NCG550152_Permit (Issuance)_20050302

NCDENR
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
March 2,2005
Mr.David Reboussin
135 Staffordshire Court
Winston-Salem,North Carolina 27104
Subject: Renewal of coverage/General Permit NCG550000
Reboussin property
Certificate of Coverage NCG550152
Buncombe County
Dear Mr.Reboussin:
In accordance with your application for a Certificate of Coverage [received on February 25,2005],the Division is
forwarding herewith Certificate of Coverage NCG550152 to discharge under NCG550000. Your property was previously
assigned this CoC number in 1993. The previous owner allowed the CoC to expire. Thus your application is being treated
as 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 maybe 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,
AC7^1cc
4.47---
621.-•Alan W.Klimek,P.E.
cc: Central Files
Asheville Regional Office/Larry Frost
' NPDES file)
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 JVaturaIf 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 NCG550152
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,
David Reboussin
is hereby authorized to operate a wastewater treatment facility that consists of a septic tank, subsurface sandfilter,
chlorine disinfection, and associated appurtenances with the discharge of treated wastewater from
43 Driftwood Court
Asheville
Buncombe County
to receiving waters designated as the Swannanoa River in the French Broad 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 March 2, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 2, 2005.
Y2 44-4'4—)
A an W. Klimek,P.E.,Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Facility
Latitude:3596'18" N C G 55 0 l 5 2
Longitude:82°28'18" Location
Quad:CReen,N.C. David Reboussin
Stream Gass:C
Subbasin:40302 tit NOT sC�LF
Receiving Stream:Swannanoa River �®•CNOT TO

State of North Carolina
Department of Environment •
and Natural Resources ��
Division of Water Quality
Michael F. Easley, Governor IlCDENR
William G. Ross, Jr., Secretary NORTH CAF2OLINA 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: NCG5.$
Owner's name (name to be put on permit):
OCV (6 2 b© G A
Owner's or signing official's name and title: tV I d 1 e 10.005/k)
(Person legally responsible for permit)
(901 I
�y (Title)
Mailing address: I i(a-graI.4) /Ire Of-
City: W r 145"tG✓1 - 4'G 1eu't State: NC Zip Code: 2-7
Phone: (33(P ) 7625
E-mail address: b blYi e u
Applicant's Certification:
I, )a/i GJ ?2-b J S'51/1 , attest that [to the best of my
know edge] 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: 06-6/1/1DDate: vo,
Send this completed form and a copy of the property deed to:
Mr. Charles H. Weaver, Jr.
NC DENR/ DWQ/ NPDES Unit it :LT N ro-
+I
41
1617 Mail Service Center ± + j'
Raleigh, North Carolina 27699-1617 FEB 2 5 2005 ' '
I:'
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Telephone[phone] FAX[phone]
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