WQ0021275_Final Permit_20020426

k � W r4 Michael F. Easley, Governor
�p G William G. Ross Jr-, Secretary
rNorth Carolina Department of Environment and Natural Resources
-? Gregory J. Thorpe, Pb.D.
�] `C Acting Director
Division of Water Quality
April 26, 2002
Mr. Jake Farmer, General Manager
Hardee's of Walkertown
3002 Old Hollow Road
Walkertown, NC 27051
SUBJECT: Pump and Haul Permit No. WQ0021275
Hardee's Food Systems, Inc.
d/b/a Hardee's of Walkertown
Forsyth County
Dear Mr. Farmer:
1T r a LIT'; c:.'-C'TV-'
MAY 1 2002 1 �
Cry-DSCHARCI PER1L I-NNIu ;
In accordance with your application received, April 22, 2002, we are forwarding herewith
Permit No. WQ0021275, to Hardee's of Walkertown for the operation of a pump and haul
disposal system.
This permit shall be effective from the date of issuance until October 29, 2002, 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 Mr. Steve
Mauney or me at 336/771-4600.
Sincerely,
MAY 1 4 2N?
Larry D, Coble
WATER QUAL4TY SF �fwn# Regional Supervisor
iron -Discharge Compnae
cc: Ms Ramona O'Bryant, Smith Helms Mulliss & Moore
A
NCDENFRt
Customer Service
1 800 858-0368
Non -Discharge Permitting Unit,,
Central Files
Forsyth County Health Department - Attn: Charles Kahill
WSRO
Division of Water Quality / Water Quality Section
585 Waughtown Street Winston-Salem, NC 27107
tir T�F {tP.ai_i7Yrr_`—T .
w� AGE FERN, „T

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
C..-10- 6111
1010_I M►0"X 11111
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
HARDEE'S FOOD SYSTEMS, INC.
D/B/A HARDEE'S OF WALKERTOWN
FORSYTH COUNTY
C1C431110 1hl
operation of a domestic wastewater pump and haul system to serve the Hardee's of Walkertown
with no discharge of wastes to the surface waters, pursuant to the application received April 22,
2002, and in conformity with the project plan, specifications, and other supporting data
subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
This permit shall be effective from the date of issuance until October 29, 2002, 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 Water Quality 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 Hardee's of Walkertown shall be
included in the pump and haul activities.
6. The permit shall become voidable unless the agreement between Hardee's of Walkertown,
Transou's Forsyth Septic Tank Service and The City of Winston-Salem 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 Archie ElIedge
Wastewater Treatment Plant prior to being discharged into the receiving stream.
10. The Winston-Salem Regional Office, telephone no. [phone] shall be notified at
least forty-eight (48) hours in advance of operation of the pump and haul activities so that
an in -place inspection can be made. Such notification to the regional supervisor shall be
made during the normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through
Friday, excluding State Holidays.
11. The Permittee is liable for any damages caused by a spill or failure of the pump and haul
operations.
12. Adequate inspection, maintenance and cleaning shall be provided by the Permittee to
insure proper operation of the subject facilities.
13. 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 Water Quality or other permitting
authority.
14. Any duly authorized officer, employee, or representative of the Division of Water Quality
may, upon presentation of credentials, enter and inspect any property, premises or place

on or related to the pump and haul 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.
15. 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.
16. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division of Water Quality in accordance with
North Carolina General Statute 143-215.6.
17. 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.
18. The Permittee shall provide for the installation and maintenance of an audible and visual
highwater alarm.
19. A leakage test shall be performed on the septic tank and dosing tank to insure that any
exfiltration occurs at a rate which does not exceWd 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.
20. A copy of the approved plans and specifications shall be maintained on file by the
Permittee for the life of the project_
21. 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
_.,, Df the follo�,w i�:

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.
22. The annual administering and compliance fee must be paid by the Perrnittee 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).
Permit issued this the 261h day of April, 2002.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
J
Larry(D. Coble
Winston-Salem Regional Supervisor
By Authority of the Environmental Management Commission
Permit No. WQ0021275

