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.• State of. North Carolina
G�epartment of Enviranment,
He.alih and Natural Resources 4�•
': Divi�iori of Water Quality �
,lames B. Hunt, Jr., Governor p E H N F�
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
N�vember l3, 1997
Mr. Joseph Gilt?ert Stovall
PO Box 1157 '
Ro�boro, North Carolina ?7573
Subject: Pcrmit Issvance
Authorization to Gonswct
Gcncr:il Permit NCGSSOU00
Cert. 4f Coverage NCG550939
Stovall Residence
Person County
Dear N1r. Srovall:
In acc�rdance with your applieation for an NPDFS discharge permit received September 18, 1997
by the Division, we are herewith fo�rwarding the subject Certificate of Covera�e under thc statc-NPDES
general pernut for Mr. Joscph Crilbert Stovall. Authorizatio�z is k�ereby granted for the construction of a
24U GPD wastewater treatment system consisting of a 1000 gallon sepcic tank, primary distribution box,
210 square foot (6'X 3_5') primary sandfilter, with a loading rate of not more than 1.15 GPD/squarc foot,
secondary clistributiun box, 108 square foot (6'X 18') secondary sandfilter with a loading rate of not more
tlian 2.30 GPI�/square faat, chlonnator, chlorine contact chanibcr and rip rap aeration with a discharge of
treated wastewater int4 Lake Hyco clas5ified class B waters in the Roanoke River Basin. Up�cr level
infiltration lines in both the primary and secondary filters must be �apped or plug�ed. We recommend the
adjustat�le cap type for all distributian boxes and all elbow p�pang must be of the long sweeping type. This
system must b� at least 10 fcct from thc dwelling, 10 feet from property lines and at least 100 feet from
water supply wells on and off the site. The system must also bc contructcd and located above a 100 year
flood. This Certifcate of Coverage is issued pursuant to the requirements af North Carolina and the U.S
Environmental Protection Agency Memorandum of Agreement dated December d, 1983 and as
subseguently amended.
If an� parts, me�tiurement frequencies or sampling requirements contained in this general permit
are unacceptahle to you, you have the nght to submit an tndividual permit application and letter requesting
coverage under an individual permit. Unless such demand is made, this decision shall be fznal and
binding. Please take nocice this Certificatc of Cuverage is not transferable except after notice to the
Divisian �f Water Qu�lity. Part Ii, E.4. �ddresses the requirements to be followed in case of change of
ownership or control of this discharge.
This Certificate of Coverage shall be subject to revocatian unless the wastewater treatment facilities
are constructed in accordance with the conditions and linutations spccificd in Pemut No. NCG550000.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisanee
conditions, the Pernuttee sh�ll take immediatc corrective action, including those as may bc required by this
Division, such as the constructiun of aiicliuon�l or replacement wastewater treatment or disposal faciliues.
P.O. Box 29535. Ra[eigh. North Carolina 27G?6-0535 Tele_phone 914-733-7015 FAX 919-733-0719
An Ec�ual Opportunity Affirmative Acuon Employer SU�o rec:ycled/ 10�I� pc�st-consumcr paper
• ••. +..•�j.0 vaa���.11 JWVclll
November 13, 1997
�' Thc.Raleigh Regional Office, tele�hane number 919/571-4700, shall be notified at least forty-eight
�. .(�8) hours in advance of aperation of the installed facilities so that an in-place inspection can be made.
.• Such notificati�n to the regional supervisor stiall bc madc during the normal office hours from 8:Q0 a.m.
unti15:00 p.m. on Monday through Friday, excluding State Holidays.
U�on campletion of canstruction anci prior to operation of this permitted facility, a ccrtification
must be received certifying that the �ermitted facility has been installed in accordance with tk�e NPDES
Permit, the Certificate of Coverage, this Authorization to Constnict and the approved plans and
specifications. MaiI the Ccrtification to the Stormwater and General Permits Unit, P.O. $ox 29535,
Raleibh, NC �7b26-0535.
A eopy of th� appr�ved plans and specilications shall be maintained on file by the Pexznittee for the
life pf the faeiliey.
The sand media of the sandfilters must comply with the Division's sand tipecific�tions. The
engineer's c�rtification will 1ie evidence that this certification has been met.
A Icakage test shall be performed on the septic tank az�d dosing tank to insure that any ex�ltzation
occurs �t a rate which does not exceed twenty (20) gallons per nvcnty-four (24) hour per 1,000 gallons of
tank eapacity. The engineer's cerkiFcation will serve as �roof af compliance with this eondition.
