DWR Read File Archive May 2016

.•forth Carolina Department of Environmental Quality—Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
PERMIT APPLICATION STAFF REVIEW REQUEST FORM
Date: April 21,2016
To: Landon Davidson—Andrew Moore
From: Michael Rogers,WQROS—Animal Feeding Operations and Groundwater Protection Branch
Telephone: [phone] Fax. [phone] E:Mail: [e-mail]
A. Permit Number: WI0100001
B. A ply icant: Terri Henning
C. Facility Name:
D. Application:
Permit Type: Geothermal Heating/Cooling Water Return Well
Project Type: RENEWAL
E. Comments/Other Information:
1 would like to accompany you on a site visit.
Attached,you will find all information submitted in support of the above-referenced application for your
review, comment, and/or action. Within 30 calendar days, please return a completed WOROS Staff
Report.
When you receive this request form,please write your name and dates in the spaces below,make a copy of
this sheet, and return it-to the appropriate Central Office Groundwater Protection Branch contact person
listed above.
Date:
RO-WOROS Reviewer: //��"'4D�-✓ i� —
COMMENTS:
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WQROS Staff Report Request Form-Rev.4-21-2016

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
�^ Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 3, 2016
Town of Granite Falls
Randy Smith
PO Box 10
Granite Falls,NC 28630
SUBJECT: Collection System Inspection
Granite Falls Collection System
Permit No: WQCS00145
Caldwell County
Dear Mr. Smith:
Enclosed please find a copy of the Collection System Inspection form from the inspection conducted on April
22, 2016. The program appeared to be in compliance with permit WQCS00145.
>> Please refer to the enclosed inspection report for observations and comments. If you or your staff have any
questions,please call meat 828-296-4500.
Sincerely,
Linda Wiggs
Environmental Senior Specialist
Asheville Regional Office
Enc.Inspection Report
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Caldwell\Collection Systems\Granite Falls Collection System\CEI.April20161tr.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

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Compliance Inspection Report
Permit: WQCS00145 Effective: 03/01/09 Expiration: 02/28/17 Owner: Town of Granite Falls
SOC: Effective: Expiration: Facility: Granite Falls Collection System
30 Park Sq
County:Caldwell
PO Drawer 10
Region: Asheville Granite Falls NC 28630
Contact Person: M Shuford Wise Title: Director Phone: [phone]
Directions to facility:
System Classifications: CS2,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
NC0021890 Town of Granite Falls-Granite Falls WWfP
Inspection Date: 04/22/2016 Entry rime: 10:OOAM Exit Time: 03:OOPM
Primary Inspector: Linda S Wiggs 4 y Phone:VII
828-296 4500 F�ct.4653
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions 0-Performance Standards ® Operation&Maint Reqmts
Records 0 Monitoring&Rpting Reqmts Inspections
■ Pump Station i Manhole Lines
(See attachment summary)
Page: 1

Permit: WQCS00145 Owner-Facility:Town of Granite Falls
Inspection Date: 04/22/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary.-
Present during the inspection were Randy Smith(Granite Falls PWD)and Rob Topolski(DWR).
Randy Smith was hired as the Granite Falls Public Works Director in January 2016.
CIP 2016-2017 projects include new Pump Stations at the Laurel and the Central Pump Stations(-$800k).
Granite Falls has applied for a$150k grant to include I&I tracking and asset management(AMOS system). Part of the
asset management will include digitizing the map. A Mission system has recently been bought for all pump stations-,they
are in the process of installing them at all the pump stations. A request fora camera has also been made.
The response plan is dated and will need to be reviewed and updated. Personnel changes and phone numbers need to be
updated.Also the latest public notification language(Revised SSO Reporting, Oct.2014)should be added to the plan.
Refer to the website below:
http://deq.nc.gov/about/divisions/water-resources/water-resources-permits/peres/collection-systems-permits
Mr. Smith will review the SUO when he gets a chance,as it is dated.
Collection system inspector log sheets were sent to Randy Smith via email on 4/29/2016 for his consideration.
Page: 2

Permit: WQCS00145 Owner-Facility:Town of Granite Falls
Inspection Date: 04/22/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Yes No NA NE
Inspections
Are maintenance records for sewer lines available?
0 El
Are records available that document pump station inspections? ® El
Are SCADA or telemetry equipped pump stations inspected at least once a week? •
Are non-SCADA/telemetry equipped pump stations inspected every day?
Are records available that document citizen complaints? 0 0 El ❑
#Do you have a system to conduct an annual observation of entire system? ® El
El n
#Has there been an observation of remote areas in the last year? ® El
El El
Are records available that document inspections of high-priority lines? ❑ n ❑
Has there been visual inspections of high-priority lines in last six months? ® 0 El ❑
Comment: Collection system inspector lop sheets were sent to Randy Smith via email on 4/29/2016 for his
consideration.
Monitoring and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available? El El 01 El
Are public notices and proof of publication available?
0 El El El
#Is an annual report being prepared in accordance with G.S.143-215.1 C?
#Is permittee compliant with all compliance schedules in the permits?
If no,which one(s)?
Comment:
Operation&Maintenance Requirements Yes No NA NE
El
Are all log books available? S
Does supervisor review all log books on a regular basis? n El
Does the supervisor have plans to address documented short-term problem areas? M
El El El
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
As needed.
Are maintenance records for equipment available?
Is a schedule maintained for testing emergency/standby equipment? El 0 El
self tested
What is the schedule for testing emergency/standby equipment?
Do pump station logs include:
0 El
Inside and outside cleaning and debris removal? ® 0
Inspecting and exercising all valves? •
Inspecting and lubricating pumps and other equipment?
Page: 3

Permit: WQCS00145 Owner-Facility:Town of Granite Falls
Inspection Date: 04/22/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Operation&Maintenance Requirements
Yes No NA NE
Inspecting alarms,telemetry and auxiliary equipment? ■ ❑ ❑ ❑
Is there at least one spare pump for each pump station w/o pump reliability? ® ❑ ❑
Are maintenance records for right-of-ways available? ■ ❑ ❑ ❑
Are right-of-ways currently accessible in the event of an emergency? ■ ❑ ❑ ❑
Are system cleaning records available? . ❑ ❑ ❑
Has at least 10%of system been cleaned annually? ® ❑ ❑ ❑
What areas are scheduled for cleaning in the next 12 months?
Is a Spill Response Action Plan available? ® ❑ ❑ ❑
Does the plan include:
24-hour contact numbers . ❑ ❑ ❑
Response time ❑ ❑ ❑
Equipment list and spare parts inventory ® ❑ ❑ ❑
Access to cleaning equipment ■ ❑ ❑ ❑
Access to construction crews,contractors,and/or engineers ❑ ❑ ❑
Source of emergency funds ■ ❑ ❑ ❑
Site sanitation and cleanup materials ■ ❑ ❑
Post-overflow/spill assessment
Is a Spill Response Action Plan available for all personnel? ® El D ❑
Is the spare parts inventory adequate? ® ❑ ❑ a
Comment: The response plan is dated and will need to be reviewed and updated Personnel changes and
hone numbers need to be updated Also the latest public notification Ian auage(24 hour)should
be added to the plan
Performance Standards
Yes No NA NE
Is Public Education Program for grease established and documented? . ❑ ❑ ❑
What educational tools are used?
Newsletter,they recently added the grease goblin.
Is Sewer Use Ordinance/Legal Authority available? On ❑
Does it appear that the Sewer Use Ordinance is enforced? ® ❑ ❑
EI
Is Grease Trap Ordinance available? ■ ❑ ❑ ❑
Is Septic Tank Ordinance available(as applicable,i.e.annexation) ❑ ❑ ❑
List enforcement actions by permittee,if any,in the last 12 months
Has an acceptable Capital Improvement Plan(CIP)been implemented? ® ❑ ❑ ❑
Does CIP address short term needs and long term\"master plant"concepts? ® ❑ ❑ ❑
Does CIP cover three to five year period? ® ❑ ❑ ❑
Page: 4

Permit: WQCS00145 owner-Facility:Town of Granite Falls
Inspection Date: 04/22/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Performance Standards Yes No NA NE
ME] 00
Does CIP include Goal Statement?
Does CIP include description of project area? M El F1 El
Does CIP include description of existing facilities? El 0 El
Does CIP include known deficiencies?
Does CIP include forecasted future needs? ®
El El
Is CIP designated only for wastewater collection and treatment? ® �
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
They have applied for a$150k grant to include I&I tracking and asset management(AMOS system).
A request for a camera has also been made.
Randy Smith will review the SUO when he gets a chance,as it is dated. 1:1 El
Is system free of known points of bypass?
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? El 0
® �
#Does the sign include:
Instructions for notification? ® El
Pump station identifier? ■
24-hour contact numbers ■
If no,list deficient pump stations
#Do ALL pump stations have an"auto polling"feature/SCADA? M
El El F1
19
Number of pump stations
Number of pump stations that have SCADA
Number of pump stations that have simple telemetry
Number of pump stations that have only audible and visual alarms
Number of pump stations that do not meet permit requirements El El
#Does the permittee have a root control program?
#If yes,date implemented?
Describe:
They have chemicals or will hire contractor is need be.
Comment: A Mission system has recently been bought for all pump stations:they are in the process of
installing them at all the pump stations.
Yes No NA NE
Records
' Are adequate records of all SSOs,spills and complaints available?
El El
Are records of SSOs that are under the reportable threshold available? El
Page: 5

Permit: WQCS00145 Owner-Facility:Town of Granite Falls
Inspection Date: 04/22/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Records
Yes No NA NE
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? ❑ ■ ❑
If yes,is there a corrective action plan? ❑ ❑ ■ ❑
Is a map of the system available? ® ❑ ❑ ❑
Does the map include:
Pipe sizes ■ ❑ ❑ ❑
Pipe materials ® ❑ ❑ ❑
Pipe location ■ ❑ ❑ ❑
Flow direction ® ❑ ❑ ❑
Approximate pipe age
Number of service taps ® El ❑
Pump stations and capacity ® ❑ ❑ ❑
If no,what percent is complete?
List any modifications and extensions that need to be added to the map
1861 taps
The map is a bit dated.Part of the asset management will include digitizing the map.
#Does the permittee have a copy of their permit? ■ El ❑ ❑
Comment:
320&911 - Midway
Manhole
Is manhole accessible? Yes No NA NEN ❑ ❑ ❑
#Is manhole cover/vent above grade? ® ❑ ❑
Is the manhole free of visible signs of overflow? ■ ❑ ❑
Is the manhole free of sinkholes and depressions? ■ ❑ ❑
Is manhole cover present? ❑ ❑ ❑
#Is manhole properly seated? ■ ❑ El El#Is manhole in good condition? ® ❑ ❑ ❑
#Is invert in good condition? ■ ❑ ❑ ❑
Is line free-flowing and unrestricted in manhole? ® ❑ ❑ ❑
Is manhole free of excessive amounts of grease? i ❑ ❑
El
Is manhole free of excessive roots? . ❑ El ❑
Is manhole free of excessive sand? ■ ❑ ❑ ❑
Is manhole's extended vent screened? ❑ ❑ ® ❑
Are vents free of submergence? ❑ 110
❑
Are manholes free of bypass structures or pipes? ®, ❑ ❑
Page: 6

Permit: WQCS00145 owner-Facility:Town of Granite Falls
Inspection Date: 0 4122/2 01 6 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
320&911 - Midway
Yes No NA NE
Manhole
Comment: The lower MH by the barking dog had some sediment/sludae in the invert.
982&328 - Central Ave
Manhole Yes No NA NE
El
Is manhole accessible? ■ ❑ ❑
#Is manhole cover/vent above grade? • ❑ ❑ ❑
Is the manhole free of visible signs of overflow? ■ ❑ ❑ ❑
Is the manhole free of sinkholes and depressions? ® 0 ❑ ❑
Is manhole cover present? • ❑ ❑
#Is manhole properly seated? ■ El ❑
#Is manhole in good condition? ■ ❑ ❑
#Is invert in good condition? • ❑ ❑
Is line free-flowing and unrestricted in manhole? E ❑ ❑ ❑
Is manhole free of excessive amounts of grease? ❑ ❑
Is manhole free of excessive roots? • ❑ ❑ ❑
Is manhole free of excessive sand? ! ❑ ❑ ❑
Is manhole's extended vent screened? ❑ •
Are vents free of submergence? ❑
Are manholes free of bypass structures or pipes? ■ ❑ ❑ ❑
Comment: MH 328 had a piece of metal on the bench that needs to be removed to avoid a blockage.
CENTRAL -
Yes No NA NE
Pump Station
Pump station type
Are pump station logs available? ■ ❑ ❑ ❑
Is it accessible in all weather conditions? ■ ❑ ❑ ❑
#Is general housekeeping acceptable? ® ❑ ❑ ❑
Are all pumps present? . ❑ ❑
Are all pumps operable? ■ ❑ ❑
Are wet wells free of excessive debris? • ❑ ❑ ❑
Are upstream manholes free of excessive debris/signs of overflow? ■ ❑ ❑ ❑
Are floats/controls for pumps/alarms operable? El El ❑ ■
El El ■
Is"auto polling"feature/SCADA present?
Is"auto polling"feature/SCADA operational? ❑ ❑ ■ ❑
Is simple telemetry present?
El ❑ ❑
Page: 7

Permit: WQCS00145 Owner-Facility:Town of Granite Falls
Inspection Date: 04/22/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
CENTRAL -
Pump Station
Is simple telemetry operational? Yes No NA NE
❑ ❑ ® ❑
Are audio and visual alarms present? ® ❑ ❑ ❑
Are audio and visual alarms operable? ❑ ❑ ❑
Is the Pump station inspected as required? ■ ❑ ❑
Are backflow devices in place? ❑ ❑ ❑
Are backflow devices operable? ❑ ❑ ❑ ®"
Are air relief valves in place? ❑ ❑
El 0
Are air relief valves operable? ❑ ❑ ❑
# Is an emergency generator available? ® ❑
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up? ■
Is the generator operable? ❑ ❑ ■
#Is fuel in tank and sufficient? ❑ ❑ ■ ❑
Is the generator inspected according to their schedule? El
Is a 24-hour notification sign posted? ® ❑ ❑
Does it include:
Instructions for notification? . ❑ ❑ ❑ _i
Pump station identifier? ■ ❑ ❑ ❑
Emergency phone number ❑ ❑ ❑
Is public access limited? ® ❑ ❑ ❑
Is pump station free of overflow piping? ® � ❑ ❑
Is the pump station free of signs of overflow? ® � ❑ ❑
Are run times comparable for multiple pumps? NE
Comment: This pump station is soon to be decommissioned and a new one built adiacent
Alarms were auto checked
SHUFFORD -
Pump Station
Pump station type Yes Ao NA NE
Are pump station logs available? ® ❑ ❑ ❑
Is it accessible in all weather conditions? ® ❑ ❑ ❑
#Is general housekeeping acceptable? ❑ ❑
Are all pumps present? ■ ❑ ❑ ❑
Are all pumps operable?' ❑ ❑ ❑
Are wetwells free of excessive debris? ■ ❑ ❑ ❑
Page: 8

Permit: WQCS00145 Owner-Facility:Town of Granite Falls
Inspection Date: 04/22/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
SHUFFORD -
Pump Station Yes No NA NE
Are upstream manholes free of excessive debris/signs of overflow? El 0
® �
Are floats/controls for pumps/alarms operable? ® � ❑
Is"auto polling"feature/SCADA present? 0 El ■
Is"auto polling"feature/SCADA operational? .
El
Is simple telemetry present? ® 11
El R
Is simple telemetry operational? ® 1:1
El El
Are audio and visual alarms present? ® 1:1 ❑
1:1 El El
Are audio and visual alarms operable?
Is the Pump station inspected as required? El R El
Are backflow devices in place? ❑ El ❑
Are backflow devices operable?
Are air relief valves in place? ❑
Are air relief valves operable? •
# Is an emergency generator available? El El ❑
Can the emergency generator run the pumps?
El 1:1-- El
Is the pump station equipped for quick hook-up? •
Is the generator operable? El R El ■
#1s fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted? . El ❑
Does it include:
Instructions for notification? ■
El El 1-1
El R
Pump station identifier? ® R
Emergency phone number ® �
Is public access limited? ■ El R ❑
Is pump station free of overflow piping? ■
Is the pump station free of signs of overflow? ® �
Are run times comparable for multiple pumps?
Comment: This pump station is across the creek from the WWTP and is tied into the WWTP for back
power.
Page: 9

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PAT MCCRORY
4.
Governor
/ DONALD R. VAN DER VAART
Secretary
WaterResourass S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 3,2016
J.Robert Boyette
City of Marion
PO Drawer 700
Marion,NC 28752
SUBJECT: Annual Report Review(2015)Inspection
City of Marion RLAP
Permit No:WQ0019960
McDowell County
Dear Mr.Boyette:
Enclosed please find a copy of the Annual Report(AR)Inspection Form from the inspection conducted on 3/15/2016. The facility
was found to be in compliance with permit WQ0019960.
Please recalculate and resubmit the Field Summary Form for field K-2 as the acreage has decreased. The Form should be submitted
to:
NC DEQ-Division of Water Resources
Information Processing Unit
1617 Mail Services Center
Raleigh NC 27699-1617
According to the AR,the Specific Oxygen Uptake Rate(SOUR)is used to verify Vector Attraction Reduction(VAR). The test results
for all seven SOUR tests were included. The SOUR chart/curve should also be submitted with the analyses. The SOUR chart/curve
can be found on our web site at http://deg.nc.gov/about/divisions/w er-resources/water-resources- ermits/wastewater-branch/non-
discharge-permittin7 unitheTorting-forms under Residuals Forms.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any questions,
please call me at 828-296-4685.
Sincerely,
11�
Beverly Price
Environmental Senior Specialist
Enc.
cc: Larry Carver,Wastewater Superintendent w/enclosure
Dennis Key,ORC,SSB w/enclosure
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\McDowell\Wastewater\Non-discharge\City of Marion\City of Marion Land Application Class B\CEI16 2015 AR Review.docx
State of North Carolina I Environmental Quality I water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

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Compliance Inspection Report
Permit: WQ0019960 Effective: 08/20/07 Expiration: 07/31/16 Owner: City of Marion
SOC: Effective: Expiration: Facility: City of Marion RLAP
3982 Hwy 226 S
County: McDowell
Region: Asheville Marion NC 28752
Contact Person: J Robert Boyette Title: City Manager Phone: [phone]
Directions to Facility:
From ARO:1-40 East to Exit 86.Turn left onto Hwy.226 south. WW(P is approximately 1/2 mile on the right.
System Classifications: LA,
Primary ORC: Dennis Key Certification: 15704 Phone: [phone]
Secondary ORC(s):
David W Key
23629 336-957-7869
On-Site Representative(s):
24 hour contact name Dennis Key 336-957-8909
Related Permits:
Inspection Date: 03/15/2016 Entry Time: 01:OOPM Exit Time: 03:00PM
Primary Inspector: Beverly Price 5P Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Annual Report Review
Permit Inspection Type: Land Application of Residual Solids(503)
Facility Status:` ■ Compliant F1 Not Compliant
Question Areas:
Miscellaneous Questions ■ Record Keeping ® Pathogen and Vector Attraction
(See attachment summary)
Page: 1

Permit: WQ0019960 Owner-Facility:City of Marion
Inspection Date: 03/15/2016 Inspection Type:Annual Report Review Reason for visit: Routine
Inspection Summary:
72.6 dry tons of residuals were land applied to 4 permitted fields(Ross R1, R2; DeLuca K1, K2)during 2015. Soil samples
were taken on 11/24/2015.All fields showed pH of>6.0. Zinc and Copper Indexes were<3000.
Pathogen&Vector Attraction Reduction was achieved using fecal coliform density and the SOUR Test. The SOUR oxygen
curve should be submitted with the annual report.
Nutrlent/metais/TCLP analyses were conducted according to the permit requirements. PAN and field loading rates for each
metal appeared to be calculated correctly. Cummulative pollutant loading rates appeared to be within the permit limits.
However,the metal and PAN limits should be recalculated for Mario Deluca Field K2 as the acreage has been reduced.
Residuals were applied to fescue fields.
Page: 2

Permit: WQ0019960 owner-Facility:City of Marion
Inspection Date: 03/15/2016 Inspection Type:Annual Report Review Reason for visit: Routine
Pathogen and Vector Attraction Yes No NA NE
a. Fecal coliform SM 9221 E(Class A or B) E. 0 ❑ ❑
Class A,all test must be<1000 MPN/dry gram ❑
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram
El ❑ ® ❑
Fecal coliform SM 9222 D(Class B only)
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram ❑
b. pH records for alkaline stabilization(Class A) ❑ ❑ ® ❑
c. pH records for alkaline stabilization(Class B) ❑ ❑ ■ ❑
Temperature corrected ❑
d. Salmonella(Class A,all test must be<3MPN/4 gram day) El El O ❑
El El On
e. Time/Temp on:
Digester(MCRT) ❑
Compost
Class A lime stabilization ❑
f. Volatile Solids Calculations ❑ ❑ ■ ❑
g. Bench-top Aerobic/Anaerobic digestion results ❑ ❑ ® ❑
Comment:
Yes No NA NE
Record Keening
Is GW monitoring being conducted,if required? ❑ ❑ • ❑
Are GW samples from all MWs sampled for all required parameters? ❑ ❑ ® ❑
Are there any GW quality violations? ❑ ❑ Mn
Is GW-59A certification form completed for facility? ❑ ■ ❑
•
Is a copy of current permit on-site? ❑ ❑ ❑
Are current metals and nutrient analysis available? El ❑Are nutrient and metal loading calculating most limiting parameters? N ❑ ❑ ❑
a. TCLP analysis? ■ ❑ ❑ ❑
b. SSFA(Standard Soil Fertility Analysis)? • ❑ ❑ ❑
Are PAN balances being maintained? ® ❑ ❑ ❑
S El ❑ ❑
Are PAN balances within permit limits?
Has land application equipment been calibrated? ❑ El ❑
El ❑ ® ❑
Are there pH records for alkaline stabilization?
Are there pH records for the land application site? n ❑ ❑
^' Are nutrient/crop removal practices in place? ❑ ❑ ■
Page: 3

Permit: WQ0019960 Owner-Facility:City of Marion
Inspection Date: 0 311 5/2 01 6 Inspection Type:Annual Report Review Reason for Visit: Routine
_Record Keeping
Yes No NA NE
Do lab sheets support data reported on Residual Analysis Summary? ® �
Are hauling records available? ❑ ❑ ❑
Are hauling records maintained and up-to-date? ❑ ❑
#Has permittee been free of public complaints in last 12 months?
Has application occurred during Seasonal Restriction window? El El El 0
® �
Comment: Applications were not outside seasonal restriction window.
Type
Distribution and Marketing Yes No NA NE
❑
Land Application
Page: 4

PA_;,
Certified Mail # 7012-1010-0002-1965 5440
Return Receipt Requested
May 3, 2016
Stephen Yaw
218 Kirk Way
Candler, NC 28715
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-PC-0148
Single Family Residence Wastewater Treatment System
218 Kirk Way
Permit No. NCG551216
Buncombe County
" ar Mr. Yaw:
The North Carolina Division of Water Resources conducted an inspection at 218 Kirk Way on April 20, 2016.
This inspection was conducted to verify that the facility is operating in compliance with the conditions and
limitations specified in NPDES WW Permit No. NCG551216. A summary of the findings and comments noted
during the inspection are provided in the enclosed copy of the inspection report.
The Compliance Evaluation inspection was conducted by Division of Water Resources staff from the Asheville
Regional Office. The following violation(s) were noted during the inspection:'
Inspection Area Description of Violation
Disinfection-Tablet Chlorine tablets were not present in the chlorinator.
Permit The Annual Administering and Compliance Monitoring Fee has not been paid for the past
several years. Permit status is expired.
Disinfection-Tablet The chlorine contact chamber contained excessive solids and needs to be pumped out and
contents disposed of properly.
Effluent Pipe The right of way to the outfall was overgrown with vegetation.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,swannanoa,NC 28778
828-296-4500

Remedial actions should have already been taken to correct this problem and prevent further occurrences I.t,
future. The Division of Water Resources may pursue enforcement action for this and any additional violation
State law.
To prevent further action, please respond in writing to this office within 30 days upon your receipt of this Notice
of Violation regarding your plans or measures to be taken to address the indicated violations and other identified
issues, if applicable. Contact Bob Sledge at [phone] to determine how to make a payment and renew the
subject permit.
Because the property owner could not be reached during this inspection, additional information is being requested
at this time. Please submit records of annual septic tank inspections, documentation of septic tank pumping events,
and copies of the past 3 annual analytical reports.
If you should have any questions, please do not hesitate to contact Rob Topolski with the Water Quality
Regional Operations Section in the Asheville Regional Office at 828-296-4500.
Sincerely,
e�
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Enclosure: Inspection Report
NCG550000 General Permit and Technical Bulletin
cc: MSC 1617-Central Files
WQ Asheville Regional Office- Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residence\551216 Stephen Yaw\CEI.04202616\NOV-2016-PC-0148.rtf

United States Environmental Protection Agency Form Approved.
GP n Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 I 3 I NCG551216 I11 12 16/04/20 17 18 u 19 u 201
21I I I I I I I I I ( I I ) I6
-------Reserved------------
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----- 80
67 70 I I 71 I I 72 i r, 73 i � 74 75
L_I Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include
-Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 12:45PM 16/04/20 09/03/16
218 Kirk Way Exit Time/Date
Permit Expiration Date
218 Kirk Way 01:OOPM 16/04/20 12/07/31
Candler NC 28715
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
U/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Stephen Yaw,218 Kirk Way Candler NC 287151// No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance Self-Monitoring Program ® Facility Site Review
® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Robert Topolski ARO WQ//828-296-4500/ ,3 -40
Agency/Office/Phone and Fax Numbers Date
Signature of Mana a ent Q A Reviewer �*'" � L
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type
3I N 51216 I11 12 16/04/20 17 18 I r,1 (Cont.)
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
On April 20,2016, Rob Topolski of the Asheville Regional Office(ARO)conducted a Compliance
Evaluation Inspection of the Single Family Residence wastewater treatment system(NPDES Permit
No. NCG551216)at 218 Kirk Way in Buncombe County, NC. The property owner/permittee, Mr.
Stephen Yaw, could not be reached and was not present during this inspection. Inspections were
concurrently conducted at the neighboring properties at 220 and 224 Kirk Way.
The chlorinator and chlorine contact chamber for this system appear to be located behind the house to
the north (220 Kirk Way). No chlorine tablets were present in the chlorinator and excessive solids had
built up in the chlorine contact chamber. The right of way to the outfall was overgrown with vegetation
and the effluent pipe could not be located. From the layout of observable system components, it is
possible that this system shares an outfall with either one or both of the neighboring systems.
Because records were not reviewed during this inspection,additional information is being requested in
the cover letter to this report.
Page# 2 -

Permit: NCG551216
Owner-Facility: 216 Kirk Way
Inspection Date: 0 4/20120 1 6
Inspection Type: compliance Evaluation
Permit Yes No NA NE
D El
(If the present permit expires in 6 months or less). Has the permittee submitted a new
application?
Is the facility as described in the permit? El ® ❑ ❑
#Are there any special conditions for the permit? ❑ ® ❑ ❑
Is access to the plant site restricted to the general public? ❑ ❑ El
Is the inspector granted access to all areas for inspection? • El El ❑
Comment: The Annual Administering and Compliance Monitoring Fee has not been paid for the past
several years.
Permit status is expired.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ® ❑
Does the facility analyze process control parameters,for ex:MLSS,MCRT,Settleable ❑ ❑ M ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: The chlorine contact chamber contained excessive solids and needs to be pumped out and
contents disposed of properly.
Yes No NA NE
Septic Tank
(If pumps are used)Is an audible and visual alarm operational? ❑ El ❑
Is septic tank pumped on a schedule? ❑ ❑ El ■
Are pumps or syphons operating properly? ❑ ❑ ■ ❑
Are high and low water alarms operating properly? ❑ El • El
Comment: The solids present in the chlorine contact chamber indicate that the septic tank has not been
pumped at the required frequency.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ ® ❑ ❑
Are the tablets the proper size and type? ❑ ■ ❑ ❑
0
Number of tubes in use?
Is the level of chlorine residual acceptable? ❑ ❑ ❑ ■
Is the contact chamber free of growth,or sludge buildup? ❑ ® ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ® ❑
Comment: The chlorine contact chamber contained excessive solids and needs to be pumped out and
contents disposed of properly.
Effluent Pipe Yes No NA NE
Page# 3

Permit: NCG551216 Owner-Facility: 218 Kirk Way
Inspection bate: 04/20/2016 Inspection Type: Compliance Evaluation
Effluent Pipe
Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ® ❑
El
Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ,® ❑
Comment: The right of way to the outfall was overgrown with vegetation.
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ® ❑
Is sample collected below all treatment units? El 1:1 ■
Is proper volume collected? ❑ ❑ ❑
Is the tubing clean? ❑ ❑ ■ ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees El ❑ El ■
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ❑ ❑ i
representative)?
Comment: Because the property owner could not be reached during this inspection annual sampling
records could not be reviewed
Page# 4

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
,iaterResources
:NVIRONMENTAL QUALITY Director
May 3, 2016
Jeff Cobb
224 Kirk Way
Candler,NC 28715
SUBJECT: Compliance Evaluation Inspection
Single Family Residence
Wastewater Treatment System at
224 Kirk Way
Permit No: NCG551228
Buncombe County,NC
Dear Mr. Cobb:
Enclosed please find a copy of the Compliance Evaluation Inspection report for the inspection
conducted on April 20, 2016 of your Single Family Residence wastewater treatment system at
224 Kirk Way. Please read this report carefully and take note of any comments that are listed.
Your system was found to be out of compliance with the following requirements of NPDES
Permit No.NCG551228. However, since you are a new homeowner and not familiar with your
treatment system, a Notice of Violation is not being issued at this time.
The Annual Administering and Compliance Monitoring Fee has not been paid for the
past several years. [NCG550000 Part II. Section B General Conditions 121 in
accordance with [15A NCAC 02H.0105(b)(2)].
• Chlorine tablets specific for wastewater disinfection were not present in the chlorinator.
Part I. A. 1.Permit Conditions (Operation & Maintenance) Tablet Chlorinator].
• The chlorine contact chamber contained excessive solids and needs to be pumped out and
contents disposed of properly. Part I. A. 4. Permit Conditions (Operation &
Maintenance) System Components].
The outfall has not been maintained. The effluent pipe was not visible. [NCG550000
Part I. A. 4. Permit Conditions (Operation &Maintenance) System Components].
• Annual sampling has not been conducted as required. [NCG550000 Part I. A.
Monitoring Requirements (see table on page 31.
State of North Carolina I Environmental Quality I Water Resources
Asheville Regional Operations Center
2090 US 70 Highway,Swannanoa,North Carolina 28778
828/296-4500

Please review the enclosed NPDES NCG550000 General Permit and ensure compliance at all
times. You will also find enclosed a technical bulletin that provides an overview of your permit
type.
The remedial measure(s)and date(s)to be completed by are as follows:
Due within thirty (30) days from the date of this letter:
• Complete and submit the ownership change form given during this inspection.
• Contact Bob Sledge at(919) 807-6398 to determine how to make a payment and renew
the subject permit.
• Please submit a corrective action plan and any documentation to the undersigned
addressing the non-compliance identified in this report.
If additional time is needed to return to full compliance,please include anticipated completion
dates in your letter. Failure to complete remedial measures in a timely manner may result in a
Notice of Violation and the assessment of civil penalties.
Refer to the enclosed inspection report for additional observations and comments and please call
me at 828-296-4500 if you have any questions.
Sincerely,
Rob Topolski
Environmental Specialist
Division of Water Resources
Enclosure: Inspection Report
cc: MSC 1617-Central Files
WQ Asheville Files
G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residence\551228 Jeff Cobb;Fm.Merle&Michele Kepley\CEI.04202016\CEI.04202016.ltr.docx

United States Environmental Protection Agency Form Approved.
Washington,D.C.20460 OMB No.2040-0057
EPA
Water Compliance Inspection Report Approval expires8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN ' 2 15 I 3 I NCG551228 I11 12 116/04/20 17 18 1� I 19 1LLJ
S I 20 Lj
211111 1 1 L J I LLLLL iLLLL-L I f6
Inspection Work Days facility Self-Monitoring Evaluation Rating 81 QA -------------Reserved----------------
67 70 u 71 72 N 73L I 174751 111 1 80
Section B:Facility Data L-1
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include
Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 01:00PM 16/04/20 13/08/01
224 Kirk Way Exit Time/Date
Permit Expiration Date
224 Kirk Way 01:30PM 16/04/20 18/07/31
Candler NC 28715
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Merle Lee Kepley,23 Spencer Rd Candler NC 28715//828-665-6556/
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance Self-Monitoring Program Facility Site Review
■ Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) _
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Robert Topolski Rr ARO WQ//828-296-4500/
Signature of Management Q-A Re *ewer Agency/Office/Phone and Fax Numbers f Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type
3I NCG551228 Ill 12 16/04/20 17 18 I'I (Cont.) 1
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
On April 20,2016, Rob Topolski of the Asheville Regional Office(ARO)conducted a Compliance
Evaluation Inspection of the Single Family Residence wastewater treatment system (NPDES Permit
No. NCG551228)at 224 Kirk Way in Buncombe County, NC. The property owner, Mr. Jeff Cobb,was
present during this inspection. He is a relatively new owner and was not familiar with his wastewater
treatment system. Mr. Cobb was given an ownership change form to complete and submit and was
given a copy of the general permit and technical bulletin. System components were observed and
permit requirements were discussed with the owner.
A water leak was observed up gradient from the septic tank and needs to be repaired. Mr. Cobb did not
have records of annual septic tank inspections or pumping events. The septic tank should be pumped
out every 3-5 years or when the solids level is found to be more than 1/3 of the liquid depth in any
compartment.
Chlorine tablets were not present in the chlorinator. Mr. Cobb had a bucket of chlorine tablets for
swimming pools that the previous owner left with the house. He was instructed to obtain wastewater
specific tablets for 3-inch pipes. The chlorine contact chamber was turbid with a light brown slime
observed on the bottom of the pipe flowing into the chamber. The chlorine contact chamber needs to
be pumped when the septic tank is pumped out. Maintain all pumping records for inspection.
The Regional Office file did not have detailed plans showing location of system components or
possible connection to the effluent line from the neighboring systems. The right of way to the outfall at
Pole Creek was overgrown with vegetation and could not be located. Inspections were conducted
concurrently at the neighboring systems at 218 and 220 Kirk Way and it appears that these three
systems may share an outfall. These permittees should maintain the outfall right of way and
investigate the flow of this possible shared outfall so that eachmay develop a sampling plan. Annual \
samples must be representative for each separate system's effluent and must be analyzed by a North
Carolina certified laboratory.
The Annual Administering and Compliance Monitoring Fee has not been paid for 2015 and is past due.
Consequently, this permit has expired. Upon submittal of the ownership change form,you should
begin receiving invoices for the annual fee. If you have not received an invoice by July 2016, please
contact Bob Sledge at(919)807-6398 to determine how to make a payment and renew the subject
permit.
Page# 2

Permit: NCG551228
Owner-Facility: 224 Kirk Way
Inspection Date: 04/20/2016 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(if the present permit expires in 6 months or less). Has the permittee submitted a new ❑ . ❑ ❑
application?
Is the facility as described in the permit? ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ■ ❑ ❑
Is access to the plant site restricted to the general public? ❑ ❑ ® ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment: The Annual Administering and Compliance Monitoring Fee has not been paid for the past
several years Jeff Cobb is the new owner and was present during this inspection. He was
given an ownership change form to submit and a copy of the NCG550000 General Permit
and Technical Bulletin At the time of this inspection this sVstem was operating without a
valid permit.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ® ❑ ❑ ❑
Does the facility analyze process control parameters,for ex:MLSS, MCRT,Settleable ❑ ❑ 0 ❑
Solids,pH, DO, Sludge Judge,and other that are applicable?
Comment:
Septic Tank Yes No NA NE
/ (If pumps are used)Is an audible and visual alarm operational? ❑ ❑ ® ❑
Is septic tank pumped on a schedule? ❑ ❑
El
Are pumps or syphons operating properly? ❑ ❑ ■ ❑
Are high and low water alarms operating properly? ❑ ❑ M ❑
Comment: Mr. Cobb did not have records of annual septic tank inspections or pumping events. The_
septic tank needs to be pumped Maintain pumping records for inspection.
Upgradient from the location of the septic tank the around was wet with a hole exposing a
white PVC pipe The pipe appeared to be in line from the water meter. This leak needs to
be repaired to prevent damage to the sVstem or to prevent adversely affecting system
performance.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ ® ❑ ❑
Are the tablets the proper size and type? ❑ S ❑ ❑
Number of tubes in use? 0
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth,or sludge buildup? ❑ ❑ ❑
Page# 3

Permit: NCG551228 Owner-Facility: 224 Kirk Way
Inspection Date: 04/20/2016 Inspection Type: Compliance Evaluation
Disinfection-Tablet
Yes No NA NE
Is there chlorine residual prior to de-chlorination? ❑ ❑ ■ ❑
Comment: Mr. Cobb had a bucket of chlorine tablets for swimming Pools that the previous owner left
with the house however, no tablets were present in the system He was instructed to use
wastewater specific chlorine tablets for disinfection The chlorine contact chamber was
turbid with a light brown slime observed on the bottom of the pipe flowing into the chamber.
The chlorine contact chamber needs to be Pumped when the septic tank is pumped out.
Maintain Pumping records for inspection.
Effluent Pipe
Yes No NA NE
Is right of way to the outfall properly maintained? El ■ ❑
Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ® ❑
Comment: The outfall was overgrown with vegetation and the effluent pipe was not located It is
unknown whether the effluent from the neighboring s stems 218 and 220 Kirk Way)shares
an outfall.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ EJ ® ❑
Is sample collected below all treatment units? ❑ ❑
Is proper volume collected
Is the tubing clean? ❑ ❑ ® ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ® ❑ Elrepresentative)?
Comment: Mr. Cobb did not have records of annual sampling as required by the general permit
Samples must be analyzed by a North Carolina certified laboratory.
Page# 4

W I
Certified Mail # 7012-1010-0002-1965-5433
Return Receipt Requested
May 3, 2016
Jerry Ray Cook
220 Kirk Way
Candler, NC 28715
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-PC-0147
Single Family Residence Wastewater Treatment System
220 Kirk Way
Permit No. NCG551217
Buncombe County
Dear Mr. Cook:
The North Carolina Division of Water Resources conducted an inspection at 220 Kirk Way on April 20, 2016.
This inspection was conducted to verify that the facility is operating in compliance with the conditions and
limitations specified in NPDES WW Permit No. NCG551217. A summary of the findings and comments noted
during the inspection are provided in the enclosed copy of the inspection report.
The Compliance Evaluation inspection was conducted by Division of Water Resources staff from the Asheville
Regional Office. The following violation(s) were noted during the inspection:
Inspection Area - Description of Violation
Disinfection-Tablet Solids or scum was observed in the second chlorinator tube and the chlorine contact chamber
contained excessive sludge and scum and needs to be pumped out and.contents disposed of
properly.
Permit The Annual Administering and Compliance Monitoring Fee has not been paid for the past
several years. Permit status is expired.
Disinfection-Tablet The chlorinator was not operational.
Disinfection-Tablet The first of the two chlorinator tubes contained chlorine tablets; however, they were the
wrong size/type and may not have had contact with the water.
Effluent Pipe The right of way to the outfall was overgrown with vegetation. The effluent pipe was not
visible.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-45.00

Permit: NCG551217 Owner-Facility: 220 Kirk Way L
Inspection Date: 04/20/2016
Inspection Type: Compliance Evaluation �
Disinfection-Tablet
Yes No NA NE
Comment: One of the two chlorinator tubes contained chlorine tablets however theywere the wrong_
size/type and may not have had contact with the water. Solids or scum was observed in the
other chlorinator tube and the chlorine contact chamber contained excessive sludge and
scum and needs to be pumped out and contents disposed of properly. [Part I A 1 Permit
Conditions(Operation&Maintenance)Tablet Chlorinator]
Effluent Pine
Yes No NA NE
Is right of way to the outfall properly maintained? El ■
El D
Are the receiving water free of foam other than trace amounts and other debris? ■
If effluent (diffuser pipes are required) are they operating properly? El El ■
Comment: The right of way to the outfall was overgrown with vegetation The effluent pipe was not
visible. INCG550000 Part I A 4 Permit Conditions(Operation& Maintenance)System
Components]
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional? ■
Is sample collected below all treatment units? 0
Is proper volume collected? ❑ ❑
Is the tubing clean? ❑ ❑ ■ ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ElCelsius)? El 0
Is the facility sampling performed as required by the permit(frequency,sampling type
representative)?
Comment: Because the property owner/permittee could not be reached during this inspection annual
sampling records could not be reviewed
Page# 4

PAT MCCRORY
60vernor
DONALD R. VAN DER VAA.RT
Sec;`etarl,
S. JAY ZIMMERMAN
later Resources
1..)tre:carr
AVIRONMENTAL QUALITY
May4, 2016
Axel Binneboese, Executive VP
Swisscan of America, Inc
PO Box 239
Georgetown, ON, L7G4Y5
Subject: Permit No. WQ0038440
Swisscan of America, Inc
Relaxation Ranch
Wastewater Collection System Extension Permit
Buncombe County
Dear Mr. Binneboese:
In accordance with your application received April 20, 2016, we are forwarding herewith Permit No.
WQ0038440 dated May 4, 2016, to the Swisscan of America, Inc (Permittee) for the construction and
operation upon certification of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations
as specified therein. This cover letter shall be considered a part of this permit and is therefore
incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system-wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-2156C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, 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,6714 Mail Service Center, Raleigh,
NC 27699-6714. Unless such demands are made,this permit shall be final and binding.
State of North Carolina/Environmental Quality/Water Resources
2090 U.S.Hwy.70,Swannanoa,N.C. 28778
828-296-4500

Swisscan of America, Inc
Permit No.WQ0038440
If you need additional information concerning this matter, please contact Tim Heim at(828)296-4500 or
via e-mail at [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: Mike Lovoy, P.E.—A.C.E., PA(electronic copy)
Kevin Johnson—MSD of Buncombe County(electronic copy)
ARO Office Files
Water Resources Central Files
PERCS(electronic copy)
G:\WR\WQ\Buncombe\Collection Systems\MSD Collection System WQCS00004\Fast Tracks Issued\WQ0038440 Relaxation Ranch.docx
1
i
Page 2 of 8

Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
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 the
Swisscan of America, Inc
Buncombe County
for the construction and operation of approximately 415 linear feet of 6-inch gravity sewer, and 423
linear feet of 8-inch gravity sewer to serve a 100-room hotel, restaurant, spa with swimming pool, and
office/retail space as part of the Relaxation Ranch project, and the discharge of 23,000 gallons per day of
collected domestic wastewater into the Metropolitan Sewerage District of Buncombe County's existing
sewerage system, pursuant to the application received April 20, 2016 and in conformity with 15A NCAC
2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the
Division's Minimum Design Criteria for the fast-Track Permitting of Pump Stations and Force Mains
ther supporting data subsequently filed and approved by the
adopted Tune 1, 2000 as applicable; and o
Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.`
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0038440
Permit Issued: May 4, 2016
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
Swisscan of America, Inc is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the Metropolitan Sewerage
District of Buncombe County Wastewater Treatment Facility in accordance with Permit Number
NC0024911.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina-licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as-constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions identified
below.
I. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T, the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.01101
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The.
Permittee shall maintain compliance with an individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
Page 4 of 8

c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected everyday (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at Least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and. bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a),and public notice shall be provided as required by North
Carolina General Statute§143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors,enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems,the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map,which shall be maintained for the life of the system.
5. p
The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage,etc.;or
b. Any SSO and/or spill over 1,000 gallons;or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
Page 5of8

733-3300.- Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five 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. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities,the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of. the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan &profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings,pump station buoyancy,wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings,on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested /
J
Page 6 of 8

modifications or variances to the Minimum Design Criteria will be reviewed on a case-by-case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After-construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification&activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. if there is an unforeseen obstacle in the field where all viable solutions have been
examined,a slope variance can be requested from the Division with firm supporting documentation.
This.shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes§143-215.6A
through §143-215.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. [15A
r. \
NCAC 02T.0104; 15A NCAC 02T.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions,the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities. [15A NCAC 02T.0110; 15A NCAC 02T.0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State,of Local government agencies. [G.S. 143-215.1(b)]
[THIS PAGE INTENTIALLY LEFT BLANK]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: SWISSCAN OF AMERICA, INC
PERMIT#: WQ0038440 '
PROJECT: RELAXATION RANCH
ISSUE DATE: May 4, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the-- Division's receipt. Send the required
documentation to the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
1,the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate& maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name,Title Signature Date
ENGINEERS CERTIFICATION
h as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, 0 weekly, full time) the construction of the
Relaxation Ranch and location as referenced above for the above Permittee hereby state that, to the
best of my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the
Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12,
1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump
Stations and Force Mains adopted June 1,2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature&date:
❑ Final ❑ Partial (include description)
.........................................................................
Certification Comments/Qualifiers(attach if necessary):
�J
NC DWR—Water Quality Regional Operations Section 2090 US Hwy 70 Swannanoa, NC 287.78
Asheville Regional Office Phone: [phone] FAX:[phone]

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 4, 2016
Mr. Ricky Hensley,Mayor
Town of Old Fort
38 Catawba Avenue
Old Fort, NC 28762
SUBJECT: Compliance Evaluation Inspection
Town of Old Fort Class A Wastewater Residuals Distribution Program
Permit No: WQ0011260
McDowell County
Dear Mayor Hensley:
Enclosed please find a copy of the Compliance Evaluation Inspection Form from the inspection conducted on
3/24/2016. The facility was found to be in compliance with permit WQ0011260.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call me at 828-296-4685.
Sincerely,
Beverly Pric
Environmental Senior Specialist
Enc.
cc: Tony West,WWTP ORC
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\McDowell\Wastewater\Non-discharge\Town of Old Fort\CEI16.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

Compliance inspection Report
Permit: W00011260 Effective: 02/01/15 Expiration: 01/31/20 Owner:
Town of Old fort
SOC: Effective: Expiration: Facility: Town of Old Fort Class A Wastewater Residuals Dist
US 70
County:McDowell
Region:Asheville Old Fort NC 28762
Contact Person: Anthony Glenn West Title: ORC(2003 designation form) Phone: [phone]
Directions to Facility:
From ARO:Take 1-40 East to Exit 72(Old Fort/Hwy.70 E.)Continue on Hwy.70 E.to Collins&Aikman. Turn right at Collins&
Aikman and follow paved road around behind C&A until you come to WWTP.
System Classifications:
Primary ORC:
Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Anthony Glenn West 828-668-4561
On-site representative Anthony Glenn West 828-668-4561
Related Permits:
NCO021229 Town of Old Fort-Old Fort WWTP
Inspection Date: 03/24/2016 Entry Time: 09:OOAM Exit Time: 09:45AM
Primary Inspector: Beverly Price
Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Distribution of Residual Solids(503)
Facility Status: . Compliant [] Not Compliant
Question Areas:
Miscellaneous Questions ® Record Keeping ® Treatment
■ Sampling
(See attachment summary)
Page: 1

Permit: WQ0011260 Owner-Facility:Town of Old Fort
Inspection Date: 03/24/2016 Inspection Type:Compliance Evaluation
Reason for Visit: Routine
Inspection Summary:
Mr. Tony West assisted with the inspection.
The residuals system consists of two aerated sludge holding tanks, a.7 meter belt press, an RDP pasteurization vessel
with a conveyor to the covered storage area and a lime silo. Any leachate from the residuals handling/storage area is
routed back to the head of the WWTP. The Town owns and maintains the residuals spreader truck. Unanalyzed residuals
are stored apart from those previously analyzed. Once analyses are determined to be compliant, they are released for
distribution. All residuals are hauled and land applied by the Town.
All fields are either hay or pasture.
Questions checked NE will be evaluated in the 2015 Annual Report review.
Mr.West does a good job operating and maintaining the residuals facility.
i_.
Page: 2

Permit: WQ0011260 Owner-Facility: of Old Fort
Reason for Visit: Routine
Inspection Date: 03/24/2016 Inspection Type,Compliance Evaluation
Yes No NA NE
Record Keeping ❑ ❑ ® ❑
Is GW monitoring being conducted,if required?
El ❑ ® ElAre GW samples from all MWs sampled for all required parameters?
Are there any GW quality violations?
❑ ❑ ■ ❑
Is GW-59A certification form completed for facility?
Is a copy of current permit on-site?
Are current metals and nutrient analysis available?
Are nutrient and metal loading calculating most limiting parameters?
El El
❑ ❑ ❑ ■
a. TCLP analysis?
❑ ❑ ® ❑
b. SSFA(Standard Soil Fertility Analysis)?
Are PAN balances being maintained?
❑ ❑ M ❑
Are PAN balances within permit limits?
❑ ❑ ■ ❑
Has land application equipment been calibrated?
❑ ❑ Elm
Are there pH records for alkaline stabilization?
Are there pH records for the land application site?
❑ ❑ El
® ❑ ❑ ❑
Are nutrient/crop removal practices in place?
Do lab sheets support data reported on Residual Analysis Summary?
❑ ❑ ❑ M
Are hauling records available? n El ON
Are hauling records maintained and up-to-date?
#Has permittee been free of public complaints in last 12 months?
❑ ❑ El
Has application occurred during Seasonal Restriction window?
❑ ❑ ■ ❑ -
Comment:
Yes No NA NE
Sampling
Describe sampling:
Fecal coliform samples are colleced over a two week period. Seven grab samples are collected from the
finished residuals pile. TCLP/metals/nutrient samples are collected from each run of the belt-press. A one
quart bag of residuals is collected from the conveyor,refrigerated,then composited for analysis at the end of
the year. Residuals are not distributed until all analytical results have been reviewed and compliance
verified.
Is sampling adequate? El El
Is sampling representative?
Comment:
Yes No NA NE
Treatment
Check all that apply
Page: 3

Permit: WQ0011260 Owner-Facility:Town of Old Fort
Inspection Date: 0 3/2412 0 1 6 Inspection Type:Compliance Evaluation
Reason for Visit: Routine
Treatment
Aerobic Digestion Yes No NA NE
❑
Anaerobic Digestion ❑
Alkaline Pasteurization(Class A)
Alkaline Stabilization(Class B) ❑
Compost ❑
Drying Beds ❑
Other
Comment: .7 meter belt press
Type
Land Application Yes No NA NE
Distribution and Marketing
Page: 4

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY Director
May 4, 2016
Mr. Ricky Hensley,Mayor
Town of Old Fort
38 Catawba Avenue
Old Fort,NC 28762
SUBJECT: Annual Report(2015)Review Inspection
Town of Old Fort Class A Wastewater.Residuals Distribution Program
Permit No: WQ0011260
McDowell County
Dear Mayor Hensley:
Enclosed please find a copy of the Annual Report Inspection Formm from the inspection conducted on 3/15/2016.
The facility was found to be in compliance with permit WQ0011260.
_ Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions, please call me at 828-296-4685.
Sincerely,
Beverly Price
Environmental Senior Specialist
Enc.
cc: Tony West,WWTP ORC
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\McDowell\Wastewater\Non-discharge\Town of Old Fort\CEI16 2015 AR Review.docx
State of North Carolina I Environmental Quality 1 Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

Compliance Inspection Report
Permit: WQ0011260 Effective: 02/01/15 Expiration: 01/31/20 Owner: Town of Old Fort
SOC: Effective: Expiration: Facility: Town of Old Fort Class A Wastewater Residuals Disl
US 70
County:McDowell
Region: Asheville Old Fort NC 28762
Contact Person: Anthony Glenn West Title: ORC(2003 designation form) Phone: [phone]
Directions to Facility:
From ARO:Take 1-40.East to Exit 72(Old Fort/Hwy.70 E.)Continue on Hwy.70 E.to Collins&Aikman. Turn right at Collins&
Aikman and follow paved road around behind C&A until you come to WWTP.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Anthony Glenn West 828-668-4561
Related Permits:
NCO021229 Town of Old Fort-Old Fort WWTP
Inspection Date: 03/15/2016 Entry Time: 09:30AM Exit Time: 11:30AM
Phone: [phone]
Primary Inspector: Beverly Price
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: . Annual Report Review
Permit Inspection Type: Distribution of Residual Solids(503)
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
® Miscellaneous Questions ®Record Keeping Pathogen and vector Attraction
(See attachment summary)
Page: 1

Permit: WQ0011260 Owner-Facility:Town of Old Fort
Inspection Date: 03/15/2016 Inspection Type:Annual Report Review
Reason for Visit: Routine
Inspection Summary:
28.25 Dry Tons of residuals were distributed to two recipients in 2015. These residuals were produced in 2014 and
analyzed for metals and nutrients in December 2014. The metals permit limits were met. Fecal coliform analyses were
done in February 2015. Recipient information was included in the report.
Pathogen Reduction was accomplished via fecal coliform density and pasteurization. Vector Attraction Reduction(VAR)
was accomplished via Alternative#6, alkaline stabilization. Pathogen and VAR appear to have been met according to the
data submitted.
36.54 Dry Tons of residuals were produced in 2015. These residuals were analyzed for meta ls/nutrients/TC LP in December
of 2015. These residuals will be distributed in 2016 depending on fecal coliform results.
The field inspection(before and after application)report was submitted with the annual report.The field inspection was
performed by Tony West.
A copy of the Utilization Agreement was submitted with the annual report. The current Utilization Agreement should be
updated to include permit condition 11.10.b.ii.; remove item Mi.
Page: 2

Permit: W00011260 owner-Facility:Town of Old Fort
Inspection Date: 03/15/2016 Inspection Type:Annual Report Review Reason for Visit: Routine
Yes No NA NE
Pathogen and Vector Attraction
11
a. Fecal coliform SM 9221 E(Class A or B) ® El ❑
Class A,all test must be<1000 MPN/dry gram
Geometric mean of 7 samples per monitoring period for class B<2.0'10E6 CFU/dry gram
El El ■
Fecal coliform SM 9222 D(Class B only) ❑
Geometric mean of 7 samples per monitoring period for class B<2.0"10E6 CFU/dry gram ❑
b. pH records for alkaline stabilization(Class A) ❑ ❑ ❑
c. pH records for alkaline stabilization(Class B) El ❑ ■ ❑
Temperature corrected ❑
d. Salmonella(Class A,all test must be<3MPN/4 gram day) ❑
El On
e. Timeffemp on:
Digester(MCRT) ❑
Compost
Class A lime stabilization •
El
f. Volatile Solids Calculations El • ❑
g. Bench-top Aerobic/Anaerobic digestion results ❑ El ■ El
Comment:
Yes No NA NE
Record Keeping
Is GW monitoring being conducted,if required? El El ■ ❑
Are GW samples from all MWs sampled for all required parameters? ❑ ❑ • ❑
Are there any GW quality violations? El El • ❑
Is GW-59A certification form completed for facility? ❑ El ■ ❑
Is a copy of current permit on-site? El El ❑ ■
Are current metals and nutrient analysis available? ® ❑ ❑
Are nutrient and metal loading calculating most limiting parameters? • El ❑
a. TCLP analysis? ® ❑ ❑ ❑
El
b. SSFA(Standard Soil Fertility Analysis)? ❑ ® ❑
Are PAN balances being maintained? ❑ ❑ ■ ❑
Are PAN balances within permit limits? ❑ ❑ ■ ❑
Has land application equipment been calibrated? ❑ ❑ ❑ •
Are there pH records for alkaline stabilization? ® ❑ ❑ ❑
El ■ ❑
Are there pH records for the land application site? ❑
Are nutrient/crop removal practices in place?
Page: 3

Permit: WQ0011260 Owner-Facility:Town of Old Fort
Inspection Date: 03115/2016 Inspection Type:Annual Report Review
Reason for Visit: Routine
Record Keeping
Do lab sheets support data reported on Residual Analysis Summary? Yes No NA NE® ElAre hauling records available? ® ❑ ElAre hauling records maintained and up-to-date? ® ❑ ❑ ❑
#Has permittee been free of public complaints in last 12 months?
Has application occurred during Seasonal Restriction window? El El ® ❑
Comment:
Tvpe
Land Application Yes No NA NE
❑
Distribution and Marketing
s
Page: 4

- PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
Water Resources
ENVIRONMENTAL QUALITY _
May 4, 2016
Philip Murphy
Utilities,Inc.
160 Overlook Drive
Murphy,NC 28906
SUBJECT: Compliance Evaluation Inspection
Bear Paw Resort Deemed Collection System
Permit No: WQCSD0439
Cherokee County
Dear Mr. Murphy:
On May 3, 2016, I conducted a Compliance Evaluation Inspection of the Deemed Wastewater Collection
System that serves Bear Paw Resort. Based on records reviewed, on-site visits to pump stations and
interviews with staff, the facility was found to be compliant with the Deemed Collection System
requirements.
The requirements for your sewerage collection system can be found in 15A NCAC 02T .0403, Permitting
By Regulation. These regulations place significant operation, maintenance and reporting requirements on
,hose entities that own or operate a wastewater collection system with average daily flows of less than
200,000 gallons per day. I have included a copy of the regulations for your reference.
Your assistance in conducting the inspection was greatly appreciated. If there are questions or additional
information is needed regarding system operation, maintenance, or permit questions,please feel free to
contact me at 828-296-4500. Please refer to the enclosed inspection report for additional observations and
comments.
Sincerely,
Tim Heim, P.E.
Environmental Engineer
Enc.
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Cherokee\Collection Systems\Carolina Water Service,Bear Paw Collection System\CEI letter 05-03-2016.doc
State of North Carolina I Environmental Quality I water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

__-
_ ____ -__
__-_
-.- -- --
=- -- _-i
`�
�__
��
��
_ _

Compliance Inspection Report
Permit: WQCSD0439 Effective: 11/13/08 Expiration:
Owner:` Carolina Water Service Inc of North Carolina
SOC: Effective: Expiration: Facility: Bear Paw WWTP
Lower Hiwassee Dam Rd
County:Cherokee
Region: Asheville Murphy NC 28906
Contact Person: Martin J.Lashua
Title: Vice President Phone: [phone]
Directions to Facility:
System Classifications:
Certification: 25428 Phone: [phone]
Primary ORC: Phillip K Murphy ,
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 05/0312016 Entry Time: 01:OOPM Exit Time: 03:OOPM
` Phone: [phone]
Primary Inspector: Timothy H Heim
Secondary Inspector(s):
Inspection Type: Collection System Inspect Non Sampling
Reason for Inspection: Routine
Permit Inspection Type: Deemed permitted collection system management and operation
Facility Status: Compliant Not Compliant
Question Areas:
Miscellaneous Questions ■ Operation&Maint Reqmts ® Monitoring&Rpting Regmts
Inspections ■ Pump Station
(See attachment summary)
Page: 1

Permit: WQCSD0439 Owner-Facility:Carolina Water Service Inc of North Carolina
Inspection Date: 06/03/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
Tim Heim of the Asheville Regional Office performed a Compliance Evaluation Inspection on May 3rd,2016. Philip Murphy,
ORC)of Utilities Inc.was present during the inspection.
The collection system appears well maintained and operated.
Page: 2

Permit: WQCSD0439 Owner-Facility:Carolina Water Service Inc of North Carolina
Inspection Date: 05/03/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Yes No NA NE
Inspections
Are maintenance records for sewer lines available? ® ❑ ❑ ❑ _
Are records available that document pump station inspections? ® El El ❑
Are SCADA or telemetry equipped pump stations inspected at least once a week? ❑ ❑
Are non-SCADA/telemetry equipped pump stations inspected every day? El El ■ ❑
Are records available that document citizen complaints? ■ ❑ El El
#Do you have a system to conduct an annual observation of entire system? ® ❑ El ❑
#Has there been an observation of remote areas in the last year? ME] ❑
Are records available that document inspections of high-priority lines? [Inn
Has there been visual inspections of high-priority lines in last six months? M
El
Comment: Record keeping by the ORC is thorough and well organized.
Yes No NA NE
Monitoring and Reporting Requirements
Are copies of required press releases and distribution lists available? ❑ ❑ ■ ❑
Are public notices and proof of publication available? El ❑ ® ❑
". #Is an annual report being prepared in accordance with G.S.143-215.1 C? El • ❑
El
#Is permittee compliant with all compliance schedules in the permits? ❑ e ❑
1f no,which one(s)?
Comment:
Yes No NA NE
Operation&Maintenance Requiremen ts
Are all log books available?
Does supervisor review all log books on a regular basis? • ❑ ❑ ❑
Does the supervisor have plans to address documented short-term problem areas? ❑ 1111
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
ORC responds to complaints and issues and maintains O&M logs.
Are maintenance records for equipment available? ® � ❑ ❑
Is a schedule maintained for testing emergency/standby equipment? ❑ ❑ ❑
Monthly
What is the schedule for testing emergencylstandby equipment?
Do pump station logs include:
Inside and outside cleaning and debris removal? ® ❑ ❑ ❑
Inspecting and exercising all valves? ® ❑ ❑ ❑
Inspecting and lubricating pumps and other equipment? ■ El ❑ ❑
Inspecting alarms,telemetry and auxiliary equipment? ® ❑ ❑ ❑
Page: 3

Permit: WQCSD0439 Owner-Facility:Carolina Water Service Inc of North Carolina
Inspection Date: 05/03/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Operation&Maintenance Requirements
Yes No NA NE
Is there at least one spare pump for each pump station w/o pump reliability? ® ❑ ❑ ❑
Are maintenance records for right-of-ways available? ® ❑ ❑ ❑
Are right-of-ways currently accessible in the event of an emergency? ® ❑ ❑ ❑
Are system cleaning records available? ® 000
Has at least 10%of system been cleaned annually? ® ❑ ❑ ❑
What areas are scheduled for cleaning in the next 12 months?
O&M logs and ORC indicate that approximately 25%of the system is cleaned annually,and the main trunk
line leading to the WWTP is cleaned every year.
Is a Spill Response Action Plan available? ® ❑ ❑ ❑
Does the plan include:
24-hour contact numbers ® ❑ ❑ ❑
Response time ® ❑ ❑ ❑
Equipment list and spare parts inventory ® ❑ ❑ ❑
Access to cleaning equipment ® ❑ ❑ ❑
Access to construction crews,contractors,and/or engineers ® ❑ ❑ ❑
Source of emergency funds ® ❑ ❑ ❑
Site sanitation and cleanup materials ■ ❑ ❑ ❑
Post-overflow/spill assessment
® ❑ ❑ ❑
Is a Spill Response Action Plan available for all personnel? ® ❑ ❑
Is the spare parts inventory adequate? ® ❑ ❑ ❑
Comment:
Page: 4

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
49a.
Secretary
dater Resources S. JAY ZIMMERMAN
AVtRONMENTALQUALITY
Director
May 4, 2016
CERTIFIED MAIL 7012 1010 00021965 5457
RETURN RECEIPT REQUESTED
T&A Carolina Corp.
Attn: Todd Leoni
P.O. Box 381703
Miami;FL 33238
Subject: NOTICE OF VIOLATION
and RECOMMENDATION FOR ENFORCEMENT
Shepherd Creek at Lake Osceola
NOV-2016-SS-0009
Stream Standard Violation-Other Waste (In-stream sediment)
Stream Standard Violation—Removal of Best Usage
Henderson County
Required Response Date: June 3,2016
Dear Mr. Leoni:
On April 29, 2016, staff of the Division of Water Resources (DWR) conducted a site inspection
of Shepherd Creek below Lake Osceola dam. The site inspection was conducted in response to a
news article and associated pictures depicting impacts to Shepherd Creek from Lake Osceola de-
watering activities.
During the site inspection, Shepherd Creek (Class C) was observed to have been impacted by
sediment deposition from lake de-watering.Recently deposited sediment was measured at twenty-
six inches in depth adjacent to the streambank directly below the dam, and was estimated to be
much deeper within the stream thalweg. Accumulations of sediment ranging in depth from five to
eight inches were measured in Shepherd Creek to its confluence with Mud Creek. As a result of
the site inspection,the following violations were identified:
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy 70 Swannanoa,North Carolina 28778
828 296 4500

T&A Carolina Corp.
May 4,2016
Page 2 of 3
VIOLATIONS
I. Other Waste(In-Stream Sediment)—15A NCAC 02B.0211 (12) -Approximately
3,200 feet of Shepherd Creek(Class C)were impacted by sediment deposition measured
in one location to be twenty-six inches in depth,representing a Water Quality Stream
Standard violation of 15A NCAC 02B .0211 (12)
H. Removal of Best Usage—15A NCAC 02B.0211 (2) - Title 15A North Carolina
Administrative Code 02B .0211 (2)requires that"The waters shall be suitable for aquatic
life propagation and maintenance of biological integrity,wildlife, secondary recreation,
and agriculture; sources of water pollution which preclude any of these uses on either a
short-term or long-term basis shall be considered to be violating a water quality
standard."The sediment deposition in Shepherd Creek represents a removal of best
usage.
REQUIRED RESPONSE
Accordingly, you are directed to respond to this letter in writing by June 3, 2016. Your response
should be sent to this office at the footer address or via email to Andrew.W.Moore@ncdenr gov
and include the following:
1. Please provide documentation(including a detailed site map/survey) depicting all
jurisdictional water features (e.g. streams, wetlands, buffers) on the site. This
documentation should describe and quantify the impacts to those jurisdictional features;
and should include plans to avoid further stream and wetland impacts on the site.
2. Please submit the following documents for review and approval:
a. Stream Restoration Plan-Sediment impacts to the stream onsite and downstream
of the site must be removed. As a part of this plan,you should provide the amount
(depth) of material that has been deposited in the stream. This information should
be depicted on a map you provide. It is recommended that you use a vacuum truck
and hand labor(buckets, shovels, and wheelbarrows)to remove deposited
sediment from the channel.The sediment should be removed from the channel,
taken to high ground away from the stream channel a minimum of thirty feet, and
stabilized. The plan must address the measures that will be used for temporary
stabilization/sediment control while this work is under way. You are encouraged
to secure a consultant to assist you with your plan development and authorization
necessary to achieve compliance.
b. Please include in your response a detailed schedule with dates explaining when
the restoration will be accomplished.

A Carolina Corp.
✓Iay 4,2016
Page 3 of 3
Once the work is complete,a final report documenting the results of the restoration should be
submitted to Andrew Moore.
Thank you for your attention to this matter. This office requires that the violations, as detailed
above,be abated immediately and properly resolved.Environmental damage and/or failure to
secure proper authorizations have been documented on the subject tract as stated above. Your
efforts to undertake actions to bring the subject site back into compliance is not an admission,
rather it is an action that must be taken in order to begin to resolve ongoing environmental issues.
Pursuant to G.S. 143-215.6A,these violations and any future violations are subject to a civil
penalty assessment of up to a maximum $25,000.00 per day for each violation. Your above-
mentioned response to this correspondence,the degree and extent of harm to the environment,
and the duration and gravity of the violation(s)will be considered in any civil penalty assessment
process that may occur.Should you have any questions regarding these matters,please contact
Andrew Moore at(828)296-4684 or Andrew W Moore(a)ncdenr.gov.
Sincerely
G. Landon Davidson,P.G.,Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
cc: Karen Higgins—401 &Buffer Permitting Unit
David Brown—US Army Corps of Engineers(e-copy)
Stan Aiken-Division of Energy, Mineral, and Land Resources (e-copy)
ARO file
G:\WR\WQ\Henderson\Complaints\Lake Osceola\NOV-2016-SS-0009.Lake0secola.5-3-16.docx

��
\:,_,:.
e

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
.
INSecretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 5,2016
Dr. Mina Shehee
N.C. Department of Health and Human Services
Epidemiology Section-OEEB
1912 Mail Service Center
Raleigh, NC 27699-1912
Re: Haywood County HRE Request
Owners Name: Brian Dunbar
Sample Location: 394 Haystack Hill Road
Waynesville,NC
Dear Dr.Shehee,
The Asheville Regional Office is conducting a nitrate-in-groundwater investigation in the Iron Duff
Community of Haywood County.The private water supply well,located at the address above,was sampled
on March 29, 2016. Water samples were analyzed for alkalinity, ammonia, chloride, fecal coliform
bacteria, MBAS,_metals, nitrate, nitrite, orthophosphate, semi-volatile organic compounds, sulfate,TKN,'
total coliform bacteria,total phosphorus,
The table below summarizes the analytical results for the well head (AC27552).The nitrate concentration
is above the state's groundwater standard (15A NCAC 02L.0202).
Results 2L Standard
Analyte Source µgel
Barium
100 700
Calcium 33,000
21,000 250,000
Chloride
Magnesium 10,000
Nitrate
Well Head 22,000 10,000
Potassium 4,900
Sodium 5,600
Strontium 240
Sulfate
2,200 250,000
The table below summarizes the analytical results for the well head reservoir(AC27635).Total coliform
bacteria concentration is above the state's groundwater standard (15A NCAC 02L.0202).
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Dr.Mina Shehee �
May 5,2016
Page 2 of 2
Analyte Source Results 2L Standard
CFU per 100 ml of water
Total Coliform Well Head
Bacteria Reservoir 28.:::: 1
Please provide a health risk evaluation for the presence of chloride, nitrate, sulfate,total coliform
bacteria,and various metals. Please feel free to contact me if you have additional questions or concerns.
I can be reached at(828)296-4681 or [e-mail].
Sincerely,
f
Brett Laverty
Wate Quali Regional Operations
Ashevi egional Office
cc:ARO files
�J.

