NC0073571_Permit Modification_20000818

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
August 18, 2000
Mr. Miles E. Stanley
Countryside Village Retirement Center
7700 US Hwy. 158
Stokesdale, NC 27357
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: NPDES Permit Modification
Permit NCO073571
Countryside Village Retirement Center
Guilford County
Dear Mr. Stanley:
The Division is beginning the cycle of permit renewals for the Cape Fear river basin. An examination of the Cape
Fear basin plan and the NPDES permit schedule has revealed that the existing expiration dates in Cape Fear NPDES
permits do not coincide with the revised permit expiration dates for the basin. This discrepancy could create unnecessary
delays in the processing of over 200 permit renewals. Accordingly, the Division is changing the permit expiration dates for
NPDES permits in the Cape Fear river basin.
This permit modification changes the expiration date of the subject permit in subbasin 30601 to April 30, 2001.
Please find enclosed the revised permit cover page. Insert the new cover page into your permit and discard the old page.
All other terms and conditions contained in the original permit remain unchanged and in full effect. This permit
modification 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.
In accordance with the modification of the permit expiration date, the new due date for your renewal application is
November 1, 2000. Renewal application forms will be sent to you approximately 6-8 weeks in advance of the new due
date or you may download the forms from the NPDES web site at http://h2o.enr.state.nc.us/NPDES/documents.html.
You will need to download Short Form D. If you have already submitted a permit renewal form, there is no need to
submit any other forms to the Division; the application will be processed during the renewal period for your subbasin.
If any part of this permit modification 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 a written petition conforming
to Chapter 150B of the North Carolina General Statutes, filed with the Office of Administrative Hearings (6714 Mail
Service Center, Raleigh, North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
If you have any questions concerning this permit modification, please contact Natalie Sierra at [phone],
extension 551.
Siinccer_el,y, /f n
Kerr T. Stevens/
cc: Central Files
Winston-Salem Regional Office, Water Quality Section
,o��iat� Source Compliance Enforcement Unit
,��R ES'Unit ,
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer VISIT US ON THEINTERNET@http://h2o.enr.state.nc.us/NPDES

a
Permit NCO073571
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 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,
Countryside Village Retirement Center
is hereby authorized to discharge wastewater from a facility located at the
Countryside Village Retirement Center
7700 U.S. Highway 158
Stokesdale
Guilford County
to receiving waters designated as Troublesome Creek in the Cape Fear River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I. II, III and IV hereof.
This permit shall become effective September 1, 2000.
This permit and authorization to discharge shall expire at midnight on April 30, 2001.
Signed this day August 18, 2000.
Kerr T. Stevens, Efirector
Division of Water Quality
By Authority of the Environmental Management Commission