NCG550161_Complete File_20030211

�Of war�90
h Michael F. Easley, Governor
William G. Ross Jr., Secretary
r (/ Department of Environment and Natural Resources
>_ —4
Alan W. Klimek, P.E., Director
f7 Division of Water Quality
February 11, 2003
Mr. Hugh Nelson
2218 Wilkins Street
Burlington, NC 27217
Subject: Rescission of NPDES General Permit
Permit Number NCG550161
James W. Stephens Property
Alamance County
Dear Mr. Nelson:
Reference is made to your recent request for rescission of the subject NPDES General Permit. In
your letter you state that the property has been connected to city sewer and therefore no longer requires
coverage under the general permit. In accordance with your request, NPDES General Permit
NCG550161 is rescinded, effective immediately.
Please be advised that this permit rescission is based wholly upon your statement that the
activities which would require general permit coverage at the site have ceased or been eliminated.
Division staff has not visited the site to obtain independent verification. Operating a treatment facility,
discharging wastewater or discharging specific types of stormwater to waters of the State without a valid
NPDES permit will subject the responsible party to a civil penalty of up to $25,000 per day. Enforcement
action will be certain for persons that have voluntarily relinquished permit coverage when, in fact,
continuing permit coverage was necessary. If, in retrospect, you feel the site still requires permit
coverage, you should notify this office immediately. Furthermore, if in the future you wish to again
discharge to the State's surface waters, you must first apply for and receive a new NPDES permit.
If you have questions about this matter, please contact Bob Sledge at [phone], extension
547 or the Water Quality staff in our Winston-Salem Regional Office at [phone],
Sincerely,
Alan W. Klimek, P.E.
cc: Winston-Salem Regional Office w/attachments
„ .Lfimsed Permits Unit
Point Source Compliance — Bob Sledge - w/attachments
Central Files - w/attachments
Fran McPherson, DWQ Budget Office
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FZIUMNIR
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617
1 800 623-7748 [phone] Fax: [phone]

State of 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
July 26,2002
HUGH NELSON
NELSON HUGH-RESIDENCE
2218 WILKINS ST
BURLINGTON. NC 27217
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Wastewater Discharge Permit
Nelson Hugh- Residence
COC Number NCG550161
Alamance County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG550000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued wastewater general permit Certificate of Coverage
(COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency,
dated May 9, 1994 (or as subsquently amended).
The following information is included with your permit package:
• A copy of the Certificate of Coverage for your treatment facility
• A copy of General Wastewater Discharge Permit NCG550000
* A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG550000
Your coverage under this general permit is not transferable except after notice to DWQ. 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 may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or
decree.
Please note that effective January 1, 1999 the fees for all permits issued by DWQ were changed. This changed the
fee for your wastewater general permit coverage from a $240 fee paid once every five years to a yearly fee of $50.
If you have not already been billed this year for the yearly fee, you will receive a bill later this year.
If you have any questions regarding this permit package please contact Mack Wiggins of the Central Office
Stormwater and General Permits Unit at [phone], ext. 542
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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 NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG550161
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,
HUGH NELSON
is hereby authorized to operate a domestic wastewater treatment facility which includes a septic tank, sand filter,
and associated appurtenances with discharge of treated domestic wastewater from the facility located at
NELSON HUGH- RESIDENCE
2145 LOWER HOPEDALE RD
BURLINGTON
ALAMANCE COUNTY
to receiving waters designated as the Haw River, a class C water, in the Cape Fear River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II,111, and IV of
General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective August 1, 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 26, 2002.
t3/yiLcU..ct/ � 9vkE'�
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
Hugh Nelson
2218 Wilkins Street
Burlington, NC 27217
Dear Permittee:
/\ .: •
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ED FE F1
July 21, 1997
Subject: Certificate of Coverage No. NCG550161
Renewal of General Permit
Nelson, Hugh - Residence
Alamance County
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31, 2002. This
permit 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 December 6,1983. If any
parts, measurement frequencies or sampling requirements contained in this 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, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, 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 the NPDES Group at the address below,
Sincerely,
v A. Preston Howard,
cc: Central Files
Winston-Salem Regional Office
NPDES Group
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX [phone] p&[e-mail]
An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550161
TO DISCHARGE DOMESTIC WASTEWATERFROM 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,
Hugh Nelson
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility
located at
Nelson, Hugh - Residence
2145 Lower Hopedale Road
Burlington
Alamance County
to receiving waters designated as subbasin 30602 in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective August 1, 1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21,1997.
I�A. Preston Howardtl
, Jr., P.E., Director
P Division of Water Quality
By Authority of the Environmental
Management Commission

