NC0059536_Permit (Issuance)_20040713

NPDES DOCUMENT SCANNING COVER SHEET
NC0059536
Hilltop Living Center WWTP
NPDES Permit:
Document Type: (
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Report
Speculative Limits
Instream Assessment
(67b)
Environmental Assessment (EA)
Permit
History
Document Date:
July 13, 2004
This document is printed on reuse paper - ignore any
content on the resrerse side

Michael F. Easley, Governor
State of North Carolina
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
July 13, 2004
Mr. Daniel W. Tuttle
Hilltop Living Center
1025 Lamb Road
Lexington, North Carolina 27292
Subject: NPDES Permit Issuance
Permit Number NC0059536
Hilltop Living Center
Davidson County
Dear Mr. Tuttle:
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we are forwarding the attached final NPDES discharge permit. 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 May 9,
1994 (or as subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty
(30) days following receipt of this letter. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless such
demand is made, this permit shall be final and binding.
Please take notice that this permit is not transferable. 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 permits which may be required.
If you have any questions or need additional information, please do not hesitate to contact Dave
Goodrich of my staff at [phone], extension 517.
Sincerely,
ORIGINAL SIGNED BY
Mark McIntire
Alan W. Klimek, P.E.
cc: Central Files
NPDES Unit Files
Winston-Salem Regional Office
1617 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27699-1617 - TELEPHONE [phone]/FAX [phone]
VISIT US ON THE WEB AT http://h2o.enr.stote.nc.us/NPDES

Permit NC0059536
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL 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,
Daniel W. Tuttle
is hereby authorized to discharge wastewater from a facility located at
Hilltop Living Center
529 Hilltop Drive
Linwood
Davidson County
to receiving waters designated as an unnamed tributary to the Yadkin River in the Yadkin -Pee Dee River
Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts
I, II, III, and IV hereof.
The permit shall become effective August 1, 2004.
This permit and the authorization to discharge shall expire at midnight on May 31, 2009.
Signed this day July 13, 2004.
ORIGINAL SIGNED BY
Mark McIntire
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0059536
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked,
and as of this issuance, any previously issued permit bearing this number is no longer effective. Therefore,
the exclusive authority to operate and discharge from this facility arises under the permit conditions,
requirements, terms, and provisions included herein.
Daniel W. Tuttle
is hereby authorized to:
l.. Continue to operate an existing 0.003 MGD wastewater treatment plant, consisting of:
• two septic tanks
• flow splitter
• grease trap
• two pump tanks
• two surface sandfilters
• recirculation diversion box
• tablet chlorinator
• chlorine contact tank
located at the Hilltop Living Center, 529 Hilltop Drive, Linwood, Davidson County, and
2. Discharge from said treatment works at the location specified on the attached map into an unnamed
tributary to the Yadkin River, which is classified as WS-V waters in the Yadkin -Pee Dee River Basin.

SinLt , \ V \
Ivry % di.
.;
1. /
eg
—� C� '>�� '; s ' 6S2 `�.�`
: � `�� `fit .-- ,
Latitude: 35°43' 39"
Longitude: 80° 23' 05"
USGS Quad #: - E17NW
River Basin #: 03-07-04
Receiving Stream: UT to Yadkin River
Stream Class: WS-V
rraaer
f
L_
Feld
Hilltop Living Center. -
N00059536
Davidson County

