NC0081400_Complete File - Historical_20171231

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
Joseph H. Spencer
Spencer & Associates
417 East Boulevard, Suite 106
Charlotte, NC 28203
Dear Mr. Spencer:
HNF
AtImNy
June 18, 1993 JUN
IDDRESVILL6CSf
Subject: General Permit
Rowe residence
Mecklenburg County
Ups
6 1993
NA
Reference is made to your application to discharge 0.00036 MGD of treated domestic
wastewater into an unnamed tributary to Sixmile Creek. Before we can proceed towards issuance
of a general permit, we must receive plans and specifications of the wastewater treatment
system. The system must consist of a septic tank, dual sandfilters or recirculating sandfilters,
disinfection and post aeration.
This information must be received by this office no later than July 30, 1993.
If you have any questions, please contact me at [phone].
Sincerely,
NPDES Group Supervisor
Central Files
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
P.Q. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]

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
To: Whom it may concern
Date:
14.C, DEPT. OF
TNNIRONMPNT, IMAM
usouRCES
From: Nancy C. ©wens QCT 2 8 1993
D.E.M. Permits & Engineering Unit
Subject: Partial Fee Refund
Project No.#:
Project Name:
County:
Please find enclosed a check in the amount of $ ', /.e e . This check is sent to you as
a refund on your overpayment for the above project.
It is recommended that you copy the check and place your copy with arty file copies you may
keep on this project.
If you have any questions regarding this memo, please feel free to contact me at our Raleigh
office. Telephone: [phone]; ext. 556. PLEASE REFER TO THE PROJECT
NUMBER AND DATE SUBMITTED WHEN INQUIRING ON ANY MATTERS IN
QUESTION,
File
Fran McPherson, Budget Officer
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
CASH RECEIPTS JOURNAL
No.
DATE: 10/28/91
IVI ION: Division of Environmental
Management SECTION:
Water Quality Sectiori
ANAGEMENT DAT
P A Y O R
FUND
AMOUNT
R
OBJECT
RCC
PROGRAM
DIST
IDENTIFICATION
mil-
lack No, 1058918 J
Moore County
2341
5200 j
$300.00
X
0728
ieck No. 20608 J
Vagabond School
2341
5200
$200.00
X
0728
-leck No. 0520 J
Joseph H. Spencer,jr.
2341
5200
$240.00
X
0728
lack No. 651 J
The Building Co.
2341
5200
$50.00
X
0728
-lack Now 2294 l
James W. Gilley
2341
5200
$120.00
X
0728
lack No. 915
Rowan Grantie Quarry
2341
5200
$400.00
X
0728
lack No. 5347 !
Dennis A. Moore
2341
5200
$120.00
X
0728
,
ieck No. 0851 l
J. Edward Gay
2341
5200
$120.00
X
0728
ieck No. 042688 4
Standard Commercial
2341
5200
$200.00
X
0728
-leck No. 805570 J
Warren Co. Schools
2341
5200
$200.00
X
0728
-lack No. 217641 J
Phillips Pipe Line
2341
5200
$400.00
X
0728
Summary
2341
5200
$2350.00
0728
vis
on Cashier:
Department Cashier:

State of KJO[fh C2\[O6nB '
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B.Hunt, j[,Governor
Jonathan B. HOVV8S' Secretary
A. Preston Howard, Jr., P.E,, Director
July 30, 1993
JoseohH. Spencer, Jr. PE
417East BLVD. Suite 106
Chadotte, NC 28203
Subject- NPDEB Permit No. NCO081400
Thomas L-Rowe Residence
Mecklenburg County
Dear Mr. Spencer:
The Division of Environmental Management is in receipt of information which confirms that
the subject f2Si|ih/ no longer wishes to have an NPOE5 Permit for a discharge to the surface
waters of the State of North Carolina, Therefor8, as you requ8sted, your application in hereby
returned. The Division Of Environmental Management will be returning the application
processing fee of$240.0O under separate cover.
/f in the futuna, you determined that you wish to have e diSoharge, you must first apply for
and received a new NPDES Permit. Discharging without a valid NPDES Permit will subject the
discharger to a civil penalty of up to $10.000 per day.
If you have any questions, please contact Mr. Mack Wiggins at 919/733-5083.
Cc k400r9SvU8 Regional Office
Central Files
Mr. Jim Pathok, EPA
Thomas L. Rowe
Sinc
y,
n|Hen SuUin . o0r
NPDES Group
An Equal Opportunity Affirmative Action Employer 50% recycled/ 1O%post-consumer paper
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
`+

