WQ0010816_Final Permit_19960409

State of North Carolina
Department of Environment,
Health and Natural Resources
Winston-Salem Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
e��
IDEEHNF;Z
DIVISION OF ENVIRONMENT�i�
MANAGEMENT
April 9, 1996)
NO
Reverend Teague Groce
P.O. Box 247
Toast, N.C. 27049
SUBJECT: Pump and Haul Permit No. WQ0010816
Temple Baptist Church
Surry County
Dear Rev. Groce:
In accordance with your application received April 2, 1996, we are forwarding
herewith Permit No. WQ0010816, to Temple Baptist Church for the operation of a pump and
haul disposal system.
This permit shall be effective from the date of issuance until September 1, 1996, and
shall be subject to the conditions and limitations as specified therein. Please pay particular
attention to the monitoring requirements in this permit. Failure to establish an adequate
system for collecting and maintaining the required operational information will result in
future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable to
you, you have the right to request an adjudicatory hearing upon written request within 30
days following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150B of North Carolina General Statutes, and filed with the Office of
Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such
demands are made this permit shall be final and binding.
If you need additional information concerning this matter, please contact Allan Smith
or Steve Mauney at [phone].
Sincerely,
C.(. ..........
�
l
Larry D. Coble
Regional Supervisor
cc: Surry County Health Department
Permits & Engineering/Central Files/WSRO
585 Waughtown Street, Winston-Salem, NC 27107-2241 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
RALEIGH
PUMP AND HAUL
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Temple Baptist Church
Surry County
FOR THE
operation of a 2$5 GPD pump and haul system to serve Temple Baptist Church with no
discharge of wastes to the surface waters, pursuant to the application received April 2, 1996
and in conformity with the project plan, specifications, and other supporting data
subsequently filed and approved by the Department of Environment, Health and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until September 1, 1996, and
shall be subject to the following specified conditions and limitations:
1. This permit shall become voidable unless the subject pump and haul activities are
carried out in a manner which has been approved by this Division.
2. This permit is effective only with respect to the nature and volume of wastes
described in the application and other supporting data.
3. The facilities shall be properly maintained and operated at all times.

4. This permit is not transferable. In the event there is a desire for the facilities to
change ownership, or there is a name change of the Permittee, a formal permit
request must be submitted to the Division of Environmental Management accompanied
by an application fee, documentation from the parties involved and other supporting
materials as may be appropriate. The approval of this request will be'ccnsidered on
its merits and may or may not be approved.
5. No type of domestic wastewater other than that from Temple Baptist Church shall be
included in the pump and haul activities.
6. The permit shall become voidable unless the agreement between Temple Baptist
Church, the City of Mt. Airy and Sanitary Waste Disposal for the collection,
transportation, and ultimate disposal of the domestic wastewater is in full force and
effect.
7. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall cease operation of all pump and haul activities
and take such immediate corrective action, as may be required by this Division.
8. This pump and haul permit shall not be renewed.
9. The sewage and wastewater collected by this system shall be treated in the City of
Mt. Airy's wastewater treatment plant prior to being discharged into the receiving
stream.
10. The Permittee is liable for any damages caused by a spill or failure of the pump and
haul operations.
11. Adequate inspection, maintenance and cleaning shall be provided by the Permittee to
insure proper operation of the subject facilities.
12. The Permittee or his designee shall inspect the pump and haul collection facilities to
prevent malfunctions and deterioration, operator errors and discharges which may
cause or lead to the release of wastes to the environment, a threat to human health, or
a nuisance. The Permittee shall keep an inspection log or summary including at least
the date and time of inspection, observations made, and any maintenance, repairs, or
corrective actions taken by the Permittee. This log of inspections shall be maintained
by the Permittee for as long as the pump and haul activities are being conducted and
shall be made available upon request to the Division of Environmental Management
or other permitting authority.

13. Any duly authorized officer, employee, or representative of the Division of
Environmental Management may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the domestic wastewater collection
facilities at any reasonable time for the purpose of determining compliance with this
permit; may inspect or copy any records that must be kept under the terms and
conditions of this permit; and may obtain samples.
14. An accurate record of the monthly pump and haul activities must be maintained by the
Permittee, indicating:
a) date wastewater is removed from the facility,
b) name of facility from which wastewater is removed,
C) name of facility receiving wastewater,
d) volume of wastewater removed, and
C) status of permanent disposal option.
These records shall be submitted to the Winston-Salem Regional Office on or before
the fifteenth (15) day of the following month.
15. Failure to abide by the conditions and limitations contained in this permit may subject
the Permittee to an enforcement action by the Division of Environmental Management
in accordance with North Carolina General Statute 143-215.6
16. The issuance of this permit does not preclude the Permittee from complying with any
and all statutes, rules, regulations, or ordinances which may be imposed by other
government agencies (local, state, and federal) which have jurisdiction.
17. The Permittee shall provide for the installation and maintenance of an audible and
visual highwater alarm.
18. A leakage test shall be performed on the holding tank to insure that any exfiltration
occurs at a rate which does not exceed twenty (20) gallons per twenty-four (24) hour
per 1,000 gallons of tank capacity. The engineer's certification will serve as proof of
compliance with this condition.
19. A copy of the approved plans and specifications shall be maintained on file by the
Permittee for the life of the project.