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
Sample ID: AC27553
BRIAN DUNBAR-394HAYSTACK HILL ROAD WAYNESVILLE.NC PO Number# 16G0083
L
HAYWOOD Collector: B LAVERTY o D
ARO Report To ARO Location ID: 7C44394HAYSTACK Date Received: 03131/2016 Priori Time Received: Mn
dasin Collect Date: 03/29/2016 Labworks Lo inlD MSWIFT
Collect Time: 13_34 Sample Matrix: GROUNDWATER g
,ergency ourier
,JOG Yes/No Sample Depth Loc.Type: WATERSUFPL Delivery Method NC C
Y
Final Report Date: 4127/16
Report Print Date: 0610 112016
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
Units Reference Date- Validated by
CAS# Analvte Name PQL Qualifier
LAB
Sample temperature at receipt by lab
1.7 °C 3131116 MSWIFT
NUT
mg/L as N EPA 350.1 REV 2 4/13/16 CGREEN
NH3 as N in liquid 0.02 0.02 U
CGREEN
Nitrate as N in liquid
0.02 22 mg/L as N EPA 353.2 REV 2 4/19/16
Nitrite as N in liquid
0.01 0.01 U mg/L as N EPA 353.2 REV 2 3/31/16 CGREEN
NO2+NO3 as N in liquid
0 11.02 22 mg/L as N EPA 353.2 R
EV 2 4/13116 CGREEN
mg/L as P EPA 365.1 REV 2 3/31/16 GGREEN
Orthophosphate as P in liquid 0.02 0.02 U mg/Las P EPA365.1 REV 2 4l4/16 CGREEN
Phosphorus total as P in liquid 0.02 0.021U mg/L as N EPA 351.2 REV 2 4112/16 CGREEN
Total Kjeldahl N as N in liquid 0.2 2.0 U,P
WET
0.4 U mg/L EPA 300.0 rev2.1 3/31/16 CGREEN
Bromide
1 Q 21 mg/L EPA 300.0 rev2.1 3/31116 CGREEN
Chloride
0.4 0.4 U mg/L EPA 300.0 rev2.1 3131116 CGREEN
Fluoride
2.0 2.2 mg1L EPA 300.0 rev2.1 3/31/16 CGREEN
Sulfate
0.1 0.1 U mg/L SM 5540 C 2000 3/31/16 CGREEN
MBAS in liquid
MET
7440-22-4 Ag-Dissolved Silver by ICPMS
1.0 1.0 U ug/L EPA 200,8 4/7116 ESTAFFORDI
7429-90-5 Al-Dissolved Aluminum by ICP
50 50 uglL EPA 200.7 4/6/16 ESTAFFORDI
U
2.0 U uglL EPA 200.8 4/7/16 ESTAFFORD1
7440-38-2 As-Dissolved by ICPMS Arsenic 2'0 ug/L EPA 200.7 4/6/16 ESTAFFOftD1
7440-38-3 Ba-Dissolved Barium by ICP 10 100
7440-70-2 Ca-Dissolved Calcium by ICP 0.10 33 mg/L EPA 200.7 4/6116 ESTAFFORDI
7440-43-9 Cd-Dissolved Cadmium by ICPMS 0.50 0.50 U
ug/L EPA 200.8 4(7l16 ESTAFFORD1
7440-47-3 Cr-Dissolved Chromium by ICPMS 5.0 5.0 U
ug/L EPA 200.8 4/7(16 ESTAFFORDI
7440-50-8 Cu-Dissolved Copper by ICPMS 2•0
2.0 U u9/L EPA 200.E 4/7116 ESTAFFORDI
10 10 U ug/L EPA 200.7 4l6/16 ESTAFFORDI
7439-96-5 Dissolved Mn by ICP
u9/L EPA 200.7 416/16 ESTAFFORDI
7439-89-6 Fe-Dissolved Iron by ICP
54 50 U
ug/L EPA 245.1 4/5/16 ESTAFFORD1
7439-97-6 Hg 245.1 Dissolved
(},2 0.20 U
mg/L EPA 200. 4/6/16 ESTAFFORDI
7440-09-7 K-Dissolved Potassium by ICP 0.10
4.9 7
7439-95-4 Mg-Dissolved Magnesium by ICP 0.10
10 mg/L EPA 200.7 4/6116 ESTAFFORD1
7440-23-5 Na-Dissolved Sodium by ICP 0.10 5.6
mg/L EPA 200.7 4/6116 ESTAFFORDI
ug/L EPA 200.8 4/7116 ESTAFFORDI
7440-02-0 Ni-Dissolved Nickel by ICPMS 2.0
2.O U
7439-92-I Pb-Dissolved Lead by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
,Tzs2-49-2 Se-Dissolved Selenium by ICPMS 1.0
1.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
240 ug/L EPA 200.8 4/7/16 ESTAFFORDI
Sr Dissolved by ICPMS 10
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 4

AC27637 North Carolina Division of Water Resources Water Sciences Section LaboratgryAmit
Loc.Descr.: BRIAN DUNBAR-394HAYSTACK HILL ROAD WAYNESVILLE.NC
County: HAYWOOD Collector: B LAVERTY VisitlD Sample ID: AC27637 `.
Region: ARO PO Number# ARO
Report To ARO Location ID: 1C44394HAYSTACK Date Received: 03/29/2016
River Basin NA Collect Date: 0 312 9/2 0 1 6
Priority ROUTINE Time Received: 16i15
Emergency Collect Time: 13_38 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
COC Yes/No Sample Depth NA Loc.Type: WATER SUPPLY Delivery Method Hand delivered
Final Report Date: 4128/16
Report Print Date: 05104/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
CAS# Analvte Name Result/ Method Analysis
PQL Qualifier Units
Reference Date validated by
ARO
Coliform, MF Total in liquid 1 28 CFU/100ml APHA9222B-20th 3/29/16 ESTAFFORDI
Sample temperature at receipt by lab 2.7 �c
3l29/16 RBYRD
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
NcxterResaurces S. JAY ZIMMERMAN
-NVIRONMENTAL QUALITY Director
May 5, 2016
Dr. Mina Shehee
N.C. Department of Health and Human Services
Epidemiology Section—OEEB
1912 Mail Service Center
Raleigh, NC 27699-1912
Re: Haywood County HRE Request
Owners Name: Joe Fariello
Sample Location: 175 Tumbleweed Trail
Waynesville,NC
Dear Dr. Shehee,
The Asheville Regional Office is conducting a nitrate-in-groundwater investigation in the Iron Duff
Community of Haywood County.The private water supply well,located at the address above,was sampled
on March 29, 2016. Water samples were analyzed for alkalinity, ammonia, chloride, fecal coliform
bacteria, MBAS, metals, nitrate, nitrite, orthophosphate, semi-volatile organic compounds, sulfate,TKN,
total coliform bacteria,total phosphorus,
The table below summarizes the analytical results for the well head (AC27552). The manganese
concentration is above the state's groundwater standard (15A NCAC 02L .0202). It is important to note
that the nitrate concentration is near the state's groundwater standard.
Results 2L Standard
Analyte Source µgel
Barium
20 700
Calcium 39,000
Chloride 16,000 250,000
Manganese 66 50 so
Nickel 2.1
100
Well Head 9,800 10,000
Nitrate 1,000
Nitrite 180
Potassium 7,200
Sodium 7,000
Strontium 220
Sulfate
33,000 250,000
The table below summarizes the analytical results for the well head reservoir(AC27635).Total coliform
bacteria concentration is above the state's groundwater standard (15A NCAC 02L.0202).
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Dr.Mina Shehee
May 5,2016
Page 2 of 2
Analyte Source Results 2L Standard
CFU per 100 ml of water
Total Coliform Well Head
Bacteria Reservoir 51 1
Please provide a health risk evaluation for the presence of chloride, nitrate, nitrite,sulfate,total
coliform bacteria, and various metals. Please feel free to contact me if you have additional questions or
concerns. I can be reached at [phone] or brett.lavertv(@ncdenr.gov.
Sincerely,
i
Brett Laverty
Water Q li egional Operations
Asheville Regional Office
cc:ARO files

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
Sample ID: AC27662
JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE NC PO Number# 16GO082
HAYWOOD Collector: B LAVERTY VisitlD
ARO Report To ARO Location ID: 1C44303TUMBLE Date Received: 03l31(2016
Priority. Time Received: OUR
basin Collect Date: 03/2 122016
Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
rgency Collect Time: 11_28 p Delivery Method NC Courier
,OC Yes/No Sample Depth Loc.Type: WATERSUPPLY
Final Report Pate: 4/27116
Report Print Date: 05104i2016
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
Units Reference Date Validated by
CAS# Anaiyte Name PQL Qualifier
LAB
3/31/16 MSWIFT
Sample temperature at receipt by lab
1.7 oC
NUT
mg/L as N EPA 350.1 REV 2 4/13/16 CGREEN
NH3 as N in liquid 0.02 0.02 U
Nitrate as N in liquid
0.02 9.8 mglL as N EPA 353.2 REV 2 4119/16 CGREEN
Nitrite as N in liquid
0.01 0.18 mg/L as N EPA 353.2 REV 2 3/31/16 CGREEN
NO2+NO3 as N in liquid
0.02 10 mg/L as N EPA 353.2 REV 2 4/13/16 CGREEN
mglL as P EPA 365.1 REV 2 3l31/16 CGREEN
Orthophosphate as P in liquid
0.02 0.02 U
Phosphorus total as P in liquid
0.02 0.02 U mg/ asp EPA 365.1 REV 2 4/4/16 CGREEN
Total Kjeldahl N as N in liquid
0 2 2.0'U,P mg(L as N EPA 351.2 REV 2 4/12(16 CGREEN
WET
Bromide
0.4 0.4 U mg/L EPA 300.0 rev2.1 3/31/16 CGREEN
1.0 16 mg/L EPA 300.0 rev2.1 3131116 CGREEN
Chloride
� 0.4 0.4 U m9/L EPA 300.0 rev2.1 3/31l16 CGREEN
Fluoride
Sulfate
2.0 33 mg/L EPA 300.0 rev2.1 3131/16 CGREEN
MBAS in liquid
0.1 0.1 U mg/L SM 5540 C 2000 3/31116 CGREEN
MET
7440-22-4 Ag-Dissolved Silver by ICPMS 1.0 1.0 U
ug/L EPA 200.8 4/7/16 ESTAFFORDI
50 U ug/L EPA 200.7 4/6116 ESTAFFORDI
7429-90-5 Al-Dissolved Aluminum by ICP 50 ug/L EPA 200.8 4/7116 ESTAFFORDI
7440-38-2 As-Dissolved by ICPMS Arsenic 2.0 2.0 U
7440-38-3 Ba-Dissolved Barium by ICP
10 20 u9/L EPA 200.7 4/6/16 ESTAFFORDI
EPA 200.7 4/6/16 ESTAFFORDI
7440-70-2 Ca-Dissolved Calcium by ICP
0.10 39 m9/L
ug/L EPA 200.8 4!7116 ESTAFFORDI
7440-43-9 Cd-Dissolved Cadmium by ICPMS 0.50 0.50 U ug/L EPA 200.8 4/7l16 ESTAFFORDI
7440-47-3 Cr-Dissolved Chromium by ICPMS 5.0 6.0 U
7440-50-8 Cu-Dissolved Copper by ICPMS
2 0 2.0 U u9/L EPA 200.8 4l7/16 ESTAFFORDI
7439-96-5 Dissolved Mn by ICP
10 66 u9/L EPA 200.7 4/6/16 ESTAFFORDI
7439-$9-6 Fe-Dissolved Iron by ICP
50 50 U uglL EPA 200.7 4/6/16 ESTAFFORD1
ug1L EPA 2451 4/5/16 RDI
7439-97-6 Hg 245.1 Dissolved
0,2 0.20 U . ESTAFFO
7 2 mglL EPA 200.7 4/6/16 ESTAFFORDI
7440-09-7 K-Dissolved Potassium, by ICP 0 1'0 mg/L EPA 200.7 4/6/16 ESTAFFORDI
7439-95-4 Mg-Dissolved Magnesium by ICP 0.10 6.8
0 10 7.0 mg/L 'EPA 200.7 4/6/16 ESTAFFORDI
7440-23-5 Na-Dissolved Sodium by ICP a/7/16 ESTAFFORDI
7440-02-0 Ni-Dissolved Nickel by ICPMS
2.0 2.1 ug/L EPA 200.8
7439-92-1 Pb-Dissolved Lead by ICPMS
2.0 2.0 U u9/L EPA 200.8 417116 ESTAFFORDi
f'92-49-2 Se-Dissolved Selenium by ICPMS 1.0
1.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
Sr Dissolved by ICPMS.
10 220 ug/C . EPA 200.8 4/7/16 ESTAFFORD1
WSS Chemistry Laboratory>>1623 Mail service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 4

AC27635 North Carolina Division of Water Resources Water Sciences Section Laborato ResuT
Loc.Descr.: JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE NC
Coun Sample ID: AC27635
ty: HAYWOOD Collector: B LAVER TY VisitlD PO Number# ARO
Region: ARO Report To ARO Location ID: 1C44303TUMBLE Date Received: 03/29/2016
Riven Basin NA Collect Date: 03/29/2016 Priority ROUTINE
Time Received: 16_16 Emergency Collect Time: Laa Sample Matrix: GROUNDWATER Labworks LoginiD KJIMISON2
COC Yes/No Sample Depth NA Loc.Type: WATERSUPPLY Delivery Method Hand delivered
Final Report Date: 4/28/16
Report Print Date: 06/04/2016
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analvte Name PQL Qualifier Units Reference Date Validated by
ARO
Coliform, MF Total in liquid 1 51 CFU/100ml APHA9222B-20th 3/29/16 ESTAFFORD1
Sample temperature at receipt by lab 2.7 °c 3l29116 RBYRD
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL
Page 1 of 1

` PAT MCCRORY
Governor
`4 r
DONALD R. VAN DER VAART
Secretary
WaterResaurees S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY Director
May 5,2016
Dr. Mina Shehee
N.C. Department of Health and Human Services
Epidemiology Section—OEEB
1912 Mail Service Center
Raleigh, NC 27699-1912
Re: Haywood County HRE Request
Owners Name: Pamela Tippins
Sample Location: 133 Tumbleweed Trail
Waynesville,NC
Dear Dr. Shehee,
The Asheville Regional Office is conducting a nitrate-in-groundwater investigation in the Iron Duff
Community of Haywood County.The private water supplywell,located at the address above,was sampled
on March 29, 2016. Water samples were analyzed for alkalinity, ammonia, chloride, fecal coliform
bacteria, MBAS, metals, nitrate, nitrite, orthophosphate, semi-volatile organic compounds, sulfate,TKN,
total coliform bacteria,total phosphorus,
The table below summarizes the analytical results for the well head (AC27552), The manganese
concentration is above the state's groundwater standard (15A NCAC 02L .0202). It is important to note
that the nitrate concentration is near the state's groundwater standard.
Results 2L Standard
Analyte Source µg fl
Barium 20 700
Calcium 39,000
Chloride 16,000 250,000
66 5o
Manganese 100
Nickel 2.1
Well Head 9,800 10,000
Nitrate 1,000
Nitrite 180
Potassium 7,200
Sodium 7,000
Strontium 220
Sulfate
33,000 250,000
The table below summarizes the analytical results for the well head reservoir(AC27635).Total coliform
bacteria concentration is above the state's groundwater standard (15A NCAC 02L.0202).
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Dr.Mina Shehee
May 5,2016
Page 2 of 2
Analyte Source Results 2L Standard
CFU per 100 ml of water
Total Coliform Well Head
Bacteria Reservoir 51 1
Please provide a health risk evaluation for the presence of chloride, nitrate, nitrite, sulfate,total
coliform bacteria, and various metals. Please feel free to contact me if you have additional questions or
concerns. I can be reached at(828) 296-4681 or brett.lave rtyCa)ncdenr gov.
Sincerely,
Bret?aIritvReggional
Watperations
Asheville Regional Office
cc:ARO files

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
Sample JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE SamplslD: AC27552
NC Number# 1 C275
HAYWOOD Collector: B LAVERTY VisitlD
PO GOO
ARO Report To ARO Location ID: 1C44303TUMBLE Date Received: 0313 122016
Basin Collect Date: . 0 312 912 0 1 6
Priority Time Received: OAR
rgen in Collect Time: 11_28 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
.e Yes/No Sample Depth Loc.Type: WATERSUPPLY Delivery Method NC Courier
Final Report Date: 4127116
Report Print Date: 0510 112016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
sult! Method Anal sis
Re
CAS# Analyte Name PQL Qualifier
Units Reference Date Validated by
LAB
3(31/16 MSWIFT
Sample temperature at receipt by lab
1.7 <C
NUT
NH3 as N in liquid
0.02 0.02 U mg/L as N EPA 350.1 REV 2 4/13/16 CGREEN
Nitrate as N in liquid 0.02 9.8 mg/L as N EPA 353.2 REV 2 4119/16 CGREEN
Nitrite as N in liquid 0.01 0.18 mg/L as N EPA 353.2 REV 2 3131/16 CGREEN
N0ite as in N liquid
liquid 0.02 10 mg/L as N EPA 353.2 REV 2 4113/16 CGREEN
0.02 0.02 U
mg/L as P EPA 365.1 REV 2 3/31/16 CGREEN
Orthophosphate as P in liquid
mg/L as P EPA 365.1 REV 2 4/4l16 CGREEN
Phosphorus-total as P in liquid 0.02 0.02 U mgiL as N EPA 351.2 REV 2 4/12/16 CGREEN
Total Kjeldahl N as N in liquid 0.2 2.0 U,P
WET
0.4 U mg/L EPA 300.0 rev2.1 3/31116 CGREEN
Bromide
1.0 16 m9/L EPA 300.0 rev2.1 3/31/16 CGREEN
Chloride
0.4 0.
Fluoride4 U m9/L EPA 300.0 rev2.1 3/31/16 CGREEN
2.0 33 m9/L .EPA 300.0 rev2.1 3/31/16 CGREEN
Sulfate
0,1 0.1 U m9/L SM 5540 C 2000 3/31/16 CGREEN
MBAS in liquid
MET
7440-22-4 Ag-Dissolved Silver by ICPMS 1.0 1.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7429-90-5 Al-Dissolved Aluminum by ICP 50
50 U us/L EPA 200.7 4/6(16 ESTAFFORD1
7440-38-2 As-Dissolved by ICPMS Arsenic 2.0
2.0 U u9/L EPA 200.8 4/7/16 ESTAFFORDI
7440-38-3 Ba-Dissolved Barium by ICP 10 20 ug/L EPA 200.7 4/6116 ESTAFFORDI
7440-70-2 Ca-Dissolved Calcium by ICP 0.10 39 mg/L EPA 200.7 4/6/16 ESTAFFORDI
7440-43-9 Cd-Dissolved Cadmium by ICPMS 0.50 0.50 U
ug/L EPA 200.8 417/16 ESTAFFORDI
7440-47-3 Cr-Dissolved Chromium by ICPMS 5.0 4/7116 ESTAFFORDI
0 U ug/L
5. . EPA 200.8
7440-50-8 Gu-Dissolved Capper by ICPMS 2•0
2.0'U' ug/L EPA 200.8 4/7/16 ESTAFFORD1
7439-96-5 Dissolved Mn by ICP 10 66 ug/L EPA 200.7 4/6/16 ESTAFFORD1
50
7439-89-6 Fe-Dissolved Iron by ICP
50 U ug/L EPA 200.7 4/6/16 ESTAFFORDI
7439-s7-s 0.2 0.20 U u9/L EPA 245.1 4/5116 ESTAFFORDI
Hg 245.1 Dissolved
mg/L EPA 200.7 4/6/16 ESTAFFORDI
7440-09-7 K-Dissolved Potassium by ICP 0.10 7.2
ESTAFFORDI
7439-95-4 Mg-Dissolved Magnesium by ICP 0.10 6•8
mglL EPA 200.7 4/6/16
7440-23-5 Na-Dissolved Sodium by ICP 0.10
7.0 mg/L EPA 200.7 4/6/16 ESTAFFORDI
7440-02-0 Ni-Dissolved Nickel by ICPMS 2.0
21 ug/L EPA 200.8 4/7/16 ESTAFFORDI
7439-92-1 Pb-Dissolved Lead by ICPMS 2.0
2.0 U u9/L .EPA 200.8 417/16 ESTAFFORDI
�7s2-49-2 Se-Dissolved Selenium by ICPMS 1.0
1.0 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
j
ugiL EPA 200.8 417/16 ESTAFFORDI
Sr Dissolved by ICPMS 10 220
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 4

AC27635 North Carolina Division of Water Resources Water Sciences Section Laborato Result's,
Loc.Descr.: JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE NC
County: HAYWOOD Collector. B LAVERTY VISItID Sample ID: AC27635
PO Number# ARO
Region: ARO Report To ARO Location ID: 1C44303TUMBLE Date Received: 03/29/2016
River Basin NA Collect Date: 03/29/2016 Priority ROUTINE
Time Received: 16_15 Emergency Collect Time: 1= Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
CDC Yes/No Sample Depth NA Loc.Type: WATERSUPPLY Delivery Method Hand delivered
Final Report Date: 4/28/16
Report Print Date: 05/04/2016
Final Report
/f this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes,
Result/ Method Anaivsis
CAS# Anaivte Name PQL Qualifier Units Reference Date Validated by
ARO
Coliform, MF Total in liquid 1 51 CFU/100ml APHA92228-20th 3/29/16 ESTAFFORD1
Sample temperature at receipt by lab 2.7 °C 3/29/16 RBYRD
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

PAT MCCRORY
Governor
DONALD R. VAN DER VAAR
Secretary
WaterResourees S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY Director-
May 5,2016
Dr. Mina Shehee
N.C. Department of Health and Human Services
Epidemiology Section—OEEB
1912 Mail Service Center
Raleigh, NC 27699-1912
Re: Haywood County HRE Request
Owners Name: Jonathan Freedberg
Sample Location: 303 Tumbleweed Trail
Waynesville,NC
Dear Dr.Shehee,
The Asheville Regional Office is conducting a nitrate-in-groundwater investigation in the Iron Duff
Community of Haywood County.The private water supply well,located at the address above,was sampled
on March 29, 2016. Water samples were analyzed for alkalinity, ammonia, chloride, fecal coliform
bacteria, MBAS, metals, nitrate;nitrite, orthophosphate, semi-volatile organic compounds, sulfate,TKN,
total coliform bacteria,total phosphorus,
The table below summarizes the analytical results for the well head (AC27552). The manganese
concentration is above the state's groundwater standard (15A NCAC 02L .0202). It is important to note
that the nitrate concentration is near the state's groundwater standard.
Results 2L Standard
Analyte Source µgel
Barium 20 700
Calcium 39,000
16000 250,000
,
Chloride 50
Manganese 66
2.1 100
Nickel 10,000
Nitrate Well Head 9,800
Nitrite
-180 1,000
Potassium 7,200
Sodium 7,000
Strontium 220
Sulfate
33,000 250,000
The table below summarizes the analytical results for the well head reservoir(AC27635).Total coliform
bacteria concentration is above the state's groundwater standard (15A NCAC 02L.0202).
f
State of North Carolina I Environmental Quality I water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

AC27635 North Carolina Division of Water Resources Water Sciences Section Laborato ResultS""'..
Loc.Descr.: JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE NC
County:Coun Sample ID: AC27636
HAYWOOD Collector: B LAVERTY VisitlD \
PO Number# ARO
Region: ARO Report To ARO Location ID: 1C44303TUMBLE Date Received: 03/29/2016
River Basin NA Collect Date: 03/29/2016 Priority ROUTINE Time Received: 16_16 Emergency Collect Time: 11_33 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
COC Yes/No Sample depth NA Loa Type: WATERSUPPLY
Delivery Method Hand delivered
Final Report Date: 4/28116
Report Print Date: 06/04/2016
Fina_
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method - Analysis
CAS# Analyte Name PQL Qualifier Units Reference Date Validated by
ARO ,
COliform, MF Total in liquid 1 61 CFU/100ml APHA92226-20th 3/29/16 ESTAFFORD1
Sample temperature at receipt by lab 2.7 °C 3129/16 RBYRD
WSS Chemistry Laboratory>>9623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
rater Resources S. JAY ZIMMERMAN
AVIRONMENTAL QUALITY
Director
May 5, 2016
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 70121010 00021955 5464
Karl Koon President
Asheville Oil Company
P.O. Box 5377
Asheville, NC 28813
Subject: NOTICE OF VIOLATION and RECOMMENDATION FOR ENFORCEMENT
NOV-2016-OC-0001(Incident#201600911)
Illegal Discharge of Fuel Oil
Asheville Oil Company-4 Fairview Road
Buncombe County, NC
Dear Mr. Koon:
Article 21 of the North Carolina General Statutes (G.S.) authorizes and directs the
Chapter 143,
Environmental Management Commission of the Department of Environmental Quality to
protect and preserve the water resources of the State.The Division of Water Resources (DWR)
has the delegated authority to enforce adopted water pollution control rules and regulations.
According to the Asheville Fire Department, Hazmat Unit HM2 was crossing the Biltmore
Avenue Bridge at approximately 6:15 PM on Monday April 18, 2016.They became aware of a
strong smell of petroleum and a visible sheen on the surface of the Swannanoa River. HM2 and
other first responder units followed Sweeten Creek upstream to a partially-buried drain pipe
located on the property of the Asheville Oil Company (4 Fairview Road), which was determined
to be the source of the petroleum discharge. DWR emergency response was activated at 8:45
PM on April 18, 2016 and inspected the release site verifying impact from the discharge pipe
associated with the onsite oil/water separator.
As a result of the release and subsequent impact to Sweeten Creek, a recreational-use advisory
was issued for Sweeten Creek and the Swannanoa River for the period April 20,2016 thru April
25, 2016.The public was advised to refrain from a number of outdoor activities including
swimming, wading,fishing, or boating.
Violations
The following violations are noted:
State of North Carolina I Environmental Quality Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Karl Koon
May 5,2016
Page 2 of 3
(1) Oil Pollution and Hazardous Substances Control Act- Unlawful Discharge
(2) Other Wastes
Item I. Unlawful Discharge
The unauthorized discharge of petroleum to Sweeten Creek (Class C Waters) and the
Swannanoa River (Class C Waters), as confirmed on April 20, 2016, is a violation of North
Carolina Statute G.S. 143-215.83. According to this statute, it shall be unlawful, except as
otherwise provided in this Part, for any person to discharge, or cause to be discharged, oil or
other hazardous substances into or upon any waters, tidal flats, beaches, or lands within this
State, or into any sewer, surface water drain or other waters that drain into the waters of this
State, regardless of the fault of the person having control over the oil or other hazardous
substances, or regardless of whether the discharge was the result of intentional or negligent
conduct, accident or other cause.
Item 11. Other Wastes
The unauthorized discharge of petroleum to Sweeten Creek (Class C Waters) and the
Swannanoa River (Class C Waters), as confirmed on April 20, 2016, is a violation of Title 15A
North Carolina Administrative Code 02B .0211 (12). This statute requires oils, deleterious
substances, colored, or other wastes: only such amounts as shall not render the waters
injurious to public health, secondary recreation, or to aquatic life and wildlife, or adversely
affect the palatability of fish,aesthetic quality, or impair the waters for any designated uses.
For the purpose of implementing this Rule, oils, deleterious substances, colored, or other
wastes shall include substances that cause a film or sheen upon or discoloration of the surface
a
of the water or adjoining shorelines pursuant to 40 CFR 110.3(a)-(b)which are hereby
incorporated by reference including any subsequent amendments and additions.
Required Response
This Office requests that you respond to this letter in writing within 30 days of receipt of this
Notice. Your response should be sent to this Office at the letterhead address. Your response
should address the following items:
1. Please submit a report assessing the cause, significance,and extent of the release. In
this report, provide a description of your initial response and when you ceased
discharging all "oil' or other hazardous substances on the land or waters of the state.
IT
2. Asheville Oil Company indicated that a flooding event in December 2015 inundated the
oil/water separator and like) deposited Y p approximately 2.5 feet of sediment. Why was �"

<rl Koon
,Slay 5,2016
Page 3 of 3
the separator not inspected or serviced after the flooding event?To the best of your
knowledge, what happened to the petroleum products that were present in the
oil/water separator prior to the flooding event?
3. More than 120 gallons of fuel oil was present in the oil/water separator on the day of
the release. Please provide an explanation as to whether this volume is normal or
excessive.Why does it mainly consist of fuel oil?
4. Submit a description of operational changes or modifications including revisions to your
SPPP that will prevent releases from this unit in the future.
5. You are to provide a copy of the report to the Division of Energy, Mineral and Land
Resources at address listed below, attention Stan Aiken.
Thank you for your attention to this matter. This office requires that the violations,as detailed
above, be abated immediately and properly resolved. This Office is considering sending a
recommendation for enforcement to the Director of the Division of Water Resources regarding
these issues and any future/continued violations that may be encountered. Your above
mentioned response to this correspondence will be considered in this process.
These violations and any future violations are subject to civil penalty assessments. The
violations of the Oil Pollution and Hazardous Substances Control Act are subject to civil
penalties of up to$5,000 per violation as per G.S. 143-215.88A. The violations are subject to
civil penalties up to$25,000.00 per day for each violation as per G.S. 143-215.6A. Should you
have any questions regarding these matters, please contact Brett Laverty at [phone].
Sincerely,
G. Landon Davidson, P.G., Regional Superviso
Water Quality Regional Operations
Asheville Regional Office
cc: ARO Files
Stan Aiken DMLR-ARO
Steve Lewis DWR—PERCS Unit

��\
\_ �r
\ /,

PAT MCCRORY
Governor
a DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
ater Resources
Director
NIRONMENTAL QUALITY
May 6,2016
DWR# 16-0281
Haywood County
Roger Williams Fricks
68 Best Lane
Clyde,NC 28721
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
F&F Trucking Co. Culvert Extension
Dear Mr. Fricks:
You have our approval for the impacts listed below for the purpose described in your application
dated March 4, 2016,and received by the Division of Water Resources (Division) on March 18,
with additional information received April 29,2016. These impacts are covered by the attached
Water Quality General Certification Number 3890 and the additional conditions listed below.
This certification is associated with the use of Nationwide Permit Number 39 once it is issued to
you by the U.S. Army Corps of Engineers. Please note that you should get any other federal,
state or local permits before proceeding with your project, including those required by(but not
limited to) Sediment and Erosion Control,Non-Discharge, Water Supply Watershed, and Trout
Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification,General Permit and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b) .
and/or(c)]
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Open Water
Impact S1 50 (linear feet)
Impact S2 15 (linear feet)
10 (linear feet)
Impact S3
State of North Carolina I Environmental Quality Water Resources
2090 US Hwy 70 1 Swannanoa,North Carolina 28778
828 296-4500

W Trucking Co.Culvert Extensio.
DWR#16-0281\.
401 APPROVAL
Page 2 of 3 \
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project,you must notify the Division and
you may be required to submit a new application package with the appropriate fee. If the
Property is sold, the new owner must be given a copy of this approval letter and General
Certification(s) and is responsible for complying with all conditions.[15A NCAC 02H
.0507(d)(2)]
3. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants,hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill, the permitee/contractor shall immediately contact the
Division, between the hours of 8 am to 5 pm at the Asheville Regional Office at
828.296.4500 and after hours and on weekends call [phone]. Management of
such spills shall comply with provisions of the North Carolina Oil Pollution and
Hazardous Substances Control Act. [15A NCAC 02H .0506 (b)(3) and(c)(3), 15A
NCAC 02B .0200 (3)(f), and GS 143 Article 21A]
4 All temporary impacted areas shall be restored to pre-construction natural conditions
upon completion of the project. [15A NCAC 02H .0506(b)(2) and(c)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60)calendar days.
A petition form may be obtained from the OAH at htlp://www.ncoah.co or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at(919)431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DENR:

F&F Trucking Co.Culvert Extension
DWR#16-0281
401APPROVAL
Page 3 of 3
Sam M. Hayes, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh,NC 27699-1601 _
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
kevin mitcheligncdenr.gov if you have any questions or concerns.
Sincerely,
G. Landon Davidson,P.G.,Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3890
Certificate of Completion
cc: Frederick L. Baker,P.E. —(via email)
David Brown—USACE Asheville Regulatory Field Office(via email)
Stan Aiken-Division of Energy,Mineral, and Land Resources(via email)
Andrea Leslie—NCWRC (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit
G:\WR\WQ\Haywood\401s\Non-DOT\F&F Trucking Culvert Extension\Aprvl.401 F&F Trucking.(05.06.2016).dooc

'`i:_�
`v/ `

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
later Resources S. JAY ZIMMERMAN
,NVIRONMENTAL QUALITY
Director
May 6, 2016
Dr. Mina Shehee
N.C. Department of Health and Human Services
Epidemiology Section—OEEB
1912 Mail Service Center
Raleigh, NC27690-1912
Re: Haywood County HIRE Request
Owners Name: Sheri Cassidy
Sample Location: 593 Buck Ridge Road
Waynesville,NC
Dear Dr. Shehee,
The Asheville Regional Office is conducting a nitrate-in-groundwater investigation in the Iron Duff Community of Haywood County.The private water supply well,located at the address above,was sampled
on March 30, 2016. Water samples were analyzed for alkalinity, ammonia, chloride, fecal coliform
bacteria, metals, nitrate, nitrite, orthophosphate, sulfate, TKN, total coliform bacteria, and total
phosphrous.
The table below,summarizes the analytical results for the well head (AC27617). There were no analyte
concentrations above the state's groundwater standard (15A NCAC 02L.0202).
Results 2L Standard
Analyte Source µg/l
Ammonia 20 1,500
Barium 32 700
Calcium 15,000
Chloride
14,000 250,000
Magnesium 4,300
Manganese 28 50
Well Head 4,700
Potassium
Nitrate 660 10,000
Sodium 7,100
Strontium 60
12,000 250,000
Sulfate
TKN 200
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Dr.Mina Shehee
May 6,2016
Page 2 of 2
Please provide a health risk evaluation for the presence of ammonia,chloride, nitrate, sulfate,TKN, and
various metals. Please feel free to contact me if you have additional questions or concerns. I can be
reached at(828)296-4681 or brett.laverty ncdenr gov.
Sincerely;
i
Brett Laverty
Water Quality Regional Operations
Asheville Regional Office
cc:ARO files

_North Carolina Division'of Water Resources Water Sciences Section Laboratory Results
Sample ID: AC27617
Sherri Cassidy 693 BUCK RIDGE ROAD WAYNESVILLE.NC p0 Number# 16G0087
HAYWOOD Collector: B LAVERTY VisitlD
ARO Report To ARO
Location ID: 1C44693BUCK Date Received: 0 410112 0 1 6
,asin NA Collect Date: 03/30/2016 Priority GROUNDWATER Time Received: 08_10
>rgency Collect Time: 12_63
Sample Matrix: GROUNDWATER ER
LoginlD TASCENZ01
,OC Yes/No Sample Depth NA Loa Type: WATER SUPPLY Delivery Method NC Courier
Final Report Date: 4/27116`
Report Print Date: 0610 122016
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Anal sis
Units Reference Date Validated by
CAS# Analvte Name PQL Qualifier
LAB
Sample temperature at receipt by lab
3.7 'C 4/1116 MSWIFT
NUT
NH3 a5 N In IlgUld 0.02 0.02 mg/L as N EPA 350.1 REV 2 4/13/16 CGREEN
mglL as N EPA 353.2 REV 2 4l19/16 CGREEN
Nitrate as N in liquid 0.02 0.66
Nitrite as N In liquid 0.01 0.01 U mg/L as N EPA 353.2 REV 2 4/1116 CGREEN
NO2+NO3 as N in liquid 0.02 0.67
mg/L as N EPA 353.2 REV 2 4/13116 CGREEN
Orthophosphate as P in liquid 0.02 0.02 U
mglL as P EPA 365.1 REV 2 4/1/16 CGREEN
Phosphorus-total as P in liquid 0.02 0.02 U
mg/L as P EPA 365.1 REV 2 4/4/16 CGREEN
Total Kjeldahl N as N in liquid 0.2 0.20
mg/L as N EPA 351.2 REV 2 418/16 CGREEN
WET
mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
Bromide 0.4 0.4 U
14 mg/L EPA 300.0 rev2.1 415/16 CGREEN
Chloride 1.0
0.4 0.4 U mg/L EPA 300.0 rev2,1 4/5/16 CGREEN
Fluoride
Sulfate 2.0 12 mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
MET
ug/L EPA 200.8 417116 ESTAFFORDI
7440-22-4 Ag-Dissolved Silver by ICPMS 1.0
1,0 U
ug/L EPA 200.7 416/16 ESTAFFORDI
7429-90-5 All-Dissolved Aluminum by ICP 50
50 U
7440-38-2 As-Dissolved by ICPMS Arsenic 2:0 2.0 U
ug/L EPA 200.8 417/16 ESTAFFORDI
7440-38-3 Ba-Dissolved Barium by ICP 10
32 ug/L EPA 200.7 4/6/16 ESTAFFORDI
7440-70-2 Ca-Dissolved Calcium by ICP 0.10
15 mg EPA 416116 ESTAFFORDI
lL
7440-43-9 Cd-Dissolved Cadmium by ICPMS 0.50 0.50 U ug/L EPA 200.8 4/7/16 ESTAFFORDI ug/L EPA 200.8 4/7/16 ESTAFFORD1
7440-47-3 Cr-Dissolved Chromium by ICPMS 5.0 5:0 U
ug/L EPA200.8 4/7/16 ESTAFFORD1
7440-50-8 Cu-Dissolved Copper by ICPMS 2.0 2,0 U
7439-96-5 Dissolved Mn by ICP 10 28 ug/L EPA 200.7 4/6/16 ESTAFFORDI
7439-89-6 Fe-Dissolved Iron by ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORD1
7439-97-6 Fig 245.1 Dissolved, 0.2 0.20 U ug/L EPA245.1 415/16 ESTAFFORD1
7440-09-7 K-Dissolved Potassium by ICP 0.10 4,7
mg/L EPA200:7 4/6/16 ESTAFFORD1
mg/L EPA 200.7 416/16 ESTAFFORDI
7439-95-4 Mg-Dissolved Magnesium by ICP 0.10 4.3
7440-23-5 Na-Dissolved Sodium by ICP 0.10 7.1
mg/L EPA 200.7 4/6l16 ESTAFFORD1
7440-02-0 Ni-Dissolved Nickel by ICPMS 2.0
2.0 U ug/L EPA 200.8 4/7116 ESTAFFORDI
7439-92-1 Pb-Dissolved Lead by ICPMS 2,0
2.0 U ug/L EPA 200.8 417116 ESTAFFORDI
7782-49-2 Se-Dissolved Selenium by ICPMS 1.0 1.0 ug/L EPA200.8 4/7/16 ESTAFFORDI
U
Sr Dissolved by ICPMS 10 60 uglL EPA2oo.6 4/7/16 ESTAFFORDI
36-6 Zn-Dissolved Zinc by ICPMS 10 IOU ug/L EPA200.8 4/7II6 ESTAFFORD1
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 6,2016
Dr. Mina.Shehee
N.C. Department of Health and Human Services
Epidemiology Section—OEEB
1912 Mail Service Center
Raleigh, NC 27699-1912
Re: Haywood County HRE Request
Owners Name: William Hunteman
Sample Location: 307 CJ Justice Drive
Waynesville,NC
Dear Dr. Shehee,
The Asheville Regional Office is conducting a nitrate-in-groundwater investigation in the Iron Duff
Community of Haywood County.The private water supply well,located atthe address above,was sampled
on March 30, 2016. Water samples were analyzed for alkalinity, chloride, metals, nitrate, nitrite, and
sulfate.
The table below summarizes the analytical results for the well head (AC27615). There were no analyte
concentrations above the state's groundwater standard (15A NCAC 02L.0202).
Results 2L Standard
Analyte Source µgel
Barium 49 700
Calcium 5,500
Iron 150 300
Lead 7:3 15
Magnesium Well Head 2,300
Nitrate
1,800 10,000
Sodium 4,000
Strontium 52
Zinc
1.600 1,000
The table below summarizes the analytical results for the kitchen (AC27616), which is equipped with a
water treatment system for metals.There were no analyte.concentrations above the state's groundwater
standard (15A NCAC 02L.0202).
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-2964500

Dr.Mina Shehee
May 6,2016
Page 2 of 2
Analyte Source Results 2L Standard
Copper µg/I
470 1,000
Potassium Kitchen faucet 150
Sodium Post Treatment 25,000
Zinc 11
1,000
Please provide a health risk evaluation for the presence of chloride, nitrate, sulfate, and various metals.
Please feel free to contact me if you have additional questions or concerns. I can be reached at(828)
296-4681 or brett.lave rty ncdenr gov.
Sincerely.
Brett Laver
Water Quality Regional Operations
Asheville Regional Office
cc:ARO files

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
Sample ID: AC27615
Willaim Huniernan-307 CJ JUSTICE DRIVE PO Number# 16G0085
HAYWOOD Collector: B LAVERTY VisitiD
HAY ARO Location ID: 1C44307J_USTICE Date Received: 04/01/2016
AROReport
GROUND ER Time Received: 08_10
Basin NA Collect Date: 0313 112016 Priority WAT
,ergency Collect Time: 11;27 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
JOC Yes/No Sample Depth NA Loc.T e: Water Suwk Delivery Method NC Courier
YP
Final Report Date: 4/27l16
Report Print Date: 0610 112016
Final Resort
If this report is labeled preliminary report,the results have not been validated, Do not use for Regulatory purposes.
Result/ Method Anal sis
GAS# Analvte Name PQL Qualifier
Units Reference Date Validated by
LAB
Sample temperature at receipt by lab
3.7 'C 4/1l16 MSWIFT
NUT
Nitrate as N in liquid O.02 1,8 mg(L as N EPA 353.2 REV 2 4/19116 CGREEN
Nitrite as N in liquid 0.01 0.01 U mg/L as N EPA 353.2 REV 2 4/1116 CGREEN
NO2+NO3 as N in liquid O.02 1.8 mg/L as N EPA 353.2 REV 2 4/13116 CGREEN
WET
U mg/L EPA 300.0 rev2.1 4/5116 CGREEN
Bromide 0.4
n�9/L EPA 300.0 rev2.1 4(5/16 CGREEN
Chloride 1.0 1.0 U
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 4/ 6 CGREEN
5(1
Sulfate 2.0 2.0 U mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U u9/L EPA 200.8 417116 ESTAFFORD1
50 50 U ug/L EPA200.7 4/6/16 ESTAFFORD1
-90-5 Al by ICP uglL EPA 200.8 4/7116 ESTAFFORD1
7440=38-2 As by ICPMS 2.0 2.0 U
7440-38-3 Baby ICP 10 49 ug/L EPA200.7 4/6l16 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 5.6 mg/L EPA200.7 416/16 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.60 U ug/L EPA 200.8 4/7116 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 6.0 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
2.0 2,0 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
7440-50-8 Cu by ICPMS
/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 150 ug/L EPA 200.7 4l6
7439-97-6 Hg 245.1 0.2 0,20 U ug/L EPA 245.1 4/5116 ESTAFFORD1
ESTAFFORD1
7.440-09-7 K by ICP 0.10 2.4 mglL EPA 200.7 4/6116
ESTAFFORD1
7439-95-4 Mg by ICP 0.10 2,3 mg/L EPA 200.7 416/16
7439-96-5 Mn by ICP 10 10 U ug/L EPA2010.7 416/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 4,0 mg/L EPA 200.7 4/6116 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
2.0 7,3 ug/L EPA 200.8 4/7116 ESTAFFORDI
7439-92-1 Pb by ICPMS
7116 ESTAFFORD1
7782-49-2 Se by ICPMS 1.0 1.0 U ug/L EPA200.8 41
7440-24-6 Sr by ICPMS 10 52 ug/L EPA 200.8 4/7/16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 1600 ug/L EPA 200.8 417/16 ESTAFFORDI
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

AC27616 North Carolina Division of Water Resources Water Sciences Section Laboratoz Resul,.
Los.Dessr.: Willaim Hunieman-317 CJ JUSTICE DRIVE
Sample ID: AC27616
County: MAYWOOD Collector: B LAVERTY VisitlD
PO Number#Region: ARO 16GO086
Report To ARO Location ID: 1C44307JUSTICE Date Received: 04101/2016
River Basin NA Collect Date: 03/3012016 Priority GROUNDWATER Time Received: 08:10
Emergency Collect Time: 11_67 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
CDC Yes/No Sample Depth NA Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 4127/16
Report Print Date: 06/04/2016
Final Report
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Anal sis
CAS# Analvte Name P L Qualifier Units
PQL Reference Date Validated by
LAB
Sample temperature at receipt by lab 3.7 °C 411/16 MSWIFT
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA 200.8 417/16 ESTAFFORDI
7429-90-5 Al by ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORDI
7440-38-2 AS by ICPMS 2.0 2.0 U ug/L EPA200.8 417/16 ESTAFFORDI
7440-38-3 Ba by ICP 10
IOU 'uglL EPA 200.7 4/6/16 ESTAFFORDI
7440-70-2 Ca by ICP 0.10 0.10 U mg/L EPA 200.7 4/6/16 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.60 U ug/L EPA200.8 4/7/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0
5.0 U ug(L EPA200.8 4l7/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0
470 ug(L EPA 200.8 4l7/16 ESTAFFORDI
7439-89-6 Fe by ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 415/16 ESTAFFORD1�
7440-09-7 K by ICP 0.10
0.16 mg/L EPA 200.7 4/6/16 ESTAFFQRD1�
7439-95-4 Mg by ICP 0.10 0.10 U mg/L EPA 200.7 416/16 ESTAFFORDI
7439-96-5 Mn by ICP 10 IOU ug/L EPA 200.7 4/6/16 ESTAFFORDI
7440-23-5 Na by ICP 0.10
25 mg/L EPA 200.7 4/6/16 ESTAFFORDI
7440-02-0 Ni by ICPMS 2.0
2.0 U uglL .EPA 200.8 4(7/16 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7116 ESTAFFORDI
7782-49-2 Se by ICPMS 1.0
1.0 U u9/L EPA 200.8 4/7/16 ESTAFFORD1
7440-24-6 Sr by ICPMS 10
IOU ug1L EPA200.8 4!7l16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10
11 ug1L EPA 200.8 417/16 ESTAFFORD1
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL.QUALITY
Director
May 5,2016
Dr. Mina Shehee
N.C.Department of Health and Human Services
Epidemiology Section—OEEB
1912 Mail Service Center
Raleigh, NC 27699-1912
Re: Haywood County HRE Request
Owners Name: Robert Anderson
Sample Location: 480 Everview Lane
Waynesville;NC
Dear Dr.Shehee,
The Asheville Regional Office is conducting a nitrate-in-groundwater investigation in the Iron Duff
Community of Haywood County.The private water supply well,located at the address above,was sampled
on March 30, 2016. Water samples were analyzed for alkalinity, chloride, metals, nitrate, nitrite, and
sulfate.
The table below summarizes the analytical results for the well head (AC27552).The zinc concentration is
above the state's groundwater standard (15A NCAC 02L.0202).
Results 2L Standard
Analyte Source µgel
Barium
10 700
Calcium 16,000
3,900 250,000
Chloride 1,000
Copper 10
Magnesium 3,13
13 50
Manganese Well Head 10,000
Nitrate 3,200
Potassium 2,500
Sodium 7,000
Strontium 76
Sulfate 6,000 250,000
Zinc
3,400 1,000
State of North Carolina I Environmental Quality I water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 29778
828-2964500

Dr.Mina Shehee
May 5,2016
Page 2 of 2
t
Please provide a health risk evaluation for the presence of chloride, nitrate, sulfate, and various metals.
Please feel free to contact me if you have additional questions or concerns.I can be reached at(828)
296-4681 or [e-mail].
Sincerely,
Brett Lavern
Water Quality Regional Operations
Asheville Regional Office
cc:ARO files

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
ROBE ANDERSON 480 EVERVIEW LANE Sample ID: AC27614
HAYWOOD Collector: B LAVERTY VisitlD
PO Number# 1600084
Location ID: 1C44480EVERVIEW Date Received: 0 410 122 01 6
ARO Report To ARO
ER Time Received: 08_10
r Basin NA Collect Date: 0313012016 Priority GROUNDWAT
Collect Time: 10;52 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
mergency
Sample Depth NA Loc.Type: Water Supply Delivery Method NC Courier
COC Yes/No p p Final Report Date: 12130199
Report Print Date: 06/04/2016
Preliminary Results
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
Units Reference Date Validated by
GAS# Analvte Name PQL Qualifier
LAB
Sample temperature at receipt by lab
3.7 �G 4/1/16 MSWIFT
NUT
Nitrate as N in liquid 0.02 3.2 mg/L as N EPA 353.2 REV 2 4/19116
Nitrite as N in liquid 0.01 0.01 U mg/L as N EPA 353.2 REV 2 411/16 CGREEN
NO2+NO3 as N in liquid 0.02 3.2 mg1L as N EPA 353.2 REV 2 4/13116 CGREEN
WET
Bromide 0.4 U mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
1.0 3.9 m9/L EPA 300.0 rev2.1 4/5(16 CGREEN
Chloride
Fluoride .4 .4 U mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
m9/L EPA 300.0 rev2.1 4!5/16 CGREEN
Sulfate 2.0 6,0
MET
7 u5/L EPA200,8 4/7/16 ESTAFFORDI
440-22-4 Ag by ICPMS 1.0 1.0 U
\'-90-5 Al by ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORDI
7440-38-2 AS by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7440-38-3 Ba by ICP 10 10 ug/L EPA 200.7 416116 ESTAFFORDI
7440-70-2 Ca by ICP 0.10 16 mg/L EPA 200.7 416l16 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7440 47-3 Cr by ICPMS 5.0 6.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0 10 ug/L EPA 200.8 4/7/16 ESTAFFORDI
7439-89-6 Fe by ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 4/5/16 ESTAFFORDI
7440-09-7 K'by ICP 0.10 2.5 mg/L EPA20007 4/6116 ESTAFFORDI
7439-95 4 Mg by ICP 0.10 3.4 mg/L EPA 200.7 4/6/16 ESTAFFORDI
7439-96-5 Mn by ICP 90 13 ug(L EPA 200.7 4(6/16 ESTAFFORDI
mg/L EPA 200.7 4/6/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 7,0
uglL EPA 200.8 417116 ESTAFFORDI
7440-02-0 Ni by ICPMS 2.0 2.0 U
ug/L EPA 200.8 4/7116 ESTAFFORDI
7439-92-1 Pb by ICPMS 2.0 2.0 U
7782-49-2 Se by ICPMS 1.0 1.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7440-24-6 Sr by ICPMS 10 76 ug/L EPA 200.8 4R/16 ESTAFFORDI
7440-66-6 Sr 10 3400 ug/L EPA 200.8 417116 ESTAFFORDI
Zn by ICPMS
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699.1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

�i
�.
`i
_./;
�__,

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Water Resources nh
ENVIRONMENTAL QUALM' Director
May 9,2016
CERTIFIED MAIL 7012 10
10 0002 1965 5471
RETURN RECEIPT REOUESTED
Mr.Roger B. Smith,Registered Agent
Tryon Equestrian:Properties,LLC
Tryon International Equestrian Center
4066 Pea Ridge Road
Mill Spring,Nord Carolina 28756-5517
Subject: NOTICE OF VIOLATION
-
N OV-2016-PC-0162
Administrative Code 15A NCAC 2T .1304
(Tryon International Equestrian Center)Facility No. 750004,Permit No.AW1750004
Plolk County
Dear Mr. Smith: ii
On April 7, 20I6, staff of the NC Division of Water Resources (DWR), Water Quality Regional
Operations Section (WQROS), inspected the Tryon International Equestrian Center and the permitted
waste disposal system. We wish to thank Mr. Jeff Brown, who was present and assisted during the
inspection.
As a result of this inspection,you are hereby notified that,having been permitted to have a non-discharge
permit for the subject animal waste disposal system pursuant to 15A NCAC 2T .1304, you have been
found to be in violation of your Certified Animal Waste Management Plan(CAWMP) and the Animal
Waste Operations Individual Permit No.AW 1750004 as follows:
Violation:
Failure to have available at all times, a legal agreement with an appropriately permitted third party or
manure hauler to transport and accept the animal waste generated at this facility in accordance with
Condition II. 6. of the Animal Waste Operation Individual Permit No.AW1750004.
On April 7, 2016 staff reviewed the records for the subject permit. Based on discussions during the
inspection, a manure hauler has been secured but the intention is for the hauler to obtain a Distribution of
Animal Waste Residual Solids(composting)permit. The legal agreement was not available. The manure
remains stockpiled at the facility.
State of North Carolina I Environmental Quality I Water Resources
2090 US 70 Highway,Swannanoa,North Carolina 28778
828/296-4500

Required Corrective action for Violation:
Please provide to our office, a copy of the legal agreement with the manure hauler or appropriately
permitted third party,
-Please-also provide-an update on the status of obtaining a suitable piece of property
where the composting operation will be located.
You are required to provide a written response to this Notice by June 9,2016. Please include in your
response all corrective actions already taken and a schedule for completion of any corrective actions not
addressed.
Failure to comply with conditions in a permit may result in a recommendation of enforcement action, to
the Director of the Division of Water Resources who may issue a civil penalty assessment of not more
that twenty-five thousand($25,000)dollars against any"person"who violates or fails to act in accordance
with the terms,.conditions,or requirements of a permit under authority of G.S. 143-215.6A.
Please see the Inspection Report for additional observations and comments. If you have any questions
concerning this Notice,please contact Beverly Price or me at(828)296-4500.
Sincerely,
G.Landon Davidson,P.G.
Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosure
cc: Jeff Brown, Tryon International Equestrian Center w/enclosure
Christine Lawson,DWR CAFO Unit
GAVvR\WQ\Polk\CAFOs\Tryon International Equestrian CenteI\NOV-2016-PC-0162.doc
i

Division of Water Resources
El Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 750004 Facility Status.
Active Permit: AW1750004 ❑ Denied Access
Inactive Or Closed Date:
Inpsection Type: Compliance Inspection
Reason for Visit: Routine County:
Polk Region: Asheville
Date of Visit: 04/07/2016 Entry Time: 01:30 pm Exit Time: 2:30 pm
Incident#
Farm Name:
Tryon International Equestrian Center Facility Owner Email: [e-mail]
Owner: Tryon Equestrian Properties LLC Phone: [phone]
Mailing Address:
2659 Sandy Plains Rd Tryon NC 28782
Physical Address:
John Shehan Rd Tryon NC 28782
Facility Status: ❑ Compliant ® Not Compliant Integrator:
Latitude: 35'16'59" Longitude: 82'04'10"
Location of Farm:
Hwy 74 to Pea Ridge Road exit,.Facility is on the comer of Pea Ridge Road and John Shehan Road.
Question Areas:
® Dischrge&Stream Impacts ® Records and Documents
Certified Operator: Operator Certification Number:
Secondary OIC(s):
On-Site Representative(s):
Name Title Phone
24 hour contact name Jeff Brown Phone: [phone]
On-site representative Jeff Brown Phone:
Phone: C!�
Primary Inspector: Beverly Price
Date:
Inspector Signature: L
Secondary Inspector(s):
Inspection Summary:
page: 1

Permit: AW1750004 Owner-Facility: Tryon Equestrian Prop( Facility Number: 750004
Inspection Date: 04/07/16 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Mr.Jeff Brown assisted with the inspection.
The permittee would like to expand above the current capacity. A new application,certification and updated WUP should be
submitted prior to expansion.
The maintenance/inspection logs were complete and in good order.
Manure has not been removed from the site since last November. The manure is currently being stored on site and at a separate
location off Hwy.9 in Mill Springs.
Non-Compliance Issues:
Question#20. The facility did not have a legal agreement with an appropriately permitted third party or manure hauler to transport
and accept the animal waste generated at this facility.
The disposal records(manure hauler)were not on site for review.
Question#21. The permittee did not have,a current waste analysis.
page: 2

: Tryon Equestrian Prop( Facility Number: 750004
Permit: AWI750004 Owner-Facility
spection Date: 04/07/16 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Yes No Na Ne
Discharges&Stream impacts
1. Is any discharge observed from any part of the operation? ❑ ® ❑ ❑
Discharge originated at:
Structure
Application Field ❑
Other
a.Was conveyance man-made? ❑ ❑ ■ ❑
b. Did discharge reach Waters of the State?(if yes, notify DWQ) ❑ ❑ ® ❑
C.What is the estimated volume that reached waters of the State(gallons)?
d. Does discharge bypass the waste management system?(if yes, notify DWQ) ME]2. Is there evidence of a past discharge from any part of the operation? ❑ ® ❑ El
❑
3.Were there any observable adverse impacts or potential adverse impacts to Waters of the
State other than from a discharge?
Yes No Na Ne
Records and Documents
19. Did the facility fail to have Certificate of Coverage and Permit readily available? El ■ El El
20. Does the facility fail to have all components of the CAWMP readily available? ■ ❑ ❑ ❑
If yes, check the appropriate box below.
WUP?
Checklists? ❑
Design? ❑
Maps?
Lease Agreements? ❑
■
Other?
Legal agreement with a
If Other,please specify manure hauler or
appropriately permitted third
party. Disposal records
were not on site.
21. Does record keeping need improvement? ® ❑ ❑ ❑
If yes,check the appropriate box below.
Waste Application? ❑
Weekly Freeboard? ❑
Waste Analysis?
Soil analysis?
Waste Transfers? ❑
Weather code?
Rainfall?
Stocking? El
Crop yields?
120 Minute inspections?
\ Monthly and 1"Rainfall Inspections ❑
page: 3

Permit: AW1750004 Owner-Facility: Tryon Equestrian Prop( Facility Number: 750004
Inspection Date: 04/07/16 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes No Na Ne
Sludge Survey ❑
22. Did the facility fail to install and maintain a rain gauge? El El ■
23. If selected,did the facility fail to install and maintain a rainbreaker on irrigation equipment
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
El 0 M El
25. Is the facility out of compliance with permit conditions related to sludge?If yes, check the
appropriate box(es)below:
Failure to complete annual sludge survey ❑
Failure to develop a POA for sludge levels
Non-compliant sludge levels in any lagoon
List structure(s)and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorous loss assessment(PLAT)certification?
page.- 4

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
l aterResources S. JAY ZIMMERMAN
WIRONMENTAL QUAL17Y
Director
May 9, 2016
DWR# 16-0323
Cherokee County
Floyd E. &Lisa R. Jillson
1285 Near Ocean Drive
Vero Beach,FL 32963
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
18050 Joe Brown Highway After-the-fact-Permit
Dear Mr. &Mrs. Jillson:
You have our approval for the impacts listed below for the purpose described in your application
dated March 26, 2016; and received by the Division of Water Resources(Division) on April 4,
2016. These impacts are covered by the attached Water Quality General Certification Number
3890 and the additional conditions listed below. This certification is associated with the use of
Nationwide Permit Number 29 once it is issued to you by the U.S.Army Corps of Engineers.
Please note that you should get any other federal,state or local permits before proceeding with
your project, including those required by (but not limited to) Sediment and Erosion Control,
Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification are met. No other impacts are approved, including
incidental impacts. [15A NCAC 02H .0506(b) and/or(c)]
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

18050Joe Brown HighwayAfter-the-fact-Perrri,
DWR#2016-0323
401 Approval
Page,2 of 3
TypeiWl
Amount Approved Amount Approved \
(units) (units)
Permanent Temporary
StIm 10 (linear feet)Im134 (linear feet)WtImpact 0.03 acres
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project,you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold,the new owner must be given a copy of this approval letter and
General Certification(s) and is responsible for complying with all conditions. [15A
NCAC 02H .0507(d)(2)]
3. All temporary impacted areas shall be restored to pre-construction natural conditions
upon completion of the project. Native vegetation shall be used for stream bank
stabilization. [15A NCAC 02H .0506 (b)(2) and(c)(2))
4. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources Commission(NCWRC) comment letter dated April 27, 2016
(attached)to the maximum extent practicable. [15A NCAC 02H.0506(b)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at [phone] for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at [phone],provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):

18050Joe Brown Highway Afte r-the-fa ct-Permit
DWR#2016-0323
401 Approval
Page 3 of 3
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One(1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15ANCAC 02H .0500. Please contact Tim Fox at 828-296-4664 or
tim.fox�cnr ncdenr.gov if you have any questions or concerns.
Sincerely,
G. Landon Davidson,P.G.,Regional Supe
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3890
NCWRC letter dated April 27, 2016
cc: David Brown—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—Division of Energy,Mineral, and Land Resources (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Cherokee\Complaints\18050 Joe Brown Hwy\APRVL.40118050JoeBrownHighway5-9-16.docx

PAT MCCRORY
As Governor
DONALD R. VAN DER VAART
m Secretary
aterResources S. JAY ZIMMERMAN
d1ROMMEMTAL QUALITY
Director
May 9, 2016
DWR# 16-0259
Clay County
Jeremiah Williamson
16 Ivy Log Road
Warne,NC 28909-8625
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
16 Ivy Log Road Stream Bank Stabilization
Dear Mr. Williamson:
You have our approval for the impacts listed below for the purpose described in your application
dated February 20, 2016, and received by the Division of Water Resources (Division) on March
14, 2016 and additional information received via email on May 3,2016. These impacts are
covered by the attached Water Quality General Certification Number 3885 and the additional
conditions listed below. This certification is associated with the use of Nationwide Permit
Number 13 once it is issued to you by the U.S. Army Corps of Engineers. Please note that you
should get any other federal, state or local permits before proceeding with your project, including
those required by (but not limited to) Sediment and Erosion Control,Non-Discharge,Water
Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
by approved provided that all of the other specific and
1. The following impacts are here
general conditions of the Certification are met. No other impacts are approved, including
incidental impacts. [15A NCAC 02H .0506(b) and/or(c)]
State of North Carolina Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

16 Ivy Log Road Stream Bank Stabilizatib,
DWR#16-0259`
401 Approval
Page 2of4
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Stream Impact
Impact S 1 550 (linear feet)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project,you must notify the Division
and you may be required to submit a new`application package with the appropriate fee.
If the property is sold, the new owner must be given a copy of this approval letter and
General Certification(s) and is responsible for complying with all conditions. [15A
NCAC 02H .0507(d)(2)]
3. The designer or his designee shall supervise the installation of in-stream structures.
[15A NCAC 02H .0506(b)(2)]
4. Fueling, lubrication and general equipment maintenance should not take place within 50
feet of a waterbody or wetlands to prevent contamination by fuel and oils. [15A NCAC
02H.0506 (b)(3) and(c)(3) and 15A NCAC 02B .0211(12)]
5. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants, hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill,the permittee/contractor shall immediately contact the
Division of Water Resources, between the hours of 8 am to 5 pm at the Asheville
Regional Office at 828.296.4500 and after hours and on weekends call [phone].
Management of such spills shall comply with provisions of the North Carolina Oil
Pollution and Hazardous Substances Control Act. [15A NCAC 02H .0506 (b)(3) and
(c)(3), 15A NCAC 02B .0211(12), and GS 143 Article 21A]
6. Natural fiber matting is recommended for streambank stabilization over plastic matting
that can entrap small animals. [15A NCAC 02H .0506(b)(2)]
7. Visual monitoring of the stabilization project shall be conducted at a minimum of
quarterly for the first year or two bankfull events (whichever is longer), and then
annually until the site is stable (particularly after storm events)and vegetation is
successful. Any failures of structures, stream banks, or vegetation may require future
repairs or replacement,which requires coordination with the Asheville Regional Office
to ensure the stability and water quality of the stream and downstream waters. [15A
NCAC 02H .0506(b)(2) and (b)(3)]

16 Ivy Log Road Stream Bank Stabilization
DWR#16-0259
401 Approval
Page 3 of 4
8. All temporary impacted areas shall be restored to pre-construction natural conditions
upon completion of the project. Native vegetation shall be used for stream bank
stabilization. [15A NCAC 02H .0506 (b)(2) and(c)(2)]
9. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources Commission(NCWRC) comment letter dated May 9, 2016
(attached)to the maximum extent practicable. [15A NCAC 02H .0506(b)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty (60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:OOam and 5:OOpm, excluding
official state holidays).
The petition maybe faxed to he OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
' business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601

16 Ivy Log Road Stream Bank Stabilizati
DWR#16-0259
401 Approva l
Page 4 of 4
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H.0500. Please contact Tim Fox at 828-296-4664 or
tim.fox ncdenr.gov if you have any questions or concerns.
Sincerely,
t
G. Landon Davidson, P.G.,Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3885
Certificate of Completion
NCWRC letter dated May 9, 2016
cc: Linda Milt—Clay County Soil & Water Conservation District(via email)
David Brown USACE Asheville Regulatory Field Office (via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—Division of Energy, Mineral,and Land Resources (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
GAWR\WQ\C1ay\401s\Non-D0T\16 Ivy Log Road Stream Bank Stabilization\APRVL.401 16IvyLogRd5-9-16.docx

r
Certified Mail # 7012 1010 00021965 5198
Return Receipt Requested
May 9, 2016
Robbie Kirkpatrick
118 Indian Branch Estates
Candler, NC 28715
SUBJECT: NOTICE OF VIOLATION &INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-..2016-PC-0157
Permit No. WQ0002817
Morgan Branch Estates-Windy Hills
Buncombe County
Dear Permittee:
The North Carolina Division of Water Resources conducted inspections of the Morgan Branch Estates-Windy Hills-
Briar Cliff development on April 20, 2016, April 21, 2016 and April 26,2016. This inspection was conducted to
verify that the facility is operating in compliance with the conditions and limitations specified in Permit No.
WQ0002817.
ucted by Division of Water Resources staff from the Asheville
The Compliance Evaluation inspection was cond
Regional Office. The following violation(s) were noted during the inspection:
Inspection Area Description of Violation
Sewer System Failure to operate and maintain. 15A NCAC 02T.0403 (1)
Failure to report overflow. 15A NCAC 02T.0403 (7)
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violations and the subject permit.
Pursuant to G.S. 143-215.6A,a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be
assessed against any person who violates or fails to act in accordance with the terms, conditions, or requirements
of,any permit issued pursuant to G.S. 143-215.1.
State of North Carolina i Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you wish to provide additional information regarding the noted violations, or discuss overall com
pliance pl&
respond in writing within ten (10) business days after receipt of this Notice. A review of your response will be`,,
considered. You will then be notified of any civil penalties that may be assessed regarding the violations. If no,,
response is received in this Office within the 10-day period, a civil penalty assessment may be
prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
If you should have any questions, please do not hesitate to contact Linda Wiggs or Timothy Heim with the Water
Quality Regional Operations Section in the Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville. Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office ;
NPDES Compliance/Enforcement Unit
PERCS Unit
GG\WR\WQ\Buncombe\Collection Systems\Morgan Br-Briar Cliff-Windy Hills\N0V-2016-PC-0157.doac
State of North Carolina I Environmental Quality I water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778 =
828-296-4500

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Olater Resources
ENVIRONMENTAL QUALITY Director _
May 11,2016
Radford Thomas,Director of Public Utilities
City of Lenoir
PO Box 958
Lenoir,NC 28645-0958
SUBJECT: Compliance Evaluation(Facility)Inspection
City of Lenoir
Lenoir Blends Processing Facility and Distribution Program
Permit No: WQ0010059
Caldwell County
Dear Mr.Thomas:
Enclosed please find a copy of the Compliance Evaluation Inspection Form from the inspection conducted on 3/29/2016.
The facility appeared to be in compliance with permit WQ0010059.
The Division appreciates the efforts put forth in addressing storm water runoff from the residuals storage pad. At the time
of inspection, the storm water controls appeared to be adequate. However, this area should be monitored during rain
vents and if needed,additional measures should be installed. Surface runoff from the residuals processing site to surface
.hers is prohibited.
The renewed permit includes new conditions including but not limited to the following:
1. Operation&Maintenance Plan(O&M Plan)—please ensure that all items in Condition III.2. (a-f)are included in
the O&M Plan.
2. Utilization Agreement—please ensure that all items in Condition III.10. (a-f)are included in the Agreement.
I have enclosed examples of an O&M Plan and a Utilization Agreement for your convenience.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions,please call me at 828-296-4685.
Sincerely,
'd'W
Beverly Price
Environmental Senior Specialist
Enc.
cc: Monte Wall, Superintendent Wastewater Treatment w/Enc.
MSC 1617-Central Files-Basement
Asheville Files
\WR\WQ\Caldwell\Wastewater\Non-discharge\City of Lenoir\CEI16 Facility.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