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH & NATURAL RESOURCES ��
P.O. BOX 27687, RALEIGH, N.C. 27611 No. 56
DETACH HERE
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH & NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
96156
ESE TO: STATE TREASURER
PAYABLE AT PAR THROUGH
FEDERAL RESERVE SYSTEM
1I'396 L 5611' 1:053 L L05941: 6.1,000...04011'
CHECK NU
3961
39615!
$AMOUNTR
$ '401. 00*

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
July 30, 1993
Joseph H. Spencer, Jr. PE
417 East BLVD. Suite 106
Charlotte, NC 28203
ff. C. DEPT. OF NATURAL
R SOURCES AND
[Omits a<;TY DEVELOPMENT
AU L g 6 1393
Subject: NPDES Permit No. NC0081400
Thomas L. Rowe Residence
Mecklenburg County
Dear Mr. Spencer:
WRPGEMENT
FFICE
The Division of Environmental Management is in receipt of information which confirms that
the subject facility no longer wishes to have an NPDES Permit for a discharge to the surface
waters of the State of North Carolina. Therefore, as you requested, your application is hereby
returned. The Division of Environmental Management will be returning the application
processing fee of $240.00 under separate cover.
If in the future, you determined that you wish to have a discharge, you must first apply for
and received a new NPDES Permit. Discharging without a valid NPDES Permit will subject the
discharger to a civil penalty of up to $10,000 per day.
cc:
If you have any questions, please contact Mr. Mack Wiggins at 919/733-5083.
Sinc
y,
oleen Sullins/,` Supervisor
NPDES Group
Central Files
Mr. Jim Patrick, EPA
Thomas L. Rowe
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]

PERMIT NO.: NC00814
PERMI"I TE NAME: Thomas L. Rowe
FACILITY NAME: Thomas . Rowe Residence
Facility Status: Proposed
Permit Status: New
Major Minor
Pipe No.: 001
Design Capacity: 0.00036
Domestic (%© of Flow): 1
Industrial (%© of Flow):
NPDES WAATION
S. C. DEPT. OF NATURAL
RESOURCES ti ANI)
LOMIN5.Ur TV DEVELOP1t[N
1993
Comments:
Need a USGS 701Q flt w estimate, 2nd request. New discharge
location,
RECEIVING STREAM: an ,uut
Class: C
ed tributary to Sixmil Creek
Sub -Basin: 03-08-38
Reference USGS Quad: G16SW
County: Mecklenburg
Regional Office: Mooresville Regional Office
(please attach)
Previous Exp. Date: 00/00/00 Treatment Plant Class:
Classification changes within three miles:
No change within three miles.
Requested by:
Prepared by
Reviewe
T
Modeler
Drainage
7Q10 (cfs
Toxicity Limits: IWC %© Acute/Chronic
Instream Monitori:; g:
Parameters
Upstream Location
Downstream Location
Date Rec.
0 Avg. Streamflow (cfs): 0.17
7Q10 (cfs) ©. ° 30Q2 (cfs) ©.
a
Effluent
Characteristics
BOD5 (mg/1)
NH3-N (mg/1)
D.O.
TSS (mg/1)
F. Col. (/100 ml)
pH (SU)
Comments:
Summer
1 Cb n.I M D
Winter
' JPOcT P exyr(