Permit NC0059536
Part I. Section A
1. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Beginning on the effective date of this permit and lasting until permit expiration, the Permittee is authorized to
discharge from Outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below:
PARAMETER
EFFLUENT LIMITATIONS
MONITORING REQUIREMENTS
Monthly
Weekly
Average
Daily
Maximum
Measurement
Frequency
Sample Type
Sample
Location'
Average
Flow (MGD)
0.003
Weekly
Instantaneous
I or E
BOD5
(April 1 — October 31)
BOD5
(November 1 — March 31)
5.0 mg/L
7.5 mg/L
15.0 mg/L
45.0 mg/L
2/month
2/month
2/month
Grab
E
E
10.0 mg/L
Grab
Grab
Total Suspended Solids
30.0 mg/L
E
NH3-N
(April 1 — October 31)
2.0 mg/L
10.0 mg/L
2/month
Grab
E
NH3-N
(November 1 — March 31)
4.0 mg/L
20.0 mg/L
2/month
Grab
E
Dissolved Oxygen
See Footnote 2
Weekly
Grab
E, U, D
Fecal Coliform
(Geometric Mean)
200/100 ml
400/100 ml
2/month
Grab
E
Total Residual Chlorine3
Temperature
17 µg/L
2/Week
Daily
Grab
E
Monitor & Report
Grab
E
Temperature
Monitor & Report
Weekly
Grab
U, D
Total Nitrogen
(TKN + NO2 + NO3)
Monitor & Report
Quarterly
Grab
E
Total Phosphorus
MBAS
Monitor
& Report
I
I 750 ug/L
Quarterly
2/month
Grab
E
E
Grab
pH
Between 6.0 and 9.0 Standard Units
2/month
Grab
E
Notes:
1 E - Effluent, I — Influent, U — Upstream approximately 50 feet above the discharge point, D — Downstream
from the discharge point approximately 300 feet from the outfall.
2 The daily average dissolved oxygen effluent concentration shall not be less than 5.0 mg/L.
3 The limit for total residual chlorine will take effect 18 months after the effective date of the final permit.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.

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
April 14, 2004
MEMORANDUM
To: Lee Spencer
NC DENR / DEH / Regional Engineer
Winston-Salem Regional Office
From: Dave Goodric11)61
NPDES Unit
Subject:
Review of Draft NPDES Permit NC0059536
Hilltop Living Center
Davidson County
A7A
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
l ECF= VED
N.C. Dept. of EHNR
APR i 9 2004
Winston-Salem
Regional Office
Please indicate below your agency's position or viewpoint on the draft permit and return this form by May 10, 2004.
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:
Signed •
Date:
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 733-5083, extension 517 (fax) 919 733-0719
VISIT US ON THE INTERNET @ httpJ/h2o.enr.state.nc.us/NPDES dave.goodrich @ ncmail.net

PUBLIC
NOTICE
STATE OF NORTH
CAROLINA
ENVIRONMENTAL
MANAGEMENT
COMMISSION
NPDES UNIT
1617 MAIL
SERVICE CENTER
RALEIGH, NC
27699-1617
NOTIFICATION
OF INTENT TO
ISSUE A
NPDES
WASTEWATER
PERMIT
On the basis of thor-
ough staff review and
application of NC Gen-
eral Statute 143.21,
Public law 92-500 and
other lawful standards
and regulations, the
North Carolina Environ-
mental Management
Commission proposes
to issue a National Pol-
lutant Discharge Elimi-
nation System (NPDES)
wastewater discharge
permit to the person(s)
listed below effective
45 days from the pub-
lish date of this notice.
•
Written comments re-
garding the proposed
permit will be accepted
until 30 days after the
publish date of this no-
tice. All comments re-
ceived prior to that
date are considered in
the final determinations
regarding the proposed
permit. The Director of
the NC Division of Wa-
ter Quality may decide
to hold a public meet-
ing for the proposed
permit should the Divi-
sion receive a signifi-
cant degree of public
interest.
Copies of the draft per-
mit and other support-
ing information on file
used to determine con,
ditions present in the
draft permit are availa-
ble upon request and
payment of the costs of
reproduction. Mail com-
ments and/or requests
for information to the
NC Division of Water
Quality at the above
address or call Ms. Va-
lery Stevens at (919)
733-5083, extension
520. Please include the
NPDES permit number
(attached) in any com-
munication. Interested
persons may also visit
the Division of Water
Quality at 512 N. Salis-
bury Street, Raleigh, NC
27604-1148 between
the hours of 8:00 a.m.
and 5:00 p.m. to review
information on file.
Bill's Truck Stop has ap-
plied for renewal of its
NPDES permit
NC0040045. The per-
mitted facility discharg-
es treated wastewater
to South Potts Creek in
the Yadkin -Pee Dee Riv-
er Basin. Currently
BOD5, Total Residual
Chlorine, Total Sus-
pended. -Solids ,and Fe-
cal Coliform are water
quality limited. This dis-
charge may affect fu-
ture allocations in this
portion of South Potts
Creek.
Davidson County
Schools P.O.: -Box 2057,
Lexington, NC has ap-
plied for renewal of
NPDES permit
NC0041629 for its Ex-
tended Day School
WWTP in Davidson
County. This permitted
facility discharges
treated wastewater to
an unnamed tributary
to Hamby Creek in the
Yadkin -Pee Dee River
Basin. Currently BOD,
Ammonia Nitrogen, and
Total Residual Chlorine
are water quality limit-
ed. This discharge may
affect future allocations
in this portion of the
watershed.
Quail Run Mobile Home
Park, has applied for re-
newal of its NPDES per-
mit NC0070033. The
permitted facility dis-
charges treated waste-
water to Miller Creek in
the Yadkin -Pee Dee Riv-
er Basin. Currently
BODS, Ammonia as Ni-
trogen, Total Residual
Chlorine, Total Sus-
pended Solids and Fe-
cal Coliform are water
quality limited. This dis-
charge may affect fu-
ture allocations in this
portion of Miller Creek.
Davidson County
Schools, P.O. Box 205
Lexington, NC has ap-
plied for renewal of
NPDES permit
NC0042129 for its Pilot
Elementary School
WWTP in Davidson
County. This permitted
facility discharges
treated wastewater to
Jimmy's Creek in the
Yadkin -Pee Dee River
Basin. Currently Ammo-
nia Nitrogen and Total
Residual Chlorine are
water quality limited.
This discharge may af-
fect future allocations
in this portion of the
watershed.
Davidson County
Schools, P.O. Box 2057,
Lexington, NC has ap-
plied for renewal of
NPDES permit
NC0042145 for its Mid-
way Elementary School
WWTP in Davidson.
County, This permitted
facility discharges
wastewater to an un-
named tributary to Leo-
nard Creek in the Yad-
kin -Pee Dee River Ba-
sin. Currently Ammonia
Nitrogen and Total Re-
sidual Chlorine are wa-
ter quality limited. This
discharge may affect
future allocations in this
portion of the water-
shed.
Captain Stevens Sea-
food Restaurant, has
applied for renewal of
its NPDES permit
NC0059218. This per-
mitted facility discharg-
es treated wastewater
to an unnamed tributa-
ry to Reedy Creek in
the Yadkin -Pea Dee-Riv
er •Bashi.' Currently.
BOOS, Total Residual
AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA
DAVIDSON COUNTY
_-_L , ,esl-1 1tivrvzs
Lexington,N.C.
Chlorine, Total Sus-
pended Solids and Fe-
cal Coliform are water
quality limited. This dis-
charge may affect fu-
ture allocations in this
portion of Reedy Creek.
Hilltop Living Center, •
has applied for renewal
of its NPDES permit
NC0059536. The per-
mitted facility discharg-
es treated wastewater
to an unnamed tributa-
ry to Yadkin -Pee Dee
Basin. Currently BODS,
Ammonia as Nitrogen,
Total Residual Chlorine,
Total Suspended Solids,
Total Phosphorus and
Fecal Coliform are wa-
ter quality limited. This
discharge may affect
future allocations in this
portion of the Yadkin
River.
April 19, 2004.
CW_1
11 2004
oE�RSGATECE. BR
PO
IN_
2004
of THE DISPATCH, a newspaper published in the city of
Lexington, County and State aforesaid, being duly sworn, says the foregoing
which the attached is a true copy, was published in said newspaper once the
G
day of 2004.
Sworn to and subscribed before me, this
`-� ,,
({J2\
'.. r
•
G•• �UBL\G ���:
legal of
Publication Fee $ L !-L/. 75-
2Nd
My commission expires
2oog
)2.-cx)8
(Seal)

