WQ0010878_Add Info Letter_20190128

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
CORY ARBOGAST — MANAGER
BLUE RIDGE PRESERVATION, INC.
12 MURPHY DRIVE
NASHUA, NEw HAMPSHIRE 03062
Dear Mr. Arbogast:
NORTH CAROLINA
Environmental Quality
January 28, 2019
Subject: Application No. WQ0010878
Additional Information Request
Blue Ridge Preservation WWTP
Wastewater Irrigation System
Watauga County
Division of Water Resources' Central and Regional staff has reviewed the application package
received November 6, 2018. However, additional information is required before the review may be
completed. Please address the items on the attached pages no later than the close of business on February
28, 2019.
Please be aware that you are responsible for meeting all requirements set forth in North Carolina
rules and regulations. Any oversights that occurred in the review of the subject application package are
still the Applicant's responsibility. In addition, any omissions made in responding to the outstanding items,
or failure to provide the additional information on or before the above requested date may result in your
application being returned as incomplete.
Please reference the subject application number when providing the requested information. All
revised and/or additional documentation shall be signed, sealed and dated (where needed), with two paper
copies and one electronic copy.
If you have any questions regarding this request, please do not hesitate to contact me at (919) 707-
3660 or [e-mail]. Thank you for your cooperation.
Sincerely,
/Cpt�, -t
Tessa Monday, Environmental Engineer
Division of Water Resources
cc: Winston-Salem Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Permit Application File WQ001
Q�� North Carolina Department of Environmental Quality I Division of Water Resources
Et�
512 North Salisbury Street 1 1617 Mail Service Center Raleigh, North Carolina 27699-1617
o.oh 919.707.9000

Mr. Cory Arbogast
January 28, 2019
Page 2 of 2
A. Provide an updated site map in accordance with 15A NCAC 02T .0105(d) that shows the
following:
1. Boundaries and physical features not under purview of other licensed professions shall be provided by a
professional land surveyor (indicate surveyor and date of survey)
2. Legend, north arrow, scale, and legible in black and white
3. Distance measurements verifying all setbacks are being met
4. Stormwater drainage controls
5. Location and ownership of property boundaries within 500 feet of the disposal area (including road/rail
right-of-ways)
6. All facility -related structures and fences within the treatment, storage, and disposal areas
7. All habitable residences and places of assembly within 500 feet of all treatment, storage, and disposal sites
8. Topographic contour intervals not exceeding 10 feet or 25 percent of total site relief
9. Soil mapping units on all disposal sites
10. Location of all wells, streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, ditches, and
other surface drainage features within 500 feet of all waste treatment, storage, and disposal site(s)
11. Location and identification of major components of the waste disposal system
12. Identification of all storage or treatment earthen structures that are part of the permit
13. The wetted perimeter of all irrigation/infiltration fields with field names (named according to the approved
permit)
14. The delineation of compliance and review boundaries
15. 100-year floodplain (if applicable)
B. It appears the treatment and storage facilities maybe within 50 feet of the adjacent property owned by
Rufus and Anita Yates. If any of the facilities do not meet the required setback per 15A NCAC 02H
.0200, a setback waiver will be required.
C. Since Field #6 cannot be used due to the landslide, it will be removed from the permit.
D. Pay the overdue fees. See the attached invoices.
E. The Backup ORC for Surface Irrigation has an invalid certification. See the attached ORC designation
form to submit a valid Backup ORC.

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
INVOICE
Annual Permit Fee
Overdue
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with
your permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facility's
operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid
permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is
needed, you must reapply, with the understanding the permit request may be denied due to changes in environmental,
regulatory, or modeling conditions.
Invoice Number: 2017PRO10703
Permit Number: WQ0010878
Watauga County
Blue Ridge Preservation WWTP
Blue Ridge Preservation Inc
Blue Ridge Preservation Inc
8632 Wilkinson Blvd
Charlotte, NC 28210
Notes
Annual Fee Period: 2017-06-01 to 2018-05-31
Invoice Date: 11/08/2017
Due Date: 12/08/2017
Annual Fee: $1,310.00
1. You may pay either by mail with check/money order OR by electronic payment (eCheck or Credit Card).
2. If payment is by check/money order, please remit payment to:
NCDEQ - Division of Water Resources
Attn: Animal/Discharge/Non-Discharge Billing
1617 Mail Service Center
Raleigh, NC 27699-1617
3. If payment is electronic, please see https://deg.nc.gov/epayments/wq to pay electronically. Payments by eCheck will debit your
checking account. Credit card transactions will incur a convenience fee.
4. Please include your Permit Number and Invoice Number on all correspondence.
5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
6. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
7. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee
Coordinator at 919-807-6316.
8. Please verify your facility affiliations using the following link:
http://deg.nc.gov/about/divisions/water-resources/water-resou rces-permits/wastewater-branch/non-discharge-permitting-u nit/application
---------------------------------------------------------------------------------------------------------------------------------------------------
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2017PRO10703
Permit Number: WQ0010878
Watauga County
Blue Ridge Preservation WWTP
Blue Ridge Preservation Inc
Blue Ridge Preservation Inc
8632 Wilkinson Blvd
Charlotte, NC 28210
Overdue
Annual Fee Period: 2017-06-01 to 2018-05-31
Invoice Date: 11/8/2017
Due Date: 12/8/2017
Annual Fee: $1,310.00
Check Number:

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
INVOICE
Annual Permit Fee
Overdue
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with
your permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facility's
operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid
permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is
needed, you must reapply, with the understanding the permit request may be denied due to changes in environmental,
regulatory, or modeling conditions.
Invoice Number: 2018PRO10781
Permit Number: WQ0010878
Watauga County
Blue Ridge Preservation WWTP
Blue Ridge Preservation Inc
Blue Ridge Preservation Inc
8632 Wilkinson Blvd
Charlotte, NC 28210
Notes
Annual Fee Period: 2018-06-01 to 2019-05-31
Invoice Date: 11/07/2018
Due Date: 12/07/2018
Annual Fee: $1,310.00
1. You may pay either by mail with check/money order OR by electronic payment (eCheck or Credit Card).
2. If payment is by check/money order, please remit payment to:
NCDEQ - Division of Water Resources
Attn: Animal/Discharge/Non-Discharge Billing
1617 Mail Service Center
Raleigh, NC 27699-1617
3. If payment is electronic, please see https://deg.nc.gov/epayments/wq to pay electronically. Payments by eCheck will debit your
checking account. Credit card transactions will incur a convenience fee.
4. Please include your Permit Number and Invoice Number on all correspondence.
5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
6. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
7. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee
Coordinator at 919-807-6316.
8. Please verify your facility affiliations using the following link:
http://deg.nc.gov/about/divisions/water-resources/water-resou rces-permits/wastewater-branch/non-discharge-permitting-u nit/application
---------------------------------------------------------------------------------------------------------------------------------------------------
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2018PRO10781
Permit Number: WQ0010878
Watauga County
Blue Ridge Preservation WWTP
Blue Ridge Preservation Inc
Blue Ridge Preservation Inc
8632 Wilkinson Blvd
Charlotte, NC 28210
Overdue
Annual Fee Period: 2018-06-01 to 2019-05-31
Invoice Date: 11/7/2018
Due Date: 12/7/2018
Annual Fee: $1,310.00
Check Number:

WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORM (WPCSOCC)
NCAC 15A 8G .0201
Permittee Owner/Officer Name:
Mailing Address:
City:
Email Address:
Signature:
Facility Name:
County:
Press TAB to enter information
Phone:
State: Zip:
Date:
Permit #
YOU MUST SUBMIT A SEPARATE FORM FOR EACH TYPE AND CLASSIFICATION OF SYSTEM:
Facility Type: Select
Facility Grade: Select
Print Full Name:
Certificate Type: Select
Email Address:
Signature:
OPERATOR IN RESPONSIBLE CHARGE (ORC)
Work Phone:
Certificate Grade: Select Certificate #:
Effective Date:
"1 certify that 1 agree to my designation as the Operator in Responsible Charge for the facility noted. 1 understand and will abide by the
rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select
Email Address:
Signature:
Certificate Grade: Select Certificate #:
Effective Date:
"I certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Mail, fax or email WPCSOCC, 1618 Mail Service Center, Fax: [phone]
ORIGINAL to: Raleigh, NC 27699-1618
Mail or Fax Asheville
a COPY to: 2090 US Hwy 70
Swannanoa, NC 28778
Fax: [phone]
Phone: [phone]
Washington
943 Washington Sq. Mall
Washington, NC 27889
Fax: [phone]
Phone: [phone]
Fayetteville
225 Green St., Suite 714
Fayetteville, NC 28301-5043
Fax: [phone]
Phone: [phone]
Wilmington
127 Cardinal Dr.
Wilmington, NC 28405-2845
Fax: [phone]
Phone: [phone]
Email: [e-mail]
Mooresville
610 E. Center Ave., Suite 301
Mooresville, NC 28115
Fax: [phone]
Phone:[phone]
Winston-Salem
45 W. Hanes Mall Rd.
Winston-Salem, NC 27105
Fax: [phone]
Phone: [phone]
Raleigh
3800 Barrett Dr.
Raleigh, NC 27609
Fax: [phone]
Phone: [phone]
Revised 412016

WPCSOCC Operator Designation Form (continued)
Page 2
Facility Name: Permit #:
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select
Email Address:
Certificate Grade: Select Certificate #:
Signature: Effective Date:
"1 certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select Certificate Grade: Select Certificate #:
Email Address:
Signature: Effective Date:
"1 certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select Certificate Grade: Select Certificate #:
Email Address:
Signature: Effective Date:
"1 certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select Certificate Grade: Select Certificate #:
Email Address:
Signature: Effective Date:
"1 certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Revised 412016

State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE WASTEWATER SYSTEM WAIVER
AGREEMENT TO WAIVE SETBACKS AS REQUIRED BY
15A NCAC 02T .0506(a), .0506(b), .0606(a), .0706(a) AND .1006(a)
I, , certify that I am a deeded owner of the property located at:
RufusAnita Yates
Address: Hoke Farm / PO Box 383
City:
West Jefferson
Parcel No.: 2849-01-5425-000
State: NC Zip Code: 28694
County: Watauga
Furthermore, I certify that I am authorized to make decisions regarding this property, and that I do hereby
agree that the setback distances cited below be granted to the Applicant/Permittee listed on the following
page.
❑ I understand the setback requirements set forth in 15A NCAC 02T. For the parcel identified
above, I consent to a reduced setback from feet to feet, thereby allowing the
application of wastewater effluent as near as feet from my property line.
❑ I understand the setback requirements set forth in 15A NCAC 02T. For the parcel identified
above, I consent to a reduced setback from feet to feet, thereby allowing the
application of wastewater effluent as near as feet from my residence.
® I understand the setback requirements set forth in 15A NCAC 02T. For the parcel identified
above, I consent to a reduced setback from 50 feet to feet, thereby allowing the
construction of wastewater treatment and storage units as near as _ feet from my property line.
❑ I understand the setback requirements set forth in 15A NCAC 02T. For the parcel identified
above, I consent to a reduced setback from feet to feet, thereby allowing the
construction of wastewater treatment and storage units as near as feet from my residence.
Signature:
Date:
FORM: NDWSW 03-17 Page 1 of 2

Applicant/Permittee: Blue Ridge Preservation, Inc.
Address: 12 Murphy Drive
City: Nashua
NORTH CAROLINA,
Parcel No.: 2839-71-5992-000
State: NH Zip Code: 03062 County: Watauga
COUNTY
I, , a Notary Public for
do hereby certify that
County, North Carolina,
personally appeared before me this day
and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal, this the day of ,
SEAL
Signature of Notary Public
My commission expires
Once notarized, this form shall be recorded at the Register of Deeds in the county or
counties in which the described properties are located. A copy of the recorded
waiver shall be sent to the following address:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM: NDWSW 03-17 Page 2 of 2