NCG550204_Permit (Issuance)_20090922

ATPIrA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue, Governor Coleen H. Sullins, Director Dee Freeman, Secretary
September 22, 2009
Rick H.Easter
500 Lynhaven Ct
Winston-Salem, NC 27104
Subject: Renewal of coverage/General Permit NCG550000
2103 Anglin Mill Road
Certificate of Coverage NCG550204
Rockingham County
Dear Permittee:
In accordance with your renewal application [received on September 21, 20091, the Division is
renewing Certificate of Coverage (CoC) NCG550204 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 October 15, 2007 [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 Winston-Salem 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.
which Thispermit does not affect the legal requirements to obtain otherpermits h ch maybe required g q 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 Charles
Weaver of the NPDES staff[919 807-6391 or [e-mail]].
Sincerely,
for Coleen H. Sullins
cc: Central Files
Winston-Salem Regional Office/Surface ater Protection
NPDES file
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 North
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 NCG550204
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,
Rick H. Easter
is hereby authorized to discharge domestic wastewater [300 GPD] from a facility located at
2103 Anglin Mill Road
Stoneville
Rockingham County
to receiving waters designated as an unnamed tributary to the Mayo River, a class WS-IV stream
in subbasin 03-02-02 of the Roanoke 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 September 22, 2009.
This Certificate of Coverage shall expire on July 31, 2012.
Signed this day September 22, 2009
r
f Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

AITIA Division of Water Quality/Water Quality Section
National Pollutant Discharge Elimination System
NCDENR
Noa1+GROLinA DevurrneHr ov
E�AoME,w°N�°Rw RED°R°Es NCG550000
RENEWAL FORM FOR EXISTING PERMITTED FACILITIES
NPDES renewal application for continued coverage under General Permit NCG550000:
Certificate of Coverage NCG550
(Please verify the information in items 1 &2 as correct, or note any corrections that should be made.)
(Please print or type)
1) Mailing address* of ``property owner:
Owner Name fR 1 c.\�, [A A s-re2
Street Address 5 Op
N h ye co(A.rzfi
City W,'n S-17)11) — , , ►� ✓V C, 0.-71,D T
Telephone (Home)33(P (,J f-1134 (Mobile)334 ' J Cr 4-1
(e-mail address) elks+eA-R tJ =— y f j c3fl , C
*Address to which all permit correspondence will be mailed
2) Location of facility producing discharge*:
Street Address 2 1 0 3 A I ; I ` a A
City: S�2 J J\ 1 . ko a-`� O
County ckvs ova- cou,fy
Telephone (Home) 3 6 ' 7 3--g 3 S-3 (Mobile)334 "14--C '-'" '
* 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 producing waste(please check one): RECEIVED
❑ Primary residence
XVacation/second home S E P 2 1 2009
❑ Undeveloped property
❑ Other [describe]: DENR - WATER QUALITY
POINT SOURCE BRANCH
Page 1 of 2

NCG550000 renewal form
4) Please check the components that compriser the wastewater treatment system:
Septic tank ❑ Dosing tank `�Primary sand filter 0 Secondary sand filter
0 Recirculating sand filter(s) 0 Chlorination ❑ Dechlorination
❑ Other form of disinfection: 0 Post Aeration(describe)
5) Other Information:
a) When was the septic tank last pumped out? N (A) & A' 2 '
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?„5-fiat S JrJ/?-4 \--/
c) Approximately how many people use the facility when it is occupied? Z
d) When was the wastewater system installed? Net-) OL)tJ eiru •
6) Certification:
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true,complete, and accurate.
Printed Name of Person Signing: I dC-
ktc-cf/c.,
sid
(Signature of App icant) ( ate 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:
.--..1 Mr. Charles H. Weaver,Jr.
f ..+. , .,.0... • i NC DENR/DWQ/NPDES
•
. I 1617 Mail Service Center
Raleigh, NC 27699-1617
Page 2 of 2