NPDES
AS IL LOAD ALLOCATION
PERMIT NO.: NC0081400
PERMfI E FE NAME: Thomas L. Rowe
FACII,ITY NAME: Thomas L. Rowe Residence
Facility Status: Proposed
Permit Status: New
Major
Pipe No.: 001
Minor
Design Capacity: ().00036 MGD
Domestic (%© of Flow): 100 %©
Industrial (%© of Flow):
Comments:
Need a:USGS 7010
0
stiate.
RECEIVING STREAM: an unnamed tributary to Sixmile Creek
Class: C
Sub -Basin: 03-08-38
Reference USGS Quad: G16SW
(please attach)
County: Mecklenburg
Regional Office: Mooresville Regional. Office
Previous Exp. Date: 00/00/00 Treatment Plant Class:
Classification changes within three miles:
No change within three miles.
Requested by: , ') Mack Wiggins
Prepared by:
Reviewed b
12/17/91
Date:
Date:
Date:
Modeler
3-0,13
Drainage Area (mil
7010 (cfs) v'6
Date Rec.
Toxicity Limits:
Instream Monitoring:
Parameters
Co
C
Ava. Streamflow (cfs):
0.0
30Q2 (cfs)
Acute/Chronic
Upstream Locatitn
Downstream Location
Effluent
Characteristics
BOD5 (mg/1)
NH3-N (mg/1)
D.O.(
TSS (mg/1)
F. Col. (/100 ml)
pH (SU)
ments:
Summer
Winter
�FGC M0.)p 7✓(R1.,

Facility Name:
NPDES No.:
Type of Waste:
Facility Status:
Permit Status:
Receiving Stream:
Stream Classification:
Subbasin:
County:
Regional Office:
Requestor:
Date of Request:
Tope Quad:
FACT SHEET FOR WAS'IELOAD AT J ,OCATION
Thomas L. Rowe Residence
NC0081400
Domestic - 100%
Proposed
New
UT Sixmile Creek
030838
Mecklenburg
Mooresville
Wiggins
5/27/92
GI6SW
N. C. DEPT. OF NATURAL
RESOURCES AND
COMMUNITY DEVELOP
1993
Request # 6669, 6946
Stream Characteristic:
USGS #
Date:
Drainage Area (mi2):
Summer 7Q10 (cfs):
Winter 7 Q 1 0 (cfs):
Average Flow (cfs):
30Q2 (cfs):
IWC (%):
0.48
0.0
0.0
0.47
0.0
Wasteload .Allocation SummityON OF EN‘,1,:.,lioiL,1 ,iENT
(approach taken, correspondehtMithEr Eetc.)
Proposed facility requesting NPDES permit, however proposed discharge points are all 7Q10 and
30Q2=0. Technical Support recommends denial okNPDESpermit and recommends that facility be
issued a,peneral sF(4 `"
C&A-k Lo/te, C,CAA,,-AANL -tkke_
Special Schedule Requirements and additional comments from Reviewers:
ir L jCo.
ACL
v s
Recommended by:
Reviewed by
K
Date: 12/17/92
:Instream Assessment: Date:
Regional Supervisor: - - / (:.--c, ..e., ,,,./42.1- -C Date:
Permits & Engineering: Date:
RETURN TO TECHNICAL SERVICES BY:
FEB
993