.,('F
1
\/ 1�
r\�
t .
•'� ~
/.
\' �;

Compliance Inspection Report
.,ermit: WQ0010059 Effective: 08/01115 Expiration: 07/31/20 Owner: City of Lenoir
SOC: Effective: Expiration: Facility: City of Lenoir Lenoir Blends Processing Facility and I
1905 Broadland Rd
County:Caldwell
Region: Asheville Lenoir NC 28645
Contact Person: Monte L Wall Title: Wastewater Treatment Plant Superi Phone: [phone]
Directions to Facility:
From Hwy.64 East in Lenoir turn right onto Southwest Blvd. Take the first exit off Southwest to Virginia ST.(left on Virginia St.)
Continue to Broadland Rd.on the right. Facility is approximately 1/2 mile on the left.
System Classifications
Primary ORC:
Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Monte L Wall 828-757-2198
24 hour contact name 828-757-2198
On-site representative Monte L Wall
Related Permits:
+spection Date: 03/29/2016 Entry Time: 09:30AM Exit Time: 11:0OAM
Phone: [phone]
Primary Inspector: Beverly Price
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Distribution of Residual Solids(503)
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions
Record Keeping Treatment
Sampling
(See attachment summary)
Page: 1

Permit: WQ0010059 Owner-Facility:City of Lenoir
Inspection Date: 03/29/2016 Inspection Type:Compliance Evaluation
Reason for visit: Routine
Inspection Summary:
Monte Wall,Wastewater Treatment Superintendent,assisted with the inspection.
The permit was renewed and became effective 8/1/2015. The permit includes new conditions including but not limited to the
following:
1.0peration&Maintenance Plan(O&M Plan)—please ensure that all items in Condition 111.2. (a-f)are included in the O&M
Plan.
2.Utilization Agreement—please ensure that all items in Condition 111.10. (a-f)are included in the Agreement.
The label for residuals that are sold or given away in a bag or other container for land application should be updated to
include items in Condition 111.12.
Storm water runoff from the residuals concrete storage pad(uncovered portion)has been addressed in the following manner:
Jersey barriers have been placed at the western corner of the storage pad. Sand has been added at the base in front of the
barriers to soak up any residuals migrating with storm water. Gravel, rip rap and three check dams have been placed
immediately below the barriers.
At the time of the inspection,the storm water controls appeared to be adequate. However,this area should be monitored
during rain events to ensure these measures are performing as designed. Should any residuals migrate off the storage pad
and discharge to the stream, additional measures will be required.
Augers and internal heating unit in the pasteurization vessel were replaced in 2015.
Page: 2

Permit:
WQ0010059 Owner-Facility:City of Lenoir
Inspection T e:Compliance Evaluation Reason for Visit: Routine
Inspection Date: 03l2912016 P YP
Yes No NA NE
Record Keeping ❑ ❑ . ❑
Is GW monitoring being conducted,if required? ❑ ❑ ❑
Are GW samples from all MWs sampled for all required parameters? ❑ ❑ ■ ❑
Are there any GW quality violations? ❑ ❑ ■ ❑
Is GW-59A certification form completed for facility? ■ ❑ ❑ ❑
Is a copy of current permit on-site? ❑ ❑ ❑ .
Are current metals and nutrient analysis available? ❑ ❑ ❑ ■
Are nutrient and metal loading calculating most limiting parameters? ❑ ❑ ❑ ■
a. TCLP analysis? ❑ ❑ . ❑
b. SSFA(Standard Soil Fertility Analysis)?
❑ ❑ ❑
Are PAN balances being maintained? ❑ ❑ . ❑
Are PAN balances within permit limits? ❑ ❑ ■ ❑
Has land application equipment been calibrated? ❑ ❑ 110
Are there pH records for alkaline stabilization? ❑ ❑ ■ ❑
Are there pH records for the land application site? ■ ® ❑ ❑
'1re nutrient/crop removal practices in place? ❑ ❑ ❑ ■
Lio lab sheets support data reported on Residual Analysis Summary? ❑ ❑ ❑ .
Are hauling records available? ❑ ❑ ❑ ■
Are hauling records maintained and up-to-date? ■ ❑ ❑ ❑
#Has permittee been free of public complaints in last 12 months? ❑ ❑ ■ ❑
Has application occurred during Seasonal Restriction window?
Comment: Questions checked NE will be addressed in the 2015 Annual Report review.
Yes No NA NE
Sampling
Describe sampling:
Seven grab samples are collected from the finished pile for fecal coliform analyses.
TCLP/nutrients/metals: At least 10 grab samples are collected from the finished pile. Those grab samples
are then composited for analysis. At least two additional bags of samples are collected as some parameters
are taken to different labs. ■ ❑ ❑ ❑
Is sampling adequate? ■ ❑ 1111
Is sampling representative?
Comment:
Yes No NA NE
''�eatment
check all that apply
Page: 3

Permit: W00010059 Owner-Facility:City of Lenoir
Inspection Date: 03/29/2016 Inspection Type:Compliance Evaluation
Reason for Visit: Routine
Treatment
Aerobic Digestion Yes No NA NE
❑
Anaerobic Digestion ❑
Alkaline Pasteurization(Class A) ■
Alkaline Stabilization(Class B) ❑
Compost ❑
Drying Beds ❑
Other
Comment: Lower Creek WWTP -sludge holding tank with mixers
Gunpowder Creek WWTP- aerated sludge holding tank
Belt-press is used at Lower Creek
Lenoir WTP and Gunpowder Creek WWTP sludges are hauled to the Lower Creek WWTP and
mixed In the sludge holding tank
Blowing Rock WWTP sludge is introduced at the headworks of the WWTP
Type
Land Application Yes No NA NE
❑
Distribution and Marketing ■
Page: 4

PAT MCCRORY
Governor
t
ER VAART
DONALD R. VAN D
.. Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY Director
May 11,2016
Dr. Mina Shehee
N.C. Department of Health and Human Services
Epidemiology Section—OEEB
1912 Mail Service Center
Raleigh, NC 27699-1912
Re: Haywood County HRE Request
Owners Name: lames Maness
Sample Location: 122 Tumbleweed Trail
Waynesville,NC
Dear Dr.Shehee,
The Asheville Regional Office is conducting a nitrate-in-groundwater investigation in the Iron Duff
Community of Haywood County.The private water supply well,located atthe address above,was sampled
on March 30, 2016. Water samples were analyzed for alkalinity, ammonia, chloride, fecal coliform
bacteria, metals, nitrate, nitrite, orthophosphate, sulfate, TKN, total coliform bacteria, and total
phosphorus.
The table below summarizes the analytical results for the well head (AC27618). The zinc concentration
was above the state's groundwater standard (15A NCAC 02L.0202).
Results 2L Standard
Analyte Source µgh
20 1,500
Ammonia 700
Barium 40
Calcium 24,000
4,200
Chloride 250,000
Magnesium 2,400
49 50
Manganese 10,000
Nitrate Well Head 460
Nitrite
30 1,000
Potassium 5,300
Sodium 6,900
64
Strontium
11,000 250,000
Sulfate 3.500 1,000
Zinc
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Dr.Mina Shehee
May 11,2016
Page 2 of 2
The table below summarizes the bacteria results for the well head (AC27645).The concentration for
total coliform bacteria was above the state's groundwater standard (15A NCAC 02L .0202).
Analyte Source Results 2L Standard
Total coliform CFU/100 ml
bacteria Well Head 6 1
Please provide a health risk evaluation for the presence of ammonia, chloride, nitrate,sulfate,TKN, and
various metals. Please feel free to contact me if you have additional questions or concerns. I can be
reached at(828)296-4681 or [e-mail].
Sincerely,
Brett Laverty
Water Quali egional Operations
Asheville Regional Office
cc:ARO files

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
Sample ID: AC27618
James Maness 122 TUMBLEWEED TRAIL Waynesville.NC Collector: PO Number# 16G0088
HAYWOOD Location B LAVERTY Lo D acation ID: 1C44122TUMBLE Date Received: 0410112 0 1 6
ARO Report To ARO
Priority GROUNDWATER Time Received: MR
Basin NA Collect Date: 0313012016 Labworks LoginlD TASCENZ01
Collect Time: 01�.39 Sample Matrix: GROUNDWATER
iergency Loc.Type: Water Supnly Delivery Method NC Courier
i;OC Yes/No Sample Depth NA
Final Report Date: 4127116
Report Print Date: 0 610 4120 1 6
Final Report
if this report is labeled preliminary report,the results have not been validated, Do not use for Regulatory purposes.
Result/ Method Analysis
Units Reference Date Validated by
CAS# Analvte Name
PQL Qualifier
LAB 4/1116 MSWIFT
Sample temperature at receipt by lab
3.7 oG
NUT
0.02 0.02 mglL as N EPA 350.1 REV 2 4/13116 CGREEN
NH3 as N in liquid
te N lqui
0:02 0.46 mg(L as N EPA 353.2 REV 2 4l19l16 CGREEN
Nitra as in i d
0.01 0.03 mg/L as N EPA 353.2 REV 2 411l16 CGREEN
Nitrite as N in liquid
NO2+NO3 as N in liquid
0.02 0.49 nig/L as N 2 4113l16
EPA 353.2 REV CGREEN
Orthophosphate as P in liquid
0.02 0.02 U mg/L as P EPA 365.1 REV 2 4!1(16 CGREEN
Phosphorus total as P in liquid
0.02 0.0$U mg/L as P EPA 365.1 REV 2 4/4/16 CGREEN
PA 351.2 REV 2
Total Kjeldahl N as N in liquid
0.2 0.2 U mgiL as N E 4/8/16 CGREEN
WET
Bromide 0.4
0.4 U mglL EPA 300.0 rev2.1 4/5116 CGREEN
4.2 m9/L EPA 300.0 rev 2.1 4/5116 CGREEN
Chloride 1.0
0 4 0.4 U mg/L EPA 300.0 rev2.1 4(5/16 CGREEN
Fluoride
2 0 11 mg/L . EPA 300.0 rev2.1 4/5l16 CGREEN
Sulfate mg/L SM 5540 C 2000 411116 CGREEN
MBAS in liquid 0.1 0.1 U
MET 4/7/16 ESTAFFORDI
7440-22-4 Ag by ICPMS 1.0
1.0 U uglL EPA 200.8
50 50 U u9/L EPA 200.7 4/6l16 ESTAFFORDI
7429,-90-5 AI by ICP 2.0 2.0 U u9/L .EPA 200.8 417/16 ESTAFFORDI
7440-38-2 As by ICPMS 10 40 uglL EPA 200.7 4/6/16 ESTAFFORD1
7440-38-3 Ba by ICP mg/L EPA 200.7 4/6/16 ESTAFFORDI
7440-70-2 Ca by ICP 0.0.10 24
7440-43-9 Cd by ICPMS 5. 5.0 0 0 U
uglL EPA200.8 4/7118 ESTAFFORDI
7440-47-3 Cr by ICPMS 5.0 U
ug/L EPA200.8 4/7/16 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0 2.0 U
ug/L EPA200.8 4/7l16 ESTAFFORDI
uglL PA 200.7 416/16 ESTAFFORDI
7439-89-6 Fe by ICP 50 50 U ug/L EPA 245.1 4/5116 ESTAFFORDI
11 7439-97-6 Hg 245.1 0.2 0.20 U
/L EPA
7440-09-7 K by ICP 0.10 5.3
mg 4!6(16 ESTAFFORDI
7439-95-4 Mg by ICP 0.10 2.4
mg1L EPA 200.7 4!6l16 ESTAFFORDI
7439-96-5 Mn by ICP 1 EPA 200.7
0 49 ug/L
4l6/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 6.9
mg/L EPA 200.7 416/16 ESTAFFORDI
ug/L EPA200.6
7440-02-0 Ni by ICPMS 2.0 2.0 U
4!7/16 E5TAFFORDI
7439-92-1 Pb by ICPMS 2.0
2,0 U uglL EPA 200.8 4l7116 ESTAFFORD1
ug/L EPA 200.8 417l16 ESTAFFORD1
f /i9-2 Se by ICPMS 1.0 1.64
uglL EPA200.8 417/16 ESTAFFORDI
7440-24-6 Sr by ICPMS 10
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 4

W D14"R Ga6oratotySection Rosufts/S'arnpCe(67nments/QuaCfierDefinitiotir
Sample ID: AC27618
CAS# Analyte Name PQL Result/ Method Analysis
7440-66-6 Zn by ICPMS 10 Qualifier Units Reference Date Validated by
3500 ug/L EPA200.8 4/7/16 ESTAFFORDI
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 Acenaphthene 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
62-53-3 Aniline 10 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
120-12-7 Anthracene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA6255827013510 4/151116 CJO --.
191-24-2 Benzo(g,h,i)perylene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
207-08-9 CJOHNSON 30 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
85-85-0 Benzoic acid 50 Not detected J2 ug/L EPA62518270/3510 4/15/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected ug/L EPA625/8270/3510 4/15/16 TO
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
111-44-4 Bis(2-chloroethyl)ether 10 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
39638-32-9 Bis(2-chloroisopropyl)ether 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected ug/L EPA62518270/3510 4115/16 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON /s1-5a-7 Chloronaphthalene,2- �--�'
10 Not detected ug1L EPA625/8270/3510 4/15/18 CJOHNSON
95-57-8 Chlorophenol,2- 10 Not detected ug/L EPA625/8270l3510 4l15/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected ug/L EPA6251827013510 4/15/16 CJOHNSON
218-01-9 Chrysene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
53-70-3 Dibenzo(a,h)anthracene 20 Not detected uglL EPA62518270/3510 4/15/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected ug/L EPA625/8270l3510 4/15116 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA625(827013510 4l15/16 CJOHNSON 91-94-1 Dichlorobenzidine, 3,3'- 30 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
120-83-2 Dichlorophenoi,2,4- 10 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
131-11-3 Dimethyl phthalate 10 Not detected ug/L EPA625/827013510 4/15/16 CJOHNSON
105-67-9 Dimethylphenol, 2,4- 10 Not detected ug/L EPA625/8270/3510 4115116 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
534-52-1 Dinitro-2-methyl phenol;4,6- 50 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
51-28-5 Dinitrophenol,2,4- 50 Not detected J2 ug/L EPA625/8270/3510 4/15/16 CJOHNSON
121-14-2 Dinitrotoluene,2,4- 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
606-20-2 Dinitrotoluene, 2,6- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected J2 ug/L EPA625/8270/3510 4115116 CJOHNSON ..206-44-0 Fluoranthene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 4

North Carolina Division of Water Resources Water Sciences Section Laborato Results
Sample ID: AG27645
James Maness-122 TUMBLEWOOD TRAIL VisitlD PO Number# ARO
HAYWOOD Collector: B LAVERTY Date Received: 031301201
6
Report To ARO Location ID: IC44122TUMSLE
ARO ROUTINE Time Received: 15rb0
Collect Date: 031301201.6 Priority
Basin NALabworks LoginlD KJIMISON2
Collect Time: 93__39 Sample Matrix: GROU_,___N_WA?ER
.ergency Loc.Type: WATER SUPPLY Delivery Method Handand delivered
JOC Yes/No Sample Depth NA Final Report Date: 4129/16
Report Print Date: 051041201
6
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
RESUIt/ Method Anal sis
Units Validated
Reference Date by
PQL Qualifier
CAS# AnalVt'e ARO
1.0 72 mg/LasCaCO3 APHA2320B-20th 4/5/16 ESTAFFORDI
Alkalinity4.5 mg/Las CaCO3 APHA232OB-20th 4/5116 ESTAFFORD1
1.0 1 U
Alkalinity8.3
1.0 72 mglL as CaCO3 APHA232oB-20th 4/5716 ESTAFFORD1
Bicarbonate mg/L as CaCO3 APHA2320B-2O 11 th 415(16 ESTAFFORDI
1.0 1 U
Carbonate mg/L as Ca
APHA2320B-20th 4(5/16 ESTAFF0RD1
7.5
pH Alkalinity U/I
CFDOmI A HHA9222D-20th 3/30/16 ESTAFFORDI
Coliform, MF Fecal in liquid
1 1 B2
1 6 CFU/10Om1 APHA92226-20th 3/30/16 ESTAFFORD1
Coliform,MF Total in liquid ,C 3/30116 RBYRD
Sample temperature at receipt by lab
3.4
WSS Chemistry Laboratory }1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Nat Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

PAT MCCRORY
Governor
a DONALD R. VAN DER VAART
Secretary
,aterResources S. JAY ZIMMERMAN
WtRONMENTAL QUALITY
Director
May 11, 2016
Dr. Mina Shehee
N.C. Department of Health and Human Services
Epidemiology Section—OEEB
1912 Mail Service Center
Raleigh, NC 27699-1912
Re: Haywood County HRE Request
Owners Name: Urpo Karppinen
Sample Location: Lot 3; Haystack Hill Road
Waynesville,NC
Dear Dr. Shehee,
The Asheville Regional Office is conducting a nitrate-in-groundwater investigation in the Iron Duff
Community of Haywood County.The private water supply well,located at the address above,was sampled
on March 30, 2016. Water samples were analyzed for alkalinity, ammonia, chloride, fecal coliform
bacteria, metals, nitrate, nitrite, orthophosphate, sulfate, TKN, total coliform bacteria, and total
phosphorus.
The table below summarizes the analytical results for the well head (AC27618). The zinc concentration
was above the state's groundwater standard (15A NCAC 02L .0202).
Results 2L Standard
Analyte Source µgel
Ammonia 20 1,500
Barium 40 700
24,000
Calcium
Chloride 4,200 250,000
Magnesium 2,400
Manganese 49 50
Nitrate Well Head 460 10,000
Nitrite 30 1,000
Potassium 5.300
Sodium 6,900
Strontium 64
Sulfate
11,000 250,000 Zinc 3,500 1,000
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Dr.Mina Shehee
May 11,2016
Page 2 of 2
The table below summarizes the bacteria results for the well head (AC27645).The concentration for
total coliform bacteria was above the state's groundwater standard (15A NCAC 02L .0202).
Analyte Source Results 2L Standard
Total coliform CFU/100 ml
bacteria Well Head 6 1
Please provide a health risk evaluation for the presence of ammonia, chloride, nitrate,sulfate,TKN, and
various metals. Please feel free to contact me if you have additional questions or concerns. I can be
reached at(828) 296-4681 or brett.lavertv@.ncdenr.gov.
Sincerely,
I
Brett Lavekty
Water Quality Regional Operations
Asheville Regional Office
cc:ARO files

North Carolina Division of Water Resources Water Sciences Section Laboratory.Results
James Maness-122 TUMBLEWEED TRAIL Waynesville,NC Sample ID: AC27618
HAYWOOD Collector: B LAVERTY VisitlD PO Number# 16GO088
ARO Report To ARO Location ID: 1C44122TUMBLE Date Received: 0410112016
asin NA Collect Date: 03/30/2016 Priority GROUNDWATER Time Received: 08�10
gency Collect Time: 01`39 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
JC Yes/No Sample Depth NA Loc.Type: Water Suaply Delivery Method NC Courier
Final Report Date: 4127/16
Report Print Date: 0 510 412 0 1 6
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
Units
GAS# Analyte Name PQL Qualifier Reference Date Validated by
LAB
Sample temperature at receipt by lab 3.7 °C 4/1/16 MSWIFT
NUT
NH3 as N in liquid 0.02 0.02 mg/L as N EPA 350.1 REV 2 4/13/16 CGREEN
Nitrate as N in liquid 0.02 0.46 mg/L as N EPA 353.2 REV 2 4119/16 CGREEN
Nitrite as N in liquid 0.01 0.03 mg/L as N EPA 353.2 REV 2 4/1/16 CGREEN
NO2+NO3 as N in liquid 0.02 0.49 mg/L as N EPA 353.2 REV 2 4113/16 CGREEN
Orthophosphate as P in liquid 0.02 0.02 U mg/L as P EPA 365.1 REV 2 4/1/16 CGREEN
Phosphorus-total as P in liquid 0.02 0A2 U mg/L as P EPA 365.1 REV 2 4/4/16 CGREEN
Total Kjeldahl N as N in liquid 0.2 0.2 U mg/L as N EPA 351.2 REV 2 4/8/16 CGREEN
WET
Bromide 0.4 0.4 U mg/L EPA 300.0 rev2.1 415/16 CGREEN
Chloride 1.0 4.2 mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
/ Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
Sulfate 2.0 11 mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
MBAS in liquid 0.1 0.1 U mg/L SM 5540 C 2000 4/1/16 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 4/7/16 ESTAFFORDI
7429-90-5 AI by ICP 50 60 U ug/L EPA 200.7 4/6116 ESTAFFORD1
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7116 ESTAFFORDI
7440-38-3 Ba by ICP
10 40 ug/L EPA 200.7 416/16 ESTAFFORDI
7440-70-2 Ca by ICP 0.10 24 mg/L EPA 200.7 4/6116 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.60 U ug/L EPA 200.8 4/7116 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA 200.8 4(7/16 ESTAFFORDI
7440-50-8
Cu by ICPMS 2.0 2.0 U ug/L EPA 200.8 417/16 ESTAFFORDI
7439-89-6 Fe by ICP 50 50 U ug/L EPA 200.7 4/6116 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA 245.1 415/16 ESTAFFORDI
7440-09-7 K by ICP
0.10 5.3 mg/L EPA 200.7 4/6/16 ESTAFFORDI
7439-95-4 Mg by ICP
0.10 2.4 mg/L EPA 200.7 4/6116 ESTAFFORDI
7439-96-5 Mn by ICP 10 49 ug/L EPA 200.7 4/6/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 6.9 mg/L EPA 200.7 4/6116 ESTAFFORDI
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7116 ESTAFFORDI
7439-92-1 Pb by ICPMS 2.0 2.0 U ug1L EPA 200.8 4/7/16 ESTAFFORD1
7782-49-z Se by ICPMS 1.0 1.0 ug/L EPA 200.8 4/7/16 ESTAFFORDI
7 ``'6 Sf by ICPMS 10 64 ug/L EPA200.8 417/16 ESTAFFORDI
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Nat Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 4

N(,'D`IVR Ga6oratorySection R,esurts/Sampre Comments/Quahfi'erDefiraitions
Sample ID: AC27618
CAS# Analvte Name PQL- Result/ Method Analysis
Qualifier Units Reference Date validated bti
7440-66-6 Zn by ICPMS 10 3500 ug/L EPA 200.6 4/7/16 ESTAFFORDI
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 Acenaphthene 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
62-53-3 Aniline 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
120-12-7 Anthracene 20 Not detected ug/L EPA625/827013510 4115/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
191-24-2 Benzo(g,h,l)perylene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected J2 ug/L EPA625/8270/3510 4/15/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected ug/L EPA62518270/3510 4/15116 CJOHNSON
111-91-1 Bis(2-chloroethoxy)Inethane 10 Not detected ug/L EPA62518270/3510 4115/16 CJOHNSON
111-44-4 Bis(2-chloroethyl)ether 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
39638-32-9 Bis(2-chloroisopropyl)ether 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
101-55-3 Bromophenyl phenyl ether.4- 10 Not detected u9/L EPA625/8270/3510 4/15/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
91-58-7 Chloronaphthalene, 2- 10 Not detected ug/L EPA62518270/3510 4115/16 CJOHNSON `--/
95-57-8 Chlorophenol,2- 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
218-01-9 Chrysene 20 Not detected u9/L EPA62518270/3510 4115/16 CJOHNSON
53-70-3 Dlbenzo(a,h)anthracene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
91-94-1 Dichlorobenzidine, 3,3'- 30 Not detected ug/L EPA625/827013510 4/15/16 CJOHNSON
120-83-2 Dichlorophenol, 2,4- 10 Not detected ug/L EPA62518270/3510 4115116 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected ug/L EPA62518270/3510 4/15116 CJOHNSON
131-11-3 Dimethyl phthalate 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
105-67-9 Dimethylphenol,2,4- 10 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
534-52-1 Dlnitro-2-methyl phenol,4,6- 50 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
51-28-5 Dinitrophenol,2,4- 50 Not detected J2 ug/L EPA625/8270/3510 4/15/16 CJOHNSON
121-14-2 Dinitratoluene,2,4- 20 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
606-20-2 Dinitrotoluene, 2,6- 10 Not detected ug/L EPA62518270/3510 4115/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected J2 ug/L EPA625/8270/3510 4/15/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Nat Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the POL.
Page 2 of 4

North Carolina Division of Water Resources Water Sciences Section Laboratory.Results
James Maness-122 TUMBLEWOOD TRAIL Sample ID: AC27645
HAYWOOD Collector: B LAVER TY VlsitlD PO Number# ARO
ARO Report To ARID Location ID: lC44122TUMBLE Date Received: 03130120116
.iasin NA Collect Date: 0 3/3 012 0 1 6 Priority ROUTINE Time Received: 16_50
-agency Collect Time: 13_39 Sample Matrix: GROUNWATER Labworks LoginlD KJIMISON2
,OC Yes/No Sample Depth NA Loc.Type: WATER SUPPLY Delivery Method Hand delivered
Final Report Date: 4129116
Report Print Date: 0510412016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Units Method Analysis
CAS# Analyte Name PQL Qualifier Reference Date validated by
ARO
Alkalinity4.5 1.0 72 mg/LasCaCO3 APHA232OB-20th 4/5116 ESTAFFORD1
Alkalinity8.3 1.0 1 U mg/LasCaCO3 APHA232013-20th 4/5/16 ESTAFFORD1
Bicarbonate 1.0 72 mg/LasCaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
Carbonate 1.0 1 U mg/LasCaCO3 APHA2320B-20th 415/16 ESTAFFORDI
pH—Alkalinity 7.5 mg/LasCaCO3 APHA232013-20th 4/5116 ESTAFFORD1
Coliform, MF Fecal in liquid 1 1 B2 CFU/100ml APHA9222D-20th 3/30/16 ESTAFFORD1
Coliform, MF Total in liquid 1 6 CFU/100ml APHA92226-20th 3130/16 ESTAFFORD1
Sample temperature at receipt by lab 3.4 'C 3/30/16 RBYRD
1
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Nat Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

PAT MCCRORY
Govemor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Water Resources
ENVIRONMENTAL QUALITY Director
May 12,2016
Mr. Chris Randall
Ms. Patty Randall
P.O. Box 341
Leicester,N.C. 28748
SUBJECT: Compliance Evaluation Inspection
16 S. Turkey Creek Road
Permit No: NCG550634
Buncombe County
Dear Mr. Randall:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection
conducted on April 20, 2016 at your single family residence wastewater treatment system at 16
South Turkey Creek Road. Please read this report carefully and take note of any comments that
are listed. Please locate the discharge pipe and clearly mark the location for future reference.
Refer to the enclosed inspection report for additional observations and comments.
If you have any questions,please call me at 828-296-4500.
Sincerely,
r
C!�
G. Landon Davidson,P.G.
Division of Water Resources
Enclosure: Inspection Report
cc: MSC 1617-Central Files-Basement
WQ Asheville Files
G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residence\550634 Chris Randall\CEI.042020l6.ltr.docx
State of North Carolina I Environmental Quality I Water Resources
Asheville Regional Operations Center
2090 US 70 Highway,Swannanoa,North Carolina 28778
828/296-4500

United States Environmental Protection Agency Form Approved.
EPA
^ Washington,D.C.20460 OMB No.2040-0057
EPA Water Compliance Inspection Report Approval expires8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDE5
yr/mo/day Inspection Type Inspector Fac Type
1 ��� � 2 �� � 3 NCG550634 11 12 16I04/20 17 18 I C I 19 I c I 20I �
L J LJ ---� LJ 1=1 u 6
21H � � j � � � � � � � � ( � � � � � � � � � � � � I 1 L i j 12
-------------Reserved------------------
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 CA ---- 80
67 70�5 71 � L
72 � ,, � 73( I74 751 1 1 I .L_jj
LJ Section B:Facility Data J �W
Entry Time/Date Permit Effective Date
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include 13ective
POTW name and NPDES permit Number) 10:25AM 16/04/20
/06/01
16 South Turkey Creek Road Exit Time/Date Permit Expiration Date
16 S Turkey Creek Rd 11:OOAM 16/04/20 18/07/31
Leicester NC 28748
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Chris&Patty Randall,PO Box 341 Leicester NC 28748//828-683-1930/ No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit N Operations&Maintenance 0 Facility Site Review
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Agency/Office/Phone and Fax Numbers Date
Name(s)and Signature(s)of Inspector(s)
Robert Topolski ARO WQ!/828-296-4500/
,
0
d Fax Numbers Date
Agency/Office/Phone an
Signature of Management Q A Reviewer G. Landon Davidson ARO GW//828-296-4500/ 05
_1 Z ` 1
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
1
3I NCG550634 I11 12� 16/04/20 17 18 J JC
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Inspection performed by R. Topolski. Inspection entry in BIMS and CEI letter generated by G. Davidson
based on RT field notes(RT has left agency). Facility is in compliance with 05/12/2016 submittal of
septic tank pump receipt. Determination of a discharge pipe is not clear from field notes but indicates
"seam"found? Discharge pipe is to be located and clearly marked.
Page# 2

Permit: NCG550634
owner-Facility: 16 South Turkey Creek Road
Inspection Date: 04/20/2016
Inspection Type: Compliance Evaluation
Op Yes No NA NE
erations& Maintenance
Is the plant generally clean with acceptable housekeeping? S ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: Se tic tank has two 6" PVC risers/caps. Some solids visible. Owner indicates it has been
7-8 ears since last um in . No dishcar e i e observed but field notes indicate a"seam"
vlslble Unclear regarding discharge pipe but owners highly responsive and have provided
pumping receipt on 05/12/2016.
Yes No NA NE
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new ■ El ❑ ❑
application?
Is the facility as described in the permit?
#Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment:
Page# 3

l

PAT MCCRORY
4D7 .
Governor
DONALD R. VAN DER VAART
Secretary
'Water
JAY ZIMMERMAN
Water Resources
£NVtRONMENTAL QUALITY Director
May 12, 2016
Daniel Garland
Unimin Corporation
PO Box 588
Spruce Pine,NC 28777
SUBJECT: Compliance Evaluation Inspection
Quartz Operation
Permit No:NC0000175
Mitchell County
Dear Mr. Garland:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
March 15, 2016. Present during the inspection were Jeff Ferguson with Unimin and Shawna Riddle with
DEMLR. The facility is presently operating at minimal capacity. There were some items noted during the
\inspection that need your attention. Please refer to the enclosed inspection report for these observations and
comments. If you or your staff have any questions,please call me at 828-296-4500.
Sincerely,
:Linda Wiggs
.Environmental Senior Specialist
.Asheville Regional Office
Enc.
cc: Jeff Ferguson,(e-copy)
Shawna Riddle(e-copy)
MSC 1617-Central Files-Basement
Asheville Files
"G:\WR\WQ\Mitchell\Wastewater\Industrial\Unimin Quartz Feldspar 00175\CEI.03-15-2016.Ltr.Resend.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 swannanoa,NC 29779
828 296 4500

United States Environmental Protection Agency Form Approved.
r�A Washington,D.C.20460 OMB No.2040-0057
C Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES
yr/mo/day Inspection Type Inspector FacType
20
1 �IN1 2 I� I 3 I N00000175 I11 12 16/03/15 17 18 I ,I S
L:J L:J 19 �� 6
--------------Reserved-----------
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA �80
67 70 I I 71 Lj 72 �, 73�74 75I I I I
LJ Section B:Facility Data
Entry Time/Date Permit Effective Date
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include 12ective
POTW name and NPDES permit Number) 01:00PM 16/03/15
/06/01
Quartz Operation Exit-rime/Date Permit Expiration Date
NC Hwy 226 N 02:OOPM 16/03/15 16/02/28
Spruce Pine NC 28777
Other Facility Data
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Elmer D Garland,PO Box 588 Spruce Pine NC 28777//828-765-4283/ Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Permit ® Flow Measurement ■ Operations&Maintenance ® Facility Site Review
® Effluent/Receiving Waters ® Storm Water
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Agency/Office/Phone and Fax Numbers Date
Name(s)and Signature(s)of Inspector(s)
Linda S Wi gs ARO WQ//828-296-4500 Ext.4653/
Agency/Office/Phone and Fax Numbers Date
Signature of Management Q A Reviewer
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type
31 NCOOOO175 �1 12 16/03/15 117 18 1,+I (Cont.)
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Present during the inspection were Shawna Riddle(DEMLR), Jeff Ferguson and Daniel Garland with
Unimin.-
Permit:
The permit expired February 29, 2016. Unimin has submitted a renewal application.
Site Evaluation:
The processing facility was not in operation at the time of the inspection, so a complete inspection
could not be performed. The ORC is running the wastewater treatment plant intermittently to treat the
stormwater from the lagoon and there is also a laboratory onsite that is discharging to the system.
There were areas noted that need to be addressed immediately and prior to the wastewater treatment
plant being brought back online to receive processing water. Several components need to be evaluated
for operation and maintenance;the clarifiers showed signs of rust and there were substantial solids in
various components of the wastewater treatment system that need to be removed.A particularly
crucial area of solids that needs to be removed is the elongated concrete basin under the building. This
is particularly crucial and will be a high maintenance area because the stream (Little Bear Creek)also
flows under this building. This is a very dated design that needs special attention to avoid the potential
of solids being lost to the stream. This basin had excessive solids in it that need to be removed
immediately. Prior to this facility processing again this open channel should be evaluated for an
enclosed design.
Stormwater: -
A General Stormwater Permit was issued (NCG020793). This SW Permit covers both the mine and
the processing facility.A Spill Prevention Plan specific to the Processing Plant should be developed
and implemented.
Page# 2

Permit: NC0000175 owner-Facility: Quartz Operation
Inspection Type: compliance Evaluation
Inspection Date: 03/15/2016 _
Yes No NA NE
Operations&Maintenance
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters,for ex: MLSS, MCRT,Settleable
El
Solids,pH, DO, Sludge Judge, and other that are applicable?
Comment:
Yes No NA NE
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new 0 El
application? El 0
Is the facility as described in the permit?
#Are there any special conditions for the permit? M El El
Is access to the plant site restricted to the general public?
M El
Is the inspector granted access to all areas for inspection?
Comment:
Yes No_NA NE
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier? ® El ❑
❑ ❑
Are weirs level? El El
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting? El 0
❑ ❑ ❑
Is scum removal adequate?
Is the site free of excessive floating sludge? El El El M
Is the drive unit operational? El El El M
Is the return rate acceptable(low turbulence)?
❑ ❑
Is the overflow clear of excessive solids/pin floc?
❑
El 0 El M
Is the sludge blanket level acceptable?(Approximately'/<of the sidewall depth)
Comment: The processing plant is not in operation Prior to processing resuming at this facility the
clarifiers should be thorou hl evaluated for maintenance needs.
Solids need to be removed.
Yes No NA NE
Laaoons
Type of lagoons?
#Number of lagoons in operation at time of visit?
0
Are lagoons operated in? El M
#Is a re-circulation line present?
Page# 3

Permit: NC0000175 Owner-Facility: Quartz Operation
Inspection Date: 03/15/2016 Inspection Type: Compliance Evaluation
La oons
Yes No NA NE
Is lagoon free of excessive floating materials? ® ❑. ❑ ❑
#Are baffles between ponds or effluent baffles adjustable? El ❑ ® ❑
Are dike slopes clear of woody vegetation? ❑
Are weeds controlled around the edge of the lagoon? ® ❑ El
dikes free of seepage? ❑ ❑ ElAre dikes free of erosion? El ❑ ❑
Are dikes free of burrowing animals? ❑ ❑ ❑
#Has the sludge blanket in the lagoon(s)been measured periodically in multiple [] ❑ ❑
locations?
#If excessive algae is present, has barley straw been used to help control the growth? El ❑ ® ❑
Is the lagoon surface free of weeds? ® ❑ ❑ ❑
Is the lagoon free of short circuiting? ❑ ❑ ❑
Comment: Stormwater is directed to the lagoon
Flow Measurement- Effluent
Yes No NA NE
#Is flow meter used for reporting? ❑ El ElIs flow meter calibrated annually?
® ❑ ❑ ❑
Is the flow meter operational? ❑ ❑ ❑
(If units are separated)Does the chart recorder match the flow meter? ❑ ❑ ❑
Comment:
Page# 4

WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
Permit No. WI0100001
Date: May 12, 2016 County: Transylvania
7Co: Michael Rogers Permittee/Applicant: Terri Henning
Central Office Reviewer Facility Name: Henning, Terri SFR
L GENERAL INFORMATION
1. This application is(check all that apply): ❑New ®Renewal
❑Minor Modification❑Major Modification
a. Date of Inspection: May 11,2016
b. Person contacted and contact information: Lester Lusk(828-421-3167)for Terri Henning
c. Site visit conducted by: Andrew Moore
d. Inspection Report Printed from BIMS attached: ❑Yes ®No.
e. Physical Address of Site including zip code: 185 West Club Boulevard,Lake Toxawav,NC 28747
f. Driving Directions if rural site and/or no physical address:
g. Latitude: 35.128351 Longitude: -82.953007
Source of Lat/Long&accuracy(i.e.,Google Earth, GPS, etc.): Goode Earth
II DESCRIPTION OF I1V,TECTION WELL(S)AND FACILITY
1. Type of injection system:
® Geothermal Heating/Cooling Water Return
❑In situ Groundwater Remediation
Non-Discharge Groundwater Remediation
Other(Specify:____
2. For Geothermal Water Return Well(s)only
a. For existin geothermal system:
Were samples collected from Influent/Effluent sampling ports? ®Yes ❑No.
Provide well construction information from well tag: No well tag present From paper.file: Total depth
305' Casing depth 84'• Grout 0-20'• Yield 1 gpm.
b. Does existing or proposed system use same well for water source and injection? ® Yes ❑No
If No,please provide source/supply well construction info(i.e.,depth,date drilled,well contractor,
etc.) and attached map and sketch location of supply well in relation to injection well and any other
features in Section IV of this Staff Report.
3. Are there any potential pollution sources that may affect injection? ❑Yes ®No
What is/are the pollution source(s)?
What is the distance of the injection well(s)from the pollution source(s)?
4. What is the minimum distance of proposed injection wells from the property boundary?
5. Quality of drainage at site: ® Good ❑ Adequate ❑ Poor
6. Flooding potential of site: ®Low ❑Moderate ❑ High
Rev. 6/1/2015 Page 1

WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
7. For Groundwater Remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring,monitoring parameters,etc.)adequate? ❑ Yes ❑No. If No,
attach map of existing monitoring well network if applicable and recommend any changes to the groundwater-
monitoring program.
8. Does the map included in the Application reasonably represent the actual site(property lines,wells, surface
drainage)?❑Yes ❑No. If No, or no map,please attach a sketch of the site. Show property boundaries,
buildings, wells,potential pollution sources,roads, approximate scale, and north arrow.
9. For Non-Discharge groundwater remediation systems only:
a. Are the treatment facilities adequate for the type of waste and disposal system? ❑Yes ❑No ❑N/A.
If no,please explain:
b. Are the site conditions(soils,topography, depth to water table, etc.)consistent with what was reported by
the soil scientist and/or Professional Engineer? ❑ Yes ❑No ❑N/A. If no,please explain:
III. EVAI UATIONAND RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes N No. If yes, explain.
2. List any items that you would like WQROS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
3. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition Reason
4. Recommendation
❑ Deny. If Deny, please state reasons:
❑ Hold pending receipt and review of additional information by regional office
❑ Issue upon receipt of needed additional information
N Issue
5. Signature of report preparer(s):
Signature of WQROS Regional Supervisor:
Rev.6/1/2015 Page 2

WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
Date: z
IV ADDITIONAL REGIONAL STAFF REVIEW COMMENTS/ATTACHMENTS(If Needed)
The effluent water sam le was extremely turbid.The influent sample was clear.The influent water sam le was
collected at the wellhead following a 10 minute purge. The effluent water sample was collected at the outlet of
the heat puM.The residence is a second home and the heat ppmp had not been used prior to my site visit and
had only been running approximately 30 minutes at the time of sample collection.The source of the turbidi1y in
the effluent ma have been the result of particulates in the s stem piping that became mobilized after the
system was turned on or ma be due to the re-injection water from the system causing turbulence in the well
which dislodged articulates/iron precipitate from the casing walls.Based on the appearance of the samples,it
is likely that the effluent sam les will contain metal concentrations in excess-��the influent concentrations.A
review of the ARO a er file indicates this is a consistent issue for the system,due to the geology in the well
location and the frequency of use of the heat pump system.
r
r
Rev. 6/1/2015 Page 3

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 13,2016
Mayley Cruz Martinez
210 Johnston Blvd 94
Asheville,NC 28806
Re: Site Inspection
11 Caleb Drive
Buncombe County
Dear Mr.Martinez,
On May 11,2016,Zan Price and I, from the Asheville Regional(Office of the Division of Water
Resources(DWR),conducted a site inspection of your property at the subject address. The site inspection
was conducted after an anonymous complaint was reported to our office regarding ditching or rerouting
of streams on your property.
During the site inspection,wetlands and streams were documented on your property,though the extent
was not delineated.It appeared that vehicles had been driven through the wetlands causing ruts to
develop.It also appeared that a stream had been rerouted at the southwest corner of the property possibly
before the purchase of your property. Please be aware that altering the hydrology of a wetland and
rerouting a stream may be considered violations of North Carolina Administrative Code(NCAC). North
Carolina water quality standards for wetlands can be found in Title 15A NCAC Subchapter 0213.0231 and
for streams in 02B.0211. I have attached a copy of the standards with this letter. Please note parts 0231 b
(5) and 0211 (2). It is strongly recommended that vehicles/equipment not drive within the wetlands and
that no land-disturbing activity occur within the wetlands to avoid violations of the above mentioned
water quality standards.
If you wish to place fill or conduct grading activity in wetlands'',or streams on your property,you should
contact the USACE Asheville Regulatory Field Office at(828)271-7980 to determine your permitting
needs.If un-permitted impacts to wetlands and streams are documented on your property in the future,
this office may consider enforcement action as provided by North Carolina General Statute.
If you have any questions or would like to discuss this issue further,please contact me at 828-296-4650.
Sincerely,
Kevin Mitchell
Environmental Specialist
Water Quality Regional Operations Section
Enclosure
cc: William Elliott—USACE Asheville Regulatory Field Office(via email)
ARO file
State of North Carolina I Environmental Quality I Water Resources
2909 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
NaterResources S. JAY ZIMMERMAN
dNVIRONMENTAL QUALITY
Director
May 13,2016
Dr. Mina Shehee
N.C. Department of Health and Human Services
Epidemiology Section—OEEB
1912 Mail Service Center
Raleigh, NC 27699-1912
Re: Haywood County FIRE Request
Owners Name: Bill Thompson
Sample Location: 2375 Fie Top Road
Maggie Valley,NC
Dear Dr.Shehee,
The Asheville Regional Office is responding to a complaint at a private water supply well in the Maggie
Valley Community of Haywood County. A previous water sample (December 2015) collected at a
basement faucet indicated the presence of barium, lead, and manganese concentrations above the
applicable standards. It is important to mention that chloride and sodium levels are also elevated due to
groundwater contamination from a nearby road salt storage area. The private water supply well, located
at the address above, was sampled on April 11, 2016. A sample was collected at the well head followed
by the collection of timed samples at the kitchen faucet. All water samples were analyzed for various
metals.
The table below summarizes the analytical results for the well head (AC27926). Barium and manganese
concentrations are above the state's groundwater standard (15A NCAC 02L.0202).
Results 2L Standard
Analyte Source µgel
Aluminum 0
Barium E2E,OOO 700
Calcium 11,000
000
Copper 35 1,15
Lead 4.4 15
Magnesium Well Head 1,800
Manganese 410 50
Potassium 5,300
Sodium 170
Strontium 130
Zinc 37 1,000
State of North Carolina I Environmental Quality I water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Dr.Mina Shehee
May 13,2016
Page 2 of 2
The table below summarizes the analytical results for the kitchen faucet. Timed samples were collected
at intervals of 0 minutes, 5 minutes, and 10 minutes.There were no analytes above the state's
groundwater standard (15A NCAC 02L.0202).
Laboratory ID Sample Time Aluminum Copper Sodium Zinc
2L Standard 1,000 1,000
Units µg/l
AC27927 0 minutes 1,200 73 170 37
AC27928 5 minutes 65 12 170 26
AC27929 10 minutes < 50 13 170 34
Please provide a health risk evaluation for the presence of metals. Please feel free to contact me if you
have additional questions or concerns. I can be reached at(828) 296-4681 or [e-mail].
Sincerely,
Brett Lafty
Water Quality Regional Operations
Asheville Regional Office
cc:ARO files

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
2375 FIE TOP ROAD Sample ID: AC27926
HAYWOOD Collector: B LAVERTY VisitlD PO Number# 16G0095
ARO Report To ARO Location ID: 1C442376FIETOP Date Received: 0 4/1 312 01 6
asin Collect Date: 04/11/2016 Priority SURFACEWATER Time Received: O8_10
;rgency Collect Time: 11_27 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZOI
JC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 4129/16
Report Print Date: 06/11/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes,
Result/ Method Analysis
Validated
CAS# Analyte Name PQL Quali
Units Reference Date
fer by
LAB
oC 4/13/16 MSWIFT
Sample temperature at receipt by lab 4.6
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 4/14116 ESTAFFORDI
7429-90-5 Al by ICP 50 790 ug/L EPA200.7 4/15/16 ESTAFFORDI
7440-38-2 AS by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14/16 ESTAFFORDI
7440-38-3 Ba by ICP 10 2000 ug/L EPA200.7 4115/16 ESTAFFORDI
7440-70-2 Ca by ICP 0.10 11 mg/L EPA 200.7 4115/16 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 4114116 ESTAFFORDI
7440-47-3 Cr by ICPMS 5.0 6.0 U ug/L EPA200.8 4114/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 35 ug/L EPA200.8 4/14/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 50 U ug/L EPA200.7 4115/16 ESTAFFORDI
t' ',-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 4/26/16 ESTAFFORDI
7
�d4 -d9-7 K by ICP
0.10 5.3 mg/L EPA200.7 4J15/16 ESTAFFORDI
mg/L EPA200.7 4/15/16 ESTAFFORDI
7439-95-4 Mg by ICP 0.10 1.8
ug/L EPA200.7 4/15/16 ESTAFFORDI
7439-96-5 Mn by ICP 10 410
7440-23-5 Na by ICP 0.10 170 mg/L EPA200.7 4/15116 ESTAFFORDI
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4114/16 ESTAFFORDI
7439-92-1 Pb by ICPMS 2.0 4.4 ug/L EPA200.8 4/14/16 ESTAFFORD1
7782-49-2 Se by ICPMS 1.0 1.0 U ug/L EPA200.8 4/14/16 ESTAFFORD1
7440-24-6 Sr by ICPMS 10 130 ug/L EPA200.8 4/14/16 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 37 ug/L EPA200.8 4114116 ESTAFFORDI
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

AC27927 North Carolina Division of Water Resources Water Sciences Section LaborgM Results
Loc.Descr.: 2375 FIE TOP ROAD Sample ID: AC27927
County: HAYWOOD Collector: B LAVER TY VisitlD PO Number# 16GO096
Region: ARO Report To ARO Location ID: IC442375FIETOP Date Received: 04M3/2016
River Basin Collect Date: 0 4/1 112 01 6 Priority SURFACEWATER Time Received: 08:10
Emergency Collect Time: 11_37 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
CDC Yes/No Sample Depth Loc.Type: Water Suaoly Delivery Method NC Courier
Final Report Date: 619/16
Report Print Date: 06/11/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Units Method Analysis
CAS# Analyte Name PQL Qualifier Reference Date Validated by
LAB
Sample temperature at receipt by lab 4.6 °C 4/13/16 MSWIFT
MET
7429-90-5 Al by ICP 50 1200 ug/L EPA200.7 4/15/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 4/14/16 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0 73 ug/L EPA200.8 4114/16 ESTAFFORDI
7439-89-6 Fe by ICP 50 50 U ug/L EPA200.7 4/15/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 170 mg/L EPA200.7 4/15/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14/16 ESTAFFORDI
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14/16 ESTAFFORDI
7440-66-6 Znby ICPMS 10 37 ug/L EPA200.8 4/14/16 ESTAFFORD1
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
2375 FIE TOP ROAD Sample ID: AC27928
HAYWOOD Collector: B LAVERTY VisitlD PO Number# 16GO097
ARO Report To ARO Location ID: 1C442375FIETOP Date Received: 04/13/2016
asin Collect Date: 0 411112 01 6 Priority' SURFACEWATER Time Received: 08_10
:rgency Collect Time: 11_42 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
,OC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 5/9/16
Report Print Date: 05/11/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analyte Name PQL Qualifier
Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 4.6 aC 4/13/16 MSWIFT
MET
7429-90-5 Al by ICP 50 65 ug/L EPA200.7 4/15116 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 4/14116 ESTAFFORDI
7440-50-8
Cu by ICPMS 2.0 12 ug/L EPA200.8 4114/16 ESTAFFORD1
7439-69-6 Fe by ICP
50 50 U ug/L EPA200.7 4/15/16 ESTAFFORD1
7440-23-5 Na by I C P
0.10 170 mg/L EPA200.7 4/15/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14/16 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14116 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 26 ug/L EPA200.8 4/14/16 ESTAFFORD1
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

AC27929 North Carolina Division of Water Resources Water Sciences Section Laborato Results,
Loc.Descr.: 2376 FIE TOP ROAD Sample ID: AC27929
County: HAYWOOD Collector: - B LAVER TY VisitlD PO Number# 16GO098
Region: ARO Report To ARO Location ID: 1C442375FIETOP Date Received: 04/13/2016
River Basin Collect Date: 0 4/1112 0 1 6 Priority SURFACEWATER Time Received: 08:10 \
Emergency Collect Time: 11_47 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
CDC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 5/9/16
Report Print Date: 05/11/2016
Final Report
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analyte Name PQL Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 4.6 °C 4/13/16 MSWIFT
MET
7429-90-5 Al by ICP 50 50 U ug/L EPA200.7 4/15/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA 200.8 4/14/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 13 ug/L EPA200.8 4/14/16 ESTAFFORD1
7439-89-6 - Fe by ICP 50 50 U ug/L EPA200.7 4/15116 ESTAFFORD1
7440-23-5 Na by ICP 0.10 170 mg/L EPA200.7 4/15/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14/16 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14/16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 34 ug/L EPA200.8 4/14/16 ESTAFFORD1
i
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
/aterResources S. JAY ZIMMERMAN
4VIRONMENTAL QUALITY
Director
May 13, 2016
DWR# 16-0377
Burke County
USDA Forest Service
Mr. Hurston A.Nicholas
160 Zillicoa St., Suite A
Asheville,NC 28801
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Upper Creek Aquatic Organism Passage
Dear Mr.Nicholas:
You have our approval for the impacts listed below for the purpose described in your application
dated April 11,2016, and received by the Division of Water Resources (Division) on April 18,
2016. These impacts are covered by the attached Water Quality General Certification Number
3885 and the additional conditions listed below. This certification is associated with the use of
Nationwide Permit Number 27 once it is issued to you by the U.S. Army Corps of Engineers.
Please note that you should get any other federal, state or local permits before proceeding with
your project, including those required by(but not limited to) Sediment and Erosion Control,
Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification are met. No other impacts are approved, including
incidental impacts. [15A NCAC 02H .0506(b) and/or(c)]
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Upper Creek Aquatic Organism Passag,,
DWR# 16-0377\
401 Approval
Page 2 of 4
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Stream Im act
Impact S 1 50 (linear feet)
Impact S2 . 100 (linear feet)
Impact S3 50 (linear feet)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold,the new owner must be given a copy of this approval letter and
General Certification(s) and is responsible for complying with all conditions. [15A
NCAC 02H .0507(d)(2)]
3. The designer or his designee shall supervise the installation of in-stream structures.
[15A NCAC 02H .0506(b)(2)]
4. Fueling, lubrication and general equipment maintenance should not take place within 50
feet of a waterbody or wetlands to prevent contamination by fuel and oils. [15A NCAC
02H .0506 (b)(3) and (c)(3) and 15A NCAC 02B .0211(12)]
5. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants, hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill,the permittee/contractor shall immediately contact the
Division of Water Resources, between the hours of 8 am to 5 pm at the Asheville
Regional Office at 828.296.4500 and after hours and on weekends call [phone].
Management of such spills shall comply with provisions of the North Carolina Oil
Pollution and Hazardous Substances Control Act. [15A NCAC 02H .0506 (b)(3) and
(c)(3), 15A NCAC 02B .0211(12), and GS 143 Article 21A]
6. Natural fiber matting is recommended for streambank stabilization over plastic matting
that can entrap small animals. [15A NCAC 02H .0506(b)(2)]
7. Visual monitoring of the stabilization project shall be conducted at a minimum of
quarterly for the first year or two bankfull events (whichever is longer), and then
annually until the site is stable (particularly after storm events) and vegetation is
successful. Any failures of structures, stream banks, or vegetation may require future
repairs or replacement, which requires coordination with the Asheville Regional Office
to ensure the stability and water quality of the stream and downstream waters. [15A
NCAC 02H .0506(b)(2) and (b)(3)]

Upper Creek Aquatic Organism Passage
DWR# 16-0377
401 Approval
Page 3 of 4
8. All temporary impacted areas shall be restored to pre-construction natural conditions
upon completion of the project. Native vegetation shall be used for stream bank
stabilization. [15A NCAC 02H .0506 (b)(2) and(c)(2)]
9. The stream is a Class WS-III, Trout Water, Outstanding Resource Water(ORW), and
High Quality Water(HQW). In order to protect downstream uses for Class WS-III,
Trout Water, ORW, and HQW a requirement of this Certification is that any additional
work conducted within the stream may not occur between the dates of January 1 through
April 15. [15A NCAC 02H .0506 (b)(2) and 15A NCAC 04B .0125]
10. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources Commission(NCWRC) comment letter dated May 4, 2016
(attached)to the maximum extent practicable. [15A NCAC 02H .0506(b)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60) calendar days.
A petition form may be obtained from the OAH at htt_p://www.ncoah:com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601

Upper Creek Aquatic Organism Passage
DWR# 16-0377�,.
401 Approval
Page 4 of 4
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
[e-mail] if you have any questions or concerns.
Sincerely,
G. Landon Davidson, P.G., Re ion'.l Supervisor
g P
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3885
Certificate of Completion
NCWRC letter dated May 4, 2016
cc: Brady Dodd—USDA Forest Service, Hydrologist(via email)
William Elliott—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—Division of Energy, Mineral, and Land Resources (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Burke\401s\Non-DOT\Upper Creek Aquatic Organism Passage\APRVL.401 Upper Creek Aquatic Passage
S.11.2016.doex

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
l aterResources S. JAY ZIMMERMAN
;NYtRQNMENTAL QUALITY.
Director
May 13, 2016
DWR# 16-0375
Caldwell County
USDA Forest Service
Mr. Allen Nicholas
160 Zillicoa St., STE A
Asheville,NC 28801
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Thorps Creek Stream Rehabilitation Project at Mortimer Campground
Dear Mr.Nicholas:
You have our approval for the impacts listed below for the purpose described in your application
dated April 5, 2016, and received by the Division of Water Resources (Division) on April 18,
2016. These impacts are covered by the attached Water Quality General Certification Number
3885 and the additional conditions listed below. This certification is associated with the use of
Nationwide Permit Number 27 once it is issued to you by the U.S. Army Corps of Engineers.
Please note that you should get any other federal, state or local permits before proceeding with
your project, including those required by(but not limited to) Sediment and Erosion Control,
Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification are met. No other impacts are approved, including
incidental impacts. [15A NCAC 02H .0506(b) and/or(c)]
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Thorps Creek Stream Rehabilitation Project at Mortimer Campgroun6,\
DWR# 16-0375 `.
401 Approval �.
Page 2 of 4
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Stream Im act
Impact S 1 700 (linear feet)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold,the new owner must be given a copy of this approval letter and
General Certification(s) and is responsible for complying with all conditions. [15A
NCAC 02H .0507(d)(2)]
3. The designer or his designee shall supervise the installation of in-stream structures.
[15A NCAC 02H .0506(b)(2)]
4. Fueling, lubrication and general equipment maintenance should not take place within 50
feet of a waterbody or wetlands to prevent contamination by fuel and oils. [15A NCAC
02H .0506 (b)(3) and(c)(3) and 15A NCAC 02B .0211(12)]
5. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants,hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill, the permittee/contractor shall immediately contact the
Division of Water Resources, between the hours of 8 am to 5 pm at the Asheville
Regional Office at 828.296.4500 and after hours and on weekends call [phone].
Management of such spills shall comply with provisions of the North Carolina Oil
Pollution and Hazardous Substances Control Act. [15A NCAC 02H .0506 (b)(3) and
(c)(3), 15A NCAC 02B .0211(12), and GS 143 Article 21A]
6. Natural fiber matting is recommended for streambank stabilization over plastic matting
that can entrap small animals. [15A NCAC 02H .0506(b)(2)]
7. Visual monitoring of the stabilization project shall be conducted at a minimum of
quarterly for the first year or two bankfull events (whichever is longer), and then
annually until the site is stable (particularly after storm events) and vegetation is
successful. Any failures of structures, stream banks, or vegetation may require future
repairs or replacement, which requires coordination with the Asheville Regional Office
to ensure the stability and water quality of the stream and downstream waters. [15A
NCAC 02H .0506(b)(2) and (b)(3)]

Thorps Creek Stream Rehabilitation Project at Mortimer Campground
DWR# 16-0375
401 Approval
Page 3 of 4
8. All temporary impacted areas shall be restored to pre-construction natural conditions
upon completion of the project. Native vegetation shall be used for stream bank
stabilization. [15A NCAC 02H .0506 (b)(2) and(c)(2)]
9. The stream is a Class C, Trout Water, and Outstanding Resource Water (ORW). In
order to protect downstream uses for Class C, Trout Water, and ORW a requirement of
this Certification is that any additional work conducted within the stream may not occur
between the dates of October 15 through April 15. [15A NCAC 02H .0506 (b)(2) and
15A NCAC 04B .0125]
10. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources Commission(NCWRC) comment letter dated May 4, 2016
(attached)to the maximum extent practicable. [15A NCAC 02H .0506(b)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60) calendar days.
A petition form may be obtained from the OAH at http //www.ncoah.com/or by calling the
OAH Clerk's Office at [phone] for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601

Thorps Creek Stream Rehabilitation Project at Mortimer Campground,,
DWR# 16-0375
401 Approval
Page 4 of 4
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
kevin.mitchellrcr�nedenr >ov if you have any questions or concerns.
Sincerely,
G. Landon Davidson, P.G.,Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3885
Certificate of Completion
NCWRC letter dated May 4,2016
cc: Brady Dodd—USDA Forest Service,Hydrologist(via email)
William Elliott—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—Division of Energy, Mineral, and Land Resources (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Caldwell\401s\Non-DOT\Thorps Creek Stream Rehab Project\APRVL.401 Thorps Creek Rehab Project.
5.11.2016.docx

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
✓aterResources S. JAY ZIMMERMAN
.t4VtRONMENTAL QUALITY .
.Director
May 13, 2016
Joe Fariello
500 Southwest 121st Avenue
Cooper City, FL 33330
RE: Sample ID:AC27552,AC27634, &AC27635
Sample Location Address: 175 Tumbleweed Trail
Haywood County
Dear Mr.Fariello,
Please find attached the analytical results for water samples collected from your water supply
well,at the address referenced above,on March 29, 2016.As you are aware,the Division is
using available resources to monitor and identify a potential source for the nitrate-in-
groundwater.Recent sampling was expanded to include a number analytes associated with
septage,which is a potential source for the reoccurring nitrates.Your water samples were
analyzed for alkalinity,ammonia,chloride,fecal coliform bacteria,MBAS (surfactants),nitrate,
nitrite, orthophosphate,semi-volatile organic compounds,sulfate,total coliform bacteria,total
phosphorus,and various metals.
The following table summarizes the attached analytical results for samples collected at the well
head. Please note that the bolded values indicate levels above the NC Groundwater(tga/j ard,
15A NCAC 2L.0202.The results are shown in units of micrograms per liter of water u 1 and
are approximately equivalent to parts per billion (ppb).
USEPA Maximum NC Groundwater Concentration Detected
Analytes Contaminate Level Standard In Your Drinking Water
Concentration Units Concentration Units Concentration Units
Barium 2,000 b 700 b 20 b
Calcium 39,000 b
250,000 b 16,000 b
Chloride
6,800 b
Magnesium
50 b 66 b
Man anese
Nickel 100 b 2.1 b
Nitrate 10,000 b 10,000 b 9,800 b
Nitrite 1,000 ppb 1,000 b 180 b
Potassium 7'200 b
Sodium 7,000 b
Strontium 220 ppb
\ Sulfate 250,000 ppb 33,000 ppb
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 29778
828-296-4500

Joe Fariello
May 13,2016
Page 2 of 2 �
The following table summarizes the attached analytical results for bacteria samples collected at
your well head and water reservoir. Please note that the bolded values indicate levels above
the NC Groundwater Standard, 15A NCAC 2L.0202.The results are shown in Colony Forming
Units per 100 milliliters of water or CFU/100 mi.
NC Groundwater Standard Concentration Detected in Your
Analyte Source Drinking Water
Total Coliform Concentration Units Concentration Units
Bacteria Well Head 1 CFU/100 ml < 1 CFU/100 ml
Fecal Coliform Well Head 1
Bacteria CFU/100 ml < 1 CFU/100 ml
Total Coliform
Bacteria Reservoir 1 CFU/100 ml 51 CFU/100 ml
In summary,manganese is present at a concentration that exceeds the applicable standard
while the current nitrate concentration has dropped below the applicable standard. Coliform
bacteria were not present at your well head but total coliform bacteria is present in your water
reservoir. Overall,there is no indication that septage is the source for the reoccurring nitrate.
Because there are constituents present,a Health Risk Evaluation (HRE) was performed North
Carolina Department of Health and Human Services toxicologist Kennedy Holt. The HRE,which
is enclosed,makes specific recommendations for your water based on these results. I've also
included fact sheets on coliform bacteria and well disinfection for your review.
If you have questions concerning the Health Risk Evaluation,please contact Kennedy Holt at
[phone]. If you have any additional questions or concerns,please contact me at(828)
296-4681 or [e-mail].
Sincerely,
Brett Lave.
Water Quality Regional Operations
Asheville Regional Office
Attachment: Health Risk Evaluation by Kennedy Holt
DWR laboratory analytical results
How to disinfect your water well fact sheet
Protect yourself from coliform bacteria in well water
cc: ARO file
Haywood County Health Department w/attachments '

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE,NC Sample ID: AC27552
HAYWOOD Collector: B LAVERTY VisitlD PO Number# 16G0082
ARO Report To ARO Location ID: lC44303TUMBLE Date Received: 03/31/2016
.asin Collect Date: 0 3129/2 0 1 6 Priority Time Received: 08_10
;rgency Collect Time: 11_28 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
,OC Yes/No Sample Depth Loc.Type: WATERSUPPLY Delivery Method NC Courier
Final Report Date: 4127116
Report Print Date: 0510412016
Final-Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result! Units Method Analysis
CAS# Analvte Name PQL Qualifier Reference Date Validated by
LAB
Sample temperature at receipt by lab 1.7 °C 3/31/16 MSWIFT
NUT
NH3 as N in liquid 0.02 0.02 U mg/L as N EPA 350.1 REV 2 4113/16 CGREEN
Nitrate as N in liquid 0.02 9.8 mg/L as N EPA 353.2 REV 2 4119/16 CGREEN
Nitrite as N in liquid 0.01 0.18 mg/L as N EPA 353.2 REV 2 3/31/16 CGREEN
NO2+NO3 as N in liquid 0.02 10 mg/L as N EPA 353.2 REV 2 4113/16 CGREEN
Orthophosphate as P in liquid 0.02 0.02 U mg/L as P EPA 365.1 REV 2 3131116 CGREEN
Phosphorus total as P in liquid 0.02 0.02 U mg/L as P EPA 365.1 REV 2 414/16 CGREEN
Total Kjeldahl N as N in liquid 0.2 2.0 U,P mg/L as N EPA 351.2 REV 2 4112116 CGREEN
WET
Bromide 0.4 0.4 U mg/L EPA 300.0 rev2.1 3/31116 CGREEN
Chloride 1.0 16 mg/L EPA 300.0 rev2.1 3/31116 CGREEN
Fluoride
0.4 0.4 U mg/L EPA 300.0 rev2.1 3131116 CGREEN
Sulfate 2.0 33 mgiL EPA 300.0 rev2.1 3/31/16 CGREEN
MBAS in liquid 0.1 0.1 U mg/L SM 5540 C 2000 3/31/16 CGREEN
MET
7440-22-4 Ag-Dissolved Silver by ICPMS 1.0 1.0 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
7429-90-5 Al-Dissolved Aluminum by ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORDI
7440-38-2 As-Dissolved by ICPMS Arsenic 2.0 2.0 U ug/L EPA 200.8 417/16 ESTAFFORDI
7440-38-3 Ba-Dissolved Barium by ICP 10 20 ug/L EPA 200.7 4/6/16 ESTAFFORDI
7440-70-2 Ca-Dissolved Calcium by ICP 0.10 39 mgiL EPA 200.7 4/6116 ESTAFFORDI
y
7440-43-9
Cd-Dissolved Cadmium b ICPMS 0.50 0.50 U ug/L EPA 200.8 4/7116 ESTAFFORD1
y 7440-47-3
Cr-Dissolved Chromium b ICPMS 5.0 6.0 U ug/L EPA 200.8 4/7116 ESTAFFORD1
7440-50-8
Cu-Dissolved Copper by ICPMS 2.0 2.0 U ug/L EPA 200.8 417/16 ESTAFFORDI
y 7439-96-5
Dissolved Mn b ICP 10 66 ug/L EPA 200.7 416/16 ESTAFFORD1
7439-89-6 Fe-Dissolved Iron by ICP 50 50 U ug/L EPA 200.7 4/6116 ESTAFFORD1
7439-97-6 Hg 245.1 Dissolved 0.2 0.20 U ug/L EPA245.1 4/5116 ESTAFFORDI
y 7440-09-7
K-Dissolved Potassium b ICP 0.10 7.2 mg/L EPA 200.7 4/6116 ESTAFFORD1
-Dissolved Magnesium b ICP 0.10 6.8 mg/L EPA 200.7 4/6116 ESTAFFORD1
M
7439-95-4 g g y
7440-23-5 Na-Dissolved Sodium by ICP 0.10 7.0 mgiL EPA 200.7 416/16 ESTAFFORDI
y 7440-02-D
Ni-Dissolved Nickel b ICPMS 2.0 2.1 ug/L EPA 200.8 417116 ESTAFFORDI
7439-92-1 Pb-Dissolved Lead by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
77/�- ;9 2 Se-Dissolved Selenium by ICPMS 1.0 1.0 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
,
Sr Dissolved by ICPMS 10 220 ug/L EPA 200.8 4/7116 ESTAFFORDI
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the POL.
Page 1 of 4

AV D1'R La6oratory,5ection ResuftOampte Coinments/QuaCIer(Defiraitiotss
Sample ID: AC27562
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
7440-66-6 Zn-Dissolved Zinc by lCPMS 10 IOU ug/L EPA200.8 4/7/16 ESTAFFORDI`
SEM
Semivolati)e Organics(BNAs)in liquid
83-32-9 Acenaphthene 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
62-53-3 Aniline 10 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
120-12-7 Anthracene 20 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected ug/L EPA6251827013510 4/6/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
191-24-2 Benzo(g,h,l)perylene 20 Not detected ug/L EPA625/8270/3510 4/6/16 WOHNSON
207-08-9 Benzo(k)fiuoranthene 30 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected ug/L EPA625/827013510 4/6116 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
111-44-4 Bis(2-chloroethyl)ether 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
39638-32-9 Bis(2-chloroisopropyl)ether 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected ug/L EPA6251827013510 4/6/16 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
91-58-7 Chloronaphthalene,2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON J
95-57-8 Chlorophenol,2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4 20 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
218-01-9 Chrysene 20 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
53-70-3 Dibenzo(a,h)anthracene 20 Not detected ug/L EPA625/8270/3510 416116 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected ug/L EPA625/827013510 416/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
91-94-1 Dichlorobenzidine; 3,3'- 30 Not detected J2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
120-83-2 Dichlorophenol, 2,4- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
131-11-3 Dlmethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
105-67-9 Dimethylphenol,2,4- 10 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
534-52-1 Dinitro-2-methyl phenol,4,6 50 Not detected ug/L EPA625/827013510 4/6116 CJOHNSON
51-28-5 Dinitrophenol, 2,4- 50 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
121-14-2 Dinitrotoluene,2,4- 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
606-20-2 Dinitrotoluene, 2,6- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 4

,NrC(DIII4� La6oiatory Section R,esufts/Sampfe Gomments/QuaCier<Definitioru
Sample ID: AC27662
Resultf Method Analysis
Analyte Name PQL Qualifier Units Reference Date Validated by
Fluorene 20 Not detected ug/L EPA625/8270/3510 4(6/16 CJOHNSON
4-1 Hexachlorobenzene 20 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
i-68-3 Hexachlorobutadiene(SV) 10 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
77-47-4 Hex achlorocyclopentadiene 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
193-39-5 Indeno(1,2,3-ed)py fens 20 Not detected ug/L EPA625/827013510 4/6116 CJOHNSON
10 Not detected ug/L EPA625(8270/3510 4(6/16 CJOHNSON
78-59-1 Isophorone
ug/L EPA625/6270/3510 4/6116 CJOHNSON
91-57-6 Methylnaphthalene,2- 10 Not detected
95-48-7 Methylphenol, 2- 10 Not detected ug/L EPA625(827013510 4!6/16 CJOHNSON
106-44-5 Methylphenol;4- 10 Not detected u9/L EPA62518270/3510 4/6(16 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected u9/L EPA625/8270/3510 4/6/16 CJOHNSON
88-74 4 Nitroaniline,2- ug/L EPA625(6270(3510 4/6/16 CJOHNSON
10 Not detected
99-09-2 oaniline,3- 50 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
ug1L EPA625/8270/3510 4/6(16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected
ugiL EPA625/8270(3510 4/6/16 CJOHNSON
88-75-5 Nitrophenol,2- 10 Not detected
100-02-7 Nitrophenol,4- 50 Not detected u9/L EPA625/8270/3510 4/6116 CJOHNSON
4/6(16 CJOHNSON
621-64-7 N-nl#rOSOdl-n-prOpylamine 10 .Not detected Ug/L EPA625I8270/3510
86-30-6 N-nItfOSOdlphenylamine 10 Not detected ug/L _EPA625/8270/3510 4/6/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected ug1L EPA62518270/3510 4/6/16 CJOHNSON
85-01-8 Phenan#tlrene 20 Not detected ugiL EPA625/8270l3510 4/6(16 CJOHNSON
10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
1 ;2 Phenol ug/L EPN625/8270/3510 4/6/16 CJOHNSON
129-00-0 Pyrene 20 Not detected
120-82-1 Trichlorobenzene; 1,2,4- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
95-95-4 Trichlorophenol,2,4,5- 10 Not detected u9/L EPA6251627013510 4/6/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected uglL EPA625/8270(3510 4(6116 CJOHNSON
Sample Comments
S EM:SV-J2-esti mated-1 analyte failed<LC in the CV2.
WSS-Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"Ll"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 4

`ArC O`!(R Ga6oratoty Section Resn ts/Sampre Coin men ts/QuaCifier Definitions
Sample ID: AC27652
CAS# Anaivte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U". The PQL is used for the qualified result(S)to call
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero. The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
B7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
BB1 MPN-No wells or tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than"< valu
BB2 MPN-All wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
Gl BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea;
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated fo
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab, p
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration J J10 Unidentified peak;estimated value.
J11 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control'.The sample is non-homogenous(e.g.,VOA soil). The reported value is the lower,
N1 Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral libra
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met(i.e., pry.
presence of N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the lobo
N4 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N5 The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note: The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory»1623 Mail service Center,Raleigh,NO 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 4

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE NC Sample ID: AC27634
HAYWOOD Collector: B LAVERTY VisitlD PO Number# ARO
ARO Report To ARO Location ID: IC44303TUMBLE Date Received: 0312 122016
,asin NA Collect Date: 0 3129/2 0 1 6 Priority ROUTINE Time Received: 16_1s
agency Collect Time: 11;28 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
,OC Yes1No Sample Depth NA Loc.Type: WATERSUPPLY Delivery Method Hand delivered
Final Report Date: 4128116
Report Print Date: 061041201
6
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Anal Units Reference Date validated by
CAS# Anaivte Name PQL Qualifier
ARO
Alkalinity4.5 1.0 41 mg/LasCaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
1.0 1 U mg/LasCaCO3 APHA2320B-20th 415/16 ESTAFFORDI
Alkalinity8.3
Bicarbonate 1.0 41 mg/L as CaCO3 APHA232013-20th 4/5/16 ESTAFFORDI
Carbonate 1.0 1 U mg/L as CaCO3 APHA23206-20th 415116 ESTAFFORDI
pH Alkalinity 7.6 mg/LasCaCO3 APHA2320B-20th 415116 ESTAFFORDI
CFU/100ml APHA9222D-20th 3/29116 ESTAFFORDI
Coliform;MF Fecal in liquid 1 1 g2
Coliform,MF Total.in liquid 1 1 B2 CFU/loom) APHA9222B-2pth 3129/16 ESTAFFORDI
Sample temperature at receipt by lab
2.7 'C 3/29/16 RBYRD
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

AC27635 North Carolina Division of Water Resources Water Sciences Section Laboratoa Results
Loc.Descr.: JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE NC Sample ID:
County: HAYWOOD Collector: B LAVERTY VisitlD AC27635
PO Number# ARO
Region: ARO Report To ARO Location ID: 1C44303TUMBLE Date Received: 0 312 9/2 0 1 6
River Basin NA Collect Date: 03/29/2016 Priority ROUTINE Time Received: 16:15
Emergency Collect Time: 11_33 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
COC Yes/No Sample Depth NA Loc.Type: WATERSUPPLY Delivery Method Hand delivered
Final Report Date: 4/28116
Report Print Date: 0610412016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analvte Name PQL Qualifier units Reference Date Validated by
ARO
Coliform; MF Total in liquid 1 51 CFU/100ml APHA9222B-20th 3/29/16 ESTAFFORDI
Sample temperature at receipt by lab 2.7 °C 3/29/16 RBYRD
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Pagel of 1
.... . . ..._._.