SMITH MOORS LLP
ATTORNEYS AT LAW
direct: 336-378-5237
fax: [phone]
Mona. o'b.tvant@s rnithrnoorelaw.com
April 19, 2002
DELIVERY BY HAND
Mr. Steve Mauney
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
Re: Hardee's of Walkertown
Dear Steve:
PO Box 21927 (27420)
300 N. Greene St., Suite 1400
Greensboro, NC 27401
[phone]
Enclosed is the new pump and haul permit application for Hardee's of Walkertown. We
have talked with the City of Walkertown and they remain on schedule to have the restaurant
connected to the municipal sewer system by the end of the year. Please call me if you have
questions or need additional information.
Thank you for your assistance and prompt consideration of this application. With best
regards, I am
Very truly yours,
SMITH MOORE LLP
Ramona Cunningham O'Bryant
cc: Mr. Mike Bullock
ATLANTA • GREENSBORO • RALEIGH
WWW,SMITHMOORELAW.COM

rnq ❑ r� r,
Wil
State of North Carolina`''_
Department of Environment, Health, and tiatur3I Resources
Div`sion oC 'nvi-onn enLil !Y[a-.age^:cnr
"or: -Disc =—c Pe.R:.ic AapZiratior,
{T741S rOR.W NLA: 3E PH0i 000PIED FOR --'SEAE.4jv 0RIGLVAL)
PUMP AND 14AUL DISP05:kL SYSTEM
I. GENERAL INFORMATIO --
? _ ApGlizant (corporation, indi-,-& ,l, or ocher): Hardee's road Systems, Inc.
d/b/a Hardee's of Walkertown
2. P-i:it Owners or Signing Official's Name and Tit,-c (the person who :s Icgl::y
rGs~.OrxSi lle for the f ci}1rV and itS Cor,.plz,Ce): ,7a,ce Farmer, General manager,
Hardee's of Walkertown
N[a! ;:--- Address: 3002 Old Hollow Road
[' r�7 Walkertown NC Zip; 27051
Tele,.;hone tio.: ( 336 ) 595-3679
` P:Ojzc. Na-ie (SU�t?C':'�JSi0T1, facility, or escablis-.-nez-, aazre s;:ould be Consiswnt with
projecZ ram-- On p SlspCCS., ,G....:5 of low a......- E3 r-C.., Qpc.-aMoc« Agr C.......:l:5, G;c.):
Hardee's oaf Walkertown
5. Applic2Con Date: October 23, 2001 6. F.ee 51rbrzi[ted: 675. 00
7. Counry where p;ojr:-L iS IoCatQ.,u: Forsyth County
S. La^rude: ?loth 36010, 7 West 8009' of fac:iity Dina Pumped
II. PERMIT INFORNIATION:
I. Permit No. (will be completed by DEM):
2. If Lhis a:,p!ie"ior, is bzi ig subrnitted as a resuIr of a mod;-:ca,ior, to an existing
pelist the existin; per,:zit number N/A and issue date
3, Spccifv whether the applican.- is public or x private.
FORA: PHDS 4/9I Page 1 of E

