NCG550064_Regional Office Historical File Pre 2018

,.; ROY COOPER
Governor
rir A , Fl AEL S. REGAN
Secretary
Environmental S. JAY ZIMMERMAN
Quality Director
September 1, 2017
Mr. Harold Bagwell
4653 Dick Wilson Road
Denver,NC 28037
Subject: Compliance Evaluation Inspection
6622 Denver Heights Circle
Certificate of Coverage No.NCG550064
Lincoln County
Dear Mr. Bagwell:
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted
at the subject facility on August 31, 2017, by Ori Tuvia.
Since the last inspection, the house has been burned by fire and treatment system has not
been in use. Please notify the Morrisville Regional Office staff prior to restarting the system.
If you have any questions, please contact Ori Tuvia at(704) 235-2190, or via email at
[e-mail].
Sincerely,
Ori Tuvia, Environmental Engineer
Mooresville Regional Office
Division of Water Resources, DEQ
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115
Phone:[phone] I Fax [phone] I Customer Service:1-877-623-6748
Internet:www.ncwaterquality.org

• United States Environmental Protection Agency
EPA W Form Approved.ashington,D.C.2oaso OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 [ I 2 [ I 3 I NCG550064 111 12 I 17/08/31 117 18 i 2 i 19 i S i 20I
21 I I I I I I II III I I I I I I I I I I I I I I I I I I I I I r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
67I1.o I 70I I
I 71 i ti 72 N I 731
I 174
75IJ I I 1 I I I 1 l80
Section B:FacilityLJ Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 08:45AM 17/08/31 13/08/01
6622 Denver Heights Circle
6622 Denver Hts Cir Exit Time/Date Permit Expiration Date
Denver NC 28037 09:OOAM 17/05/31 18/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data •
H/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Harold Wayne Bagwell,4653 Dick Wilson Rd Denver NC 280378174/New Owner//
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ori A Tuvia MRO WQ//704-663-1699/
/ I / I f
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W. Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. /�
Deli•
__ Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG550064 111 121 17/06/31 117 18 L
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
1,
, Page# 2

Permit: NCG550064 Owner-Facility: 6622 Denver Heights Circle
Inspection Date: 08/31/2017 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ 0 0
application?
Is the facility as described in the permit? ❑ ❑ IN 0
#Are there any special conditions for the permit? ❑ 0 III 0
Is access to the plant site restricted to the general public? 0 0 II 0
Is the inspector granted access to all areas for inspection? ❑ ❑ • ❑
Comment: Since the last inspection the house has been burned by fire, treatment system as not been
in use.
Page# 3

•
•
•.f1 Y.1 A ,r\«• • ' y�1 ,• ,•� > a t : ^ •• P. ' �t , �\. . L 11V • ` • ♦\• ' {� `1 y r #�• ' f �� } } 1 ' - it
if•
•
41 g
PO
� v {1 .••• •
• _ • r . ••'t�l ..•••_�•\x /{ �,{�.'^ �r�♦» + •w 1 .��' •1 1 • i, ` _ t P �% 1' • • •i •
}f,
4014,4i
eir
�\*_ .4 4 1 •"4 • • t•Y,/ - -. I �.rah •
••• 7, , • • + ,• t• • ..M ` .• , w• , '. L .-1\� } w ,•
•
4•x _ i _ •; ' �' a+♦,. �/. - • Ir ,• `i - . • ,ram •
.. 't , •y e' �l t,I ! . , ,L • • • •
a• •
• -O• f 4 f �t� �1 it . • e c;rr f• ..
•.3W1" . ••r •_•'• ~ /: .•�.• 4 r ,. • -i a { ` • ` • .i '4 ' 4 1 I • •f' , •I VI' i / _Vill
� lit w p
•
•
• •'~- • f*• '. /-�•.. l , t f,, , ,✓1/ •. 1•f, •#44. �(•r' / - ♦v' •Y I '' /• J�r r I� i't*� • t/I, ,1C • _ I • .• p
• •� , rT' � , •. . • • 1.•
1 'l � •, •14
• :4 R • •f T Y + •� \ r ' • ♦•,�� '�ia ,� a 1 ♦ . ••r •{ 4 ' •.. • •1^I i • /� .'�•:� `.1� '� r. r ��• . ./ ,. , ; 1` -f' .AG �•". _ :r .:� (',. Y 1• r.• ; V
•
trio 4.
•
. \ •: Y .♦ • -. �' •` 7•'r 4 •
- a' . , i .� •0' �it, ' r • ' • � r ' r ,� '• r - , i '�' ' '. /\ r . 1~ ',�• -� ti , • y
11
k.
�• • . - •.:1.0 Ilk \ !1 1 • ;114,41r1 •� l.� • 1 `*$ 4a }e • , _•^' 1• 4' + r�• :�{•1 'r „dry ' 4 , , .. • if, F r.i j' • 0 f f r.'•. ,
•
ill
1.
w, •r1 1 '•• `, 1.= • • • iiii• { 1 , t. r 0•',•. , i� lj.J+ n ' _ • r .,, (,' l•.• • ♦ . . I f • 1•
L.i •,
,♦• y"„ • .1 J:::
!} '� \r `• t• � . •1J' ; �\• • •}y'�' �. '• rP. •i •, ••
is* Ap.
• 4
• -w`'• �';• `. .+�`` • • 1- / • ♦ yi Lilib • + • y �•
•
..••
'. 'a, 1 l• ' ,�'1 C •, •.yr s
r b 1 . n.. . ,, �'y• •,, 7 - • ,, , '� 'R.�. �_•I • "{ �'� ti,, "t � '• \ :
tile' . . •w • •:- "� '• `• • • •+1\ I - •\• F t • 1 1.. . _ •T�i�s. s r_! r • '-~-11 .f r ;^ .. - ��•tr • .ti• - I r
•♦ r _ r:� ti.1. • "� r r Ir it. •w., _ . ` • , r . .a 4 r. Ara.. +i •n ;r/� y
rr
A �'�^r • w j +.1•#•!• r. •a {� ` - • • ' r i • •e• r -• • '{ r• • • •^. • _ - • , • r ? 1 'a ♦• �+ -�••
•
/f•,1, • M`� :�," �• _ -� w "S •'/, ' '1 - • •J .d- +' _ i I ••: ••,,,,�' O~ '' 'hy+. - J, • •
I • 1. • J ' �) T
' 0•4.
lAtig.
1.
•
•. r - •• ' - •, •/ •(• � •. •r, ..` 1_ ` • , , .?,ems .:• i ,.'•( F • .I�•y r �•..r. .� YFf}i��_ �f'�• Arh II,-•. Jr.'b' , '•'M. r' ••� r _ •� •�� µy
•
♦ •fir i• .Z / ` r •
)•-� ,T/.� • ♦ r \ r T^•. r, '!I'r, '. .♦, -ti V^ • ``' �.��attf i- t�y� •` ♦•..'f M' •�
•
•
•
•
oir •
• '• r y ••. • V - !f �• '.,. v 77!!" 'TM,_/ t r fiNtAt‘.
' r,• •` • 33 �' �- i ' r ` h•ir r _• r �iirf �r ri �' `y .1 • 'r� ,� o vti•�. - -�
�- / • �• �• .wl�. • / a` a , iliM•'1 _ fir . , •7. fi . ..t •.' Y• _• 't (r��`�I\ - ��. � i- • •r.
• !•.' + / • .'� .w' 1`/ T , � • •1 1 -- }✓•�. �'•' r�r.•»i - :♦ A �:/ 'a' }I. j 1' y'i r1. • l�r� „v. � j��/swr s• 4.. .
�•♦ • ` .�,./ ^ .» r ,r -iW+ �,..- •. � t d �•, •••� J',rTe'� • • SY ' fIr " ]�t^' b •i f •" '. .`!>`. . _-.L _• __ . s • w .i '/ '. -»+k r / { ' • .L. •.'i It I • `•,1 •
v__ L '•,y�.� ` ,
•
lie•(1.!'?A - - {! ,,`iT' y • r' .► I' . )� ,•: .1 /{' Ir _ , _ram +
r -T� _ • { , ••a ' •lI• 'h L'. 1. •4{•.`` I , v '� !. ryl,' P.-' ,'p�. , •'r !ram •v _�•�4••7 ..•w: `r
•
fl r;• IA • - • - -•p ..t+y� -,i• i; ` ,.j";•t 4 a •.r � ' ^'r •
„IF 11.1 IN ,
• --" V' �. � d -.1->. "^� CT'�•�!•� -- ��r !•"�- .�r.�7r.a..' j . - ' w "'t:. _ n r y .1" L '�K i'r e ' -4'1-- 4
•?-,�•. _ _ �'• %1, • '`• - �.. / '•r--`- �`a .�, '' (. �V L' f ~ J -ram , , ' .,, r��V ul
'E ' • ..../. - ` 4
�� , , •f _ A..: .� / 7.. ;-'ice'_ _ t \;.
•
•
11
. , .
{
. t •
' 4 - 4 4/ %III . t 401 7 1. 4,
- e., „
•
I , 1•
1
•
- "1 r r. 1' � _' -.,9.. ,,1 1 . L7r r'N t •'l :111•I'LliEfirj
• 1 ", 1y ��r • • le 'fyy.1M mil- t }� _ r - w4w..r }' ;J♦ ; .` 1 JF . I4')"
I Pr
ril
AR
IT
' 41, .4 .
...Nt
.00.,
......., ,
t i.. •� , . ' .j_- r - '�� 't11S .J E t ' - ` 3 �y r -i .f ',h'� l
"`1 L. •a,• '/'41 •-I �. i` i_ , •)' i? ir
I' 1 r r• `-� . A ' i -r , + rJIt� r - = ;• ; •w._ . 1. . _.� _ - _•
•
•♦� '�' , '�, ..i: .r e • a• I • / ilt r_ �' •l.. • 1 • t•I�{�ra.- � , `_ I a' ' l ' a-� • ? m i 1 ' .��•17gI . a f �,�_ � {tl rii' ' ,• •}ti�� T414`~'Si Y'r '-•,/t� .•_ I . •/! t r~ *r�• 1 '{y1 �l , t ,�� 'e-(, Yjy�}•.� ' - f • ✓I'4T"• / r. - • l� ' - .~ - , 1 1 r '1'•A-�' k. ao N44
I 171. .. . r 1 p, r =i r•>: ''. , �+ . / ,� } ]`• • • r ,yyi + 0_+`,, n d-0, .?I A Y • i -. r O II 4 / •; �oN a • t ' R} /e.
_.. w • .At •} ♦• .' �. 1 ,• '• • • •: .•�''.. w • _ r �, I �, fIpi l' .. , � `I _ ` N ' fr r40 rR'4. ♦ j , .`;�• „ - - r "i 1 •. _ r � ` { { •'• S'i .1 .•.b _ •1 ' p� �;. r l - p Y 1 /1�`• ra • ` •
• �• '� • • t - j11 T� - I 1 _ 1i,f� �.r. ., -i r .--e p .•` '1' ,. Jkl - r '•'•� - . 11 ? T b -7
s •\. �r/' 'r . r 5 E: ,itr ^ S.�__/y ♦ .y' ;; I `.a d r •'� �• Ldik •r1J {J . •
w .I.
T! J*- - .1 _ i ,�- • r �_. • •�' '�►
•
4.
G 1t��h3•� 1�. S 1 �r. y; y� ; ♦ L a: _ ay 7 • xa .t 0+' '�4,6 i �yy ..�44 tii'.' •
.•✓.• yt • •` 4 /� •+ 'A4�i`• ir {• + .. M !! ,�• ,� ► Y J� d,q 1 + / '}1
y 7.*[ , •�(•� • t "�' `�Rrl� 'p 'y J t-" .•'.j'•J!u '.i r\ �,r - - '•� >7 / I ,I ♦/I •, •
\ ,
1, t - .' •. '�•� •
a , ` y S .. - ! y _r4 A • 1 { 1 N t .s+�.
J • • +w P^ �' h 1 ..... P '• •S o L • - .�� f•� '{ , �/: , +T>' �r' t�. erl.i�1�.. - i •�' fi //'I. '5 `
• L i 4 `` r► �t 1 w � ` .r►�.s�•�'+� •,_..�-"' � . r• Y.41( ..4.•' J'r• f `J �� j. '1�' a J •
•••:` - ♦ �� ��P t<� ; j V•
♦ • '•�t• r ]�►• • .p _` J i .' 1•!t 4.+•yt•,. { - K• �� �. -•'r t'► • V /_• 7 �1 �.: i • ,:. b� '
I ,s., •. �• /.� ''w." • .� ^--�' ,' r '' ) :M +••) 'r' \ .""'M / A »Y-. ~V `f:' ,,•. �}. f.• }jCr*h v. • � �a __ r: :it y,46-,• t r ;w: _ '1 3
•
.y,��` T •/.a•` ..�'fir .. •- .. d •�\ _ J •
_ `rt44 7�w - - it • 1
•
.. . -.t y . • '' ,w R ,: 1 •. ♦ • . .'•' f• 1 y �ti • _ k yr -'./� , •M• 1.
•r. • r • /v`-,�„ +!- - "7717+ ^1th ••ti..ly ,T. • •f ;•1.,r •1 14 ilk �.(. J� . - ♦ .1_� �5 •, \•. � 0 ` �' J / * r ram ' f • 11.�" Y. ♦ w_ •� � '1 w .� .. 1 - i . p,
•
ir"•_ ya•/V e° r:`r•♦ ♦ T• r. ' _ �.,r �/ 1 7t w ♦�:. .\. r'~ 1 I '►'•t `C i : rY v ti.
ilk'
1 • .� „•••1. r -Z, i _ A 7 - _ aw •
fi 1• - T`" • r- yf� T' Its • , !�`.n�.•+�.• • _ '1'••",,,-.*
� I�•T. •. s .` �'` ,` ,i.it I {
.. r• •.1 - •i. •.I' J,� •� �/+ ° �y r if �� T � - ,J},� :''� .ti•. ..‘-'At , '• ;r. � 1.- } r7- -,�{, ., ,• ,? 7i q ..aS L y . 1 .;►E. •� },
f •I' •P'. s ► •:.' •" s ?, - 0 I'~+� `'• .• _ •/• / 1 alr ' - 1i w �+w ,r- - r _ '•_'♦1•. .,r,r. _ '•. .1/ N .
ff..♦ ,- t •� t- }- ' % ` 1r•1••• �' :•:;,4- - • J ` I w. _ ,'7•:,. 4 '•'.w. a • ,� • _yS��,. u. •`• 'r..• ilk l �� , -' • ♦ / �, !•
t - .. ♦•..--N i •�- •-/r► '.„,-• t. •f r. .• • - �• ,t t� .. ` •�r T. . . / '
.,•rr_ i t•', i;,:� _ ., I P :t,• - t/ - ' 7 •..•y, ry, • -r �- �.o ..r. �L •. •
_�_ �` • �•^ 1�� .`- C.; w ^•�r�� 1 ''• .� i. ey// ••r '�� it. _ �t� . a lr - ."-`' - -r --r . • '1:r, r n' ,
•. • .a/`• _ �. , M� .1 T 1 ✓ i_T AS,w�••. I • '-f C•A / _� w h� \ -i re �'JI•,._7i_ r I t-i.1 ' r 4^ r` .•'' 'Or% •,y 1• 2' i 1•�,y�� 4 y •r '(h ,; y •. 'G
.lr�,•-�- ��_����� -'`mow ,bJ .. . _ �• ..ti :L' f �.... AI �' '� -• rQ. '�.�• -.• -•'r V3L/ s 1 't• _sue __. 1. "N-'
• .•./ si• 'i/r _ lira �. _. .. .><' �� ♦ .� • :: .- Jr'' .0. /,J > f z a' ,t �i . J r • •` ,�. �- ,t, J__1<1<P'•• 1 •`r +li• /. ; r
- . yr r� t /' rr, rT -` f� ��yyJ y 1 w�ri S 1= i t _ - ' � •y� 4.• I •• •�/r••••w•'' \R R•• , ', •e 11.• .•- tgi + • 4 :.2.tr�� • • J •� y • \
•, _ _ ..�: 1•i►Jv4y/J�.•{ ) • -I 'R'_ - . a r '' 'J', � , .i- •J 1�' A • . -`' r•' „?.�� • f, y - '). . ..• • ., w i �I
•
,,i. •M- • a- l�r-jy� . .. - .y •
A t .)r 1 4 1�is t f
" ••}},war.-. 1 a r "_ -•- - Ait. ,,.... • ♦ ',�S • ti 1 t 'ti• / •l ) e w...'.' rr
.:41tC.
• 04
w -! , - / w J • _f,� Y ,« ` ,.{:�Ir -' .fl,�•"w'w f,� �:•,� 'r)gr=�, :.�y'•T .�.• •♦t:��_^ •J- li ♦ r • • •+
•
1'1
•
♦'P M '-•jr'1..'n•� t-i- rer_►_ ,... • �y�,��/y�/.. .{ •. 7• SW •/'•. •• �•I .r�• • n• 1 \ �, •' f1{.,ei` '- ♦ -..�. - k r X .►t>� ., S•« '> ��� •� y�
r +J~�e. •. �•.• - - - .. "• .. •f r•a Y - T ♦ •� 1'- •� . 'ali�- 4 •-"'► • ;Ira°I ./. �..•. +1•♦ i ,h �` H • �` .<.-• 'I
\. a"" ,_ I .. Y . �§ •�' •�: !'• �r -f SR ..•w '1''.1' '7• v n sr
t4' 7 •` . 'L -y j► '• y'- _ . '}/� -•
r ..- •�•, T r •rZ • ' - +-'�S•'•` ., • `• •=r• . I J •� }' ti- • a { •+ .� / r - / • �. , �•� v. p/' • Y. .• + .{'�••�r�wm•Y 11t'*♦•,` •. •� • �q.i'-.• " 1 •Jrti',
�•. •�• )•• ,♦ • y 1 �T +,Ji .. . •
_ J �k ��i' <!-r•�. , •••:,w./.'r :, !fir +r •»7•�• .� .� + �•+.' y •' � ••` j�',• i \ ��ll , ` iI. '{�• '�' ,•, •K•.T I� �,� .- _ V► 'J`+'. Jio'
- . •/' ! --+y'. F' �' '11•. ♦• i ,.• • p 't ga
T / • k!ti _ .Y .♦. -~- 7' fa" .1�� . 1 J _ • Z..
1. i Ip/ .. /' :.0`f��- r��y4 t �� •� • i` . - ,'1' �.r � - .a. _ - •� - . ...,,_ _l" , '.aO_ 'f:` Ar_
' dr .• {~ f I. d' I• 1i Y T♦t• fl• +�� 7 • �_ • .i• • �. ♦•R"' � '•�+ �• • ' i •'•.: {. •a. -, r. .• ./•�.} t • .1.► _ . :. •'_�� .. • Tm
ire
_ . , III
•._[.' + �• v • a1•��yy •
.� j `' ..q ,y . yr + •�T •r� _lll•L•I�•••". t)F •-•
•r • •
1 .i%'- ,�t _. a•o?`,.
C.
41111:
-,/R' w y �l' i J . • t ,y�` • C� i.�s • bI .�; \ . . _ . •-4r . -� v ♦• -' •�_ ,1 14
.._•... • _ • #'v
Y� J_•, •� 1 pp7 1 C14.41114
-f `�4 iyCe`T" +A.-/ ♦ �� ^if ..r '[ •+• ycAy N. 1,ht��~��+wi`-.<rA •� r- y 5 ii,
^'i � . e •.* , 4-Y1r.,; ./' • r }���Y • �• f'lf jam, 1 ^r��•a� { �.i r �,1 + ` • r / i r' < r,'f �} 1'• '. ��••��IIT oa •� \ •.••'J�• •' _,tA �..
ii%sitedi
_ .,,,,•.•' r r ; � .�J AlaWr.e‘
1�•4r'-♦'ff �f+•I�M� '.tit- a" *q•.R}-n•sA� L :il 1b >�� •7•Y' a- ; 4 e_. •w ♦ ' •; '�~ .. • a1�•[ _^. �'> � R`~M1' 1 '.' �.-� r s+ �~ • y �, *` �r rf' ' -� ' 1 , uv •
,1' �`�I �! ff -• ` � • .•16Y • 1V .• , rty • - - ,}� 1�. 1r �' _ r w r , A ♦ r �JJ ; .>•tx- -xr .�-��t �ai �/3 Al +'SK: ` 1 • -�. • i. y, • 'r"'\ � tI �sy i �.�-.. • • Jl ^ ••l► o `
* _ ► �" w �• • e Sw S' f= .E '� •i �. .i i/. .•Y: �` •• - •HI` '1'n• "�RFM..1I J •J -• r i• '�.{ ♦�• _#•_ is: �: ! r _ r '� � �•� �!� _T v A. -�y, ♦4� 3 .F
�,./� •� _J' '_�•�l •, / .� ;p f. •.•y 4:�iv • t. .. • �.�• _.._ • - •. - Irl� •.� r '`1� rr ' , • . R. ♦ ` :,1.. ... ,4_e. . ,y H 1•�. !'f
..r 1►__ `. • C�.r► .. �- sr • �'a L a V - .L - w �1 - _ '• cv.. ,� � ' .CT° i .- i'
"' _ire ,
Alt"-'r .1 y • r =• '-. it - twit, • r \ _ ,-w 1)R,'r� _ '.ynf - r� r*si kg* `�! •" . v, ` N. ►♦ .,_ �... . .a,
•
•
.Ilr� Y I+ • ARe• • i.� •'ft i�► { 1`'•.'� r y .� .a fir^ - ,r�'Irt •Ji ' ti'•^t-,�,♦•+�� •• } r r *, r � 1.� `' ..
1:
r - ! •{• T♦ • .� ✓ ! - / • q -• w • ~�- �» ♦ . 1►i A•_ i ��« ''. 'f•1 p �• ^ ' '7, . ♦ fit• ,l,r _ -
•
J ':' •'?IC.:/ 1 LC• v, Imo' f rJ ,. a _l Y^•.� J •• ,� • * �'�, i1 •f. _ r '�, 1 '... a, •,' reP'r+r.•.r a1 `.l .0.. :�.
Yr• "'-,.r �j. v -.41420 .i -f�'R �/h' J'` '4.1,,'' • .. . •�r►� �7.." 1 - - -t l► iw'v, I • '�•`� , - j " -
f 6)11110 ;Oak 0 ` _ � ' K ' ''- le
T'•f• t - r - - - - "/•r p h ;••� fir. .. ti'�-. ...
- _ '1': � ,yyi jtilliPs + `,�"•'
`T - 411.41, � T •s• - .a.• •� �'. .•�.: -•� �" �-f R...f'G- n ,� F .♦ ,'• ti,. -h-` t. ,i v'>� _• .
0.4404004P•
•*,..„,,t)041r• /114.• " IV A.&
1.
` ! 'a • , (ill, '��•�'/� It . �• _ys,_.r ar'1' o -4 1-_fit• ' - / i5t
'.II _ • _ • -� �. ^ f -. •
b t• i 1 i r �G{/� /Vl » •17r r-• �-�• -•'a � w .- d 6•i • '

