NCG559909_Complete File - Historical_20171231

WaterResources
ENVIRONMENTAL QUALITY
September 20, 2017
Mr. John R. Witalison
2750 Morgan Road
Gold Hill, North Carolina 28071
SUBJECT: Compliance Evaluation Inspection
NPDES Permit NCG559909
Rowan County, NC
Dear Mr. Witalison:
RP
RO .. COOPER '.
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
On September 19, 2017, Roberto Scheller of this Office conducted an inspection at the subject
facility. This inspection was conducted as a Compliance Evaluation Inspection. (CEI) to insure
compliance with permit requirements and conditions. At the time of inspection facility appeared
to be well maintained and operated. We wish to thank you for your assistance regarding this
inspection.
The enclosed report should be self-explanatory; however, should you have any questions,
please do not hesitate to contact myself of Roberto Scheller at [phone] or
roberto.sch'[e-mail].
Sincerely, w
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
Enclosure: Inspection Report
cc: Wastewater Branch
File
State of North Carolina i Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office) 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 663 1699

U
United States Environmental Protection Agency
Form Approved.
Washington, D.C. 20460
A �
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 u 2 15 1 3 I NCG550909 I11 12 17/09/1 s 17 18 i C I 19 1 G I 201
21 � r6
Inspection Work Days Facility.Self-Monitoring Evaluation Rating B1 QA Reserved— "
67 70 L 71 l72 , L73174 75) 1 1 1 1
80
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)
10:27AM 17/09/19
13/08/01
2750 Morgan Road
2750 Morgan Rd
Exit Time/Date
Permit Expiration Date
Gold Hill NC 28071
11:11AM 17/09/19
18/07/31
Name(s) of Onsite Representative(s)rrities(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible OfficiaUTitle/Phone and Fax Number
Contacted
John R Witalison,2750 Morgan Rd Gold Hill NC 28071//704-279-7985/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Records/Reports 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
Roberto Schaller MRO WQ//252-946-6481/
9�
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.
2AV i�j ,4-
Page#

NPIDES yr/mo/day Inspection Type
31 NCG550909 121 17/09/19 17 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
I
Page# 2

Permit: NCG550909 Owner - Facility: 2750 Morgan Road
Inspection Date: 09/19/2017 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
El
El.
❑
application?
Is the facility as described in the permit?
N
❑
❑
❑
# Are there any special conditions for the permit?
N
❑
❑
❑
Is access to the plant site restricted to the general public?
N
❑
❑
❑
Is the inspector granted access to all areas for inspection?
N
❑
❑
❑
Comment:
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
W
❑
❑
❑
Is all required information readily available, complete and current?
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
0
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
❑
❑
E
❑
Is the chain -of -custody complete?
E
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
❑
❑
0
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
N
❑
(If the facility is = or> 5 MGD permitted flow) Do they operate 24/7 with a certified operator
❑
❑
E
❑
on each shift?
Is the ORC visitation log available and current?
❑
❑
E
❑
Is the ORC certified at grade equal to or higher than the facility classification?
❑
❑
N
❑ .
Is the backup operator certified at one grade less or greater than the facility classification?
❑
❑
N
❑
Is a copy of the current NPDES permit available on site?
0
❑ .
❑
❑
Facility has copy of'previous year's Annual Report on file for review?
❑
❑
❑
❑
Comment: Treatment system consists of septic tank, sand filter, pump tank with tablet disinfection and
discharge pipe.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? 0 ❑ 0 ❑
Page# 3

Permit: NCG550909 Owner - Facility: 2750 Morgan Road
Inspection Date: 09/19/2017 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Are the receiving water free of foam other than trace amounts and other debris? N ❑ ❑ , ❑
If effluent (diffuser pipes are required) are they operating properly? 0 ❑ ❑ ❑
Comment: There was no discharge of treatment system at time of inspection. Homeowner noted that
system very seldom discharges.
Page# 4

A74*-
F.iLE
NCQENR
North Carolina Uepaffff6nt-6f-Envlf6hi ent-and Nit ra-l"Re"'sources
Pat McCrory
Governor
Mr. John R. Witalison
2750 Morgan Road
Gold Hill, North Carolina 28071
Dear Mr. Witalison:
John E. Skvarla, III
Secretary
May 15, 2014
Subject: Compliance'Evaluation Inspection
.Witalison Single Family Residence
COC # NCG550909
Rowan County
Enclosed is a copy of the Compliance Evaluation Inspection report (CEI) for the inspection
conducted at the subject facility on May 1, 2014 by Ms. Barbara Sifford with this Office. Thank you for
your assistance and cooperation during the inspection. Overall the facility was in good operational condition
and well maintained.
The report should be self-explanatory. Please note that annual monitoring is required if the system is
discharging, however, discharges may be infrequent so collecting samples by the homeowner and submitting
them to a certified laboratory is acceptable. Total residual chlorine is required to be analyzed within 15
minutes of sample collection; therefore, this testing is necessary at the time samples are taken. If no
discernible flow is observed, this observation should be documented along with the frequency. Information
has also been included with this report regarding contract laboratories operating in NC.
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 Ms. Sifford or myself at (704)-663-1699.
Sincerely,
t
GG�
Michael L. Parker, Regional Supervisor
Mooresville Regional Office
- W--ater-Quality Regional -Operations -Section
Division of Water Resources, NCDENR
Cc: MSC-1617 Central Files
CEI- Report (BIMS)
Contract Labs in NC
Mooresville Regional Office, 610 East Center Avenue, Mooresville, North Carolina 28155
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

United States Environmental Protection Agency Form Approved.
No.
EPA Washington, D.C. 20460
T �....,..,.,. _.... ..... .:...: .:.:....;.. ���' r�,.. _.._._._ ... _OMB
pp oval.expi,es 8531-98 .._
Wa I - j1q
Section A: National Data System Coding (Le., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 15 I 31 NCG550909 111 12I 14/05/0, 117 181 C I 19I S I 20IU
Remarks
2111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA -----------Reserved-----------
67I 169 701 I 711 I 721 N I 73I I 174 751 I I I I I Li 80
u_ 1
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)
05:30 PM 14/05/01
13/08/01
2750 Morgan Road
Exit Time/Date
Permit Expiration Date
2750 Morgan Rd
Gold Hill NC 28071
06:30 PM 14/05/01
18/07/31
Name(s) of Onsite Representative(s)(fitles(s)/Phone and Fax Number(s)'
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
John R Witalison,2750 Morgan Rd Gold Hill NC 28071//704-279-7985/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance N Records/Reports Self -Monitoring Program
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 Division of Water Quality//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

I
NPDES yr/mo/day Inspection Type 1
_ 3. i MG550909 . A 11 12 14/05/01 1-
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCG550909
Owner - Facility: 2750 Morgan Road
Inspection Date: 05/01/2014 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping?
■nnn
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge n ■ n n
Judge, and other that are applicable?
Comment: Yard is maintained, no grass was in the sand filter.
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: Permit was renewed in August 2013. Copy of the permit was provided
during the inpsection.
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Yes No INA NE
Yes No INA NE
■nnn
■n,nn
I
■nnn
Are DMRs complete: do they include all permit parameters?
n
n
■
Has the facility submitted its annual compliance report to users and DWQ?
n
n
■
n
(if the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certiffe operator on each shift?
n
n7 n
Is the ORC visitation log available and current?
n
n
■
n
Is the ORC certified at grade equal to or higher than the facility classification?
n
i
n
■
n
Is the backup operator certified at one grade less or greater than the facility classification?
n
n
■
n
Page # 3

Permit: NCG550909 Owner - Facility: 2750 Morgan Road
Inspection Date: 05/01/2014 Inspection Type: Compliance Evaluation
Record Keeping: Yes No NA . NE
Is a copy of the current NPDES permit available on site? ■ n n Cl
Facility has copy of previous year's Annual Report on file for review? n n ■ 0--
MOT, IT, TU on
Sand Filters (Low rate) Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational? ■ n n n
Is the distribution box level and watertight? ■ n n n
Is sand filter free of ponding? ■ n n n
Is the sand filter effluent re -circulated at a valid ratio? n n ■ n
# Is the sand filter surface free of algae or excessive vegetation? ■ n n n
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1) n n 0 n
Comment:
Septic Tank
Yes
No
NA NE
(If pumps are used) Is an audible and visual alarm operational?
■
n
n n
Is septic tank pumped on a schedule?
■
n
n n
Are pumps or syphons operating properly?
■
n
n n
Are high and low water alarms operating properly?
■
n
n n
Comment: Alarm is located inside house. Septic was pumped in 2013.
Disinfection -Tablet
Yes
No
NA NE
Are tablet chlorinators operational?
■
n
n n
Are the tablets the proper size and type?
■
n
n n
Number of tubes in use?
2
Is the level of chlorine residual acceptable?
■
n
Cl n
Is the contact chamber free of growth, or sludge buildup?
■
n
n n
Is there chlorine residual prior to de -chlorination?
n
n
■ n
Comment: Norweco tablets are used for chlorination. Salisbury lab has discontinured
its commercial license so another lab needs to be contacted,for analytical. List of
iabo�atories in NC -is provided withinspection report. —Document no flow in operating
logs if during inpsections that condition exists.
Effluent Sampling
Is composite sampling flow proportional?
Is sample collected below all treatment units?
nn■n
■nnn
Page # 4