BIO/TEC9OIT
Material Safety Data Sheet
Revision Date: April 25, 2008
1. CHEMICAL PRODUCT & COMPANY IDENTIFICATION
Product Name • BIO/TEC 901T
Chemical Family • Proprietary mixture
Supplier • SOUTHWEST ENGINEERS
39478 Highway 190 East
Slidell, LA 70461
Telephone • [phone]
Fax • [phone]
Emergency Number [phone]-Chemtrec
HMIS NFPA Hazard Ratings:
Health = 3 3 0 = Least
Fire= 0 0 1 =Slight
Reactivity= 1 1 2= Moderate
3= High
4= Extreme
2. COMPOSITION, INFORMATION ON INGREDIENTS
INGREDIENT %Weight CAS#
Bromochloro-5,5-dimethylhydantoin 100% 32718-18-6
3. PHYSICAL AND CHEMICAL PROPERTIES
Appearance and Odor : White to off-white tablet, faint halogen odor.
Specific Gravity • 1.8-2.0 (Water= 1)
Boiling Point(760 mm Hg) • Not applicable
Melting Point • Not applicable(decomposes)
Decomposition Temperature : Above 160°C
Vapor Pressure at 25°C(mm of Hg) : 9.35x10(-3)Pa at 25°C
Vapor Density(Air= 1) : Not applicable under standard conditions
Solubility:
Solubility in water • 0.22 g/100 ml at 25°C
Solubility in other solvents • Benzene: 2.5 g/100 g at 25°C
Evaporation Rate(Ether= 1) : Not applicable under standard conditions
Partition coefficient • Kow=<1 (pH 5-9)
(n-octanol/water)
BIO/TEC 901T 1

Rockingham County NC - Parcel No: 101100 Page 3 of 3
DATE 8/20/09 ROCKINGHAM COUNTY PAGE 3 '
TIME 17:40:37 PROPERTY CARD PROG# AS2006
USER RONNIE FOR YEAR 2009
EASTER RICKY HAMPTON PARCEL ID.. 101100 PIN... 7011 00 04 5753 00
IMPROVEMENT # 1 MAJOR IMPR-M
+-7-+--13---+
4-6-+
1 1
4 4 •
•
+-7-+ •
1 3
8 7
•
•
+ 26 +
9 .•
•
+ 26 +
AC OPR OPEN PORCH RAISED TRAVERSE
AC OPR OPEN PORCH RAISED TRAVERSE
MA RO1 SFR MAIN AREA FRAME FLOOR: 1.00 TRAVERSE
TOTAL PARCEL VALUES---- LAND / OVR IMPROVEMENTS / OVR TOTAL LAND/IMPROVE 2008 VALUE
FMV 29,446 61,436 90,882 90,882
APV 29,446 61,436 90,882 90,882
http://arcims2.webgis.net/linkedfiles/nc/Rockingham/cards/10/101100.htm 9/2/2009

4. HAZARDS IDENTIFICATION
Adverse human health effects Cause burns
May cause sensitization by skin contact
Environmental effects : Very toxic to aquatic environment
5. FIRST AID MEASURES
Eye Contact : Holding the eyelids apart, flush eyes promptly with copious
flowing water for at least 20 minutes. Get medical attention
immediately.
Skin Contact : Remove contaminated clothing. Wash skin thoroughly with
mild soap and plenty of water for at least 15 minutes. Wash
clothing before re-use. Get medical attention immediately.
Ingestion : If swallowed, wash mouth thoroughly with plenty of water
and give water to drink. Get medical attention immediately.
NOTE: Never give an unconscious person anything to drink.
Inhalation : In case of dust inhalation or breathing fumes released from
heated material, remove person to fresh air. Keep subject
quiet and warm. Apply artificial respiration if necessary and
get medical attention immediately.
Y
Note to physician : Corrosive. In case of ingestion DO NOT induce vomiting.
No specific antidote.Treat symptomatically and supportively.
6. FIRE FIGHTING MEASURES
Flammable : Not applicable
Flash Point(and Method) : Not available
Autoignition Temperature : Not available
Recommended Extinguishing Media : Dry powder, carbon dioxide or water spray.
In case of exothermic decomposition and appearance of
smoke,water should be used to suppress it.
Special Fire Fighting Procedures Cool containers with water spray. In closed areas, provide
fire-fighters with self-contained breathing apparatus in
positive pressure mode.
Unusual Fire/Explosion Hazards : Oxidizing agent. Forms explosive mixtures with
combustible, organic or other easily oxidizable materials.
When heated to decomposition, may release poisonous and
corrosive fumes.
7. ACCIDENTAL RELEASE MEASURES
Personal Protection : Evacuate area. Use dust respirator, rubber gloves, and
chemical safety goggles.
BIO/TEC 901T 2

