DWR Read File Archive June 2014

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 2,2014
Kenneth L.Williams, Real Estate Rep.Waffle House
Waffle.House, Inc.
PO Box 6450
Norcross,GA 30091
Subject: Permit No.WQ0037137
Waffle House, Inca
Waffle House-US Hwy 25 at 1-26
Wastewater Collection System Extension
Henderson County
Dear Mr.Williams:
In accordance with your application received April 30, 2014, and additional information received on May
23, 2014 we are forwarding herewith Permit No. WQ0037137 dated June 2, 2014,to Waffle House, Inc.
for the construction and operation 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shall be effective from the date of issuance until rescinded and shall be subject to the conditions and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 and supplement shall be considered a part of this
permit and are therefore incorporated therein by reference.
Please pay particular attention to the following condition contained within this permit:
1. Pursuant to the variance request received May 23`d,2014 (attached) from William G. Lapsley &
Associates, P.A. on behalf of Waffle House, Inc., an alternative design is granted for the
construction and operation of a duplex pump station to serve the referenced facility with the
following requirements:
• The proposed pump station is not required to provide telemetry (required per 15A NCAC
02T.0305(h)(E))
• Audible and visual alarms shall be located in a location that is visible to staff
• All other requirements per 15A NCAC 02T and the Division's Minimum Design Criteria for
Pump Stations and Force Mains shall be observed. This would include a portable power
generation unit, including a manual transfer switch, portable generator quick-connection
receptacle and all other required appurtenances in accordance with the requirements of
15A NCAC .0305(h)(1)(c) and Section 5.04(B)(3) (not including telemetry) of the Division's
Minimum Design Criteria
fe
G:1WR\WQ\HendersonlCollection Systems\Cane Creek Water&Sewer District\WQ0037137.WaffleHouse US25&126.Variancedoc.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/weboq
An Equal Opportunity 1 Affirmative Action Employer

SUPPLEMENT TO PERMIT COVER SHEET
Waffle House, Inca 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 Wastewater Treatment Facility (NPDES Permit# NC0024911) prior to being discharged into the
receiving stream.
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. Pursuant to the variance request received May 23'd, 2014 (attached) from William G.
Lapsley&Associates, P.A. on behalf of Waffle House, Inc.,an alternative design is granted
for the construction and operation of a duplex pump station to serve the referenced
facility with the following requirements:
• The proposed pump station is not required to provide telemetry (required per 15A NCAC
02T.0305(h)(E))
• Audible and visual alarms shall be located in a location that is visible to staff
• All other requirements per 15A NCAC 02T and the Division's Minimum Design Criteria for
Pump Stations and Force Mains shall be observed. This would include a portable power
generation unit, including a manual transfer switch, portable generator quick-connection
receptacle and all other required appurtenances in accordance with the requirements of
15A NCAC .0305(h)(1)(c) and Section 5.04(B)(3) (not including telemetry) of the Division's
Minimum Design Criteria
2. This permit shall become voidable unless the agreement between WAFFLE HOUSE, INC.
and Cane Creek Sewer District and Metropolitan Sewerage District for the collection and
final treatment of wastewater is in full force and effect.
n

a. 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.
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.
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
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 as provided in 15A NCAC 2T.0403:
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. Noncompliance Notification:
The Permittee shall report by telephone to a water resources staff member at the Asheville Regional Office,
telephone number 828-296-4500, as soon as possible, but in no case more than 24 hours or on the next
working day,following the occurrence or first knowledge of the occurrence of 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 [phone]. 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.
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.
7. Per 15A NCAC 2T.0116, 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 pump station design calculations (selected pumps, system curve, operating
point, buoyancy calculations, available storage if portable generator(s) or storage greater than longest
past three year outage reliability option selected)for any pump stations permitted as part of this project.
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.
8. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the
wastewater collection facilities.
9. 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.
10. 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.
11. 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 other government agencies(local,state and federal)which
have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B .0200, erosion and
sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's General Permit NCG010000,
and any requirements pertaining to wetlands under 15A NCAC 2B.0200 and 15A NCAC 2H .0500.

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i
__

_,kCK ENGINEERING CERTIFICATION
..nittee: Waffle House, Inc. Permit No.WQ0037137
roject: WAFFLE HOUSE-US HWY 25 AT 1-26 Issue Date: 02/06/14
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views and detail drawings of sewer lines) of the wastewater
collection system extension. Final record drawings should be clear on the plans or on digital media (CD or DVD
disk)in pdf format. Record drawings should indicate the design and the marked up changes during construction.
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s)or storage greater than longest past three year outage reliability option selected)for any pump stations
permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit regulations or
minimum design criteria Modifications should be submitted prior to certification.
This project shall not be considered complete nor allowed to operate until the Division has received this Engineer's
Certification and all required supporting documentation. Therefore it is highly recommended that this certification
be sent in a manner that provides proof of receipt by the Division.
PERMITTEE'S CERTIFICATION
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
❑ Partial ❑ Final
l 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 subject project
for the 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'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.
North Carolina Professional Engineer's
Seal,signature, and date:
...................................................................................
SEND THIS FORM&SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
WATER QUALITY REGIONAL OPERATIONS SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 U.S. HWY 70
Swannanoa, NC 28778
......................................................................................
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.
DWR Use Only:
Flow from this project is tributary to:NCO024911

-ram--
. �
NPDES yr/mo/day Inspection Type (cont. '\
3 NCO071323 111 12I 14/05/22 117 18�CI \
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The kind assistance of Tom Kilpatrick/ORC was appreciated during the inspection of this facility.
The permit will expire November 30, 2015.
This facility consists of two separate WWTPs (Plant#1 and Plant#2)connected by an EQ basin with a flow
splitter box on the newer of the two plants.
This facility is well maintained and operated and the grounds are kept mowed and tidy.
This pump station pumps to the EQ basin in the newer Plant#2.
The EQ basin (located at the newer Plant#2) feeds through a splitter box to both aeration basins (for
Plant#2 & Plant#1).
There are two flow meters for this system and both were last calibrated 9/5/13.
This facility has two aeration basins.
This facility has two clarifiers.
There are two tubes of chlorine tabs for each of the two basins.
There is one tube of de-chlor for each of the two basins.
An extra pump is maintained on site if needed.
Composite sampling is done once per week for BOD, TSS, NH3 as N, and (TN and TP semi-annually). The
remaining parameters are grab samples.
The effluent is pumped about one mile for discharge to the French Broad River.
The generator was tested during the inspection and was operable.
The generator self-tests one time per week.
Carolina Energy maintains and services the generator.
Page# 2

Permit: NCO071323 Owner-Facility: Etowah Sewer Company WWTP
.nspection Date: 05/22/2014 Inspection Type: Compliance Evaluation
Yes No NA NE
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
nn ■ n
Is the facility as described in the permit? ■ nnn
#Are there any special conditions for the permit?
n ■ nn
Is access to the plant site restricted to the general public? Cl 0
Is the inspector granted access to all areas for inspection?
Comment: The permit will expire November 30, 2015.
This facility consists of two separate WWTPs (Plant#1 and Plant#2) connected by an
EQ basin with a flow splitter box on the newer of the two plants.
Yes No NA NE
Operations &Maintenance
Is the plant generally clean with acceptable housekeeping?
■ nnn
Does the facility analyze process control parameters,for ex:MLSS,MCRT,Settleable Solids, pH,DO,Sludge ■ ❑ C1 C1
Judge,and other that are applicable?
Comment: This facility is well maintained and operated and the grounds are kept
mowed and tidy.
Yes No NA NE
Record Keeping
■ nnn
Are records kept and maintained as required by the permit?
Is all required information readily available,complete and current?
■ nnn
■ nnn
Are all records maintained for 3 years(lab.reg.required 5 years)?
Are analytical results consistent with data reported on DMRs? n n n ■
Is the chain-of-custody complete? 0 n n ■
Dates,times and location of sampling n
Name of individual performing the sampling n
Results of analysis and calibration [I
n
Dates of analysis
n
Name of person performing analyses
n_
Transported COCs
Are DMRs complete:do they include all permit parameters?
■ nnn
Has the facility submitted its annual compliance report to users and DWQ? n n n ■
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator on each shift? 0 n ■ n
■
Is the ORC visitation log available and current? nnn
Is the ORC certified at grade equal to or higher than the facility classification? ■ ❑ n n
Page# 3

Permit: NC0071323 Owner-Facility: Etowah Sewer Company WWTP
Inspection Date: 05/22/2014 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? ■ ❑ ❑ 0
Is a copy of the current NPDES permit available on site? ■ (_-I ❑ (-I
Facility has copy of previous year's Annual Report on file for review? ❑ 0 0 ■
Comment:
Pump Station-Influent Yes No NA. NE
Is the pump wet well free of bypass lines or structures? ■ 0 Q
Is the wet well free of excessive grease? n 0 0
Are all pumps present? ■ 11 n n
Are all pumps operable? ■ Q 0 fl
Are float controls operable? ■ n ❑
Is SCADA telemetry available and operational? ■ ❑ (_'I f1
Is audible and visual alarm available and operational? ■ n 0 0
Comment: This pump station pumps to the EQ basin in the newer Plant#2.
Flow Measurement-Effluent Yes No NA NE -
#Is flow meter used for reporting?
■ nnn
Is flow meter calibrated annually? ■ 0 f1 f1
Is the flow meter operational? ■ Cl n Q
(If units are separated)Does the chart recorder match the flow meter? n Q ■ n
Comment: There are two flow meters for this system and both were last calibrated
9/5/13.
Equalization Basins Yes No NA NE
Is the basin aerated? ■ 11 0 0
Is the basin free of bypass lines or structures to the natural environment? ■ 0 0 0
Is the basin free of excessive grease? ■ n 0 n
Are all pumps present? ■ ❑ ❑ 0
Are all pumps operable? ■ ❑ ❑ 0
Are float controls operable? ■ 0 f1 0
Are audible and visual alarms operable? ■ 0 n n
#Is basin size/volume adequate? ■ n 0 fl
Page# 4

Permit: NCO071323 Owner-Facility: Etowah Sewer Company WWTP
,nspection Date: 05/22/2014 Inspection Type: Compliance Evaluation
Yes No NA NE
Equalization Basins
Comment: The EQ basin (located at the newer Plant#2) feeds through a splitter box
to both aeration basins (for Plant#2 & Plant#1).
Yes No NA NE
Aeration Basins
Ext.Air
Mode of operation
Diffused
Type of aeration system
Is the basin free of dead spots? ■ n Cl C1
■ n
Are surface aerators and mixers operational? nn
■ [Inn
Are the diffusers operational?
Is the foam the proper color for the treatment process?
■ nnn
Does the foam cover less than 25%of the basin's surface? ❑ n rl
nnn ■
Is the DO level acceptable?
nnn ■
Is the DO level acceptable?(1.0 to 3.0 mg/1)
Comment: This facility has two aeration basins.
Yes No NA NE
Primary Clarifier
■ nnn
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? ■ nnn
■ n
Is the site free of weir blockage? nn
■ nnn
Is the site free of evidence of short-circuiting?
■ nnn
Is scum removal adequate?
■
Is the site free of excessive floating sludge? nnn
Is the drive unit operational? n 0 ■ n
■ nnn
Is the sludge blanket level acceptable?
Is the sludge blanket level acceptable?(Approximately%of the sidewall depth)
Comment: This facility has two clarifiers.
Yes No NA NE
Disinfection-Tablet
■ nnn
Are tablet chlorinators operational?
■ nnn
Are the tablets the proper size and type?
2
<� Number of tubes in use?
Is the level of chlorine residual acceptable? ❑ 0 n ■
Page# 5

Permit: NC0071323 Owner-Facility: Etowah Sewer Company WWTP
Inspection Date: 05/22/2014 Inspection Type: Compliance Evaluation \
Disinfection-Tablet Yes No NA NE
Is the contact chamber free of growth,or sludge buildup? ■ n n 111
Is there chlorine residual prior to de-chlorination? 11000
Comment: There are two tubes of chlorine tabs for each of the two basins.
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? n n ■ n
Is storage appropriate for cylinders? n n ■ n
#Is de-chlorination substance stored away from chlorine containers? ■ ❑ n n
Are the tablets the proper size and type? ■ n n n
Comment: There is one tube of de-chlor for each of the two basins.
Are tablet de-chlorinators operational? ■ n n n
Number of tubes in use? 1
Comment:
Pump Station -Effluent Yes No NA NE
Is the pump wet well free of bypass lines or structures? ■ n n n -J
Are all pumps present? ■ n n n
Are all pumps operable? ■ 0 n n
Are float controls operable?
■ nnn
Is SCADA telemetry available and operational? ■ n n f1
Is audible and visual alarm available and operational? ■ n n n
Comment: An extra pump is maintained on site if needed.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? n n n ■
Is sample collected below all treatment units? ■ n n n
Is proper volume collected? n n n ■
Is the tubing clean? n n n 0
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees Celsius)? ❑ n n ■
Is the facility sampling performed as required by the permit(frequency,sampling type representative)? ■ n n
Page# 6

Permit: NC0071323 Owner-Facility: Etowah Sewer Company WWTP
inspection Date: 05/22/2014 Inspection Type: Compliance Evaluation
Yes No NA NE
Effluent Sampling
Comment: Composite sampling is done once per week for BOD, TSS, NH3 as N, and
(TN and TP semi-annually). The remaining parameters are grab samples.
The effluent is pumped about one mile for discharge to the French Broad River.
Yes No NA NE
Standby Power
■ nnn
Is automatically activated standby power available?
Is the generator tested by interrupting primary power source?
■ nnn
■ nn_ n
Is the generator tested under load?
■ nnn
Was generator tested&operational during the inspection?
Do the generator(s)have adequate capacity to operate the entire was
site? r� nn■
Is there an emergency agreement with a fuel vendor for extended run on back-up power? ■
nnn
■ nnn
Is the generator fuel level monitored?
Comment: The generator was tested during the inspection and was operable.
The generator self-tests one time per week.
Carolina Energy maintains and services the generator.
Page# 7

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1

_A1
NCDENR
North Carolina Department of Environment and Natural Resources
John E. Skvarla, III
Pat McCrory Secretary
Governor
June 3, 2014 DWR# 14-0457
Burke County
Andy&Rhonda Chused
PO Box 579
Atlantic Beach,NC 28512-0579
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION
2231 Obeth Rd Shoreline Stabilization
Dear Mr. &Mrs. Chused:
In accordance with your application dated April 28,2014 received on May 13, 2014, approval has been granted
for the impacts listed in the table below. This approval requires you to follow the conditions listed in the
enclosed certification(s) or general permit and any additional conditions listed below.
Project impacts are covered by the attached Water Quality General Certification Number 3898 and the
conditions listed below. This certification is associated with the use of General Permit Number 30 issued by the
U.S. Army Corps of Engineers. Please note that you should obtain or otherwise comply with any other federal,
state or local permits before proceeding with your project,including those required by(but not limited to)
Erosion and Sediment Control, Water Supply Watershed and Trout Buffer regulations.
IMPACTS APPROVED
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.
Type of Impact Amount Approved
Permanent
Above Pool Below Pool
Open Waters 0.005 (acres) 0.009 (acres)
Water Quality Regional Operations—Asheville Regional Office
2090 US Hwy 70,Swannanoa,NC 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nodenr.org/web/wglws
An Equal Opportunity 1 Affirmative Action Employer

Andy&Rhonda Chused
June 3,2014
Page 2 of 3
ADDITIONAL CONDITIONS
1. 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)/Permit/Authorization and is responsible for complying with all
conditions.
2. Stabilization techniques must meet the General Conditions listed in the Shoreline Stabilization
Technique Selection Process found in Duke Energy's Shoreline Management Guidelines for the
Catawba-Wateree river system 2006 Shoreline Management Plan.
3. The proposed project must comply with the Burke County local riparian buffer ordinance approved by
the Division of Water Resources under the Catawba River Basin: Protection and Maintenance of Existing
Riparian Buffers, 15A NCAC 02B .0243(b).
This approval and its conditions are final and binding unless contested.
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 htip://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 OAR 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 g copy of the petition
( ,provided the original and one
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:
Lacy Presnell, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh,NC 27699-1601
J,

,sed
letter completes the review of the Division under section 401 of the Clean Water Act as described in 15A
A-AC 02H 0.500. Please contact Tim Fox at 828-296-4664 or tim fo ncdenr.gov if you have any questions
ra
or concerns.
Sincerely,
G. Landon Davidson,P.G.,Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion
cc: Carissa Parker—Bennick Enterprises, LLC (via email)
Tasha Alexander-USACE Asheville Regulatory Field Office (via email)
Wade Harmon-DWR ARO 401 files
Peter Minter—Burke County
DWR 401 and Buffer Permitting Unit
DocumG:\WR\WQ\Burke\401s\Non-DOT\2231 Obeth Road\APRVL.401.2231.ObethRD.06-03-14.docentl
i

`/ \/
\_J
�i/
______.

A41W
*i'
jfn,
NCDENit
North Carolina Department of Environment and Natural Resources
Pat McCrory John E.Skvarla,III
Governor Secretary
June 3, 2014
Brian Shelton, Mayor
Town of Rosman
Post Office Box 636
Rosman, NC 28772
SUBJECT: Permit Modification to
Reclaimed Wastewater
Rosman WWTP
Spray Irrigation Disposal Facility
Permit No: WQ0030245
Transylvania County
Dear Mayor Shelton:
This letter is a follow up to our discussion regarding modification of the current spray
irrigation permit to a reclaimed wastewater system. The Asheville Regional Office is in
agreement that a modification to a reclaimed system in which treated effluent could be
used to irrigate the Town's ball fields would be beneficial. Especially in light of the fact
that the current irrigation field is leased property with approximately 10 years left on the
lease.
If you should choose to pursue a modification, please do not hesitate to contact me for
help with the modification application. If you have any questions, please call me at
[phone].
Sincerely,
Beverly Price
Environmental Specialist
cc: Mark Teague, ORC
WQ Central Files
WQ Asheville Files
G:\WR\WQ\Transylvania\Wastewater\Non-discharge\Town of Rosman\WQ0030245 letter of support for
reclaimed.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal,ncdenr.org/webtwq
An Equal Opportunity\Affirmative Action Employer

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 4,2014
Dan Harbaugh
Tuckaseigee Water& Sewer Authority
1246 W Main St
Sylva NC 28779
SUBJECT: Collection System Inspection
Cashiers Collection System
Permit No: WQCSDO023
Jackson County
Dear Mr. Harbaugh:
Enclosed please find a copy of the collection system inspection conducted on May 5,2014. All systems were
found to be functioning as intended.No violations of permit requirements or applicable regulations were
observed during this inspection. The collections system is well maintained. 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,
Jeff Menzel
Environmental Specialist
cc: Troy Ammons, ORC
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/webfwgM
An Equal Opportunity\Affirmative Action Employer
G:\WR\ Mackson\Collection Systems\TWASA#3 Collection System\WQCSD0023 CSI 2014.doc

I
1
�!

Compliance Inspection Report
Permit: WQCSDO023 Effective: 03/01/00 Expiration: Owner: Tuckaseigee Water&Sewer Authority
SOC: Effective: Expiration: Facility: Cashiers Collection System
County: Jackson
Region: Asheville
Contact Person: Dan Harbaugh Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 05/05/2014 Entry Time: 09:30 AM Exit Time: 01:00 PM
Primary Inspector: Jeff Menzel Phone: [phone]
Secondary Inspectors):
i
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 Reqmts Records Inspections
(See attachment summary)
Page: 1

Permit: WQCSD0023 Owner-Facility: Tuckaseigee Water&Sewer Authority
Inspection Date: 05/05/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
Six pump stations were looked at during this inspection. Several of the stations had new electrical panels.All systems
were found to be functioning as intended. No violations of permit requirements or applicable regulations were observed
during this inspection. The collections system is well maintained.
`1
Page: 2

Permit: WQCSDO023 Owner-Facility: Tuckaseigee Water&Sewer Authority
Inspection Date: 05/05/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Yes No NA NE
Inspections
■ nnrl
Are maintenance records for sewer lines available?
Are records available that document pump station inspections?
Are SCADA or telemetry equipped pump stations inspected at least once a week?
0000
Are non-SCADA/telemetry equipped pump stations inspected every day?
■
Are records available that document citizen complaints? nnn
#Do you have a system to conduct an annual observation of entire system?
■ nnn
■ nnn
#Has there been an observation of remote areas in the last year?
■ nnn
Are records available that document inspections of high-priority lines?
Has there been visual inspections of high-priority lines in last six months?
■ nnn
Comment:
Yes No NA NE
Operation &Maintenance Requirements
■ nnn_
Are all log books available?
■ nnn
Does supervisor review all log books on a regular basis?
Does the supervisor have plans to address documented short-term problem areas?
■ nnn
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
■ .nnn
Are maintenance records for equipment available?
■ nnn
Is a schedule maintained for testing emergency/standby equipment?
weekly/monthly
What is the schedule for testing emergency/standby equipment?
Do pump station logs include:
■ nnn
Inside and outside cleaning and debris removal?
■ nn ❑
Inspecting and exercising all valves?
■ nnn
Inspecting and lubricating pumps and other equipment?
■
Inspecting alarms,telemetry and auxiliary equipment? nnn
Is there at least one spare pump for each pump station w/o pump reliability?
■ nnn
■ nnn
Are maintenance records for right-of-ways available?
Are right-of-ways currently accessible in the event of an emergency?
■ nnn
■ nnn
Are system cleaning records available?
■ nnn
Has at least 10%of system been cleaned annually?
Page: 3

Permit: WQCSDO023 Owner-Facility: Tuckaseigee Water&Sewer Authority
Inspection Date: 05/05/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine \
What areas are scheduled for cleaning in the next 12 months?
There are plans to clean the system in entirety this year.
Is a Spill Response Action Plan available? n 0 n
Does the plan include:
24-hour contact numbers n 0 n
Response time 0 n 0 n
Equipment list and spare parts inventory 11 0 n
Access to cleaning equipment ❑ 0 O
Access to construction crews,contractors,and/or engineers 0 0 n
Source of emergency funds n n
Site sanitation and cleanup materials 11 0 n
Post-overflow/spill assessment n 0 D
Is a Spill Response Action Plan available for all personnel? 0 D f1
Is the spare parts inventory adequate? n 0 n
Comment:
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? 00 0 0
Are records of SSOs that are under the reportable threshold available? Q 0 0
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? 00 ■ (_I
If yes, is there a corrective action plan? ❑ ❑ M 0
Is a map of the system available? 00 n
Does the map include:
Pipe sizes 0 0 n
Pipe materials. ❑ n
Pipe location n n
Flow direction 0 0 0
Approximate pipe age Q
Number of service taps ❑ ■ ❑ 0
Pump stations and capacity 0 ❑ .Q
If no,what percent is complete?
,L�l
Page: 4

Permit: WQCSD0023 Owner-Facility: Tuckaseigee Water&Sewer Authority
Inspection Date: 05/05/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
List any modifications and extensions that need to be added to the map
■ nnn
#Does the permittee have a copy of their permit?
Comment:
Page: 5

Of
NCDENR
North Carolina Department of Environment and Natural Resources
John E.Skvarla, III
Pat McCrory Secretary
Governor
June 4 2014
CERTIFIED MAIL 70121010 00021967 8531
RETURN RECEIPT REQUESTED
Charles Beck,Director Public Utilities
City of Lenoir
Post Office Box 958
Lenoir,NC 28645
Subject: Notice of Violation
NOV-2014-PC-0124
Lenoir Blends Processing Facility and Distribution Program
Permit No.WQ0010059
CaldwellCounty
Dear Mr.Beck,
On May 13, 2014, staff of the NC Division of Water Resources (DWR), Water Quality Regional
Operations Section (WQROS), reviewed the subject wastewater treatment and disposal system's 2013
Annual Report.
The following items specify permit conditions and limitations that were in violation during the time of the
inspection.(Also please refer to the attached inspection report):
Condition I.6. states in part... When wastewater residuals are sold or given away, one of the
Class A pathogen requirements in 40 CFR Part 503.32(a) and one of the vector attraction
reduction requirements in 40 CFR Part 503.33 shall be met. Additionally, an evaluation shall be
performed which demonstrates the residuals ability to comply with this requirement.
Lime Stabilization was the option chosen to verify Vector Attraction Reduction (VAR). The
requirements for this option are to raise the pH to 12 after addition of lime, hold the pH at 12
without further addition of lime and verb with a check pH and to check the pH again after 22
hours to ensure that it has remained at or above 11. S. The AR showed that the 22 hour pH check
was not done on 24 separate occasions between June-December 2013. Additionally, the pH was
not raised to 12 for the July 2, 2013 sample.
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nodenr.org/webtwq
An Equal Opportunity\Affirmative Action Employer

Mr.Beck
Permit No WQ0010059
June 4,2014 \
Page 2 of 2
You are required to provide a written response to this Notice by July 4,2014. 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 Quality 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 note
that each day a violation continues may be considered a separate violation, subject to additional civil
penalties.
If you have any questions concerning this Notice,please contact Beverly Price or me at 828-296-4685.
Sincerely,
O "� c to
G.Landon Davidson,L.G.
Regional Supervisor
Water Quality Regional Operations Section
attachment:
cc: Caldwell County Environmental Health Department
WQ ARO Files
WQ Central Files
G:\WR\WQ\Caldwell\Wastewater\Non-discharge\City of Lenoir\WQ0010059 AR Review 2013 NOV-2014-PC-
0124.doc

Compliance Inspection Report
Permit: W00010059 Effective: 08/18/06 Expiration: 07/31/15 Owner: City of Lenoir
SOC: Effective: Expiration: Facility: City of Lenoir Lenoir Blends Processing
Facility and Distribution Program
1905 Broadland Rd
County: Caldwell
Region: Asheville Lenoir NC 28645
Contact Person: Monte L Wall Title: Wastewater Treatment Pla 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 Phone:
Related Permits:
Inspection Date: 05/13/2014 Entry Time: 10:00 AM Exit Time: 11:00 AM
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: 0 Compliant ■ Not Compliant
Question Areas:
Miscellaneous Questions ■Pathogen and Vector
Attraction
(See attachment summary)
F�
j
Page: 1

Permit: WQ0010059 Owner-Facility: City of Lenoir vv
Inspection Date: 05/13/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine \
Inspection Summary:
This inspection consisted of a review of the 2013 Annual Report(AR).
Vector Attraction Reduction (VAR)Issues:
There were 24 instances between June-December 2013 where the 24 hr. pH was not recorded.
On July 2, 2013,the final product records show that the initial pH of 12 was not attained and the 2-hr. pH of 12 was not
attained.
Potassium was missing from the November 2013 sampling records; please resubmit if inadvertently left off the laboratory
report.
The ignitability result for non-hazardous determination was shown to be Not Ignitable at 70 degrees F. The EPA
Hazardous Level for ignitability is<140 degrees F. Please ensure that future samples are analyzed at the correct MQL in
order to prove compliance.
i
Page: 2

Permit: WQ0010059 owner-Facility: City of Lenoir
Inspection Date: 05/13/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Yes No NA NE
Type
n_
Land Application
■
Distribution and Marketing
Yes No NA NE
Pathogen and Vector Attraction
■ nnn
a. Fecal coliform SM 9221 E(Class A or B)
Class A,all test must be<1000 MPN/dry gram n
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram
n
nn ■ n
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 n
■ nn
b. pH records for alkaline stabilization(Class A) n
nnnn
c. pH records for alkaline stabilization(Class B)
Cl
Temperature corrected
nn ■ n
d. Salmonella(Class A,all test must be<3MPN/4 gram day)
■ nnn
e. Time/Temp on:
n_ .
Digester(MCRT)
n
Compost
■
Class A lime stabilization
nn ■ n
f. Volatile Solids Calculations
n ■ n
g. Bench-top Aerobic/Anaerobic digestion results n
Comment: Vector Attraction Reduction (VAR)-24 instances between June-
December 2013 where the 24 - hour pH reading was not recorded.
July 2, 2013 the initial pH was not raised to 12 and the 2 - hour pH ws not documented
at 12.
Page: 3

NCDENR
North Carolina Department of Environment and Natural Resources
John E.Skvarla,III
Pat McCrory Secretary
Governor
June 4,2014
CERTIFIED MAIL 70121010 00021967 8524
RETURN RECEIPT REOUESTED
Charles Beck,Director Public Utilities
City of Lenoir
Post Office Box 958
Lenoir,NC 28645
Subject: Notice of Violation
NOV-2014-PC-0123
Lenoir Blends Processing Facility and Distribution Program
Permit No.WQ0010059
CaldwellCounty
Dear Mr.Beck,
On May 15, 2014, staff of the NC Division of Water Resources (DWR), Water Quality Regional
Operations Section(WQROS), inspected the subject wastewater treatment and disposal system. We wish
to thank Mr.Monte Wall,who was present and assisted during then inspection.
The following item specifies the permit condition that was in violation during the time of the inspection.
(Also please refer to the attached inspection report):
Condition 111.5. States in part... All residuals and Class A EQ residuals product shall be
adequately stored to prevent leachate runoff prior to and following treatment.
On the date of the inspection it was raining and runoff was occurring at the NW corner of the
residuals storage pad. This issue has been discussed before and in the past and it was decided
that, at the very least, straw bales would be placed to help prevent migration of the product off
the pad. Straw bales were in place on the date of the inspection but it was apparent that this is
not sufficient to prevent contaminated runoff during rain events.
r
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nodenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

Mr.Beck
Permit No WQ0010059
June 4,2014 �\
Page 2 of 2
You are required to provide a written response to this Notice by July 4,2014. 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 Quality 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 note
that each day a violation continues may be considered a separate violation, subject to additional civil
penalties.
If you have any questions concerning this Notice,please contact Beverly Price at 828-296-4685.
Sincerely,
G.Landon Davidson,L.G.
Regional Supervisor
Water Quality Regional Operations Section
attachment:
cc: Caldwell County Environmental Health Department
WQ ARO Files
WQ Central Files
G:\WR\WQ\Caldwell\Wastewater\Non-discharge\City of Lenoir\WQ0010059CEI14 NOV-2014-PC-0 I 23.doc

Compliance Inspection Report
Permit: WO0010059 Effective: 08/18/06 Expiration: 07/31/15 Owner: City of Lenoir
y City of Lenoir Lenoir Blends Processing
SOC: Effective: Expiration: Facility. Facility and Distribution Program
1905 Broadland Rd
County: Caldwell
Region: Asheville Lenoir NC 28645
Contact Person: Monte L Wall Title: Wastewater Treatment Pla 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 Phone: [phone]
On-site representative Monte L Wall Phone: [phone]
Related Permits:
Inspection Date: 05/15/2014 Entry Time: 09:30 AM Exit Time: 11:15 AM
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 0 Record Keeping Treatment Sampling
(See attachment summary)
Page: 1

Permit: WQ0010059 Owner-Facility: City of Lenoir
Inspection Date: 05/15/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
This inspection included a tour of the residuals facility.
Mr. Wall indicated that the belt-press is approximately 20 years old and might need to be replaced in the near future.
Additionally, the augers and internal heating unit in the thermoblender is scheduled to be replaced this summer as the
final product is not as dry as it should be per Mr. Wall.
It was raining on the day of the inspection and runoff was occurring from the NW corner of the residuals storage pad.
Straw bales were in place to help prevent residuals from migrating off the pad. However, it was apparent that during rain
events that the staw bales are not sufficient to contain contaminated runoff. Permit Condition 11.5. states: All residuals
and Class A EQ residuals product shall be adequately stored to prevent leachate runoff prior to and following treatment.
Page: 2

Permit: WQ0010059 Owner-Facility: City of Lenoir
Inspection Date: 05/15/2014 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Yes No NA NE
Type
n
Land Application
■
Distribution and Marketing
Yes No NA NE
Record Keeping
nn ■ n
Is GW monitoring being conducted,if required?
Are GW samples from all MWs sampled for all required parameters?
nn ■ n
nn ■ n
Are there any GW quality violations?
nri ■ n
Is GW-59A certification form completed for facility?
■ rinn
Is a copy of current permit on-site?
■ nnn
Are current metals and nutrient analysis available?
■ nnn
Are nutrient and metal loading calculating most limiting parameters?
n ❑ n ■
a. TCLP analysis?
nn ■ n
b. SSFA(Standard Soil Fertility Analysis)?
nn ■ n
Are PAN balances being maintained?
nn ■ n
Are PAN balances within permit limits?
nn ■ n
Has land application equipment been calibrated?
nnn ■
Are there pH records for alkaline stabilization?
nn ■ n
Are there pH records for the land application site?
nn ■ n
Are nutrient/crop removal practices in place?
■ nnn
Do lab sheets support data reported on Residual Analysis Summary?
■ nnn
Are hauling records available?
■ nnn
Are hauling records maintained and up-to-date?
#Has permittee been free of public complaints in last 12 months?
■ nnn
nn ■ n
Has application occurred during Seasonal Restriction window?
Comment:
Yes No NA NE
Treatment
Check all that apply
n_
Aerobic Digestion
n_
Anaerobic Digestion
Alkaline Pasteurization(Class A)
Page: 3

Permit: WQ0010059 Owner-Facility: City of Lenoir
Inspection Date: 05/15/2014 Inspection Type: Compliance Evaluation
Reason for Visit: Routine �
Alkaline Stabilization(Class B) 0
Compost 0
Drying Beds n
Other
n
Comment:
Sampling
Yes No NA NE
Describe sampling:
Grab samples are collected from several locations of the finished pile then composited for
metals/nutrients/TCLP. Seven separate fecal coliform
Is sampling adequate? 0 0 n
Is sampling representative? f_I fl El (_I
Comment:
Page: 4

,,,,•..
A 74a
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 4, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 70121010 00021966 7437
Mr. W. Lane Bailey, City Manager
City of Lenoir
P.O. Box 958
Lenoir, North Carolina 28645-0958
Subject: NOTICE OF VIOLATION
NOV-2014-LV-0246
EMC-SOC-WQ-S13-002
Permit No. NCO023736
Gunpowder Creek WWTP
Caldwell County
Dear Mr. Bailey:
On December 1, 2013, the Environmental Management Commission entered into the subject
Special Order by Consent(SOC)whereby the subject WWTP was granted relaxed effluent limitations for
Fecal Coliform from those imposed by the NPDES Permit, in exchange for Lenoir's commitment to a
schedule of wastewater treatment plant improvements that will return the WWTP to compliance with the
terms of the NPDES Permit. The SOC.contains provisions for the assessment of stipulated penalties when
modified limits are exceeded or schedule dates are not met.
A review of Lenoir's Gunpowder Creek WWTP's monitoring report for March 2014 showed the
following violation:
Parameter Date Interim Limit Reported Value Limit Type
Coliform, Fecal MF, 03/0892014 1000#/ 100ml 1916.7#/ 100ml Weekly Geometric
M-FC Broth,44.5C Mean Exceeded
You are directed to immediately take whatever remedial actions are necessary to correct the
problems that have led to this violation. Section III of the SOC stipulates that a penalty in the amount of
$1,000 be paid for noncompliance with any modified limit contained in the SOC. However, Section IV of the
SOC lists circumstances under which stipulated penalties are not due,.essentially stating this provision is
applicable when the Division of Water Resources can be satisfied the non-compliance was caused by
events or circumstances beyond the control of the Gunpowder Creek WWTP.
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone [phone] Fax [phone]
Internet: http•//portal ncdenr.or web/wa
An Equal Opportunity/Affirmative Action Employer

Mr. W. Lane Bailey
June 4, 2014
Page Two
If you have information that will prove to the Division that any or all of the criteria set forth in Section =.
IV have been met, you must submit this information in writing to the Asheville Regional Office within ten
(10) days after receipt of this notice In the absence of evidence justifying the application of the provision
within Section IV, this Office will proceed with assessment of stipulated penalties as provided for in the
SOC.
If you should have any questions, please do not hesitate to contact Janet Cantwell or me at
8281296-4600.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations, NCDENR
Asheville Regional Office
cc: WQ Asheville Files/SOC
MSC 1617-Central Files-Basement
NPDES Point Source Branch/SOC
G:\WR\WQ\Caldwell\Wastewater\Municipal\Gunpowder Creek 23736\NOV-SOC-2014-LV-0245.doc

RCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvaria, III
Secretary
Governor
June 5,2014
Gail Harris
Blessed Hope Advent Christain Church
2240 Rural Retreat
Lenoir,NC 28645
SUBJECT: Compliance Sampling Inspection
Blessed Hope Advent Christain Church
Permit No:NCG550801
Caldwell County
Dear Ms.Harris:
Enclosed please find a copy of the Compliance Sampling Inspection Form from the inspection conducted on May 15,
2014. The facility was found to be out of compliance with permit NCG550801.
The reason for non-compliance is elevated fecal coliform bacteria results obtained from samples collected at the time of
inspection.The system does not appear to be maintained as per permit requirements.
T have included information regarding sampling, operation & maintenance of your wastewater system. Please use this
reference material in addition to your permit for guidance on how to maintain your system. I would like to conduct
another sampling event after you have had time to address the current issue. Our database does not contain current
contact information (phone/e-mail address) for you. Please contact me as I would like to meet with you on site when I
collect the follow up sample.
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 Specialist
Enc.
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Caldwell\Wastewater\General\NCG55 SFR\NCG550801 SFR Blessed Hope.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hftp:l/portal.ncdenr.orgfwebiwgiws
An Equal Opportunity\Affirmative Action Employer

, _
��-
`J,.
__.

