NCG551767_More Information (Received)_20200424

BROOKS
R CEIVED
APR 2 4 2020
ENGINEERING ASSOCIATES
17 Arlington Street%Asheville NC 28801/www.brooksea.com 1 828-232-4700
N DEQ/DWRINPDES
Letter of Transmittal
To: From: Date:
NCDEQ Mark C. Brooks. P.E. 4,4'20/20
Division of Water Quality
Water Quality Permitting Section cc: (need telephone no. if Fedex, no P.O. Box)
1617 Mail Service Center
Raleigh,NC 27699-1617 James Fletcher
Attn: Sydney Carpenter 729 Sherwood Road
Vilas,NC 28692
(need telephone no. if Fedex, no P.O. Box)
Project Name
Fletcher SFR Discharge Permit
Project No:
499919
® Mail ❑ Deliver ❑ Overnight* ❑ Other
*must use street address&include phone number
Document Description: Date: Copies:
Response to Add Info Letter with Attachments 4/8/20 1
P
Application NCG55 4/20/20 1
Comments:
Sydney—
Please feel free to call with any questions or comments. Thanks.
17 Arlington Street,Asheville, NC 28801 • Phone [phone] • Fax [phone]

ille
%' Planning & Project Management / Civil En ineering
.r., -�- --..—i----- Surveying ? Environmental Engineering & ervices
BROOKS17 Arlington Street Asheville NC 28801
ENGINEERING A S 5 C I AT E 5 www.b rooksea.com 828-232-4700
April 8,2020 �+c ` 'c
NC DENR/DWR/Water Quality Permitting Section EC Gf v GD
1617 Mail Service Center APR 2 4 2020 •
Raleigh,NC 27699-1617
N DEQ/DWR/NPDES
Attention: Sydney Carpenter
Regarding: Response to Additional Information Request
Fletcher Residence SFR NPDES Application-NCG5517 7
Watauga County
BEA Project No. 499919
Dear Mr. Carpenter:
On behalf of Mr. Jim Fletcher, BEA is submitting a response to the Request for Additional
Information dated February 24, 2020. This letter is provided to address each o the EAA
alternatives outlined in the Application for Surface Discharge Certificate of Coverage Under
General Permit NCG5S0000 Coverage(Sections 10 and 11). Enclosed are the revised
application and supporting documentation for answers to items in Section 10 and 11 of the
Application. 1
i
Project Description
The property is 0.75 acre tract a located at 729 Sherwood Road in Watauga County. The three
bedroom single family residence located on the property was originally a garage that has been
updated over time while the owner lived in an RV with a pump and haul system. There is no
existing septic system onsite. An investigation by the Appalachian District H alth Department
was performed in April of 2008. No options were identified as part of the heath department
investigation due to unsuitable soil wetness conditions, soil depths and insufficient space for
septic system and repair area. Additionally a private licensed soil scientist was hired to evaluate
the subject site for feasibility and the site was determined to be unsuitable for both surface and
subsurface land disposal options.
I
Application for COC Section 10
a) Connection to an Existing Wastewater Treatment System: This area of W aauga County is not
served by any public or private sewer systems. Refer to Attachment 1 for a map of the
nearest permitted sewer collection systems per NC OneMaps. The nearest collection
system is over 4 miles away. It would be impossible from a permitting standpoint given
the private property that would have to be crossed and economically infeasible. Refer to
the PVCA provided as Attachment D. 1
b) Land Application: The property was initially assessed by Watauga Co my for a septic
permit in 2008. The site was turned down due to soil wetness condit ons,unsuitable soil
depth and insufficient space. The County evaluation was on the orig nal 2.44 acres that
was the original tract of which the 0.517 acre subject parcel was sub ivided from. So the

r
current adjacent parcels to the east and west were evaluated for a septic s stem and are
part of the permit denial from the County. Refer to the attached Denial litter from
Watauga County. To evaluate other land application alternatives the o er contracted
with a private soil scientist in 2019. The soil scientist evaluated the site sr all land based
disposal alternatives including irrigation. Provided as Attachment B is t e letter report
from the soil scientist. The site's soil condition were deemed unsuitable or permitting
through NC Septic system regulations (15A NCAC 18A .1900, et. sec.) •nd Single
Family Residence Wastewater irrigation System requirements (15A NC' C 02T .0600).
Additionally, Provided as Attachment C is an Exhibit that shows all oft e setback 1
requirements for a single family wastewater irrigation(drip) system per ti e .0600 rules.
As you can see there is no location available meeting the setbacks.
Availability of Land for Sale: Included in this evaluation is also the potential for
availability of additional land. Mr. Fletchers parcel was originally part of a larger 2.44
acre tract which is currently comprised of PINs 1982475912000, 1982477972000, and
1982479910000. The two adjacent parcels are owned by his sisters and the third most
eastern parcel is owned by his brother. These parcels were all included in the original
evaluation by the Watauga County Environmental Health Department which found no
suitable soil conditions.
There are two adjacent parcels that could be accessed for an off-site system (any system
requiring piping parallel in the public ROW would require a public utility to own and
operate the system). The property to the north(PIN 1982486478000) a d to the south
(PIN1982478356000)were evaluated. The property to the north inacce sible due to an
extremely steep and rocky slope adjacent to Sherwood Road. The prop rty to the south is
the Cross Ridge Farm Property. Mr. Fletcher sent a letter to that prope owner
requesting to discuss land for sale and has received no response. The ce ified mail
receipt is proved as Attachment F. However,despite not being a current y available
option, accessing this property for an off-site system is evaluated in the PVCA.
c) Wastewater Reuse: As the subject site is residential, there are no co ercial uses to be
applied to a"beneficial reuse"system. Theoretically the system could a utilized to grow
grass,but the treatment and storage system still have to meet the rules i 02T .0506 as
indicated in NCAC 02U.0700,which has already been demonstrated to not be available.
Refer to the Exhibit provided as Attachment C.
d) Onsite Soil Evaluation: An onsite soil evaluation was conducted by a NC Professional
Soil Scientist. Refer to Attachment B. Limited area due to setback an soils in the
limited area have a shallow high water table.
e) Cost of Alternatives. Provided as Attachment D is a Present Value Co t Analysis
consistent with the "Engineering Alternatives Analysis (EAA) Guidanc Document". The
analysis considers alternatives not found to be technically feasible incl ding purchase of
adjacent property and extending to an existing sewer system. The only option identified
to be technically and economically feasible is the surface discharge.

Application for COC Section 11
a) Stream Classification. The receiving water is a Class C stream. There are no know
restrictions for Vanderpool Creek or this tributary.
b) Is it a High-Quality Water?No.
c) Map. Refer to N-1 provided as Attachment E.
d) Site Evaluation. The site was visited by myself and Kelli Park from the regional NCDEQ
office at different times to investigate the site feasibility. Conditions were discussed on
the phone with Ms. Park. No conditions prohibiting the proposed discharge were
identified.
e) Flow Path. Refer to the enclosed engineering plans. The waters of the US are located on
the applicant's property.
f) 7Q10/3002 Estimate. The 7Q10 report from the USGS is provided as Attachment C.
Approximate Lat/Long of the discharge location would be N 36° 16' 05" W 81°45' 58"
Local Government Review Form
The request for Additional information included a request to submit a Local Governme t Review form
included the EAA Guidance Document. Mr.Fletcher submitted the form to Watauga ounty and has not
received a response. It is my understanding he also forward a copy to you. Provided a Attachment F are
the mail return receipts.
Enclosed with this Cover Letter are an original and two copies of the signed revised application.
The fee check and engineering plans were sent with the original application and comments no
changes have been made as a result of this Additional Information Request. We appreciate your
review of this application. We look forward to working with you on this project.
Sincerely,
Brooks Engineering Associates,P.A.
0/4
Mark C. Brooks,P.E.
Enclosed: Revised Application NCG55-2018
Attachments: A—Documentation from Appalachian Health District
B—Letter by Licensed Soil Scientist
C—Exhibit A—Site Map depicting surface drip irrigation set Hacks
D—Present Value Cost Analysis
E-7Q10 documentation
F—Return Mail Receipts
G-N-1.Map of closest permitted sewer systems per NC OneiMaps and receiving
stream.

