NCG550474_Complete File_20161024_20240312

Weaver, Charles
From:
Weaver, Charles
Sent:
Monday, October 24, 2016 12:30 PM
To:
Smith, George
Cc:
Boone, Ron
Subject:
NCG550474 is now Inactive
Meredith Wojcik is one of our new employees. She is researching many of the expired NCG55 CoCs.
She confirmed that this property has been purchased by DOT for a highway expansion. This CoC has been made
Inactive.
Charles H. Weaver
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919-807-6391
chades.weaver(a)ncdenr.gov
(physical address) 512 North Salisbury Street, Raleigh, NC 27604
(mailing address) 1617 Mail Service Center, Raleigh, NC 27699-1617
Kc- . - `Nothing Compares
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
1

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
October 31, 2011
Mr. Kenneth G. Symes
249 Madison Circle
Asheboro, North Carolina 27205
NOV 0 7 2011
SUBJECT: Compliance Evaluation Inspection r` j'' ` ` _'i-`
Single Family Residence Wastewater Treatment System
NPDES General Wastewater Permit NCG550000
Certificate of Coverage # NCG550474
Randolph County
Dear Mr. Symes:
Steve Mauney of the Winston-Salem Regional Office of the NC Division of Water Quality
(DWQ or the Division) conducted a compliance evaluation inspection (CEI) at the subject facility on
October 27, 2011. Your assistance in locating the splitter valve and chlorinator is appreciated. An
inspection checklist is attached and the inspection findings are summarized below.
We understand that the septic tank(s) was last pumped before you purchased the home some
six (6) years ago. The tank(s) should be checked for solids and pumped if necessary. You indicated
that you have not previously used chlorine tablets in the system. The permit states, "The tablet
chlorinator ... shall be inspected weekly to ensure there is an adequate supply of tablets for
continuous & proper operation." Evidence of a very small discharge (only drops) was detected at the
effluent pipe during the inspection. The permit requires testing of samples taken from the discharge
and submitted to a NC certified laboratory once per year if a discharge is observed. In Part II, Section
E. 6 of the permit (on page 10) it states that the permittee shall report any noncompliance to the
Division of Water Quality. Also note that Part II, Section B. 2 of the permit (on page 4) states that you,
"shall take all reasonable steps to minimize or prevent any discharge in violation of this permit."
Section B.1 states that violation of any of the permit conditions can result in civil penalties. You
should also document your operation/maintenance of the system and keep all records for a period of
three years.
Your Certificate of Coverage (NCG550474) was renewed in 2007. Please be aware that the
Division sends out invoices for the annual fee and also sends out a permit renewal notice every five
years.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
NorthCarolina
Natimallry
An Equal Opportunity \ Affirmative Action Employer

NPDES yr/mo/day Inspection Type
3 NCG550474 111 12, 11 /10/27 117
18 Id
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCG550474
Inspection Date: 10/27/2011
Owner - Facility: 249 Madison Circle
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ O
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge n ■ n n
Judge, and other that are applicable?
Comment: There was only a limited flow (drops) from the effluent pipe during this
inspection.
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: There is a valve in the back yard and the previous owner explained to Mr.
Symes that he should switch the valve from one septic tank to the other occasionally.
This is done twice/year when the time changes in the spring and the fall. I have never
seen a site where DWQ approved 2 new sand filters with a valve to divert/split the flow.
It is possible that the valve allows a split between,an old system that was beginning to
back-up ocassionally and the new sand filter system. Mr. & Ms. Symes were travelling
over 200 days last year as the National Director of mission work for his church. Their
travel schedule is the same this year so the water usage for the home and the load on
the sand filter should be greatly reduced.
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment: The discharge pipe extends out from the creek bank.
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
■ n n n
■nnn
nn■n
Yes No NA NE
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Page # 3