Rockingham County NC -Parcel No: 101100 Page 2 of 3
DATE 8/20/09 ROCKINGHAM COUNTY PAGE 2
TIME 17:40:37 PROPERTY CARD PROG# AS2006
USER RONNIE FOR YEAR 2009
EASTER RICKY HAMPTON PARCEL ID.. 101100 PIN... 7011 00 04 5753 00
IMPROVEMENT A 1 MAJOR IMPR-M
COMPONENT TYPE/CODE/DESC PCT UNITS RATE STR$ STR% SIZ% HGT% PER% CDS% COST %CMPL
- PD FN36 CONTINUOUS WALL STON100 1.00 .00 0
- PD IF99 INT FINISH MULITPLE 100 1.00 .00 0
- PD PL03 PLUMBING AVERAGE 100 1.00 .00 0
- PD RFO1 GABLE ROOF 100 1.00 .00 0
- PD RM03 ROOF MATERIAL SHEET 100 1.00 .00 0
RCN... PCT COMPLETE 100 x 81,914
RCN... COUNTY RCN ADJ 100.00 x 81,914
QUAL.. QG D CONSTRUCTION GRADE D 100.00 x 81,914
DEPR.. DA UP TO 99 YEARS .00 - 0
ADDL.. 25.00 - 20,478 20,478 T
61,436
http://arcims2.webgis.net/linkedfiles/nc/Rockingham/cards/10/101100.htm 9/2/2009

7. ACCIDENTAL RELEASE MEASURES — con't.
Procedures if Spilled or Released : Sweep up, place in a suitable container and hold for waste
disposal. Avoid raising dust. Ventilate area and wash spill
site after material pickup is complete. Avoid access to
streams, lakes, or ponds.
8. HANDLING AND STORAGE
Handling Precautions : Keep containers tightly closed.
Storage Conditions : Keep away from all sources of ignition. Recommended
storage temperature below 30°C. Store in a dry, well-
ventilated area away from incompatible materials (see
"Materials to Avoid" in Section 10).
9. EXPOSURE CONTROLS, PERSONAL PROTECTION
Ventilation : Use local exhaust ventilation as necessary, especially under
dusty conditions. Ventilation must be sufficient to maintain
atmospheric concentration below exposure limit.
Respiratory Protection : Approved respirator.
Hand Protection : PVC gloves
Skin and Body Protection: Body covering clothes and boots.
Eye Protection : Wear chemical safety goggles.
Hygiene Measures : Do not eat, smoke or drink where material is handled,
processed or stored. Wash hands carefully before eating or
smoking. Safety shower and eye bath should be provided.
10. STABILITY AND REACTIVITY
Stability : Stable under normal conditions.
Materials to avoid : Oxidising agents; Bases; Combustible organic materials
Conditions to Avoid : Contact with combustible materials may initiate
decompositin of the material and emition of smoke.
Exposure to moisture; Heating above decomposition
temperature.
Hazardous Decomposition Products : Carbon monoxide, hydrogen bromide, chlorine, nitrogen
oxides, hydrogen chloride, carbon dioxide
Hazardous Polymerization : Will not occur.
BIO/TEC 901T 3