NORTH CAROLINA
FORSYTH COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State, duly
commissioned, qualified, and authorized by law to administer oaths, personally
appeared D.H. Stanfield, who being duly sworn, deposes and says: that he is
Controller of the Winston-Salem Journal, engaged in the publishing of a newspaper
known as Winston-Salem Journal, published, issued and entered as second class mail
in the City of Winston-Salem, in said County and State: that he is authorized to
make this affidavit and sworn statement: that the notice or other legal advertisement,
a true copy of which is attached hereto, was published in Winston-Salem Journal on
the following dates:
April 17, 2004
and that the said newspaper in which such notice, paper document, or legal
advertisement was published was, at the time of each and every such publication, a
newspaper meeting all the requirements and qualifications of Section 1-597 of the
General Statues of North Carolina and was a qualified newspaper within the meaning
of Section 1-597 of the general statues of North Carolina.
This 19th day of April, 2004
,o4A
qua
t
(signature of perso# iftaking affidavit)
Sworn to and subscribed before me, this 19th day of Apji 2004
Surry County /' 3
1 The Voce, Inc (P.O. Box 78, White Rains, NC 27031) his applied for re-
newal of NPDES permit NO3061808 for the Neighbors Fret Center #12
in Surry Country. This permitted facility dicharges treated wastewater to
the Linde Fisher River in the Yadkin -Pee Dee River Basin Currently 00D
total suspended solids, oil and grease, and total residual corne are
water quality limited. This discharge may affect future allocations in this
portion of the Yadkin -Pee Dee River Basin.
NC Department of Transportation (1557 a I ervice Center, Raleigh,
NC 27699) has applied for renewal of NPDES permit NC0029100 for the
the Surry County Rest Area T8s permitted facility discharges 0.030
MGD of treated wasewater to Naked RIM in the Yadkin -Pee Dee River
Basin. Currently BOO and total residual chlorine are water quality limited
This discharge may affect future aiocation in thus portion of the Yadkin -
Pee Dee River Basin. W
The Surry County Board � .Educeb"6n (P.O. Box 364, Dobson, NC
27017] has applied for renewal of NPDES permit NC0041947 for the
North Surry High School WWTP. This permined facifnY discharges treat-
ed domestic wastewater to Stewarts Creek in the Yadkin -Pee pee River
Basin. Currently fecal colifom and total residual chlorine are wale( quali-
ty limited. This discharge may affect future allocations in this portion of
Stewarts Creek. --f{��
Virginia DOT (1401 East EoadrStreet, Richmond VA, 23219) has ap-
plied for renewal of NPDES permit NC0039420 for the 1-77 Rest Area
WWTP in Forsyth County. This permitted tacky discharges 0.020 MGD
of treated wastewater to Naked Run in the Yadkin -Pee Dee River Basin.
Currently DOD, ammonia nitrogen and total residual chlorine are water
quality limited. This discharge may affect fit ,roullocations in this portion
of the Yadkin -Pee Dee River Basin. r"
The Surry County Board of Educalidif .0. Box 364, Dobson, NC
27017) has applied for renewal of NPDES permit NC0041904 for the Flat
Rock Elementary School WWTP. This permitted facility discharges treat-
ed dcmesticwastewater to an unearned tributary to Champ Creek in the
Yadkin -Pee OW River Baser. Currently fecal conform is water quality lim-
ited. This discharge may affect future allocations in this porton of Champ
Creek. LL
,' Wilkes County
The Roaring Gap Club, Ino (P.O. Box 129, Roaring Gap, NC 28868) has
applied for renewal of NPDES permit NC0o88997 for the Roaring Gap
Club in Wilkes County. This permitted facility discharges treated waste-
water to the unnamed tributary to the Mitchell River el the Yadkin -Pee
Dee River Basin. Currer:lly BOD, total suspended solids, and total resid-
ual chlorine are water quality limited. This discharge may affect future al-
locations
in this portion of the Yadkin -Pee Dee River Basin.
G
Notary'lblic
ounty •
Head Midge Home Park, hasappliedredMidgeMidge for newel of its NPDES permit
NC0057223. The permitted facility discharges treated wastewater to an
g ' unnamed tributary to Little Creek in the Yadkin -Pee Dee River Basin.
Currently B005, Ammonia as Nitrogen, Total Residual Chlorine, Total
Suspended $Wids and Fecal Coeforrn are water quahty limited This dis-
charge may affect furore allocations in this pdriion of Lint Creek
The Heater Utilities, Inc (P.O. Drawer 4889, Cary, NC 275t9)1a4 a
plied for renewal of NPDES permit NC0084409 for the Wellesley Place
WWTP in Forsyth County . This permitted faotity discharges treated
wastewater to the Mill Creek in the Yadkin -Pee Dee River Basin. Current-
ly BOD, total suspended solids, ammonia nitrogen and fetal residual
chlorine are water quality limited. This discharge may affect future alloca-
tions in this porton of the Yadkin -Pee Dee River Elfish
` l Scarlet Acres Mobile Home Subdivision, has applied for rerfewal of its
NPDES permit NC0061204. The permitted facility discharges treated
AL S I wastewater to an unnamed tributary to Mill Creek fn the Yadkin -Pee Dee
River Basin. Currently GODS, Ammonia as Nitrogen, Total Residual
, Nort Chlorine, Total Suspended Solids, and Fecal Conform are water quafrty
F FO limited. This discharge may affect future allocations in this portion of Mal
Creek. �
0H High Point Health -"Cale Center, has applied for renewal of its NPDES
, permit NC0046035: The permitted facility discharges treated wastewater
to Rich Fork in theYadlor-Pee Dee River Basin. CurreenfyB005. Ammo-
nia as Nitrogen and total residual chlorine are water quaity limited. This
discharge may affect future allocations in this portion of Rich Fork
Lucent 7echnotogles (3370 Lexington Rd, Winston-Salem, NC 27107)
has applied for renewal of NPDES permit NC0080853 for the Salem