Permit: NCG550909
Inspection Date: 05/01/2014
Owner - Facility: 2750 Morgan Road
Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
Is proper volume collected? ■ Cl n n
Is the tubing clean? ❑ ❑ ■
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? ■ fl ❑ ❑
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■ ❑ n n
Comment: Effluent data is in compliance with permit limits. Analytical has not been
performed last year due to the inability to catch system discharging during working
hours. Samples may be collected by the homeowner and submitted to a lab for
complaince. Chlorine has to be done immediately, but the other samples have a
holding time.
Page # 5

\o��F vv r+ r F9QG
UJ �
Mr. John R. Witalison
2750 Morgan Road
Gold Hill, North Carolina 28071
Subject:
Dear Mr. Witalison:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins Director
Division of Water Quality
February 21, 2008
Notice of Violation
Compliance Evaluation Inspection
NOV-2008-PC-0133
John R. Witalison Residence
COC No. NCG550909
Rowan County, NC
c
Enclosed is a copy of the Compliance Evaluation Inspection report (CEI) for the
inspection conducted at the subject facility on February 12th and February 15, 2008, by Mr.
Michael L. Parker with this Office. Thank you for your assistance and cooperation during the
inspection. Overall, the facility was in good operational condition and well maintained.
The enclosed report should be self-explanatory. Please note that Part I, Section A of the
permit requires effluent testing for a number of parameters to be performed on an annual basis by
a NC Certified laboratory. Based on information you provided during the inspection, there has
been no analytical testing to -date. Such being the case, this letter is being issued as a Notice of
Violation for the failure to conduct effluent monitoring as required by the subject Certificate of
Coverage.
In addition, if at some point the analytical testing for total residual chlorine (TRC) reflects
instream TRC levels in exceedance of the 17 µg/1 as set forth in Part I, Section A of your COC,
the Division may not only require additional effluent testing, but also the installation of
dechlorination facilities in order to achieve compliance with the 17 µg/l instream TRC level.
You will be advised if it becomes necessary to add dechlorination to reduce instream TRC levels.
ne
®�,A N"&RnCarolina
NCDENR dvaturally
Mooresville Regional Office Division of Water Quality Phone [phone] Customer Service
Internet'. www.newaterqualitv.org 610 East Center Ave, Suite 301 Mooresville, NC 28115 Fax [phone]
. An Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper

C
Mr. John R. Witalison
February 21, 2008
Page Two
It is requested that a written response be directed to this Office by no later than March 7,
2008, detailing actions taken to bring your facility into compliance with the terms and conditions
as set forth in the subject COC. Please direct your comments to the attention of Mr. Michael
Parker.
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 Mr. Parkef at [phone], ext.
2194.
Sincerely,
/!z
�
r X%
Robert B. Krebs
Regional Supervisor
Surface Water Protection Section
Enclosure
cc: Shelton Sullivan — NPS/ACO Unit

United States Environmental Protection Agency
Form Approved.
FE PA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 2 ' 3 11 12 17 18 19 20
NI 5� I NCG550909 I I OB/02/12 I ICI I SI IU
Remarks
21I1�IIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111i6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved -------------------- -
67 I .5 169 70 14 I 71 I N I 72 , _ _ I 73 LU 74 71,
�� 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)
10: 45 AM 08/02/12
07/08/01
2750 Morgan Road
Exit Time/Date
Permit Expiration Date
2750 Morgan Rd
Gold Hill NC 28071
11:00 AM 08/02/12
12/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
John R Witalison//704-637-1285 /
Name, Address of Responsible Official/Title/Phone and Fax Number
John R Witalison,2750 Morgan Rd Gold Hill NC 28071//704-279-7985/ Contacted
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ■ Operations & Maintenance ■ Records/Reports ■ Self -Monitoring Program
Sludge Handling Disposal ■ Facility Site Review ■ Effluent/Receiving Waters ■ Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Michael L Parker MRO WQ//704-663-1699 Ext.223/
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: NCG550909
Inspection Date: 02/12/2008
0--;+
Owner - Facility: 2750 Morgan Road
Inspection Type: Compliance Evaluation
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: The Certificate of Coverage (COC) was renewed in 2007.
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑ ❑ ■ ❑
Judge, and other that are applicable?
Comment: The wastewater treatment facilities were in good operational condition at
the time of the site inspection.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? ❑ ■ ❑ ❑
Is all required information readily available, complete and current?
❑
■
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
❑
■
n
n
Are analytical results consistent with data reported on DMRs?
❑
■
❑
❑
Is the chain -of -custody complete?
n
■
o
o
Dates, times and location of sampling
❑
Name of individual performing the sampling
❑
Results of analysis and calibration
❑
Dates of analysis
❑
Name of person performing analyses
❑
Transported COCs
❑
Are DMRs complete: do they include all permit parameters?
n
■
n
n
Has the facility submitted its annual compliance report to users and DWQ?
❑
n
■
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
❑
❑
■
❑
Is the ORC visitation log available and current?
❑
❑
■
❑
Is the ORC certified at grade equal to or higher than the facility classification?
n
n
■
n
Is the backup operator certified at one grade less or greater than the facility classification?
n
n
❑
❑
Page # 3

Permit: NCG550909
Inspection Date: 02/12/2008
Owner - Facility: 2750 Morgan Road
Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Is a copy of the current NPDES permit available on site? ■ ❑ n n
Facility has copy of previous year's Annual Report on file for review? n n ■ n
Comment: Permittee has -.not collected analytical testing as required by the permit:
There were no monitoring records available for review at the time of the site visit.
Sentir_ Tank - Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational?
❑
n
■
n
Is septic tank pumped on a schedule?
❑
■
n
❑
Are pumps or syphons operating properly?
n
n
■
Are high and low water alarms operating properly?
❑
❑
■
Comment: There are no high and low water alarms on the septic tank nor is the septic
tank pumped on a routine schedule. Part I, Section A of the COC stipulates that the
septic tank should be checked yearly to determine if solids need to be removed of
maintenance is necessary. In addition, septic tanks should be pumped out within 3 to 5
years of the issuance date of the COC. Documentation of these activities must be
maintained by the permittee for a period of at least 3 years.
Sand Filters (Low rate)
Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational?
n ■ n n
Is the distribution box level and watertight?
n n n ■
Is sand filter free of ponding?
■ n n n
Is the sand filter effluent re -circulated at a valid ratio?
❑ ❑ n ■
# Is the sand filter surface free of algae or excessive vegetation?
■ n n n
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
n n n ■
Comment: The sand filter appeared to be functioning properly and was free of
excessive vegetation.
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
■ n n
Are the tablets the proper size and type?
■ n n n
Number of tubes in use?
2
Is the level of chlorine residual acceptable? n ❑ n ■
Is the contact chamber free of growth, or sludge buildup? ■ n n Cl
Is there chlorine residual prior to de -chlorination? ❑ n ' ■ n
Page # 4

Permit: NCG550909 Owner - Facility: 2750 Morgan Road
Inspection Date: 02/12/2008 Inspection Type: Compliance Evaluation
Disinfection -Tablet
Yes No
NA NE
Comment: Both tubes contained chlorine tablets. The permittee should only utilize the
minimum amount of chlorine necessary to acheive adequate disinfection. Please note
that instream total residual chlorine (TRC) values should not exceed 17 ug/I.
Exceedance of this level may result in the Division requiring the installation of
dechlorination facilities. Effluent monitoring should be initiated immediately to establish
instream TRC levels.
Effluent Pipe
Yes No
NA NE
Is right of way to the outfall properly maintained?
■ Q
Q
Are the receiving water free of foam other than trace amounts and other debris?
■ n
n n
If effluent (diffuser pipes are required) are they operating properly? _
Q ❑
■ ❑
Comment:
Effluent Sampling
Yes No
NA NE
Is composite sampling flow proportional?
r1 0
■ n
Is sample collected below all treatment units?
n ■
n n
Is proper volume collected?
I] ■
n n
Is the tubing clean?
Q Q
❑ ■
Is proper temperature set for sample storage (kept at 1.0 to 4.4 degrees Celsius)?
❑ ❑
❑ ■
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
n ■
n Q
Comment: There is no effluent sampling currently being conducted. Permittee will be
advised of the needto begin conducting effluent sampling as required by Part I, Section
A of the COC. All analytical testing should be performed by a North Carolina Certified
laboratory.
Page # 5