M _ + i `
i
Private Well Information
nn deparfinenE Use Recommendations
of hgallh and 1 n 1
Human servlens For Inorganic Chemical Contaminants
County:
Sample ID#:
z�3 g S 2 Reviewer: '
TEST RESULTS AND USE RECOMMENDATIONS
1. ❑Your well water meets federal drinking water standards for inorganic chenticals. Your water can be used for
drinking,cooking,washing,cleaning,bathing,and showering based on the lnnr anic chemical rasa lc nnl .You may
have other water sampling results that are not taken into account in this report.
2.❑The following substance(s)exceeded federal drinkingrecommends that rds or yourwell water North
be Carolina
sed for drinking and
health
levels.The North Carolina Division of Public Health rec Y
ent system to remove the circled substance(,$),However,it may be used for
cooking,unless you install a water treatm
washing,cleaning,bathing and showering based on the invr fremicat rest111ts 0111y.
Arsenic Barium Cadmium Chromium Co er Fluoride Lead Iron
Ian anese Mercu Nitrate/Nitrite Selenium Silver magnesium Zinc H
3,[1 a. Sodium levels exceed the US.Environmental protection Agency's(US�EdPA)H lslth Ad novas fowisory l vel fo estium of
20 mg1l. The North Carolina Division of Public Health recommends that y
diets not use this water for drinking or cooking. It may be used for washing,cleaning,bathing,and showering based on
the inort;arti �tcal r salts ont .
b. Levels over 30 mg/l may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc. _
4,E„] Re-sampling is recommended m
e sample
inside the house
5, []Re-sample for lead and for copper. Take a first a5 minute draw,
1 saemple at the 15 i�vetll head to determine the sotpcefaf this
the kitchen)and if possible a first draw,5 minute and
lead and/or copper.
s, Your water can be
ed for
G, he following substance(ri�exceeded shower n drinking
based on therm r�ntd'c c1 enalcal results anlysbut aesthetic 7problems
cooking,washing,cleaning,bathing, g
such as bad taste,odor,staining of porcelain,etc.may occur. You may want to install a household water treatment system
to'address aesthetic problems.
Barium Gadrr►iam Ghrotnium FHoride Iron — Ma esiam
Man ones Selenium Silver Zinc
"or more information regarding your well water results,please call the North Carolina Division of Public 1leat(h at 914-707-5900.
1r1 h,lit; 1U�tf f�i c s tuere no i— {aw,i# r`� eX e,eJo l e df t�tG S naa•d; you sk.,t N fie
Cep ��
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rG SaG ac ��
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f ' + i L Nt
Well Wafer Biological Analysis Results & Recommendations
county: F�u�wryod —
Name: fiat F7ae,r&f10
Sample iDr;.__A-/')--76 35-
Location:_ 175" 1 knn6t�w�e1
Review Date: �L—I" I Reviewer: K 1'1
Initial Sample 11 Confirmatory Sample Q 121
Local Health Department Telephone:
❑ [31 flc celiform bacteria wera found in your wail water.
Your awler caa Ire eked for all purposes including dr?rOug,rooking,vinshiug,cleauhig,bathitig,acre?showering.
I4l Total coliform bacteria were detected in the sample which indicates that harmful bacteria from human or anlmal waste
could enter the well
o not us'the water for•drbtkhtg or cookirt<q mules,it Ira;beer.baited fora mitratt. Yotr Wray trse your fleeter;rr rt!of?rer
purposes iucludhig washbig dishes,bathing,or shorwring,
i
❑ [51 Your well water needs to be re-sampled to verity that the test result is accurate Of a problem has been resolved.
16] Fecal coliform bacteria were detected in the sample.
D&+tot t;se live tole)-fur d,bik?sg.n7oxilir,10rsttbig I.she I'atttAl 0?' t;O:IrCr'lrtC.
Your well rt'nter was tested for biological contaminants(total colifor•ru anti fecal eo1?form bacteria). The reseal;:were trunlirated using f dewl driltking
imler standards,
If the re-sampling show corttantination ley roliform bacteria,coutact yotu•local health departmartt lnr assistance. There may be a problem joint the
t'onstria6on of the weil,thegi-of i it da vik r silrt:TC,or apendiew of the a I'll. ThL'air Ii tried9 t r i!t m.rrect«i1lry'tare ltlCflt lieaitlr drllR;'t17+girt�r a It7Cal it'll
rontracfOr to determine the problem retith the well and to g?tx grddrtnrr' ,it hour to correct the Koblctrl.
Total coliform bacteria arc found in snit and fecal Miform bacteria are foinid ire arrhlial and human waste. Total conform or fecal colifornt bacteria in even
water may indicate that the well may have structural problems or that tilt,well was not properly disinfected.
lfyort have lreelt driltkirrq well t11rfer and are pre hart,lturshig,hate'a child in the household under 5 ytttrs t f age,or hnmuuocompromised(such a::an
irtdilridttral with AIMS,trrtex,•',hepatitis,+ftaltjs;;;,O;slagierrl prOcrdru;:}irrforrr your Ile akh care ploltidtr of these results at yoitr next visit.
If the contamination conti mes,tjou should invest;gate the possibility of drillin�q a neat-welt or install a poinl-of-entry di.ilfectiorr unit which call Ilse
chlorilre,ullraviolel light,or ozone.
Rotttirre It+et!ureter santlr?nrg is rcenmrncuded every year fire lacteria arltl nitrate.. 5muple yolo•well when there is a krtowru problem ve contamination itt
yortr art�t,aflcr n:pah',�,replarcrurrrt of your u'ett,nrafhr rr/hrtrdiug earut.
j
For fm'ther inforrrtatiolt,Coll tart your local health deparfmiart, '
Revised December 2011 Well Safety-iri tt5:l;egi.puhticireaitlt.rrc gay.'oiirhsi�ctsheet.itt:,(

a , e
s
u
i • l r •f •. i • • • • , xs'-5 i, �� ��
Tesflng for coliform bacteria in your well vv<,iter
Most coliform bacteria will not likely cause illness. Testing for all possible disease causing organisms is
However, these bacteria are used as indicators in complex, time consuming and expensive. Usually,
water tests because their presence indicates that in order to determine the water quality of your well,
testing is done for three different groups of coliform
disease-causing organisms (pathogens) could also bacteria; each has a different level of risk to human
be in the water. The presence of some types of health.
coliform bacteria in the water signal the presence of
feces or sewage waste. Feces and sewage wastes Total coliform bacteria are commonly found in the
are usually the source of the disease-causing environment (For example, soil or plants) and are
organisms. generally harmless.
Fecal coliform bacteria are a sub-group of total
coliform bacteria. They appear in great quantities in
the intestines and feces of people and animals. The
• Bacteria that cause diarrhea and vomiting, presence of these bacteria indicates that your well
water is contaminated with feces or sewage, and it
• Protozoa that cause dysentery, has the potential to cause disease.
• Viruses that cause polio and hepatitis, and .Escherichia coli is a sub-group of the fecal coliform
group. These kinds of bacteria are found in great
• Helminths, such as roundworms and tapeworms, quantities in the intestines of people and warm-
that cause chronic diarrhea. blooded animals. Some strains, however, can cause
If you think you might be sick from disease-causing
illness. The presence of this organism indicates
organisms in your well water, contact your doctor fecal contamination of your well and a high risk for
and show him/her your water test results. illness from disease-causing organisms.
Children and the elderly are at a higher risk of You should test your well for coliform bacteria
the harmful health effects of disease-causing every year.
organisms in drinking water. (continued)
e e :.

• Do not drink the water. Get bottled water, or Coliform Bacteria:
www.epa.gov/OGWDW/hfacts.html
• Boil the water for 1 minute before drinking or
cooking with it. How to disinfect your water and your well:
www.deh.enr.state.nc.us/welidisinf.htm
• Disinfect your well. You may want to contact a www.ncweildriller.org/documents/
well professional to disinfect or chlorinate your DisinfectaWaterWell_rev2007.6.pdf
well, or contact the environmental health program
at your, local health department for instructions on
how to do it yourself.
" This fact sheet answers the most frequently asked
• Re-Mk
sample and re-test`your well water after health questions (FAQs atiaut Coliform bacteria. F
chlormatmg it , This in brmation is important because some cohfarmAN
#,aria have the potetiai to cause illness.They � �
-z _ d"®R of exposure toy biological contaminant-
" ptivaewelf waterepend an the,dase, Jura#ion,� i
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ou:are exI�osed person traits=and habi ts, and�f
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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 13, 2016
Pamela Tippins
133 Tumbleweed Trail
Waynesville, NC 28785
RE: Sample ID:AC27552,AC27634,&AC27635
Sample Location Address: 133 Tumbleweed Trail
Haywood County
Dear Ms.Tippins,
Please find attached the analytical results for water samples collected from your water supply
well,at the address referenced above,on March 29, 2016.As you are aware,the Division is
using available resources to monitor and identify a
rude a number analytes associated with
otential source for the nitrate-in-
groundwater.Recent sampling was expanded to in
septage,which is a potential source for the reoccurring nitrates.Your water samples were
analyzed for alkalinity,ammonia,chloride,fecal coliform bacteria,MBAS (surfactants),nitrate,
nitrite,orthophosphate,semi-volatile organic compounds,sulfate,total coliform bacteria,total
phosphorus,and various metals.
The following table summarizes the attached analytical results for samples collected at the well
head.Please note that the bolded values indicate levels above the NC Groundwater(Standard,g
15A NCAC 2L .0202.The results are shown in units of micrograms per liter of water u 1 and
are approximately equivalent to parts per billion (ppb).
USEPA Maximum NC Groundwater Concentration Detected
Analytes Contaminate Level Standard In Your Drinking Water
Concentration Units Concentration Units Concentration Units
Barium 2,000 b 700 b 20
Calcium 39,000 b
Chloride 250,000 b 16,000 b
800 b
Magnesium 6, b
Manganese 50 b 66
Nickel 100 b 2.1 b
Nitrate 10,000 b 10,000 b 9,800 b
b 180 b
b 1,000
Nitrite 1,000 7,200 b
Potassium 7,000 b
Sodium 220 b
Strontium 33,000 b
Sulfate 250,000 b
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Pamela Tippins
May 13,2016
Page 2 of 2
A
The following table summarizes the attached analytical results for bacteria samples collected at
your well head and water reservoir. Please note that the bolded values indicate levels above
the NC Groundwater Standard, 15A NCAC 2L.0202. The results are shown in Colony Forming
Units per 100 milliliters of water or CFU/100 mi.
NC Groundwater Standard Concentration Detected in Your
Analyte Source Drinkin Water
Total Coliform Concentration Units Concentration Units
Bacteria Well Head 1 CFU/100 ml <1 CFU/100 ml
Fecal Coliform
Bacteria Well Head 1 CFU/100 ml < 1 CFU/100 ml
Total Coliform
Bacteria Reservoir 1 CFU/100 ml 51 CFU/100 ml
In summary,manganese is present at a concentration that exceeds the applicable standard
while the current nitrate concentration has dropped below the applicable standard. Coliform
bacteria were not present at your well head but total coliform bacteria is present in your water
reservoir. Overall,there is no indication that septage is the source for the reoccurring nitrate.
Because there are constituents present,a Health Risk Evaluation (HRE) was performed North
Carolina Department of Health and Human Services toxicologist Kennedy Holt. The HRE,which
is enclosed,makes specific recommendations for your water based on these results. I've also
included fact sheets on coliform bacteria and well disinfection for your review.
If you have questions concerning the Health Risk Evaluation,please contact Kennedy Holt at
[phone]. If you have any additional questions or concerns,please contact me at(828)
296-4681 or [e-mail].
Sincerely,
Brett Lave„ty
Water Qua egional Operations
Asheville Regional Office
Attachment: Health Risk Evaluation by Kennedy Holt
DWR laboratory analytical results
How to disinfect your water well fact sheet
Protect yourself from coliform bacteria in well water
cc: ARO file -
Haywood County Health Department w/attachments

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
JONATHON F!1 : ,IG-303 TUMBLEWEED TRAIL WAYNESVILLE NC Sample ID: AG27552
HAYWOOD Collector: ' B LAVERTY
VisitlD PO Number# 16GO082
Location ID: 1C44303TUMBLE Date Received: 03131120
ARO Report To ARO 16
3asin
Collect Date: 03/2912016 Priority Time Received: 08_10
nergency Collect Time: 11_28 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
COC Yes/No Sample Depth Loc.Type: WATERSUPPLY Delivery Method NC Courier
Final Report Date:; 4127/16
Report Print Date: 06104/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
Units Reference Date Validated by
CAS# Analvte Name PQL Qualifier
LAB
Sample temperature at receipt by lab
1.7 oC 3/31/16 MSWIFT
NUT
mg/L as N EPA 350.1 REV 2 4/13/16 CGREEN
NH3 as N in liquid 0.02 0.02 U
Nitrate as N in liquid 0.02 9.8 mg/L as N EPA 353.2 REV 2 4/19/16 CGREEN
Nitrite as N in liquid 0.01 0.18 mg/L as N EPA 353.2 REV 2 3131116 CGREEN
NO2+NO3 as N in liquid 0.02 10
mg/L as N EPA 353.2 REV 2 4113/16 CGREEN
Orthophosphate as P in liquid 0.02 0.02 U
mg/L as P EPA 365.1 REV 2 3/31116 CGREEN
Phosphorus total as P in liquid 0.02 0.02 U
mg/L as P EPA 365.1 REV 2 414/16 CGREEN
Total Kjeldahl N as N In IlgUld 0.2 2.0 U,P mg/L as N EPA 351.2 REV 2 4/12/16 CGREEN
WET
U mg/L EPA 300.0 rev2.1 3/31/16 CGREEN
Bromide 0.4
mg/L EPA 300.0 rev2.1 3131/16 CGREEN
Chloride 1.0 16
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 3/31/16 CGREEN
Sulfate 2.0 33 mg/L EPA 300.0 rev2.1 3/31116 CGREEN
MBAS in liquid 0.1 0.1 U mg/L SM 5540 C 2000 3/31/16 CGREEN
MET
7440-22-4 Ag-Dissolved Silver by ICPMS 1:0 1.0 U ugrL EPA 200.8 417(16 ESTAFFORD1
7429-90-5 AI-Dissolved Aluminum by ICP 50 50 U ugrL EPA 200.7 4/6116 ESTAFFORD1
7440-38-2 As-Dissolved.by ICPMS Arsenic 2.0 2,0 U ugrL EPA 200.8 4l7/16 ESTAFFORD1
7440-38-3 Ba-DISSOIVed Barium by ICP 10 20 ug/L EPA 200.7 4/6/16 ESTAFFORD1
7440-70-2 Ca-Dissolved Calcium by ICP 0.10 39 m9/L EPA 200.7 4(6/16 ESTAFFORD1
7440-43-9 Cd-Dissolved Cadmium by ICPMS 0.50 0.60 U
uglL EPA 200.8 4/7/16 ESTAFFORD1
7440-47-3 Cr-Dissolved Chromium by ICPMS 5.0 6.0 U ug/L EPA 200.8 4/7(16 ESTAFFORD1
7440-50-8 Cu-Dissolved Copper by ICPMS 2.0 2.0 U ug/L EPA 200.8 417/16 ESTAFFORD1
7439-96-5 Dissolved Mn by ICP 10 66 ug/L EPA 200.7 4/6/16 ESTAFFORD1
7439-89-6 Fe-Dissolved Iron by ICP 50 50 U ug/L EPA 200.7 416/16 ESTAFFORD1
7439-97-6 Hg 245.1 Dissolved 0.2 0.20 U ug/L EPA 245.1 415116 ESTAFFORD1
7440-09-7 K-Dissolved Potassium by ICP 0.10 7.2 mg/L EPA 200.7 4/6116 ESTAFFORD1
mg/L EPA 200.7 4/6/16 ESTAFFORD1
7439-95-4 Mg-Dissolved Magnesium by ICP 0.10 6.8
7440-23-5 Na-Dissolved Sodium by ICP 0.10 7,0 mg/L EPA 200.7 416(16 ESTAFFORD1
7440-02-0 Ni-Dissolved Nickel by ICPMS 2.0 2.1 u9/� EPA 200.8 4!7/16 ESTAFFORD1
7439-92-1 Pb-Dissolved Lead by ICPMS 2.0 2.0 U u9/L EPA 200.8 4/7(16 ESTAFFORD1
7 "'9-2 Se-Dissolved Selenium by ICPMS 1.0 1.0 U uglL EPA 200.8 4
Sr DISSOIVed by ICPMS 10 220 ug/L EPA 200.8 4177116 ESTAFFORD1
16 ESTAFFORD1
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 4

AV D1Mk Ga6oratoiySection R,esufts/Sampfe CommentslQuafi i'erDefiititiow
Sample ID: AC27662
CAS# Analvte Name PQL Result! Method Analysis
Qualifier Units Reference Date validated by .
7440-66-6 Zn-Dissolved Zinc by ICPMS 10 10 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 Acenaphthene 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
62-53-3 Aniline 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
120-12-7 Anthracene 20 Not detected ug/L EPA625/8 770/3510 4/6/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA625/8270/3510 416116 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
207-08-9 Benzo(k)fiuoranthene 30 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected ug/L EPA62518270/3510 416116 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
111-91-1 Bis(2-Chloroethoxy)methane 10 Not detected ug/L EPA6251827013510 4/6/16 CJOHNSON
111-44-4 Bis(2-chloroethyl)ether 10 Not detected ug/L EPA62518270/3510 416116 CJOHNSON
39638-32-9 Bis(2-chloroisopropyi)ether 10 Not detected ug/L EPA625/8270/3510 416116 CJOHNSON
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected ug/L EPA625/8270/3510 416116 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected ug/L EPA625/827013510 4/6/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected ug/L EPA626/8270/3510 4/6/16 CJOHNSON
91-58-7 Chloronaphthalene, 2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
95-57-8 Chlorophenol,2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
218-01-9 Chrysene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
53-70-3 Dibenz0(a,h)anthracene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
91-94-1 Dlchlorobenzidine, 3,3'- 30 Not detected J2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
120-83-2 Dichlorophenoi,2,4- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected ug/L EPA62518270/3510 4/6116 CJ0HNS0N
131-11-3 - Dimethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
105-67-9 Dimethylphenol,2,4- 10 Not detected ug/L EPA6251827013510 416/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected ug/L EPA625/827 133510 4/6/16 CJOHNSON
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
51-26-5 Dinitrophenol, 2,4- 50 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
121-14-2 Dinitrotoluene,2,4- 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
606-20-2 Dinitrotoluene, 2,6- 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 4

%C(DIVX Laboratory Section R,esuftsl5ampre Coin men ts/Quarifier Defil'itions
Sample ID: AC27562
Result/ Method Analysis
Analyte Name PQL Qualifier Units Reference Date Validated by
Fluorene 20 Not detected ug/L EPA625/8270/3510 4/6(16 CJOHNSON
-74-1 Hexachlorobenzene 20 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
ug/L EPA62518270/3510 416/16 CJOHNSON
87-68-3 Hexachlorobutadiene(SV) 10 Not detected
77-47-4 Hexachlorocyclopentadiene 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
67-72-1 I iexachloroethane 10 Not detected ug/L EPA62518270(3510 4(6/16 CJOHNSON
193-39-5 Indeno(1,2,3-cd)pyrene 20 Not detected ug/L EPA62518270/3510 416116 CJOHNSON
78-59-1 ISOphorone 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
91-57-6 Methylnaphthalene, 2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
95-48-7 Methylphenoi,2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected ug/L EPA62518270/3510 416116 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected ug/L EPA62518270/3510 416116 CJOHNSON
ug/L EPA625/8270/3510 4/6/16 CJOHNSON
88-74 4 Nitroaniline,2- 10 Not detected
e9-09-2 Nitroaniline, 3- 50 Not detected uglL EPA625l8270/3510 416/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected ug(L EPA625I8270/3510 416l16 CJOHNSON
88-75-5 Nitropheno{,2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
100-02-7 Nitrophenol,4- 50 Not detected ug1L EPA625/8270/3510 4(6(16 CJOHNSON
621-64-7 N-nitrosodi-n-propylamine 10 Not detected ug/L EPA625/827013510 416/16 CJOHNSON
86-30-6 N-nitrosodiphenylamine 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected ug/L EPA6251827013510 416/16 CJOHNSON
8570\ Phenanthrene 20 Not detected ug/L EPA62518270/3510 4(6/16 CJOHNSON
10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
1, 2 Phenol ug/L EPA625/827013510 416/16 CJOHNSON
129-00-0 Pyrene 20 Not detected
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected u9/L EPA6251827013510 4/6/16 CJOHNSON
95-95-4 Trichlorophenol,2,4,5- 10 Not detected ug/L EPA625(8270/3510 4(6/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected ug/L EPA625l8270/3510 4/6/16 CJOHNSON
Sample Comments
SEM:SV-J2-estimated-1 analyte failed<LCL in the CV2.
WSS Chemistry laboratory>>1623 Mail Service Center,Raleigh,NC 276994623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the POL.
Page 3 of 4

NC,DWX La6omtotySection 1r{esurtsl,ampre Comments/Quafi rrDefi I tions
Sample ID: AC27552
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U". The PQL is used for the qualified result(S)to call
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero. The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC). TNTCis generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
B7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
BB1 MPN-No wells or tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than"<"valu
BB2 MPN-All wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
Gl BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea;
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/Land/or a DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated foi
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab, p
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
Jl0 Unidentified peak;estimated value.
ill The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are'but of control'.The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower,
N1 Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met(i.e., presence of
ee
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N4 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N5 The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note: The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 4

_North Carolina Division of Water Resources Water Sciences Section Laboratory Results
Sample ID: AC27634
JONATHON FREED BERG 303 TUMBLEWEED TRAIL WAYNESVILLE NC PO Number# ARO
HAYWOOD Collector: S LAVERTY VisitlD
ARO Report To ARO Location ID: 1C44303TUMBLE Date Received: 03/29/2016
Basin NA Collect Date: 03/29/2016
Priority ROUTINE Time Received: 16_15
_mergency Collect Time: 11___28 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
COC Yes/No Sample Depth NA Loc.Type: WATERSUPPLY Delivery Method Hand delivered
Final Report Date: 1128116
Report Print Date: 0 5104/20 1 6
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Results Method Analysis
Units Reference Date validated by
GAS# Analyte Name PQL Qualifier
ARO
Aikalinity4.5
1 � 41 mg/L as CaCO3 APHA2320B-20th 4/5l16 ESTAFFORD1
Alkalinity8.3 1.0 1 U mg/L as CaCO3 APHA2320B-20th 4/5116 ESTAFFORD1
Bicarbonate
1.0 41 mg/LasCaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
Carbonate
1.0
1 U mg/L as CaCO3 APHA2320B-20th 415116 ESTAFFORD1
pH Alkalinity
7.5 mg/L as CaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
Caliform; MF Fecal in liquid 1 1 g2 Ci=un 6 ESTAFFORD1
ooml APHA9222D-20th 3/29/1
1 B2 CFUl100m1 APHA9222B-20th 3/29(16 ESTAFFORD1
Coliform, MF Total in liquid 1
Sample temperature at receipt by lab
2.7oC 3129/16 RBYRD
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Nat Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

AC27635 North Carolina Division of Water Resources Water Sciences Section Laborgm Results`
Loc.Descr.: JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE NC
FReceived:
AC 77635
County: HAYWOOD Collector: B LAVERTY VisitiD
ARO
Region: ARO Report To ARO Location ID: 1C44303TUMBLE 0312 9/2 0 1 6
River Basin NA Collect Date: 03/2912016 Priority ROUTINE 16_16Emergency Collect Time: 11`33 Sample Matrix: GROUNDWATER aworsLoginlD KJIMISON2
COC Yes/No Sample Depth NA Loc.Type: WATERSUPPLY Delivery Method Hand delivered
Final Report Date: 4/28/16
Report Print Date: 06/04/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result( Method Analysis
GAS# Analvte Name PQL Qualifier Units
Reference Date Validated by
ARO
Coliform; MF Total in liquid 1 51 CFU/100ml APHA92228-20th 3/29116 ESTAFFORD1
Sample temperature at receipt by lab 2.7 °C 3/29/16 RBYRD
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

+ R 0
f
Private' Well Information
A*J ,
na dapartmanf
unen�strvtns� andUseRecommendations
f, For Inorganic Chemical Contaminants
County: Name 'L+.he Icy %� ,A
Sample 1D#: .�}� �7 5��- Reviewer: ✓�t
TEST RESULTS AND USE RECOMMENDATIONS
1.©Your well water meets federal drinking water standards for inorganic chemicals, Your water can be used f©r
drinking,cooking,washing,cleaning,bathing,and showering based on the.1horr anic ch¢nttcal resu.,�,les.onty,You may
have other water sampling results that are not taken into account in this report.
2.[j The following substance(s)exceeded federal drinking-water standards or the North Carolina 2L calculated health
levels,The North Carolina Division of Public HealhtU em mee.t'le�rcyour
d ubstanca{s),ell water iot be How�ver,d for it way be used
for
and
cooking,unless you install a water treatment system
washing,cleaning,bathing and showering based on the inorltanlc chemical results
,Arsenic Barium Cadmium Chromium Co !e—r �Fhu � Iron
,itan anese Mercury NitggelNitrite Selenium Silver pH
3.[]a. Sodium levels exceed the U.S. Environmental Protection Agency's( SE Aa Health noAdvisory
level for
sodium restricteddi of
20 mg/l. The North Carolina Division of Public Health recommends that ,
diets not use this water for drinking or cooking, it may be used for washing,cleaning,bathing,and showering based on
the tnvr¢a #e chemfcttl.rgsutrs n .
[J b. Levels over 34 mg/)may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc: __--
4.U Re-sampling is recommended in_________.__months.
S.(]Re-sample for lead and/or copper. Take a first draw,5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a 15 minute sample at the well head to determine the source of the
lead and/or copper.
G 9"T'he following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the Lisoreanie chemical results only,but aesthetic problems
such as bad taste,odor,staining of porcelain,etc,may occur. You may want to install a household water treatment system
to address aesthetic problems.
B Cadmium Chromium F luoride [ion Ma esiutn
an apes Selenium Silver pH Zinc
or"lore information regarding your well water results,please call file North Carollrrn Divlslatt of Public Heattft at 9I9-7©7-S40o,
�f v�
1 We /V4,,F es were. rlo4- '(01M� ;^ en6e"OVv C L " r �
yew vIJ are. s�ssccpl-•bl�. -� ley,!
N,'i•-�.�t Cr<��^�c. T1-r}}r��G'{bfc"`,J !'y" !s /'BLG�mr..dCi {".M^N.1-- Lhll•k�h
hiss 4- an 2 yew o)d

I T H
\
t Rt t \
Well Water Biological Analysis Results & Recommendations
County:_aPAV L,"S
Name: 71 A, �
Sample ID"': A-e-'.2--7h 36- <
Location: !tnt�t#et.�ea �`rgr
Review Date: ��t'2-`{6 Reviewer- K!m �
Initial Sample {-,-Th1 Confirmatory Sample ❑i21
Local Health Department Telephone: `✓�- ' 145-x h6-7a
{31 NO coliferin baaterla wara found In your well water,
}our rveter tart be used fee nil lrrrrl+�rses rrrelrrrl!!r rfrlrrt i+rg,rooiiul;,tt>rrslrirr ;ci+:artirJ ,lrnttrirt�,rtrrrl slrnrtrerirr .
[` y") Total conform bacteria were detected in the sample Web Indicates that harmful bacierla from human or animal waste
��jj �i�� could enter file well,
,Do nol rise:Ile water for drinking or cooking artless it ha,beell boiled for•3 utinutes, You rimy use flour nrnterf yr all other
purposes including toshiag dishes,bathing,or shorvt'ring, �
El151 Your wall water needs to be re-sampled to verify that the test result is accurate or a problem has been resolved.
16) Fecal coliterm bacteria were detected in the sample
l}o not)lsp the nli"+Ierfitr drirr"Lr!:',cooki;q):isFG$I111.-g ItSI7CS,17Ziirrf[g+or
}our well water was tested for lavlogirnl CollInlailmrrts(to tat coliforla rind feral coitfornt bacicriai. Tire result;were et�alrrated rtsiltg federal drittkiug
ivaler standards.
If the re-sampling show Colltaurinatlon fay caliform bacteria,contact your local health departmeni for assistance. There utay be a problem with the
t'0li5traetiorl 4f the tin°tie lift:r Ytiittttiitl/it`E('atett)'{r;,ur4'�tCi:riltiP:Of ti.'.':ttrll. The{o;.'lt aveds tO bt.a!spectedk..-"the t-?r;tl%ier"'Ilr dopat-ltimfora I Wrl
coutraclor to determine the problem with tilt'well and to giv griidarlre air hoar to Correct lire p1'0121Put.
Total colifornt bacteria are found in soil and fecal coliforlrt lutcteria are found hi aubatiland haurntt waste. Total coliforrtr or fecni colifovm bacteria in rvelt
water may indicate that the well may hair,str•rlcfurnl problems or that tilt'welt was"at pwperirl disinfected.
If you have txen drinking ar<fl crater and are pregaailt,nursing,have a child fir lire household under 5 virile of age,or hunumoconrprondsed(such a,,z art
trlefividu{!t with AIDS,Cancer,hcpatitiv,diilltj$iS,orsurg c,71 pro effmrs)r:tfornf yotIl.1,01!h Cara'pre=r::ter tit Mem?T9Li1.,?t yo'tr next vt«t!.
if the conlamilation conriuues,yotl SItortld Itivestt<tiatL the iurssty tafdrilling a new well or install a plibil-Ofeutrl disinfection runt which can use
chlorine,rlliravielet light,or•ozone.
Rorrtirle well water sampling is recommended event Hear f Or'ltacleria and rntrater. Sample liver roell when there is a known pr-otri,nr or•Coll Inillivativit irr
your area,af7er repair:;,replacerne'rrt of your well,or affer a floodilig event.
For:f a-Mer information,routed your local healllr departrncrrt. �
Revised December 2011 Wolf Safety-lit tpJlepi,publiellealtll.ne.Sov,10PIlsi1ct Sheet!III A

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Most coliform bacteria will not likely cause illness. Testing for all possible disease causing organisms is
However, these bacteria are used as indicators in complex, time consuming and expensive. Usually,
water tests because their presence indicates that in order to determine the water quality of your well,
testing is done for three different groups of coliform
' disease-causing organisms (pathogens) could also bacteria; each has a different level of risk to human
be in the water. The presence of some types of health.
coliform bacteria in the water signal the presence of
feces or sewage waste. Feces and sewage wastes Total coliform bacteria are commonly found in the
are usually the source of the disease-causing environment (For example, soil or plants) and are
organisms. generally harmless.
Fecal coliform bacteria are a sub-group of total
coliform bacteria. They appear in great quantities in
or pathogens that could oe,present nn your Water:A the intestines and feces of people and animals. The
• Bacteria that cause diarrhea and vomiting, presence of these bacteria indicates that your well
water is contaminated with feces or sewage, and it
• Protozoa that cause dysentery, has the potential to cause disease.
• Viruses that cause polio and hepatitis, and Escherichia coli is a sub-group of the fecal coliform
• Helminths, such as roundworms and tapeworms,
group. These kinds of bacteria are found in great
quantities in the intestines of people and warm-
that cause chronic diarrhea. blooded animals. Some strains, however, can cause
If you think you might be sick from disease-causing
illness. The presence of this organism indicates
organisms in your well water, contact your doctor fecal contamination of your well and a high risk for
and show him/her your water test results. illness from disease-causing organisms.
Children and the elderly are at a higher risk of You should test your well for coliform bacteria
the harmful health effects of disease-causing every year.
organisms in drinking water. (continued)

115cTe'ria,fecal colfflorrn or E. col-
• Do not drink the water. Get bottled water, or Coliform Bacteria:
www.epa-gov/OGWDW/hfacts.html
• Boil the water for 1 minute before drinking or
cooking with it. How to disinfect your water and your well:
www.deh.enr.state.nc.us/welldisinf.htm
• Disinfect your well. You may want to contact a www.ncwell,driller.org/documents/
well professional to disinfect or chlorinate your DisinfectaWaterWell_rev20076.pdf
well, or contact the environmental health program
at your focal health department for instructions on
how to do it yourself,
This fact sheet answers,the most frequently asked
• Re-sample and re-testeyour well water afters` health questions (FAQs about coliform bacteria. y
chlarinatmg Et Thks rn ormatian is important because some coliforip
bacna have the:poteptial to cause illness. The
d;. �
t
effects of exposure to a biological contaminant =.X
t prate wefl water depend;on the dose, duration,�w
s _
{ 'YOU"'are ex pr;sed, personal traits entl habits, and t� rt
type of biological contaminant,present,
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}-

PAT MCCRORY
Govemor
S"
,:per,..
DONALD R. VAN DER VAART
M Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 13, 2016
Jonathan Freedberg
303 Tumbleweed Trail
Waynesville,NC 28785
RE: Sample ID:AC27552,AC27634, &AC27635
Sample Location Address: 303 Tumbleweed Trail
Haywood County
Dear Mr.Freedberg,
Please find attached the analytical results for water samples collected from your water supply
well,at the address referenced above,on March 29, 2016.As you are aware,the Division is
using available resources to monitor and identify a potential source for the nitrate-in-
groundwater. Recent sampling was expanded to include a number analytes associated with
septage,which is a potential source for the reoccurring nitrates.Your water samples were
analyzed for alkalinity,ammonia,chloride,fecal coliform bacteria,MBAS (surfactants),nitrate,
nitrite, orthophosphate,semi-volatile organic compounds,sulfate,total coliform bacteria,total
phosphorus, and various metals.
The following table summarizes the attached analytical results for samples collected at the well
head.Please note that the bolded values indicate levels above the NC Groundwater Standard,
15A NCAC 2L.0202.The results are shown in units of micrograms per liter of water (ug/1) and
are approximately equivalent to parts per billion (ppb).
USEPA Maximum NC Groundwater Concentration Detected
Analytes Contaminate Level Standard In Your Drinking Water
Concentration Units Concentration Units Concentration Units
Barium 2,000 ppb 700 ppb 20 b
Calcium 39,000 b
Chloride 250,000 ppb 16,000 b
Magnesium 6,800 b
Manganese 50 ppb 66 b
Nickel 100 ppb 2.1 b
Nitrate 10,000 ppb 10,000 bL 9,800 b
Nitrite 1,000 b 1,000 b 180 b
Potassium 7,200 b
Sodium 7,000 b
Strontium 220 b
Sulfate 250,000 b 33,000 b
State of North Carolina Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Jonathan Freedberg
May 13,2016
Page 2 of 2
The following table summarizes the attached analytical results for bacteria samples collected at
your well head and water reservoir. Please note that the bolded values indicate levels above
the NC Groundwater Standard, 15A NCAC 2L.0202.The results are shown in Colony Forming
Units per 100 milliliters of water or CFU/100 mi.
NC Groundwater Standard Concentration Detected in Your
Analyte Source Drinkin Water
Total Coliform Concentration Units Concentration Units
Bacteria Well Head 1 CFU/100 ml < 1 CFU/100 ml
Fecal Coliform
Bacteria Well Head 1 CFU/100 ml < 1 CFU/100 ml
Total Coliform
Bacteria Reservoir 1 CFU/100 ml 51 CFU/100 mi
In summary,manganese is present at a concentration that exceeds the applicable standard
while the current nitrate concentration has dropped below the applicable standard. Coliform
bacteria were not present at your well head but total coliform bacteria is present in your water
reservoir. Overall,there is no indication that septage is the source for the reoccurring nitrate. i
Because there are constituents present,a Health Risk Evaluation (HRE) was performed North
Carolina Department of Health and Human Services toxicologist Kennedy Holt.The HRE,which
is enclosed, makes specific recommendations for your water based on these results. I've also
included fact sheets on coliform bacteria and well disinfection for your review.
If you have questions concerning the Health Risk Evaluation,please contact Kennedy Holt at
[phone]. If you have any additional questions or concerns,please contact me at(828)
296-4681 or [e-mail].
Sincerely,
t
--"tom..•.--_........._
Brett Lave ty
Water Qua ' egional Operations
Asheville Regional Office
Attachment: Health Risk Evaluation by Kennedy Holt
DWR laboratory analytical results
How to disinfect your water well fact sheet
Protect yourself from coliform bacteria in well water
cc: ARO file
Haywood County Health Department w/attachments J,'

North Carolina.Division of Water Resources Water Sciences Section Laboratory.Results
JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE,NC Sample ID: AC27662
HAYWOOD Collector: B LAVERTY VisitlD PO Number# 16GO082
ARO Report To ARO Location ID: IC44303TUMBLE Date Received: 03/31/2016
3asin Collect Date: 03/29/2016 Priority Time Received: 0808=10
.argency Collect Time: 11_28 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
-;OC Yes/No Sample Depth Loc.Type: WATERSUPPLY Delivery Method NC Courier
Final Report Date: 4127116
Report Print Date: 06/04/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ UnitsMethod .Analysis GAS# Analyte Name PQL Qualifier Reference Date Validated by
LAB
Sample temperature at receipt by lab 1.7 °C 3/31/16 MSWIFT
NUT
NH3 as N in liquid 0.02 0.02 U mg/L as N EPA 350.1 REV 2 4/13/16 CGREEN
Nitrate as N in liquid 0.02 9.8 mg/L as N EPA 353.2 REV 2 4/19/16 CGREEN
Nitrite as N in liquid 0.01 0.18 mg/L as N EPA 353.2 REV 2 3131/16 CGREEN
NO2+NO3 as N in liquid 0.02 10 mg/L as N EPA 353.2 REV 2 4/13116 CGREEN
Orthophosphate as P in liquid 0.02 0.02 U mg/L as P EPA 365.1 REV 2 3/31116 CGREEN
Phosphorus-total as P in liquid 0.02 0.02 U mg/Las P EPA365.1 REV 2 414/16 CGREEN
Total Kjeldahl N as N in liquid 0.2 2.0 U,P mg/L as N EPA 351.2 REV 2 4/12/16 CGREEN
WET
Bromide 0.4 0.4 U mg/L EPA 300.0 rev2.1 3/31/16 CGREEN
Chloride 1.0 16 mg/L EPA 300.0 rev2.1 3/31/16 CGREEN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 3/31/16 CGREEN
Sulfate 2.0 33 mg/L EPA 300.0 rev2.1 3/31/16 CGREEN
MBAS in liquid 0.1 0.1 U mg/L SM 5540 C 2000 3/31/16 CGREEN
MET
7440-22-4 Ag-Dissolved Silver by ICPMS 1.0 1.0 U ug/L EPA 200.8 4/7116 ESTAFFORD1
7429-90-5 AI-Dissolved Aluminum by ICP 50 50 U ug/L EPA 200.7 4/6116 ESTAFFORDI
7440-38-2 As-Dissolved by ICPMS Arsenic 2.0 2.0 U ug/L EPA 200.8 4/7116 ESTAFFORD1
y 7440-38-3
Ba-Dissolved Barium b ICP 10 20 ug/L EPA 200.7 4/6116 ESTAFFORDI
7440-70-2 Ca-Dissolved Calcium by ICP 0.10 39 mg/L EPA 200.7 4/6116 ESTAFFORDI
7440-43-9 Cd-Dissolved Cadmium by ICPMS 0.50 0.50 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7440-47-3 Cr-Dissolved Chromium by ICPMS 5.0 6.0 U ug/L EPA200.8 417116 ESTAFFORDI
7440-50-8 Cu-Dissolved Copper by ICPMS 2.0 2.0 U ug/L EPA 200.8 417116 ESTAFFORDI
7439-96-5 Dissolved Mn by ICP 10 66 ug/L EPA 200.7 4/6116 ESTAFFORDI
y 7439-89-6
Fe-Dissolved Iron b ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORDI
g
7439-97-6 H 245.1 Dissolved 0.2 0.20 U ug/L EPA245.1 4/5/16 ESTAFFORDI
7440-09-7 K-Dissolved Potassium by ICP 0.10 7.2 mg/L EPA 200.7 4/6116 ESTAFFORDI
7439-95-4 M y
g-Dissolved Magnesium b ICP 0.10 6.8 mg/L EPA 200.7 4/6/16 ESTAFFORD1
g
7440-23-5 Na-Dissolved Sodium by ICP 0.10 7.0 mg/L EPA 200.7 4/6/16 ESTAFFORD1
y 7440-02-0
Ni-Dissolved Nickel b ICPMS 2.0 2.1 ug/L EPA 200.8 4/7116 ESTAFFORDI
y 7439-92-1
Pb-Dissolved Lead b ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
77�".-4 9_2 y Se-Dissolved Selenium b ICPMS 1.0 1.0 U ug/L EPA 200.8 417/16 ESTAFFORDI
ug/L EPA 4/7/16 ESTAFFORDI
Sr Dissolved by ICPMS 10 220
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 4

NC DWR La6oratorySectiolt R,esuCtOampCe Comments/QuaCi'er Defillitioris
Sample ID: AC27662
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by .
7440-66-6 Zn-Dissolved Zinc by ICPMS 10 1p U ug/L EPA200.8 417116 ESTAFFORD1
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 Acenaphthene 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
62-53-3 Aniline 10 Not detected ug/L EPA625/827013510 416/16 CJOHNSON
120-12-7 Anthracene 20 Not detected ug/L EPA625/8270/3510 416116 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
111-44-4 Bis(2-chloroethyl)ether 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
39638-32-9 Bis(2-chloroisopropyl)ether 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected ug/L EPA625/827013510 4/6116 CJOHNSON
91-58-7 Chloronaphthalene,2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON /
95-57-8 Chlorophenol, 2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4 20 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
218-01-9 Chrysene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
53-70-3 Dibenzo(a,h)a nth racene 20 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected ug/L EPA625/8270/3510 416116 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
91-94-1 Dichlorobenzidine, 3,3'- 30 Not detected J2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
120-83-2 Dichlorophenol,2,4- 10 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected ug/L EPA625/8270/3510 416116 CJOHNSON
131-11-3 Dimethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
105-67-9 Dimethylphenol, 2,4- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
51-28-5 Dinitrophenol,2,4- 50 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
121-14-2 Dinitrotoluene,2,4- 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
606-20-2 Dinitrotoluene, 2,6- 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected ug/L EPA625/8270/3510 418/16 CJOHNSON
206-44-0
Fluoranthene 20 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
J
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 4

xc 1O4NX Ga6oratorySection ResuCts101npre Comments/QuaCfier(Defiltitions
Sample ID: AC27552
Result/ Method Analysis
Analyte Name PQL Qualifier Units Reference Date Validated by
Fluorene 20 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
-14-1 Hexachlorobenzene 20 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
s7-68-3 Hexachlorobutadiene(SV) 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
77-47-4 HexaChloroCyclopentadlene 10 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
193-39-5 Indeno(1,2,3-cd)pyrene 20 Not detected ug(L EPA625/8270/3510 416/16 CJOHNSON
78-59-1 Isophorone 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
91-57-6 Methylnaphthalene,2- 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
95-48-7 Methylphenol, 2- 10 Not detected ug/L EPA625/827013510 4/6/16 CJOHNSON
1D6-44-5 Methylphenol,4- 10 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected u9/L EPA6251827013510 416116 CJOHNSON
ug/L EPA62518270/3510 416116 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected
99-09-2 Nitroaniline,3- 50 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected ug(L EPA625/8270/3510 4/6/16 CJOHNSON
ug(L EPA625/8270i3510 4/6/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected
88-75-5 Nitrophenol,2- 10 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
100-02-7 Nitrophenol,4- 50 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
621-64-7 N-nitrosodi-n-propylamine 10 Not detected ug/L EPA62518270/3510 4/6(16 CJOHNSON
86-30-6 N-nitrosodlphenylamine 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected ug1L EPA625/8270/3510 416/16 CJOHNSON
85-01-8 Phenanthrene 20 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
3-2 Phenol
10 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
20 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
�29-00-0 Pyrene
120-82-1 Trichlorobenzene; 1,2,4- 10 Not detected ,ug/L EPA625l8270/3510 4/6/16 CJOHNSON
95-95-4 Trichlorophenol,2,4,5- 10 Not detected ug/L EPA625(8270/3510 4/6/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected u9/L EPA625/827013510 4/6/16 CJOHNSON
Sample Comments
SEM:SV-J2-estimated-1 analyte failed[LCL in the CV2.
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 4

NC'WR Ga6oratorySection ResuftOampfe Comments/Quari i'erDefinitioru
Sample ID: AC27552
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U".The PQL is used for the qualified result(S)to call
B 1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smalle
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC). TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
B7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
BB1 MPN-No wells or tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than"<"valu,
BB2 MPN-All wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
Gl BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea;
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated fo,
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab, p
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method. Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
Jl0 Unidentified peak;estimated value.
ill The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control".The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower,
N1 Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present,but quality control requirements for confirmation were not met(i.e., presence of E
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N4 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N5 The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.
X2 Sampled,but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 4

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
JONATHON FREEDBERG 303 TUMBLEWEED TRAIL WAYNESVILLE NC Sample ID: AC27634
PO Number ARO
HAYWOOD Collector: B LAVERTY VisitlD #
ARO Report To ARO Location ID: IC44303TUMBLE Date Received: 0312 122016
Basin NA Collect Date: 03/2 122016 Priority ROUTINE Time Received: i9jA
iergency Collect Time: 11:28 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
COC Yes/No Sample Depth NA Loc.Type: WATERSUPPLY Delivery Method Hand delivered
Final Report Date: 4/28116
Report Print Date: 061041201.
6
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes,
Result/ Method Analysis
Units Reference Date validated by
CAS# Analyte Name PQL Qualifier
ARO
mg/L as CaCO3 APHA2320B-20th 415116 ESTAFFORD1
Alkalinity4.5 1.0 41
mg/LasCaCO3 APHA2320B-20th 415/16 ESTAFFORDI
Alkalinity8.3 1.0 1 U
mg/LasCaCO3 APHA2320B-20th 4/5116 ESTAFFORDI
Bicarbonate 1.0 41
on U mg/LasCaGO3 APHA2320B-20th 4/5116 ESTAFFORDI
Carbonate 1.0 1_Alkalinity 7, mg/L as CaCO3 APHA2320B-20th 4/5/16 ESTAFFORDI
I
1 B2 CFU/100ml APHA9222D-20th 3/29/16 ESTAFFORDI
CoGform; MF Fecal in liquid 1
Colifarm, MF Total in liquid 1 1 132 C 3129/16 RBYRD
cFurlooml APHA9222B-20th 3t29/16 ESTAFFORDI
Sample temperature at receipt by lab
2.7
'
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Nat Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

AC27635 North Carolina Division of Water Resources Water Sciences Section Laboratga Results
Loc.Deser.: JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE NC FDate
D:
County: AC27fi35 \,
HAYWOOD Collector:. B LAVERTY VisitlD er# ARO
Region: ARO Report To ARO Location ID: IC44303TUMBLE eived: 0312912016
River Basin NA Collect Date: 03/29/2016 Priority ROUTINE eived: 16:15
Emergency Collect Time: 11:33 Sample Matrix: GROUNDWATER LoginlD KJIMISON2
COC Yes/No Sample Depth NA Loc.Type: WATERSUPPLY ethod Hand delivered
Final Report Date: 4/28/16
Report Print Date: 06/04/2016
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analvte Name PQL Qualifier Units Reference Date Validated by
ARO
Coliform, MF Total in liquid 1 51 CFU/100ml APHA9222B-20th 3/29116 ESTAFFORDI
Sample temperature at receipt by lab 2.7 °C 3/29/16 RBYRD
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

1�
A,hkq;;,
Private Well Informa ion
oaf haafitt aid �.+ Use Recommendations
human sarvt¢�s �.�i
For Inorganic Chemical Contaminants
County: —_ Name` any .n '�ear
Sample ID#: Reviewer-. K�"t
TEST RESULTS AND USE RECOMMENDATIONS
1.❑Your wel t water meets federal drinking water standards for Inorganic chemicals. Your water can be used for
drinking,cooking,washing,cleaning,bathing,and showering based on the inoranlc chetrtical results only.You may
have other water sampling results that are not taken into account in this report.
2.[j The following substance(s)exceeded federal drinking;eater standards or the North Carolina 2L calculated health
levels.The North Carolina Division off Public i lcalth recommends that your well water not be used for drinking and
cooking,unless you install a water treatment system to remove the circled substance(s).However,it may be used for
washing,cleaning,bathing and showering based on the ingMa-nic chemical results ottly. `T
Arsenic Barium Cadmium Chromium Co per Fluoride Lead Iron
Arlan anese Meru NitratelNitrite Selenium Silver Ma nasiurn Zinc H
3.❑a.Sodium levels exceed the U.S.Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/l. The North Carolina division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cooking. It may be used for washing,cleaning,bathing,and showering based on
the i tcar¢anlG clt�ntical resu�1#s nnlV.
F. Levers over 30 mg/1 may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc, __--
4.❑Re-sampling is recommendedin months._�__
5.❑Re-sample for lead and/or copper. Take a first draw,5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a IS minute sample at the well head to determine the source of the
lead and/or copper.
6. The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the inMa�me chemical results only,but esa thetic problems
such as bad taste,odor,staining of porcelain,etc,may occur, You may want to install a household water treatment system
to'address aesthetic problems.
Barium Cadmium Chromium laluoriae Iron Ma esitun
angR-V Selenium PH Zinc
A for more in forrrratiorr regarding your well water results,please can the North Carolina Division of Public Heaitlt at 919-T07-5900.
�-- it�h�°18 Nr�-1-ts we�'G nit' fry
5 to ICxfGC�t✓^� uF- f� --na4-�rdf t+�au Si,��1J be awwc
�t=ss i�kk yt?c�r a 1� Mare sub ce �tC �o G�+NL cS 6 5661�ra wI`d h nit r.d �r�oskrc.
Ti.elz �ca i� iy reLPr�McAJed i!�} l�.:I}� �
lc'�, 1. lei.- v!d /a� r�r�nKe vt� v�a-rti'f 17.t
nt(mot lev�1 r s rAtAye,�),

14 ! '
t R t L
N 7
Well Water Biological Analysis Results & Recommendations
county:_ �ywaad
----r--- Name: 5c;l1r4f--jrc'c�
Sample ID#: 76 3C' 1
Location: 1 ,,�
Review Date:
Reviewers
Initial Sample L5111 Confirmatory Sample ❑121
Local Health Department Telephone:
131 No OWN=bacterio were found in your ws!t wafer.
)tbu!"eel}ter.Rif ae lrsed forar'1 parpo=cs im11(datg dr!llking,Cooking,wrishing,rivalzi i,,I!rittlii/gs anti.imrtrert'Ig.
L�J ,,] Total Conform bacteria were defected in the sample which Indicates that harmful bacteria from human or animal waste
�� could enter the well.
Do 71011rst the water for d:iirkf iIg or cooking illness it fro;;been Guile t for 3 minutes. Yon u'ay rise your iimter fur at1 other
purposes hicInding itmshbig dislies,batlrilig,a,,sholotlitig,
151 Your wail water needs to be re,sampted to verily that the test result Is accurate or a problem has been resolved,
161 Fecal coliform bacteria were detected In the sample
!7G i1;?t ose the lo,lei fort inti:IFi,croAhig,urns i!N4 dishe;,battiiiig,or shvz h anti.
Your ieell;eater it?as tented far Biological Cal lairrftiatrts(total califovru and fecal calf%rrn bacteria). Tlie rc ntls teen eilahraled itsirrg federal driukb'g
toater standards.
tf the re-sampling shore contanFi}lation kv colifor•rn bacteria,contact your local health departineiit for assistance. There may be a problem with the
ConsirlaiiGa Gf the nteil,itrt.' 7'oti;id.'t:'ttei';{rttfft:,i?r"i7t%;'.'rtIlJ:tit 3j tt;r it'E�i. Tt:e t{rt'it'ilstfl;::t1 J.'C':it:�q;C;C,'{���1.tee lC:ar lit'4ttli;lGp�?:tr:?Ci?t tr:a ?CGt it°:it
contractor la determine tyre problem uJitlt the zoell and to ghx,guidance on hole it)correci lire p'�ohlci'i.
Total col form bacteria are fatted in soil and fecal coliform bacteria are found in aiiinurlatid►Frirrian tt}aste, Total coliforttt or fecal coliforiit bnclei•ia ill tuell
wafer marl halicale that the well Cray Iraerc'str rrctirrat Ii!•olrh•nrs or•that tin'toett Wa;'lot}»riPerli(disiltfecled.
If ymi have bean d1•ink-hir,llwtl airlier and are pregnant,uwsing,have a Child ill the ho'isehold 1111der S year's of age,or imsttinocn}irprr"tlised(shelf a:an
indit4ditai tvith AIDS,car'cer,:iGpatilis,Q'i4(sh"or fnf)rm your;'eattli Car^ptGUtt1J'i?f it'e e rastillS at yClo.next Visit.
If the contalitirtation Continues,you should isivestigate the lu'ssibitity t f dritlhq a new toell or i'tstalt a point-of eilh'y d isi'�fection tinit iolliell call Ilse
chlorine,11111•aviolet light,or ozone•
1{GriNrte tIle11 tt>ater;atirpli#rg is recnrurr'clrttrd et:errl year ti'r bacteria and nitrates. �airrptr yore•a'elf tt'lrcir tlrcrc is a knGtttu prol'lcirr Oi'co"taniiilatfoit 6i
'(vi'r•area,after rcpaiJ;:,rep(amueul of ynlir t<lett,ar aff,'r a fhrtldiu�q rarr7l.
For fill'thei•inforntatioli,Contact offl.local health departillelil.
116u9Sed December 2011 Well Safely.tit ip:/iejAiroblici,eaif l,r'c.govloi lisfacISheet.ntn,i

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a
TeSUH19 for c-01149'Orrn bacteria, in your well ,%,ater
Most coliform bacteria will not likely cause illness. Testing for all possible disease causing organisms is
However, these bacteria are used as indicators in complex, time consuming and expensive. Usually,
water tests because their presence indicates that in order to determine the water quality of your well,
testing is done for three different groups of coliform
.V disease-causing organisms (pathogens) could also bacteria; each has a different level of risk to human
be in the water, The presence of some types of health.
coliform bacteria in the water signal the presence of
feces or sewage waste. Feces and sewage wastes Total coliform bacteria are commonly found in the
are usually the source of the disease-causing environment (For example, soil or plants) and are
organisms. generally harmless.
Fecal coliform bacteria are a sub-group of total
or patfhogeen�that could be Present in youF I water:-,A coliform bacteria. They appear in great quantities in
the intestines and feces of people and animals. The
• Bacteria that cause diarrhea and vomiting, presence of these bacteria indicates that your well
water is contaminated with feces or sewage, and it
• Protozoa that cause dysentery, has the potential to cause disease.
• Viruses that cause polio and hepatitis, and Escherichia coli is a sub-group of the fecal coliform
group. These kinds of bacteria are found in great
• Helminths, such as roundworms and tapeworms, quantities in the intestines of people and warm-
that cause chronic diarrhea, blooded animals. Some strains, however, can cause
If you think you might be sick from disease-causing illness. The presence of this organism indicates
organisms in your well water, contact your doctor fecal contamination of your well and a high risk for
and show him/her your water test results. illness from disease-causing organisms.
Children and the elderly are at a higher risk of You should test your well for coliform bacteria
the harmful health effects of disease-causing every year.
organisms in drinking water. (continued)
Private Well Water Fact Sheet #3 coliform Bacteria

ter shows the presence 01'qo'fforrn
• Do not drink the water. Get bottled water, or Coliform Bacteria:
www.epa.gov/0GWDW/hfacts.htmI
Boil the water for 1 minute before drinking or
cooking with it. How to disinfect your water and your well:
www.deh.enr.state.nc.us/weildisinf.htm
• Disinfect your well. You may want to contact a •ncweildril.ler.org/documents/
well professional to disinfect or chlorinate your DisinfectaWaterWell_rev2007.6.pdf
well, or contact the environmental health program
at your local health department for instructions on
-Qw,t0 do it yourself. AT
This fact sheet answers=the most frequently asked
• RAP
e-sample and re test:your well water after A health questions (FAQ about coliforrn,bacteria, 3
cfilormating it ThGs information is imp6rtant because some califo to r
bacteria have the Potential to cause illness Thg �j a
affects of exposure td-a biological cantammant `
pr>ve well water€fepend on the dose, durafiiorr �
x
ou are ex geed ersonal traits d Y f P an habits anNik
10
d t ry
# 5.
type,of biological contaminant present
I
M
AN
NN
v
OR

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
/ Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
CERTIFIED MAIL 47012 1010 00021965 5495
RETURN RECEIPT REQUESTED
April 13, 2016
Trayce Doubek-Dierks
Doubek, LLC
1820 John Shehan Road
Tryon,NC 28782
SUBJECT: NOTICE OF VIOLATION
Administrative Code 15A NCAC 2T .1303, .0113
NOV-2016-PC-0123
Horse Manure Stockpile Complaint Investigation
Renovatio Farm
Polk County,NC
Dear Ms. Doubek-Dierks:
This letter is to summarize the results of a complaint investigation performed by the Division of
Water Resource's Asheville Regional Office on April 7, 2016.
The complainant alleged improper management of horse manure/bedding. The investigation
found that a significant pile of waste/bedding was dumped in a ravine at the northeast corner of
your farm. This type of waste management does not allow for waste application at agronomic
rates. In addition,this method of disposal has the potential for discharge to an unnamed tributary
to White Oak Creek.
The rules that address this type of waste disposal are found in the North Carolina Administrative
Code Title 15A Subchapter 02T: Sections .0113 (Permitting by Regulation) .1300 (Animal
Waste Management Systems). You are currently operating under a"Deemed Permitted" status
which the rules state in part: "it shall not be necessary for the Division to issue individual
permits or coverage under a general permit for construction or operation of the disposal system
provided the system does not result in any violations of surface water or groundwater standards,
there is no direct discharge to surface waters, and all criteria required for the specific system is
met" (agronomic rates must be met for this system).
You should respond in writing to this office within thirty (30) days following receipt of this
Notice. Your response should include the measures you plan to take to correct the above matter.
State of North Carolina I Environmental Quality I Water Resources
2090 US 70 Highway,Swannanoa,North Carolina 28778
828/296-4500

Ms. Doubek-Dierks
April 13, 2016
Page 2
Please consider contacting the Polk County Soil & Water Conservation District(828-894-8550)
for assistance in developing Best Management Practices for your farm.
If you should have any questions regarding this matter,please do not hesitate to contact me or
Beverly Price at(828) 296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Cc: Polk County Soil & Water Conservation District P.O. Box 236 Columbus NC 28722
ARO Files
G:\WR\WQ\Polk\Complaints\201600815 Doubek,LLC\NOV-2016-PC-0121doex

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Ji;- Secretary
S. JAY ZIMMERMAN
ater Resources
,VIRONMENTAL QUALITY Director
May 13, 2016
DWR# 16-0230-V2
Buncombe County
Biltmore Lake Association, Inc.
Attn: Bill McMannis
80 Lake Drive
Candler,NC 28715
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Enka Lake Dredging
Dear Mr. McMannis:
You have our approval for the impacts listed below for the purpose described in your application
dated April 25,2016, and received by the Division of Water Resources (Division) on May 5,
2016. These impacts are covered by the attached Water Quality General Certification Number
3 893 and the additional conditions listed below. This certification is associated with the use of
Nationwide Permit Number 33 once it is issued to you by the U.S. Army Corps of Engineers.
Please note that you should get any other federal, state or local permits before proceeding with
your project, including those required by (but not limited to) Sediment and Erosion Control,
Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b)
and/or(c)]
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Open Water
Impact Ol 0.73 (acres)
State of North Carolina Environmental Quality I Water Resources
2090 US Hwy 70 Swannanoa,North Carolina 28778
828 296-4500

Enka Lake Dredgi,,
DWR#16-0230-Vv
401 APPROVAL',,
Page 2 of 3 �
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division and
you may be required to submit a new application package with the appropriate fee. If the
property is sold,the new owner must be given a copy of this approval letter,and General
Certification(s) and is responsible for complying with all conditions. [I 5A NCAC 02H
.0507(d)(2)]
3. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants, hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill,the permitee/contractor shall immediately contact the
Division, between the hours of 8 am to 5 pm at the Asheville Regional Office at
828.296.4500 and after hours and on weekends call [phone]. Management of
such spills shall comply with provisions of the North Carolina Oil Pollution and
Hazardous Substances Control Act. [15A NCAC 02H .0506 (b)(3) and(c)(3), 15A
NCAC 02B .0200 (3)(f), and GS 143 Article 21AJ
4. All temporary impacted areas shall be restored to pre-construction natural conditions
upon completion of the project. [15A NCAC 02H .0506 (b)(2) and (c)(2)]
5. The turbidity standard of 25 Nephelometric Turbidity Units (NTUs) shall not be
exceeded in the lake as described in 15A NCAC 02B .0211. The turbidity standard of 50
NTUs shall not be exceeded in the receiving stream as described in 15A NCAC 02B
.0211. Appropriate sediment and erosion control practices must be used to meet this
standard. [I 5A NCAC 02B .0200]
6. The receiving stream(Bill Moore Creek) shall be monitored for turbidity and
sedimentation throughout the duration of the project. If water quality standards are
contravened, the dredging activities shall be stopped immediately and the applicant shall
contact Zan Price with the Division at 828-296-4662. [15A NCAC 02B .0200]
7. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources commission (NC),VRC) email dated March 15, 2016 (attached) [15A
NCAC 02H .0506 (b)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.co or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH

Enka Lake Dredging
DWR#16-0230-V2
401 APPROVAL
Page 3 of 3
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five(5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DENR:
Sam M.Hayes, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh,NC 27699-1601
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Zan Price at 828-296-4662 or
zan.pricena ncdenr.gov if you have any questions or concerns.
Sincerely,
G. Landon Davidson,P.G.,Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3893
Certificate of Completion
WRC letter dated: 3/15/2016
cc: Wyatt Edsel—Altamont Environmental,Inc.(via email)
William Elliott—USACE Asheville Regulatory Field Office(via email)
Doug Sharp- Buncombe County Erosion Control(via email)
Stan Aiken-Division of Energy,Mineral,and Land Resources(via email)
Andrea Leslie—NCWRC(via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit
G:G:\WR\WQ\Buncombe\401s\Non DOT\Enka Lake Dredging\Aprroval.401 Enka Lake Dredging V2(5.13.16).docx

Zan (George)
m• Leslie,Andrea J
sent: Tuesday, March 15, 2016 8:56 AM
To: Elliott,William A SAW
Cc: Price,Zan (George);Wyatt Edsel
Subject: Enka Lake Dredging -NCWRC comments
Dear William,
I have reviewed the materials sent to me on the Enka Lake Dredging project on Bill Moore Creek in Buncombe
County, which.proposes to dredge two coves of. the lake by lowering the lake approximately 7 feet with a
suction dredge, excavating sediments with a long arm excavator, and hauling sediments off-site. I spoke with
Wvatt Edsel on 3/15/2016,who stated that downstream flows will be maintained during lake refill with the
suction dredge.
Project activities should not impact trout and.do not.need to be avoided during the trout moratorium.
We offer the following recommendation to minimize impacts to aquatic resources:
Flows.must be maintained in Bill Moore Creek downstream of the project. A.minimum of 50%of the
instream flow should be maintained in the downstream channel during project activities.
`hank you for the opportunity to review and comment on this project. Please contact me.if you have any
;;lu.estions about these comments or need further assistance.
Andrea Leslie
Mountain Habitat Conservation Coordinator
NC Wildlife Resources Commission
20830 Great Smoky Mountain Expressway
Waynesville,NC 28786
828-558-6011; 828-400-4223 (cell)
www.ncwild-hfe.org
Get NC Wildlife U12date delivered to your inbox from the N.C.Wildlife Resources Commission.
Email.correspondence to and froth this st:n&r!.s subject to the N.C.Public Records Law and may be disclosed to third parties.
1