Business Park groundwater remediatlon site in Forsyth County. This per-
mitted facility discharges 0.301 MGD of treated wastewater to Salem.
Creek in the Yadkin -Pee Dee River Basin. Currently no parameters are
water quality limited. This discharge may affed Ito allocations in this
portion of the Yadkin -Pee Dee River Basin.
The Wlnstoo.Safem / Forsyth County Board of Education (4897 Lan-
sing Drive, Winston-Salem, NC 27105] has applied for renewal of
NPDES permit NC0034827 for the 01d Richmond Elementary School.
This permitted facility discharges treated domestic wastewater to an un-
named tributary to Fries Creek in the Yadkin -Pee Dee River Basin. Cur -
ammonia nitrogen and fecal conform are water quality limited. This
discharge may fled future allocations in the portion of Fries Creek.
C. Davie County
The Davie County Board of Education 1220 Cherry Street, Mocksvllle,
NC 270281 has applied for renewal of NPDES perne N00033162 for the
Wt8am R. Davie Elementary School. This permitted facility discharges
beaterj domestic wastewater to an unnamed tributary to Greasy Creek in
the Yadkin -Pee Dee River Basin. Currently BOD, ammonia nitrogen and
fecal cdionn are water quuiay limited. This discharge may affect future
allocations in this portion of Greasy Creak.
WSJ: April 17, 2004
PUBLIC NOTICE
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSIONINPDES UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
NOTIFICATION OF INTENT TO ISSUE
A NPDES WASTEWATER PERMIT
0n the basis of thorough staff review and application of NC General Stat-
ute 143.21, Public law 92-500 and other lawful standards and regula-
tions, the North Carolina Environmental Management Commission pro-
poses to issue a National Pollutant Discharge. Elimination System
(NPDES) wastewater discharge permit to the person(s) listed below ef-
fective 45 days from the publish date of this notice.
Written comments regarding the proposed permit wilt be accepted until
30 days after the publish date of this notice. All comments received prior
to that date are considered in the final determinations regarding the pro-
posed permit The Director of the NC Division of Water Duality may de-
cide to hold a public meeting for the proposed permit should the D'nnsion
receive a significant degree al public interest.
Copies of the draft permit and other supporting information on file used
to determine conditions present in the draft permit are available upon re-
quest and payment of the costs of reproduction. Mad comments ardor
requests for information to the NC Division of Water Qualty at the above .
address or cal Ms. Weary Stephens at [phone], extension•520.
Please include the NPDES permit number (a ached) in any communica-
Lion. Interested persons may also visit the Division of Water Duality at
512 N. Salisbury Street, Raleigh, NC etERA-t 148 between the hours of
8:00 a.m. and 5:00 p.m. to review information on fee. •
Davidson County .1.
Davidson County Schools, P.O. Box 2057, Lexington, NC has applied
for renewal of. NPDES permit N00042145.for its Midway Elementary
School WWTP in Davidson County: This permitted facility discharges
treated wastewater to an unnamed tnbutare to Leonard Creek in the Yad-
kin -Pee Dee River Basin. Currnwity,BODt ammonia nitrogen, ard,totaf.
residual chlorine are -water quaity (milted - This dischar5 may affect fu-
tune allocations in this portion of the watershed. �7
Bilrs Truck: Stop, has applied for • renewal c its NPDES permit
NC0040045.' The permitted facility discharges treated wastewater to
South Potts Creek in the Yadkin -Pee Dea Raver Basin. Currently B0D5,
Total Residual Chlorine, Total Suspended Solids and Fecal Conform are
water quality limited. This discharge may affect future allocations in this
portion of South Potts Creek.
Davidson County Schools, P.O. Box 2957, Lexington, NC has applied
for renewal of of NPDES permit NC0041629for its Extended Day School
I,WffP in Davidson County. Ties permitted facility discharges treatei
wastewater to an unnamed tributary to Hamby Creek in the Yadkin -Pee
Dee River Basin. Currently 60D, ammonia nitrogen, and total residual
chlorine are water quality kmhed. This discharge may affect future aloca-
lions in this portion of the watershed.- Dee
Quail Run Mobile Home Perk, has applied felydhewat of its NPDES per-
mit NC0070033. The permitted facility discharges treated wastewater to
Miller Creek in the Yadkin -Pee Dee River Basin. Currently 8005, Ammo-
nia as Nitrogen, Total Residual Chlorine, -Total Suspended Solids and
Fecal Coliforn are water quaky limited':Fe§dscharge ay affect future
a1ocatiors in this portion of Miner Creek,' pL
Davidson Comilla Schools, P.O. Box 2057, Lexington, C has applied
for renewal of NPDES permit NC0042129 for its Pilot Elementary School
WWTP in Davidson County. This permitted lacilty discharges treated
wastewater to Jimmys Creek in the Yadkin -Pee Dee River Basin. Cur-
rently ammonia nitrogen end total residual chlorine are water quality lim-
ited. This discharge may affect future allocations in this portion of the wa-
torshed.
Captain Stevens Seafoo(RE rent, has applied for renewal of its
NPDES permit NCb059218. The permitted facility discharges treated
wastewater to an unnamed tributary to Reedy Creek in the Yadkin -Pee
Dee River Basin. Currently B0D5, Total Resudtsd Chorine, Total- Sus-
pended Solids and Fecal Cohiform are water quality limited. This dis-
charge may affect future allocations in this portion of Reedy Creek
Hilltop Living Center, has applied or renewal of its NPDES permit
NC0059536. The permitted facility discharges treated wastewater to an
unnamed tributary to Yadkin River in the Yadkin -Pee Dee River Basin.
Currently 8005, Ammonia as Nitrogen. Total Residual Chlorine, Total
Suspended Solids, Total Phosphorus aril Fecal Cotiform are water Beal-
ity limited This discharge may affect future allocations in this portion of
Yadkin Rvereel/6e