PT,-tP AND NA L D:SPGS,kL
iII. UNFORMATID ON WAS-I-F,VATFR:
.... . ��wj.'�.. ��..E+':%W � �;^v 4:� :'+JQ •?.%':i..'7 d�S.:.:1 C.ii 5�u�..�Yii.'S �i:L' v::� :: Cis ',.,'�� '+.fJ.Siv•z'3iu:,
as scac+,-iI, Si�T..`'(.;.:•1 :�.wi.i.. l�Qs .a � , 4. a:�:.._w�4.�.'. .:�C.'.Ss.i..�.+'. �'�i ."..,"--.. _...:i LS, ,........
?Uol.... Resvawra: ..
3_ t :3 nOC ...
:O Cnsu":'_ S=,CCCziorl C'C ; "'.0
NA
V010.__..'J; w.1.S:,.')/'1:^_ tc � Flu-'pC: �' "-'auled: v^ nC pp �z.
� • ..1. 4. .�. � y ' � J`.r. LLB i
5. v^;.._a. '; I, Ci,=J, P 'rr C'.{ Banc volume
IV. TRE..TMENT FACILITY INFORMATION`
.. Na.:l Of _a:. 7-ii,::v '(:: ;✓aszv Ya:Z.. Archie E _ledge !,5gTp
C,)r ac: -�c-T-zn a and nc: Franc Crump ,
336/ 765-0165 ; or ;"e"•" ' 3aaaell, 336/765-0130
`. ACC=-,'r •�,• �. �.: � �:.WC:I:I :W 'CC-.:, Forsyth County
. 15 MAs
V. OTHER I. FOR`rIATIO-N:
i- Biti., _ m�'j.. E.' :s •p~Girl' The _`es ayrant nee..s tc pump and haul wastewater
unto.'_ municipal service is available.
SxXn; ''_Qn of why a Pump &- haul ie.:.: s "..`Q—.g --VtZ. (0Nt if an
The existing septic system is faring.
3. S-„ryCl: !aQ'rV long haul p-•. he i1eeAd ts%3:: no( cxcc:f�d 6 m- onchs): %r oC1dis
4. ,I har Will: be Cite pc=, , anon i r:.c nod o� un ewa= Wposal one
ackvidn have CC3S ? Torn of Wal'.{ertown municipal system
5. Da.t &,a: permanent disposal ra,cbod YK be avaLab[e. last quarter - 2002
2
4r6

Fy�T -�tiNT. N A, :L DISPOSAL
PAGE- 3 of b (419i)
6. Have .`or pe—......rcm disDCS3j
Pe,..,., '_`%c. Pe.. —"..-zing Agc7xy
X N'0, P.C.^di,lQ ?.`........ No. �C.. .cf Agency -'own of Walkertown
. Dcsc-ibe ha ,v tht w s:..',x:.CC` Wii:. bC r in5_v+...C,� (Mick, ^za-, G:C") -orov;de the
of :.ZC vC.'--:C.0 "^Ov"id ,^.a ::.e �Ezi"1a' The wastewater w;.11
be transoor_ed by truck, zyDically hauling 2000 gallons.
Ci:v; clA^lmons
TW:e011cr.e No.:
TraL150us "Gr S 1th Se'_'o t_.. Td:1K Service
a
o. Box 1443
S ta=
2s6!'b�-'_lel
Nc
Z:O "
27ti12
concrete septic tank and pump statwon,
eacl aooroximately 2000 gallons
. _. 'Was ��C .: aY� O: Cow- _. -r?L� _. : ;act of X ..�_S:Zj ; 7C' ::.'Se aC v�OCS?
Alread in ~lace
TH. S APPLIC .IOC A PACKGE WILL NOT BE ACCEPTED $ ' THE
DIVISION Or ?VIA_' AC_7EM NT UNFLESS ALL OF
THE. APPL.ICAB7 r IT EMS ARE D�CLLDED W74TH THE SL-BVI=AL
RegU.r'e I.er^w
ind .moo CCpics of w: ietw: 2 .� 4prrow a:4':: exe, :. a; ^14Cad0r `oz—
b. i;uW SW:s Or Beta._., _;;fans 2nd s^eo; ;ca:.ons sizgned and sta__-4. Dy a Nor�Z C�cl- la
P-o cssior,a _^� : e�~. a.. iar 4 -�� 1n z� at_
.s,�s�e i..�� s .�_Ls, ,�c. do a ��.,_. _ rocarion =...p, a p14-t
v_C'a C' 's^: Szo''�^ to p__3C �C:?_ �5 S,iCw::,� u G tli it
w'a-t. az4.'�:S (P:Cv:4C e, , auti�it an y_St1? ar a:. az.,, C.:a.,t . rac shzz, of tht : IW.ns _nC
ti;e .ems: pate o` t h t spcc—pc rr.us: be sip„c:: a;-. d sca ,.
C. Tnc a�prop a:_ x. rxcssia� Fet, in acco:-^�-cc w; � 15a ?tiCnC ?::.��'n;
d. f: I=c.- ..,:`S; prov: ec ForLhlaP Ou.', i�ZL..`,rJT'i�<' of .:.0 was;c",.:.�.:... vL2�:1C1'_ i2G1�1
W'ascew aC . wi;! s a� i°^.CP� ?�G�' si_7ew"r.rc- �-se voiC:ruC that W' �.ccpcCd.
�-iiI t5e 3"
TncIe:.b: 5`,e .:G be G i?a ... Ie 'zands:zoL;d re;C' to :ic rqi=. b-V the Sa'7c ;13;a1e as Lhai
idt.ni ic. On Clc pia. &!s ecifica^Gr.s.
e. A copy of t^c conCrac: 0- a�- ee aen: bc:ween w .twat- � e' applicant a
t�SC zs' ..`a�,t.i ,ant the 4P. licant and
ma;; i.tip c ha -.;I :ours.
;. T'nc zPvl ca,.on Packaec Ya should be sear; to the a roc-:a-.,cglo;,3i o.°;lcc, accor-din� = � to the
""
a" the' iist:n� on u ale 4,w1hic : pro, i—, Cflc r^;ion. msponsibijzt;' by county. If lhcre alc
ar QuCSClo,^.s con:ac, the aooroDmate r:_iQIna° office
*There is no aend?ng permit number. The Town of inalkertown will expand its
sewer service to the restaurant during 2002.