1
F , . 1
North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
September 22, 2015
Mr. Harold Bagwell, Owner
4653 Dick Wilson Road
Denver, NC 28037
Subject: Notice of Deficiency
Compliance Evaluation Inspection
NOD-2015-PC-0216
Bagwell Property
Certificate of Coverage No. NCG550064
Lincoln County
Dear Mr. Bagwell:
Please find enclosed the Compliance Evaluation Inspection for the site visit conducted on August 11,
2015 by Mr. Ori Tuvia and myself. Your cooperation during the site visit was much appreciated.
An area of concern is that annual effluent testing is not being performed as required by the permit.This
testing is necessary to ascertain whether or not your wastewater treatment system is functioning
properly. As discussed during the inspection,when effluent is not being generated for sampling,you
may need to schedule your effluent collection on days when significant amounts of water will be used at
the residence,such as on wash days. Please note that your prompt attention to these issues will help
avoid future compliance problems.
If you have any questions, please contact me at(704) 235-2194.
s.....?7,...
Sincerely,
G )-4---
Michael Parker, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office, DWR
Enclosures
610 East Center Avenue,Suite 301,Mooresville,NC 28115
Phone:[phone]\Internet:www.ncwaterquality.org
A.,F.,..,I n.,.....r..,H,.\ nk...,orhie n. ....,F..,nlnvcr_11Aorin in n,r+h..ror•.r-lnrl n.nor

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 E. 2 3 I NCG550064 111 12 15/08/11 117 18 I I 19 s 20I
211 l l l l l I I I I I I I I I I I l I I I l I l I I l l i l i I I I I I I l I I l l (66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -----Reserved------
67 l I 70 I3 I 71 l
I
72 1 N 1 73I I 174 751 I I 1 I I I 1
80
Section B:Facility Data ll
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 09:OOAM 15/08/11 13/08/01
6622 Denver Heights Circle
6622 Denver Hts Cir Exit Time/Date Permit Expiration Date
Denver NC 28037 09:45AM 15/08/11 18/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Harold W Bagwell///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Harold Wayne Bagwell,4653 Dick Wilson Rd Denver NC 280378174/New Owner//
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
▪ Permit II Operations&Maintenance 111 Records/Reports Self-Monitoring Program
▪ Facility Site Review • Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Michael L Parker MRO WQ//704-663-1699 Ext.2194/
On A Tuvia MRO WQ//704-663-1699/
ature of Management Q A Revie Agency/Office/Phone and Fax Numbers Date
GC,r-oz•P
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.)
31 NCG550064 111 121 15/08/11 117 18 I I
Section D:Summary of Finding/Comments(Attach additional�sheets of narrative and checklists as necessary)
The wastewater treatment facility serving the subject residence was in good operational condition at
the time of the site inspection. The septic tank has been pumped regularly and chlorine tablets used
for wastewater treatment were present in the disenfection tubes. Effluent was not observed coming
out of the discharge pipe, and there were no solids deposition at either the outlet or instream. There
was no evidence that gray water was by-passing the treatment system.
The permittee has not sampled the effluent on an annual basis as required by the permit. This was
discussed with the permittee at the time of the site visit.
•
Page# 2

Permit: NCG550064 Owner-Facility: 6622 Denver Heights Circle
Inspection Date: 08/11/2015 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 1110 ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ • ❑
Solids,pH, DO,Sludge Judge,and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ • ❑
application?
Is the facility as described in the permit? • ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ • ❑ ❑
Is access to the plant site restricted to the general public? 00110
Is the inspector granted access to all areas for inspection? • ❑ ❑ ❑
Comment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ 11 ❑
Is sample collected below all treatment units? ❑ ❑ • ❑
Is proper volume collected? ❑ ❑ • ❑
Is the tubing clean? ❑ ❑ • ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ • ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ❑ • ❑
representative)?
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? U ❑ ❑ ❑
Are the tablets the proper size and type? • ❑ ❑ ❑
Number of tubes in use?
Is the level of chlorine residual acceptable? ❑ ❑ ❑ •
Is the contact chamber free of growth,or sludge buildup? ❑ ❑ ❑ •
Is there chlorine residual prior to de-chlorination? ❑ ❑ U ❑
Comment:
Page# 3

Permit: NCG550064 Owner-Facility: 6622 Denver Heights Circle
Inspection Date: 08/11/2015 Inspection Type: Compliance Evaluation
Septic Tank Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational? ❑ ❑ • ❑
Is septic tank pumped on a schedule? ❑ ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ ❑
Are high and low water alarms operating properly? ❑ ❑ MI ❑
Comment:
Page# 4

ATA FILE
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
30 July 2015
Mr. Harold W. Bagwell
4653 Dick Wilson Road
Denver,NC 28037
Subject: Single Family Residence Wastewater
Treatment System
NPDES General Wastewater Permit
/Certificate of Coverage NCG55064
Compliance Evaluation Inspection
Dear Mr. Bagwell:
Division of Water Resources (DWR) database records show that you currently own/operate a
single family residence (SFR) wastewater treatment and disposal system at 6622 Denver Heights
Circle in Denver, NC. DWR personnel from the Mooresville Regional Office (MRO) need to
conduct a comprehensive review of your system with you in order to verify that your system is
operating properly and to determine the compliance status of the system pursuant to your
NCG550064 General Permit (GP). We anticipate such a review would take approximately one hour,
provided that all needed documentation and data is readily available at the time of the site visit.
Due to the difficulties involved with reaching owners at home during the workday, we would
like to pre-schedule this site visit with you to ensure we can meet and complete the required system
review as expeditiously as possible. Such being the case, please be advised that a site visit has been
tentatively scheduled for August 1 ith at 9:00 am. If this date/time are not convenient for your, please
contact this Office at the phone number listed below within 48 hours of receipt of this letter so that an
alternate date and/or time can be established.
Also, in the interest of conducting the most efficient evaluation possible, we ask that you
have certain items of documentation on hand at the time of the site visit. These items include the
following:
1. General Permit/Certificate of Coverage: Issued by DWR, you would have received this
via regular U.S. Postal Service mail.
2. A Schematic of the Treatment/Disposal System: Please have available all schematics or
other technical drawings and/or design specifications that show the complete and/or
partial layout of your treatment/disposal system.
Mooresville Regional Office
610 East Center Avenue,Mooresville,NC 28115
An Equal Opportunity;Affirmative Action Employer—Made in part by recycled paper
Phone:[phone] Internet:www.ncdenr.gov

3. Documentation of Analytical Monitoring: As required in Part I(A) of the GP
NCG550000,please have available all official records of analytical monitoring conducted to
date.
4. Documentation of Septic Tank Inspections/Pumping: As required in Part I(A) of the
GP NCG550000, please have available all records of annual septic tank inspections and
septic tank pumping.
S. Chlorination/Dechlorination Tablets: Please have available the original containers in
which both the chlorination and dechlorination tablets were stored when you purchased
them.
In the last inspection conducted by this Office on January 28, 2010, staff had difficulty
locating the effluent pipe where it discharges into the receiving stream. Prior to the pending
inspection on August 11th, please verify the location of the effluent (discharge) pipe where it
empties into the stream so that the inspector can document the point of discharge.
We appreciate your time and understanding of our mission to preserve the natural resources
of our great state. If you have questions or concerns about this letter or the proposed site visit,
please contact this Office between the hours of 8AM and 4PM, Monday through Friday at 704-663-
1699.
Sincerely,
)t /
Michael L. Parker, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources,DENR

4616,1797A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 25, 2010
Mr. Harold W. Bagwell.
4653 Dick Wilson Road
Denver,NC 28037
Subject: Compliance Evaluation Inspection
Single Family Residence
6622 Denver Heights Circle
NPDES Permit No.NCG550064
Lincoln County
Dear Mr. Bagwell:
Enclosed is a copy of the Compliance Evaluation Inspection(CEI) for the inspection conducted at the
subject facility on January 28, 2010, by Ms. Barbara Sifford with this Office, and again on February 3,2010
with the assistance of Mr. Duane Crawley of the Lincoln County Health Department. Thank you for your
assistance and cooperation during these inspections.
Your immediate correction of eliminating the direct discharge of the washing machine and placing that
discharge into the septic tank line leaving the residence was appreciated. The septic tank was located by the
county but we were unable to locate the chlorinator box or the discharge line to the stream. Water was observed
leaching from the stream bank in the location of the line but it was not located. Repairs to the system to restore
the lines and disinfect the discharge need to be made as soon as possible weather permitting.
Analytical data for compliance monitoring for the treatment system has not been evaluated since there is
no discharge from the system. The tank has not been pumped at the frequency required by the permit. A
description of the system is included with this letter as to the system components that were originally installed.
The septic tank should be pumped at least every 5 years to keep from overloading the sand filter bed. After the
system has been repaired then samples need to be collected for compliance.
The chlorine tablet dispenser and chlorine tablets can be purchased from USA Blue Book on line or
McCall Brothers plumbing supply in Charlotte. A sample port needs to be made to collect a sample after
contact time with the chlorine prior to the discharge.
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 lvtooresville,NC 28115 One
Phone:[phone] Fax:[phone] Customer Service:1-877-623 6748 • NortllCarollna
Internet:www.ncwaterGuality.org �1�tr7fr�Z1l�
A.,Cnnnl(lnnndunifu l dffirmnfivn drfinn Fmrinvor—5nae Rervcledi1O%Post Consumer pacer

You can download a copy of the NCG550000 permit from our web site http://portal.ncdenr.org/web/wq.
Please submit documentation of the repairs to the system when this has been completed to complete
your inspection files.
The enclosed reports should be self-explanatory. If you have any questions, comments, or need
assistance with understanding any aspect of your permit or this report, please do not hesitate to contact me at
[phone],ext 2196.
Sincerely,
cZadat'a,S;#t
Barbara Sifford
Technical Consultant
Enclosure—Inspection report
Lab lists
Chlorine tablet information
County Sketch/Description
CC : Charles Weaver,NPDES Unit
Lincoln County Health Dept. Scott Sneed

r .
United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
_ Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding (i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 15I 31 NCG550064 111 121 10/01/13 117 181 CI 19I sI 201
Remarks
211 I I L I I I I I I I I I. I I I I I I I I I I I I I I I I I I I I I I I I I I I I L I I III 66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 OP --Reserved 67 I 1.0 169 70 111 711 I 72I N I 731 1174 751 I I .I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 09/05/07
03:30 PM 10/01/13
6622 Denver Heights Circle
Exit Time/Date Permit Expiration Date
6622 Denver Hts Cir
Denver NC 28037 04:30 PM 10/01/13 12/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Harold Wayne Bagwel1,4653 Dick Wilson Rd Denver NC 280378174/New No
Owner//
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
.Permit II Operations&Maintenance III Records/Reports $Self-Monitoring Program
III Sludge Handling Disposal II Facility Site Review . I Compliance Schedules I.EffluenUReceiving Waters
III Laboratory
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Barbara Sifford MRO WQ//704-663-1699 Ext.2196/
•
Signature of Management O A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
. Page# 1

NPDES yr/mo/day Inspection Type (cent.)
3, NCG550064 111 121
10/01/13 117 181 C I
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
A follow up visit was made with Lincoln County Health Department staff Duane Crawley to determine the
type of system that was installed at the residence. After this investigation it is undetermined where the
actual sand filter trench is located and where the discharge pipe is located at. The description of the
proposed treatment works is included with this inspection for your records. The current owner needs to
locate or reinstall the missing chlorination chamber and discharge pipe. A sketch from the Health Dept
office in the original owner name may be helpful in locating the original installation.
•
•
•
Page# 2

Permit: NCG550064 Owner-Facility: 6622 Denver Heights Circle
Inspection Date: 01/13/2010 Inspection Type: Compliance Evaluation
Yes No NA NE
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? ■
nnn
n ■ nn
Is the facility as described in the permit?
n ■ nn
#Are there any special conditions for the permit?
n ■ nn
Is access to the plant site restricted to the general public?
■ nnn
Is the inspector granted access to all areas for inspection?
Comment: This site was issued a SFR discharge permit in 1976 to Mr. Chuck Powell
under permit NC0033596. Current Certificate of coverage is NCG550064.
Yes No NA NE
Operations& Maintenance
nn ■ n
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH,DO,Sludge ❑ 0 ■ 0
Judge,and other that are applicable? •
Comment: The system is located in the left side yard of the property. With the
assistance of Lincoln County Health Department the tank was located and the likely
location of the sand filter was determined by probing the back yard. The discharge pipe
however can not be located in the stream bank nor the chlorinator box as described in
•
the original permit. With the assistance of Duane from Lincoln Co. a site sketch of the
system was found in their files. Dwq only has a written description.
Yes No NA NE
Compliance Schedules
■ nnn
Is there a compliance schedule for this facility?
,Is the facility compliant with the permit and conditions for the review period?
n ■ nn
Comment: The discharge line and chlorinator box needs to be installed. The pipe with
only the washing machine water has been eliminated and put in the septic tank, when
the ground dries out it may be easier to locate the original pipe from the sand bed.
Page# 3

Page 1of2
PAAPOUEST SWARGISKI
K.
,„.
Trip to 6622 Denver Heights Cur °•_�
Denver, NC 28037-6469 k
21.75 miles -about 36 minutes •
;t
Notes •
Bagwell SFR discharge
NCG550064
ONLINE SALE
SAVE UP TO 50°,%
00(
41 610 E Center Ave, Mooresville, NC 28115-2578
1. Start out going WEST on E CENTER AVE toward E
STATESVILLE AVE. go 0.6 mi
f1,'° E 2. Turn LEFT onto S MAIN ST/ NC-152/LANDIS HWY. go 0.0 mi
�"►- 1g 3. Turn RIGHT onto NC-152/W MCLELLAND AVE. go 1.0 mi
5,' 111, 4.Turn SLIGHT LEFT onto NC-150. go 14.5 mi
5. Turn LEFT onto S NC 16 HY/NC-16. Continue to
t+s W follow NC-16. go 1.8 mi
6. Turn RIGHT onto MUNDY RD. go 1.1 mi
•
7. Turn LEFT onto BETH HAVEN CHURCH RD. go 2.0 mi
8. Turn LEFT onto KIDVILLE RD. go 0.4 mi
9. Turn RIGHT onto DENVER HEIGHTS CIR. go 0.3 mi
http://www.mapquest.com/print 1/7/2010

Page 2 of 2
10. 6622 DENVER HEIGHTS CIR is on the RIGHT. go 0.0 mi
40 6622 Denver Heights Cir, Denver, NC 28037-6469
Total Travel Estimate : 21.75 miles -about 36 minutes
Route Map Hide
MAPQ JEST, 16
�..0 u, 1 00 ft
Dr
a�-
.� •
r �
Mayhew (
Fairview Rd
JY` t., fP
Mount Mourne
r
t n
lPLEj,L_
We5TP.art
©2009 MapQuest Inc_ Go+f C'uc Map Data (0 2009 N AV TE Q of AND
All rights reserved..,Use subject..._License/copyright I Map Legend
Directions and maps are informational only.We make no warranties on the accuracy of their content,road conditions or route usability or
expeditiousness.You assume all risk of use.MapQuest and its suppliers shall not be liable to you for any loss or delay resulting from
your use of MapQuest.Your use of MapQuest means you agree to our Terms ofUse
http://www.mapquest.com/print 1/7/2010

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue, Governor Coleen H. Sullins,Director 4 Y Dee Fremartr Secret
May 7, 2009 M A'
Harold Wayne Bagwell
4653 Dick Wilson Rd
Denver, NC 28037-8174
67R r ..O
,,l, gj-Jr Subject: Renewal of coveraDMirhrttPBr'iiiit' fL'Pi55blAdU
PYIU(R. '� 3;96622 Denver Heights Circle
Certificate of Coverage NCG550064
Lincoln County
Dear Permittee:
In accordance with your renewal application [received on May 6, 2009], the Division is renewing
Certificate of Coverage (CoC) NCG550064 to discharge under NCG550000. This CoC is issued pursuant to
the requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between
North Carolina and the US Environmental Protection agency dated October 15, 2007 [or as subsequently
amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Mooresville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Charles
Weaver of the NPDES staff[919 807-6391 or [e-mail]].
Sincerely, 1 kv I l0
tiupAoolce--
(44,1 444-4
Coleen H. Sullins
cc: Central Files
NPDE e
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 NorthCarolina
Phone: [phone]!FAX [phone]/Internet:www.ncwaterquality.org Naturally
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

•
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550064
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Harold Wayne Bagwell
is hereby authorized to discharge domestic wastewater [240 GPD] from a facility located at
,6622 Denver Heights Circle
Denver
Lincoln County
to receiving waters designated as Snyder Creek, a class C stream in subbasin 03-08-33 of the
Catawba River Basin in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective May 7, 2009.
This Certificate of Coverage shall expire on July 31, 2012.
Signed this day May 7, 2009
cef\e'eci 644,1
,7 _ 1)3(p -'gke ford411
H. Sullins, Director
// 1 Division of Water Quality
By Authority of the Environmental Management Commission

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
CERTIFIED MAIL ITEM 7002 0860 0006 5836 1967 - RETURN RECEIPT REQUESTED.
March 18, 2009 `.
Mr. Harold W. Bagwell
4653 Dick Wilson Rd
Denver,NC 28037-8174
Subject: Wastewater disposal at 6622 Denver Heights Circle
Certificate of Coverage NCG550064
Lincoln County Dtlr~
Dear Ms. Bagwell:
We are contacting you to determine the status of a wastewater disposal system on your property.
That system was previously covered under a state NPDES discharge permit.
An audit of expired/unresolved files noted that coverage for your system expired in July 1997. The
Division needs information from you to determine if coverage under NCG550000 [the General Permit for
domestic wastewater] is still necessary.
➢ If your property still has a wastewater system like the ones described in the enclosed Technical
Bulletin,you must renew the subject CoC. Complete the enclosed form and submit it to me at the
address on the form.
➢ If you have questions regarding the application or your system's components, contact Mike Parker
in the NC DENR Mooresville Regional Office at 704 663-1699. He [or other staff members] can
help you.
➢ If your property no longer discharges wastewater, contact me at the address or phone number
listed below to request rescission of the CoC.
If you have any questions, please contact me at the telephone number or e-mail address listed below.
Thanks for your attention to this matter.
Sincerely,
Charles H. Weaver,Jr.
NPDES Unit
cc: Central Files
S ie
1617 Mail Service Center,Winston-Salem,North Carolina 27699-1617 One
512 North Salisbury Street,Winston-Salem,North Carolina 27604 North Carolina
Phone: [phone]/FAX [phone]/[e-mail] Naturally
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper

( i), i ,r,7e1 rr
OWNER C�i.ie 1 I 1 Lilt-LC K• ADDRESS
OCCUPANT /i'n•e- SUBDIVISION
HOUSE ✓ MOBILE HOME BUSINESS LOT AREA LOT #
SEPTIC TANK: (SIZE j, CCq:- GALS.) PRIVY: (NUMBER )
No. Bedrooms 2 No. Bathrooms I New Date
Garbage Disposal Unit Yes — No L.-- Repaired Date
Auto. Dishwasher Yes _ No WATER SUPPLY:
Auto. Wash. Machine Yes v No Individual Public
Nitrification Field 0C sq. If well, type:
Depth of stone in lines ���`/����J j �)
r,,��1 F/�r'i Bored Drilled Dug
FHA CASE # VA CASE 5 Distance from nearest
FARMERS HOME ADM. CASE # pollution Ft.
' n �
Contractor J b��/ 1-/Ct,ur �- �Po { r�; J REMARKS: 1�:�>' 1,/7ci' jcr•, '�. -
Address ri 'r.r,p•
PERMIT # NFi DATE l ��.,�/' if;,i°",�: /: ) /c f)e,
APPROVED: YES NO C/(; :4 r'/c 04, c•,, 7,�/1,'; j +"•J �� )
APPROVED.BY: ().il -� r /f/A. ( _) 1. .lie- L/, • y/ 1 /•!'
c;- `� ��,
SanittFrm ationlo9 REV. 2/75 SEWAGE DISPOSAL RECORD (h,. ,- c
•
111111111111111111111
•