To: Permits and Engineering Unit
Water Quality Section
Date: November 22, 1991
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Mecklenburg
Permit No.: NC0081400
MRO No..: 91-250
PART I - GENERAL INFORMATION
1. Facility and Address: Thomas L. Rowe Residence
2800 Bards Court
Matthews, North Carolina 28105
2. Date of Investigation: November 22, 1991
3. Report Prepared by: G. T. Chen
4. Persons Contacted and Telephone Number: Mr. Joseph H.
Spencer, Jr., P. E.; 704/376-3682
5. Directions to Site: From the junction of McKee Road (S. R.
3440) and Tillery Morris Road (S. R. 3445) in southern
Mecklenburg County, travel southeast on S. R. 3445
approximately 1.40 miles to the junction with Rocking Chair
Road (S. R. 4344). Turn left and proceed northeast on S. R.
4344 approximately 0.2 mile to the junction with Butter
Churn Lane. Turn right and proceed northeast on Butter
Churn Lane approximately 0.35 mile to the junction with
Tatting Road. Turn left and proceed northwest on Tatting
Road approximately 250 feet to Bard's Court on the right
(northeast) side of the road. The Thomas Rowe residence is
at 2800 Bard's Court.
6. Discharge Point(s), List for all discharge points:
Latitude: 35° 03' 46"
Longitude: 80° 44' 04"
Attach a USGS map extract and indicate treatment facility
site and discharge point on map.
USGS Quad No.: G 16 SW USGS Quad Name: Matthews, NC
7. Size (land available for expansion and upgrading): Limited
land area available for a proposed surface sand filter.
8. Topography (relationship to flood plain included): Sloping
toward an unnamed tributary to Sixmile Creek at the rate of
2-5%. The proposed site for the surface sand filter does
not appear to be in a flood plain.

Page Two
9. Location of nearest dwelling: Approximately 150 feet
10. Receiving stream or affected surface waters: Unnamed
tributary to Sixmile Creek
a: Classification: C
b. River Basin and Subbasin No.: Catawba and 03-08-38
c. Describe receiving stream features and pertinent
downstream uses: A small flow was observed in the
designated receiving waters on the day of the
investigation. The receiving stream, an unnamed
tributary to Sixmile Creek is approximately 5 feet wide
with a mud bottom flowing through a wooded area behind
Mr. Rowe's residence. Downstream users are unknown.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% Domestic
0% Industrial
a. Volume of Wastewater: 0.00036 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
in development approved
should be required not needed
2. Production rates (industrial discharges only) in pounds per
day: N/A
a. Highest month in past 12 months: lbs/day
b. Highest year in the past 5 years: lbs/day
3. Description of industrial process (for industries only) and
applicable CFR Part and Subpart: N/A
4. Type of treatment (specify whether proposed or existing):
The applicant proposed to install a surface sand filter (to
replace a failed nitrification field) having a discharge to
the surface waters of the State. However, engineering plans
have not been submitted to the State for review and
approval.
5. Sludge handling and disposal scheme: Sludge will be
periodically removed and disposed to Charlotte -Mecklenburg
sewer system.
6. Treatment plant classification (attach completed rating
sheet): Single family dwelling, no rating.

Page Three
7. SIC Code(s): 9999
Wastewater Code(s):
Primary: 04
Secondary:
Main Treatment Unit Code: N/A
PART III -- OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant
Funds (municipals only)? N/A
2. Special monitoring requests: N/A
3. Additional effluent limits requests: N/A
4. Other: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The Rowe's residence, which is not currently occupied, has a
failed nitrification field. The Mecklenburg County Health
Department has determined that there is no land area available
for repair of the existing septic tank system. The only
alternative is to convert the failed on -site treatment and
disposal system into a discharge facility.
An on -site investigation performed by staff of this office
revealed that the designated receiving stream appeared to have a
small flow. The Technical Support Branch needs to confirm if the
flow in the receiving stream is greater than 7Q10/30Q2 = 0.
Should the receiving stream fail to meet the flow criteria, a
recirculating sand filter, in lieu of a surface one, may be
necessary.
It is recommended that an NPDES discharge permit be issued
for the construction and operation of a surface (or a
recirculating) sand filter for the existing single family
dwelling.
Signature of Report Preparer
iD ;24
Water Quality gional Supervisor
Date