DrVISION OF EiN"VIRONME"47AL MANAGEMENT REGIONAL OFFICES (4/91)
u.` cvlic Regional WQ SUPCr.
Washing= Regional WQ Super.
Raleigh Regional WQ Supc.-,
59 Wood_rtn '?',are
P G Box 1507
3800 Bair-tt Dr- Suim 101
Ashavilla, NC 23302
Washinglon,'14C
27889
Raleigh. NC 27609
70-=r Z-c 1-68
9 i 919a6-648
:
a 19i 133-'2314
Ave Macon
3e3ufcst.
Jones
Coat wn :dash
Bi:: c.^t^be Madison
3e'4e
L-.noir
Dulm= Noruiampccn
B --�= MCDoweil
C nde-n
Martin
;=:y:oombc C=ge
Caldwell K=heil
Chowan
Pa.mizcn
lzmmklin Person
C` eic Polk
Cravat
Pas:luotank
Granville Vane:
Clay Rttµ"e'tcrd
Cumrick
P=quuT=S
pialitn: l Wak-
Graf ;.~s Swain
DWI—
Fitt
Johns= Warms
.av-,i ood T-ansylvar :a
Gases
y ll
L W; Lson
riea .•scn Yanc-I
Gree-ne
Washington
IaCSz-R
Fcucrd
w3ym
Hyd--
Favet-.vile Regicnal WQ Super.
Wacl ovia 3uiiding. Suitc'714
a ayta--y . NC 2.8301
9191=gf�-;5 t1
A-Iso n
Moore
Biadc:z
Robeson
Cur:''=-L,rd
Richmand
?-I- c.
Sampson
Hbk::
Scodand
W_ .S� •,-$a_? 1, N.C. 7- i.0
77---4900
A!=-irre Rocidngharn
AileZh—=v R=dolph
Ashc
Stokcs
Ca_sw=i 1
S urry
David_zm
Wa=uga
Dayi�.
wukts
Forsv;-�
Yaddn
GuiFord
{cv.es ille Rtgicral WQ Super
9 F 9 ,'forth M-aIrl S—="
Mocresvillc, NC 281 15
104/663.1639
Alm
C;Oam. S
Catawba
Gann
Ti-dca
T incoin
Mecklenburg
Rowan
S ="ll ,v
Union
C'icVcand
4of6
Wilmington Region, WQ Supc..
[27 C;zdina Drive Extension
Wilmington, NC 2SU05-=8-5
9 :9f3-395-39C4
$i. Sx C3C New P=o`/er
Ct Gnslow
Columbus :°mod`:.
Dupiin

