NCG550171_Permit (Issuance)_20170306

r. ROY COOPER
,,t
Governor
MICHAEL S. REGAN
a Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
March 6, 2017
Mr.Philip D.Hilldale
2105 Buckingham Road
Raleigh,NC 27607
Subject: NPDES General Permit NCG550000
Transfer of NCG550171
1401 Golf Course Road
Avery County
Dear Mr.Philip D. Hilldale:
The Division hereby transmits Certificate of Coverage(CoC)NCG550171, issued under NPDES General
Permit NCG550000. This action is taken to show that you are now the owner of the subject facility. This CoC 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 October 15, 2007 (or as
subsequently amended).
If any parts,measurement frequencies or sampling requirements contained in the General Permit are
unacceptable to you,you have the right to request an individual NPDES permit upon written request within thirty
(30)days following receipt of this letter. Unless such a request is made,this transfer of the subject CoC shall be
final and binding.
This CoC is not transferable except after notice to the Division. The Division may require modification
or revocation and reissuance of the CoC. This permit does not affect the legal requirements to obtain other
permits which may be required by any other Federal, state,or local government. If you have any questions
concerning this matter,please contact Emily Phillips at(919) 807-6479 or via e-mail
[[e-mail]].
inc; ely,
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S.Jay Zimmerman,
Director
cc: Asheville Regional Office
6,1 D EWERS/
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
hops://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
CERTIFICATE OF COVERAGE NCG550171
Under GENERAL PERMIT NCG550000
TO DISCHARGE 100%-DOMESTIC AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
In compliance with the provisions 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,
Philip D. Hilldale
are hereby authorized to operate a wastewater treatment facility with a discharge of <1000 gallons per day);
discharging from
1401 Golf Course Road
Linville
Avery County
to receiving waters designated as an unnamed tributary(UT)to the Linville River[stream segment 11-29-(1)],a
waterbody currently classified C-Trout located within subbasin 03-08-30 of the Catawba River Basin,in
accordance with the effluent limitations,monitoring requirements, and other conditions set forth in Parts I,II, and
III of General Permit NCG550000 as attached.
This certificate of coverage shall become effective March 6,2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 6,2017.
S.Jay Zimmerman,P.G.,
Director,Division of Water Resources
By Authority of the Environmental Management Commission

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PAT MCCRORY
•
'. G w*rnor
PP
• 'DONALD R. VAN DER VAART
w seemoly
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY I)frrMor
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: �� &
NCOO // I I I or NCG6r 5I 0/ I /7/j
1. Facility Name: /,,410 r O! CJ G Ul.�('Se. R cl •
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
X .a. Change in ownership of property/company
b. Name change only
c. Other(please explain):
2. New owner's name(name to be put on permit):
P1-1L.I p D. 14 I LLD/1,LE
3. New owners or signing official's name and title: �14 1 P
�(Person n legial I re�ansib e 1 for
( Y P p )
(Title) `1
4. Mailing address: 21 D S Q uet/.'s/I' ,r4J Kd City: CA-biI
State: /VC Zip Code: 2760 09-- Phone: ( j ) 4,0 0-4/S38
E-mail address: 4:141L- .10 1z.L.0A-CL & 6N A-1L - bY1/1
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-16I7
919 807 6300 919-807-6389 FAX
http://partaLncdenr.org/web/wq

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CI• •
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Ap [r qcefica io . , / /J
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1, /J `r ti CI / 6, est that this application for a
na /o e ship cha ge has be- -eviewed and is accurate and complete to the best of my
kno ledge. I u►:I-rstand that if all required parts of this application are not completed and that
if all required : •orting infor ation and attachments are not included, this application
package will •- etu ed -s complete.
Signature: ' Al Date: /olf/9.- .
THE COMPETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
• NC DEQ/DWR/NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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Version 12/2015