ATTACHMENT A
County Denial Letter

•
APPALACHIAN DISTRICT HEALTH DEPARTMENT
Request for Refund Form
Date of Request: April 24,2008
List name and address of refund recipient below:
James Fletcher
611 Norman Road
Boone,NC 28607
Provide a short explanation for the reason of refund below:
This property was found to be UNSUITABLE by Aaron Winters. Please refund the
following.
PERMIT# 9515889
RECEIPT#
Subdivision & Lot#: 2.44 ac
Amount to be refunded: $125.00
Program to be charged: Environmental Health
Required Signatures:
q g
/g6C- t/7-2 WIC/ • '------ 4)/CP
Employee Making Request Date Immediate Supervisor Date
1

- � I
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=` pis*Rim APPALACHIAN DISTRICT HEALTH DEPARTMENT
t. • DISTRICT OFFICE I26 Poplar Grove Connector,Bonne,NC 28607 Daniel Staley,\IS
M�x3 P
Tele hone 828-264-4995 Fax [phone] Director
- t
� � s s Ken Richardson
-• < ; ` OS Public Health:Protecting and improving your health throughout life. Chairman Board of Health
Date: 04/14/08
.10010
Re: Application for improvement permit for James Fletcher
Tax pin number: 1982-47-6893-000
Health Department file No.9515889
Dear Mr. James Fletcher
The Appalachian District Health Department, Environmental Health Division on
January 14, 2008 evaluated the above-referenced property at the site designated on the
plat/site plan that accompanied your improvement permit application. According to your
application the site is to serve a one bedroom residence with a design wastewater flow of •
240 gallons per day. The evaluation was done in accordance with the laws and rules
governing wastewater systems in North Carolina General Statute 130A-333 including
related statutes and Title 15A, Subchapter 18A, of the North Carolina Administrative
Code, Rule. 1900 and related rules.
Based on the criteria set out in Title 15A, Subchapter 18A,*of the North Carolina
Administrative Code, Rules .1940 through .1948, the evaluation indicated that the site is
UNSUITABLE for a ground absorption sewage system. Therefore, your request for an
improvement permit is DENIED. A copy of the site evaluation is enclosed. The site is
unsuitable based on the following:
Unsuitable soil topography and/or landscape position (Rule .1940)
Unsuitable soil characteristics (structure or clay mineralogy)(Rule .1941)
X Unsuitable soil wetness condition (Rule .1942)
X Unsuitable soil depth (Rule .1943)
Presence of restrictive horizon (Rule .1944)
X Insufficient space for septic system and repair area(Rule .1945)
Unsuitable for meeting required setbacks (Rule .1950)
Other(Rule .1946)
These severe soil or site limitations could cause premature system failure, leading to
the discharge of untreated sewage on the ground surface, into surface waters, directly to
ground water or inside your structure.
The site evaluation included consideration of possible site modifications, and
modified, innovative or alternative systems. However, the Health Department has
BUSINESS OITICE ALLEGHANY CO.HEALTH DEPT. ASHE CO.HEALTH DEPT \W\TAUGA CO.HEALTH DEPT.
PO Box 309 157 Health Services Road PO BM 208 126 Poplar Grove Connector
Sputa,NC 28675 Sparta.NC 28675 Jefferson,NC 28640 Boone,NC 28607
336-372-8813 336-372-5641 336-246-9449 828-264-6635
336-372-7793 Fax [phone] Fax [phone] Fax [phone] Fax

determined that none of the above options will overcome the severe conditions on this site.
A possible option might be a system designed to dispose of sewage to another area of
suitable soil or off-site to additional property.
For the reasons set out above, the property is currently classified UNSUITABLE,
and no improvement permit shall be issued for this site in accordance with Rule .1948(c).
However, the site classified as UNSUITABLE may be classified as
PROVISIONALLY SUITABLE if written documentation is provided that meets the
requirements of Rule .1948(d). A copy of this rule is enclosed. You may hire a consultant
to assist you if you wish to try to develop a plan under which your site could be reclassified
as PROVISIONALLY SUITABLE.
You have a right to an informal review of this decision. You may request an
informal review by the soil scientist or environmental health supervisor at the local health
department. You may also request an informal review by the N.C. Department of
Environment and Natural Resources regional soil specialist. A request for informal review
must be made in writing to the local health department.
You also have a right to a formal appeal of this decision. To pursue a formal appeal,
you must file a petition for a contested case hearing with the Office of Administrative
Hearings, 6714 Mail Center, Raleigh, N.C. 27699-6714. To get a copy of a petition form,
you may write the Office of Administrative Hearings or call the office at [phone] or
from the OAH web site at www.oah.state.nc.us/form.htrn . The petition for a contested case
hearing must be filed in accordance with the provision of North Carolina General Statutes
130A-24 and 150B-23 and all other applicable provisions of Chapter 150B. N.C. General
Statute 130A-335 (g) provides that your hearing would be held in the county where your
property is located.
Please note: If you wish to pursue a formal appeal, you must file the petition form
with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS
LETTER. The date of this letter is April 14, 2008. Meeting the 30 day deadline is critical
to your right to a formal appeal. Beginning a formal appeal within 30 days will not interfere
with any informal review that you might request. Do not wait for the outcome of any
informal review if you wish to file a formal appeal.
If you file a petition for a contested case hearing with the Office of Administrative
Hearings, you are required by law (N.C. General Statute 150B-23) to send a copy of your
petition to the North Carolina Department of Environment and Natural Resources. Send the
copy to: Office of General Counsel, N.C. Department of Environment and Natural
Resources, 1601 Mail Service Center, Raleigh, N.C. 27699-1601. Do NOT send the copy
of the petition to your local health department. Sending a copy of your petition to the local
health department will NOT satisfy the legal requirement in N.C. General Statute 150B-23
that you send a copy to the Office of General Counsel, NCDENR.

T
l
You may call or write the local health department if you need any additional
information or assistance.
Sincerely,
Aaron Winters
Environmental HealthSpecialist
Encl.: (Enclose copy of site evaluation)
(Copy of Rule.1948)

,
1SA NCAC 18A.1948 SITE CLASSIFICATION
(a)Sites classified as SUITABLE may be utilized for a ground absorption sewage treatment and disposal
system consistent with these Rules.A suitable classification generally indicates soil and site conditions
favorable for the operation of a ground absorption sewage treatment and disposal system or have slight
limitations that are readily overcome by proper design and installation_
(b)Sites classified as PROVISIONALLY SUITABLE may be utilized for a ground absorption sewage
treatment and disposal system consistent with these Rules but have moderate limitations.Sites classified
Provisionally Suitable require some modifications and careful planning,design,and installation in order for
a ground absorption sewage treatment and disposal system to function satisfactorily.
(c)Sites classified UNSUITABLE have severe limitations for the installation and use of a properly
functioning ground absorption sewage treatment and disposal system. An improvement permit shall not be
issued for a site which is classified as UNSUITABLE.However,where a site is UNSUITABLE, it may be
reclassified PROVISIONALLY SUITABLE if a special investigation indicates that a modified or
alternative system can be installed in accordance with Rules.1956 or.1957 of this Section.
(d)A site classified as UNSUITABLE may be used for a ground absorption sewage treatment and disposal
system specifically identified in Rules.1955,.1956, or.1957 of this Section or a system approved under
Rule.1969 if written documentation,including engineering,hydrogeologic,geologic or soil studies,
indicates to the local health department that the proposed system can be expected to function satisfactorily.
Such sites shall be reclassified as PROVISIONALLY SUITABLE if the local health department determines
that the substantiating data indicate that
(1) a ground absorption system can be installed so that the effluent will be non-pathogenic,non-
infectious,nontoxic,and non-hazardous;
(2) the effluent will not contaminate groundwater or surface water,and
(3) the effluent will not be exposed on the ground surface or be discharged to surface waters where it
could come in contact with people,animals,or vectors.
The State shall review the substantiating data if requested by the local health department.
History Note:Authority G.S. 130A-335(e);
Eff.July 1, 1982,
Amended Eff April 1, 1993;January 1, 1990.

'6 b r /
• FEE $45 APPALACHIAN DISTRICT HEALTH DEPARTMENT
- Alleghany(336)372-8813 Ashe(336)246-7959 Watauga(828)264-4995
PERMIT# O o /1 ��Q�f;TQ
WASTEWATER IMPROVEMENT PERMIT
(NOT'AN AUTHQ IZ� ON FOR BUILDING PERMIT OR WASTEWATER SYSTEM INSTALLATION)
� f7X°Owner C{ ' F I e 4 char Tax Map Reference# County L)C 14�
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. Directions to Property k v"``�
ki\pJ c<,C " Cn k 5 c
- - • cL G f 4 d c-- A •Subdivision Lot# 2 Section# Lot Size 2-. 4 4- c' t-
SYSTEM APPLIED FOR: Residential •4e-arr rViiiffigr
#of Bedrooms '_
#of Units
Business/Other % I-` Type K I A #Employees N iPS
Special Fixure(s) ) GPD Design Daily Flow . Z_y� GPD
:+ Basement: Yes[ ] No Fixtures in Basement: Yes[ ] No V1
INITIAL SYSTEM TYPE: Repair Area Required: Yes[] No[] Repair System Type:
SOIL/SITE EVALUATION:Soil Group Texture S . (-- . Soil Depth V2" - 1-CC, (IN)
C _ Slope a•• \el % Depth to Restrictive Horizon �_— V7-" `•• (IN)
'LTARQ. c(J Depth to Soil Wetness 12" (IN) Other (IN)
TYPE OF WATER SUPPLY: \ \ 'SWt� Wr�EL).eERMIT#
• ** IT*SE CLASSIFICATION: Suitable_Provisionally Suitable 'I Unsuitable ** Site Plan Attached Yes No
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I-----_-__�._.__ 1_..__-------'--- -__--- _- _ _--1 —
THE IMPROVEMENT PERMIT SHALL BE VALID FOR A PERIOD OF FIVE YEARS IF A SITE PLAN IS SUBMITTED,OR VALID
WITHOUT EXPIRATION IF ACCOMPANIED WITH A SCALED PLAT PREPARED BY RLS,AND UPON A SATISFACTORY SHOWING
TO THE HEALTH DEPARTMENT THAT THE SITE AND SOIL CONDITIONS AS DESCRIBED ON THE DATE OF ISSUANCE
ARE UNALTERED;THAT THE FACILITY,DESIGN WASTEWATER FLOW,AND WASTEWATER CHARACTERISTICS ARE NOT
INCREASED'A®�H ASTEWATER SYSTEM CAN BE INSTALLED TO MEET THE R�Q�JIIgE�� �S'�ED ABOVE.
—4-1+CH
30
ENVIROMENTAL HEALTH PECIALIST DATE
EAL S
I CERTIFY THAT I HAVE REVIEWED AND AGREE TO THE PROVISIONS/CONDITIONS OF THIS PERMIT AND ANY CHANGES WILL BE MADE
ONLY WITH PRIOR HEALTH DEPARTMENT APPROVAL.
OWNER/AUTHORIZED AGENT DATE

APPALACHIAN DISTRICT HEALTH DEPARTMENT
• Alleghany(336)372-8813 Ashe(336)246-7959 Watauga(828)264-4995
-,
SITE PLAN
WELL PERMIT# l I P\ ONSITE WASTEWATER PERMIT# U
NAME 3CXY\-.A
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E ROMENTAL I-ii LTI I SPECIALIST AGENT/APPLICANT
I� �u � o � —
DATE DATE

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-` " APPALACHIA_N DISTRICT HEALTH DEPARTMENT.
ASHE COUNTY _ I.ALLEGRANY COUNTY WATAUGA COUNTY t:.�
-..P.O.ITIOX 208 ' ,P O.BOX 309 ` "'
. 126iPOPL AR,GROVE CONNECTOR ,
' •JEFEERSON,NC 28640 c ,r t' ,> SPARTANC;28675 } a .3 BOONE,NC 28607.E fir;:
`(336)24f799" . �':' . _ .="_(330372=8813 �.:, _ r:
'r..:- ;(828);244995"eI S •'
APPLICATION FOR WELL AND ON-SITE WASTEWATER PERMITS
PLEASE READ THE INSTRUCTION SHEETS PROVIDED TO ACCURATELY FILL OUT THIS APPLICATION Date Received F °
-, ._HaithDep,Ftrnent Use'2nly,`i.:c3:
S I:C7 I O N I INITIAL THE APPROPRIATE LINE(S)FOR WHAT THIS APPLICATION IS FOR: ke-e��y 915 SSG
_ NEW WELL CONSTRUCTION -TA' IMPROVEMENT PERMIT AND AUTHORIZATION TO CONSTRUCT �'v /
EXISTING WELLHEAD INSPECTION AUTHORIZATION TO CONSTRUCT(Improvement Permit Previously Issued)
WELL ABANDONMENT REUSE OR REVISIT TO AN EXISTING WASTEWATER SYSTEM
REPAIR—WELL/WASTEWATER(circle appropriate) RENEWAL OF NON-EXPIRED PERMIT
NAME CHANGE and/or CHANGE OF PERMIT EXPANSION OF AN EXISTING ON-SITE WASTEWATER SYSTEM
SEC-I loi 2 ` L Q}� /
OWNER OF PROPERTY �A/I7 e S' �+ l/e/ a,4 e 4 PHONE 2 9,-/O FF�(Hoyme,) (Cell)
• OWNER'S MAILING ADDRESS / 9 sA e&wood Rd/gal L///ifs Ayr C,
~^ APPLICANT JR/7?es 0- 1-// e�/I ere PHONE g6 3-Lq 5 ((JH�ome) (Cell)
(D APPLICANT'S MAILING ADDRESS L/ /l)O/?IY/fj/�L /P0d9 f, ogQO/V e /V,C • .
' AGENT PHONE (Home) (Cell)
AGENT'S MAILING ADDRESS - -
INFORMATION ON THE PROPERTY TO BE EVALUATED
DETAILED DIRECTIONS TO PROPERTY: FRO ri1 A00 AJe iVe/e. RT, if a / A.)0 g T% ,s e c/e.4
r //es T S'I eft A.Ud_d Re-. /Az id Ie17— iOTJ S - "bile_ 0 •-,1 ,JfT7`
b e ruv e e 4 TI/ir c' ,a-A) c Io c,g rA ll v u£ e C A.) .Z e ,C7 S id( d4,e,,o/4 d
�I .qRc e/ .etcc4��7-.
PROPERTY SIZE pZ r j9 y RC4AX PIN# i'n 36•?I - )' Ir y? 6 k9 3 d 00 COUNTY OF PROPERTY ki/' TG(A9 f-
SUBDIVISION NAME LOT# a SECTION DATE PLATTED 5- y /.S
/ ••Date property recorded with the county as it currently exists.
__YES ✓ NO IS ANY PART OF THIS PROPERTY IN THE 100 YEAR FLOOD PLAIN?
YES V NO IS ANY PART OF THIS PROPERTY IN THE 50 YEAR FLOOD PLAIN?
YES L"5O IS THIS PROPERTY SUBJECT TO WATERSHED RESTRICTIONS?
• YES �t�0 IS THE SITE SUBJECT TO APPROVAL BY OTHER PUBLIC AGENCIES?List:
YES I."NO HAS GRADING,MECHANICAL REMOVAL,ADDITION OF SOIL OR OTHER SITE DISTURBANCES OCCURRED ON THIS PROPERTY?
t1SEC LION 3 STRUCTURE INFORMATION
`Scu nr of
DESCRIBE THE EXISTING OR PROPOSED STRUCTURE: WHEN 00 YOU PLAN TO BUIl )?
HOUSE ,7 MOBILE HOME. APARTMENTS/TOWNHOMES
GARAGE APARTMENT BUSINESS/OTHER `PROPOSED CONSTRUCTION DESCRIBED BELOW
YES t• � BASEMENT NUMBER OF EXISTING BEDROOMS
YES_ I�?IO . WATER FIXTURES IN BASEMENT TOTAL NUMBER OF PROPOSED BEDROOMS /
YES NO IF SITE IS FOR A MODULAR HOME.IS A PAD REQUIRED FOR THE CRANE? PAD SIZE REQUIRED
Special Fixtures: Circle all that apply: GARBAGE DISPOSAL,OVERSIZE TUBS, MULTI-HEAD SHOWERS, MULTIPLE MASTER BATHROOMS/KITCHENS
Special Fixture Dcscription. INITIAL HERE IF NONE WANTED U
77
BUSINESS or OTHER:Description:
NUMBER OF EMPLOYEES SQUARE FOOTAGE OF COMMERCIAL BUILDING HOURS OF OPERATION
REUSE OR REVISIT TO AN EXISTING WASTEWATER SYSTEM AND EXISTING WELL HEAD INSPECTION:
Describe the proposed construction and show the location of any existing structures,proposed additions,excavation or other improvements to the
property on the site plan. Answer the above questions as they pertain to the existing structure or system.
Describe:
SE CI I ION 4 SECTION TO REOUEST AN Olt-SITE WASTEWATER SYSTEM TYPE: Please Indicate Desired System Type(s):
(Systems can be ranked in order of your preference)
❑Any System Type Ii4cepted ❑Alternative ❑Conventional 0 innovative ❑Other
• I (OVER)

`' .
SECTION 5 WATER SUEPLY INFORMATION •
(SHOW LOCATION ON SITE PLAN)
YES NO IS WATER PROVIDED BY A PUBLIC WjTER SUPPLY? NAME OF SYSTEM Ifyes then please skip to Section 8:
THE FOLLOWING INFORMATION APPLIES TO A: PROPOSED WELL EXISTING WELL EXISTING SPRING_PROPOSED SPRING
INITIAL WHAT THE WATER SUPPLY WILL BE USED FOR:
,714 PRIVATE WELL SHARED WELL OTHER DESCRIBED BELOW
OTHER INCLUDES:Business,Restaurant,Daycare,Migrant housing,etc. Description: •
If different than the property described above,property the water supply is located on. LOT# TAX PIN#_
DIRECTIONS TO THE WATER SUPPLY:
SHARED WELL INFORMATION
WHAT IS THE NUMBER OF EXISTING OR POSSIBLE FUTURE CONNECTIONS TO THIS WELL? If more than one(I)connection,list the
connections by Lot#and/or Tax Pin#:
SECTION G WELL SITING INFORMATION
YES NO IS THERE A FUEL TANK(S)ON PROPERTY? i .
YES NO ARE YOU PROPOSING TO PLACE A FUEL TANK ON THE PROPERTY? (EXP: KEROSENE:FUEL OIL,PROPANE TANKS,ETC...)
_YES NO IS THERE A FUEL TANK(S)ON THE ADJACENT PROPERTY?
YES NO IS THIS A NEW WELL TO REPLACE AN EXISTING WELL?
DO YOU ANTICIPATE THE HOUSE OR FACILITY TO EXPAND,OR FOR ADDITIONAL STRUCTURES(BARNS,GARAGES,ETC.)TO BE BUILT ON THE
PROPERTY? IF SO,PLEASE SHOW ON SITE PLAN. YES_NO Describe:
ARE THERE ANY EASEMENTS,OR RIGHT OF WAYS RECORDED ON THIS PROPERTY? YES NO If yes describe and attach a copy of the
easement and/or right of way documentation to this application:
YES NO IS A PUBLIC WATER SUPPLY OR PUBLIC SEWER AVAILABLE TO,OR ADJACENT TO,OR ON THIS PROPERTY?
IF YOU HAVE AN EXISTING SEPTIC SYSTEM,WHAT YEAR WAS IT INSTALLED AND UNDER WHOSE NAME WAS IT PERMITTED?'
SECTION 7- WELL ABANDONMENT
YEAR THE WELL WAS DRILLED: DEPTH OF THE EXISTING WELL: CASING DEPTH OF THE EXISTING WELL:
DESCRIBE WHY THE WELL IS BEING ABANDONED:
IS THERE ANY CONTAMINATION OF THE WATER IN THE WELL? -
IS THERE ANY WATER IN OR BEING PRODUCED BY THE WELL?
.a.• .1 I I•ING THE ABANDONMENT?
SECTION 8
-- �'ES NO PROPERTY CORNERS AND LINES CLEARLY AND CORRECTLY IDENTIFIED
yES NO PLAT ATTACHED
to"YES NO PROPOSED STRUCTURE STAKED
^' S_NO PROPOSED WELL SITE STAKED
YYES NO HOLES DUG
TO COMPLETE THE APPLICATION DRAW A DIAGRAM OF THE PROPOSED CONSTRUCTION ON THE SITE PLAN PAGE PROVIDED.
Refer to the instruction pages and see the example diagram of site plan attachments for assistance. .
THIS APPLICATION AND FEES PAID WILL BE VALID FOR A PERIOD OF TWELVE MONTHS FROM DATE OF RECEIPT. AFTER 12 MONTHS THE
APPLICATION IS VOID AND THE APPLICATION FEE 1S NON-REFUNDABLE.
ALL HEALTH DEPARTMENT PERMITS ARE SUBJECT TO REVOCATION OR SUSPENSION IF THE SITE PLAN OR THE
INTENDED USE CHANGES.
I CERTIFY THAT THE INFORMATION ON THIS APPLICATION IS TRUE AND CORRECT AND WILL NOT BE ALTERED WITHOUT
PRIOR HEALTH DEPARTMENT APPROVAL. - —
27---t--1--- sZ)
S ATURE OF APPLIC�CNT OR AUTHORIZED AGENT DATE
2

-,., n • , _- Ir
-14 I ' Y ..! 7 F y 5^ 01A 1 i 5 7 a `. .[its
�, � APPALACHIAN DISTRICT HEALTH DEPARTMENT �,�' . ,�, .2
ASRE COUNTY; >� s a ALLEGRANY COUNTY s Y WATAUGA COUNTY
,P O BOX 208� a a c 4 { b s P O BOX 309:: r a ,i s.r,- ., 126iPOPLAR GROVE CONNECTOR x
JEFFERSON£NC 28640�.� �' SPARTA,NC 28675 ti r �� r BOONE NC 28607 s
(336) 14 7959;7
�- =.�..
PROPERTY TO BE EVALUATED
MUST FILL OUT COMPLETELY
OWNER OF PROPERTY t o e S J1-ie TC/� e n
TAX PIN# J L/� n 6 3 / t ii e/ Ace. l9 8'� LI 2 LS ,C 3 O o d PROPERTY SIZE r acres
SUBDIVISION NAME LOT NUMBER ,Q SECTION NUMBER
DETAILEp DIRECTONS TO PROPERTY: FA.en f G..v t TL}et o2/ /U0e7 Seu P/J 111;/t1'
r S e2Woot ? , c' T leF 17 IS h, aAl ,Cec7 bero„070.
4 i [/ ou& T Aye cr J ei`T J -e O-P Qrtiq cj,
PROPERTY OWNER'S AUTHORIZATION
I, ,ne ,.S )�e e/t (name),being the owner or the legal representative of the
business which owns the pro elms ecifically described above,do hereby authorize
P,' ,,� ke/c A e (name)or their legal representative to pursue permits -
issued by the Appalachian District Health Department. I understand that this authorization includes but is
not limited to: (1)Applying for Health Department permits,(2)Preparing the site for on-site soil
evaluations, (3)Accomplishing other necessary actions as required by the Appalachian District Health
Department(i.e backhoe pits,surveying,clearing the lot of underbrush),(4)Locating or gaining knowledge
of all pertinent fuel storage tanks,wells,springs,septic systems,etc..'.
•
This authorization will be in effect until a written notice of revocation is received by this office from the
owner r until one year from
/date of signature by owner. •
(Owner's signature) (Date)
APPLICANT'S AUTHORIZATION TO ACT AS AN AGENT
(name),being the applicant for an Improvement Permit/
Authorization for Wastewater System Construction and/or a Well permit do hereby authorize
(name)to act as an agent on my behalf to do the following: (1)Apply for
Health Department permits, (2)Prepare the site for on-site soil evaluations,(3)Accomplish other necessary
actions as required by the Appalachian District Health Department(i.e. backhoe pits,surveying,clearing
the lot of underbrush),(4)Locate or gain knowledge of all pertinent fuel storage,wells,springs,septic
systems,etc...
I understand that I or my legal representative must sign for all permits issued by the Health Department.
This authorization will be in effect until a written notice of revocation is received by this office from the
owner,or until one year from date of signature by owner.
(Applicant's signature) (Date)
(Authorized agent's signature) (Date)
3

: ` rr a `APPALACHIAN�DISTRICT4HEALTH DEPARTMENT;x fig£ '�'.° `4 "M1�`_j
`'< �, ' � 1"dr-^t , � r 9'��a 1j.+�.at� ,t'�'.et�3�',k
'ASHE'COUNTY a .7'. _ • 4 *ALLEGHANY COUNTY �n `s ,� 7 WATAUGA"COUNFY ;
P.O.BOX 2081 1r--• t •, ,.., . " •°* --,4; r, P O BOX 304 ri.. r... .r126 POPLAR GROVE CONNECTOR .,,;
JEFFERSON NCr28640 . r i4�, Y , ors SPARTA NCI38675y 4 ` BOONE,NC,2$607 2`1 °,1:
;.-s- '',, ,_ ...• (33 372-8813 :...._� s, - . +o `_ 828 264-4995.a-:,=� -.�..yg 7;41 In
[phone]'_:"�.`, ''"� �'3. � flj .r yx sr = } K .:( ) �"� +Rr . .,
"'ll SITE PLAN
(MEASUREMENTSAS� MUST BE ACCURATE. SEE EXAMPLE) •
NAME: i m P_A- /'/-e/-G../to,( , DATE: je2 - a-y —0 ,
4/ph...A),
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14' x 52' 2 Bedroom 1 Bath 16' x 52 f
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•
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1982-18-5 18-000 H `�,y{��" _:tt ' M1i.gyp, ��'{.'�� . r ,..
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•
•