NOTE: Make sketch of installation showing location of house, septic tanks, privies, water supplies on
adjacent property, etc. Write in measurements in order that installations may be located at
later date. 0 Ve Fi C
F rli. �� ;,c,
3c r (( \//
',I�r�tL r- /I'rLl " f
1111• ■■iiiiiiiliui iliiii111 ■■,11211Qii 1111 I1ilii11■1111 lilliiiiii■ u
ullill
:iiiii":i'u iiiu"iiiiiiiiiiiiiii:: IC`uu:::: il :iui:EEiii 9■iimiiiuii u
■■■!■!:C■■:■■!■■■■mmommummmommomm ammomm 9�1::::::::: : :::u.■C::: :m•mm :::uC::::......::::
i ....u::::iiiiu..0 R.UIU. :::U•g•mS■■■■■!■■■■■■■■1p:j■■9!.■■■■■■!■ __.■g
: ! e4 !■■■■!! ■1�p.■.U■■..!.A.■■. ■lin
!
/■■N■■■■■ ■! ■ ■■ ■■i■■■■■ ■ !1
■■!■■ ■■■�■U!!!■■■■ ■■ ■■..■:f■■ /�m� " -- ■■■■■■ ■■■
■■■■■■■!■ !■_■■ !■■..imi saG. . ::::lilllliii11111nii �iii uliiu1i
■■■■■■■■■■■■! ■■■o!!■■ �a�t +air ■
■!!!!■■■■■■!m ■■■■.m■_■■ r:.i■■■mumm■■■■■!■ ■!■■■■■!■■■■■■■ ■ ■■■■■ ■i
m■ ■.:::.■ i:■:■:I::■il :mil:::■ :: :1i::::■ :! ■■■ !!!!■!■■ ■• ■
■'I GI : :CC :■■!!_■■!■■!!■ i■■■■■■
111Il1111111111 Iii1111111 1 :f'1111111111:11I11111I1.1111111111111111 111111
• ■■■!.■■ !: ■■■■!■■i�!I■■■!! ■■■!■. ■■ ■■■■■■■■■■■■!! ! ■! ■■!!■!■■!! !•
i:::::u:■::i:■:: :■••• comma ..v1!iiiiUUe_■■■i■■■■!■!■!■■■! ! ■C■ ■r m ■
■■■■■■■_ !■■!!■■i:::u;ii ;l�i�;�!!�! ;lilll lNIM lilu■I!.!1iu l II
■■ dIi1mfhliu. mfufhh1.1.1hhhhhIhhdfhIhIhIlhINi1 1111
ii illil lit ullullull li i 1
u ■■■ ■■■ ■■■■J■ �H1 ■■■■�■ Mr
JIM ■■■■■ll lu■■llal! :siu■I■■a■■■ip■■:...I■I.1■ 'humI III
luillui mum
■liiii'liiiii '■ iii ■�liillliii■lulili MMOIi!
■!■■■!■! ■■M :■■■! ■■ ■ !!!■■ ■■■!!■■!■■■■■! ■■■■ ■■ ■
.!!!■!■!.
■ ■■. 1 �=1, - ; lel' i•14& •j-Effeiir. _ 1,1?( h:I ER' .
; i I 2 yt" br- ; � , '

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding(i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 II 31 NCG550064 111 121 10/01/13 117 181 CI 191 SI 20III
Remarks
21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA — Reserved
671 1.0 169 7011
711 I 72I NI 731 1174 761 I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
W POT name and NPDES permit Numbe
03:30 PM 10/01/13 09/05/07
6622 Denver Heights Circle
6622 Denver Hts Cir Exit Time/Date Permit Expiration Date
Denver NC 28037 04:30 PM 10/01/13 12/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible Official/Title/Phone and Fax Number
Harold Wayne Bagwe11,4653 Dick Wilson Rd Denver NC 280378174/New Contacted
Owner// No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Ill Permit •Operations&Maintenance II Records/Reports I.Self-Monitoring Program
■Sludge Handling Disposal •Facility Site Review
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Barbara Sifford MRO WQ//704-663-1699 Ext.2196/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

Permit: NCG550064 Owner-Facility: 6622 Denver Heights Circle
Inspection Date: 01/13/2010 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? ■ n n n
Is the facility as described in the permit? 0 • 0 0
#Are there any special conditions for the permit? 0 • 0 0
Is access to the plant site restricted to the general public? n ■ n n
Is the inspector granted access to all areas for inspection? ■ n n n
Comment: This site was issued a SFR discharge permit in 1976 to Mr. Chuck Powell
under permit NC0033596. Current Certificate of coverage is NCG550064.
Operations&Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? n n ■ Q
Does the facility analyze process control parameters,for ex: MLSS, MCRT,Settleable Solids, pH, DO,Sludge 0 ■ 0 0
Judge,and other that are applicable?
Comment: The system is located in the left side yard of the property. With the
assistance of Lincoln County Health Department the tank was located and the likely
location of the sand filter was determined by probing the back yard. The discharge pipe
however can not be located in the stream bank nor the chlorinator box as described in
the original permit. •
Page# 3

Map with Parcel Information Page 1 of 1
,,0,,,' `f.,, Lincoln County, NC
Office of the Tax Administrator, GIS Mapping Division
�yy� ) Lincoln County and its mapping contractors assume no legal responsibility for
.& / the information contained on this map. This map is not to be used for land j s 7J"
b
'�.. y conveyance.The map is based on NC State Plane Coordinate System 1983 NAD.
,4,.!°` Date: 6/20/2008 Scale: 1 Inch = 96 Feet
33480
0390 L
�~ 29858 /
'zI4 _ 30198
32622 ��
04.
RHF• IcHp,
32678 ...�yl /
30449
ij.,
I 01608
71171
32001
31679 •
°
•
Luuwoln County cis \-'----------_
PHOTOS PARCEL INFORMATION FOR 3684-83-3123
f- q- 1 ..,,,,,I,., ,, Parcel ID 30449 Owner BAGWELL HAROLD W
3684-00 Mailing 4653 DICK WILSON RD
' is j� ; ' • • Account 17701 Address DENVER NC 28037-8174
) kvi,t .ov, }. x y Deed 1329-703 Recorded 3/22/2002 Sale Price $30,000
� - � Land Value $16,150 Total Value $34,586 Previous Parcel
' gip. ! All values are for tax year 2008.
Subdivision Lot 17 DENVER HEIGHTS Plat E-16
0 WI, Description DENVER HGTS#17 1639 Deed Acres 0
1 '"*" j , wn'= Address 6622 DENVER HEIGHTS CIR Tax Acres 0.46
Y , Township CATAWBA SPRINGS Tax/Fire District DENVER
- Main Improvement MANUFACTURED HOME Value $18,436
.—. Main Sq Feet 1440 Stories 1 Year Built 1973
der'_. _
' Zoning Calculated Voting Precinct Calculated Acres
304491 District Acres DENVER WEST(DN29) 0.46
R-T 0.46
Watershed Class East Lincoln Sewer District
Not in a watershed 0.46 Not in the sewer district 0.46
2000 Census County Tract Block
37109 070900 3010 0.46
Flood Zone Description Panel
X NO FLOOD HAZARD 3684 0.46
r-a-(6-.'
•0 v.:(,^w /1 St' r �1
http://207.4.172.206/website/lcproperty2/print.asp 6/20/2008

(Th
i
‘k,
\ . (
rOrN9)
1
14N
Q
't e
c ‘z'
,
kft
t‘ 4
4 -,4,

NPDES yr/mo/day Inspection Type
3, NCG550064 I11 12I 10/01/13 1
17
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
A follow up visit was made with Lincoln County Health Department staff Duane Crawley to determine the
type of system that was installed at the residence. After this investigation it is undetermined where the
actual sand filter trench is located and where the discharge pipe is located at. The description of the
proposed treatment works is included with this inspection for your records. The current owner needs to
locate or reinstall the missing chlorination facility.
•
Page# 2

Map of 6622 Denver Heights Cir Denver, NC by MapQuest Page 1 of I
MAP ' w _ _
,,,4i1,)tk0d
(.
` r , Excellent 0 750 - 840
,
/ ,i,f
Good 660 - 749
1 kv/,
r 0�R 7111- - " j'4 `� ta- Fair 620 - 659
,62-974.1
I ,/ Poor II 360 - 619
art.
,,.. oq ; _ 6 7��� .....,f.c_ I Don't Know
ktaiLeeel. itio- -1.61 9 4ke-- Find out INSTANTLY!I
otAtiX;44:7 . _e -_ " _
.17.&tr). p
A: E C1414' . 6469
1
h143 p�s0°,q
III
ii
tk
g>f sS f- pia• V/f e
� +ur n. dam` # '„ ... $ .* ' -T ,r- r • ,- 00i
y
to.
p '. rY' yam_ �..
A
,. .
_,
i,_,_ ,,
z.
, : . , r ... 1.1.4 ,,.... -
'",fir'i • 4.0.t.. 4Rt Aligi i'�61,1 0
_., ' ��Qgy, r
a t"" V- tit
. w
. . , : .
Nit
, , • '� 0
p;, 4. .. +r '
a imagery 02008 i-cubed
0 2008MapOuest Inc. S ., M-•..an171©2008 NAVTEQ Q TeleAdas
Directions and maps are informational only.We make no warranties on the accuracy of their content, road conditions or
route usability or expeditiousness.You assume all risk of use. MapQuest and its suppliers shall not be liable to you for
any loss or delay resulting from your use of MapQuest.Your use of MapQuest means you agree to our Terms of Use
http://www.mapquest.com/maps/6622+denver+heights+circle+denver+nc+28037/ 6/20/2008

17f7A) /g17 424?-
PP/

William G.Ross,Jr.,Secretary
Q ' North Carolina Department of Environmenti and Natural Resourcesr
Coleen H.Sullins,Directo
Dvision of Water Quality
May 22, 2008
Ms. Beverly Riccitiello
171 Denver Heights Circle
Denver, NC 28037
Subject: Single Family Residence
Wastewater Treatment System
NPDES General Wastewater Permit
Certificate of Coverage NCG550064
Compliance Evaluation Inspection
Dear Ms. Riccitiello:
Division of Water Quality (DWQ) database records show that you currently own/operate a single
family residence (SFR) wastewater treatment and disposal system. DWQ personnel from the Mooresville
Regional Office (MRO) need to conduct a comprehensive review of your system with you in order to
verify that your system is operating properly and to determine the compliance status of the system
pursuant to your NCG550064 permit. We anticipate such a review would take approximately one to two
hours,provided that all needed documentation and data is readily available at the time of the site visit.
Due to the difficulties involved with catching owners at home during the workday, we would like
to pre-schedule this site visit with you to ensure we can meet and complete the required system review as
expeditiously as possible. In order to facilitate this we ask that you contact Ms. Barbara Sifford, of our
office, at 704-663-1699, between the hours of 8AM and 4PM, Monday through Friday. Please contact
Ms. Sifford within the next 10 days to identify the best possible time for an evaluator to visit your SFR
and conduct this review with you.
Also, in the interest of conducting the most efficient evaluation possible, we ask that you have
certain items of documentation on hand at the time of the site visit. These items include the following:
1. Permit/Certificate of Coverage: Issued by DWQ, you would have received this via regular U.S.
Postal Service mail.
2. A Schematic of the Treatment/Disposal System: Please have available all schematics or other
technical drawings and/or design specifications that show the complete and/or partial layout of
your treatment/disposal system.
3. Documentation of Analytical Monitoring: Required in Part I(A) of the general NCG550000
permit, please have available all official records of analytical monitoring conducted to date.
4. Documentation of Septic Tank Inspections/Pumping: Required in Part I(A) of the general
NCG550000 permit, please have available all records of annual septic tank inspections and septic
tank pumping.
5. Chlorination/Dechlorination Tablets: Please have available the original containers in which
both the chlorination and dechlorination tablets were stored when you purchased them.
NorOne Carolina
tura/!y
North Carolina Division of Water Quality Mooresville Regional Office Surface Water Protection Phone[phone] Customer Service
Internet: h2o.enr.state.nc.us 610 East Center Avenue,Suite 301 Mooresville,NC 28115 FAX [phone]
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

We appreciate your time and understanding of our mission to preserve the natural resources of our
great state and look forward to you contacting us to schedule this site visit. If for some reason you're
unable to contact us, we will make every effort to contact you to schedule the review of your system. If
you have questions or concerns about this letter or the required review, please contact Ms. Sifford between
the hours of 8AM and 4PM, Monday through Friday at 704-663-1699. If he is not there when you call,
please leave your name and a good contact phone number and he will return your call as soon as possible.
Sincerely,
lakaa
Robert B. Krebs
Surface Water Protection Section Supervisor
Division of Water Quality
Mooresville Regional Office

Ai.A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor January 23, 2006 William G. Ross,Jr., Secretary
Alan W. Klimek, P.E., Director
Beverly J. Riccitiello
171 Denver Heights Circle
Denver, NC 28037
Subject: NPDES Permit NCG550064
Lincoln County
Dear Ms. Riccitiello <or> Current Occupant:
Our files indicate that the domestic wastewater discharge permit that was issued to
Beverly J. Riccitiello for a domestic wastewater discharge from the subject single family
residence has expired. The Surface Water Protection Section requests that you contact our staff
to work toward acquiring the necessary permitting, or if a change in property ownership has
occurred. Initially, all active sites must be properly permitted, and then adhere to the appropriate
General Permit conditions which became effective on August 1, 2002 and will expire on July 31,
2007.
Pursuant to the conditions of North Carolina General Permit NCG550000, the following
documentation is required to be maintained, and readily available for inspection for a period of at
least three (3) years:
O All operation and maintenance activities relating to the wastewater treatment system
O Analytical monitoring results for the parameters listed in Part I, Section A — "Effluent
Limitations and Monitoring Requirements — Final" to be performed annually by a North
Carolina Certified Laboratory
O Inspections of septic tank and disinfection/dechlorination apparatus (if applicable)
Thank you in advance for your cooperation. Should you have any questions concerning
this matter, please contact me at [phone].
Sincerely,
s B. Bealle III
Environmental Technician
enclosures
cc: Lincoln County Environmental Health Department
Mooresville Regional Office One
610 East Center Avenue,Suite 301,Mooresville,North Carolina 28115 NorthCarolina
Phone: [phone]/Fax:[phone]/Internet:h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper 1atura!!/

Technical Bulletin Arm
For General Permit NCG5S0000 NCDENR
NORTH CAROLINA DIVISION OF WATER QUALITY
Volume I July I,2002
Who Is Covered Under This Permit? Operation and Maintenance
This permit covers discharges of treated domestic In order to protect water quality and to ensure proper
wastewater from single family residences at flows not to operation of domestic wastewater systems,the following
exceed 1000 gallons per day. Other types of facilities measures should be taken:
discharging less than 1000 gallons per day of treated
domestic wastewater may be covered under this permit • Check the septic tank every year to see if solids
with the approval of the Division. should be removed.
• Have the septic tank pumped out every three to five
Changes in Reissued General Permit years. Contact a local septic service/repair company
from the yellow pages.
The previous General Permit expired July 31, 2002. The • Inspect disinfection and dechlorination equipment
permit has been reissued for an additional five years. The (if applicable) every week to confirm proper
new permit contains no significant changes from the operation.
previous version. There were changes made to the Notice • If a chlorinator is installed, replace chlorine tablets
of Intent(NOI)which is filed to gain coverage under this whenever necessary.
permit. The changes to the NOI were for clarification and
to request additional information. Tips for Maintaining Your Septic Tank
Key Permit Requirements The septic tank is usually a watertight concrete box buried
in the ground outside the house. Wastewaters from the
• Annual sampling of the effluent from the system is house, including the toilets, shower, bathtub, washing
required. The parameters to be sampled can be found machine and dishwasher flow into the tank. Heavier solid
in Part I, Section A. A North Carolina certified materials settle to the bottom and the liquid flows out of
laboratory should be contacted to perform the the tank into a soil drainfield. Both the septic tank and
analytical monitoring. A list of certified laboratories drainfield must be properly maintained for the system to
can be obtained by calling the Division. work correctly for many years. Some tips for maintaining
• All samples should be collected before the effluent your septic system are:
joins or is diluted by any other wastestream, water or
substance. (Part II,Section D:1) • Do not put too much water into the septic system.
• The permittee shall give notice to the Division of any Try to conserve water wherever possible.
planned physical alterations or additions to the • Do not add materials such as chemicals, sanitary
system that could significantly increase the quantity napkins,or other foreign objects.
of pollutants discharged or introduce new pollutants • Restrict the use of your garbage disposal.
to the discharge. These alterations include any types • Do not pour grease or cooking oils down the drain.
of residence/facility expansions. (Part II, Section • Have the solids pumped out of the septic tank every
E:3) 3-5 years.
• Submission of monitoring reports is not required. All • Keep automobiles and heavy equipment off of the
monitoring information must be retained on site for a septic tank and drain field.
period of 3 years. (Part II, Section E:1)
Chorine Tablets
Minimum Treatment System Requirements
If the treatment system has a chlorinator, it is important
System requirements for existing (previously that there is an adequate supply of chlorine tablets in the
constructed) systems are a septic tank, sand filter and chlorinator to ensure proper operation. There will usually
disinfection apparatus. System requirements for a new be a white PVC pipe sticking up from the chlorinator
(not yet constructed) system are a septic tank, primary where the tablets should be inserted. Tablets can be
and secondary(or recirculating)sand filters, disinfection obtained from most plumbing supply stores. Make sure
and post-aeration apparatus. that the tablets are certified for wastewater use. These
chlorine tablets are NOT the same type of chlorine used
for swimming pools.

Signs of Septic System Problems is pulled and it is analyzed at the laboratory. A list of
certified labs is available from the Division.
Some of the signs that your septic system may be having
problems are: 5) What If I Sell My Property?
• Sewage backing up into your toilets,tubs or sinks. The Division views changes of name or ownership as
• Slowly draining fixtures; particularly after it has a minor modification and requires the Director's
rained. approval. Name and ownership changes require you
• The smell of raw sewage accompanied by soggy soil to complete a Name/Ownership Change Form. The
over the drainfield. forms are available by contacting the NPDES
• Sewage discharging over the ground or in nearby Permitting Unit at [phone] or at our web site
ditches or woods. http://h2o.enr.state.nc.us/NPDES/.
If you see any of these signs, contact a septic repair 6) When does my permit expire and how do I renew
company from the yellow pages in your area. it?
The expiration date of the permit is on the first page
Right-of-Way of the General Permit. This General Permit expires
on June 30, 2007. Approximately 180 days prior the
Issuance of this general permit does not relieve the expiration of the General Permit, you will receive a
permittee from obtaining all necessary right-of-way or renewal notice in the mail from the Division.
easement rights to discharge wastewater on or across
another property. Contact Us
Frequently Asked Questions For additional information,please contact us at:
1) Do I need to submit the monitoring results N.C.Division of Water Quality
annually? Water Quality Section
No. The submission of monitoring reports for this NPDES Permitting Unit
permit is not required. There are no standardized 1617 Mail Service Center
Discharge Monitoring Reports (DMRs) associated Raleigh,N.C.27699-1617
with this permit. All monitoring results should be Phone: [phone]
kept on site for three years. The Division may Fax: [phone]
request these reports for review at any time. (Part II,
Section E:1) You may also contact your local Regional Office at:
2) Do I need to employ a certified wastewater Asheville: [phone]
treatment plant operator to manage and run the Mooresville: [phone]
system? Winston-Salem: [phone]
Not at this time. The Division's Operator Training Raleigh: [phone]
and Certification Unit does not currently plan to Fayetteville: [phone]
classify these types of facilities for the purposes of Washington: [phone]
needing a certified operator. The requirement was Wilmington: [phone]
left in the permit at this time with clarification, in the
event that classification was assigned in the future. The Division can be found on the World Wide Web at
(Part II,Section C:1) http://h2o.enr.state.nc.us/. Another source of information
is the DENR Customer Service Center. They may be
3) Where do I find my stream classification? reached at I-877-NC ENR 4 U (1-877-623-6748). An
The stream classification, i.e. WS-IV, C, Tr, etc. can additional source of information is the North Carolina
usually be found in the Certificate of Coverage. If Office of Waste Reduction. They have lots of specific
you are unsure of your stream classification, you can information on how to minimize pollutants at various
contact the Stormwater and General Permits Unit. types of industries. They may be reached at (919) 571-
4100.
4) Does a certified lab need to be used to analyze
samples?
Yes, a North Carolina certified lab must be used to
perform analytical monitoring. The only exception to
this rule is when measuring the value of pH. pH
values should be measured in the field because they
may change considerably between when the sample

AirA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor January 23, 2006 William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
Beverly J. Riccitiello
171 Denver Heights Circle
Denver,NC 28037
Subject: NPDES Permit NCG550064
Lincoln County
Dear Ms. Riccitiello <or> Current Occupant:
Our files indicate that the domestic wastewater discharge permit that was issued to
Beverly J. Riccitiello for a domestic wastewater discharge from the subject single family
residence has expired. The Surface Water Protection Section requests that you contact our staff
to work toward acquiring the necessary permitting, or if a change in property ownership has
occurred. Initially, all active sites must be properly permitted, and then adhere to the appropriate
General Permit conditions which became effective on August 1, 2002 and will expire on July 31,
2007.
Pursuant to the conditions of North Carolina General Permit NCG550000, the following
documentation is required to be maintained, and readily available for inspection for a period of at
least three (3) years:
O All operation and maintenance activities relating to the wastewater treatment system
O Analytical monitoring results for the parameters listed in Part I, Section A — "Effluent
Limitations and Monitoring Requirements Final" to be performed annually by a North
Carolina Certified Laboratory
O Inspections of septic tank and disinfection/dechlorination apparatus (if applicable)
Thank you in advance for your cooperation. Should you have any questions concerning
this matter, please contact me at(704) 663-1699.
Sincerely,
Ja s B. Bealle III
Environmental Technician
enclosures
cc: Lincoln County Environmental Health Department
Mooresville Regional Office
610 East Center Avenue,Suite 301,Mooresville,North Carolina 28115 il e
Phone: [phone]/Fax:[phone]/Internet:h2o.enr.state.nc.us th�'arolina
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper ,/1aturallf