United States Environmental Protection Agency Form Approved.
c ^ Washington,D.C.20460 OMB No.2040-0057
EPA Approval expires 8-31-98
Section A: National Data System Coding(i.e.,PCS)
Transaction Code NPDES YY
r/mo/da Inspection Type Inspector Fac Type
1 I N I 2 15I 31 NCG550801 111 121 14/05/15 117 18U 19L 201J
Remarks 1-! I I 6
21IIIIII111111111111 1 IIIII IIII III
Reserved----------------------
-----
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QN 73-------------- 7- I I I I I I 180
67 69 70 1-171 Lj 72 U W
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) 13/08/01
01:05 PM 14/05/15
Blessed Hope Church
Exit Time/Date Permit Expiration Date
US 321 N
01:35 PM 14/05/15 18/07/31
Lenoir NC 28645
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
William Crump,454 Horsebend Rd Hudson NC 28638//828-726-6081/ No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Operations&Maintenance N Facility Site Review
Section D: Summary of Findin /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)
ARO GW//828-296-4500/
Beverly Price v �ILI
Agency/Office/Phone and Fax Numbers Date
Signature of Management Q A Reviewer
' '1
1
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (cont.)
3I NCG550801 I11 12I 14/05/15 ( 17 18us
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Samples collected: TSS & Fecal Coliform
TSS: 11 mg/I
Fecal Coliform: 2500 cfu/100mis
There was not enough effluent flow to collect a BOD sample.
The chlorinators are housed inside a large concrete structure with a concrete lid. I was not able to lift the lid
but it was ajar enough that I could see the chlorinators.
Based on the results of the fecal coliform sample, the chlorinators are either not working or they do not
contain any chlorine tablets.
The system should be properly maintained and operated which includes but is not limited to adding chlorine
tablets.
None of the phone numbers listed with this permit are still valid.
Page# 2

Permit: NCG550801 owner-Facility: Blessed Hope Church
,aspection Date: 05/15/2014 Inspection Type: Compliance Sampling
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 Solids,pH,DO,Sludge ❑ ❑ ■ ❑
Judge,and other that are applicable?
Comment:
Yes No NA NE
Disinfection-Tablet
Are tablet chlorinators operational?
0000
Are the tablets the proper size and type?
2
Number of tubes in use?
is the level of chlorine residual acceptable? 0000
Is the contact chamber free of growth,or sludge buildup?
❑ ❑ ❑ ■
Is there chlorine residual prior to de-chlorination?
Comment: The chlorinators are housed in a concrete structure with a concrete lid.
The lid was too heavy to move but it was ajar enough that I could see 2 chlorinators.
Page# 3

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 5, 2014
David Hallock
Blue Ridge Tissue Corporation
1427 Yadkin River Rd.
Lenoir,NC 28645
SUBJECT: Compliance Evaluation Inspections
Blue Ridge Tissue Corporation
Permit No: WQ0011532
Caldwell County
Dear Mr. Hallock:
Enclosed please find a copy of the Compliance Evaluation Inspection Forms from the inspections conducted on
May 14 & 15, 2014. The facility was found to be in compliance with permit WQ0011532.
Please refer to the enclosed inspection reports for additional observations and comments. If you or your staff
have any questions,please call me at(828) 296-4685.
Sincerely,
Beverly Price
Environmental Specialist
Enc.
cc: Dennis Key, Southern Soil Builders,Inc. 958 Hoots Road Roaring River,NC 28669
MSC 1617-Central Files-Basement
WQ Asheville Files
G:\WR\WQ\Caldwell\Wastewater\Non-discharge\Blue Ridge Tissue Corporation\Inspection Reports\WQ0011532 CE114&2013 AR Review.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wgtws
An Equal Opportunity\Affirmative Action Employer

�.i
/.. _

Compliance Inspection Report
Permit: WQ0011532 Effective: 11/08/12 Expiration: 04/30/17 Owner: Blue Ridge Tissue Corporation
SOC: Effective: Expiration: Facility: Blue Ridge Tissue Corporation
County: Caldwell
Region: Asheville
Contact Person: Mike Samuels Tith Phone:[phone]
Directions to Facility:
From Lenoir:Follow Hwy.321 N for approximately 3 mile to Roby Martin Road and turn right. Facility is located approximately 1 mile
on the left.
System Classifications: LA,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name David Hallock Phone: [phone]
Related Permits:'
NC0006254 Blue Ridge Tissue Corporation-Patterson Mill
Inspection Date: 05/14/2014 Entry Time: 11 00 AM Exit Time: 12:00 PM
Primary Inspector: Beverly Price
Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Land Application of Residual 3olids(503 Exempt)
Facility Status: ■ Compliant Q Not Compliant
Question Areas:
Miscellaneous Questions 0 Record Keeping
(See attachment summary)
Page: 1

Permit: WQ0011532 Owner-Facility: Blue Ridge Tissue Corporation
Inspection Date: 05/14/2014 Inspection Type: Compliance Evaluation \
Reason for Visit:. Routine
Inspection Summary:
This inspection included a review of the 2013 Annual Report.
284.4 Dry Tons of residuals were distributed to the Buffalo Nursery in 2013.
TCLP/metals/nutrient samples were collected in February and July 2013. All results were compliant with permit conditions.
VAR-not required for this permit.
Fecal coliform samples were collected in February and July. All results were compliant with permit conditions.
Type Yes No NA NE
Land Application fl
Distribution and Marketing ■
Record Keeping Yes No NA NE
Is GW monitoring being conducted,if required? 0 0 ■ 0
Are GW samples from all MWs sampled for all required parameters? ❑ 0 ■ 0
Are there any GW quality violations? n 0 ■ 0
Is GW-59A certification form completed for facility? 0 0 ■
Is a copy of current permit on-site? 0 0 0 0
Are current metals and nutrient analysis available? ■ Q Q Q
Are nutrient and metal loading calculating most limiting parameters? ■ 0
a. TCLP analysis? ■ ❑ 0 0
b. SSFA(Standard Soil Fertility Analysis)? C1 fl ■ 0
Are PAN balances being maintained? ■ 0 0 0
Are PAN balances within permit limits? ■ ❑ n n
Has land application equipment been calibrated? Q 0 ■ f1
Are there pH records for alkaline stabilization? I I 0 ■ 0
Are there pH records for the land application site? 0 Q ■ 0
Are nutrient/crop removal practices in place? (_'I ❑ ■ n
Do lab sheets support data reported on Residual Analysis Summary? ■ 0 0
Are hauling records available? ■ Cl 0 0
Are hauling records maintained and up-to-date? ■ 0 ❑ n
#Has permittee been free of public complaints in last 12 months? ■ Cl 0 Q
Has application occurred during Seasonal Restriction window? 0 ❑ ■ 0
Comment:
Page: 2

Compliance Inspection Report
Permit: WQ0011532 Effective: 11/08/12 Expiration: 04/30/17 Owner: Blue Ridge Tissue Corporation
SOC: Effective: Expiration: Facility: Blue Ridge Tissue Corporation
County: Caldwell
Region: Asheville
Contact Person: Mike Samuels Title: Phone: [phone]
Directions to Facility:
s to Roby Martin Road and turn right. Facility is located approximately 1 mile
From Lenoir:Follow Hwy.321 N for approximately 3 mile
on the left.
System classifications: LA,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name David Hallock Phone: [phone]
On-site representative Dennis Key Phone: [phone]
On-site representative David Hallock Phone: [phone]
On-site representative Zach D Key Phone: [phone]
Related Permits:
NC0006254 Blue Ridge Tissue Corporation-Patterson Mill
Inspection Date: 05115/2014 Entry Time: 09:30 AM Exit Time: 10:30 AM
Phone: [phone]
Primary Inspector: Beverly Price
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Land Application of Residual Solids(503 Exempt)
Facility Status: ■Compliant 0 Not Compliant
Question Areas:
■Miscellaneous Questions N Treatment
(See attachment summary)
Page: 1

Permit: WQ0011532 Owner-Facility: Blue Ridge Tissue Corporation
Inspection Date: 05/15/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
\_
This inspection included a tour of the facility. Residuals were hauled on February 25, 2014. They expect to have 1 or 2
more cleanouts this year. All residuals are going to Buffalo Nursery. Blue Ridge is currently looking at other options for
handling residuals. They anticipate doing away with the fiber traps within the next couple of years.
Type Yes No NA NE
Land Application 0
Distribution and Marketing
Treatment Yes No NA NE
Check all that apply
Aerobic Digestion Q
Anaerobic Digestion n
Alkaline Pasteurization(Class A) Q
Alkaline Stabilization(Class B) n
Compost n
Drying Beds
Other
Comment: Fiber Traps
Page: 2

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 5, 2014
Dr. Mina Shehee
N.C. Department of Health and Human Services
Epidemiology Section - OEEB
1912 Mail Service Center
Raleigh,NC 27699-1912
Re: Buncombe County HRE request
Owners Name: Former Hyman Young Greenhouse
Sample location address: 80 Cowen Cove Road Asheville,NC
Dear Dr. Shehee;
The Asheville Regional Office recently assisted owners of the former Hyman Young
Greenhouse with groundwater testing of three inactive wells.This former flower nursery was
one of the largest greenhouse complexes in western North Carolina until its closure in 1999.
In the early 2000's, an assessment of the site revealed fuel heating oil,pesticides,and
tetrachloroethene (PCE) contamination in the shallow soils and groundwater.
On March 24, 2014, I collected groundwater samples at a production well,a spring house, and
a residential water supply well referred to as the pond well.Water samples were analyzed for
metals,nitrate,VOA,semi-VOA, chlorinated pesticides,phosphorus-based pesticides,
nitrogen-based pesticides,and acid herbicides.
The attached tables (Tables 1 &2) summarize the detectable analytes.The production well
contains iron,lead,and tetrachloroethene levels above 15A NCAC 02L.0202.The production
well also contains a number of phthalate compounds possibly related to plasticizers
associated with well construction materials. The concentration for bis(2-ethylhexyl)phthalate
is above 15A NCAC 02L.0202.The level of dieldrin in the spring house is above 15A NCAC
02L.0202.
Please review the analytical results and provide a separate health risk assessment for each
well. If you have any questions regarding the results please contact me at [phone].
Sincerely,
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet http://portal.nodenr.org/weblwq
An Equal opportunity 1 Affirmative Action Employer

Dr.Mina Shehee
June 5,2014
Page 2 of 2
Brett L verty
Water Q ali Regional Operations Section
Asheville Regional Office
Attachments: Analytical results summary tables
DWR laboratory results AC06775
DWR laboratory results AC06776
DWR laboratory results AC06777

I
O N N
M .-1 N
L N N
M V V
O O0 OC
V V
O O
V N V
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Coil

I
BUNCOMBE V'ilpt7 Sample ID: AC06776
" - PO Number# 14G0079
Date Received: 03/26/2014
To AROAP
_ Time Received: 07:60
ollector: B LAVERTY Labworks LoginlD MSWIFT
Region: ARID Final Report Date: 5/14/14
Sample Matrix: GROUNDWATER Report Print Date: 05/27/2014
Loc.Type: WATER SUPPLY
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: CHARLES CLOUSE 80 COWEN COVE ROAD ASHEVILLE NC
�r�evf iGsv/ L✓Zif I'
Location ID: 11118000WENCOVE Collect Date: 03/24/2014 Collect Time: 11:36 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Method Anal sis
Purposes-
Result/ Validated by
CAS# Analyte Name PQL Units Reference Date
Qualifier
LAB 3/26/14 MSWIFT
Sample temperature at receipt by lab 1.8 oc
NUT
mg/L as N EPA 353.2 REV 2 3/27/14 CGREEN
NO2+NO3 as N in liquid 0.02 0.02
Nitrate as N in liquid
0.02 0.02 U mg/L as N EPA 353.2 REV 2 5/14/14 CGREEN
Nitrite as N in liquid 0.01 0.01 mg/L as N EPA 353.2 REV 2 3(26/14 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 ''I 1.0 U u9/L EPA200.g 4/16/14 ESTAFFORDI
7429-90-5 AI by ICP 50 1200 u9/L EPA200.7 4l21/14 ESTAFFORDI
z440-38-2 AS by ICPMS 2.0 'li 2.0 U
ug/L EPA200.8 4/16/14 ESTAFFORD1
;J-38-3 Ba by ICP 10
10 U ug/L EPA200.7 4121/14 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 24
mg/L EPA200.7 4/21/14 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.60 U ug/L EPA200.8 4/16114 ESTAFFORD1
7440-47-3 Cr by ICPMS 10 ',� 10 U u9(L EPA200.8 4/16/14 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0 12
ug/L EPA 200.8 4/16/14 ESTAFFORDI
7439-89-6 Fe by ICP 50 1500 u9/L EPA200.7 4/21/14 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U u9/L EPA 245.1 4/10/14 ESTAFFORD1
7440-09-7 by ICP A.10' 2,6 mg(L EPA200.7 4/21/14 ESTAFFORDI
7439-95-4 Mg by ICP 0.10'i 2$ m9/L EPA200.7 4/21/14 ESTAFFORDI
7439-96-5 Mn by ICP 10 I, 40 u9/L EPA200.7 4/21/14 ESTAFFORD1
.10', 9.0 mg/L EPA 200.7 4/21/1
7440-23-5 Na by ICP 0 4 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.01. 35 ug/L EPA200.8 4/16/14 ESTAFFORDI
778249-2 Se by ICPMS 5.0 6.0 U ug/L EPA200.8 4/16/14 ESTAFFORDI
7440-66-6 Zn by ICPMS 10', 30 ug/L EPA200.8 4/16/14 ESTAFFORDI
VOL I
Volatile Organics in liquid _TITLE_ ug/L EPA5030/624/8260 3/28/14 VANDREWS
75-71-8 Dichlorodifluoromethane 2.0: Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
2.0'' Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
74-87-3 Chloromethane
d ug/L EPA5030/624/8260 3128/14 VANDREWS
75-01 a Vinyl Chloride 2.0 Not detecte
u9/L EPA5030/624/8260 3/28(14 VANDREWS
Bromomethane 2.0 Not detected
u9/L EPA5030/624/8260 3/28/14 VANDREWS
ao-3 Chloroethane 2.0 Not detected
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to ht. oaai.gcaenr.o 'ww eb lab stafinfio techassM#Oats quareer codes<ht:I .MaLixde re/eb!'a/!ab/stafinfioltechasssst>
Page 1 of 8

WC DWQ Laboratory Section Q?fsults
Location ID: 11118000WENCOVE Sample ID: AC06775 Collect Date: 03/24/2014 Collect Time::
VOL
CAS# Analvte Name PQL Result/ Units Method Anal sis
Qualifier Reference Date Validated',
75-69-4 Trichlorofluoromethane 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
75-35-4 1,1-Dichloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
75-09-2 Methylene Chloride 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
156-60-5 trans-1,2-Dichloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
75-34-3 1,1-Dichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
156-59-2 cis-1,2-Dichloroethene 1.0 Not detected ug/L EPA5030/624/8260 : 3128/14 VANDREWS
74-97-5 Bromochloromethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
67-66-3 Chloroform 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
594-20-7 2 2-Dichloropropane 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
107-06-2 1,2-Dichloroethane 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
71-55-6 1,1,1-Trichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
563-58-6 1,1-Dichloropropene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
56-23-5 Carbon Tetrachloride 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
71-43-2 Benzene 1.0 Not detected ug/L EPA5 3301624/8260 3/28/14 VANDREWS
74-95-3 Dibromomethane 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
78-87-5 1,2-Dichloropropane 1.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
79-01-6 Trichloroethene 1.0 Not detected 1.19/1- EPA5030/62418260 3/28/14 VANDREWS
75-27-4 Bromodichloromethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
10061-01-5 cis-1,3-Dichloropropene 2.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS !!
79-00-5 1,1,2-Trichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-88-3 Toluene �
1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
142-28-9 1,3-Dichloropropane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
124-48-1 Dlbromocilloromethane 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
127-18-4 Tetrachloroethene 1.0
3.4 ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-90-7 Chlorobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28114 VANDREWS
100-41-4 Ethylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
75-25-2 Bromoform 2.0 Not detected J2 ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-38-3 m,p-Xylene 2.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
100-42-5 Styrene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
630-20-6 1,1,1,2-Tetrachloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
95-47-6 o-Xylene 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
96-18-4 1,2,3-Trichloropropane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
98-82-6 Isopropylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-86-1 Bromobe been a 1.0 Not detected ug/L EPA50301624/8260 3/28114 VANDREWS
5-49--1 n-Propyltoluen a 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
95-49-8 2-ChlOfOtOlUene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
106-43-4 4-Chlorotoluene 108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected us/L EPA5030/624/8260 3128/14 VANDREWS
1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description ofthe qualiffer codes refer to Ltppomi.nmen: ieer cod•<nt n o -1 cacn�.ore/web/waPab/,tafinfie/:ecnassst>
Page 2 of 8

.NC lOWQ Laboratory Section&suits
11118000WENCOVE Sample ID: AC06775 Collect Date: 0 312 412 01 4 Collect Time:: 11:36
Result/ Method Anal sjs Validated by
# Analvte Name PQL Units Qualifier Reference Date
)6-6 tert-Butylbenzene 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
95-63 6 1,2,4-Trimethylbenzene
u9/L EPA5030/624/8260 3/28/14 VANDREWS
135-98-8 sec-Butylbenzene 1.0 Not detected
541-73-1 m-Dichlorobenzene(1,3) 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
ug/L EPA50301624/8260 3/28/14 VANDREWS
106 46-7 p-Dichlorobenzene(1,4) 1.0 Not detected
95-50-1 o-Dichlorobenzene(1,2) 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
99-87-6 p-ISOpropyltOlUerle 1.0 Not detected ug(L EPA5030/624/8260 3/28/14 VANDREWS
104-51-8 n-Butylbenzene 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
ug/L EPA5030/624/8260 3128/14 VANDREWS
96-12-8 1,2-Dibromo-3-Chloropropane 2.0 Not detected
120-82-1 1,2,4-Trichlorobenzene 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
91-20-3 Naphthalene 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
u9/L EPA5030/624/8260 3/28/14 VANDREWS
87-68-3 Hexachlorobutadiene 1.0 Not detected
87-61-6 1,2,3-Trichlorobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
SEM
93-72-1 Semivolatile Organics(BNAs)in liquid TITLE_ ug/L EPA625/8270/3510 4/16/14 WOOD
62-53-3 Aniline 12 Not detected Z2 ug/L EPA62518270/3510 4/16/14 NGOOD
108-95-2 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
Phenol 10
EPA625/8270/3510 4/16/14 NGOOD
111-44-4 BIs(2-Chloroethyl)ether 10 Not detected Z2 ug/L
95-57-8 Chlorophenol,2- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
541-73-1 Dichlorobenzene,1,3 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
±n6-46-7 Dichlorobenzene, 1,4- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16114 NGOOD
30 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
51-6 BenZyl aICOh01
us/L EPA625/ 0/3510 4/16/14 NGOOD
95-50-1 Dichlorobenzene, 1,2- 10 Not detected Z2 827
95-48-7 Methylphenol,2- 10 Not detected Z2 u9/L EPA625/8270/3510 4/16/14 NGOOD
39638-32-9 BIS(2-CIlIOf0lSOprOpyl)ether 10 Not detected Z2 u9/L EPA625/8270/3510 4/16/14 NGOOD
106-44-5 Methylphenol,4- 10 Not detected Z2
u9/L EPA625/8270/3510 4/16/14 NGOOD
621-64-7 N-nitrosodi-n-propylamine 10 Not detected Z2 ug/L EPA625/8270/3510 4116/14 WOOD
67-72-1 Hexachloroethane 10 Not detected Z2 ug/L EPA625/827013510 4/16/14 WOOD
98-95-3 Nitrobenzene 10 Not detected Z2 ug/L EPA625/827013510 4/16114 WOOD
78-59-1 Isophorone 10 Not detected Z2 ug/L EPA625/827013510 4/16/14 WOOD
88-75-5 Nitrophenol,2- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
105-67-9 Dimethylphenol,2,4- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16114 NGOOD
65-85-0 Benzoic add 50 Not detected Z2 ug/L EPA625/827013510 4/16/14 WOOD
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
120-83-2 Dichlorophenol,2,4- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
120-82-1 Trcchoorobenzene, 1,2,4- 10 Not detected Z2 ug/L EPA625/827013510 4116/14 WOOD
10 Not detected Z2 ug/L EPA62518270/3510 4116/14 WOOD
91-20-3 Naphthalene(SV) ug/L EPA625/8270/3510 4/16/14 NGOOD
106-47-8 Chloroaniline,4- 12 Not detected Z2
87-68-3 Hexachlorobutadiene(SV) 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
59-50-7 Chloro-3-methyl phenol,4- 15 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
91-57-6 Methylnaphthalene,2- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
47 4 Hexachlorocyclopentadiene 12 Not detected Z2 ug/L EPA625/8270/3510 4/16114 WOOD
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to ht:J,o..rai ncde r orE/web!wy/i b/starinfl/techasIS0113 to quanfier tMe5,ta/+wral n aenr re/web/wa!'abLstannfio teclmsish
Page 3 of 8

NC DWQ La6oratory section 12,esutts
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time::
SEM
CAS# Analvte Name PQLResult/ Method Analysis
Qualifier Units Reference Date Validated,
88-06-2 Trichlorophenol,2,4,6- 10 Not detected Z2 ug/L EPA626/8270/3510 4/16/14 NGOOD
95-95-4 Trichlorop henol,2,4,5-
12 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
91-58-7 Chloronaphthalene,2- 10 Not detected Z2 ug/L EPA625/8270/3510 4116/14 WOOD
88-74-4 Nitroaniline,2- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
131-11-3 Dimethyl phthalate 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
208-96-8 Acenaphthylene 10 Not detected Z2 ug/L EPA625/8270/3610 4/16/14 WOOD
606-20-2 Dinitrotoluene,2,6- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
99-09-2 Nitroaniline,3- 50 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
83-32-9 Acenaphthene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
51-28-5 Dinitrophenol,2,4- 50 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
100-02-7 Nitrophenol,4- 50 Not detected Z2 ug/L EPA625/8270/3510 , 4/16/14 NGOOD
132-64-9 Dibenzofuran 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
121-14-2 Dinitrotoluene,2,4- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16114 NGOOD
84-66-2 Diethyl phthalate 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
7005-72-3 Chlorophenyl phenyl ether,4- 10 Not detected Z2 ug/L EPA62518270/3510 4/16/14 WOOD
86-73-7 Fluorene 12 Not detected Z2 ug/L EPA625/827013510 4/16114 WOOD
100-01-6 Nitroaniline,4- 50 Not detected Z2;J2 ug/L EPA625/8270/3510 4/16/14 NGOOD
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
86-30-6 N-nitrosodiphenylamine 10 Not detected Z2 ug/L EPA625/827013510 4/16/14 NGOOD
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
118-74-1 Hexachlorobenzene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
87-86-5 Pentachlorophenol 30 Not detected Z2 ug/L EHA625/8270/3510 4/16/14 NGOOD
85-01-8 Phenanthrene 10 Not detected Z2 ug/L EPA62518270/3510 4/16/14 NGOOD
120-12-7 Anthracene 10 Not detected Z2 ug/L EPA62518270/3510 4/16/14 WOOD
84-74-2 Di-n-butyl phthalate 10 Not detected Z2 ug/L EPA62518270/3510 4/16/14 WOOD
206-44-0 Fluoranthene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
129-00-0 Pyrene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
85-68-7 Butylbenzyl phthalate 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
91-94-1 Dichlorobenzidine,3,3'- 30 Not detected Z2;J2 ug/L EPA625/8270/3510 4/16/14 WOOD
56-55-3 Benzo(a)anthracene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
21e-01-9 Chrysene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
117-81-7 Bis(2-ethylhexyl)phthalate 10
11 Z2 u9/L EPA625/8270/3510 4/16/14 NGOOD
117-64-0 Di-n-octyl phthalate 10
13 Z2 u9/L EPA625/8270/3510 4/16/14 NGOOD
205-99-2 Benzo(b)fluoranthene 10 Not detected Z2 u9/L EPA625/8270/3510 4/16/14 NGOOD
207-08-9 Benzo(k)fluoranthene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
50-32-8 Benzo(a)pyrene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
193-39-5 Indeno(1,2,3-cd)pyrene 15 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
53-70-3 Dibenzo(a,h)anthracene 15 Not detected Z2 ug/L EPA6251827013510 4/16/14 NGOOD
191-24-2 Benzo(g,h,i)perylene 15 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
Phthalic acid,bis(methylethyl)ester 40 N1;Z2 ug/L EPA625/8270/3510 4/16114 WOOD
PES
7439-97-6 Chlorinated Pesticides in Liquid _TITLE_ ug/L EPA 608 4/15/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer toh_tp.,&.2g zl,deorog/w h7 n e!tafi fl 1 -n sinoata aua,ncr codes<htc �a�n�.oreJweb�w an
_ taRnNaltachass_st>
Page 4 of 8

NC 1OWWQ Ga6oratory Section 1Zsults
11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: 11:36
Result/ Method Anal SiS validated by
,# Analyte Name PQL Qualifier Units Reference Date
4/15/14 JHAYES
C2-60-8 Alachlor 0.28 Not detected J2 ug/L EPA608
309-00-2 Aldrin 0.06 Not detected J2 ug/L EPA 608 4115/14 JHAYES
319-84-6 BHC-Alpha 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
319-85-7 BHC-Beta 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
319-86-8 BHC_Delta
0.06 Not detected J2 ug/L EPA608 4/15/14 JHAYES
58-89-9 BHC-Gamma(Lindane) 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
57-74-9 Chlordane,Technical 0.5 Not detected J2 u9/L EPA 608 4/15/14 JHAYES
0.03 Not detected J2 u9/L EPA608 4/15/14 JHAYES
5103-71-9 Chlordane;Alpha
us/L EPA608 4/15/14 JHAYES
5103-74-2 Chlordane, Gamma 0.03 Not detected J2
3734-48-3 Chlordene 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
510-15-6 Chlorobenzilate 0.48 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
1861-32-1 DCPA 0.03 Not detected J2
ug/L EPA608 4/15/14 JHAYES
18 0.06 Not detected J2 cg/L EPA608 4/15/14 JHAYES
1-3 DDD 2,4
u9/L EPA608 4/1 14 JHAYES
72-54-8 DDD 4,4 0.03 Not detected J2 5l
3424-82-6 DDE 2,4 0.05 Not detected J2 ug/L EPA 608 14 JHAYES
4/15/
72-55-9 DDE 4,4 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
789-02-6 DDT 2,4 0.05 Not detected J2 ug/L EPA608 4/15/14 JHAYES
u9/L EPA 608 4/15/14 JHAYES
50-29-3 DDT 4,4 0.03 Not detected J2
60-57-1 Dleldrin 0.03 Not detected J2 u9/L EPA608 4/15/14 JHAYES
959-98-8 EndOSUlfa❑I 0.03 Not detected J2 u9/L EPA608 4/ /14 JHAYES
15
-'213-65-9 Endosulfan II 0.03 Not detected J2
ug/L EPA 608 4/15/14 JHAYES
u9/L EPA 608 4/15/14 JHAYES
,1-07-8 Endosulfan sulfate 0.03 Not detected J2
003 Not detected J2 u9/L EPA608 4/15/14 JHAYES
.
72-20-8 Endrin ug/L EPA608 4/15/14 JHAYES
7421-93-4 Endrin Aldehyde 0.06 Not detected J2
53494-70-5 Endrin Ketone 0.03 Not detected J2 ug/L EPA608 4/1 JHAYES
5/14
2593-15-9 Ethazole 0.09 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
76-44-8 Heptachlor 0.06 Not detected J2 ug/L EPA608 4/15/14 JHAYES
1024-57-3 Heptachlor epoxide 0.03 Not detected J2 u9/L EPA 608 4/15/14 JHAYES
118-74-1 Hexachlorobenzene(Pest) 0.02 Not detected J2 ug/L EPA608 4/15/14 JHAYES
2385-85-5 Mirex 0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
39765-80-5 Trans Nonachlor 0.05 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
27304-13-8 Oxychlordane 0.05 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
52645-53-1 Mixed Permethrin 1.20 Not detected J2 ug/L EPA 608 4/15114 JHAYES
1918-16-7 MixedPropa er 0.54 Not detected J2 ug/L EPA 608 4115/14 JHAYES
�g/L EPA608 4/15/14 JHAYES
117-18-0 Tecnazene 0.03 Not detected J2
1582-09-8 Trifluralin 0.05 Not detected J2 us/L EPA 608 4/15/14 JHAYES
15/14 JHAYES
12674-11-12 Aroclor 1016 1 Not detected J2 u9/L EPA608 4/
u9/L EPA608 4/15/14 JHAYES
11104-28-2 Aroclor 1221 1 Not detected J2
/14 JHAYES
11141-16-5 Aroclor 1232 1 Not detected J2 ug/L EPA 608 4/15
53469-21-9 Aroclor 1242 1 Not detected J2 ug/L EPA608 4/15/14 JHAYES
12672-29-6 Aroclor 1248 1 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
Aroclor 1254 1 Not detected J2 ug/L EPA608 4115114 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
es<ncI =�.n�cd n* /w b�a/'6htaHnflo echass=sts
For a detailed description of the qualifier codes refer to htp1L ooral.nmenr.ar weL/walWn�stafinn/ce h 'tq�ata QuafBe.cods h
Page 5 of 8

9VC 1DWQ La6oratorySection 9(�sufts
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time::
PES
CAS# Analvte Name PQL Result/ Method Anal sis
Qualifier Units Reference Date Validated,
11096-82-5 Aroclor 1260 1 Not detected J2 ug/L EPA 608
4/15l14 JHAYES
37324-23-5 Aroclor 1262
1 .Not detected J2 u9lL EPA 608 4/15/14 JHAYES
8001-35-2 Toxaphene 3 Not detected J2 ug/L EPA 608
4/15/14 JHAYES
121-75-5 Acid Herbicides in liquids
_TITLE_ ug/L EPA 615 4/2l14 JHAYES
50594-66-6 Acifluorfen(Blazer)) 0.33 Not detected u9/L EPA 615 4/2/14 JHAYES
25057-89-0 Bentazon
0.42 Not detected ug/L EPA 615 412/14 JHAYES
94 75-7 2,4-D 0.45 Not detected J2 ug/L EPA615
4/2/14 JHAYES
94-82-6 2,4-DB
1.35 Not detected ug/L EPA 615 4/2/14 JHAYES
1918-00-9 Dicamba 0.15 Not detected ug/L EPA615
4/2/14 JHAYES
51-36-5 3,5-DichlorobenzoicAcid 0.18 Not detected ug/L EPA615
4/2/14 JHAYES
120-36-5 Dichlorprop 0.54 Not detected ug/L EPA 615
4/2/14 JHAYES
88-85a Dinoseb 0.63 Not detected ug/L EPA 615
4/2/14 JHAYES
100-02-7 4-Nitrophenol(Pest) 0.24 Not detected ug/L EPA 615
4/2/14 JHAYES
87-86-5 Pentachlorophenol(PCP) 0.09 Not detected ug/L EPA615 4/2/14 JHAYES
93-76-5 2,4,5-T 0.18 Not detected ug/L EPA615 412/14 JHAYES
93-72-1 2,4,5-TP(Silvex) 0.18 Not detected ug/L EPA615 4/2/14 JHAYES
886-50-0 Phosphorus based Pesticides in Liquid _TITLE_ ug/L EPA 614
4/8/14 JHAYES
786-19-6 Carbophenothion 0.80 Not detected ug/L EPA 614
4/8/14 JHAYES
2921-88-2 Chlorpyrifos 0.40 Not detected ug/L EPA614
4/8/14 JHAYES
78-48-8 DEF(Oxidized merphos) 0.40 Not detected ug/L EPA 614
4/8114 JHAYES
126-75-0 Demeton 0.80 Not detected ug/L EPA 614 4/8/14 JHAYES \
62-73-7 Dichlorvos
0.6 Not detected ug/L EPA 614 4/8/14 JHAYES
60-51--5 Dimetho 0.40 Not detected ug/L EPA614 4/8/14 JHAYES
so-51-5 Dimethoate 1.6 Not detected ug/L EPA 614
4/8114 JHAYES
298-04-4 DISUIfOtOn 0.9 Not detected ug/L EPA 614 418/14 JHAYES
2497-06-5 DisulfotonSulfone 0.40 Not detected ug/L EPA614
4/8/14 JHAYES
2497-07-6 Disulfoton Sulfoxide
10. Not detected ug/L EPA614 4!8/14 JHAYES
2104-64-5 LPN 0.40 Not detected ug/L EPA 614
4/8/14 JHAYES
563-12-2 Ett110n
0.40 Not detected ug/L EPA614 4/8/14 JHAYES
13194-48-4 Ethoprop 0.40 Not detected ug/L EPA 614 4/8/14 JHAYES
55-38-9 Fenthion 0.40 Not detected ug/L EPA614 4/8/14 JHAYES
115-90-2 Fensulfothion 6 Not detected ug/L EPA614 4/8/14 JHAYES
121-75-5 Marathion
0.5 Not detected ug/L EPA 614 418/14 JHAYES
6923-22-4 Monocrotophos 1.0 Not detected ug/L EPA 614 418/14 JHAYES
300-76-5 Naled 3.0 Not detected ug/L EPA614 4/8/14 JHAYES
56-38-2 Ethyl Parathion 0.40 Not detected ug/L EPA614
4!8/14 JHAYES
298-00-0 Methyl Parathion 0.40 Not detected ug/L EPA614 4/8/14 JHAYES
7786-34-7 Mevinphos 0.9 Not detected ug/L EPA614 4/8/14 JHAYES
298-02-2 Phorate
0.40 Not detected ug/L EPA 614 4/8/14 JHAYES
3689-24- Ronnel 0.40 Not detected ug/L EPA 614 4/8/14 JHAYES
689-24-5 Sulfotepp 0.40 Not detected ug/L EPA 614 4/8/14 JHAYES
13071-79-9 Terbufos 0.6 Not detected ug/L EPA 614 /-4/8/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to htp:+ orai-aenr ora/wen/a/Ieb/stafinfioheck�assist#�atagua?fifer C_de,<htu_{,/oortzLncdanr, en/w lab arinflo secnasz�st>_L---
Page 6 of 8

NC 1n1NQ Laboratory Section cR§sufts
1I118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: 11:36
Result/ Method Analysis Validated by
Analyte Name PQL Units Qualifier Reference Date
5-77-6 Nitrogen based Pesticides in Liquid TITLE �g/� EPA619 4/8/14 JHAYES
_
8/14 JHAYES
834-12-8 Ametryn 9 Not detected ug/L EPA 619 4/
1610-17-9 Atraton
9 Not detected u9/L EPA 619 4/8/14 JHAYES
1912-24-9 A$aZlne 9 Not detected u9/L EPA619 4/8/14 JHAYES
u9/L EPA 619 4/8/14 JHAYES
314-40-9 BrOmaCll 27 Not detected
23184-66-9 BUtaChl0r 24 Not detected u9/L EPA 619 4/8/14 JHAYES
2008-41-5 Butylate 9 Not detected us/L EPA 619 4/8/14 JHAYES
101-21-3 chlorpropham 33 Not detected ug/L EPA619 4/8/14 JHAYES
21725-46-2 Cyanazine 9 Not detected ug/L EPA619 4/8114 JHAYES
1134-23-2 Cycl0ate 9 Not detected ug/L EPA619 4/8/14 JHAYES
957-51-7 Dlphenamid 9 Not detected ug/L EPA619 4/8/14 JHAYES
759-94-4 EPTC(Eptam) 9. Not detected ug/L EPA 619 4/8/14 JHAYES
60168-88-9 Fenarimol 12 Not detected ug/L EPA619 4/8/14 JHAYES
59756-60-4 Fluridone 80 Not detected J2 ug/L EPA 619 4/8/14 JHAYES
51235-04-2 Hexazinone 6 Not detected ug/L EPA619 4/8/14 JHAYES
000950-35-6 Methyl Paraoxon 9 Not detected J2 ug/L EPA 619 4/8/14 JHAYES
51218-45-2 Metolachlor 18 Not detected ug/L EPA 619 4/8/14 JHAYES
21087-64-9 Metribuzin 18 Not detected ug/L EPA619 4/8/14 JHAYES
2212-67-1 Metribue 9 Not detected ug/L EPA 619 4/8/14 JHAYES
15299-99-7 Nalinate ide 15 Not detected ug/L EPA619 4/8/14 JHAYES
17314-13-2 Norflurazon 12 Not detected ug/L EPA619 4/8114 JHAYES
,
9 Not detected ug/L EPA619 4/8/14 JHAYES
4-71-2 Pebulate
1610-18-0 PrOmetOn 9 Not detected ug/L EPA 619 4/8/14 JHAYES
9 Not detected u9/L EPA619 4/8/14 JHAYES
7287-19-6 Prometryn ug/L EPA 619 4/8/14 JHAYES
23950-58-5 Pronamide 33 Not detected
139-40-2 Propazine 9 Not detected ug/L EPA619 4!8/14 JHAYES
1014-70-6 Simetryn 9 Not detected ug/L EPA619 4/8/14 JHAYES
5902-51-2 15 Not detected ug/L EPA619 418114 JHAYES
Terbacil
ug/L EPA619 4/8/14 JHAYES
34014-18-1 Tebuthiuron 30 Not detected
886-50-0 Terbutryn 9 Not detected ug/L EPA 619 4/8/14 JHAYES
43121-43-3 Triadimefon 9 Not detected ug/L EPA619 4/8/14 JHAYES
41814-78-2 Tricyclazole 48 Not detected ug/L EPA 619 4/8/14 JHAYES
961-11-5 Tetrachlovinphos 6 Not detected ug/L EPA619 4/8/14 JHAYES
1929-77-7 Vernolate 9 Not detected ug/L EPA 619 4/8/14 JHAYES
2675-77-6 Chloroneb 0.21 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
1897-45-6 Chlorothalonil 0.2 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
72-43-5 Methoxychlor 0.15 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description oHhe qualifier codes refer ton rtal.ncde r.or weh/wafl blste0olte-hassiA#Data Q I�fier codes<ht t . i ncdenw%Lw 7wgLia-stafinfio techasszb
Page 7 of 8

X 1D WQ La6oratory Section Q?fsufts
Location ID: 11118000WE14COVE Sample ID: AC06775 Collect Date: 03/24/2014 Collect Time:: '17
PIES
CAS# Analvte Name PQL Result/ nits Method Analysis
Qualifier U Reference Date validate.
Sample Comments
Freliability.
J2-estimated-1 analyte(s)<LCL in LCS.
-estimated-I analyte(s)<LCL.in LCS.
J2-estimated-2 analytes failed to meet curve fit criteria.
2-6 of 6 internal standards failed LCL-questions concerning data
2-estimated-1 analyte(s)failed to meet curve fit criteria
-estimated-1 analyte(s)failed<LCL in CV2.
SEMI:SV-N1-estimated-The component has been tentatively identified
based on mass spectral library search.
PES:OCP-J2-estimated-1 analyte(s)failed to meet curve fit criteria.
PES:OCP-J2-estimated-degradation criteria>15%for endrin.
Laboratory Section>>1623 Mail Service Center,Raleigh,NO 27699-1623 [phone]
For a detailed description of the qualifier codes refer to hto:!!o,»ai nCaen..arF!wetriwdablstaenreohe:nass�staoata ua�ife.codes<ht rrai.�cdenca-� P(�_Jgjweb��lab stafinfiohechassisti
Page 8 of 8