�\
�J/.
�_ J

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
vVaterResources S. JAY ZIMMERMAN
dNViRONMENTAL QUALITY
Director
May 13, 2016
Amada Mendoza and Luis Arriola
700 Orrs Camp Road
Hendersonville, NC 28792
Re: Complaint Investigation
700 Orrs Camp Road
Henderson County
Dear Ms. Mendoza and Mr.Arriola,
On May 13,2016,the Asheville Regional Office of the Division of Water Resources(DWR) received a
complaint alleging your pool at the subject address was being drained by discharging the pool water
directly to an unnamed tributary of Devils Fork.The discharge allegedly resulted in a fish kill and the
discoloration of the stream.On the morning of May 13,2016, I conducted a site inspection of your
residence at the subject address. No one was present at the residence at the time of the inspection,
During the inspection I observed a sump pump within your half-drained pool with a discharge hose
leading to the unnamed tributary.The sump pump was not operating and the hose was not discharging
pool water to the stream at the time of the inspection. I walked along the stream channel and did not
observe any dead fish.
Title 15A of the North Carolina Administrative Code (NCAC)Subchapter 02H .0106(f)allows the draining
of swimming pools by discharging to a Water of the State, provided that no water quality standards are
violated.The discharge of a colored waste would be considered a violation of Title 15 NCAC 02B .0211
(12).A discharge that causes a fish kill would be considered a violation of Title 15A NCAC .02B .0211(2).
Pursuant to North Carolina General Statute 143-215.6A,water quality violations are subject to civil
penalty assessment of up to a maximum of$25,000 per day for each violation.
Chlorine,which is often used in swimming pools, is a disinfectant and may adversely affect the aquatic
ecosystem. Other chemicals used in pools such as fungicides and algaecides may also have a significant
impact on aquatic ecosystems and would be considered a water quality violation if discharged to a
stream.
It is recommended that if you need to drain your swimming pool in the future,the water be drained to
the land surface in such a manner as to prevent the water from reaching the stream. Prior to draining
the pool,the pool water should be free of chemicals such as chlorine, algaecides,or acids used to clean
the pool. Based on the site inspection,it appears that you have adequate space to land apply the pool
water.
If violations of the applicable water quality standards are observed on your property in the future,
additional actions authorized by North Carolina General Statute, including enforcement action, may be
pursued by this office.
State of North Carolina I Environmental Quality I Water Resources
2909 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Amada Mendoza and Luis Arriola
May 13, 2016
Page 2 of 2
If you would like to discuss this issue further, please contact me at 828-296-4500.
Sincerely,
f
Andrew Moore
Environmental Specialist
Water Quality Regional Operations Section
cc: ARO file

i
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
,ENVIRONMENTAL QUALITY
Director
May 16, 2016
Mike Melton
283 Everview Lane
Waynesville,NC 28745
Mario Ciatto
435 Everview Lane
Waynesville,NC 28745
RE: Sample ID:AC27614&AC27642
Sample Location Address:480 Everview Lane
Haywood County
Dear Mr.Melton and Mr. Ciatto,
Please find attached the analytical results for water samples collected from a shared water
supply well,at the address referenced above,on March 30, 2016.Water samples were collected
in regards to a nitrate-in-groundwater investigation in the vicinity of Iron Duff Road and Buck
Ridge Road.The sample collected from your water supply well was analyzed for alkalinity,
chloride,nitrate,nitrite,sulfate,and various metals.
The following table summarizes the attached analytical results for samples collected at the well
head.Please note that the bolded values indicate levels above the NC Groundwater Standard,
15A NCAC 2L.0202.The results are shown in units of micrograms per liter of water (ug/1) and
are approximately equivalent to parts per billion(ppb).
USEPA Maximum NC Groundwater Concentration Detected
Analytes Contaminate Level Standard In Your Drinking Water
Concentration Units Concentration Units Concentration Units
Barium 2,000 b 700 b b
Calcium 16,000 b
Chloride 250,000 b 3,900 b
1,000 b 10 b
Copper
3,400
Magnesium ppb
Manganese 50 ppb 13 ppb
Nitrate 10,000 ppb 10,000 ppb 3,200 ppb
Potassium 2,500 ppb
Sodium 7,000 b
Sulfate 250,000 b 6,0-00 b
76 b
Strontium
Zinc 1,000 pnb 3,400 ppb
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Mike Melton&Mario Ciatto
May 16,2016 �\
Page 2 of 2
In summary,the zinc concentration is above the applicable standard. Nitrate is present but the
concentration is below the applicable standard. The remaining constituents are fairly typical
for groundwater quality in Western North Carolina. Because zinc occurs above the applicable
standard,a Health Risk Evaluation (HRE) was performed North Carolina Department of Health
and Human Services toxicologist Kennedy Holt. The HRE,which is enclosed,states your
drinking water,based on the available information,is safe for all household uses including
drinking,cooking,washing, cleaning,bathing,and showering.
I appreciate your participation in this groundwater investigation. If you have questions
concerning the Health Risk Evaluation,please contact Kennedy Holt at_(919) 707-5910. If you
have any additional questions or concerns,please contact me at [phone] or
[e-mail].
Sincerely,
Brett Laverty
Water Quality Regional Operations
Asheville Regional Office
Attachment: Health Risk Evaluation by Kennedy Holt
DWR laboratory analytical results
CC: ARO file
Haywood County Health Department w/attachments

_North Carolina Division of Water Resources Water Sciences Section Laboratory Results
ROBERTANDERSON 480 EVERVIEW LANE Sample ID: AC27614
HAYWOOD Collector: S LAVERTY Visitll) PO Number# 16G0084
Report To ARO Location ID: 1C44480EVERVIEW Date Received: 04101/2016
A
lasin NA Collect Date: 03/30/2016 Priority GROUNDWATER Time Received: 08_1D
argency Collect Time: 10_52 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
aOC Yes/No Sample Depth NA Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 12130199
Report Print Date: 061041201
6
Preliminary Results
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory Purposes-
Result/ Method Anal sis
Units Reference Date validated by
CAS# Analvte Name P( L Qualifier
LAB
Sample temperature at receipt by lab
3.7 'C 4/I/16 MSWIFT
NUT
Nitrate as N in liquid 0.02 3.2 mg/L as N EPA 353.2 REV 2 4/19116
Nitrite as N in liquid 0.01 0.01 U mg/L as N EPA 353.2 REV 2 411/16 CGREEN
NO2+NO3 as N in liquid 0.02 3.2 mg/L as N EPA 353.2 REV 2 4/13116 CGREEN
WET
Bromide 0.4 0.4 U mg/L EPA 300.0 rev2.1 4/5116 CGREEN
Chloride 1.0 3.9 mg/L EPA300.0rev2.1 4/5/16 CGREEN
Fluoride 0.4 0.4 U mg1L EPA 300.0 rev2.1 415/16 CGREEN
Sulfate 2.0 6.0 mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug(L EPA 200.8 4!7/16 ESTAFFORD1
7 J 5 Al by ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORD1
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7116 ESTAFFORDI
7440-38-3 Baby ICP 10 10 ug/L EPA 200.7 4/6/16 ESTAFFORDI
7440-70-2 Ca by ICP 0,10 16 mg/L EPA 200.7 4/6116 ESTAFFORDI
417/I6 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA 200.8
7440 47-3 Cr by ICPMS 5.0 5.0 U ESTAFFORDI
ug/L EPA 200.8 4/7/16
7440-50-8 Cu by ICPMS 2.0 '10 ug/L EPA 200.8 4/7/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 50 U ug/L EPA 200.7 4(6l16 ESTAFFORDI
u9/L EPA245.1 415(16 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U
7440-09-7 K by ICP 0.10 2.5 mg/L EPA 200.7 4/6l16 ESTAFFORDI
7439-95-4 Mg by ICP 0.10 3.4 mg/L EPA 200.7 4t6/16 ESTAFFORDI
7439-96-5 Mn by ICP 10 13 ug/L EPA 200.7 416/16 ESTAFFORDI
7440-23-5 Na by ICP 0A0 7.0 m9/L EPA 200.7 416/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA 200.8 417/16 ESTAFFORDI
7782 49-2 Se by ICPMS 1.0 1.0 U ug/L EPA 200.8 4/7116 ESTAFFORDI
7440-24-6 Sr by ICPMS 10 76 ug/L EPA 200.8 4/7116 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 3400 ug/L EPA 200.8 417/16 ESTAFFORDI
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

AC27642 North Carolina Division of Water Resources Water Sciences Section Laboratoly Results
Loc.Descr.: ROBERTANDERSON 480 EVERVIEW LANE
County: HAYWOOD Collector. B LAVERTY VisitlD Sample ID: AC27642
PO Number# ARO
Region: ARO Report To ARO Location ID: lC44480EVERVIEW Date Received: 0 313 0/2 0 1 6
River Basin NA Collect Date: 03/30/2016 Priority ROUTINE
Time Received: 15_50 Emergency Collect Time: 10_62 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
COC Yes/No Sample Depth NA Loc.Type: WATER SUPPLY Delivery Method Hand delivered
Final Report Date: 12/30/99
Report Print Date: 06/04/2016
Preliminary Results
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analvte Name PQL Qualifier Units Reference Date Validated by
ARO
Alkalinity4.5 1.0 43 mg/LasCaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
Alkalinity8.3 1.0 1 U mg/L as CaCO3 APHA2320B-20th 4/5/16 ESTAFFORDI
Bicarbonate 1.0 43 mg/L as CaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
Carbonate 1.0 1 U mg/L as CaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
pFi Alkalinity 7.0 mg/L as CaCO3 APHA2320B-20th 415116 ESTAFFORD1
Sample temperature at receipt by lab 3,4 °C 3130116 RBYRD
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

l
i
Private Well Information
Hof healthanaUse Recommendations
human services a�� For Inorganic Chemical Contaminants
county: woos Name: a6elb- ��ausd
Sample ID#: `l�f'i Reviewer:1 6AA
TEST RESULTS AND USE RECOMMENDATIONS
I.[Your well water meets federal drinking andrshowering based o�h inoirua rc clienour water can be tical results oaRrl uYou may
sed for
drinking,cooking,washing,cleaning,bathing,
have other water sampling results that are not taken into account in this report.
2.❑The following substance(s)exceeded federal drinking water standards Carolina for drinking and calculated health
levels.The North Carolina Division of Public Health recommends that your well water not be li
cooking,unless you install a water treatment system to remove the circled substanee(s). However,it may be used for
washing,cleaning,bathing and showering based on the inorganic chemical results 01i12.
Arsenic Barium �'�-admiurnjfteSe
hroEu.U.MTCS?i0,,!,,e!r
fluoride Lead Iron
+,/ Manganese Mercury itrate/Nitilen Magnesium Zinc
th Advisory
evel for sodium
3.❑ a.Sodium levels exceed the U.S. Environrne�a��protection ecommends that onlysndivi individuals no or towlsodium restricted f
20 mg/l. The North Carolina Division of Public H
diets not use this water for drinking or cooking. It may be used for washing,cleaning,bathing,and showering based on
the lnnrpnnlc chemical results only
b.Levels over 30 mg/l may POSb aesthetic problems such as bad taste,odor,staining of porcelain,etc.
4, Re-sampling is recommended in_.___„_..._____months.
,5, Re-sample for lead and/or copper. Take a first draw,5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a IS minute sample at the well head to determine the source of the
lead and/or copper.
ed for
6.[]The following substance(s)exceeded federal
drinking
on therirroreandr�l emical results onl s. Your water can be sbut aesthetic�problems
cooking,washing,cleaning,bathing,and showering
such as bad taste,odor,staining of porcelain,etc.may occur, You may want to install a household water treatment system
to'address aesthetic problems.
Barium Cadmium Chromium Horide Iron Ma esium
Manganese Selenium Silver Zinc
For ruore infor►na0011 regarding your well water results,please colt the North Carolina Uiv1S1011 of Public Health at 414-707--5400.

\�
/.__,.
�.�`��i.
`/,_
"��

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 16, 2016
Brian Dunbar
6172 North State Road 7,APT 205
Coconut Creek,FL 33073
RE: Sample ID:AC27553,AC27636,&AC27637
Sample Location Address: 394 Haystack Hill Road
Haywood County
Dear Mr.Dunbar,
Please find attached the analytical results for water samples collected from your water supply
well,at the address referenced above, on March 29, 2016.As you are aware,the Division is
using available resources to monitor and identify a potential source for the nitrate-in-
groundwater.Recent sampling was expanded to include a number analytes associated with
septage,which is a potential source for the reoccurring nitrates.Your water samples were
analyzed for alkalinity,ammonia, chloride,fecal coliform bacteria,MBAS (surfactants),nitrate,
nitrite,orthophosphate,semi-volatile organic compounds,sulfate,total coliform bacteria,total
phosphorus,and various metals.
The following table summarizes the attached analytical results for samples collected at the well
head. Please note that the bolded values indicate levels above the NC Groundwater(Standard,
15A NCAC 2L.0202.The results are shown in units of micrograms per liter of water ug 1) and
are approximately equivalent to parts per billion (ppb).
USEPA Maximum NC Groundwater Concentration Detected
Analytes Contaminate Level Standard In Your Drinking Water
Concentration Units Concentration Units Concentration Units
Barium 2,000 ppb 700 ppb 100 b
Calcium 33,000 b
Chloride 250,000 ppb 21,000 b
Magnesium 10,000 b
Nitrate 10,000 ppb 10,000 ppb 22,000 ppb
Potassium 4,900 ppb
Sodium
5,600 ppb
Strontium 240 ppb
Sulfate 250,000 b 2,200 b
The following table summarizes the attached analytical results for bacteria samples collected at
your well head and water reservoir.Please note that the bolded values indicate levels above
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Brian Dunbar
May 16,2016
Page 2 of 2
the NC Groundwater Standard, 15A NCAC 2L.0202. The results are shown in Colony Forming
Units per 100 milliliters of water or CFU/100 mi.
NC Groundwater Standard Concentration Detected in Your
Analyte Source Drink' Water
Total Coliform Concentration Units Concentration Units
Bacteria Well Head 1 CFU/100 ml < 1 CFU/100 ml
Fecal Coliform
Bacteria Well Head 1 CFU/100 ml < 1 CFU/100 ml
Total Coliform
Bacteria Reservoir 1 CFU/100 ml 28 CFU/100 mi
In summary,the nitrate concentration in your water supply well remains above the applicable
standard. Coliform bacteria were not present at your well head but total coliform bacteria is
present in your water reservoir. Overall,there is no indication that septage is the source for the
reoccurring nitrate.
Because there are constituents present,a Health Risk Evaluation (HRE)was performed North
Carolina Department of Health and Human Services toxicologist Kennedy Holt, The HRE,which
is enclosed,makes specific recommendations for your water based on these results. I've also
included fact sheets on coliform bacteria and well disinfection for your review.
If you have questions concerning the Health Risk Evaluation,please contact Kennedy Holt at
[phone]. If you have any additional questions or concerns,please contact me at(828)
296-4681 or [e-mail].
Sincerely,
A
L Brett Laverty
f
Water 'uali egional Operations
Asheville Regional Office
Attachment: Health Risk Evaluation by Kennedy Holt
DWR laboratory analytical results
How to disinfect your water well fact sheet
Protect yourself from coliform bacteria in well water
cc: ARO file
Haywood County Health Department w/attachments

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
BRIAN DUNBAR-394HAYSTACK HILL ROAD WAYNESVILLE.NC Sample ID: AC27653
HAYWOOD Collector: B LAVER TY VisitlD PO Number# 16GO083
ARO Report To ARO Location ID: IC44394HAYSTACK Date Received: 03/31/2016
3asin Collect Date: 03/29/2016 Priority Time Received: 08_10
,iergency Collect Time: 13:34 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
COC Yes/No Sample Depth Loc.Type: WATERSUPPLY Delivery Method NC Courier
Final Report Date: 4127116
Report Print Date: 0 6104/2 0 1 6
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes-
Result/ Method Analysis
CAS# Analvte Name P L
Qualifier units Reference Date Validated by
LAB
Sample temperature at receipt by lab 1.7 °C 3131116 MSWIFT
NUT
NH3 as N in liquid 0.02 0.02 U mg/L as N EPA 350.1 REV 2 4113116 CGREEN
Nitrate as N In liquid 0.02 22 mg/L as N EPA 353.2 REV 2 4/19/16 CGREEN
Nitrite as N in liquid 0.01 0.01 U mg/L as N EPA 353.2 REV 2 3/31/16 CGREEN
NO2+NO3 as N in liquid 0.02 22 mg/L as N EPA 353.2 REV 2 4/13116 CGREEN
Orthophosphate as P in liquid 0.02 0.02 U mg/L as P EPA 365.1 REV 2 3/31/16 CGREEN
Phosphorus-total as P in liquid 0.02 0.02 U mg/L as P EPA 365.1 REV 2 4/4116 CGREEN
Total Kjeldahl N as N in liquid 0.2 2.0 U,P mg/L as N EPA 351.2 REV 2 4112/16 CGREEN
WET
Bromide 0.4 0.4 U mg1L EPA 300.0 rev2.1 3/31/16 CGREEN
Chloride
1 0 21 mg/L EPA 300.0 rev2.1 3/31/16 CGREEN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 3131/16 CGREEN
Sulfate 2.0 2.2 mg/L EPA 300.0 rev2.1 3/31116 CGREEN
MBAS in liquid 0.1 0.1 U mg/L SM 5540 C 2000 3/31/16 CGREEN
MET
7440-22-4 Ag-Dissolved Silver by ICPMS 1.0 1.0 U ug/L EPA 200.8 417/16 ESTAFFORDI
y 7429-90-5
Al-Dissolved Aluminum b ICP 50 50 U ug/L EPA 200.7 416116 ESTAFFORDI
7440-38-2 As-Dissolved by ICPMS Arsenic 2.0 2.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7440-38-3 Ba-Dissolved Barium by ICP 10 100 ug/L EPA 200.7 4/6116 ESTAFFORDI
7440-70-2 Ca-Dissolved Calcium by ICP 0.10 33 n,giL EPA 200.7 4/6/16 ESTAFFORDI
7440-43-9 Cd-Dissolved Cadmium by ICPMS 0.50 0.60 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7440-47-3 Cr-Dissolved Chromium by ICPMS 5.0 6.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7440-50-8 Cu-Dissolved Copper by ICPMS 2.0 2.0 U ug/L EPA 200.8 417116 ESTAFFORDI
7439-96-5 Dissolved Mn by ICP 10 IOU ug/L EPA 200.7 4/6/16 ESTAFFORDI
7439-89-6 Fe-Dissolved Iron by ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORDI
7439-97-6 Hg 245.1 Dissolved 0.2 0.20 U ug/L EPA 245.1 4/5/16 ESTAFFORDI
7440-09-7
K-Dissolved Potassium by ICP 0.10 4.9 mg/L EPA 200.7 4/6/16 ESTAFFORD1
7439-95-4 Mg-Dissolved Magnesium by ICP 0.10 10 mg/L EPA 200.7 416/16 ESTAFFORD1
7440-23-5 Na-Dissolved Sodium by ICP 0.10 5.6 mg/L EPA 200.7 4/6/16 ESTAFFORD1
7440-02-0 Ni-Dissolved Nickel by ICPMS 2.0 2.0 U ug/L EPA 200.8 417/16 ESTAFFORDI
7439-92-1 Pb-Dissolved Lead by ICPMS 2.0 2.0 U ug/L EPA 200.8 417/16 ESTAFFORD1
Se-Dissolved Selenium by ICPMS 1.0 1.0 U ug/L EPA 200.8 417116 ESTAFFORD1
Sr Dissolved by ICPMS 10 240 ug/L EPA 200.8 4/7/16 ESTAFFORDI
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 4

XC l+k Ga6oratoiySection Resgftsl,ampre Comments/QiiaCfier(Definitiotu
Sample ID: AC27553
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
7440-66-6 Zn-Dissolved Zinc by ICPMS 10 IOU ug(L EPA200.8 4/7/16 ESTAFFORDI
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 Acenaphthene 10 Not detected ug/L EPA625/827013510 416/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
62-53-3 Aniline 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
120-12-7 Anthracene 20 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected ug/L EPA62518270/3510 416116 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected Z2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected Z2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
111-44-4 Bis(2-chloroethyl)ether 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
39638-32-9 Bis(2-chloroisopropyl)ether 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected ug/L EPA625/827013510 416/16 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected ug/L EPA62518270/3510 4(6/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected ug(L EPA625/8270/3510 416116 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected Z2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
106-47-8 i
Chloroaniline,4- 10 Not detected ug/L EPA625/827013510 4(6116 CJOHNSON
91-58-7 Chlorona hthalene, 2-
p 10 Not detected ug(L EPA625/8270/3510 4(6(16 CJOHNSON
95-57-8 Chlorophenol,2- 10 Not detected Z2 ug/L EPA62518270/3510 4/6/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
218-01-9 Chrysene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
53-70-3 Dibenzo(a,h)anthracene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
91-94-1 Dlchlorobenzidine, 3,3'- 30 Not detected J2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
120-83-2 Dichlorophenol, 2,4- 10 Not detected Z2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
131-11-3 Dimethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
105-67-9 Dimethylphenol, 214- 10 Not detected Z2 ug/L EPA625/827013510 416/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected ug(L EPA625/8270/3510 4/6/16 CJOHNSON
534-52-1 Din itro-2-methyl phenol, 4,6- 50 Not detected Z2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
51-28-5 Dinitrophenol, 2,4- 50 Not detected Z2 ug/L EPA625/8270/3510 4/6116 CJOHNSON
121-14-2 Dinitrotoluene, 2,4- 20 Not detected ug/L EPA62518270/3510 4(6/16 CJOHNSON
606-20-2 Dinitrotoluene, 2,6- 10 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 4

5VC(DJ 1� Laboratory Sectioll Resuftsf Sample Comments/Quaff er(Defiiiitiorls
Sample ID: AC27563
Result/ Method Analysis
Anaivte Name PQL Qualifier Units Reference Date Validated by
Fluorene 20 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
-74-1 Hexachlorobenzene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
87-68-3 Hexachlorobutadiene(SV) 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
77-47-4 Hexachlorocyclo pentad iene 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected u5/L EPA625/8270/3510 4/6l16 CJOHNSON
193-39-5 Indeno(1,2,3-Cd)pyrene 20 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
78-59-1 Isophorone 10 Not detected ug/L EPA625/827013510 4/6/16 CJOHNSON
91-57-6 Methylnaphthalene,2- 10 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
95-48-7 Methylphenol,2- 10 Not detected Z2 uglL EPA6251827013510 4!6/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected Z2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
91-20-3 Naphthalene(SV)
10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
99-09-2 Nitroaniline,3- 50. Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
88-75-5 Nitrophenol,2- 10 Not detected Z2 ug/L EPA625/8270/3510 416/16 CJOHNSON
100-02-7 Nitrophenol,4- 50 Not detected Z2 u9/L EPA625/8270l3510 4/6/16 CJOHNSON
621-64-7 N-nitrosodi-n-propylamine 10 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
86-30-6 N-nitrosodiphenylamine 10 Not detected ug/L EPA625/827013510 4/6/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected Z2 ug/L EPA625/8270/3510 416/16 CJOHNSON
85-n1�8 Phenanthrene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
-2 Phenol
10 Not detected Z2 ug/L EPA625/8270/3510 416116 CJOHNSON
1
CJOHNSON
129-00-0 Pyrene
20 Not detected ug/L EPA625/8270/3510 416/16
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected ug1L EPA625/8270/3510 4/6116 CJOHNSON
95-95-4 Trichlorophenoi,2,4,5- 10 Not detected Z2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
88-06-2 Trichiorophenol,2,4,6- 10 Not detected Z2 ug/L EPA62518270/3510 4/6116 CJOHNSON
Sample Comments
SEM:SV-J2-estimated-1 analyte failed<LCL in the CV2.
SEM:SV-Z2-rejected-acid fraction surrogate(s)<10%recovery.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 4

NC OWX La6oratory Section R,esufts/Sampfe Comments/QuaCifier Defiuitimu
Sample ID: AC27563
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
NCDEOMSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U".The PQL is used for the qualified result(S)to call
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies. The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC). TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
B7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-Coliform or non-enterococcus growth present. In this cc
BB1 MPN-No wells or tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than"<"valu,
BB2 MPN-All wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
Gl BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea:
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated fol
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab, p
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method. Th i
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
Jl0 Unidentified peak;estimated value.
ill The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are'but of control".The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower,
N1 Presumptive evidence and estimated value.The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met(i.e., presence of
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N4 This code shall be used if the level is too low to permit accurate quantification,but the estimated concentration is less than the labo
N5 The component has been tentatively identified based on a retention time standard.
Ql Holding time exceeded prior to receipt by lab.
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL"due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note: The value in the blank shall not be s
Y Elevated PQL"due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 4

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
BRIAN DUNBAR-394HAYSTACK HILL ROAD WAYNESVILLE.NC Sample ID: AC27636
HAYWOOD Collector: B LAVERTY VisitlD PO Number# ARO
Location ID: 1C44394HAYSTACK Date Received: 03/2 112016
ARO Report To ARO
Time Received: 16__15
3asin NA Collect Date: 03/29/2016 Priority ROUTINE
tergency Collect Time: 13;34 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
COC Yes/No Sample Depth NA Loc.Type: WATER SUPPLY Delivery Method Hand delivered
Final Report Date: 4129M6
Report Print Date: 0 610 412 0 1 6
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes,
Result/ Method Analysis
Units Reference Date Validated by
CAS# Analyte Name PQL Qualifier
ARO
Alkalinity4.5 1.0 23 mg/L as CaCO3 APHA232013-20th 4/5/16 ESTAFFORDI
kallnity8.3 1.0 1 U mg/L as CaCO3 APHA2320B-20th 415/16 ESTAFFORD1
Al
Bicarbonate
1.0 23 mg/LasCaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
Carbonate 1.0 1 U mg/L as CaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
pH Alkalinity 6.3 mg/L as CaCO3 APHA2320B-20th 415116 ESTAFFORD1
CFU/100ml APHA9222D-20th 3129116 ESTAFFORD1
Coliform: MF Fecal in liquid 1 1 B2
Collfarm, MF Total in liquid 1 1 B2 CFU/100m1 APHA9222B-20th 3/29/16 ESTAFFORD1
Sample temperature at receipt by lab
2.7 oC 3/29/16 RBYRD
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

AC27637 North Carolina Division of Water Resources Water Sciences Section Laborato Results
Loc.Descr.: BRIAN DUNBAR-394HAYSTACK HILL ROAD WAYNESVILLE.NC Sample ID:
County: HAYWOOD Collector. B LAVERTY VisitlD AC27637 \
PO Number# ARO
Region: ARO Report To ARO Location ID: 1C44394HAYSTACK Date Received: 0 312 9/20 1 6
River Basin NA Collect Date: 03/29/2016 Priority ROUTINE Time Received: 16:16
Emergency Collect Time: 13�38 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
COO Yes/No Sample Depth NA Loc,Type: WATER SUPPLY Delivery Method Hand delivered
Final Report Date: 4/28116
Report Print Date: 05/04/2016
Final Report
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analvte Name PQL Qualifier Units Reference Date Validated bV
ARO
COliform, MF Total in liquid 1 28 CFU/100ml APHA9222B-20th 3/29/16 ESTAFFORD1
Sample temperature at receipt by lab 2.7 °C 3129/16 RBYRD
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

+ j
Private Well Information
�e deparfmunfi d
sRecommendations
of hsaltFr sn n
tiuMan serVEGes
For Inorganic Chemical Contaminants
county: o S Name. tea oLl",
Sample ID Reviewer: N`
TEST RESULTS AND USE RECOMMENDATIONS
1.Q Your well water meets federal drinking water standards for inorganic chemicals. Your water can be used for
drinking,cooking, washing,cleaning,bathing,and showering based on the You may
have other water sampling results that are not taken into account in this report.
2. The following substance(s)exceeded federal drinking water standards or the North Carolina 2L calculated health
levels,The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking,unless you install a water treatment system to remove the circled substance(s),However,it may be used for
washing,cleaning,bathing and showering based on the iggrgattle clre»rival results orrty.
--�,Arsi� enic Barium Cadmium Chromium Cop er Fluoride Lead IronEE]
rTan anese Mercury itra itrt Selenium Silver Ma nesium Zinc H
for sodium
3.[]a. Sod'tutn levels exceed the U.S.Environments! protection
Agency's
that o tyS'tndivtduals Health
�no or low level
sodium e tric edt
20 mg/l. The North Carolina Division of Public Health recommends
diets not use this water for drinking or cooking. It may be used for washing,cleaning,bathing,and showering based on.
the lnor kWe ell eltrical results nnly.
b.'l.,evels over 30 mg/l may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc.
4. F 1 Re-sampling is recommended in
5,❑Re-sample for lead and/or copper. Take a first draw,5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a 15 minute sample at the well head to determine the source of the
lead and/or copper.
6. ❑The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the itornanie clremlcal res� ells onit�,but aesthetic problems
such as bad taste,odor,staining of porcelain,etc.may occur, You may want to install a household water treatment system
to'address aesthetic problems.
Barium Cadmium Chromium Fluoride Iron Ma �ffsiutyi
Manganese Selenium Silver pH Zinc
.Tor more lttformailen regarding Your'veil water results,Tease call11re lvorlh Carolina Divtsiorr of Public Health at 419-707-3900.
} Jt y j` .r( lU 1Jd�n 1csS l cn rPur o}d. f.SSG Lt<rrli�a� +le-
�
(Hale, 5u sCe{�
C�tc fa 44 F.earft EeKsn�il�

A
I
e R ! L I N ! \
Well Water Biological Analysis Results Recormnendation.s
county:_ R&W wod>
Nance: 9,ffc.n nun bt-'
Sample ID#: 141G2 ? �,'3`7 Location: 3`t H.II led
Review Date: Reviewer: K/A 41
Initial Sample El'] Confirmatory Sample ❑(2I
Local Health Department Telephone:
(3( No colform bacteria were found In your wall water.
Yonr renter !!lelt}dtng drin,`�,fil,,cooking,Zbtlishing,CrPalt717�j,hatid!!R,attll SltailJet'itt =
(�l Total collform bacteria were detected in the sample which indicates that harmful bacteria from human or animal waste
could enter the well.
Do not rise t.►tc runtsr fo;tirtickix�r or cooking lalless it Itrt::been boiled for 3 lnbuites. 11on finny ime your;,wter for r 1i other
purposes hichrdint;washing dishes,hashing,or shorverfiq.
E] (51 Your well water needs to be ra-sampled to verify that the test result is accurate or a problem has been resolved,
(GI Fecal calliorm bacteria were detected In the sample.
-Do trey[Ise. th+'r{liter fc!':t+'i!l�liJ11;rNkfng,ra-ishing641cd,hathing,Or showering.
Your well router was testers for biolosicill Coll tanthlauls(total colifol-in nnif fecal eotiform bacteria). The resulk were twalwited using federal drinking
water standards.
If the re•sanipling show contamination btj coltforn!Iacteria,contact your local health deportinew for assistance. There may be a problent wilh the
eli#Strut#fiat!Of Tito tttt'ti,Yilt'i�Jtit tiJdit7FfiL'!':{iliYct',f!'OYtrtitlC t!Uf tlf�ittt'lI. slue;i'.'it l.,;eil.:!o be:llapected by file kxr�l hei Uh depe%'t!t?ent^t'R lacni zvell
contractor-to determine ilte problem with the molt and to gizte°ttuidarlce fill hole to r-w'rect the problem.
Total colifornt bacteria are found its soil and fecal coliform bacteria are found in animal and lum mit zvaste. Total cotifo!•tti or fecal coliformr bacteria in well
roa let-nlay indicate that the rllell may have sfrtictra•at prolllrnls or 1114t dir Well was not properly dishifected,
tf you have liven drinking well hater aid are preSnamf,Jmirsiag,haven child in the horlseltoid Milder 5 ymrs t f age',or ininrmtocoilpronlised(shell as all
it with AIDS,cancer,hepatlf,s,ditlljsL,or A:Ir'gicaI procedll Yet')imfori!!yoiIr stealth rare provider(if117est.ri'sn its at yott!-11,wt ilJ$if.
jthe contamination continues,you should investinafe the lrossibdity of drilling a new well or histall a In�irtl of etlH;y d isilifectiatl m)tit wliiclr eau rise
chlorine,mlti'aviolet light,Or tread.
Roil title well water sari{llting is recommended every year fir tutcteria and nitrates. Sample yot it-well When tlter e,is a kilo-ion problem or coutantimntion ill
your area,after repair,replacement of Your welt,or after a ftnodifq ei'vilt. \
\r�aJ
For fru'ther inforittatiou,r itai r yOur local health depa'tineml.
Revised December 2011 Well Safety-blip::lspi,lrub(icbsalter.etc.gav;oii ftsf,rclsh4et.hintt

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Most coliform bacteria will not likely cause illness. Testing for all possible disease causing organisms is
However, these bacteria are used as indicators in complex, time consuming and expensive. Usually,
water tests because their presence indicates that in order to determine the water quality of your well,
� disease-causing organisms (pathogens) could also testing is done for three different groups of coliform 1 be in the water. The presence of some types of bacteria; each has a different level of risk to human
health.
coliform bacteria in the water signal the presence of
feces or sewage waste. Feces and sewage wastes Total coliform bacteria are commonly found in the
are usually the source of the disease-causing environment (For example, soil or plants) and are
organisms. generally harmless.
Fecal coliform bacteria are a sub-group of total
coliform bacteria. They appear in great quantities in
the intestines and feces of people and animals. The
• Bacteria that cause diarrhea and vomiting, presence of these bacteria indicates that your well
water is contaminated with feces or sewage, and it
• Protozoa that cause dysentery, has the potential to cause disease.
• Viruses that cause polio and hepatitis, and Escherichia coli is a sub-group of the fecal coliform
group. These kinds of bacteria are found in great
• Helminths, such as roundworms and tapeworms, quantities in the intestines of people and warm-
that cause chronic diarrhea. blooded animals. Some strains, however, can cause
If you think you might be sick from disease-causing illness. The presence of this organism indicates
organisms in your well water, contact your doctor fecal contamination of your well and a high risk for
and show him/her your water test results. illness from disease-causing organisms.
Children and the elderly are at a higher risk of You should test your well for coliform bacteria
the harmful health effects of disease-causing every year.
organisms in drinking water. (continued)
Coliform Bacteria

Or Water shows the sence of cofifopTi
1)SlcoteNa'fecal Cofiform grT. Coh: L_ Additiol-lal 'p,9for:Zfle1n-.3
• Do not drink the water. Get bottled water, or Coliform Bacteria:
www.epa.gov/OGWDW/hfacts.htmi
• Boil the water for 1 minute before drinking or
cooking with it. How to disinfect your water and your well:
www.deh.enr.state.nc.us/welldisinf.htm
• Disinfect your well You may want to contact a www.ncwelldriller.org/documents/
well professional to disinfect or chlorinate your DisinfectaWaterWell_rev2007.6:pdf
well, or contact the environmental health program
at your local health department for instructions on ;
how to do it yourself,
This fact sheet answers,.the most frequently asked
• Re-sample and re-test your_wefl water aftery health questions (FAQs about conform bacteria.
chlor1nating R This h ormation is imp rtant because some coliform4
I$k ria have the potential to cause illness The,
a
s ,
effects of exposure to a biological contaminant�k
w
prvte well water de end on the dose duratmn `
Q you are exposed, personal'traits nd habits, arrd: s
type Hof biological contaminant pr`eserif,
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WE 9i i

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
✓aterResources S. JAY ZIMMERMAN
AVIRONMENTAL QUALITY
Director
May 16, 2016
Petroleum World,Inc.
Attn: Debbie Potter
P.O.Box 341
Mooresboro,NC 28114
Re: Well Construction Permit WM0100386
C &W Convenience Store
TLT Investments,LLC Property
Burke County
Dear Ms.Potter,
In accordance with the application submitted on your behalf by Matthew Smith on May 12,2016,we are
forwarding well construction permit WM0100386 dated May 16,2016. The permit is for the construction
of two monitoring wells on TLT Investments,LLC property.
The permit will be effective from the date of issuance for a period of one year and is subject to the
conditions and limitations as specified therein. A Well Construction Record shall be completed and
signed by the certified drilling contractor for each well.The forms shall be submitted to the Department
upon completion of the wells and shall reference the permit number.Please review the attached permit
conditions.
If you should have any questions or need additional information contact Andrew Moore at 828-296-4500.
Sincerely,
G.Landon Davidson,P.G.
Regional Supervisor
Water Quality Regional Operations Section
cc: Water Quality Asheville Files
ec: Matthew Smith, Shield Engineering
G:\WR\WQ\Burke\Wells\Monitoring\C&W Convenience_WM0100386.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy,70 1 Swannanoa,North Carolina 28778
828 296 4500

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF MONITORING WELL
In accordance with the provisions of Article 7, Chapter 87, North Carolina General Statutes, and other
applicable Laws,Rules and Regulations.
PERMISSION IS HEREBY GRANTED TO
Petroleum World, Inc.
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of two wells owned by Petroleum
World,Inc.,P.O.Box 341,Mooresboro,NC 28114.The wells will be located on property owned by TLT
Investments,LLC in Burke County(PIN#2703014969).This Permit is issued in accordance with the application
received on May 12,2016 in conformity with specifications and supporting data,all of which are filed with the
Department of Environmental Quality and are considered integral parts of this Permit.
This Permit is for well construction only, and does not waive any provision or requirement of any other applicable
law or regulation. Construction of any well under this Permit shall be in strict compliance with the North Carolina
Well Construction Regulations and Standards (15A NCAC 02C .0100), and other State and Local Laws and
regulations pertaining to well construction.
If any requirements or limitations specified in this Permit are unacceptable,you have a right to an adjudicatory hearing
upon written request within 30 days of receipt of this Permit. The request must be in the form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative
Hearings,6714 Mail Service Center,Raleigh,North Carolina 27699-6714. Unless such a demand is made,this Permit
is final and binding.
This Permit will be effective for one year from the date of its issuance and shall be subject to other specified conditions,
limitations,or exceptions as follows:
1. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued by
another agency.
2. The well(s)shall be located and constructed as shown on the attachments submitted as part of the
Permit application.
3. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C
.0108(0)where applicable.
4. The monitoring well shall be maintained in accordance with 15A NCAC 02C.0108.
5. A Well Construction Record (GW-1) for each well shall be submitted to the Division of Water
Resource's Information Processing Unit within 30 days of the well completion in accordance with
15A NCAC 02C.0114.
6. When the well is discontinued or abandoned,it shall be abandoned in accordance with 15A NCAC
02C .0113 and a well abandonment record (GW-30) shall be submitted to the Division of Water
Resource's Information Processing Unit and the property owner within 30 days of the well
abandonment in accordance with 15A NCAC 2C .0114.
Permit issued the 16th day of May, 2016
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Landon Davidson,Regional Supervisor'--
Water Quality Regional Operations Section
By Authority of the Environmental Management Commission
Permit No. # WM0100386

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Voter Resources
NVIRONMENTAL QUALITY Director
May 16, 2016
CERTIFIED MAIL
RETURN RECEIPT REQUESTED—7012 1010 0002 1965 5488
Mr. Jeff Hall
648 Macedonia Road
Asheville, North Carolina 28804
Subject: NOTICE OF VIOLATION and NOTICE
OF RECOMMENDATION FOR
ENFORCEMENT
NOV-2016-DV-0177
Compliance Evaluation Inspection
Hall Residence- SFR
Permit No. NCG550425
Buncombe County
Dear Mr. Hall:
Enclosed please find a copy of the Inspection Report from the inspection conducted April
20, 1016. Mr. Topolski, formerly of the Asheville Regional Office, conducted the Compliance
Evaluation Inspection. The treatment facility was found to be in violation of Permit NCG550425
for the following:
Compliance issues found during the inspection are:
Inspection Area Compliance Issue
Permit Operating without a valid permit.
The sewage treatment system serving your Residence at 648 Macedonia Road was
constructed under the provisions of Certificate of Coverage Number NCG550425. Attached is a
RENEWAL FORM, which is to be used to request renewal of your Certificate of Coverage. Please
return the completed form to the Raleigh address indicated.
State of North Carolina I Environmental Quality I Water Resources
Asheville Regional Operations Center
2090 US 70 Highway,Swannanoa,North Carolina 28778
828/296-4500

Hall Residence
May 16, 2016
Page 2
Carefully review these violations and deficiencies and respond in writing to this office within
fifteen (15) working day of receipt of this letter. In your response you should address the
causes of noncompliance, all actions taken to correct these situations and all actions taken to
prevent the recurrence of similar situations. You are to copy our office on your permit renewal
application. If your permit is renewed, a follow-up inspection will be performed.
Please take time to read the attached inspection report and technical bulletin.
Please understand that such a discharge without a valid permit constitutes a violation of
North Carolina General Statute (NCGS) 143-215.1; enforceable under provisions of NCGS 143-
215.6A as administered by this Agency. According to our records, you were issued Notices of
Violations on January28, 2009, August 30, 2006 and April 22, 2004 for discharge without a valid
permit. Because of your failure to renew your permit, the Division 'is considering recommending
enforcement action. The violation cited is subject to civil penalties of up to $25,000 per day for
each violation as per G.S. 143-215.
Please refer to the enclosed Inspection Report for any additional observation and
comments. If you should have any questions, please do not hesitate to contact me at 828/296-
4500.
Sincerely,
77 .:._ --
G. Landon Davidson, P.G.
Regional Supervisor
Water Quality Regional Operations
Attachment
cc: NPDES Unit
Enclosure: Inspection Report
NCG550000 General Permit and Technical Bulletin
cc: MSC 1617-Central Files
WQ Asheville Files
G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residences\550425 Jeffrey Hall\CEI.04202016.ltr.doex

United States Environmental Protection Agency Form Approved.
EPA
/� Washington,D.C.20460 OMB No.2040-0057
EPA water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 1 3 I NCG550425 I11 12 16/04/20 17 18 ICI 191 20' I
211111II IIIIII1II II III I I I I I I I I I I I IIIIIII11 I Ii66
--Reserved-------------------
Inspection Work Days Facility Self-Monitoring Evaluation Rating 61 QA -----—------------ �80
67 70 I I 71 I I 72 i �, � 73�7�4 751 11 I I i
LJ it
Section 6:Facility Data1-�
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include
Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 09:45AM 16/04/20 12/08/01
648 Macedonia Road Exit Time/Date
Permit Expiration Date
648 Macedonia Rd 10:OOAM 16/04/20 13/07/31
Asheville NC 28804
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jeffrey C Hall,648 Macedonia Rd Asheville NC 28804/// No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
■ Permit N Operations&Maintenance ■ Facility Site Review
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Agency/Office/Phone and Fax Numbers Date
Name(s)and Signature(s)of Inspector(s)
Robert Topolski ARO WQ//828-296-4500/
Agency/Office/Phone and Fax Numbers Date
Signature of Management Q A Reviewer
G. Landon Davidson ARO GW//828-296-4500/ b t
\' EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
3I NCG550425 I11 12 16/04/20 17 18 1 r,
Section D:Summary of Finding/Comments J(Attach additional sheets of narrative and checklists as necessary)
Inspection performed by'R.Topolski (formerly with DWR). Inspection consisted of documenting photos
but no additional information from inspection (i.e., no identification of discharge pipe, system
components, etc).ARO WQROS will issue NOV/NRE and once permit is renewed, follow-up with 2nd
insepction.
Page# 2

Permit: NCG550425
Owner-Facility: 648 Macedonia Road
Inspection Type: Compliance Evaluation
Inspection Date: 04/20/2016
Operations&Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ N ❑
11
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ 0 ❑ ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: No informatoin to determine compliance.
Yes No NA NE
Permit
(if the present permit expires in 6 months or less). Has the permittee submitted a new ❑ 0 ❑ ❑
application?
Is the facility as described in the permit? El F-1
El ❑
#Are there any special conditions for the permit? ❑
Is access to the plant site restricted to the general public? El ❑ ❑
Is the inspector granted access to all areas for inspection? ❑ ❑ ❑
Comment: Facility is current) ol)erating without a valid permit which is a violation of NCGS 143.215.1
and enforceable Facility has received NOVs in 1/28/2009 and 08/30/2006 with no response
indicated in file.
Page# 3

\�_�I
\ Jji

AF
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7A
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Thomas A. Reeder John E.Skvarla, tll
Governor
Director Secretary
NOTICE OF RENEWAL INTENT
Application for renewal of existing coverage under General Permit NCG550000
Existing Certificate of Coverage (CoQ: NCG550
(Please print or type)
1) Mailing address of property owner: (address to which all correspondence should be mailed)
Owner Name
Street Address
City
State ZIP Code
Telephone# Cell#
Fax#
Email Address
i
2) Location of facility producing discharge: (If facility is not yet constructed, give street address or lot#)
Street Address
City
State ZIP Code
County
Telephone# Cell#
3) Description of Discharge:
a) Is the discharge from(check what applies):
❑ Primary Residence
❑ Vacation/Second Home
❑ Undeveloped Property
❑ Other(describe):
4) Please check the components that comprise the wastewater treatment system:
❑ Septic Tank ❑ Dosing Tank ❑ Primary Sand Filter ❑ Secondary Sand Filter
p
❑ Recirculating Sand Filters ❑ Chlorination ❑ Dechlorination ❑ Other Form of Disinfection
❑ Post Aeration(describe):
Page 1 of 2

PAT MCCRORY
a Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Water Resources
ENVIRONMENTAL QUALITY Director
May 16,2016
Radford Thomas,Director of Public Utilities
City of Lenoir
PO Box 958
Lenoir,NC 28645-0958
SUBJECT: Annual Report(2015)Review Inspection
City of Lenoir
Lenoir Blends Processing Facility and Distribution Program
Permit No: WQ0010059
Caldwell County
Dear Mr.Thomas:
Enclosed please find a copy of the Annual Report Inspection Form from the inspection conducted on 3/28/2016. The
facility appeared to be in compliance with permit WQ0010059.
,---The renewed permit includes a change to the monitoring frequency for the TCLP analysis. The TCLP analysis is now
.1quired once per permit cycle. It is recommended that the analysis not be left until the last year of the permit cycle.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions,please call me at 828-296-4685.
Sincerely,
ti
Beverly Price
Environmental Senior Specialist
Enc.
cc:Monte Wall, Superintendent Wastewater Treatment w/Enc.
MSC 1617-Central Files-Basement
Asheville Files
G:\vvR\wQ\Caldwell\wastewater\Non-discharge\City of Lenoir\CEI16 2015 AR Review.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

. ._....... .....
Compliance Inspection Report
Permit: WQ0010059 Effective: 08/01/15 Expiration: 07/31/20 Owner City of Lenoir
SOC: Effective: Expiration: Facility: City of Lenoir Lenoir Blends Processing Facility and
1905 Broadland Rd
County:Caldwell
Region: Asheville Lenoir NC 28645
Contact Person: Monte L Wall Title: Wastewater Treatment Plant Superi Phone: [phone]
Directions to Facility:
From Hwy.64 East in Lenoir turn right onto Southwest Blvd. Take the first exit off Southwest to Virginia ST.(left on Virginia St.)
Continue to Broadland Rd.on the right. Facility is approximately 1/2 mile on the left.
System classifications:
Primary ORC:
Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Monte L Wall 828-757-2198
Related Permits:
;Inspection Date: 03/28/2016 Entry Time: 09:OOAM Exit Time: 11:OOAM
Phone: [phone]
Primary Inspector: Beverly Price
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Annual Report Review
Permit Inspection Type: IDistribution of Residual Solids(503)
Facility Status: . Compliant Not Compliant
Question Areas:
Miscellaneous Questions ® Record Keeping ® Pathogen and Vector Attraction
(See attachment summary)
Page: 1

Permit: WQ0010059 Owner-Facility:City of Lenoir
Inspection Date: 03/28/2016 Inspection Type:Annual Report Review
Reason for Visit: Routine
Inspection Summary:
691.74 dry tons of residuals were distributed in 2015.
161.06 dry tons of residuals were taken to the Foothills Environmental Landfill in Lenoir, NC.
Metals permit limits were met for Ceiling Concentration and Monthly Average Concentration. Pathogen&Vector Attraction
were accomplished via fecal coliform density, pasteurization and alkaline stabilization.
TCLP was not monitored in 2015 as the permit was renewed and the new monitoring requirement is once per permit cycle.
It is recommended that the TCLP analysis not be left until the final year of the permit cycle.
Recipient information included volume received, name and intended use.
Page: 2

Permit: WQ0010059 Owner-Facility:City of Lenoir
Inspection Date: 03/28/2016 Inspection Type:Annual Report Review Reason for Visit: Routine
Yes No NA.NE
Pathogen and Vector Attraction ■ ❑ ❑
a. Fecal coliform SM 9221 E(Class A or B)
Class A,all test must be<1000 MPN/dry gram ■
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram ❑
Fecal coliform SM 9222 D(Class B only) ❑ ❑ ■ ❑
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram ❑
b. pH records for alkaline stabilization(Class A) . ❑ ❑ ❑
c. pH records for alkaline stabilization(Class B) ❑ ❑ ® ❑
Temperature corrected
d. Salmonella(Class A,all test must be<3MPN/4 gram day) [I El ■ El
El El
e. Time/Temp on:
Digester(MCRT)
Compost
Class A lime stabilization El 0 M El
f. Volatile Solids Calculations
❑ El ® ❑
g. Bench-top Aerobic/Anaerobic digestion results
'Comment:
Yes No NA NE
Record Keepinq ❑ ❑ ■ ❑
Is GW monitoring being conducted,if required?
Are GW samples from all MWs sampled for all required parameters? El ❑ ■ ❑
Are there any GW quality violations?
■ ❑
Is GW-59A certification form completed for facility? ❑ ❑
El ❑
Is a copy of current permit on-site? ■ ❑
e ❑ ❑ ❑
Are current metals and nutrient analysis available?
Are nutrient and metal loading calculating most limiting parameters? S ❑ El ❑
a. TCLP analysis?
b. SSFA(Standard Soil Fertility Analysis)? ❑ ❑ ■ ❑
Are PAN balances being maintained? El ❑ ❑
El ■
Are PAN balances within permit limits? ❑
❑ ■
Has land application equipment been calibrated? ❑ ❑
El
Are there pH records for alkaline stabilization?
Are there pH records for the land application site? ❑ ❑ ■ ❑
i Are nutrient/crop removal practices in place?
Page: 3

Permit: WO0010059 Owner-Facility:City of Lenoir
Inspection Date: 03/28/2016 Inspection Type:Annual Report Review
Reason for Visit: Routine `
Record Keeping
Do lab sheets support data reported on Residual Analysis Summary? Yes No NA NE■ A
Are hauling records available? ® ❑ ❑
Are hauling records maintained and up-to-date? . ❑ ❑ ❑
#Has permittee been free of public complaints in last 12 months? ® El ❑
Has application occurred during Seasonal Restriction window? ❑ ■ ❑ ❑
Comment: Application was not during restricted window.
Type
Land Application Yes No NA NE
❑
Distribution and Marketing
Page: 4

PAT MCCRORY
Governor
tN
f.
DONALD R. VAN DER VAART
Secretary
A S. JAY ZIMMERMAN
Director
Water Resources
ENVIRONMENTAL QUALITY May 16,2016
Tony J.Konsul
Utilities Inc.
PO Box 240908
Charlotte NC 28224-0908
SUBJECT: Compliance Evaluation Inspection
Connestee Falls Collection System
Permit No: WQCS00219
Transylvania County
Dear Mr.Konsul:
On May 9, 2016, Land Davidson and I conducted a Compliance Evaluation Inspection of the Wastewater Collection
System that serves Connestee Falls. Based on records reviewed, on-site visits to system components and interviews with
staff, the Wastewater Collection System was determined to be in compliance with permit WQCS00219. A report is
attached for your records with findings summarized.The collection system appears to be well maintained and operated.
The following items were noted during the inspection:
® Due to recent paving projects,many of the manholes in the collection system could not be readily accessed.The
ORC should be able to easily open manholes for visual inspection and maintenance.
• Continue to operate and maintain the collection system in compliance with the requirements outlined in 15A
NCAC 02T for Wastewater Collection Systems.
The assistance of Mr.David Medling and his staff during the inspection was greatly appreciated. If there are questions or
additional information is needed regarding system operation,maintenance, or permit questions,please feel free to contact
me at 828-296-4500. Please refer to the enclosed inspection report for additional observations and comments.
Sincerely,
Tim Heim,P.E.
Environmental Engineer
Enc.
cc: David Medling, ORC
MSC 1617-Central Files-Basement
Asheville Files
\\Wp3dnfp06.eads.ncads.net\data\WR\WQ\Transylvania\Collection Systems\Transylvania Utilities\CEI letter 05-09-2016.doc
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

Compliance Inspection Report
'Permit: WQCS00219 Effective: 12/01/13 Expiration: 11/30/21 Owner: Transylvania Utilities Inc
SOC: Effective: Expiration: Facility: Transylvania Collection System
PO Box 240705
County:Transylvania
Region: Asheville
Contact Person: Tony Konsul Title: Regional Manager Phone: [phone]
Directions to Facility:
System Classifications: CS2,
Primary ORC: David Gary Medling Certification: 21722 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
NC0088943 Transylvania Utilities Inc-Connestee Falls WWTP#2
NC0024295 Transylvania Utilities Inc-Connestee Falls WWTP#1
Inspection Date: 05/09/2016 Entry Time: 01:OOPM Exit Time: 03:OOPM
'Primary Inspector: Timothy H Heim Phone: [phone]
Secondary Inspectors):
G.Landon Davidson
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: ■ Compliant [] Not Compliant
Question Areas:
Miscellaneous Questions 0 Performance Standards ® Operation&Maint Reqmts
Records ■ Monitoring&Rpting Reqmts Inspections
(See attachment summary)
Page: 1

Permit: WQCS00219 Owner-Facility:Transylvania Utilities Inc
Inspection Date: 05/09/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
Tim Heim and Landon Davidson of the Asheville Regional Office performed a Compliance Evaluation Inspection on May 9th,
2016. David Medling(ORC)of Utilities, Inc.was present during the inspection.
The Collection System was well maintained and appeared to be in compliance at the time of the inspection.
Page: 2

Permit: WQCS00219 Owner-Facility:Transylvania Utilities Inc
Inspection Date: 05/09/2016 p YP Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Yes No NA NE
InSpeCtIOnS
Are maintenance records for sewer lines available? ■ ❑ ❑ ❑
Are records available that document pump station inspections? e ❑ ❑ ❑
Are SCADA or telemetry equipped pump stations inspected at least once a week? ■ ❑ ❑
Are non-SCADA/telemetry equipped pump stations inspected every day? ❑ ❑ ■ ❑
Are records available that document citizen complaints? ■ ❑ ❑ ❑
#Do you have a system to conduct an annual observation of entire system? 0 ❑ ❑ ❑
#Has there been an observation of remote areas in the last year? 0 ❑ ❑
Are records available that document inspections of high-priority lines? ® El ❑ ❑
Has there been visual inspections of high-priority lines in last six months? ❑ ❑ El
Comment: ORC reports that approximately 20%of the lines require additional effort to access due to terrain
and vegetation this is a function of the geographic area.
Monitoring and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available? ❑ ❑ ® ❑
El M
i Are public notices and proof of publication available? ❑
#Is an annual report being prepared in accordance with G.S.143-215.1 C? M El ❑ ❑
#Is permittee compliant with all compliance schedules in the permits? ❑ M ❑
If no,which one(s)?
Comment:
Operation&Maintenance Requirements Yes No NA NE
Are all log books available? • ❑ ❑ ❑
Does supervisor review all log books on a regular basis? ® ❑ ❑
Does the supervisor have plans to address documented short-term problem areas? M ❑ ❑ ❑
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
Log books are reviewed on a daily basis,all work is recorded in the Utilities,Inc.Work Order database.
Are maintenance records for equipment available? ■ ❑ ❑ ❑
Is a schedule maintained for testing emergency/standby equipment? El El El
1/wk under load
What is the schedule for testing emergency/standby equipment?
Do pump station logs include:
❑ ❑ ❑
Inside and outside cleaning and debris removal? e
❑ El
Inspecting and exercising all valves? ■ ❑
- El El
Inspecting and lubricating pumps and other equipment?
Page: 3

Permit: WQCS00219 Owner-Facility:Transylvania Utilities Inc
Inspection Date: 05/09/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Operation&Maintenance Requirements
Yes No NA NE
Inspecting alarms,telemetry and auxiliary equipment? ■ ❑
Is there at least one spare pump for each pump station w/o pump reliability? i
El El El
Are maintenance records for right-of-ways available? i El
❑ ❑
Are right-of-ways currently accessible in the event of an emergency? ■
Are system cleaning records available? ❑ ❑ ❑
Has at least 10%of system been cleaned annually? ® El ❑ ❑
What areas are scheduled for cleaning in the next 12 months?
Approximately 20%of the system is cleaned annually.The"yellow"segment indicated on the map is
scheduled for the next cleaning.
Is a Spill Response Action Plan available? on
❑ ❑
Does the plan include:
24-hour contact numbers ® ❑ ❑ ❑
Response time ® ❑ ❑ ❑
Equipment list and spare parts inventory ® ❑ ❑ ❑
Access to cleaning equipment ® ❑ ❑ ❑
Access to construction crews,contractors,and/or engineers 0
Source of emergency funds ■ ❑ ❑ ❑
Site sanitation and cleanup materials ■ ❑ ❑ ❑
Post-overflow/spill assessment ■ ❑ ❑ ❑
Is a Spill Response Action Plan available for all personnel? ■ ❑
Is the spare parts inventory adequate? ® ❑ ❑ ❑
Comment:
Performance Standards
Yes No NA NE
Is Public Education Program for grease established and documented? ® El
What educational tools are used?
Flyers are distributed as needed.
Is Sewer Use Ordinance/Legal Authority available? ■ ❑ ❑
Does it appear that the Sewer Use Ordinance is enforced? ■
Is Grease Trap Ordinance available? ❑ ❑ ® ❑
Is Septic Tank Ordinance available(as applicable,i.e.annexation) ■
List enforcement actions by permittee,if any,in the last 12 months
None for Collection System.
Has an acceptable Capital Improvement Plan(CIP)been implemented? ■
El El 0
Does CIP address short term needs and long term\"master plan\"concepts? ® 11
El 1:1
Page: 4

i
Permit: WQCS00219 owner-Facility:Transylvania Utilities Inc
Inspection Date: 05/09/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Yes No NA NE
Performance Standards . El El ElDoes CIP cover three to five year period?
Does CIP include Goal Statement? • ❑ ❑ ❑
Does CIP include description of project area? ■ ❑ ❑ ❑
Does CIP include description of existing facilities? ■ ❑ ❑ ❑
Does CIP include known deficiencies? ■ ❑ ❑ ❑
Does CIP include forecasted future needs? ® El ❑ ❑
Is CIP designated only for wastewater collection and treatment? ® ❑ ❑ ❑
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
This collection system is maintained and operated by Utilities,Inc.,which s owned by Corix,Inc.The
corporate entities maintain long term strategic financial plans for the system.
® ❑
Is system free of known points of bypass? ❑
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? ■ ❑ ❑
#Does the sign include:
❑ El ElInstructions for notification? ■
0 El 0 El
Pump station identifier? 0 El El
24-hour contact numbers
If no,list deficient pump stations
#Do ALL pump stations have an"auto polling"feature/SCADA? ■ El ❑ ❑
17
Number of pump stations
0
Number of pump stations that have SCADA
17
Number of pump stations that have simple telemetry
0
Number of pump stations that have only audible and visual alarms
0
Number of pump stations that do not meet permit requirements
#Does the permittee have a root control program? El ® ❑ El
#If yes,date implemented?
Describe:
Root control is implemented as needed during line inspection and cleaning.
Comment:
Yes No NA NE
Records
Are adequate records of all SSOs,spills and complaints available? El ❑ ® ❑
Are records of SSOs that are under the reportable threshold available? ❑ ❑ ■ ❑
Page: 5

Permit: WQCS00219 Owner-Facility:Transylvania Utilities Inc
Inspection Date: 05/09/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Records
Yes No NA NE
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? ❑ ElIf yes,is there a corrective action plan? ❑ ❑ ❑
Is a map of the system available? ® ❑ ❑ ❑
Does the map include:
Pipe sizes
Pipe materials ® ❑ ❑ ❑
Pipe location
■ ❑ ❑ ❑
Flow direction
® ❑ El ❑
Approximate pipe age PiP g ® ❑ ❑ ❑
Number of service taps ® ❑ ❑ ❑
Pump stations and capacity ® ❑ ❑ ❑
If no,what percent is complete?
List any modifications and extensions that need to be added to the map
#Does the permittee have a copy of their permit? ® ❑ ❑ ❑
Comment:
Page: 6

PAT MCCRORY
Governor
rN
r. DONALD R. VAN DER VAART
Secretary
J _ S. JAY ZIMMERMAN
Director
Water Resources
ENVIRONMENTAL QUALITY .May 16, 2016
Mr. James Fatland, City Manager
City of Brevard
95 West Main St.
Brevard,NC 28712
SUBJECT: Compliance Evaluation Inspection
City of Brevard Collection System
Permit No: WQCS00084
Transylvania County
Dear Mr. Fatland:
-7n May 9, 2016, Land Davidson and I conducted a Compliance Evaluation Inspection of the Wastewater
Collection System that serves the City of Brevard. Based on records reviewed, on-site visits to system
components and interviews with staff, the Wastewater Collection System was determined to be in
compliance with permit WQCS00084. A report is attached for your records with findings summarized.
With the exception of the ongoing infrastructure issues being addressed separately by the force main and
pump station upgrade projects, the collection system appears to be well maintained and operated. The
following items were noted during the inspection:
• Distribution of bilingual(English and Spanish)material for grease control may increase the
effectiveness of public education for this matter. An example of a bilingual flyer is included for
your reference.
• Continue to operate and maintain the collection system in compliance with the requirements
outlined in 15A NCAC 02T for Wastewater Collection Systems.
Two topics discussed at the inspection related to collection system management included: (1)the
expiration of the settlement agreement covering the collection system; and, (2)the Davidson River
campground pump station. Division staff are available for follow-up meetings or discussions on both
topics upon your request.
State of North Carolina Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

The assistance of David Lutz, Billy Dodson, Letha Cox and June Stewart during the inspection was
greatly appreciated. Record keeping by the Public Works administrative staff was particularly diligent
and well organized. If there are questions or additional information is needed regarding system operation,
maintenance, or permit questions, please feel free to contact me at 828-296-4500. Please refer to the
enclosed inspection report for additional observations and comments.
Sincerely,
Tim Heim, P.E.
Environmental Engineer
Enc.
cc: David Lutz, ORC
MSC 1617-Central Files-Basement
Asheville Files
\\Wp3dnfp06.eads.ncads.net\data\WR\WQ\Transylvania\Collection Systems\Brevard Collection System WQCS00084\CEI letter 05-09-2016.doc
i

Compliance Inspection Report
Permit: WQCS00084 Effective: 04/01/16 Expiration: 03/31/24 Owner: City of Brevard
SOC: Effective: Expiration: Facility: Brevard Collection System
151 W Main St
County:Transylvania
Region: Asheville Brevard NC 28712
Contact Person: Jeffrey T Brown Title: Consultant Phone: [phone]
Directions to Facility:
System Classifications: CS2,
Primary ORC: William Anthony Coward Certification: 23062 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
NCO060534 City of Brevard-Brevard WWTP
Inspection Date: 05/69/2016 Entry Time: 09:OOAM Exit Time: 01:OOPM
� Phone: [phone]
,�Primary Inspector: Timothy H Heim
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions Performance Standards ■ Operation&Maint Reqmts
Pump Station
(See attachment summary)
Page: 1

Permit: WQCS00084 Owner-Facility:City of Brevard
Inspection Date: 05/09/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
Tim Heim and Landon Davidson of the Asheville Regional Office performed a Compliance Evaluation Inspection on May 9th,
2016. David Lutz and Billy Dodson(BORC)of Brevard Public Works assisted with the inspection.
The Collection System was well maintained and appeared to be in compliance at the time of the inspection,with the
exception of the ongoing infrastructure issues being addressed separately by the force main and pump station upgrade
projects.
Page: 2

Permit: WQCS00084 Owner-Facility:City of Brevard
Inspection Date: 05/09/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Operation&Maintenance Requirements Yes No NA NE
Are all log books available? ■ ❑ ❑ ❑
Does supervisor review all log books on a regular basis? ❑
Does the supervisor have plans to address documented short-term problem areas? ❑ ❑ ❑
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
Logs and problem areas are reviewed on a daily basis and as needed.
❑ ElAre maintenance records for equipment available? ■ ❑
Is a schedule maintained for testing emergency/standby equipment? ❑ ❑ El
Weekly
What is the schedule for testing emergency/standby equipment?
Do pump station logs include:
Inside and outside cleaning and debris removal? ■ ❑
Inspecting and exercising all valves? ® ❑ ❑ ❑
Inspecting and lubricating pumps and other equipment? ■ ❑
El El
Inspecting alarms,telemetry and auxiliary equipment? ® El ❑
Is there at least one spare pump for each pump station w/o pump reliability? 0 ❑
0 El
Are maintenance records for right-of-ways available? 0 ❑ ❑0 El
❑
Are right-of-ways currently accessible in the event of an emergency?
J Are system cleaning records available? ■ ❑ ❑
Has at least 10%of system been cleaned annually? ■ ❑ ❑
What areas are scheduled for cleaning in the next 12 months?
Cleaning is performed in annual sections of approximately 29,000 LF(10%),working from the bottom of the
collection system backward.
Is a Spill Response Action Plan available? ■ ❑ ❑ ❑
Does the plan include:
24-hour contact numbers • ❑ ❑ ❑
El 1:1 El
Response time
Equipment list and spare parts inventory ■ ❑ ❑ ❑
Access to cleaning equipment ■ ❑ ❑ ❑
Access to construction crews,contractors,and/or engineers ❑ ❑ ❑
Source of emergency funds • ❑ ❑ ❑
Site sanitation and cleanup materials ■ ❑ ❑ ❑
Post-overflow/spill assessment ■ ❑ ❑ ❑
Is a Spill Response Action Plan available for all personnel? ■ ❑ ❑ ❑
Is the spare parts inventory adequate? ■ ❑ ❑ ❑
"Comment:
Page: 3

Permit: WQCS00084 Owner-Facility:City ofBrevard
Inspection Date: 05/09/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Performance Standards
Yes No NA NE
Is Public Education Program for grease established and documented? ■
What educational tools are used?
Educational flyers are the primary tool.It is recommended that bilingual flyers be used to increase the
population reached by the materials.
Is Sewer Use Ordinance/Legal Authority available? ® El El ❑
Does it appear that the Sewer Use Ordinance is enforced? ■ ❑
Is Grease Trap Ordinance available? . ❑ ❑ ❑
Is Septic Tank Ordinance available(as applicable,i.e.annexation) ■
List enforcement actions by permittee,if any,in the last 12 months
Has an acceptable Capital Improvement Plan(CIP)been implemented? ® �
Does CIP address short term needs and long term\"master plan\"concepts? ® EJ
El 0
Does CIP cover three to five year period? ■ ❑ ❑ ❑
Does CIP include Goal Statement? ❑ ❑ ❑
Does CIP include description of project area? ■ ❑
Does CIP include description of existing facilities? ® �
Does CIP include known deficiencies? ® ❑ ❑ ❑
Does CIP include forecasted future needs? ■ ❑ ❑ ❑ /
Is CIP designated only for wastewater collection and treatment? ® �
Approximate capital improvement budget for collection system? $11,874,616.00
Total annual revenue for wastewater collection and treatment? $1,700,000.00
CIP Comments
Is system free of known points of bypass? ® ❑ ❑ ❑
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? ® �
#Does the sign include:
Instructions for notification? El® ❑ EJ
Pump station identifier? . ❑ ❑ ❑
24-hour contact numbers ■ ❑ ❑ ❑
If no,list deficient pump stations
#Do ALL pump stations have an"auto polling"feature/SCADA? El El
Number of pump stations 18
Number of pump stations that have SCADA 9
Number of pump stations that have simple telemetry p
Number of pump stations that have only audible and visual alarms g
Number of pump stations that do not meet permit requirements 0
Page: 4

Permit: WQCS00084 Owner-Facility:City of Brevard
Inspection Date: 05/09/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Performance Standards Yes No NA NE
#Does the permittee have a root control program?
#If yes,date implemented?
Describe:
Concurrent with line inspection and cleaning.
Comment:
Page: 5