NO"
NORTH CAROLINA DEPARTMENT OF
• ENVIRONMENT AND NATURAL RESOURCES
MOORESVILLE REGIONAL OFFICE•
, • •
�-RMAR .
DIVISION OF WATER QUALITY
t u June 16, 1999
?s.JAMES B.HUNT J
-_GoryERr{oR Beverly Riccitiello
� r 171 Denver Heights Circle
;; + '• Denver, North Carolina 28037
CD kf'Ir Subject: Wastewater Discharge Permit
JI ,
ta
•:.�r � n, ,, Beverly Riccitiello
11„ r 7te NPDES Permit No. NCG550000
i;` 4 I
Cert. of Coverage No.
•' NCG550064
Lincoln County,NC
,
.4 Dear Ms. Riccitiello:
Srl
Our files indicate that the subject wastewater discharge permit was issued to Ms.
Beverly Riccitiello for a wastewater discharge from the subject residence. The
• '• Mooresville Regional Office requests that you contact this Office if you do not have a
copy of the subject permit,if a change in property ownership has occurred,or if you have
any questions regarding this matter.
Pursuant to conditions of North Carolina General Permit Number NCG550000,
the following documentation must be kept and readily available for inspection for a
period of at least three years:
'
4 ► required maintenance activities relating to the wastewater treatment system
'� ' ► yearly sample analyses results for the parameters listed on the effluent
_- limitation/monitoring page of the permit
�— �,,.: ► required inspections of disinfection apparatus and septic tanks
Please do not hesitate to contact Roberto Scheller at(704) 663-1699 if you have
- any questions.
-• Sincerely,
* 40. VA.1
+ ' ";.;_._.•- 4r- D. Rex Gleason, P.E.
Water Quality Regional Supervisor
'"'" cc: Lincoln County Health Department
rls 919 NORTH MAIN STREET,MOORESVILLE,NORTH CAROLINA 28115
*- PHONE [phone] FAX [phone]
.I.,� .�. AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER-50% RECYCLED/10%POST-CONSUMER PAPER

of North Carolina
apartment of Environment,
Health and Natural Resources • •
Division of Environmental Management
.a............•............1/r
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary p 1--ill F{
A. Preston Howard, Jr., P.E., Director
a.C.SEPT. OF NATURAL
September 30, 1993 RESOURCES CONIMUNITY DEVELOP
OCT 0 6'1993
BEVERLY RICCITIELLO
RICCITIELLO RESIDENCE(BEVERLY) ,IYISION OF Et1VIROMIE TAl; IINIICEML
171 DENVER HEIGHTS CIRCLE NOHOW REM; , 1CL
DENVER NC 28037 Subject: RICCITIELLO RESIDENCE(BEVERLY)
Certificate of Coverage NCG550064
General Permit NCG550000
Formerly NPDES Permit NC0033596
Lincoln County
Dear Permittee:
The Division of Environmental Management has recently evaluated all existing individual permits for potential
coverage under general permits currently issued by the Division. 15A N.C.A.C. 2H .0127 allows the Division to
evaluate groups of permits having similar discharge activities for coverage under general permits and issue
coverage where the Division finds control of the discharges more appropriate in this manner. The Division has
determined that the subject discharge qualifies for such coverage. Therefore, the Division is hereby issuing the
subject Certificate of Coverage under the state-NPDES general permit no. NCG550000 which shall void NPDES
Permit NC0033596. This Certificate of Coverage is issued pursuant to the requirements of North Carolina and the
US Environmental Protection Agency Memorandum of Agreement dated December 6,1983 and as subsequently
amended.
If any parts,measurement frequencies or sampling requirements contained in this general permit are unacceptable to
you,you have the right to submit an individual permit application, associated processing fee and letter requesting
coverage under an individual permit. Unless such demand is made, this decision shall be final and binding. Please
take notice this Certificate of Coverage is not transferable. Part II, E.4. addresses the requirements to be followed
in case of change of ownership or control of this discharge.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division, such as the
construction of additional or replacement wastewater treatment or disposal facilities. Construction of any
wastewater treatment facilities will require issuance of an Authorization to Construct from this Division.
Failure to abide by the requirements contained in this Certificate of Coverage and respective general permit may
subject the Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C. Please note that the general permit does require
monitoring in accordance with federal law. The monitoring data is not required to be submitted to the Division
unless specifically requested,however, the permittee is required to maintain all records for a period of at least
three (3) years.
Post Office Box 29535,Raleigh,North Carolina 27626-0535 Telephone[phone] FAX[phone]
An Equal Opportunity Affirmative Action Employer 50%recycled-10%post-consumer paper

Page 2
BEVERLY RICCITIELLO
RICCITIELLO RESIDENCE(BEVERLY)
Certificate of Coverage No. NCG550064
The issuance of this Certificate of Coverage is an administrative action initiated by the Division of
Environmental Management and therefore,no fees are due at this time. In accordance with current rules,there
are no annual administrative and compliance monitoring fees for coverage under general permits. The only fee
you will be responsible for is a renewal fee at the time of renewal. The current permit expires July 31, 1997.
This coverage will remain valid through the duration of the attached general permit. The Division will be
responsible for the reissuance of the general permit and at such time,you will be notified of the procedures to
follow to continue coverage under the reissued permit. Unless you fail to follow the procedures for continued
coverage,you will continue to be permitted to discharge in accordance with the attached general permit.
The issuance of this Certificate of Coverage does not preclude the Permittee from complying with any and all
statutes,rules,regulations,or ordinances which may be required by the Division of Environmental Management
or permits required by the Division of Land Resources,the Coastal Area Management Act or any Federal or
Local other governmental permit that may be required.
If you have any questions or need additional information regarding this matter, please contact either the
Mooresville Regional Office,Water Quality Section at telephone number 704/ 663-1699,or a review engineer
in the NPDES Group in the Central Office at telephone number 919/733-5083.
S. erely,
A.Preston Howar .,P.E.
cc: Mooresville Regional Office
Central Files

V
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No.NCG550064
TO DISCHARGE TREATED DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND
SIMILIAR WASTEWATERS UNDER THE
NATIONAL POLLUNTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission,and the
Federal Water Pollution Control Act, as amended,
RICCITIELLO RESIDENCE(BEVERLY)
is hereby authorized to discharge treated domestic wastewater from a facility located at
RICCITIELLO RESIDENCE(BEVERLY)
Lincoln County
to receiving waters designated as the SNYDER CREEK/CATAWBA RIVER BASIN
in accordance with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,II,
III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective November 1, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day, September 30, 1993.
. /
C--- /
d_A.Preston Howar•,Jr.,P.E.,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

DIVISION OF�AT�4 ENVIRONMENTAL
• F. North Carolina Department of Natural MANAGEMENT
"� Robert F.Helms
s Resources &Community Development All
Director
� -1? James B. Hunt,Jr.,Governor James A.Summers,Secretary Telephone [phone]
,r February 20, 1984
..,t'cNT .16
Ms. M garet Bowel1
Route , -Box 186-17 b
Denver,, NC 28037 0 V2,
FFg L\� Subject: Permit No. NC0033596
\R Qv ^` Boswell Residence
S -C Lincoln County
Dear Ms. Boswell:
In accordance with your application for discharge permit received
December 5, 1983, we are forwarding herewith the subject State - NPDES
permit. This permit is issued pursuant to the requirements of North
Carolina General Statutes 143-215.1 and the Memorandum of Agreement
between North Carolina and the U. S. Environmental Protection Agency
dated December 6, 1983.
If any parts, requirements, or limitations contained in this permit
are unacceptable to you, you have the right to an adjudicatory hearing
before a hearing officer upon written demand to the Director within 30
days following receipt of this permit, identifying the specific issues to
be contended. Unless such demand is made, this permit shall be final and
binding.
Please take notice that this permit is not transferable. Part II, B.2.
addresses the requirements to be followed in case of change in ownership or
control of this discharge.
This permit does not affect the legal requirement to obtain other permits
which may be required by the Division of Environmental Management. If you have
any questions concerning this permit, please contact Ms. Helen S. Fowler, at
telephone number 919/733-5083.
Sincerely yours,
Original Signed By
FORREST R. WESTALL
FOR
Robert F. Helms
cc: Mr. Jim Patrick, EPA
Mooresville Regional Manager
P O.Box 27687 Raleigh,N.C.27611-7687
An Equal Opportunity Affirmative Action Employer

Permit No.. NC 00.33596
STATE OF NORTH CAROLINA 4
DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT 4/
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERM I T
To Discharge Wastewater Under the NATIONAL
POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
Mr. Larry S. Boswell
is hereby authorized to discharge wastewater from a facility located at
Boswell Residence
NCSR 1639
Lincoln County
to receiving waters designated an unnamed tributary to Killian Creek in the
Catawba River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, and III hereof.
This permit shall become effective February 20, 1984
This permit and the authorization to discharge shall expire at midnight
on January 31, 1989
Signed this day of February 20, 1984 ®riginai Signed Ey
FORREST R. WESTALL
FOR
Robert F. Helms, Director
Division of Environmental Management
By Authority of the Environmental
Management Commission
M1 & I1

• Permit No. NC0033596
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Larry S. Boswell
is hereby authorized to:
1. Continue to operate and maintain the existing wastewater treatment
plant consisting of a septic tank, nitrification lines with an
overflow sand filter and effluent disinfection facilities located
at NCSR 1639 in Lincoln County (Note Part III, condition No. C.
of this permit) , and
2. Discharge from said treatment works into an unnamed tributary to
Killian Creek which is classified Class "C" waters.

w
A. (1 ). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final
During the period beginning on the effective date of the permit and lasting until .expiration,
the permittee is authorized to discharge from outfall (s) serial number(s) 001
Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Kg/day (lbs/day) Other-Units (Specify) Measurement Sample Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency Type Location
Flow 0.001 MGD
BOD, 5Day, 20°C 30 mg/1 45 mg/1
NH33 as N
TS 30 mg/1 45 mg/1
Fecal Coliform (geometric mean) 1000/100 ml 2000/100 ml
Dissolved Oxygen (minimum) 5.0 mg/1 5.0 mg/1
z v-o v
ela ' PP
to -s
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units and o -I.
shall be monitored n/a. 0
There shall be no discharge of floating solids or visible foam in other than trace amounts. 0 • 0
,

Part I
Permit No. NC
B. SCHEDULE OF COMPLIANCE
1 . The permittee shall achieve compliance with the effluent limitations
specified for discharges in accordance with the following schedule:
2. No later than 14 calendar days following a date identified in the above
schedule of compliance, the permittee shall submit either a report of
progress or, in the case of specific actions being required by identified
dates, a written notice of compliance or noncompliance. In the latter
case, the notice shall include the cause of noncompliance, any remedial
actions taken, and the probability of meeting the next scheduled requirement.
M 4 & I 4

Part I
Permit No. NC
"Act" used herein means the Federal Water Pollution Control Act, As Amended.
"DEM" used herein means the Division of Environmental Management of the
Department of Natural Resources and Community Development.
"EMC" used herein means the North Carolina Environmental Management Commission.
C. MONITORING AND REPORTING
1 . Representative Sampling
Samples and measurements taken as required herein shall be representative
of the volume and nature of the monitored discharge.
2. Reporting
Monitoring results obtained during the previous month(s) shall be
summarized for each month and reported on a Monthly Monitoring Report
Form (DEM No. MR 1 .0, 1 .1 , and 1 .4) , postmarked no later than the
45th day following the completed reporting period.
The first report is due on . Duplicate signed copies of
these, and all other reports required herein, shall be submitted to
the following address:
Division of Environmental Management
Water Quality Section
Post Office Box 27687
Raleigh, North Carolina 27611
3. Definitions
a. The monthly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected in a one-
month period. The monthly average for fecal coliform bacteria is
the geometric mean of samples collected in a one-month period.
b. The weekly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected during a
one-week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one-week period.
c. Flow, M3/day (MGD): The flow limit expressed in this permit is the
24 hour average flow, averaged monthly. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month.
d. Arithmetic Mean: The arithmetic mean of any set of values is the
summation of the individual values divided by the number of individual
values.
M5

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

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

PART II
•
Permit No. NC
A. MANAGEMENT REQUIREMENTS
1 . Change in Discharge
All discharges authorized herein shall be consistent with the terms and
conditions of this permit. The discharge of any pollutant identified
in this permit more frequently than or at a level in excess of that
authorized shall constitute a violation of the permit. Any anticipated
facility expansions, production increases, or process modifications which
will result in new, different, or increased discharges of pollutants must
be reported by submission of a new NPDES application or, if such changes
will not violate the effluent limitations specified in this permit, by
notice to the DEM of such changes. Following such notice, the permit
may be modified to specify and limit any pollutants not previously limited.
2. Non compliance Notification
If, for any reason, the permittee does not comply with or will be unable
to comply with any effluent limitation specified in this permit, the per-
mittee shall provide the Division of Environmental Management with the
following information, in writing, within five (5) days of becoming aware
of such condition:
a. A description of the discharge and cause of noncompliance; and
b. The period of noncompliance, including exact dates and times; or,
if not corrected; the anticipated time the noncompliance is expected
to continue, and steps being taken to reduce, eliminate and prevent
recurrence of the noncomplying discharge.
3. Facilities Operation
The permittee shall at all times maintain in good working order and
operate as efficiently as possible all treatment or control facilities
or systems installed or used by the permittee to achieve compliance with
the terms and conditions of this permit.
4. Adverse Impact
The permittee shall take all reasonable steps to minimize any adverse
impact to navigable waters resulting from noncompliance with any effluent
limitations specified in this permit, including such accelerated or
additional monitoring as necessary to determine the nature and impact of
the noncomplying discharge.
5. Bypassing
Any diversion from or bypass of facilities necessary to maintain compliance
with the terms and conditions of this permit is prohibited, except (i) where
M8 & I7

PART II
Permit No. NC
unavoidable to prevent loss of life or severe property damage, or
(ii) where excessive storm drainage or runoff would damage any
facilities necessary for compliance with the effluent limitations
and prohibitions of this permit. The permittee shall promptly
notify the Water Quality Section of DEM in writing of each such
diversion or bypass.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the
course of treatment or control of wastewaters shall be disposed of in
a manner such as to prevent any pollutant from such materials from
entering waters of the State or navigable waters of the United States.
7. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. In accordance with the Schedule of Compliance contained in Part I,
provide an alternative power source sufficient to operate the waste-
water control facilities;
or, if such alternative power source is not in existence, and no date for
its implementation appears in Part I,
b. Halt, reduce or otherwise control production and/or all discharges
from wastewater control facilities upon the reduction, loss, or
failure of the primary source of power to said wastewater control
facilities.
8. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore
or offshore physical structures or facilities or the undertaking of any
work in any navigable waters.
I8

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

PART II
Permit No. NC
5. Toxic Pollutants
Notwithstanding Part II, B-4 above, if a toxic effluent standard or
prohibition (including any schedule of compliance specified in such
effluent standard or prohibition) is established under Section 307(a)
of the Act for a toxic pollutant which is present in the discharge and
such standard or prohibition is more stringent than any limitation for
such pollutant in this permit, this permit shall be revised or modified
in accordance with the toxic effluent standard or prohibition and the
permittee so notified.
6. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II, A-5)
and "Power Failures" (Part II, A-7), nothing in this permit shall be
construed to relieve the permittee from civil or criminal penalties for
noncompliance pursuant to N. C. G. S. 143-215.6 or Section 309 of the
Federal Act, 33 USC 1319.
7. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution
of any legal action or relieve the permittee from any responsibilities,
liabilities, or penalties to which the permittee is or may be subject
under N. C. G. S. 143-215.75 et seq. or Section 311 of the Federal Act,
33 USC 1321 .
8. Property Rights
The issuance of this permit does not convey any property rights in either
real or personal property, or any exclusive privileges, nor does it
authorize any injury to private property or any invasion of personal
rights, nor any infringement of Federal,State or local laws or regulations.
9. Severability
The provisions of this permit are severable, and if any provision of this
permit, or the application of any provision of this permit to any circum-
stance, is held invalid, the application of such provision to other cir-
cumstances, and the remainder of this permit shall not be affected thereby.
M 11 & I 10

PART II
Permit No NC
10. Expiration of Permit
Permittee is not authorized to discharge after the expiration date.
In order to receive authorization to discharge beyond the expiration
date, the permittee shall submit such information, forms, and fees as
are required by the agency authorized to issue permits no later than 180
days prior to the expiration date. Any discharge without a permit after
the expiration will subject the permittee to enforcement procedures as
provided in N. C. G. S. 143-215.6 and 33 USC 1251 et seq..
I 11

PART III
. Permit No. NC
B. Previous Permits
All previous State water quality permits issued to this facility,
whether for construction or operation or discharge, are hereby revoked
by issuance of this permit. The conditions, requirements, terms, and
provisions of this permit authorizing discharge under the National
Pollutant Discharge Elimination System governs discharges from this
facility.
C. Construction
No construction of wastewater treatment facilities or additions thereto
shall be begun until Final Plans and Specifications have been submitted
to the Division of Environmental Management and written approval and
Authorization to Construct has been issued. If no objections to Final
Plans and Specifications has been made by the DEM after 30 days following
receipt of the plans or issuance of this permit, whichever is latter, the
plans may be considered approved and construction authorized.
D. Certified Operator
Pursuant to Chapter 90A of North Carolina General Statutes, the permittee
shall employ a certified wastewater treatment plant operator in responsible
charge of the wastewater treatment facilities. Such operator must hold a
certification of the grade equivalent to the classification assigned to
the wastewater treatment facilities.
M15 & I12

c— �
sk
Manor
,•fit W.w'
State of North Carolina
Department of Natural Resources and Community Development
Mooresville Regional Office
James G. Martin, Governor Albert F. Hilton, Regional Manager
William W. Cobey, Jr., Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT
July 31, 1989
Ms. Beverly Riccitiello
171 Denver Heights Circle
Denver, North Carolina 28037
Subject: NPDES Permit No. NC 0033596
Riccitiello Residence
Lincoln County, NC
Dear Ms. Riccitiello:
Our records indicate that NPDES Permit No. NC 0033596 was
issued on July 17, 1989 for the discharge of wastewater to the
surface waters of the State from your facility. The purpose of
this letter is to advise yo>,' of the importance of the Permit and
the liabilities in the event of failure to comply with the terms
and conditions of the Permit. If you have not already done so,
it is suggested that you thoroughly read the Permit. Of
particular importance is Page M3 .
Page M3 sets forth the effluent limitations and monitoring
requirements for your discharge(s) . Your discharge(s) must not
exceed any of the limitations set forth. The section headed
"Monitoring Requirements" describes the measurement frequencies,
sample types and sampling locations. Upon commencement of your
discharge (or operation) , you must initiate the required
monitoring. The monitoring results must be entered on the DMR
forms furnished to you by this Agency. If you have not received /47
these forms, they should be arriving shortly. If you fail to 100M',6/c
receive the form, please contact this Office as quickly as
possible. I have enclosed a sample of the "Effluent" reporting
form (DEM Form MR-1) , plus instructions for completing the form.
It is imperative that all applicable parts be completed.
The remaining Parts of the Permit (Parts II and III) set
forth definitions, general conditions and special conditions
applicable to the operation of wastewater treatment facilities
and/or discharge( s) . The conditions include special reporting
requirements in the event of noncompliance, bypasses, treatment
unit/process failures, etc. Also addressed are requirements for
a certified wastewater treatment plant operator if you are
919 North Main Street, P.O. Box 950, Mooresville, N.C. 28115-0950•Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Ms. Beverly Riccitiello
Page Two
July 31, 1989
operating wastewater treatment facilities. Any changes in
operation of wastewater treatment facilities, quantity and type
of wastewater being treated or discharged, expansions and/or
upgrading of wastewater treatment facilities must be permitted or
approved by this Agency. Failure to comply with the terms and
conditions of an NPDES Permit subjects the Permittee to
enforcement action.
As a final note, an NPDES Permit is normally issued for a
five-year period. Permits are not automatically renewed.
Renewal requests must be submitted to this Agency no later than
180 days prior to expiration. Please make note of the expiration
date of your Permit. This date is set forth on Page M-1 or I-1
of the Permit. Also note that NPDES Permits are not
transferable. If you, as the Permittee, cease to need this
Permit, then you should request that the Permit be rescinded.
As mentioned previously, the purpose of this letter is to
advise you of the importance of your NPDES Permit. Please read
the Permit and contact this Office at 704/663-1699 in Mooresville
if you have any questions or need clarification. We look forward
to providing any assistance.
Sincerely,
D. Rex G eason, P. E.
Water Quality Regional Supervisor
Enclosure
DRG:se

Permit No. NC0033596
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
To DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215. 1,
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control. Act, as
amended,
Ms. Beverly J. Riccitiello
is hereby authorized to discharge wastewater from a facility located at
Beverly J. Riccitiello Residence
west of Kidville
on NCSR 1639
Lincoln County
to receiving waters designated as Snyder Creek in the Catawba River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, and III hereof.
This permit shall become effective
This permit and the authorization to discharge shall expire at mtdn.i$ t on
.F..S ANib
Signed this day 414
� � rV 2
_DRAFT
5 ,9Bg
17117
R. Paul Wilms, Dir.ecto.r
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0033596
SUPPLEMENT TO PERMIT COVER SHEET
Ms. Beverly J. Riccitiello
is hereby authorized to:
1. Continue to operate and maintain the existing wastewater treatment plant
consisting of a septic tank, nitrification lines with an overflow sand
filter and effluent disinfection facilities located at NCSR 1639 west of
Kidville in Lincoln County (Note Part III of this Permit), and
2. Discharge from said treatment works at the location specified on the
attached map into Snyder Creek which is classified Class "C" waters in the
Catawba River Basin.