171
i�VAp Sample ID: AC06776
BUNCOMBE
PO Number# 14G0080
n } r
�. Date Received: 03/26/2014
To AROAP Time Received: 07:50
ollector: B LAVERTY k Labworks LoginlD MSWIFT
Region: ARO Final Report Date: 5/14/14
Sample Matrix: GROUNDWATER - Fj118(�R�pOrf Report Print Date: 05/27/2014
Loc.Type: WATER SUPPLY
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: CHARLES CLOUSE 80 COWEN COVE ROAD ASHEVILL_E NC
d Gi br
Location ID: 11118000WENCOVE Collect Date: 03/24/2014 Collect Time: 13:10 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory Purposes-
Result/ Method Analysis Validated by
CAS# Analyte Name PQL Qualifier Units Reference Date
LAB 3/26/14 MSWIFT
Sample temperature at receipt by lab 1.8 �C
NUT
mg/L as N EPA 353:2 REV 2 3/27/14 CGREEN
NO2+NO3 as N in liquid 0.02 2.2
mg/L as N EPA 353.2 REV 2 5/14/14 CGREEN
Nitrate as N In IigUld 0.02 2.2
mg/L as N EPA 353.2 REV 2 3/26/14 CGREEN
Nitrite as N in liquid 0.01 0.01 U
MET
7440-22-4 �by ICPMS 1A 1.0 U u9lL EPA200.8 4/16/14 ESTAFFORD1
50 $8 ug/L EPA200.7 4/21/14 ESTAFFORDI
7429-90-5 Al by ICP
Us/L EPA zoos 4/16/14 ESTAFFORDI
7440-38-2 As by ICPMS 2.0 2.0 U 10 20 ug/L EPA200.7 4/21/14 ESTAFFORDI
0-38-3 S by ICP
7440-70-2 Ca by ICP 0.10 4.1 mg/L EPA 200.7 4/21/14 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.60 U ug/L EPA200.8 4/16/14 ESTAFFORDI
7440-47-3
Cr by ICPMS 10 IOU ug/L EPA200.8 4/16/14 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 4.7 ug/L EPA200.8 4/16/14 ESTAFFORD1
7439-89-6 Fe by ICP 50 240 ug/L EPA2001 4/21/14 ESTAFFORD1
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 4/10/14 ESTAFFORDI
7440-09-7 KbyICP 0.10 1.3 mg/L EPA200.7 4/21/14 ESTAFFORDI
7439-95-4 Mg by ICP 0.10 2.2 mg/L EPA2007 4/21/14 ESTAFFORD1
7439-96-5 Mn by ICP 10 10 u9/L EPA200.7 4/21/14 ESTAFFORD1
m9/L EPA200.7 4/21/14 ESTAFFORDI
7440-23-5 Na by ICP 0.10 3.6
7 u9/L EPA200.8 4l16/14 ESTAFFORDI
440-02-0 Ni by ICPMS 2.0 2.0 U
7439-92-1 Pb by ICPMS 2.0 2.0 U u9/L EPA200.8 4/16/14 ESTAFFORDI
7782-49-2 Se by ICPMS 5.0 5.0 U u9/L EPA200.8 4/16/14 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 12 ug/L EPA200.8 4/16114 ESTAFFORD1
VOL
TITLE_ ug/L EPA50301624/8260 3/31/14 VANDREWS
120-82-1 Volatile Organics in liquid
u9/L EPA5030l624/8260 3/31/14 VANDREWS
75-71-8 Dichlorodifluoromethane 2.0 Not detected
74-87-3 ChlOrOmethane 2.0 Not detected u9/L EPA5030/624/8260 3/31/14 VANDREWS
75-01-4 Vinyl Chloride 2.0 Not detected u9/L EPA5030/624/8260 3/31/14 VANDREWS
ug/L EPA5030/624/8260 3/31/14 VANDREWS
' 83-9 Bromomethane 2.0 Not detected
00-3 2.0 Not detected ug/L EPA50301624/8260 3/31114 VANDREWS
Chloroethane
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
te
For a detailed description of the qualifier codes refer to hea/!o nai en web/wa lab,tafinfiohec Iasi ttOData ua'ifie.•Code,<ht o.t%.-de-re/web�
N//oL afinfio/techazsist>
Page 1 of 8

JVC IOWQ Gafioratory Section&sufts
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: 13:,
VOL
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validate,
75-69-4 Trichlorofluoromethane 2.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS,
75-35-4 1,1-Dichloroethene 1.0 Not detected ug/L EPA5030/62418260 3/31/14 VANDREWS
75-09-2 Methylene Chloride 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
156-60-5 trans-1,2-Dichloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 Vl NDREWS
75-34-3 1,1-Dichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 V INDREWS
156 59-2 CIS-1,2-Dichloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 V NDREWS
74-97-5 Bromochloromethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
Chloroform
594-20- 1.0 Not detected u9/L EPA5030/624/8260 3/31/14 VANDREWS
59420-7 2,2-Dichloropropane 2.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
107-06-2 1,2-Dichloroethane 1.0 Not detected ug/L EPA5030/62418260 3/31/14 VANDREWS
71-55-6 1,1,1-Trichloroethane 1.0 Not detected ug/L EPA50301624/8260 3/31/14 VANDREWS
563-58-6 1,1-Dichloropropene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
56-23-5 Carbon Tetrachloride 1.0 Not detected ug/L EPA5030/62418260 3/31/14 VANDREWS
71-43 2 Benzene 1.0 Not detected ug/L EPA5030/624/8260 3131/14 VANDREWS
74-95-3 Dibromomethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
78-87-5 1,2-Dichloropropane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
79-01-6 Trichloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/31114 VANDREWS
75-27-4 Bromodichloromethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
10061-01-5 CIS-1,3-Dichloropropene 2.0 Not detected ug/L EP 55030/62418260 3/31/14 VANDREWS
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
79-00-5 1,1,2-Trichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
108-88-3 Toluene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
142-28-9 1,3-Dichloropropane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
124-48-1 Dibromochloromethane 2.0 Not detected J2 ug/L EPA5030/624/8260 3/31114 VANDREWS
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
127-18-4 Tetrachloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
Ghloro
100- 1-4 Ethylb nzene a 1.0 Not detected ug/L EPA50301624/8260 3/31/14 VANDREWS
100-41-4 Ethylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
75-25-2 Bromoform 2.0 Not detected J2 ug/L EPA5030/62418260 3/31/14 VANDREWS
108-38-3 m,p-Xylene 2.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
100-42-5 Styrene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected J2 ug/L EPA5030/624/8260 3/31/14 VANDREWS
630-20-6 1,1,1,2-Tetrachloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
95-47-6 o-Xylene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
96-18-4 1,2,3-Trichloropropane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
98-82-8 Isopropylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
108-86-1 Bromobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
103-65-1 n-Propylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
95-49-8 2-Chlorotoluene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
106-43-4 4-Chlorotoluene 1.0 Not detected ug/L EPA5030/62418260 3/31/14 VANDREWS
108-67-8 1,3,5-Trimethylbenzene 1.0
Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to nopl!oo l ncaen r�,�webtwanabl,e----Lec�assistaoara_gea�re•caae•<hco-!/oorzl,cae6. /wen w iab staflnfiahechassisrs
Page 2 of 8

NC cDI+Q,La6oratory Section qZpsufts
11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: 13:10
Result/ Method Analysis Validated by
Analyte Name PQL Units Reference Date
_ Qualifier
A-6 tert-Butyl benzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
95-63-6 1,2,4-Trimethylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
135-98-8 sec-Butylbenzene
1.0 Not detected ug/L EPA5030/62418260 3/31/14 VANDREWS
541-73-1 m-Dichlorobenzene(1,3) 1.0 Not detected ug/L EPA5030/624/8260 3131114 VANDREWS
106-46-7 p-Dichlorobenzene(1,4) 1.0 Not detected ug/L EPA5030/62418260 3131114 VANDREWS
95-50-1 o-Dichlorobenzene(1,2) 1.0 Not detected ug/L EPA5030/624l8260 3/31/14 VANDREWS
99-87-6 p-Isopropyltoluene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
104-51-8 n-Butylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
96-12-8 1,2-Dibromo-3-Chloropropane 2.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
120-82-1 1,2,4 Trichlorobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
ug/L EPA5030/624/6260 3/31/14 VANDREWS
91-20-3 Naphthalene 2.0 Not detected
87-68-3 Hexachlorobutadiene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
87-61-6 1,2,3-Trichlorobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31114 VANDREWS
SEM
93-72-1 SemlVOlatlle Organics(BNAS)In liquid —TITLE— ug/L EPA625/8270/3510 4/16/14 NGOOD
62-53-3 Aniline 12 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
ug/L EPA625/8270/3510 4/16/14 NGOOD
106-95-2 Phenol 10 Not detected
4/16 NGOOD
111-44-4 Bis(2-chloroethyl)ether 10 Not detected u9/L EPA625/8270/3510
95-57-8 Chlorophenol,2- 10 Not detected ug/L EPA625/8270/3510 4/16/114 14 W NGOOD
541-73-1 Dichlorobenzene, 1,3 10 Not detected ug/L EPA625/8270/3510 4l16/14 NGOOD
10e46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
51-6 Benzyl alcohol 30 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
ug/L EPA625/6270/3510 4/16/14 NGOOD
95-50-1 Dichlorobenzene, 1,2- 10 Not detected
ug/L EPA625/8270/3510 4116/14 NGOOD
95-48-7 Methylphenol,2- 10 Not detected
39638-32-9 Bis(2-chloroisopropyl)ether 10 Not detected
ug/L EPA625/8270/3510 4/16/14 WOOD
106-44-5 Methylphenol,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
621-64-7 N-nitrosodi-n-propylamine 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
67-72-1 Hexachloroethane 10 Not detected ug/L EPA625/8270/3510 4116/14 WOOD
98-95-3 Nitrobenzene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
78-59-1 Isophorone 10 Not detected ug/L EPA625/827013510 4/16/14 WOOD
88-75-5 Nitrophenol,2- 10 Not detected ug/L EPA625)8270/3510 4/16/14 NGOOD
105-67-9 Dimethylphenol,2,4- 10 Not detected ug/L EPA625/827013510 4/16/14 NGOOD
65-85-0 Benzoic acid 50 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected
ug/L EPA625/8270/3510 4/16/14 NGOOD
120-83-2 Dichlorophenol,2,4- 10 Not detected ug/L EPA625/827013510 4/16/14 NGOOD
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
u9/L EPA625/8270/3510 4/16/14 NGOOD
91-20-3 Naphthalene(SV) 10 Not detected
106-47-8 Chloroaniline,4- 12 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
87-68-3 Hexachlorobutadiene(SV) 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
59-50-7 Chloro-3-methyl phenol,4- 15 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
91-57-6 Methylnaphthalene,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
-,47-4 Hexachiorocyclopentadiene 12 Not detected ug/L EPA625/8270/3510 4/16114 NGOOD
Laboratory Section 1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to htwIJ oor-I ncdenrarflw b/wall'i tatinfiahechassistNOata 9 a ifler cads<ht b/"a/I b/nafinfiohechasz=sb
Page 3 of 8

NC DWQ Gafioratorysection 4?Ssufts
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: 18>
SEM
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validate
88-06-2 Trichlorophenol,2,4,6- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
95-95-4 Trichlorophenol,2,4,5- 12 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
91-58-7 Chloronaphthalene,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
88-74-4 Nitroaniline,2- 10 Not detected ug/L EPA625/8270/3510 4/16114 NGOOD
131-11-3 Dimethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
208-96-8 Acenaphthylene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
606-20-2 Dinitrotoluene,2,6- 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
99-09-2 Nitroaniline,3- 50 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
83-32-9 Acenaphthene 10 Not detected ug/L EPA625/8270/3510 4/16114 WOOD
51-28-5 Dinitrophenol,2,4- 50 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
100-02-7 Nitrophenol,4- 50 Not detected ug/L EPA62518270/3510 4116/14 WOOD
132-64-9 Dibenzofuran 10 Not detected ug/L EPA625/8270/13510 4/16/14 WOOD
121-14-2 Dinitrotoluene,2,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
84-66-2 Diethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
7005-72-3 Chlorophenyl phenyl ether,4- 10 Not detected ug/L EPA625/827013510 4116/14 NGOOD
86-73-7 Fluorene 12 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
100-01-6 Nitroaniline,4- 50 Not detected A ug/L EPA625/8270/3510 4/16/14 NGOOD
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected ug/L EPA626/8270/3510 4/16/14 WOOD
86-30-6 N-nitrosodlphenylamine 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
118-74-1 Hexachlorobenzene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
87-86-5 Pentachlorophenol 30 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
85-01-8 Phenanthrene 10 Not detected ug/L EPA625/8270/3510 4116/14 WOOD
120-12-7 Anthracene 10 Not detected ug/L EPA62518270/3510 4/16/14 NGOOD
84-74 2 Di-n-butyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
206-44-0 Fluoranthene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
129-00-0 Pyrene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
85-68-7 Butylbenzyl phthalate 10 Not detected ug/L EPA625/8270/3510 4116/14 WOOD
91-94-1 Dichlorobenzidine,3,3'- 30 Not detected A ug/L EPA625/8270/3510 4/16/14 WOOD
56-55-3 Benzo(a)anthracene 10 Not detected ug/L EPA625/8270/3510 4/16114 NGOOD
218-01-9 Chrysene 10 Not detected ug/L EPA62518270/3510 4/16/14 NGOOD
117-81-7 Bis(2-ethylhexyl)phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
117-84-0 Di-n-octyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA625/827013510 4116/14 NGOOD
207-08-9 Benzo(k)fluoranthene 10 Not detected ug/L EPA625/827013510 4/16/14 NGOOD
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
193-39-5 Indeno(1,2,3-cd)pyrene 15 Not detected ug/L EPA625/827013510 4/16/14 WOOD
53-70-3 Dibenzo(a,h)anthracene 15 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
191-24-2 Benzo(g,h,i)perylene 15 Not detected ug/L EPA625/827013510 4/16/14 WOOD
PIES
7439-97-6 Chlorinated Pesticides in Liquid _TITLE_ ug/L EPA608 4/15/14 JHAYES
15972-60-8 Alachlor 0.28 Not detected ug/L EPA608 4/15/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to ht oo rtxi.nctle"r.areiweb�wgpao�staflr�ioh-haszistnoaca ua!itser codes•htN�_.__ o rczi nctlanrore/e�a�tafintto%techassEst>
Page 4 of 8

NC 1DWQ,La6oratory Section Wosults
11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: 13:10
Result/ Method Ana ysis validated by
Analyte Name PQL Qualifier Units Reference Date
_
0.06 Not detected J2 ug/L EPA608 4/15/14 JHAYES
-00-2 Aldrin ug/L EPA608 4/15/14 JHAYES
319-84-6 BHC-Alpha 0.03 Not detected J2
319-85-7 BHC-Beta 0.03 Not detected u9/L EPA608 4/15/14 JHAYES
319-86-8 BHC_Delta 0.06 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
58-89-9 BHC-Gamma(Lindane) 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
4/15/14 JHAYES
57-74-9 Chlordane,Technical 0.5 Not detected ug/L EPA608
5103-71-9 Chlordane,Alpha 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
5103-74-2 Chlordane,Gamma 0.03 Not detected ug/L EPA608 4/15114 JHAYES
3734-48-3 Chlordene 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
510-15-6 Chlorobenzilate 0.48 Not detected ug/L EPA608 4/15/14 JHAYES
1861-32-1 0.03 Not detected ug/L EPA608 4115/14 JHAYES
DCPA
u9/L EPA 608 4/15/14 JHAYES
53-19-0 DDD 2,4 0.06 Not detected
72-54-8 DDD 4,4 0.03 Not detected J2 u9/L. EPA 608 4/15l14 JHAYES
3424-62-6 DDE 2,4 0.05 Not detected u9/L EPA608 4/15/14 JHAYES
15/14 JHAYES
72-55-9 DDE 4,4 0.03 Not detected J2 u9lL EPA608 4/
789-02-6 DDT 2,4 0.05 Not detected u9/L EPA 608 4/15/14 JHAYES
50-29-3 DDT 4,4 0.03 .Not detected J2 u9/L EPA608 4/15l14 JHAYES
J9 u9lL EPA608 4l15/14 JHAYES
60-57-1 Dieldrin 0.03 0.01
959-96-6 Endosulfan) 0.03 Not detected ug/L EPA608 4l15l14 JHAYES
33213-65-9 Endosulfan II 0.03 Not detected J2 ug/L EPA608 4 JHAYES
4 115/14 JHAYES
15/14
>'-c,31-07-8 Endosulfan sulfate 0.03 0.01 J2,J9 ug/L EPA608 /
0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
10-8 Endrin ug/L EPA 608 4/15/14 JHAYES
7421-93-4 Endrin Aldehyde 0.06 Not detected
53494-70-5 Endrin Ketone 0.03 Not detected u9/L EPA608 4/15/14 JHAYES
2593-15-9 EthaZOle 0.09 Not detected u9/L EPA608 4/15/14 JHAYES
76-44-8 Heptachlor 0.06 Not detected u9/L EPA608 4/15/14 JHAYES
1024-57-3 Heptachlor epoxide 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
118-74-1 Hexachlorobenzene(Pest)
0.02 Not detected ug/L EPA 608 4/15/14 JHAYES
2385-85-5 MIreX 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
39765-80-5 TransNOnaChlOr 0.05 Not detected u9/L EPA608 4/15/14 JHAYES
27304-13-8 Trans ordane 0.05 Not detected ug/L EPA 608 4/15/14 JHAYES
52645-53-1 Mixed Prdane rin 1.20 Not detected ug/L EPA608 4/15/14 JHAYES
1918-16-7 Mixed er 0.54 Not detected ug/L EPA608 4115/14 JHAYES
117-18-0 PropaTecnazene 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
1582-09-8 Trlflurze 0.05 Not detected ug/L EPA608 4/15114 JHAYES
1 Not detected u9/L EPA 608 4/15/14 JHAYES
12674-11-12 Aroclor 1016
u9lL EPA 608 4l15/14 JHAYES
1110428-2 Aroclor 1221 1 Not.detected
11141-16-5 Aroclor 1232 1 Not detected u9/L EPA608 4/15/14 JHAYES
53469-21-9 AfOCIOr 1242 1 Not detected u9/L EPA 608 4l15/14 JHAYES
12672-29-6 Aroclor 1248 1 Not detected u9/L EPA608 4/15/14 JHAYES
11097-69-1 Aroclor 1254 1 Not detected u9lL EPA 608 4/15/14 JHAYES
A 96-82-5 Aroclor 1260 1 Not detected u9/L EPA608 4/15/14 JHAYES
Laboratory Section 1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to hiaj-Lna-�"«="rO "��'"---°�la°�'t°fi"fl�e`"as_s�ztuoata aua.�ee.code btt� o i, db�vanabt tarnfioiechas�sta
Page 5 of 8

NC In.WQ Laboratory Section 1&su&
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: 1s.
PES
CAS# Analvte Name PQL Result/ Units Method Analysis
Qualifier Reference Date validate.
37324-23-5 Aroclor 1262 1 Not detected ug/L EPA 608 4/15/14 JHAYES
8001-35-2 Toxaphen JH
e 3 Not detected ug/L EPA608 4/15/14 AYES \
121-75-5 Acid Herbicides in liquids _TITLE_ ug/L EPA615 4/2114 JHAYES
50594-66-6 Acifluorfen(Blazer)) 0.33 Not detected ug/L EPA 615 4!2/14 JHAYES
25057-89-0 Bentazon
0.42 Not detected ug/L EPA615 4/2/14 JHAYES
94-75-7 2 4-D 0.45 Not detected J2 ug/L EPA615 412/14 JHAYES
94-82-6 2,4-DB
1.35 Not detected ug/L EPA 615 4/2/14 JHAYES
1918-00-9 Dicamba 0.15 Not detected ug/L EPA615
4/2/14 JHAYES
51-36-5 3,5-DichlorobenzoicAcid 0.18 Not detected ug/L EPA615 4/2/14 JHAYES
120-36-5 Dichlorprop 0.54 Not detected ug/L EPA615 4/2/14 JHAYES
88-85-7 Dinoseb 0.63 Not detected ug/L EPA615 4/2/14 JHAYES
100-02-7 4-Nitrophenol(Pest) 0.24 Not detected ug/L EPA615 4/2/14 JHAYES
87-86-5 Pentachlorophenol(PCP) 0.09 Not detected ug1L EPA615 4/2/14 JHAYES
93-76-5 2,4,5-T 0.18 Not detected ug/L EPA615
4/2/14 JHAYES
93-72-1 2,4,5-TP(Silvex) 0.18 Not detected ug/L EPA615 4/2/14 JHAYES
886-50-0 Phosphorus based Pesticides in Liquid _TITLE_ ug/L EPA614 4/1/14 JHAYES
786-19-6 Carbophenothion 0.80 Not detected ug/L EPA614 4/1/14 JHAYES
2921-88-2 Chlorpyrifos 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
78-48-8 DEF(Oxidized merphos) 0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
126-75-° Demeton 0.80 Not detected ug/L EPA614 4/1/14 JHAYES
62-73-7 Dlchlorvos 0.6 Not detected ug/L EPA 614 4/1/14 JHAYES
333-41-5
Diazinon 0.4b Not detected ug/L EPA614 4/1/14 JHAYES
60-51-5 Dimethoate 1.6 Not detected ug/L EPA 6.14 4/1114 JHAYES
298-04-4 Disulfoton 0.9 Not detected ug/L EPA614 4/1/14 JHAYES
2497-06-5 Disulfoton Sulfone 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
2497-07-6 Disulfoton Sulfoxide
10. Not detected ug/L EPA614 4/1/14 JHAYES
563-12-2 E hi 0.40 Not detected ug/L EPA 614 4/1114 JHAYES
563-12-2 EthlOn
0.40 Not detected ug/L EPA614 411/14 JHAYES
13194-48-4 Ethoprop 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
55-38-9 Fenthion 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
115-90-2 Fensulfothion 6 Not detected ug/L EPA614 4/1/14 JHAYES
121-75-5 Marathion
0.5 Not detected ug/L EPA614 4/1/14 JHAYES
6923-22-4 MOnOCrOtOphOS 1.0 Not detected ug/L EPA614 4/1/14 JHAYES
300-76-5 Naled 3.0 Not detected ug/L EPA614 4/1114 JHAYES
56-38-2 Ethyl Parathion 0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
298-00-0 Methyl Parathion 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
7786-34-7 Mevinphos 0.9 Not detected ug/L EPA614 4/1/14 JHAYES
298-02-2 Phorate
0.40 Not detected ug/L EPA614 4/1114 JHAYES
299-84-3 Ronnel 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
3689-24-5 Sulfotepp 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
13071-79-9 Terbufos 0.6 Not detected ug/L EPA614 4/1/14 JHAYES
2675-77-6 Nitrogen based Pesticides in Liquid _TITLE_ ug/L EPA 619 3/28/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to :/!oor,i.neaenr are/web/w ,tafinNo iec aszletpDma ;;Y.er Corles<htQ[f oor-I nctlenr.om/web/wo/;ab/stafinfio/•echa=z?zt>
Page 6 of 8

ArC OIWQ,Laboratory Section&sufts
11118000WENCOVE Sample ID: AC06776 Collect Date: 0 312 4/2 01 4 Collect Time:: 13:10
Result/ Method Analysis Validated by
w Analyte Name PQL Units Reference Date
_ Qualifier
-12-8 Ametryn
9 Not detected ug/L EPA 619 3/28/14 JHAYES
1610-17-9 Atraton 9 Not detected ug/L EPA 619 3/28/14 JHAYES
1912-24-9 Atrazine 9 Not detected ug/L EPA 619 3/28/14 JHAYES
uglL EPA 619 3/28/14 JHAYES
31440-9 BrOmaCll 27 Not detected
23184-66-9 Butachlor 24 Not detected u9/L EPA 619 3/28/14 JHAYES
2008-41-5 BUtylate 9 Not detected u9/L EPA 619 3/28/14 JHAYES
101-21-3 chlorpropham 33 Not detected us/L EPA 619 3/28/14 JHAYES
21725-46-2 Cyanazine 9 Not detected ug/L EPA 619 3/28/14 JHAYES
1134-23-2 Cycloate
9 Not detected ug/L EPA 619 3/28/14 JHAYES
957-51-7 Diphenamid 9 Not detected u9/L EPA 619
3/28/14 JHAYES
759-94-4 EPTC(Eptam) 9 Not detected ug/L EPA 619 3/28114 JHAYES
60168-88-9 Fenarimol 12 Not detected ug/L EPA 619 3/28/14 JHAYES
59756-60-4 Fluridone 80 Not detected J2 ug/L EPA 619 3/28114 JHAYES
51235-04-2 Hexazinone 6 Not detected ug/L EPA 619 3/28114 JHAYES
000950-35-6 Methyl Paraoxon 9 Not detected J2 ug/L EPA 619 3/28/14 JHAYES
51218-45-2 Metolachlor 18 Not detected ug/L EPA 619 3/28/14 JHAYES
21087-64-9 Metribuzin 18 Not detected ug/L EPA 619 3/28/14 JHAYES
2212-67-1 Molinate 9 Not detected ug/L EPA 619 3/28/14 JHAYES
15299-99-7 Napropamide 15 Not detected ug/L EPA 619 3/28/14 JHAYES
27314-13-2 Norflurazon 12 Not detected ug/L EPA 619 3/28/14 JHAYES
14-71-2 Pebulate
9 Not detected ug/L EPA619 3/28/14 JHAYES
9 Not detected ug/L EPA 619 3/28/14 JHAYES
10-18-0 Prometon
u9/L EPA 619 3/28/14 JHAYES
7287-19-6 P(Ometryn 9 Not detected
3/28/14 JHAYES
23950-58-5 Pronamlde 33 Not detected u9/L EPA 619
139-40-2 PfOpaZlne 9 Not detected u9/L EPA 619 3/28/14 JHAYES
1014-70-6 Simetryn
9 Not detected u9/L EPA 619 3/28/14 JHAYES
5902-51-2 Terbal 15 Not detected u9/L EPA 619 3/28/14 JHAYES
ci
34014-18-1 Tebuthiuron 30 Not detected ug/L EPA 619 3/28/14 JHAYES
886-50-0 Terbutryn
9 Not detected ug/L EPA 619 3/28/14 JHAYES
43121-43-3 Triadimefon 9 Not detected ug/L EPA 619 3/28/14 JHAYES
41814-78-2 Tricyclazole 48 Not detected ug/L EPA 619 3/28/14 JHAYES
961-11-5 Tetrachlovinphos 6 Not detected ug/L EPA 619 3/28/14 JHAYES
9 Not detected ug/L EPA 619 3/28/14 JHAYES
1929-77-7 VernOlate ug/L EPA608 4/15/14 JHAYES
2675-77-6 Chioroneb 0.21 Not detected
1897-45-6 Chlorothalonil 0.2 Not detected ug/L EPA 608 4115/14 JHAYES
72-43-5 Methoxychlor 0.15 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
.<ht:/ @1.ncden�;or bo echassist>
For a detailed description ofthe qualifier codes refer to nt:/Poaal.n-ae r lweb�la' tafinfio hecha^s'stq�ata Qualifier code o_ gjw w!�b/•ta8nfich
Page 7 of 8

NC DWQ La6oratorysection&sufts
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: 13:,
PIES
CAS# Analyte Name PQL Result/ Method Analysis ��
Qualifier Units Reference Date Validates
Sample Comments
VOL:VOA-J2-estimated-2 analyte(s)failed<LCL in CV1.
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to hto:!!oorzi,ncdencorefweb!wanan/staflhflohrha•s'stuoat a -�y fie•Code•<ht /oer•a{,ncdenr,ore/web/wa/'a6/1aHnfloftechu•sisD
Page 8 of 8

Sample ID: AC06777
BUNCOMBE
0 '{ PO Number# 14130081
Date Received: 03/26/2014
ro AROAP 07:50
Time Received:
ollector: B LAVERTY
Labworks LoginlD MSWIFT
Region: ARIDFinal Report Date: 5/14/14
Sample Matrix: GROUNDWATER ; Ftnal Regbr� Report Print Date: 05/27/2014
Loc.Type: WATER SUPPLY
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: CHARLES CLOUSE 80 COWEN COVE ROAD ASHEVILLE.NC
Pflare) We
Location ID: 11118000WENCOVE
Collect Date: 03/24/2014 Collect Time: 14:39 Sample Depth
/f this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory Purposes-
Result/ Method. Analysis Validated by
CAS# Analyte Name PQL Units Qualifier Reference Date
LAB 3/26/14 MSWIFT
Sample temperature at receipt by lab 1.8 ec
NUT
NO2+NO3 as N in liquid 0.02 0.02 U mg/Las N EPA 353.2 REV 2 3/27/14 CGREEN
Nitrate as N in liquid 0.02 0.02 U mg/L as N EPA 353.2 REV 2 5/14/14 CGREEN
Nitrite as N in liquid 0.01 0.01 U mg/L as N EPA 353.2 REV 2 3/26114 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U u9/L EPA200.8 4l16/14 ESTAFFORDI
7429-90-5 Al by ICP 50 50 U ug/L EPA 200.7 4/21/14 ESTAFFORD1
2 0 20 U ug/L EPA200.8 4/16/14 ESTAFFORD1
.
�440-38-2 As by ICPMS ug/L EPA200.7 4/21/14 ESTAFFORD1
0-38-3 Ba by ICP 10 IOU
4/21/14 ESTAFFORD1
7aaoao-z Ca by ICP 0.10 14 mg/L EPA20067
u9/L EPA200.8 4/1.6/14 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U
u9/L EPA 200.8 4/16/14 ESTAFFORD1
7440-47-3 Cr by ICPMS 10 IOU
7440-50-8 Cu by ICPMS 2.0 14 ug/L EPA200.8 4/16/14 ESTAFFORD1
7439-89-6 Fe by ICP 50 1900 ug/L EPA200.7 41 1/14 ESTAFFORD1
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 4/10/14 ESTAFFORD1
7440-09-7 KbyICP 0.10 2.1 mg/L EPA200.7 4/21/14 ESTAFFORD1
7439-95-4 Mg by ICP 0.10 1.6 mg/L EPA200.7 4/21/14 ESTAFFORD1
7439-96-5 Mn by ICP 10 33 ug/L EPA200.7 4/21/14 ESTAFFORD1
7440-23-5 Na by ICP 0.10 8A mg/L EPA 200.7 4/21/14 ESTAFFORD1
7440-02-0 Niby ICPMS 10 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7439-92-1 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7782-49-2 Pb Se by ICPMS 5.0 6.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7440-66-6 Se 10 22 ug/L EPA200.8 4/16/14 ESTAFFORD1
Zn by ICPMS
VOL
TITLE_ us/L EPA5030/624/8260 3/28/14 VANDREWS
120-82-1 Volatile Organics in liquid
u9/L EPA5030/624/8260 3/28/14 VANDREWS
75-71-8 Dichlorodifluoromethane 2.0 Not detected
7 us/L EPA5030/624/8260 3/28/14 VANDREWS
4-87-3 Chloromethane 2.0 Not detected
75-01-4 Vinyl Chloride 2.0 Not detected us/L EPA5030/624/8260 3/28I14 VANDREWS
83-9 Bromomethane 2.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
1 -3 Chloroethane 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to htR,ILP_i.�caen� bi'n-b fine h-names stxoata q_a Lf Cade=<htp!/aorca1 ncd nr.ore/web�w ab stafinNoh,=chassisb
Page 1 of 8

Nc DWQ Laboratory section Wfsufts
Location ID: 11118000WENCOVE Sample ID: AC06777 Collect Date: 03/24/2014 Collect Time:: 14
VOL
CAS# Analvte Name PQL Result/ Method Anal sis
ualifier Units Validated
75-69-4 Trichlorofiuoromethane �--- Reference Date
2.0 Not detected u9/L EPA5030/624/8260 3/28114 VANDREWS
75-35-4 1,1-Dichloroethene 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
75-09-2 Methylene Chloride 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
156-60-5 trans-1,2-Dichloroethene 1.0 Not detected ug/L EPA50301624/8260 3/28/14 VANDREWS
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
75-34-3 11-Dichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
156-59-2 cis-1,2-Dichloroethene 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
74-97-5 Bromochloromethane 1.0 Not detected ug/L EPA50301624/8260 3/28/14 VANDREWS
67-66-3 Chloroform 1.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
594-20-7 2,2-Dichloropropane 2.0 Not detected ug/L EPA50301624/8260 3128/14 VANDREWS
107-06-2 1,2-Dichloroethane 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
71-55-6 1,1,1-Trichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
563-58-6 1,1-Dichloropropene 1.0 Not detected ug/L EPA6030/624/8260 3/28/14 VANDREWS
56-23-5 Carbon Tetrachloride 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
71-43-2 Benzene 1.0 Not detected u9/L EPA5030/624/6250 3/28/14 VANDREWS
74-95-3 Dibromomethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/1 VVANDREWS
78-01-5 richl meth propane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
79-01-6 Trichloroethene 1.0 Not detected ug/L EPAW30/624/8260 3/28/14 VANDREWS
75-27-4 Bromodichloromethane 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
10061-01-5 CIS-1,3-Dichloropropene 2.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS f`
79-00-5 1,1,2-Trichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-88-3 Toluene
1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
142-28-9 1,3-Dichloropropane 1.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
124-48-1 Dibromochloromethane 2.0 Not detected ug/L EPA50301624/8260 3/28/14 VANDREWS
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
127-18-4 Tetrachloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
Chloro
100-90-7 Ethylb nzene a 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
75-25-24 Ethylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28114 VANDREWS
75-25-2 Bromoform 2.0 Not detected J2 ug/L EPA5030/624/8260 3128/14 VANDREWS
108-38-3 rn,p-Xylene 2.0 Not detected ug/L EPA50301624/8260 3/28/14 VANDREWS
100-42-5 Styrene 1.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
630-20-6 1,1,1,2-Tetrachloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
95-47-6 o-Xylene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
96-18-4 1,2,3-Trichooropropane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
98-82-8 Isopropylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-86-1 Bromobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
103-65-1 n-Propylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
95-49-8 2-Chlorotoluene 1.0 Not detected ug/L EPA5030/62418260 3128/14 VANDREWS
106-43-4 4-Chlorotoluene 1.0 Not detected ug/L EPA5030/624/8260 3/28114 VANDREWS
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
i
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to nto://oo,rzi�cde r/weN c/I S/t fi fi k ti istsoma auaiif-code.<hta//oor,�i d �/ L'w/lab stafinr_,'o tz<hasssv
Page 2 of 8

9VC O WQ Ga6oratory Section�R?sufts
11118000WENCOVE Sample ID: AC06777 Collect Date: 03/24/2014 Collect Time:: 14:39
Result/ Method Analysis Validated by
4 Analyte Name PQL Units Qualifier Reference Date
,,6-6 tert-Butylbenzene 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
95-63-6 1,2,4-Trimethylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
ug/L EPA5030/624/8260 3/28/14 VANDREWS
135-98-8 seGButylbenzene 1.0 Not detected
4/8260 3/28/14 VANDREWS
541-73-1 m-Dichlorobenzene(1,3) 1.0 Not detected u9/L EPA5030/62
106-46-7 p-Dichlorobenzene(1,4) 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
95-50-1 o-Dichlorobenzene(1,2) 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
99-87-6 p-lsopropyltoluene 1.0 Not detected us/L EPA503Q/624/8260 3/28/14 VANDREWS
104-51-8 n-Butylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
96-12-8 1,2-Dibromo-3-Chloropropane 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
120-82-1 1,2,4-Trichlorobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28114 VANDREWS
91-20-3 Naphthalene 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
87-68-3 Hexachlorobutadiene 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
87-61-6 1,2,3-Trichlorobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
SEM
93-72-1 Semivolatile Organics(BNAs)in liquid TITLE_ ug/L EPA625/8270/3510 4/16/14 NGOOD
EPA625/8270/3510 4l16/14 NGOOD
62-53-3 Aniline
12 Not detected ug/L
108-95-2 Phenol
10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
111-44-4 Bis(2-chloroethyl)ether 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
95-57-8 Chlorophenol,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
541-73-1 Dichlorobenzene, 1,3 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
111s-46a Dichlorobenzene, 1,4-
10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
30 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
r-51-6 BenZyl alcohol
u9/L EPA625/8270/3510 4/16/14 NGOOD
95-50-1 Dichlorobenzene, 1,2- 10 Not detected
95-48-7 Methylphenol,2- 10 Not detected u9/L EPA625/8270/3510 4/16/14 NGOOD
WOOD
39638-32-9 Bis(2-chloroisopropyl)ether 10 Not detected u9/L EPA625/8270/3510 4/16/14 W
106-44-5 Methylphenol,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
621-64-7 N-nitrosodi-n-propylamine 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
67-72-1 Hexachloroethane 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
98-95-3 Nitrobenzene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
78-59-1 Isophorone 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
88-75-5 Nitrophenol,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
105-67-9 Dimethylphenol,2,4- 10
65-85-0 Benzoic acid 50 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
120-83-2 Dichlorophenol,2,4- 10 Not detected ug/L EPA625/827013510 4/16/14 NGOOD
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected u9/L EPA625/8270/3510 4/16/14 NGOOD
91-20-3 Naphthalene(SV)
10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
106-47-8 Chloroaniline,4- 12 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
87-68-3 Hexachlorobutadiene(SV) 10 Not detected ug/L EPA625/8270/3510 4/16114 WOOD
59-50-7 Chloro-3-methyl phenol,4- 15 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
91-57-6 Methylnaphthalene,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
Hexachlorocyciopentadiene 12 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
Laboratory Section 1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to htp,11 onal cce"r or�lwetr w is�staflMrohechassrstao,=ta quaiine_Codes�hto'/!o�tai nmenr re/web/waliab/stafinfioJ2echassisi>
Page 3 of 8

NC 1DWQ La6oratorySection Qil,?sufts
Location ID: 11118000WENCOVE Sample ID: AC06777 Collect Date: 03/24/2014 Collect Time:: 14:�
SEM
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date yaiidateu.
88-06-2 Trichlorophenol,2,4,6- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
95-95-4 Trichlorophenol,2,4,5- 12 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD \
91-58-7 Chloronaphthalene,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
88-74-4 Nitroaniline,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
131-11-3 Dimethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
208-96-8 Acenaphthylene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
606-20-2 Dinitrotoluene,2,6- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
99-09-2 Nitroaniline,3- 50 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
83-32-9 Acenaphthene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
51-28-5 Dinitrophenol,2,4- 50 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
100-02-7 Nitrophenol,4- 50 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
132-64-9 Dibenzofuran 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
121-14-2 Dinitrotoluene,2,4- 10 Not detected ug/L EPA625/8270/3510 4/16114 NGOOD
84-66-2 Diethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
7005-72-3 Chlorophenyl phenyl ether,4 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
86-73-7 Fluorene 12 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
100-01-6 Nitroaniline,4- 50 Not detected J2 ug/L EPA626/8270/3510 4/16/14 WOOD
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
86-30-6 N-nitrosodiphenylamine 10 Not detected ug/L EPA625/8270/3510 4116/14 NGOOD
101-55-3 BrOmOphenyl phenyl ether,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
118-74-1 Hexachlorobenzene 10 Not detected ug/L EPA62518270/3510 4116/14 NGOOD
87-86-5 Pentachlorophenol 30 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
l
65-01-8 Phenanthrene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
120-12-7 Anthracene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
84-74-2 Di-n-butyl phthalate 10 Not detected u9/L EPA625/8270/3510 4/16/14 NGOOD
-00-o Fluoranthene
129 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
129-00-o Pyrene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
85-68-7 Butylbenzyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
91-94-1 Dichlorobenzidine, 3,3'- 30 Not detected J2 ug/L EPA625/8270/3510 4/16/14 NGOOD
56-55-3 Benzo(a)anthracene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
218-01-9 Chrysene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
117-81-7 Bis(2-ethylhexyl)phthalate 10 Not detected ug/L EPA625/8270/3510 4116/14 WOOD
117-84-0 Di-n-octyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
207-08-9 Benzo(k)fluoranthene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA62518270/3510 4/16/14 NGOOD
193-39-5 Indeno(1,2,3-cd)pyrene 15 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
53-70-3 Dibenzo(a,h)anthracene 15 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
191-24-2 Benzo(g,h,i)perylene 15 Not detected ug/L EPA625/8270135 00 4/16/14 NGOOD
PES
7439-97-6 Chlorinated Pesticides in Liquid _TITLE_ ug/L EPA608 4/15/14 JHAYES
15972-60-8 Alachlor 0.28 Not detected ug/L EPA 608 4/15/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description ofthe qualifier codes refer to tqtpu oorai_w m//wt,/�iae/stafineoh�<rasz itaoat q•a�fie coats<nm u
.neden— web ww b%,tafinfia/techassisb
Page 4 of 8

