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HomeMy WebLinkAboutNCG551423_Permit (Issuance)_20071227Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Coleen H. Sullins, Director Division of Water Quality December 27, 2007 Ms. Angela M. O'Neal 1017 Patterson Road Durham, North Carolina 27704 Subject: Issuance of Certificate of Coverage (CoC) Authorization to Construct — NCG551423 Site Address: 1017 Patterson Road Durham, NC Durham County Dear Ms. O'Neal: In accordance with your application for discharge, the Division is forwarding herewith the subject Certificate of Coverage to discharge under the subject state-NPDES general permit. Authorization is hereby granted for the operation of an existing septic tank and sandfilter, for a four -bedroom home, with the installation of a chlorinator, pump tank with high water alarm, second chlorinator to hold dechlor tablets and rip rap. Treated wastewater will be discharged into an unnamed tributary to Little Creek, classified WS IV NSW waters in the Neuse River Basin. All applicable setbacks must also be met and complied with. All cleanouts are to be housed in meter boxes below the surface. This system must be at least 50 feet from the dwelling and property lines and at least 100 feet from water supply wells on and off the site. The system must also be constructed and located above a 100-year flood. Sandfilters must be lined with a minimum 30-mil polyethylene liner. If any parts, measurement frequencies or sampling requirements contained in this general permit are unacceptable to you, you have the right to submit an individual permit application and letter requesting coverage under an individual permit. Unless such demand is made, this decision shall be final and binding. The Authorization to Construct is issued in accordance with Part III, Paragraph 2 of NPDES Permit No. NCG550000, and shall be subject to revocation unless the wastewater treatment facilities are constructed in accordance with the conditions and limitations specified in Permit No. NCG550000. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Pennittee shall take immediate corrective action, including those as may be required by the Division, such as the construction of additional or replacement wastewater treatment or disposal facilities. The Raleigh Regional Office, telephone number (919) 791-4200, shall be notified at least forty-eight (48) hours in advance of operation of the installed facilities so that an in -place inspection can be made. Such notification to the regional supervisor shall be made during the normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays. Upon completion of construction and prior to operation of this permitted facility, a certification must be received certifying that the permitted facility has been installed in accordance with the NPDES Permit, the Certificate of Coverage, this Authorization to Construct and the approved plans and specifications. Mail the Certification to the NPDES Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. A copy of the approved plans and NOne Caroina specifications shall be maintained on file by the Permittee for the life of the facility. Naturally North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service Internet www.ncwaterquality.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax (919) 733-2496 1-877-623-6748 An Equal opportunity/Affirmative Action Empbyer— 50% Recycled/10% Post Consumer Paper Failure to abide by the requirements contained in this Authorization to Construct may subject the Permittee to an enforcement action by the Division of Water Quality in accordance with North Carolina General Statute 143- 215.6A to 143-215.6C. This CoC is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the CoC. The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, regulations, or ordinances which may be required by the Division of Water Quality or permits required by the Division of Land Resources, the Coastal Area Management Act or any Federal or Local other governmental permit that may be required. If you have any questions or need additional information, please contact Bob Guerra, telephone number (919) 733-5083 extension 539. Sincerely, MAzr re,/ Coleen H. Sullins, Director cc: Central Files Raleigh Regional Office/Surface Water Protection Section Raleigh Regional Office/DEH 'NPDES File '7 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NCG550000 CERTIFICATE OF COVERAGE NCG551423 TO DISCHARGE DOMESTIC WASTEWATERS FROM 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, Angela M. O'Neal is hereby authorized to operate a Single Family wastewater treatment facility which includes a septic tank with effluent filter, which flows through a Sand filter and mixing box which flows through a chlorine/dechlorination disinfection unit, and associated appurtenances with the discharge of treated wastewater from Angela M. O'Neal Residence 1017 Patterson Road Durham, NC Durham County to receiving waters designated as an Unnamed Tributary to Little Lick Creek, Class WS-IV NSW in the Neuse 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 December 17, 2007. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day December 27, 2007. Coleen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission Angela O'Neal Residence 1017 Patterson Road Latitude: 35° 59' 26" N State Grid: SE Durham Longitude: 78° 47' 15" W Permitted Plow: 1000 GPD Receiving Stream: UT to Little Lick Creek Drainage Basin: Neuse River Basin Stream Class: WS IV NSW CA Sub -Basin: 03-04-01 Facility Location not to scale No rth NPDES Permit No. NCG551423 Durham County 1,2/19/2007 WED 9:24 FAX 9194334644 Parata Systems Scan el002/003 Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality SURFACE WATER PROTECTION SECTION PERMIT NAME/OWNERSHIP CHANGE FORM t. Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate of Coverage N. C II. Permit status Drior to status change. a. Permit issued to (company name): b. Person legally responsible for permit: c. Facility name (discharge): d. Facility address: e. Facility contact person: N c c 5 15e r 3 First / MI / Last Title Permit Holder Mailing Address City State Zip Phone Fax Address City State Zip ( ) First / MI / Last Phone III. Please provide the following for the request -change (revised permit). a. Request for change is a result of: t Change in ownership of the facility ❑ Name change of the facility or owner !f other please explain: b. Permit issued to (cotnpany name): c. Person legally responsible for permit: d. Facility name (discharge): e. Facility address: f. Facility contact person: -bLtsirn tty .L First / (IR) (otb- R 13 Phone First / MI / Last Title D \-1 .1)a`*e.r`torN Permit Holder Mailing Address '17i t rkivAr i N. C, a-noLl City State Zip (C1 ) tabors 1?;1 Dna 11-tS om 'f- . Phone E-mail Addres. D 1S VCrP r ;c) . r, Address NLG Statc LP (` 1. (�' °I.1 MI / Last G11�o c'. `j6 E-mail Address Tv; ta Revised 7/2005 12/19/2007 WED 9:24 FAX 9194334644 Parata Systems Scan IJ 003/003 • PERMIT NAME/OWNERSHIP CHANGE FORM Page 2 of 2 IV. Permit contact information: (if different from the person legally responsible for the permit) Permit contact: First / MI / L.ast Title Mailing Address City State Zip Phone E-mail Address V. Will the permitted facility continue to conduct the same industrial activities conducted prior to this • nership or name change? Yes ❑ No (please explain) VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: ❑ This completed application is required for both name change and/or ownership change requests. ❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or a bill of sale) is required for an ownership change request. Articles of incorporation are not sufficient for an ownership change. The certifications below must be completed and signed by both the permit holder prior to the change, and the new applicant in the case of an ownership change request. For a name change request, the signed Applicant's Certification is sufficient. PERMITTEE CERTIFICATION (Permit holder prior to ownership change): 1, , attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included, this application package will be returned as incomplete. Signature Datc APPLICANT CERTIFICATION: I, AI \\I C-5Lif\ f1-'L O 14 Elk 1-- , attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. 1 understand that if all required parts of this application are not completed and that if all required supporting information is not included, this applic ion package will be returned as incomplete. i 2-1g-o"1 Signature Datc PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Division of Water Quality Surface Water Protection Section 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Revised 7/2005 State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross, Jr., Secretary Coleen H. Sullins, Director MEMORANDUM To: From: Subject: December 27, 2007 Michael Douglas NCDENR / DEH / Regional engineer Raleigh Regional Office Robert Guerra NPDES Unit Review of Draft NPDES Permit NCG551423 Tony Woodall Residence WWTP Durham County Alkit741)111:;:rili NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Please indicate below your agency's position or viewpoint on the draft permit and return this form by January 5, 2008. If you have any questions on the draft permit, please contact me at the telephone number or e-mail address listed at the bottom of this page. RESPONSE: (Check one) Concur with the issuance of this permit provided the facility is operated and maintained properly, the stated effluent limits are met prior to discharge, and the discharge does not contravene the designated water quality standards. Concurs with issuance of the above permit, provided the following conditions are met: Opposes the issuance of the above permit, based on reasons stated below, or attached: Date: 12 1 9/0/ 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 733-5083, extension 539 (fax) 919 733-0719 VISIT us ON