Permit: NCG550474
Inspection Date: 10/27/2011
Disinfection -Tablet
Owner - Facility: 249 Madison Circle
Inspection Type: Compliance Evaluation
Comment: It appears that this system was built without a chlorine contact tank. There
are 2 tubes but there wasn't any chlorine in them. The tubes are no more than 3 feet
from the creek bank, which is inadequate space for a chlorine contact tank. It may be
necessary to apply the chlorine tablets by placing them in a wire basket that is lowered
into the chlorine tubes. It may be advisable to use a metal probe to confirm that a
contact tank is not below ground.
Septic Tank
(if pumps are used) Is an audible and visual alarm operational?
Is septic tank pumped on a schedule?
Are pumps or syphons operating properly?
Are high and low water alarms operating properly?
Comment: The tanks(s) were pumped by the previous owner, prior to the purchase by
Mr. & Ms. Symes some 6 years ago. The tanks should be checked and pumped if
necessary.
Page # 4

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NCDENR
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
August 15, 2007
Kenneth G. Symes
249 Madison Circle
Asheboro, NC 27205
Subject: Renewal of coverage / General Permit NCG550000
249 Madison Circle
Certificate of Coverage NCG550474
Randolph County
Dear Permittee:
In accordance with your renewal application [received on February 1, 20071, the Division is renewing
Certificate of Coverage (CoC) NCG550474 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 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.
Contact the Winston-Salem Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting 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 Toya
Fields [919 733-5083, extension 551 or [e-mail]] or Susan Wilson [919 733-5083, extension 510
or [e-mail].
Sincerely,
for Coleen H. Sullins
cc: Central Files
Winston-Salem 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/100/o Post Consumer Paper
One
NorthCarohna
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550474
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,
Kenneth G. Symes
is hereby authorized to discharge domestic wastewater [450 GPD] from a facility located at
249 Madison Circle
Asheboro
Randolph County
to receiving waters designated as Gabriels Creek in subbasin 03-06-09 of the Cape Fear 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 15, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 15, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

v
.I
North Carolina Department of Environment and Natural Resources
Division of Water Quality
RENEWAL FORM FOR EXISTING PERMITTED FACILITIES
NPDES renewal application for continued coverage under General Permit NCG550000:
Certificate of Coverage NCG550474
(Please verify the information in items 1 & 2 as correct, or note any corrections that should be made.)
(Please print or type all other answers)
1) Mailing address* of property owner:
Owner Name Kenneth G Symes /
Street Address 249 Madison Cir
Address Asheboro, NC 27205
Telephone
(e-mail address)
(Home) �3& �C2 �� 10�3� (Mobile)
kcsy/-14sa r S' - C �rI
* Address to which all permit correspondence will be mailed
2) Location of facility producing discharge*:
Facility ID K. G. Symes - Residence
Address: 249 Madison Cir,
Asheboro, NC 27205 (Randolph County)
Telephone (Home) _
(Mobile)
* 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):
APrimary residence
❑ Vacation/second home
❑ Undeveloped property
❑ Other [describe]:
4) Please check the components that comprise the wastewater treatment system:
Septic tank ❑ Dosing tank ❑ Primary sand filter ❑ Secondary sand filter
❑ Recirculating sand filter(s)Chlorination ❑ Dechlorination
❑ Other form of disinfection: ❑ Post Aeration (describe)
Page 1 of 2

NCG550000 renewal form 4
5) Other Information:
a) When was the septic tank last pumped out?
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? � 2 (( d
c) Approximately how many people use the facility when it is occupied?
d) . When was the wastewater system installed?
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: / L� lVXICry 6__
(Signature of Applicant)
North Carolina General Statute 143-215.6 b (i) provides that:
1- ,13 —0 7
(Date Signed)
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. (I8 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
//�� X Acy)'e
Page 2 of 2

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
October 25, 2005
Mr. K. G. Symes
249 Madison Circle
Asheboro, NC 27205
Subject: NPDES General Permit NCG550000
Certificate of Coverage NCG550474
K.G. Symes -Residence
Formerly Steven B Brumley -Residence
Randolph County
Dear Mr. Symes:
Division personnel have reviewed and approved your request to transfer coverage under the General Permit.
received on October 19, 2005.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of
North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions, please contact the NPDES Permitting Unit at [phone], extension 520.
Sincerely,
Urr'I
an W. Klimek, P.E.
cc: DWQ Central Files
Winston Salem Regional Office, Surface Water Protection
NPDES Unit File
NNorehCarolina
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North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
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 NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG550474
TO DISCHARGE DOMESTIC WASTEWATER 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,
Kenneth G Symes
is hereby authorized to operate a wastewater facility which includes a septic tank, sand filter and associated
appurtenances with the discharge of treated wastewater from a facility located at
K. G. SYMES — RESIDENCE
249 MADISON CIRCLE
ASHEBORO
RANDOLPH COUNTY
to receiving waters designated as Gabriels Creek, a class C water, in the Cape Fear River Basin in accordance with
the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, and IV of General
Permit No. NCG550000 as attached.
This certificate of coverage shall become effective October 25, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 25, 2005.
AnW. Klimek, P.E., Director
/Division of Water Quality
By Authority of the Environmental Management Commission