NC OWQ Laboratory Section'Resurts
'.11118000WENCOVE Sample ID: AC06777 Collect Date: 03/24/2014 Collect Time:: 14:39
Result/ Method Anal Validated by
alvte Nam
,# Ane PQL Units Qualifier. Reference Date
0.06 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
-00-2 Aldrin ug/L EPA608 4/15/14 JHAYES
319-84-6 BHC-Alpha 0.03 Not detected J2
319-85-7 BHC-Beta 0.03 Not detected ug/L_ EPA608 4/15/14 JHAYES
319-86-8 BHC_Delta 0.06 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
58-89-9 BHC-Gamma(Lindane) 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
57-74-9 Chlordane,Technical 0.5 Not detected ug/L EPA608 4/15/14 JHAYES
5103-71-9 Chlordane,Alpha 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
5103-74-2 Chlordane,Gamma 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
3734-48-3 Chlordene 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
510.15-6 ChlOrobenZllate 0.48 Not detected ug/L EPA608 4/15/14 JHAYES
1861-32-1 DCPA 0.03 Not detected ug/L EPA608 4/15114 JHAYES
53-19-0 DDD 2,4 0.06 Not detected u9/L EPA 608 4/15/14 JHAYES
72-54-8 DDD 4,4 0.03 Not detected J2 ug/L EPA 608 4/15114 JHAYES
4g/L EPA 608 4/15/14 JHAYES
3424-82-6 DDE 2,4 0.05 Not detected
72-55-9 DDE 4,4 0.03 Not detected J2 us/L EPA soa 4/15/14 JHAYES
789-02-6 DDT 2,4 0.05 Not detected u9/L EPA 608 4/15/14 JHAYES
50-29-3 DDT 4,4 0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
60-57-1 Dieldrin 0.03 Not detected ug/L EPA 608 4/15/14 JHAYES
959-98-8 Endosulfan1 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
33213-65-9 Endosulfan it 0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
-1-131-07-8 Endosulfan sulfate 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
003 Not detected J2 ug/L EPA608 4/15/14 JHAYES
.
,20-8 Endrin ug/L EPA608 4/15114 JHAYES
7421-93-4 Endrin Aldehyde 0.06 Not detected
53494-70-5 Endrin Ketone 0.03 Not detected u9/L EPA608 4/15114 JHAYES
2593-15-9 Ethazole 0.09 Not detected ug/L EPA608 4/15/14 JHAYES
76-44-8 Heptachlor 0.06 Not detected ug/L EPA608 4/15/14 JHAYES
1024-57-3 Heptachlor epoxide 0.03 Not detected ug/L EPA 608 4/15/14 JHAYES
118-74-1 Hexachlorobenzene(Pest) 0.02 Not detected ug/L EPA608 4/15/14 JHAYES
0.03 Not detected ug/L EPA608 4/15/14 JHAYES
2385-85-5 MIreX ug/L EPA608 4/15/14 JHAYES
39765-80-5 Trans Nonachlor 0.05 Not detected
27304-13-8 pxychlordane 0.05 Not detected ug/L EPA608 4/15/14 JHAYES
52645-53-1 Mixed Permethrin 1.20 Not detected ug/L EPA 608 4/15/14 JHAYES
1918-16-7 Propachlor 0.54 Not detected ug/L EPA608 4/15/14 JHAYES
117-18-0 Tecnazene 0.03 Not detected u9/L EPA 608 4115/14 JHAYES
1582-09-8 Trifluralin 0.05 Not detected ug/L EPA 608 4/15/14 JHAYES
12674-11-12 Aroclor 1016 1 Not detected ug/L EPA608 4/15/14 JHAYES
11104-28-2 Aroclor 1221 1 Not detected ug/L EPA 608 4/15/14 JHAYES
11141-16-5 Aroclor 1232 1 Not detected ug/L EPA608 4/15/14 JHAYES
53469-21-9 Aroclor 1242 1 Not detected ug/L EPA608 4/15/14 JHAYES
12672-29-6 Aroclor 1248 1 Not detected ug/L EPA 608 4/15114 JHAYES
11097-69-1 Aroclor 1254 1 Not detected ug/L EPA 608 4/15/14 JHAYES
"'?96-82-5 Aroclor 1260 1 Not detected ug/L EPA608 4/15/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
w�Lb�nafirtfic:echassisb
For a detailed description of the qualifier codes refer to ht c�i denr are/web/wgLlstaeneo:e<ha i moats QuaiF�r Cades ahtp/I oon=I.ncdenr oroJwetr l
Page 5 of 8

NC 10WQ La6oratory,Section 4?Ssufts
Location ID: 11118000WENCOVE Sample ID: AC06777 Collect Date: 0 3/2 412 01 4 Collect Time:: 1"C
PES
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier UnitsValidate,
37324-23-5 Aroclor 1262 Reference Date
1 Not detected ug/L EPA 608 4/15/14 JHAYES
8001-35-2 Toxaphene 3 Not detected ug/L EPA 608 4/15/14 JHAYES
121-75-5 Acid Herbicides in liquids _TITLE_ ug/L EPA 615 412/14 JHAYES
50594-66-6 AcifluorfenBlazer
(Blazer) 0.33 Not detected u9/L EPA 615 4/2/14 JHAYES
25057-89-0 Bentazon
0.42 Not detected ug/L EPA 615 412114 JHAYES
94-75-7 2,4-D
0.45 Not detected J2 ug/L EPA 615 4/2/14 JHAYES
94-82-6 2,4-DB
1.35 Not detected ug/L EPA 615 4/2/14 JHAYES
1916-00-9 Dicamba
0.15 Not detected ug/L EPA 615 4/2/14 JHAYES
51-36-5 3,5-DichlorobenzoicAcid
0.18 Not detected u9/L EPA 615 4/2/14 JHAYES
120-36-5 Dichlorprop 0.54 Not detected ug/L EPA 615 412/14 JHAYES
88-85-7 Dinoseb 0.63 Not detected ug/L EPA 615 4/2/14 JHAYES
100-02-7 4-Nitrophenol(Pest) 0.24 Not detected ug/L EPA 615
4/2/14 JHAYES
87-86-5 Pentachlorophenol(PCP) 0.09 Not detected ug/L EPA 615 4/2/14 JHAYES
93-76-5 2,4,5-T 0.18 Not detected ug/L EPA 615 4/2/14 JHAYES
93-72-1 2,4,5-TP Silvex
( ) 0.18 Not detected ug/L EPA 615 4/2/14 JHAYES
886-50-0 Phosphorus based Pesticides in Liquid _TITLE_ ug/L EPA 614 4/1/14 JHAYES
786-19-6 Carbophenothion 0.80 Not detected ug/L EPA 614 4/1/14 JHAYES
2921-88-2 Chlorpyrifos 0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
78-48-8 DEF(Oxidized merphos) 0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
126-75-0 Demeton 0.80 Not detected ug/L EPA 614 4/1/14 JHAYES
62-73-7 Dichlorvos 0.6 Not detected ug/L EPA 614 4/1/14 JHAYES
f�
333-41-5 Diazinon 0.40 Not detected ug/L EPA 614 4/1/14 JHAYES �, -
60-51-5 Dimethoate
1.6 Not detected u9/L EPA 614 4/1/14 JHAYES
298-04-4 Disulfoton 0.9 Not detected ug/L EPA 614 4/1/14 JHAYES
2497-06-5 Disulfoton Sulfone
0.40 Not detected us/L EPA 614 4/1/14 JHAYES
2497-07-6 Disulfoton Sulfoxide
10. Not detected u9/L EPA 614 4/1/14 JHAYES
2104-64-5 EPN 0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
563-12-2 EttllOn
0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
13194-48-4 Ethoprop 0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
55-38-9 FenthlOn
0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
115-90-2 Fensulfothion
6 Not detected u9/L EPA 614 4/1/14 JHAYES
121a5-5 Marathion
0.5 Not detected ug/L EPA 614 411114 JHAYES
6923-22-4 Monocrotophos 1.0 Not detected ug/L EPA 614 4/1/14 JHAYES
300-76-5 Naled
3.0 Not detected ug/L EPA 614 4/1/14 JHAYES
56-38-2 Ethyl Parathion 0.40 Not detected ug/L EPA 614 4/1114 JHAYES
298-00-0 Methyl Parathion 0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
7786-34-7 Mevinphos 0.9 Not detected ug/L EPA 614 411/14 JHAYES
298-02-2 Phorate 0.40 Not detected ug/L EPA 614 4/1114 JHAYES
299-84-3 Ronnel
0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
3689-24-5 SUlfotepp 0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
13071-79-9 Terbufos 0.6 Not detected ug/L EPA 614 4/1/14 JHAYES
2675-77-6 Nitrogen based Pesticides in Liquid _TITLE_ ug/L EPA619 3/28/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer Wirt /w lab stafinfiohechassistaoatag a!�Fe Ccacs<ht: r-.n p .._I Wenr,orB/web/'no/iab&.finfic/,-hassisb
Page 6 of 8

NC OWQ Laboratory Section qZfsufts
11118000WENC0VE Sample le ID: AC06777 Collect Date:. 03/24/2014 Collect Time:: 14:39
Result/ Method Analysis Validated by
Qualifier Analyte Name PQL Units Reference Date
—
9 Not detected ug/L EPA619 3/28/14 JHAYES
Ametryn
1610-17-9 Atraton 9 Not detected ug/L EPA 619 3/28/14 JHAYES
1912-24-9 Atrazine 9 Not detected u9/L EPA619 3/28/14 JHAYES
314-40-9 Bromacil 27 Not detected ug/L EPA619
3/28/14 JHAYES
23184-66-9 Butachlor 24 Not detected ug/L EPA619 3/28/14 JHAYES
2008-41-5 Butylate 9 Not detected ug/L EPA619 3/28/14 JHAYES
101-21-3 chlorpropham 33 Not detected ug/L EPA619 3128/14 JHAYES
21725-46-2 CyanaZlne
9 Not detected ug/L EPA619 3/28/14 JHAYES
1134-23-2 Cycloate 9 Not detected ug/L EPA 619 3/28/14 JHAYES
957-51-7 Diphenamid 9 Not detected ug/L EPA619 3/28/14 JHAYES
759-94-4 EPTC(Eptam) 9 Not detected ug/L EPA 619 3/28/14 JHAYES
60168-88-9 Fenarimol 12 Not detected ug/L EPA619 3/28/14 JHAYES
59756-60-4 FIUfIdOne
80 Not detected J2 ug/L EPA 619 3/28114 JHAYES
51235-04-2 Hexazinone 6 Not detected ug/L EPA619 3/28/14 JHAYES
000950-35-6 Methyl Paraoxon 9 Not detected J2 ug/L EPA619 3/28/14 JHAYES
51218-45-2 Metolachlor 18 Not detected ug/L EPA619 3/28/14 JHAYES
21087-64-9 Metribuzin 18 Not detected ug/L EPA619 3/28/14 JHAYES
2212-67-1 Molinate 9 Not detected ug/L EPA 619 3/28/14 JHAYES
15299-99-7 Napropamide 15 Not detected ug/L EPA619 3/28/14 JHAYES
27314-13-2 Norflurazon 12 Not detected u9/L EPA619 3/28/1.4 JHAYES
9 Not detected ug/L EPA619 3/28l14 JHAYES
- '^14-71-2 Pebulate ug/L EPA619 3/28l14 JHAYES
10-18-o Prometon 9 Not detected
7287-19 6 Prometryn 9 Not detected ug/L EPA 619 3/28114 JHAYES
7287-19-6 Prometryn 33 Not detected ug/L EPA619 3/28/14 JHAYES
9 Not detected u9/L EPA619 3/28/14 JHAYES
139-40-2 Propazine
u9/L EPA619 3l28/14 JHAYES
1014-70-6 Simetryn 9 Not detected
5902-51-2 Terbacil 15 Not detected u9/L EPA 619 3/28/14 JHAYES
34014-18-1 Tebuthiuron 30 Not detected ug/L EPA619 3/28/14 JHAYES
9 Not detected u9/L EPA619 3/28/14 JHAYES
886-50-0 Terbutryn ug/L EPA 619 3/28114 JHAYES
43121-43-3 Thadimefon 9 Not detected
41814-78-2 Tricyclazole 48 Not detected u9/L EPA 619 3/28/14 JHAYES
961-11-5 Tetrachlovinphos 6 Not detected ug/L EPA619 3/28/14 JHAYES
1929-77-7 Verholate 9 Not detected ug/L EPA619
3/28/14 JHAYES
2675-77-6 Chloroneb 0.21 Not detected ug/L EPA 608 4115/14 JHAYES
1897-45-6 Chlorothalonil 0.2 Not detected ug/L EPA608 4/15/14 JHAYES
72-43-5 Methoxychlor 0.15 Not detected J2 ug/L EPA608 4/15/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to kaixLzonmt._nr_ /wev1�*-gda annfiohe:eaasistttoaxa a anrier cwe-ht mi nwenr oretweb/wa/iab/uafinficL�e<ha r_sn
Page 7 of 8

NC DWQ La6oratory section Q?.psufts
Location ID: 11118000WENCOVE Sample ID: AC06777 Collect Date: 03/24/2014 Collect Time:: 14.
PES
CAS# Analvte Name PQL Result/ Method Analysis \`
Qualifier Units Reference Date yaliaa e
Sample Comments
[PES:AH-J2-estimated-1
L:VOA-J2-estimated-1 analyte(s)<LCL in LCS.
analyte(s)<LCL in LCS.
S:ONP-J2-estimated-2 anaytes failed to meet curve fit criteria.
SEMI:SV-J2-estimated-1 analyte(s)failed to meet curve fit criteria
SEMI:SV-J2-estimated-1 analyte(s)failed<LCL in CV2.
PES:OCP-J2-estimated-9 anaytes failed to meet curve fit criteria.
PES:OCP-J2-estimated-2 analytes failed<LCL in CV2.
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to hey��/��,tzi.ns!enr ore/web�w lab stafinHohe<hus'st#o t ga:irer codes<bt: yorcal ncdenr eb w b stafinfio techass;rt>
orRlw L..9L.L_�L�
Page 8 of 8

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E Skvarla,III
ry Secretary
Governor
June 5,2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 70121010 0002 1965 7482
Mr. Joseph M. Moore,II,E P
City of Brevard
Brevard WWTP
95 West Main Sreett
Brevard,North Carolina 28712
Subject: . Notice of Violation and
Recommendation for Enforcement
Tracking#: NOV-2014-LV-0250
Brevard WWTP
NPDES Permit No.NCO060534
Transylvania County
Dear Mr. Moore:
A review of the February 2014 self-monitoring report for the subject facility revealed violations of the
following parameters:
Date Outfall Parameter Reported Value Permit Limit
02/28/2014 001 BOD 38.3 mg/1 30 mg/1
02/01/2014 001 BOD 54.7 mg/1 45 mg/1
02/22/2014 001 BOD 49.1 mg/1 45 mg/1
02/28/2014 001 TSS 34.9 mg/1 30 mg/1
02/01/2014 001 TSS 51.4 mg/1 45 mg/1
A Notice of Violation/Notice of Recommendation for Enforcement(NOV/NRE) is being issued for the
noted violation of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No.NC0060534.
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 you wish to provide additional information
regarding the noted violation, request technical assistance, or discuss overall compliance please respond in
writing within ten(10)days after receipt of this Notice. A review of your response will be considered along
with any information provided on the February 2014 Discharge Monitoring Report. 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.
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: hftp://portal.ncdenr.org/web/wq
An Equal Opportunityl Affirmative Action Employer

Mr. Joseph M. Moore
June 5, 2014
Page Two
Remedial actions, if not already implemented, should be taken to correct any problems. The Division o
Water Resources may pursue enforcement actions for this and any additional violations. 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. You may
contact this office for additional information.
If you have questions concerning this matter,please do not hesitate to contact Janet Cantwell or
me at 828/296-4500.
Sincerely,
G. Lan on Davidson, P.G., Regional Supervisor
Water Quality Regional Operations,NCDENR
Asheville Regional Office
cc: WQ Asheville Files
MSC 1617-Central Files-Basement
WQ Enforcement/'NPDES Point Source Branch
............_...._...
G:`WR'NVQ`:'rransylvai:ia'•;Waitem,atel".Mtmicipal'.&revard WAIFM 60534,NOV-NRE>-2014-I,V-0250.doe

NCDENR
North Carolina Department of Environment and Natural Resources
John E Skvarla,III
Pat McCrory Secretary
Governor
June 5,2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7012 1010 0002 1965 7499
Mr. Joseph M. Moore, II, E P
City of Brevard
Brevard WWTP
95 West Main Sreett
Brevard,North Carolina 28712
Subject: Notice of Violation and
Recommendation for Enforcement
Tracking#: NOV-2014-LV-0251
Brevard WWTP
NPDES Permit No.NCO060534
Transylvania County
Dear Mr. Moore:
A review of the March 2014 self-monitoring report for the subject facility revealed violations of the
following parameters:
Date Outfall Parameter Reported Value Permit Limit
03/31/2014 001 BOD 54.6 mg/1 30 mg/1
03/15/2014 001 BOD 52.9 mg/1 45 mg/l
03/22/2014 001 BOD 77.4 mg/1 45 mg/1
03/29/2014 001 BOD 53.0 mg/1 45 mg/1
03/31/2014 001 TSS 46.3 mg/1 30 mg/1
03/22/2014 001 TSS 57.9 mg/1 45 mg/1
03/29/2014 001 TSS 54.2 mg/l 45 mg/1
A Notice of Violation/Notice of Recommendation for Enforcement(NOV/NRE)is being issued for the
noted violation of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No.NC0060534.
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 you wish to provide additional information
regarding the noted violation,request technical assistance, or discuss overall compliance please respond in
writing within ten(10) days after receipt of this Notice. A review of your response will be considered along
with any information provided on the March 2014 Discharge Monitoring Report. 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.
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http:l/poaal.ncdenr.org/web/wq
An Equal Opportunity/Affirmative Acton Employer

Mr. Joseph M. Moore
June 5, 2014
Page Two
A
Remedial actions, if not already implemented, should be taken to correct any problems. The Division oj.
Water Resources may pursue enforcement actions for this and any additional violations. 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. You may
contact this office for additional information.
If you have questions concerning this matter,please do not hesitate to contact Janet Cantwell or
me at 828/296-4500.
Sincerely,
G. Landon-Davidson,P.G.,Regional Supervisor
Water Quality Regional Operations,NCDENR
Asheville Regional Office
cc: WQ Asheville Files
MSC 1617-Central Files-Basement
WQ Enforcement/NPDES Point Source Branch
�i:`.WR bVQ'':7"rags}lvania.(x astzwa[r Viun cipal,Brevaiit MVP 60534`NOV-NRF-2014-I..V-025I.doc

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 6, 2014
Audrey Kuykendall.
Brookside Village Association
630 Brookside Camp Rd
Hendersonville NC 28792
SUBJECT: Compliance Sampling Inspection
Brookside Village WWTP
Permit No:NCO083313
Henderson County
Dear Ms. Kuykendall:
On April 23, 2014, I conducted a compliance sampling inspection of the Brookside Village waste water
treatment plant. The facility was found to be in compliance with permit NC0083313.
Please refer to the enclosed inspection report for additional observations and comments. Should you have any
questions or comments,please call me at 828-296-4500.
Sincer ly,
Katherine H. Jimison
Chemistry Tecnician III
Asheville Regional Office
Enclosure
cc: James &James Environmental
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://poaal.nodenr.org/Webtwq/ws
An Equal Opportunity 1 Affirmative Action Employer
G:iWRIWQIHenderson\WastewateAminors\Brookside Village 83313\83313 CSI 2014.doc

i
�/
,.
��;:

United States Environmental Protection Agency Form Approved.
p/n� Washington,D.C.20460 OMB No.2040-0057
EPA/'1 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
111 12 14/04/23 17 18I S I 19101 20I_I
1 I N I 2 15 I 31 NCO083313
Remarks 6
21111111111 I j I U � � � � � � � � � � � � � � �
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA
----Reserved----—-------------$o
67 I 169 70I 3 I 71 U 721 NJ 73 LU 74 751 1 1 1 1 1
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) 11/01/01
11:50 AM 14/04/23
Brookside Village WWTP
Exit Time/Date Permit Expiration Date
630 Brookside Camp Rd
12:40 PM 14/04/23 15/11/30
Hendersonville NC 28792
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Kenneth Jason Rummel/ORC/828-697-0063/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Audrey Kuykendall,630 Brookside Camp Rd Hendersonville NC 28792/President/828-692-3No/
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit ■Flow Measurement Operations&Maintenance N Effluent/Receiving Waters
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)
r
on ARO WQ//828-296 4500/f 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 yr/mo/day Inspection Type (cont'.j
3 I NC6083313 111 12I 14/04/23 117 18 I S
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Juanita James with James and James Environmental assisted in this inspection. Samples of the effluent
were taken and analyzed at the Asheville Regional Lab. The results are as follows:
BOD 5.2 mg/I
TSS 6.2U mg/I
Fecal Coliform 11 CFU/100m1
Field data on site:Effluent DO 10.74 mg/I
Effluent pH 6.8
Effluent Temp. 14 degrees C
Flow 0.001 MGD
Field Effluent data supplied by ORC, analyzed with ORC's equipment.
Aeration basin DO and settleable solids monitored by ORC. Effluent DO, pH and temperature are monitored
by ORC.
Juanita James with James and James stated that alarms and floats are in working order in the equalization
basin.
Sludge blanket was visible several feet down in clarifier. The supernate was clear.
The daily log is a spiral bound notebook. It was suggested that a sewn bound log book be used. This aids in
the prevention of page loss or removal.
Page# 2

Permit: NCO083313 Owner-Facility: Brookside Village WWTP
,ispection Date: 04/23/2014 Inspection Type: Compliance Sampling
Yes No NA NE
Operations &Maintenance
■ nnn
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters,for ex:MLSS,MCRT,Settleable Solids,pH,DO,Sludge ■ ❑ n Q
Judge,and other that are applicable?
Comment: Aeration basin DO and settleable solids monitored by ORC. Effluent DO,
pH and temperature are monitored by ORC.
Yes No NA NE
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
nn ■ n
■ 000
Is the facility as described in the permit?
0 0 0 0
#Are there any special conditions for the permit?
■ nnn
Is access to the plant site restricted to the general public?
■ nnn
Is the inspector granted access to all areas for inspection?
Comment:
Yes No NA NE
Equalization Basins
■ .nnn
Is the basin aerated?
,- Is the basin free of bypass lines or structures to the natural environment? ■ nnn
■ nnn
Is the basin free of excessive grease?
■ nnn
Are all pumps present?
■ nnn
Are all pumps operable?
Are float controls operable?
nnn ■
Are audible and visual alarms operable?
■ nnn
#Is basin size/volume adequate?
Comment: Juanita James with James and James stated that alarms and floats are in
working order in the equalization basin.
Yes No NA NE
Bar Screens
Type of bar screen
■
a.Manual
n_
b.Mechanical
■ nnn
Are the bars adequately screening debris?
■ nnn
Is the screen free of excessive debris?
■ nnn
Is disposal of screening in compliance?
■ nnn
Is the unit in good condition?
Page# 3

Permit: NCO083313 Owner-Facility: Brookside Village WWTP \
Inspection Date: 04/23/2014
Inspection Type: Compliance Sampling
Bar Screens Yes No NA NE
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system
Diffused
Is the basin free of dead spots? 0 013 n
Are surface aerators and mixers operational? n n M n
Are the diffusers operational? n n n
Is the foam the proper color for the treatment process? n f1 n
Does the foam cover less than 25%of the basin's surface? n 0 0
Is the DO level acceptable? n n n
Is the DO level acceptable?(1.0 to 3.0 mg/1) n n n
Comment:
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? n n n
Is the site free of excessive buildup of solids in center well of circular clarifier? n ❑ n
Are weirs level? n f1 n
Is the site free of weir blockage? n n n
Is the site free of evidence of short-circuiting? M n_n n
Is scum removal adequate? M n n n
Is the site free of excessive floating sludge? ■ n n n
Is the drive unit operational? n n 0 n
Is the return rate acceptable(low turbulence)? ■ n n n
Is the overflow clear,of excessive solids/pin floc? ■ n n n
Is the sludge blanket level acceptable?(Approximately''/of the sidewall depth) ■ n 0 n
Comment: Sludge blanket was visible several feet down in clarifier. The supernate
was clear.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? n n n
Are the tablets the proper size and type? 0000
Number of tubes in use? 1
Page# 4

Permit: NC0083313 Owner-Facility: Brookside Village WWTP
Inspection Date: 04/23/2014 Inspection Type: Compliance Sampling
Yes No NA NE
Disinfection-Tablet
■ nnn
Is the level of chlorine residual acceptable?
■
Is the contact chamber free of growth,or sludge buildup? n ❑ n
■ .
Is there chlorine residual prior to de-chlorination? nnn
Comment:
Yes No NA NE
De-chlorination
Tablet
Type of system?
n
Is the feed ratio proportional to chlorine amount(1 to 1)? nn ■
nn ■ n
Is storage appropriate for cylinders?
nn ■ n
#Is de-chlorination substance stored away from chlorine containers?
Comment:
■ nnn
Are the tablets the proper size and type?
■ nnn
Are tablet de-chlorinators operational?
1
Number of tubes in use?
Comment:
Page# 5

�'�
��
\ l
���

71
�.wyA.
NCDENR
North Carolina Department of Environment and Natural Resources
John E. Skvarla, III
Pat McCrory Secretary
Governor
June 6,2014
Ms Cathy Childrey
Mizpah Healthcare Inc
PO Box 1029
Mountain Home NC 28752-1029
SUBJECT: Compliance Sampling Inspection
Mountain View Assisted Living WWTP
Permit No:NCO074110
Henderson County
Dear Ms. Childrey:
On April 23, 2014, I conducted a compliance sampling inspection of the Mountain View Assisted Living waste
water treatment plant. The facility was found to be in compliance with permit NCO074110.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
should have any questions,please call me at: 296-4500.
Sincerely,
Katherine H. Jimison
Chemistry Technician III
Asheville Regional Office
Enclosure
cc: James&James Environmental
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hftp:l/portal.nedenr.org/web/wgiws
An Equal Opportunity\Affirmative Action Employer
G:\WR\WQ\Henderson\Wastewater\Minois\Mountain View Assisted Living 741 10\741 10 CSI 2014.doc

United States Environmental Protection Agency Form Approved.
E PA Washington,D.C.20460 OMB No.2040-0057
Approval expires 8-31-98
Section A: National Data System Coding(i.e., PCS)
Transaction Code NPDES YY r/mo/da Inspection Type Inspector Fac Type
3I NC0074110 ' 11 121 14/04/23 117 1811 I 191 S I 20 U
N I 2 I g I
Remarks
2111 1 1 1 1 1 1 1 L_L 1111 Jill I I I I I I I I I I I I I I I I I I I 116
Inspection Work Days Facility Self-Monitoring Evaluation Rating 61
QA ---------------------------Reserved------------------8-
671 169 70 13 I 71 I_. 72 I N I 73 LJJ 74 751 1 jj
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) 11/06/01
11:00 AM 14/04/23
Mountain View Assisted Living
Exit Time/Date Permit Expiration Date
238 Brookside Camp Rd
Hendersonville NC 28792 11:45 AM 14/04/23 15/11/30
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Kenneth Jason Rummel/ORC/828-697-0063/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Robert Crummie,PO Box 999 Mountain Home NC 287580999//828-676-9063/ No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance 0 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 Signatures)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Kathy Jimison ARO WQ//828-296-4500/ 1
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
r
Page# 1

NPDES r/mo/da
Y Y Inspection Type (cont.)�\
s NCO074110 111 12I 14/04/22" 117 18I S I \
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Juanita James with James and James Environmental assisted in the inspection of the facility. Samples were
taken of the effluent and analyzed at the Asheville Regional Laboratory. The results were as follows:
BOD- 5.7 mg/I
TSS 6.2U mg/I
Fecal Coliform 19 CFU/100ml
Aeration basin DO and settleable solids are monitored by ORC. Effluent DO and pH is also monitored by
ORC.
There was significant solids built up prior to tertiary treatment. They were being contained in the plant at the
time of this inspection. However, it is suggested that more frequent pumping of the facility take place to
prevent the loss of solids to the final effluent.
A spiral bound notebook is used as the log book. It was suggested that a bound sewn log book be used to
prevent the loss or removal of pages.
1
Page# 2
i

Permit: NCO074110 Owner-Facility: Mountain View Assisted Living
inspection Date: 04/23/2014 Inspection Type: Compliance Sampling
Yes No NA NE
Operations&Maintenance
■
Is the plant generally clean with acceptable housekeeping? nnn
Does the facility analyze process control parameters,for ex:MLSS,MCRT,Settleable Solids,pH, DO,Sludge ■ n n n
Judge,and other that are applicable?
Comment: Aeration basin DO and settleable solids are monitored by ORC. Effluent
DO and pH is also monitored by ORC.
Yes No NA NE
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? n n ■ n
Is the facility as described in the permit? ■ n n n
#Are there any special conditions for the permit? nn ■ n
■
Is access to the plant site restricted to the general public? nnn
Is the inspector granted access to all areas for inspection? ■ n n n
Comment:
Yes No NA NE
Bar Screens
Type of bar screen
■
a.Manual
b.Mechanical n
■ nnn
Are the bars adequately screening debris?
■ nnn
Is the screen free of excessive debris?
■ nnn
Is disposal of screening in compliance?
■
Is the unit in good condition? nnn
Comment:
Yes No NA NE
Aeration Basins
Ext.Air
Mode of operation
Diffused
Type of aeration system
■ nnn
Is the basin free of dead spots?
Are surface aerators and mixers operational? nn ■ n
Are the diffusers operational? ■ n ❑ n
Is the foam the proper color for the treatment process? ■ ❑ n n
Does the foam cover less than 25%of the basin's surface? ■ nnn
nnn ■
Is the DO level acceptable?
Page# 3

\
Permit: NCO074110 Owner-Facility: Mountain View Assisted Living
Inspection Date: 04/23/2014 Inspection Type: Compliance Sampling \
Aeration Basins Yes No NA NE
Is the DO level acceptable?(1.0 to 3.0 mg/1) 0 I] 0 ■
Comment:
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? ■ 0 0 0
Is the site free of excessive buildup of solids in center well of circular clarifier? 0 Cl ■ 0
Are weirs level?
■ 000
Is the site free of weir blockage? ■ 0 0 0
Is the site free of evidence of short-circuiting? ■ 0 I_-)
Is scum removal adequate? ■ 0 0 n
Is the site free of excessive floating sludge? E 0 0 0
Is the drive unit operational? 0 0 ■ n
Is the return rate acceptable(low turbulence)? ■ 1=1 fl
Is the overflow clear of excessive solids/pin floc? ■ 0 0 13
Is the sludge blanket level acceptable?(Approximately Y of the sidewall depth) ❑ ■ 0 ❑
Comment: There was significant solids built up prior to tertiary treatment. They were
being contained in the plant at the time of this inspection. However, it is suggested that
more frequent pumping of the facility take place to prevent the loss of solids to the final
effluent.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ■ n n n
Are the tablets the proper size and type? ■ 0 0 0
Number of tubes in use? 1
Is the level of chlorine residual acceptable? fl 11 ❑ ■
Is the contact chamber free of growth,or sludge buildup? ■ 0 n fl
Is there chlorine residual prior to de-chlorination? ❑ 0 0 ■
Comment:
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? Cl I_l ■ 0
Is storage appropriate for cylinders? n ■ o
�J
Page# 4

Permit: NCO074110 Owner-Facility: Mountain View Assisted Living
Inspection Date: 04/23/2014 Inspection Type: Compliance Sampling
Yes No NA NE
De-chlorination
nn ■ n
#Is de-chlorination substance stored away from chlorine containers?
Comment:
■ nnn
Are the tablets the proper size and type?
■ nnn
Are tablet de-chlorinators operational?
1
Number of tubes in use?
Comment:
Yes No NA NE
Record Keeping
■ nnn
Are records kept and maintained as required by the permit?
■ nnn
Is all required information readily available,complete and current?
Are all records maintained for 3 years(lab.reg.required 5 years)?
■ nnn
Are analytical results consistent with data reported on DMRs?
nnn ■
nnn ■
Is the chain-of-custody complete?
n_
Dates,times and location of sampling
n
_j Name of individual performing the sampling
n_
Results of analysis and calibration
n_
Dates of analysis
n
Name of person performing analyses
n
Transported COCs
■ nnn
Are DMRs complete:do they include all permit parameters?
■ nnn
Has the facility submitted its annual compliance report to users and DWQ?
(if the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator on each shift? n ❑ ■ 1=I
■ nnn
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
■ nnn
Is the backup operator certified at one grade less or greater than the facility classification?
■ nnn
■ nnn
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
■ nnn
Comment: A spiral bound notebook is used as the log book. It was suggested that a
bound sewn log book be used to prevent the loss or removal of pages.
Page# 5

RCDENR
North Carolina Department of Environment and Natural Resources
John E. Skvarla, III
Pat McCrory Secretary
Governor
June 6,2014
Joseph M Moore,II,E P
City of Brevard
95 W Main St
Brevard NC 28712
Subject: NOTICE OF VIOLATION
NOV-2014-DV-0133, NOV-2014-DV-0134, NOV-2014-DV-0143
Permit No.WQCS00084
City of Brevard
Brevard Collection System
Transylvania County
Dear Mr Moore:
A review has been conducted of Brevard Collection System's self-reported Sanitary Sewer Overflows(SSO's) 5-Day
Reports submitted by City of Brevard. This review has shown the subject facility to be in violation of the requirements
found in Collection System Permit WQCS00084 and/or G.S. 143-215.1 a 1 . The violations that occurred are
summarized below.
Area Violation Date Description Violation Type
SSO (Sewer Overflow) 04/07/2014 Sanitary Sewer Overflow Discharge
gallons allons to Singing Without Valid
Gallimore Road lift station to Permit
Singing Branch Branch
DWQ Incident#201400678 NOV-2014-DV-0133
SSO (Sewer Overflow) 04/07/2014 Sanitary Sewer Overflow Discharge
121,600 gallons to Lambo Creek Without Valid
Neely Road lift station to g Permit
Lambo Creek NOV-2014-DV-0134
DWQ Incident#201400677
SSO (Sewer Overflow) 05/15/2014 Sanitary Sewer Overflow DischarWithout gValid
Neely Road lift station to 41,800 gallons to Lambo Creek permit
Lambo Creek NOV-2014-DV-0143
DWQ Incident#201401077
Remedial actions should be taken to correct this problem. The Division of Water Resources may pursue enforcement
action for this and any additional violations of State law.
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hfp:l/portal.ncdenr.orgtweb/wq
An Equal Opportunity\Affirmative Action Employer
G:\WR\WQ\Transylvania\Collection systems\Brevard Collection System WQCS00084\NOVs&Enforcements\NOV-2014-DV-0133, NOV-2014-DV-0134, NOV-
2014-DV-0143.doc

Joseph M Moore
City of Brevard
Page 2
You should address the causes of noncompliance and all actions taken to prevent the recurrence of similar situations. If \
you should have any questions,please do not hesitate to contact Jeff Menzel of the Asheville Regional Staff at 828-296-
4500.
Sincerely,
s G.Landon bavidson,P.G�,.Regional Supervisor
Water Quality Regional-Operations
Asheville Regional Office
cc: David Lutz,Public Services Director
DWR ARO Files
Central Files
PERCS Unit

i
-C E R
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 9, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED - 7012 1010 00021967 8555
Rutherford-County-
Attn.-Carl Classen-
289 North Main Street
Rutherfordton,NC 28139
CERTIFIED MAIL
RETURN RECEIPT REQUESTED '- 70121010 00021967 8548
Clary Hood Inc.
Attn: Tom Addley
150 Conway Black Road
Spartanburg, SC 29307
- SUBJECT: NOTICE OF VIOLATION and
RECOMMENDATION FOR ENFORCEMENT
Queens Gap Phase 1
Project# (2007-2227-V2)
NOV-2014-PC-0127
Stream Standard Violation- Other Waste (In-stream sediment)
401 Water Quality Certification(WQC) Conditions
Rutherford County
Dear Messrs. Classen and Addley:
On May 28, 2014, Tim Fox from the Asheville Regional Office of the Division of Water
Resources (DWR)conducted a site inspection for Queens Gap Phase 1 in Rutherford County.
Stream standard and 401 WQC violations were noted during the inspection and file review.
Sediment impacts to an unnamed tributary to Chalk Creek,Class C; Trout
Waters were documented.
As a result of the site inspection and file review,the following violations were identified:
Water Quality Regional Operations—Asheville Regional Office
2090 US Hwy 70,Swannanoa,NC 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/webAvq/ws
An Equal Opportunity 1 Affirmative Action Employer

Rutherford County/Clary Hood
June 9,2014
Page 2 of 3 -
A
VIOLATIONS
I. Stream Standard Violation - Other Waste(In-stream sediment) 15A NCAC 02B
.0211 (3)f—An undetermined length of an unnamed tributary to Chalk Creek were
impacted by sediment deposition measured to be in excess of 3 inches in depth
throughout the stream reach,representing Water QualityStream Standard violation of
15A NCAC 02B .0211 (3) (f).
H. 401 WQC Condition Violations -The WQC issued for the project specifies that the
activities must follow all conditions listed therein. The following condition violations
were noted:
• #1 No Impacts beyond those authorized in the Written Approval or Beyond the
Threshold of Use of this Certification—In-stream sediment is considered an
additional impact.
• #2 Standard Erosion and Sediment Control Practices—Erosion Control measures
are not adequately controlling sediment.
REQUIRED RESPONSE
The DWR received a stream sediment removal plan,that included these additional impacts,from
Clearwater Environmental Consultants, Inc. dated June 3, 2014. The Plan is under review and
required completion dates will be sent with the approval letter.
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. 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 Tim
Fox at(828)296-4500 or [e-mail].
Sincerely,
`7_2�
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office

d County/Clary Hood
12014
,,e3of3
cc: Karen Higgins - 401 &Buffer Permtting Unit
ARO File Copy
Laura Herbert-Division of Energy,Mineral, and Land Resources (e-copy)
David Odom—Odom Engineering
William Elliot—The US Army Corp of Engineers (e-copy)
Clement Riddle—Clearwater Environmental (e-copy)
G:\WR\WQ\Rutherford\401s\Non-DOT\Queens Gap 2007-2227-V2\NOV-2014-PC-0118.QueensGapV2.05-21-2014.doc

