NCG550178_Permit (Issuance)_20071026

Ana
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross,Jr., Secretary
Coleen H.Sullins, Director
October 26, 2007
Larry D. Adams
4809 Jamee Drive
Gastonia,NC 28056
Subject: Renewal of coverage/General Permit NCG550000
4809 Jamee Drive
Certificate of Coverage NCG550178
Gaston County
Dear Permittee:
In accordance with your renewal application [received on February 1, 2007],the Division is renewing
Certificate of Coverage(CoC)NCG550178 to discharge under NCG550000. This CoC 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.
Contact the Mooresville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be 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 the requirements of the General Permit,please contact Toya
Fields [919 733-5083,extension 551 or [e-mail]] or Susan Wilson [919 733-5083, extension 510
or [e-mail]].
Sincerely,
for Coleen H. Sullins
cc: Central Files
Mooresville Regional Office/Surface Water Protection
NPDES file
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 NorthCarolina
Phone: [phone]/FAX [phone]/Internet:www.ncwaterquality.org Naturally
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 NCG550178
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC 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,
Larry D. Adams
is hereby authorized to discharge domestic wastewater [<1000 GPD] from a facility located
at
4809 Jamee Drive
Gastonia
Gaston County
to receiving waters designated as an unnamed tributary to Crowders Creek in subbasin 03-08-37 of
the Catawba 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 October 26, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 26, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

SOC PRIORITY PROJECT: Yes_No x
If Yes, SOC No.
To: Permits and Engineering Unit
Water Quality Section
Attention: Charles Weaver
Date: April 25, 2007
NPDES STAFF REPORT AND RECOMMENDATION
County: Gaston
MRO#07-08
Permit No.NCG550178
it
PART I -GENERAL INFORMATION APR 2 7 2007
1. Facility and Address: Larry Adams Residence DENT( - WATER QUALITY
4809 Jamee Drive POINT SOURCE
Gastonia,North Carolina 28054
2. Date of Investigation: April 19, 2007
3. Report Prepared By: Samar Bou-Ghazale, Env. Engineer I
4. Persons Contacted and Telephone Number: Mr. Larry Adams, Tel # [phone].
5. Directions to Site: From the junction of S.R. 2420 (Little Mountain Road) and S.R. 2827
(kay Drive) in south-central Gaston County,travel south on S.R. 2827 approximately 100
yards and turn left onto S.R. 2825 (Jamee Drive). The residence is on the left side of
Jamee Drive after traveling approximately 0.15.
6. Discharge Point(s). List for all discharge points:
Latitude: 35°12'02" Longitude: 80°11'36"
Attach a U.S.G.S. map extract and indicate treatment facility site and discharge point on
map.
U.S.G.S. Quad No.: G 14 NW U.S.G.S.Name: Gastonia South,N.C.
7. Site size and expansion are consistent with application? Limited area available for
expansion if necessary.

8. Topography(relationship to flood plain included): Facility is not located in a flood plain.
Slopes range from 2 to 5%.
9. Location of nearest dwelling: None within 300 feet of the discharge point.
10. Receiving stream or affected surface waters: U.T. to Crowders Creek.
a. Classification: C
b. River Basin and Subbasin No.: Catawba River Basin
c. Describe receiving stream features and pertinent downstream uses: Very little
flow was observed in the receiving stream. No detrimental effects were observed
as a result of this discharge.
PART II-DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted: 0.001 MGD
b. What is the current permitted capacity of the wastewater treatment facility? N/A
c. Actual treatment capacity of the current facility(current design capacity)? N/A
d. Date(s) and construction activities allowed by previous Authorizations to
Construct issued in the previous two years: N/A
e. Please provide a description of existing or substantially constructed wastewater
treatment facilities: The existing facility consists of a 1000 gallon capacity septic
tank followed by a subsurface sand filter and tablet disinfection.
f. Please provide a description of proposed wastewater treatment facilities: N/A
g. Possible toxic impacts to surface waters: N/A
h. Pretreatment Program(POTWs only): N/A
2. Sludge Handling and Disposal Scheme: Removed as needed by a septage hauler.
3. Treatment plant classification(attach completed rating sheet): no rating
4. SIC Code(s): 9999
Primary: Secondary:
Main Treatment Unit Code:

PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or are any public monies
involved(municipals only)? N/A
2. Special monitoring or limitations (including toxicity)requests: N/A
3. Important SOC, JOC or Compliance Schedule dates: (please indicate): N/A
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: The property owned by Larry Adams is insufficient for spray irrigation.
Connection to Regional Sewer System: Connection to a Regional Sewer System is not a
viable alternative.
rfae Space is limited.
5. AirSubsu Qualityc :an pd/or Groundwater concerns or hazardous materials utilized at this facility
that may impact water quality, air quality, or groundwater: No AQ or GW concerns nor
are hazardous materials utilized at this facility.
PART IV-EVALUATION AND RECOMMENDATIONS
The wastewater treatment facilities serving the Adams' residence appeared to be in good
operational condition. However,the discharge pipe is broken approximately 50 feet from the
discharge location and needs to be repaired. Subsurface sand filter could not be evaluated,
however, no evidence of sand filter failure was observed.
It is recommended the subject permit be renewed as requested.
•
Signature of Repo Preparer
c-777
Water Quality Regional Supervisor
yk_s--A
Date

`' ' _ pug.-=, 1 /� r � _
( \,JJ , i\ ) � lki, : 7)
� O ce _ ) II U ~ J
, 2. :.,..
� •
; ,I ' y II-- ,z,• j - _ , --\__----_—_)i----)- r
I
- ,{, '(,I, ,-,ft __, _ L c.t--, n l's)))), ... \, ,\\ \
V:i .6* Ii
'--- c , A 'i I \ c.) 1 OCLC-,\,-.....ar -..0 ....i..1.,........,
%_j___-) ,7
, • ,
(/ i,r ,
, lr."- -' ' ( \,'1:4)° zi)! '",
rs\
it / ��/,/r-\----\rj7,#:\_____E'r\: 51 1 7 --- c--- J• '''' '\-- ..-•f-- . a i �- e.4., ,, ,
10.\,77
_/ t „ ,- 1 / _, c ;,„
,.,N.,::,_, A ,,, 4, , -- ..,„) . „ ____, ,„;__ .„. ____
,„,,:: ,..... ,,.., _- -,..-----
,,::: \ .... .._ ( __ ___, ,, ,,
(i. V, _4„,,v____i_ ,,,..___- .....„---- z
\\Ns
��'„ -� �� ' . J c( (1,
,)a ,IAA ._
v __:% ;, K� \\ � :�� �� �..c."'- , (0):1.,:. ,
� J
4
d L/
1 % oog ,, ) �.�7
°aI I (. ii / �� \ ,�� Hwy o4 most�/ �4 .,�/ \ ( j\_ i// ,,-," �,� .4 ��. , l .I \/74
‘N''''''iN-ii- - ‘)' ' ----1:J%/117______-,---- 7-!_/;, :11 :i.- - \ ---,,/' ,,,q9 / . - --,- - ‘ via '
,,,e / (i ,7----:( i \ 14),t ,,,' /,- ._----`---.
)1
,„. .,;/
.„,-. -.. ,
- .),
, : %
I, , , . ' / ,ti p •��� � ,,,,,_±! , , -- r(.1
�,
, j ate. );') 11 � ge� � i\ ___�
c �� it `- \'( > ._
\ 1� ,� ,/% ,wad db� (
-� �osz -n. -
,--- r , -----'‘_ __:/-'-, ,--: .4' -''=-------_-- ) '‘ ( 11, ',R11.1_91St -1,1-] -':• ,,, ',._. .7 , P.1 .,
/1,i/i ' , I 6-- _ ,_\ - - ( , -, , t.,
,, ,i -1 ,,,, ,
, r, , J W',— -'-- ,1 - I, I 'k 1.-
/ 8 (� • �' / r-- f / � �, , _ and ; xav ��, _
c
O ,, 7l r �08 / .-� i ,\ p' �i 7I( , Cis •\ /� / �� 1 �< o/� ▪ % ''
\ �n � �lir �� /,1
�)l \a, .kir
�a / ,,,,,,/ 0, --) ,.., ,,,� )/ cam._ \ / j,� ,`,1 ,
x-_ , ,,, __ , Ili
ir ____ ,
,, ,,..c.„,„„f„,,,,,
1
__ . : \
,„ / ,,,.
� ( • ' - of �1,(/, ,, • � ��) .,V� , ,,,�, �� ./ ..., ,,, � .�-.A, _ _--,p. '' I / <_. _ ( , I._
-
/� ; 1I '( ,..,...(c-7/i.,,,, _,€..... (..\\
\ , /fir G ,/ .� � .�, �_-_7 d ,
. '51
. ,areNOs �) ' -7- , \—
\\E2)) , ' ‘. 1-- -'-•'..\
, _i : \ *, 5 \ ,,. ),.,,,, ,6,i- r\,,,,,,‘1,00 \A ii , , i , , - • z ,,,„ -----,,_ ,1 , p try —
,, ,,,' z, i_AA ,10.4 <76- ,J , i/ tr-----,
f ys
/ _ _ ) w�� Ate/ �, I 1
l U� �I.I 1 1 • � ° /lO�r ��`\% �, ,\a� f/�ubl,wa �J'-� oc
1)I rs i,I • �..› �, iI
/b_ /
i ° �0 `"��\._..c1 -'� ��aa' \ ji\ ^ 'ter \ .,,' // / .a0" i:- -.
} ! ; 'IU !1,\ �t� rci,, /,Yjj Y �� ra 17` m ill ( II-
Y
1 _ F n 1