�SI � ,%i� C�` .} (, � I�_. / � '� I _ .�1!� \�-/� ram. i'jr ``_..�`i'.
'l1) •✓/..-r��` > Chapel a .% ` '•' \_/'i / �\i1 1L1 =) I \� :v
.,`.--j)\. //:/./ r____. . .-__c.--.,.----.-_,:y_,,,- ,.
•-:g;,.., ,. \,---..\ /7",_---"A 302; .-___ _______A-. ,-- . •• _,•;:,-., \,,, ...7.;49›,,,, ' .. \ ' \ •7'7.<----, ,--:\r,--•:..-.:'-:,'7, ...:::',.;.,\,f 11 -1::__:.,-71)-:-.),:;,....\(1 1",
I' 7 ` 1 / 1 i," 1\ i l' �4~ _ Il i! �, ( ��> `�\ 1\� I,
�k ( t ` : -� y/ ,Cree •._. I %/ �l .� ;>ii � 1
_
•
\ -. - '.\\'\_ --.1:•- .11 ( %.. .-:\ \j r )
_______ ,.....„._ c•, \\ ,,7?
------
\ ��\`:'-�� .\I7kc..(.--2) ( j '%: -,t' .\,J`i (- ,,,:,,'�� , ,, _ /�\. • x83i)1,\` \�_ 7\ • \\���,J i
-\'\�� �eaoJ -- 1\ 'r ecQ \\���` / (=x 7 11 I�\� 1 i\\',: \\\L//
1 - \,----7\ ---"-'',-_-_,,-.1.. • ___, --/\, _I\V \ - lo ix , ,\ - .____- / -_,-- //\\'-/f-- 1\ \ I \
F\V 0\.‘,•.-7 ,._-___.-7 ) k ' • /I i - \ -\\ • /‘-----N .-.
' I iNg"-V -2) . .1 .,.- 2---< /: . , 5 J-,... .7‘ / "s N, ....,...._:, (7)867..-----5-7,\,...\\. . It " ? , ?,(:
P9'.13-J ,---(--- -1r*---‘ i i. e, ‘_____-_:--) i ... . . ..._. .„--._y :7, \
: ., .12:__.... ....,..._,, ___.:\ , %, ..
\ , : ! , : r
/ -,•-y , 1 i ,....„,(,-; .,... _ „:„.....„...."„\__, , ,, „
, .),fr., , , .. , , ,... , , .._ .,.., ., ,___, ,.1 k ,.._
1 (.-)i 1 ( (.--`—',1, (-,-----.. ls___S )//:\./7- 41 ,t :-- 11/4/t...-1.\ i.i. -,-----.) , ('(-_-:-- 7-'-' - 'z A s---
ta c A .s-- --'' „ , ,(L---",.."// .._\ji„ q ... i_c;;1'. ./:.(1,::''_
' / /? rit //'.mot ; N.,,
-Z/ _1" \c \
!(--\__ ., ---___.....,--e:.-.-2.---:--:-_-_,:-. \•:./\.-11.,/\ %', __... '. „ ...-.-(-:_-1:::...s.,,., .1 ., ' . I; '-::::,' ' `..\'\ i 3 ,,`,.‘, .1 \\lir
. . i ( .
\___ ) ... (0 ,/,,.' ?:1?-.-- -----7.7 j '"t7-77‘1
.. 0 ers- roves . �� J^ - 1 / 1 J{ � C) ( .-\_. --:=';) ,
�.
—. ---;\ ....i?...„,...„_____
!U.:- ' i \ .,...:::.,‘. ,4._
V I
\ _) ini---Ni ;,,. 8 . . . / __.. ,‘i ..
.- ----11/2 d—ze ------- ( ' ---',-- -11 ; ‘\\ \ t 7 /-.
-'709 L- c 7 0
. \ xi:,\.:
\*:. --'. _1\ ) .-- --_ _____
:/ 1,--J, 2 \..,:i ---. . .... -800..---) -
1/ ..1-'-k/\_.,. ,. I\,.., s:
Vi .,.\..) -,,-______,_ 7_42 I
, j 7._ --"--
\ ')- _
.-____, '''7- .:'- • ,--"2/ 2- 1, ...1-1\7St
\\\„: )\ -"A `'--- •.. _ ,..-___ %.
N - .","/ .\\ ,,,_.,._7‘-.--(\, _ --,,,, "---_--)
..,, . (s . , Thy--7--)), 0/0, ---71-
-,:„.
-7- . .,,, . \,. - . 7 a ..- 1 5---- J N z .
1--,:ir.li I ' •• ' ---=;---- --,,,./.Ma . Oglah .---,) , ..'5-- ..
(---:V-\----r--//3-N----_-j . I
/,. ---..,\ \ • „ a \ I -••• ------- /•(----) , ...-.i'.----Ni c-2*/___,..,./--. •//'• c.._....7----‘ ' /• • )
/7 0
I/'//J� /..J. ki.,, /// /7� 1. •k New H pe h 1.--)\ r\/ ,..
))-1
, \ ,. ..)//A •. % \- \/i \ .•. , ,\i: /�]\lam ..

1111111
A. (1). EFFLUENT LIMITATIONS AND M3NITORING REQUIREMENT'S Final NPDES No. NC0033596
During the period beginnhg on the effective date of the Permit and lasting until expiration, the
Permittee is authorized to Iischarge from outfall(s) serial number(s) 001. Such discharges shall be limited
and monitored by the Permitte as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Lbs/'iay Other Units (Specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency Type Location
Flow
240 GPD
BOD, 5Day, 20 Degrees C 15.0 mg/1 22.5 mg/1
Total Suspended Residue 30.0 mg/1 45.0 mg/I
NH3 as N 4. 0 mg/1 6.0 mg/1
Dissolved Oxygen (minimum) i 6.0 mg/I • 6. 0 mg/1
Fecal Coliform (geometric mean) 1000.0/100 ml 2000. 0/100 ml
Total Residual Chlorine
Temperature
The chlorinator shall be ins)ected weekly to ensure there is an ample supply of chlorine tablets for
continuous disinfection of tie effluent.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units and shall be
monitored 2/month at the effluent by grab sample.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

I
I
A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final NPDES No. NC0033596
During the period beginniehg on the effective date of the Permit and lasting until expiration, the
Permittee is authorized to discharge from outfall(s) serial number(s) 001. Such discharges shall be limited
and monitored by the Permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Lbsf1ay Other Units (Specify) Measurement Sample *Sample
Monthly Avg. ; Weekly Avg. Monthly Avg. Weekly Avg. Frequency Type Location
Flow 1 240 GPD
BOD, 5Day, 20 Degrees C 15.0 mg/1 45:0--mgfi- 2Z, sr^c. (<_-
Total Suspended Residue 30.0 mg/1 45. 0 mg/1
NH3 as N 4.0 mg/1 6.0 mg/1
Dissolved Oxygen (minimum) 6.0 mg/1 6.0 mg/1
Fecal Coliform (geometric mean) I 1000.0/100 ml 2000. 0/100 ml
Total Residual Chlorine _
Temperature
The chlorinator shall be insted weekly to ensure there is an ample supply of chlorine tab'.ets for
continuous disinfection of t'e effluent.
1
The pH shall not be less+l; than 6. 0 standard units nor greater than 9. 0 standard units and shall be
monitored 2/month at the e= uent by grab sample.
There shall be no discharge f floating solids or visible foam in other than trace amounts.
i

• • `. rAtEo'`DIV
• 4S)t\.
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Managementt' nE�-. of NATURAL
SOI'12,�ES AND
512 North Salisbury Street • Raleigh, Nord-Meat vEtoPrQ,,
James G. Martin, Governor July 17, 1989 JUL 2 7 i989 R. Paul Wilms
William W. Cobey, Jr., Secretary Director
MANAGEMpi'
Ms. Beverly Riccitiello �_�:aIL E RE1DNpl OFFICE
171 Denver Heights Circle
Denver, NC 28037
Subject: Permit No. NC0033596
Riccitiello Residence (Beverly)
Lincoln County
Dear Ms. Riccitiello:
In accordance with your application for discharge permit received on April 6,
1989, we are forwarding herewith the subject State - NPDES permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215. 1 and
the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in
this permit are unacceptable to you, you may request a waiver or modification pursuant
to Regulation 15 NCAC 2B .0508(b) by written request to the Director identifying the
specific issues to be contended. Unless such request is made within 30 days following
receipt of this permit, this permit shall be final and binding. Should your request
be denied, you will have the right to request an adjudicatory hearing.
Please take notice that this permit is not transferable. Part II, D. 3.
addresses the requirements to be followed in case of change in ownership or control of
this discharge.
This permit does not affect the legal requirements to obtain other permits
which may be required by the Division of Environmental Management or permits required
by the Division of Land Resources, Coastal Area Management Act or any other. Federal or.
Local governmental permit that may be .required.
If you have any questions concerning this permit, please contact Mr. Mack
Wiggins at telephone number 919/733-5083.
ely
ORIGINAL SIGNED$Y
DENNIS f t. RAMSEY
R. Paul Wilms
cc: Mr. Jim Patrick, EPA
lib&tis'xtille Regional`"
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Fnnul[l.,n.,rt.mita, Affi.,..I.:.,.. A,-.:.... F.....I,..,e_

Permit No. NC0033596
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
To DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215. 1,
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
Ms. Beverly J. Riccitiello
is hereby authorized to discharge wastewater from a facility located at
Beverly J. Riccitiello Residence
west of Kidville
on NCSR 1639
Lincoln County
to receiving waters designated as Snyder Creek in the Catawba River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, and III hereof.
This permit shall become effective August 1, 1989
This permit and the authorization to discharge shall expire at midnight on June 30,
1994
Signed this day July 17, 1989
ORIGINAL SIGNED BY
DENNIS R. RAMSEY
FOR
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0033596
SUPPLEMENT TO PERMIT COVER SHEET
Ms. Beverly J. Riccitiello
is hereby authorized to:
1. Continue to operate and maintain the existing wastewater treatment plant
consisting of a septic tank, nitrification lines with an overflow sand
filter located at NCSR 1639 west of Kidville in Lincoln County (Note Part
III of this Permit), and
2. Discharge from said treatment works at the location specified on the
attached map into Snyder Creek which is classified Class "C" waters in the
Catawba River Basin.

.1 i'-'_...---_-z-.„!..1.4,,„‘,:c.,_'•-•••'1. ,..:Xlk- ,,,,,, •*' .7.-..1-.4 • ° r at:5-----iv, ),----xi ---,-\::(2—\--)„ .„---)...,_:-.7--- -----.=-----.k,-,0---. f.,;--) ,___5_.„,e---),f,.._t,f\':\i,,,, ., .... ,,... _, ,,••
• ,
.• c_:,, ,......,_ , :_.:;„, . ._,..,,,,,.6,„ „ ( , i , . ,.. v.:..1 /(-.c--/N-... k. r r--- -.,-).____:-.-1._-' .,i: 11,--<, ,./t/
;...r.<((' 1--- ( .,S1.• n.' I ro°9 -1 --c-,_.___- ') / . ... ' \ )7 i , /1/ \) .11 V\ 1-7-Tht - , 4°..'... --) _ j\Ny (- ':. • ,..... 7.--.7-flf„-..., \r---_,
,\I--7.-\s_.,._.,,,i,„ ‘.. \\, .... ,,....ii, .. ..., ....... • s -• / L.7-=--- ( \ ) ft\\ \•\ .•‘.(77::‘. z__/ r-:...) ... a ,.. i§. 9,i I i)., ...--..--;...,.., ./../((j.. yi/c„.‘ i
\ .. ( s. tp\ e4AL____> . . ..\ ,.\,.._if, .:---1)-1 , :\) , . i ,
I 7 7\--T .7(1''../'- -.),.. , f , ,l
Ai i • -__,._e -____,,, ,„ ,. ,., , .../ ..,- ( „...../,_, , ,\__ — —__J\
:_: ,i • , ,,,,..., c___________ '/.---------....2.7.: \) .',. )----/c..,,,i 7:/....../....../----r ,v/...., -;-._ ..s.,-•-...\-s\- 7‘'-------':11:::-
,....„
s.,.. .......,„....„,..,__,.- ___.0,:/• ... I
/ / ) I ' .: % i r •-•.' 'P• *, ''''p•,)•,) , .
ig\ , : - rL 1.-/-.cs .NI,"2/.1f( (-/ '----' , i ' --i' ,...,'%-:."..\—---\ :c-2-7
. ---'-. f N i\ _ \ C\:r7-\\\ -c- ---:,k\.
i , . I Ts• ) , - . �\ �( \ t IIr / j �J i
, vni. k\ i - = o ..\ / _ �,� �'\ ,FN�$m " ( • '- • - • „ ' \ 1' \ •. ' • • .•
cts!,z °g 0.- , . •> \ 1 ? 1\
... ' 7 • 1,,,,• •••il \ i :1••••-' .....*;-- • •• •77 ..•••:/7. • '-• k.,c-f.• :::t.:•••••••• ::-•. .....,',..-.-i r• 0.- -.. „i" *, ....\\.....
Nr, •.: ,30 . \ . ... " .. 6,;•:,...--:•()_7(_,_______J... . .:,\ • .., ,,..... .....,..:.‘ ..._ ......„.„,..<_. .,........ N,,,k,c, •.. .....,__....r f) . c,,.:
(.. , • ) ,..\„ , . . .. : . .(../ .
.. 0... . . __ „,.._...... •. ,.. ". c____,..s.,,,v __, .e........ •_ :&,)....,.-vr. \\..\\<,,c• N:,:...),,,) .....,:. / ....,: __-,
• ......
..„
. ,...../7.-...3-c_ t. / 6.,./--)_•\.. ..,... .. • • •(.. • •.. li , v_.. . . . r:—\,----, I nr• r,-,.\.! , . /
..1.-----D) N.. ((--- -/
____„e( \ .(7.,- ;.•.:: / ic\--.:7-_--.--,..: , - ---- —\) ,. .- --_:, r - ''' r•\) . "" .•--,/ 3`.'4' ., •••'. , - '.
\ '-----.Y. NI (... ---fN 1--- - . ...../ i.., •....---•--"" '
/ __/f---'\ ;)/:il 8).? e \ i i ,--. .. . „ . ., , 1 tb
--.................,:.......s ,-/- -- f.>_ c/.-- - •
ll,N...)ri i., oft . s•- ...s. or.\_ c... - , r )1 fil.K1 , 7 \ .., ./_.....), r, c, .. • --„,... /-..:-.-._-_-__:-.-.--:.:,..-,_..._. ...•‘..,, -•••:___.,,,,r7.
() .0 7\ '!., .\:).-0 . .i•..:\,•.:1 ,)) P ----"-:.- 7,------71..--.71. --.2,7 .--.\ -:1-,Ic ‘,. ...,‘) '•'L:-,.7..• /6i, ( \('• _SI 't''''''.9i) riiic'...T.'•?t,7,:-.11 (..':,' .1- -• \..'. ' 2 ::7.,i:.--;:iiiitk,...., `.
(.5.-q
k...../7_,:r•F„-___A 1,,;•-•))).: /, .,/./(.....) -)\.„ ••7, ,. )),),• ; .. .....,,„-,:, ..
8 �_, 1 �- .;A :� I/;�) fry • C C// ./, �� �., ( \-_ '` P71
•
.
-�__jam_ ; • -:.� -- ,;(, __

A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final NPDES No. NC0033596
During the period beginning on the effective date of the Permit and lasting until expiration, the
Permittee is authorized to discharge from outfall(s) serial number(s) 001. Such discharges shall be limited
and monitored by the Permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring Requirements
Lbs/day Other Units (Specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency Type Location
Flow 240 GPD
BOD, 5Day, 20 Degrees C 15. 0 mg/1 22.5 mg/1
Total Suspended Residue 30. 0 mg/1 45.0 mg/1
NH3 as N 4.0 mg/1 6. 0 mg/1
Dissolved Oxygen (minimum) 6.0 mg/1 6.0 mg/1
Fecal Coliform (geometric mean) 1000.0/100 ml 2000.0/100 ml
Total Residual Chlorine
Temperature
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for
continuous disinfection of the effluent.
The pH shall not be less than 6.0 standard units nor greater than 9. 0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

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

PART 11
A. MANAGEMENT REQUIREMENTS
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms
and conditions of this permit. The discharge of any pollutant
identified in this permit more frequently than or at a level in
excess of that authorized shall constitute a violation of the
permit. Any anticipated facility expansions, production increases,
or process modifications which will result in new, different, or
increased discharges of pollutants must be reported by submission
of a new NPDES application or, if such changes will not violate the
effluent limitations specified in this permit, by notice to the DEM
of such changes. Following such notice, the permit may be modified
to specify and limit any pollutants not previously limited.
2. Facilities Operation
The permittee shall at all times maintain in good working order and
operate as efficiently as possible all treatment or control facili-
ties or systems installed or used by the permittee to achieve com-
pliance with the terms and conditions of this permit.
3. Adverse Impact
The permittee shall take all reasonable steps to minimize any adverse
impact to navigable waters resulting from noncompliance with any
effluent limitations specified in this permit, including such accel-
erated or additional monitoring as necessary to determine the nature
and impact of the noncomplying discharge.
4. Bypassing
Any diversion from or bypass of facilities necessary to maintain com-
pliance with the terms and conditions of this permit is prohibited,
except (i) where unavoidable to prevent loss of life or severe
property damage, or (ii) where excessive storm drainage or runoff
would damage any facilities necessary for compliance with the
effluent limitations and prohibitions of this permit. The permittee
shall promptly notify the Water Quality Section of DEM in writing of
each such diversion or bypass.
5. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the
course of treatment or control of wastewaters shall be disposed of in
a manner such as to prevent any pollutant from such material from
entering waters of the State or navigable waters of the United
States.

PART II
6. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. Provide an alternative power source sufficient to operate
the wastewater control facilities;
or, if such alternative power source is not in existence,
b. Halt, reduce, or otherwise control production and/or all dis-
charges from wastewater control facilities upon the reduction,
loss, or failure of the primary source of power to said waste-
water control facilities.
B. RESPONSIBILITIES •
1. Right of Entry
The permittee shall allow the Director of the Division of Environ-
mental Management, the Regional Administrator, and/or their author-
ized representatives, upon the presentations of credentials:
a. To enter upon the permittee's premises where an effluent
source is located or in which any records are required to
be kept under the terms and conditions of this permit; and
b. At reasonable times to have access to and copy any records
required t•o be kept under the terms and conditions of this
permit; to inspect any monitoring equipment or monitoring
method required in this permit; and to sample any discharge
of pollutants.
2. Transfer of Ownership or Control
This permit is not transferable. In the event of any change in con-
trol or ownership of facilities from which the authorized discharge
emanates or is contemplated, the permittee shall notify the prospec-
tive owner or controller by letter of the existence of this permit
and of the need to obtain a permit in the name of the prospective
owner. A copy of the letter shall be forwarded to the Division of
Environmental Management.
3. Permit Modification
After notice and opportunity for a hearing pursuant to NCGS 143-215. 1
(b) (2) and NCGS 143-215. 1(e) respectively, this permit may be modi-
fied, suspended, or revoked in whole or in part during its term for
cause including, but not limited to, the following:

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

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

Date: May 2, 1989
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Lincoln
NPDES Permit No. NC 0033596
PART I - GENERAL INFORMATION
1. Facility and Address: Beverly Riccitiello Residence
( formerly Boswell Residence)
171 Denver Heights Circle
Denver, North Carolina 28037
2. Date of Investigation: March 3 , 1989
3 . Report Prepared By: Michael L. Parker, Environmental
Engineer I
4. Person Contacted: Ms. Beverly Riccitiello, owner;
telephone number ( 704) 483-1368
5. Directions to Site: From the junction of Highway 73 and S.
R. 1386 (Little Egypt Road) , travel north on S. R. 1386
approximately 3 . 3 miles (S. R. 1386 becomes S. R. 1380) .
Turn left (west) on S. R. 1381 (Kiddville Road) and travel
approximately 2 . 4 miles. Turn left on S. R. 1639 (Denver
Heights Circle) and travel approximately 0 . 35 mile. The
Riccitiello residence is on the left side of S. R. 1639
(double wide trailer) .
6. Discharge Point - Latitude: 35° 29 ' 56"
Longitude: 81° 03 ' 18" (note change from
previous location)
Attach a USGS Map Extract and indicate treatment plant site
and discharge point on map.
USGS Quad No. : F 14 NE
7 . Size ( land available for expansion and upgrading) : Ample
area exists for continued operation and limited expansion,
if necessary.
8 . Topography ( relationship to flood plain included) : Gently
rolling, 3-8% slopes. Facility is not located in a flood
plain area.
9 . Location of Nearest Dwelling: Several within 500 feet.
10. Receiving Stream or Affected Surface Waters: Snyder
Creek*
*Note change from previous Permit

Page Two
a. Classification: C
b. River Basin and Subbasin No. : Catawba 030833
c. Describe receiving stream features and pertinent
downstream uses: Good flow observed in receiving
stream although a rainfall event was occurring at the
time of the site inspection. No detrimental effect
was observed in the receiving stream as a result of
this discharge. No other known discharges exist on
this stream segment.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100o Domestic
0o Industrial
a. Volume of Wastewater: 0 . 00024 MGD
b. Types and quantities of industrial wastewater: N/A
c. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only) : Not needed
2. Production Rates ( industrial discharges only) in Pounds:
N/A
3 . Description of Industrial Process ( for industries only) and
Applicable CFR Part and Subpart: N/A
4 . Type of Treatment ( specify whether proposed or existing) :
The existing facilities consist of a septic tank followed
by a subsurface sand filter. Disinfection facilities are
permitted, but were not observed during inspection.
5 . Sludge Handling and Disposal Scheme: Removed as needed by
a septage hauler.
6 . Treatment Plant Classification: N/A
7 . SIC Code( s) : 9999
Wastewater Code( s) : 04
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants
Funds (municipals only) ? No
2. Special monitoring requests: N/A
3 . Additional effluent limits requests: N/A
4. Other: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The applicant, Ms. Beverly J. Riccitiello, requests renewal
of Permit No. NC 0033596 (formerly issued to Mr. Larry S.