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North Carolina Division of Water Quality 585 Waughtown Street Winston-Salem, NC 27107
Internet: h2o.enr.state.nc.us
An Equal OpportunitylAffirmative Action Employer — 50% Recyded110% Post Consumer Paper
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October 11, 2005
Mr. Steve Brumley
2433 Spoons Chapel Road
Asheboro, NC 27205
Subject: Permit Name/Ownership Change
Single Family Residence-
249 Madison Circle, Asheboro, NC 27205
Randolph County
Dear Mr. Brumley:
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
Enclosed is the form you have requested. I have also included the permit text in the event that
the new owners need a copy.
The contact for Randolph County in this office is Ms. Jenny Freeman. She can be reached at
336-771-4600 ext 294. Let me know if you need further assistance.
Sincerely,
Kristie Douglas
Administrative Support
0 C T 1 9 2'505
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Phone [phone] Fax [phone]

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
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I C jCv IS IS 10 1 1 N I C I G
II. Permit status prior to status change.
a. Permit issued to (company name):
b. Person legally responsible for permit: S e t-eA %3 r u jN < v
First / MI / Last
Title
? �I4 Maki s ik C,
1✓C. 1'e
Permit Holder Mailing Address
/iSAej4tlro /VC 27Z�S
City State Zip
0M) (P2.6- 5-77Z ( )
Phone Fax
c. Facility name (discharge):
d. Facility address: 2 �Ll ,/ .Wl S4k
Address
hs tit l ore #VC_ 272 6S
City 4��t'
Zip
e. Facility contact person: .S Yaw, /3 4 Yu A. (3 X) (D 26 - 5 ?7 Z.
First / MI / Last ly Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of M "Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
K _ 6:, 1 V H
4 J"
First
/ MI / Last
Title c
2t,c"� hA-l1�fGry
e��ccE
Permit Holder Mailing Address
stilc��,e� )VC
City
State
Zip
�C2_1 0P��
Phone
E-mail Address
d. Facility name (discharge):
k „
e. Facility address:
2_ !! A
4--
Address
Zz Zm }
f. Facility contact person:
City
State
5 Y l-t �Y
Zip
First
/ MI / Last
Phone
E-mail Address
Revised 7/2005

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 / Last
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.
PERMITTEEE CERTIFICATION (Permit holder prior to ownership change):
I, 3 -Mlek A 13t'N /M I! b 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 ackage will be returned as incomplete.
Of 41�
Signatu Date
APPLICANT CERTIFICATION:
I, ! /&Aba "� 6-0 r" & �`� , 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.
Signatur Date
...................
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

