NCG550041_Permit (Issuance)_20060131

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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
January 31,2006
Mr.Nicholas Ray Head
2191 Southfork Drive
Morganton,North Carolina 28655
Subject: Renewal of coverage/General Permit NCG550000
Head residence
Certificate of Coverage NCG550041
Burke County
Dear Mr.Head:
In accordance with your status as the owner of the permitted residence,the Division is forwarding herewith
Certificate of Coverage NCG550019 to discharge under NCG550000. This action is a renewal of an existing CoC,rather
than a new discharge application. This permit 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
May 9, 1994[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.
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 this permit,please contact Charles H.Weaver,Jr.at telephone number 919
733-5083,extension 511.
Sincerely,
• s
tanW.Klimek,P.E.
cc: Central Files
Asheville Regional Office/Larry Frost
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 North Carolina
Phone: [phone]/FAX [phone]/Internet:h2o.enr.state.nc.us Naturallm
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550041
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,
Nicholas Ray Head
is hereby authorized to operate a wastewater treatment facility that includes a septic tank, primary & secondary
sandfilters, chlorine disinfection, cascade aeration and associated appurtenances with the discharge of treated
wastewater from
2191 Southfork Drive
Morganton
Burke County
to receiving waters designated as an unnamed tributary to Silver Creek in the Catawba 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 January 31,2006.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 31, 2006.
/D4an --/ Klimek,P.E.,Director
ivision of Water Quality
By Authority of the Environmental Management Commission

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Facility ,r*-ciat:
. lv„.1. .tk 44 n,...
Latitude:35°40'48" NCG550041
t,97-07,1'd 4.44*-A,- ' 14---,--- '
Location — '- , -,-;,. --- -:
Longitude:81°44'21" "
Nicholas Ray Head .k1-14,
Quad:E11SE
Stream Class:C residence
Subbasin:30831 Not to SCALE
Receiving Stream:UT Silver Creek

•
State of North Carolina
Department of Environment •
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor I1CDEl1R
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Alan W. Klimek, P.E., Director ENVIRONMENT AND NATURAL RESOURCES
GENERAL PERMIT Certificate of Coverage RENEWAL FORM
I. CURRENT PERMIT INFORMATION:
Certificate of Coverage (CoC) Number: NCG550041
Owner's name (name to be put on permit):
t Gil(T) L*X\( 4eod
Owner's or signing official's name and title: Y
(Person legally res onsible for permit)
X))nex C hO Y '
C (Title)
Mailing address:02 C)t t Sr( k f r
Cityi A-O0" n+0n State: 1 C Zip Coder ao
Phone: (W)
E-mail address: WJ(006 VG7AC1 g Rh00. '\
Applicant's Certification:
I, RIChODS RoN/ , attest that [to the best of my
knowledge] the property previously covered by the Certificate of Coverage (CoC) listed above
is under my ownership/control. I hereby request renewal of the CoC listed above and assume
responsibility for wastewater discharge[s] from the site.
Signature: Date: � C�C73J
Send this completed formfand a copy of the property deed to: -• ----_•
-_____A
i
Mr. Charles H. Weaver, Jr. ' --��— �--
NC DENR/ DWQ / NPDES Unit JAN
'
1617 Mail Service Center AN 2 7 2006 '_-s
Raleigh, North Carolina 27699-1617 j {
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Telephone[phone] FAX•[phone]- --• — • •- -
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper