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Home My WebLink AboutNCG550260_Permit (Issuance)_20110120 AT7A NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue, Governor Coleen H.Sullins, Director Dee Freeman,Secretary January 20, 2011 Larry G. Wright 1560 Tryon Courthouse Rd Bessemer City, NC 28016 Subject: Renewal of coverage/General Permit NCG550000 1560 Tryon Courthouse Road Certificate of Coverage NCG550260 Gaston County Dear Permittee: In accordance with your renewal application [received on January 10, 2011],the Division is renewing Certificate of Coverage(CoC)NCG550260 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 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 Charles Weaver of the NPDES staff[919 807-6391 or charles.weaver@ncdenr.gov]. Smcer ly, /G for Coleen H. Sullins cc: Central Files Mooresville Regional Office/Surface Water Protection tiPPDgS 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One 512 North Salisbury Street,Raleigh,North Carolina 27604 NorthCarolina Phone: 919 807-6300/FAX 919 807-6495/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 NCG550260 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 G. Wright is hereby authorized to discharge domestic wastewater [450 GPD] from a facility located at 1560 Tryon Courthouse Road Bessemer City Gaston County to receiving waters designated as Long Creek, a class WS-II HQW stream in subbasin 03-08-36 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 January 20, 2011. This Certificate of Coverage shall expire on July 31, 2012. Signed this day January 20, 2011 for Cole n H. Sullins, Directo Zivision of Water Quality By Authority of the Environmental Management Commission ATADivision of Water Quality/Water Quality Section National Pollutant Discharge Elimination System NC®ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES NCG550000 RENEWAL FORM FOR EXISTING PERMITTED FACILITIES NPDES renewal application for continued coverage under General Permit NCG550000: Certificate of Coverage NCG550 a( 0 (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 L &c c'1 w r,J4 Street Address 5 t 0 Tr\J o� C,o w-On ovn5 e Ka . City &SSe+y\€` Li �y • Telephone (Home) T o y coal- 3 0 a (Mobile) N/A (e-mail address) N/A * Address to which all permit correspondence will be mailed 2) Location of facility producing discharge*: NoVe Since -'he. 5154"2m was insE�:�P Street Address 5Amt 1}5 AZ)0\.), .. . if, MS 6l ►�- his �1_R AisohNTh' City: County Telephone (Home)_ (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 producing waste (please check one): " ° Primary residence I • JAPE ❑ Vacation/second home ❑ Undeveloped property 4 - '• ❑ Other [describe]: Page 1 of 2 NCG550000 renewal form 4) Please check the components that comprise the wastewater treatment system: / L� Septic tank 0 Dosing tank d Primary sand filter 0 Secondary sand filter 0 Recirculating sand filter(s) IY.Chlorination ❑ Dechlorination 0 Other form of disinfection: BA/Post Aeration (describe) S--e, Ctet"c...\--;o l 5) Other Information: There w AS NCUGR a n'e.ec� NEV a) When was the septic tank last pumped out? �� %edv Rs ck;s Char y-cr 5 ins, insi--ot—Q.a i'n I Gl b 4); IA o4. r a 1 \,�or.5 a5 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? \rear - r u Lx,n d c) Approximately how many people use the facility when it is occupied? 1 d) When was the wastewater system installed? 19 S 9 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: L 0.1-t ' G. W r i 34 ygn rx,,,,,, L(j I Z/2s/r 0 ature of Aplicant) (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 UNITED STATES POSTAL SERVICE First-Class Mail 111111 Postage&Fees Paid LISPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Charles Weaver NPDES Unit NCDENR/DWQ 1617 Mail Service Center Raleigh,NC 27699-1617 10,455oa4o , • - '1ls:ii4:l::l:fi=sst�+ii SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ls Agent • Print your name and address on the reverse X Ai 4, �� PIP Addressee Addressee so that we can return the card to you. B. R!elved by(Pri,red Name) or C Date of Delivery ■ Attach this card to the back of the mailpiece, '1 or on the front if space permits. * •vrV e D. Is delive address different . item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Mr. Larry Gene Wright 1560 Tryon Courthouse Road Bessemer City,NC 28016 3. Service Type ❑Certified Mail ❑ Express Mail ❑ Registered 0 Return Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) Cl Yes 2. Article Number (Transfer from service label) 7o693 /6/C DDDO 4c-Q o?055 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1541)