,A4*.
NCDENR
Pat McCrory John E. Skvarla, III
Governor Secretary
May 13, 2014
Mr. John R. Witalison
2750 Morgan Road
Gold Hill, North Carolina 28071
Subject: Compliance Evaluation Inspection
Witalison Single Family Residence
COC # NCG550909
Rowan County
Dear Mr. Witalison:
- - Enclosed is a copy of the Compliance Evaluation Inspection report (CEI) for the inspection
conducted at the subject facility on May 1, 2014 by Ms. Barbara Sifford with this Office. Thank you for
your assistance and cooperation during the inspection. Overall the facility was in good operational condition
and well maintained.
The report should be self-explanatory. Annual monitoring is required if the system is discharging.
However this may be infrequent so collecting samples by the homeowner and submitting them to a certified
laboratory is. acceptable. Total residual chlorine is required to be analyzed within 15 minutes of sample
collection.therefore this is required at the time samples are taken. If no flow is observed document that and
the frequency of observation.
Information has been included with this report about the contract laboratories in NC. 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 Ms. Sifford or myself at (704)-663-1699.
Cc: MSC-1617 Central Files
CEI- Report (BIMS)
Contract Labs in NC
Sincerely,
Michael L. Parker, Regional Supervisor
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
Mooresville Regional Office, 610 East Center Avenue, Mooresville, North Carolina 28155
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

Form 101
NC Division of Water Quality
Surface Water Protection Section
SINGLE FAMILY WASTEWATER TREATMENT/DISPOSAL SYSTEM INSPECTION
CHECKLIST
Inspector Name(s): Q Date of Inspection: jArrival Time: Departure Time:
Propel y�Owiner Name:
Phone Number(s):
Certificate of Coverage #:
INCG55
a-��--t, t SOIL
Address(D rn
/ / I
��&
City:
Zip Code:
County:
-
# estion
Yes
No
N/A
NIE
Remarks:
I. Residency/Ownership
Is the Permittee the current owner of the Single Family
/
1
Home? (Verify current ownership of the location
producing the discharge.) -
VVV
wle of System em
i to Knowledge e L out/ Perm t e s
II. System a Y 9 Y
Y
........................................................................
Does permittee have a map showing the layout of the
/
1
treatment system?
I/
2
Does permittee know where the septic tank is located?
Does permittee know where the sandfilter(s) is/are
/
3
located?
4
Does permittee know where the Chlorinator is located?
Does permittee know where chlorine tablets go? If not,
/
5
instruct them.
I/
Does permittee know where the dechlorination unit is?
(Only new facilities constructed after August 1, 2007
6
{Effective date of latest general permit} are required to
install dechlorination.)
7
Does permittee know the location of the outlet/discharge?
/
III. System History
1
Has sewage ever backed up into the house?
(�
2
Have there been any other sewage problems at all?
in
IV. Analytical tical Monitoring itor
9
1
Has the permittee conducted the required analytical
k)u-60�—tP
monitoring?
V
a0��*�0L3
2
Does permittee have analytical monitoring results on site?
/
q,
Is analytical monitoring conducted by a NC certified
3
laboratory?
1/
Do analytical monitoring results show compliance with
4
permit limits? (Check for compliance with permit limits
%
using Form 102.)
V. Septic Tank
Has the septic tank been pumped in last 3 to 5 years? If
1
yes, when?
VI. Chlorination
............................................
Are the chlorine tablets wastewater rated? (Inspect
qq
1
original container for wastewater rating. If not, require
permittee to get tablets rated for wastewater.)
Page 1 of 4 SFR Inspection Checklist.xls 6/16/2008, 3:32 PM

Form 101
NC Division of Water Quality
Surface Water Protection Section
Question
Yes
No
NIA
NIE
Remarks:
2 jAre
there chlorine tablets in the chlorinator?
/II. Dechlorination
.
Are the dechlorination tablets wastewater rated? (Inspect
If
original inal container for wastewater rating. not, require
permittee to get tablets rated for wastewater: Only new
r Cl
1
facilities constructed after August 1, 2007 {Effective date
of latest general permit) are required to install
dechlorination.)
2
Are there dechlorination tablets in the dechlorinator?
J!II .
Ultraviolet et (UV)
)
.
1
Is the UV disinfection system working?
77
Does permittee know how to.determine if the UV system
2
is working?
3
Do they know how to clean and replace UV bulbs?
4
Do they have extra UV bulbs on site?
ix. Pump Systems stems
1 Is/are the pump(s) working?
2
Is the high water alarm in the pump tank operational?
Does the permittee know how to check the pump and
/
3
high water alarm to ensure operability?
r/
x.
Detecting Possible Problems/System Failure
Is there any evidence of sewage surfacing or ponding
1
anywhere on the grounds?
2
Is there any overflow or soggy soils on the property?
Is there any sewage on the ground near the septic tank,
3
distribution box(es), sand filters or contact chambers,
indicating a possible failure of the system?
Does any area of the property appear to be greener with
4
vegetation growth than any where else on the property?
(Indicates a possible sandfilter failure.)
If standing sewage or possible system failure is observed,
are there signs of human and animal traffic in the area?
5
(Need to understand if human contact/vector concerns
are evident/prevalent.)
If the.system shows failure advise the owner that the
system must be replaced. The system must be designed
6
for 120 gallons per bedroom. They should contact the
/
Mooresville Regional Office, Surface Water Protection at
V
704-663-1699.
har e
xl. Effluent Pipe & Discharge
1
Did you observe the end of the discharge pipe?
2
Was the outlet discharging?
3
Was the discharge clear and free of solids?
Is there any evidence of solids at the end of the pipe or in
4
nearby ditches or creeks?
Page 2 of 4 SFR Inspection ChecklistAs 6/16/2008, 3:32 PM

Form 101
NC Division of Water Quality
Surface Water Protection Section
#
Question
Yes
No
N/A
N/E
Remarks:
Is the outlet submerged in stream flow, or does it appear
that it may become submerged under slightly higher
5
stream flows? (Outlet should never be submerged.)
KII.
Illegal Dischar es
9
Is all wastewater from the homo connected --to -drain into
the septic tank?
Is there any discharge of gray water (i.e. washing
machine or dishwashing machine wastewater) from the
residence straight into the creek, ditch, stream, etc? (If
2
yes, then the discharge must be connected to drain into
the septic tank immediately. Any discharge of untreated
1/
wastewater into the environment is illegal.)
NOTES:
Page 3 of 4 SFR Inspection Checklist.xls 6/16/2008, 3:32 PM

Form 102
Page 4 of 4
SFR Inspection Checklist.xls
NC Division of Water Quality
Surface Water Protection Section
6116/2008, 3:32 PM

about:blank
Mr. Witalison,
At this time, the Division is not requiting the addition of dechlorination to existing single-family
treatment systems unless documented high instream chlorine levels have been identified below your
discharge (I am assuming that the measurement level that you noted in your email as "parts" is actually
"ug/l", which are the units that are specified in the permit).
Given that your discharge enters a dry -ditch and does not discharge directly into a receiving stream, and
there is no evidence that high instream residual chlorine levels are occurring as a result of your discharge,
dechlorination will not being required at this time. Please note that if at some point in the future the
addition of dechlorination is required, you will be given time to get a dechlorination unit approved and
installed before the 17 ug/l permit limit becomes effective.
If you have any questions regarding this matter, feel free to call or email.
Michael Parker
[e-mail] wrote:
Mr. Parker,
I have received the results from Grants Creek Regional Laboratory concerning the discharge from my system.
It appears that everything is within the limits except for the chlorine levels. I am allowed 17 parts and the
testing shows 89 parts. Through: Grants Creek I have found a source for dechlorination tablets. What is the
process now? I am sure I will need to install a dechlorination unit.
I wait your instructions as to how I should proceed.
Sincerely,
John Witalison
Phone (H) 704-637-1285
- (W) 704-279-7985 ext. 238
Michael Parker - [e-mail]
Environmental Engineer II
North Carolina Dept. of Environment & Natural Resources
Division of Water Quality
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Ph: [phone] Fax: [phone]
1 of 1 9/23/2008 9:27 AM