7 srrts'ap
4854 III SE
NG T©N)
}

NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMIUNI
ENVIRONMENTAL MANAGEMENT CO"PIISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM G
to be filed only by services, wholesale and retail trade.
and other commercial establishments including vessels
VELOPMENT
R
FOR
AGENCY
USE
Do not attempt to complete this fora without reading the accompanying Instructions
Please print or type
1. Name, address, and eel uaer of facilf reducing discharge
A. Nacre Thomas L, Rowe - s cf`a e C©uh c)
2. SIC
B. Street a r ss OO Bards Court
YEAR
DATE RECEIvlD
C. City Matthews o, State N. C. •
E. County ecklenqurq
G. Telephone No. 7.04
Area
Code
(Leave blank)
3. Number of employees 3 BEDROOM
F. 21► A R T ri
Joseph H. Spencer, Jr. (LocalContact)
417 East Blvd., Suite 106
Charlotte, NC 28203
N. C. DEPT. OF NATURAL,
RESOURCES ANr
[COMMUNITY 1'aEVE3 opMENT
NOV 2 1 1991
4. Nature of business PRIVATE RESIDEN IUN (ti [NYIRi ltlAL (JAM
5. (a) Check here if discharge occurs all year67;o D4RESVILLE REGIONAL OFflCE
(b) Check the month(s) discharge occurs:
1.0 January 2. 0 February 3. 014ard+ 4.0 April 5. 0 May
6.0 June 7. 0 July 0.0 August 9.0 September 10. 0 October
11. o November 12.0 December
(c) Now many days per week:
1.0 1 2.0 2-3 3.0 4-5 4.tli 6-7
6. Types of waste water discharged to surface waters only (check as aopllcable)
Discharge per
operating day
A. Sanitary, daily
average
B. Cooling water, etc..
daily average
C. Other dlscharge(s).
daily average;
Specify
0. Maximum per operat-
ing day for combined
discharge (all types)
0.1-999
(1)
Fict, ysslw.-a H; r;t
1000-4999
(2)
5900-V999
10,000-
49,999
(4)
50,000
or .ore
(5)
(6)
0.1-
29.9
(7)
3o-
64.9
(8)
65-
94.9
(9)
95-
100
(10)

7. If any of the types of waste identified in item 6. either treated or un-
treated. are discharged to places other than surface waters. check below
as applicable.
waste water is discharged to:
0.1-999
(11
1000-4999
(2)
S000-9999
(3)
10.000-49,999 S0,000 or .ore
(4) (S)
A. Municipal sewer syste.
c
'tic tank
0. Evaporation lagoon or pond
E. Other, specify:
8. Number of parate discharge points:
A. 01 S. 02-3 C.0 4-5
0.0 6 or more
9. Name of rtca ving water or waters UNNAMED TRIBUTARY TO ,.5jX MIT,F CRFRK
.10. flocs your discharge contain or is it possib
one or acre of the following substance
activities, or processes: ammonia, cyan
chromium, copper, lead, mercury, nickel. 'glen,
grease, and chlorine (residual). CHLORINE
A. types 8.0 no
or your discharge to contain
result of your operations,
beryllium, cadmium,
RC, pirnols, ell and
1 certify that i am familiar with the information contained in the application and
that to the best of sly knowledge and belief such Information 1s true, CCddlete, and
accurate.
Thomas L. Rowe
Printed Name of Person Signing
4ss oc; Qi t-
A3-. Counsel, Lawyers Title Insurance Corporation
North Carolina General Statute 143-215.6(b9(2) provides that: Any person vho knowingly ma'icrs
any false statement representation, or certification in any applicatj.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 vho falsifies, tampers ui_ty ,
or knovly renders inaccurate any recording or monitoring 4pvice or method required to be
r+perated or maintained under AT ta1s. 2.1•: or regulations of the Environmental Management Commies
implementing that Article, shall be'» uiity of a misdemeanor punishable by aline not to exceed
$10,r101, or by imprisanmant 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,
fur a similar offense.)

