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SOC PRIORITY PROJECT: Yes___NoX
If Yes , SOC No .
cc: Permits and Engineering
Technical Support Branch
County Health Dept.
Central Files �.
WSRO MAR f 109
To: Permits and Engineering Unit
Water Quality Section
Attention: Mack Wiggins
Date Feb. 25, 1993
NPDES STAFF REPORT AND RECOMMENDATION
County Forsyth
03 -0rl - OZ
Permit No.
55oo83 exEEw
wiSo�J
PART I - GENERAL INFORMATION�ovJ rovs� S ���tu C. NUMt, et
1. Facility and Address: Mr. John Wells
8800 Buckey Court
Clemmons, NC 27012
2. Date of Investigation: 2-25-93
3 . Report Prepared by: George Smith
4. Persons Contacted and Telephone Number: John Wells
919-945-3713
5. Directions to Site: Hwy 421 North to Lewisville exit.
Turn left on Concord Church Rd. , go approximately 1 mile
to Stylers Ferry Rd. Turn left Falmouth Dr. Turn right
Chesterfield Rd. Turn left Pinehurst Dr. Turn left
Willomeade Rd. Turn right Ellison Creek Rd. Turn right
Buckey Court.
6. Discharge Point(s) , List for all discharge points:
Latitude: 36° 03 ' 38" Longitude: 80° 25' 53"
Attach a USGS map extract and indicate treatment
facility site and discharge point on map.
U. S.G. S. Quad No. C17SW U. S.G. S. Quad Name Clemmons
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 a sloping
lot toward the creek.
9. Location of nearest dwelling: There are several houses
within 1000 feet. Residential area.
E wi soee
10. Receiving stream or affected surface waters: Ellington Cr.
a. Classification: Class C
b. River Basin and Subbasin No. : Yadkin Pee Dee 03-07-02
c. Describe receiving stream features and pertinent
downstream uses: Ellison creek flows through Willomeade
Acres development before entering Yadkin River.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of Wastewater to be permitted: 600 gpd(Ultimate
Design Capacity)
b. What is the current permitted capacity of the Waste Water
Treatment facility? 600 gpd
c. Actual treatment capacity of the current facility
(current design capacity) ? 600 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
900 gallon septic tank. Existing 391 sq. foot subsurface
sandfilter discharging into Ellison Creek.
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
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: N/A
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 system was installed approximately 15 years ago. The current
owner does not know the location of the septic tank and admitted he
never had the system pumped. The system appears to be working
properly. It is recommended this permit be reissued.
.---4:"& '
Signature of report preparer
Water Quality Regi nal Supervisor
-/-f-"--
Date
NPDES Permit Staff Report
Version 10/92
Page 4
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A. (). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL
Permit No. NC0040436
Duringtion,the
is
period eriod beginning on the effective date of the permit and lasting uuntilernitthe as Permittee
authorized to discharge from
outfall(s) serial number 001. Such discharges shall be limited and monitored
by the�
Discharge Limitations Monitoring Regulrements
_ f
Effluent Characteristics Units (saecifyl Measurement am le Sample
Monthly Avg. Weekly Avg.
Freauency Type Location
600 GPO
Flow 45.0 m /I
BOD, 5 day, 20°C 30.0 mg/l 9
Total Suspended Residue
30.0 mg/I 45.0 mg/I
NH3 as N
Temperature
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. C..