March 3, 2008
DearlVIr: Parker; F. f .r,r> V
I have received the Notice of ViolatibA you said would be marled after ;the on -site
evaluation of my septic system at 2750 Morgan Road, Gold Hill, NC (permit COC No.
NCG550909). This letter is outlining the actions I have taken that I understand will bring
me into, compliance.
On Feb.27, I spoke with Tim Brown, Lab Supervisor of the Grant's Creek Regional
-Wastewater Laboratory, 1915 Grubb Ferry Road, Salisbury NC. In my discussion with
Mr. Brown I found the cost "of testing the effluent sampling, how it would be done; and,
have set up an annual testing date of on/or near May 1. Someone from the lab will come
to'2750 Morgan Road and take the samples needed for testing. I will contact them each
year approximately'2 weeks prior to May Ito confirm the date of their testing.
I have contacted Benny'Myers ofM-yens Septic Tank`Co: •aboAt=a schedule for my system
to be pumped every three years. We have not decided on a specific date/month but it will
be don- ebeginning this year, as he inspects the system and performs any maintenance he
feels is needed.
Finally I have purchased a notebook so that I can log any activity and keep any
notes/receipts. I will keep this in our file where we have kept other information
concerning the septic system and permit in the past.
A couple items in your evaluation I feel need to be clarified. First, concerning the
chlorine tubes for the chlorine tablets, it is stated -in the evaluation that both tubes
contained chlorine tablets. I have chlorine tablets in one tube only. I have never used
both tubes. Secondly, there is an alarm' system for the septic system in the house.. I
honestly don't know if it is a high or low water alarm. In my twenty -years here, the
alarm has gone off once and a part needed to be replaced..
From my understanding of our discussion during the inspection and my understanding of
the letter sent, these actions are all that is needed at this time. If there is more I need to
do, please let me know.
Sincerely,
John Witalison RECEIVED
MAR 5 2008
NC DENR MRO
M-Surface Water Protection

A��
RCDENR
North Carolina Department of Environment and Natural Resources:
Division of Water Quality'' �-----
Michael F. Easley, Governor
January 9, 2007
John Witalison
2750 Morgan Rd
Gold Hill, NC 28071
D Lh i iaEGR ,
anW-Kite
LJA1 ;
AN 1 2 2007
NC DEf\n hZO
DWQ -Aquifer-Protection
Subject: Renewal Notice / General Permit NCG550000
Certificate of Coverage NCG550909
Rowan County
Dear Permittee:
You are receiving this notice because you currently own a property covered under the subject
General Permit for the discharge of domestic wastewater. NCG550000 will expire on July 31,-2007.
Federal (40 CFR 122.41) and North Carolina (15A NCAC 2H.0105(e)) regulations require
that permit renewal applications be filed at least 180 days prior to expiration of the current permit.
To satisfy this requirement, the Division must receive. a renewal request postmarked no later than
February 1, 2007.
The Certificate of Coverage (CoC) specific to your property was last issued on August 1, 2002.
The Division needs information from you to determine if coverage under NCG550000.is still
necessary.
➢ If your property still has a wastewater, system like the ones described in the enclosed
Technical Bulletin, you must renew the subject CoC: Complete the enclosed form and
submit it to the address on the form.
➢ If you are not sure -what type of system your property has, contact James Bealle in the
NC DENR Mooresville Regional Office at. That person [or other staff members] can help
you determine if you should renew your CoC:
➢ If you know that your property no longer discharges wastewater, contact me at the
address or phone number listed below to request rescission of the CoC.
➢ This information request does not pertain to the Annual Fee of $50.00 billed
separately by the Division's Budget Office. No money is required for this
procedure. The Annual Fee is like the fee you annually pay the DMV for the sticker on
your vehicle's license plate. Renewal of 'your CoC is like the. renewal of your Driver's
.License [ca. every five years].
➢ . If you have already mailed a renewal request, you may disregard this notice.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCarOlina
'Phone: [phone], extension 511 FAX [phone]`/ [e-mail]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper `

NCG550909 renewal notice
January 9, 2007
The attached application form shows the information the Division has on file for your
property. Please.verify that, the provided information is, correct,. or make corrections on the form. .
Complete the additional questions,, then sign and -date the form..
The completed form should be .submitted to the address listed below .the .signature block.
If you have any questions concerning this matter, please contact me at the telephone number
or e-mail address. listed below. -(If it is' -difficult to reach me, please be aware that your facility is .one
of over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your, attention to this matter.
Sincerely,
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
ooresville Re onal:OfFice /James Beall"
NPDES file

HCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
July 27, 2007
John R. Witalison
2750 Morgan Rd
Gold Hill, NC 28071
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
Subject: Renewal of coverage / General Permit NCG550000
2750 Morgan Road
Certificate of Coverage NCG550909
Rowan County
Dear Permittee:
In accordance with your renewal application [received on February 23, 20071, the Division is renewing
Certificate of Coverage (CoC) NCG550909 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 May 9, 1994. [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate. of coverage.
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 Toya
Fields [919 733-5083, extension 551 or [e-mail] or Susan Wilson [919 733-5083, extension 510
or [e-mail]].
Sincerely,
.for Coleen H. Sullins
cc: Central Files
ooresmille Re 'oval Office /Surface Water Protectio
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 1�7One 1,
512 North Salisbury Street, Raleigh, North Carolina 27604
1-V.Ol'C11CaTOIllla
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality:org
0 0
An Equal Opportunity/Affirmative Action Employer —50% Recycled/10% Post Consumer Paper Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550909
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,
John R. Witalison
is hereby authorized to discharge domestic wastewater [450 GPD] from a facility located at
275.0 Morgan Road
Gold Hill
Rowan County
to receiving waters designated as an unnamed tributary to Panther Creek in subbasin 03-
07-04 of the Yadkin 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 August 1, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 27, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

�..�..t
Ira
��
I,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Mater Quality -
Michael F. Easley, Governor
John R. Witalison
2750 Morgan Road
Gold Hill, NC 28071
Dear Mr. Witalison <or> Current Occupant:
January 18, 2006
William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
Subject: NPDES Permit NCG550909
Rowan County
Our files indicate that a domestic wastewater discharge permit was issued to John R.
Witalison for a domestic wastewater discharge from the subject single family residence. The
Surface Water Protection Section requests that you contact.our staff if you do not have a copy of
the current permit, if a change in property ownership has occurred, or should you have any
questions regarding system operations and monitoring requirements. .
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:
0 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
Q Inspections of septic tank and disinfection/dechlorination apparatus (if applicable)
Thank you in advance for your cooperation. Should you have any questions concerning
this matter, please contact me at [phone].
Sincerely,
ames B. Bealle III
Environmental Technician
enclosures
cc: Rowan County Environmental Health Division
Mooresville Regional Office oneorth
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115 NCarollna
NahmallyPhone: 704-663-1699 / Fax: [phone] / Internet: h2o.enr,state.nc.us 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
Michael F. Easley, Governor
William G. Ross Jr.,'Secretary
Alan W. Klimek, P.E., Director
July 26, 2002
JOHN R WITALISON
WITALISON JOHN R- RESIDENCE
2750 MORGAN RD
GOLD HILL, NC 28071
1�•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Wastewater Discharge Permit
Witalison John R- Residence
COC Number NCG550909
Rowan County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG550000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued wastewater general permit Certificate of Coverage
(COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency,
dated May 9, 1994 (or as subsquently amended).
The following information is included with your permit package:
• A copy of the Certificate of Coverage for your treatment facility
• A copy of General Wastewater Discharge Permit NCG550000
* A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG550000
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or
decree.
Please note that effective January 1, 1999 the fees for all permits issued by DWQ were changed. This changed the
fee for your wastewater general permit coverage from a $240 fee paid once every five years to a yearly fee of $50.
If you have not already been billed this year for the yearly fee, you will receive a bill later this year.
If you have any questions regarding this permit package please contact Bill Mills of the Central Office Stormwater
and General Permits Unit at [phone], ext. 548
Sincerely,
r•iC Uii,�l. i:. _-';t?L'.f�;l'i1f=iT
4=tti i71 i' „z 'ES
If C
-z
JUL 3 i 2002'
for Alan W. Klimek, P.E. ;
cc: Central Files
Stormwater & General Permits Unit Files
Mooresville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycledl 1 0%post-consumer paper

_tb
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
MOORESVILLE REGIONAL OFFICE
DIVISION OF WATER QUALITY
June 3,1999
John Witalison
2750 Morgan Road
Gold Hill, North Carolina 28071
Subject: Wastewater Discharge Permit
John Witalison Residence
NPDES Permit No. NCG550000
Cert. of Coverage No. NCG550909
Rowan County, NC
Dear Mr. Witalison:
Our files indicate that the subject wastewater discharge permit was issued to John
Witalison 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:
► required maintenance activities relating to the wastewater treatment system
► yearly sample analyses results for the parameters listed on the effluent
limitation/monitoring page of the permit
► required inspections of disinfection apparatus and septic tanks
Please do not hesitate to contact Linda Love at [phone] if you have any
questions.
Sincerely,
4 1. 1r�� C� - d ove-
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
cc: Rowan County Health Department
LL 919 NORTH MAIN STREET; MOORESVILLE, NORTH CAROLINA 28115
PHONE [phone] FAX [phone]
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State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. -Preston Howard, Jr., P.E.,
John Witalison,
2750 Morgan Road
Gold Hill, NC 28071
Dear Permittee:
�EHNF1
Director Juy 21,1997
uCi T
AUG 18 1998 _
Subject: Certificate;of;Co�veagerNco NC0550909
Renewal of General Permit "
Witalison, John - Residence
Rowan County
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31, 2002. This
permit is issued pursuant to the.requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North -Carolina and the U.S. Environmental Protection Agency, dated December 6,1983. If any
parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have
the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the .
subject facility. The Division may: require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. ' Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, the Division of Land Resources, Coastal Area Management Act or any other Federal or Local
governmental permit that may be required.
If you have any questions concerning this permit, please contact the NPDES Group at the address below.
Sincerely,
A. Preston Howard, Jr., P.E.
cc: Central Files
ooresvin ! e Re oval ®ffice- . . . f
NPDES Group
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX [phone] p&[e-mail]
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STATE OF NORTH CAROLINA
DEPARTMENT. OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550909
TO DISCHARGE DOMESTIC WASTEWATERFROM SINGLE FAMILY RESIDENCES
AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
John Witalison
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility
located at
Witalison, John - Residence
2750 Morgan Road
Gold Hill
Rowan County
to receiving waters designated as subbasin 30704 in the Yadkin River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, H, III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective August 1, 1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21,1997.
T�
k. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental
Management Commission