Failur� to abide by the reyuirements contained in this Authorization to Construct may �ubject the
Permittee to an enforeement action by the Division of Water Quality in accordance with North Carolina
General Statute 143-215.6A to 143-215.6C.
The issuance of this permit does not preclude the �ermittee fram complying with any and all
statutes, rul�s, regulations, or ordinances which inay bc required by the Division ot Water Quality or
perrtuts required hy the Division of Land Resources, the Coastal Area Management Act or any Federal,
Local or other governmental perniit that may be required.
If you have any questions or need adciitional information, p1ea.Se contact Mack Wiggins, telephone
num�l�er 919/733-5083, extension 542.
�'�: Central Files
Raleig� Regional Office, Water Quality
Point Source Compliance Enforcement Unit
Stormwater and General Permits Unit
Person County ITealth Dept.
Sinccrcly,
%���' ���
A. Preston Howard, Jr., P.E.
' � STATE Q� NORTH CAROLINA,
�. ,` ,� DEPARTMENT OF ENVIRONMEN'�', �IEALTH, AND NATURAL RESOURCES
•� • � DIVIS�QN O�' ENVIRONMENTAL MANAGEMENT
�ERT_IFI_CATE dF COV�E
GENERAL 1�ERMIT N�. NCG550939
TO DiSCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY R�SIDENCES AND OTHER
DISCHAFZG�S WTTH SIMILAR CHARAC'I�RISTICS UNpER THE
,LYATIONAL POLLUTANT IaISCHARGE ELIMINATION SYSTEM
ln com�liance with the pruvision of North Carolina General Statutc 143•215.1, other lawful standards and
re�ulaU�ns promulgated and adopted by thc North Carc�lin� Envir4nmentsl Management Commission, and the
Federal W:�t�r Pullutic�n C�ntrql Act, as a�nended,
Mr. Joseph Gilbcrt Stc,vall
is hereby authorized to operata a waste�vater treatment facility that consists of a septic tank, primary distribution
h�x, primary sandfilter, sec�ndsry distribution box, secondary sandfilter, chlorinator, chlorine contact chamber, rip
rap aeration and associatcd appurtenances �vith the dischargc of treated wa��tewater from a facility ]ocated at the
Stovall �t.esidence
on Rov carver Road
north �f Concord
Person County
tu receiving waters designated as Lake Hyco in the Roanoke River Basin
in accordancc with thc cffluent limitations, monitoring requirements, and �ther conditians set fc►rth in Parts I, II, III
and N hcrcuf.
This cercificate uf coveragc sh�ll become effective Nor•embc;r 13, 1997
Tlus Ccrtificatc of Coverage shall rem�in in cffect for the du�ation of the Gcncral Permit.
Si�ned this �lay Novembe� 13, 1997
A. Prestun Howsrd, Jr., P.E.. Director
Division of Watcr Quality
By Audiority of thc Environme.ntal Managcmcnt Commission
ROAD CLASSIFICATION
PRIMARY HIGHWAY LIG1R•DUTY R0+4D. NAAO OR
HARD SURFACE - IMPROVED SURFACE
SECONDARY HIGHIYAY
NARD SURFACE � UN�MPROVED RO1lD = � -
Latitude �6°29'38"
Map # �22NE
, Stream Class B
Longitude 79°�3'S7"
Sub-basin 03-02-p5
Discharge Codes 04
Receiving Stream �.akeHycv
Design Q 240� permit expires 07/ 31 / 02
SCALE 1:2a 000
1
..•N2'09�3i9'�if4�MM YwMw�l►.Mr�r
•w+1M�rN W�M��. - 1YwM�Y1T+YN�Y - �`y.�
� 111
•f.w��dYMrTM-.YY�..�-,w �.n�w, -��
� •
,�„�.., �.��,�..._��
CONTOUR INTERVAL 10 FEET
QUAD I.00ATION
.
Joseph Gilber Stova�l Residence
: NCGS50939
, Person County
lU/09/98 q9:2fi
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Duane f�. Stewort
• 6 ASSOCIATES, INC.