BUYER / SELLER CERTIFICATION
Borrower:
Kenneth G. Symes and wife, Joyce B. Symes
Seller:
Steven B. Brumley and wife, Shelia M. Brumley
Lender:
HomeBanc Mortgage Corporation
Settlement Agent:
SMITH, ALEXANDER & MORGAN, L.L.P.
[phone]
Place of Settlement:
141 Worth Street
Asheboro, NC 27203
Settlement Date:
September 15, 2005
Property Location:
249 Madison Street
Asheboro, NC 27205
Randolph County, North Carolina
The Buyer and Seller this date have checked, reviewed and approved the figures appearing on the
Disclosure/Settlement Statement (Statement of Actual Costs), consisting of two (2) pages. Buyer acknowledges receipt
of the payment of the loan proceeds in full, and Seller acknowledges payment in full of the proceeds due Seller from the
settlement.
The Buyer and Seller understand that the tax prorations shown on the Settlement Statement are Based on the prior tax
periods rate(s). The Buyer and Seller agree to adjust the tax prorations shown on the Settlement Statement when the
actual advalorem tax bill is rendered. Seller agrees to forward the next tax bill to Buyer immediately upon receipt of the
bill from the tax office. Buyer understands that the next tax bill (even though in the name of the Seller) is the
responsibility of the Buyer.
Seller understands that the payoff figure(s) shown on the first page of the Settlement Statement are figures supplied to
the Settlement Agent by the Seller's lender(s) and is/are subject to confirmation upon tender of payment. If the payoff
figure(s) are inaccurate, Seller agrees to immediately pay any shortage(s) that may exist.
As part of the consideration of this sale, the contract between the parties is by reference incorporated herein and made
a part hereof; the terms and conditions contained therein shall survive the closing and shall not merge upon the delivery
of the warranty deed.
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and
accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify
that I have received a copy of the HUD-1 Settlement Statement. I/
enneth G. Symes /Stenven B. Brumley ^
.•,mac I I
&oe B. Symes he is . Brumley
To the best of my knowledge, the HUD-1 Settlement Statement which I have prepared is a true and accurate account of
the funds which were received and have been or will be disbursed by the u dersigned as pa f the settlement of this
transaction. 4 lt- a/
Settlement Ag

.. a
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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
July 26, 2002
STEVEN BRUMLEY
BRUMLEY STEVEN- RESIDENCE
249 MADISON CIR
ASBEBORO, NC 27205
1�•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Wastewater Discharge Permit
Brumley Steven- Residence
COC Number NCG550474
Randolph County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG550000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued wastewater general permit Certificate of Coverage
(COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency,
dated May 9, 1994 (or as subsquently amended).
The following information is included with your permit package:
* A copy of the Certificate of Coverage for your treatment facility
* A copy of General Wastewater Discharge Permit NCG550000
* A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG550000
Your coverage under this general permit is not transferable except after notice to DWQ. 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 DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or
decree.
Please note that effective January 1, 1999 the fees for all permits issued by DWQ were changed. This changed the
fee for your wastewater general permit coverage from a $240 fee paid once every five years to a yearly fee of $50.
If you have not already been billed this year for the yearly fee, you will receive a bill later this year.
If you have any questions regarding this permit package please contact Mack Wiggins of the Central Office
Stormwater and General Permits Unit at [phone], ext. 542
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
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

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG550474
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,
STEVEN BRUMLEY
is hereby authorized to operate a domestic wastewater treatment facility which includes a septic tank, sand filter,
and associated appurtenances with discharge of treated domestic wastewater from the facility located at
BRUMLEY STEVEN- RESIDENCE
249 MADISON CIR
ASHEBORO
RANDOLPH COUNTY
to receiving waters designated as Gabriels Creek, a class C water, in the Cape Fear River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, H, III, and IV of
General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective August 1, 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 26, 2002.
7 —
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
11 /26/01
STEVEN BRUMLEY
BRUMLEY STEVEN- RESIDENCE
249 MADISON CIR
ASHEBORO, NC 27203
A±90MON09000d
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NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: NPDES Wastewater Permit Coverage Renewal
Brumley Steven- Residence
COC Number NCG550474
Randolph County
Dear Permittee:
Your residence or facility is currently covered for wastewater discharge under General Permit NCG550000. This
permit expires on July 31, 2002. Division of Water Quality (DWQ) staff is in the process of rewriting this permit
with a scheduled reissue in the summer of 2002. Once the permit is reissued, your residence or facility would be
eligible for continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the DWQ for renewal of
your permit coverage. To make this renewal process easier, we are informing you in advance that your permit will
be expiring. Enclosed you will find a general permit coverage renewal application form. This will serve as
your application for renewal of your permit coverage. The application must be completed and returned with the
required information by February 01, 2002 in order to assure continued coverage under the general permit. There is
no renewal fee associated with this process.
Failure to request renewal within this time period may result in a civil assessment of at least $250.00. Larger
penalties may be assessed depending on the delinquency of the request. Discharge of wastewater from your
residence or facility without coverage under a valid wastewater NPDES permit would constitute a violation of
NCGS 143-215.1 and could result in assessments of civil penalties of up to $10,000 per day.
If the subject wastewater discharge to waters of the state has been terminated, please complete the enclosed
rescission request form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
If you have any questions regarding the permit coverage renewal procedures please contact the Winston-Salem
Regional Office at 336-771-4600 or Mack Wiggins of the Central Office Stormwater Unit at [phone], ext.
542
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
Steven Brumley
249 Madison Circle
Asheboro, NC 27203
Dear Permittee:
July 21, 1997
Subject: Certificate of Coverage No. NCG550474
Renewal of General Permit
Brumley, Steven - Residence
Randolph County
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31, 2002. 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 December 6, 1983. If any
parts, measurement frequencies or sampling requirements contained in this 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, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, 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 the NPDES Group at the address below.
Sincerely,
-4.
A. Preston Howard, Jr., P.E.
cc: Central Files
Winston-Salem Regional Office
NPDES Group
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX [phone] p&[e-mail]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550474
TO DISCHARGE DOMESTIC WASTEWATERFROM 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,
Steven Brumley
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility
located at
Brumley, Steven - Residence
249 Madison Circle
Asheboro
Randolph County
to receiving waters designated as subbasin 30609 in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective August 1, 1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21, 1997.
T�
A. Preston Howard, Jr., P.E., Director �
Division of Water Quality
By Authority of the Environmental Management Commission

