6INCH
BLOW
COUNT
0
4 Inches Topsoil
Alluvium - Stiff Red and Brownish Yellow Sandy Silt with Some Clay
1
2-4-6
10
2
5-8-12
20
5
i
i
3
4-4-7
11
i
Alluviun - Firm Red and Light Brown Silty Fine Sand
10
I
Residual - Very Loose Yellowish Brown and White Silty fine Sand
4
2-1-2
3
15
5
2-2-2
4
20
Boring Terminated at 20 Feet
25
i
L 30
REMARKS: BLOW COUNT IS THE NUMBER OF BLOWS OF 140 LB. HAMMER
FALLING 30 IN. REQUIRED TO DRIVE 1.4 IN. I.D. SAMPLER 1 FT

inatianta testing & engineering
Geotechnical & Material Engineers
TEST BORING RECORD
JOB NO.
AE-1365
Project American Efrid REPORT NO. G-51710
Ground Elevation 87.1 Feet BORING NO. SB-6
Water Level at Completion of Drilling 10 Feet Sheet 1 of '-
Water Level at 24 Hours
Date 8-29-94
DEPTH
(Fr)
MATERIAL DESCRIPTION
Sam-
ple
.STANDARD PENETRATION TEST:
BLOWS / 61NCH
BLOW
COUNT '
0
6 Inches Topsoil
Alluvium - Firm Grayish Brown to Yellowish Brawn Sandy Silt with
Some Clay
1
3-6-7
13
2
10-11-12
23
Alluvium - Very Stiff Red, Light Gray, and Yellowish Brown Clayey
5
Silt with Some Sand
I
i
3
3-7-10
I
i
i
'.
17
Alluvium - Very Firm Ydllowish Brown Silty Fine Sand
10
i
i
Alluvium - Firm Yellowish Brown Sandy Silt
4
3-4-2
!
6
15
Residual - Firm Gray and Braun Sandy Silt
5
2-3-3
6
20
Boring TPnr*ated at 20 Feet
25
30
REMARKS:
BLOW COUNT IS THE NUMBER OF BLOWS OF 140 LB. HAMMER
FALLING 30 IN. REOUIRED TO DRIVE 1.4 IN. I.D. SAMPLER 1 FT

0 atianta testing & engineering TEST BORING RECORD
Geatechnical & Material Engineers
JOB NO. AE-1365
Project American Efrid REPORT NO. G-51710
Ground Elevation 86.9 Feet BORING NO. SB-7
Water Level at Completion of Drilling 10 Feet Sheet 1 of 1
Water Level at 24 Hours Date 8-29-94
DEPTH
(FT)
MATERIAL DESCRIPTION
Salle
ple
STANDARD PENETRATION TEST
BLOWS / 64NCH
BLOW
COUNT
8 Inches Topsoil
0
Alluvium - Very Stiff Red, Brownish Yellow, and Light Gray Sandy
Silt with Some Clay
1
4-8-11
19
2
4-8-14
22
Alluvium - Very Stiff Yellowish Brown Sandy Silt
5
3
7-8-11
19
10
I
I
Alluvium - Firm Yellowish Broom Silty Fine to Coarse Sand
4
4-7-6
I
13 I
15
I
Residual - Stiff Yellowish Brawn to Gray Sandy Silt
5
6-7-7
14
20
Boring Terminated at 20 Feet
25
I
30
REMARKS: BLOW COUNT IS THE NUMBER OF BLOWS OF 140 LB. HAMMER
FALLING 30 IN. REQUIRED TO DRIVE 1.4 IN. I.D. SAMPLER 1 FT

SOIL TEST BORINGS
Soil samples were obtained in general accordance with the procedures described in ASTM Specification
D-1586-74. The borings were advanced by mechanically rotating continuous, solid -stem augers into the
ground. At regular intervals, soil samples were obtained with a standard 1.4-inch M, 2-inch OD split -
tube sampler. The sampler was first seated 6-inches and then driven an additional foot with blows of a
140-pound hammer falling 30 inches. The number of blows required to drive the sampler the final foot
is designated the "standard penetration resistance and provides an indication of the soil consistency and
strength.
The soil samples, thus obtained, were enclosed in glass jars and transported to the laboratory for
engineering classification. Soil classifications and penetration resistances are shown on the attached Test
Boring Records.

SUPPORTING CALCULATIONS

ERM-Southeast, Inc. Charlotte, NC 28226 • (704) 541--8345 File
ERM
Project 'u 6 Project No. V Sheet of s
Subject By 0 r-a vc Date ° 16 /9 y
Chkd by /CA� Date c//dr'a4
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baL

ERM-Southeast, Inc. • Charlotte, NC 28226 •• [phone] File
ERM
Project A � E Project No. y19-7-8' Sheet 2- of 5
Subject By Date i 44
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ow-- 11 66Y/ > AA .

ERM-Southeast, Inc. • Charlotte, NC 28226 • [phone] File
ERM
Project Project No. Sheet 3 of s
Subject By D r-6 x Date 106
Chkd by K Date IoZI4 f-94-
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3 0000o SLU� wiz. -
- -- - - 5.
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ERM-Southeast, Inc. - Charlotte, NC 28226 4, (704) 541--8345 File
ERM
Project A ; -F AO - !:..t,e,� Project No. y.ij Sheet I of
Subject By 0 F-s Date I 21M If
.Chkd by —Date
LC! _-A-75 1-,
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4m," CJ
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d'n

ERM-Southeast, Inc.. - Charlotte, NC 28226 * (704) 541--8345 File
ERM
Project w !La Project No. ` (1-74' Sheet r of
Subject By 0 R x Date i d / 7- IN
Chkd by Date

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
y Alan-W. ldimek, P.E. Director
Division of Water Quality
Dawn C. Reeves, P.E.
American & Efird, Inc.
P.O. Box 507
Mount Holly, North Carolina 28120
Subject: Well Construction Permit
N° WS0300017
Gaston County, N.C.
Dear: Ms. Reeves
GROUNDWATER SECTION
September 18, 2003
In accordance with your application received on September 10, 2003, we are forwarding here with Well
Construction Permit No.WS0300017 dated. September 18, 2003 issued to American & Efird, Inc. for the
construction of a water supply well system with a design capacity of 1,346,400 gallons per day.
This permit will be effective from the date of issuance and shall be subject to the conditions and
limitations as specified therein. Please note that prior to drilling any type of well in Gaston County,
including monitoring or recovery wells, you must have a well permit from Gaston County Environmental
Health. Call [phone] if you have questions about county permits.
Sincerely,
Andrew H. Pitner, P.G.
Regional Groundwater Supervisor
Mooresville Regional Office
Enclosure
cc: Groundwater Section - Raleigh
Gaston County Environmental Health.
Water Resource - Raleigh
Division of Water Quality / Groundwater Section / Mooresville Regional Office
919 North Main Street, Mooresville, NC 28115
Phone: [phone] Fax: [phone]
Internet: hftr):AQw.ehnr.state.nc.us
NCDENR

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT. OF ENVIRONMENT AND NATURAL RESOURCES
FOR THE CONSTRUCTION OF A WELL OR WELL SYSTEM
In accordance with the provisions of Article 7, Chapter 87,
North Carolina General Statutes, and other applicable Laws,
Rules and Regulations,
PERMISSION IS HEREBY GRANTED TO
American & Efird, Inc.
For the construction of water supply well system with a design capacity of 1,346,400 gallons per
day to be constructed in the Charlotte Geologic Unit, located at American Street in Gaston County,
in accordance with the application dated September 10, 2003 and in conformity with specifications
and supporting data, all of which are filed with the Department of Environment and Natural
Resources and are considered a part of this permit.
This permit is for well construction only, and does not waive any provisions or requirements
of the Water Use Act of 1967, or any other applicable laws or regulations.
Construction of a well under this permit shall be in compliance with the North Carolina
Well Construction Regulations and Standards, and any other laws and regulations pertaining to well
construction.
This permit will be effective from the date of its issuance September 10, 2003. Prior notice
of the pumping of the wells date must be given to Andrew H. Pitner, 919 North Main Street,
Mooresville, North Carolina 28115, Telephone Number: [phone] at least 24 hours prior to
the start of the system.
Permit issued this the 18 day of September, 2003.
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Andrew H. Pitner, P.G.
Regional Groundwater Supervisor
By Authority of the Environmental Management Commission
Permit no. WS0300017

NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A WATER SUPPLY WELL
Upon completion, submit this form to the appropriate Regional Office listed on the reverse side
To: NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
19
In accordance with the provisions of Article 7, Chapter 87, General Statues of North Carolina, and
regulations pursuant thereto, application is hereby made by
for a permit to construct a well as described below and
(name of well owner) in the accompanying data submitted as a part of this application.
(a) Name of Property Owner
(b) Location of Property
(Road, Community, Subdivision, Lot #) Town County
(c) Purpose of Well
(d) Will proposed well replace an existing well
(e) Total capacity of existing system: gallons per day
Well Yield Well # Yield
(f) , Proposed well:
Construction Type (open end, screened, gravel packed, etc.)
Estimated depth Estimated yield
Estimated date of construction: Begin: Complete:
(g) Drilling Contractor:
(h) Location of Well: Provide a detailed map showing the location of the .proposed well and any wells in
the existing system to at least two (2) nearby reference points such as roads, intersections, and streams.
Identify roads with State Highway road identification numbers. Show all existing water supply wells
within a radius of 1,000 feet of the proposed well.
(i) Well Construction Diagram: Attach a diagram showing the proposed construction specifications.
The Applicant hereby agrees that the proposed well will
be constructed in accordance with approved specifications
and conditions of the YVell Construction Permit.
(Mailing address of Well Owner —Required)
Signature of Well Owner or Agent
(Mailing address of Agent)
Title
Permit NO. issued 19_
GW-22W REV.4/9S

�(� TM
&RDINC�_C1J
ENVIRONMENTAL, HEALTH & SAFETY DEPARTMENT
ENVIRONMENTAL, HEALTH & SAFETY PHONE [phone] FAX [phone]
September 9, 2003
Ms. Peggy Finley
North Carolina Department of Environment and Natural Resources NC DEPT, OF ENVIRONMENT
Groundwater Division AND NATRUE E VEDuRCES
919 North Main Street
Mooresville, NC 28115 SEP 1 0 2003
Subject: Well Permits
MOORESVILLE REGIONAL OFFICE
Dear Ms. Finley: M-GROUNDWATER SECTION
Please find enclosed eight (8) well permits issued by the Gaston County Environmental
Health Division. Also included with the permits is a form GW22-A for each applicable
well. This well system is capable, based on field testing, of generating 935 gpm. The
wells have not been tapped since their installation and are only a redundant process
water system. Please send any correspondence to:
Dawn C. Reeves, P.E.
Corporate Environmental Engineer
American & Efird, Inc.
P.O. Box 507
Mount Holly, NC 28120
You may contact me at [phone] should you have any comments or require
additional information.
(ncerely
Dawn es, P.E.
Corporate Environmental Engineer
r/app letter
Sewing Thread & Yarn Since 1891
P.O. BOX 507 • MOUNT HOLLY, NC 28120 • PHONE [phone] • http;//www.amefird.com

10/ 03/2002 16: 40 7046636040 DENR _ „ ,_ ._._ _ PAGE 02 �^
NORTH CAROLINA
EN IRONMENMAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, & NATURAL RECOURCES
APPLICATION FOR PERAUT TO CONSTRUCT A WELL
To: NORTH CAROLINA MIRONMENTAL MANAGEMENT COMMISSION �6kv D . 3-4
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutes of
Nor�h Carolina. and regulations pursuant thereto, application is hereby made by
: r A,i -i C--- -C'� rA `^n [' , for a permit to construct
(name of
a well as described
well owner) -
below and in the accompanying data submitted
as a part of this
application.
Property
V✓1 E i Cc�'�/T �� ") C
(a)
Name of
oroner
15 O /"�1`EQ { o G�►^�
{
S ! I dot 1 T (_� CAS
(b)
Location of Property
c� r'1`
(Road, Community, Subdivision, Lot. No.
) Town Co ty
(c)
Purpose of well
1r�a� Lytrt `T �'{C ASS `j� �vri�i�1 �/'�
(d)
Will proposed well replace an existing well
(e)
Total capacity
of existing ayatem: el
3S 2 •r-1
gallons per .dam
Well No.
Yield Well No.
Yield
�� Y✓1
O G
i 0 o0�',�
iyp m v
(d© �p w�
11
� (Curl"i.l�1v�C� G^•� ✓1XA P�,�'J
(f)
Proposed wall:
Construction
type (open end, screened, gravel packed, etc.)
Estimated depth Estimated Yield
Estimated date of -construction: Begin Complete
(g) *Drilling Contractor: C C& I I -e v �s
(h) Location of Well: Provide a detailed map showing the location of the proposed well
and any wells in the existing system to at least two(2) nearby reference points much
as roads, intersections, and streams. Identify roads with State Highway road
identification numbers. Show all existing water supply wells within a radius of
1,000 feet of the proposed well.
(i) Well Construction Diagram: Provide a di&grRm ShOw].ng proposed construction
specification. (See foam GW22—A an reverse)
The AppLUcant hereby agheed the puposed
wed wit be canetfuc,ted an accon.dmce mt.th
w ved b pec,�pi.ea nb and condition-6 o f
app
WerYt Conttwetion Permit.
Signature of Well Owner or Agen
bdx SQ+ P[GL)yJjt1LL,, Nc zLiac
(Mailing Address of Well Owner (Required)
Mailing Address of Agent
Title t PERMIT NO, issued 13

10,10312002 16: 40 7046636040 DENR „ ,_ ,_,_ _._POSE _ 02 �^
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, & NATURAL- RECOURCES
APPLICATION FOR PERAUT TO CONSTRUCT A WELL
To: NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION � � � � � zoci
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutes of
Nortk Carolina, and regulatpns pursuant thereto, application is hereby made by
J Ityyl-ef 1 C 6yk. �-t -� r ^� Ti✓t C . for a permit to construct
�
(name of well owner)
a well as described below and in the accompanying data submitted as a part of this
application.
(a) Name of Property owner
(b) Location of Property
(Road, Community, Subdivision, Lot No. ) gown County
(c) Purpose of well
(d) Will proposed well replace an existing well
(e) Total capacity of existing system: gallons per day
Well No. Yield Well No. Yield
3 0 P ►�
an1
(f) Proposed well:
Construction type (open and, screened, gravel packed, etc.)
Estimated depth Estimated Yield
Estimated date of construction; Begin Complete
(g) Drilling Contractor:
(h) Location of Well: Provide a detailed map showing the location of the proposed well
and any wells in the existing system to at least two (2) nearby reference points such
as roads, intersections, and streams. Identify roads with State Highway road
identification numbers. Show all existing water supply wells within a radius of
1,000 feet of the proposed well.
W Well Construction Diagram: Provide a diagram showing proposed construction
qpecification. (See fom GW22-A on reverse)
The Appti.cant hereby agneu the prwpoeed
wed e c
wit bane�rr�ted in accordance uv:th (Mailing Address of Well flcatser (Required)
approved 6pea-on6 and condit,.onz o6
tze WeLt ConstWetion PeAMi t.
?failing •Address of Agent
Signature of Well OSmer or Agent
Title_ FERMIT NO. issued I9