FACT SHEET FOR EXPEDITED RENEWAL
Permit Number
/ im 5?Co
Facility Name
/4(LL1* L( V (
G-- CekYir
Reviewer
Basin/Sub-basin
03 '04--be+
Receiving Stream
SAD (6-(k .4)-l`i r
(3 S -
Is the stream impaired (listed on 303(d))?
lk'
Is stream monitoring required?
ce-
Do they need NH3 limit(s)?
/'(S
Do they need TRC limit(s)?
S
Do they have whole -effluent toxicity testing?
PO
Are there special conditions?
P D •
Any obvious compliance concerns?
r
Existing Expiration Date
. ,.3 f /t'f i ell 4`f
Proposed Expiration Date
-
,Ottil-CMC7
Miscellaneous Comments:
1))14 cp/uce 3c-Cleax) ;f-
I
Circle one: EXPEDITE DO NOT EXPEDITE
If expedited, is this a simpler per • it or a more difficult one?

Hilltop Living Center
December 1, 2003
NCDENR/DWQ/NPDES Unit
Ref: Renewal Notice Hilltop Living Center NPDES Permit NC0059536
Dear Sir or Madam:
B & B Septic Service, 706 Ed Rickard Road, Lexington, NC 27295, Ph. # 336-752-2099 disposes of
the sludge. There permit number is NCS00060. This is done on a routine basis, every 3 months.
Thankyou, for your attention on this matter.
Sincerely,
r_j--f.L.-
Daniel W. Tuttle
Permittee for Hilltop Living Center
DEC 4 2003