Ss-z> 16P /
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
I.
if.
4
C) FE FRI
WATER QUALITY SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
CURRENT PERMIT INFORMATION,
Permit Number: NC/�/�/�/�/
1. Permit holder's name:_ _ rXY P/P
2. Permit's signing official's name and title:
(Person legally responsible for permit)
(Title)•1
3. Mailing address: City:
State: Zip Code: Phone: ( )
NEW OWNER/NAME INFORMATION•
1. This request for a name change is a result of:
kff_ 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): ML/ r, i✓ A /LS O K
3. New owner's or signing official's name and title: f7 SIGN lye r,5,04/
(Person legally responsible for permit)
A�larw,rn.
(Title)
4. Mailing address: %tl i Llir MS —S—f% City: ).t-Y�trt��r/
State:_ G Zip Code: �i ?,�Z ) ? Phone: (9l0)_Qa g-g
P.O. Box 29535, Raleigh, North Carolina 27626.0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled / 10 % post -consumer paper

PERMIT NAME / OWNERSHIP CHANGE FORM
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER QUALITY
UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application
A
2.
� - z4W
3. Legal documentation of the transfer of ownership (such as a contract, deed, articles of
incorporation) F'
i
Certification must be completed and signed by both the current permit holder and the
new applicant in the case of change of ownership. For name change only, complete and -o L.
sign the application certification.
rz
c
Current Permittee's Certification: F
-i
I, . attest that this application for
name/ownership change has been reviewed and is accurate and complete to the best of
my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information and attachments are not
included, this application package will be returned as incomplete.
Signature: Date:
Applicant's Certification:
I, Cc c � ;q� . attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of
my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information and attachments are not
included, this application package will be returned as incomplete.
Sienature:_t y��,, Date:_�3�9_.Z_
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEHNR, Division of Water Quality
Water Quality Section, Permits and Engineering Unit
P. O. Box 29535
Raleigh, North Carolina 27626-0535

Letter to Hugh Nelson
NCG550161
February 27,1997
INVOICE FOR RENEWAL OF
NPDES PERMIT
Check here if you do NOT wish to renew this permit.
Please return this page along with a letter documenting your reasons
for not requesting renewal to:
Mr. Charles H. Weaver, Jr.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
ET/c/heck here if you wish to renew this permit.
Please verify the following information and revise any incorrect entries:
Mailing Address
Hugh Nelson
Former Fay Ward residence
2218 Wilkins Street
BURLINGTON , NC 27217
Phone number: [phone]
Fax number:
e-mail address:
Facility Location
Hugh Nelson
2145 Lower Hopedale Road
BURLINGTON , NC 27215
❑ No revision required.
Revision required. (Please specify below.)
,,I,.�)g W r Lk7 hfs St'
S 1. r I i g-c. jta-_ Aff . Q 7a17
❑ No revision required.
Q—Revision required. (Please specify below.)
/Jlt&)q AIELsd^1
,?,1145 LotrrR anrJl L
Ru.rl,r &L- = KC a7al7
45!., li)ta M.n �
Please return this page with your letter requesting renewal, and $240 fee (payable to NCDEHNR) to:
Mr. Charles H. Weaver, Jr.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
Signature of applicant or authorized representative
Date
3-3-