Rockingham County NC -Parcel No: 101100 Page 1 of 3 ,
DATE 8/20/09 ROCKINGHAM COUNTY PAGE 1
TIME 17:40:37 PROPERTY CARD PROG# AS2006
USER RONNIE FOR YEAR 2009
EASTER RICKY HAMPTON PARCEL ID.. 101100 PIN... 7011 00 04 5753 00
EASTER MARY WAGNER LOCATION... 2103 ANGLIN MILL RD
DEED YEAR/BOOK/PAGE.. 2007 1333 14
2103 ANGLIN MILL RD PLAT BOOK/PAGE.. OWNER ID.. 1267947
LEGAL DESC:11.71 AC ANGLIN MILL RD DISTRICT.. 122 STONEY VIEW FD
TOWNSHIP... 6 PRICE
STONEVILLE NC 27048- 70110004466000 NBRHOOD... R100 NORTHWEST ROCKINGHAM CO
DESCRIPTION AG LAND WITH RES NH CLASS..
DESCRIPTION RESIDENTIAL RES AG COUNTY
MAINTAINED 10/04/2007 BY JHATFIELD VALUED.. 6/02/2008 BY KCARTER
VISITED 5/18/2000 BY JS PREV PARCEL 101099 ROUTING#..
PARCEL STATUS... ACTIVE CATEGORY.. REAL & PERSONAL
SALES HISTORY
DEED BK/PAGE SALE DATE SALES INSTRUMENT DISQUALIFIED SALE AMOUNT STAMP AMOUNT DEED NAME
1333 14 9/28/2007 DEED QUALIFIED 147,000 EASTER RICKY HAMPTON & MARY WA
945 1329 10/01/1996 DEED QUALIFIED 71,000 SNODGRASS ARTHUR DANE
745 590 10/01/1996 SPLIT OTHER STECK MUSETTE D
LAND SEGMENTS
LND STRAT LAND TOT CURRENT
# ZONE CODE TYPE/CODE LAND QTY LAND RATE DPT% SHP% LOC% SIZ$ OTH% TOP% ADJ FMV
1 100 UB AH 1.000 9,000.00 .00 .00 .00 .00 .00 .00 .00 9,000
2 100 AC AA 11.130 2,000.00 .00 .00 .00 114.00 100.00 80.00 91.20 20,301
3 100 AC AW .580 250.00 .00 .00 .00 .00 100.00 100.00 .00 145
TOTAL ACRES.. 11.710 TOTAL LAND FMV.. 29,446
IMPROVEMENT # 1 MAJOR IMPR-M
MAIN FIN AREA.. 944.00 ACT/EFF YR/AGE.. 1930 1930 73 VISITED.. 5/18/2000 BY JS
STRAT 100 DESCRIPT.... SINGLE FAMILY DWELLING MAINTAINED.. 5/31/2007 BY KCARTER
MAIN GROUND SF.... 944.000
BUILT USE 01 SINGLE FAMILY DWELLING CURRENT USE.... CR CURRENT USE RESIDENTIAL
LOCATION # 2103 ANGLIN MILL RD
COMPONENT TYPE/CODE/DESC PCT UNITS RATE STR# STR% SIZ% HGT% PER% CDS% COST %CMPL
AC OPR OPEN PORCH RAISED 100 234.00 10.69 1.00 2,501
AC OPR OPEN PORCH RAISED 100 98.00 10.69 1.00 1,047
AC 1.5 1.5 STORY RES 100 239.00 40.11 1.00 9,586
MA RO1 SFR MAIN AREA FRAME 100 944.00 53.49 1.00 122.00 61,602
EW 38 LOG 100 1.00 .00 0
- AR 003 FORCED HOT AIR 100 944.00 2.37 2,237
- AS 003S FORCED HOT AIR 100 239.00 .59 141
- FP 015 1.5 ST FIREPLACE 1OP100 2.00 2400.00 4,800
- PD CCD D CONS CLASS 100 1.00 .00 0
- PD EL03 AVG ELECTRIC 100 1.00 .00 0
- PD EX38 LOG 100 1.00 .00 0
- PD FL04 HARDWOOD 100 1.00 .00 0
http://arcims2.webgis.net/linkedfiles/nc/Rockingham/cards/10/101100.htm 9/2/2009