592 Hilltop Drive
Linwood, NC 27299
Hilltop Living Center
November 13, 2003
NCDENR/DWQ/NPDES Unit
Ref: Renewal Notice Hilltop Living Center NPDES Permit NC0059536
Dear Sir or Madam:
I would like to request the renewal of NPDES Permit NC0059536. There has been a change at the
facility as to how the laundry waste is handled. We have a separate system for the laundry waste, it
no longer goes through our waste treatment system. Therefore, I am requesting a release of the
MABS test for Hilltop Living Center waste treatment system. This discharge goes to a separate
septic system. B & B Septic service in Lexington disposes of the sludge. This is done on a routine
basis. Thankyou, for your attention on this matter.
Sincerely,
0-11_,,4Y„
Daniel W. Tuttle
Permittee for Hilltop Living Center
[Click here and type slogan'
NOV 1 7 2003

NPDESAPPLICATION FOR -PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
•
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
http: / /h2o.enr.state.nc.us/NPDES/
. North Carolina NPDES Permit Number
1. Contact Information:
Facility Name
Owner Name
Street Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Operator Name
Street Address
City
State / Zip Code
County
Telephone Number
NC00 Sq
Please print or type
i;GI (!�• '%„+�-t-c.
L[• iL 1,5 4-.,+irr
1 icrr#k L°c.rb I NA 02
(33(0 ) 853-7(v/70
(336 )53-767I
SZ, Z PU cry-W. S ,� e Or .
N. C. 2?.)95'
12.
( 3'54 ).),9q--7 4-139
2. Location of facility producing discharge:
Check here if same as above Er
Facility Name (If different from above)
Street Address or State Road
City
State / Zip Code
County
3. Reason for application:
Expansion/Modification * Existing Unpermitted Discharge
Renewal New Facility
* Provide a description of the expansion/modification:
Page 1 of 3 Version 12/02

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT -FORM- D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
4. Description of the existing treatment facilities (list all installed components with
capacities):
6e. 4 ►t Tc4,•rk 0. ca racist_ Trp 5.) 3 ova Ga
(s) s -,; ...4-44,, 3, x (0 CA lv.-. s, t Gra#1/1' c4a,v+. dw (7)
5. Description of wastewater (check all that apply):
Type of Facility Generating Wastewater
Industrial Number of Employees
Commercial Number of Employees
Residential Number of Homes
School Number of Students/Staff
Other
Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.):
R,Esr aisv4E- w/o utwszY
6. List all permits, construction approvals and/or applications (check all that apply):
nrps
RCRA
/UIC
✓NPDES
PSD
NESHAPS
Permit Number
44 S95.3eo
Type
Non -Attainment
Ocean Dumping
Dredge/Fill Permits
Other
Permit Number
7. Number of separate wastewater discharge pipes (wastewater outfalls):
8. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
N�A
Page 2 of 3 Version 12/02

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfati):
aw4 %ems. 73 )''AC44114 OVEZ •
10. Is this facility located on Native American lands? (check orte)
YES fl NO
I certify that I am familiar with the information contained in the application and that to
the best of my knowledge and belief such information is true, complete, and accurate.
°Lc UJ.TA-\ _
Printed Name of Person Signing
Qce ?recLck
Title
tAf
Signature of Applicant Date Signed
North Carolina General Statute 143-215.6(b)(2) provides that: My person who knowingly makes any false statement representation, or
certification in any application, 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 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 $10,000, 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 $10,000 or
imprisonment not more than 5 years, or both for a similar offense.)
Page 3 of 3 Version 12/02