ENVIRONMENTAL HEALTH DIVISION
991 W. HUDSON BLVD.
Permit void after 60 months GASTONIA. NC 28052 ��'' Ilk
WELL INSTALLATION OR REPAIR PERMIT
TO. BE FILLED IN BY APPLICANT: Permit 9273
Owner or Builder J Date (() 4 t -(j?
Mailing Address of Applicant Phone 7<2_ • (a 0 zS3
Lot Area Subdivision/ -Park dL Lot — Block #
Location
Type(
Grout
Conty,
or
Depth �r"-�' Casing Depth I(�'�
+ Level 2y r
r
DISTANCES: Site Sketch
1. Water tight sewer line :..... 50'
2. Ground Absorption
Sewage System ........... 10
3. Building toundations...... 50
4. Ariy other possible sources p�0 ,rvi ZL.
of contamination...-:.:.... 1.
(Underground storage
animal lots, etc.)
Tax Book #
Tax Map- #
Tax'Parcel # FENCE f
# I :vim- FUG NJ� 1� I rat AL-
Grid- Pl A-
f-Aa NLJ
This permit does not relieve
the welltseptic contractor (5US ( j�. 'a3 JZZ� 0
ftvm complying with all �
Gaston County and/or North g & 1� !
Carolina Laws, Rules,
Regulations and Ordinances. kf
� �J �" 1
-Y coc ,.
WATER SUPPLY INFORMATION:
Well location; installation and protection must meet state and.local regulations, and must be inspected and approved by a
representative of the Gaston County Health Department before anv portion of the inSt_n"Mion - put into use.
The siting of the well by the Health Department staff is to provide protection from known possible sources of contamina-
tion. No quantity and/or quality of water is guaranteed at any site by the Health Department.
After the well is in service, contact the Gaston County Environmental Heath Section (853-5200) for a bacteriological water
sample.
Date Issued E.H.S. (2/ ,n,A7
Date Approved. E.H.S.
Fee Paid Date Receipt # I.P. # N/A
Date Sample Collected Date of Resu.B Results
Original White: Health Dept. Green: Inspection Dept. ' Gold: Applicant Copy

� �E`ilE
WELL CONSTRUCTION RECogpo�r $70-1->1%"'�,
Nov -4 -to
i North Carolina - DcareMer t of Environment and Natural Resources - Division of Water Quality - Groundwater Section
.__..:... :......
.:....:__.
i Ti IcACTOR (INDIV DUAL) NAME (print) N�%� rr7� CERTIFICATION f#GSj
rEA..I H ,
t---- -------- NY NAME -At--.14-11 ��7I�'�/3"� PHONE #
STATE WELL CONSTRUCTION PERMIT# /� /.� ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
WELL USE (Check Applicable Box): Residential ❑ Municipal/Public ❑ Industrial Er"Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use
2. WELL LOCATION: >>``
Nearest Town: AA611l County 6A-f[4
40 Am � S-t
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
�C
3. OWNER: Am, --trod.
Address W *erf2idP y^ —
RY`;Street or Route No.)
City or Town/ State Zip Code
Area code- Phone number
4. DATE DRILLED
5. TOTAL DEPTH:-
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO LfY
7. STATIC WATER LEVEL Below Top of Casing: . 4—FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS -r2, D FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C .0115.
9. YIELD (gpm): 65-* METHOD OF TEST I;ItC-J
10. WATER ZONES (depth): � ` e, I
Z0 Iv 5
11. DISINFECTION: Type % 7'11- Amount % CA
12. CASING: Wall Thicknes-
Depth Diarpe ter or Weight/Ft. Materia
From+2 0 To1,43- Ft. 2_
Topographic/Land setting
❑Ridge ❑Slope ❑Valley at
(check appropriate box)
Latitude/longitude of well location .
(degrees/minutes/seconds)
Latitude/longitude source: ❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
/ '
.1401
1fG. tic r7 "m ..
(-AP ha 00
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
From
To
Ft.
From
To
Ft.
13. GROUT:
d
Depth t
Ma erial .
Method
From
To 56
Ft. `i to
it
From
To
Ft.
14. SCREEN:
Depth
Diameter Slot Size
Material
From
To
Ft. in.
in.
From
To
Ft. in.
in.
15. SAND/GRAVEL PACK:
Depth
Size Material
From
To
Ft
From
To
Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
11 Zot)Z--
SIGNATURE OF PERSON CONSTRUCTING THE WELL . DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

'02i21i2003 15:48 MCCALL BROTHERS 4 7048275075
NU. nYU V1616e
=A& w7 Fac pow
CM25.sL?CT3:w a!w_CIrIwIw5
st—might-5erssned
ss
C�xnvc2—�az�scd Vol!
(L-z"trncted in Aacconalidatad formation)
t � -
A) Caag ng:
�l
Da7-mad Well
(coaetruated im cflnaolid
ated formations)
I) Innsr: type
ft, (dsplb) !s. (into raek)
2) omt w: GAI IL, Oyp,_l 1. DSCL1 O IU.%fit.
i b3 it. (deptk)
a) cema�t:
1) Imneir caming: ft. so tt.
2) Omter Caming;___Q_ft. to 190 XFWM"'M
U ck
C) 5creea(e): typ••,_�
ft. to tt.
Eeck
1
D) Gravel: ft. to it.
rzctMecf ,
(BISR) 1
SC fj
(Pill in each blank that appziea and use wKwapriste dsagram
to ■lwv proposed ccootrae?,fon i=linding, but not 13a:itad to,
caulrag (outer ana iaxar), sem2ing mataria,l (cement, clap,
ate.), packerm, sereee:.e, gtavel, abemiesl feed Iloe6, eta.)
Location Dingrem: (Previously prepared -maps may be oahmitted provided they con—
tafr infor=cion required in iteee (g) of the application).
27 3
•P�
' . So
M
c®
Ca1'►GY2{P �
2
-1 o,tic75-
/ / (}(f1lri cp•1%
12o*j
'Po"4o

ENVIRONMENTAL HEALTH DIVISION
991 W. HUDSON BLVD:
Permit void after 60 months GASTONIA. NC 28052
WELL INSTALLATION OR REPAIR PERMIT
TO BE FILLED IN BY APPLICANT:
Owner or Builder ����r> �, � "J/
Mailing Address of Applicant �Per &„ ,`4-Q
Lot Area Subdivision/Park
Location i hir 1 23 2)--1 n_ 0 4P �
Permit 9274
Date
Phone
Lot Block #
Type C �CL Size i�� ( Depth Casing Depth
Grout ID• t2•02,, fYFi 7" _ Yield l,t-rL
o -PPk Level t6, 7
Contractor/Driller T_Z/1� —y Telephone
DISTANCES: Site Sketch
1. Water tight sewer line ...... 50'
2. Ground Absorption
Sewage'System ........... 100'
3. BuilOing foundations....... 50'
4. Afiy othi:i possible sources
of contamination.......... 100'
(Underground storage tanks,
animal lots, etc.)
Tax Book #
Tax Map #
Tax Parcel #
Grid- Tr
This permit does not relieve
the welyseptic contractor
from complying with all
Gaston County and/or North
Camlina.Laws, Rules,
Regulations and Ordinances.
VVLLL. tt-K 49
�lj1A.nl� v► I+ AC T� R l N� - c�� L�
,16
APP P.C)VEp Doc- -r }-nm P-som -
WATER SUPPLY INFORMATION:
Well location; installation and protection must meet state and local regulations, and must be inspected and approved by a
representative of the Gaston County Health Department before any pot -Lion -,-f tiie installation is put into use.
The siting of the well by the Health Department staff is to provide protection from known possible sources of contamina-
tion. No quantity and/or quality of water is guaranteed at any site by the Health Department.
After the well is in service, contact the Gaston County Environmental Heath Section (853-5200) for a bacteriological water
sample.
Date Issued : A( l OZ E.H.S:
Date Approved. E.H.S.
Fee Paid Date Receipt #
I # �Ea
Date Sample Collected Date of Result's Results .
Original White: Health Dept. Green: Inspection Dept. Gold: Applicant Copy

[a(;!.t — / ?i.;v2 _. WELL CONSTRUCTION RECORD 4-76-g11c7(ytj
J.
North Carolina AA Division and Natural Resources -Division of Water Quality -Groundwater Section
WELL CO,N'T. ACTOR.�JWJJ'AL) NAME (print) 4-k CERTIFICATIONN�# 07
WELL CONTRACTOR COMPANY NAME C(ari l i O �'-�7 PHONE # (70t I ' ^41 7
STATE WELL CONSTRUCTION PERMIT# C(2-1 — ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential ❑ Municipal/Public ❑ Industrial [E' Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: ', [,faITy . County 6,.45' 6, []Ridge ❑Slope ❑Valley at
ll
2q AgyjeO- wi (check appropriate box)
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code) Latitude/longitude of well location
4.
5.
6.
7.
9.
10.
11.
12.
13.
14.
15.
OWNER: A-m -ew&o 67 /-f C
Address 2A A-ArorliAnn i)t
(Street or Route No.)
City or Town State Zip Code
( er!!o- azz - (�M—
Area code- Phone number
DATE DRILLED IO ° Y 6 - 0
TOTAL DEPTH:C'Ir
DOES WELL REPLACE EXISTING WELL? YES ❑ NO LT
STATIC WATER LEVEL Below Top of Casing:FT.
(Use "+" if Above Top of Casing)
TOP OF CASING IS *Z. 0 FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a
variance in accordance with ISA NCAC 2C .01M
YIELD (gpm): -r /Deb METHOD OF TEST 6614)
WATER ZONES (depth): / 6, r" 6 43 i
DISINFECTION: Type f-tTAl- Amount
CASING: Wall Thickness
Depth Di rnder or Weight/Ft. Material
From 42.y To 'T3 Ft. " t P 2- Sk
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic
map
(check box)
DEPTH
DRILLING LOG
From To
Formation Description
T
_T
t+ -
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
From
To
Ft.
From
To
Ft.
GROUT:
Depth
M terial
From
Tom_
Ft. d a?44"
rMethod
Tt� W,---
From
To
Ft.
4,
SCREEN:
Depth
Diameter Slot Size
Material +n
From
To .
Ft. in. in.
t
k,.
From
To
Ft. in. in.
SAND/GRAVEL
PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS: it "�
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
61 /?,
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No..[phone], within 30 days. GW-1 REV. 07/2001

02/21/2003 15:48 MCCRLL BROTHERS 4 7049275075
cm=Criati snC riCi:IWz—S
S'c�i�t's-Sc�oaed
or
Gsave2-�er3xd Well
{L'1na�snetst3 an RocoeQaliiatsd iormatio®o)
La
N0.570 D003
Stee�std flrrli
(%saatrasted in aaa8olad
aced farmaiione)
1) inner.-_"
(into roar)
2) Oatars CA�V> ]o�S0 b.%?t.
_
--ft3--ft. (depth)
H) Cemanf:
1 � Zsmer Caaia�a !t. so i't. Gi �'
s) Dater enaiag:�`ft. to 39 it.
lack boo$
C) Sareeo(6): _ inn I. D.
ft. to tt.
ft. to 3't.
D) Gravel: fit. to 3t. fin.
(size) gu
(Pill in sack blank ttai applie8 and uze agprog=r---e diagram (00>
U shov proposed covxetraetian iuclt Ring, but not limited tot
eaa5bg (outer ara inner), sealing material (Cement, Mlsp,
etc.), packers, screens, gravel, cbezical feed lines, eta.) ,� r
�66
cation Dingrama (Previamaly prepared maps may be submitted provided they coax
lain ieiferarEiota rcquired is item (e) of the applfcauna).
2� 3
a
Ajn K calk
QDrO�2r
G�4-
duet

Permit void after 60 months
ENVIRONMENTAL HEALTH DIVISION
991 W. HUDSON BLVD:
GASTONIA. NC 28052
WELL 11'1S TALLAT IOIN OR REPAIR PERMIT
TO BE FILLED IN BY APPLICANT:
Owner or Builder ,r-,1'7
Mailing Address of Applicant
Lot Area Subdivision/Park
Location
Permit 9275
Date i t• (5-�
Phone
Lot --Block #
Type �� Size PVL �epth M� Casing Depth s� i
Grout ! Yield I-j(ye-ZM2 Level 175
Contractor/Driller r' Telephone
DISTANCES:
1. !Hater tight sewer line ...... 50'
2. Ground ' Absorption
Sewage System ........... 100'
3. BuilCiing poundations....... 50'
4. Ariy other possible sources
of contamination........... 100'
(Underground storage tanks,
animal lots, etc.)
Tax Book #
Tax Map #
Tax Parcel #
Grid- #
This permit does not relieve
the weiilseptic contractor
t1rom complying with all
Gaston County and/or North
Carolina Laws, Rules,
Regulations and Ordinancep.
WATER SUPPLY INFORMATION:
OVE
E4'A14 �-
T 5
WEJ L FCf�. INO :TP-4AL,- PIAMU. ^Ci
1 r `r�-F,,n-A Pt v
Well location, installation and protection must meet state and local, regulations, and must be inspected and approved by a
representative of the Gaston Countv Health Department before any portion of the installation is put in'o use.
The siting of the well by the Health Department staff is to provide protection from known possible sources of contamina-
tion. No quantity and/or quality of water is guaranteed at any site by the Health Department.
After the well is in service, contact the Gaston County Environmental Heath Section (853-5200) for a bacteriological water
sample.
221
Date Issued IS. O;� E.H.S. l' I
Date Approved. E.H.S. QS
Fee Paid Date Receipt # I.P. #
Date -Sample Collected Date of Result's Results .
L6
colt
Original White: Health Dept. Green: Inspection Dept. ' Gold. Applicant Copy

YoK
� EE-1 W E
DEC
T
0y'STP'LTC­r'oN 1cl, CO
VITEI-ITAI
N Department__and Natural Resources -Division of Water Quality - Groundwater Section
WELL CONTRACTOR'(D(DIMUAL) NAME (print) CERTIFICATION #-,2
WELL CONTRACTOR COMPANY NAME (2 PHONE #
STATE WELL CONSTRUCTION PERMIT# _ASSOCIATED WQ PERMM
(if =livable) (if awlicable)
1. WELL USE (Check Applicable Box): Residential 13 MUnicipal/Public 13 Industrial a--'1(0CU1ftU-A 0
Monitoring [3 Recovery E3 Heat Pump Water Injection 13 Other 0 If Other, List Use____�
2. WELL LOCATION: Topographic/Land setting
Nearest Town: 1� County. 61-1t5-771(1 CWdge OSIO . pe OValley Elfq�
r , -o - , (check wrapdatc box)
_-9D 14-Mele',leA—Al SV (Shed Name, Numbers, Community, Subdivision, Lot No., Zip Code) Latitudellongitude of well location
-% el,?,, (degreesimfirutes/seconds)
Address
3. OWNER- Al— 464A! 3 r Latitude/longitude source:13GPS13Topographic map
94 A111 -4' (check box)
(Street or Route No.)
AA C, DEPTH DRILLING LOG
City or To�wa State Zip Code From To Formation Description
Z_
Ana e- Phone number
4. DATE DRILLED
5. TOTAL DEPTH:
6. DOES WELL REPLACE EXISTING WELL? YESJ;3 NO
7. STATIC WATER LEVEL Below Top of Casing: _6FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS Fr. Above Land Surface*
*Top of casing terminated at/or below land surface requires x
variance in accordance with 15A NCAC 2C .011&
9. YIELD (gpm): _27V METHOD OFTEST
10. WATER ZONES (depth): V-0-1 —LOCATION SKETCH
11. DISINFECTION: Typ Amount Show direction and distance in miles from at least
two State Roads or County Roads. include the road
12. CASING: Wall Thickness Depth.e-zir Diameter or Weight(Ft Material numbers and common road names.
From ToFt. _,ELL 212 6 APV
From To Ft.— —
From To To_ Ft— Method
13. GROUT: Depth Material
From-2-- To
�_Ft
From To Ft. --!--
Material
14. SCREEN: Depth- Diameter Slot Size V.,
From To Ft_____J1L in.
From,—I To Ftin.in. 1 nvi (o
15. SANDIGRAVEL PACK.
w-44 W RV,
depth Material L
From Li
vroz��To_ Ft-
16. REMARKS:
IDO WAS ONS IN ACCORDANCE WrM I sA NCAC 2C, WELL
Y
CONS A j CORD HAS BEEN PROVIDED TO THE WELL OWNER
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mau Service Center - Raleigh, NC
27699-1636 Phone No.(919) 7333221, within 30 days.. GW-1 REV. 07/2001