State of North Carolina
Department of Environment, tw r�TUPL �
Health and Natural Resources �� A" 14•
Division of Environmental Management;.,„
James B. Hunt, Jr., Governor JUL ®7 1993
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director. .,.lo­.E%w "'WO
' .. F. AECI�INAI DF110E
June 30,1993
John Witalison
2750 Morgan Road
Gold Hill, NC 28071
Subject: General Permit No. NCG540000
Witalison Residence
COC NCG540014
Rowan County
Dear Mr. Witalison:
In accordance with your. application for discharge permit received on April 23, 1993, we are forwarding
herewith the subject certificate of coverage to discharge under the subject_ state - NPDES general permit.
Issuance of this certificate of coverage supercedes the individual NPDES permit No. NC0062324. 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 have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding. .
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Division of Environmental Management may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of 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.
Sincerely,
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr.
Director
cc:
., oo a vide--Wegional=0ffi
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

re ,S0t iMCW AND
M>±N'>Q
COMMUNITY D VE
JUL 0 7.1993
STATE OF NORTH CAROLINA 1 �siAEI�G
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATI 11M
DIVISION OF ENVIRONMENTAL MANAGEMM
NPDES PERMIT NO. NCG540000
CERTIFICATE OF COVERAGE NO. NCG540014
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SUALIAR 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,
John R. Witalison
is hereby authorized to continue operation of an existing wastewater treatment facility consisting of a septic tank, a
recirculation tank, surface sand filter, a tablet chlorinator and post aeration, and associated appurtenances with the
discharge of treated wastewater from a facility located at the
Witalison Residence
on NCSR 2142
Rowan County
to receiving waters designated as an unnamed tributary to Panther Creek in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,11, 111
and IV of General Permit No. NCG540000 as attached.
This certificate of coverage shall become effective June 30, 1993
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 30, 1993
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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To: Permits and Engineering Unit
Water Quality Section
Attention: Mack Wiggins
SOC PRIORITY PROJECT: No
Date: June 3, 1993
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Rowan
NPDES Permit No.: NCO062.324
MRO No.. 93-113
PART I - GENERAL INFORMATION
1. Facility and Address: John R. Witalison Residence
27.50 Morgan_ Road
Gold- Hill, N.C. 28071
2. Date o.f Investigation: June 3, 1993
3. Report Prepared By: Michael L. Parker, Environ. Engr. II
4. Person_ Contacted and N Telephone -� umber: .John R. W1tal;spn,
[phone]
5. Directions to Site:. The residence is located on the right
!west) side of SR 2124 (Morgan Road) approx. 0.75 mile from
the junction of SR 2124 and SR 1004 (Stokes Ferry Road),
6. Discharge Point(s), List for all discharge Points: -
Latitude: 3.50 33' 49"
Longitude: 80" 18' 40"
Attach a USES Map Extract and indicate treatment plant site
and discharge point on map.
USES Quad No.: E 17 SE
7. Site size and expansion area consistent with application:
Yes.
8. Topography (relationship to flood plain_ included): The site
- is relatively flat, however, the site is not
located in a
flood plain area. _
9. Location of Nearest Dwelling: one off -site dwelling is
located approx. 200 yards from the Witalison Residence.

Page Two
10. Receiving Stream or Affected Surface Waters: U.T. to
Panther Creek
a. Classification: C
b. River Basin and Subbasin No.: Yadkin 030704
C. Describe receiving stream features and pertinent
downstream uses: The receiving stream is essentially a
dry ditch which appears to carry water only during wet
periods. The ditch travels through a wooded area prior
to reaching the main segment of Panther Creek.
PART II - DESCRIPTION OF DISC_•HARGE AND TREATMENT WORKS
1. a. Volume of Wastewater: 0.00045 MGD (Design Capacity)
b. What is the current permitted capacity: 0,00045 MGD
C. Actual'treatment capacity of current facility (current
design capacity): 0..00045 MGD
d. Dates) and construction activities allowed by previous
ATCs issued in the previous two years: N/A
e. Description of existing or substantially constructed
WWT faciliti-es: The existing WWT facilities consist of
a 1500 gallon capacity septic tank followed by a
recirculation tank, a surface sand filter, effluent
disinfection (.tablet) and post aeration_.
f. Description of proposed WWT facilities: N/A
g. Possible toxic impacts to surface waters: Toxic
impacts from the introduction_ of chlorine is possible,
h. Pretreatment Program (POTWs only): N/A
?. Residual handling and utilization/disposal scheme: Residuals
are removed from the septic tank as needed by a septage
hauler.
3. Treatment Plant Classification: Less than 5 point--; no
rating (include rating sheet). Class I
4. SIC Code(s): 9999
Wastewater Code(s):
Primary: 04
Secondary:
5. MTU Code s ) : 45002

Page Three
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constricted with Construction Grant
Funds or are any Public monies involved (municipals only,?
No
2. Special monitoring or limitations (including toxicity)
request-q: None at this. time.
3. Important SOCIJOC or Compliance Schedule dates: N/A
4. Alternative Analysis Evaluation
a. Spray Irrigation: Poor soils, insufficient area.
b. Connect to regional sewer system: None available
C. Subsurface: Previous system; failed.
d. Other disposal options: N/A
PART IV - EVALiiATION AND RECOMMENDATIONS
T'hp WAIT facilities serving the Wi tal i son Residence were in
excellent operational condition at the time of the site
inspection. At the present time, there appears to be no
alternative to a surface water discharge at this facility. No
detrimental effects were observed in the receiving stream as a
result of this discharge.
It is recommended that the NPDES Permit be reissued for this
far_.ility, Based on our review, this facility should receive
coverage under a.General Permit now available for SF -Rs.
si nature o eport Preparer Date
Water Qua!ity R_—,onal Sunervi`or Date

�.-nl�l WMM;

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes; Secretary
' A. Preston Howard, Jr., P.E., Director
�1 qfin �Jv
—� TURAL
G- ^ e(" G��' . r o V.. S;L rigs
F ,gOURCFS AND
COMIUNATY B�VELL'I'htTV Y
4 1993
Dlylslata °f ItLiEOeREGIa� IUFfI�CE�93
�oal�ls�
Mr. John R. Witalison
Rt. 1, Box 469
Gold Hill, NC 28071
Subject: NPDES Permit Application
NPDES Permit No.NC0062324
Witalison Residence
Dear Mr. Witalison Rowan County
This is to acknowledge receipt of the -following documents on April.23, 1993:
Application Form
Engineering Proposal (for proposed control facilities),
Request for permit renewal,
Application Processing Fee of $240.00,
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
Other ,
The items checked below are needed -before -review can begin:
Application,For-m ,
Engineering proposal (see attachment),
Application Processing Fee of
Delegation of Authority (see attached)
Biocide Sheet (see attached)
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reduction and Recycling,
Irterbasin Transfer,
Other
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal .Opportunity Affirmative Action Employer 50% recycled/ 10% post-C66umer paper

0
Plf the application is not made complete within thirty (30) days, it will be
returned to you and may be resubmitted when complete.
This appli-cation has been assigned to Mack Wiggins
(919/733-5083) of our Rer-mits Unit for review. You will e advised of -any
comments recommendations, questions or other information necessary for the
review of the application.
I am, by copy of this letter,,requesting that our Regional Office
Supervisor prepare a staff report and.recommendations regarding this
discharge. If .you have any questions regarding this applications,
please contact the review person listed above.
Sincerely,
C leen H. Sul Vs,'I.E.
GC: Mooxesville Regional Office

H CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
RONMENTAL MANAGEMENT COWISSION
OVAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
,ICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR.
AGENCI►
USE
..to be filed only by services. wholesale and retail trade.
-and other -commercial establishments including vessels .
YEAR NO. - DAY
Do not attempt to complete this form without reading the accompanying instructions
Please print or type,
1. Nam address, and telephone number of facility prroducing discharge:.
A. Name
n 12 .l oh, l,tJl a l Sdvl `
B. Strest address 97a MOCQ av► oad_'
APPL 1 CAT .1 ON NUgbf R
oo
161
Z
OAU RECEIVtD
�3
a3
C. City
0. State ti C
E. County
y„�F 'YiP 0960
G. Telephone No.
�O ` - rq '
Area
Code
1�93
2.SIC
171
(Leave blank)
sUISIfliJ Of ��dylRfl�'diENlA( A,AflAGf a.
1V
�-Pft Luz
3. Number of employees
4. Nature of business
if all a', or
S. (a) Check here discharge occurs year
(b) Check the month(s) discharge occurs:
1. 0 January 2. 0 February 3.0 Marsh
4.0 Apri 1 5.0 Nay,
6. o June 7. O July S. O August 9.0 Septeeber 10. ® October
-
11.0November 12.0December
-
(c) Mow many days.per week:
1.01 2.0 2-3 3.0 4-6. 4.0 6-7
A_ Tops of waste water discharged to surface waters only (check
as applicable) `
Yolume,treited before
Flow, gallons per operating day
discharging (percent)
Discharge per `
operating day
1000-4-4999
6000-5999
10,000-
50.06
VAR*
0.1-
-3I0-
64.9
65= .
94.9
95-
100
49,999
or more"'
29.9
q
(3)
(4)
(6)
(6)
(7)
(4)
(9)
(10)
A.wera�•daily.
A90
.
e. Cooling water, etc..
!�
�1/A
'vn
daily average
l
C. Other discharge(s).
daily average;
N{
nr
!V A
Specify
1
_
0. Maximum per operat-
j in9 day for combined
discharge (all types)

I. 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 belay
as applicable..
Waste water is discharged to:
0,1-ggA 1090-4999 S000_9M 10,0004O."! S0,000 or more
(4) M
A, Hun ipal Sewn system
A
��. hhuA.r,,r�rhnd w•l1
N�
•
_
C. Septlr tank
V
'NIA
D. Evaporation lagoon or pond
E. Other, specify:
A// 1
8. Beer of separate dischefte points:
A. S. 02-3 C.0 4-5 D.a 6 or more
9. Ham of -receiving dater or waters duninlet-6�bufafa ©� pan-lh t' r
.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, cyenl , a uminumh, beryllium, cadmium,
chromium, copper, lead, nrcul, nickel, selenium, Mnc, phenols, ell and
grease, and chlorine (residual).
A. O yes d.)(no
1 certify that l an familiar with the information contained 1s.the application and
that to the best of my knmledge and belief such Information 16 true, complete, and
accurate.
sa,V)
Printed Name of Person Signing
_ . Title
North Carolina General Statute 143-215.6(b)(2)_provides that: Any person who knowingly mikes
any false statement representalt on, or carts cat�o ecords report, plat
applicSLUM.'r
or other document files or required to be maintained'under Article 21 or regulations of the
Environmental Management Commission implemeattag that Article, or who falsifiess taaPers 'uiti
or knowly renders inaccurate any: ricerdin8 or t'onitarivS Ojxnrica or method required to ,,be
npe:rated or maintained under,AT�Xale 2,3;-ob reguiatioas•of the Environmental Management Commis
implementing that Article, slhalVbe ,�vii.}tv.-of k 'ilsdemsatior punishable by`a fine not to txcee
Slb,noo, or by imprisonm mt. nbt to exceed six months, or by both. (18 U.S.C. Section 1001 ' pra
'a punishment by a fine of"Aot.mois than $10.000 or imprisonment'ttot.Tors than S years, or bot
A.or a similar offense.)

a
1s.M,
Permits and Engineering Unit
Water Quality Section
I
Date: June 6, 1990
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Rowan
NPDES Permit No.: NC 0062324
MRO No.: 90-86
PART I - GENERAL INFORMATION
1. Facility and Address: John:R. Witalison Residence
John R. Witalison
Route 1, Box 469
Gold Hill, N.C. 28071
2. Date of Investigation: June 1, 1990
3. Report Prepared By: Kim H. Colson - Environmental Engineer I
4. Person Contacted and Telephone Number: John Witalison -
[phone]
5. Directions to Site: From the intersection of SR 1004 (.Stokes
Ferry Road) and.SR 2124 (Morgan Road)., travel south on SR 2142
approximately 0.-f mile. The residence is on the right..
0,75
6. Discharge Point(s), List for all discharge Points: -
Latitude: 350 331 5011
Longitude: 800 18' 4011
Attach a USGS Map Extract and indicate treatment plant site
and discharge point on map.
USGS Quad No.: E 17 SE
7. Size (land available for expansion and upgrading): There is
adequate land available for'expansion and upgrading this
facility.
8. Topography (relationship to -flood plain included): Site is
relatively flat.. The culverts under SR 2142 may back water onto
the chlorine contact tank.
9. Location of Nearest Dwelling: One of.fsite dwelling was located
approximately 600 feet from this facility.

raye Two
10. Receiving Stream or Affected Surface Waters: UT Panther Creek
a. Classification: C
b. River Basin and Subbasin No.: 03-07-04
C. Describe receiving stream features and pertinent
downstream uses: General C classification uses
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of Wastewater: 100o Domestic
0 o Industrial
a. Volume of Wastewater: 450 MGD (Design Capacity)
b. Types and quantities of industrial wastewater: N/A
C. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only): N/A
2. Production Rates (industrial discharges only) in Pounds: N/A
3. Description of Industrial Process (for industries only) and
Applicable CFR Part and Subpart: N/A
4. Type of Treatment (specify whether proposed or existing)-:. -
Treatment consists of a septic tank, recirculation tank, sand
filter, chlorine contact tank -and post aeration.
5. Sludge Handling and Disposal Scheme: Private septic tank
pumping facility.
6. Treatment Plant Classification: Less than 5 points; no
rating (include rating sheet). No rating
7. SIC Code(s): 9999
- Wastewater Code(s):
Primary: 04
Secondary-:
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants
Funds (municipals only)? N/A
2. Special monitoring requests: N/A
3. Additional effluent limits requests: N/A
4. Other: N/A

Three
PART IV - EVALUATION AND RECOMMENDATIONS `
The Permittee, John R. Witalison, has requested permit renewal.
The discharge is for a single family residence.
Sewer service is not expected in this area. There does not
appear to be any non -discharge alternative due to land restrictions
and a high water table. The system appears to be adequately operated
and maintained.
This Office recommends that the permit be renewed.
Signature of Report Preparer Dat
Water Quality egional Supervisor. Dat

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Pilg

NATURAL
CU11TnlLTNITYRCES �A1VD 0 .
�
State of North Carolina g 199
Department of Environment, Health, and Natural R kes.
Division of Environmental Management ORESl/IL1E RE61JQ filtyT
512 North Salisbury Street • Raleigh, North Carolina 27611 OFFICE
James G. Martin, Govemor
William W. Cobey, Jr., Secretary
5/4/90
Mr. John R. Witalison
Rt. 1, Box 469
Gold Hill, NC 28071
Dear Mr. Witalison :
George T. Everett, Ph.D.
Director
Subject: NPDES Permit Application
NPDES Permit NO.NC0062324
John R. Witalison Residence
Rowan County
This is to acknowledge receipt of the following documents on May 4, 1990:
Application Form
Engineering Proposal (for proposed control facilities),
Request for permit renewal,
Application Processing Fee of $60.00,
A Other Deed showing ownership.,
The items checked below are needed before review can begin:
Application Form ,
Engineering proposal (see attachment),
Application Processing Fee of
Delegation of Authority (see attached)
Biocide Sheet (see attached)
Other
9
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 Mack Wiggins
(919/733-5083) of our Permits Unit for review. You will e advised ot any
comments recommendations, questions or other information necessary for the
review of the application.
I am, by copy of this letter, requesting that our Regional Office
Supervisor prepare a staff report and recommendations regarding this
discharge. If you have any questions regarding this applications,
please contact the review person listed above.
Sincerely,
CC: Mooresville Regional Office Dale Overc�PE
Pofludon Prewendon Pays
P.O. Box 27687, Raleigh, North. Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

v �
JPINORTH CAROLINA'DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT, DISCHARGE':ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM G FOR
AGENCY
USE
16 be filed only by services. wholesale and retail trade,
and other commercial establishments including vessels
Do not attempt to complete this form without reading the accom"nying instructlons
Please print or type
1. Name, address, and telephone number of facility
A. Name —Q �
S. Street address
C. City I
E. County
G. Telephone No.
Area
Code.
2. SIC
(Leave blank)
3. Number of employees
4. Nature of business - N/./'•
discharge
AM 1 CJ11 I ON NtJMbE R
Ad
(jO
3
DALE RECLIVED
OZ1D
-5-
Q
SEAR MD. DAY
0. State
--9611-
F. ZIP-
5. (a) Check here if discharge occurs all year e, or
(b) Check the month(s) discharge occurs:
1.0January . 2.01February 3.allorch 4.aApriI S.ONAY
6•o June 7.OJuly 8.0August 9.0 Sit U§ber 10.0October
11. 0 November 12.0 December
(c) How many days per week:
1 .0 1 2.02-3 3.0 4-5 4.O"6-7
6. Types of waste water discharged to surface waters only .(check.as applicable)
6
' '-.j�ilr
Flow, gallons per operating day
Volume treated before
discharging (percent)
Discharge per
0.1-999
1000-49"
S000-S999
10,000-
50.000
None
0.1-
30-
65-
95-
operating day
49,l99
or, more ,
29.9
64.9
94.9
IOC,
(1)
(2)
(3)
(4).
(6)
(6)
(7)
(a)
(9)
(10)
A. Sanitary, daily
average
���\
0
,`
—�
.�_
.�
t_
__
`
too
B. Cooling water, etc„
C)C.
daily average
Other discharge(s),
daily average-,
Specify
D. Maximum per operat-
ing day for combined
00
d1Scnarge (all types)