ATTACHMENT B
Letter from NC Licensed Soil Scientist

49 LAND RESOURCE MANAGEMENT
Land Evaluation by Land Experts
PG 80X 9251, ASHEVIt,LE, NC 28815 II 828.23t.16 3 it OVINV , ANDHM.COM
October 30,2019
James Fletcher
611 Norman Road
Boone NC 28607
Regarding: Report of Findings Soils Evaluation
Tax id#19822476942000
LRM Project# 54219
Dear Mr. Fletcher:
On September,3,2019,Aaron Winters of Land Resource Management,PLLC(L"M)conducted a
soil and site investigation on 729 Sherwood Road(tax id# 1982247694000) locat-. in Watauga
County,North Carolina.The purpose of the soil and site investigation was to dete ine any available
options for an on-site wastewater septic system to service a 3 bedroom home. Th; lot had been
previously denied an improvement permit by the Appalachian District Health De S.rtment(file
#9515889)in 2008.
Recommendations are based on,observations made and data collected on topogra Shy, landscape
position, parent material,underlying geology,and soil characteristics. Soil charac'eristics include,but
are not limited to,depth to a seasonal high water table(SHWT),depth to a restric live horizon,total
soil depth, soil horizonation, soil structure, soil color,clay mineralogy,bulk densi ,consistence,
plasticity,stone content,and percent sand, silt,clay,and mica. They follow the g idelines set forth in
the North Carolina Administrative Code-Rules for Sewage Treatment and Dispos.l Systems,Title
15A-DENR, Subchapter 18A, Section.1934 through .1970,amended October 1st 2011.
RESULTS AND DISCUSSION
• LRM found the lot to be unsuitable for any subsurface or surface on-site astewater disposal
(septic)system. The limiting factors are lack of available space,unsuitab e soil conditions,
and unsuitable soil depth. The lack of available space results from an ina'equate area
available due to setbacks from the creek and existing structure. The soil i. unsuitable due
depth to soil wetness and was extremely stony containing greater than 50'o rock fragments,
an unsuitable soil condition. Therefore, LRM concludes that there is no s bsurface or surface
septic system available for this lot.
LRM appreciates the opportunity to provide this report. Please do not hesitate to all with any
questions or concerns.
Sincerely,
,b--/---/----- ..A.4:83.5:617-4Fe',.
v.1 a 4 r i� -,.,.
Walker Ferguson,LSS ;.,;�.�,
President, Land Resource Management, PLLC
Ytie
' :
D
i Cs

ATTACHMENT C
Exhibit A depicting irrigation setbacks

' `_ KEYNOTES:
--_ - SHERwOOD R
-- -, (c)1
EXISTING SINGLE FAMILY HOUSE TO BE
•
SERVED BY PROPOSED TREATMENT SYSTEM.
o-- • EXISTING SHED.
rL__:: •
ti I� --2754 3 PROPOSED WELL LOCATION AS STAKED
J Z,S2__ SINGLE FAMILY HOUSE O IN THE FIELD BY OTHERS.
SINGLE FAMILY HOUSE w O _____,
Z — w w -w w / _
o Q t 1 O2 Pc•�f ` —� 4 PROPOSED DISCHARGE SYSTEM.
• U
/ ld
I 100' CREEK SETBACK s �� SHED PP
"'' �0 oNU
•
W f P --.:.9 ..U I \ ° \
Z
\''' /
v / oNv
50'
(t \
W N. oHU7
O / il
ttoe `I1• � 0 ONE
CO vsP .4 o o \ • .�
�Ro - ON\50' PROPERTY
°N� LINE SETBACK �„ i i i l u I I II,,�
/
C AP
coo °"° r l\ •��044o ss%49 It '%' ,C')
o�� _ _ NORTH u�,"
\ / •N� ! /� i/ i = e ss m CAROLINA
%/ BARN '., ••A'GI N 6.••' �` R - �2
PP __ _ — _ L r / r#c3
n ° r -- 46—_= —:11 _EDGE OF WATER— ' j
—— _ .. 0 "`�l Designed: Project Number
,�=� . R . _ _ _ UNNAMED TRIBUTARY , �" /�� MCB 499919
_—" CREEK F \
• \. _ r� ^ Drawn: Scale:'.2'� �Ho \ VANDERPOOL _ �._1-' \ _ v^ =30
— �_ t \s `� TAS 1
Checked: Date:
_ N. --
� BRtJOKSnH0 -� �- �` \ `• ENGINEERING ASSOCIATES
�\ ` 17 Arlington Street
_ \ \ Asheville,N.C.28801
\ nH0 \ \ ^`` �.. Phone:[phone]
\( \ „Ho \\ ��\ _ Planning•Engineering•Surveying
Fax:[phone]
nH0 -—
•Environmental Services• www.brooksea.com
--
�� ^L,- �' FLECTHER RESIDENCE
0' 30' 60' 90� E-1
MINnMIMIMINEMINIIIIIIi ONSITE WASTEWATER SYSTEM
SCALE: 1"=30' NCAC 02T.0600 SETBACK EXHIBIT

ATTACHMENT D
PVCA

1 Connection to Existing Sewer System Option
Item Units No.Units Cost/Unit Cost
Construction
Installation of Gravity Sewer Line feet 150 $62 $9,300
Installation of Force main Line feet 21867 $55 $1,202,685
Installatin of Pump Stations each 1 $100,000 $100,000
Underground Road boring per crossing 1 $7,500 $7,500
subtotal $1,319,485
Easements&Legal fees lots 0 $10,000 $0
Annual Finance Charge("Carry")@ 6.5%of land costs per year $0.00
(during planning and construction of sewer extension)
Operation&Maintenance to be performed by Public Utility
PRESENT VALUE ANALYSIS FOR SEWER EXTENSION SCENARIO
Present Value(PV)=Co+Sn Ct/(1+r)t
where:Co=Initial Costs in present year
Ct=costs incurred in time t
t=time period after present year
n=ending year of facility life
r=current EPA discount rate 2.875%
Incremental Total
Year Expenditure Cash PV PV
0 Engineering&Planning(8%of construction costs) $105,559 $105,559 $105,559
1 100%Installation $1,319,485 $1,319,485 $1,425,044
2 $0 $0 $1,425,044
3 $0 $0 $1,425,044
4 $0 $0 $1,425,044
5 $0 $0 $1,425,044
Return on Investment Analysis
Total Development Costs with PV of wastwater treatment&disposal $1,425,044
Number of lots
Total Project Cost to Save the Building $1,425,043.80
Tax Value of Building $91,300.00
Return on Investment -1460.84%