SPEC S( AE
S
CONS LILTING ENGINEER
October 18, 1991.
Director, Division of Environmental Management
Post Office Box 27687
Department of Natural Resources and Communi
Raleigh, NC 27611 h Development
Re: 2800 Bards Curt
Surface Stream Discharge Application
Dear Sir,
Attached is our application for a presently s ourpermit to discharge serving a three bedroom single fa to waste waters for a failed septic system.
Repairs to the failed system have not been family dwelling.
e back othe property appears to b the successful.
Discharge to the stream running across
thPreliminarily, we plan to use a dosed sand filter
alternative available.
prior to discharge tone stream. er system or
packaged system for treatment
The unnamed tributary discharges into Six Mile Creek
into it. r eel; which has other indus
Please call or write if I can answer any further u
Sincerely, questions.
SPENCER & ASS
,.....� CIATES
Joseph H. Spencer, Jr. PE
Professional Engineer
417 EAST BLVD. SUITE 106
CHARLOI`1ENC 28203
[phone]
discharges

October 10, 1991
To:
From:
Joe Spencer
Spencer and Associates
417 East Boulevard
Suite 106
Charlotte, NC 28203
Gene Vaughan
Supervisor
Individual Water and Wastewater Systems
Subject: 2800 Bards Court waste disposal repair status.
I have discussed your file status with Bill Marlin, Soil Scientist with the
Mecklenburg County Health Department and found the following comments to be
applicable:
1. Soil borings conducted by Mr. Marlin indicate that there is not enough
area present to accommodate a repair in the front of the house. Soils in
the rear of the lot have expanding clay and perched water present at
depths less than 36 inches. These conditions restrict water movement and
wastewater treatment.
2. The area behind the house has already had a repair installed that does not
appear to have resolved the problem.
Adjacent properties under the authority of the Mecklenburg County Park and
Recreation Department have had soil investigations performed. An area of
acceptable soils was found, however, it is our understanding that the Park
and Recreation Department is not going to agree to an easement large
enough to replace the drainfield and provide repair area.
It appears that all onsite and offsite subsurface waste disposal options have
been pursued unsuccessfully. A package system appears to be the only remaining
option. If I may be of further assistance please do not hesitate to call.
Environmental Health Division
1 '3f1f1 DI, Ake, Dr. lr...nr'J _ r^h- I - .., 11/41..44, r'nri,G...n r)O•)fV) - /7r1 Al 77C A Cry

PROPOSED EASEMENT
SITE CONDITIONS AT
2800 BARDS CT.

SHO
5HO
THIS 15 TO CERTIFY THAT ON THE Zn/ DAY OF /2CTP Ot. I98s I. SURVEYED THE PROPERTY
N ON THIS PLAT. AN THAT THE TITLE LINES AND THE WALLS OF THE BUILDINGS IF ANY ARE
N HEREON.
25
SIGNED_ E/RL. 4Lt,1E3 rt. Z'grZ._ 7.2,
REGISTERED SURVEYOR

James G. Martin, Governor
William W. Cobey, Jr., Secretary
49c 14/
/9
N. C.NA1t7RAL
ANTI
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street . Raleigh, North Carolina 27604
George T. Everett,Ph.D.
Director
October 28, 1991
Mr. THOMAS L. ROWE
THOMAS L. ROWE
2800 BARDS COURT
MATFHEWS, NORTH CAROLINA 28105
Dear Mr. ROWE:
Subject: Application No. NC0081400
THOMAS L. ROWE
ROWE RESIDENCE
Mecklenburg County
The Division's Permits and Engineering Unit acknowledges receipt of your pelt' it application and
supporting materials received on October 28, 1991. This application has been assigned the number
shown above. Please refer to this number when making inquiries on this project.
Your project has been assigned to Mack Wiggins for a detailed engineering review, A technical
acknowledgement will be forthcoming. If this acknowledgement is not received within thirty (30)
days, please contact the engineer listed above.
Be aware that the Division's regional office, copied below, must provide recommendations from the
Regional Supervisor for this project prior to final action by the Division.
If you have any questions, please contact Mack Wiggins at [phone].
ncerely,
M. Dale Overcash, P.E.
Supervisor, NPDES Permits Group
Mooresville Regional Office
Spencer & Assoc.
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