Roiba "ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 9,2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 70121010 00021967 8555
---_Rutherford County.
Attu Car-1 Classen
289 North Main Street
Rutherfordton,NC 28139
CERTIFIED MAIL
RETURN RECEIPT REQUESTED - 70121010 00021967 8548
Clary Hood Inc:
Attn: Tom Addley
150 Conway Black Road
Spartanburg, SC 29307
SUBJECT: NOTICE OF VIOLATION and
RECOMMENDATION FOR ENFORCEMENT
Queens Gap Phase
Project# (2007-2227-V2)
NOV-2014-PC-0127
Stream Standard Violation- Other Waste(In-stream sediment)
401 Water Quality Certification(WQC) Conditions
Rutherford County
Dear Messrs. Classen and Addley:
On May 28,2014, Tim Fox from the Asheville Regional Office of the Division of Water
Resources(DWR)conducted a site inspection for Queens Gap Phase 1 in Rutherford County.
Stream standard and 401 WQC violations were noted during the inspection and file review.
Sediment impacts to an unnamed tributary to Chalk Creek, Class C; Trout
Waters were documented.
As a result of the site inspection and file review,the following violations were identified:
Water Quality Regional Operations—Asheville Regional Office
2090 US Hwy 70,Swannanoa,NC 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nodenr.org/webtwq/ws
An Equal Opportunity 1 Affirmative Action Employer

Rutherford County/Clary Hood
June 9,2014
Page 2 of 3
VIOLATIONS
I. Stream Standard Violation-Other Waste(In-stream sediment) 15A NCAC 02B
.0211 (3)f—An undetermined length of an unnamed tributary to Chalk Creek were
impacted by sediment deposition measured to be in excess of 3 inches in depth
throughout the stream reach,representing Water Quality Stream Standard violation of
15A NCAC 02B .0211 (3)(f).
IL 401 WQC Condition Violations -The WQC issued for the project specifies that the
activities must follow all conditions listed therein. The following condition violations
were noted:
• #1 No Impacts beyond those authorized in the Written Approval or Beyond the
Threshold of Use of this Certification—In-stream sediment is considered an
additional impact.
• #2 Standard Erosion and Sediment Control Practices—Erosion Control measures
are not adequately controlling sediment.
REQUIRED RESPONSE
The DWR received a stream sediment removal plan,that included these additional impacts, from
C1earWater Environmental Consultants, Inc. dated June 3, 2014. The Plan is under review and
required completion dates will be sent with the approval letter.
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. 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 Tim
Fox at(828)296-4500 or [e-mail].
Sincerely,
cam- < <�
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
i

A County/Clary Hood
2014
,ge 3 of 3
cc: Karen Higgins -401 &Buffer Permtting Unit
ARO File Copy
Laura Herbert-Division of Energy,Mineral, and Land Resources (e-copy)
David Odom—Odom Engineering
William Elliot—The US Army Corp of Engineers (e-copy)
Clement Riddle—Clearwater Environmental (e-copy)
G:\WR\WQ\Rutherford\401s\Non-DOT\Queens Gap 2007-2227-V2\NOV-2014-PC-0118.QueensGapV2.05-21-2014.doe
f,

RUDENR
North Carolina Department of Environment and Natural Resources
John E. Skvarla, III
Pat McCrory Secretary
Governor
June 9,2014 DWQ Project#2006-1933 V-2
McDowell County
Chip Hills
7247-:-overnors -=°w --- ---
Charlotte,NC 282.77
Subject: Request for Additional Information
Chip Hills Lot 4 Bank Stabilization
Dear Mr. Hills:
The Division of Water Resources (Division)has performed a preliminary review of a 401 Water Quality
Certification application submitted for the above referenced project. The Division has determined that your
application is incomplete and cannot be processed. The application is on-hold until all of the following
information is received:
1. Item 8. In the application proposes 1,045 feet of shoreline stabilization. General permit No.
198200030 conditions prescribe that bulkhead and rip-rap alignments will not extend farther
water ward than an average distance of two (2)feet,maximum distance of five (5)feet from the
normal pool elevation contour and may not extend more than 500 feet along a shoreline.
Provide appropriate information regarding any approval by the Corp of Engineers for the
proposed shoreline stabilization that exceeds 500 feet and additional explanation as to why
1,045 feet of stabilization is needed.
In January,2007, a 401 WQC was issued for 461 feet of impact for shoreline stabilization at this
location. Please explain if there is any correlation between this existing impact and the new
proposed impact?
If all of the requested information is not received in writing within 30 calendar days of receipt of this letter,the
Division will be unable to approve the application and it will be returned. The return of this project will
necessitate reapplication to the Division for approval,including a complete application package and the
appropriate fee.
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone.[phone] FAX:[phone]
Internet:httpalportal.nodenrorg/weblwq
An Equal Opportunity 1 Affirmative Action Employer

Chip Hills
June 9,2014
Page 2 of 2
Please respond in writing within 30 calendar days of receipt of this letter by sending three copies of all of,
above requested information to the 401 &Buffer Permitting Unit: \
401 and Buffer Permitting Unit
1650 Mail Service Center
Raleigh,NC 27699-1650
Please be aware that you have no authorization under the Section 401 of the Clean Water Act/Isolated
Wetlands and Isolated Waters Rules/Buffer Rules 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 call Tim Foz(828)
4664_--I ove - -
Sincerely,
G. Landon Davidson,P.G.,Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
cc: Carissa Parker—Bennick Enterprises,LLC (via email)
Tasha Alexander—USACE Asheville.Regulatory Field Office(via email)
Wade Harmon—Duke Energy
Ron Harmon—County Planning
DWR ARO 401 files
DWR 401 &Buffer Permitting Unit
DoG:\WR\WQ\McDowell\401s\Non-D0T\Chip Mills Lot 4\ADDINFO.401ChipHillsLot4.6-02-14.doccumentl

A&F �n
NCDENR
North Carolina Department of Environment and Natural Resources
John E. Skvarla, III
Pat McCrory Secretary
Governor
June 9,2014
Rutherford County
Attn: Carl Classen
289 North Main Street _
Rutherfordton,NC 28139
Clary Hood Inc.
Attn: Tom Addley
150 Conway Black Road
Spartanburg, SC 29307
SUBJECT: Notice of Violation Response and Sediment Removal Plan Approval
Queens Gap Phase 1
Project#(2007-227-V2)
NOV-2014-PC-0127 &NOV-2014-PC-0118
Rutherford County
Dear Messrs. Classen and Addley:
The Division of Water Resources has received correspondence from C1earWater Environmental
Consultants, Inc. dated June 3,2014, in response to the NOVs noted above. The proposal includes
the removal of sediment-from Chalk Creek and two unnamed tributaries to Chalk Creek. Sediment
will be removed for approximately 2,382 linear feet.
The remedial actions presented in the response have been found satisfactory and are approved.
Activities involved in this approved plan, as well as submittal of the final report, are to be
completed within thirty(30) days of this approval letter. Please contact me at(828)296-4664 or
tim foxkncdenr.;;ov should you have any further questions.
Sincer ly,
X.
amFox
Environmental Specialist
Water Quality Regional Operations
Asheville Regional Office
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet.http://portal.ncdenr.org/webtwq
An Equal Opportunity\Affirmative Action Employer

Rutherford County/Clary Hood
June 9, 2014
cc: ARO File Copy
Laura Herbert—DEMLR(e-copy)
David Odom—Odom Engineering(e-copy)
William Elliot—The US Army Corp of Engineers (e-copy)
Clement Riddle—ClearWater Environmental (e-copy)
DocG:\WR\WQ\Rutherford\401s\Non-DOT\Queens Gap 2007-2227-V2\APRVL.QueensGapPhasel.06-09-14.documentl

4
AWN�� Au
NCDEN
North Carolina Department of Environment and Natural Resources
John E. Skvarla, III
Pat McCrory Secretary
ry
June 9,2014
DWR# 01-0608 V,2
Buncombe County
Hawks Landing, LTD-
--Attn:-Ross Adickman - --
2400 NE 2nd Ave.
Miami, FL 33137
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION
Hawks Landing
Dear Mr. Adickman:
In accordance with your application dated April 28, 2014 received on May 6,2014, approval has been granted
for the impacts listed in the table below. This approval requires you to follow the conditions listed in the
enclosed certification(s) or general permit and any additional conditions listed below.
/ \'Pr
oject impacts are covered by the attached Water Quality General Certification Number 3890 and the
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 obtain or otherwise comply
with any other federal,state or local permits!!before proceeding with your project, including those required by
(but not limited to) Erosion and Sediment Control,Water Supply Watershed and Trout Buffer regulations.
IMPACTS APPROVED
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.
Amount Approved
Type of Impact Amount Approved Temporary
Permanent
Stream 300 (linear feet) (linear feet)
Wetlands 0.005 (acres) (acres)
Water Quality Regional Operations—Asheville Regional Office
2090 US Hwy 70,Swannanoa,NO 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/webAvq/ws
An Equal Opportunity 1 Affirmative Action Employer

Hawks Landing,LTD
June 9,2014
Page 2 of 3
A
ADDITIONAL CONDITIONS
1. 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)/Permit/Authorization and is responsible for complying with all conditions.
2. In order to compensate for the remainder of the impacts associated with this project, the permittee shall
execute and cause to be recorded restrictive covenants that reflect the preservation of no less than 2,250
linear--feet of-stream-with-a 30 ft -buffer--on each-side-of the stream(from top of-bank)-;-the--areas-to be placed ---- ---
un er restrictive covenant are to be depicted on the survey titled"Survey of HAWKS LANDING
CONSERVATION AREA" submitted to the US Army Corps of Engineers. Because a portion of the
preservation area is located within lot lines, the permittee shall ensure that waters of the U.S. are depicted on
these plats as legally preserved areas and the new owners are given copies of the recorded restrictive
covenants. The permittee shall execute and cause to be recorded these restrictive covenants, and furnish the
DWR with a copy of the recorded restrictive covenants,within 60 days of the date of issuance of this WQC
approval letter.
3. Mitigation must be provided for the proposed impacts as specified in the table below. The Division has
received an acceptance letter from the Anderson Farm Stream Mitigation Bank to meet this mitigation
requirement. Until the Anderson Farm Stream Mitigation Bank receives and clears your payment, and proof
of payment has been provided to this Office,no impacts, other than previously installed culverts, specified
in this Authorization Certificate shall occur. For accounting purposes,this Authorization Certificate
authorizes payment to the Anderson Farm Stream Mitigation Bank to meet the following compensatory
mitigation requirement:
Compensatory River and Sub-basin
Mitigation Required Number
Stream 150 (feet) French Broad River
06010105
This approval and its conditions are final and binding unless contested.
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.

J
Jailing 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:
Lacy Presnell,General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh,NC 27699-1601
This letter completes the review of the Division under section 401 of the Clean Water Act as described in 15A
NCAC .0500. Please contact Tim Fox at 828-296-4664 or tim [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 3890
Certificate of Completion
cc: John Vilas—McGill Engineering (via email)
Lori Beckwith-USACE Asheville Regulatory Field Office (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit
G:\WR\WQ\Buncombe\401s\Non-DOT\Hawks Landing 01-0608 V2\APRVL.401HawksLanding.06-03-14.doc

WA
IRA a
RC-DENR
North Carolina Department of Environment and Natural Resources
John E. Skvarla, III
Pat McCrory Secretary
Governor
June 9,2014 DWR# 14-0470
Jackson County
Mike Baumann
PO Box 211
Glenville,NC 28736
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION
Lakewood Shores -Lotl OA
Dear Mr. Baumann:
In accordance with your application dated April 16,2014, approval has been granted for the impacts listed in
the table below. This approval requires you to follow the conditions listed in the enclosed certification(s)
or general permit and any additional conditions listed below.
Project impacts are covered by the attached Water Quality General Certification Number 3898 and the
conditions listed below. This certification is associated with the use of General Permit Number 30 issued by the
U.S. Army Corps of Engineers. Please note that you should obtain or otherwise comply with any other federal,
state or local permits before proceeding with your project, including those required by(but not limited to)
Erosion and Sediment Control, Water Supply Watershed and Trout Buffer regulations.
IMPACTS APPROVED
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.
Type of Impact Amount Approved
Permanent
Above Pool Below Pool
Open Waters 0.007 (acres) 0.01 (acres)
ADDITIONAL CONDITIONS
1. 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
Water Quality Regional Operations—Asheville Regional Office
2090 US Hwy 70,Swannanoa,NC 28778
Phone:[phone] FAX:[phone]
Internet.http://podal.nodenr.orgtwebtwq/ws
An Equal Opportunity 1 Affirmative Action Employer

Mike Baumann
June 9,2014
Page 2 of 3
letter and General Certification(s)/Permit/Authorization and is responsible for complying with all' .
conditions.
2. Rip-rap must be placed along the base of all dry stacks with a minimum depth of one foot and a slope of
2 to 1 with a three foot base at the lakebed dry stack interface. Per Exhibit 3 of the Duke Shoreline
Management Guidelines.
3. Replant or allow the re-establishment of native vegetation in areas within the project boundary where it
has been removed. Per Exhibit 1 of the Duke Shoreline Management Guidelines.
This approval and its conditions are final and binding unless contested.
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 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:
Lacy Presnell, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh,NC 27699-1601

fetter completes the review of the Division under section 401 of the Clean Water Act as described in 15A
,:AC 02H 0.500. Please contact Chuck Cranford at 828-296-4650 or chuck.cranford@,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 3885
Certificate of Completion
cc: USACE Asheville Regulatory Field Office (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit
G:\WR\WQUackson\401s\Non-DOT\Lakewood Shores-LotlOA\APRVL.06.09.14.docx
r

rA
10..
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 10,2014
Aubrey Deaver,Owner
A&D Water Services,Inc.
Post Office Box 1407
Pisgah Forest,NC 28768
SUBJECT: Compliance Evaluation Inspection
High Vista WWTP
Conjunctive Reclaimed Water Generation System
Permit No:WQ0015929
Henderson County
Dear Mr.Deaver:
Enclosed please find a copy of the Compliance Evaluation Inspection Form from the inspection conducted on May 20, 2014. The
facility was found to be in compliance with permit WQ0015929.
The following items should be addressed prior to sending reclaimed effluent to High Vista Golf Course:
1. Calibrate the reclaimed effluent flow meter.
2. Generate an Operation&Maintenance Plan—see permit condition I11.2.
3. Notify employees about the use of reclaimed water—see permit condition III.12.
4. Generate a Residuals Management Plan—see permit condition 111.13.
5. Record freeboard in the 5-day pond—see permit condition IV.6.
If you decide to move forward with closing out the 5-day side stream pond,please contact the Asheville Regional Office for guidance.
Please refer to the enclosed inspection report for additional observations and comments.Your assistance was greatly appreciated
during the inspection. If you or your staff have any questions,please call me at(828)296-4685.
Sincerely,
Beverly Price
Environmental Specialist
Enc.
cc: Vince Edwards,ORC 3970 Willow Road Hendersonville NC 28739
MSC 1617-Central Files-Basement
WQ Asheville Files
G:\WR\WQ\Henderson\Wastewater\Non-discharge\High Vista FallsWWTS\WQ0015929 CEI14.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hftp://portal.nodenr.org/web/wq/ws
An Equal Opportunity\Affirmative Action Employer

Compliance Inspection Report
Permit: WO0015929 Effective: 10/25/13 Expiration: 09/30/18 Owner: A&D Water Service Inc
SOC: Effective: Expiration: Facility: High Vista WWTP
County: Henderson 88 Country Club Rd
Region: Asheville
Mills River NC 28759
Contact Person: Aubrey Lewis Deaver Title: Owner Phone: [phone]
Directions to Facility:
From the intersection of Long Shoals Rd.and Hwy. 191 turn left onto Hwy. 191. Travel approximately 3 miles to High Vista
Development(�.olf cpurse/spray iigr�gatWc e)on the right. WWTP is located across Hwy. 191.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Aubrey L Deaver Phone: [phone]
Related Permits:
WQ0036701 High Vista Finance LLC-High Vista Country Club
Inspection Date: 05/20/2014 Entry Time: 10:00 AM Exit Time: 11:00 AM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):4r ✓
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Reclaimed Water
Facility Status: ■ Compliant 0 Not Compliant
Question Areas:
Miscellaneous Questions Treatment Storage Standby Power
(See attachment summary)
Page: 1

Permit: WQ0015929 Owner-Facility: A&D Water Service Inc
Inspection Date: 05/20/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine \
Inspection Summary:
This facility has not sent any reclaimed effluent to the High Vista Golf Course since April 2013.
The reclaimed effluent flow meter has not been calibrated. This was noted during the inspection in August 2013. This
meter needs to be calibrated before any effluent is sent to to High Vista Golf Course irrigation pond.
The Operation & Maintenance Plan needs to be generated before sending effluent to High Vista Golf Course. (See Permit
Condition Ill.2.)
Notification to employees about the use of reclaimed water. (See Permit Condition 111.12.)
Please generate a Residuals Management Plan for this facility. (See Permit Condition 111.13.)
Please be sure to record freeboard as required by Permit Condition IV. 6.
Mr. Deaver expressed interest in closing out the 5-day pond. Please contact the Asheville Regional Office for guideance
on closure procedures should you decide to move forward.
Page: 2

Permit: W00015929 Owner-Facility: A&D Water Service Inc
Inspection Date: 05/20/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Type Yes No NA NE
Lagoon Spray, LR n
Single Family Spray,LR 0
Infiltration System -n
Activated Sludge Spray, LR n
Activated Sludge Drip,LR n
Activated Sludge Spray, HR n
Single Family Drip n
n
Recycle/Reuse
Reuse(Quality)
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? 0 n n n
Do all treatment units appear to be operational?(if no,note below.) n M ❑ n
Comment: Standby generator was not working. - Repairs were completed after the
site visit.
`- Standby Power Yes No NA NE
Is automatically activated standby power available? 0 ■ 0 n
Is generator tested weekly by interrupting primary power source? 00110
Is generator operable? n ■ 0 n
Does generator have adequate fuel? Q n n 0
Comment: Repairs were completed following the inspection. A copy of the work order
and a photograph of the rain cover are on file.
5-DAY POND -
Storage Yes No NA NE
Storage Type? 5-day detention pond
Storage amount? 500000
Gallons
ti
Page: 3

Permit: WQ0015929 Owner-Facility: A&D Water Service Inc
Inspection Date: 05/20/2014 Inspection Type: Compliance Evaluation \P YP P Reason for Visit: Routine
#At what point is side-stream wastewater returned to treatment?
It is not automatic,the
system was not
designed to
auromatically re-route
off-spec effluent. The
ORC would have to
manually re-reoute the
water to the 5-day pond.
Is there a Spill Control Plan? 0 0
Aerated or Mixed? NONE
If aeration is present, is it adequate? ❑ 0 0
If present,are diffusers cleaned regularly? rl ❑ 0
Is influent structure acceptable? 0 ❑ n
Are banks/berms free of seepage and erosion? n 0
Are banks/berms free of excessive vegetation? N (] fl
Is pond lined? 0 ❑ ❑ f1
Liner Type Full,synthetic
Is liner acceptable? 0 0 Q 0
Are baffles/curtains acceptable? 0 0 0
Does the pond have a freeboard marker? ❑ ❑ n
Required freeboard? 2
Feet
Actual freeboard? g
Feet
Is there suitable grassed vegetation? 0 0 Q
Is the vegetation maintained? 0 Q 0
Is the area free of excessive weeds and/or woody species? 1=1 ❑ 0
Is the area free from signs of overflow? 0
Is color acceptable? C1 n 0
Are floating mats acceptable? Cl 0 0
No excessive buildup of solids? m 0 ❑ n
Are aerators/mixers acceptable? 0 D 0
Is effluent structure acceptable? 0 0 0 /
Page: 4

Permit: WQ0015929 Owner-Facility: A&D Water Service Inc
Inspection Date: 05/20/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
on ■ o
if present,is pond cover acceptable?
Comment: The liner has floated in one spot.
Page: 5

7LT40.
North Carolina Department of Environment and Natural Resources
Pat McCrory
John E. Skvaria, III
Governor Secretary
June 9, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 70121010 00021965 7444
Mr. Joseph M.Moore, II, E P
City of Brevard
95 West Main Street
Brevard,North Carolina 28712
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 Permit NCO060534
City of Brevard
Brevard WWTP
Case No. LV-2014-0082
Transylvania County
Dear Mr. Moore:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of
$2,147.50 ($2,000.00 civil penalty+ $147.50 enforcement costs) against the City of Brevard.
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report(DMR)submitted by the City of Brevard for the month of September 2013.
This review has shown the subject facility to be in violation of the discharge limitations and/or
monitoring requirements found in NPDES Permit NCO060534. The violations which occurred in
September 2013 are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that the City of Brevard violated the
terms, conditions or requirements of NPDES Permit NCO060534 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.l(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 Environment and Natural Resources and the
Director of the Division of Water Resources,I, G.Landon Davidson,Division of Water Resources
Regional Supervisor for the Asheville Region,hereby make the following civil penalty assessment
against the City of Brevard:
Water Quality Regional operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http:Uportal,nedenr.org/web/wq
An Equal Opportunity/Affirmative Action Employer

I of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No�,
$1,500.00 NC0060534, by discharging waste water into the waters of the State
in violation of the Permit Monthly Average limit for BOD- Conc.
1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
N00060534, by discharging waste water into the waters of the State
$500.00 in violation of the Permit Weekly Average limit for ROD - Conc.
$2,000.00 TOTAL CIVIL PENALTY
$147.50 Enforcement Costs
$2,147.50 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-
282.1(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 l
which the Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources (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:
Point Source Compliance/Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
OR
2. Submit a written request for remission or mitigation including a detailed justification
for such request:
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)

arred or the accuracy of any of the factual statements contained in the civil penalty
.ssessment 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 14313-282.1(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:
Point Source Compliance/Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
OR
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 original and one (1)copy of the petition must be filed with the Office
of Administrative Hearings. The petition may be faxed-provided the original and one copy of the
document is received in the Office of Administrative Hearings within five (5)business days
following the faxed transmission. The mailing address for the Office of Administrative Hearings
is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh,North Carolina 27699-6714
Telephone[phone] Facsimile: [phone]
and
Mail or hand-deliver a copy of the petition to
Mr. Lacy Presnell, General Counsel
Department of Environment and Natural Resources
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 of the Water Quality staff of the
Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson,P.G., Regional Supervisor
Water Quality Regional Operations,NCDENR
ATTACHMENTS Asheville Regional Office
cc: WQ Regional Supervisor w/attachments
MSC 1617-Central Files-Basement
WQ Enforcement/NPDES Point Source Branch
(prior NOV-2014-1,V-0045)
G",Gt 12 tV`,P ans lvaniz: 'astetivltei Municipl`.23re+-arct TRWWFP 605341%LV-201 4-0082.doc
\J

JUSTIFICATION FOR REMISSION REQUEST
DWQ Case Number: LV-2014-0082 County: Transylvania
Assessed Party: City of Brevard
Permit No.: NC0060534 Amount Assessed: $2,147.50
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 applies. 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. 143B-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:

fE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
COUNTY OF TRANSYLVANIA
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINSTRATIVE HEARING AND
STIPULATION OF FACTS
CITY OF BREVARD/ )
BREVARD WWTP )
PERMIT NO.NCO060534 ) FILE NO. LV-2014-0082
Having been assessed civil penalties totaling$2,147.50 for violation(s) as set forth in the
assessment document of the Division of Water Resources dated June 9, 2014,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

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North Carolina Department of Environment and Natural Resources
Pat McCrory John E.Skvarla, III
Governor Secretary
June 9, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 70121010 0002 1965 7451
Mr. Joseph M.Moore,II, E P
City of Brevard
95 West Main Street
Brevard,North Carolina 28712
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 Permit NCO060534
City of Brevard
Brevard WWTP
Case No. L.V-2014-0083
Transylvania County
Dear Mr. Moore:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of
$2,147.50 ($2,000.00 civil penalty+ $147.50 enforcement costs) against the City of Brevard.
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report(DMR) submitted by the City of Brevard for the month of October 2013. This
review has shown the subject facility to be in violation of the discharge limitations and/or
monitoring requirements found in NPDES Permit NC0060534.- The violations which occurred in
October 2013 are summarized in Attachment A to this letter.
Based upon the above facts,I conclude as a matter of law that the City of Brevard violated the
terms, conditions or requirements of NPDES Permit NCO060534 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 maybe assessed against any person who violates the terms,
conditions or requirements of a permit required by G.S. 143-215.l(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 Environment and Natural Resources and the
Director of the Division of Water Resources,I, G. Landon Davidson,Division of Water Resources
Regional Supervisor for the Asheville Region,hereby make the following civil penalty assessment
against the City of Brevard:
i
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway70,Swannanoa,North Carolina 28778
Phone: [phone] FAX: [phone]
Internet; http://portal.ncdenr.org/web/wq
An Equal Opportunity/Affirmative Action Employer

I of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$1,500.00 NC0060534, by discharging waste water into the waters of the State
in violation of the Permit Monthly Average limit for BOD - Conc.
1 of the 1 violations of G.S. 143-215.l(a)(6) and NPDES Permit No.
NC0060534, by discharging waste water into the waters of the State
$500.00 in violation of the Permit Weekly Average limit for BOD - Conc.
$2,000.00 TOTAL, CIVIL.PENALTY
$147.50 Enforcement Costs
$2,147.50 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-
282.1(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 days of receipt of this notice,you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources(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:
Point Source Compliance/Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
OR
2. Submit a written request for remission or mitigation including a detailed justification
for such request: -
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)

,arced 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 14313-282.1(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 farther 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:
Point Source Compliance/Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
OR
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 original and one (1) copy of the petition must be filed with the Office
of Administrative Hearings. The petition may be faxed -provided the original and one copy of the
document is received in the Office of Administrative Hearings within five(5)business days
following the faxed transmission. The mailing address for the Office of Administrative Hearings
is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh,North Carolina 27699-6714
Telephone[phone] Facsimile: [phone]
and
Mail or hand-deliver a copy of the petition to
Mr.Lacy Presnell,General Counsel
Department of Environment and Natural Resources
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 of the Water Quality staff of the
Asheville Regional Office at 828-296-4500.
Sincerel
G. Landon Davidson,P.G., Regional Supervisor
Water Quality Regional Operations,NCDENR
ATTACHMENTS Asheville Regional Office
cc: WQ Regional Supervisor w/attachments
MSC 1617-Central Files-Basement
WQ Enforcement/NPDES Point Source Branch
(prior laV-2014-1,v-0047)
G:`.tkFt ti§'Q'`.T3 au�yivaliia�4Vastewater.�;lmlicipal';Brevani WW'IP 60534.LV-_>01.4-008_aloe

JUSTIFICATION FOR REMISSION REQUEST
DWQ Case Number: LV-2014-0083 County: Transylvania
Assessed Party: City of Brevard
Permit No.: NC0060534 Amount Assessed: $2,147.50
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 toN.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 applies. 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. 143B-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:

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1 E OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
COUNTY OF TRANSYLVANIA
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINSTRATIVE HEARING AND
STIPULATION OF FACTS
CITY OF BREVARD/ )
BREVARD WWTP )
PERMIT NO.NCO060534 ) FILE NO. LV-2014-0083
Having been assessed civil penalties totaling $2,147.50 for violation(s)as set forth in the
assessment document of the Division of Water Resources dated June 9, 2014,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

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North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 9,2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 70121010 00021965 7475
Mr. Joseph M. Moore, II, E P
City of Brevard
95 West Main Street
Brevard,North Carolina 28712
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 Permit NCO060534
City of Brevard
Brevard WWTP
Case No. LV-2014-0085
Transylvania County
Dear Mr. Moore:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of
$3,147.50 ($3,000.00 civil penalty+$147.50 enforcement costs) against the City of Brevard.
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report(DMR) submitted by the City of Brevard for the month of January 2014. This
review has shown the subject facility to be in violation of the discharge limitations and/or
monitoring requirements found in NPDES Permit NC0060534. The violations which occurred in
January 2014 are summarized in Attachment.A to this letter.
Based upon the above facts, I conclude as a matter of law that the City of Brevard violated the
terms, conditions or requirements of NPDES Permit NCO060534 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 Environment and Natural Resources and the
Director of the Division of Water Resources, I, G. Landon Davidson,Division of Water Resources
Regional Supervisor for the Asheville Region,hereby make the following civil penalty assessment
against the City of Brevard:
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: [phone] FAX: [phone]
Internet http://portal.ncdenr.grg/web/wq
An Equal Opportunity/Affirmative Action Employer

I of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$1,500.00 NC0060534, by discharging waste water into the waters of the State
in violation of the Permit Monthly Average limit for BOD Conc.
2 of the 2_violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$00.00 NC0060534, by discharging waste water into the waters of the State
in violation of the Permit Weekly Average limit for BOD - Conc.
1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$1,500.00 NC0060534, by discharging waste water into the waters of the State
in violation of the Permit Monthly Average limit for TSS - Conc.
1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$00.00 NC0060534, by discharging waste water into the waters of the'State
in violation of the Permit Weekly Average limit for TSS Conc.
$3,000.00 Total Civil Penalty
$147.50 Enforcement Costs
$3,147.50 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-
282.1(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 days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order.of the Department of Environment and Natural
Resources (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 o£
Point Source Compliance/Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

OR
z. Submit a written request for remission or mitigation including a detailed justification
for such request:
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:
Point Source Compliance/Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
OR
3e 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'(.:,,
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 500 p.m., except for
official state holidays. The original and one(1) copy of the petition must be filed with the Office
of Administrative Hearings. The petition may be faxed provided the original and one copy of the
document is received in the Office of Administrative Hearings within five (5)business days
following the faxed transmission. The mailing address for the Office of Administrative Hearings
is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh,North Carolina 27699-6714
Telephone [phone] Facsimile: [phone]
and
Mail or hand-deliver a copy of the petition to
Mr. Lacy Presnell, General Counsel
Department of Environment and Natural Resources
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 of the Water Quality staff of the
Asheville Regional Office at 828-296-4500.
Sincerer,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations,NCDENR
Asheville Regional Office
ATTACHMENTS
cc: WQ Regional Supervisor w/attachments
MSC 1617-Central Files-Basement
WQ Enforcement/NPDES Point Source Branch
(prior NOV 2014-LV-0129)
G::'�4rR"\k t',7"ransyivani,� 3stewateeMunicipal-Brevard WW IP 60534:.IN-2014-0085.doc

JUSTIFICATION FOR REMISSION REQUEST
DWQ Case Number: LV-2014-0085 County: Transylvania
Assessed Party: City of Brevard
Permit No.: NCO060534 Amount Assessed: $3,147.50
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 applies. 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. 143B-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:

����
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_. _ _

lE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
COUNTY OF TRANSYLVANIA
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) AD INSTRATIVE HEARING AND
STIPULATION OF FACTS
CITY OF BREVARD/ )
BREVARD WWTP )
PERMIT NO.NCO060534 ) FILE NO. LV-2014-0085
Having been assessed civil penalties totaling $3,147.50 for violation(s) as set forth in the
assessment document of the Division of Water Resources dated June 9, 2014,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 120
SIGNATURE
ADDRESS
TELEPHONE

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North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvada, III
Governor Secretary
June 9,2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 70121010 0002 1965 7468
Mr. Joseph M.Moore, II, E P
City of Brevard
95 West Main Street
Brevard,North Carolina 28712
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 Permit NCO060534
City of Brevard
Brevard WWTP
Case No. LV-2014-0084
Transylvania County
Dear Mr. Moore:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of
$1,647.50 ($1,500.00 civil penalty+ $147.50 enforcement costs) against the City of Brevard.
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report (DMR) submitted by the City of Brevard for the month of November 2013.
This review has shown the subject facility to be in violation of the discharge limitations and/or
monitoring requirements found in NPDES Permit NC0060534. The violations which occurred in
November 2013 are summarized in Attachment A to this letter.
Based upon the above facts,I conclude as a matter of law that the City of Brevard violated the
terms,conditions or requirements of NPDES Permit NCO060534 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 Environment and Natural Resources and the
Director of the Division of Water Resources,I, G. Landon Davidson,Division of Water Resources
Regional Supervisor for the Asheville Region,hereby make the following civil penalty assessment
against the City of Brevard:
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: hftp://portal.ncdenr.org/web/wq
An Equal Opportunity/Affirmative Action Employer

I of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No. ,
$1,500.00 NC0060534, by discharging waste water into the waters of the State
in violation of the Permit Monthly Average limit for BOD -Cone.
$1,500.00 TOTAL CIVIL,PENALTY
$147.50 Enforcement Costs
$1,647.50 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-
282.1(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;
(16) 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 days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources (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:
Point Source Compliance/Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
OR
2. Submit a written request for remission or mitigation including a detailed justification
for such request:
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

.zrmining 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 14313-282.1(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:
Point Source Compliance/Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
OR
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 original and one (1) copy of the petition must be filed with the Office
of Administrative Hearings. The petition may be faxed-provided the original and one copy of the
document is received in the Office of Administrative Hearings within five (5)business days

following the faxed transmission. The mailing address for the Office of Administrative Hearings,
Office of Administrative Hearings
6714 Mail Service Center
Raleigh,North Carolina 27699-6714
Telephone [phone] Facsimile: [phone]
and
Mail or hand-deliver a copy of the petition to
Mr. Lacy Presnell, General Counsel
Department of Environment and Natural Resources
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 assessed for violations that occur after the review
period of this assessment.
If you have any questions,please contact Janet Cantwell of the Water Quality staff of the
Asheville Regional Office at 828-296-4500.
Sincerely, j
G. Landon Davidson,P.G., Regional Supervisor
Water Quality Regional Operations,NCDENR
Asheville Regional Office
ATTACHMENTS
cc: WQ Regional Supervisor w/attachments
MSC 1617-Central Files-Basement
WQ Enforcement/NPDES Point Source Branch
(prior NOV—'014-LV-0044)
(r.`L;tR z�'Qt Cransrlva�ia`;W1zi�watei'�ianscipalt.F3r�vard GV4V`1P 60534`.LV-2014-0084,doe
� J

JUSTIFICATION FOR REMISSION REQUEST
DWQ Case Number: LV-2014-0084 County: Transylvania
Assessed Party: City of Brevard
Permit No.:• NCO060534 Amount Assessed: $1,647.50
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 applies. 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. 143B-282.1(b)were
wrongfully applied to the detriment of the petitioner (the assessment factors are listed in the civil
penalty assessment document);
f (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:

E OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
BOUNTY OF TRANSYLVANIA
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINSTRATIVE HEARING AND
STIPULATION OF FACTS
CITY OF BREVARD/ )
BREVARD WWTP )
PERMIT NO.NCO060534 ) FILE NO. LV-2014-0084
Having been assessed civil penalties totaling$1,647.50 for violation(s) as set forth in the
assessment document of the Division of Water Resources dated June 9,2014,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

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 10,2014
Daniel Armstrong,VP Administration
High Vista Finance, LLC
----88 Coun Club Road --__- _ —---
---- - --- ---------------- -
Mills River,NC 28759
SUBJECT: Compliance Evaluation Inspection
High Vista Country Club
Permit No: WQ0036701
Henderson County
Dear Mr. Armstrong:
Enclosed please find a copy of the Compliance Evaluation Inspection Form from the inspection conducted on
May 20, 2014. The facility was found to be in compliance with permit WQ0036701.
A freeboard marker should be installed in the irrigation pond. Aubrey Deaver with A&D Water Services
indicated on the day of the inspection that the marker is on site at the wastewater treatment plant. The pond had
a slight overflow even though no reclaimed effluent has been sent to the pond since April 2013. Other inputs to
the pond should be investigated. If other inputs are discovered, the Asheville Regional Office should be
notified and the structural integrity of the pond should be verified. Reclaimed water cannot be added to the
irrigation pond at any time that freeboard levels are less than one(1)foot.
Please refer to the enclosed inspection report for additional observations and comments. The assistance of Mr.
Chris Mahoney was greatly appreciated during the inspection. If you or your staff have any questions,please
call me at(828)296-4685.
Sincerely,
Beverly Price
Environmental Specialist
Enc.
Cc Chris Mahoney, Golf Course Superintendent w/enclosure
MSC 1617-Central Files-Basement
WQ Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/Wglws
An Equal Opportunity 1 Affirmative Action Employer

1
� %
�.
__

Compliance Inspection Report
Permit: WO0036701 Effective: 10/25/13 Expiration: 09/30/18 Owner: High Vista Finance LLC
SOC: Effective: Expiration: Facility: High Vista Country Club
88 Country Club Dr
County: Henderson
Region: Asheville Mills River NC 28759
Contact Person: Chris Mahoney Title: GC Superintendent Phone: [phone]
Directions to Facility-
System Classifications:
Primary ORC: --------- --- Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Chris Mahoney Phone: [phone]
Related Permits:
WQ0015929 A&D Water Service Inc-High Vista WWTP
Inspection Date: 05/20/2014 Entry Time: 11:30 AM Exit Time: 12:00 PM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Reclaimed Water
Facility Status: E Compliant fl Not Compliant
Question Areas:
Miscellaneous Questions ETreatment
(See attachment summary)
Page: 1

