WQ0043265_Permit (Issuance)_20220314

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
March 14, 2022
ADEN GOSSETT, LANDMARK BUILDERS
FSC ARDAGH
3520 TRIAD COURT
WINSTON SALEM, NC 27107
Subject: Permit No. WQ0043265
FSC Ardagh
Temporary Domestic Wastewater Pump & Haul Permit
Forsyth County
Dear Mr. Gossett:
In accordance with your application received March 7, 2022, we are forwarding herewith Permit No.
WQ0043265, dated March 14, 2022, to FSC Ardagh for the time -limited operation of a domestic
wastewater pump and haul operation. This permit shall be effective from March 14, 2022, will expire on
September 16, 2022, and shall be subject to the conditions and limitations as specified therein. This cover
letter and supplement shall be considered a part of this permit and are therefore incorporated therein by
reference.
Please pay particular attention to the following conditions contained within this permit:
Condition I.1: The Permittee or its representative shall inspect the permitted pump and haul facilities at
least daily to prevent malfunctions and deterioration, operator errors, and discharges that
may cause or lead to the release of wastes to the environment, a threat to human health, or
a nuisance condition.
Condition II.1: An accurate record of the pump and haul activities must be maintained by the Permittee,
indicating; Date and time wastewater is removed from the facility; Name of contract hauler;
Name of facility receiving wastewater; & Volume of wastewater removed.
These records shall be submitted monthly by the following Wednesday to the Supervisor
of the Water Quality Regional Operations of the Winston-Salem Regional Office.
Condition II.14: This permit shall expire September 16, 2022. Should the pump and haul activities stop
prior to the date of expiration send written notification to the Winston Salem Regional
Office, Water Quality Section notifying them of that the permit is no longer required and
detailing the final disposal solution
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
NORTH CRROUNA L�
OSPerbn6nl a EmirOnmenial Dual lI.
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 450 Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27103
336.776.9800

FSC Ardagh
Permit No. WQ0043265
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC
27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Lon Snider or Caitlin Caudle at
[phone].
Sincerely,
DocuSigned by:
L-oti T. SAndu-
145B49E225C94EA...
for S. Daniel Smith
Director, Division of Water Resources
by Lon Snider, Regional Supervisor
Water Quality Regional Operations Section
WSRO Regional Office
Division of Water Resources, NCDEQ
cc: WSRO Files
DWR-WQ Central Files
Page 2 of 7

NORTH CAROLINA
EitOrarlmertrai' Quality
DOMESTIC WASTEWATER PUMP & HAUL PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
FSC Ardagh
for the construction and operation of a domestic wastewater pump and haul operation to serve FSC Ardagh,
consisting of a 9,000 gallon mini frac tank. The facility from which pumping will occur shall include a
minimum 24 hours storage with on -site visual high-water alarms and telemetry. The anticipated flow for
this pump and haul operation is expected to be 6,000 gallons per day of domestic wastewater, pursuant to
the application received March 7, 2022, and in conformity with 15A NCAC 02T and other supporting data
subsequently filed and approved by the Department of Environmental Quality and considered a part of this
permit.
This permit shall be effective from March 14, 2022, will expire on September 16, 2022, and shall be subject
to the conditions and limitations as specified therein.
DocuSigned by:
Ln. l . <Jndhts
145B49E225C94EA...
for S. Daniel Smith
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0043265
Permit Issued: March 14, 2022
Page 3 of 7

SUPPLEMENT TO PERMIT COVER SHEET
FSC Ardagh is hereby authorized to:
Construct and operate the aforementioned domestic wastewater pump and haul operation. The wastewater
collected by this system shall be pumped and hauled to City of High Point Eastside Wastewater Treatment
Plant (Permit No. NC0024210) for final treatment.
It shall be the Permittee's responsibility to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
1. This permit shall become voidable unless the agreement between FSC Ardagh, the Queens Septic Tank
Service, and Eastside Wastewater Treatment Plant for the collection, transportation, and final treatment
of wastewater is in full force and effect. [15A NCAC 02T.0204(b)]
II. STANDARD CONDITIONS
1. An accurate record of the pump and haul activities must be maintained by the Permittee, indicating:
a. Date and time wastewater is removed from the facility;
b. Name of contract hauler;
c. Name of facility receiving wastewater;
d. Volume of wastewater removed.
The Permittee shall maintain this log for as long as the pump and haul activities are being conducted
and shall be made available to the Division or other permitting authority, upon request. Records shall
be submitted to the Supervisor of the Water Quality Regional Operations of the Winston Salem
Regional Office. Records shall be submitted monthly by the following Wednesday. [15A NCAC
02T .0108]
2. This permit shall not be transferable. In the event there is a desire for the facilities to change ownership,
or there is a name change of the Permittee, a formal permit request shall be submitted to the Division
accompanied by an application fee, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of this request shall be considered on its merits and may
or may not be approved. [15A NCAC 02T .0104; G.S. 143-215.1(d3)]
3. The Permittee shall provide for the installation and maintenance of an audible and visual high-water
alarm on all storage and pumping facilities associated with this pump and haul operation. [15A NCAC
02T .0204(c)]
4. This permit shall become voidable unless the subject pump and haul activities are carried out in
accordance with the conditions of this permit; 15A NCAC 2T; and other supporting materials unless
specifically mentioned herein. [15A NCAC 02T.0110]
Page 4 of 7

5. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. No type, kind or quantity of wastewater other than the pumped
and hauled wastewater from the facility shall be included in these pump and haul activities. [15A
NCAC 02T .0110]
6. The wastewater collection facilities shall be properly maintained and operated at all times. Adequate
inspection, maintenance, and cleaning shall be provided by the permittee to insure proper operation of
the subject facilities. [15A NCAC 02T .0403]
7. The Permittee shall report by telephone to a Water Resources staff member at the Winston Salem
Regional Water Resources Section, telephone number [phone], as soon as possible, but in no
case more than 24 hour, following the occurrence or first knowledge of the occurrence of either of the
following:
a. If the flow volume estimated above is exceeded by any amount on any day; or
b. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater storage, such as failures of tanks, piping, pumps, aerators, compressors
etc.; or
c. Any failure of a pumping station, sewer line, etc., resulting in a spill or by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or facility;
or
d. Any SSO and/or spill over 1,000 gallons; or
e. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a written spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five days
following first knowledge of the occurrence. This report must outline the actions taken or proposed to
be taken to ensure that the problem does not recur. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.1C(al)]
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 02T; and other
supporting materials may subject the Permittee to an enforcement action by the Division, in accordance
with North Carolina General Statutes § 143-215.6A through § 143-215.6C, construction of additional or
replacement wastewater collection facilities, and/or referral of the North Carolina -licensed Professional
Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the creation
of nuisance conditions, the Permittee shall cease operation of all pump and haul activities and shall take
immediate corrective action, including those as may be required by this Division, such as the
construction of additional or replacement facilities. [15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
10. Any duly authorized officer, employee, or representative of the Division of Water Resources may, upon
presentation of credentials, enter and inspect any property, premises, or place on or related to the pump
and haul collection facilities at any reasonable time for the purpose of determining compliance with the
Division's approval; may inspect or copy any records that must be maintained under the terms and
conditions of this permit; and may obtain samples. [15A NCAC 02T .0110]
11. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or Local
Page 5 of 7

government agencies which have jurisdiction or obtaining other permits which maybe required by the
Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
12. Operation of this permit is based on acceptance of the certification attached to this permit, completed
by the Permittee and a North Carolina licensed Professional Engineer. Note that a completed
certification is only required for activities that met the definition of the Practice of Engineering in
accordance with G.S. 89C-3. In some instances this certification may not be required.
13. A copy this permit, and approved plans and specifications (if applicable) shall be maintained on file by
the Permittee for the life of the project. [15A NCAC 02T .0104]
14. This permit shall expire September 16, 2022. Should the pump and haul activities stop prior to the date
of expiration send written notification to the Winston Salem Regional Office, Water Quality Section
notifying them of that the permit is no longer required and detailing the final disposal solution. [15A
NCAC 02T .0105(j), 15A NCAC 02T.0204(a)]
Page 6 of 7

DOMESTIC WASTEWATER PUMP & HAUL ENGINEERING CERTIFICATION
This certification shall be completed and submitted to the appropriate regional office for activities
that result in the Practice of Engineering in accordance with G.S. 89C-3. In some instances, this
certification may not be required.
PERMITTEE: Aden Gossett
PERMIT #: WQ0043265
PROJECT: FSC Ardagh
ISSUE DATE: March 14, 2022
This project shall not be considered complete nor allowed to operate until the Division has received this
Certification. It should be submitted in a manner that documents the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Section at the address at the bottom.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant to
the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain the
pump and haul system permitted herein or portions thereof.
Printed Name, Title
Signature Date
ENGINEER'S CERTIFICATION
I, , as a duly registered Professional En sneer in the State of North Carolina,
having been authorized to observe (❑ periodically, El weekly, L full time) the construction of the
Hurricane Florence Impacts and location as referenced above for the above Permittee hereby state that, to
the best of my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance of this permit; 15A NCAC 2T and
other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
n Final n Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC Division of Water Resources — Water Quality Section 450 W Hanes Mill Rd. Ste 300 Winston-Salem, NC 27105
Winston Salem Regional Office Phone: [phone] FAX: [phone]