II Land Application Option-Septic
Item Units No.Units Cost/Unit Cost
Land Acquisition
Initial Purchase(Fillingame Tract) acres 0.5 $15,000 $7,500
Legal&Closing per I $1,000 $1,000
Engineering and Surveying per 1 $15,000 $15,000
Subtotal $23,500
Construction
Boring under Creek per 1 $10,000 $10,000
360 gpd aerobic pretreatment system per 360 $21 $7,560
Drip dispersal drainfield for 360 gpd per 1,200 $15.0 $18,000
Pumps,Headworks and controls per 1 $8,000 $8,000
Subtotal $43,560
Annual Operation&Maintenance
Recommended operator checks per visit 1 $500 $500
Laboratory per visit 1 $150 $150
Pump outs per visit 1 $400 $400
Electrical per month 12 $50 $600
Subtotal $1,650
5 Year Capital Improvements
Pump&line repairs Estimate 1 $2,000 $2,000
Salvage Value(20%of original cost) $8,712
PRESENT VALUE ANALYSIS FOR LAND APPLICATION SCENARIO
Present Value(PV)=Co+Sa Ct/(1+r)t
where:Co=Initial Costs in present year
Ct=costs incurred in time t
t=time period after present year
n=ending year of facility life
r=current EPA discount rate 2.875%
Incremental
Year Expenditure Cash PV
0 Engineering&Land Acquisition $23,500 $23,500
1 System Construction $43,560 $42,343
2 O&M $1,650 $1,559
3 O&M $1,650 $1,515
4 O&M $1,650 $1,473
5 O&M $1,650 $1,432
6 O&M&Capital Improvements $3,650 $3,079
7 O&M $1,650 $1,353
8 O&M $1,650 $1,315
9 O&M $1,650 $1,278
10 O&M $1,650 $1,243
11 O&M&Capital Improvements $3,650 $2,672
12 O&M $1,650 $1,174
13 O&M $1,650 $1,141
14 O&M $1,650 $1,110
15 O&M $1,650 $1,079
16 O&M&Capital Improvements $3,650 $2,319
17 O&M $1,650 $1,019
18 O&M $1,650 $991
19 O&M $1,650 $963
20 O&M-Salvage Value -$7,062 -$4,006
Present Value Cost S92,559
Return on Investment Analysis
Total Costs with PV of wastwater treatment&disposal $92,559
Number of lots 1
Total Project Cost to Save the Building $92,558.96
Tax Value of Land and Building $91,300.00
Return on Investment -1.38%

III Discharge to Surface Waters
Item Units No.Units Cost/Unit Cost
Construction
360 gpd EZ Treat System per 360 $21 $7,560
UV Disinfection per 1 $1,500 $1,500
Subtotal $9,060
Annual Operation&Maintenance
Required operator checks per visit 1 $500 $500
Laboratory per visit 1 $150 $150
Pump outs per visit 1 $400 $400
Electrical per month 12 $50 $600
Subtotal $1,650
5 Year Capital Improvements
Pump&line repairs Estimate 1 $2,000 $2,000
Salvage Value(20%of original cost) $1,812
PRESENT VALUE ANALYSIS FOR SCENARIO SEWER EXTENSION SCENARIO
Present Value(PV)=Co+S°Ctl(1+r)t
where:Co=Initial Costs in present year
Ct=costs incurred in time t
t=time period after present year
n=ending year of facility life
r=current EPA discount rate 2.875%
Incremental
Year Expenditure Cash PV
0 System Installation $9,060 $9,060
1 O&M $1,650 $1,604
2 O&M $1,650 $1,559
3 O&M $1,650 $1,515
4 O&M $1,650 $1,473
5 O&M&Capital Improvements $3,650 $3,168
6 O&M $1,650 $1,392
7 O&M $1,650 $1,353
8 O&M $1,650 $1,315
9 O&M $1,650 $1,278
10 O&M&Capital Improvements $3,650 $2,749
11 O&M $1,650 $1,208
12 O&M $1,650 $1,174
13 O&M $1,650 $1,141
14 O&M $1,650 $1,110
15 O&M&Capital Improvements $3,650 $2,386
16 O&M $1,650 $1,048
17 O&M $1,650 $1,019
18 O&M $1,650 $991
19 O&M $1,650 $963
20 O&M-Salvage Value -$162 -$92
Present Value Cost $37,507
Return on Investment Analysis
Total Costs with PV of wastwater treatment&disposal $37,507
Number of lots /
Total Project Cost to Save the Building $37,507.34
Tax Value of Land and Building $91,300.00
Return on Investment 58.92%

SUMMARY OF PVCA ANALYSIS
PVCA 20 yr Technically Economically
OPTION Cost Viable? Viable?
Extend to Nearest WWTP $1,425,044 No No
Land Based Disposal on Neighboring Property $92,559 No Yes
Surface Discharge $37,507 Yes Yes

ATTACHMENT E
7Q10 Documentation

[e-mail]
From: Weaver, John <[e-mail]>
Sent: Thursday, October 31, 2019 3:36 PM
To: Mark Brooks <[e-mail]>
Cc: Grzyb,Julie; DWR USGS Low Flows; Albertin, Klaus P; Hill, David A; Kebede, Adugna;
Fine,Jason M; Fransen,Tom;John C Weaver
Subject: USGS response to DWR USGS Low Flows request#2019-37 (dated 2019/10/25) for
Vanderpool Creek Watauga County...Re: [EXTERNAL] Low-Flow Request -Approved &
Sent to USGS
Mark,
In response to your inquiry about the low-flow characteristics(7Q10)for a location on Vanderpool Creek near Sherwood
in northwestern Watauga County,the following information is provided:
No USGS discharge records are known to exist for the point of interest,identified by the lat/long coordinates(36.26836,-81.76593)
provided via the map image attached to your email dated 10/28/2019.
In the absence of site-specific discharge records sufficient for a low-flow analysis,estimates of low-flow characteristics at ungaged locations
are determined by assessing a range in the low-flow yields(expressed as flow per square mile drainage area,or cfsm)at nearby sites where
estimates have previously been determined.
A basin delineation completed using the online USGS StreamStats application for North Carolina
(https://streamstats.usgs.gov/ss/) indicates the drainage area for the point of interest(StreamStats adjusted
coordinates 36.26806, -81.76591 NAD83)is 2.02 sqmi.
For the record: Initial email correspondence for this request resulted in some uncertainty surrounding the exact location and
stream name for the point of interest. Information received suggested the location as being an unnamed tributary to Vanderpool
Creek. Inspection of several different map images indicated a discrepancy in the stream being either the mainstem or the
unnamed tributary. As resolved, the point of interest for this request is Vanderpool Creek and is located approximately 100 feet
downstream from the mouth of the small unnamed tributary that enters Vanderpool Creek from the north side of the stream.
For streams in Watauga County, low-flow characteristics published by the USGS are provided in two reports:
(1)The first is a statewide report completed in the early 1990's. It is USGS Water-Supply Paper 2403, "Low-flow
characteristics of streams in North Carolina" (Giese and Mason, 1993). An online version of the report is available
at http://pubs.usgs.gov/wsp/2403/report.pdf. The report provides the low-flow characteristics (based on data through
1988)via regional relations and at-site values for sites with drainage basins between 1 and 400 sqmi and not considered
or known to be affected by regulation and/or diversions.
(2)The second is a statewide report published in March 2015. It is USGS Scientific Investigations Report 2015-5001,
"Low-flow characteristics and flow-duration statistics for selected USGS continuous-record streamgaging stations in
North Carolina through 2012" (Weaver, 2015). The report is available online
at http://pubs.usgs.gov/sir/2015/5001/. The report provides updated low-flow characteristics and flow-duration
statistics for 266 active (as of 2012 water year) and discontinued streamgages across the state where a minimum
of 10 climatic years discharge records were available for flow analyses.
Inspection of the two reports indicates the presence of four(4) nearby selected USGS partial-record site (1) and
continuous-record streamgages (3) in the general vicinity of the point of interest where low-flow characteristics were
published. Among these 2 sites,the low-flow discharge yields for the indicated flow statistics are as follows:
1

I `
Annual 7Q10 low-flow yields==>from 0.21 to 0.31 cfsm (average about 0.24 cfsm, median about 0.22 cfsm)
Annual 30Q2 low-flow yields==>from 0.47 to 0.62 cfsm (average about 0.51 cfsm, median about 0.48 cfsm)
Winter 7Q10 low-flow yields==>from 0.31 to 0.39 cfsm (average about 0.33 cfsm, median about 0.31 cfsm)
Annual 7Q2 low-flow yields==>from 0.37 to 0.46 cfsm (average about 0.41 cfsm, median about 0.4 cfsm)
Average annual discharge yields==>from 1.9 to 2.4 cfsm (average about 2.04 cfsm, median about 1.92 cfsm)
Application of the above range in yields to the drainage area (2.02 sqmi)for the point of interest results in the following
estimated low-flow discharges:
Annual 7Q10 discharges==>from 0.42 to 0.63 cfs(average about 0.48 cfs, median about 0.44 cfs)
Annual 30Q2 discharges==>from 0.95 to 1.25 cfs(average about 1.0 cfs, median about 0.97 cfs)
Winter 7010 discharges==>from 0.63 to 0.79 cfs(average about 0.67 cfs, median about 0.63 cfs)
Annual 7Q2 discharges==>from 0.75 to 0.93 cfs (average about 0.83 cfs, median about 0.81 cfs)
Average annual discharge =_>from about 3.8 to 4.8 cfs(average about 4.1 cfs, median about 3.9 cfs)
Please note:
(1)The estimated flows are provided in units of cubic feet per second(cfs).
(2)The information provided in this message is based on a preliminary assessment and considered provisional,subject to revision pending
collection of future data and further analyses.
These provisional streamflow statistics are provided via the DWR USGS Low Flows cooperative agreement between the USGS and the N.C.
Department of Environmental Quality,Division of Water Resources.
Hope this information is helpful.
Thank you.
Curtis Weaver
J. Curtis Weaver, Hydrologist, PE Email:icweaver@usgs.00v
USGS South Atlantic Water Science Center Online:httos://www.usgs.gov/centers/sa-water
North Carolina-South Carolina-Georgia
3916 Sunset Ridge Road
Raleigh, NC 27607
Phone: [phone] // Fax:[phone]
On Fri, Oct 25, 2019 at 3:22 PM Fransen,Tom <[e-mail]>wrote:
Your request has been approved and sent to USGS.
Request for USGS to provide low-flow statistics.
Request details:
Request ID: 37
Date of request: 10/25/2019 1:01:03 PM
Requestor: Mark Brooks
Phone Number:828-232-4700
Program:
Email: (anonymous)
2