Permit: WQ0036701 Owner-Facility: High Vista Finance LLC
Inspection Date: 05/20/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine \
Inspection Summary:
The inspection included a tour of the reclaimed facilities. The irrigation pond was overflowing but not as much as in the
past. High Vista Golf Course has not taken any reclaimed effluent from the WWTP since April 2013. Chis Mahoney
suspects possible infiltration. If inputs other than reclaimed effluent are discovered, the ARO should be notified and the
structural integrity of the pond should be verified. Reclaimed water cannot be added to the irrigation pond at any time that
freeboard levels are less than one (1)foot.
The freeboard marker has not been placed in the pond. The marker is on site at the wastewater treatment plant per
Aubrey Deaver. The marker needs to be installed.
Permit Condition+11.3--rrrake scare the s gn(s nclude the language- on-potable-water" -
Prior to irrigating any water from the irrigatrion pond, an Operation& Maintenance Plan should be developed for this
facility(see permit condition 111.2.)
Type Yes No NA NE
Single Family Spray,LR n
Infiltration System n
Lagoon Spray,LR 0
Activated Sludge Spray, HR n
Activated Sludge Spray, LR n
Activated Sludge Drip,LR n
Single Family Drip n
Recycle/Reuse
Reuse(Quality)
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? fl ■ 0
Do all treatment units appear to be operational?(if no,note below.) 0 0 0 0
Comment: The system components in place are those that were part of the permit
before it became a Conjunctive Reclaimed System. The previous permit
(non-conjunctive) required a standby generator and that generator is located at the
VWWTP. The current facility description includes a standby generator but this should not
have been included in the description.
Page: 2

a
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 10, 2014
Charles Clouse
78 Cowen Cove Road
Asheville, NC 28806
Re: Sample ID (AC06775,AC06776,&AC06777)
Site name: Former Hyman Young Greenhouse
Sample location address: 80 Cowen Cove Road
Buncombe County,'NC
Dear Mr. Clouse,
Please find attached the analytical results for water samples collected at three wells
associated with the former Hyman Young Greenhouse at the address referenced above,on
March 24,2014.The three wells sampled include the building D3 production well, spring
house, and a water supply well above the pond.The samples were analyzed for volatile
organic compounds, semi-volatile organic compounds,chlorine-based pesticides,nitrogen-
-based pesticides,acid herbicides,nitrate,nitrite,and various
based pesticides, phosphorus
metals.
The following table summarizes the attached analytical results (AC06775) for the building
D3 production well. 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 of
contaminant per liter of water and are approximately equivalent to part per billion (ppb).
USEPA NC Concentration
Maximum Groundwater detected in your Qualifier
Contaminant Contaminant
well water(ppb)
Level(ppb) Standard(ppb)
aluminum 1200
bis(2-ethylhexyl)phtha1ate 6 3 11 Z2**
copper 1,300 _ 1,000 12
100 13 Z2**
di-n-octyl phthalate
iron 300 1500
lead 15 1s 35
manganese 50 40
nitrite 1,000 1,000 0.01
phthalic acid,bis(methylethyl)ester 40 N1*,Z2**
tetrachloroethene 5 0.7 3.4
zinc 1 1,000 30
N1*-The component has been tentatively identified based on mass spectral library search.
Z2**-The sample analysis/results are not reported due to questions concerning data reliability.The presence or absence of
the analyte cannot be verified.
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet http:/Iportal.nodenr.org/weblwq
An Equal Opportunity 1 Affirmative Action Employer

Charles Clouse
June 10,2014
Page 2 of 3
Because iron,lead,tetrachloroethene,and bis(2-ethylhexyl)phthalate were detected in the
production well above the applicable standard, a Health Risk Evaluation (HRE) of the water
supply was performed by our toxicologist, Dr. Ken Rudo.The HRE,which is enclosed,makes
specific recommendations for use of your water based on these results.
The following table summarizes the attached analytical results (AC06776) for the spring
house. 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 of contaminant
per liter of water and are approximately equivalent to part per billion (ppb).
USEPA
Maximum NC Concentration
Contaminant Groundwater detected in your Qualifier
Contaminant Standard(ppb) well water(ppb)
Level_ b
aluminum 88
barium 2,000 700 20
copper 1,300 1,000 4.7
dieldrin 0.002 0.01 j9**
endosulfan sulfate 40 0.01 W,j9**
iron 300 240
manganese so 10
nitrate 10,000 10,000 2,200
zinc 1,000 12
J2*-The reported value failed to meet the established quality control criteria for either precision or accuracy.
J9**-The reported value is determined by a one-point estimation rather than against a regression equation.The estimated
concentration is less than the laboratory practical quantitation limit and greater than the laboratory method detection limit
Because dieldrin was detected in the spring house above the applicable standard, a Health'
Risk Evaluation (HRE) of the water supply was performed by our toxicologist, Dr. Ken Ruda
The HRE,which is enclosed, makes specific recommendations for use of your water based on
these results.
The following table summarizes the attached analytical results (AC06777) for the pond water
supply well. 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 of contaminant
per liter of water and are approximately equivalent to part per billion (ppb).
USEPA NC Concentration
Contaminant Maximum Contaminant
Groundwater detected in our
Contaminant Y Qualifier.
Level b Standard(ppb) well water(ppb)
copper 1,300 1,000 14
iron 300 _1,900
manganese.. s0 33
zinc 1,000 22
Because iron was detected in the pond water supply well above the applicable standard,a
Health Risk Evaluation (HRE) of the water supply was performed by our toxicologist, Dr. Ken

Clo
use
10,2014
age 3 of 3
Rudo.The HRE,which is enclosed, makes specific recommendations for use of your water
based on these results.
It is important that I mention another issue concerning the use of water. During the site visit, I
was made aware that the building D3 production well is used to wash cars and engine parts.
Because tetrachloroethene and other contaminants are present in the groundwater above the
applicable standard,you will need to cease using the production well for any activity that
allows contaminated water to infiltrate the ground surface or reach nearby streams.
If you have any questions regarding the Health Risk Evaluation,please contact Dr.Ken Rudo at
[phone].
If you have any questions regarding the results please contact me at(828) 296-4681.
Sincerely,
Brett L rty
Water Quality Regional Operations Section
' Asheville Regional Office
Attachment: DWR analytical reports
Health Risk Assessment by Dr.Ken Rudo
Tetrachloroethene fact sheet
cc: file
Buncombe County Health Department
Bruce Parris-NC IHSB
Tracy Wahl-NC Brownfields Program
Glenda Rice
Michael Klatt
i

BUNCOMBE pl Sample ID: AC06776
PO Number# 14G0079
Date Received: 0 312 612 01 4
,o AROAP
1 Time Received: 07:60
oilector. B LAVER TY Labworks LoginlD MSWIFT
Region: ARO Final Report Date: 5/14/14
Sample Matrix: GROUNDWATER Report Print Date: 0 5127/2 0 1 4
Loc.Type: WATER SUPPLY Fln' I'Repo1`t
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: CHARLES CLOUSE 80 COWEN COVE ROAD ASHEVILLE.NC
Location ID: 11118000WENCOVE Collect Date: 0 312 4/2 01 4 Collect Time: 11:36 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis Validated by
CAS# Analyte Name PQL Units Qualifier Reference bate
LAB
Sample temperature at receipt by lab
1.8 °C 3/26/14 MSWIFT
NUT
NO2+NO3 as N in liquid 0.02 0.02 mg/L as N EPA 353.2 REV 2 3/27/14 CGREEN
Nitrate as N in liquid 0.02 0.02 U mg/L as N EPA 353.2 REV 2 5114/14 CGREEN
Nitrite as N in liquid 0.01 0.01 mg/L as N EPA 353.2 REV 2 3/26/14 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0, 1.0 U ug/L EPA200.8 4/16/14 ESTAFFORDI
7429-90-5 Abby ICP 50 1200 ug/L EPA200.7 4/21/14 ESTAFFORDI
7440-38-2 AS by ICPMS 2.0 2.0 U ug/L EPA200.8 4116/14 ESTAFFORDI
0-38-3 Ba by ICP 10 IOU ug/L EPA200.7 4/21/14 ESTAFFORD1
mglL EPA200.7 4l21/14 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 24
7440-43-9 Cd by ICPMS 0.50 0.60 U ug/L EPA200.8 4/16114 ESTAFFORDI
- IOU ug/L EPA200.8 4/1.6/14 ESTAFFORDI
7440-47-3 Cr by ICPMS 10
7440-50-8 Cu by ICPMS 2.0 12 ug/L EPA200.8 411.6/14 ESTAFFORD1
7439-89-6 _ Fe by ICP
50 1500 ug/L EPA200.7 4/21/14 ESTAFFORDI
7439-97-6 yg 245.1
0.2 0.20 U ug/L EPA245.1 4/10/14 ESTAFFORDI
7440-09-7 K by ICP
0.10 2.6 mg/L EPA200.7 4/21/14 ESTAFFORDI
7439-95-4 Mg by ICP
0.10 2.8 mg/L EPA200.7 4121/14 ESTAFFORDI
7439-96-5 Mn by ICP
10 40 ug/L EPA200.7 4/21/14 ESTAFFORDI
7440-23-5 ,; Na by ICP
0.10 9.0 mg/L EPA200.7 4/21/14 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 35 ug/L EPA200.8 4/16/14 ESTAFFORD1
7782-49-2 Se by ICPMS 5.0 5.0 U ug/L EPA200.8 4/16114 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 30 ug/L EPA200.8 4/16/14 ESTAFFORD1
VOL
Volatile Organics in liquid _TITLE_ ug/L EPA 5030/62418260 3/28/14 VANDREWS
75-71-8 DIchlorodifluoromethane 2A Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
74-87-3 Chloromethane 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
75-01-4 Vinyl Chloride 2.0 Not detected uglL EPA5030/624/8260 3128/14 VANDREWS
-4-83-9 Bromomethane 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
j 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
, 0-3 J Chloroethane
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
hechasysq
all
For a detailed description of the qualifier codes refer to.htpll nai cd a/weh/wa/IabF,taHyfioLecfiasis�DatyQua'iP r Cade,Mto!/voral.ncdenr.o weh w ,b st fyo
Page 1 of 8

WC DWQ Ga6oratory Section Wsufts
Location ID: 11118000WENCOVE Sample ID: AC06775 Collect Date: 0 3/2 412 01 4 Collect Time::
VOL
CAS# Analvte Name Result/ Method Analysis
PQL Qualifier UnitsyalidatL
75-69-4 Reference Date
Trichlorofluoromethane 2.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
75-35-4 1,1-Dichloroethene 1.0 Not detected ug/L EPA5030/6248260 3/28114 VANDREWS
75-09-2 Methylene Chloride 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
156-60-5 trans-1,2-Dichloroethene 1.0 Not detected ug/L EPA5030/62418260 3/28114 VANDREWS
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected ug/L EPA5030/624/8260 3/28114 VANDREWS
75-34-3 1,1-Dichloroethane 1.0 Not detected ug/L EPA5030/624/8260 W28/14 VANDREWS
156-59-2 CIS-1,2-Dichloroethene
1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
74-97-5 Bromochloromethane 1.0 Not detected ug/L EPA5030/624/8260 3/28114 VANDREWS
67-66-3 Chloroform 1.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
594-20-7 2,2-Dichloropropane 2.0 Not detected ug/L EPA5030162418260 3/28/14 VANDREWS
107-06-2 1,2-Dichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
71-55-6 1,1,1-Trich loroethane 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
563-58-6- 1,1-Dichloropropene 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
56-23-5 Carbon Tetrachloride 1.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
71-43-2 Benzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
74-95-3 Dibromomethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
78-87-5 1,2-Dichloropropane 1.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
79-01-6 Trichloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
75-27-4 Bromodichloromethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
10061-01-5 CIS-1,3-Dlchloropropene 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
79-00-5 1,1,2-Trichloroethane 1.0 Not detected ug/L EPA50301624/8260 3/28114 VANDREWS
108-88-3 Toluene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
142-28-9 1,3-Dichloropropane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
124-48-1 Dibromochloromethane 2.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
127-18-4 Tetrachloroethene 1.0 3.4 ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-90-7 Chlorobenzene 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
100-41-4 Ethylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
75-25-2 Bromoform 2.0 Not detected J2 ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-38-3 m,p Xylene' 2.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
100-42-5 Styrene 1.0 Not detected ug/L EPA5030/624/8260 3l28/14 VANDREWS
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected ug/L EPA5030162418260 3/28/14 VANDREWS
630-20-6 1,1,1,2-Tetrachloroethane 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
95-47-6 o-Xylene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
96-18-4 1,2,3-Trichloropropane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
98-82-8 ISOpropylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-86-1 Bromobenzene 1.0 Not detected ug/L EPA50301624/8260 3128/14 VANDREWS
103-65-1 n-Propylbenzene 1.0 Not detected ug/L EPA50301624/8260 3/28/14 VANDREWS
95-49-8 2-Chlorotoluene 1.0 Not detected ug/L' EPA50301624/8260 3/28/14 VANDREWS
106-43-4 4-Chlorotoluene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-67-8 `1,3,5-Trimeth (benzene
Y 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
Laboratory Section»-1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to W-J/:eonal.ncaenr-mteL nfiohrh=_Istxoata auaefier Cod <httr rai.nwe r' lwn/wa/16/-tafinfioLtechass st>
Page 2 of 8

NC DWWQ La6oratory Section qi�?sufts
Jill8000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: 11:36
Result/Qualifier Method Analysis Validated by
Analyte Name PQL Units Reference Date
_
j-6 tert-B utyl benzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
95-63-6 1,2,4-Trimethylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
135-98-8 see-Butylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
541-73-1 m-Dichlorobenzene(1,3) 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
106-46-7 p-Dichlorobenzene(1,4) 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
95-50-1 o-Dichlorobenzene(132) 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
99-87-6 p-ISOpropyltoluene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
104-51-8 n-Butylbenzehe 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
ug/L EPA5030/624/8260 3/28/14 VANDREWS
96-12-8 1,2-DlbrOm0-3-ChlOropfOpane 2.0 Not detected
120-82-1 1,2,4-TrlChlorOberlZerle 1.0 Not detected �9/L EPA5030/624l8260 3/28(14 VANDREWS
91-20-3 Naphthalene 2.0' Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
87-68-3 Hexachlorobutadiene 1.0 Not detected u9/L EPA5030/624/8260 3/28/14 VANDREWS
87-61-6 1,2,3-Trlchlorobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28l14 VANDREWS
SEM
93-72-1 Semivolatile Organics(BNAs)In liquid _TITLE_ ug/L EPA62518270/3510 4/16/14 NGOOD
62-53-3 Aniline
12 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
106-95-2 Phenol
10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
111-44-4 BIs(2-chloroethyl)ether 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
95-57-8 Chlorophenol,2- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
541-73-1 Dichlorobenzene, 1,3 10 Not detected Z2 ug/L EPA625/827013610 4/16/14 NGOOD
�0e-as-7 'Dichlorobenzene,1,4-
10 Not detected Z2 ug/L EPA625/827013510 4/16/14 NGOOD
/ 30 NOt detected Z2 ug/L EPA625/8270/3510 4/16114 NGOOD
51-s Benzyl alcohol
95-50-1 Dichlorobenzene, 1,2- 10 Not detected Z2 ug/L EPA625l8270/3510 4/16/14 NGOOD
95-48-7 Methylphenol,2- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
39638-32-9 Bls(2-Chloroisopropyl)ether 10 Not detected Z2 ug/L EPA625/8270/3510. 4/16114 NGOOD
106-44-5 Methylphenol,4- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
621-64-7 N-nitrosodi-n-propylamine 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
67-72-1 Hexachloroethane 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
98-95-3 Nitrobenzene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
10, Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
78-59-1 Isophorone
88-75-5 Nitrophenol,2- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
105-67-9 Dimethylphenol,2,4- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
65-85-0 Benzoic acid 50 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
111-91-1 Bis(2-Chloroethoxy)methane 10- Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
120-83-2 Dichlorophenol,2,4- 10 Not detected Z2 ug/L EPA62518270/3510 4/16/14 NGOOD
120-82-1 Trichoorobenzene, 1,2,4- 10, Not detected Z2 ug/L EPA62518270/3510 4/16114 NGOOD
91-20-3 Naphthalene(SV) 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
106-47-8 Chloroanlllne,4 12 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
87-68-3 Hexachlorobutadiene(SV) 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
59-50-7 Chloro-3-methyl phenol,4- 15 Not detected Z2 uglL EPA62518270/3510 4/16/14 NGOOD
91-57-6 Methylnaphthalene,2- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
!7-a Hexachlorocyclopentadiene 12 Not detected Z2
ug/L EPA625/8270/3510 4116/14 WOOD
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description afthe qualifier codes refer to t`./,!'ram, are/w b/allab/t finB)te<ha 'tttoata uai fi r cad s bt !t oorta d n,fir,rwebwea/lablstafin'ohechasista
Page 3 of 8

NC In.WQ Ga6oratory Section&suits
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: 1`r.
SEM
GAS# Analvte Name PQL Resultl Method Analysis
Qualifier Units validate.
Reference Date
88-06-2 Trichlorophenol,2,4,6- 10 Not detected Z2 ug/L EPA625/827013510 4/16/14 WOOD
95-95-4 Trichlorophenol,2,4,5- 12 Not detected Z2 ug/L EPA625/827013510 4/16/14 NGOOD
91-58-7 Chloronaphthalene,2- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
88-74-4 Nitroaniline,2- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
131-11-3 Dimethyl phthalate 10 Not detected Z2 ug/L EPA62518270/3510 4/16/14 WOOD
208-98-8 Acenaphthylene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
606-20-2 Dinitrotoluene,2,6- 10 Not detected Z2 ug/L EPA625/8270/3510' 4/16/14 WOOD
99-09-2 Nitroaniline, 3- 50 Not detected Z2 ug/L EPA625/8270/3510 4/16114 WOOD
83-32-9 ACenaphthene 10 Not detected Z2 ug/L EPA625/8270/3510 4116114 NGOOD
51-28-5 Dinitrophenol,2,4- 50 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
100-02-7 Nitrophenol,4- 50 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
132-64-9 DlbenZofuran 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
121-14-2 Dinitrotoluene,2,4- 10' Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
84-66-2 Diethyl phthalate 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
7005-72-3 Chlorophenyl phenyl ether,4- 10 Not detected Z2 ug/L _EPA625/8270/3510 4116/14 NGOOD
86-73-7 Fluorene 12 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
100-01-6 Nitroaniline,4- 50 Not detected Z2;J2 ug/L EPA625/827013510 4/16/14 NGOOD
534-52-1 Dinitro-2-methyl phenol,4,6 50 Not detected Z2 ug/L EPA6251827013510 4/16/14 NGOOD
86-30-6 N-nitrosodiphenylamine 10 Not detected Z2
ug/L EPA625/8270/3510 4116114 NGOOD
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
118-74-1 HexachlorobenZene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
87-86-5 Pentachlorophenol 30 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
85-01-8 Phenanthrene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
120-12-7 Anthracene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
84-74-2 Di-n-butyl phthalate 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
206-44-0 Fluoranthene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
129-00-0 Pyrene 10 Not detected Z2 ug/L EPA625/827013510 4/16/14 NGOOD
85-68-7 ButylbenZyl phthalate 10 Not detected Z2 ug/L EPA625/827013510 4/16/14 NGOOD
91-94-1 Dichlorobenzidine,3,3'- 30 Not detected Z2;J2 ug/L EPA625/8270/3510 4/16/14 WOOD
56-55-3 BenZo(a)anthracene 10 Not detected Z2 ugiL EPA625/8270/3510 4/16/14 WOOD
218-01-9 Chrysene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
117-81-7 Bis(2-ethylhexyl)phthalate 10 '11 Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
117-84-0 Di-n-octyl phthalate 10 13,Z2 ug/L EPA625/8270/3510 4/16/14 NGOOD
205-99-2 BenZo(b)fiuoranthene 10 Not detected Z2 ug/L EPA625/8270/3510 4116114 NGOOD
207-08-9 Benzo(k)f uo anthene 10 Not detected Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
50-32-8 BenZo(a)pyrene 10 Not detected Z2 uglL EPA625/8270/3510 4116/14 NGOOD
193-39-5 Indeno(1,2,3-cd)pyrene 15 Not detected Z2 ug/L EPA625/827013510 4/16/14 NGOOD
53-70-3 DibenZo(a,h)a nth racene 15 Not detected Z2 ug/L EPA625/8270/3610 4/16/14 NGOOD
191-24-2 Benzo(g,h,i)perylene 15 Not detected Z2 ug/L EPA625/827013510 4/16/14 NGOOD
Phthalic acid,bis(methylethyl)ester 40 N1;Z2 ug/L EPA625/8270/3510 4/16/14 WOOD
PIES
7439-97-6 Chlorinated Pesticides in Liquid _TITLE_ ug/L EPA608 4/15/14 JHAYES
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description ofthe qualifier codes referte hi: orzar,caencor web w IaJstarintto/cechass i#ata uaiiFer C«ies4htu://oo ki,menr.ore/webhv�/abltat;nfie/iechassis»
Page 4 of 8

XC O WQ La6oratory Section W§sufts
11118000WENCOVE Sample ID: AC06776 Collect Date: 0 312 412 01 4 Collect Time:: 11:36
Result/ Method Analysis validated by
_ Analvte Name PQL Units Qualifier Reference Date
2-60-8 Alachlor
0.28 Not detected J2 ug/L EPA 608 4115/14 JHAYES
319-84-2 Aldrin
0.06 NOt detected J2 ug/L EPA608 4/15/14 JHAYES
319-84-6 BHC-Alpha 0.03 Not detected J2 u9/L EPA608 4/15/14 JHAYES
319-85-7 BHC-Beta
0.03 Not detected J2 u9/L EPA608 4/15/14 JHAYES
319-86-8 BHC_Delta
0.06 Not detected J2 u9/L EPA608 4l15/14 JHAYES
58-89-9 BHC-Gamma(Llndane) 0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
57-74-9 Chlordane;Technical 0.5 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
5103-71-9' Chlordane,'Alpha 0.03 Not detected J2 ug/L EPA608` 4l15/14 JHAYES
5103-74-2 Chlordane,Gamma 0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
3734-48-3 Chlordene 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
510-15-6 Chlorobenzilate 0.48 Not detected J2 ug/L EPA608 4115/14 JHAYES
1861-32-1 DCPA
0.03 Not detected J2 ug/L EPA608 4/15114 JHAYES
53-19-0 DDD 2,4 0.06 Not detected J2 ug/L EPA608 4/15/14 JHAYES
72-54-8 DDD 4,4 0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
3424-82-6 DDE 2,4 0.05 Not detected J2 ug/L EPA608 4115/14 JHAYES
72-55-9 DDE 4,4 0.03 Not detected J2 ug/L EPA 608 4115/14 JHAYES
789-02-6` DDT 2,4 0.05 Not detected J2 ug/L EPA608 4/15/14 JHAYES
50-29-3 DDT 4,4 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
60-57-1 Dleldrin
0.03 Not detected J2 ug(L EPA 608 4115/14 JHAYES
959-98-8 Endosulfan 1 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
33213-65-9 Endosulfan II 0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
1-07-8 Endosulfan sulfate
0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
72-20-8 Endrin
0.03 Not detected J2 u9/L EPA 608 4/15114 JHAYES
7421-93-4 Endrin Aldehyde 0.06 Not detected J2 ug/L EPA 608 4115/14 JHAYES
ug/L EPA 608 4115/14 JHAYES
53494-70-5 Endrin Ketone
0.03 Not detected J2
2593-15-9 Ethazole 0.09 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
76-44-8 Heptachlor 0.06 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
1024-57-3 Heptachlor epoxide 0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
118-74-1 Hexachlorobenzene(Pest) 0.02 Not detected J2 ug/L EPA608 4/15/14 JHAYES
2385-85-5 MIreX
0.03 Not detected J2 ug/L EPA608 4/15114 JHAYES
39765-80-5 Trans Nonachlor 0.05 Not detected J2 ug/L EPA608 4/15/14 JHAYES
27304-13-8 OXychlordane 0.05 Not detected J2 ug/L EPA608 4115/14 JHAYES
52645-53-1 Mixed Permethrin 1.20 Not detected J2 ug/L EPA 608 4/15114 JHAYES
1918-16.7 Propachlor 0.54 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
117-18-0 Tecnazene
0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
1582-09-8'" Trlfluralin 0.05 Not detected;J2 ug/L ' EPA608 4/15/14 JHAYES
12674-11-12 Aroclor 1016 1 Not detected J2 ug/L EPA 608 4/15114 JHAYES
11 1 04-2 8-2 Aroclor 1221 1 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
111 4 1-1 6-5 Aroclor 1232 1 Not detected J2 ug/L EPA608 4/15/14 JHAYES
53469-21-9 Aroclor 1242 1 Not detected J2 ug/L EPA608 4/15/14 JHAYES
12672-29-6 Aroclor 1248 1 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
3,97-69-1 Aroclor 1254
1 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
-`-° ow `ab
For a detailed description of the qualifier codes refer to.hSL'e�na� aenr ore/web/wq IL,/tafinfl heck.si st#Data Qua.fier Coles<htu.J�ote(.�Cae9 =b stafinfiat2ec tj_�sh
Page 5 of 8

9VC 0WQ Laboratory Section q?psurts
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: \i
PES
CAS# Analvte Name PQL Result/ Method Analysis \
Qualifier Units yalidai..
Reference Date
11096-82-5. Aroclor 1260 1 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
37324-23-5 Aroclor 1262 1 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
8001-35-2 Toxaphene 3 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
121-75-5 Acid Herbicides In liquids _TITLE_ ug/L EPA 615 4/2/14 JHAYES
50594-66-6 Acifluorfen(Blazer) 0.33 Not detected ug/L EPA615 412/14 JHAYES
25057-89-0 Bentazon 0.42 Not detected ug/L EPA615 4I2114 JHAYES
94-75-7 2 4-D 0.45 Not detected J2 ug/L EPA 615 4/2/14 JHAYES
94-82-6 2,4-DB 1.35 Not detected ug/L EPA615 4/2/14 JHAYES
1918-00-9 Dioamba 0.15 Not detected ug/L EPA615 4/2/14 JHAYES
51-36-5 3,5-DichlorobenzoicAcid 0.18 Not detected ug/L EPA615 4/2114 JHAYES
120-36-5 Dichlorprop 0.54 Not detected ug/L EPA615 4/2/14 JHAYES
88-85-7 Dinoseb 0.63 Not detected ug/L EPA615 4/2/14 JHAYES
100-02-7 4-Nitrophenol(Pest) 0.24 Not detected ug/L EPA615 412/14 JHAYES
87-86-5 Pentachlorophenol(PCP) 0.09 Not detected ug/L EPA615 4/2/14 JHAYES
93-76-5 2,4,5-T 0.18 Not detected ug/L EPA615 4/2/14 JHAYES
93-72-1 2,4,5-TP(Silvex) 0.18 Not detected : ug/L EPA615 4/2/14 JHAYES
886-50-0 Phosphorus based Pesticides In Liquid _TITLE_ ug/L EPA614 4/8/14 JHAYES
786-19-6 Carbophenothlon 0.80 Not detected ug/L EPA614 4/8l14 JHAYES
2921-88-2 ChlorpyrlfoS 0.40 Not detected ug/L EPA614 418/14 JHAYES
78-48-8 DEF(Oxidized merphos) 0.40 Not detected ug/L EPA614 4/8/14 JHAYES
126-75-0 Demeton 0.80 Not detected ug/L EPA614 418/14 JHAYES
62-73-7 Dichlorvos 0.6 Not detected ug/L EPA 614 4/8/14 JHAYES �
333-41-5 Diazinon 0.40 Not detected ug/L EPA614 4/8/14 JHAYES
60-51-5 Dlmethoate
1:6 Not detected ug/L EPA614 4/8/14 JHAYES
298-04-4 Disulfoton 0.9 Not detected" ug/L EPA614 4/8l14 JHAYES
2497-06-5 Disulfoton Sulfone 0.40 Not detected ug/L EPA 614 4/8/14 JHAYES
2497-07-6 Disulfoton Sulfoxide 10. Not detected ug/L EPA614 4/8114 JHAYES
2104-64-5 EPN
0.40 Not detected ug/L EPA614 4/8/14 - JHAYES
563-12-2 Ethlon 0.40 Not detected ug/L EPA614 4/8/14 JHAYES
13194-48-4 Ethoprop 0.40 Not detected ug/L EPA614 4/8/14 JHAYES
55-38-9 Fenthion
0.40 Not detected. ug/L EPA 614 4/8/14 JHAYES
115-90-2 Fensulfothlon 6 Not detected ug/L EPA614 418114 JHAYES
121-75-5 Malathlon 0.5 Not detected ug/L EPA 614 418/14 JHAYES
6923-22-4 MOnocrotophos 1.0 Not detected ug/L EPA614 4/8/14 JHAYES
300-76-5 Naled 3.0 Not detected ug/L EPA614 4/8114 - JHAYES
56-38-2 Ethyl Parathion 0.40 Not detected : ug/L EPA 614 418/14 JHAYES
298-00-0 Methyl Parathion 0.40 Not detected ug/L EPA614 4/8/14 JHAYES
7786-34-7 Mevinphos 0.9 Not detected ug/L EPA614 4/8/14 JHAYES
298-02-2 Phorate 0.40 Not detected ug/L EPA614 4/8/14 JHAYES
299-84-3 ROnnel ' 0.40 Not detected ug/L EPA 614 4/8/14 JHAYES"
3689-24-5 Sulfotepp 0.40 Not detected ug/L EPA614 418/14 JHAYES
13071-79-9 Ter'bufos 0.6 Not detected: ug/L EPA 614 4/8/14 JHAYES
i
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to i/oarraLnwen a !ebrw.g r t ftnrya rt ssfstpPata i fleL codes<htw�{oo.v�ncd ,orpfwetrrwaJ+ablstArtnfic!tech s?se>
Page 6 of 8

JUC(DWQ Laboratory Section 1§sults
II118000WENCOVE Sample ID: AC06775 Collect Date: 0 312 412 01 4 Collect Time:: 11:36
Result/ Method Analysis validated by
Analyte Name PQL Units Qualifier Reference Date
-77-6 Nitrogen based Pesticides In Liquid _TITLE_ ug/L EPA619 4/8/14 JHAYES
d34-12-8 Arnetfyn 9 NOt detected ug/L EPA619 4/8/14 JHAYES
1610-17-9 Atraton 9 Not detected ug/L EPA 619 4/8/14 JHAYES
1912-24-9 AtfaZlne
9 Not detected ug/L EPA 619 4/8l14 JHAYES
314-40-9 BrOmaCll
27 Not detected ug/L EPA619 4/8/14 JHAYES
23184-66-9 Butachlor 24 Not detected ug/L EPA 619 4/8/14 JHAYES
2008-41-5 BUtylate
9 Not detected ug/L EPA 619 4/8/14 JHAYES
101-21-3 chlorprOpham 33 Not detected ug/L EPA619 4/8/14 JHAYES
ug/L EPA619 4/8l14 JHAYES
21725-46-2 Cyanazine 9 Not detected
1134-23-2 Cycloate 9 Not detected ug/L EPA 619 4/8/14 JHAYES
957-51-7 Diphenamid 9 Not detected ug/L EPA619 4/8/14 JHAYES
759-94-4 EPTC(Eptam) 9 Not detected ug/L EPA619 4/8/14 JHAYES
60168-88-9 Fenafimol 12 Not detected ug/L EPA619 4/8114 JHAYES
59756-60-4 FlUfldOne
80 Not detected J2 ug/L EPA 619 4/8/14 JHAYES
51235-04-2 HexaZinone 6 Not detected ug/L EPA619 4/8/14 JHAYES
000950-35-6- Methyl Paraoxon 9 Not detected J2 ug/L EPA 619 4/8/14 JHAYES
51218-45-2 Metolachlor 18 Not detected ug/L EPA619 418/14 JHAYES
21087-64-9 MetribUZln 18 Not detected ug/L EPA619 4/8/14 JHAYES
2212-67-1 Molinate
9 Not detected ug/L EPA 619 418/14 JHAYES
15299-99-7 Napfopamide 15 Not detected ug/L EPA619 4/8/14 JHAYES
77314-13-2 NOrI`IUfaZOn
12 Not detected ug/L EPA 619 4/8/14 JHAYES
,,
4-71-2 Pebulate 9 Not detected ug/L EPA619 4/8114 JHAYES
1610-18-0 Prometon 9 Not detected ug/L EPA619 4/8/14 JHAYES
7287-19-6 Pfometryn
9 Not detected u9/L EPA619 4/8/14 JHAYES
23950-58-5 PrOnamlde
33 Not detected ug/L EPA619 4/8/14 JHAYES
139-40-2 PrOpaZlne
9 Not detected ug/L EPA619 4/8/14 JHAYES
1014-70-6 $imetryn
9 Not detected ug/L EPA619 4/8/14 JHAYES
5902-51-2 Terbacil
15 Not detected ug/L EPA619 4/8/14 JHAYES
34014-18-1 Tebuthiuron 30 Not detected ug/L EPA619 4/8/14 JHAYES
886-50-0 Terbutryn
9 Not detected ug/L EPA619 4/8/14 JHAYES
43121-43-3 Tfiadimefon 9. Not detected ug/L EPA619 4/8/14 JHAYES
41814-78-2 TricyclaZOle 48 Not detected ug/L EPA619 4/8/14 JHAYES
961-11-5 Tetrachlovinphos 6 Not detected ug/L EPA619 4/8/14 JHAYES
1929-77-7 Vernolate
9 Not detected ug/L EPA 619 4/8/14 JHAYES
2675-77-6 Chloroneb
0.21 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
1897-45-6 Chlorothalonil 0.2 Not detected J2 ug/L EPA 608 4115/14 JHAYES
72-43-5 Methoxychlor 0.15 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed desertption of the qualifier codes refer to Fm//oorn�.nwenr.or wJ i b s flnh xecnass.xxoax a rPex coa,_es<ht l,p rra a rel ebl;�,tab tafiMro/xechassso
Page 7 of 8

9NCVkPQ Laboratory Section gZfsurts
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect Date: 0 3/2 412 01 4 Collect Time: 1't:
PES
Result/
CAS# Analyte Name PQL Units Method Analysis tM Valiaa
Qualifier Reference Date
Sample Comments
VOL:VOA-J2-estimated-1 analyte(s)<LCL in LCS.
PES:AH-J2-estimated-1 analyte(s)<LCL in LCS.
PES:ONP-J2-estimated-2 analytes failed to meet curve fit criteria:
SEMI:SV-Z2-6 of 6 internal standards failed LCL-questions concerning data
reliability.
SEMI:SV-J2-estimated-I analyte(s)failed to meet curve fit criteria
SEMI:SV-J2-estimated-I analyte(s)failed<LCL in CV2.
SEMI:SV-N 1-estimated-The component has been tentatively identified
based on mass spectral library search.
PES:OCP-J2-estimated-1 analyte(s)failed to meet curve fit criteria.
PES:OCP-J2-estimated-degradation criteria>15%for endrin:
Laboratory Section»1623 Mail Service Center,Raleigh,NC'27699-1623 [phone]'
For a detailed description of the qualifier codes refer to nt:/portai.nc_eencar wetL an s/taN"fia�,,iechassistuota qualifer code,<ht /,rsom;.ncdencorefwen/wall 6lrtafi6fia?tecnassst>
Page 8 of 8

4' 22:10 9198704807 OEEB MERA PAGE 02/03
Nth Ckaft Wvmon of Public Hoe&
f
t�imup�i el
r e INORGAM ANAL
jp "al vow k6mad"and s
j(a
�jej,
Counter.
�.e�ricm►rer
APLaYM
RT
Y l was r i pis ig,pd pH. noWts w evaluamd. the,
fe&ral drinking Wda Mo&dL 'fire PH is a MMM of&a midi of&C WatW nW
cont ` substmwAs#last can no=odwally in water or can be imodu=l into the wow£im MOW
snuff. -
T iDATIOM
Yomwellwar
wad gwndmd& your water can be used for dam,cook,
�waobin&clean er,b ' and showaing
The following e(s)acceded fe&nW' s. your wad+panbe used for
cookies,w and show n but .e probims auch as bad tom,odor,
` ri ng of13 wdaib, .may occur, you vmtto instil a ld WOW tmakneO 9Ystem to addres®
aesthetic grnblems.
Barieuu Fhtc" i
0eI sow
s exceeded 1-fti l ° va�ater . we recotomwd that your well
ZThe fvilt�wmg sabstie �
water not be used for dfibldng and WAID ,tua1e911 you WOW,a W"tMIMMMtsystem tD remove the circled
subst e(s).However,it trey be used for W&SWM&daminX Whing Wd shoW41T-
Flunrid$ ium
MOW 8�iiwa C$tlmtum �Icadtm�t �lTs-odkwH
man
t r gmple for lead and/or cWPOr. Tie a first draw, 5 Mbu*and 15 mimrte samples"side ft housc
f olly&c kitchen)and if possible a first draw,5 nfmute and a 15 nntvte sample at the well head to
detwWne the source of lead aim copper.
Routinc well water sampUng for the above substances is recommended every two to three years, 1 er�t of
Your well water V*an tbere is a known problem or c�ination in boost ages.,a x'repairs or repa
your well,or aver a flooding event. Contact your local health drtment for sampling itructions,
For further informawn phrase contact your watnty health department or the OccuQationai and Vmrironm"tat
Epidemioloa Branch at 919-1707..5900.
, j

���
i
_- __
__

BUNCOMBEp: Sample ID: AC06776
PO Number# 14G0080
Date Received: 0 312 612 01 4
o AROAP Time Received: 07:60
.elector: B LAVERTY Labworks LoginlD MSWIFT
Region: ARO Final Report Date: 5/14114
Sample Matrix: _GROUNDWATERjtlal�RepO1t Report Print Date: 05/27/2014
Loc.Type: WATER SUPPLY
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descc: CHARLES CLOUSE 80 COWEN COVE ROAD ASHEVILLE.NC
/ es
Location ID E
: 11118000WNCOVE Collect Date: 03/24/2014 Collect Time: 13:10 Sample Depth
if this report is labeled preliminary report the results have not been validated, Do not use for Regulatory purposes-
Result/ Method Analysis Validated by
CAS# Analyte Name PQL Units Qualifie Reference Date
r
LAB
Sample temperature at receipt by lab
1.8 'C 3/26/14 MSWIFT
NUT
mglL as N EPA 353:2 REV 2 3127/14 CGREEN
NO2+NO3 as N in liquid 0.02 2.2 mg/L as N EPA 353:2 REV 2 5l14/14 CGREEN
Nitrate as N In IlgUld 0.02 2,2
mg/L as N EPA 353.2 REV 2 3/26/14 CGREEN
Nitrite as N in liquid 0.01 0.01 U
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U u9/L EPA200.8 4/16/14 ESTAFFORDI
7429-90-5 Al by ICP 50 88 u9/C EPA200.7 4/21/14 ESTAFFORDI
4/16/14 ESTAFFORDI
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA200.8
Io-3a-3 Ba by ICP
10 20 ug/L EPA200.7 4/21/14 ESTAFFORDI
` ' -
7440-70-2 Ca by ICP 0.10 4.1 mg/L EPA200.7 4/21/14 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7440-47-3; Cr by ICPMS 10 IOU u9/L EPA200.8 4116/14 ESTAFFORD1
2.0 4.7 ug/L EPA200.8 4/16/14 ESTAFFORD1
7440-50-8 Cu by ICPMS
7439-89-6 Fe by ICP 50 240 ug/L EPA200.7 4/21114 ESTAFFORDI
7439-97-6 Hg 245.1 0.2' 0.20 U ug/L EPA245.1 4/10/14 ESTAFFORDI
7440-09-7 K by ICP 0.10 1.3 mg/L EPA200.7 4/21/14 ESTAFFORDI
7439-95-4 Mg by ICP 0.10 2.2 mg/L EPA200.7 4/21/14 ESTAFFORDI
7439-96-5 Mn by ICP 10 10 ug/L, EPA200.7 4/21/14 ESTAFFORD1
7440-23-5 Na by ICP 0.10 3.6 mg/L EPA200.7 4/21/14 ESTAFFORDI
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORDI
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORDI
7782-49-2 Se by ICPMS 5.0 6.0 U u9/L EPA200.8 4/16/14 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 12 ug/L EPA200.8 4/16/14 ESTAFFORDI
VOL
120-82-1 Volatile Organics in liquid _TITLE_ ug/L EPA5030/624/8260 3/31/14 VANDREWS
75-71-8 Dlchlorodifluoromethafle 2.0 Not detected ug/L EPA6030/62418260 3/31/14 VANDREWS
74-87-3 Chloromethane 2.0 Not detected ug/L EPA5030/624/8260 3131114 VANDREWS
75-01-4 Vinyl Chloride 2.0 Not detected ug/L EPA50301624/8260 3131/14 VANDREWS
za a3-s Bromomethane
2.0 Not detected ug/L EPA5030162418260 3/31/14 VANDREWS
00-3 Chloroethane
2.0 Not detected ug/L EPA5030/62418260 3/31114 VANDREWS
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to Cades<ht: o-I_n<denr ore!web!a!i b/stafinfiok=ch ssa I5U
Page 1 of 8

