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DIVISION OF ENVIRONMENTAL MANAGEMENT April 13, 1983
Mr. Paul R. Ellis
Ellis Property
4105 Camp Betty Hasting
Walkertown, North Carolina 27051
SUBJECT: Permit No. NC0050717
Authorization to Construct
Paul R. Ellis Property Lot No. 6A-1
Single Family Residence WWTP
Forsyth County
Dear Mr. Ellis:
The final plans and specifications for the subject project have been reviewed
and found to be satisfactory. Authorization is hereby granted for the construction
of a 300 GPD single family residence wastewater treatment facility consisting of
a 900 gallon septic tank, 261 S.F. of subsurface filter trench with distribution
box, a chlorine contact tank with tablet chlorinator, and associated 4-inch gravi-
ty piping and appurtenances to serve the Paul R. Ellis Property Lot No. 6A-1 in
Forsyth County.
This Authorization to Construct is issued in accordance with Part III para-
graph C of NPDES Permit No. NC0050717 issued April 26, 1982, and shall be subject
to revocation unless the wastewater treatment facilities are constructed in
accordance with the conditions and limitations specified in Permit No. NC0050717.
The sludge generated from these treatment facilities must be disposed of in
accordance with G.S. 143-215.1 and in a manner approvable by the North Carolina
Division of Environmental Management.
The Winston Salem Regional Office, telephone number 919/761-2351 shall be
notified at least twenty-four (24) hours in advance of backfilling of the installed
subsurface filter system so that an in-place inspection can be made of said system
prior to backfilling. Such notification to the Regional Supervisor shall be made
during the normal office hours from 8:30 A.M. until 5:30 P.M. on Monday through
Friday, excluding State Holidays.
If you have any questions or need additional information, please contact
Mr. H. Dale Crisp, telephone number 919/733-5083, extension 108.
Sincerely_yours
,:•s:;E:;d By
W. LEE FLE. JR., for
Robert F. Helms
Director
cc: Forsyth County Health Dept .
Pfaff Septic Tank Co. Inc.
Mr. Forrest Westall
Winston Salem Regional Supervisor
Winston Salem Regional Manager