20. Noncompliance Notification:
The Permittee shall report by telephone to the Winston-Salem Regional Office, at
telephone no. [phone], as soon as possible, but in no case more than 24 hours
or on the next working day following the occurrence or first knowledge of the
occurrence of any of the following:
a. Any process unit failure, due to known or unknown reasons, that render the
facility incapable of adequate wastewater treatment such as mechanical or
electrical failures of pumps, aerators, compressors, et.
b. Any failure of a pumping station, sewer line, etc_ resulting in a by-pass
directly to receiving waters without treatment of all or any portion of the
influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report
in letter form within 15 days following first knowledge of the occurrence.
This report must outline the actions taken or proposed to be taken to ensure
that the problem does not recur.
21. Upon completion of construction and prior to operation of the subject pump and haul
activities, a certification must be received from a professional engineer certifying that
the permitted facilities have been installed in accordance with this permit, the
approved plans and specifications. Mail the certification to the Permits and
Engineering Unit, P.O. Box 27687, Raleigh, NC 27611-7687.
22. The annual administering and compliance fee must be paid by the Permittee within
thirty (30) days after being billed by the Division. Failure to pay the fee accordingly
may cause the Division to initiate action to revoke this permit as specified by 15
NCAC 2H. 0205(c)(4).
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
LarryJD, Coble
By Authority of the Environmental Management Commission
Permit No. WQ0010816

Permit No. WQ0010816
Engineer's Certification
I , as a duly registered Professional, Engineer in the
State of North Carolina, having been authorized to observe (periodically, weekly, full time)
the construction
of the project
Project Name Location
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the construction such that the construction was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Signature
Date
Registration No.

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan S. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Reverend Teague Groce
P.O. Box 247
Toast, N.C. 27049
SUBJECT: Pump and Haul Permit No. WQ0010816
Temple Baptist Church
Surry County
Dear Rev. Groce:
Al
MOM
�EHNR
DIVISION OF ENVIRONMENTAL
MANAGEMENT
In accordance with your application received September 22, 1995, we are forwarding
herewith Permit No. WQ0010816, to Temple Baptist Church for the operation of a pump and
haul disposal system.
This permit shall be effective from the date of issuance until April 1, 1996, and shall
be subject to the conditions and limitations as specified therein. Please pay particular
attention to the monitoring requirements in this permit. Failure to establish an adequate
system for collecting and maintaining the required operational information will result in
future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable to
you, you have the right to request an adjudicatory hearing upon written request within 30
days following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150B of North Carolina General Statutes, and filed with the Office of
Administrative Hearings, P.O. Drawer 27447, Raleigh, NC 27611-7447. Unless such
demands are made this permit shall be final and binding.
If you need additional information concerning this matter, please contact Allan Smith
or Steve Mauney at [phone].
cc:
In
Surry County Health Departm-1
Permits & Engineering/Central Files/WSRO
P.O. Box 29535, Raleigh, Forth Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal oppodur i" Affirmafiive Action Employer 5C% recycled/ 10% post -consumer paper

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
RALEIGH
PUMP AND HAUL
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Temple Baptist Church
Surry County
FOR THE
operation of a 285 GPD pump and haul system to serve Temple Baptist Church with no
discharge of wastes to the surface waters, pursuant to the application received September 22,
1995 and in conformity with the project plan, specifications, and other supporting data
subsequently filed and approved by the Department of Environment, Health and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until April 1, 1996, and shall
be subject to the following specified conditions and limitations:
1. This permit shall become voidable unless the subject pump and haul activities are
carried out in a manner which has been approved by this Division.
2. This permit is effective only with respect to the nature and volume of wastes
described in the application and other supporting data.
3. The facilities shall be properly maintained and operated at all times.