NC OWQ,Gafioratory Section 9Z�sufts
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect Date: 0 3/2 412 01 4 Collect Time:: 1 ,
VOL
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date yaliaatr
75-69-4 Trichlorofluoromethane 2.0 Not detected ug/L EPA5030/624/8260 3131/14 VANDREWS
75-35-4 1,1-Dichloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
75-09-2 Methylene Chloride 1.0 Not detected ug/L EPA5030/62418260 3/31114 VANDREWS
156-60-5 trans-1,2-Dichloroethene 1.0 Not detected ug/L EPA50301624/8260 3/31/14 VANDREWS
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected ug/L EPA5030/62418260 3/31/14 VANDREWS
75-34-3 1,1-Dlchloroethane 1.0 Not detected ug/L EPA50 001624/8260 3/31/14 VANDREWS
156-59-2 CIS-1,,2-Dichloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
74-97-5 Bromochloromethane 1.0 Not detected ug/.L EPA5030/624/8260 3/31/14 VANDREWS
67-66-3 Chloroform 1.0 Not detected ug/L EPA503 /6624/8260 3/31/14 VANDREWS
594-20-7 2,2-DlChloropropane 2.0 Not detected ug/L EPA5030/624/8260 3/31114 VANDREWS
107-06-2 1,2-Dichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
71-55-6 1,1,1-Trichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
563-58-6 1,1-Dichloropropene 1.0 Not detected ug/L EPA5030/624/8260 3131/14 VANDREWS
56-23-5 Carbon Tetrachloride 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
71-43-2 Benzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
74-95-3 Dibromomethane 1.0 Not detected ug/L EPA5030162418260 3/31/14 VANDREWS
78-87-5 1,2-DlChloropropane 1.0 Not detected ug/L EPA5030/624/8260 3131/14' VANDREWS
79-01-6 Trichloroethene 1.0 Not detected ug/L EPA5030/62418260 3/31114 VANDREWS
75-27-4 Bromodichloromethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
10061-01-5 Cis-1,3-Dichloropropene 2.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected ug/L EPA50301624/8260 3/31/14 VANDREWS
79-00-5 1,1,2-Trichloroethane 1.0 Not detected ug/C EPA5030l624/8260 3/31l14 - VANDREWS '
108-88-3 Toluene EPA5030/624/8260
Not detected ug/L EPA5030/624/8260 3131/14 VANDREWS
142-28-9 1,3-DlChloropropane 1.0 Not detected ug/L EPA5030/62418260 3/31/14 VANDREWS
124-48-1 Dlbromochloromethane 2.0 Not detected J2 ug/L EPA5030/624/8260 3/31/14 VANDREWS
106-93-4 (EDB)1,2-Dlbromoethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
127-18-4 Tetrachloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
108-90-7 Chlorobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
100-41-4 Ethylbenzene 1.0 Not detected ug/L EPA50301624/8260 3/31/14 VANDREWS
75-25-2 Bromoform 2.0 Not detected J2 ug/L EPA5030/624/8260 3/31/14 VANDREWS
108-38-3 map-Xylene 2.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
100-42-5 Styrene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected J2 ug/L- EPA5030/624/8260 3/31/14 VANDREWS
630-20-6 1,1,1,2-Tetrachloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
95-47-6 o-Xylene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
96-18-4 1,2,3-Trichloropropane 1.0 Not detected ug/L EPA5030/624/8260 3/31114 VANDREWS
98-82-8 Isopropylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3131/14 VANDREWS
108-86-1 Bromobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
103-65-1 n-Propylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
95-49-8 2-Chlorotoluene 1.0 Not detected ug/L EPA5030/62418260 3131114 VANDREWS
106-43-4 4-Chlorotoluene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For adetailed description of the qualifier codes refer to t)u,,/foo-i ca org[wethvq[lahktafinffa ssistsoata a:aliser Codes�ht !.S? ay tlent lweb`a'iatilsta$nRn kechassist>
Page 2 of 8
i

.7VGDWQ La6oratorySection IZpsufts
11118000WENCOVE Sample ID: AC06776 Collect Date: 0 312 412 01 4 Collect Time:: 13:10
Result/Qualifier Method Analysis Validated by
Analyte Name PQL Units Reference Date
_
j-6 tert-Butyl benzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
d5-63-6 1,2,4-Trimethylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
135-98-8 sec-Butylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
541-73-1 m-Dichlorobenzene(1,3) 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
106-46-7 p-Dichlorobenzene(1,4) 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
95-50-1 O-Dichlorobenzene(1,2) 1.0 Not detected ug/L EPA5030/624/8260 3/31114 VANDREWS
99-87-6 p-Isopropyltoluene 1.0 Not detected ug/L EPA50301624/8260 3/31114 VANDREWS
104-51-8 n-Butylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
96-12-8 1,2-Dibrom0-3-Chloropropane. 2.0 Not detected ug/L EPA503Of624/8260 3131/14 VANDREWS
120-82-1 1,2,4-Trichlorobenzene 1.0 Not detected ug/L EPA5030/624/8260 3131/14 VANDREWS
91-20-3 Naphthalene 2.0 Not detected ug/L EPA5030/624/8260 3/31/14 VANDREWS
87-68-3 HeXachlorobutadiene 1.0 Not detected ug/L EPA5030/624/8260 3131114 VANDREWS
87-61-6 1,2,3-Trichlorobenzene 1.0, Not detected ug/L EPA5030/624/8260 3/31114 VANDREWS
SEM
93-72-1 SemiVOlatile Organics(BNAs)in liquid TITLE_ ug/L EPA625/8270/3510 4/16/14 NGOOD
62-53-3 Aniline. 12 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
108-95-2 . Phenol
10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
111-44-4 Bis(2-Chloroethyl)ether 10 Not detected ug/L EPA625/8270/3510 4116/14 NGOOD
95-57-8 Chlorophenol,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
541-73-1 Dichlorobenzene, 1,3` 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
106-46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA626/8270/3510 4/16/14 NGOOD
)-51-6 BenZyl alcohol 30 Not detected ug/L EPA62518270/3510 4/16/14 WOOD
95-50-1 Dichlorobenzene, 1 t2- 10 Not detected ug/L EPA62518270/3510 4/16/14 NGOOD
95-48-7 Methylphenol,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
39638-32-9 Bis(2-chloroisopropyl)ether 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
106-44-5 Methylphenol,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD ,
621-64-7 N-nitrosodi-n-propylamine 10 Not detected ug/L EPA625/8270/3510 4116114 NGOOD
67-72-1 HeXachloroethane 10`- Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
98-95-3 Nitrobenzene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
78-59-1 Isophorone
10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
88-75-5 Nitrophenol,2- 10 Not detected ug/L EPA625/827013510 4/16/14 NGOOD
105-67-9 Dimethylphenol,2,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
65-85-0 Benzoic acid 50 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
111-91-1 Bis(2-ChloroethoXy)methane 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
120-83-2 Dichlorophenol,2,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
120-82-1 Trichlorobenzene,1,2,4 10 Not detected ug/L EPA625/8270/3510 4/16114 NGOOD
ug/L EPA625/827013510 4/16/14 NGOOD
91-20-3 Naphthalefle(SV) 10 Not detected
106-47-8 Chloroaniline,4- 12 Not detected ug/L EPA625/8270/3510 4/16l14 NGOOD
87-68-3 HeXachlorobutadiene(SV) 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
59-50-7 Chloro-3-methyl phenol,4- 15 Not detected ug/L EPA625/8270/3510 4/16114 WOOD
91-57-6 Methyinaphthalene,2- 10 Not detected ug/L EPA625/8270/3510 4116/14 NGOOD
7�47-4 Hexachlorocyclopentadiene 12 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description ofthe qualifier codes refer to hi: onal cc rq/ b!w/1 /taH H krhassfst#Data 4uareer God ht 7/ ml ncdenr.oMj eb1 /lab/st fint2 techzssisb
Page 3 of 8

NC DWQ Laboratory Section�Xfsurts
Location ID: 11118000WENCOVE Sample 1D: AC06776 Collect Date: 03/24/2014 Collect Time:: i;
SEM
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Unitsyaliaat
Reference Date
88-06-2 Trichlorophenol,2,4,6- 10 Not detected ug/L EPA625/8270/3510 4/16114 WOOD
95-95-4 Trichlorophenol,2,4,5- 12 Not detected ug/L EPA625/827013510 4116/14 WOOD
91-58-7 Chloronaphthalene,2- 10 Not detected ug/L EPA62518270/3510 4/16/14 NGOOD
88-74-4 Nitroaniline,2- 10 Not detected ug/L EPA625/8270/3510 4116/14 NGOOD
131-11-3 Dimethyl phthalate 10 Not detected ug1L EPA625/8270/3510 4/16/14 WOOD
208-96-8 Acenaphthylene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
606-20-2 Dinitrotoluene,2,6- 10 Not detected ug/L EPA6251827013510 4/16/14 WOOD
99-09-2 - Nitroaniline, 3- 50 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
83-32-9 Acenaphthene 10 Not detected ug/L EPA62518270/3510 4116/14 NGOOD
51-28-5 Dinitrophenol, 2,4- 50 Not detected ug/L EPA62518270/3510 4116/14 WOOD
100-02-7 Nitrophenol,4- 50 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
132-64-9 Dibenzofuran 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
121-14-2 Dinitrotoluene,2,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
84-66-2 Diethyl phthalate 10 Not detected ug/L EPA625/827013510 4/16/14 WOOD
7005-72-3 Chlorophenyl phenyl ether,4- 10 Not detected ug/L EPA625/8270/351.0 4/16/14 NGOOD
86-73-7 Fluorene 12 Not detected ug/L EPA6251827013510 4/16/14 WOOD
100-01-6 Nitroaniline,4- 50 Not detected J2 ug/L EPA62518270/3510 4116/14 WOOD
534-52-1 Dinitro-2-methyl phenol,4,6 50 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
86-30-6 N-nitrosodiphenylamine 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected ug/L EPA625/8270/3510 4116/14 WOOD
118-74-1 Hexachlorobenzene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
87-86-5 Pentachlorophenol 30 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD ✓''
85-01-8 Phenanthrene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
120-12-7 Anthracene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
84-74-2 Di-n-butyl phthalate 10 Not detected ug/L EPA62518270/3510 4/16/14 WOOD
206-44-0 Fluoranthene 10 Not detected ug/L EPA625/827013510 4/16/14 WOOD
129-00-0 Pyrene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
85-68-7 Butylbenzyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
91-94-1 Dichlorobenzidine,3,3'- 30 Not detected J2 ug/L EPA625/8270/3510 4/16/14 WOOD
56-55-3 Benzo(a)anthracene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
218-01-9 Chrysene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
117-81-7 Bis(2-ethylhexyl)phthalate 10 Not detected ug/L EPA62518270/3510 4/16/14 NGOOD
117-84-0 Di-n-octyl phthalate 10 Not detected ug/L EPA625/8270/3510 4116/14 NGOOD
205-99-2 Benz o(b)fluoranthene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
207-08-9 Benzo(k)fluoranthene 10 Not detected ug/L EPA626/8270/3510 4116/14 NGOOD
50-32-8 Benzo(a)pyrene 10 Not detected ug/L EPA62518270/3510 4/16/14 WOOD
193-39-5. Indeno(1,2,3-Cd)pyrene 15 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
53-70-3 Dibenzo(a,h)anthracene 15 Not detected ug/L EPA62518270/3510 4116114 WOOD
191-24-2 Benzo(g,h,i)perylene 15` Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
PES
7439-97-6 Chlorinated Pesticides in Liquid _TITLE_ ug/L EPA608 4/15/14 JHAYES
15972-60-8 `Alachlor 0.28 Not detected ug/L EPA608_ 4115/14 JHAYES -
Laboratory Section>>1623'Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description ofthe qualifier codes referto s,�LLI o nai.,cae"r.orEjwetlwa/IaatseaNnfioftechasziz[uoata_ua:iee�c d Wray!nor i.Maenr oretweblwa lan rtafinflchecnass�rts
Page 4 of 8

.7VC OWWQ Laboratory Section qZfsufts
i1118000WENCOVE Sample ID: AC06776 Collect Date: 0 312 412 01 4 Collect Time:: 13:10
Result/Qualifier Method Analysis validated by
Analyte Name PQL Units Reference Date
_
.j0-2 Atdrin
0.06 Not detected J2 ug/L EPA608 4/15/14 JHAYES
a19-84-6 BHC-Alpha 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
319-85-7 BHC-Beta
0.03 Not detected ug/l. EPA 608 4115/14 JHAYES
319-86-8 BI"IC_D21ta
0.06 Not detected J2 u9/L EPA 608 4/15/14 JHAYES
58-89-9 BHC-Gamma(Lindane) 0.03 Not detected J2 �9/I EPA608 4/15/14 JHAYES
57-74-9 Chlordane,Technical 0.5 Not detected u9/L EPA608 4115/14 JHAYES
5103-71-9 Chlordane,Alpha 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
5103-74-2 Chlordane, Gamma 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
3734-48-3 Chlordene
0.03 Not detected ug/I- EPA608 4/15/14 JHAYES
510-15-6 ChlorobenZilate 0.48 Not detected u9/L EPA608 4115/14 JHAYES
1861-32-1 DCPA
0.03 Not detected ug1L EPA608 4/15/14 JHAYES
53-19-0 DDD 2,4
0.06 Not detected uglL EPA608 4/15/14 JHAYES
72-54-8 DDD 4,4 0.03 Not detected J2 ug/L EPA608 4/15114 JHAYES
3424-82-6 DDE 2,4
0.05 Not detected ug/L EPA608 4/15/14 JHAYES
72-55-9 DDE 4,4
0.03- Not detected J2 ug/L EPA608 4/15/14 JHAYES
789-02-6 DDT 2,4 0.05 Not detected ug/L EPA 608 4/15/14 JHAYES
50-29-3 DDT 4,4
0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
60-57-1 Dleldfln
0.03 0.01 J9 u9/L EPA 608 4/15/14 JHAYES
959-98-8 Endosulfan 1 0.03 Not detected ug/L EPA 608 4/15/14 JHAYES
33213-65-9 Endosulfan 11 0.03 Not detected J2 u9lL EPA 608 4/15l14 JHAYES
1,031-07-8 Endosulfan sulfate 0.03 0.01 J2,J9 ug/L EPA608 4115/14 JHAYES
20-8 Endrin 0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
ug/L EPA 608 4/15/14 JHAYES
7421-93-4 Endfln Aldehyde 0.06 Not detected
53494-70-5 Efldrin Ketone 0,03 Not detected u9lL EPA 608 4/15/14 JHAYES
2593-15-9 EthaZOle
0.09 Not detected u9IL EPA608. 4/15/14 JHAYES
76-44-8 Heptachlor
0.06 Not detected u9/L EPA608 4/t5/14 JHAYES
1024-57-3 HeptachlOf epoxide 0.03 Not detected u9/L EPA 608 4115/14 JHAYES
11-8-74-1' HeXachlorobenZene(Pest) 0.02 Not detected ug/L EPA608 4/15/14 JHAYES
2385-85-5 MireX 0.03 Not detected u9�� EPA 608 4/15114 JHAYES
39765-80-5 Trans NOnaChlOf 0.05 Not detected uglL' EPA 608 4/15/14 JHAYES
27304-13-8 Qxychlordane 0.05 Not detected ug/L EPA 608 4/15/14 JHAYES
52645-53-1 Mixed f ermethrin 1.20 Not detected ug/L EPA 608 4/15/14 JHAYES
1s1s-1sa Propachlor
0.54 Not detected ug/L EPA 608 4/15/14 JHAYES
117-18-0 T2CnaZene
0.03 Not detected ug/L EPA 608 4/15/14 JHAYES
1582-09-8 TfIflUralln
0.05 Not detected ug/L EPA 608 4/15/14 JHAYES
12674-11-12 Aroclor 1016 1 Not detected ug/L EPA 608 4/15/14 - JHAYES
11104-28-2 Aroclor 1221 1 Not detected ug/L EPA608 4/15/14 JHAYES
11141-16-5 Aroclor 1232 1 Not detected ug/L EPA 608 4/15/14 JHAYES
53469-21-9 Aroclor 1242 1 Not detected ug/L EPA 608 4/15/14 JHAYES
12672-29-6 Aroclor 1248 1 Not detected ug/L EPA 608 4/15/14 JHAYES
11097-69-1 -Aroclor 1254 1 Not detected ug/L EPA608 4l15/14 JHAYES
"1196-82-5 Aroclor1260 1 Not detected ug/L EPA608 4/15/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description ofthe_qualifier codes refer to hie.,y rtei cdenr ore/web/w-q/Lgb/stafinfiohe-'-hsistM�ata uaafier Circle• ht !!o r•I ncdenr.orz/we6�walla6/stafinfio/techassist>
Page 5 of 8

NC D WQ Laboratory section 9?,?sufts
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time::
PES
CAS# Analyte Name PQL Result! Method Analysis
Qualifier Unitsyalidat.
37324-23-5 Reference Date
Aroclor 1262 1 Not detected usiL EPA 608 4115/14 JHAYES
8001-35-2 TOXaphehe 3 Not detected ug/L EPA 608 4/15/14 JHAYES
121-75-5 Acid Herbicides in liquids _TITLE_ ug/L EPA615 412/14 JHAYES
50594-66-6 ACifluorfen(Blazer) 0.33 Not detected ug/L EPA615 4/2/14 JHAYES
25057-89-0 Bentazon 0.42 Not detected ug/L EPA 615 4/2/14 JHAYES
94-75-7 2 4-D 0.45 Not detected J2 ug/L EPA615 4/2/14 JHAYES
94-82-6 2,4-DB 1.35 Not detected ug/L EPA615 412/14 JHAYES
1918-00-9 Dicamba 0.15 Not detected ug/L EPA615 4/2/14 JHAYES
51-36-5 3,5-DichlorobenzoicAcid 0.18 Not detected ug/L EPA615 4/2/14 JHAYES
120-36-5 Dichlorprop 0.54 Not detected ug/L EPA615 4/2/14 JHAYES
88-85-7 Dinoseb 0.63 Not detected ug/L EPA 615 4/2/14 JHAYES '
100-02-7 4-Nitrophenol(Pest) 0.24 Not detected ug/L EPA615 4/2/14 JHAYES
87-86-5 Pentachlorophenol(PCP) 0.09 Not detected ug/L EPA615 412/14 JHAYES
93-76-5 2,4,5-T 0.18 Not detected ug/L EPA 615 4/2/14 JHAYES
93-72-1 2,4,5-TP(SilveX) 0.18 Not detected ug/L EPA615 4/2114 JHAYES
886-50-0 phosphorus based Pesticides in Liquid _TITLE_ ug/L EPA614 4/1/14 JHAYES
786-19-6 Carbophenothion 0.80 Not detected ug/L EPA614 4/1/14 JHAYES
2921-88-2 Chlorpyrifos 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
78-48-8 DEF(Oxidized merphos) 0.40 Not detected ug/L EPA614 411/14 JHAYES
126-75-0 Demeton 0.80 Not detected ug/L EPA 614 4/1/14 JHAYES
62-73-7` Dlchlorvos` 0.6 Not detected ug/L EPA 614 4/1/14 JHAYES
333-41-5 DiaZinon 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
�u
60-51-5 Dimethoate 1.6 Not detected ug/L - EPA614 4/1/14 JHAYES
298-04-4 Disulfoton
0.9 Not detected ug/L EPA614 4/1/14' JHAYES
2497-06-5 ' DISUlfoton Sulfone 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
2497-07-6 DISulfotonSulfoXide 10. Not detected ug/L EPA614 4/1/14 JHAYES
2104-64-5 EPN
0.40 Not detected ug/L EPA 614 4/1/14 JHAYES'
563-12-2 Ethion 0.40 Not detected ug/L EPA 614 4/1/14 JHAYES "
13194-48-4 Ethoprop 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
55-38-9 Fenthlofl 0.40 Not detected ug/L EPA614 4/1114 JHAYES
115-90-2 Fensulfothion 6, Not detected ug/L EPA 614 4/1/14 JHAYES
121-75-5 Malathion 0.5 Not detected ug/L EPA614 4/1/14 JHAYES
6923-22-4 Monocrotophos 1.0 Not detected ug/L EPA614 4/1/14 JHAYES
300-76-5 Naled 3.0 Not detected ug/L EPA614 4/1/14 JHAYES
56-38-2 Ethyl Parathion 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
298-00-0 Methyl Parathion 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
7786-34-7 Mevinphos 0.9 Not detected ug/L EPA614 411/14 JHAYES
298-02-2 Phorate 0.40 Not detected ug/L EPA 614 4/1/14 JHAYES
299-84-3 Ronnel 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
3689-24-5 Sulfotepp 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
13071-79-9 Terbufos 0.6 Not detected ug/L EPA614 411/14 JHAYES
2675-77-6 Nitrogen based Pesticides in Liquid _TITLE_ ug/L EPA 619 3/28/14 JHAYES
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to hto Itai.ncae cor weti w I oltafinftohrh z(t#Data a a"f CMes<hto'/t aorcai.nmenco m/web/,�q[:.ab,tafinfiohechaszisb
Page 6 of 8

9VC D WQ La6oratory Section qZfsufts
11118000WENCOVE Sample ID: AC06776 Collect Date: 03/24/2014 Collect Time:: 13:10
Result/ Method Analysis Validated by
_ Analyte Name PQL Units Qualifier Reference Date
,2-8 Ametryn
9 Not detected ug/L EPA 619 3/28/14 JHAYES
1610-17-9 Atraton 9 Not detected ug/L EPA 619 3/28/14 JHAYES
1912-24-9 AtfaZlne
9 Not detected ug/L EPA 619 3/28/14 JHAYES
314-40-9 Bromacil 27 Not detected ug/L EPA 619 3/28/14 JHAYES
23184-66-9 Butachlor 24 Not detected ug/L EPA619 3/28114 JHAYES
2008-41-5 Butylate 9 Not detected ug/L EPA 619 3/28114 JHAYES
101-21-3 chlorpropham 33 Not detected ug/L EPA619 3128/14 JHAYES
21725-46-2 Cyanazine 9 Not detected ug/L EPA619 3/28/14 JHAYES
1134-23-2 CyClOate
9 Not detected ug/L EPA 619 3/28/14 JHAYES
957-51-7 Diphenamid 9 Not detected ug/L EPA619 3/28114 JHAYES
759-94-4 EPTC(Eptam) 9 Not detected ug/L EPA619 3/28/14 JHAYES
60168-88-9 Fenarimol 12 Not detected ug/L EPA 619 3/28/14 JHAYES
59756-60-4 Fluddone 80 Not detected J2 ug/L EPA 619 3/28/14 JHAYES
51235-04-2 HeXazinone 6 Not detected ug/L EPA619 3/28/14 JHAYES
ug/L EPA 619 3128/14 JHAYES
000950-35-6 Methyl ParaOXOn 9 Not detected J2
51218-45-2 Met0lachl0r 18 Not detectedug/L EPA 619 3/28/14 JHAYES
21087-64-9 MetribuZin 18 Not detected u9/i EPA619 3/28/14 JHAYES
2212-67-1 Molinate
9 Not detected ug/L EPA 619 3/28/14 JHAYES
15299-99-7 Napropamide 15 Not detected ug/L EPA619 3/28/14 JHAYES
27314-13-2 Norflurazon 12 Not detected ug/L EPA619 3/28/14 JHAYES
1114-71-2 PebUlate
9 Not detected ug/L EPA 619 3/28/14 JHAYES
0-18-0 Prometon 9 Not detected ug/L EPA 619 3/28/14 JHAYES
7287-19-6 Prometryn
9 Not detected u9lL EPA 619 3/28114 JHAYES
23950-58-5 Pronamide 33 Not detected ug/L EPA619 3/26114 JHAYES
139-40-2 Propazine
9 Not detected ug/L EPA619 3/28/14 JHAYES
1014-70-6 Simetryn 9 Not detected ug/L EPA619 3126/14 JHAYES
5902-51-2 TerbaCll
15 Not detected ug/L EPA619 3/28/14 JHAYES
34014-18-1 Tebuthiuron 30 Not detected ug/L EPA619 3/28/14 JHAYES
886-50-0 Terbutryn
9 Not detected ug/L EPA619 3/28/14 JHAYES
43121-43-3 Tfiadimefon 9 Not detected ug/L EPA619 3/28/14 JHAYES
41 81 4-7 8-2 Tricyclazole 48 Not detected ug/L EPA619 3128/14 JHAYES
961-11-5 Tetrachlovinphos 6 Not detected ug/L EPA619 3/28/14 JHAYES
1929a7a Vernolate
9 Not detected ug/L EPA619 3128/14 JHAYES
2675-77-6 Chloroneb 0.21 Not detected ug/L EPA608 4115/14 JHAYES
1897-45-6 Chlorothalonil 0.2 Not detected ug/L EPA608 4115/14 JHAYES
72-43-5 Methoxychlor 0.15 Not detected J2 ug/L EPA 608 4/15114 JHAYES
Laboratory Section>>1623 Mail Service Center Raleigh,NC 27699 1623 [phone]
Fora detailed description of the qualifier codes refer to nto//oo�eai ncoenrare/w�blw�Lnis_tafln hechm,tnoata auanee�cod s<nto/Ioorcai,m are/web[wa/ib/stagntiohechass�st>
Page 7 of 8

.NC 1D WQ Laboratory Section&suits
Location ID: 11118000WENCOVE Sample ID: AC06776 Collect bate: 03/24/2014 _ Collect Time:: i,
PIES
CAS# Analyte Name PQL Result/ Method Analysis `.
Qualifier Units Reference Date Validal,.
Sample Comments
VOL:VOA-J2-estimated 2 analyte(s)failed<LCL in CV1: \
Laboratory Section>>1623'Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to hco://uoaal ewenr elweb/wanan/staflnaokechasarst Data ,uanfier Codes ahta N u rgt ncdenr.ore/web(w5/lab/statinfiu!xechass`zti
Page 8 of 8

4 22:10 9198704807 OEEB MERA PAGE 03/03
ormation and Recommendations for Uses of Private, Well Water
Vaw ch;c &v4lMr Organic Chemicals Found.in Water
North Carolinas Occupational and Enviireonmental Epidemiology Branch (OEEa)
For Additional Information call 919-707°�5900
Name w '�Aj &0,� County : u0
Sample Identificatiidn Number: GPS Location
Information on Your Private Well Water
Your well water was laboratory tested for chemical contaminants. drinking water may contain chemical
contaminants which can occur naturally or be introduced into water from man-made sources. The:
chemicals found in your well were introduced from man-made sitirces. In order to evaluate'your laboratory
results for chemical contaminants, your water results were compared to the national primary drinking water
standards or maximum contaminant levels (MCLs) (see website for basIs for each MCL at
http t2 .e.pa gov/safewater/contLrrti=Ml.ittdgx htmi#mcls], MCLs are nastlonal drinking water standards
that are required to be met by municipal water supplies. If an MCL was not available, your water results
were compared to the North Carolina 2L Groundwater Standards.
Recommendations for Uses of Your Private to el Water
The concentrations found in your well water do not exceed the recommended EPA levels/North
Carolina 2L Groundwater Standards,'T`hereforee your water could be used for drinking, cooking,
washing dishes, bathing, and showering. Re7sampling is not needed,
Contamiinant concentrations found in your well water are higher than the EPA recommended levels
for drinking and cooking. These contaminants Include MMMMUMMS
Yin
Your well water should not be used for drinking or cooldnga if you have been drinking
the well water and are pireagnant, nursing, or Iheive a child under 5 years of age; inform
your physician of the, results.
Because of the low levels.,very little absorption of these chemicals Is expected
through intact skin. However, having open wounds or burns could result in a
greater absorption of these chemicals, Thereforer If you have open wounds or
burns on your skim limit showering and bathing time to under 5 minutes.
because of the high levels, absorption of thaa4 chemicals could occur through
Intact slain. 'Therefore, limit showering and Lathing time to S to 10 minutes.
aecause of the very high levels, significant absorption of these chemicals could
occur through intact skins Therefore, this water should not be used for
showering and batting.
You may want to purchase a water treatment devices, drill a new well than is distantly located from
the groundwater contamination, use battled water, or connect bo a public water supply.
Re~sampling'is recommended in -'�' months, C�s�� t�i,(�
Other Comments
May 2008

BUNCOMBE A - Sample ID: AC06777
PO Number# 14G0081
AROAP r,3 ram' Date Received: 0 312 6/2 01 4
Time Received: 07:60
ector: B LAVERTY Labworks LoginlD MSWIFT
Region: ARID Final Report Date: 5/14/14
Sample Matrix: GROUNDWATER Report Print Date: 05/27/2014
Loc.Type: WATER SUPPLY
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: CHARLES CLOUSE 80 COWEN COVE ROAD ASHEVILLE:NC
Paolo SO
Location ID: 11118000WENCOVE Collect Date: 03/241, 4 Collect Time: 14:39 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes,
Result/ Method Analysis Validated by
CAS# Analyte Name PQL units Qualifier Reference Date
LAB
1.8 °C 3/26/14 MSWIFT
Sample temperature at receipt by lab
NUT
NO2+NO3 as N in liquid 0.02 0.02 U mg/L as N EPA 353.2 REV 2 3/27114 CGREEN
Nitrate as N in liquid 0.02 0.02 U mg/Las N EPA 353.2 REV 2 5/14/14 CGREEN
Nitrite as N in liquid 0.01 0.01 U mg/L as N EPA 353.2 REV 2 3/26/14 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U u9/C EPA200.8 4!16/14 ESTAFFORD1
ug/L EPA200.7 4/21/14 ESTAFFORDI
7429-90-5 Al by ICP 50 50 U
7440-38-2 As by ICPMS 2.0 2.0 U
0-38-3 ug/L EPA200.8 4l16/14 ESTAFFORDI
Ba by ICP 10 10 U ug/L EPA200.7 4/21/14 ESTAFFORDI
7440-70-2` Ca by ICP 0.10 14 mg/L EPA200.7 4/21/14 ESTAFFORD1
4/16/14 ESTAFFORDI
7440-43-9' Cd by ICPMS 0.50 0.60 U ug/L EPA200.8
7440-47-3 Cr by ICPMS: 10 10 U ug/L EPA200.8 4/16/14 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0, 14 ug/L EPA200.8 4116/14 ESTAFFORDI
7439-89-6 Fe by ICP 50 1900 ug/C EPA200.7 4121114 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 4110/14 ESTAFFORD1
7440-09-7 KbyICP 0.10 2.1 mg/L EPA200.7 4/21/14 ESTAFFORD1
7439-95-4 Mg by ICP 0.10 1.6 mg/L EPA200.7 4/21/14 ESTAFFORDI
7439-96-5 Mn by ICP 10 33 ug/L EPA200.7 4/21114 ESTAFFORDI
7440-23-5 " "Na by ICP 0.10 8.4 mg/L EPA200.7 4/21/14 ESTAFFORDI
7440-02-0 Ni by ICPMS 2;0` 2.0 U _ u9/C EPA200.8 4/16/14 ESTAFFORDI
7439-92-1 Pb by ICPMS 20 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORDI
7782-49-2 Se by ICPMS 5.0 6.0 U u9/L EPA200.8 4/16/14 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 22 ug/L EPA200.8 4/16/14 ESTAFFORDI
VOL
120-82-1 Volatile Organics in liquid TITLE_ ug/L EPA5030/624/8260 3/28/14 VANDREWS
75-71-8 Dichlorodifluoromethane 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
74-87-3 Chloromethane 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
75-01-4 Vinyl Chloride 2.0 Not detected ug/L EPA5030/624/8260 3/28114 VANDREWS
z 2.0 Not detected
-83-9 BfOrnOmG'thane ug/L EPA5030/624/6260 3/28/14 VANDREWS
<00-3 ChlOrOethane 2.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
Laboratory Section>>1623,Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to+c:[/oorcai,nmenr ore7w t wan u�t flneokecha,ztstpoata oua iHe�CedM<hi6'Irponai n:aC r.o web/vat+blstafinHo/techassisI>
Page 1 of 8

NC OWQ Ga6oratory Section 4?,Osufts
Location ID: 11118000WENCOVE Sample ID: AC06777 Collect Date: 03/24/2014 Collect Time.:
VOL
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier Unitsyalid'o.
Reference Date.
75-69-4 Trichlorofluoromethane 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWb.
75-35-4 1,1-Dichloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/28114 VANDREWS
75-09-2 Methylene Chloride 1.0 Not detected ug/L EPA50 001624/8260 3/28/14 VANDREWS
156-60-5 trans-1,2-Dichloroethene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected ug/L EPA5030/624/8260 3/28l14 VANDREWS
75-34-3 1,1-Dichloroethane 1.0 Not detected ug/L EPA5030/624/8260,, 3/28/14 VANDREWS
..
156-59-2 CIS-1,2-Dichloroethene 1.0 Not detected ug/L EPA5030/624l8260 3/28/14 VANDREWS
74-97-5 BfOmOChIOfOmethane 1-0 Not detected ug/L EPA50301624/8260 3/28/14 VANDREWS
67-66-3 Chloroform 1.0 Not detected ug/L EPA5030762418260 3/28114 VANDREWS
594-20-7 2,2-Dichloropropene 2.0 Not detected ug/L EPAS0301624/8260 3/28/14 VANDREWS
107-06-2 1,2-Dichloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
71-55-6 1,1,1-Trcchooroethane 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
563-58-6 1,1-Dichloropropene 1.0 Not detected ug/L EPA5030/624/8260 3/28114 VANDREWS
56-23-5 Carbon Tetrachloride 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
71-43-2 Benzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
74-95-3 Dibromomethane 1.0 Not detected ug/L EPA5030162418260 3/28/14 VANDREWS
78-87-5 1,2-DIChloropropane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
79-01-6 TfIChIOfOethene 1.0 Not detected ug/L EPA50301624/8260 3/28/14 VANDREWS
75-27-4 Bromodichloromethane 1.0 Not detected ug/L EPA50301624/8260 3/28/14 VANDREWS
10061-01-5 CIS-1,3-Dichloropropene 2.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
79-00-5 1,1,2-Trcchooroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-88-3 Toluene 1.0 Not detected ug/L EPA5030/624/8260 3128114 VANDREWS
142-28-9 1,3-Dichloropropane 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
124-48-1 Dibromochloromethane 2.0 Not detected ug/L EPA5030162418260 3/28/14 VANDREWS
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
127-18-4 Tetrachloroethene 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
108-90-7 Chlorobenzene 1.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
100-41-4 Ethylbenzene 1.0 Not detected ug/L EPA50301624/8260 3128/14 VANDREWS
75-25-2 Bromoform 2.0 Not detected J2 ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-38-3 m,P Xylene 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
100-42-5 Styrene 1.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
630-20-6 1,1,1,2-Tetrachloroethane 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
95-47-6 0-Xylene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
96-18-4 1,2,3-Trichloropropane 1.0 Not detected ug/L EPA5030162418260 3128/14 VANDREWS
98-82-8 ISOpropylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
108-86-1 Bromobenzene 1.0 Not detected ug/L EPA50301624/8260 3128114 VANDREWS
103-65-1 n-Propylbenzene 1.0 Not detected ug/L EPA50310/624/8260 3/28/14 VANDREWS
95-49-8 2-Chlorotoluene 1.0 Not detected ug/L EPA5030/624/8260 3l28/14 VANDREWS
106-43-4 4-Chlorotoluene 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected ug/L EPA5030/62418260 3/28/14 VANDREWS
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed desorption of the qualifier codes refer to hto:((Poml.nqslerrqrsJwebLt 2cha_sistNOata a;:a•i5er cMe ht YI r61 cden.oralwehF.•a/!ab stafinfiohechassist>
Page 2 of 8