7. If any of the types of waste identified in Itea 6, either treated or ht- !`f
treated, are discharged to plans other than surface waters, check below �-
as applicable.
Waste water is discharged to:
0.1-999
1000-4109
NW-""
10,000 9.109
S0,000 or more
A. Municipal %emir systor
NVA
11. IIII M-rIII-Mild wt.I I
Y V
C. SnlitAr tank
V. Fvaparation loorpPn or pond
E..Other, specify:
n /�
8, Nulber of so &rate discharge points:
A. ®1 d, o2-3 C.0 6-5 D.a 6 or more
9. Nam of receiving rater or waters
10. Does your discharge contain or is it possible for your.dischargelto contain
me or more of the following substances as a result of your operations,
activities, or processes: nh>Aonia, cyani um
, evoin, beryllium, ,COWMm,
chromium, copper, lead, mercury, nickel, selenium, =ine,.PhMls, ail and
grease, and chlorine (residual).
A.0 yes 8, Wo
1 certify that i an familiar with the information contained in the application and
that to the best of my knowledge and belief such information is trw , Complete, and
accurate.
Printed Name of Person Signing
l Did? 60MC'�'
Title
Date Application Signed '
Siq"turi of Applicant .
North Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly mak.-,
any false statement representation, or certification zn any applicat4on.'recorda report, pla
or other doctmmant.files•or required to ba >saintainod under Article 21 or reRalations of t.e
En•;,ira=ental 'danagemant Commission implementU4 that Article, or who falsifies, tozpars u'_t'
or knowly renders inaccurate any recording or ttaonitorigS I&ics .or ttsathod required to be
t-perated or maintained under Artiale 21.-ot"
• reaulatioi -of tits Envirot�s+eatal HanaEea aet Cotes:
,:gyp? ementing that Aiticle h shali 'be '-jui tv -of a stledsmeattor � ptmishable by a •fine. not to excec
$10,��rf, or by�irsprisonmont not to exceed six months, or by;both. (18 U.S.C. Section 1001 pr:
a punishment by a fine of"not more than $10,000 or imprisouftnt not tore than 5 years, or boi
f(,r a siriilar offense.)

Permit No. -KC 0062324
X. C Dgp.r O
AATURAL
\ '31990 _
r I DIVISION }
MGO OF E,i`V;itOft: i ;
RESG'lldE REG '
IJId�I NICE I NT
DEVELOPMENT
To Discharge Wastewater MddrTIONAL
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,
Barclays American Financial
is hereby authorized to discharge wastewater from a facility located at
Barclays American Financial
Single Family Residence
Gold Hill
Rowan County
to receiving waters designated as an unnamed tributary to Panther Creek .of the
Yadkin Pee Dee River Basin
in accordance with effluent limitations,monitoring requirements, and other
conditions set forth in Parts I, II, and III hereof.
This permit shall become effective July 5, 1985
This permit and the authorization to discharge shall expire at midnight
on June 30, 1990
Signed this day of July 5, 1985
ORIGINAL SIGNED BY
ARTHUR MOUBERRY
FOR �
'Ci'd
Division of
By Authority
Management C
c
Etft�' ronmen
M1 & I1

Permit No. NCO062324
i
SUPPLEMENT TO PERMIT COVER SHEET
Barclays American Financial
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment
facility, and
2. Make an outlet into an unnamed tributary --to Panther Creek, and
3. After receiving an Authorization to Construct from the Division
of Environmental Management, construct and operate a 450 GPD
wastewater treatment facility consisting of a septic tank, a 1,500
gallon recirculation tank, a recirculating sand filter, a chlorine
contact basin with a tablet chlorinator and post aeration.located
at Route 1, Box.469 (Morgan Road) in Gold Hill (See Part III, con-
dition No. C. of this permit), and
4. Discharge from said treatment works into an unnamed tributary to
Panther Creek classified Class "C" waters and is located in the
Yadkin Pee Dee River Basin.

w
;0
A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final
During the period beginning on the effective date of the Permitand lasting Until expiration,
the permittee is authorized to discharge from outfalI(s) serial number(s) 001.
Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics Discharge -Limitations Monitoring Requirements
KqjdU lbs�daOther-Units (Specify) Measurement S_awlee Sale_
Monthly Avg. Weekly Avg. Mont v . ReeK1Y Avg. reguency. -Type Location
Flow 450 GPD
BOD, 5Day, 200C 15.0 mg/1
Total Suspended Residue 30.0 mg/1
NH3 as N 4.0 mg/1
Dissolved Oxygen (minimum) 6.0 mg/1
Fecal Coliform (geometric mean) 1000.0/100 ml
c
r
�o �
eri
fey
22.5 mg/1
45.0 mg/1
6.0 mg/1
6.0 mg/1
2000.0/100 ml
Z v v -v
The pH shall not be -less than 6.0 standard units nor greater than 9.0 standard units =<• � ��`�
La
There shall be no discharge of floating solids or visible foam in other than trace amounts.

tention: Dale Overcash
Gil Vinzani
STAFF REPORT AND RECOMMENDATIONS
Part I - INSPECTION OF PROPOSED/EXISTING WASTEWATER TREATMENT PLANT SITE
1. a. Place .visited Barclays�American Financial Single Family
Res ence "'"" �'�^
b. Mailing Address: Route 1, Box 469
Gold Hill, North Carolina 28071
Rowan County
2. Date of Investigation: 5/13/7
Date of Report: 6/10/85
3. By:. J . Thurman Horne, P.U.r.ave
4. a. Person contacted: Roberts, P. E. `
b. Phone No.: 704/857-3800
5. -Directions to site: From -the intersection of S. R. 1004 (Stokes
Ferry Road) and S. R. 2142 (Morgan Road), travel south on S. R.
2142 approximately 0.6 mile. The residence is on the right (west)��
side of S..R. 2142.
6. a. The coordinates to the proposed/existing point of effluent
discharge are:
Latitude: 35°33'50"
Longitude: 80018'40"
b. USGS Quad No.: E 17 SE (see attached map).
7. Size (land available for expansion and upgrading): The existing
residence is on a lot which encompasses approximately 3.5 acres.
There is adequare land available for the proposed facilities and
future modifications, if necessary.
8. Topography: Relatively flat; slopes of 0-5%.
9. Location of nearest dwelling: Approximately 300 feet.�.�°3�tJr�!
10. Receiving Stream: An unnamed tributary to Panther Cree� �g8�
a. Classification: C
b. Minimum 7-Day, 10-Year discharge at site:
c . River Basin and Sub -Basin No.: 03-07-04�,
Part II - DESCRIPTION OF PROPOSED/EXISTING TREATMENT FACILITIES
1. Existing Facilities: The existing residence is served by a failing
non -discharge system consisting of a septic tank and nitrification
field.
2. Proposed Modifications: The applicant proposes to construct a
wastewater treatment plant consisting of a 1,500 gallon septic tank,

Page Two
a 1,500 gallon pumping tank (recirculation'tank), a recirculating'
surface sand filter q. ft. 300 s ( ) , a � chlorine contact basin. with:• a �
tablet chlorinator and post aeration (diffused air)-.
The facilities are designed to serve'an existing three bedroom,
single family residence.
Part III - EVALUATION AND RECOMMENDATIONS
1. Performance Evaluation: It appears that,the facilities are adequately,
designed and sufficient to insure compliance with -the effluent
limitations determined by the MRO to be appropriate for this.
discharge. These limitations are as follows:
Parameter Limitation
BOD 15 mg/1
NH335as N 4 mg/1
TSS 30 mg/1
Fecal Coliform 1000/100 ml
D. 0. (min.) 6.0 mg/l
pH 6-8.5 s.u..
2. 0 & M Evaluation: Not applicable.
3. Recommendations and/or Special Conditions: It is recommended that
a Permit be issued with the limitations listed above and that the
applicant be issued an Authorization to Construct.