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CI�RQ
May 16, 2016
Tony J. Konsul
Utilities Inc.
PO Box 240908
Charlotte NC 28224-0908
SUBJECT: Compliance Evaluation Inspection
Connestee Falls WWTP 41 &WWTP 42
Permit No(s): NCO024295 &NCO088943
Transylvania County
Dear Mr. Konsul:
Enclosed please find a copy of the Compliance Evaluation Inspections conducted on February 16, 2016. The
facilities appeared well maintained and operated and were found to be in compliance with permits NCO024295
and NCO088943 for the Connestee Falls Wastewater Treatment Plants#1 &42,respectively.
he following additional items were noted during the inspection.
• The concrete structure of the#1 WWTP aeration basin is failing and repair or replacement should be
made a priority.
Please refer to the enclosed inspection report for additional observations and comments. The assistance
provided by David Medling, ORC and his staff during the inspections were greatly appreciated. If you or your
staff have any questions, please call me at 828-296-4500.
Sincerely,
Tim Heim, P.E.
Environmental Engineer
Enc.
cc: David Medling, ORC
MSC 1617-Central Files-Basement
Asheville Files
\\Wp3dnfp06.eads.ncads.net\data\WR\WQ\Transylvania\Wastewater\Minors\Connestee Falls 24295\NC0088943 WWTP#2\CEI letter 05-16-2016.doc
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

i
-.
�%

United States Environmental Protection Agency Form Approved.
EP
Washington,D.C.20460 OMB No.2040-0057
/1 Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 I 3 I NC0024295 I11 121 16/05/09 17 18 I I 19 I Li
c I 20I
2111III _1 IIIIII I I ) II I II IIII I I II III III I � � � � � � ��6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----Reserved— ---
67 70 71 72 � J N 73I I 174 75 80
Section B:Facility Data L I I I
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include
Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 01:OOPM 16/05/09 16/03/01
Connestee Falls WWTP#1 Exit Time/Date Permit Expiration Date
5999 Greenville Hwy
02:30PM 16/05l09 20/09/30
Brevard NC 28712
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
David Gary Medling/ORC/828-884-7487/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
``- Tony Konsul,PO Box 240908 Charlotte NC 282240908/Regional
Yes
Manager/704-319-0523/
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Permit ■ Flow Measurement ® Operations&Maintenance E Records/Reports
® Facility Site Review ■ Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Timothy H Heim ARO WQ//828-296-4665! �
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers D to
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCO024295 �11 12 lsros/os 17 18
C
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Tim Heim and Landon Davidson of the Asheville Regional Office performed a Compliance Evaluation
Inspection on May 9th, 2016. David Medling(ORC) of Utilities, Inc. was present during the inspection.
The WWTP was well maintained and appeared to be in compliance at the time of the inspection. The
concrete walls surrounding the aeration basins were in significant disrepair and a replacement or repair
project should be a priority.
Page# 2

Permit: NC0024295
Owner-Facility: Connestee Falls WVVTP#1
Inspection Date: 05/09/2016
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ® ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable N ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ■ ❑ ❑ ❑
application?
Is the facility as described in the permit? ® ❑ ❑ ❑
#Are there any special conditions for the permit? ® ❑ ❑ ❑
Is access to the plant site restricted to the general public? . ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ® ❑
El
Comment:
Grit Removal Yes No NA NE
Type of grit removal
a.Manual
b.Mechanical ❑
Is the grit free of excessive organic matter? N ❑ El ❑
Is the grit free of excessive odor? ® ❑ ❑
#Is disposal of grit in compliance? ❑ ❑ ❑
Comment:
Bar Screens Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical ❑
Are the bars adequately screening debris? ■ ❑ ❑ ❑
Is the screen free of excessive debris? El ❑ ❑
Is disposal of screening in compliance? ❑ ❑ ❑
Is the unit in good condition? ❑ ❑ ❑
Comment:
Page# 3

Permit: NCO024295 Owner-Facility: Connestee Falls VWVrP#1
Inspection Date: 05/09/2016 Inspection Type: Compliance Evaluation
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system
Surface
Is the basin free of dead spots? ■
Are surface aerators and mixers operational? . ❑
El F1
Are the diffusers operational? El El El
Is the foam the proper color for the treatment process?
Does the foam cover less than 25%of the basin's surface?
Is the DO level acceptable? El El 0 0
Is the DO level acceptable?(1.0 to 3.0 mg/1)
Comment:
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? El El 0
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage? ■ -�
Is the site free of evidence of short-circuiting? ® El'
Is scum removal adequate? ■
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the return rate acceptable(low turbulence)? ■
El 0 El
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable?(Approximately%of the sidewall depth)
Comment.-
Disinfection-Liquid Yes No NA NE
Is there adequate reserve supply of disinfectant? ■
(Sodium Hypochlorite) Is pump feed system operational? El 0
Is bulk storage tank containment area adequate?(free of leaks/open drains)
Is the level of chlorine residual acceptable? ■
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de-chlorination? ■
Comment:
Page# 4

Permit: NCO024295 owner-Facility: Connestee Falls WWfP#1
.Inspection Date: 05(09/2016
Inspection Type: Compliance Evaluation
Page# 5

United States Environmental Protection Agency Form Approved.
^ Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 I 3 ( NCO088943 I11 12 16/05(09j 17 181,1 UJ
19 1 20
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----Reserved---
80
67 70 I I 71 � 72 1 ,, 73�74 75
LJ Section B:Facility Data l_J
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include
Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 02:30PM 16/05/09 16/02/01
Connestee Falls WWTP#2 Exit Time/Date Permit Expiration Date
2441 Walnut Hollw Rd 03:30PM 16/05/09 20/09/30
Brevard NC 28712
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
David Gary Medling/ORC/828-884-7467/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
l Tony Konsul,PO Box 240908 Charlotte NC 282240908/Regional Yes
M a nager/704-319-0523/
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Flow Measurement ® Operations&Maintenance ® Facility Site Review ■ Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Agency/Office/Phone/Office/Phone and Fax Numbers Date
Name(s)and Signature(s)of Inspector(s) Y
Timothy H Heim ARO WQ//828-296-4665/ jJ�
� A �- i COr
Agency/Office/Phone and Fax Numbers Date
Agenc
Signature of Management Q A Reviewer Y
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type
1
3I NCO088943 I11 12 16/05/09 17 18 i 1C
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Tim Heim and Landon Davidson of the Asheville Regional Office performed a Compliance Evaluation
Inspection on May 9th, 2016. David Medling (ORC) of Utilities, Inc. was present during the inspection.
The UW TP was well maintained and appeared to be in compliance at the time of the inspection.
Page# 2

Permit: NC0088943
owner-Facility: Con nestee Falls WWTP#2
Inspection Date: 05/09/2016
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? N ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable E ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system Diffused
Is the basin free of dead spots? ® ❑
Are surface aerators and mixers operational? ❑ ❑ ® ❑
Are the diffusers operational? ® ❑ ❑ ❑
Is the foam the proper color for the treatment process? ® ❑ ❑ ❑
Does the foam cover less than 25%of the basin's surface? ® ❑ ❑ ❑
Is the DO level acceptable? ❑ ❑
Is the DO level acceptable?(1.0 to 3.0 mg/1) ❑ ❑ ❑
Comment:
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? ® ❑ ❑ ❑
Is the site free of excessive buildup of solids in center well of circular clarifier? ® ❑ ❑ ❑
Are weirs level? ■ ❑ ❑ ❑
Is the site free of weir blockage? ❑ ❑ ❑
Is the site free of evidence of short-circuiting? ❑ ❑ ❑
Is scum removal adequate? ■ ❑ ❑ ❑
Is the site free of excessive floating sludge? . ❑ ❑ ❑
Is the drive unit operational? O ❑ ❑ ❑
Is the return rate acceptable(low turbulence)? 0 ❑ ❑ ❑
Is the overflow clear of excessive solids/pin floc? ■ ❑ ❑ ❑
Is the sludge blanket level acceptable?(Approximately Y4 of the sidewall depth) ❑ ❑ ❑
Comment:
Standby Power Yes No NA NE
Is automatically activated standby power available? 0 ❑ ❑ ❑
Page# 3

Permit: NC0088943 Owner-Facility: Con nestee Falls WVVTP#2
Inspection Date: 05/09/2016 Inspection Type: Compliance Evaluation
Standby Power
Yes No NA NE
Is the generator tested by interrupting primary power source?
Is the generator tested under load?
Was generator tested&operational during the inspection?
Do the generator(s) have adequate capacity to operate the entire wastewater site?
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
Is the generator fuel level monitored?
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational?
Are the tablets the proper size and type? El n
Number of tubes in use? 2
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de-chlorination?
Comment:
Page# 4

PAT MCCR.ORY
Governor
�.,
DONALD R. VAN DER VAA.:RT
Secreiari:
M S. JAY ZIMMERMAN
Water Resources
ENVIRONMENTAL QUALITY 1)ireckrr
May 17, 2016
Daniel Harbaugh, Executive Director
Tuckaseigee Water&Sewer Authority
1246 West Main Street
Sylva, NC, 28779
Subject: Permit No. WQ0038461
Tuckaseigee Water&Sewer Authority
Cottage Walk
Wastewater Collection System Extension Permit
Jackson County
Dear Mr. Harbaugh:
In accordance with your application received May 4, 2016, we are forwarding herewith Permit No.
WQ0038461 dated May 17, 2016, to the Tuckaseigee Water & Sewer Authority (Permittee) for the
construction and operation upon certification of the subject wastewater collection system extension.
This permit shall be effective from the date of issuance until rescinded, and shall be subject to the
conditions and limitations as specified therein. This cover letter shall be considered a part of this permit
and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system-wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, 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 150E of North Carolina
General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh,
NC 27699-6714. Unless such demands are made,this permit shall be final and binding.
State of North Carolina/Environmental Quality/Water Resources
2090 U.S.Hwy.70,Swannanoa,N.C. 28778
828-296-4500

Tuckaseigee Water&Sewer Authority
Permit No.WQ0038461
If you need additional information concerning this matter, please contact Tim Heim at(828)296-4500 or
via e-mail at [e-mail].
Sincerely,
G. Landon Davidson, P.G., Region�Suprvisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: Donald P.Jehle, P.E. -(electronic copy)
ARO Office Files
Water Resources Central Files
PERCS(electronic copy)
\\Wp3dnfp06:eads.ncads.net\data\WR\WQ\Jackson\Collection Systems\TWASA#3 Collection System\WQ0038461 Cottage Walk.docx
Page 2 of 8

kA.
ua
Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
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 the
Tuckaseigee Water&Sewer Authority
Jackson County
for the construction and operation of approximately 434 linear feet of 8-inch gravity sewer to serve
eight 3-bedroom residential units as part of the Cottage Walk project, and the discharge of 2,400 gallons
per day of collected domestic wastewater into the Tuckaseigee Water & Sewer Authority's existing
sewerage system, pursuant to the application received May 4, 2016 and in with 15A NCAC
2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the
Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000 as applicable; and other supporting data subsequently filed and approved by the
Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0038461
Permit Issued: May 17,2016
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
Tuckaseigee Water& Sewer Authority is hereby authorized to:
Construct, and then operate _upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the Tuckaseigee Water&Sewer
Authority#3 Wastewater Treatment Facility in accordance with Permit Number NC0063321.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina-licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as-constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions identified
below.
I. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(0)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T, the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
Page 4 of 8

c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses 'shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North
Carolina General Statute§143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors,enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
l 2. For privately owned collection systems,the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map,which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage,etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
Page 5 of 8

733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five 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. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215AC(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities,the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations'storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes,shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested
Page 6 of 8

modifications or variances to the Minimum Design Criteria will be reviewed on a case-by-case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After-construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification &activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n))
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes§143-215.6A
through §143-215.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. [15A
NCAC 02T.0104; 15A NCAC 02T.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities. [15A NCAC 02T.0110; 15A NCAC 02T.0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have-jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: TUCKASEIGEE WATER &SEWER AUTHORITY
PERMIT#: WQ0038461
PROJECT: COTTAGE WALK
ISSUE DATE: May 17, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation to the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I,the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name,Title Signature Date ,
ENGINEERS CERTIFICATION
I, as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
Cottage Walk and location as referenced above for the above Permittee hereby state that,to the best of
my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T; the
Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12,
1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature &date:
❑ Final ❑ Partial(include description)
..........................................................................
Certification Comments/Qualifiers (attach if necessary):
NC DWR—Water Quality Regional Operations Section 2090 US Hwy 70 Swannanoa, NC 28778
Asheville Regional Office Phone: [phone] FAX:[phone]

Ps :: R
` AT1 DER [,AA T
tcr( r } WT
Certified Mail # 7012 1010 0002 1965 5686
Return Receipt Requested
May 18, 2016
A Dale Owen
15 Adventure Ridge Road
Brevard, NC 28712
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0265
- Permit No. NCO086223
Adventure Village WWTP
Transylvania County
Dear Permittee:
A review of the October 2015 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day (20 Deg. C) - 10/20/2015 45 65 Daily Maximum Exceeded
Concentration (C0310)
001 Effluent Nitrogen, Ammonia Total (as 10/31/2015 5.6 5.61 Monthly Average Exceeded
N) - Concentration (C0610)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional \
Office at 828-296-4500.
Sincerely,
...
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Trevor C. McMinn/ ORC
3:\WR\WQ\Transylvania\Wastewater\Minors}Adventure Village 86223\NOV-2016-LV-0265.rtf

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 18, 2016
William Hunteman
307 CJ Justice Drive
Waynesville,NC 28785
RE: Sample ID:AC27615,AC27616, &AC27643
Sample Location Address:307 CJ Justice Drive
Haywood County
Dear Mr. Hunteman,
Please find attached the analytical results for water samples collected from your water supply
well and kitchen faucet(post-treatment),at the address referenced above, on March 30, 2016.
Water samples were collected in regards to a nitrate-in-groundwater investigation in the
vicinity of Iron Duff Road and Buck Ridge Road.The sample collected from your water supply
well was analyzed for alkalinity, chloride,nitrate,nitrite,sulfate, and various metals.The
sample collected from your kitchen faucet(post-treatment)was analyzed for metals only.
The following table summarizes the attached analytical results (AC27615) for a sample
collected at the well head. Please note that the bolded values indicate levels above the NC
Groundwater Standard, 15A NCAC 2L.0202.The results are shown in units of micrograms per
liter of water (ug/1) and are approximately equivalent to parts per billion (ppb).
USEPA Maximum NC Groundwater Concentration Detected
Analytes Contaminate Level Standard In Your Drinking Water
Concentration Units Concentration Units Concentration Units
Barium 2,000 ppb 700 b 49 b
Calcium 5,500 ppb
Iron 300 b 150 ppb
Lead 15 ppb 15 b 7.3 ppb
Magnesium 2,300 ppb
Nitrate 10,000 ppb 10,000 ph 1,800 ppb
Potassium 2,400 ppb
Sodium 4,000 ppb
Strontium 52 ppb
Zinc 1,000 ppb 1,600 b
The following table summarizes the attached analytical results (AC27616) for a sample
collected at the kitchen faucet(post-treatment).The results are shown in units of
micrograms per liter of water (ug/1) and are approximately equivalent to parts per billion
(ppb).
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

..............__....
William Hunteman
\\
May 18,2016
Page 2 of 2
USEPA Maximum NC Groundwater Concentration Detected
Analytes Contaminate Level Standard In Your Drinking Water
Concentration Units Concentration Units Concentration Units
Copper 1,300 b 1,000 ppb 470 ppb
Potassium 150 ppb
Sodium 25,000 ppb
Zinc 1,000 ppb 11 ppb
In summary,the zinc concentration is above the applicable standard at the well head. Nitrate is
also present but the concentration occurs below the applicable standard. Barium,iron,lead,
and zinc concentrations are greatly reduced in you indoor quality as a result of treatment. It is
important to note that sodium and copper concentrations are increasing in your post-
treatment water quality. The copper concentration is below the applicable standard.
Because zinc occurs above the applicable standard,a Health Risk Evaluation (HRE)was
performed North Carolina Department of Health and Human Services toxicologist Kennedy
Holt.The HRE,which is enclosed,makes specific recommendations for your water based on
these results.
I appreciate your participation in this groundwater investigation. If you have questions
concerning the Health Risk Evaluation,please contact Kennedy Holt at [phone]. If you
have any additional questions or concerns,please contact me at [phone] or
[e-mail].
Sincerely,
1 �
Brett Lav
Water Qua ity Regional Operations
Asheville Regional Office
Attachment: Health Risk Evaluation by Kennedy Holt
DWR laboratory analytical results
cc: ARO file
Haywood County Health Department w/attachments

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE,NC Sample ID: AC27552
HAYWOOD Collector: B LAVER TY VisitlD PO Number# 16GO082
�n: ARO Report To ARO Location ID: 1C44303TUMBLE Date Received: 0313112016
lasin Collect Date: 03/29/2016 Priority Time Received: 08_10
En�egency Collect Time: 11_28 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
COC Yes/No Sample Depth Loc.Type:. WATERSUPPLY Delivery Method NC Courier
Final Report Date: 4127116
Report Print Date: 06/04/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result! Units Method Analysis
CAS# Analvte Name PQL Qualifier Reference Date Validated bV
LAB
Sample temperature at receipt by lab 1.7 °C 3131116 MSWIFT
NUT
NH3 as N in liquid 0.02 0.02 U mg/L as N EPA 350.1 REV 2 4/13/16 CGREEN
Nitrate as N in liquid 0.02 9.8 mg/L as N EPA 353.2 REV 2 4/19/16 CGREEN
Nitrite as N in liquid 0.01 0.18 mg/L as N EPA 353.2 REV 2 3/31/16 CGREEN
NO2+NO3 as N in liquid 0.02 10 mg/L as N EPA 353.2 REV 2 4/13116 CGREEN
Orthophosphate as P in liquid 0.02 0.02 U mg/L as P EPA 365.1 REV 2 3/31/16 CGREEN
Phosphorus-total as P in liquid 0.02 0.02 U mg/L as P EPA 365.1 REV 2 414/16 CGREEN
Total Kjeldahl N as N in liquid 0.2 2.0 U,P mg/L as N EPA 351.2 REV 2 4/12/16 CGREEN
WET
Bromide 0.4 0.4 U mg/L EPA 300.0 rev2.1 3/31/16 CGREEN
Chloride 1.0 16 mg/L EPA 300.0 rev2.1 3131/16 CGREEN
,_J
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2,1 3131116 CGREEN
Sulfate 2.0 33 mg/L EPA 300.0 rev2.1 3131/16 CGREEN
MBAS in liquid 0.1 0.1 U mg/L SM 5540 C 2000 3/31/16 CGREEN
MET
7440-22-4 Ag-Dissolved Silver by ICPMS 1.0 1.0 U ug/L EPA200.8 4/7/16 ESTAFFORD1
7429-90-5 Al-Dissolved Aluminum by ICP 50 s0 U ug/L EPA 200.7 416/16 ESTAFFORD1
7440-38-2 As-Dissolved by ICPMS Arsenic 2.0 2.0 U ug/L EPA 200.8 4/7116 ESTAFFORD1
7440-38-3 Ba-Dissolved Barium by ICP 10 20 ug/L EPA 200.7 4/6/16 ESTAFFORD1
7440-70-2 Ca-Dissolved Calcium by ICP 0.10 39 mg1L EPA 200.7 4/6/16 ESTAFFORD1
7440-43-9 Cd-Dissolved Cadmium by ICPMS 0,50 0.60 U ug/L EPA200.8 4/7/16 ESTAFFORD1
7440-47-3 Cr-Dissolved Chromium by ICPMS 5.0 5.0 U ug/L EPA200.8 417/16 ESTAFFORD1
7440-50-8 Cu-Dissolved Copper by ICPMS 2.0 2.0 U ug/L EPA200.8 4/7/16 ESTAFFORD1
7439-96-5 Dissolved Mn by ICP 10 66 ug/L EPA 200.7 4/6116 ESTAFFORD1
7439-89-6 Fe-Dissolved Iron by ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORD1
7439-97-6 Hg 245.1 Dissolved 0.2 0.20 U ug/L EPA245.1 4/5/16 ESTAFFORD1
7440-09-7 K-Dissolved Potassium by ICP 0.10 7.2 mg/L EPA 200.7 4/6/16 ESTAFFORD1
7439-95-4 Mg-Dissolved Magnesium by ICP 0.10 6.8 mg/L EPA 200.7 4/6/16 ESTAFFORD1
7440-23-5 Na-Dissolved Sodium by ICP 0.10 7.0 mg/L EPA 200.7 4/6/16 ESTAFFORD1
7440-02-0 Ni-Dissolved Nickel by ICPMS 2.0 2.1 ug/L EPA200.8 417116 ESTAFFORD1
7439-92-1 Pb-Dissolved Lead by ICPMS 2.0 2.0 U ug/L EPA200.8 4/7/16 ESTAFFORD1
77,p^-49-2 Se-Dissolved Selenium by ICPMS 1.0 1.0 U ug/L EPA200.8 4/7/16 ESTAFFORD1
Sr DISSOIVed by ICPMS 10 220 ug/L EPA200.8 417/16 ESTAFFORD1
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 (919)733-39,08
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 4

'VC DI1VR Ga6oratory Section Resufts/Sampre Com men ts/Qua(fi'er Definitions
Sample ID: AC27662
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
7440-66-6 Zn-Dissolved Zinc by ICPMS 10 1Q U ug/L EPA200.8 4/7/16 ESTAFFORD1
SEM �.-
Semivolatile Organics(BNAS)in liquid
83-32-9 Acenaphthene 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
62-53-3 Aniline 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
120-12-7 Anthracene 20 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA625/8270/3510 416116 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected ug/L EPA625/827013510 4/6116 CJOHNSON
207-08-9 Benzo(k)fuoranthene 30 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected ug/L EPA625/827013510 4/6/16 CJOHNSON
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
111-44-4 Bis(2-chloroethyl)ether 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
39638-32-9 Bis(2-chloroisopropyl)ether 10 Not detected ug/L EPA625/827013510 416/16 CJOHNSON
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected ug/L EPA625/8270/3510 416116 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
91-58-7 Chloronaphthalene, 2- 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
95-57-8 Chlorophenol,2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
218-01-9 Chrysene 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
53-70-3 Dibenzo(a,h)anthracene 20 Not detected ug/L EPA62518270/3510 416116 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected ug/L EPA62518270/3510 4/6/16 GJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected ug/L EPA625/827013510 4/6/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
91-94-1 Dichlorobenzidine, 3,3'- 30 Not detected J2 ug/L EPA625/8270/3510 4/6/16 CJOHNSON
120-83-2 Dichlorophenol, 2,4- 10 Not detected ug/L EPA625/827013510 416/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected ug/L EPA625/8270/3510 416116 CJOHNSON
131-11-3 Dimethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
105-67-9 Dimethylphenol,2,4- 10 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected ug/L EPA625/8270/3510 416116 CJOHNSON
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
51-28-5 Dinitrophenol, 2,4- 50 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
121-14-2 Dinitrotoluene, 2,4- 20 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
606-20-2 Dinitrotoluene,2,6- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected ug/L EPA625/8270/3510 4/6/16 GJOHNSON
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Nat Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 4

NC(DIALa6aratoiySectio?t�1`�es ftslSampreComments/QuaCferOefiidtiolts
Sample ID: AC27652
+ Analvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
7 Fluorene 20 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
1 4-1 Hexachlorobenzene 20 Not detected ug/L EPA625/827013510 4/6/16 CJOHNSON
87-68-3 Hexachlorobutadlene(SV) 10 Not detected ug/L EPA625/827013510 416116 CJOHNSON
77-47-4 Hexachlorocyclopentadiene 10 Not detected ug/L EPA625/827013510 4/6116 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
193-39-5 lnden0(1,2,3-cd)pyrene 20 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
78-59-1 Isophorone 10 Not detected ug/L EPA625/827013510 416/16 CJOHNSON
91-57-6 Methylnaphthalene,2- 10 Not detected ug/L EPA625/8270/3510 - 4/6/16 CJOHNSON
95-48-7 Methylphenol,2- 10 Not detected ug/L EPA625/827013510 416/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected ug/L EPA62518270/3510 4/6116 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
99-09-2 Nitroaniline, 3- 50 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected ug/L EPA625/827013510 416/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
88-75-5 Nitrophenol,2- 10 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
100-02-7 Nitrophenol,4- 50 Not detected ug/L EPA625/8270/3510 4/6116 CJOHNSON
621-64-7 N-nitrosodl-n-propylamine 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
86-30-6 N-nitrosodlphenylamine 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
87-86-5 Pentachiorophenol 30 Not detected ug/L EPA62518270/3510 4/6/16 CJOHNSON
85-01-8 Phenanthrene 20 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
1' ,12 Phenol 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
129-00-0 Pyrene 20 ' Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected ug/L EPA62518270/3510 416/16 CJOHNSON
95-95-4 Trichiorophenol,2,4,5- 10 Not detected ug/L EPA625/8270/3510 416/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected ug/L EPA625/8270/3510 4/6/16 CJOHNSON
Sample Comments
SEM:SV-J2-estimated-1 analyte failed<LCL in the CV2.
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 4

NC 1n4VR La6oratoryy Section ResuCtsl,ampfc Comments/QuaCi'erDefiizitioru
Sample ID: AC27552
CAS# Ana(vte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U". The PQL is used for the qualified result(S)to call \
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies. The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
B7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
BB1 MPN-No wells or tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than"<°valuz
BB2 MPN-All wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
G1 BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea:
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BQD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated fo
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab, p
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
Jl0 Unidentified peak;estimated value.
ill The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control'.The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower,
Nl Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met(i.e., presence of E
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N4 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N5 The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 4

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE,NC Sample ID: AC27634
HAYWOOD Collector: B LAVER TY VisitlD PO Number# ARO
in: ARO Report To ARO Location ID: IC44303TUMBLE Date Received: 0 312 9120 1 6
3asin NA Collect Date: 03/29/2016 Priority ROUTINE Time Received: 16_15
Eti-r"gency Collect Time: 11_28 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
COG Yes/No Sample Depth NA Loc.Type: WATERSUPPLY Delivery Method Hand delivered
Final Report Date: 4/28116
Report Print Date: 06/04/2016
Final Report
If this report is labeled preliminary report, the results have not been validated, Do not use for Regulatory purposes.
Result/ Units Method Analysis
CAS# Analyte Name PQL Qualifier Reference Date validated by
ARO
Alkalinity4.5 1.0 41 mg/LasCaCO3 APHA232013-20th 4/5116 ESTAFFORDI
Alkalinity8.3 1.0 1 U mg/L as CaCO3 APHA232013-20th 415/16 ESTAFFORDI
Bicarbonate 1.0 41 mg/LasCaCO3 APHA23208-20th 4/5/16 ESTAFFORDI
Carbonate 1.0 1 U mg/L as CaCO3 APHA232013-20th 4/5/16 ESTAFFORDI
pH Alkalinity 7.5 mg/L as CaCO3 APHA23208-20th 4/5116 ESTAFFORDI
Coliform, MF Fecal in liquid 1 1 B2 CFU/100ml APHA9222D-20th 3/29/16 ESTAFFORDI
Coliform, MF Total in liquid 1 1 B2 CFU/100m1 APHA9222B-20th 3129/16 ESTAFFORDI
Sample temperature at receipt by lab 2.7 'C 3/29/16 RBYRD
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

AC27635 North Carolina Division of Water Resources Water Sciences Section Laboratory Results
Loc.Descr.: JONATHON FREEDBERG-303 TUMBLEWEED TRAIL WAYNESVILLE NC
Sample ID: AC27635
County: HAYWOOD Collector: B LAVERTY VisitlD PO Number# ARO
Region: ARO Report To ARO Location ID: 1C44303TUMBLE Date Received: 0 3/2 912 0 1 6
River Basin NA Collect Date: 03/29/2016 Priority ROUTINE Time Received: 16:15
Emergency Collect Time: 11_33 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2 ` —
COC Yes/No Sample Depth NA Loa Type: WATERSUPPLY Delivery Method Hand delivered
Final Report Date: 4/28/16
Report Print Date: 0 610 4/2 0 1 6
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analy.te Name PQL Qualifier Units Reference Date Validated by
ARO
COliform, MF Total in liquid 1 57 CFu1100ml APHA9222B-20th 3/29/16 ESTAFFORDI
Sample temperature at receipt by lab 2.7 aC 3129/16 RBYRD
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

i ' + R 0 L N '
Private Well Information
nc dapartrnent `of h,, nd and 1 JRecommendations
human serveees
For Inorganic Chemical Contaminants
Coun mu � Name:F '" ,(t'_a
Sample ID#:� -j 6 15" �,kCA1616 Reviewer: l�rt/1R
TEST RESULTS AND USE RECOMMENDATIONS
1. Your well water meets federal drinking water standards,for'inorganic chemicals. Your water can be used for
drinking,cooking,washing,cleaning,bathing,and showering basdd on the inorganic chemical results onto.You may
have other water sampling results that are not taken into account in this report.
1 ❑The following substance(s)exceeded federal drinking water standards or the North Carolina 2L calculated health
levels.The North Carolina Division of Public Hearth recommends that your well water not be used for drinking and
cooking,unless you install a water treatment system to remove the circled st,bstance(s).However,it may be used for
washing,cleaning, bathing and showering based on the inermanic chemical results on
Arsenic ; 13arium Cadmium Chromium Co er Fluoride Lead Iron
`vnganese Mercury Nitrate/Nitrite . Selenium_ Silver Magnesium Zinc H
3. Sodium levels exceed the U.S. Environmental Protection Agency's(USEPA) Health Advisory level for sodium of
20 mgll. The North Carolina Division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cooking. it may be used for washing,cleaning,bathing,and showering based on
the inorganic;._heretical ravults only.
❑b. Levels over 30 mgll may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc. ""--
4. ❑Re-sampling is recommended in months.
5, ❑ Re-sample for lead and/or copper. Take a first draw,5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a 15 minute sample at the well head to determine the source of the
I
ead andfor copper.
6. []The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results only,but aesthetic problems
such as bad taste,odor,staining of porcelain,etc, may occur. You may want to install a household water treatment system
to"address aesthetic problems.
Barium Cadmium Chromium Fluoride Iron Ma esium
Manganese Selenium Silver pH Zinc
For more lttfortnation regarding your well water results,please call the North Carolina Division of Public Health at 919-707-5900.
+ate- ar)tun hcclFtit aalv�sor�, Ca��r- -fan, 44.c Sa fc }C271jj�lv1.;� vr«s +rkPr f 3l-- teal+hrn

I
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
m Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 19, 2016
Sheri Cassidy
111 Wilkinson Pass Lane,APT 204
Waynesville,NC 28786
RE: Sample ID:AC27617 &AC27644
Sample Location Address: 593 Buck Ridge Road
Haywood County'
Dear Ms. Cassidy,
Please find attached the analytical results for water samples collected from your water supply
well, at the address referenced above,on March 30, 2016.As you are aware,the Division is
using available resources to monitor and identify a potential source for the nitrate-in-
groundwater in nearby water supply wells. Recent sampling was expanded to include a
number of analytes associated with septage,which is potential source for the reoccurring
nitrates.Your water samples were analyzed for alkalinity, ammonia,chloride,fecal coliform
bacteria,MBAS (surfactants),nitrate,nitrite, orthophosphate, semi-volatile organic
compounds, sulfate,total coliform bacteria,total phosphorus,and various metals.
The following table summarizes the attached analytical results (AC27617) for a sample
collected at the well head.The results are shown in units of micrograms per liter of water
(ug/1) and are approximately equivalent to parts per billion (ppb).
USEPA Maximum NC Groundwater Concentration Detected
Analytes Contaminate Level Standard In Your Drinking Water
Concentration Units Conc"itsConcentration Units
Ammonia 1 20 b
Barium 2,000 b 32 b
Calcium 15,000 b
Chloride 250,000 ppb 14,000 PPU
Magnesium 4,300 ppb
Manganese- 50 ppb 28 ppb
Nitrate 10,000 ppb 10,000 ppb 660 ppb
Potassium 4,700 ppb
Sodium
7,100 ppb
Strontium 60 ppb
Sulfate 250,000 ppb 12,000 ppb
In summary,nitrate and ammonia are present but concentrations occur well below the
applicable standards.There was no detectable coliform bacteria in your well at this time.The
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Sheri Cassidy
May 19,2016
Page 2 of 2
remaining analytes are below applicable standards and are fairly typical for groundwater
quality in Western North Carolina. Overall,there is no indication that septage is the source for
the reoccurring nitrate in nearby water supply wells.
Because there are constituents present in your water supply well,a Health Risk Evaluation
(HRE) was performed North Carolina Department of Health and Human Services toxicologist
Kennedy Holt.The HRE,which is enclosed,states your drinking water,based on available
information, is safe for all household uses including drinking,cooking,washing, cleaning,
bathing,and showering.
I appreciate your participation in this groundwater investigation. If you have questions
concerning the Health Risk Evaluation,please contact Kennedy Holt at(919) 707-5910. If you
have any additional questions or concerns,please contact me at [phone] or
[e-mail].
Sincerely,
Brett Lav rty
Water Qua i Regional Operations
Asheville Regional Office
Attachment: Health Risk Evaluation by Kennedy Holt
DWR laboratory analytical results
cc: ARO file
Haywood County Health Department w/attachments

_North Carolina Division of Water Resources Water Sciences Section Laboratory Results
Sherri Cassidy-593 BUCK RIDGE ROAD WAYNESVILLE.NC Sample ID: AC27617
HAYWOOD Collector: S LAVERTY VisitlD PO Number# 16GO087
,n: ARO Report To ARO Location ID: lC44593SUCK Date Received: 0410112 01 6
3asin NA Collect Date: 0 3/3 112 01 6 Priority GROUNDWATER Time Received: 08_10
Emergency Collect Time: 12:63 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
COC Yes/No Sample Depth NA Loc.Type: WATER SUPPLY Delivery Method NC Courier
Final Report Date: 41 7/16
Report Print Date: 06/04/2016
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Units Method Analysis
CAS# Analyte Name
pQL Qualifier Reference Date Validated by
LAB
`C 411(16 MSWIFT
Sample temperature at receipt by lab
3.7
NUT
mg/L as N EPA 350.1 REV 2 4/13116 CGREEN
NH3 as N in liquid 0.02 0,02
mgJL as N EPA 353.2 REV 2 4t19/16 CGREEN
Nitrate as N In liquid 0.02 0.66
Nitrite as N In liquid 0.01 Q,Q7 U mglL as N EPA 353.2 REV 2 4/1116 CGREEN
mg/L as N EPA 353.2 REV 2 4113116 CGREEN
NO2+NO3 as N in liquid 0.02 0.67
Orthophosphate as P in liquid 0.02 0.02 UmglL as P EPA 365.1 REV 2 411116 CGREEN
mg/L as P EPA 365.1 REV 2 4!4/16 CGREEN
Phosphorus total as P in liquid 0.02 0.02 U
Total Kjeldahl N as N in liquid 0.2 0.20
mg/L as N EPA 351.2 REV 2 418116 CGREEN
WET
Bromide 0.4 0.4 U mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
Chloride 1.0 14 mg/L EPA 300.0 rev2.1 4/5116 CGREEN
Fluoride 0.4 0.4 U mg/L EPA 300,0 rev2.1 415/16 CGREEN
Sulfate 2.0 12 mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
MET
7440-22-4 Ag-Dissolved Silver by ICPMS 1.0 1.0 U u9/L EPA200.8 4!7l16 ESTAFFORD1
7429-90-5 Al-Dissolved Aluminum by ICP 50 50 Uug/L EPA 200.7 4l6116 ESTAFFORDI
7440-38-2 As-Dissolved by ICPMS Arsenic 2.0 2.0 U uglL EPA 200.8 4/7/16 ESTAFFORD1
7440-38-3 ga-Dissolved Barium by ICP 10 32 ug/L EPA 200.7 4/6116 ESTAFFORD1
mg/L EPA 200.7 4l6/16 ESTAFFORDI
7440-70-2
Ca-Dissolved Calcium by ICP 0.10 15
7440-43-9 Cd-Dissolved Cadmium by ICPMS 0.50 0.60 U u9/L EPA 200.8 4/7116 ESTAFFORDI
7440-47-3 Cr-Dissolved Chromium by ICPMS 5.0 6.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7440-50-8 Cu-Dissolved Copper by ICPMS 2.0 2.0 U
ug/L EPA 200.8 417116 ESTAFFORDI
7439-96-5 Dissolved Mn by ICP 10 28 ug/L EPA 200.7 4/6116 ESTAFFORDI
7439-89-6 Fe-Dissolved Iron by ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORDI
7439-97-6 Hg 245.1.Dissolved 0.2 0.20 U ug/L EPA 245.1 415/16 ESTAFFORD1
7440-09-7 K-Dissolved Potassium by ICP 0.10 4.7 mg/L EPA 200.7 4/6lI6 ESTAFFORDI
7439-95-4 Mg-Dissolved Magnesium by ICP 0.10 4.3 mg/L EPA 200.7 4/6/16 ESTAFFORDI
7440-23-5 Na-Dissolved Sodium by ICP 0.10 7.1 mg/L EPA 200.7 4/6/16 ESTAFFORD1
7440-02-0 Ni-Dissolved Nickel by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
7439-92-1 Pb-Dissolved Lead by ICPMS 2.0 2.0 U ug/L EPA 200.8 417/16 ESTAFFORDI
7782-49-2 Se-Dissolved Selenium by ICPMS 1.0 1.0 U ug/L EPA 200.8 4/7/16 ESTAFFORDI
uglL EPA 200.8 4l7/16 ESTAFFORDI
Sr Dissolved by ICPMS 10 60
744166-6 Zn-DISSOIVed ZI11C by ICPMS. 10 IOU ug/L EPA 200.8 417/16 ESTAFFORDI
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

AC27644 North Carolina Division of Water Resources Water Sciences Section Laborato Results
Loc.Descr.: Sherri Cassidy-593 BUCK RIDGE ROAD WAYNESVILLE NC Sample ID: AC27644
County: HAYWOOD Collector: B LAVERTY VisitlD PO Number# ARO
Region: ARO Report To ARO Location ID: 1C44593BUCK Date Received: 0 3/3 012 0 1 6
River Basin NA Collect Date: 03/30/2016 Priority ROUNTINE Time Received: 15_50
Emergency Collect Time: 12_63 Sample Matrix: GROUNDWATER Labworks LoginlD KJIMISON2
COC Yes/No Sample Depth NA Loc.Type: WATER SUPPLY Delivery Method Hand delivered
Final Report Date: 4/28116
Report Print Date: 0610412016
Final Report
If this report is labeled preliminary report,the results have not been validated, Do not use for Regulatory purposes,
Result! Method Analysis
GAS# Analvte Name PQL Qualifier Units Reference Date Validated by
ARO
Alkalinity4.5 1.0 41 mg/Las CaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
Alkalinity8.3 1.0 1 U mg/L as CaCO3 APHA2320B-20th 4/5/16 ESTAFFORDI
Bicarbonate 1.0 41 mg/LasCaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
Carbonate 1.0 1 U mg/LasCaCO3 APHA2320B-20th 4/5/16 ESTAFFORD1
pH—Alkalinity 7.4 mg/L as CaCO3 APHA2320B-20th 415/16 ESTAFFORDI
Coliform, MF Fecal in liquid 1 1 B2 CFU/100ml APHA9222D-20th 3/30/16 ESTAFFORDI
Coliform, MF Total in liquid 1 1 B2 CFU/100ml APHA9222B-20th 3/30/16 ESTAFFORD1
Sample temperature at receipt by lab 3.4 °c 3/30/16 RBYRD
/1
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

1 0` ' �
Private Well lnformat"io�n
nc department Use Recommendations
and
+rrFheatfhand
human services
For Inorganic Chemical Contaminants
County: a ,v ~ _� Name:
Sample 1D#:
TEST RESULTS AND USE RECOMMENDATIONS
1. Your well water meets federal drinking water standards for'norganic chemicals. Your water can be used for
drinking,cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results only.You may
have other water sampling results that are not taken into account in this report.
2. ❑The following substances)exceeded federal drinking water standards or the North Carolina 2L calculated health
levels.The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking, unless you install a water treatment system to remove the circled substances).However, it may be used for
washing,cleaning,bathing and showering based on the inorganic chemical results only.
-4rsenic Barium Cadmium Chromium Copper Fluoride Lead Iron
Manganese Mercury Nitrate/Nitrite Selenium _Silver MagnesiumZinc H _
3. ❑ a. Sodium levels exceed the U.S.Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/l. The North Carolina Division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cooking. it may be used for washing,cleaning,bathing,and showering based on
the in aWe chemical reE94 only.
❑,b,;Levels over 30 mg/1 may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc. ----
4, ❑Re-sampling is recommended in months.
5. [] Re-sample for lead and/or copper. Take a first draw, 5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw, 5 minute and a 15 rninuie sample at-ihe well head to determine the source of the
lead andlor copper.
6. ❑The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results only,but aesthetic problems
such as bad taste,odor,staining of porcelain,etc,may occur. You may want to install a household water treatment system
to address aesthetic problems.
Barium Cadmium Chromium bluaride Iron Ma cesium
Manganese I Selenium I Silver I pH Zinc
For snore information regarding your well water results,please call the North Carolina Division of Public Health at 914-7tJ7-59©11.

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
4j
WaterResources S. JAY ZIMMERMAN
NVIRONMENTAL QUALITY
Director
May 19,2016
James Maness
10487 Whitewind Circle
Boynton Beach,FL 33473
RE: Sample ID:AC27618&AC27645
Sample Location Address:122 Tumbleweed Trail
Haywood County
Dear Mr.Maness,
Please find attached the analytical results for water samples collected from your water supply well,
at the address referenced above,on March 30,2016.As you are aware,the Division is using
available resources to monitor and identify a potential source for the nitrate-in-groundwater in
nearby water supply wells. Recent sampling was expanded to include a number of analytes
associated with septage,which is a potential source for the reoccurring nitrates.Your water
samples were analyzed for alkalinity,ammonia,chloride,fecal coliform bacteria,MBAS
(surfactants),nitrate,nitrite,orthophosphate,semi-volatile organic compounds,sulfate,total
coliform bacteria,total phosphorus,and various metals.
The following table summarizes the attached analytical results (AC27618) for a sample collected at
the well reservoir. Please note that the bolded values indicate levels above the NC Groundwater
Standard,15A NCAC 2L. 0202.The results are shown in units of micrograms per liter of water
(ug/1) and are approximately equivalent to parts per billion(ppb).
USEPA Maximum NC Groundwater Concentration Detected
Analytes Contaminate Level Standard In Your Drinking Water
Concentration Units Concentration Units Concentration Units
Ammonia 1,500 b 20 b
Barium 2,000 b 700 b 40 b
Calcium 24,000 b
Chloride 250,000 b 4,200 b
Magnesium 2,400 ppb
Manganese 50 ppb 49 ppb
Nitrate 10,000 ppb 10,000 ppb 460 ppb
Nitrite 1,000 ppb 1,000 ppb 30 ppb
Potassium 5,300 ppb
Selenium 50 ppb 20 ppb 1 ppb
Sodium
6,900 ppb Strontium 64 ppb
Sulfate 250,000 ppb 11,000 ppb
Zinc 1,000 ppb 3,500 ppb
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

James Maness �
May 19,2016
Page 2 of 2
The following table summarizes the attached analytical results (AC27645)for bacteria samples
collected at the well reservoir.Please note that the bolded values indicate levels above the NC
Groundwater Standard, 15A NCAC 2L. 0202.The results are shown in Colony Forming Units per
100 milliliters of water or CFU/100 ml.
NC Groundwater Standard Concentration Detected In
Analytes Source Your Drinking Water,
Concentration Units Concentration Units
Fecal
telriarm Reservoir 1 CFU/100 ml < 1 CFU/100 ml
Total Co i Reservoir 1 CFU/100 ml 6 CFU/100 ml
a
Bacterria
In summary,total coliform bacteria was detected in your drinking water,which may be related to
failing seals on your water reservoir tank.The zinc concentration was above the applicable
standard,which may be associated with materials used to construct the well such as galvanized
piping.Nitrate,nitrite,and ammonia are present but concentrations occur well below the
applicable standards.The remaining analytes are below applicable standards and are fairly typical
for groundwater quality in Western North Carolina. Overall,there is no indication that septage is
the source for the reoccurring nitrate in nearby water supply wells.
--
Because there are constituents present in your water supply well,a Health Risk Evaluation(HRE)
was performed North Carolina Department of Health and Human Services toxicologist Kennedy
Holt.The HRE,which is enclosed,makes specific recommendations for your water based on these
results.
If you have questions concerning the Health Risk Evaluation,please contact Kennedy Holt at(919)
707-5910.If you have any additional questions or concerns,please contact me at(828) 296-4681
or [e-mail].
Sincerely,
Brett Lave
Water Quality Regional Operations
Asheville Regional Office
Attachment: Health Risk Evaluation by Kennedy Holt
DWR laboratory analytical results
cc: ARO file
Haywood County Health Department w/attachments

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
James Maness-122 TUMBLEWEED TRAIL Waynesville,NC Sample ID: AC27618
HAYWOOD Collector: B LAVERTY VisitlD PO Number# 16G0088
ARO Report To ARO Location ID: 1C44122TUMBLE Date Received: 0410112016
n NA Collect Date: 03/30/2016 Priority GROUNDWATER Time Received: 08_10
.mergency Collect Time: 01_39 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
:OC Yes/No Sample Depth NA Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 4/27/16
Report Print Date: 0 610 4/20 1 6
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analyte Name PQL Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 3.7 ,C 4/1/16 MSWIFT
NUT
NH3 as N in liquid 0.02 0.02 mg/L as N EPA 350.1 REV 2 4/13/16 CGREEN
Nitrate as N in liquid 0.02 0.46 mg/L as N EPA 353.2 REV 2 4/19/16 CGREEN
Nitrite as N in liquid 0.01 0.03 mg/L as N EPA 353.2 REV 2 4/1116 CGREEN
NO2+NO3 as N in liquid 0.02 0.49 mg/L as N EPA 353.2 REV 2 4/13/16 CGREEN
Orthophosphate as P in liquid 0.02 0.02 U mg/L as P EPA 365.1 REV 2 4/1116 CGREEN
Phosphorus-total as P in liquid 0.02 0.02 U mglL as P EPA 365.1 REV 2 4!4/16 CGREEN
Total Kjeidahl N as N in liquid 0.2 0.2 U mg/L as N EPA 351.2 REV 2 418/16 CGREEN
WET
Bromide 0.4 0.4 U mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
Chloride 1.0 4.2 mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 415/16 CGREEN
Sulfate 2.0 11 mg/L EPA 300.0 rev2.1 4/5116 CGREEN
MBAS in liquid 0.1 0.1 U mg/L SM 5540 C 2000 4/1/16 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA 200.8 417116 ESTAFFORD1
7429-90-5 Al by ICP
50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORD1
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
7440-38-3 Ba by ICP 10 40 ug/L EPA 200.7 416/16 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 24 mg/L EPA 200.7 416/16 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA 200.8 417/16 ESTAFFORD1
r440-50-8 Cu by ICPMS
2.0 2.0 U ug/L EPA 200.8 4/7116 ESTAFFORD1
7439-89-6 Fe by ICP 50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORD1
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 4/5116 ESTAFFORD1
7440-09-7 K by ICP
0.10 5.3 mg/L EPA 200.7 4/6116 ESTAFFORD1
7439-95-4 Mg by ICP
0.10 2.4 mg/L EPA 200.7 4/6/16 ESTAFFORD1
7439-96-5 Mn by ICP 10 49 ug/L EPA 200.7 4/6/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 6.9 mg/L EPA 200.7 4/6/16 ESTAFFORDI
7440-02-0 Ni by ICPMS
2.0 2.0 U ug/L EPA200.8 417/16 ESTAFFORD1
7439-92-1 Pb by ICPMS
2.0 2.0 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
77B?-'-1-2 Se by ICPMS 1.0 1.0 ug/L EPA 200.8 4/7/16 ESTAFFOR 1
744L,,„,.-6 Sr by ICPMS 10 64 ug/L EPA 200.8 417/16 ESTAFFORD1
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Nat Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 4

NC 1D4tiR Ga6oratoiy. Sectioit 12esuftsl.ample Coinnrents/Quaffier Defi'tsitioitr
Sample ID: AC27618
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
7440-66-6 Zn by ICPMS 10 3500 ug/L EPA200.8 417/16 ESTAFFORD1
SEM �
Semivolatile Organics(BNAs)in liquid
83-32-9 Acenaphthene 10 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
62-53-3 Aniline 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
120-12-7 Anthracene 20 Not detected ug/L EPA625/827013510 4115/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA625/827013510 4/15116 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
207-08-9 Senzo(k)fluoranthene 30 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected J2 ug/L EPA625/8270/3510 4/15/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
111-44-4 Bis(2-chloroethyl)ether 10 Not detected ug/L EPA625/827013510 4/15/16 CJOHNSON
39638-32-9 Bis(2-chloroisopropyl)ether 10 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
117-81-7 Bis(2-ethyIhexyl)phthalate 30 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected ug/L EPA625/8270/3510 4115116 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
91-58-7 Chloronaphthalene,2- 10 Not detected ug/L EPA62518270/3510 4115/16 CJOHNSON
95-57-8 Chlorophenol, 2- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
213-01-9 Chrysene 20 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
53-70-3 Dibenzo(a,h)anthracene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected ug/L EPA6251827013510 4/15116 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
91-94-1 Dichlorobenzidine, 3,3'- 30 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
120-83-2 Dichlorophenol,2,4- 10 Not detected ugiL EPA62518270/3510 4/15/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
131-11-3 Dimethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
105-67-9 Dimethylphenol,2,4- 10 Not detected ug/L EPA62518270/3510 .4/15/16 CJOHNSON
84-74-2 . Di-n-butyl phthalate 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
51-28-5 Dinitrophenol,2,4- 50 Not detected J2 ug/L EPA625/8270/3510 4/15/16 CJOHNSON
121-14-2 Dinitrotoluene,2,4- 20 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
606-20-2 Dinitrotoluene, 2,6- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected J2 ug/L EPA625/8270/3510 4/15/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"Ll"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 4

7ArC DWR La6oratoryy Section 12,esurtslSampfe Cornments/QuaCi'er Defitcitiolls
Sample ID: AC27618
Result/ Method Analysis Analvte Name PQL Qualifier Units Reference Date Validated by
Fluorene 20 Not detected ug/L EPA625/8270/3510 4115116 CJOHNSON
16=i4 1 Hexachlorobenzene 20 Not detected ug/L EPA625/B270/3510 4115/16 CJOHNSON
i7-68-3 Hexachlorobutadiene(SV) 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
7-47-4 Hexachiorocyclopentadiene 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
W-72-1 Hexachloroethane 10 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
93-39-5 Indeno(1,2,3-cd)pyrerie 20 Not detected
ug/L EPA6251827013510 4/15/16 CJOHNSON
'8-59-1 Isophorone 10 Not detected ug/L EPA625/8270/3510 . 4115116 CJOHNSON
0-57-6 Methyl naphthalene,2- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
15-48-7 Methyiphenol, 2- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
11-20-3 Naphthalene(SV)
10 Not detected ug/L EPA625/827013510 4/15/16 CJOHNSON
58-74-4 Nitroaniline, 2-
10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
a9-09-2 Nitroaniline, 3- 50 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
ioo-ol-s Nitroaniline,4-
50 Not detected ug/L EPA625/8270/3510 4115116 CJOHNSON
38-95-3 Nitrobenzene 10 Not detected ug/L EPA62518270/3510 4115116 WO.HNSON
38-75-5 Nitrophenoi, 2- 10 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
100-02-7 Nitrophenol,4- 50 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
321-64-7 N-nitrosodi-n-propylamine 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
36-30-6 p y
N-nitrosodi hen famine 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
37-86-5 Pentachlorophenol 30 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
85-01-8 Phenanthrene 20 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
toe; Phenol
� 10 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
� 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
12s-oo-o Pyrene
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
95-954 Trichlorophenol,2,4,5- 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
Sample Comments
SEWSV-J2-estimated-3 analyte(s)failed<LCL in the CV2.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"Ll"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 4

XCVWX Ga6owtorySection ResuCtsl,ampCe Coinments/QuaCifi'erDefiititionS
Sample ID: AC27618
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
NCDECIMSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U". The PQL is used for the qualified result(S)to Cali
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero. The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smalle
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
B7 Coliform-Many non-Coliform or non-enterococcus colonies or interfering non-Coliform or non-enterococcus growth present. In this cc
BB1 MPN-No wells or tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than"<"valu,
BB2 MPN-All wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
G1 BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea!
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity. This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set. The reported value is an estimated greater than value and is calculated foi
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab, p
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.-Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate. ' 1
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J10 Unidentified peak;estimated value.
J11 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control'.The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower,
N1 Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met(i.e., presence of a
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N4 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N5 The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note: The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
�-i
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 4

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
James Maness-122 TUMBLEWOOD TRAIL Sample ID: AC27645
HAYWOOD Collector: B LAVERTY VisitlD PO Number# ARO
ARO Report To ARO Location ID: 1C44122TUMBLE Date Received: 0313 122016
;in NA Collect Date: 03/30/2016 Priority ROUTINE Time Received: 15_50
mergency Collect Time: 13_39 Sample Matrix: GROUNWATER Labworks LoginlD KJIMISON2
:OC Yes/No Sample Depth NA Loc.Type: WATER SUPPLY Delivery Method Hand delivered
Final Report Date: 4129/16
Report Print Date: 0610 112016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis Units Reference Date Validated by
CAS# Analvte Name PQL Qualifier
ARO
Alkalinity4.5 1.0 72 mg/L as CaCO3 APHA23206-20th 4/5116 ESTAFFORD1
Alkalinity8.3 1.0 1 U mg/LasCaCO3 APHA2320B-20th 4/5116 ESTAFFORD1
Bicarbonate 1.0 72 mg/LasCaCO3 APHA232013-20th 4/5/16 ESTAFFORD1
Carbonate 1.0 1 U mg/L as CaCO3 APHA2320B-20th 415116 ESTAFFORD1
mg/L as CaCO3 APHA2320B-20th 4/5116 ESTAFFORD1
pH Alkalinity 7,5
COIIfOfm, MF Fecal In IlgUld 1 B2 CFU1100ml APHA9222D-20th 3/30/16 ESTAFFORD1
CFU/100m1 APHA92226-20th 3/30/16 ESTAFFORD1
COIIfOfm; MF Total in liquid 1 6
Sample temperature at receipt by lab 3.4 'C 3/30/16 RBYRD
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

• R T H C A R •
44M
Private Well Information
hurreans.rvics i�,
and Use Recommendations
o health and
For Inorganic Chemical Contaminants
County:12ai„�Zc Name: ei ✓'�,.�ess
Sample 0#: a7 Reviewer:
TEST RESULTS AND USE RECOMMENDATIONS
1.❑ Your well water meets federal drinking water standards for Inorganic chemicals. Your water can be used for
drinking,cooking,washing,cleaning,bathing,and showering based on the inoreanic phemical results on1v.You may
have other water sampling results that are not taken into account in this report.
2. The following substance(s)exceedcd fcdcral drinking water standards or the North Carolina 2L calculated health
levels.The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking,unless you install a water treatment system to remove thu circled substance(s), however,it may be used for
washing,cleaning, bathing and showering based on the ino,-ganic chemical results only.
Arsenic Barium Cadmium Chramium Co per Fluoride Lead Iron T`
kan anese Mercu _�Nitrate/Nitrite Selenium Silver Ma nesium i pH
3.❑ a. Sodium levels exceed the U.S.Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/l. The North Carolina Division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cooking. It may be used for washing,cleaning,bathing;and showering based on
the Imorgnle chow al results otrly.
❑ b. Levels over 30 mg/1 may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc.
4.❑ Re-sainpiing is recornmended in ninths.
5.❑ Re-sample for lead and/or copper. Take a first draw,5 minute,and IS minute sample inside the house(preferably
the kitchen)and if possible a first draw, 5 minute and a 15 minute sample at the well head to determine the source of the
lead and/or copper.
6. ❑The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results WE,but aesthetic problems
such as bad taste,odor, staining of porcelain,etc.may occur. You may want to install a household water treatment system
to'address aesthetic problems.
Barium Cadmium I Chromium Fluoride iron Magnesium
Manganese Selenium I Silver pH Zinc
'r more hiforniatlon regarding your well water residts,please call the Nortlt Carolina Division of Public Health at 919-707-5900.

t RI �.
1
Well Water Biological Analysis Results & Recommendations
County:_T rGiywothl Name: J6�s 11/1G„ts s
SampleIDr: � �! l2� 1 tr.bfcuvice�Location:
Review Date: �'- � b_��
Reviewer:
Initial Sample L�1 [t] Confirmatory sample ❑[z]
Local Health Department Telephone: 66.75—
13] Na COMM bacteria were Icund in your wall water.
)bur water cai be used forall Purpose,,;brtludiug if?i inlailt,Cooking,:+rashirrg,chwtliig,billhitrg,+nullshomerins.
141 Total coliform bacteria were detected in the sample which Indicates that harmful bacteria from human or animal waste
could enter the well.
Leo uol use the winter far driukitrg or cooking unless it ha;beer.boiled for 3 uri:urtes. Yor:may use your evater fa r.H other
pill-poses inclidir,q urashil44 disiles,bathing,01,shor(kering. /--
[S] Your well water needs to be re-sampled to verify that the test result is accurate or a problem has been resolved,
IG] Fecal colilorm bacteria were defected in the sample.
')0WtI'$;'the7l:J:ef'for:f%Yn�7=,Q,CJLkilig,tit.:jltil:SdLi1J,5,l:aftnn ,Ll'$JiaawrfNi.
-MMELVAM t• ,•
Your well water was tested for biological collIniti iatits(total coliform aid fecal calr'farin bacteria). The results were et+nlitated itsiig federal drinking
water standards.
l f the r•e•sampling;how mitaautratiou my eoliforar bacteria,contact your local hewltlr de yartinrut A*assi.,•tatice. There maybe a problem with the
elt"511-Mliolt of flit'turf!,fiM gee)lrridit%r/tEr'Si:K:'Ce,orapenition aq the w;al, Tile ii)Cli weds to he w:jpec,,tdj bG file 1007,1 heillth dgn:-tl;•tertt ora lecrl lee•tt
coitraetor to determine tlfe problem with the well and to gitk•grridwice ore how to correct Pre problem.
Total cotifor•m b acterin are foil lid ill soil and fLCal coliforui bacteria are found ill animal aid huuran waste, 7i)lai colifortt!or fecal coliforif bacteria ii well
water may hfdicale that the well may lmve structirnl proble•ais or that the rleell roa.,riot pioperlij disinfected.
If you have been drinking well neater and are pregiraw,wrlr;shig,hater a child its the horlseltotd wider 5 years of age,or imrtnlrtocoirpnuuised(such as all hidividual wills AIDS,cake,heimtitis,dial ysi,or Sm—girr!praudiln':)iilfal'!;1 rfa;ll'lle?lt1!Cart'pr'otR fCl';}f these rc_ril.'=al yourNL';l L'l;lt.
f the contamination eotttirnle5,yoli should invest gate,the possibiti(i/of drilling a)relle it,ell of ilfstalla Pohl14enfrlf disilrfeetloll tolit tolrich call Ilse
chlorine,ultraviolet l igJrt,or ozolle,
Routine nJell tnater sarupti)tg is recommended every year•liu•lutcterin mrd nih•ates, tirintyte f/urw•rf•ell itelren tttrre i5 a knoini yrobteut ar coilaruiiatioi ill your arra,after repair.:,reeplareiwut Of yolu•well,ill-afk•r a flooding event.
For{!nether ilrfor•lrlatiru,contact yartr local healN;dcparfurrnt. —
wised December 2011 Well snrery-t)tip:�;epi,puhlfcltealtll.nc.govloii'hsflcan0et.rdu d

PAT MCCRORY
Governor
}
DONALD R. VAN DER VAART
4j Secretary
Water Resources S. JAY ZIMMERMAN
iVIRONMENTAL QUALITY
Director
May 19,2016
Urpo Karppinen
309 Halfmoon Way
Clyde,NC 28721
RE: Sample ID:AC27618&AC27645
Sample Location Address:Lot 3;Haystack Hill Road
Haywood County
Dear Mr.Karppinen,
Please find attached the analytical results for water samples collected from your water supply well,
at the address referenced above,on March 30,2016.As you are aware,the Division is using
available resources to monitor and identify a potential source for the nitrate-in-groundwater in
nearby water supply wells.Recent sampling was expanded to include a number of analytes
associated with septage,which is a potential source for the reoccurring nitrates.Your water
samples were analyzed for alkalinity,ammonia,chloride,fecal coliform bacteria,MBAS
(surfactants),nitrate,nitrite,orthophosphate,semi-volatile organic compounds,sulfate,total
coliform bacteria,total phosphorus,and various metals.
The following table summarizes the attached analytical results (AC27618) for a sample collected at
the well reservoir.Please note that the bolded values indicate levels above the NC Groundwater
Standard, 15A NCAC 2L. 0202.The results are shown in units of micrograms per liter of water
(ug/1) and are approximately equivalent to parts per billion(ppb).
USEPA Maximum NC Groundwater Concentration Detected
Analytes Contaminate Level Standard In Your Drinking Water
Concentration Units Concentration Units Concentration Units
Ammonia 1,500 ppb 20 b
Barium 2,000 ppb 700 ppb 40 b
Calcium 24,000 b
Chloride 250,000 ppb 4,200 b
Magnesium 2,400 ppb
Man anese 50 ppb 49 b
Nitrate 10,000 b 10,000 b 460 b
Nitrite 1,000 ppb 1,000 pPb 30 b
Potassium 5,300 ppb
Selenium 50 b 20 b 1 b
Sodium
6,900 ppb Strontium 64 ppb
Sulfate 250,000 b 11,000 b
Zinc 1,000 pnb 3,500 b
State of North Carolina Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Urpo Karppinen
May 19,2016 \
Page 2 of 2
The following table summarizes the attached analytical results (AC27645) for bacteria samples
collected at the well reservoir. Please note that the bolded values indicate levels above the NC
Groundwater Standard, 15A NCAC 2L. 0202.The results are shown in Colony Forming Units per
100 milliliters of water or CFU/100 ml.
NC Groundwater Standard Concentration Detected In
Analytes Source Your Drinking Water
Concentration Units Concentration Units
Fe Bac Bacteria Reservoir 1 CFU/100 ml <1 CFU/100 ml
ETotal Coliform Reservoir 1 CFU/100 ml 6 CFU/100 ml
Bacteria
In summary,total coliform bacteria was detected in your drinking water,which may be related to
failing seals on your water reservoir tank.The zinc concentration was above the applicable
standard,which may be associated with materials used to construct the well such as galvanized
piping.Nitrate,nitrite,and ammonia are present but concentrations occur well below the
applicable standards.The remaining analytes are below applicable standards and are fairly typical
for groundwater quality in Western North Carolina. Overall,there is no indication that septage is
the source for the reoccurring nitrate in nearby water supply wells. --
Because there are constituents present in your water supply well,a Health Risk Evaluation(HRE)
was performed North Carolina Department of Health and Human Services toxicologist Kennedy
Holt.The HRE,which is enclosed,makes specific recommendations for your water based on these
results.
If you have questions concerning the Health Risk Evaluation,please contact Kennedy Holt at(919)
707-5910.If you have any additional questions or concerns,please contact me at(828) 296-4681
or brett.lavert.y denr gov.
Sincerely,
Brett Lav ft
Water Qual' Regional Operations
Asheville Regional Office
Attachment: Health Risk Evaluation by Kennedy Holt
DWR laboratory analytical results
f_
cc: ARO file
�L
Haywood County Health Department w/attachments

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
James Maness-122 TUMBLEWEED TRAIL Waynesville,NC Sample ID: AC27618
HAYWOOD Collector: B LAVERTY VisitlD PO Number# 16G0088
ARO Report To ARO Location ID: 1C44122TUMBLE Date Received: 04/01/2016
n NA Collect Date: 03/30/2016 Priority GROUNDWATER Time Received: 08_10
nergency Collect Time: 01_39 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
DC Yes/No Sample Depth NA Loa Type: Water Supply Delivery Method NC Courier
Final Report Date: 4127/16
Report Print Date: 06104/2016
Final Report
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analvte Name PQL Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 3.7 °C 4/1/16 MSWIFT
NUT
NH3 as N in liquid 0.02 0.02 mg/L as N EPA 350.1 REV 2 4/13116 CGREEN
Nitrate as N in liquid 0.02 0.46 mg/L as N EPA 353.2 REV 2 4/19/16 CGREEN
Nitrite as N in liquid 0.01 0.03 mg/L as N EPA 353.2 REV 2 411/16 CGREEN
NO2+NO3 as N in liquid 0.02 0.49 mg/L as N EPA 353.2 REV 2 4/13/16 CGREEN
Orthophosphate as P in liquid 0.02 0.02 U mg/Las P EPA365.1 REV 2 4l1/16 CGREEN
Phosphorus total as P in liquid 0.02 0.02 U mg/L as P EPA 365.1 REV 2 4/4/16 CGREEN
Total Kjeldahl N as N In liquid 0.2 0.2 U mg/L as N EPA 351.2 REV 2 4/8/16 CGREEN
WET
Bromide 0.4 0.4 U mg/L EPA 300.0 rev2.1 415/16 CGREEN
Chloride 1.0 4.2 mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
mg/L EPA 300.0 rev2.1 415/16 CGREEN
FIUOCIde 0.4 0.4 U
Sulfate 2.0 11 mg/L EPA 300.0 rev2.1 4/5/16 CGREEN
MBAS in liquid 0.1 0.1 U mg/L SM 5540 C 2000 4/1/16 CGREEN
MET
'440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 417/16 ESTAFFORD1
'429-90-5 AI by ICP
50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORD1
'440-38-2 As by ICPMS
2.0 2.0 U ug/L EPA200.8 417116 ESTAFFORD1
1440-38-3 Ba by ICP 10 40 ug/L EPA2007 416116 ESTAFFORD1
r440-70-2 Ca by ICP 0.10 24 mg/L EPA 200.7 416/16 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA 200.8 4/7/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 417116 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 2.0 U ug/L EPA200.8 417/16 ESTAFFORD1
3439.89-6 Fe by ICP
50 50 U ug/L EPA 200.7 4/6/16 ESTAFFORD1
7439-97-6 Hg 245.1
0.2 0.20 U ug/L EPA 245.1 4/5/16 ESTAFFORD1
7440-09-7 K by ICP
0.10 6.3 mg/L EPA 200.7 4/6/16 ESTAFFORD1
7439-95-4 Mg by ICP 0.10 2.4 mg/L EPA 200.7 4/6116 ESTAFFORD1
7439-96-5 Mn by ICP
10 49 ug/L EPA 200:7 4/6/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 6.9 mg/L EPA 200.7 4/6/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 417/16 ESTAFFORD1
7439-92-1 Pb by ICPMS
2.0 2.0 U ug/L EPA200.8 4/7/16 ESTAFFORD1
ug/L EPA200.8 4/7/16 ESTAFFORD1
?782:' -2 Se by ICPMS 1.0 1.0
744� _,-v Sr by ICPMS 10 64 ug/L EPA200.8 417/16 ESTAFFORD1
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 4

A'Cs17IIW1 La6oratorySection Res uftslSampre Coin men ts/Quah erDefittitioIis
Sample ID: AC27618
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
7440-66-6 Zn by ICPMS 10 3500 ug/L EPA200.8 4/7/16 ESTAFFORDI
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 Acenaphthene 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
62-53-3 Aniline 10 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
120-12-7 Anthracene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected J2 ug/L EPA62518270/3510 4/15/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
111-44-4 Bis(2-chloroethyl)ether 16 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
39638-32-9 Bis(2-chloroisopropyl)ether 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
85-68-7 Butylbenzyi phthalate 10 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected ug/L EPA625/827013510 4/15/16 CJOHNSON '
91-58-7 Chloronaphthalene, 2- 10 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
95-57-8 Chlorophenoi, 2- 10 Not detected ug/L EPA625/8270/3510 4/16/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
218-01-9 Chrysene 20 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
53-70-3 Dibenzo(a,h)anthracene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA625/827013510 4/15/16 CJOHNSON
91-94-1 Dlchlorobenzidlne, 3,3'- 30 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
120-83-2 Dichlorophenol, 2,4- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
131-11-3 Dimethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
105-67-9 Dimethylphenol,2,4- 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
51-28-5 Dinitrophenol,2,4- 50 Not detected J2 ug/L EPA625/8270/3510 4/15/16 CJOHNSON
121-14-2 Dinitrotoluene, 2,4- 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
606-20-2 Dinitrotoluene, 2,6- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected J2 ug/L EPA625/8270/3510 4/15116 CJOHNSON
206-44-0 Fluoranthene 20 Not detected ug/L EPA62518270/3510 4115/16 CJOHNSON � )
,f
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"Ll"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 4