PUMP AND HAUL DISMAL
PAGE S w91)
9nxtza told 04MFlctc Add'essof ]5 ipwting F-um:
City: Q-Adl. State. N C — - - ZIp=
-
T�
Pentageionol iEingifter't Cartitic2tiant
F f� ,arrant tha! z is apglica�an fob
` has been ravritwad by me and is =uratp
=d cc= o bew of my intaw fiathcr attast that to the bcsi of my krsow1c4a dha
ptvpwc?Rrfil
has �+ prcpued In act wiTh the �licable myulahons- hlthotio or uin
rabc ittal pacimp may have been dcyeloped by other professianals. inclusion off'
ttsalt Under my sipa=ts acid ocaI signif3ss thit # ha-ot reviewctf this mAtwial and have
ju�gCd iz 0 be conwL=Tir wit diz propow4 d7jip.
o„h CaroiizsaAufcsszt7nal Ega^t=cx's RctzatYott ova, 1 p 2
see and Signax= ( 'l lose)'
101M
this
Applkant's �Cortifscatlon; ao
A tst that this spplicar�r
fEFt`_ CS hIG r i
been reviewed by me 3s:ti is acc:uratc and complete to the best of My knowlcdgt- 1 undtxstLid
thae it aILl rejtired par a cf this applaca-dori art nm comple:rd aad t u if'41 nquised $Upperr-dn9
iaf==doa $nd atzacbxrears a_, not included, this applica;ic-t packagz wili be returned as
iacacaplzm•
Signatum _,_-&-:�' - _
i
5 of 6

CHECK DATE SMITH MOORE LLP CHECK NO. 20455
! 64-19-02 ATTORNEYS AT LAW
P.O. BOX 21S 7 s3 s3
Bank of America GREENSBORO, NORTH CAR01JNA 27420
Greensboro, NC
CHECK AMOUNT
SIX HUNDRED SEVENTY-FIVE AND DOfiDo DOLLARS fi%rJ,OD
SlUTH MOORE LLP
I
' I
- i
PAY NC Department of Environment
TO THE & Natural Resources I
ORDER OF Envision of Water Quaiity
TWO SIGNATURES i�QI3IRE FORT OUNTS OVER S70,000
11 2D4SS01 1:0530OD *9�=c, D00=69D99D? 2nw

oENR-Om —
11/7/97
CHECK
NO.
PAYORIVENDOR
NAME
AMOUNT
DESCRIPTION
m DETAIL TOTAL DEBITS
$ DETAIL TOTAL CREDITS
Back of Cash Rece�pts Journal Voucher with Summary
Form Name: Cash Receipts Journal Voucher with Sunnmnary
USE PINK PAPER

DENR.0C3
1117197
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
CASH RECEIPTS JOURNAL VOUCHER WITH SUMMARY
DOCUMENT ID: 1 1 6
APP. CODE: m y
DIVISION _w0L_ty �U O_J l �y
Deposit Date
GL EFFECTIVE DATE:
DATA TYPE CODE:
■ 'MMEMEMOON
momm
mommmomm
mom
MEMO
Page 3of 3
Budget Code:
Deposit No.: f 3 a 6
SUMMARY
OFFICEOR LINE cL
Do
USECflMPAhlY ACCOUNT CENTER AMOUNT 11 CR DESCRIPTION Rule
O o=01q s i # } 16'7 5;1) v
1 1 s1,511 a3='# i
2
1 s'
r
� E
3
1 6'
F' I !!
t l {
It
4
1 6':
' !
i
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5
1 6} I
I
7
1fi?
10
1 j fi
� i
t
11
161
12
i
1 6LJ
L13
Justification:
Prepared by: Approved by:
Entered by
Date:
DETAIL CHECK LIST IS ON BACK OF FORM FOR -LISTING CHECKS INDIVIDUALLY
TOTAL DEBITS
TOTAL CREDITS
5
I
i 619-5
6`
CASHSUMM.XL`
UK PAPER