THE INTERNET @ http://h2o.enr,state,nc.us/NPDES Bob.Guerra@ ncmail.net Angela O'Neal Residence 1017 Patterson Road Latitude: Longitude: Receiving Stream: Stream Class: 35° 59' 26" N State Grid: 78° 47' 15" W Permitted Flow: UT to Little Lick Creek Drainage Basin: WS IV NSW CA Sub -Basin: SE Durham 1000 GPD Neuse River Basin 03-04-01 Facility Location not to scale x North NPDES Permit No. NCG551423 Durham County Tony Woodall Subject: Tony Woodall From: Mack Wiggins <mack.wiggins@ncmail.net> Date: Wed, 12 Dec 2007 11:06:09 -0500 To: Bob Guerra <Bob.Guerra@ncmail.net>, Michael Douglas <Michael.Douglas@ncmail.net> The Staff report is on the way Bob. High water alarm and rip rap has been installed. Proceed towards issuance once DEH approves of the discharge. Thanks. Mack 1 of 1 12/13/2007 6:57 AM October 29, 2007 Mr. Mack Wiggins NPDES Permits Unit Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699 Dear Mr. Wiggins: I am requesting a permit to operate the wastewater treatment system located at the residence which I own at 1017 Patterson Road, Durham. As indicated by the enclosed receipt, I have recently had the septic tank pumped out by Mr. Jeff Dixon with Clean Septic Tank Service and I have hired Jeff to make any changes that you may require to be made to this system. My cell phone is 919-730-1949 if I can help in any way. Thank you for your consideration. Sincerely, ‘4W" Tony Woodall 1153 Dutchville Drive Creedmoor, NC 27522 Ar?FilIfr _ _ NCDENR Noani C-wOL.w DEnwrmOrr or EMVIRonMEwr ,two NxtynaL RESOURCES Division of Water Quality / Water Quality Section National Pollutant Discharge Elimination System NCG55000O NOTICE OF INTENT National Pollutant Discharge Elimination System application for cover NCG550000: Single Family Domestic Units and/or facilities dischargin day of domestic wastewater and similar point source discharges (Please print or type) 1) Region contact (Please note: This application will be returned if y representative from the appropriate regional office): Certificate of Covera • e POINT WATER QUALITY P INT SOURCE BRANCH Please list t e NCDENR Regional Office representative(s) with whom you have met: Name: Mailing ad res ! !7 I( Date: �`/3y 17 2) s of owner/operator: Owner Name —TON/ (,JoDMLL— Street Address // 53 b VTcHt//LLt D,z. City caEcbmix.A. State A G ZIP Code 2 9 22 Telephone No. (Home) q )q 52.g -'q7O (Work) q 191 730 - /9 * Address to which all permit correspondence will be mailed 3) Location of facility producing discharge: Street Address f2/7 P/ irip SDA? P.D City v /Z 0, fit County V PftAell Telephone No. 4) Physical location information: Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). ocJ l' • 0 Al Pr / ,'?12o14 #14)1 g oiti 1471U.So o. 5) This NPDES permit application applies to which of the following : ❑ New or Proposed (system not constructed) Existing (system constructed); If previously permitted by local or county health department, please provide the permit number and issue date / 464 ❑ Modification; please describe the nature of the modification: State f1/G ZIP Code 2 72,04- 6) Description of Discharge: a) Amount of wastewater to be discharged: Number of bedrooms I" x 120 gallons per bedroom = b) Type of facility producing waste (please check one): 400 gallons per day to be permitted Page 1 of 3 04/D5 NCG550000 N.O.I. OeP envresidenee----- — ' home--.--_—... ❑ Other: 7) Please check the components that comprise the wastewater treatment system: ❑/Septic tank 0 Dosing tank Primary sand filter 0 Secondarysand filter ter 0 Recirculating sand filter(s) ❑ Chlorination ❑ Dechlorination 0 Other form of disinfection: ❑ Post Aeration (specify type) 8) For new or proposed systems only - Please address the feasibility of alternatives to discharging for the following options in the cover letter for this application: a) Connection to a Regional or Municipal Sewer Collection System. b) Letter from local or county health department describing the suitability or non -suitability of the site for all _types of wastewater groundadsorption and innovative non -discharge systems. Document the repair potential of the failed system. c) Investigate Land Application such as spray irrigation or drip irrigation. 9) Receiving waters: a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility wastewater discharges end up in? b) Stream Classification (if known): 10) The application must include the following or it will be returned: a) For Certificates of Coverage: VAn original letter and two (2) copies requesting a general permit. r[f A signed and completed original and two copis000f this Notice of Intent Application. A check or moneyorder for the permit fee of6i.O?made payable to NCDENR. Invoice showing that the septic tank has been pumped and serviced within the last 12 months (only when existing service tank will be used). New or proposed facilities must also include: ❑ Letter from the county health department evaluating the proposed site for all types of ground absorption