.NIC:17`<'LR Ga6watotySectiott 12esufts/Sampfe Colnments/QuaCfierDefinitiolts
Sample ID: AC27618
_ Analvte Name PQL Result/ Method Anal sis
Qualifier Units Reference Date Validated by
Fluorene 20 Not detected ug/L EPA62518270/3510 4115/16 CJOHNSON
18-14-1 Hexachlorobenzene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
7-68-3 Hexachlorobutadiene(SV) 10 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
"7-47-4 Hexachlorocyclopentadiene 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
i7-72-1 Hexachloroethane 10 Not detected ug/L EPA625/8270/3510 4/15116 CJOHNSON
)p(93-39-5 Indeno1,2,3-cd yrene 20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
'8-59-1 Isophorone 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
0-57-6 Methyinaphthalene,2- 10 Not detected ug/L EPA62518270/3510 4/15116 CJOHNSON
15-48-7 Methylphenol, 2- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
H-20-3 Naphthalene(SV) 10 Not detected ug/L EPA62518270/3510 4115/16 CJOHNSON
18-74-4 Nitroaniline, 2- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
19-09-2 Nitroaniline, 3- 50 Not detected ug/L EPA62518270/3510 4115/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
18-95-3 Nitrobenzene 10 Not detected ug/L EPA62518270/3510 4/15/16 CJOHNSON
38-75-5 Nitrophenol, 2- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
ug/L EPA625/827013510 4/15116 CJOHNSON
100-02-7 Nitrophenol,4- 50 Not detected
321-64-7 N-nitrosodi-n-propylamine 10 Not detected ug1L EPA625/8270/3510 4/15/16 CJOHNSON
36-30-6 N-nitrosodiphenylamine 10 Not detected ug/L EPA625/8270l3510 4115/16 CJOHNSON
37-86-5 Pentachlorophenol 30 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
35-01-8 Phenanthrene
20 Not detected ug/L EPA625/8270/3510 4115/16 CJOHNSON
F 10 Not detected ug/L EPA625/6270/3510 4115/16 CJOHNSON
10E Phenol
20 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
129-00-0 Pyrene
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected ug/L EPA625l8270/3510 4/15/16 CJOHNSON
95-95-4 Trichlorophenol, 2,4,5- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected ug/L EPA625/8270/3510 4/15/16 CJOHNSON
Sample Comments
SEM:SV-J2-estimated-3 analyte(s)failed<LCL in the CV2.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 4

fVC DTV12 Ga6oratoiy Section R,esuftslSampfe Coinments/Quali i'er Definitions
Sample ID: AC27618
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U".The PQL is used for the qualified result(S)to call
Bl Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC). TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
B7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
BB1 MPN-No wells or tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than"<"valu,
BB2 MPN-All wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
Gl BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 SOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea,
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1:0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated foi
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab, p
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate. \'o'
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J10 Unidentified peak;estimated value.
ill The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are'but of control".The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower,
N1 Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met(i.e., presence of a
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N4 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labo
N5 The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL"due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 4

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
James Maness-122 TUMBLEWOOD TRAIL Sample ID: AC27645
j
HAYWOOD Collector: B LAVERTY VisitlD PO Number# ARO
ARO Report To ARO Location ID: 1C44122TUMBLE Date Received: 03130/2016
sin NA Collect Date: 03/30/2016 Priority ROUTINE Time Received: 15_60
mergency Collect Time: 13:39 Sample Matrix: GROUNWATER Labworks LoginlD KJIMISON2
,OC Yes/No Sample Depth NA Loc.Type: WATER SUPPLY Delivery Method Hand delivered
Final Report Date: 4129116
Report Print Date: 06/04/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Units Method Analysis
nI
CAS# Analyte Name PQL Qualifier Reference Date Validated by
ARO
Alkalinity4.5 1.0 72 mg/LasCaCO3 APHA23206-20th 415/16 ESTAFFORDI
Alkalinity8.3 1.0 1 U mg/L as CaCO3 APHA23206-20th 4/5/16 ESTAFFORDI
Bicarbonate 1.0 72 mg/L as CaCO3 APHA232013-20th 4/5/16 ESTAFFORDI
Carbonate 1.0 1 U mg/L as CaCO3 APHA2320B-20th 4/5/16 ESTAFFORDI
pH—Alkalinity 7.5 mg/L as CaCO3 APHA23208-20th 4/5/16 ESTAFFORDI
Coliform, MF Fecal in liquid 1 1 g2 CFU/100ml APHA9222D-20th 3/30116 ESTAFFORDI
CDIIfOrm, MF Total in liquid 1 6 CFU/100ml APHA922213-20th 3/30/16 ESTAFFORDI
Sample temperature at receipt by lab 3.4 'C 3/30/16 RBYRD
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

__ _.__.
__
_.
_.
i'
�"
, _
`�_
__.__

•
Private Well Information
o1,eath end /�
human services and Use Recommendations
For Inorganic Chemical Contaminants
County: i(wvc�eea^� Name:L (ArpoKur ��rrn
Sample ID#:E!G 2 7 l$ Reviewer:
TEST RESULTS AND USE RECOMMENDATIONS
1.n Your well water meets federal drinking water standards for inorganic chemicals. Your water can be used for
drinking,cooking,washing,cleaning,bathing,and showering based on the ltorganfc chemical results only.You may
have other water sampling results that are not taken into account in this report.
2, ie following substance(3)oxceeded federal drinking water standards or the North Carolina 2L calculated health
levels.The North Carolina Division of Public
Fstem to removrecomlends e the rcl d subst'ancet your (s).Howzver�it mayr for be used
cooking,unless you install a wafer tree sy
washing,cleaning,bathing and showering based on the inorganic chemical results only.
Arsenic Barium Cadmium Chromium Copper Fluoride Lead J Iron _
inganese Mercu Nitrate/Nitrite Selenium Silver Magnesium pH
3. 0 a.Sodium levels exceed the U.S. Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/I. The North Carolina Division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cooking. It may be used for washing,gleaning,bathing,and showering based on
the inorganic chenficnl results only.
b. Levels over 30 mgll may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc.
4. Re-sampling is recummeaded in ___morths.
S. []Re-sample for lead and/or copper. Take a first draw,5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a IS minute sample at the well head to determine the source of the
lead and/or copper.
6. ❑The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results only,but esta hetic problems
such as bad taste,odor,staining of porcelain,etc.may occur. You may want to install a household water treatment system
to'address aesthetic problems.
Barium Cadmium Chromium Fluoride iron IVia esium
Man nese Selenium Silver _ pH__. Zinc
Ir more informatlote regarding your well water results,please call the North Carolina Divlslon of Public Health at 919-707-5900.

e
Well Water Biological Analysis Results & Recommendations
_ t • t r
County: P6,g rn/oaa
Sam to IDg: G`a--7L4{� Name: Ur a
r ._ Location:_L•v 3 f 't,
Review Date: 15- -(6— (/ K�Reviewer:
Initial Sample ill Confirmatory Sample ❑121
Local Health Department Telephone:
EJ131 y0 calitonn.baotsda were found in your wall water.
Your,meter,an he,rsed for nit pules intIndiug drinking,cooking,r'ashing,ch!atri)tg,pill li;,q,111t71sl aroering,
141 total WHOM bacteria were detected to the sample which Indicates that harndut bacteria from human or animal waste
could enter the well.
Leo aot use f1,c voter for drtnkit?q or cooking unless if has beets boiled for 3 minutes. You may rise yore•materfor all other
pin-poses including ivaslriug dishes,bathil,g,or shortreriug, -
❑ 151 Your well water needs to be re-sampled to verify that the test result is accurate ar a problem has been resolved.
161 Fecal coldorm bacteria were detuated in the sample.
Do?tr--lrrsFthe rrt.:tailor tar;kir;v.caektag,ar lrh:g.fi;hes,I:afhiug,t:rshas'ai;rg.
lour well water was tested for biological contaminnrrts.(total coliform and fecal eolifor m bacteria). The results Were e'ahinted using federrtl drinking
rw,ter staudar•ds.
If the re-sampling shwo col,tamirratiou by coliform bacteria,contact yore'local health department for assistance. There may be a problem Will,the
Colish'ucfiort of the row,isle 4 rwtndwttter smoce,Or{71/t';tttioa Of Ike w0l, The tPeli!nced6 1.1 be hf3p(h:tedbdt th",!oefil health tdepa;•hae:rt o"a local well
colth•actor•to determine the problem with the well and to give guidance on hotu to correct the problem.
Total col form bacterin are found in sod ant fecal col for;n bacteria are found in animal and hultnrt waste. Taal Coulon?"or fecal coliforut bacteria In toelt
roarer i nn y indicate that the tuell;tray hove str•nclural proltlems or that the well rnas plot pmper•(y disinfected.
If you have been drinking noell hinter and are pr•egaatri,nursing,haven child in the household under 5 yea;;•;of age,or ininurlocomprvatfsed(such as all
;ndii+idutd tail;;Ilia;,calker;l;clialitis,dialrtsrs,v?Sr;i';t1,71 procedures)in;Iarw Iovr Ifel th can,prov de;of f icse resell,at yC!n'r;el•t b15t!.
If the coiltamination continues,hair should investigate the possibility of driltirrg a unit well or!;stall a pailrl-of--entry dlshtfection unit which call use
chlorhte,prltraviolet light,m•02011',
Roulirrr well water smrrpli;rg is recurnu+e+iced e�ory y'nr/i7r bacteria nod nitrates. .5ample your;'ell tohert there is a knornu problem or Colltautinatiou in
!tan rtrtw,after repartx,replacement of you well,or afh p a flrmdirrg er,rut•
For further iufornlation,Coll tart your local health department.
Reutsed December 2011 Weil Safely.;rttpaJepf.publichealfh,nagav/oii'hs{,�clsheet.htud

PAT MCCRORY
•r
Governor
p4a
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUAL"
Director
May 19, 2016
David Hoffman
Hoffman Materials
711 Complex Pl.
Lenoir,NC 28645
SUBJECT: Compliance Evaluation Inspection
Mabe Pit
Permit No:NCG520090
Burke County
Dear Mr. Hoffinan:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
4/20/2016. Present during the inspection were myself,Zan Price,Kevin Mitchell and Tim Fox with the Division
(---of Water Resources (DWR) and Ginger Clark with Hoffman Materials.
The Mabe pit is inactive; it has not been dredge. If you choose to dredge here, please plan accordingly to the
guidance in the enclosed inspection report. If you choose not to dredge here and wish to rescind the permit,
please follow the instruction that were given to Ginger Clark during the inspection.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions, please call me at 828-296-4500.
Sincerely,
Linda Wiggs
Environmental Senior Specialist
Asheville Regional Office
Enc.Inspection Report
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Burke\Wastewater\General\Sand Dredges NCG52\Mabe Pit-NCG520090\CEI.04-20-20161tr.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 u 3 I NCG520090 111 121 16/04/20 17 18 ICI 19 L sj 201
21111111 1.-11 t I I I I I I I IIIIII11III r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating 131 QA -----Reserved- —
67 70 I___I 71 I___1 72 N 73 L� _LJ I74 75 1 1 1 80
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 10:00AM 16/04/20 12/08/01
Mabe Pit Exit Time/Date
Permit Expiration Date
1000-1209 Atioch
10:30AM 16/04/20 17/07/31
Morganton NC 28655
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
David Hoffman,711 Complex PI Lenoir NC 28645/1828-754-5582/8287540188 No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance E Records/Reports ■ Self-Monitoring Program
Facility Site Review . Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Linda S Wiggs ARO WQ//828-296-4500 Ext.4653/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers / Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
3 NCG520090 I11 12 16/0a/20 17 18 C (Cont.) 1
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Present at the inspection were Linda Wiggs(DWR Inspector), Zan Price, Kevin Mitchell, and Tim Fox
with the Division of Water Resources(DWR) and Ginger Clark with Hoffman Materials.
The permit is current and the annual fees have been paid.
The Mabe site is not actively being mined, it is a vacant field.
If/when mining is to take place, a stream crossing (UT to Lower Crk)will be needed for heavy
equipment and trucks to access the processing/mining area. if a culvert is to be used for this crossing
a 404/401 permit application (PCN)will need to be submitted to the Army Corp of Engineers.
Page# 2

Permit: NCG520090
owner-Facility: Mabe Pit
Inspection Date: 04/20/2016
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? M ❑ R ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ® ❑ ❑ ❑
application?
Is the facility as described in the permit? ❑ El
#Are there any special conditions for the permit? ❑ ❑
Is access to the plant site restricted to the general public? ❑ ❑ ■ ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ❑ ■ ❑
Are the receiving water free of foam other than trace amounts and other debris? ■ ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ❑
Comment:
Upstream/ Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit(frequency,sampling type,and ❑ ❑ ❑
sampling location)?
Comment:
Page# 3

: 3LT ►,El
or 0
Certified Mail # 70121010 0002 1965 5693
Return Receipt Requested
May 20, 2016
Sutton Bacon
Nantahala Outdoor Center
13077 Hwy 19 W
Bryson City, NC 28713-9114
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-MV-0068
Permit No. NCO057193
Nantahala Outdoor Center WWTP
Swain County
Dear Permittee:
A review of the October 2015 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Monitoring Violation(s):
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent BOD, 5-Day (20 Deg. C) - 10/17/2015 Weekly Frequency Violation
Concentration (C0310)
001 Effluent Chlorine,Total Residual (50060) 10/17/2015 2 X week Frequency Violation
001 Effluent Coliform, Fecal MF, M-FC 10/17/2015 Weekly Frequency Violation
Broth,44.5C(31616)
001 Effluent Solids,Total Suspended - 10/17/2015 Weekly Frequency Violation
Concentration (C0530)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
,1.11-119ter Resources may pursue enforcement actions for this and any additional violations.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If the above parameters were left off inadvertently, please send amended DMRs within 10 business days of re
of this letter to Raleigh at the address found on the front page of your DMR and also a copy to this office.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville_Regional '
Office at 828-296-4500.
Sincerely,
G. Landon �Vidso��ional u isor
Water.Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Lance Ingram/ ORC
G:�WR''kb'1Q\Swain'Ullastewater"Minors`•;Nantahala Outdoor Center 577931NOV-NOI-2016-MV-6068.rtf

PAT MCCRORY
Governor
A DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
WaterResources
ENVIRONMENTAL QUALITY Director
May 20, 2016
Eric Lowman
5469 Lowmans Drive
Hickory,NC 28602
Subject: Incident Closure
Old NC 18 (PIN 2637850328)
NOV-2016-PC-0128
Burke County
Dear Mr. Lowman:
The Division of Water Resources conducted a site inspection of the subject property on May 19,
2016, related to the Notice of Violation and Recommendation for Enforcement NOV-2016-PC-
0128.
The written response and restoration activities performed have satisfactorily resolved the
violations noted in the subject Notice of Violation and Recommendation for Enforcement.
Your attention and cooperation is greatly appreciated. Should you have any questions regarding
this matter or other water quality issues or concerns, please contact me at(828) 296-4650 or
kevin.mitchellCamcdenngov.
Sincerely,
Kevin Mitchell
Environmental Specialist
Water Quality Regional Operations
Asheville Regional Office
ec: William Elliott—USACE
Stan Aiken—DEMLR
cc: ARO File Copy
GAWR\WQ\Burke\Complaints\Old NC 18-NOV\CLO.Old NC 18 5.20.16.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S Hwy 70 1 Swannanoa,North Carolina 28778
828 296 4500

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL G6UALITV
Director
5/20/2016
David Hoffman
Hoffinan Materials
711 Complex PI
Lenoir,NC 28645
SUBJECT: Compliance Evaluation Inspection
Caldwell Pit
Permit No: NCG520108
Caldwell County
Dear Mr. Hoffinan:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
4/20/2016. The Compliance Evaluation Inspection was conducted by Kevin Mitchell of the Asheville Regional
,,,-,Office. The facility appeared to be in compliance with permit NCG520108. However, there are items in the
;attached report that need your attention.
Please refer to the enclosed inspection report for observations and comments. If you or your staff have any
questions, please call me at 828-296-4500.
Sincerely,
Z��_
Kevin Mitchell
Environmental Specialist
Asheville Regional Office
Enc.
cc: MSC 1617-Central Files-Basement
Asheville Files
t
G:\WR\WQ\Caldwell\Wastewater\General\NCG52 Sand Dredges\Caldwell(Cardswell)Pit NCG520108\Apr 20,2016 visit\CEI.04-20-2016_Cardswell.Ltr.doex
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

��
��
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;i

United States Environmental Protection Agency Form Approved.
C Washington,D.C.20460 OMB No.2040-0057
EPA
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fee Type
1 IN 1 2 15 I 3 I NCG520108 I11 12 16/04120 17 181,.l 191 c I 201 1
21 M I I I I I I I I I lI I I I I I I I I I I I I I I I I I I I 1 1 11 1 1-.-L I I f
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -------Reserved— —
67 L 70 1 I 71 f I 72 I �, 1 73I I I74 75 80
L_1 Section B:Facility Data l_J LLl
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include
Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 10:30AM 16/04/20 12/08/08
Caldwell Pit Exit Time/Date
Permit Expiration Date
2903 Rocky Rd
11:00AM 16/04/20 15/07/31
Lenoir NC 28645
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
i
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
David.Hoffman,711 Complex PI Lenoir NC 28645//828-754-5582/8287540188 No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit ■ Operations&Maintenanc6 E Records/Reports ■ Self-Monitoring Program
Facility Site Review ■ Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Robert K Mitchell ARO WQ///
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
3I NCG5201DB (11 12 16/04/2o 17 18 C (Cont.) 1
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) \
Present at the inspection were Linda Wiggs, Zan Price, Kevin Mitchell, and Tim Fox with the Division of
Water Resources (DWR). Ginger Clark with Hoffman Materials was also present.
The permit is current and the annual fees have been paid.
Site was last dredged in the fall according to Ginger Clark.
Per General Permit NCG520000"The permitee shall operate the facility and use best management
practices to ensure the stream banks are stabilized." Some of the stream banks were steep, unstable,
and lacked vegetation. DWR recommended bank stabilization measures be implemented.
DWR requested the placement of warning signs per General Permit NCG520000. A recreational
kayaker was observed on Lower Creek during the inspection.
Page# 2

Permit: NCG520108 owner-Facility: Caldwell Pit
Inspection Date: 04/20/2016 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ■ ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ ❑
application?
Is the facility as described in the permit? ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ❑ ■ ❑
Is access to the plant site restricted to the general public? ❑ ❑ N ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment:
Upstream/ Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit(frequency,sampling type,and ❑ ❑ ❑
sampling location)?
Comment:
Page# 3

�\
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i
_-

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
5/20/2016
David Hoffman
Hoffinan Materials
711 Complex PI
Lenoir,NC 28645
SUBJECT: Compliance Evaluation Inspection
Bass Pit
Permit No:NCG520111
Burke County
Dear Mr. Hoffinan:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
1/20/2016. The Compliance Evaluation Inspection was conducted by Zan Price of the Asheville Regional
`Office. The facility appeared to be in compliance with permit NCG520111. However, there are items in the
attached report that need your attention.
Please refer to the enclosed inspection report for observations and comments. If you or your staff have any
questions,please call me at 828-296-4500.
Sincerely,
Zan Price, PE
Asssitant Regional Supervisor
Asheville Regional Office
Enc.
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Burke\Wastewater\General\Sand Dredges NCG52\Bass\04-20 2016 visit\CEL04-20-2016_Bass.Ltr.docx
State of North Carolina 1 Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

A
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�,�.
�,
__ __
__

United States Environmental Protection Agency Form Approved.
EPA
Washington,D.C.20460 OMB No.2040-0057
E
rA Water Compliance Inspection Repoli Approval expiresB-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN ' 2 15 I 3 I NCG520111 I11 12 16/04/20 17 18 1 1 19 I G ' 20
Li
21� � I ) I I I L I I I I I I I III III I l f
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -- --Reserved
67 70 1 I 71 L I 72 I n, I 73I I J74 75 80
LJ Section B:Facility Data t_1 L_L_1
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include
Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 12:OOPM 16/04/20 12/08/08
Bass Pit
Exit Time/Date Permit Expiration Date
Byrd Rd 12:45PM 16/04/20 15/07/31
Morganton NC 28655
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
- Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
David Hoffman,711 Complex PI Lenoir NC 28645//828-754-5582/8287540188 No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit ■ Operations&MaintenancE N Records/Reports Self-Monitoring Program
Facility Site Review Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Linda S Wiggs ARO WQ//828-296-4500 Ext.4653/
Signature of anag ment Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG520111 I11 12 16/04/20 17 18I"I (Cont.)
Uli
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Present at the inspection were Linda Wiggs, Zan Price, Kevin Mitchell, and Tim Fox with the Division of
Water Resources (DWR). Ginger Clark with Hoffman Materials was also present.
The permit is current and the annual fees have been paid.
Site was last dredged in the fall according to Ginger Clark.
Per Ginger Clark,the permittee does not intend to dredge at this site again. Some of the stream banks
were steep, unstable, and lacked vegetation. DWR will request a stream bank stabilization plan and
implementation prior to rescinding the permit for the Bass Pit.
Page# 2

Permit: NCG520111
owner-Facility: Bass Pit
Inspection Date: 04/20/2016 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ N ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: Some areas of streambank instability were observed within the sand dredging reach. These
areas will need to be addressed before the permittee can rescind the permit.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new 0 ❑ ❑ ❑
application?
Is the facility as described in the permit? ® ❑
F1 El
#Are there any special conditions for the permit? ❑ ■ ❑ ❑
Is access to the plant site restricted to the general public? ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ❑ ❑ ❑ ❑
Comment:
�j
Upstream/ Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit(frequency,sampling type, and ❑ ❑ ■ ❑
sampling location)?
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ❑ N ❑
Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ S ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ❑
Comment:
Page# 3

PAT MCCRORY
Governor
�0s'
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
WaterResources
ENVIRONMENTAL QUALITY Director
May 23, 2016
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Return Receipt 9 7012 1010 00021965 5501
Lake Toxaway Community Association, Inc.
Attn: IPM Corp of Brevard, Inc.,Deb Knight, IPM Community Association Manager
PO Box 100
Lake Toxaway,NC 28747
SUBJECT: NOTICE OF VIOLATION and
RECOMMENDATION FOR ENFORCEMENT
Lake Toxaway Dam
NOV-2016-SS-0010
Removal of Best Usage
t' Transylvania County
Response deadline: June 1,2016
Dear Lake Toxaway Community Association, Inc.:
On May 17 & 18, 2016, staff from the Asheville Regional Office of the Division of Water
Resources (DWR) conducted a site inspection at the Lake Toxaway Dam site in Transylvania
County.
A stream standard violation was noted during the inspection. An un-determined length of the
Toxaway River, classified C, was impacted by a reduction of minimum water flow requirements
below the Lake Toxaway Dam.
As a result of the site inspection and file review,the following violation was identified:
VIOLATION
I. Removal of Best Usage - 15A NCAC 02B .0211 (2)—Title 15A North Carolina
Administrative Code 02B .0211 (2)requires that"The waters shall be suitable for aquatic
life propagation and maintenance of biological integrity,wildlife, secondary recreation,
and agriculture; sources of water pollution which preclude any of these uses on either a
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 1 Swannanoa,North Carolina 28778
828 296 4500

Lake Toxaway :Dame
May23 , 201. 6
Page 2
short-term or long-term basis shall be considered to be violating a water quality
standard."
REQUIRED RESPONSE
The DWR requests that you respond by June 1,2016. Your response should be sent to the
attention of Tim Fox, Division of Water Resources, 2090 US HWY 70, Swannanoa,NC 28778
or email at tim.fox2ncdenr. ov. The response should address the following items:
1. Please explain why these impacts occurred.
2. Please provide an explanation of the sequence of events that caused critical low flow
conditions below the dam on May 17, and again on May 18.
3. Please submit the following document for review and approval:
a. Minimum Flow and Monitoring Plan—Explain how you plan to maintain and
monitor minimum flow downstream of the Lake Toxaway Dam to ensure that no
future stream standard violations will occur.
b. Due to the resources downstream and to ensure no violations of stream standard
Removal of Best Usage - 15A NCAC 02B.0211 (2),the Division recommends
maintaining no less than 50% of the incoming flows in the downstream release during
the lake refilling process as recommended by The North Carolina Wildlife Resources
Commission.
Thank you for your attention to this matter. This Office is considering sending a
recommendation for enforcement to the Director of the Division of Water Resources regarding
these issues and any future/continued violations that may be encountered. Your above-
mentioned response to this correspondence will be considered in this process.
This office requires that the violations, as detailed above, be abated immediately. Pursuant
to G.S. 143-215.6A, these violations and any future violations are subject to a civil penalty
assessment of up to $25,000.00 per day for each violation.

Lake Toxaway Dais
Mav23 , 2016
Page 3
Should you have any questions regarding these matters,please contact Tim Fox at(828) 296-
4664 or tim.fox(cr7,ncdenr.gov.
Sincerely,
Za rice, P.E.
Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
cc: David Brown—USACE (via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—DEMLR(via email)
Shane Cook—DEMLR(via email)
Karen Higgins, 401 &Buffer Permitting Unit
ARO File Copy
G:\WR\WQ\Transylvania\Complaints\Lake Toxaway Dam(Removal of Best Use)\NOV-2016-SS-0010-LakeToxaway Dam 5-23-16.docx

i
l
PAT MCCRORY
Governor
o..
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL,QUALITY
Director
May 23, 2016
Mr. Jon Laughter
Laughter, Austin&Associates, PA
131 41h Avenue East
Hendersonville,NC 28739
SUBJECT: Return of Fast-Track Application
Peeble Creek Apartments
Dear Mr. Laughter:
In accordance with the NCDEQ Division of Water Resources instructions for the submittal of
Fast-Track Application(FTA 10-14), your application is being returned as "incomplete."
Upon receipt of the incomplete application on March 28, 2016,this office has made several
attempts to contact you via e-mails on April 8, and April 27, 2016 (copy attached.) There were
also multiple phone calls to phone numbers listed on your website, [phone], and(800)
858-LAND (voice mail was either not set-up and/or not operating.
In order for our office to proceed with this application, you must void the current check for
$485.00 and submit another check in the correct amount of$480.00.
Please properly complete the application and return to us for processing.
Sincerely,
Gwen Parkin, Office Assistant IV
DEACS /Division of Water Resources
Enclosures: Fast-Track Application
Copy of Emails 4/8-4/27/16
Cc: Tim Heim
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 2778
828 296 4500

Arkin, Gwe
n
from: Heim,Tim
-Sent• Wednesday,April 27, 2016 1:10 PM
To: Jon Laughter
Cc: Parkin, Gwen
Subject: FW:Tall Oaks Subdivision Fast Track Application
Mr. Laughter,
Just a reminder: Per my e-mail below we have not received a'check for the correct amount and still cannot process the
application for the Pebble Creek Project.
I don't want to continue hold up your application,so please submit the check for the correct amount as soon as possible.
Thanks
-Ti m
Tim Heim, P.E.
Environmental Engineer—Asheville Regional Office
Water Quality Regional Operations Section
NCDEQ— Division of Water Resources
828 296 4500 office
mail: [e-mail]
2090 U.S. Hwy. 70
Swannanoa, N.C. 28778
Ing
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Heim,Tim
Sent: Friday,April 08,2016 9:09 AM
To: 'Jon Laughter'<[e-mail]>
Subject: RE:Tall Oaks Subdivision Fast Track Application
Mr. Laughter,
I have completed review of the Tall Oaks application and can now proceed with issuing the permit.That should be
complete by early next week and I will e-mail you.an electronic copy of the completed permit as soon as it is ready.
With regard to the Pebble Greek application: Unfortunately the required fee amount is$480,and I have been informed
y our admin folks that we cannot accept checks in any other amount.We will need to void the $485 check and you will
>,ieed to submit another check for the correct amount before I can continue processing the application.
-Tim
1

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State of North Carolina
Department of Environmental Quality
Division of Water Resources
Water Quality Permitting
Regional Staff Report
May 23 ,2016
To: DWR Water Quality Permitting Section Central Office Application No.: W00035576
Attn: Troy Doby Regional Login No.:
From: Bev Price
• Asheville Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? ®Yes or❑No Facility CEI 2014
a. Date of site visit: 9/18/2014
b. Site visit conducted by: Bev Price
c. Inspection report attached? ®Yes or❑No
d. Person contacted: Bradley Joyner,WTP Superintendent and their contact information: [phone]
e. Driving directions: I-26 E.to Hwy.74 East Go approximately 10 miles to Union Road exit,turn left. Go
2.8 miles to Baber Rd.on right.WTP is located .3 miles on the right.
f
H. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS
1. Facility Classification: (Please attach completed rating sheet to be attached to issued permit)
2. Are the new treatment facilities adequate for the type of waste and disposal system? ❑Yes or❑No
If no, explain:
3. Are site conditions(soils,depth to water table;,etc)consistent with the submitted reports? ❑Yes ❑No ❑N/A
If no,please explain:
4. Do the plans and site map represent the actual site(property lines,wells,etc.)? ❑ Yes❑No ❑N/A
If no,please explain:
5. Is the proposed residuals management plan adequate? ❑Yes ❑No❑N/A
If no,please explain:
6. Are the proposed application rates(e.g.,hydraulic,nutrient) acceptable? ❑Yes ❑No ❑N/A
If no,please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? ❑Yes or❑No
If yes, attach a map showing conflict areas.
8. Is the proposed or existing groundwater monitoring program adequate? ❑Yes ❑No ❑N/A
If no, explain and recommend any changes to the groundwater monitoring program:
9. For residuals,will seasonal or other restrictions be required? ❑Yes❑No ❑N/A
If yes, attach list of sites with restrictions(Certification B)
FORM: APSRSR 04-10 Page 1 of 3

M.EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge(ORCs)for the facility? ❑ Yes ❑No ®N/A
ORC: Certificate#: Backup ORC: Certificate#:
2. Are the design,maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ®Yes or❑No
If no,please explain:
3. Are the site conditions(e.g., soils,topography, depth to water table, etc)maintained appropriately and adequately
assimilating the waste? ❑Yes or❑No N/A-This is a Class A Distribution facility; distribution sites are
not permitted.
If no,please explain:
4. Has the site changed in any way that may affect the permit(e.g., drainage added,new wells inside the compliance
boundary,new development, etc.)? ❑Yes or®No
If yes,please explain:
5. Is the residuals management plan adequate? ® Yes or❑No
If no,please explain:
6. Are the existing application rates(e.g.,hydraulic,nutrient)still acceptable? ® Yes or❑No
If no,please explain:
7. Is the existing groundwater monitoring program adequate? ❑ Yes ❑No ®N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑Yes or®No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or❑No
If no,please explain:
10. Were monitoring wells properly constructed and located? ❑ Yes❑No E N/A
If no,please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑Yes ❑No ®N/A
If no, please complete the following(expand table if necessary):
Monitoring Well Latitude Longitude
O I II O , ff
O I „ O { ,,
O / „ O / // -
O / II O / I/
O l IJ O I if
12. Has a review of all self-monitoring data been conducted(e.g.,NDMR,NDAR, GW)? ® Yes or❑No
Please summarize any findings resulting from this review: The 2015 Annual Report indicates there were no
distributions in 2015.
13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑Yes or®No
If yes,please explain:
14. Check all that apply:
®No compliance issues ❑ Current enforcement action s ❑ Currently under JOC
❑Notice(s)of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments(i.e.,NOV,NOD, etc.)
15. Have all compliance dates/conditions in the existing permit been satisfied? ❑Yes ❑No ®N/A
If no,please explain:
FORM:APSRSR 04-10 Page 2 of 3

16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑Yes ®No ❑N/A
If yes,please explain:
i
IV.REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑Yes or®No
If yes,please explain:
2. List any items that you would like APS Central.Office to obtain through an additional information request:
Item Reason
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
5. Recommendation: ❑Hold,pending receipt and review of additional information by regional office
®Hold,pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
❑Issue
❑ Deny(Please state reasons: )
6. Signature of report preparer: B
Signature of APS regional supervisor:
Date: 7c>5:--, k
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM:APSRSR 04-10 Page 3 of 3

G`.
I\ %
�.
_.. ___..
____...

Compliance Inspection Report
Permit: WQ0035576 Effective: 11/30/11 Expiration: 10/31/16 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Authority
Broad River Water Authority WTP
County: Rutherford
Region: Asheville
Rutherfordton NC 28139
Contact Person: Bradley Carson Joyner Title: Water Treatment Plant Superintend Phone: [phone]
Directions to Facility:
1-26 E to Hwy 74 E.Go appx. 10 miles to Union Rd Exit.Turn left,go 2.8 miles to Baber Rd.on right.WTP is 0.3 miles on the right.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Dennis Key 336-957-8909
Related Permits:
Inspection Date: 08/11/2015 Entry Time: 01:OOPM Exit Time: 01:45PM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Annual Report Review
Permit Inspection Type: Distribution of Residual Solids(503 Exempt)
Facility Status: Compliant Not Compliant
Question Areas:
Miscellaneous Questions Record Keeping Pathogen and vector Attraction
(See attachment summary)
Page: 1

Permit: W00035576 Owner-Facility:Broad River Water Authority
Inspection Date: 08/11/2015 Inspection Type:Annual Report Review Reason for Visit: Routine
Inspection Summary:
592.79 dry tons or residuals were distributed in 2014. All residuals were distributed to the same person.
Metals/nutrients/TCLP analyses were completed and the results are compliant with permit limits.
Pathogen Reduction is verified by fecal coliform analyses. Seven samples were collected and all were compliant.
Vector Attraction Reduction is not required for this permit.
Reminder:
The address of the residuals recipients is required to be kept on file.
For land application events performed by the permitee-Nitrogen application rates based upon RYES(if using the NC State
University Department of Soil Science Website),the printout shall be kept on file and reprinted every five years.
Page: 2

Permit: WQ0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 0 8/1 112 0 1 5 Inspection Type:Annual Report Review Reason for Visit: Routine
Paolo]en and Vector Attraction Yes No NA NE
a. Fecal coliform SM 9221 E(Class A or B) El ❑ ❑
Class A,all test must be<1000 MPN/dry gram
Geometric mean of 7 samples per monitoring period for class 8<2.0*10E6 CFU/dry gram ❑
Fecal coliform SM 9222 D(Class B only) ❑ ❑ ■ ❑
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram ❑
b. pH records for alkaline stabilization(Class A) 0 El 0
c. pH records for alkaline stabilization(Class B) El ❑ M ❑
Temperature corrected ❑
d. Salmonella(Class A,all test must be<3MPN/4 gram day) ❑ ❑ e
e. Time/Temp on: El El ■ El
Digester(MCRT) ❑
Compost ❑
Class A lime stabilization ❑
f. Volatile Solids Calculations ❑ ❑ 0 ❑
•g. Bench-top Aerobic/Anaerobic digestion results ❑ ❑ M ❑
Comment:
Record Keeping Yes No NA NE
Is GW monitoring being conducted,if required? ❑ ❑ • ❑
Are GW samples from all MWs sampled for all required parameters? ❑ ❑ ■
Are there any GW quality violations? ❑ ❑ 0 ❑
Is GW-59A certification form completed for facility? ❑ ❑ ® ❑
Is a copy of current permit on-site? ❑ ❑ ❑ •
Are current metals and nutrient analysis available? . ❑ ❑
Are nutrient and metal loading calculating most limiting parameters? 0 ❑ ❑ ❑
a. TCLP analysis? 0 ❑ ❑
EJ
b. SSFA(Standard Soil Fertility Analysis)? ❑ ❑ 0 ❑
Are PAN balances being maintained? ❑ ❑ ❑ 0
Are PAN balances within permit limits? ❑ ❑ ❑ 0
Has land application equipment been calibrated? ❑ ❑ ❑ 0
Are there pH records for alkaline stabilization? El ❑ ❑
Are there pH records for the land application site? ❑ ❑ M ❑
Are nutrient/crop removal practices in place? ❑ ❑ M ❑
Page: 3

Permit: WO0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 08/11/2015 Inspection Type:Annual Report Review Reason for Visit: Routine
Record Keeping Yes No NA NE
Do lab sheets support data reported on Residual Analysis Summary? .
El n
Are hauling records available? 1:1 El
Are hauling records maintained and up-to-date? ■
#Has permittee been free of public complaints in last 12 months?
Has application occurred during Seasonal Restriction window? ElO
El 0
Comment: No seasonal restrictions.
Type Yes No NA NE
Land Application
Distribution and Marketing ■
Page: 4

Compliance Inspection Report
Permit: WQ0035576 Effective: 11/30/11 Expiration: 10/31/16 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Authority
Broad River Water Authority WTP
County: Rutherford
Region: Asheville Rutherfordton NC 28139
Contact Person: Bradley Carson Joyner Title: Water Treatment Plant Superintend Phone: [phone]
Directions to Facility:
1-26 E to Hwy 74 E.Go appx. 10 miles to Union Rd Exit.Turn left,go 2.8 miles to Baber Rd.on right.WTP is 0.3 miles on the right.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Bradley Carson Joyner
On-site representative Bradley Carson Joyner
Related Permits:
Inspection Date: 09/18/2014 Entry Time: 10:OOAM Exit Time: 10:30AM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Distribution of Residual Solids(503 Exempt)
Facility Status: Compliant Not Compliant
Question Areas:
Miscellaneous Questions ■ Record Keeping
(See attachment summary)
Page: 1

Permit: WQ0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 09/18/2014 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The inspection included a records review and a tour of the facility. Residuals have been removed from the second pond
(lower pond)and are temporarily stockpiled on-site. Residuals were removed the latter part of August. Silt-fencing has
been placed around the stockpile to prevent migration of solids. Distribution is expected within a couple of weeks.
Southern Soil Builders sampled the residuals; results were not available at the time of inspection. Residual analyses will
be reviewed when the 2014 annual report is received.
There was no distribution of residuals in 2013.
Page: 2

Permit: WQ0035576 owner-Facility:Broad River Water Authority
inspection Date: 09/18/2014 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Record Keeping Yes No NA NE
Is GW monitoring being conducted,if required? ri n ■
Are GW samples from all MWs sampled for all required parameters?
Are there any GW quality violations? ❑ ■
Is GW-59A certification form completed for facility? El ❑ E
El
Is a copy of current permit on-site?
Are current metals and nutrient analysis available?
Are nutrient and metal loading calculating most limiting parameters?
a. TCLP analysis?
b. SSFA(Standard Soil Fertility Analysis)? El 1:1 N
Are PAN balances being maintained? El El El E
Are PAN balances within permit limits? n n N
Has land application equipment been calibrated? El ■
Are there pH records for alkaline stabilization? El n ■
El
Are there pH records for the land application site?
Are nutrient/crop removal practices in place?
El
/Do lab sheets support data reported on Residual Analysis Summary?
Are hauling records available? 1:1 •
Are hauling records maintained and up-to-date? 0 El E
#Has permittee been free of public complaints in last 12 months? El 1:1 ■
Has application occurred during Seasonal Restriction window?
Comment:
Tvpe Yes No NA NE
Land Application
Distribution and Marketing
Page: 3

CERTIFIED MAIL #: 7012 1010 0002 1965 5518
RETURN RECEIPT REQUESTED
May 23, 2016
Josh Ward, Town Manager
Town of Bryson City
PO Box 726
Bryson City, NC 28713
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-DV-0186
Sanitary Sewer Overflows - April 2016
Collection System Permit No. WQCS00170
Bryson City Collection System
Swain County
,ar Permittee:
The self-reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by Town of Bryson City indicates
violations of permit conditions stipulated in the subject permit and North Carolina G.S. 143-215.1. Violations include
failing to effectively manage, maintain, and operate the subject collection system so that there is no SSO to the
land or surface waters and making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for
which a permit is required.
Specific incident(s) cited in the subject report include the following:
Total Vol
Total Surface
Incident Start Duration Vol Water
Number Date (Mins) Location Cause (Gals) (Gals) DWR Action
201600846 4/14/2016 150 MH #2 approximately Other, Pump station 15,000 15,000 Notice of Violation
300 yds. before equipment failure
WWTP lift station
Remedial actions, if not already implemented, should be taken to correct the above noncompliance. Based on the
information provided in the 5-Day Report, a response is not required.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you have any questions, please do not hesitate to contact Beverly Price with the Water Quality Section in thy,
Asheville Regional Office at 828-296-4500 or via email at [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: Tom Shook, Public Works Supervisor
Asheville Regional Office - WQS File
Central Files, Water Quality Section
G\WR\WQ\Swain\Collection Systems\Bryson City Collection System\NOV-2016-DV-0186.rtf

Pr T.MgCRORY
ras
DONALD R. VAN DERVAART.
�ecrer
r4vt now m vwr.At.ovAL MY
Certified Mail # 70121010 0002 1965 5617
Return Recent Requested
May 23, 2016
Mr. Wayne Smith
51 Bridge Street
Sylva, North Carolina 28779
SUBJECT: NOTICE OF VIOLATION and NOTICE OF RECOMMEDATION FOR ENFORCEMENT
Tracking Number: NOV-2016-PC-0174
Permit No. NCO088765
Tinseltown RV Park (AKA Tuckaseegee RV Resort) WWTP
Jackson County
Dear Permittee:
The North Carolina Division of Water Resources conducted a compliance inspection with sampling of the
Tinseltown RV Park(AKA Tuckaseegee RV Resort)WWTP Facility, located at 78 Wilmont Cemetary Rd, Whittier,
NC 28789 on May 18, 2016. Also present during the inspection was Dale Wike of Environmental, Inc. This
inspection was conducted to verify that the facility is operating in compliance with the conditions
and limitations specified in NPDES WW Permit No. NC0088765.
The facility was found to be non-compliant with the Permit No. N00088765. The following items
were noted during the inspection and must be corrected in order to comply with Permit NCO088765:
NPDES Standard Permit Conditions:
Section C. Operation and Maintenance of Pollution Controls, 2. Proper Operation and Maintenance:
• Weeds and vegetation have significantly overgrown the facility and must be removed. This presents
both an operational barrier and safety hazard to the ORC and inspector. Institute a regular program for
weed/vegetation control.
• A significant number of the spray nozzles for the synthetic surface media pods were not functioning at
the time of the inspection. Repair the nozzles and perform regular inspection and documentation of the
spray nozzle system.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

a
Permit No. NCO088765
Page 2 of 3
• The effluent weir box and UV disinfection chamber are unsecured and potentially accessible by the
public. These constitute a safety and vandalism hazard (specifically for children in the park). Secure
access with a fence or lock system.
• Audible and visual alarm was tested by the ORC during the inspection and the audio component was
not functional. Repair the alarm system.
• The UV disinfection system did not appear to be operating at the time of the inspection, and at least
one of the lamps was completely disconnected. The ORC did not have a way to regularly check status
and function of the lamps. Repair the UV system and perform regular inspection and documentation of
the UV disinfection system. Operate UV system per the manufacturer's instructions.
• Effluent was discolored and appeared high in TSS. Sample results for fecal coliform indicated significant
exceedance of the permit discharge limits.
• The generator backup power was not functional during the inspection. (The ORC was not able to
activate the backup generator) Perform and document regular testing of the standby power source.
Perform repair and maintenance as needed.
Compliance Sampling was conducted by Division of Water Resources staff from the Asheville Regional Office. The
following Daily Max effluent limit violation was noted during the inspection:
Inspection Area Description of Violation
Effluent Sampling: Fecal Coliform daily maximum effluent limit (400 cfu/100 mL) ais not being met. The DWR Fecal
Coliform effluent sample result was 36,000 cfu/100 rnL.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law. The Division of Water Resources will be collecting additional discharge samples within the next 30 days.
You will be notified of the sample date.
To prevent further action, please respond in writing to this office within 30 days upon your receipt of this Notice
of Violation regarding your plans or measures to be taken to address the indicated violations and other identified
issues, if applicable.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

,o. NCO088765
s of 3
Deemed Collection System serving Tuckaseegee RV Resort was also inspected concurrent with the WWTP. The
cuilection system appeared to be well maintained and operated, and compliant with Permit No. WQCSD0451.
If you should have any questions, please do not hesitate to contact Tim Heim with the Water Quality
Regional Operations Section in the Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
Cc: Dale Wike, ORC— Environmental Inc.
WQS Asheville Regional Office
NPDES Compliance/Enforcement Unit
\wr '' fp06.eads.ncads.net\data\WR\WQ\Jackson\Wastewater\Minors\Tinsletown RV Park 88765\NOV-2016-PC-0130 May 2016 CEIS.docx
j

United States Environmental Protection Agency Form Approved.
E PA
Washington,D.C.20460 OMB No.2040-0057
/'1 Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCs)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 (N 1 2 15 1 3 I NCO088765 �11 12 16/05/18 117 18 1 s i 19 I � j 201
Inspection Work Days Facility Self-Monitoring Evaluation Rating 131 QA --- -Reserved— —
67 701 I 71 1 I 72 1 �, � 731 I 174 75 LLLJ80
(� L
Section B:Facility Data
ata
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 02:OOPM 16/05/18 12/12/01
Tuckaseegee RV Resort
Exit Time/Date Permit Expiration Date
78 Wilmont Cemetery Rd
03:OOPM 16/O5/18 17/11/30
Whittier NC 28789
Name(s)of Onsite,Representatives)/Titles(s)/Phone and Fax Number(s) Other Facility Data
1/J
Mark Fredrick Teague/ORC/828-293-9396/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Wayne Smith,51 Bridge St Sylva NC 28779//828-586-0724/8286319227 No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenanc6 0 Facility Site Review ® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
G.Landon Davidson ARO GW/J828-296-4500/ �� /�
Timothy H Heim ARO WQ//828-296-4665/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES ydmo/day Inspection Type
3 NCO088765 11 12 17 (Cont.) 1
�sros/�s 18 I�I
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Tim Heim and Landon Davidson of the Asheville Regional Office performed a Compliance Evaluation
Inspection with Sampling on May 18th, 2016. Dale Wike(ORC) of Environmental Inc. was present
during the inspection. The facility was not compliant with Permit NC0088765.
The ORC indicated he had just taken over responsibility of the site and acknowledged that there were
deficiencies.
Weeds and vegetation have significantly overgrown the facility and must be removed. This presents
both an operational barrier and safety hazard to the ORC and inspector. Institute a regular program for
weed/vegetation control.
A significant number of the spray nozzles for the biological treatment component were not functioning
at the time of the inspection. Repair the nozzles and perform regular inspection and documentation of
the spray nozzle system,
The effluent weir box and UV disinfection chamber are unsecured and potentially accessible by the
public.These constitute a safety hazard (specifically for children). Secure access with a fence or lock
system.
Audible and visual alarm was tested by the ORC during the inspection and the audio component was
not functional. Repair the alarm system_
The UV disinfection system did not appear to be operating at the time of the inspection, and at least
one of the lamps was completely disconnected. The ORC did not have a way to regularly check status
and function of the lamps. Repair the UV system and perform regular inspection and documentation of
the UV disinfection system.
Effluent was discolored and appeared high in TSS. Sample results for fecal coliform indicated
significant exceedance of the permit discharge limits.
The generator backup power was not functional during the inspection. (The ORC was not able to
activate the backup generator) Perform and document regular testing of the standby power source.
Perform repair and maintenance as needed.
Page# 2

Permit: NCO088765 owner-Facility: Tuckaseegee RV Resort
Inspection Date: 0 511 8/2 0 1 6 Inspection Type: Compliance Sampling
Operations$ Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ® ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ® ❑ ❑
Solids,pH, DO, Sludge Judge, and other that are applicable?
Comment: Weeds and vegetation have significantly overgrown the facility and must be removed.This
presents both an operational barrier and safety hazard to the ORC and inspector. Institute a
regular program for weed/vegetation control.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ® ❑ ❑ ❑
application?
Is the facility as described in the permit? M ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ® ❑ ❑
Is access to the plant site restricted to the general public? ❑ ® ❑ ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment: The effluent weir box and UV disinfection chamber are unsecured and potentially accessible
by the public These constitute a safety hazard (specifically for children). Secure access
with a fence or lock system.
Pump Station -Influent Yes No NA NE
Is the pump wet well free of bypass lines or structures? ® ❑ ❑ ❑
Is the wet well free of excessive grease? ■ ❑ ❑ ❑
Are all pumps present? ■ ❑ ❑ ❑
Are all pumps operable? ® ❑ ❑ ❑
Are float controls operable? ® ❑ ❑
Is SCADA telemetry available and operational? ❑ ❑ ® ❑
Is audible and visual alarm available and operational? ❑ ® ❑ ❑
Comment: Audible and visual alarm was tested by the ORC during the inspection and the audio_
component was not functional Repair the alarm system The ORC shall perform regular
inspection and documentation of the pump station as required by the permit conditions.
Disinfection -UV Yes No NA NE
Are extra UV bulbs available on site? ❑ ® ❑ ❑
Are UV bulbs clean? ® ❑
El
Is UV intensity adequate? ❑ ® ❑ ❑
Is transmittance at or above designed level? ❑ ❑ ❑ ■
Is there a backup system on site? ❑ ® ❑ ❑
Page# 3

Permit: NCO088765 Owner-Facility: Tuckaseegee RV Resort
Inspection Date: 05/18/2016 Inspection Type: Compliance Sampling
Disinfection- UV Yes No NA NE
Is effluent clear and free of solids? El 0 El M
Comment: The UV disinfection system did not appear to be operating at the time of the inspection and
at least one of the lamps was comDletely disconnected The CRC did not have a way to
regularly check status and function of the lamps Repair the UV system and perform regular
inspection and documentation of the UV disinfection system
Effluent was discolored and appeared high in TSS Sample results for fecal coliform
indicated significant exceedance of the Dermit discharge limits
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? El El El
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment:
Standby Power Yes No NA NE
Is automatically activated standby power available? 0 0 ❑
Is the generator tested by interrupting primary power source? El El ❑
Is the generator tested under load? El 0 0 e _
Was generator tested&operational during the inspection? El N El El
Do the generator(s) have adequate capacity to operate the entire wastewater site? ■
El El 0
Is there an emergency agreement with a fuel vendor for extended run on back-up power? ■
FJ El El
Is the generator fuel level monitored? El i
El
Comment: The generator backup power was not functional during the inspection (The ORC was not
able to activate the backup generator)
Perform and document regular testing of the standby power source Perform repair and
maintenance as needed.
Page# 4

PAT MCCRORY
e4
Governor
^�r�s
DONALD R. VAN DER VAART
Secretary
WcaterResources S. JAY ZIMMERMAN
NVIRONMENTAL QUALITY
Director
May 24, 2016
DWR# 16-0387
McDowell County
USDA Forest Service
Mr. Hurston A.Nicholas
160 Zillicoa St., Suite A
Asheville,NC 28801
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Bee Rock Creek Stream Restoration Project
Dear Mr.Nicholas:
You have our approval for the impacts listed below for the purpose described in your application
dated April 14,2016, and received by the Division of Water Resources (Division) on April 25,
2016,with additional information received on May 20, 2016. These impacts are covered by the
attached Water Quality General Certification Number 3885 and the additional conditions listed
below. This certification is associated with the use of Nationwide Permit Number 27 once it is
issued to you by the U.S. Army Corps of Engineers. Please note that you should get any other
federal, state or local permits before proceeding with your project,including those required by
(but not limited to) Sediment and Erosion Control,Non-Discharge, Water Supply Watershed,
and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification are met. No other impacts are approved, including
incidental impacts. [15A NCAC 02H .0506(b) and/or(e)]
State of North Carolina Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Bee Rock Creek Stream Restoration Project\,
DWR#16-0387 �.
401 Approval
Page 2 of 4
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Stream Im act
Impact S 1 200 (linear feet)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold, the new owner must be given a copy of this approval letter and
General Certification(s) and is responsible for complying with all conditions. [15A
NCAC 02H .0507(d)(2)]
3. The designer or his designee shall supervise the installation of in-stream structures.
[15A NCAC 02H .0506(b)(2)]
4. Fueling, lubrication and general equipment maintenance should not take place within 50
feet of a waterbody or wetlands to prevent contamination by fuel and oils. [15A NCAC
02H .0506 (b)(3) and (c)(3) and 15A NCAC 02B .0211(12)]
5. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants, hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill, the,permittee/contractor shall immediately contact the
Division of Water Resources, between the hours of 8 am to 5 pm at the Asheville
Regional Office at 828.296.4500 and after hours and on weekends call [phone].
Management of such spills shall comply with provisions of the North Carolina Oil
Pollution and Hazardous Substances Control Act. [15A NCAC 02H .0506(b)(3) and
(c)(3), 15A NCAC 02B .0211(12), and GS 143 Article 21A]
6. Natural fiber matting is recommended for streambank stabilization over plastic matting
that can entrap small animals. [15A NCAC 02H .0506(b)(2)]
7. Visual monitoring of the stabilization project shall be conducted at a minimum of
quarterly for the first year or two bankfull events (whichever is longer), and then
annually until the site is stable (particularly after storm events) and vegetation is
successful. Any failures of structures, stream banks, or vegetation may require future
repairs or replacement, which requires coordination with the Asheville Regional Office
to ensure the stability and water quality of the stream and downstream waters. [15A
NCAC 02H .0506(b)(2) and (b)(3)]

Bee Rock Creek Stream Restoration Project
DWR#16-0387
401 Approval
Page 3 of 4
8. All temporary impacted areas shall be restored to pre-construction natural conditions
upon completion of the project. Native vegetation shall be used for stream bank
stabilization. [15A NCAC 02H .0506 (b)(2) and(c)(2)]
9. The stream is a Class C, Trout Water, and High Quality Water (HQW). In order to
protect downstream uses for Class C, Trout Water, and HQW a requirement of this
Certification is that any additional work conducted within the stream may not occur
between the dates of October 15 through April 15. [15A NCAC 02H .0506 (b)(2) and
15A NCAC 04B .0125]
10. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources Commission(NCWRC) comment letter dated May 4, 2016
(attached)to the maximum extent practicable. [15A NCAC 02H .0506(b)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty (60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100, provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601

Bee Rock Creek Stream Restoration Project.,
DWR#16-0387
401 Approval
Page 4 of 4
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
[e-mail] if you have any questions or concerns.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3885
Certificate of Completion
NCWRC Letter dated May 4, 2016
cc: Brady Dodd—USDA Forest Service, Hydrologist(via email)
William Elliott—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—Division of Energy, Mineral, and Land Resources (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\McDowell\401s\Non-DOT\Bee Rock Creek Stream Restoration\APRVL.401 Bee Rock Creek Stream Restoration
Project 5.24.2016.docx

PAT MCCRORY
k
Governor
;
4i
DONALD R. VAN DER VAART
Secretary
WczterResaurces S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 24, 2016
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Gregory Klco
1045 Sherwood Forest Dr
Sarasota, FL 34232
Return Receipt#
7012 1010 0002 1965 5525
SUBJECT: NOTICE OF VIOLATION and
RECOMMENDATION FOR ENFORCEMENT
165 Waterside Drive
NOV-2016-SS-0011
Stream Standard Violation- Other Waste (In-stream sediment)
Removal of Best Usage
Rutherford County
Response deadline: June 24,2016
Dear Mr. Klco:
On May 20, 2016, Kevin Mitchell from the Asheville Regional Office of the Division of Water
Resources (DWR) conducted a site inspection at 165 Waterside Drive PIN (16-21000) in
Rutherford County. Clint Calhoun with the Town of Lake Lure was present during the site
inspection.
Stream standard violations were noted during the inspection. Sediment impacts to an unnamed
tributary to the Broad River(Lake Lure) a classified B, Tr water were documented.
DWR understands that the stream standard violations were caused by a water line break at the
subject site.
As a result of the site inspection and file review,the following violations were identified:
VIOLATIONS
I. Stream Standard Violation - Other Waste (In-stream sediment) 15A NCAC 02B
.0211 (12)—an undetermined length of an unnamed tributary to the Broad River (Lake
Lure) classified B, Tr was impacted by sediment deposition measured to be between 4
State oFNorth Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 1 Asheville,North Carolina 28778
828 296 4500

165 Waterside Drive`
May 24 ,201. 6 �.
P a g e 2
l
and 7 inches in depth in the observed stream reach and up to 24 inches in the lake,
representing Water Quality Stream Standard violation of 15A NCAC 02B .0211 (12).
II. Removal of Best Usage - 15A NCAC 02B.0211 (2)-Title 15A North Carolina
Administrative Code 02B .0211 (2) requires that"The waters shall be suitable for aquatic
life propagation and maintenance of biological integrity, wildlife, secondary recreation,
and agriculture; sources of water pollution which preclude any of these uses on either a
short-term or long-term basis shall be considered to be violating a water quality
standard."
REQUIRED RESPONSE
The DWR requests that you respond by June 24, 2016. Your response should be sent to the
attention of Kevin Mitchell, Division of Water Resources, 2090 US HWY 70, Swannanoa,NC
28778. You are encouraged to secure an environmental consultant to assist with your plan
development and authorization necessary to achieve compliance. It is recommended that your
consultant contact Mr. Mitchell for additional guidance during plan development. The response
should address the following items:
1. Stream Standard- Other Waste (In-Stream Sediment) and Removal of Best Usage '
a. Please immediately stabilize the area that is contributing sediment to the stream.
b. Please provide a map of the project area and impacted areas downstream. The
map must include all streams and wetlands, detailing sediment impacts both on
and off-site.
e. Sediment impacts to the streams on-site and downstream of the site must be
removed. Please submit a Sediment Removal Plan(Plan)to this office for review
and approval. The Plan must address removal of accumulated sediment from all
surface waters. The Plan should include:
• A narrative explaining how sediment will be removed including techniques,
manpower and tools to be used. It is recommended that you use hand labor
(buckets and shovels)to remove sediment from the stream channel.
• A proposed schedule with dates that indicate when you expect to begin and
complete the removal of sediment.
• A diagram of the stream channel, referenced with photo documentation of
sediment impacts before and after removal.

.....__.... . .
1. 65 Waterside Drive
May 24 ,2016
Paf4e 3
• A narrative explaining how and where the removed sediment will be disposed
and stabilized. The sediment should be stabilized at least 30 feet away from
any jurisdictional stream, wetland, or open water.
d. Once the work is complete, a final report documenting the results of the sediment
removal activities should be submitted to Kevin Mitchell.
Thank you for your attention to this matter. This Office is considering sending a
recommendation for enforcement to the Director of the Division of Water Resources regarding
these issues and any future/continued violations that may be encountered. Your above-
mentioned response to this correspondence will be considered in this process.
This office requires that the violations, as detailed above, be abated immediately. Pursuant
to G.S. 143-215.6A,these violations and any future violations are subject.to a civil penalty
assessment of up to $25,000.00 per day for each violation.
Should you have any questions regarding these matters, please contact Kevin Mitchell at(828)
296-4650 or kevin.mitchellknedenr.gov.
Sincerely,
G. Landon Davidson, P.G.
Regional Supervisor ..,.
Water Quality Regional Operations
Asheville Regional Office
cc: David Brown—USACE (via email)
Andrea Leslie—NCWRC (via email)
Clint Calhoun—Environmental Management Officer Town of Lake Lure (via email)
Karen Higgins, 401 &Buffer Permitting Unit
ARO File Copy
G:\WR\WQ\Rutherford\Complaints\Waterside\NOV-2016-SS-0011. 165 Waterside Dr. 5.24.16.docx

m i l A
T S I �N
Certified Mail # 7012 1010 0002 1965 5709
Return Receipt Requested
May 24, 2016
Jeffrey Wakefield
Columbia Forest Plywood Products
369 Columbia Carolina Rd
Old Fort, NC 28762
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0269
Permit No. NCO087076
Columbia Forest Plywood Products
McDowell County
[),__ i Permittee:
A review of the October 2015 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Solids, Total Suspended - 10/1/2015 45 64.3 Daily Maximum Exceeded
Concentration (C0530)
Reporting Violation(s):
Sample
Location Parameter Date Type of Violation
001 Effluent Flow to be reported in MGD per 10/1/2015 Parameter reported with invalid Unit of
NPDES permit NCO087076 Measure
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

Please note that the same units of measurement for the parameters listed on your NPDES permit are required,'
be reported on the DMR. The violation listed above is in reference to FLOW, which is required to be listed in M . /`
Million Gallons per Day.
It is requested that a response be submitted in writing to this office within fifteen (15) days of
receipt of this letter.
If.you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervi—sor-
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
G:\WR\WQ\MCDavValltWasteviater\Tndustrial\Columbia 87076\N0V-2016-LV-0269.rtf

PAT MCCRORY
Governor
taps'
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 25, 2016
DWR# 16-0364
Macon County
Mr. Edward Haight
753 St Charles Bypass Rd.
Thibodaux, LA 70301
Resource Institute, Inc.
Attn: Charles Anderson
2714 Henning Dr.
Winston-Salem,NC 27106
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Tessentee Creek(Haight) Stream Restoration Project
Dear Mr. Haight:
You have our approval for the impacts listed below for the purpose described in your application
dated March 31, 2016, and received by the Division of Water Resources (Division) on April 14,
2016. These impacts are covered by the attached Water Quality General Certification Number
3885 and the additional conditions listed below. This certification is associated with the use of
Nationwide Permit Number 27 once it is issued to you by the U.S. Army Corps of Engineers.
Please note that you should get any other federal, state or local permits before proceeding with
your project, including those required by(but not limited to) Sediment and Erosion Control,
Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification are met. No other impacts are approved, including
incidental impacts. [15A NCAC 02H .0506(b) and/or (c)]
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Tessentee Creek(Haight)Stream Restoration Project
DWR# 16-0364 �
401 Approval
Page 2 of 4
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Stream Impact
Impact S1 1,525 (linear feet)
Impact S2 100 (linear feet)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold, the new owner must be given a copy of this approval letter and
General Certification(s) and is responsible for complying with all conditions. [15A
NCAC 02H .0507(d)(2)]
3. The designer or his designee shall supervise the installation of in-stream structures.
[15A NCAC 02H .0506(b)(2)]
4. Fueling, lubrication and general equipment maintenance should not take place within 50
feet of a waterbody or wetlands to prevent contamination by fuel and oils. [15A NCAC
02H .0506 (b)(3) and (c)(3) and 15A NCAC 02B .0211(12)]
5. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants, hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill,the permittee/contractor shall immediately contact the
Division of Water Resources,between the hours of 8 am to 5 pm at the Asheville
Regional Office at 828.296.4500 and after hours and on weekends call [phone].
Management of such spills shall comply with provisions of the North Carolina Oil
Pollution and Hazardous Substances Control Act. [15A NCAC 02H .0506 (b)(3) and
(c)(3), 15A NCAC 02B .0211(12), and GS 143 Article 21A]
6. Natural fiber matting is recommended for streambank stabilization over plastic matting
that can entrap small animals. [15A NCAC 02H .0506(b)(2)]
7. Visual monitoring of the stabilization project shall be conducted at a minimum of
quarterly for the first year or two bankfull events (whichever is longer), and then
annually until the site is stable (particularly after storm events) and vegetation is
successful. Any failures of structures, stream banks, or vegetation may require future
repairs or replacement, which requires coordination with the Asheville Regional Office
to ensure the stability and water quality of the stream and downstream waters. [15A
NCAC 02H .0506(b)(2) and(b)(3)]

Tessentee Creek(Haight)Stream Restoration Project
DWR# 16-0364
401 Approval
Page 3 of 4
8. All temporary impacted areas shall be restored to pre-construction natural conditions
upon completion of the project. Native vegetation shall be used for stream bank
stabilization. [15A NCAC 02H .0506 (b)(2) and(c)(2)]
9. The stream is a Class C, Trout Water. In order to protect downstream uses for Class C,
Trout Water a requirement of this Certification is that any additional work conducted
within the stream may not occur between the dates of October 15 through April 15.
[15A NCAC 02H .0506 (b)(2) and 15A NCAC 04B .0125]
10. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources Commission(NCWRC) comment letter dated May 5, 2016
(attached)to the maximum extent practicable. [15A NCAC 02H .0506(b)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty (60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919) 431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One(1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601

Tessentee Creek(Haight)Stream Restoration Project'
DWR# 16-0364
401 Approval
Page 4 of 4
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Tim Fox at 828-296-4664 or
tim.foxkncdenr.gov if you have any questions or concerns.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3885
Certificate of Completion
NCWRC letter dated May 5, 2016
cc: Chris Engle—Wolf Creek Engineering, PLLC (via email)
David Brown—USACE Asheville Regulatory Field Office(via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken-Division of Energy, Mineral, and Land Resources (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Macon\401s\Non-DOT\Tessentee Creek Haight Stream Restoration\APRVL.401 Tessentee Creek(Haight)Stream
Restoration Project 5-25-16.docx
i

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Waterkesources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 25, 2016
CERTIFIED MAIL 7012 1010 0002 1965 5532
RETURN RECEIPT REQUESTED
Dallas R.Wilcox
2591 Timberwood Drive
Lenoir, NC 28645
Subject: NORTH CAROLINA MANURE HAULER REQUIREMENTS
Dry Litter Complaint
Caldwell County
Dear Mr.Wilcox:
On January 26,2016, staff of the North Carolina Division of Water Resources (DWR),Water
Quality Regional Operations Section (WQROS),received a complaint referencing your property and
the waste management procedures currently being utilized. Based on information obtained since the
original complaint and our phone conversation on May 19, 2016,it appears that the litter has been
land applied.
Attached,please find the North Carolina Manure Hauler Requirements pertaining to the stockpiling
and application of dry poultry litter. Please review these requirements carefully and contact me if you
have any questions. I can be reached at [phone] or via E-mail: [e-mail]
Sincerely,
Beverly Price
Environmental Set 'or Specialist
Enclosure: North Carolina Manure Hauler Requirements
Cc:Asheville Files
G:\WR\WQ\Caldwell\Complaints\Dallas Wilcox Dry Litter Complaint\Dallas Wilcox Dry Litter Letter#2.docx
Asheville Regional Office)Environmental Quality I Water Resources
2090 US Hwy 70 1 Swannanoa,North Carolina 28778
828 296 4500

�_
�_�'
�_i

� r 8 � 1 �
Certified Mail # 7012 1010 0002 1965 5716
Return Receipt Requested
May 25, 2016
Honorable John Boone, Mayor
Town of Elk Park
PO Box 248
Elk Park, NC 28622
SUBJECT: NOTICE OF VIOLATION &INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2016-MV-0070
Permit No. NCO079561
Elk Park WWTP
Avery County
f'^ar Permittee:
A review of the December 2015 Discharge Monitoring Report (DMR) for the subject facility revealed the
violation(s) indicated below:
Monitoring Violation(s):
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent Nitrogen,Total (as N) - 12/31/2015 Semi-annually Frequency Violation
Concentration (C0600)
001 Effluent Phosphorus,Total (as P) - 12/31/2015 Semi-annually Frequency Violation
Concentration (C0665)
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty of not
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails
to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
If the above parameters were left off inadvertently, please send amended DMRs within 10 business days of receipt
of this letter to Raleigh at the address found on the front page of your DMR and a copy to this office. Also, some
3meter codes have changed. Please begin using the correct codes on future DMRs.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the
violations. If no response is received in this Office within the 10-day period, a civil penalty
assessment may be prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law. If the violations are of a continuing nature, not related to operation and/or maintenance problems,
and you anticipate remedial construction activities, then you may wish to consider applying for a Special Order by
Consent.
Reminder: Pursuant to Permit Condition 6 in Section E, the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
Additionally and if you have not already done so, you may wish to consider registering to use the Division's new
e-DMR system for the completion and electronic submittal of monthly Discharge Monitoring Reports (DMRs).
For more information, please visit the eDMR Website at the following address:
http://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr.
If you have any questions concerning this matter or to apply for an SOC, please contact Janet Cantwell of the
Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Otis Ward/ ORC
G:\WR!WQxAvery\VVastevrater{Municipal�Elk Park 79561\N0V-N01-2016-MV-0070.rtf

PAT MCCRORY
Governor
k.,
DONALD R. VAN DER VAART
secleiury
S. JAY ZIMMERMAN
Water Resources
ENVIRONMENTAL QUALITY Director
May 25, 2016
Wallace Anderson, Executive Director
Ridge Haven, Inc.
215 Ridge Haven Road
Brevard, NC, 28712
Subject: Permit No. WQ0038475
Ridge Haven, Inc.
Ridge Haven Collection System
Wastewater Collection System Extension Permit
Transylvania County
Dear Mr. Anderson:
In accordance with your application received May 12, 2016, we are forwarding herewith Permit No.
WQ0038475 dated May 25, 2016, to the Ridge Haven, Inc. (Permittee) for the construction and
operation upon certification of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations
as specified therein. This cover letter shall be considered a part of this permit and is therefore
incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition 11.4: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T.0403 or any individual system-wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, 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, 6714 Mail Service Center, Raleigh,
l
NC 27699-6714. Unless such demands are made,this permit shall be final and binding.
State of North Carolina/Environmental Quality l Water Resources
2090 U.S.Hwy.70,Swannanoa,N.C. 28778
828-296-4500

