NCG550364_Permit (Issuance)_20120823

ATA
NCDENR,
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue, Governor Charles Wakild, P.E., Director Dee Freeman, Secretary
August 23, 2012
Mrs. Maydean Baker
4528 Ellenton-Omega Rd
Omega, GA 31775
Subject: Renewal of coverage / General Permit NCG550000
466 Coweeta Lake Circle
Certificate of Coverage NCG550364
Macon County
Dear Permittee:
In accordance with your renewal application [received on February 29, 2012], the Division is
renewing Certificate of Coverage (CoC) NCG550364 to discharge under NCG550000. This CoC is issued
pursuant to the requirements of North Carolina General Statue 143-215.1 and the Memorandum of
Agreement between North Carolina and the US Environmental Protection agency dated October 15, 2007 [or
as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documentinE the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Charles
Weaver of the NPDES staff [919 807-6391 or charles.weav• ' ncdenr.gov].
for Charles Wakild, P.E.
cc: Asheville Regional Office / Surface Water Protection
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
NonrthCarolina
?aturallj

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550364
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,
Mrs. Maydean Baker
is hereby authorized to discharge domestic wastewater [<1000 GPD] from a facility located
at
466 Coweeta Lake Circle
Otto
Macon County
to receiving waters designated as Coweeta Creek, a class C-Trout stream in subbasin 04-04-01 of
the Little Tennessee 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 23, 2012.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day August 23, 2012
for Clan s Wakild, P.E., Director
ision of Water Quality
By Authority of the Environmental Management Commission

Weaver, Charles
From: Bill McGaha [[e-mail]]
Sent: Friday, June 15, 2012 3:37 PM
To: Weaver, Charles
Cc: 'Jane Pate'
Subject: NCG 550000 Certificate of Coverage NCG550364
Attachments: 20120615151041825.pdf
Mr. Weaver,
The attached was sent in February 2012 and Mrs. Baker has not received a renewal of the
permit.
Can you please verify that the renewal request has been received and let me know anything
additional that may be required as well as when the renewal documents will be sent to her.
She is elderly and does not have email so if you need to communicate with her you will need
to do so by mail or phone and, if needed, I will be glad to help with any communication.
Also, her daughter, Jane Pate, does have email with an address of ianept587Pgmail.com
Thanks.
Eiee
Bill McGaha
ABR, CRS, GRI, Green
Broker Associate
RE/MAX Elite Realty
1296 E. Main Street
Franklin, NC 28734
828-421-0142 Cell
828-349-4600 x 304 (Office)
866-981-4600 (Free)
828-369-5949 (Fax)
[e-mail]
www.HomeslnTheMountains.com
1

AtrA
NCDENR
NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NCG550000
RENEWAL FORM FOR EXISTING PERMITTED FACILITIES
NPDES renewal application for continued coverage under General Permit NCG550000:
Certificate of Coverage NCG55 D 3(0 S!
(Please verify the information in items 1 & 2 as correct, or note any corrections that should be made.)
(Please print or type)
1) Mailing address* of property owner:
Owner Name
Milli Dow eg
Street Address L/ 5 2 8 EL t o 7v b- D WI e jQ 0 AD
City Drn6.A Gil 31775
Telephone (Home) 2zei 5 9
(e-mail address)
(Mobile) 221 S q 8 — 29iq
* Address to which all permit correspondence will be mailed
2) Location of facility producing discharge*:
Street Address 4604 Got) ex -TA LA le a CiRCG
city: D T7 . IV c 2 87 (03
County rnAL.Or.
Telephone (Home) _ NO Me (Mobile) Nome..
* If the facility is not yet constructed, give the street address or lot number where the structure will be
built.
3) Description of Discharge:
a) Type of facility producing waste (please check one):
❑ Primary residence
VI. Vacation/second home
❑ Undeveloped property
❑ Other [describe]:
FIT B 2 91.2012
r1, �i�t f SC` ►"i; QUALITY
13RAWCH
Page 1 of 2

NCG550000 renewal form
4) Please check the components that comprise the wastewater treatment system:
Dif%Septic tank ❑ Dosing tank Primary sand filter 0 Secondary sand filter
0 Recirculating sand filter(s) 0 Chlorination ❑ Dechlorination
0 Other form of disinfection: 0 Post Aeration (describe)
5) Other Information:
a) When was the septic tank last pumped out? /Z / (2J zd / Z
NOTE: the septic tank must be pumped out at least once every 3-5 years
b) Is the facility [home] occupied year-round, or only seasonally? St'Y 5o,u AU — 1. 3° y j Ln
c) Approximately how many people use the facility when it is occupied? 2,
d) When was the wastewater system installed? 1 q SS
6) Certification:
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: ifAy D eA til K L 2
y 60 ) t J 4-) M-
(Signatur of Applicant) (Date Signed)
North Carolina General Statute 143-215.6 b (i) provides that_ -
Any person who knowingly makes any false statement, representation, or certification in any
application, record, report, plan or other document filed or required to be maintained under Article
21 or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or
method required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C.
Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more
than 5 years, or both, for a similar offense.)
Mail this completed form and a copy of the receipt for your last septic service to:
Mr. Charles H. Weaver, Jr.
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Page 2 of 2

Deliver To:
BATES SEPTIC TANK & CONCRETE CORP.
Franklin, North Carolina 28734
Phone: [phone]
Residence: Tim Bates [phone]
Date: a-- l0 20/Q
Address: 4/C C cam- L 1 4 6r e, C r
Phone:
City:a `/)
State:,) Zip: 763
Cash
C.O.D.
Charge
On Acct.
Driver
QUANTITY
DESCRIPTION
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BALANCE FORWARD
TOTAL DUE i
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30 -a 0
In the event of delivery beyond curb line, this company will not assume liability for damage to sidewalk, driveway or
other property in the course of delivery under direction of purchaser.
Purchaser agrees to accept responsibility for directioe. u7Alwyt ;i=„ _; oifil nags itiimay resuit to
property and truck.
In the event of default, customer shall be responsible for the payment of reasonable attorney's fees, coat and expense
in connection with institution of legal collection action.
Please pay from this i voice net due 10 days. 1 la% (18% Annually) added on all invoices over 30 days.
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Signed '� _r ( _---'---

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Rf/M
RE: Certificate of Coverage
NCG55 0364
February 24, 2012
Mr. Charles H. Weaver, Jr.
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr. Weaver:
Mrs. Baker sent the attached renewal to me with some other documents that she was sending me.
In opening the envelope the renewal form and pumping receipt were cut. Rather than send you a
copy I chose to send the original taped. I hope that is acceptable.
Thank you.
Bill McGaha
Broker Associate
RE/MAX Elite Realty
RF//1#1F ( Elite Realty
1296 E. Main Street
Franklin, NC 28734
Office [phone], Fax [phone]
T-Free [phone]
www.FranklinRemax.com
Each Office Independently Owned and Operated