Agency:A Consultant or DEQ for a Counsultant
Have you spoken with someone from DWR?:
Reason for request: Permit
Whom did you speak with?:
Local Government:
Consultanting Company/Organization: Brooks Engineering
Contact Name: Mark Brooks
Contact Phone Number:828-337-3075
Contact Email: [e-mail]
Reason for request: Permit
Permit Number: No number yet. Applying for Single Family Discharge System
Public Water Supply ID:
Site Information:
River/Stream: unnamed tributary of Vanderpool Creek
Latitude- Longitude: 36.26836 Other location Information: County PIN is 1982-47-6942
Statistics being requested: ["7010"]
Other information:
Approved b : Grzyb,Julie [e-mail]
Pp Y Y ( )
Comments:
0 Virus-free. www.avg.com
3

i
ATTACHMENT F
Return Mail Receipts

*
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42:11.S. Postal Service"' '„:±.-:-.i• i,,,..,_.' ' . _
1 CERTIFIED MAIL® RECEIP: -
:<. ,: SECTION ON DELIVERY
ig2 stic Mail Only
,.....r1 or delivory information',
visit our vvebsite•
0 Agent
'6' •'•7N n .dt www.US•-i,1 -'''' i I
Lik_ 0 Addressee
1 to • ''......i ft f ,1- , ..,, El iPX 1,1 q ri (:,::;\ r, .'
,ru Certified Mail Fee 4:7 re •--r1 1-.•.-•:, 'r-Z.;) ',1 :, . (Printed Name) C._pate of Deliver/
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No. REVISIONS/SUBMISSIONS Date
oeplee: Reviewed: ,..a1„1 w'°�,i
Ncs � Ks `i pOt\''N 1 SITE LOCATION SUBMISSION 10-15-19
Project NO. FLETCHER RESIDENCE /� I -
�v� y-...r� Drmm: Fi g a s
49991913-1 .00KS
AS 15-19 y Ql 0 2 -
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729 SHERWOOD ROAD �1e o O m
NPDES DISCHARGE PERMIT
MCB 10-15-19 Z 2 �,p'p �N
N�'� ENGINEERING ASSOCIATES 17 Arlington Street 0OSSd .,�S •`'
NORTH CAROLINA Asheville,N.C.28801
WATAUGA COUNTY Phone:[phone]
Drawing Title: Planning•Engineering•Surveying Fax:[phone] PERMIT DRAWING
SITE LOCATION
•Environmental Services- www.brooksea.com R•v^ u r'•saonurt+er.1°"ana•In ele........ ....
F.Ie LacoIim L`2019 Prgel.d99919 Fletcher NPDES,:.ch.q...W9'F99919 Fletcher NPDES Feo S9l90*9

National Pollutant Discharge Elimination System FOR AGENCY USE ONLY
(NPDES)
Division of Water Resources Date Received
Application for SURFACE DISCHARGE Year Month Day
Environmental Certificate of Coverage (COC)Under
Quality
General Permit NCG550000 Certificate of Coverage(COC)
For Single-Family Residences and Similar Discharges N C G 5 5
100%-domestic wastewater-<1,000 gallons per day Check# Amount
Assigned to:
The Division of Water Resources will not accept an application package unless all instructions are followed.
Failure to submit all required items may result in the application being returned. For more information, visit
the Water Quality Permitting Section's NPDES Permitting Unit website. (Press TAB to navigate form)
1. Regional Office Contact: Please contact your DWR Regional Office before submitting this
application. If you have not met with your appropriate DWR Regional Office Representative,the
application will be returned.
Please list the DWR Regional Office representative(s)with whom you have discussed this project:
Name(s): Kelli Park Date: 10/31/2019
2. Owner's Contact Information: RECEIVED
Applicant Type: ® Individual ❑ Corporation ❑ Partnership APR 2 4 2020
Owner Name and Title: Jim Fletcher NCDEQ/DWR/NPDES
Street Address: 729 Sherwood Road
City: Vilas State: NC Zip:28692 -
Telephone#(H): Telephone#(W):
Cell/Mobile#: [phone] Email:
3. Location of Facility Producing the Discharge: Please list the address of the facility. If facility is not yet
constructed,give street address or lot number.
Street Address: 729 Sherwood Road
City:Vilas State: NC Zip: 28692-
County: Watauga
Telephone#: Cell/Mobile#: [phone]
Website:
4. Site-Location Narrative:
Please describe how to get to the facility from the nearest town,major highway or identifiable roadway
intersection(use street names, state road numbers,and/or distances and directions).
Take US Hwy 421 North from Boone to Vilas,NC. Property on 3000 feet west of the intersect of Sherwood
Road and Hwy 421
Page 1 of 7 Revised:A. Orlando NPDES 21Sept2017

Application for Certificate of Coverage (COC) and/or Authorization to Construct (ATC)
under General-Permit NCG550000
5. Describe the nature of the project. ["New"means has not yet been physically constructed, "existing"
means system already physically exists. Please see 15A NCAC 02H .0103(11) for further clarification].
® Installation of a New Wastewater Treatment System(If yes, skip to Number 9.)
❑ Expansion of an Existing Wastewater Treatment System (for example,adding bedrooms) (If yes,
skip to Number 9.)
n Replacement of an Existing Wastewater Treatment System(If yes, go to Number 6.)
6. Describe the Existing Wastewater Treatment System:
❑ Conventional Septic Tank/Leach-field—Discharge to Sub-Surface Soils. If previously permitted,
please attach a copy of the permit or enter the permit number
If you are not aware of an existing permit, check here. ❑
❑ Sandfilter—Discharge to Surface Waters [or other,as defined 15A NCAC 02H.0103(11)]. If
previously permitted,please attach a copy of the permit or enter the permit number
If you are not aware of an existing permit,check here. ❑
❑ Filter Media System(Pod System)—Discharge to Surface Waters [or other,as defined 15A NCAC
02H.0103(11)]. If previously permitted,please attach a copy of the permit or the permit number.
If you are not aware of an existing permit,check here. ❑
❑ Other
❑ Check here if submitting proposal for a new system or if no treatment system exists.
7. Check all EXISTING wastewater treatment components:
❑ Septic tank ❑ Dosing tank ❑ UV disinfection
❑ Primary sand filter ❑ Secondary sand filter ❑ Recirculating sand filter(s)
n Chlorination ❑ Dechlorination ❑ Other components:
n Self-Contained POD system [describe]
❑ Leach Field
❑ Post Aeration (speck type)
8. Provide Details of Single-Family Residence(SFR)or Similar Facility:
a) Type of facility:
❑Residential ❑ Commercial
❑Other:
b) Amount of wastewater discharged:
- Residential:Number of bedrooms x 120 gallons per bedroom=
gallons per day(flow)
- Commercial: How many employees?(25 gpd/person)
Page 2 of 7 Revised:A. Orlando NPDES 21Sept2017