Ridge Haven, Inc.
Permit No.WQ0038475
If you need additional information concerning this matter, please contact Tim Heim at(828) 296-4500 or
via e-mail at [e-mail]. \
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: David Odom, P.E.—Odom Engineering(electronic copy)
ARO Office Files
Water Resources Central Files
PERCS(electronic copy)
\\Wp3dnfp06.eads.ncads.net\data\WR\WQ\Transylvania\Collection Systems\Gravity sewers\WQ0038475 Ridge Haven Collection System.docx
Page 2 of 9

sbf.
A
Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
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 the
Ridge Haven, Inc.
Transylvania County
for the construction and operation of approximately 3,930 linear feet of 6-inch gravity sewer to serve
one 750-seat dining hall and one 150-seat dining hall as part of the Ridge Haven Collection System
project, and the discharge of 12,000 gallons per day of collected domestic wastewater into the Proposed
Ridge Haven WWTP existing sewerage system, pursuant to the application received May 12, 2016 and in
conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February
12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting data subsequently
filed and approved by the Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
G. Landon Davidson, P.G., Regional Supervisor "°"�
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0038475
Permit Issued: May 25,2016
Page 3 of 9

SUPPLEMENT TO PERMIT COVER SHEET
Ridge Haven, Inc. is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the Proposed Ridge Haven
WWTP Wastewater Treatment Facility in accordance with Draft Permit Number NC0089559.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T, the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina-licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as-constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
1. No wastewater flow shall be made tributary to the subject sanitary sewer system until the Proposed
Ridge Haven WWTP Wastewater Treatment Facility is constructed, operational, and the engineer's
certification has been received by the Division. [15A NCAC 02T.0116]
J,
2. The abandonment of any existing wastewater facilities including septic systems being replaced by
new sewer infrastructure shall be done in accordance with the applicable agency having compliance
oversight on such facilities. [15A NCAC 02T.0105(c)(6)]
11. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system-wide collection system permit for the
Page 4 of 9

operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North
Carolina General Statute§143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors,enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts(1) and (2)
of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map,which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
Page 5 of 9

a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage,etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five 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. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities,the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
Page 6 of 9

c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings,on the certification
in the space provided,or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested
modifications or variances to the Minimum Design Criteria will be reviewed on a case-by-case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After-construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification &activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes§143-215.6A
through §143-215.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. [15A
NCAC 02T.0104; 15A NCAC 02T.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities. [15A NCAC 02T.0110; 15A NCAC 02T.0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State,of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 9

[THIS PAGE INTENTIALLY LEFT BLANK]
Page 8 of 9

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: RIDGE HAVEN, INC.
PERMIT#: WQ0038475
PROJECT: RIDGE HAVEN COLLECTION SYSTEM
ISSUE DATE: May 25, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation to the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
1,the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name,Title Signature Date
ENGINEERS CERTIFICATION
as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
Ridge Haven Collection System and location as referenced above for the above Permittee hereby state
that, to the best of my abilities, due care and diligence was used in the observation of the construction
such that the construction was observed to be built within substantial compliance of this permit; 15A
NCAC 02T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted
February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of
Pump Stations and Force Mains adopted June 1,2000 as applicable; and other supporting materials.
............................................................................
North Carolina Professional Engineer's Seal w/signature &date:
❑ Final ❑ Partial (include description)
:...........................................................................
Certification Comments/Qualifiers(attach if necessary):
NC DWR Water Quality Regional Operations Section 2090 US Hwy 70 Swannanoa, NC 28778
Asheville Regional Office Phone: [phone] FAX:[phone]

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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 25, 2016
Leisure Craft, Inc.
Attn: Richard J. Herman
P.O. Box 1700
Hendersonville, NC 28793
Re: Well Construction Variance No. WV0100060
Variance Request to Rule 15A NCAC 02C .0107(a)(2)(H)
Leisure Craft, Inc.
Henderson County
Dear Mr. Herman,
On May 9, 2016,the Asheville Regional Office of the Division of Water Resources (DWR)
received your request for a variance to the well construction standards, specifically Rule 15A
NCAC 02C .0107(a)(2)(H). This rule requires a minimum horizontal distance of 100 feet between
a water supply well and chemical storage areas.The variance request is for the construction of
one industrial water supply well to be installed 26 feet from the chemical storage building at
the Leisure Craft, Inc. facility at 940 Upward Road, Hendersonville, NC 28791. The proposed
well is not to be used for human consumption.
As discussed with you at the meeting with DWR staff on May 16, 2016, and as stated in your
request,the existing public water supply lines do not provide adequate volume, due to their
diameter, for the industrial process needs of the facility. Installing the well on the northern
portion of the property in accordance with the standards is not feasible to afford the necessary
water supply at a reasonable cost as the water supply is needed at the southern end of the
property.
The variance is granted provided that the proposed well be constructed a minimum of 26 feet
from the chemical storage building perimeter. It is our understanding that chemical storage at
the Leisure Craft, Inc. facility will remain a minimum of 26 feet from the proposed water supply
well in the future.The variance will be effective from the date issued until August 25, 2016.
Please note on the attached permit specific conditions regarding the construction of the well.
These conditions should aid in mitigating any potential problems that could affect water quality
or the well's effective operation resulting from the reduced separation distance. Permit
conditions are enforceable under North Carolina law.
The granting of this permit, which includes a variance, is for the location of the well only, and in
no way relieves the owner or agent from other requirements of the North Carolina Well
State of North Carolina I Environmental Quality I Water Resources
2909 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Leisure Craft, Inc.
May 25, 2016
Page 2 of 2
Construction Standards, or any other applicable law, rule or regulation that may be regulated
by other agencies, nor does it imply sufficient water quality or quantity. If you are dissatisfied
with this decision, you may commence a contested case by filing a petition under G.S. 150-23
within sixty (60) days after receipt of the decision. A copy of this permit, which includes a
variance, should be attached to the required Well Construction Record (GW-1).
If you have any questions regarding this variance, please contact Andrew Moore at 828-296-
4684.
Sincerely,
G. Landon Davidson, P.G.
Regional Supervisor
Water Quality Regional Operations Section
cc: ARO File
Henderson County Department of Environmental Health ' J
Bryant Smith, Green River Well & Pump Company, PO Box 204, East Flat Rock, NC 28726

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
PERMIT FOR THE CONSTRUCTION OF A WELL OR WELL SYSTEM
In accordance with the provisions of Article 7, Chapter 87, North Carolina General Statutes, and other applicable
Laws, Rules and Regulations,
PERMISSION IS HEREBY GRANTED TO
Leisure Craft,Inc.
FOR THE CONSTRUCTION OF one(1)water supply well located in the consolidated rock formation of the
Blue Ridge Geologic Belt. The well site location is on property owned by leisure Craft,Inc.at 940 Upward
Road, Henderson County,North Carolina,in accordance with the application dated May 6,2016,and in
conformity with the specifications and supporting data,all of which are filed with the Department of
Environmental Quality and are considered a part of this permit.
This Permit is for well construction only,and does not waive any provisions or requirements of the Water Use Act of
1967, or any other applicable laws or regulations. Construction of a well under this Permit shall be in compliance
with the North Carolina Well Construction Regulations and Standards,and any other laws and regulations pertaining
to well construction.
This Permit shall be subject to other specified conditions,limitations,or exceptions as follows:
1. The casing shall be galvanized steel.The casing shall extend:the greater of 15 feet into
bedrock or 40 feet below land surface if bedrock depth is<50 feet;10 feet into bedrock if
bedrock depth is 50-100 feet;or 5 feet into bedrock if bedrock depth is>100 feet.
2. The entire depth of the casing shall be grouted.A drill bit that is 1/3 greater than the outside
,- diameter of the casing shall be used to drill the cased portion of the well.The grout shall be
emplaced using the pump or pressure method.
3. The well shall be located in the area identified on the map included with the application.
4. The well driller shall be certified by the North Carolina Well Contractor Certification
Commission as required by General Statutes 87-98.4.
5. Notification shall be given to Andrew Moore at the letterhead address or by telephone at
[phone],at least 48 hours prior to the start of well construction.
6. The variance permit number shall be noted on the GW-1 form for the well.
7. Notification shall be given to Andrew Moore upon completion of the well.
8. The well shall not be used as a drinking water source.
Permit issued this the 25th day of May,2016.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
G. Landon Davidson,Water Quality Regional Operations Section Supervisor
Division of Water Resources
By Authority of the
Environmental Management Commission
PERMIT NO.WV01000060
State of North Carolina I Environmental Quality I Water Resources
2909 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
'^ secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 25, 2016
Carl Morrison
254 Pearson Drive
Asheville,NC 28801
Subject: Incident Closure
NOV-2015-SS-0009
Buncombe County
Dear Mr. Morrison:
The Division of Water Resources has received the status report via email on May 13, 2016,
related to the Notice of Violation NOV-2015-SS-0009.
The written response, stabilization efforts and planting work performed have satisfactorily
resolved the violations noted in the subject Notice of Violation.
Your attention and cooperation is greatly appreciated. Should you have any questions regarding
this matter or other water quality issues or concerns,please contact me at(828) 296-4662 or
zan.price�ncdenr.gov.
Sincerely,
Zan Price
Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
cc: Karen Higgins—401 and Buffer Permitting Unit
DWR ARO File Copy
GAWR\WQ\Buncombe\401s\Non-DOM4onison Farms\2015 NOV\CLO.NOV.2015-SS-0009_Morrison.docx
State of North Carolina I Environmental Quality I Water Resources
2090 US Hwy 70 1 Swannanoa,North Carolina 28778
828 296-4500

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 25, 2016
Marcus Pitts
Duke Energy Carolinas, LLC
PO Box 478
Salem, SC 29676
SUBJECT: Compliance Evaluation Inspections
Duke Hydroelectric Facilities
Permit No(s): NCG500129 &NCG500657
Macon& Swain Counties
Dear Mr. Pitts:
Enclosed please find copies of Compliance Evaluation Inspections conducted at Duke Energy's hydroelectric
facilities listed below on 5/12/2016. The purpose of the inspection was to assess these facilities with regard to
best operating practices and the requirements of General Permits for non-contact cooling water.
Facility Name Permit Number Status
Bryson Hydro NCG500129 Compliant
Franklin Hydro NCG500657 Compliant
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call me at 828-296-4500.
Sincerely,
BeverlylPri* e
Environmental Senior Specialist
Enc.
cc: Melanie Gardner, Duke Energy Carolinas 526 S. Church St. (Mail Code EC13K) Charlotte NC 28202
MSC 1617-Central Files-Basement
Asheville Files
-G:\WR\WQ\Macon\Wastewater\General\NCG50 Non-contactTranklin Hydroelectric CEI16.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

United States Environmental Protection Agency Form Approved.
EPA„ Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN ' 2 15 1 3 I NCG500657 I11 12 16/05/12 17 18 1 C I 19 I �j 20I '
21111111 111111111111111111 1111111 _ 1111111 II I j 166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ------------------Reserved------------
67 70L_1 71 tyI 72 L 73 I 4 75 1 1 1 J_LIJ80
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 12:45PM 16/05/12 16/01/19
Franklin Hydroelectric Station
Exit Time/Date Permit Expiration Date
564 Clyde Downs Rd
01:30PM 16/05/12 20/07/31 ,
Franklin NC 28734
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
W Marcus Pitts//864-304-9703/
_ Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
W Marcus Pitts,41 Mountain Farm Ln Tuckasegee NC 28783//864-304-9703/
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit N Flow Measurement ■ Operations&Maintenance N Records/Reports
Self-Monitoring Program N Effluent/Receiving Waters ■ Laboratory
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Beverly Price Division of Water Quality//828-296-4500)
-6�di, /-1/V"�
Signature o anagement Q A Reviewer Agency/Office/Phone and Fax Numbers Date
C:\
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type
31 NCG500657 I1 121 16/05/12 17 18 L_I
I
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The inspection was conducted by Beverly Price of the Asheville Regional Office. Marcus Pitts, Glen
Long, Melanie Gardener and Kourtney Flowe assisted with the inspection.
Page# 2

Permit: NCG500657 Owner-Facility: Franklin Hydroelectric Station
Inspection Date: 05/12/2016 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ ® ❑
application?
Is the facility as described in the permit? ❑ ® ❑ ❑
#Are there any special conditions for the permit? ❑ ® ❑ ❑
Is access to the plant site restricted to the general public? ■ ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑
Comment: The Certificate of Coverage was renewed and became effective on January 19, 2016. The
general permit expires July 31 2020 The powerhouse has two generating units but does not
have non-contact cooling water. This was the first inspection for this facility.
Operations&Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT,Settleable ❑ ❑ ® ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ❑
Is sample collected below all treatment units? ❑ ❑ ❑
Is proper volume collected? 0 ❑ ❑ ❑
Is the tubing clean? ❑ ❑ ■
El
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ® ❑ ❑ ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency, sampling type ■ ❑ ❑ ❑
representative)?
Comment: Monitoring is conducted even though there is no non-contact cooling water discharge.
There are no chemical additions during the power generation process so TRC and COD are
not monitored.
Upstream/Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit(frequency, sampling type, and E ❑ ❑ ❑
sampling location)?
Comment:
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ❑ ❑ ❑
Are all other parameters(excluding field parameters)performed by a certified lab? ❑ ❑ ❑
Page# 3

Permit: NCG500657 Owner-Facility: Franklin Hydroelectric Station
Inspection Date: 05/12/2016 Inspection Type: Compliance Evaluation
Laboratory Yes No NA NE
#Is the facility using a contract lab? ❑ ® ❑ ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ® ❑ ❑ ❑
Celsius)?
Incubator(Fecal Coliform)set to 44.5 degrees Celsius+/-0.2 degrees? ❑ ❑ ® ❑
Incubator(BOD)set to 20.0 degrees Celsius+/-1.0 degrees? ❑ ❑ ® ❑
Comment: Duke Energy Carolinas. LLC is certified by the Division to conduct all analyses required by
the permit(Laboratory certifications 248 and 5193). Field instruments appeared to be
Properly calibrated and documented (PH and temperature).
Flow Measurement- Effluent Yes No NA NE
#Is flow meter used for reporting? ❑ ® ❑ ❑
Is flow meter calibrated annually? ❑ ❑ ® ❑
Is the flow meter operational? ❑ ❑ ® ❑
(If units are separated)Does the chart recorder match the flow meter? ❑ ❑ ® ❑
Comment: Flow is calculated based on megawatt output.
Record Keeping Yes No NA NE -'
Are records kept and maintained as required by the permit? ❑ ❑ ❑
Is all required information readily available, complete and current? ❑ ❑
Are all records maintained for 3 years(lab. reg. required 5 years)? ❑ ❑ ❑
Are analytical results consistent with data reported on DM Rs? ❑ ❑ 0 ❑
Is the chain-of-custody complete? ® ❑ ❑ ❑
Dates,times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete:do they include all permit parameters? ❑ ❑ ■ ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ M ❑
(If the facility is=or>5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ❑ 0 ❑
on each shift?
Is the ORC visitation log available and current? ❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ ® ❑
Page# 4

Permit: NCG500657 owner-Facility: Franklin Hydroelectric Station
Inspection Date: 05/12/2016 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ M ❑
Is a copy of the current NPDES permit available on site? 0 ❑ ❑ ❑
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ M ❑
Comment: The records were well maintained organized and readily available for review. No limit
violations were noted and monitoirng frequencies were correct.
Page# 5

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
1 Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector FacType
1 IN 1 2 15 1 3 I NCG500129 I11 12 16/05/12 17 18 1 1.I 19 I G I 20'
11-1
211 1 1 1 1J1 I I I I 11 I l l I I I I I ( I I I I I I I I I I I l l I I I I I I I I f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ------= — Reserved-------------
67 I 70 I I 71 I I 72 ' N I 73 I I 174 75III 80
J L__) Section B:Facility Data u L
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 09:45AM 16/05/12 16/01/19
Bryson Hydroelectric Station
Exit Time/Date permit Expiration Date
310 Dam Rd
11:45AM 16/05/12 20/07/31
Bryson City NC 28713
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
W Marcus Pitts,41 Mountain Farm Ln Tuckasegee NC 28783//864-304-9703/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Flow Measurement ■ Operations&Maintenance ® Records/Reports
Self-Monitoring Program Effluent/Receiving Waters ■ Laboratory
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Beverly Price Division of Water Quality//828-296-4500) J
6
Signature of Naugement Q A Revie Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
31 NCG500129 h 1 2 16/05/12 17 18 ICI
Section D:Summary of Finding/Comments(Attach additional sheetsof narrative and checklists as necessary) `
The inspection was conducted by Beverly Price of the Asheville Regional Office. Marcus Pitts, Glen
Long, Melanie Gardener and Kourtney Flowe assisted with the inspection.
Page# 2

Permit: NCG500129 Owner-Facility: Bryson Hydroelectric Station
Inspection Date: 05/12/2016 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ M ❑
application?
Is the facility as described in the permit? 0 ❑ F] ❑
#Are there any special conditions for the permit? ❑ ■ ❑ ❑
Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑
Comment: The Certificate of Coverage was renewed and became effective on January 19, 2016. The
general permit expires July 31 2020. The last inspection for this facility was conducted June
15, 2011.
Operations& Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? M ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ 0 ❑
Solids, pH, DO,Sludge Judge, and other that are applicable?
Comment: The Bryson Station includes two generators and the permittee has noted two outfalls. New
secondary containment has been added around the generating units.
y Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ N ❑
Is sample collected below all treatment units? ■ ❑ ❑ ❑
Is proper volume collected? 0 ❑ ❑ ❑
Is the tubing clean? ❑ ❑ O ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees . ❑ ❑ ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ■ ❑ ❑ ❑
representative)?
Comment: Although the permittee notes two outfalls it is difficult to sample each outfall separately.
Effluent sampling is conducted at one location within the tailrace.There are no chemical
additions during the power generation process so TRC and COD are not monitored.
Upstream/Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit(frequency,sampling type, and ❑ ❑ ❑
sampling location)?
Comment:
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? ❑ ❑ ❑
Page# 3

Permit: NCG500129 Owner-Facility: Bryson Hydroelectric Station
Inspection Date: 05/12/2016 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE Is all required information readily available, complete and current? ® ❑ ❑ ❑
Are all records maintained for 3 years(lab. reg. required 5 years)? ® ❑ ❑ ❑
Are analytical results consistent with data reported on DMRs? ❑ ❑ ❑
Is the chain-of-custody complete? ■ ❑ ❑ ❑
Dates,times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration ■
Dates of analysis ■
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters? ❑ ❑ ® ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ O ❑
(If the facility is=or>5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ❑ 0 ❑
on each shift?
Is the ORC visitation log available and current? ❑ ❑ ® ❑
Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ ■ ❑
Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ O ❑
Is a copy of the current NPDES permit available on site? ■ ❑ ❑ ❑
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ e ❑
Comment: The records were well maintained, organized and readily available for review. No limit
violations were noted and monitoring frequencies were correct.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ■ ❑ ❑ ❑
Are all other parameters(excluding field parameters)performed by a certified lab? ■ ❑ ❑ ❑
#Is the facility using a contract lab? ❑ 0 ❑ ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees 0 ❑ ❑ ❑
Celsius)?
Incubator(Fecal Coliform)set to 44.5 degrees Celsius+/-0.2 degrees? ❑ ❑ 0 ❑
Incubator(BOD)set to 20.0 degrees Celsius+/-1.0 degrees? ❑ ❑ 0 ❑
Comment: Duke Energy Carolinas. LLC is certified by the Division to conduct all analyses required by
the permit(Laboratory certifications 248&5193) Field instruments appeared to be properly_
calibrated and documented (pH and temperature).
Flow Measurement- Effluent Yes No NA NE
Page# 4

Permit: NGG500129 Owner-Facility: Bryson Hydroelectric Station
Inspection Date: 05/12/2016 Inspection Type: Compliance Evaluation
Flow Measurement-Effluent Yes No NA NE
#Is flow meter used for reporting? ❑ ❑ ❑
Is flow meter calibrated annually? ❑ ❑ M ❑
Is the flow meter operational? ❑ ❑ 0 ❑
(If units are separated)Does the chart recorder match the flow meter? ❑ ❑ N ❑
Comment: Flow is calculated based on megawatt output.
Page# 5

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PAT MCCRORY
c
Governor
;:. DONALD R. VAN DER VAART
M Secretary
S. JAY ZIMMERMAN
Water Resources Director
ENVIRONMENTAL QUALITY May 25, 2016
William Hammonds
Western Valley Properties LLC
505 Racking Cove Rd
Sylva NC 28779
SUBJECT: Compliance Evaluation Inspections
Morningstar of Jackson WWTP & Deemed Collection System
Permit No.s: NCO032808 &WQCSD0452
Jackson County
Dear Mr. Hammonds:
On May 24, 2016, I conducted a Compliance Evaluation Inspection of the Wastewater Treatment Plant and
Deemed Wastewater Collection System that serves Morningstar of Jackson. Based on records reviewed,
on-site evaluation and interviews with staff, the WWTP and collection system were determined to be in
compliance with permits NCO032808 and WQCSD0452, respectively. Reports are attached for your
records with findings summarized. The wastewater treatment plant and collection system appear to be well
maintained and operated.
The assistance of Mr. Mills in conducting the inspections was greatly appreciated. If there are questions or
additional information is needed regarding system operation, maintenance, or permit questions, please feel
free to contact me at 828-296-4500. Please refer to the enclosed inspection report for additional
observations and comments.
Sincerely,
Tim Heim, P.E.
Environmental Engineer
Enc.
cc: Williams Mills, ORC
MSC 1617-Central Files-Basement
Asheville Files
\\Wp3dnfp06.eads.ncads.net\data\WR\WQ\Jackson\Wastewater\Minors\Morningstar(Ensley Adult Care)32808\CEI letter 05-24-2016.doc
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

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Compliance Inspection Report
Permit: WQCSD0485 Effective: 08/28/09 Expiration: Owner: Western Valley Properties LLC
SOC: Effective: Expiration: Facility: Morningstar of Jackson
County:Jackson 505 Raching Cove Rd
Region: Asheville
Sylva NC 28779
Contact Person: William Hammonds Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 05/24/2016 Entry Time: 01:30PM Exit Time: 03:30PM
Primary Inspector: Timothy H Heim Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Deemed permitted collection system management and operation
Facility Status: Compliant Not Compliant
Question Areas:
Miscellaneous Questions Operation&Maint Regmts Monitoring&Rpting Reqmts
(See attachment summary)
Page: 1

Permit: WQCSD0485 Owner-Facility:Western Valley Properties LLC
Inspection Date: 05/24/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
Tim Heim of the Asheville Regional Office performed a Compliance Evaluation Inspection on May 24th, 2016.Williams Mills
(ORC)was present during the inspection.This Deemed Collection system should be removed from the inspection list.
Page: 2

Permit: WQCSD0485 Owner-Facility:Western Valley Properties LLC
Inspection Date: 05/24/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Monitoring and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available? ❑ ❑ M ❑
Are public notices and proof of publication available? ❑ ❑ 0 ❑
#Is an annual report being prepared in accordance with G.S.143-215.1 C? ❑ ❑ 0 ❑
#Is permittee compliant with all compliance schedules in the permits? ❑ ❑ M ❑
If no,which one(s)?
Comment:
Operation&Maintenance Requirements Yes No NA NE
Are all log books available? ❑ ❑ ❑
Does supervisor review all log books on a regular basis? ❑ ❑ ❑
Does the supervisor have plans to address documented short-term problem areas? 0 ❑ ❑ ❑
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
ORC is the only staff member.
Are maintenance records for equipment available? • ❑ ❑ ❑
Is a schedule maintained for testing emergency/standby equipment? ❑ ❑ ❑
What is the schedule for testing emergency/standby equipment? weekly
Do pump station logs include:
Inside and outside cleaning and debris removal? ❑ ❑ ❑
Inspecting and exercising all valves? ❑ ❑ M ❑
Inspecting and lubricating pumps and other equipment? ❑ ❑ 0 ❑
Inspecting alarms,telemetry and auxiliary equipment? ❑ ❑ M ❑
Is there at least one spare pump for each pump station w/o pump reliability? ❑ ❑ 0 ❑
Are maintenance records for right-of-ways available? M ❑ ❑ ❑
Are right-of-ways currently accessible in the event of an emergency? M ❑ ❑ ❑
Are system cleaning records available? ❑ ❑ 0 ❑
Has at least 10%of system been cleaned annually? ❑ ❑ m ❑
What areas are scheduled for cleaning in the next 12 months?
The entire collection system consists of approximately 100 LF of gravity PVC line.
Is a Spill Response Action Plan available? ❑ ❑ ❑ m
Does the plan include:
24-hour contact numbers ❑ ❑ ❑ m
Response time ❑ ❑ ❑ M
Equipment list and spare parts inventory ❑ ❑ ❑
Access to cleaning equipment ❑ ❑ ❑ M
Page: 3

Permit: WQCSD0485 Owner-Facility:Western Valley Properties LLC
Inspection Date: 05/24/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Operation$Maintenance Requirements Yes No NA NE
Access to construction crews,contractors,and/or engineers El ❑ El ■
Source of emergency funds EJ ❑ D ■
Site sanitation and cleanup materials El ❑ ■
Post-overflow/spill assessment n ❑ El ■
Is a Spill Response Action Plan available for all personnel? ❑ ❑ El ■
Is the spare parts inventory adequate?
Comment:
T
Page: 4

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 1 3 I NCO032808 I11 12 16/05/24 17 18 l,1 19 f 201
21I111 JJL I I I I II I II I I I III I I I I I I I I I I I I I I II I J I I 1166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA — -Reserved —
67 70 L J 71 li I 72 LN� 73t 75j1�1 I 1_ILJ1 — 80
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES Permit Number) 02:00PM 16/05/24 12/11/01
Morningstar of Jackson
Exit Time/Date Permit Expiration Date
505 Raching Cove Rd
03:30PM 16/05/24 17/10/31
Sylva NC 28779
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
William H Mills/ORC/828-293-3243/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
William Hammonds,505 Racking Cove Rd Sylva NC 28779//828-586-1556/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Operations&Maintenance N Facility Site Review N Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Timothy H Heim ARO WQH828-296-4665/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type 1
31 NCO032808 I11 12 16/05/24 17 181
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Tim Heim of the Asheville Regional Office performed a Compliance Evaluation Inspection on May 24th,
2016. Williams Mills(ORC)was present during the inspection.
Page# 2

Permit: NC0032808 Owner-Facility: Morningstar of Jackson
Inspection Date: OS/24/2016 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: Plant appeared to be well operated and maintained at the time of the inspection. No
observable impact to the receiving stream
Page# 3

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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 27, 2016
Bill Thompson
P.O. Box 224
Maggie Valley,NC 28751
RE: Sample ID:AC27926,AC27927,AC27928, &AC27929
Sample Location Address: 2375 Fie Top Road
Haywood County
Dear Mr.Thompson,
Please find attached the analytical results for water samples collected from your water supply
well and kitchen faucet,at the address referenced above, on April 11, 2016.Water samples
were collected because of a previous indoor water sample that indicated a lead concentration
above the applicable standard.Water samples collected at the well head and kitchen faucet
were analyzed for various metals.
The following table summarizes the attached analytical results (AC27926) for samples collected
F at the well head. Please note that the bolded values indicate levels above the NC Groundwater
Standard, 15A NCAC 2L. 0202. The results are shown in units of micrograms per liter of water
(ug/1) and are approximately equivalent to parts per billion (ppb).
USEPA Maximum NC Groundwater Concentration Detected
Analytes Contaminate Level Standard In Your Drinking Water
Concentration Units Concentration Units Concentration Units
Aluminum 790 b
Barium 2,000 ppb 700 ppb 2,000 b
Calcium 11,000 ppb
Copper 1,000 ppb 35 b
Lead 15 ppb 15 ppb 4.4 b
Magnesium 1,800 ppb
Manganese 50 ppb 410 b
Potassium 5,300 ppb
Sodium 170,000 ppb
Strontium 130 b
Zinc 1,000 ppb 37 b
The following table summarizes the attached analytical results(AC27927,AC27928,&AC27929)
for timed samples collected at your kitchen faucet.The results are shown in units of micrograms
per liter of water (ug/1) and are approximately equivalent to parts per billion (ppb).
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

Bill Thompson
May 27,2016
Page 2 of 2
Concentration Detected Concentration Detected Concentration Detected
Analytes In Your Drinking Water In Your Drinking Water In Your Drinking Water
Time= 0 Minutes Time = 5 Minutes Time= 10 Minutes
Concentration Units Concentration Units Concentration Units
Aluminum 1,200 ppb 65 ppb < 50 ppb
Copper 73 ppb 12 ppb 13 ppb
Sodium 170 1 ppb 170 b 170 b
Zinc 37 b 26 b 34 b
In summary,barium and manganese concentrations are exceeding the applicable standards.
Lead is present at the well head only but the concentration does not exceed the applicable
standard. The sodium concentration remains elevated because of possible groundwater
contamination from a nearby road salt storage pile. The remaining metals are below the
applicable standards and are fairly typical for groundwater quality in western North Carolina.
Because there are constituents present,a Health Risk Evaluation (HRE)was performed by
North Carolina Department of Health and Human Services toxicologist, Kennedy Holt. The HRE,
which is enclosed,makes specific recommendations for your water based on these results.
If you have questions concerning the Health Risk Evaluation,please contact Kennedy Holt at
[phone]. If you have any additional questions or concerns,please contact me at(828)
296-4681 or [e-mail].
Sincerely,
Bre av ty
Wa er ality Regional Operations
Ash ille Regional Office
Attachment: Health Risk Evaluations by Kennedy Holt
DWR laboratory analytical results
cc: ARO file
Haywood County Health Department w/attachments
Catherine Jacobs-NC DWM IHSB w/attchments

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
2375 FIE TOP ROAD Sample ID: AC27926
HAYWOOD Collector: B LAVERTY VisitlD PO Number# 16GO096
,n: ARO Report To ARO Location ID: 1C442376FIETOP Date Received: 0 411 312 01 6
3asin Collect Date: 04/11/2016 Priority SURFACEWATER Time Received: 08_10
Emergency Collect Time: 11_27 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZOI
COC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 4/29/16
Report Print Date: 06/11/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
Units
CAS# Analyte Name PQL Qualifier Reference Date Validated by
LAB
Sample temperature at receipt by lab 4.6 �C 4/13/16 MSWIFT
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 4/14/16 ESTAFFORD1
7429-90-5 Al by ICP 50 790 ug/L EPA200.7 4115/16 ESTAFFORDI
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14/16 ESTAFFORD1
7440-38-3 Ba by ICP
10 2000 ug/L EPA200.7 4/15/16 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 11 mg/L EPA200.7 4/15116 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 4/14/16 ESTAFFORDI
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 4/14/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 35 ug/L EPA200.8 4/14/16 ESTAFFORDI
7439-89-6 Fe by ICP 50 50 U ug/L EPA200.7 4115/16 ESTAFFORD1
7 "'97-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 4/26/16 ESTAFFORDI
7-, -,09-7 K by ICP 0.10 5.3 mg/L EPA200.7 4/15/16 ESTAFFORD1
7439-95-4 Mg by ICP 0.10 1.8 mg/L EPA200.7 4/15/16 ESTAFFORD1
7439-96-5 Mn by ICP 10 410 ug/L EPA200.7 4/15/16 ESTAFFORDI
7440-23-5 Na by ICP 0.10 170 mg/L EPA200.7 4115116 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14116 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 4.4 ug/L EPA200.8 4114/16 ESTAFFORD1
7782-49-2 Se by ICPMS 1.0 1.0 U ug/L EPA200.8 4/14/16 ESTAFFORDI
7440-24-6 Sr by ICPMS 10 130 ug/L EPA200.8 4/14/16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 37 ug/L EPA200.8 4/14/16 ESTAFFORDI
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
2376 FIE TOP ROAD Sample ID: AC27927
HAYWOOD Collector: B LAVERTY VisitlD PO Number# 16GO096
n: ARO Report To ARO Location ID: 1C442376FIETOP Date Received: 0 4/1 312 01 6
Basin Collect Date: 04/11/2016 Priority SURFACEWATER Time Received: 08_10
6.,ergency Collect Time: 11_37 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
COC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 619/16
Report Print Date: 05/11/2016
Final Report
7G NC-,V CA de f 77'110e -amp..,
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analyte Name PQL Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 4.6 eC 4/13116 MSWIFT
MET
7429-90-5 Al by ICP 50 1200 ug/L EPA200.7 4/15/16 ESTAFFORD1
7440-47-3 Cr by ICPMS - 5.0 5.0 U ug/L EPA200.8 4/14/16 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0 73 ug/L EPA200.8 4/14/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 50 U ug/L EPA200.7 4/15/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 170 mg/L EPA200.7 4/15/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14/16 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14116 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 37 ug/L EPA200.8 4114/16 ESTAFFORD1
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

_ _
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North Carolina Division of Water Resources Water Sciences Section Laboratory Results
2376 FIE TOP ROAD Sample ID: AC27928
HAYWOOD Collector: B LAVERTY VisitlD PO Number# 16GO097
X ARO Report To ARO Location ID: 1C442375FIETOP Date Received: 04/13/2016
3asin Collect Date: 04/11/2016 Priority SURFACEWATER Time Received: 08_10
En.d(gency Collect Time: 11_42 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZ01
COC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 619116
Report Print Date: 05/11/2016
/ Final Report
f cwx/V ff1 vek 7 Time = CAI a✓
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result( Method Analysis
CAS# Analyte Name PQL Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 4.6 �C 4/13/16 MSWIFT
MET
7429-90-5 AI by ICP 50 65 ug/L EPA200.7 4115/16 ESTAFFORD1
7440-47-3 Cr by ICPMS - 5.0 6.0 U ug/L EPA200.8 4/14/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 12 ug/L EPA200.8 4/14116 ESTAFFORD1
7439-89-6 Fe by ICP 50 50 U ug/Le EPA200.7 4/15/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 170 mg/L EPA200.7 4115/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14116 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14116 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 26 ug/L EPA200.8 4/14/16 ESTAFFORD1
r'
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
2375 FIE TOP ROAD Sample ID: AC27929
HAYWOOD, Collector: B LAVERTY VisitlD PO Number# 16G0098
n`. ARO Report To ARO Location ID: 1C442375FIETOP Date Received: 04/13/2016
Basin Collect Date: 04/11/2016 Priority SURFACEWATER Time Received: 08_10
E-drgency Collect Time: 11_47 Sample Matrix: GROUNDWATER Labworks LoginlD TASCENZO1
COC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 6/9116
Report Print Date: 05/11/2016
Final Report
!�I 7 e y Env s�,g dC�% T.�E-/OM�,✓.
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analyte Name PQL Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 4.6 °C 4/13/16 MSWIFT
MET
7429-90-5 AI by ICP 50 50 U ug/L EPA200.7 4/15/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 4/14/16 ESTAFFORD1
7440-50-6 Cu by ICPMS 2.0 13 ug/L EPA200.8 4114/16 ESTAFFORDI
7439-89-6 Fe by ICP 50 50 U ug/L EPA200.7 4/15116 ESTAFFORDI
7440-23-5 Na by ICP 0.10 170 mg/L EPA 200.7 4/15/16 ESTAFFORDI
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/14116 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200-8 4/14/16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 34 ug/L EPA200.8 4/14116 ESTAFFORDI
r,
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

ti R T H C A R 0 L I N i
�hk Private Well Information
nM0j�aowtg and lase Recommendations
of health and
For Inorganic Chemical Contaminants
County'. j ood-� Name:
Sample ID#:I u Reviewer: I M ff
TEST RESULTS AND USE RECOMMENDATIONS
1.❑Your well water meets federal drinking water standardsfor inorganic chemicals. Your water can be used for
drinking,cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results onlp.You may
have other water sampling results that are not taken into account in this report.
2.3 The following substance(s)exceeded federal drinking water standards or the North Carolina 2L�calculated health
levels.The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking,unless you install a water treatment system to remove the circled substanee(s).However,it may be used for
washing,cleaning, bathing and showering based on the inorganic chemical'results only.
Arsenic arium Cadmium Chromium Co er Fluoride Lead Iron
ngahese Mercury I Nitrate/Nitrite Selenium Silver Magnesium Zinc PH
3. a.Sodium levels exceed the U.S. Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/l. The North Carolina Division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cooking. It may be.used for washing;cleaning,bathing,and showering based on
the iriore�xnlr-chemical results only.
Levols over.30 mg/1 may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc. _
4. ❑ Re-sampiiag is recommended in months.
5. Re-sample for lead and/or copper. Take a first draw,5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a 15 minute sample at the well head to determine the source of the
lead and/or copper.
6.❑The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results only,but aesthetic problems
such as bad taste,odor,staining of porcelain,etc.may occur, You may want to install a household water treatment system
to'address aesthetic problems.
Barium Cadmium Chromium Fluoride Iron I Magnesium
Manganese Selenium I Silver pH Zinc
For store information regarding your weft water results,please call the North Carolina Division of Pttblle Health at 919-707-5900.

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I

! R T H C A R r L I N `
Private Well Information
humensaryI�s and Use Recommendations
of health and
For Inorganic Chemical Contaminants
County: ooi! Name: ) l! ,,1 se
Sample ID#: f}L X-7 q -? Reviewer:
TEST RESULTS AND USE RECOMMENDATIONS
1.{]Your well water meets federal drinking water standards for inorganic chemicals. Your water can be used for
drinking,cooking,washing,cleaning,bathing,and showering based on the Inorganic chemical results only.You may
have other water sampling results that are not taken into account in this report.
2. []11 to following substance(s)sxceeded federal drinking water standards or the North Carolina.2L calculated health
levels.The North Carolina Division of Public Health recommends that your viell water not be used for drinking and
cooking,unless you install a water treatment system to remove the circled substance(s).However,it may be used for
washing,cleaning,bathing and showering based on the inorganic chemical results gmi .
Arsenic E3arium Cadmium Chromium Copper Fluoride Lead _ Iron
J'v1anyanese tMercur Nitrate/Nitrite I Selenium I Silver Magnesium I Zinc pH
3.0 a. Sodium levels exceed the U.S. Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/L The North Carolina Division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cookin;. It may be used for washing,cleaning,bathing,and showering based on
the inorganic chemical results oniv.
b. Levels over 30 mi g11 may pose aesthetic problems such as bad taste, odor,staining of porcelain,etc. _
4. U Re-sampling is recommended in . _—months.
5.❑Re-sample for lead and/or copper. Take a first draw,5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a 15 minute sample at the well head to determine the source of the
lead and/or copper.
6.❑The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing, cleaning,bathing,and showering based on the inorganic chemical results only,but aesthetic problems
such as bad taste,odor,staining of porcelain,etc.may occur. You may want to install a household water treatment system
to address aesthetic problems.
Barium Cadmium Chromium Fluoride iron iVia esium
Mangaitase Selenium Silver pH Zinc
\'For more information regarding your weft water results,please cal!the North Carolina Division of Public Neff/th at 919-707-5900

t l
.� Private Well Information
no deparfmanf
human services and Use Recommendations
of health and
For Inorganic Chemical Contaminants
County:C���� Name: .11 J kon,,
Sample ID#:I 46 7q�t Reviewer: / M 4
TEST RESULTS AND USE RECOMMENDATIONS
1.❑ Your well water meets federal drinking water standards for Inorganic chemicals. Your water can be used for
drinking,cooking, washing,cleaning,bathing,and showering based on the Inorganic chemical results only.You may
have other water sampling results that are not taken into account in this report.
2. ❑The following substances)exceeded federal drinking water standards or the North Carolina 2I,calculated health
levels.The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking,unless you install a water treatment systern to remove the circled substancets).However,it may be used for
washing,cleaning, bathing and showering based on the inorganic chemical results only.
Arsenic Barium Cadmium I Chromium I Co er Fluoride Lead T Iron
1+Ianganese Mercury_ Nitrate/Nitrite Selenium Silver Magnesium I Zinc pH
3. odium levels exceed the U.S.Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/l. The North Carolina Division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cooking. It maybe used for washing,cleaning;bathing,and showering based on
the 1por-pank chentical results only.
b, Levels over 30 rng/I:nay pose aesthetic problems such as bad taste,odor,staining of porcelain,etc. _
4. Re-sampling is recorrrnteaded in months.
S.[) Re-sample for lead and/or copper. Take a first draw,5 minute,and IS minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a 15 minute sample at the well head to determine the source of the
lead and/or copper.
6. ❑The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the tnarganic chemical results only,but aesthetic problems
such as bad taste,odor,staining of porcelain,etc.may occur. You may want to install a household water treatment system
to'address aesthetic problems.
Barium Cadmium Chromium Fluoride Iron Ma esiuin
Manganese Selenium I Silver pH Zinc
For more luforniariou regarding your well water results,please call the North Carolina Division of Public Health at 919-707-5900.

„_
�. i
__

• • i
Private Well Information
na de aliment
afhst,t►and and Use Recommendations
human scrvtcax
For Inorganic Chemical Contaminants
County: Ala a= Name:I 6rjl "LEE
Sample ID Reviewer: YA H
TEST RESULTS AND USE RECOMMENDATIONS
1. ❑Your wel I water meets federal drinking water standards for Inorganic chemicals. Your water can be used for
drinking,cooking,washing,cleaning, bathing,and showering based on the ittormnic chemical results only.You may
have other water sampling results that are not taken into account in this report.
2. ❑The following substanec(s)exceeded federal drinking water standards or the North Carolina 2L calculated health
levels.The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking,unless you install a water treatment system to remove the circled substance(s). H wever,it may be used for
washing,cleaning, bathing and showering based on the inorganic chemical results oniv.
Arsenic Barium Cadmium I Chromium Copper Fluoride Lead Iron
\- 'Ian anese I Mere__ Nitrate/Nitrite Selenium Silver Magnesium I Zinc pH
3. Sodium levels exceed the U.S. Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/l. The North Carolina Division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cooking. It may be used for washing,cleaning,bathing,and showering based on
the tnor le chemical results nnly.
b. Levels over 30 mg/I may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc. _
4.❑ Re-sampling is recummended in mouths.
5.❑Re-sample for lead and/or copper. Take a first draw,5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a 15 minute sample at the well head to determine the source of the
lead and/or copper.
6. ❑The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results only,but aesthetic problems
such as bad taste,odor,staining of porcelain,etc.may occur. You may want to install a household water treatment system
to address aesthetic problems.
Barium Cadmium Chromium Fluoride iron I Viagnesium
Man anese Selenium I Silver pH Zinc
?or more informadon regardhog your well water results,please cal!the North Carolina Division of Public Health at 919-701-5900.

,\
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__

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
i Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 27,2016
Certified Mail#7012-1010-0002-1965-5556
Return Receipt Requested
J&T Ward Properties,LLC
Mr.Thomas Ward,Managing Partner
P.O. Box 457
Robbinsville,NC 28771
Re: Discharge of Wastewater
Incident#201601035
35 Ward Street
Robbinsville,NC 28771
Dear Mr. Ward:
On May 21, 2016,the Division of Water Resources(Division)received notice from the EPA that your
property was discharging wastewater via application to the ground surface.A person observing the
ongoing discharge notified the National Response Center(NRC#11483 87).According to the complaint,
the discharge has been occurring since at least April 1,2016.
During the subsequent investigation, it was confirmed from conversations with Town of Robbinsville
Public Works staff and yourself,that wastewater has been discharging due to a failing or bypassing
gravity sewer line located on your property. The discharged wastewater was entering a stormdrain that
flows to surface water(i.e.,Long Creek). The observed wastewater discharge is a violation of North
Carolina General Statute 143-215.l(a)Control ofsources of water pollution;permits required.
To avoid assessment of penalties and to achieve compliance, cease all discharges immediately.
Within thirty(30)days upon receipt of this letter, submit a written response to the undersigned stating
what actions have been taken resolve this issue. Please include in the summary the actions taken with the
local Health Department and Town of Robbinsville.
If you have any questions please contact me at(828)296-4665. We appreciate your cooperation in this
matter.
Sincerely,
� r
�7
Tim Heim,P.E.,Environmental Engineer
Water Quality Regional Operations Section
Asheville Regional Office
cc: Water Quality Asheville Files
\\wp3dnfp06.eads.ncads.net\data\WR\WQ\Graham\Complaints\35 Ward Street\1NV,05262016.1tr.docx
State of North Carolina I Environmental Quality(Water Resources
Asheville Regional Operations Center
2090 US 70 Highway,Swannanoa,North Carolina 28778
828/296-4500

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PAT MCCRORY
f* Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
May 27, 2016
Sapphire Lakes Group, LLC
Attn: Kimberley Coward, Registered Agent
415 L St NW Apt 1137
Washington, DC 20001
The Broadway Group, LLC
Attn: Melissa Ballard
216 West Side Square
Huntsville, AL 35801
Subject: WITHDRAWAL OF APPLICATION
New Retail Store - NC Highway 64 and Upper Whitewater Road
DWR# 16-0418
Transylvania County
Dear Ms. Coward&Ms. Ballard:
On April 29, 2016, you requested a 401 Water Quality Certification from the Division of Water
Resources (Division). On May 24, 2016 (via email)the Division received a request from you to
withdraw the current application. Therefore, your file is hereby considered withdrawn.
Please be aware that you have no authorization under Section 401 of the Clean Water Act for this
activity and any work done within waters of the state may be a violation of North Carolina
General Statutes and Administrative Code.
Please contact Tim Fox at 828-296-4664 or tim.fox a,ncdenr.gov if you have any questions or
concerns.
Sincerely,
Fu(
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
State of North Carolina Environmental Quality I Water Resources
Swannanoa,North Carolina 28778
828 296 4500

New Retail Store—NC Highway 64 and Upper Whitewater Road',.'
Page 2 of 2
cc: Rebekah Reid—ClearWater Environmental Consultants, Inc. (via email)
Kai Belew, PE -Engineering Design Technologies, Inc. (via email)
Cory Larsen, PE -DWR(via email)
David Brown—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie—NCWRC (via email)
Bryon Hamstead—USFWS (via email)
Stan Aiken—Division of Energy, Mineral, and Land Resources (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Transylvania\401 s\Non-DOT\New Retail Store NC Hwy 64&upper whitewater
rd\RTN.NewRetai IStoreNCHwy64&UpperWh itewaterRd5-27-16.docx

PAT MCCRORY
¢A
Gove;not•
DONALD R. VAN DER. VAART
/ Seclawy
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL t UAOTY
l.)frc-c(or
May 31, 2016
Anna Payne,Town Manager
Town of Murphy
P.O. Box 130
Murphy, NC, 28906
Subject: Permit No. WQ0038496
Town of Murphy
US 64 Sanitary Sewer Extension
Wastewater Collection System Extension Permit
Cherokee County
Dear Ms. Payne:
In accordance with your application received May 19, 2016, we are forwarding herewith Permit No.
WQ0038496 dated May 31, 2016, to the Town of Murphy (Permittee) for the construction and
operation upon certification of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations
as specified therein. This cover letter shall be considered a part of this permit and is therefore
incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition IIA: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system-wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, 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, 6714 Mail Service Center, Raleigh,
NC 27699-6714. Unless such demands are made,this permit shall be final and binding.
State of North Carolina/Environmental Quality/Water Resources
2090 U.S.Hwy.70,Swannanoa,N.C. 28778
828-296-4500

Town of Murphy
Permit No.WQ0038496
If you need additional information concerning this matter, please contact Tim Heim at(828) 296-4500 or
via e-mail at [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: William Stillwell, P.E.—Stillwell Engineering(electronic copy)
ARO Office Files
Water Resources Central Files
PERCS(electronic copy)
\\Wp3dnfp06.eads.ncads.net\data\WR\WQ\Cherokee\Collection Systems\Murphy Collection System\WQ0038496 US 64 Sanitary Ext.docx
Page 2 of 8

N-fZ.
Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
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 the
Town of Murphy
Cherokee County
for the construction and operation of approximately 136 linear feet of 8-inch gravity sewer to serve a
proposed convenience center as part of the US 64 Sanitary Sewer Extension project, and the discharge
of 1,000 gallons per day of collected domestic wastewater into the Town of Murphy's existing sewerage
system, pursuant to the application received May 19, 2016 and in conformity with 15A NCAC 2T; the
Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as applicable; the
Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and Force Mains
adopted June 1, 2000 as applicable; and other supporting data subsequently filed and approved by the
Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
s-
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0038496
Permit Issued: May 31,2016
Page 3 of 8

SUPPLEMENT TO PERMIT COVER SHEET
Town of Murphy is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the Town of Murphy
Wastewater Treatment Facility in accordance with Permit Number NC0020940.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T;the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina-licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as-constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions identified
below.
I. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
Page 4 of 8

c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North
Carolina General Statute§143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors,enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems,the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map,which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage,etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
Page 5 of 8

733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five 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. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities,the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy,wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations'storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings,on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested
Page 6 of 8

modifications or variances to the Minimum Design Criteria will be reviewed on a case-by-case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After-construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification&activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by. the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes§143-215.6A
through §143-215.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. [15A
NCAC 02T.0104; 15A NCAC 02T.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities. [15A NCAC 02T.0110; 15A NCAC 02T.0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State,of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: TOWN OF MURPHY
PERMIT#: WQ0038496
PROJECT: US 64 SANITARY SEWER EXTENSION
ISSUE DATE: May 31, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation to the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I,the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name,Title Signature Date
ENGINEER'S CERTIFICATION
as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time)the construction of the US
64 Sanitary Sewer Extension and location as referenced above for the above Permittee hereby state
that, to the best of my abilities, due care and diligence was used in the observation of the construction
such that the construction was observed to be built within substantial compliance of this permit; 15A
NCAC 02T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted
February 12, 1996 as applicable;the Division's Minimum Design Criteria for the Fast-Track Permitting of
Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
:...........................................................................
North Carolina Professional Engineer's Seal w/signature&date:
❑ Final ❑ Partial (include description)
...........................................................................
Certification Comments/Qualifiers(attach if necessary):
NC DWR—Water Quality Regional Operations Section 2090 US Hwy 70 Swannanoa,NC 28778
Asheville Regional Office Phone: [phone] FAX:[phone]

PAT MCCRORY
» Governor
Fy.
DONALD R. VAN DER VAA.:R.T
S',crefar'v
Water Resources S. JAY ZIMMER.MAN
ENVIRONMENTAL QUALITY
Director
May 31, 2016
Nathan Clark,Town Manager
Town of Maggie Valley
3987 Soco Road
Maggie Valley, NC,28751
Subject: Permit No. WQ0038497
;Town of Maggie Valley
Masters Landing Plateau
Wastewater Collection System Extension Permit
Haywood County
Dear Mr. Clark:
In accordance with your application received May 23, 2016, we are forwarding herewith Permit No.
WQ0038497 dated May 31, 2016, to the Town of Maggie Valley (Permittee) for the construction and
operation upon certification of the subject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded, and shall be subject to the conditions and limitations
as specified therein. This cover letter shall be considered a part of this permit and is therefore
incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T.0403 or any individual system-wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, 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, 6714 Mail Service Center, Raleigh,
NC 27699-6714. Unless such demands are made,this permit shall be final and binding.
State of North Carolina/Environmental Quality/Water Resources
2090 U.S.Hwy.70,Swannanoa,N.C. 28778
828-296-4500

Town of Maggie Valley
Permit No.WQ0038497
If you need additional information concerning this matter, please contact Tim Heim at(828) 296-4500 or
via e-mail at [e-mail].
Sincerely,
G. Landon Davidson, P.G., Region I Supervisor
Water Quality Regional Operations ction
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: Jeffrey Herron, P.E. —Herron Associates (electronic copy)
ARO Office Files
Water Resources Central Files
PERCS(electronic copy)
\\Wp3dnfp06.eads.ncads.net\data\WR\WQ\Haywood\Collection Systems\Maggie Valley WQCS00122\WQ0038497 Masters Landing Plateau.docx
Page 2 of 8

Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
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 the
Town of Maggie Valley
Haywood County
for the construction and operation of approximately 452 linear feet of 8-inch PVC gravity sewer and
approximately 115 linear feet of 8-inch DIP gravity sewer to serve 12 two-bedroom residential units as
part of the Masters Landing Plateau project, and the discharge of 2,880 gallons per day of collected
domestic wastewater into the Town of Maggie Valley's existing sewerage system, pursuant to the
application received May 23, 2016 and in conformity with 15A NCAC 2T; the Division's Gravity Sewer
Minimum Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design
Criteria for the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as
applicable; and other supporting data subsequently filed and approved by the Department of
Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0038497
Permit Issued: May 31,2016
Page 3of8

SUPPLEMENT TO PERMIT COVER SHEET
Town of Maggie Valley is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the Town of Maggie Valley
Wastewater Treatment Facility in accordance with Permit Number NC0056561.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T;the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina-licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as-constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions identified
below.
I. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0104;G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
Page 4 of 8

c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North
Carolina General Statute§143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems,the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map,which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
Page 5 of 8

733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five 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. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215AC(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities,the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations,an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings,on the certification
in the space provided,or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested
Page 6 of 8

modifications or variances to the Minimum Design Criteria will be reviewed on a case-by-case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After-construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification&activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes§143-215.6A
through §143-215.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. [15A
-' NCAC 02T.0104; 15A NCAC 02T.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities. [15A NCAC 02T.0110; 15A NCAC 02T.0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal,State,of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 8

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: TOWN OF MAGGIE VALLEY
PERMIT#: WQ0038497
PROJECT: MASTERS LANDING PLATEAU
ISSUE DATE: May 31, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation to the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I,the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name,Title Signature Date
ENGINEERS CERTIFICATION
as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
Masters Landing Plateau and location as referenced above for the above Permittee hereby state that,to
the best of my abilities, due care and diligence was used in the observation of the construction such that
the construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T;
the Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12,
1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
............................................................................
North Carolina Professional Engineer's Seal w/signature &date:
❑ Final ❑ Partial (include description)
.........................................................................
Certification Comments/Qualifiers(attach if necessary):
NC DWR—Water Quality Regional Operations Section 2090 US Hwy 70 Swannanoa,NC 28778
Asheville Regional Office Phone: [phone] FAX: [phone]

Ay"ZIM
Certified Mail#7012 1010 0002 1965 5723
Return Receipt Requested
May 31, 2016
William Green
Town of Andrews
PO Box 1210
Andrews,NC 28901-1210
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute(G.S.) 143-215.1(a)(6)
and NPDES WW Permit No.NCO020800
Town of Andrews
Andrews WWTP
Case No. LV-2016-0100
`-- Cherokee County
Dear Permittee:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of$613.93 ($500.00 civil penalty+
$113.93 enforcement costs)against Town of Andrews.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report(DMR)
submitted by Town of Andrews for the month of November 2015. This review has shown the subject facility to be in
violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No.NC0020800. The
violations,which occurred in November 2015,are summarized in Attachment A to this letter.
Based upon the above facts,I conclude as a matter of law that Town of Andrews violated the terms, conditions or
requirements of NPDES WW Permit No.NCO020800 and G.S. 143-215.1(a)(6) in the manner and extent shown in
Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2),a civil penalty may be assessed
against any person who violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources, I, G. Landon Davidson,
P.G., Regional Supervisor,Asheville Regional Office hereby make the following civil penalty assessment against Town of
Andrews:
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

$250.00 1 of the 1 violations of 143-215.1(a)(6)and Permit No.N00020800,by discharging waste water'.,
the waters of the State in violation of the Permit Daily Maximum for CHLORINE. �,
$0.00 0 of the 1 violations of 143-215.1(a)(6)and Permit No.NC0020800,by discharging waste water into
the waters of the State in violation of the Permit Weekly Average for TSS- Conc.
$250.00 1 of the 1 violations of 143-215.1(a)(6)and Permit No.NC0020800,by discharging waste water into
the waters of the State in violation of the Permit Weekly Geometric Mean for FEC COLI.
$500.00 TOTAL CIVIL PENALTY
$113.93 Enforcement Costs
$613.93 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.I(b),which are:
(1) The degree and extent of harm to the natural resources of the State,to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures. —y
Within thirty(30)days of receipt of this notice,you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission,OR
(3) Submit a written request for an administrative hearing
Option l: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality(do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

.on 2: Submit a written request for remission or mitigation including a detailed justification for such
;quest:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted, and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved,the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b)was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions(Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission You must complete and submit the enclosed"Request for Remission of Civil Penalties
Waiver of Right to an Administrative Hearing and Stipulation of Facts"form within thirty(30)days of receipt of this
notice. The Division of Water Resources also requests that you complete and submit the enclosed"Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

Option 3 File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with
the Office of Administrative Hearings within thirty(30)days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile(fax)or electronic mail by an attached file(with restrictions)-provided
the signed original,one(1)copy and a filing fee(if a filing fee is required by NCGS §150B-23.2)is received in the
Office of Administrative Hearings within seven(7)business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh,NC 27699-6714
Tel: [phone]
Fax: [phone]
One(1)copy of the petition must also be served on DEQ as follows:
Mr. Sam M.Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,North Carolina 27699-1601 �
Please indicate the case number(as found on page one of this letter)on the petition.
Failure to exercise one of the options above within thirty(30)days of receipt of this letter, as evidenced by an internal
date/time received stamp(not a postmark),will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions,please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at(828)296-4667 or via email [e-mail].
Sincerely,
G.Landon Davidson,P.G.,Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources,NCDEQ
ATTACHMENTS
Cc: WQS Asheville Regional Office-Enforcement File
NPDES Compliance/Enforcement Unit-Enforcement File
G"..W'FUMQ\CherokeeAi4rsr;msfer.\-1xnieipal`.:�rdrews

JUSTIFICATION FOR REMISSION REQUEST
. ase Number: LV-2016-0100 County: Cherokee
Assessed Party: Town of Andrews
Permit No.: NC0020800 Amount Assessed: $613.93
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts"form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 143B-282.1(c),remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies(attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.1(b)were wrongfully applied to the
detriment of the petitioner(the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation(i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident(i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF CHEROKEE �-
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
Town of Andrews )
Andrews WWTP )
PERMIT NO.NCO020800 ) CASE NO. LV-2016-0100
Having been assessed civil penalties totaling$613.93 for violation(s)as set forth in the assessment document of the Division
of Water Resources dated May 31, 2016,the undersigned,desiring to seek remission of the civil penalty,does hereby waive
the right to an administrative hearing in the above-stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty(30)days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after(30)days from the receipt of the
notice of assessment.
This the day of ,20
SIGNATURE
ADDRESS
TELEPHONE

ATTACHMENT A
Town of Andrews
CASE NUMBER: LV-2016-0100
PERMIT: NCO020800 REGION: Asheville
FACILITY: Andrews WWTP COUNTY: Cherokee
LIMIT VIOLATION(S)
SAMPLE LOCATION: Outfall 001 -Effluent
Violation Report Unit of Limit Calculated %Over Violation Penalty
Date Month/Yr Parameter Frequency Measure Value Value Limit Type Amount
11/25/2015 11-2015 Chlorine,Total 5 X week ug/I 28 500 1,685.7 Daily Maximum $250.00
Residual Exceeded
11/7/2015 11-2015 Coliform, Fecal MF, 5 X week #/100ml 400 512.70 28.2 Weekly $250.00
M-FC Broth,44.5C Geometric
Mean
Exceeded
11/28/2015 11-2015 Solids,Total 5 X week mg/I 45 53.20 18.3 Weekly $0.00
Suspended- Average
Concentration Exceeded

...._ ..... ...._....
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Certified Mail#7012 1010 0002 1965 5730
Return Receipt Requested
May 31, 2016
Attn: Robert Crummie
Mtn. View Assisted Living
260 Center Way Dr.
Hendersonville,NC 28792
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute(G.S.) 143-215.l(a)(6)
and NPDES WW Permit No.NCO074110
Mizpah Healthcare Inc
Mountain View Assisted Living WWTP
Case No. LV-2016-0102
Henderson County,
Dear Permittee:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of$563.93 ($450.00 civil penalty+
$113.93 enforcement costs)against Mizpah Healthcare Inc.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report(DMR)
submitted by Mizpah Healthcare Inc for the month of December 2015. This review has shown the subject facility to be in
violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No.NCO074110. The
violations,which occurred in December 2015,are summarized in Attachment A to this letter.
Based upon the above facts,I conclude as a matter of law that Mizpah Healthcare Inc violated the terms, conditions or
requirements of NPDES WW Permit No.NCO074110 and G.S. 143-215.1(a)(6)in the manner and extent shown in
Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2),a civil penalty may be assessed
against any person who violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources,I, G. Landon Davidson,
P.G.,Regional Supervisor,Asheville Regional Office hereby make the following civil penalty assessment against Mizpah
Healthcare Inc:
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

$200.00 2 of the 2 violations of 143-215.1(a)(6)and Permit NO.NC0074110,by discharging wastewater-,,,,
the waters of the State in violation of the Permit Daily Maximum for ROD -Conc. \
$250.00 1 of the 1 violations of 143-215.1(a)(6)and Permit NO.NC0074110,by discharging waste water into
the waters of the State in violation of the Permit Monthly Average for ROD -Conc.
$0.00 0 of the 1 violations of 143-215.l(a)(6)and Permit NO.NC0074110,by discharging waste water into
the waters of the State in violation of the Permit Monthly Average for FLOW.
$450.00 TOTAL CIVIL PENALTY
$113.93 Enforcement Costs
$563.93 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143 B-2 82.1(b),which are:
(1) The degree and extent of harm to the natural resources of the State,to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty(30)days of receipt of this notice,you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option l: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality(do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

in 2: Submit a written request for remission or mitigation including a detailed justification for such
4 uest:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
i relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted,and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved,the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b)was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions(Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore,it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission,you must complete and submit the enclosed"Request for Remission of Civil Penalties
Waiver of Right to an Administrative Hearing and Stipulation of Facts"form within thidy(30)days of receipt of this
notice. The Division of Water Resources also requests that you complete and submit the enclosed"Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

Option 3 File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrativ.,
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition wits.
the Office of Administrative Hearings within thirty(30)days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile(fax)or electronic mail by an attached file(with restrictions)-provided
the signed original,one(1)copy and a filing fee(if a filing fee is required by NCGS §150B-23.2)is received in the
Office of Administrative Hearings within seven(7)business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding the filin fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh,NC 27699=6714
Tel: [phone]
Fax: [phone]
One(1)copy of the petition must also be served on DEQ as follows:
Mr. Sam M.Hayes,General Counsel
Department of Environmental Quality
1601 Mail Service Center %
Raleigh,North Carolina 27699-1601
Please indicate the case number(as found on page one of this letter)on the petition.
Failure to exercise one of the options above within thirty(30)days of receipt of this letter, as evidenced by an internal
date/time received stamp(not a postmark),will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions,please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at(828)296-4667 or via email at [e-mail].
Sincerely,
.ems'
G.Landon Davidson,P.G.,Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources,NCDEQ
ATTACHMENTS
Cc: WQS Asheville Regional Office-Enforcement File
NPDES Compliance/Enforcement Unit-Enforcement File
James&James Environmental/ORC
(i`.4b'R�•.LV�'.4fenderaun',lk�utv:�x�ater':�•finors',L{ounCein View Asssted Li0aa 14110\Lt-2016-0102.af

JUSTIFICATION FOR REMISSION REQUEST
—..ise Number: LV-2016-0102 County: Henderson
Assessed Party: Mizpah Healthcare Inc
Permit No.: NC0074110 Amount Assessed: $563.93
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts"form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 14313-282.1(c),remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation,including copies of supporting documents, as to why the
factor applies(attach additional pages as needed).
(a) one or more of the civil penalty assessment factors inN.C.G.S. 14313-282.l(b)were wrongfully applied to the
detriment of the petitioner(the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation(i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident(i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF HENDERSON �-
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL,PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
Mizpah Healthcare Inc )
Mountain View Assisted Living )
PERMIT NO.NCO074110 ) CASE NO. LV-2016-0102
Having been assessed civil penalties totaling$563.93 for violation(s)asset forth in the assessment document of the Division
of Water Resources dated May 31,2016,the undersigned, desiring to seek remission of the civil penalty, does hereby waive
the right to an administrative hearing in the above-stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty(30)days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after(30)days from the receipt of the
notice of assessment.
This the day of , 20
SIGNATURE
ADDRESS
TELEPHONE

ATTACHMENT A
Mizpah Healthcare Inc
CASE NUMBER: LV-2016-0102
PERMIT: NCO074110 REGION: Asheville
FACILITY: Mountain View Assisted Living COUNTY: Henderson
LIMIT VIOLATION(S)
SAMPLE LOCATION: Outfall 001 -Effluent
Violation Report Unit of Limit Calculated %Over Violation Penalty
Date Month/Yr Parameter Frequency Measure Value Value Limit Type Amount
12/15/2015 12-2015 BOD,5-Day(20 Deg. Weekly mg/I 15 24.80 65.3 Daily Maximum $100.00
C)-Concentration Exceeded
12/29/2015 12-2015 BOD, 5-Day(20 Deg. Weekly mg/I 15 26.60 77.3 Daily Maximum $100.00
C)-Concentration Exceeded
12/31/2015 12-2015 BOD, 5-Day(20 Deg. Weekly mg/I 10 14.50 45.0 Monthly $250.00
C)-Concentration Average
Exceeded
12/31/2015 12-2015 Flow, in conduit or thru Weekly mgd 0.01 0.00 49.7 Monthly $0.00
treatment plant Average
Exceeded

. ......... .... ..........._.. . .
x
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
tiWatePResou rceS
ENVIRONMENTAL QUALITY - S. JAY ZIMMERMAN
Director
May 31,2016
DWR# 16-0388
Graham County
USDA Forest Service
Mr. Hurston A. Nicholas
160 Zillicoa St., Suite A
Asheville,NC 28801
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Bear Creek Stream Stabilization Project
Dear Mr. Nicholas:
You have our approval for the impacts listed below for the purpose described in your application
dated March 29, 2016, and received by the Division of Water Resources (Division) on April 19,
2016. These impacts are covered by the attached Water Quality General Certification Number
3885 and the additional conditions listed below. This certification is associated with the use of
Nationwide Permit Number 27 once it is issued to you by the U.S. Army Corps of Engineers.
Please note that you should get any other federal, state or local permits before proceeding with
your project, including those required by(but not limited to) Sediment and Erosion Control,
Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification are met. No other impacts are approved, including
incidental impacts. [15A NCAC 02H .0506(b) and/or(c)]
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Bear Creek Stream Stabilization Project`,,,
DWR#16-0388 \
401 Approval
Page 2 of 4
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Stream Impact
Impact S 1 220 (linear feet)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold,the new owner must be given a copy of this approval letter and
General Certification(s) and is responsible for complying with all conditions. [15A
NCAC 02H .0507(d)(2)]
3. The designer or his designee shall supervise the installation of in-stream structures.
[15A NCAC 02H .0506(b)(2)]
4. Fueling, lubrication and general equipment maintenance should not take place within 50
feet of a waterbody or wetlands to prevent contamination by fuel and oils. [15A NCAC
02H .0506 (b)(3) and (c)(3) and 15A NCAC 02B .0211(12)]
5. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants,hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill,the permittee/contractor shall immediately contact the
Division of Water Resources,between the hours of 8 am to 5 pm at the Asheville
Regional Office at 828.296.4500 and after hours and on weekends call [phone].
Management of such spills shall comply with provisions of the North Carolina Oil
Pollution and Hazardous Substances Control Act. [15A NCAC 02H .0506 (b)(3) and
(c)(3), 15A NCAC O2B .0211(12), and GS 143 Article 21A]
6. Natural fiber matting is recommended for streambank stabilization over plastic matting
that can entrap small animals. [15A NCAC 02H .0506(b)(2)]
7. Visual monitoring of the stabilization project shall be conducted at a minimum of
quarterly for the first year or two bankfull events (whichever is longer), and then
annually until the site is stable (particularly after storm events) and vegetation is
successful. Any failures of structures, stream banks, or vegetation may require future
repairs or replacement,which requires coordination with the Asheville Regional Office
to ensure the stability and water quality of the stream and downstream waters. [15A
NCAC 02H .0506(b)(2) and(b)(3)]

Bear Creek Stream Stabilization Project
DWR#16-0388
401 Approval
Page 3 of 4
8. All temporary impacted areas shall be restored to pre-construction natural conditions
upon completion of the project. Native vegetation shall be used for stream bank
stabilization. [15A NCAC 02H .0506 (b)(2) and(c)(2)]
9. The stream is a Class C, Trout Water. In order to protect downstream uses for Class C,
Trout Waters, a requirement of this Certification is that any additional work conducted
within the stream may not occur between the dates of January 1 through April 15. [15A
NCAC 02H .0506 (b)(2).
10. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources Commission (NCWRC) comment letter dated May 9, 2016
(attached)to the maximum extent practicable. [15A NCAC 02H.0506(b)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty (60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:OOam and 5:OOpm,excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601

Bear Creek Stream Stabilization Project
DWR#16-0388 '
401 Approval
Page 4of4
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Tim Fox at 828-296-4664 or
tim.foxnncdenr.gov if you have any questions or concerns.
Sincerely,
G. Landon Davidson,P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3885
Certificate of Completion
NCWRC letter dated May 9, 2016
cc: Brady Dodd—USDA Forest Service, Hydrologist(via email)
David Brown—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—Division of Energy, Mineral, and Land Resources (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit (via email)
G:\WR\WQ\Graham\401s\Non-DOT\Bear Creek Stabilization\APRVL.40lBearCreekStreamStabilizationProject 5.31.2016.docx