• A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 3, 2009
CERTIFIED MAIL ITEM 7007 0710 0000 5376 8881 -RETURN RECEIPT REQUESTED
Mr. Ricky H. Easter & Mrs. Mary W. Easter
2103 Anglin Mill Rd
Stoneville, N.C. 27048
SUBJECT: Notice of Violation
Discharge of Wastewater Without a Permit
2103 Anglin Mill Rd, Stoneville, NC
Rockingham County •
Dear Mr. & Mrs. Easter:
The Division is auditing its files regarding single-family residences [and similar discharges] covered under
General Permit NCG550000. During our file review it was determined that:
➢ The Division has no record of your having a valid permit for the discharge of wastewater from your
residence. Your residence was previously covered by Certificate of Coverage (CoC) NCG550204;that
CoC expired on July 31, 2007.
➢ The annual fee for the year 2008-2009 was not paid.
There are serious compliance issues and violations noted as follows.
Discharging Without a Permit
You are hereby advised that the discharge of wastewater without a permit from the Division constitutes a
violation of North Carolina General Statute (NCGS) § 143-215.1 [Control of sources of water pollution;
permits required], which states:
(a) Activities for Which Permits Required. — No person shall do any of the following things or carry
out any of the following activities unless that person has received a permit from the Commission and has
complied with all conditions set forth in the permit:
(1) Make any outlets into the waters of the State.
(2) Construct or operate any sewer system, treatment works, or disposal system within the
State.
(6) Cause or permit any waste, directly or indirectly, to be discharged to or in any manner
intermixed with the waters of the State in violation of the water quality standards
applicable to the assigned classifications or in violation of any effluent standards or
limitations established for any point source, unless allowed as a condition of any permit,
special order or other appropriate instrument issued or entered into by the Commission
under the provisions of this Article.
The enforcement options available to the Division for violations of§ 143-215.1 are found at NCGS 143-215.6
A, B, and C, and include civil penalties, criminal penalties, and/or injunctive relief. The civil penalties
for violations such as these may be as high as $25,000.00 per day per violation.
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:www.ncwaterquality.org Naturally
0 0
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

NCG550204 NOV letter
Page 2 of 2
You must immediately take whatever steps are necessary to resolve the unpermitted discharge
of wastewater from your property.
• Complete the enclosed Renewal Form for Existing Permitted Facilities and return it to Mr. Charles
Weaver at the address indicated on the Form within 10 days of receipt of this notice.
• With the renewal form you should submit payment for the unpaid annual fee, which is $60.00. Make
checks payable to NC DENR; include the invoice number on your check.
The Division is considering the pursuit of punitive sanctions against you. If we do not receive
the items listed above by August 19, 2009, a civil penalty will likely be assessed.
A duplicate copy of the completed Renewal Form should be sent to:
Ron Boone
NC DENR Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Your response to this Notice of Violation will be reviewed by Division staff. If an enforcement action is still
deemed appropriate, this information, along with other relevant information, will be forwarded to the
Director for a final decision.
Should you have any questions on this matter, contact Ron Boone at(336) 771-5000 or via e-mail
[[e-mail]].
Sincerely,
Jeff Poupart
Point Source Branch Supervisor
cc: Central Files
Winston-Salem Regional Office
NPDES Unit file

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t.C St,FP 7)1'1, ? tea o "....""-4-,_ —...-r--•--- , , 0„,•,'
• Sender: Please print y 1 ox 6,.....0
Charles H. Weaver EP 1 6 2009
NC DENR I DWQ I NPDES
1617 Mail W �Y er1t�� nTER QUALITY
Raleigh rlC I�� \
F.►►v i SOURCE BRANCH
. ini,il,,,1,11„, •id '1•,, 9I,,,I1,1„I,1,,,1„il

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig :ture
item 4 if Restricted Delivery is desired. X /f J� / ^�0 Agent
■ Print your name and address on the reverse G (((��� L 0 Addressee
so that we can return the card to you. Received by(Printed Na e C. Date of Delivery
• Attach this card to the back of the mailpiece, ( (( �� S ,A q -(C--O
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
Mr. & Mrs. Ricky H. Easter
2103 Anglin Mill Rd. 3. Service Type
❑Certified Mail ❑ Express Mail
Stoneville, NC 27048 0 Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article 7007 0710 0000 5376 8881
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540