Application for Certificate of Coverage (COC) and/or Authorization to Construct (ATC)
under General-Permit NCG550000
c) Is your existing treatment system failing? Yes ❑ No ❑
d) Has the Health Department formally condemned your existing system
"unsuitable for repair?" Yes ❑ No ❑
If yes, please name the Health Department [local,county,or state],and provide the site-
inspection date [attach Health Department's judgement letter, if available]: 04/14/08 Click here
to enter a date.
If previously permitted [local, county,or state],provide permit number and date issued [attach
copy, if available]: Click here to enter text.
9. Check all PROPOSED new system components
® Septic tank Z Dosing tank ® UV disinfection:
❑ Primary sand filter ❑ Secondary sand filter ❑ Recirculating sand filter(s)
❑ Chlorination ❑ Dechlorination ❑ Other components:
Z Self-Contained POD system [describe] EZ Treat
® Post Aeration (specify type) Steps
❑ Proposed Modifications to Existing Treatment System- Explain in detail the nature of the
modification. Attach all site maps,plans and specifications, signed by an NC Certified Engineer.
If prepared by others, plans must conform to 15A NCAC 02H .0139.
Click here to enter text.
® Proposed New Treatment System for Surface Discharge(not constructed)-Attach all site maps,
plans and specifications,to be signed by an NC Certified Engineer. If prepared by others,plans
must conform to 15A NCAC 02H .0139.
Site Plans Enclosed
Expanding Flow?-Do you propose to increase permitted or existing flow? ❑ Yes ® No
Provide details of the Proposed NEW Discharge [Flow and Source Water]:
❑ Check if same as 6.
Existing: Amount of wastewater currently discharged: Number of bedrooms 3 x 120 gallons per
bedroom= 360 gallons per day to be permitted(design flow)
Expanding: Amount of wastewater proposed to be discharged:Number of bedrooms x
120 gallons per bedroom= gallons per day to be permitted(design flow
10. Evaluate Alternatives to Discharge to Waters of the State. Please address the feasibility of
discharge alternatives as instructed in the NCDEQ Engineering Alternatives Analysis(EAA)
Guidance Document found here. (Note:Evaluation for endangered species is not required)
a) Connection to an Existing Wastewater Treatment System- Provide the distance
to the nearest connection, such as a regional or municipal sewer system,and the
estimated cost per foot to connect including fees. Refer to the enclosed
Page 3 of 7 Revised:A. Orlando NPDES 21Sept2017

Application for Certificate of Coverage (COC) and/or Authorization to Construct (ATC)
under General-Permit NCG550000
Drawing N-1 showing the nearest public sewer is 4.17 miles away_Estimated
cost per foot is$55 plus the addition of at least one pump station. Refer to
PVCA Evaluation for cost.
b) Land Application—Assess the land application disposal alternatives such as spray
irrigation,drip irrigation, individual/community onsite subsurface systems,and/or
innovative ground-absorption. Questions to consider:
(1) Are on-site soils suitable for land application? Yes ❑ No El
(2) Is there sufficient area on-site? Yes ❑ No
c) Wastewater Reuse—Evaluate reusing all or a portion of the wastewater
generated, such as for golf course irrigation,crop irrigation(e.g., hardwood or
pine plantation, grasses),athletic field irrigation, landscape uses,and/or
commercial/industrial uses.
d) On-Site Soil Evaluation—Submit an evaluation of the soils on-site,
documented by a certified report from a NC Professional Soil Scientist, or by
your local or county health department report(if available).Refer to enclosed
report from NC PSS
e) Cost of Alternatives—Provide an estimation of the cost of each discharge
alternative or combination of alternatives. Refer to enclosed PVCA
11. Provide Regional Information: Please provide the following information. If you need assistance in
obtaining this information,please contact your local DEQ regional office.
a) Stream Classification-Verify the stream classification for the nearest downgradient named
waterbody. The NC Surface Water Classification map can be found by clicking here.
Class C(Vanderpool and Cove Creek)
b) Is it a High-Quality Water?If so,check if it is by definition or by designation?In order to check
this,ask the Planning Unit.
No
c) Map- Provide a map locating the nearest downstream waters-of-the-State(i.e. where the effluent
reaches an unnamed tributary,creek,stream,river,or lake via any surface-water conveyance).
Refer to N-1 provided as an attachment to the cover letter.
d) Site Evaluation-Contact DEQ's local Regional Office for a site evaluation to confirm the
proposed discharge flow path to the nearest waters-of-the-State. The wastewater/stream
confluence and stream class must be verified in the field by DEQ's Regional Staff. Please list the
Regional Office staff member you contacted for the inspection. Site has been visited by Ms.
Kelli Park with the NCDEO Winston office.
e) Flow Path- Display graphically the flow path of the discharge to the nearest surface Waters of
the State. Document any potential hydrologic trespass or right-of-way infringement on any
neighboring property(i.e.note all properties encountered prior to reaching waters-of-the-State).
Refer to the enclosed engineering plans. The creek traverses the applicant's property.
Page 4 of 7 Revised:A. Orlando NPDES 21 Sept2017

Application for Certificate of Coverage (COC) and/or Authorization to Construct (ATC)
under General-Permit NCG550000
fj 7Q10/30Q2 Estimate-Contact USGS J. Curtis Weaver(919-571-4043)to provide the estimated
7Q10 and 30Q2 stream-flow estimates for the first downstream point-of-contact with waters-of-
the-State.
Provided as an attachment to the Cover Letter
11. Certificates of Coverage/Notices of Intent to Discharge/Authorizations to Construct-Check ALL of
the following information has been provided. Incomplete Applications will be returned.
® An original letter[two(2)copies] requesting coverage under NCG550000.
® This application [two(2)copies].Your signature on this application,certifies that you are legally
responsible for the proposed treatment system (see page 6 of 6)for the COC/NOI/ATC.
® A check or money order for$60.00 permit fee made payable to NCDEQ.
12. Additional Application Requirements
a) Narrative Description of the treatment system. This narrative should present treatment components
in order of flow—influent to outfall, including anti-erosion structures and sample-port location(s).
b) Final Plans and Specifications for a wastewater treatment system shall be signed by a North
Carolina-registered Professional Engineer,or if prepared by others,must conform to 15A NCAC
02H .0139. All documents are to be stamped "Final Design-Not Released for Construction."
Submittal shall include a site map showing the proposed outfall and the effluent proposed path to
surface waters-of-the-State.(see Item 1 for location verification by DWR Regional Office staff)
c) Submittals by a Consulting Engineer or Engineering Firm shall include:
1. A copy of your written authorization to represent, signed by the legal
permit Applicant; and
2. Upon completion of proposed work,a signed copy of DWRs Engineer's
Certification form attesting that the project was completed in accord
with the DWR approved COC/ATC,as issued.
*******************************************************************************
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: ,j,, fr—/e7 j4 eoR
Title: 0 Al e f
(Please review 15A NCAC 02H .0106(e)fordeefmition of authorized signing officials)
�C cIX„.7-7Ly ( 7- atlick here to enter a date.
(Signature of Appli t) (Date Signed)
Page 5 of 7 Revised:A. Orlando NPDES 21Sept2017

Application for Certificate of Coverage (COC) and/or Authorization to Construct (ATC)
under General-Permit NCG550000
NOTE: Treatment System Maintenance is Required-Upon receiving a Certificate of
Coverage/Authorization to Construct(COC/ATC),the Division recommends that the Permittee solicit
manufacturer-certified training, or solicit a qualified contractor or service to regularly inspect and
maintain this treatment system. The Permittee is responsible under this COC/ATC to maintain all
components of the approved treatment system,designed to meet Surface Water Quality Standards [see
attached Operation and Maintenance Agreement].
Compliance duties include:
• paying your annual fee [due on the anniversary of COC/ATC effective date],
• following the manufacturer's guidelines,
• conducting and documenting inspections, in compliance with General Permit NCG550000,
• establishing sources for OEM spare parts and supplies,
• taking discharge samples for analysis,and logging the results,
• making necessary repairs,documenting said maintenance in logs, and
• keeping logs onsite for the life of the permit, available for DWR inspection.
North Carolina General Statute& 143-215.6B 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 this Article or a rule implementing this
Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested
case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under this Article or rules of the Commission
implementing this Article, shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten
thousand dollars($10,000). 18 U.S.C. Section 1001 provides a punishment by a fine or imprisonment not more
than 5 years,or both,for a similar offense.
Application must be accompanied by a check or money order for$60.00
made payable to:
NCDEQ
• • • • •
Mail this application and one copy of the entire package (with check) to:
NCDEQ/DWR/NPDES
Attention: John Hennessy, Supervisor
Compliance and Expedited Permitting Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Attn: John Hennessy
Note: Submission of this document insures DWR's consideration, but does not
guarantee issuance of a Certificate of Coverage/Authorization to Construct.
Page 7 of 7 Revised:A. Orlando NPDES 21Sept2017