�ONSULi1NG
FH GINEERS
Civt1 • Snni�ory
Environrnen�ol
Plannin9 ' pesign
Survey
3715 Univcrsity Drivo
Durham, f�C 2T7DT
i419) 440-2999
fax R419� d4D1i165
r�lg 91� 490 G165
DB STGF7ART/TRIANCLE SURV
�
Permit No: NCG55a83� �
Permit Name: Gil Siovalt
Wasfewaier Trea[ment Facl(Jty
, Person County
► ► : :l • �
-
1, Duane K S`tewart, as a duly regisfered Prafessiona! Engineer in fhe
Sfate ofNorth Camlina, having been aufhorized to observe:
�pereodicafJy ❑we�kly ❑fr�tl fime
fhe construcfron af the project, at the Roy Carver Rd, sife, for fha
Permiifee, hereby sfate fhaf to ihe besi oimy a6ilitiss, due care and
drligence was used in the observation �f the consfrucfiorr such fhaf the
consfructian was observed fo be built wifhin substantial compJiance and
intent ot fhe app plarts and gci� tions.
SignafUre: Registrafion Na. 5957
Duane K. Stewart, P.E. �
Date: 71��/g8
cc: Gi! Stovall
f�jooz
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B 2105
PERSON COUNTY HEALTH DEI'ARTMENT
VVELL AND SEWAGE SITE, LOCATION IMPROVEMEN'T' PERMIT
.
d
Not for wastc water system construction. No permit(s) for Construction Location or
Relocation Activity shall be issued until Authorization for waste water system construction
has been issi�ed.
Tax Map # �C o� � Parcel # �
Zoning Township `
Owner/Contractor ' � Dat - - 9°7
Location/Address (Y�G � e��S Yl'1 � 1 I .� � 1.- 5 hn � 1� r' . � i- �O U
C'�f �e.�` 2� �c�� cz� ��Di o c-� L��A.f��ccL►5��. S.R.#
Subdivision Name Lot#
SEWAGE SYSTEM SPECIFICATIONS
Repair Lot Area j��j%AC- Size of Tank ��/V� �;1+-�.,r�5�,, s�- M
SFD �/ Mobile Home Size ot Pump Tank ��`m� -►-+�d �(�1,t
Business # of Bedrooms q Nitrification Line �E� ��r,�-1; �- �
�j ���� I Max Depth Trenches N_�'-,-�5Z�9 ��
Permits may be voided if site is altered or intended use
Well and Septic Layout by ,�P� n�i �
Comments:
Date � Installed by� v j-�e,u� ; 5 Approved
Well Permit Paid �� WELL SYSTEM SPECIFICATIONS
Individual ✓Semi-Public Required Slab �
Public Replacement Air Vent � _
Site Approved �/ Required Well Lo� f/
Well Head Approved _� _ Well Tag �
Grouting Approved _
Comments:
Date 1 a/ �j / q� Installed by
Approved
This report is based in part on information provided the noineowner or his/her
representative in the application submitted for this permit. The environmental
health specialist is not responsible for false or misleading information
contained in the application. The environmental health specialist is also not
responsible for concealed conditions on the property or for statements in this
report that may have resulted from false or misleading statements provided to
him in the application. Neither �'erson County nor the environmental health
specialist warrants that tne septic tank system will conti�ue to function
satisfactorily in the future or that the water supply will remain potable.
c:\amipro\permit.sam 01/9S rev.1.1
���
� IG S�,wt
. , �
. , .
AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION -
(Void sixty (60) months from date of issuance)
DATE: �/—I'7— � �J IMI'ROVEMENT PERMIT #: �I
TAX MAP #: ; PARCEL #: o� I
OWNER/OWNER'S REPRESENTATIVE: ; � 5� VQ( �
LOCATION/ADDRESS:
m� ��-he�e `s 11/1; l;` �1 ��� S�uc��c ��
� � ,,
� ,L ('� 1(1
SUBDIVISION NAME: LOT #:
SECTION ORBLOCK:
. AUTHORIZATION FOR CONSTRUCTION ISSUED BY:
L1VLL1Vi\L[+C111V1`( t.Vl`lLL11V1`(a�
a
1. The Wastewater system construction and installation must meet aIl of the condiiions of the
attached site plan and specifications as set forth in Improvements Pernut #�la The
` _ construction and installation must also meet alI applicable rutes and laws.
2. No portion of the Wastewater system shall be covered� or placed into use until inspected and
approved by the Person County Health Department. �
3. Any alterations in site or soil conditions (inciuding stnicture Iocations) or modification in use;
design wastewater flow, or wastewater charactedstics as specifced in the associated improvemen
� permit and application, may void this authorizaiion and associated permits.
4. Conditions: l
Person Requesting: �fJ1� � 1 � ��.� • _
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�ANIE C. CLAYTON
D.B. 232, P. 656
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