Page Three
Boswell) for the operation of a residential wastewater treatment
facility. According to Ms . Riccitiello, she was not made aware
of the existence of said Permit at the time she purchased this
property in February, 1987 .
At the time of the site inspection, a disinfection unit was
not able to be located on-site either by the writer or the
applicant who explained that she was unaware that such a unit
existed on her property. It appears that either this unit was
removed or, if it did exist, has been covered over and could
not be located by the applicant nor the writer. Past inspection
reports from this Office documented the existence of a tablet
disinfection unit.
As a result of a revised discharge location, effluent
limitations have changed ( see waste load allocation) and reflect
more stringent limitations than previously issued. The existing
facilities may not be capable of consistently complying with the
new limitations.
It is recommended that the NPDES Permit for this facility
be renewed.
/47
Signature of Report Preparer
Water Qualit egional Supervisor

NPDES SFR WASTELOAD ALLOCATION
. Date : M4r Z, fgBq
Fac i I i ty Name : PxoeR(y ei eearie110 ?.estde,ice° Permit : NC-003351(2
Receiving Stream: Spocie42 C.-lpge-K. Class : C- Sub-Basin : n3O8 33
County : Lit.)C4,14 Regional Office : M R O
Reference USGS Quad : F1L/ N E Existing : V Proposed :
Elevation : 775 ,
Drainage Area : 61, 35.,e' I
Hydrologic Group : C. Design Temperature : 25 a op
Slope : ; Comments :
oulFr t( 775 '_ ci u_t 6-� CA, �ztiricud /1-64/1/7Ad. _
Q
7 q 0 ,33 /120
7z0 ,q3 "�
700 , c/ 22
14EE. slop 75: 1, 78 424pM
RECOMMENDED EFFLUENT LIMITS
Wasteflow (gpd) : 24 O
BOD5 (mg/ I ) : IS
NH3-N (mg/ 1 ) : . 4
D . O . (mg/ I ) : Co
pH ( SU) 6-9
Fecal Coli ( / 100m1 ) :! L000
TSS (mg/ I ) : 30
RECOMMENDED BY : e'c �� Date : Z PI
APPROVED BY :Regional Engineer : i) / . (/� -a+1. Date : 1F�/47
P'sgional Supervisor : 0, //J�cf Date : J��j
ROUTE to Technical Support Group and Permits & Engineering Unit
( Enclose copy of USGS topographical map showing location of discharger )

�-----. • r 1, , '‘') --S--\',C\/ \'.1 i !",,'. -- 1(.L \, \\
,
`, ( ` e 7 , J\f a I /7 ) , \ .\
. / �?�� � C�Pelt/ i ,
� - � .. \ \ �
^ �, �( i - J/ r \ _ )M �)i ----A
\ � i, i-� - � { \ � \
C II- '‘',.,NA...„._ A :
\II \
S - ---'-' (..'-'' \e:--.-.--7 \ r-1------7 i.'7:7__--"--) \ A-..- (
Cre ,,, ...._ ji.,, (
ek N I) d ,,%� j �'1 \. (� 7>°,' \�
S \\ (\____/., L.,/-/- - . , ..._)J7//y--1-_---:., --, \ v .„. ,,,. __. ,,, , ,,,,,
E
�� ! :
/ ----- __- -=,-, „ ,-- _/\ ) \ , \
� ) \1 I vim. ��'11
\i ,� ! j ,\ 11 1I li.( t l
, ----, 7___ ___,...11 ) , .../,,,-_-_ , 4_-_, ,, ,...,.
(�4� - '� \p of--_� , ° ',
)1%,___), N__/._,I,/--"\-. ... , ?--q) a_
i (( (/:i." iik8 l,:I \
\j\
:.1 -J-.)----%) /n , (_..,. ' \ . i `.. / , '� . -_lam\ ''\ v
I r\ \Cl .r) 8c5?3 )/
///' ---- 2;''' -Qk''7 )
l //- 1. /c(1 ' • -..• (7--:-.'-`="---,---l''''::-. ___*„.... / r,
, ..,, , , _.,
_____,,,, ,______\74
..,
, ,,,„ „
„______ _.,,,,:_, ,_,„_,
,..,___,,,,,, .,,,,______,
) ... . _... c7r\ ---): ,,.. (,,(,- (_,_/, _____:_, , . ,
,. ,,,v-- „3_,, ,, e,,,,,.„ ,__),..,), _______),
, ,
1 , / ._
•
- /8r �'t ) //-Q___,(,,,i, , i ` ,2l °° ; �• j�\\:,: \ r1i
///,- ,______.
. ,..
%
o
I L ,
:(�: ':11 erspros� f I , /-,:Camp. ounb ' ��' ��i8-0
?..___".„.138
J` jf. \\ .
...2_,_.._4, : vo (f ., , :Tii.0 49 ,,,,,,,;,,:_,.:\' ..C__i___, Lif ) 1: /
0 \n •
. _ _____,
, \_.)..., , ) :......T... ,_ ,,..:..
,. . _ ..
c__/- - - - -, ' (
,, ‘, ,,, in
_.,
,. ,,
, . Li-1--- f-r-----1
1 cH----2( o I-- c_ ._ .1 f___
. ,,. .,ni.',;:,. ,,,11 ill) "ir: 7.4iitL:::., z:\ \..73, c./ b_.....:;_c7,.....„0_.
i
7 _ _ �1 - - - °742
> . c,, . 1 -'• . (\ \I
> .. j\--' ‘ \ c_. ,. ./I._ . ,,,, _,,,,t,____.,___' ..
,ID ': co,
( ,
. - 0 , m N
p rac '. - , -,,, ''\ , I c_______yitt�rCh� j _C___2).' ,- ::. -I . . s'
,s v.,
. i
7 . ' .....--.-..4 ,.:.. v.{__'.. ,
840 , /
. It., . , i
J ,t,
...., —i F 0— •, -.
) ... );,A,
(S%''.i," �1. . ,; , ., -'id- �a� v R �.',. ..

:fiis n
i ,i r 1 (L
i ,
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North SalisburyStreet • Raleigh, C. n
Noah.:Carolina 27611
James G. Martin, Governor s R. Paul Wilms
William W. Cobey,Jr., Secretary Director
J.
Subject : NPDES Permit Application
NPDES Permit No. NC00
r
County
Dear
This is to acknowledge receipt of the following documents on :
Application Form,
Engineering Proposal (for proposed control facilities) ,
Request for permit renewal ,
Application Processing Fee of $ ,
Other
The items checked below are needed before review can begin:
Application form _ (Copy enclosed) ,
Engineering Proposal See Attachment) ,
Application Processing Fee of $ ,
Other
If the application is not made complete within thirty (30) days , it will
be returned to you and may be resubmitted when complete .
This application has been assigned to
( 919/733-5083) of our Permits Unit for review. You will be advised of
any comments recommendations , questions or other information necessary
for the review of the application.
I am, by copy of this letter, requesting that our Regional Office
Supervisor prepare a staff report and recommendations regarding this
discharge . If you have any questions regarding this application, please
contact the review person listed above .
Sincerely,
Arthur Mouberry, P.E.
Supervisor, Permits and Engineering
cc :
Pollution Prevention Pays
I
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
L. -

• 1104i, Ch• ILO• 09 6 5 .
,../ 4 60 . 00
NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT (".?rJD '
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NtIMISfR
APPLICATION FOR PERMIT TO DISCHARGE — SHORT FORM G FOR NUM0I3I3I5W 16
AGENCY
USE DATE RECEIVED
To be filed only by services, wholesale and retail trade, /j 1 9 I nl 41 / ID
and other commercial establishments including vessels
YEAR MD. DAY
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
1. Name, address. and telephone number of facility pp- du l
producing discharge ,— ,
A. Name IJ E V l� 11 k-- �- I� l c /- /—/ rs / ( O
B. Street address / 7/ Li 1:- IV V /: P. f4 !� ! P _I`f rs- C t tr-
C. City 1') 1= f 4 y '- l� > 0. State 1)( ' C
E. County J I I�t F. 1P . �O 3 7
G. Telephone No. v s. <fef-3 ` /k
Area CEI ` a;� , t__, �3
V�D1..'
a
Code OIYISION r'r-1.:!'L.; t• C-'
ENy1ROR'Mmp. M( a
I r
2. SIC J OR 4 1989APR ti 6 1989 ..
(Leave blank) FAR
.H10RfSV,LLC {
3. Number of employees m aeL of 1
'f
4. Nature of business ✓��-�---�
5. (a) Check here if discharge occurs all year , or
(b) Check the month(s) discharge occurs:
1.0 January 2.0 February 3.0 March 4.0 April 5.0 May
6.0 June 7.0 July 8.0 August 9.0 September 10.0 October
11.0 November 12.0 December
(c) How many days per week:
1.01 2.0 2-3 3.0 4-5 4.4 6-7 •
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
discharging (percent)
Discharge per - -
operating day 0.1-999 1000-4999 5000-V999 10,000- 50,000 None 0.1- 30- 65- 95-
49,999 or more 29.9 64.9 94.9 100
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitary, daily +
average
1
B. Cooling water, etc.,
daily average
C. Other discharge(s), .
daily average;
Specify t_ `
D. Maximum per operat-
ing day for combined
discharge (all types)

7. If any of the types of waste identified in item 6, either treated or un-
treated, are discharged to places other than surface waters, check below
as applicable.
II
Waste water is discharged to: 0.1-999 1000-4999 5000-9999 10,000-49,999 50,000 or more
(1) (2) (3) (4) (5)
A. Municipal ,ewer cystenl
•
H. llnulrr,lruunrl wi'II
C. Septic. tank
U. Evaporation lagoon or pond
•
E. Other, specify:
8. Number of separate discharge points:
Oil B.o 2-3 C.O 4-5 D.O 6 or more
9. Name of receiving water or waters - Cam%
.10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances added as a result of your operations,
activities, or processes: ammonia, cyanide, aluminum, beryllium, cadmium,
chromium, copper, lead, mercury, nickel, selenium, zinc, phenols, oil and
grease, and chlorine (residual).
A,O yes B.O no
1 certify that I am familiar with the information contained in the application and
that to the best of my knowledge and belief such information is true, complete, and
accurate.
) 1E vi;" k-)- 3 C / l/o
Printed Name of erson Signing ,,
Title
•(.. -.-..e.„- 3— �c
Date Application Signed ,
/ 1 J ___.
Signature of A is /
•
North Carolina General Statute 143-215.6(b) (2) provides that: Any person who knowingly makes
any false statement representation, or certification in any applicat.on, 'record, report, plan,
or other document files or required to be maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, or who falsifies, tampers with,
or knowly renders inaccurate any recording or monitoring dpvice or method required to be
operated or maintained under Apt3Q1e 2:1c oc• regulationa .of the Environmental Management Cods 'c
implementing that Article, shall 'be.gui3,ty of a misdemeanor punishable by a fine not to exceed
$10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C, Section 1001 prow:_:
a punishment by a fine of'-not more than $10,000 or imprisonment not more than 5 years, or both,
for a similar offense.)

Illppr:„.e,00,0010PRIPrik : -- ----- —
Filed for registration and recorded
this the 1$ day of February
1987 at L:05 P. M in
SJA : f =
E ,7 of ,. — Book 6 L/ Page Y yD
T ? , i f`tij .t i0:-- -
f,,(
'r :r �, ,'y.ti.. - `4 :- R ister of Deed
Litmew
BY :
Asst . Register of Deeds
Excise Tax Recording Time, Book and Page
TaxLot No. ................................................ ....................... .... ............ Parcel Identifier No.
Verified by County on the day of , 19
by
Mail after recording to
This instrument was prepared by Kennedy & Black Attorneys at Law , Denver & Lincolnton N . C .
Brief description for the Index
--Lr-r 17 - Denver Heights -
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED made this ..9.th..... day of _ February , 19.87 , by and between
GRANTOR GRANTEE
LARRY S . BOSWELL BEVERLY RICCITIELLO
and wife ,
MARGARET C . BOSWELL
( formerly Margaret C . Lutz )
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.q. corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and
shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in the City of Catawba Springsrownship,
Lincoln County, North Carolina and more particularly described as follows:
Being Lot 17 of Denver Heights as shown on plat prepared by Ronnie
Dedmon R . S . dated November 2 , 1973 and recorded in Book of Plats E
at Page 16 in the Office of the Register of Deeds for Lincoln County,
together with all improvements thereon , including , but not limited to ,
1972 Madi Manufactured Home SErial #81557 A-B , which is attached to the
said lot and has become a permanent part thereof .

STAFF REPORT AND RECOMMENDATIONS
PART I - INSPECTION OF EXISTING WASTEWATER TREATMENT PLANT SITE
1. a. Place Visited: Larry S. Boswell Residence (Formerly Powell)
b. Mailing Address: Mr. Larry S. Boswell itf /ev"- L , ,cc/fie (I O
Route 1, Box 184--11 17/ -0 t t e ZLJ �'o�te l�
Denver, N. C. 28037 4� V C�
(3/-/p
2. Date of Investigation: 3/1/83 Date of Report: 12/14/83
3. By: Larry D. Coble/Tana Fryer De
4. a. Persons Contacted: N/A
b. Phone No. : (704) 483-3391
5. Directions to Site: Travel west on Highway 73 past Highway 16 to SR 1386.
Turn right on SR 1386 and travel to SR 1381. Turn left on SR 1381 and
travel to SR 1639. Turn left on SR 1639. The residence is a double wide
mobile home with yellow shutters located on the left in a curve.
-00„ /may ? / peNdG S�/3
c/ 2.45-of:. a,J 8d(7.,704*rrC 2d)7Ie•02.3Al./e 4� s�7,4eu6ikraa//
rx o
6. a. The coordinates to the existing point of effluent discharge are: s2 /e)?
Latitude: 35029'40" Longitude: 81002'50"
b. USGS Quad No. : F 14 NE (see attached map)
7. Size (land available for expansion and upgrading) : There is ample area
available.
8. Topography: Sloping toward the receiving stream at a rate of 3-9%.
9. Location of Nearest Dwelling: There are several located within 500 feet.
10. Receiving Stream: Snyder Creek
a. Classification: C
b. Minimum 7-Day, 10-Year discharge at Site: 0.05 est.
c. River Basin and Sub-Basin No. : Catawba 03-08-33
PART II - DESCRIPTION OF EXISTING TREATMENT FACILITIES
1. Existing Facilities: The applicant has a septic tank/nitrification field with
an overflow subsurface sand filter and tablet chlorination.
2. Proposed Modifications: None
PART III - EVALUATION AND RECOMMENDATIONS
1. Performance Evaluation: Samples taken by the MRO staff show the following
performance:
Parameter Concentration
BOD 4.2 mg/1
TSS5 3 mg/1
NH3 as N 1.9 mg/1
Fecal Coliform Bacteria 50/100 ml

-2-
2. 0 & M Evaluation: Efforts should be made to keep tablets in the
chlorinator.
3. Recommendations and/or Special Conditions: It is recommended that the
permit be reissued to the new owner as requested.

NE/4 GASTONIA 15 QUADRANGLE kV'
496 2'30" 491 498 1 400000 FEET 499 81°00'
l / / c • , 35°30'
. 5'.�,.-_- / ^fl l \— �--�\
\ i B4 l �28
1 /G/ .
/ �, „ a ,ii' 8t,y
ti V / 1.1 f �i '\'<_ ��' '� 1 -- P �� 640 000
ri ��FEET
��._, 11r, y , �, Boo.
L,/) i , /
''S... i ,in ,,,,,r1 , ,
,, , ......„- -_,...
, ,,
__•
/ ..,/ 3921
-� \\ \ 1--
,- \\c), \ ,/
1).}."."
�_,- , ) /
�\� \\ , o
•
Oeo/ \ \ I •
li
._...Th , (...) \q, )i',: f \ .__/ - , ...... A .
•
„N.: •
1.
`� i f��\v .,........_() \` �25
•III 1L +/�\ B
�' I \ In Bit \
i ,
I, \
, • / ...
9,. Y---)
r Q , )/
Q
...,..., ....",
\ (......,,,, 1":
i, k
, ,
__ ___:___ ,,, ,,, ,,,,,.._
# 0 ..,
,..„. „. , 6#
(I), , , _...,7---,-,_,,,...\,,, ..,,
d Fs r, ..�' ,27'30"
r
/7
7t2 East Lincoln � (/ J \\
High Seto - Q \
\
0 I
, A
` � a G ,\I _ / I \� . ) I ( \
z,
776 /
r �.
O

STArto ENVIRONMENTAL
DIVISION OF
North Carolina Department of Natural
MANAGEMENT
Illiir
Resources &CommunityDevelopment ent Robert F.©Meel
James B. Hunt, Jr., Govern ar Joseph W. Grirnstey, Secretary Telephone [phone]
• �. Y;,,December 8, 1988
r, 1C4�`
/ Ms. Margaret L. Boswell U1TY! DEVILOPMENT
Route 1, Box 186-17
Eft C�,,�12 `REbo aj,
Denver, NC 28037 �!ViSla aJ.1L��
TO" nF ENVIRONMENTAL MIANAIEIMEII
". CESVILL& f OfFlRpplication for NPDES Permit Nc.
NC0033596
Linccln County
Dear Ms. Boswell
Receipt of the following documents is hereby acknowledged:
Application Form
Engineering Proposal (for proposed control facilities) .,. .y; _.
x Request for permit renewal
Other
If any of the items listed below are checked, the application received is _
incomplete and the indicated item(s) must be received before review. can begin y
Application Form (copies enclosed)
Engineering Proposal (See (b) 1-5 on attached)
x Other Map lnrnting diccharge point
If the application is not made complete within thirty (30) days , it will be
returned to you and may be resubmitted when complete.
This application has been assigned to Ms. Helen S. Fowler
(919/733-5083) of our Permits Unit for review and preparation of a draft permit.
Once the permit is drafted, public notice must be issued for forty-five (45) days
prior to final action on the issuance or -denial of the permit. You will be advised
of any comments , recommendations, questions or other information necessary for the
review of the application.
I am, by copy of this letter, requesting that our Regional Office Supervisor
. prepare a staff report and recommendations regarding this discharge. If you have
any questions regarding this application, please contact the review person listed
above.
Sincerely�janed
OngIna
TrIELEN . FOWLER
ihTi
William C. Mills , Supervisor
Permits and Engineering Unit
ccliallanint Regional Supervisor
Ms. Helen S. Fowler
POLLUTION PREVENTION PAYS ... ---
P.0. Box 27687 Raleigh,N.C.27611-7687
An Equal Opportunity Affirmative Action Employer .. .�.� .;: .,.

_ .
.r. •17.4'.2• It.,;;. F.,
., '- •k,.1.,-:t, -4• -,' 4, - . i:-.:. • t 4-714-4, -., ,. •-.•, .4-11,7.).4-, ;•,-;,t,- ..,:',P4, '-`, .. ,•• _' -•....., , i.... ,. •'„=`:, -- _ -. ::::...,. . • .,-."7-,'.- ''`-_..7W.I.- ..,. 7' 1 ,i'-.311 ,., .- . ,. ..." , .,,.. . idi , 7' i .' .‘.1
.. .. '.."-- J. .1., ' .11:r 5.:./..z. ' = -..-:,..;:r },1•,:f .., . ..:,/* ' ri - • , • e. . '- ••••4•,- . , it / . ‘.._;„. : .. 1,., '46','., • k I'r ,:". .. :.•-1' "T. le . ....,1.e41...- '... . , - .710.1r.,•• - . t
• ., = r1r• .....'
r , .4,•'.:. t. ,, - , _. , '4., "'••!•44, 'A. r ... . . •• •,2., , .- ...4." '..1.4-: A i1.1... .;41 . g. ;.:r.r.. .:,*,'''. . :qr.'. '"••.'"-'• ' . Tre 1,-'.• •_•-• .,,iii-jilc "# , Ite...- 'r -,-i'l AISC k 1,1° - -' .. ti.e 11. .1, 1, 1,..1tA. ;....Z. 4 ''''' .4.-..1. .1.: ! -•-"'ik.ig+1 "' ' ' ...41. y'''‘): ' : j.:• . i A
-,4,..„.1 4 ..•!_ • .. • ,.. •• .- ' ...I." *'a 36 l*. „0/;;" • '•?'e gid-..,.,g•V-A17•: ''' 74.:r'-- -1;-•`,4 t • . 5'>,;.-• . . ' r • l ' S - 4...C" -... ,-- lb..' . ...‘‘' -.'""k•. : •s;ilirel. ' At ' 4.--.f•-/-li.:: n!'".4iilaii: ••4 . '-‘4,4:1•4. -."'.79'. .!'....•:‘•,..:
t
..0 .0., . 44,..J.z. 'V'. • , •''."- - 4 '" I. I 1 figoe.A *AL. rr, . . •.'s-,•(-7-9;4••. -,' 1' - . ;it - 4, 0 +:, -` ..,, ,...
..1. • ,,, -.- -.1,,....t..•
••..-. .".1. 4 ' ,..2/11.•, .41. :•C•If
. "4 Jilt; . 6.01e6 r.e'--.., ., 16',ii„,...-•• ' ,r,i.• . ... . .. . •, .11.4- r .
J '= 4st. ti oyetv 14$ -iN .7 ,.-• .- • 440..,-.4... -.-
.... ‘ .. . lei- 04, a . , .
• , ..•
+ 'y '' -, 0 # It, -, -. • • it_
.
'k •' •114 •
• , ' tqt *, e. ••• ' ' .
NO ‘'‘'• • * . i
e ••• • • •''''. ' 4 -. • '..• -of,
• I ', " r. 1.%` • A
r i .144 •
ik: $ ' 1 j • r, - t IV • • `il..-' ' -
• 401, ' ... k .' ;1:'t ^1 : „,;..,91r.4r, .t.
• my: 2 . -- .17 ••1/4.
. ,..4 dr, Am,• ,.. - , . . , '. .alyr. ..k•.4.4. -.1 4fft
.. . •
Ut' .' 6 • 11,0' / '•• •••..: 0.
.:-: s,,..-• ' ': .1 ....i '
"" ',•,' i' ' .
... er N....•- ' ‘ ---41i'i.e,•-,
,.:,1,• 1, .
1 • • •:0--.,
(7e71/1. . '2r 47 /9g3 'dr- .,.. , ••
, .iv t ek -;,•,, _, 11 "`••-
.,
- ' .---,- , ,• i°''*.*3... .
.,... .
-,-V'''-•_,- , - _ •....
• , : ..44 ,•. '• --. .:"..0 •
- .. ..-- I.- •-* OP
**,. t•:: • -
d3C I T al)84-d- ti-
. -....
47 4 0
ihdtead .04
, . t,,f_bi i !*•••••% .
*.14.. •... •
•,1 SP• . VY * Ai IjOtIS iefid.h:41. 2 ,, , ,the 00 ._,4 3 . ; 9 6 Fettrip44.4.....,
1 t."..t€ LJ .•,... .
. • ..4.-,....{.0•••••,-„. •
• • •
. .
. I
Yoe -Y;•••_.......
1• ; ..
3r“ • e41111
1. . ••.'. . _ ..
..•,IY%iL,:k...:4
beiffetaiLdi , IWA4d#IL A7137/t 1 a
.. k•
• -4 - _
.. .. . , .... . ,..,
... • ..-- ••• -II: : • .
„.,,.... . , • . .„:4, . t
PAt-c.1 I, -,.. tit, , „-.. Ae.,tt„, .. „....a..........L. •
. •
.. _ , ,......,,,; t3. ...,.* e -,: .
$•...; %. " -t-. • • Inifie.:t't... •Ct 1 ' •
A e .
„ ••
•
•,_4;r :---1.-
1 ..* f'• :. '•
....
. ....4- '
. . ..,
hs m3 4..t...e..412..t III. •
• .41,4, 41 i .
1411-1 ...„Di
t...-
4.- t ••'I I
• , t ' t-'
. .
11441
Pe
Ale, 60 33 (,..,-9te,
t.erth...t /At" , _ _ "ixe...-- .
.
. ,
, 1 • •
r.
C. ' • • . •? ... •
Y}"rjtlajljtt /*ae.2••*a.f2... ••
•,.-. 4.
. ! .-, • , . ' .i •,,,,.
-.1- •
4r i
•I . ..- •,,...•• .
. 1 . , ..1 „
• 4... .4."24‘aue,..e 1_, a4,4_, L•44. t, .4) /L..,
_,.....
. . . , • ...„., .
, )
. • . .
ettl&t.2)-(Al Adebtl•44..04.12 : .41 1
. p-^
•
.
' '0•
ix, . .
. .... .,
. .
. ,
It . vt,1 I, A„...,...,,.,IL
1
...., 1
....
. .
.i. 1 /04 / s;,,, 6 i _/7
4
,,...
. ..
. ,
AL
,
. „. .
_,.._...
,futt `-f) , , a#2 66,3 g • . .„. J I.
' r • , 1
, .
_...di
.2-,......
• --.•: •
. td aik../ Lii-vto- .. aft-tx
2 -z..... ) .
rt.
...,
• .......
•
• . .
k
11f).147‘...at
. . _ . . •
- ,„....,..:...
..11•Ler'...., 44,41 i-1-4) illeiki-14--,
. .
• .
- •r. -• .._ .
. ..• _ •IT.- •
e4.) --- 4...,,,,, i2i/4,,, a_
_ .
4 '
' C'..,-•
• i x.'
itizi244.4.4.....,
, . . . .
•.11
• ,
...14, 1
-..
41e41 ilr eliCled 11.-kt-.- lai/2•01
..1, • ...- i •
. -•L ( r$
irtddL tAd ej
•i s..,.. • .
y-Aoi 1
,• .....,,,r• .
JO
...„ "
.4[.
;',
. •
..0. ,••• ',11.... •2,,,..0m rc
.;.%
1
- .3.
•
• .
. i
- -, 41,,.- • ' i
,i-.•
. • • .
. ....D.. -) _ ..
i
.. ,
..4, .
...: ... .; .
. .
...
.Oef-j
t•' - - •
. - - .f•.
. . .•
'..K!' ..-- ' ..... .-- .... 41.-.! '';61,ii. • '' ' "66.. - .1,.1••••• •• 6-0-`'• .6 ••'• I'L 711r1-:;.•.•W• Pt .v6V6IF:. ..°41.6. lc. : - . . " ' :ci,„77 AT. *.- . ••• -:, - -, !'..•.1 -''-"riT1 ..-:7,43,4.'"•"(S__,!..4. ,-, '' . Nik i- '.;,.•'t.• 1064.1.VC 3'...2 ' luf 4:4'- - '..: ./Ft. p-_...,__._ . '
-/'4,19".?' / ;..;,' ..,1s: • `'.. . .. r- *-•*-. - --0.i ./;-.- . ***" t 1114PIN„,,of 1 4 ••,;4w...".• ..• . - " L " i:-.,_ . -Cc--. .•• .'. 1-4.i. -•/- i -... ,-,-,.2,' 41'41/4 +• ... - ;›,r ......, ,` a -Pt ...•••. . , ,
.• N-, -- ..a. , . ' • ' - . ' -; Y, ''"Ja....4 = --""-".... ' )W, - • :r. : . i . --;•4‘...:- 4.....`. 14 • ..t ' 41.' ;n. ' li 4/44E.14s•:.-;•:' • 1 •.1-11.&•••*7•.; 'Ye 4`64.'4•,' W4fik;--,4 4 '':i+:" :17' '.. .en'i 4-P4'4.A. ',1.:k , e:. ,a' .44,t*-14. I.' - ',. -. ". . 4... :i..... f• . t•-,..4. - ' - -.e " ..
•• . _
,....i,_:C.,:,..'"_.......1.1...,-;- - - • - ... . .. . . -
s.,