RETRIEVE PERMIT - NPDE%
OPTION: TRXID: 6PN KEY: NCO062324
�
�
PERMIT ID ----------- : NCO062324
PERMIT ORIG ISSUE DATE: 850705
PERMIT DATE ISSUED--: 850705
PERMIT EXPIRE DATE -: 900630
REGIONAL CONTACT ---DEWEE%E
DESIGN FLOW---------.00OO
PRIMARY SIC CODE ---6146
DISCHARGE CODES -----04
RIVER BASIN CODE: MAJOR: 03
LATITUDE -----------3533500
TYPE OWNERSHIP -----PV
LABORATORY NAME ----- LABORATORY
CERTIFIED OPERATOR -
PRIMARY IND CATEGORY---:
INDUSTRY CLASSIFICATION:
FEDERAL ID NUMBER -:
TYPE PERMIT ISSUED -----
REISSUED PERMIT -------�
O5/2i/9O 10:i8:58
FACILITY---WITALI%ON RESIDENCE (JOHN R)
COUNTY ----- ROWAN REGION: 03
FACILITY CLASS ------O FD%---� A
FACILITY STATUS DATE: 850705
PRE PROG REQ IND -----
OTHER SIC CODES -------�
MINOR: 07 %UBMIN: 04
LONGITUDE ------ : 08018400 VERIFY: 2
MAIN TRT UNIT-
NAME NOT ASSIGNED LM----- '
TYPE APPLICATION--:
NEW SOURCE CODE ---�
GIC% NUMBER -------�
NMP FINAL SCHEDULE:
NMP SCHEDULE QUART:
NMP FINAN. STATUS:

�t Co
NPDES SFR WASTELOAD ALLOCATiON
Da t e .
rFac.i l i'Ey` Name:���c�ays �I71e/��cJh �has,����Permi t :_/U� oD6 232�f-( o-,,
d �ild, i fli
. Receiving S�tream:.Ai►a���,c o JH tti Class: G Sub-ea3in:_03-07-0�-
County:l2�� Regional Office: /%o/le-s41
Reference USGS-Quad:
-)�16a wf,)7?' /,, se.ed�
Existing: Proposed:
Elevation: 4!5*7Drainage Area: D. /37.
Hydrologic Group: Oe3A`.gn Temperature: 25`c
Slope:/SS/qde Comments:
oaAo;z11 6 75 r
1,tt
i
RECOMMENDED EFFLUENT LIMITS
Wasteflow
(gpd):
'5�D
80DS
(mg/1):
15
NH3-N
(mg/1):
_
D.O.
(mg/1):
pH
(SU) :
05,v -8.5
Fecal Col i
t/1100ml):
/000
TSS
(mg/1):
30
OMMENOED 816f'4
ROVED BY:V
lonal Engineer:
lona.l Supervisor- C
Date : Gri► &
Date:
Oat&:
ROUTE to Technical Support Group and Permits & Engineering Unit
Enclose copy of USGS topog.raphica-1 map showing location of dis-r-harger)

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lb
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Form 101
NC Division of Water Quality
Surface Water Protection Section
SINGLE FAMILY WASTEWATER TREATMENUDISPOSAL SYSTEM INSPECTION
CHECKLIST
Inspector Name(s): Date of Inspection: Arrival Time: Departure Time:
Property Owner Name: Phone Number(s): Certificate of Coverage #:
INCG55
Address: City: Zip Code: County:
# I Question Yes I No N/A I N/E I Remarks:
:>::>;::>I. Residency/Ownership ::
Is the Permittee the current owner of the Single Family
1 Home? (Verify current ownership of the location
producing the discharge.)
La out/Pe rmittee s Knowledg
e fS System
II. Sy
stem 9 Y
Y
Y
.............................
1 Does permittee have a map showing the layout of the
treatment system?
2 Does permittee know where the septic tank is located?
Does permittee know where the sandfilter(s) is/are
3 located?
4 Does permittee know where the Chlorinator is located?
Does permittee know where chlorine tablets go? If not,
5 instruct them.
Does permittee know where the dechlorination unit is?
(Only new facilities constructed after August 1, 2007
6 (Effective date of latest general permit) are required to
install dechlorination.)
71 Does permittee know the location of the outlet/discharge?
Is analytical monitoring conducted by a NC certified
3 laboratory?
Do analytical monitoring results show compliance with
4 permit limits? (Check for compliance with permit limits
using Form 102.)
V. Septic Tank
1 Has the septic tank been pumped in last 3 to 5 years? If
yes, when?
VI. Chlorination
Are the chlorine tablets wastewater rated? (Inspect
1 original container for wastewater rating. If not, require
permittee to get tablets rated for wastewater:)
Page 1 of 4 SFR Inspection Checklist.xls 6/16/2008, 3:32 PM

Form 101
# Question
2 jAre there chlorine tablets in the chlorinator?
VII. Dechlorination
Are the dechlorination tablets wastewater rated? -(Inspect
original container for wastewater rating. If not, require
permittee to get tablets rated for wastewater. Only new
1 facilities constructed after August 1, 2007 {Effective date
of latest general permit) are required to install
dechlorination.)
2 Are there dechlorination tablets in the dechlorinator?
Vlll. Ultraviolet (UV)
_1 Is the UV disinfection system working?
Does permittee know how to.determine if the UV system
2 is working?
3 Do they know how to clean and replace UV bulbs?
4 Do they have extra UV bulbs on site?
IX. Pump Systems
1 Is/are the pump(s) working?
2 Is the high water alarm in the pump tank operational?
Does the permittee know how to check the pump and
3 high water alarm to ensure operability?
X. Detecting Possible Problems/System Failure
Is there any evidence of sewage surfacing or ponding
1 anywhere on the grounds?
2 Is there any overflow or soggy soils on the property?
Is there any sewage on the ground near the septic tank,
3 distribution box(es), sand filters or contact chambers,
indicating a possible failure of the'system?
Does any area of the property appear to be greener with
4 vegetation growth than any where else on the property?
(Indicates a possible sandfilter failure.)
If standing sewage or possible system failure is observed,
5 are there signs of human and animal traffic in the area?
(Need to understand if human contact/vector concerns
are evident/prevalent.)
If the system shows failure advise the owner that the
system must be replaced. The system must be designed
6 for 120 gallons per bedroom. They should contact the
Mooresville Regional Office, Surface Water Protection at
704-663-1699.
XI. Effluent Pipe & Discharge
1 1 Did you observe the end of the discharge pipe?
2 lWas the outlet discharging?
3 Was the discharge clear and free of solids?
Is there any evidence of solids at the end of the pipe or in
4 nearby ditches or creeks?
Yes I No I NIA I NIE
NC Division of Water Quality
Surface Water Protection Section
Remarks:
Page 2 of 4 SFR Inspection Checklist.xls 6/16/2008, 3:32 PM

Form 101
NC Division of Water Quality
Surface Water Protection Section
#
Question
Yes
No
N/A
N/E
Remarks:
Is the outlet submerged in stream flow, or does it appear
that it may become submerged under slightly higher
5
stream flows? (Outlet should never be submerged.)
XII.
Illegal Dischar9es
...............
.................
.
.... .
Is all wastewater from the home connected to, drain into
the septic tank?
Is there any discharge of gray water (i.e. washing
machine or dishwashing machine wastewater) from the
residence straight into the creek, ditch, stream, etc? (If
2
yes, then the discharge must be connected to drain into
the septic tank immediately. Any discharge of untreated
wastewater into the environment is illegal.)
NOTES:
Page 3 of 4 SFR Inspection Checklist.xis 6/16/2008, 3:32 PM

NC Division of Water Quality
Form 102 Surface Water Protection Section
EFFLUENT LIMITATION COMPLIANCE CHECKLIST
LIMITS
MONITORING REQUIREMENTS
Monitoring Results
PARAMETER
SAMPLE
Year 1 Year 2
Year 3
Year 4
Year 5
MONTHLY
DAILY
MEASUREMENT SAMPLE
AVERAGE
MAXIMUM
FREQUENCY TYPE
LOCATION
FLOW
Annuall Estimate_
Effluert
BOD, 5-DAY, 20° C
30.0 m /I
45.0 m /I
AnnuallyGrab
Effluent
TOTAL SUSPENDED
30.0 mg/I
45.0 mg/l
Annually Grab
Effluent
SOLIDS
FECAL COLIFORM
200/100 ml
400/100 ml
Annually Grab
Effluent
(GEOMETRIC, MEAN)
TOTAL RESIDUAL
Annually Grab
Effluent
CHLORINEmum
to
IBM
discharge into a creek or other waterbod .
1. Effluent is defined as wastewater leaving the treatments stem, prior
not in any case exceed 1,000 gallons per day. _
2. The wastewater discharge
flow from this facility may
3. A North Carolina certified laboratory.must perform the wastewater analysis.
to dischar a into a creek or other
g
pp prior
4. Instream chlorine levels are not to exceed 17 Ng/L. The sample shall be taken from the effluent pipe, p
waterbod .
NOTES:
6/16/2008, 3:32 PM
Page 4 of 4 SFR Inspection Checklist.xls