4. This permit is not transferable. In the event there is a desire for the facilities to
change ownership, or there is a name change of the Permittee, a formal permit
request must be submitted to the Division of Environmental Management accompanied
by an application fee, documentation from the parties involved and other supporting
materials as may be appropriate. The approval of this request will be considered on
its merits and may or may not be approved.
5. No type of domestic wastewater other than that from Temple Baptist Church shall be
included in the pump and haul activities.
6. The permit shall become voidable unless the agreement between Temple Baptist
Church, the City of Mt. Airy and Sanitary Waste Disposal for the collection,
transportation, and ultimate disposal of the domestic wastewater is in full force and
effect.
7. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall cease operation of all pump and haul activities
and take such immediate corrective action, as may be required by this Division.
8. This pump and haul permit shall not be renewed.
9. The sewage and wastewater collected by this system shall be treated in the City of
Mt. Airy's wastewater treatment plant prior to being discharged into the receiving
stream.
10. The Permittee is liable for any damages caused by a spill or failure of the pump and
haul operations.
11. Adequate inspection, maintenance and cleaning shall be provided by the Permittee to
insure proper operation of the subject facilities.
12. The Permittee or his designee shall inspect the pump and haul collection facilities to
prevent malfunctions and deterioration, operator errors and discharges which may
cause or lead to the release of wastes to the environment, a threat to human health, or
a nuisance. The Permittee shall keep an inspection log or summary including at least
the date and time of inspection, observations made, and any maintenance, repairs, or
corrective actions taken by the Permittee. This log of inspections shall be maintained
by the Permittee for as long as the pump and haul activities are being conducted and
shall be made available upon request to the Division of Environmental Management
or other permitting authority.

13. Any duly authorized officer, employee, or representative of the Division of
Environmental Management may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the domestic wastewater collection
facilities at any reasonable time for the purpose of determining compliance with this
permit; may inspect or copy any records that must be kept under the terms and
conditions of this permit; and may obtain samples.
14. An accurate record of the monthly pump and haul activities must be maintained by the
Permittee, indicating:
a) date wastewater is removed from the facility,
b) name of facility from which wastewater is removed,
C) name of facility receiving wastewater,
d) volume of wastewater removed, and
e) status of permanent disposal option.
These records shall be submitted to the Winston-Salem Regional Office on or before
the fifteenth (15) day of the following month.
15. Failure to abide by the conditions and limitations contained in this permit may subject
the Permittee to an enforcement action by the Division of Environmental Management
in accordance with North Carolina General Statute 143-215.6
16. The issuance of this permit does not preclude the Permittee from complying with any
and all statutes, rules, regulations, or ordinances which may be imposed by other
government agencies (local, state, and federal) which have jurisdiction.
17. The Permittee shall provide for the installation and maintenance of an audible and
visual highwater alarm.
18. A leakage test shall be performed on the holding tank to insure that any exfiltration
occurs at a rate which does not exceed twenty (20) gallons per twenty-four (24) hour
per 1,000 gallons of tank capacity. The engineer's certification will serve as proof of
compliance with this condition.
19. A copy of the approved plans and specifications shall be maintained on file by the
Permittee for the life of the project.

20. Noncompliance Notification:
The Permittee shall report by telephone to the Winston-Salem Regional Office, at
telephone no. [phone], as soon as possible, but in no case more than 24 hours
or on the next working day following the occurrence or first knowledge of the
occurrence of any of the following:
a. Any process unit failure, due to known or unknown reasons, that render the
facility incapable of adequate wastewater treatment such as mechanical or
electrical failures of pumps, aerators, compressors, et.
b. Any failure of a pumping station, sewer line, etc. resulting in a by-pass
directly to receiving waters without treatment of all or any portion of the
influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report
in letter form within 15 days following first knowledge of the occurrence.
This report must outline the actions taken or proposed to be taken to ensure
that the problem does not recur.
21. Upon completion of construction and prior to operation of the subject pump and haul
activities, a certification must be received from a professional engineer certifying that
the permitted facilities have been installed in accordance with this permit, the
approved plans and specifications. Mail the certification to the Permits and
Engineering Unit, P.O. Box 27687, Raleigh, NC 27611-7687.
22. The annual administering and compliance fee must be paid by the Permittee within
thirty (30) days after being billed by the Division. Failure to pay the fee accordingly
may cause the Division to initiate action to revoke this permit as specified by 15
NCAC 2H, 0205(c)(4).
RTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
A. Preston 114wafd, J
By Authority ofit ental Management Commission
Permit No. WQ0010816

Permit No. WQ0010816
October 2, 1995
Engineer's Certification
I , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodically, weekly, full time)
the construction
of the project
Project Name Location
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the construction such that the construction was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Signature
Date
Registration No.