Letter to STEVEN BRUMLEY
NCG550474
February 7, 1997
INVOICE FOR RENEWAL OF
NPDES PERMIT
❑ Check here if you do NOT wish to renew this permit.
Please return this page along with a letter documenting your reasons
for not requesting renewal to:
Mr. Charles H. Weaver, Jr.
Division of Water Qualitv/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
FdrCheck here if you wish to renew this permit.
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Please verify the following information and revise any incorrect entries:
Mailing Address
STEVEN BRUMLEY No revision required. V
BRUMLEY, STEVEN - RESIDENCE
ROUTE 6, BOX 106 a,,,
ASHEBORO , NC 27203 Revision required. (Please specify below.) �
S+eV.eIn 1�r(AW
Phone number:
(k&A►SOki CI
Fax number:
e-mail address: 56V14A1I
'C 0.11���C/VU . CfJyv�
Facility Location
STEVEN BRUMLEY
249 MADISON CIRCLE
ASHEBORO , NC 27203
�5ke� dYo NC Z_72o3
( t I U) � 2-6 — S- TI 2—
ENo revision required.
❑ Revision required. (Please specify below.)
Please return this page with your letter requesting renewal, and $240 fee (payable to NCDEHNR) to:
Mr. Charles H. Weaver, Jr.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
Signature of applicant or authorized representative
Date
23
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t
SOC PRIORITY PROJECT: Yes__ No_X
If Yes, SOC No.
cc: Permits and Engineering Er°E
Technical Support Branch
County Health Dept. j
FEB
Central Files
WSRO
To: Permits and Engineering Unit
Water Quality Section
Attention: ',Mack Wiggins
Date Feb. 17, 1993
NPDES STAFF REPORT AND RECOMMENDATION
County Randolph b3 -O
Permit No. -NCG03-3-4-7-4-
N C,G 550 4'l -� z, s ll -V-
PART I - GENERAL INFORMATION nn
1. Facility and Address: Mr. Randy Michael Beane
249 Madison Circle
Route 6, Box 106
Asheboro, NC 27203
2. Date of Investigation: 2-16-93
3. Report Prepared by: George Smith
4. Persons Contacted and Telephone Number: Randy Beane
5. Directions to Site: From Asheboro, Hwy 64 east to Madison
Circle (SR2679). Make a right, go through stop sign and
the house is the 2nd on the left.
6. Discharge Point(s), List for all discharge points:
Latitude: 350 43' 02" Longitude: 790 45' 34"
Attach a USGS map extract and indicate treatment
facility site and discharge point on map.
U.S.G.S. Quad No. E19NE U.S.G.S. Quad Name Asheboro
PLOTTED