North Carolina Department of Natural
Resources &Community Development
James B. Hunt, Jr., Governor Joseph W. Grimsley, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
March 16, 1983
Mr. Charles E. Powell
Route 1 , Box 136-17 '
Denver, N. C. 28037
Subject: Single Family Dwelling Inspection
NPDES Permit No. NC 0033596
Charles E. Powell Residence
Lincoln County, N. C.
Dear Mr, Powell :
Attached is a copy of the Discharge Facility Inspection Report for the
inspection conducted at the subject facility on March 1, 1983. This Report
should be self-explanatory.
If you have any questions, please contact this Office at telephone number
(704) 663-1699.
Sincerely,
ORIGINAL SIGNED BY
D. Rex Gleason, P. E.
Water Quality Regional Engineer
Attachment
TDF:sju
•
Mooresville Regional Office P.O.Box 950,919 North Main Street,Mooresville.N.C.26115-0950 Telephone [phone]

DISCHARGE FACILITY INSPECTION REPORT
PART I INSPECTION OF EXISTING WASTEWATER TREATMENT PLANT
1 . a. Place Visited: Charles E. Powell
b. Mailing Address: Mr. Charles E. Powell
Route 1 , Box 186-17
Denver, N. C. 28037
2. Date of Investigation: 3/1/83 Date of Report: 3/16/83
Jo)'
3. By: Tana Fryer and Larry Coble
4. a. Persons Contacted: N/A.
b. Phone No. : (704) 483-3391
5. Directions to Site: Travel west on Highway 73 past Highway 16 to SR 1386.
Turn right on SR 1386. SR 1386 becomes SR 1380. Travel to SR 1381 and turn
left on SR 1381 . Travel on SR 1381 to SR 1639. Turn left on SR 1639.
Residence is located on the left in the curve in the double wide trailer
with yellow shutters.
6. USGS Quad No.: F 14 NE (See attached map)
7. Size (Land available for expansion and upgrading) : There is ample area for
the wastewater treatment facilities.
8. Topography: Sloping toward the receiving stream which is southwest of the
residence at 3-15%.
9. Location of Nearest Dwelling: Several located within 500 feet and adjacent
to the site.
PART II - DESCRIPTION OF EXISTING TREATMENT FACILITIES
1 . Existing Facilities: The permittee has a septic tank-nitrification field,
an overflow standard sand filter trench, and effluent chlorination.
2. Modifications: N/A.
PART III - EVALUATION AND RECOMMENDATIONS
1 . Performance Evaluation: The system appears to be operating properly with the
exception that no chlorine tablets are being used.
2. 0 & M Evaluation: The chlorinator does not contain chlorine tablets.
Permit Limits Sample Results
Monthly Average Weekly Average
Flow 0.001 mgd
BOD5 30 mg/1 45 mg/1 4.2 mg/1
TSS 30 mg/1 45 mg/1 3 mg/1
Fecal
Coliform 200/100 ml 400/100 ml 50/100 ml
NH3 1 .9 mg/1
3. Recommendations and/or Special Conditions: The staff recommends the permittee
add chlorine tablets to the chlorinator as necessary. NPDES Permit No.
NC 0033596 expired at midnight on 6/30/81 . The permittee should request
renewal . Samples were collected after the area had had rainfall .

'' IC 1 400 000 FEET 499 '
i- Ei1 00
e\ r, \.a — ! c 1 3 .
\ . L - v J r• -�"J p
., . __a ti {
1-1
;
3928- \l
8.4;
N
gem L - y l' J '.�C `a ' - _ --� � •. ! l � yl��6400C
• / F
\� / 1 \ CT1/
% / (r rt // �,_�•-' 1 ,
C
- g
\ - \ f am,• 1.�'(\ 1 oA
3927
• f
��z - fie. �.�� \� �,1
, ��- 7 '� . J
� _
C o-
> ( � �} (� � Iv G � 2 • I
Y I \
r
�•
i
352
b
. , • I \
\ ,
\ )
\\: r \ \
`�
l f
! _
i p
'1k i _ s 38'i 25/ i•
i J 1
•
1{ a
j '
( f' • j s, •
r l ( `-`L4
V �l t
, ;, j ' -.1`,.C),•---
q
'` �1 �\� East Lincolr. �; - - / r, ,t, ? rf t: I
''^*::.a.`.... �. High tich• \ \ v
/',, r✓
/ \ •
I'
l
/\- ^;
y
i =sue..,:✓--- .
,
f
ILi NJ

.1a-
It C O U N T Y I. ♦a 0 $
? Ins T 117a 9 / f - - / .-_ t� la- \ _ 11
. n .-y__ _7u,
_ 139 .Q 1943 a14e 1747 L747 "!?,., ✓ 20 1 - }
!7-7 NL4Z • i 1 17E 7'--.- i i \ I-.
I1tP_'`.7 • u 3. n -3 - : •♦ 114a ' ' ♦\ • s r 124 n77 .�
, 4,
•
L_ • 1J.7 \ 1':
\ 11171 ,tfs 4 e ,. t.. ,,• •,)?• fA3 • ? 1•iJ LA LI -171 �/ 17\� (1�� I
♦ N. 1447 Cb. ° 1334 Ian rn 1 - . a -•, �I^ \` W
lli4 t •- , - .f._, �, 1, ..I
•..;' .d 1343 1g1;' y1 L44l. \u 3. ( - , L� lB �; t11 ��\.1 Q
117E ' 133Y % -Ill- -�S\ •\ r 13� `'' p4n CeM•r ' t� 11• fl•`' \ Wbbs ��/' �`•�i CC 1 -- .3' 11
-341' ` \.. j ! p • �'` Ia39 \ 1 } I 111 ,`L`
.`lat5 !734 . `� 1 1.LP. /fA3 .J fA7 UK �.
A -. h 130 LT_44 i \ N V \\c4'I
. ua4 I1_ !�, �'•'' ♦ �, , to ,,(1)/I `�
1 I34-try -' _ -t;u m a IA4 ,-,, / (.t .5 I J
{' , •`., ♦\` \ I.
A •:`1i '__— / 34j Kiavi• �;! A. 3'30'
o !372 cK 11s1 i t� tt;i ♦ �.i 6. \ 1, .\ •
17L 1337 --1.. . 03 �. .2•` 13! �
`fN OlNTO �♦ 7,8 !373 t`� o v `gg -/ r /' _ t"
• 17 t,l 13}4 ' 11s3 NaoperJ y' I,1 >
J 6 .. -' ' :IIr .J 177a _ L' \o �l 7 -ii /;
11✓� • ._Creek i - ..---'J / I•-
., , uAjO"" .4 L 4..', i1i t�� n I a s'`1r L744 11 !3!3 G • - -
lr a 11I _ f ® ,' ` — '4 r \`°�'"
_ 1324 J
•
A$a �t< ' ,1NA 1 QI
. •kk, e.,_7 1314 ? R'�iin9ef ;T !4E ti •Y 1i' -
•
't L4i- \ 1i 4 1 / .4, \?-i `.e 'i-- .1..\ it\72. O
17
ALA.,-` C < 1? 133E I.lt L1 sCt Ill
fA7 R I
ItMrIC1 U JafONOTO • 717 e°+rr '� Branch 'IV Mod1p•lab \ to f -T
s._ . -- .. . ...,_:, ,,,, ,„
Iran Slalwn e t313 :1 A:4 LI) . `
.� 1313"1171-2 f •• r a 131i i •1371 tril...
.\ LL I Y ♦ - Ce
_..7 Salem: L r. 7% i N ra ( i1 7i••-i 120 '; CC iv T N. ,`al, .7
i �� s- 113E 7 \• ,• 7 'J ♦ taw °� t W
s,'-
> I fit
Y 7s 7s' LI
♦ \. ••Maripwo\\ F,•p7
•`• �'r �}—- Y �% _ ' Ill4 .1:,A4.0 L/144• % �•1 .i 1441 ,� nt 1j �,- 't. Vf CZ 1 —•—_ .•�77 �/ .�._ f _�� 14!2 — 13Pe; - _ ' 16-- - �t A' W
I C C1 0 ,0 1 I f _ 70 T r
U_ N T Y e I �/
U I0 P I
D,4 a -
a NC
1
�1� NOTE:MAP INCLUDES ONLY STATE MAINTAINED ROADS 1�' - t34z
01����■■■ r�i`��`,� OR IMPORTANT NON-SYSTEM ROADS.
I�'lla& AI ,� � �111164160111.0) MILEAGE NOT SHOWN ON FRONTAGE ROADS.
.I:njiiil� ii A `` ROADS SHOWN AS OF 1AN. 1, 197Y
� �1��. ���� uap Ialaledf 1491,14R1,iRRI,loos,1RR!

,.was ,.Pi. It" v - -_._� �. ::.-.y..:c's._ o-.f`w1. _,..u„e.✓ -- - ;.s "I'''T'' - -'`rr�;; � r-.° - -
' N.C. DEPT. OF NATURAL RESOURCES & COMMUNITY ..
$ COUNTY: DEVELOPMENT LAB NUMBER 00008,
%. RIVER BASIN DIVISION OF ENVIRONMENTAL MANAGEMENT0 DATE RECIEVED
1 REPORT TO: (Circle One) WATER QUALITY FIELD-LAB FORM (DM1) RECIEVED BY:
.ia SAMPLE TYPE .),i'-
ARO, FRO, MRO, RRO, WaRO WiRO, WSRO, BM, TS, DATA ENTRY BY: CK: .
OTHER: []AMBIENTIll CORE ECOMPLIANCE DATE REPORTED:
COLLECTOR(S): ElINTENSIVE S. n SPLIT EMERGENCY
..
BOO RANGE: SEED: STATION LOCATION:
tit CHLORINATED REMARKS: M"
N Station Number Date Begin(yy/mm/dd) Time Begin Dote End Time End Depth DM DB DBM Value Type Sample Type Composite
;A A H L C G GNXX T S B
I I . I 1
1 -BODS 319 m9.1 Chloride940 my/1 NH3 as N 610 mg/I Mo-Molybdenum 1062 ugh
2 COD•High 340 mg/I Arsenic:Inorganic1002 ug/I TKN as N 625 mg/I Na-Sodium 929 mg/I •
3 COD:Low 335 mg/I Chl a:Tri32217 ug/I NO2+NO3 as N 630 mga Ni- Nickel 1067 ug/I
4 Coliform:MF Fecal31616 /100m1 Chl a:Corr32209 ug/I PO4 as P 70507 m /cal Pb- Lead 1051 vg/I
5^ _Coliform:MF Total 31504 /100m1 Pheophytin a32213 ug/I1 P:Total as P 665 mg/1 Sb-Antimony 1097 ug/I i'
6 Coliform:Tube Fecal 31615 /100m1 Color:True 80 Pt-Co P:Dissolved as P666 mg/1 Sn- Tin 1102 ug/I
7 Coliform:Tube Total 31505 /100m1 Chromium:Hex.1032 uq/1 Ag-Silver 1077 ug/1 V -Vanadium 1087 ug/I
8 Residue Total 500 mg/I Cyanide 720 mg/1 Al -Aluminum 1105 ug/I Zn-Zinc 1092 ug/I, -•1
9 Volatile 505 mg/I Fluoride951 mg/1 _Ba- Barium 1007 ug/I, Pesticides (Specify)
10 Fixed 510 mg/I Formaldehyde 71880 mg/1_, Be- Beryllium 1012 ug/I
11 Residue:Suspended 530 mg/I Grease and Oils 556 mg/1 Ca-Calcium 916 mg/I
12 Volatile 535 mg/I Hardness:Total900 mg/It `Cd-Cadmium 1027 ugli
13 Fixed 540 mg/I MBAS 38260 mg/ (Co-Cobalt 1037 uga Organics (Specify)
14 pH403 units Phenols 32730 u9/I Chromium:Total 1034 ug/l
15
Acidity to pH 4.5 436 mg/I, Sulfate 945 mg/I1 Cu-Copper 1042 ug/l
16 Acidity to pH 8.3 435 m9,,_/1 Sulfide 745 mg./1 Fe-Iron 1045 ug/I
2
17 -Alkalinity to PH 8.3 415 mg/I Specific Cond.95 uMhos/cm Hg-Mercury 71900 ug/I
18 2
Alkalinity to pH 4.5 410 mg/I Biomass:Dry Wt.573 9/M Li-Lithium 1132 ug/I
2 19
IOC 680 mg/I Biomass:Peri Ash Free 572 9/M Mg-Magnesium 927 mg/I, �_�
202 —^
Turbidity 76 NTU Chl a: Peri Fluro 82547 mg/M Mn-Manganese 1055 ug/1 I
Sampling Point Water Temperature(°C) D.O. pH Conductance Alkalinity Acidity
A PT at 25°C 'PH 8.3 pH 4.5 PH 4.5 PH 8.3
63 I2° 10 300 400 94 82244 431 82243 82242
Secchi(Meters) Air Temperature(°C) D.O.%Saturation Salinity%° Algae;Floating Mats Precipitotion(In/Day) Cloud Cover;% Wind Direction(Deg.) Wind Force
BSeverity Beaufort i
78 20 301 480 1325 45 32 36 37 i
1 Hr-Settleagle Dead Fish Turbidity Severity Odor;Atmosphere Stream Flow Detergent Suds Oil-Grease Floating Debris Sludge Severity I
Matter(mllllHr) Severity Severity Severity Severity Severity Severity '. i
1
86 1340 1350 1330 1351 1305 1300 1345 1315 ,-1
Revised 1/81 LA
it11
x ,`1ta v.., ..•,•-;.,..:.,:;.r.-..4.--:+ r-,m.-s:-.-.>.,..-yt'_ a..-cT i', rVS- ,.:t.. 't E=.a> 'f ,
V!'-.--�.-�.3._. ��Y `St�:�'.,}-�f-�"-+F-�:-West:�'� 'fl�r"."%`.a t-*, '�'s .F .- ,n,�, .._ _s="=- ,•-�. �a r �, ,'

----' rti..'! __-' ^_ fe t:. ." •.4 1,,, mac- ., ' ,a+if,J. _
a
N.C. 'T. OF NATURAL RESOURCES & COM UPI
i COUNTY: DEVELOPMENT LAB NUMBER 00008: }'
T RIVER BASIN: . - ' DIVISION OF ENVIRONMENTAL MANAGEMENT DATE RECIEVED: _
r REPORT TO: (Circle One) ���. r WATER QUALITY FIELD-LAB FORM (DM1) 0 RELIEVED BY:
• Iz . . r-
;',rts ARO, FRO,'MRO, RRO, WoRO WiRO, WSReotINYd;_3IT� L"'t L�.�" ^� SAMPLE TYPE DATA ENTRY By: CK: •'
' a AMBIENT Ei CORE COMPLIANCE
OTHER t 2ECl DATE REPORTED:
1r.M
r _ - R
,' (
COLLECTOR($): INTENSIVE S. nSPLIT EMERGENCY
ly •
-- BOD RANGE SEED: et 1AA3vi1�El1E1`1• STATION LOCATION: 4f1,14,Y
ew t MVO �JF triiS`,)4t;.,EEt�I vita
5i., wail
R"d CHLORINATED -":f.1F �`pLONI� REMARKS:
'' Station Number Date Begin(yy/mm/dd) Time BeginDate End Time End Depth DM DB DBM Value Type Sample Type Composite
A H L C G GNXX T S B
,7" 1 BODS 310 mg/I Chloride940 mg/i' NH3 as N 610 mg/I Mo—Molybdenum 1062 ugh
,r
-1 2 COD High 340 mg/I Arsenic:Inorganic1002 ug_/I TKN as N 625 men Na—Sodium 929 mg/I
3 COD:Low 335 mg/I Chl a:Tri32217 us/1 NO2*NO3 as N 630 mg!" Ni— Nickel 1067 u /l
4 Coliform:MF Fecal 31616 /100m1 Chl a:Corr 32209 ug/I PO4 as P 70507 mg_ Pb— Lead 1051 u /I
v 5 Coliform:MF Total 31504 /100m1 Pheophvtin a32213 ugh P.Total as P 665 mg/l Sb—Antimony 1097 ua/I
6 Coliform:Tube Fecal 31615 /100m1 Color:True 80 Pt—Co P:Dissolved as P666 mg/1 Sn— Tin 1102 ug/I
7 Coliform:Tube Total 31505 /100m1 Chromium:Hex.1032 ugh. Ag—Silver 1077 ug/I V —Vanadium 1087 vg/I
8 Residue-Total 500 mg/I Cyanide 720 mg/1 Al —Aluminum1105 uga Zn—Zinc 1092 ug/l
9 Volatile 505 mg/I Fluoride951 mg/I Ba— Barium 1007 ug/I Pesticides (Specify)
10
Fixed 510 mg/I Formaldehyde 71880 mg_/I Be— Beryllium 1012 ug/I
11 Residue:Suspended 530 mg/I Grease and Oils 556 mg/1 Ca—Calcium 916 mall
12 Volatile 535 mg/I Hardness:Total 900 mg/1 Cd—Cadmium 1027 uyj/
13 Fixed 540 mg/I MBAS 38260 mia Co—Cobalt 1037 ug/I Organics (Specify)
14 pH 403 units Phenols 32730 ug/I Chromium:Total 1034 ug/I
15 Acidity to pH 4.5 436 mg/I Sulfate 945 mg/I Cu—Copper 1042 ug/I
16 Acidity to pH 8.3 435 mg/I _Sulfide 745 mg/1 Fe—Iron 1045 ug/I
2
,' 17 Alkalinity to pH 8.3 415 mg/I Specific Cond.95 uMhos/cm Ng—Mercury 71900 ug/I
2
18
Alkalinity to pH 4.5 410 mg/I Biomass:Dry Wt.573 9/M Li— Lithium 1132 ug/I
19 2
TOC 68Q mg/I Biomass:Peri Ash Free 572 9/M Mg—Magnesium 927 mg/1
2
20
Turbidity 76 NTU Chl a: Peri Fluro 82547 mg/M _ Mn—Mang_anese 1055 ug/l
Sampling Point Water Temperature(°C) D.O. pH Conductance Alkalinity Acidity
at 25°C
4 PT a �PH 8.3 pH 4.5 PH 4.5 PH 8.3
63 12 10 300 400 94 82244 431 82243 82242
Secchi(Meters) Air Temperature(°C) D.O.%Saturation Salinity%. Algae,Floating Mats Precip,fation(In/Day) Cloud Cover;% Wind Direcfion(Deg.) Wind Force
Severity Beaufort
B
78 20 301 480 1325 45 32 36 37
1 Hr Settles a Dead Fish Turbidity Severity Odor,Atmosphere Stream Flow Detergent Suds Oil-Grease Floating Debris Sludge Severity
Matter(ml/IIHr.1 Severity Severity Severity Severity Severity Severity
l86 1340 1350 _1330 1351 1305 1300 1345 1315
Revised 1/81LA
..u,-.4 -••,17*+�.ti:. ''*.:52,a �; _.a`VI',' '14*-. `;��r._a. _" '!L' €41,. ...M.. , rr,-..- {. _- '.

i- t
L
��u
.. tit- a
\ ���111ttt i
e u G`
r d -A i
October 27, 1976 ,\l0 Nv t r 4
4 'l.J ::. ,yA yam'.:
y Mr. Charles E. Powell j ; .
} Route 1, Box 186-17 '
Denver, North Carolina 28037 ���'
x. Subject: Permit No. NCO033596
-
, Powell Residence r �i3
Lincoln County
41
''.'V:. P, ,.., ',,.r.".,t
Dear Mr. Powell:
In accordance with your application for disch. rge Permit received49!-
September. 10, 1976, we are forwarding herewith the subject State - ):'PDES 2
'OrPermit. This Permit is issue . pursuant to the requirements of North
f,: Carolina Cencsral Statutes 14,-215.1 and the Se orandum of As;ree1Lnt between " ?
North Carolina and the u. S. >:.nviro,men.al Protection A7ency dated
October 19, 1975.
C.
k d If any parts, re :uiraients, or limitations contained in this Perm t
are unacceptable to you, you have the right to an adjudicatory hearing f x
before a .gearing officer upon writt:•n deman . to t e Director within 30 days
following receipt of this Permit, id not'f •t:g the spe,•if is issu 's to he
-" co tended. :unless such d sand is madr , this Perini shall be f'n+al and a
binding.
i
Please take notice tat th's Permit is nc,t transfe--ab1 Part II, P.2.
0 ,addresses the requirements t be fol'owed in case of than a in owne ship or -
control of this dis :harge. '"
Ott t
'� This Permit does not affect the 1-gal requi�-e:aent to obtain other re7 nits • s
A ' which may be required by the Division of Env i.rona-n tal Managed .Tv.,. If you
r
have any questions concerning this rermit, pl-ase cont ct u . ?
�t
s ' Sincerely, . `
Original Signed by �• ".
rt'', W. E KNIGHT
1 W. E. Knights
4 cc: Lincoln County Health Department
Mr. George Harlow, EPA
:::,,:-:.
( th-Piedmont piald Office
t
a
4. a
4.A3", '.`e scar.f ` , ..}?!• '

Permit No. NC0033596
r
F,,,,
STATE OF NORTH CAROLINA . 0•
DEPARTMENT OF NATURAL AND ECONOMIC RESOURC t' Q'��4"A ,j
%- DIVISION OF ENVIRONMENTAL MANAGEMENT CP 1# fi
" „ PERMIT lAQ' ,a\
P
{ To Discharge Wastewater Under The NATIONAL
Or
POLLUTANT DISCHARGE ELIMINATION SYSTEM
Pk
.';" In compliance with the provisions of North Carolina General Statute
143-215.1 , other lawful standards and regulations promulgated and adopted
I, by the North Carolina Environrental Management Commission, and the Federal 111
Water Pollution Control Act, as amended,i4., 11
wy�' Mr. Charles E. Powell
is hereby authorized to discharge wastewater from a facility located at
x
Charles E. Powell Residence
Lincoln County
f i•-„,--,,,,,,,i,
t0 1"eCe1 V111g waters unna_r.�ed tributary to Killian Creek in the Catawba � �
S.
River Basin 5;
in accordance with effluent limitations , monitoring requirements, and other '_
.t '. conditions set forth in Parts I , II , and III hereof. �r
"
1#-V; This permit shall become effective October 27, 1976.
�y This permit and the authorization to discharge shall expire at midnight
oil June 30, 1981. � 74
•
�tt,z �,
ASV',: S'.i;
S
6
�, "
Signed this day of October 27, 1976. E
etr, Original Signed by
7• kS� 1
; W. E. Knight, Director y,
';x Division of Environmental Management ;`
t':
,�vl
��. ay Authority of the Environmental ate;
w Management Commission '�
1pl
r M l & I 1 v
sir,-, C� a uJ>-..* ` %,aa,.. �t� ,�:k¢ � ,r
mod.,,. a ��-- �

rage ur
Permit No. NC0033596
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Charles E. Powell
is hereby authorized to:
1 . Enter into a contract for construction of a standard sand filter
trench with effluent disinfection facilities to serve a single
family dwelling,
2. Make an outlet into an unnamed tributary to Killian Creek,
3. Construct and operate a wastewater treatment plant consisting of
a septic tank, nitrification lines with an overflow sand filter and
effluent disinfection facilities located at Charles E. Powell residence
(Note Part III, condition No. C of this Permit) , and
4. Discharge from said treatment works into an unnamed tributary to
Killian Creek which is classified Class "C".

A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS- FINAL
During the period beginning on the effective date and lasting until expiration,
permittee is authorized to discharge from outfall (s) serial number(s) 001 . Such
discharges shall be limited and monitored by the permittee as specified below:
•
'fluent Characteristics Discharge Limitations * Monitoring Requirements
kg/day (lbs/day) Other Units (Specify) Measurement Sample Sample
Monthly Av�c . Weekly Avg. Monthly Avg. Weekly Am. Frequency Type Location
low 0.001 MGD
0D5 30 mg/1 45 mg/1
SS 30 mg/1 45 mg/1
ecal Coliform Bacteria (Geometric Mean) 200/100 ml 400/100 ml
he temperature of the effluent shall be such as to not cause a temperature in the receiving stream of 5°F above ambient stream
ater temperature and in no case exceed 90°F.
Monitoring Requirements are waived on single family dwelling discharges.
,4 vva?
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units c5'
and shall be monitored *. © -6
There shall be no discharge of floating solids or visible foam in other than trace amounts. CO z
,:o 00
• -n
Ut

Part I
• Page of � � ? � � 9f
Permit No. NC
B. SCHEDULE OF COMPLIANCE
1 . The permittee shall achieve compliance with the effluent limitations
specified for discharges in accordance with the following schedule:
a. Submit final plans on or before December 1 , 1976.
b. Begin construction on or before February 1 , 1977.
c. Complete construction on or before May 1 , 1977.
d. Attain operational level on or before July 1 , 1977.
2. No later than 14 calendar days following a date identified in the above
schedule of compliance, the permittee shall submit either a report of
progress or, in the case of specific actions being required by identified
dates, a written notice of compliance or noncompliance. In the latter
case, the notice shall include the cause of noncompliance, any remedial
actions taken, and the probability of meeting the next scheduled requirement.
M 4 & I 4

Part I
Page Of
Permit No. NC
"Act" used herein means the Federal Water Pollution Control Act, As Amended.
"DEM" used herein means the Division of Environmental Management of the
Department of Natural and Economic Resources.
"EMC" used herein means the North Carolina Environmental Management Commission.
C. MONITORING AND REPORTIN
IV .//�� ,fa �
1 . Representative Samp gT �'ti"'I°°" `, ;��
Samples and measurements taken as required herein shall be representative
of the volume and nature of the monitored discharge.
2. Reporting
Monitoring results obtained during the previous month(s) shall be
summarized for each month and reported on a Monthly Monitoring Report
Form (DEM No. MR 1 .0, 1 .1 , 1 .2, and 1 .3), postmarked no later than the
45th day following the completed reporting period.
The first report is due on . Duplicate signed copies of
these, and all other reports required herein, shall be submitted to
the following address:
Division of Environmental Management
Water Quality Section
Post Office Box 27687
Raleigh, North Carolina 27611
3. Definitions
a. The monthly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected in a one-
month period. The monthly average for fecal coliform bacteria is
the geometric mean of samples collected in a one-month period.
b. The weekly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected during a
one-week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one-week period.
c. Flow, M3/day (MGD): The flow limit expressed in this permit is the
24 hour average flow, averaged monthly. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month.
d. Arithmetic Mean: The arithmetic mean of any set of values is the
summation of the individual values divided by the number of individual
values.
M5

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

• - PART I
Page of
Permit No. NC
6. Additional Monitoring by Permittee
If the permittee monitors any pollutant at the location(s) designated
herein more frequently than required by this permit, using approved
analytical methods as specified above, the results of such monitoring
shall be included in the calculation and reporting of the values required
in the Monthly Monitoring Report Form (DEM No. MR 1 .0, 1 .1 , 1 .2, and 1 .3)
Such increased frequency shall also be indicated. The DEM may require
more frequent monitoring or the monitoring of other pollutants not
required in this permit by written notification.
7. Records Retention
All records and information resulting from the monitoring activities
required by this Permit including all records of analyses performed and
calibration and maintenance of instrumentation and recordings from
continuous monitoring instrumentation shall be retained for a minimum of
three (3) years, or longer if requested by the Division of Environmental
Management or the Regional Administrator of the Environmental Protection
Agency.
M 7

•
• PART II
Page of
Permit No. NC
A. MANAGEMENT REQUIREMENTS
1 . Change in Discharge
All discharges authorized herein shall be consistent with the terms and
conditions of this permit. The discharge of any pollutant identified
in this permit more frequently than or at a level in excess of that
authorized shall constitute a violation of the permit. Any anticipated
facility expansions, production increases, or process modifications which
will result in new, different, or increased discharges of pollutants must
be reported by submission of a new NPDES application or, if such changes
will not violate the effluent limitations specified in this permit, by
notice to the DEM of such changes. Following such notice, the permit
may be modified to specify and limit any pollutants not previously limited.
2. Non compliance Notification
If, for any reason, the permittee does not comply with or will be unable
to comply with any effluent limitation specified in this permit, the per-
mittee shall provide the Division of Environmental Management with the
following information, in writing, within five (5) days of becoming aware
of such condition:
a. A description of the discharge and cause of noncompliance; and
b. The period of noncompliance, including exact dates and times; or,
if not corrected; the anticipated time the noncompliance is expected
to continue, and steps being taken to reduce, eliminate and prevent
recurrence of the noncomplying discharge.
3. Facilities Operation
The permittee shall at all times maintain in good working order and
operate as efficiently as possible all treatment or control facilities
or systems installed or used by the permittee to achieve compliance with
the terms and conditions of this permit.
4. Adverse Impact
The permittee shall take all reasonable steps to minimize any adverse
impact to navigable waters resulting from noncompliance with any effluent
limitations specified in this permit, including such accelerated or
additional monitoring as necessary to determine the nature and impact of
the noncomplying discharge.
5. Bypassing
Any diversion from or bypass of facilities necessary to maintain compliance
with the terms and conditions of this permit is prohibited, except (i) where
M 8 & I 7

•
• PART II
Page of
Permit No. NC
unavoidable to prevent loss of life or severe property damage, or
(ii ) where excessive storm drainage or runoff would damage any
facilities necessary for compliance with the effluent limitations
and prohibitions of this permit. The permittee shall promptly
notify the Water Quality Section of DEM in writing of each such
diversion or bypass.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the
course of treatment or control of wastewaters shall be disposed of in
a manner such as to prevent any pollutant from such materials from
entering waters of the State or navigable waters of the United States.
7. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. In accordance with the Schedule of Compliance contained in Part I,
provide an alternative power source sufficient to operate the waste-
water control facilities;
or, if such alternative power source is not in existence, and no date for
its implementation appears in Part I,
b. Halt, reduce or otherwise control production and/or all discharges
from wastewater control facilities upon the reduction, loss, or
failure of the primary source of power to said wastewater control
facilities.
8. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore
or offshore physical structures or facilities or the undertaking of any
work in any navigable waters.
I8

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

PART II
• Page of
Permit No. NC
5. Toxic Pollutants
Notwithstanding Part II, B-4 above, if a toxic effluent standard or
prohibition (including any schedule of compliance specified in such
effluent standard or prohibition) is established under Section 307(a)
of the Act for a toxic pollutant which is present in the discharge and
such standard or prohibition is more stringent than any limitation for
such pollutant in this permit, this permit shall be revised or modified
in accordance with the toxic effluent standard or prohibition and the
permittee so notified.
6. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II, A-5)
and "Power Failures" (Part II, A-7), nothing in this permit shall be
construed to relieve the permittee from civil or criminal penalties for
noncompliance pursuant to N. C. G. S. 143-215.6 or Section 309 of the
Federal Act, 33 USC 1319.
7. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution
of any legal action or relieve the permittee from any responsibilities,
liabilities, or penalties to which the permittee is or may be subject
under N. C. G. S. 143-215.75 et seq. or Section 311 of the Federal Act,
33 USC 1321.
8. Property Rights
The issuance of this permit does not convey any property rights in either
real or personal property, or any exclusive privileges, nor does it
authorize any injury to private property or any invasion of personal
rights, nor any infringement of Federal,State or local laws or regulations.
9. Severability
The provisions of this permit are severable, and if any provision of this
permit, or the application of any provision of this permit to any circum-
stance, is held invalid, the application of such provision to other cir-
cumstances, and the remainder of this permit shall not be affected thereby.
M 11 & I 10

• • PART II
Page of
Permit No NC
10. Expiration of Permit
Permittee is not authorized to discharge after the expiration date.
In order to receive authorization to discharge beyond the expiration
date, the permittee shall submit such information, forms, and fees as
are required by the agency authorized to issue permits no later than 180
days prior to the expiration date. Any discharge without a permit after
the expiration will subject the permittee to enforcement procedures as
provided in N. C. G. S. 143-215.6 and 33 USC 1251 et seq..
I 11

PART III
Page of
Permit No. NC
B. Previous Permits
All previous State water quality permits issued to this facility,
whether for construction or operation or discharge, are hereby revoked
by issuance of this permit. The conditions, requirements, terms, and
provisions of this permit authorizing discharge under the National
Pollutant Discharge Elimination System governs discharges from this
facility.
C. Construction
No construction of wastewater treatment facilities or additions thereto
shall be begun until Final Plans and Specifications have been submitted
to the Division of Environmental Management and written approval and
Authorization to Construct has been issued. If no objections to Final
Plans and Specifications has been made by the DEM after 30 days following
receipt of the plans or issuance of this permit, whichever is latter, the
plans may be considered approved and construction authorized.
D. Certified Operator''YYBUJn�(�T
0p� �`'t, r
Pursuant to Chapter 90A o hdrj� ._ General Statutes, the permittee
shall employ a certified wastewater trea!ment plant operator in responsible
charge of the wastewater treatment facilities. Such operator must hold a
certification of the grade equivalent to the classification assigned to
the wastewater treatment facilities.
M15 & I12

r;F -
STAFF REPORT AND RECOMMENDATIONS
Part I - INSPECTION OF PROPOSED WASTEWATER TREATMENT PLANT SITE
1 . Place visited: Chuck Powell Residence
Route 1 , Denver
Lincoln County
2. Date: August 5, 1976
3. By: Larry D. Coble ` - p6
4. Persons contacted irs. Chuck Powell , Allen Goodson, Lincoln County
Health Deoartnient
5. Directions to site: The site is located off of S. R. 1381 near
Kidville in Lincoln County. The site is approximately 0.9 mile /P
from the intersection of S. R. 1381 and S. R. 1360 on the south
side of S. R. 1331 . o� s j C, 9
6. The bearing and distance to the proposed point of effluent discharge
is: Approximately 100 feet southwest of the Powell residence.
Latitude 35° 29' 40" and Longitude 31° 02' 50 '.
7. Size: There is ample area available for the proposed construction.
S. Topography: Sloping toward the receiving stream which is southwest
of the residence at 3-15`;.
9. Location of nearest dwelling: Several locateJ within 511' and adjacent
to the site.
10. Receiving Stream: Unnamed tributary to Ki11ial Creek
(a) Classification: C
(b) 'iiniraun 7-Day, 10-Year discharge at site: Estimated "0"
(c) Usage: Fishing, boating, wading and any other usage except
for bathing or as a source of water supply for drinking, culinary
or food processing purposes.
Part II - DESCRIPTION OF PROPOSED TREATMENT 4WORKS
The applicant at present has a septi' tank nitrification field wastewater
treatment system. This system has been repaired and additional nitrification
line has been added several times. The system is at present discharging
raw sewage due to poor percolation of the soil . Since the present
system has failed, the applicant proposes to install an overflow Standard
Sand Filter Trench to serve a single family dwelling with a Sanuril
or equivalent effluent chlorination facility. Even though sand filter
trenches are not desirable, it is felt that the sewage would be more
acceptable from a sand filter system than being dischargedraw as is
currently being done. It would appear that there is no other viable
alternative at present.

-2-
Part III - EVALUATION AND RECOMMENDATIONS
It is recommended that a Permit be issued containing the following effluent
limitations which in the past have been assigned to a single family
residence discharge of this type:
Parameter Limitation
Flow 0.001 gpd
BOD5 30 mg/1
Total Suspended Solids 30 mg/1
Fecal Coliform (Geometric Mean) 200/100 ml
pH 6 - 9 units
Temperature 90o/e05oF

.NORTH CAROL/NA DEPT. OF NATURAL & ECONOMIC RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM A APPLICATION NUMBER
FOR A'1 -10 le 1313151 I'
To be filed only by municipal wastewater dischargers AGENCY
USE DATE RECEIVED
r-7
1 (01OI9I / ID ,
YEAR MO. DAY
Do not attempt to complete this form before reading the accompanying instructions
Please print or type
1. Name of organization responsible for facility NV • U�� • ?C) P '1
2. Address, location, and telephone number of facility
producirA discharge: I \_
A. Name �Q, Chu �.�� �hw f. � l l Rcs k c-Ale f -- mob I lC_ Y`brY1e__,1
B. Mailing address: �- 1
1. Street address (4),_.k k o X 11 4-
2. City O,\C V3 e 1� ) 3. County \. 1 rx.0
1U
4. State nQ��, `.Rr2r\► YUA• 5. ZIP
C. Location: 2 `
1. Street 1 (a39 ) fle J r,Q. t+�x Ubl3\ 1LI1 I�
2. City t e t\.11) E_vi_ County \-\ INS' t43
4. State 0 I C •
D. Telephone No. 1 t"4 !N 3 I
Area
Code
If all your waste is discharged into a publicly owned waste treatment facility and r
to the best of your knowledge you are not required to obtain a discharge permit,
proceed to item 3. Otherwise proceed directly to item 4.
3. If you meet the condition stated above, check here o and supply the information
asked for below. After completing these items, please complete the date, title, and
signature blocks below and return this form to the proper reviewing office without
completing the remainder of the form.
A. Name of organization responsible for receiving waste
B. Facility receiving waste:
1. Name
2. Street address
3. City 4. County
5. State 6. ZIP
4. Type of treatment: t°,Y\& F \A-co_ ---\--'RtuC--'
A.o None B.D Primary C.0 Intermediate D.0 Secondary E.0 Advanced
5. Design flow (average daily) of facility mgd.
6. Percent BOD removal (actual):
A.D 0-29.9 B.0 30-64.9 C.o 65-84.9 D.D 85-94.9 E.D 95 or more
7. Population served: V.C.. N ce_.. 1-\ 9 t cZ S c N S
A.0 1-199 B.0 200-499 C.0 500-999 D.01,000-4,999
E.0 5,000-9,999 F.0 10,000 or more
8. Number of separate discharge points:
A.Ell B.02 C.03 D.04 E.D5 F.06 or more

El
9. Description of waste water discharged to surface waters only (check as applicable).
Flow, MGD (million gallons per operating day) Volume treated before
discharging (percent)
Discharge per
operating day G- 5 35- 1
0.01- 0.05- 0.1- 0.5- 1.0- or None 0.1- 65- 9 5- '-�z..;
0.0C991 0.049 0.099 0.49 0,99 4.9 j more 34,9 64.9 1 94,9 100 -` '1
(1) i (2) (3) (4) (5) (6) I (7) (8) (9) (10) ! (11) 1 (12) ,s'y
1. ' 4 ' ...
A. Average ( 1 } i ) ! I
B. Maximum ! I i
10. If any Waste water, treated er entreated, is discharged to places other than
surface waters. check below as applicable. -1
) Flow, MGD (million gallons per operating day)
way`--e water is 1 0-0.0099 0,01-0.1149 0.05-0.099' 0.1-0.49 10.5-0.99 3 1.0-4.9 1 5 or more ,
discharged to , {
A. Deep well t ! `
B. Evapor'tire honor 1 I ;.;
C. Subsurface perrc' tion system ; ! I I t _ =
D. Other, specify: ' ! i ) -�" ;
4 1 i
Y
11. Is any sludge ultimately returned to a waterway? , ';,;
A..e:yes d.wino %,.
e le
12. a. Do you receive industrial waste?
. L r yes 2..ttno
b. If eyes, enter approximate number of industrial dischargers into system
13. Type of collection sewer syste'1:
4.t/Seoerate sanitary
B.u Combined sanitary and storm
C.❑Both separate and combined sewer systems •
14. Name of receiving water or waters !A. T 1 C
15. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances: ammonia, cyanide, aluminum, beryllium,
cadmium, chromium. copper, lead, mercury, nickel, selenium, zinc, phenols.
kg yes B.dno
' I certify that I am familiar with the information contained in the application and
that to the hest of my knowledge and belief such information is true, complete, and
accurate.
lil
Printed Name of Person Signing
• Title '
one
�I
Date Application Signed a„,..e..) E` � ,, /�////��e'e {'�Y�( - ,. 1,
Signature of Applicant __ ,
North Carolina General Statute 143-215.6(b) (2) provides that: Any person who knowingly makes
any false statement representation, or certification in any application, record, report, plan,
or other document files or required to be maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, or who falsifies, tampers with,
'or knowly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under Article 21 or regulations of the Environmental Management Commissior
implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed
$10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provide
a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both,
`r a similar offense.)