and innovative non -discharge systems. Document the repair potential of the failed system. ❑ Evaluation of connection to a regional sewer system (approximate distance & cost to connect). ❑ Provide a 7Q10 flow estimate at the proposed wastewater discharge point from the US Geological Survey (919- 571-4000) b) For an Authorization to Construct (ATC) only: ❑ A letter requesting an ATC ❑ Three sets of plans and specifications of proposed treatment system (see Permit Application Checklist and Design Criteria for Single Family Discharge) ❑ Invoice showing that the septic tank has been pumped and serviced within the last 12 months (only when existing septic tank will be used). Note: There is no fee when requesting an Authorization to Construct Page 2 of 3 04/05 NCG550000 N.O.I. 14}--Additionaf a) If this application is being submitted by a consulting engineer (or engineering firm), include documentation from the applicant showing that the engineer (Or firm) submitting the application has been designated an authorized Representative of the applicant. b) If this application is being submitted by a consulting engineer (or engineering firm), final plans for the treatment system must be signed and sealed by a North Carolina registered Professional Engineer and stamped - "Final Design - Not released for construction". c) If this application is being submitted by a consulting engineer (or engineering firm), final specifications for all major treatment components must be signed and sealed by a North Carolina registered Professional Engineer and shall include a narrative description of the treatment system to be constructed. 12) 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: Title: 0u1NIP G TelaY ulo©PA L'- /0-2-e-O7 (Signature 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.) Notice of Intent must be accompanied by a check or money order for $50.00 made payable to: NCDENR Mail three (3) copies of the entire package to: NPDES Permits Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee the issuance of an NPDES permit Page 3 of 3 04/05 : CLEAN SEPTIC — JEFF D I XON FAX N0. 9196821406 Oct. 29 2007 09:11PM P1 I • 1,4DW (10116er) 0 .)4W24111111%* NLCI camo3 papAgnata euslomA.g ppRp£R NPDES REGIONAL WATER QUALITY STAFF REPORT AND RECOMMENDATIONS (This form is best filled out on computer, rather than hard copy) Date: 11/14/07 To: NPDES Discharge Permitting Unit Attn. NPDES Reviewer: Laurie Singleton County: Durham Permitee: Tony Woodall Application/ Permit No.:.. ...NCG551423 Staff Report Prepared By: Mack Wiggins Project Name: Tony Woodall Property SOC Priority Project? (Y/N) N If Yes, SOC No. A. GENERAL INFORMATION 1. This application is (check all that apply): ® New ❑ Renewal ❑ Modification 2. Was a site visit conducted in order to prepare this report? ® Yes or ❑ No. a. Date of site visit: 11/01/07 b. Person contacted and telephone number: Tony Woodall 427-9441 c. Site visit conducted by: Mack Wiggins d. Inspection Report Attached: El Yes or ® No. 3. Keeping BIMS Accurate: Is the following BIMS information (a. through e. below) correct? ® Yes or ❑ No. If No, please either indicate that it is correct on the current application or the existing permit or provide the details. If none can be supplied, please explain: Discharge Point: (Fill this section only if BIMS or Application Info is incorrect or missing) (If there is more than one discharge pipe, put the others on the last page of this form.) a. Location OK on Application ®, OK on Existing Permit ❑, or provide Location: b. Driving Directions OK on Application ®, OK on Existing Permit ❑, or provide Driving Directions (please be accurate): c. USGS Quadrangle Map name and number OK on Application ❑, OK on Existing Permit ❑, or provide USGS Quadrangle Map name and number: D23NE d. Latitude/Longitude OK on Application ❑, (check at http://www.topozone.com These are often inaccurate) OK on Existing Permit ❑, or provide Latitude: 355926 Longitude: 784715 e. Receiving Stream OK on Application ❑, OK on Existing Permit ❑, or provide Receiving Stream or affected waters: UT to Little Lick Creek a. Stream Classification: WS IV NSW CA b. River Basin and Sub basin No.: 030401 c. Describe receiving stream features and downstream uses: Falls lake NPDES REGIONAL WATER QUALITY STAFF REPORT AND RECOMMENDATIONS For NEW FACILITIES Proceed to Section C, Evaluation and Recommendations (For renewals or modifications continue to section B) B. DESCRIPTION OF FACILITIES AND WASTE(S) (renewals and modifications only) 1. Describe the existing treatment facility: 2. Are there appropriately certified ORCs for the facilities? ❑ Yes or ❑ No. Operator in Charge: Certificate # (Available in BIMS or Certification Website) Back- Operator in Charge: Certificate # 3. Does the facility have operational or compliance problems? Please comment: Summarize your BIMS review of monitoring data (Notice(s) of violation within the last permit cycle; Current enforcement action(s)): Are they currently under SOC, D Currently under JOC, E Currently under moratorium ❑? Have all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with? ❑ Yes or ❑ No. If no, please explain: 4. Residuals Treatment: PSRP ❑ (Process to Significantly Reduce Pathogens, Class B) or PFRP ❑ (Process to Further Reduce Pathogens, Class A)? Are they liquid or dewatered to a cake? Land Applied? Yes ❑ No ❑ If so, list Non -Discharge Permit No. Contractor Used: Landfilled? Yes ❑ No❑ If yes, where? Other? Adequate Digester Capacity? Yes ❑ No ❑ Sludge Storage Capacity? Yes ❑ No ❑ Please comment on current operational practices: 5. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑ Yes or ❑ No. If yes, please explain: C. EVALUATION AND RECOMMENDATIONS 1. Alternative Analysis Evaluation: has the facility evaluated the non -discharge options available? Give regional perspective for each option evaluated: Spray Irrigation: Connect to Regional Sewer System: Not available Subsurface: Other Disposal Options: FORM: NPDES-RRO 06/03, 9/03 2 NPDES REGIONAL WATER QUALITY STAFF REPORT AND RECOMMENDATIONS 2. Provide any additional narrative regarding your review of the application: This is an unpermitted existing discharge. 3. List any items that you would like NPDES Unit to obtain through an additional information request. Make sure that you provide a reason for each item: Recommended Additional Information Reason DEH WS IV NSW CA 4. List specific Permit requirements that you recommend to be removed from the permit when issued. Make sure that you provide a reason for each condition: Recommended Removal Reason 5. List specific special requirements or compliance schedules that you recommend to be included in the permit when issued. Make sure that you provide a reason for each special condition: Recommended Addition Reason 6. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office; ® Hold, pending review and approval of required additional information by NPDES permitting office; ❑ Issue; ❑ Deny. If deny, please state reasons: Reminder: attach inspection report if Yes was checked for 2 d. 7. Signature of report preparer: Signature of WQ}SS regional supe Date: 3��C271- FORM: NPDES-RRO 06/03, 9/03 3 NPDES REGIONAL WATER QUALITY STAFF REPORT AND RECOMMENDATIONS D. ADDITIONAL REGIONAL STAFF REVIEW ITEMS This was an existing unpermitted sandfilter discharging system. The permittee has disinfection and dechlorination. Before this permit is issued the permittee must provide the following: 1. High water alarm on the pump tank. 2. Rip rap reaeration at the end of discharge line. The Raleigh Regional Office recommend that a COC be issued once the above items have been #�— � . installed on the system and DEH approves of the discharge. !Y� %y � �a�i �� If this page is not used, PLEASE set printer for pages 1 through x to avoid wasting paper. Use this page for facilities with more than one Discharge Pipe Discharge Point: (Fill this section only if BIMS or Application Info is incorrect or missing) a. Location OK on Application ❑, OK on Existing Permit ❑, or provide Location: b. Driving Directions OK on Application ❑, OK on Existing Permit ❑, or provide Driving Directions (please be accurate): c. USGS Quadrangle Map name and number OK on Application ❑, OK on Existing Permit ❑, or provide USGS Quadrangle Map name and number: d. Latitude/Longitude OK on Application ❑, (check at http://topozone.com These are often inaccurate) OK on Existing Permit ❑, or provide Latitude: Longitude: e. Receiving Stream OK on Application El, OK on Existing Permit ❑, or provide Receiving Stream or affected waters: a. Stream Classification: b. River Basin and Sub basin No.: c. Describe receiving stream features and downstream uses: Discharge Point: (Fill this section only if BIMS or Application Info is incorrect or missing) a. Location OK on Application ❑, OK on Existing Permit ❑, or provide Location: b. Driving Directions OK on Application ❑, OK on Existing Permit ❑, or provide Driving Directions (please be accurate): c. USGS Quadrangle Map name and number OK on Application EL OK on Existing Permit ❑, or provide USGS Quadrangle Map name and number: FORM: NPDES-RRO 06/03, 9/03 4 NPDES REGIONAL WATER QUALITY STAFF REPORT AND RECOMMENDATIONS d. Latitude/Longitude OK on Application 0, (check at http://topozone.com These are often inaccurate) OK on Existing Permit ❑, or provide Latitude: Longitude: e. Receiving Stream OK on Application ❑, OK on Existing Permit ❑, or provide Receiving Stream or affected waters: a. Stream Classification: b. River Basin and Sub basin No.: c. Describe receiving stream features and downstream uses: d. FORM: NPDES-RRO 06/03, 9/03 5 FALLS L STATE PA Copyright (C) 1998, Maptech, Inc. Name: Discharge Point-NCG551423 Short Name: Dschrg Coordinates: 035° 59' 26.34" N, 078° 47' 14.5" W Comment: Tony Woodall Property, NCG551423, Subbasin 030401 Neuse River Basin, Durham County, unnamed tributary to Little Lick Creek, Class WS IV NSW CA, Quad D23NE