C 4.Ilk
' -1.t ! •
AI IP
• f. -"l't k
% • -,, • .4" .* .iip
- ..lt 4 . *
• lk
•• • t - "Il , ,
...
' '• I.*
4 '
.
4 -Alb
Iii, „do ,.. • a
--
.% ..
01,...,,, tk- ‘,44.
v<,„., .....," , . 1* • ,
'41 `k. ; Iii •I!
* g,„, "li •...
se 4 IP
•-•4 '
At.
‘.

02/01/2007 12:34 FAX [phone] "i1� 2 (�002 OFFiCE
i rI •
• rI
C 7 North Carolina Department of Environment and Natural Resources FEB a 1 2007
I / Division of Water Quality
RENEWAL FORM FOR EXISTING PERMITTED FACILITIES
NPDES renewal application for continued coverage under General Permit NCG550000:. 1
Certificate of Coverage NCG550178 E C LS f V E
(Please verify the information in items 1 &2 as correct, or note-any correctio . • t shoo e m e.
(Please print or type all other answers) ' OCT 2 5 2007
1) Mailing address'of property owner:
Owner Name Larry r)Adams/ DENR -WATER QUALITY
POINT SOURCE BRANCH
Street Address 4809 Jamee Dr
- -_ - -- --- +.dcir®gs -- . -Gaston iaa-N-C-28056- • -
Telephone (Home) (704) 8f 6-02e R (Mobile)
(e-mail address)
- I
Address to which all permit correspondence will be mailed
2) Location of facility producing discharge*:
Facility ID Adams Larry D-Residence
Address: 4809 Jamee Dr,
Gastonia,NC 28056 (Gaston County)
Telephone (Home) _(704)86 O2(18 (Mobile)
* If the facility is not yet constructed,give the street address or lot number where the structure will be
built.
3) Description of Discharge:
• ~'`a)-Type of-facility prod-tieing-waste(please check-one): — • - --
Primary residence
❑ Vacation/second home
Undeveloped property
E Other [describe]:
4) Please check the components that comprise the wastewater treatment system:
¢�I Septic tank ❑ Dosing tank ❑ Primary sand filter 0 Secondary sand filter
❑ Recirculating sand filter(s) © Chlorination ❑ Dechlorination
o Other form of disinfection: 0 Post Aeration(describe)
Page 1 of 2

•
•
02/01/2007 12:35 FAX [phone] 003
NCG550000 renewal form
5) Other Information:
a) When was the septic tank last pumped out? 2005 LaTANT-F_SEPTIC
NOTE: the septic tank must be pumped out at least once every 3-5 years
b) Is the facility [home] occupied year-round, or only seasonally? (YRAR ROUND)
c) Approximately how many people use the facility when it is occupied?
d) When was the wastewater system installed? 1_ }()
6) Certification:
I certify that I am familiar with the information contained in this application and that to the beet of my
knowledge and belief such information is true,complete, and accurate.
•
Printed Name of Person Signing; TARRY D. ADAMS
tg. A JAN. 27, 2007
(Signature of plitant) (Date Signed)
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any
application, record, report, plan or other document filed or required to be maintained under Article
21 or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or
method required to.be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed$25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C.
Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more
than 5 years, or both, for a similar offense.)
Mail this completed form and a copy of the receipt for your last septic service to:
Mr. Charles H. Weaver, Jr.
NC DENR/DWQ/NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Page 2 of 2