02i21i2003 15:48 MCCALL BROTHERS 4 7048275075
y
N0.570 D008
50t�w
X19
Ax
i
Dar inu OF paM—ar—n
=NMUCTimi 5P£C:P1C&'."xWR
9F
Grava2�na3�ed 3feli
(Czapirueted in agennael:ditad fasmationrP}
A) Casing:
-!
Ooea—End fell
(Canatrructed is coaani�d—
ated Sormatians)
1) inner: type 2= D. 1Ba.1fi.
it. (inee rock)
2) Octtsrs C� al v - � . 13SC 0 lbs. JXt.
5 y it: (depth)
a) mat;
.1) luofr Casing; ft. to it.
2) ftter C&siug:__Q_ft. to Z o X%.7"rn-►7rr
Rock
C} SardenFe}: type1_ D.
—ft. to fit.
St_ to tt.
D) eravei:
(size
(Pill in rich hlaak tUt applies and use appropri.ste dia4�rem
to shov proposed coestrnt�fou iacldding. but not limited to,
Cz ng (cater !Lard inner), sealing matvria2 (cement, ela',
etC. ), jVLrk*rA, seraeae, gravel, ebeMiCS1 teed lideE, eto. )
La=ation Diagram: (rraviousiy prepared maps may be submitted provided They coa..
rain intormrtion required in 3sem (g) of the application).
nn Cq'iO4
CYP�Cl
7S.
marl car'
poN�
+ 3.a�
5q

A'
F
iermidt void Brier 12 months
GASTON COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH DIVISION
991 W. HUDSON BLVD.
"tVSiOiNLy, NC 23052
WELL INSTALLATION OR REPAIR PERMIT
PHONE [phone]
Permit N 2 7547
TO BE FILLED IN BY APPLICANT:
Owner or Builder 41M I eAA) 5 1 /� c� a1 Qi�� Date
Mailing Address of Applicant _'2O hyk. (CAP 5/ .. ,Ak i - / I z�'c� Phone 764-Lo r a5 i
Lot Area Subdivision/Park `pa 06y- 5Z,?- Lot Block #
Location (CAAJ - y Fr P_A [A) l`t`"r • 14�r_ Vj -.4e
Type 1D ,maxn_D
Grout
Contractor/ Driller
Size
Yield
or A>ft'horized Agent
Casing Depth �84
Level L t
Telephone
DISTANCES: Site Sketch
1. Water tight sewer line ...... 50' a
2. Ground Absorption
Sewage System ........... 100 Y At� w J4,�
3. Building Foundations....... 50'
4. Any other possible sources $l�r�
of contamination.......... 100'
(Underground storage tanks, Cam^ f L t4c
animal lots, etc.)
Tax Book # .
Tax Map #�
Tax Parcel #
Grid #
aa,�ro�
P� L04 F-
6F
zL
WATER SUPPLY INFORMATION: n ,
Well location, installation and protection must meet state and local_ regulations, and must be inspected and approved by
representative .of the Gaston County Health Department before any portion of the installation is put into use.
The siting of the well by the Health Department staff is to provide protection from known possible sources of contamina-
tion. No quantity and/or quality of water is guaranteed at any site by the Health Department.
Afterr the well is in service, contact the Gaston County Environment Section (853-57 ) for bacteriological water
sample. �
Date Issued
Date Approved
Fee Paid Date
Date Sample Collected , Date of
E.H.S. r,
E.H.S.
I.P. #
Results
Original White: Inspection Dept. Green: Health Dept. Gold: Applicant Copy

12/10/2002 16:42 MCCALL BROTHERS 3 7048535231
� r
uj` t ! , s
'WT.Tv 7 sYP 7;!"IrRr�l1A7 iiD r1
No.-th C:arrolina =Dept of Ewii mcdand Nam Resc - Division of Wum Qualify - Cswmdwater Sin
%tLL COit MACtOR paWVMUAL) MM (t za 22S 13
WUL LMNT1aACr0R C0WANY NAMX � ;C t-
STATE wrs c0N$mcnOH PERrd cr ►T ,W
WELI. USE (Chec ApplicabIc BOY.). Aesideat d Q MvnidpaWub11c l3 baduUW Vd' AVia kUd Ci
- Monitoriag II Recovnty 13 Hat p=p water bpcccn0
Odw El 1f Ot=. Liss Use
2. WELL LOCATION:
I3•earestT _ -� - CotmtY �c,sfoni
TOP)
pg Elm
bo`
mmig N&4*,Nmbm c=mu ty, sn� Im No., z p Code)
LaQibAoungimde o€wcn Ia om .
3. QWNEP- .at9ni c;-c4-
^'- St
1.atitude�toagitudx�soucce��^i3GPSC7T i c �P
Ad&= y , , +,rf rc .i .
(ftworRouts No,)
(
DRILLINGLOG
CnYu�Tatira Sate zipCodr<
From TO
Acoetods�?booeP�btx' ►
� I
4. DATE DRILLED•• i
AL•a�sa.,.a',�
5. TOTAL DEPTH' . �� �R f-
N
6. DOES WELL REPLACE EXITING WELL7 YES 0 NO
7. STATIC WATER LEVELBelow Top of Caug
/(U-"','ifAbweTop of0miW)
8. TOP OF.CASM IS FT. Above Land Swftmf
vrap oisnWO mmor istWbdow Umd mwftwnIsbw r
"Whm, is +4mrduae wuh M mCAC 2C .011t
9. yIEM (ghat): __30 METHOD OF-
10. WATER ZONES (depth): -sq' - We .
{ Q =
11. AISIIMCf 10N: Type F Amomd 'k
LocAT1ON-SMCH
Show dhcction trdastan e inme9es frota Atlast
-it
12. CASING: WaII Thidmm
two Stata Roads or Cmw Rods. Tndwe Ac toad
- T Si3tatoccer mV
From To �_
F
i
Fromt�_ To
-- —
13. GROUT: DepdA
From- To
bgstcow Adghed
FL -eeme cd'� rminiE_
--
From To - - ---
Ft-
14. SC RMN ' DOd+
Diin3elet SlotSiae
Frost AlTi —To-
P-hL is
Fhm To
-
1S. SAND(GRAVEL.FACIL'
Depdt,
Sian
F a, To —Ft-----
.
16. REMARKS: z-7r.r�4
I DO HEREBY CERTIFY THAT THIS *1UX WAS CONSTRUC:rED IN ACCORDANCE WrM 1SA NCAC XC WM L
CONS RUCiJUN STANDARM Alm)XAT A ,COPY OFT=RECORD Hm Jam PROYiAID TO THE
C.
CONS1RUClINGTm WUL
Submit the original to the 1 WWan of Wau r quaft, Groondwster Seetios61636 Mal Savjm £atnr-Raleig Nc
276094636'?Imm iota (919) 733.3SZ3, Within 30 days OW-1 REV. 07mol

02/21/2003 15:48 MCCALL BROTHERS -j 7049275075
m
NO.570 9009
S :rai �t1e era■d
or
�snvg3�aeked Yell
(L'anetraciad is anca�al3dafad formatives}
W
e
G e---Ead Well
(Canstr=ted it oazanlid
rated• Sor=tians)
+ 2,5
A) Casing:
1} Inner: bPe 2: D_ Iba./St.
tt. (dagt>z)� lt. (inta rack)
2) �at:rs �7a�Y� Q9Qe T- nSC6 y0 "be./ft.
Y,� • `� tt. (depth) ,
B) csmaat:
I) Znwr Caaiae:
2) outer, Casing:0 t. to
Rack
C} Screeata}: �,� Yp■ Y- D-
tt. to tt.
It. to 3t.
B) Grsvel: in.
(sine)
�srt*rrr,�n
Hack
V
(Pill im each Nlank that applies and USE appropriate a'tiag:am
to show proposed eoRetrnelon incidihng, tut not limited to, f
casing (outer sa3 innez), sealing mazv-,ial (esment, nlsy,
eie.), peckers, saraec-e, gravel, ehemical feed Zins'e, etc.
LI 000
Location Diagram: (Previously prepared maps may he submitted provided they soda
Lain information argairad is item (E) of the applicatiou)-
Z-19
co,we4e
CM 22.'� Rrsr_I/90 ® 0.�rz 1 QO©c{
a
m
CL
S
E12

GASTON COUNTY HEALTH DEPARTMENT PHONE [phone]
ENVIRONMENTAL HEALTH DIVISION
991 W. HUDSON BLVD.�
Permit void after 12 months GAS T ONIA, NC 28052 - '
WELL INSTALLATION OR REPAIR PERMIT
TO BE FILLED IN BY APPLICANT: \ Permit N 2 7548
Owner or Builder /4H C Z i,-_AAJ --f- Eft 2p , i ldc- Date
Mailing Address of Applicant �o CJ �; - Phone 7oq orb j
Lot Area Subdivision/Park `PryK Lot Block #
Location hlikkcAeJ I' 'EFL,h4� M T Z t; . , n
n
Type -( I &d Size OW C&Z& Depth � Casing Depth
Grout 12.02 - 0 L a?jO Yield 2c-
o t G Level 3p
Contractor/Driller /yyj .1,4 Telephone
DISTANCES: Site a
1. Water tight sewer line ...... 50'a
2. Ground Absorption v
Sewage System ........... 100'
3. Building Foundations....... 50' /k A� ,
4. Any other possible sources (��C-t�5 ' Yee
of contamination.......... 100' Coy kl,\l
(Underground storage tanks, SI�pF,
animal lots, etc.)
Tax Book #.
Tax Map # _
Tax Parcel #
Grid #
Y -- pis
L9FJn
FP_
WATER SUPPLY INFORMATION:
��
Well location, installation and'protection must meet state and local re-ilations, and must be inspected and approved by
representative of the Gaston County Health Department before any portion of the installation is put into use.
The siting of the well by the Health Department staff is to provide protection from known possible sources of contamina-
tion. No quantity and/or quality of water is guaranteed at any site by the Health Department.
After the well is in service, contact the Gaston County Environm�,xt�l Heath Section (8 - 2(�6� for a bacteriological water
sample. � J , / �
Date IssuedE.H.S.
Date Approved E.H.S.
Fee Paid Date
Date Sample Collected , Date of
M
I.P. #
Results
Original White: Inspection Dept. Green: Health Dept. Gold: Applicant Copy

wW i �r ��7Sr01 i rYOnT RH:Ci �Er i
North Carolina - Department of Environment and Na ral Resources - Division !of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) rt- --' ` °� CERTIFICATION #�,
WELL CONTRACTOR COMPANY NAME ln2 Cu / A%exxe �' PHONE #
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential ❑ Municipal/Public ❑ Industrial Jd Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use
2. WELL LOCATION: Topographic/Land tting
Nearest Town: County C ❑Ridge []Slope �m ❑Flat
. Q c�� (check appropriate box)
(Street Name, Numbers, Community, Subdivision, Lot No., lip Code) Latitude/longiWde of well location
3. OWNER:►��f
Address e9©
(Street or Route No.)
DEPTH
City or Towrt state Zip Code From To
Area code- Phone number
4. DATE DRILLED F
S. TOTAL DEPTH: fraID /
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO ❑
7. STATIC WATER LEVEL Below Top of Casing:. _FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C .0118.
4. YIELD (gpm): a26 It METHOD OF TEST
10. WATER ZONES (depth): 0
r�
I.I. DISINFECTION: Type Amount
12. CASING: Wall Thickness
Depth Diameter or ei t/Ft. Material
From o� To i�/T Ft J�
From To Ft
Fmm To Ft.
13. GROUT: Depth Material Method
From_ Tom Ft.
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From f%� To Ft. in. in.
From To Ft in.
15. SAND/GRAVEL PACK:
Depth Size
Fro1:1 Af i. Tn Ft
From To Ft.
in.
Material
16. REMARKS: a� /
.I
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DRILLING LOG
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WE O'
PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality, Groundwater Section,1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DRILLING LOG
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WE O'
PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality, Groundwater Section,1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

�
nd
=t
LZ
•(co�.rattddv aq•1 =Q Ea) mss� nF psscrbas nots.mxe,�ut uses _ .
•-sazl saw pi7zYmquS a9 Agm ndum Fa"daad AllimaiAuxer) :me• n;Q 56T-. Wj
{•tea 'f*qXi Faa,; T92tmago 'jaass8 'voaasze 'es042vd '(-a:a
IATra esuamaa) Tutsmzvm 2u.;Twaz ' (zaaat Fad tuna) ftpw
04 pmqTczTT �vu �;a4 'SntpptpaL tia taS�m oo papa3osd Aaigo a;
�r8vtp Mlmzzdozmu agu Flag satzdits +Tq# imvZq lae® uz Liu)
310,99
i ), H
(fuat2mig; p214
--p F7=0o ut Fe�an=29*)
L -kma-uaEo
•�S Qa •fit
• a • I """"'_.dam : (e )eaoaa5 ( �
•�� ez •ai ssn:oea s�Z (i
(map) •�F---- —
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GASTON COUNTY HEALTH .DEPARTMENT
ENVIRONMENTAL HEALTH DIVISION
99$ y. HUDSON BLVD.
Permit void.after 60 months GASTONIA. NC 28052
WELL INSTALLATION OR REPAIR PERMIT
•TO BE.FILLED IN BY APPLICANT:
Owner orBuilder 4" i
Mailing Address of Applicant. : -
Lot Area Subdivision/Park
Date 12, '
Phone `_4O-
Lot Block #
Type u_z1-__Y osize Depth �Casing Depth
Grout Yield ) l Level
Contractor/Driller lC.G,¢CC.�',gj-4 Telephone
Distances Must Conform To Site Sketch - No Scale -
Local/State Codes: Most
Common Examples Are:
1. water Tight Sews
2. Ground Ahsor on
s
Sewage Syst ... ...... 100,
3. Building Fou datio .......
PLm k
Tax Book # _ .� .,..:...
..Tax Map #
Tax Parcel #
Grid # 1 2j
PLANT
J
This permit does not relieve
the well/septic contractor
4trom complying with all
Gaon County and/or North
Carolina Laws, Rules, Imo► , 7� (�( (9-
Regulations and Ordinances. Vpl'3
AW .
[6
WATER SUPPLY INFORM T10N•
'� �� 1��
Well location, installation and 'rotation UTSt�meett stafe�n� locca regulations, nd must be ins cted a a -roved bv a
P g � -, -. ,
representative of the Gaston County Health Department before any porno;, of the installation is putii:tu Se.
The siting of the well by the Health Department staff is to provide protection from known possible sourc s of ntamina.
tion. No quantity and/or quality of water is guaranteed at any site by the Health Department.
After the well is in service, contact the Gaston County Environmental Heath Section (853-5200) for a bacteriological water
sample.
Date Issued 12, QZ 0.2J
Date Approved
Fee Paid Date
Date Sample Collected
E.H.S.
E.H.S.
Receipt #
Date of Results
I.P. #
Results
Original White: Health Dept. Green: Inspection Dept. Gold: Applicant Copy