Letter to FAY WARD
NCG550161
February 7,1997
INVOICE FOR RENEWAL OF
NPDES PERMIT
01"Check here if you do NOT wish to renew this permit.
Please return this page along with a letter documenting your reasons
for not requesting renewal to:
Mr. Charles H. Weaver, Jr.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
Check here if you wish to renew this
permit.
,
-J
G
Please verifythe following information and revise an incorrect entries:''
S � Y
_+?=-
Mailing Address
N
t
C -
%ro
-
FAY WARD
No revision required.
Cr
WARD, FAY - RESIDENCE
2138 LOWER HOPEDALE ROAD
Revision required. (Please specify below.)
"?
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x
BURLINGTON , NC 27215
00
:_4
Phone number: [phone]
Fax number:
e-mail address:
Facility Location
No revision required.
FAY WARD
2/#5 $LOWER ffiMK*1 HOPEDALE RD.
p{
Revision required. (Please specify below.)
BURLINGTON , NC 27215
Please return this page with your letter requesting renewal, and $240 fee (payable to NCDEHNR) to:
Mr. Charles H. Weaver, Jr. `
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
Signature of applicant or authorized representative
Date

c

cc: Technical Support Branch ^I
VED
Permits and Engineering AP 0 2 1991
County Health Dept.
Central Files
WSRO fturJ'ri',A, JiiiRANGH
j' Date August 29, 1991
NPDES STAFF REPORT AD RECOMMENDATIONS
County Alamance
NPDES Permit No.-N88048-534
NCG 550���
PART I - GENERAL INFORMATION
1.
Facility and Address:
_ ��>
NO, ( - J�O �)
Fay Ward Rental Residence
i
2145 Lower Graham Hopedale Road
Burlington, N.C. 27215
03 -U 0 -O Z
Mrs Ward's Mailing Address
_
2138 Lower Graham Road_
Burlington, N.C. 27215
2.
Date of Investigation: August 28,
1991
3.
Report Prepared by: Eric Galamb,
Environmental Technician IV
4.
Persons Contacted and Telephone
Number:
Fay Ward [phone]
5. Directions to Site:
From Winston-Salem take I-40E to I-85N to Burlington. In
Burlington take Hwy. 62 North; turn right on SR 1712
(Hopedale Rd.). The Ward residence is the 3rd dwelling from
the end on the right on Hopedale Road.
6. Discharge Point - Latitude: 360 06' 25"
Longitude: 790 24' 25"
7
Attach a USGS Map Extract and indicated treatment
plant site and discharge point on map.
USGS Quad No. C21SW or USGS Quad Name Burlington Ouad
Size (land available for expansion and upgrading):
There is limited area available for expansion and upgrading.
The lot is approximately 75' x 1841.
Topography (relationship to flood plain included):
The topography is gently rolling and slopes toward the Haw
River northeast at a rate of 5-12%.

9. Location of nearest dwelling: The nearest dwelling is the
residence which is approximately 50' from the treatment
system.
10. Receiving stream or affected surface waters: Haw River
a. Classification: "C"
b. River Basin and Subbasin No.: 03-06-02
c. Describe receiving stream features and pertinent
downstream uses: Suitable for non -contact recreation,
fish and wildlife propagation, and agricultural uses.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% Domestic
% Industrial
a. Volume of Wastewater: 0.0003 MGD
b. Types and quantities of industrial wastewater:
N/A
C. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only): N/A
in development approved
should be required not needed
2. Production rates (industrial discharges only) in
pounds: N/A
a. highest month in the last 12 months
b. highest year in last 5 years
3. Description of industrial process (for industries only)
and applicable CFR Part and Subpart: N/A
4. Type of treatment (specify whether proposed or
existing):
The existing treatment facility consists of a septic tank, a
subsurface sand filter, and an outfall line to the Haw
River.
5. Sludge handling and disposal scheme:
The septic tank is pumped by a septage truck and the septage
is disposed of at a POTW.

6. Treatment plant classification: I
7. SIC Code(s) 45S-2—
Wastetvater Code(s) Oq
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction
Grants Funds (municipals only)? N/A
2. Special monitoring requests: None
3. Additional effluent limits requests: None
4. Other:
PART IV - EVALUATION AND RECOMMENDATIONS
This treatment system appeared to be operating properly at
the time of the inspection; there were no apparent problems. It
is recommended that this permit be reissued. flteaSC
�cc7C fillip t1o. 'A i Zvi. I)�r✓�c
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Signature of report preparer
/)7,1 vtp�
Water Quality Su ervisor