s
7. Site size and expansion area consistent with
application ?
X Yes No If No, explain:
8. Topography (relationship to flood plain included): Septic
tank and sand filter are behind the house on level ground
above the flood plain. Lot size 100' X 2001.
9. Location of nearest dwelling: There are several houses
within 300 feet. Residential area.
10. Receiving stream or affected surface waters: Gabriels Cr.
a. Classification: Class C
b. River Basin and Subbasin No.: Cape Fear 03-06-09
C. Describe receiving stream features and pertinent
downstream uses: Gabriel's creek flows into Deep
river, designated Class C section.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of Wastewater to be permitted: 450 gpd(Ultimate
Design Capacity)
b. What is the current permitted capacity of the Waste Water
Treatment facility? 450 gpd
C. Actual treatment capacity of the current facility
(current design capacity)? 450 gpd
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two
years: NONE
e. Please provide a description of existing or substantially
constructed wastewater treatment facilities: Existing
septic tank with tablet chlorinator. Existing 391 sq.
foot subsurface sandfilter and nitrification line to be
used during wet weather. A diverter valve is used to
direct the flow to the septic system during dry weather.
f. Please provide a description of the proposed wastewater
treatment facilities: N/A
g. Possible toxic impacts to surface waters: NONE
h. Pretreatment Program (POTWs only):
in development approved
should be required not needed X

2. Residuals handling and utilization/disposal scheme:
Pumped by contractor as needed.
a. If residuals are being land applied, please specify DEM
permit no.
Residuals Contractor
Telephone No.
b. Residuals stabilization: PSRP PFRP_
Other
C. Landfill: N/A
d. Other disposal/utilization scheme (Specify): NONE
3. Treatment plant classification (attach completed rating
sheet): Single Family Residence
4. SIC Code(s): 4952
Wastewater Code(s) of actual wastewater, not particular
facilities i.e.., non -contact cooling water discharge
from a metal plating company would be 14, not 56.
Primary 04 Secondary
Main Treatment Unit Code: 4 4 0 _ 7
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction
Grant Funds or are any public monies involved.
(municipals only)? NO
2. Special monitoring or limitations (including toxicity)
requests: NONE
3. Important SOC, JOC or Compliance Schedule dates: (Please
indicate) NONE
Date
Submission of Plans and Specifications
Begin Construction
Complete Construction
NPDES Permit Staff Report
Version 10/92
Page 3

r
4. Alternative Analysis Evaluation: Has the facility
evaluated all of the non -discharge options available.
Please provide regional perspective for each option
evaluated.
Spray Irrigation: Not enough land available.
Connection to Regional Sewer System: NOT AVAILABLE
Subsurface: N/A
Other disposal options: N/A
5. Other Special Items: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
This is a small system with no room for expansion. It is noted on
the previous Staff report, the nitrification line is failing. There
does not appear to be any evidence of failure. This inspection was
conducted during periods of heavy rain. It is recommended this
permit be reissued.
Signature f report preparer
Water Quality Regional Supervisor
-%7- 93
Date
NPDES Permit Staff Report
Version 10/92
Page 4

71
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A. ( ). EFFLUENT LIMITATIONS AND MONITORING REQUIREMEATi'S Final
During the period beginning on the effective date of the Permitand lasting until expiration, the Permitte"
is authorized to discharge from outfall(s) serial number(s) 001. Such discharges shall be limited and
monitored by the Permittee as specified below:
Effluent Characteristics
Discharge Limitations
Kg/day (lbs/day)
Monthly Avg. Weekly Avg.
Flow
BOD, SDay, 20 Degrees C
Total Suspended Residue
NH3 as N
Dissolved'.Oxygen (minimum)
Fecal Coliform (geometric mean)
Residual Chlorine
Temperature
Other Units (Specify)
Monthly Avg. Weekly Avg.
Monitoring Requirements
Measurement Sample *Sample
Frequency Type Location
450
GPD
15.0
mg/l
22.5
mg/l
30.0
mg/l
45.0
mg/l
4.O
mg/l
6.0
mg/l
6.0
mg/l
6.0
mg/l
1000.0/100ml
2000.O.100ml
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for
continuous disinfection of the effluent.
r-
1
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
NC0073474
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