r e7l �26siI,'C _ arc
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment an atural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIV1DL. JA4) NAME (print) 1drR : � jq (Q', 10 CERTIFICATION
WELL CONTRACTOR COMPANY NAME �� t I �v �l-i/i ti� PHONE # (X i) Ste,
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential ❑ Municipal/Public ❑ Industrial Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use
2. WELL LOCATION:
Nearest Town: tY1 �. �� it / Count y �� � v
Topographic/Land setting
❑Ridge ❑Slope ❑Valley at
4 A � &
(check appropriate box)
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
Latitude/longitude of well location
3. OWNER: / 1/h z'-^iCL�� 9'�,�� i�
(degrees/minutes/seconds)
Address ;?0 /ji rv�r'c'�-ti S �_
Latitude/longitude source: ❑GPS❑Topographic map
(Street or Route No.)
M/ //O/X ly"E,
(check box)
DEPTH DRILLING LOG
City or T n State Zip Code
From To Form o De nptio
Area code- Phone number('
cpe
4. DATE DRILLED 1 ? 6
5. TOTAL DEPTH:)
6.• DOES WELL REPLACE EXISTING WELL? YES ❑ NO
7. STATIC WATER LEVEL Below Top of Casing: r T.
r (Use'Y' if Above Top of Casing)
1"t
8. TOP OF CASING IS FT. Above Land Surface*
*Top of casing terminated attor below land surface requires a
r ; !
variance in accordance with 15A NCAC 2C .0118. r
`�'oc
_ i.•' -
4 F C13
9. YIELD (gpm): rah METHOD OF TEST ul
10. WATER ZONES (depth): S
11. DISINFECTION: Type 14 %`e�Z-- Amount t
LOCATIOMSKETCH-
Show direction and distan e in miles frm'at,least"'
12. CASING: Wall Thickness
two State Roads or County Roads. Include 4he•road----"--
f Depth Diameter or Weight/Ft. Material
t_
numbers and common road names.
From To Ft.
From To Ft.
From To Ft.
13. GROUT: Depth Material > Method
From C To 'PO Ft. R &Yri LL _f- f M yyl i C
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From — To Ft. in. in.
From To Ft. in. in.
'
15. SAND/GRAVEL PACK:
Depth Size Material
_
From ' To Ft.
From To Ft
g7
i
16. REMARKS: 1 Pl�'rr��i� T �' >
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
EONSTRUCTISTANIDARDS, AND THAT A C,0PY OF THIS RECORD HAS BEEN PROVIDED WTHELLS NATUREOF PERS CONSTRUCTING THE WELL
Submit the original I/o the Division of Water Quality, Groundwater Section,1636 Mail Service Center - Raleigh, NC
27699-1636 Plione No. [phone], within 30 days. GW-1 REV. 07/2001

02/21/2003 15,48 MCCALL BROTHERS 4 7048275075
NU. S'(b Wb11
or ARORM
�s�7caiaai S��Cr'ICI:IDN16
sirs3 itt—ScrSanad
or
Gravel.--Pmcked Well
{ Csnetrar tad i s sac a nneli da±ad formations)
A&) Coming:
D�
f�aear�nd 'Aal,
(£am,etroeted in ao�aal:d-
ated Sarmatioas)
1) Isaer- L7pe Z= D.� Zbr.��i.
ft. (de )marts. (into roele)
2) Qatar: G0,111, t pe__S 'T. D (1 B Iba.%xt-
10 ft- (depth)
3) Cemat:
1) Inae= Casing: ft'. to ft.
2) 9utrr Casing,_ 0 t. to b SL.7MM17'r
Sack
C) Screen(:): ijlpe I. D.
-t.. to ft.
ft, to ft-
D) Gravel: it, to jS, iu..
(BiSe)
(Pill in 81LC71 blal* t'hz$ applies and use apgrepriste aiAVAM
to ahav prapased oanetr+u�on iacldding, but mat. linited tap
casing (oatar sad iaaes), sealing mattZ3®1 (ccaeett, e2ary
etc.), gackere, screens, gravel, zh= sal feed lit*B, eta.)
Location Diagram_ (Previously prepared saps may be oubmittad provided they Can —
Lain information required in tUrw {g} of the application).
co�{P
® 0
Am,Acan
4
m
s.
�7pnlD
+2 .
-7U
Back
=17 ZZA. F—v_::Iso
A

GASTON COUNTY HEALTH DEPARTMENT 4). 853-5200 :.
ENVIRONMENTAL HEALTH DIVISION ] I
991 W. HUDSON BLVD.
Permit void after 60 months GASTONIA, lilt; 2_W52
WELL INSTALLATION OR REPAIR PERMIT r�y�
Permit 93,84
TO BE FILLED IN BY PPLICA T:, '
Owner or Builder. ,O I I— Date i— ,3"�3
Mailing Address of Applicant ---- -- - X s u. Phone
Lot Area Subyiivision/Park Lot Block #
Location —4
I f A j*licanhof AuthoCyed Agent
Type Cr tl II;C' Size V— Depth U Casing Depth SO
Grout ri co AL, $W Yield 8� G PT Level
Contractor/Driller _ w oS Telephone
Distances Must Conform To Site Sketch -- No Scale
Local/State Codes. Most
Common Examples Are: 1
1. Water Tight Sewer Line ..... 50'
2. Ground Absorption
Sewage System .......... 100,
3. Building Foundations ....... '
L� F
�n
Tax Book #
Tax Map #
Tax Parcel #
Grid #
This permit does not relieve
the welUsepdc contractor
from complying with all
Gaston County and/or North
Carolina Laws, Rules,
Regulations and Ordinances.
WATER SUPPLY INFORMATION:
v (=
SAL
Well location, installation and protection must meet state and local regulations, and must be inspected and approved by a
representative of the Gaston County. Health Department before any poliion of the installation is put into use.
The siting of the well by the Health Department staff is to provide protection from known possible sources of contamina.
tion. No quantity and/or quality of water is guaranteed at any site by the Health Department.
After the well is in service, contact the Gaston County Environ Heath Sectio 5200) for a bacteriological water
sample. j n
Date Issued /--6.3 E.H.S. —
Date Approved E.H.S.
Fee Paid Date 6 Rece pt
Date Sample Collected Date Results
#
I.P.
#
Results
Original White: Health Dept . Green: Inspection Dept Gold: Applicant Copy

WELidC-(?N".1RtjCIICy E�C'
North Carolina - Department of Environment and
Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME11 (print)�T7Fd iZ i�ig f C! i 11�f ✓Z� CERTIFICATIN #O00 13
✓✓v
WELL CONTRACTOR COMPANY NAME I t IeCC, I I �® rat -6 ll.'C _= PHONE # 01'�yA .5' i
STATE WELL CONSTRUCTION -PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential ❑ Municipal/Public ❑ Industrial Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use
2. WELL LOCATION:
Topographic/Land setting
Nearest Town: ci Coun""r
❑Ridge ❑Slope ❑Valley ❑Flat
'Subdivision,
(check appropriate box)
(Street Name, Numbers, Community, No., Zip Code)
Latitude/longitude of well location
11Lot
3. OWNER: '4Me✓"Ie'01411 f*f'�lU
(degrees/minutes/seconds)
Address : ti �M ,cs>yo _j9f
Latitude/longitude source: ❑GPS❑Topographicmap
or Route
�! Re No.)
(check box)
����Street
a {f � y�
DEPTH DRILLING LOG
City or*Towgf State Zip Code
From To Formation Description
Al
Area code- Phone number '
4. DATE DRILLED D�
/0
�G • .,,
5. TOTAL DEPTH: ?G> Cl
it ;
cr �,; ., • �•,
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO
7. STATIC WATER LEVEL Below Top of Casing: ` %-5 ' FT.
(Use "+" if Above Top of Casing)
'
8. TOP OF CASING IS FT. Above Land Surface*
E
*Top of casing terminated atlor below land surface requires a
i
variance in accordance with 15A NCAC 2C .0118. jr
; i —L3
v 3
9. YIELD (gpm): , C? METH9D OF TEST
10. WATER ZONES (depth): Vy� j,�ZD
LOCATION SKEtCH " i,,,;.,;
11. DISINFECTION: Type f4 i i1iLl� t Amount
Show direction and distance in miles Lom!att1e'ast _ --
—
12. CASING: Wall Thickness
two State Roads or County 12oads. Include the road
Depth Diameter or Weight/Ft. Material
,�
numbers and common road names.
From To tSU Ft. FS 6�--
From To Ft.
From To Ft.
1�\
13. GROUT: Depth . Material Method
From— To < fz Ft. Cg�vp� ^ IY1, ►l i P
W
/ `
From To Ft.
,
14. SCREEN: Depth Diameter Slot Size Material
De
From 41ra- To Ft. in. in.
From To Ft. in, in.
15. SAND/GRAVEL PACK:
Depth Size Material
From L' To Ft.
From To Ft.
16. REMARKS:
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL.
CON CTIO ANDARDS, AND AT ACOPY OF THIS RECORD HAS
BEEN PROVIDED TO L OWNER
GNATURE OFJ!kSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001-

,. ,02/21/2003 15:48 MCCRLL BROTHERS 4 7048275075
NO.570 9012
c;tai=CT.UN SM-Ci.? UTRIV E
5trsistt-Se�■a■d
or
rxtavel�s=icesi Well.
(Csn!pbz etad to uneonsalidstad lazMatioao)
1) Caalag:
0PCM-_-nd well
(COas ted is saasol'_d.-
nted Samatioca )
St. (inte rack)
2) outer: CASK- type, 1. D i1 D 1U.%t.
so $t. (depth)
3) Ca wn-L:
1) Znasi- taming. Pt. to tt.
4) -Suter CasinC:___Q.ft. to �a tt.7M1r'r,"7
lock
C) Screen(e): type�,,,�,•
!t. to !Z.
ft. to 3t.
S 6
7Tl7*frrrf,
Sack
D) Gravel: tt, sa ft. in, $i
(Pill in ancli bla* that applies and use appropriate diagram
Lo skov proposed constrne-Unn iucldding, but mat limited 'boy
casing (oater and inaer), ■ealing XMZarU1 (e■saent, elayI t�`e
etc.), packers, acrsems, gmve1, abemieal teed livea, eta.)
Leeatiaes IHME nn: (Previously prepared maps may he submitted providad they con-
Uin infursantion required in item (g) of the application)_
I t-} q 2_ 13
a
Q0torce
PDA
nary-
m
5m_ D � -
ED* QD Z
'1°�-- �o ry c7•
C W Z2k FZv.1 )SO

Permit -void after 60 6-koothc
GASTON COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH DIVISION
991W. HUDSON BLVD.
C.A,CTONIA. NC 220e2
WELL INSTALLATION OR REPAIR PERMIT
PHONE (704) 8$3-5200= .
ii jZ ..
Permit 9385
.TO BE.FILLED IN BY APPLICANT:
Owner ortuilder ,T/%C- Date .31TIO3
Mailing Address of Applicant c VV-" 5 Phone
Lot Area Subdivision/Park —TM Lot Block #
Location r•:.-`-
�,rsiCc1,Ai:-
`TYPe c�
Grout o_
Contractor/ Driller
or AU
Size C"Depth Z Sc? F4- Casing Depth 9-0 F
c3 Sij Yield 30 o + Level j o fi
CaG i?a;o-Z Telephone
Distances -Must Confor hTo Site Sketch - No. Scale No
Local/State Codes. Most ?Focess cacr4� - r:r< �•� �'°�^-�� " S0
-Common Examples Are: s
L i
I. Water Tight Sewer Line ..... 50'
.. ;.. ef►t� 1t
2. Ground Absorption
Sewage System .......... 100'
3.. Building Foundations ....... 25' '
4°
Tax Book #
.Tax Map # id -5
Tax Parcel #
Grid #a
This permit does not relieve
the weWsepdc contractor -
f1rom complying with all
Gaston County and/or North
Carolina Laws, Rules,
Regulations and Ordinances
WATER SUPPLY INFORMATION:
Well location, installation and protection must meet state and local regulations, and :rust be inspected and approved by a
representative of the G-1-on r a. u__11L n__�
p._ _..._ ..,.o„ County Hlea�Lh Department before any portion of the installation is put into use.
The siting of the well by the Health Department staff is to provide protection from known possible sources of contamina-
tion. No quantity and/or quality of water is guaranteed at any site by the Health Department.
After the well is in service, contact the Gaston County Environmental Heath Section (853-5200) for a bacteriological water
sample.
Date Issued 43 E.H.S. :-, C-i'M4 r PIS
Date Approved E.H.S.
Fee Paid Date Receipt # I.P. #
Date Sample Collected Date of Results - Results
Original White: Health Dept. Green: Inspection Dept Gold: Applicant Copy

J
-� MAIj
WELL CONSTRUCTION RECORDj l
North Carolina - Department of Environment and Na)4ral Resources - Divisioon of W ter Quality - Groundwater Section i
WELL CONTRACTOR (INDIVIDUAL) NAME (print) is CERTIFICATION#
WELL CONTRACTOR COMPANY NAME =� PHONE #
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable)
(if applicable) ��
1. WELL USE (Check Applicable Box): Residential ❑ Municipal/Public ❑ Industrial M--Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use
2. WELL LOCATIO j Topographic/Land setting
Nearest Town: ` County t�ly ❑Ridge ❑Slope ❑Valley ❑Flat
(check appropriate box)
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code) Latitude/longitude of well location
4
5
6
7
9.
10.
11
12
OWNER:
Address
( treet or R u i je �4•)
City or Town State (� Zip Code
Area code- Phone number_
DATE DRILLED ' d
TOTAL DEPTH:O
DOES WELL REPLACE EXISTING WELL? YENO
STATIC WATER LEVEL Below Top of Casing: F
(Use "+" if Above Top o Casing)
TOP OF CASING IS FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires
variance in accordause with 1 A NCAC 2C .0118.
YIELD (gpm): ME. OD OF S
WATER ZONES (depth): �d
LOCATION SKETCH
DISINFECTION: Type Amount Show direction and distantdi •]e;
CASING: Wall Thickness two State Roads c� Coun
(degrees/minutes/seconds)
Latitude/longitude sourm0GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
the road
Depth Diameter or Wei h Ft. t nu on r d na es. _
From To Ft.
From To Ft.
From To Ft.
13. GROUT- Depth Ma rial` Method
From To Ft.
�
From To Ft.
14. SCREEN: Depth Diameter Slot Size Mate al
From To Ft, in. in. o g(!
From To Ft. in. in. 6
15. SAND/GRAVEL PACK:
Depth .. Size Material
From To Ft.
From To Ft.
16. REMARKS:41AW L,5D� /
1 DO HEREBY CERTIFY THAT THIS W LL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AN HAT A COPY S R-ECORJD HAS BEEN PROVIDED TO THE WELL O ER
",4
SIGNATUR OF PE ON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GWA REV. 07/2001

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