r
AROLINA DEPT. OF NATURAL RESOURCES AND CONMINI
NVIRONMENTAL MANAGEMENT COM'IISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE — SHORT FORM D
To be led y by
ii only services wholesale and retail trade,
and other commercial establishments including vessels
0
FOR
AGENCY
USE
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
1. Name, address, and
A. N
8. Stree
C. City
E. County ,MecklenqurcT
2. SIC
fact
L Rowe
thews
G. Telephone No. 7 Q 4
ve blank)
Arta
Code
APPt l (AI ION Nieltif
vt n
TEAR MO. DAY
Gamgl © sZ
..Fjv?il©.Fla
discharge L awr rRs l if le Snso 2a n< c C©R�Ie.4icr1
Couhsc.( ,C(aims
ards Court
0. Stilts N. C.
F. ZIP 7R111
Joseph H. Spencer, Jr. (LocalContact
417 East Blvd., Suite 106
Charlotte, NC 28203
3 BEDROOM Lo
3. Number of employees r
4. Nature of business
PRIVATE RESIDENCE
5. (a) Check here If discharge occurs all year p', or
(b) Check the month(s) discharge occurs:
1. o January 2.0 February 3.0Mardi 4.0 Apr11 5.13May
6. a June 7. O Ju1 y CO August 9.0 September 10.0 October
11. L1 November 12.0 Decanter
(c) Mow corny days per week: �
1.O1 2.0 2-3 3.04-5 4.106-7
6. Types of waste water discharged to surface waters only (check as applicable)
Discharge per
operating day
A. Sanitary. daily
avers
B. Cooling water, etc.,
drily average
C. Other discharge(s).
daily average;
Specify
D. Maximum per operat-
tng day for combined
discharge (a11 types)
;feu,
0.1-999 1000-4999
(1) (2)
5000-5999
(3)
10,000-
49,999
(4)
(5)
a
0.1-
29.9
(7)
30-
64.9
(8)
65
94
+ore
ent)
i15-
.9 00
(10)
(9)

Waste water is discharged to:
f any of the types of waste identified in Item 6. either treated or un-
treated, are disc irg•d to places other than surface waters, check below
as applicable.
100o-' 09 S000-99
r,1s
4
(2)
0
(S)
A. Municipal sewer system
C. .ept.lr tank
U. Evaporation 1
E. Other. specify:
8. Number of"operate discharge points:
A.b'1 B.02-3 C.04.4
0.0 6 or care
9. Name of receiving water or waters UNNAMED TRIBUTARY T9 QIX MTLF CRRRK
.10. Does your discharge contain or is 1t pbssib
one or more of the following substance
activities, or processes: ammonia, cy
chromium, copper, lead, mercury, nickel, selen
grease, a d chlorine (res1du41). CHLORINE
A. eyes 4.0 no
or your discharge to contain
result of your operations,
beryllium, cabtum,
nc, phenols, •t1 end
i certify that 1 am familiar with the information contained in the application and
that to the best of .y knowledge and belief such information 1s true, complete, and
accurate.
Thomas L. Rowe
Printed Name of Person Signing
Counsel, Lawyers ij),e -insurance Corporation
cation Si
Signature of Appllt
North Carolina General Statute 143-215.6(bl(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 knwly renders inaccurate any: recording or monitoring price or method required to be
operated or maintained under Arti01e 2.1 ar regulations.of the Environmental Management Commie
implementing that Article, ahahi'be'.''u33ty,~Ief * misdemeanor punishable by aline not to exceed
$10,flr)t), or by imprisonment' not to exceed six months, or by both. (18 U.S.C. Section 1001 pro')
a punishment by a fine of'not more than $10,000 or imprisonment not more than 5 years, or`botr
for a similar offense.)