NC OWWQ La6oratmy Section 1�suCts
M8000WENCOVE Sample ID: AC06777 Collect Date: 03/24/2014 Collect Time:: 14:39
Result! Method Analysis Validated by
Analyte Name PQL Units Qualifier Reference Date
tert-Butylbenzene 1.0 Not detected ug/L EPA50301624/8260 3/28/14 VANDREWS
EPA5030/62418260 3/28/14 VANDREWS
63-6 1,2,4-TrlmethylbenZene 1.0 Not detected u9(L
135-98-8 sec-Butylbenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
541-73-1 m-Dichlorobenzene(1,3) 1.0 Not detected ug/L EPA5030/624/8260 3128/14 VANDREWS
106-46-7 p-Dichlorobenzene(1,4) 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
95-50-1 O-Dlchlorobenzene(1,2) 1.0 Not detected ug/L EPA5030/624/8260 3/28/14. VANDREWS
99-87-6 p-ISOpropyltoluene 1.0 Not detected ug/L EPA5030/624/8260- 3/28/14 VANDREWS
104-51-8 n-Butylbenzene 1.0 - Not detected ug/L EPA5030/624/8260' 3/28/14 VANDREWS
96-12-8 1,2-Dibromo-3-Chloropfopane 2.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
120-82-1 1,2,4-Trichlorobenzene 1.0 Not detected u9lL EPA5030/624/8260 3l26/14 VANDREWS
ug/L EPA5030/62418260 3/28/14 VANDREWS
91-20-3 Naphthalene 2A Not detected
87-68-3 HeXachlorobutadiene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
87-61-6 1,2,3-Tfichlorobenzene 1.0 Not detected ug/L EPA5030/624/8260 3/28/14 VANDREWS
SEIIA
93-72-1 $emiVOlatlle Organics(BNAS)In liquid _TITLE_ u91L EPA625/8270/3510 4/16/14 NGOOD
12 - Not detected u9/L EPA625/8270/3510 4/16/14 NGOOD
62-53-3 Aniline
10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
108-95-2 Phenol
111-44-4 BIS(2-ChlOfoethyl)ethef 10 Not detected u9/L EPA625/8270/3510 4l16l14 NGOOD
95-57-8 Chlorophenol,2- 10 Not detected u9/L EPA625/8270l3510 4/16l14 NGOOD
541-73-1 Dlchlorobenzene, 1,3 10 Not detected ug/L EPA62618270/3510 4/16/14 NGOOD
106-46-7 Dichlorobenzene, 1,4- 10 Not detected u9/L EPA625/8270/3510 4/16114 NGOOD
51-6 Benzyl alcohol
30 Not detected ug/L EPA62518270/3510 4/16/14 NGOOD
ug/L EPA6251827013510 4/16/14 NGOOD
9530-1 DIChIOfObenzene, 1,2- 10 Not detected
95-48-7 Methylphenol,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
39638-32-9 BIS(2-ChIOfOISOpropyl)ether 10 Not detected u9/� EPA625/8270/3510 4/16/14 NGOOD
NGOOD
106-44-5 Methylphenol,4- 10 Not detected u9/L EPA625/8270/3510 4116/14,
621-64-7 N-nitrosodi-n-propylamine 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
67-72-1 HeXachloroethane 1.0 Not detected ug/L EPA62518270/3510 4/16114 NGOOD
98-95-3 Nitrobenzene 10 Not detected ug/L EPA625/827013510 4/16/14 NGOOD
78-59-1 Isophorone 10 Not detected ug/L EPA625/8270/3510 4/1.6/14 WOOD
88-75-5 Nitrophenol,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
105-67-9 Dimethylphenol,2,4- 10 Not detected ug/L EPA62518270/3510 4/16/14 NGOOD
65-85-0 Benzoic acid 50 Not detected ug/L EPA625/8270/3510 4/16114 WOOD
111-91-1 BIs(2-ChloroethoXy)methane 10 Not detected ug/L EPA625/8270/3510 _4/16/14 WOOD
120-83-2 Dichlorophenol,2,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
ug/L EPA625/8270/3510 4/16/14 NGOOD
12o-a2-1 Trichlorobenzene, 1,2,4- 10 Not detected
91-20-3 Naphthalene(SV) 10 Not detected ug/L EPA625/8270/3510 4/16H4 NGOOD
ug/L EPA625/8270/3510 4/16/14 NGOOD
106-47-8 CtIIOfOanlllne,4- 12 Not detected
87-68-3 HeXachlorobutadiene(SV) 10 Not detected uglL EPA625/8270/3510 4/16/14 NGOOD
59-50-7 Chloro-3-methyl phenol,4- 15 Not detected ug/L EPA625/827013510 4116/14 NGOOD
91-57-6 Methylnaphthalene,2- 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
:17= Not detected ug/L EPA625/8270/3510 4116114 NGOOD
47 4 Hexachlorocyclopentadiene 12
Laboratory Section>>1623.Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to ntB U a rtat nen b/wall bl•fi fio/cechasz stN�ata Qualifier Coded<ht:tgam_i.ncdenr ora/webjwa(la J_tafinfio tec--tI
Page 3 of 8

NC OWQ;Ga6oratory Section 9?§sufts
Location ID: 11118000WENCOVE Sample ID: AG06777 Collect Date: 03/24/2014 Collect Time::
SEM
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units yalid`4
Reference Date �
88-06-2 Trichlorophenol,2,4,6- 10 Not detected ug/L EPA62518270/3510 4/16/14 NGOOD'`.
95-95-4` Trichlorophenol,2,4,5- 12 Not detected ug/L EPA625/827013510 4116/14 NGOOD
91-58-7 Chloronaphthalene,2- 10 Not detected ug/L EPA625/827013510 4/16/14 WOOD
88-74-4 Nitroaniline,2- 10 Not detected ug/L EPA6251827013510 4/16/14 WOOD
131-11-3 Dimethyl phthalate 10 Not detected ug/L EPA62518270/3510 4116114 NGOOD
208-96-8 ACenaphthylene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
606-20-2 Dinitrotoluene,2,6 10 Not detected ug/L EPA62518270/3510 4/16/14 WOOD
99-09-2 Nitroaniline,3- 50 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
83-32-9 ACenaphthene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
51-28-5 Dinitrophenol,2,4- 50- Not detected ug/L EPA625/827013510 4l16l14 NGOOD
100-02-7 Nitrophenol,4- 50 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
132-64-9 Dibenzofuran 10 Not detected ug/L EPA625/8270/3510 ._4/16/44 WOOD
121-14-2 Dlnitrotoluene,2,4- 10 Not detected ug/L EPA625/8270/3510 4116/ 44 NGOOD
84-66-2 Diethyl phthalate 10 Not detected ug/L EPA625/8270/3510 4116/14 WOOD
7005-72-3 Chlorophenyl phenyl ether,4- 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
86-73-7 Fluorene 12 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
100-01.6 Nitroaniline,4- 50 Not detected J2 ug/L EPA625/8270/3510 4/16/14 WOOD
534-52-1 Dlnitro-2-methyl phenol,4,6 50 Not detected ug/L EPA625/827013510 4/16/14 NGOOD
86-30-6 N-nitroSodlphenylamine 10 Not detected ug/L EPA62518270/3510 4/16/14 WOOD
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected ug/L EPA625/8270/3510 4116/14 NGOOD
118-74-1 HeXachlorobenZene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
87-86-5 Pentachlorophenol 30 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD .y
85-01-8 Phenanthrene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
120-12-7 Anthracene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
84-74-2 Di-n-butyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
206-44-0 Fluoranthene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
129-00-0 Pyrene 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
85-68-7 ButylbenZyl phthalate 10 Not detected ug/L EPA625/827013510 4/16/14 WOOD
91-94-1 Dichlorobenzidlne,3,3' 30 Not detected J2 ug/L EPA625/8270/3510 4/16114 WOOD
56-55-3 Benzo(a)anthracene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
218-01-9 Chrysene 10 Not detected ug/L EPA625/8270/3510 4116/14 WOOD
117-81-7 Bis(2-ethylhexyl)phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 NGOOD
117-84-0- Di-n-octyl phthalate 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
205-99-2 Benzo(b)fluoranthene 10 Not detected ug/L EPA625/8270/3510 4116/14 WOOD
207-08-9 BenZo(k)fluoranthene 10 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD
50-32-8 BenZo(a)pyrehe 10 Not detected ug/L EPA625/8270/3510 4/16/1.4 NGOOD
193-39-5 lndeno(1,2,3-cd)pyrene 15 Not detected' ug/L; EPA625/8270/3510 4/16/14 NGOOD
53-70-3 DlbenZo(a,h)anthracene 15 Not detected ug/L EPA625/8270/3510 4/16/14 WOOD'
191-24-2 Benzo(g,h,l)perylene 15 Not detected ug/L EPA625/827013510 4/16/14 WOOD
PIES
7439-97-6 Chlorinated Pesticides In Liquid _TITLE_ ug/L EPA608 4/15/14 JHAYES "
15972-60-8 Alachlor 0.28 Not detected ug/L EPA608 4/15/14 JHAYES
Laboratory Section»;1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed tleSCripflOn of the qualifier codes refer to nto:/l oorzi,nwenr.or web wallah; fjr oLe ha_sktaoata uan8e•cod aht'!/p ttai,�nWencorc/we6;waq b-tafinfiolzechasist>Page 4 of 8

NC OWQ Laboratory Section�X?sufts
i98000WENCOVE Sample ID: AC06777 Collect Date: 03/24/2014 Collect Time:: 14:39
Result/ Method Analysis validated by
Analyte Name PQL Units
Qualifier Reference Date
2 Aldfin 0.06 Not detected J2 ug/L EPA608 4/15/14 JHAYES
,9-84-6 BHC-Alpha 0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
319-85-7 $HC-Beta
0.03 Not detected ug/L EPA 608 4/15/14 JHAYES
319-86-8 BHC_Delta 0.06 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
58-89-9 BHC-Gamma(Lindane) 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
57-74-9 Chlordane,Technical 0.5 Not detected ug/L EPA608 4115/14 JHAYES
5103-71-9 Chlordane,Alpha 0.03 Not detected ug/L EPA 608 4/15/14 JHAYES
5103-74-2 Chlordane,Gamma 0.03 Not detected ug/L EPA 608 4/15/14 JHAYES
3734-48-3 Chlordene 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
510-15-6 Chlorobenzilate 0.48 Not deteCted ug/L EPA608 4/15/14 JHAYES
1861-32-1 DCPA
0,03 Not detected ug/L EPA608 4/15/14 JHAYES
53-19-0 DDD 2,4 0.06 Not detected ug/L EPA608 4/15/14 JHAYES
72-54-8 DDD 4,4 0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
ug/L EPA 608 4/15114 JHAYES
3424-82-6 DDE 2,4 0.05 Not detected
72-55-9 DDE 4,4 0.03- NOfdetected J2 ug/L EPA608 4/15/14 JHAYES
789-02-6 DDT 2,4
0.05 NotdeteCted ug/L EPA608 4/15/14 JHAYES
50-29-3 DDT 4,4 0.03 Not detected J2 ug/L EPA608 4/15/14 JHAYES
60-57-1 Dleldrin 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
959-98-8 Endosulfan1 0.03 Not detected ug/L EPA608 4/15/14 JHAYES
33213-65-9 Endosulfan II 0.03 Not deteCted J2 ug/L EPA608 4115/14 JHAYES
103-07-8 Endosulfan Sulfate 0.03 Not detected J2 ug/L EPA 608 4115/14 JHAYES
:o-s Endrin
0.03 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
7421-93-4 Endfln Aldehyde 0.06 Not detected ug/L EPA 608 4/15/14 JHAYES
53494-70-5 Endrin Ketone 0.03 NotdeteCted ug/L EPA608 4/15/14 JHAYES
2593-15-9 Ethazole 0.09 Not detected ug/L EPA608 4/15/14 JHAYES
76-44-8 Heptachlor 0,06 Not detected ug/L EPA608 4/15/14 JHAYES
1024-57-3 Heptachlor epoxide 0.03 Not detected ug/L EPA 608 4/15/14 JHAYES
118-74-1 Hexachlofobenzene(Pest) 0.02 Not detected ug/L EPA608 4/15/14 JHAYES
2385-85-5 MIreX
0.03 Not detected ug/L EPA 608 4/15/14 JHAYES
39765-80-5 Trans Nonachlof 0.05 Not detected ug/L EPA608 4/15/14 JHAYES
27304-13-8 Qxychlofdane 0.05 Not detected ug/L EPA608 4/15/14 JHAYES
52645-53-1 Mixed Pefinethrin 1.20 Not detected ug/L EPA608 4/15/14 JHAYES
1918-16-7 Propachlor 0.54 Not detected ug/L EPA 608 4/15114 JHAYES
117-18-0 Tecnazene 0.03 Not detected ug/L EPA 608 4115/14 JHAYES
1582-09-e Trifluralin
0.05 Not detected ug/L EPA 608 4l15/14. JHAYES
12674-11-12 Afoclor1016 1 Not detected ug/L EPA608 4/15/14 JHAYES
11104-28-2 Aroclor 1221 1 Not detected ug/L EPA 608 4115/14 JHAYES
11141-16-5 Aroclor 1232 1 Not detected ug/L EPA608 4/15/14 JHAYES
53469-21-9 Aroclor 1242 1 Not detected ug/L EPA608 4/15/14 JHAYES
12672-29-6 Aroclor1248 1 Not detected ug/L EPA608 4/15/14 JHAYES
11097-69-1 Aroclor 1254 1 Not detected ug/L EPA608 4/15/14 JHAYES
,. 9s-s2-5 1 Not detected ug/L EPA 608 4/15/14 JHAYES
Aroclor 1260
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699,-1623 [phone]
For a detailed description of the qualifier codes refer to ht //uonai a gg bf a!I n/^txH rtohe�t,ass staoata uaii c^ceder meo:/j gOnayncaen. /eb7+a!'b/staff flabham
Page 5 of 8

NC DWQ La6oratory Section 9?_esufts
Location ID: 11118000WENCOVE Sample ID: AC06777 Collect Date: 03/24/2014 Collect Time::
PES
CAS# A_ nalvte Name PQL Result/ Units Method Analysis i dq
Qualifier Reference Date
37324-23-5 Aroclor 1262 1 Not detected ug/L EPA 608 4/15/14 JHAYES'\,,
8001-35-2 Toxaphene 3 Not detected ug/L EPA608 4/15/14 JHAYES `.
121-75-5 Acid Herbicides In liquids _TITLE_ ug/L EPA 615 4/2/14 JHAYES
50594-66-6 ACifluorfen(Blazer) 0.33 Not detected ug/L EPA 615 412/14 JHAYES
25057-89-0 BentaZon 0.42 Not detected ug/L EPA 615 4/2/14 JHAYES
94-75-7 2 4-D 0.45 Not detected J2 ug/L EPA 615 4/2/14 JHAYES
94-82-6 2,4-DB
1.35 Not detected ug/L ' EPA 615 4/2/14 JHAYES
1918-00-9 Dicamba 0.15 Not detected ug/L EPA 615 412/14 JHAYES
51-36-5 3,5-DichlorobenzolcAcid 0.18 Not detected ug/L EPA 615 4/2/14 JHAYES
120-36-5 DIchlorprop 0.54 Not detected ug/L EPA 615 4/2/14 JHAYES
88-85-7 Dlnoseb 0.63 Not detected ug/L EPA 615 4/2/14 JHAYES
100-02-7 4-Nitrophenol(Pest) 0.24 Not detected ug/L' EPA 6 55 4/2/14 JHAYES
87-86-5 Pentachlorophenol(PCP) 0.09 Not detected ug/L EPA 615 4/2/14 JHAYES
93-76-5 2,4,5-T 0.18 Not detected ug/L EPA 615 412/14 JHAYES
93-72-1 2,4,5-TP(SilveX) 0.18 Not detected ug1L EPA 615 412/14 JHAYES
886-50-0 phosphorus based Pesticides in Liquid _TITLE_ ug/L EPA614 4/1114 JHAYES
786-19-6 Carbophenothlon 0.80 Not detected, ug/L EPA614 4/1/14 JHAYES
2921-88-2 ChlorpyrlfoS 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
78-48-8 DEF(Oxidized merphos) 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
126-75-0 Derreton 0.80 Not detected ug/L EPA 614 4/1114 JHAYES
62-73-7 Dichlorvos 0.6 Not detected ug/L EPA614 411/14 JHAYES
333-41-5 Dlazlnon 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
60-51-5 Dimethoate 1.6 Not detected ug/L EPA614 4/1114 JHAYES
298-04-4 Disulfoton 0.9 Not detected ug/L EPA614 4/1/14 JHAYES
2497-06-5 Disulfoton Sulfone 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
2497-07-6 Disulfoton Sulfoxide 10. Not detected ug/L EPA 614 4/1/14 JHAYES
2104-64-5 EPN
0.40 Not detected ug/L EPA 614 411/14 JHAYES
563-12-2 Ethlon 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
13194-48-4 Ethoprop 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
55-38-9 Fenthion 0.40 Not detected ug/L EPA614 4/1114 JHAYES
115-90-2 Fensulfothlon 6 Not detected ug/L EPA614 4/1114 JHAYES
121-75-5' Marathion 0.5 Not detected ug/L EPA614 4/1/14 JHAYES
6923-22-4 1 onocrotophos 1.0 Not detected ug/L EPA 614 4/1/14 JHAYES
300-76-5 Naled 3.0 Not detected ug/L EPA614 411/14 JHAYES
56-38-2 Ethyl Parathion 0.40 Not detected ug1L EPA614 4/1114 JHAYES
298-00-0 Methyl Parathion 0.40 Not detected ug/L EPA614 4/1114 JHAYES
7786-34-7 Mevinphos 0.9 Not detected ug/L EPA614 4/1114 JHAYES
298-02-2 Phorate 0.40 Not detected ug/L EPA614 411/14 JHAYES
299-84-3 Ronnel 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
3689-24-5 Sulfotepp 0.40 Not detected ug/L EPA614 4/1/14 JHAYES
13071-79-9'-'TerbufoS 0.6 Not detected ug/L EPA614 411/14 JHAYES-
2675-77-6 Nitrogen based Pesticides in Liquid _TITLE_ ug/L EPA619 3/28/14 JHAYES
Laboratory Section»1623 Mail Service Center,Raleigh,;NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to hto//po rehomenca�Ftwea/wg�abistaflnflohrh I tsoat a rfir codes<hto:/�Donal ncdenr reiwy!wa/:ab/stseifiolucnassr�
Page 6 of 8

NC 1D WQ Laboratory Section,&=Its
A18000WENCOVE Sample ID: AC06777 Collect Date: 0 3/2 412 01 4 Collect Time:: 14:39
Analyte Name
Result/ Units Method Analysis Validated by
PCB,L
Qualifier Reference Date
Z-8 Ametryn 9 Not detected ug/L EPA'619 3/28/14 JHAYES
010-17-9 Atfaton -
9 Not detected ug/L EPA619 3/28/14 JHAYES
1912-24-9 Atrazine 9 Not detected ug/L EPA619 3/28/14 JHAYES
314-40-9 Bromacil
27 Not detected ug/L EPA619 3/28/14 JHAYES
23184-66-9 Butachlor 24 Not'detected ug/L EPA619 3/28/14 JHAYES
2008-41-5 BUtylate
9 Not detected ug/L EPA 619 3/28/14 JHAYES
101-21-3 chlor ropham 33 Not detected ug/L EPA 619 3/28/14 JHAYES
: p
21725-46-2 CyanaZine 9 Not detected ug/L EPA619 3128/14 JHAYES
1134-23-2 Cycloate 9 Not detected ug/L EPA 619 3/28/14 JHAYES
957-51-7 Diphenamid 9 Not detected ug/L EPA619 3128/14 JHAYES
759-94-4 EPTC(Eptam) 9 Not detected ug/L EPA619 3/28/14 JHAYES
60168-88-9 Fenarimol
12 Not detected . ug/L EPA 619 3/28/14 JHAYES
69756-60-4 Fluridone 80 Not detected J2 ug/L EPA619 3128/14 JHAYES
51235-04-2 I'IeXBZlflone
6 Not detected ug/L EPA 619 3/28/14 JHAYES
y
000950-35-6 Methyl ParaoXon 9 Not detected J2 ug/L EPA619 3/28/14 JHAYES
51218-45-2 Metolachlor 18 Not detected ug/L EPA619 3/28/14 JHAYES
21087-64-9 Metribuzin 18 Not detected ug/L EPA619 3/28/14 JHAYES
2212-67-1 Molinate 9 Not detected ug/L EPA619 3/28/14 JHAYES
15299-99-7 Napropamide 15 Not detected ug/L EPA619 3/28/14 JHAYES
27314-13-2 Norflurazon 12 Not detected ug/L EPA619 3/28/14 JHAYES
1114-71-2 PebUlate 9 Not detected ug/L EPA619 3/28/14 JHAYES
o-18-0 Prometon 9 Not detected ug/L EPA619 3/28114 JHAYES
7287-19-6 Piometryn
9 Not detected ug/L EPA 619 3/28/14 JHAYES
23950-58-5 Pronamide 33 Not detected ug/L EPA619 3/28/14 JHAYES
139-40-2 PI'OpaZlne
9 Not detected ug/L EPA619 3/28/14 JHAYES
1014-70-6 Simetryn 9 Not detected ug/L EPA619 3/28/14 JHAYES
5902-51-2 Terbacil 15 Not detected ug/L EPA619 3/28/14 JHAYES
34014-18-1 Tebuthiuron 30 Not detected ug/L EPA619 3/28/14 JHAYES
886-50-0 Terbutryn
9 Not detected ug/L EPA S19 3128/14 JHAYES
43121-43-3 Triadimefon 9 Not detected ug/L EPA619 3/28/14 JHAYES
41814-78-2 Tricyclazole 48 Not detected ug/L EPA619 3/28/14 JHAYES
961-11-5 Tetrachlovinphos 6 Not detected ug/L EPA619 3/28/14 JHAYES
1929-77-7 Vernolate
9 Not detected ug/L EPA 619 3/28/14 JHAYES
2675-77-6 Chloroneb 0.21 Not detected ug/L EPA608 4/15/14 JHAYES
1897-45-6 Chlorothalonil 0.2 Not detected ug/L EPA608 4/15/14 JHAYES
72-43-5 MethoXychior 0.15 Not detected J2 ug/L EPA 608 4/15/14 JHAYES
,j
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to htpt/b rai gtlenr ore/Weblwo/lab!stafinfioh Fa^i st,��ata Q affi code,<Mo/!oorcai.ncaenr or web/wg iab seafjnfiohe<hassist>
Page 7 of 8

XC D WQ Laboratory Section 9�fsufts \
Location ID: 11118000WENCOVE Sample ID: AC06777 Collect Date: 03/24/2014 Collect Time::
PIES
CAS.# Analyte Name PQL Units Result/ Method Ana Ivsls Vala�\
Qualifier Reference Date
Sample Comments
VOL.VOA-J2-estimated-1 analyte(s)<LCL in LCS. 'v
PES:AH-J2-estimated-I analyte(s)<-LCL in LCS.
PES:ONP-J2-estimated-2 anaytes failed to meet curve fit criteria.
SEMI:SV-J2-estimated-1 analyte(s)failed to meet curve fit criteria
SEMI:SV-J2-estimated-1 analyte(s)failed<LCL in CV2:
PES:OCP-J2-estimated-9 anaytes failed to meet curve fit criteria.
PES:OCP-J2-estimated-2 analytes failed<LCL in CV2.
LaboratorySection>>1623 Mail Service Center,Raleigh,NC,27699-1623 [phone]
For a detailed description of the qualifier codes refer to nta.0 noaei ncdenr i b/wan bLta jEE Codes it o rz l.pdenr oraiwAL_ ay/starnflokecnasszr>
Page 8 of 8

22:10 9198704807 aEEB MERA PAGE 01/03
N, ofP'uMic Hod1h
,Oupdiwd_ wd ftvhom=W Bpkkuiology , lou Secdon
j (ORQAM "i CHMM ANALVO DJMRT
lahmsfin and coo*: laatktd) 'Smalo Id Numbw:
Location.,
Iviewer +�'"
'f
°.+t
ANALYM R `
Your well waur was tesW for 15 plas WhatM edl tes,and pH. The results were evaltIated using flu
Weral&Wdng war MWw& no pH is a mmm of to aridity of the water. DrWftwater mq
contain substances ffid can,occur=drafty in watts or on be il+oducedl into the wam fim manixiade
sources.
AND USE MCOMMMMATIONS
Your well water m s federal water . your mur cm be used for Wig,cooldng,
wasWW&eta
/,U following substance(s)ce(s)en d federal� war 1 . Your ally be used
for
dri , aud a problemsuch as bad tune,odor,
swning of this 000g,laid,etr,.mW uccurR you mayw to i a hmaftld water to address
wAfiefic problems
13mfsm Ankle cet
S Iver Soda m
The fvjlOw*su s)elmeded f &Val&inft water onadwAs.We recmwxmd that yaW well
waw not be used fbrrdr!Wdng and cookin&unless you itteW a M&N tm ent 8y8Wm to remove the c haled
subs ice(a).However,It may be used for wash.cleaning,berthing and sh®werang,
i4reeefio the Ch+gMM 1 its s�tm►
it$ S �3hrer �d Inc
Post-IV fax Note 7671 DO'e
Tb, vev From Y
Cojoopt, . Co. I C.
Priono# Mono# njke ad 15 minute s =pie Mde the bDUSe
axe R8x#g' ,trf '7d Fax# a 15 minute sample at the well hc'Ld to
del
CVnM CONMMATIONS
ltoUtine well water SMpling far the above substances is woorx nded ermy two Ge farce years. a ple
_ upr wall warn when there is a known problem or contamination inYOM area, afar reMaxs or replacement of
youar well,or after a flooding event. Contact you
local huh depur�eaat for saxripkkng inskrue�ons.
Ror fuirther,informations piease caataet yo up county health,department or the Occupatinual W 911viruumeat'at
10pidem ialoff B nclh at 919-767-5900.

4°•
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor - Secretary
June 10, 2014
DWR# 14-0515
Haywood County
Joe Pryor
Oaks Unlimited, Inc.
3530 Jonathan Creek Road
Waynesville,NC 28785
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION
Oaks Unlimited
Dear Mr. Pryor:
In accordance with your application dated May 20, 2014, approval has been granted for the impacts listed in the
table below. This approval requires you to follow the conditions listed I in the enclosed certification(s) or
general permit and any additional conditions listed below.
f _,Project impacts are covered by the attached Water Quality General Certification Number 3383, 3885 and 3890
and the conditions listed below. This certification is associated with the use of Nationwide Permit Numbers 3,
13 and 39 once it is issued to you by the U.S. Army Corps of Engineers. Please note that you should obtain or
otherwise comply with any other federal, state or local permits before proceeding with your project, including
those required by (but not limited to)Erosion and Sediment Control, Water Supply Watershed and Trout Buffer
regulations.
IMPACTS APPROVED
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.
Type of Impact Amount Approved
Permanent
Stream 359 (linear feet)
ADDITIONAL CONDITIONS
1. 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 anew application package
Water Quality Regional Operations—Asheville Regional Office
2090 US Hwy 70,Swannanoa,NC 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nodenr.orglwebtwq/ws
An Equal Opportunity 1 Affirmative Action Employer

Joe Pryor
June 10,2014
Page 2 of 3
with the appropriate fee. If the property is sold,the new owner must be given a copy of this appro�,
letter and General Certification(s)/Permit/Authorization and is responsible for complying with all
conditions.
This approval and its conditions are final and binding unless contested.
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:-
Lacy Presnell, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh,NC 27699-1601

letter completes the review of the Division under section 401 of the Clean Water Act as described in 15A
CAC .0500. Please contact Chuck Cranford at 828-296-4650 or chuck.cranford a 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 3883, GC 3885, GC 3890
Certificate of Completion
ec: Jennifer Robertson WNR
USACE Asheville Regulatory Field Office
cc: DWR ARO 401 files
DWR 401 and Buffer Permitting Unit
G`.\WR\WQ\Haywood\401s\Non-DOT\Oaks Unlimited\APRVL.06.10.14.docx

��
\�,
\�.:;.i�

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting
Regional Staff Report
June 11,2014
To: DWR Water Quality Permitting Section Central Office Application No.: WQ0002379
Attn: Chonticha McDaniel Regional Login No.:
From: Bev Price
Asheville Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? ®Yes or❑No
a. Date of site visit: 6/6/14
b. Site visit conducted by: Bev Price with Mike Gibert and David Odom
c. Inspection report attached? ❑ Yes or®No
d. Person contacted: David Odom and their contact information: [phone]
e. Driving directions: Hwy. 221 A South to SR 1003 (Boiling Springs Rd)turn left Take I Rt. onto Hawkins
Loop Rd (SR 1975). Then immediate Rt. onto Windsor. Go through the yellow gate to the WWTP.
\11. 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 4

M.EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS
l. Are there appropriately certified Operators in Charge(ORCs)for the facility? ® Yes❑No ❑N/A
ORC: Kati Wesson Certificate#:17369 Ms.Wesson is not designated as the ORC in BIMS Backup C,
Mike Gibert Certificate#:14756
2. Are the desig
n,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? Z Yes or❑No The cover crop looked good but there has not been any land
application of residuals since 2005
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: The cover crop looked good but there has not been any land application of residuals
since 2005.
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? Z Yes or❑No
If no,please explain:
10. Were monitoring wells properly constructed and located? ❑ Yes ❑No ®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 „ O / II
O ,
o If
O
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:
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 El 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 4

.Mere any issues related to compliance/enforcement that should be resolved before issuing this permit?
_Yes ®No ❑N/A
if yes,please explain:
✓. 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
Terry Hines Fields—The old permit map says 3 fields with net acres= 15.5.
However, only 2 fields are actually shown on the map. The latest topo map
shows 1 contiguous field(Tract 1 on the green application map)= 15.5 acres.
The old map shows a small application area to the southeast;this is not shown on
the latest topo or green application map. The wells(4)and the 3 houses near the
Hines property should be shown with buffers. (Old map is attached and
questions are highlighted). Also,the green application map shows 2 Tracts.
Based on the field visit there are only application fields 1&2 (or Tract 1) around
the Hines house. Please verify that there are only 2 fields or 1 Tract including
the small application area to the southeast totaling 15.5 acres. Resubmit the topo
and application maps with all corrections/clarifications.
Corrected maps
Edwin B. Holland Fields—The old permit map says 2 fields with net acres=
37.4. The latest topo map shows 1 contiguous field=37.4 acres.The old map
shows a house with well and some out buildings. The green application map and
the latest topo map do not show a residence with a well. Please confirm that a
residence w/well exists in the middle of the field. The houses w/wells to the east
and northeast of the application field are not shown on the latest topo or on the
green application map.Please resubmit the green application map as well as the
topo map with all relevant wells and residences.Resubmit the topo and
application maps with all corrections/clarifications.
Tract/field numbers on maps should match the Attachment B in the permit.
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 preparers td' 11
Signature of APS regional supervisor:
FORM:APSRSR 04-10 Page 3 of 4

Date. /
V. ADDITIONAL.REGIONAL,STAFF REVIEW ITEMS
FORM:APSRSR 04-10 Page 4 of 4

t� SYNAGR.0
.;�PLICATION AREA MAP .4
ltuidrrafs hsarrc�gu»?nt Conrpxry
P °P One- ;
�lt�r��tJ f
Rom "
MR
`rep , W. w ex
r--- �"
Owner �,1. ���� Scale: V L Field#
Total Acres .�, Net Acr,6s
... STR AM' AIMLICATION AREA :, - PRIVATE ROAD
------4 BRAIN . , HOUSE ! FORESTED AREA
POND1 a OUTBUILDING uNSuinkgLE
FF
NCE WELL
STORAO -AREA SOIL DESCRIPTIOU SUITABLE FOR
INC�Rpf?C2A'CIt7N,
$-Iz%a SLOPS -

owes R® ® \\
50' BUFFER
1 I r I I LEGEND
BUILDING
UNSUITABLE AREA
APPLICATION AREA
{
TOTAL PARCEL ACREAGE 23.7
APPLICATION ACRES- 15.5
`. UNSUITABLE ACRES-8.-2
r,
RUTHERFORD COUNTY
Odom
E CLIFFSIDE SANITARY DISTRICT NOVEM6EfZ 2013
Engineering RESIDUALS APPLICATION
PLLC
152 ph:82 .247A 95Forest
x:828.247.44.28043 TERRY HINES PROPERTY SCALE: I "- 500'
ph:828.247.4495 fox:828.247.4498 —'
NC FHOW P-0880

'� /
1.

{
",A Rxa,&df McaagawntCompaw,
2PLICATION AREA MAP
v f
ins
.
Vvx ,
Fie
C�wer } A Scale " ict#
°dotal Acs� Net Acres .
STREAM AfILICA&ION AM P7;tL Y l4 A 3`t.Ldi:«8J
!}RAIN AOUS C+R 'C F AREA
.. tiiVr POND 0. t}UTB{ ELDING UNS(t ABLE
FENCE �r' YELL
r STORAGEARFAE3 I 2 CRIPTLtJ�I S 3tTABLI �C}R
$ 2% sr oQ z

�_
�.
��
�__�
�_i
_. _ _ __.

\ 50' BUFFER
SECOND
BROAD RIVER
Li
- LEGEND
UNNAMED BUILDING
� TRIBUTARY
r
UNSUITABLE AREA
/1001
BUFFER I ® APPLICATION AREA
TOTAL PARCEL ACREAGE G4.0
�\
APPLICATION ACRES- 37.4
UNSUITABLE ACRES- 26.6
RUTHERFORD COUNTY
Odom
CLIFFSIDE SANITARY DISTRICT NOVEMBER 2013
Engineering RESIDUALS APPLICATION
PI.LC
152 East Main Street,Forest City,N.C.28043 EDWIN B. HOLLAND PROPERTY SCALE: 1 "= 500'
ph:828.247A495 fox:828.247.4498
NC FIItM#P-0880

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E:Skvarla, III
Governor Secretary
June 11,2014
W. Lane Bailey, City Manager
City of Lenoir
801 W.Ave NW
Lenoir, NC 28645
Subject: Permit No.WQ0037186
City of Lenoir
Meadowood Sewer Replacement
Wastewater Collection System Extension
Caldwell County
Dear Mr. Bailey:
In accordance with your application received May 30, 2014, we are forwarding herewith Permit No.
WQ0037186, dated June 11, 2014, to City of Lenoir for the,construction and operation 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
and supplement shall be considered a part of this permit and are therefore incorporated therein by
reference.
Please pay particular attention to the following conditions contained within this permit:
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 City of Lenoir 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.
G:\WR\WQ\Caldwell\Collection Systems\Lenoir Collection System\W00037186.MeadowoodSewerReplacement.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http:l/portal.nodenr.org/webtwq
An Equal Opportunity 1 Affirmative Action Employer

City of Lenoir
WQ0037186
If you need additional information concerning this matter,please contact Linda Wiggs at(828) 296-4500
or via e-mail at [e-mail].
Sincerely,
for Thomas A.Reeder
Division of Water Resources
cc: McGill-Joel Whitford (e-copy)
ARO Files
MSC 1617-Central Files-Basement
PERCS(e-copy)

NCDENR
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
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
City of Lenoir
Caldwell County
for the construction and operation of approximately 7,510 linear feet of 12-inch gravity sewer as part of
the Meadowood Sewer Replacement project; with no added discharge of wastewater into the City of
Lenoir's existing sewerage system,pursuant to the application received May 30,2014, 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 Environment and Natural Resources 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.
Permit issued this 11th day of the June,20''
for Thoma ' Reeder z
Division ofWater Resources
By Authority of The Environmental Management Commission
Permit Number:WQ0037186

SUPPLEMENT TO PERMIT COVER SHEET
City of Lenoir 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 Gunpowder Wastewater
Treatment Facility(NPDES Permit#NC0023736) prior to being discharged into the receiving stream.
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
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.
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.
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
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 as provided in 15A NCAC 2T.0403:
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
L 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. Noncompliance Notification:
The Permittee shall report by telephone to a water resources staff member at the Asheville Regional Office,
telephone number 828-296-4500, as soon as possible, but in no case more than 24 hours or on the next
working day,following the occurrence or first knowledge of the occurrence of 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 [phone]. 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 Il of Form
CS-SSO(or the most current Division approved form)can also be completed to show that the SSO was beyond
control.

6. Construction of the gravity sewers, pump stations,and force mains shall be scheduled so as not to inters,
service by the existing utilities nor result in an overflow or bypass discharge of wastewater to the surface,\
waters of the State.
7. Per-15A NCAC 2T.0116, 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 pump station design calculations (selected pumps, system curve, operating
point, buoyancy calculations, available storage if portable generator(s) or storage greater than longest
past three year,outage-reliability option selected)for any pump stations permitted as part of this project.
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.
8. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the
wastewater collection facilities.
9. 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.

,. 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.
11. 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 other government agencies(local,state and federal)which
have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B .0200, erosion and
sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's General Permit NCG010000,
and any requirements pertaining to wetlands under 15A NCAC 2B.0200 and 15A NCAC 2H .0500.

.iCK ENGINEERING CERTIFICATION
Aittee: CITY OF LENOIR Permit No.WQ0037186
.oject: MEADOWOOD SEWER REPLACEMENT Issue Date: 11/06/14
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views and detail drawings of sewer lines) of the wastewater
collection system extension. Final record drawings should be clear on the plans or on digital media (CD or DVD
disk) in pdf format. Record drawings should indicate the design and the marked up changes during construction.
• Supporting design calculations (selected pumps, system cure, operating point, available storage if portable
generator(s)or storage greater than longest past three year outage reliability option selected)for any pump stations
permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria Modifications should be submitted prior to certification.
This project shall not be considered complete nor allowed to operate until the Division has received this Engineer's
Certification and all required supporting documentation. Therefore it is highly recommended that this certification
be sent in a manner that provides proof of receipt by the Division.
PERMITTEE'S CERTIFICATION
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
❑ Partial ❑ Final
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 subject project
for the 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'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.
North Carolina Professional Engineer's
Seal,signature, and date:
.......................................................................................,
SEND THIS FORM &SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
WATER QUALITY REGIONAL OPERATIONS SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 U.S. HWY 70
Swannanoa, NC 28778
............................. .
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.
DWR Use Only:
Flow from this project is tributary to:NCO023736

North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvaria, III
Governor Secretary
June 11, 2014
Timothy Worthington
16 Bran Rick Lane
Arden,NC 28704
Re: Water Supply Well Analytical Results-Sample ID AC07515
16 Bran Rick Lane
Buncombe County,NC
Dear Mr. Worthington,
Please find attached the analytical results for a water sample collected from the well at the
referenced address on April 21,2014.The water sample was submitted for laboratory analyses of
chloride, fluoride,sulfate,bromide, ammonia,total kjeldahl nitrogen,phosphorus,nitrate,nitrite,
selected metals,fecal coliform bacteria,and total coliform bacteria.
No constituents analyzed were detected in excess of their North Carolina Administrative
Code (NCAC)Title 15A 2L .0202 groundwater standard or any applicable federal standard.
=' Because several constituents were detected in you water supply, I requested that a Health Risk
Evaluation(HRE) of your water supply be performed by a toxicologist with the North Carolina
Department of Health and Human Services. The HRE,which is attached, indicates that,based on
the analyses performed,the water can be used for drinking,cooking,washing dishes,bathing, and
showering. If you have any questions regarding the HRE,please contact Dr. Rudo at(919) 707-
5911.
If you have any questions regarding the results please contact me at(828)296-4684.
Sincerely,
Andrew Moore
Water Quality Regional Operations Section
Asheville Regional Office
Attachments: Laboratory Analytical Results
Health Risk Evaluation
cc: Water Quality Asheville Files
Buncombe County Environmental Health Department
j
North Carolina Division of Water Resources-Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,N.C. 28778
Phone[phone]
FAX [phone]
Internet: http:l/portal.ncdenr.orglweb/wq/
An Equal Opportunity/Affirmative Action Employer

\�
_.
l\-/
_.. ___.

BUNCOMBE A Sample ID: AC07515
PO Number# 14GO103
AROAP r ' Date Received: 04l22/2014
Time Received: 07:50
,ctor: A MOORE
Labworks LoginlD MSWIFT
,egion: ARIDFinal Report Date: 5/27114
Sample Matrix: GROUNDWATER
Loc.Type: SUPPLY WELL
F111ad I g6'' Report Print Date: 05/28/2014
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: TIMOTHY WORTHINGTON 16 BRAN BRICK LANE ARDEN 28704
Location ID: 1C01116BRANBRICK Collect Date: 04/21/2014 Collect Time: 09:40 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
CAS# Analvte Name PQL Result/ Units Method Analysis Validated by
Qualifier Reference Date
LAB
Sample temperature at receipt by lab 1.7 °C 4/22114 MSWIFT
WET
Ion Chromatography TITLE_ mg/L EPA 300.0 rev2.1 4/22/14 MOVERMAN
Chloride 1.0 1.0 U mg/L EPA 300.0 rev2.1 4/22/14 MOVERMAN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 4122/14 MOVERMAN
Sulfate 2.0 2.0 U mg/L EPA300.0 rev2.1 4/22/14 MOVERMAN
Bromide 1.0 1.0 U mg/L EPA300.0 rev2.1 4122/14 MOVERMAN
NUT
NH3 as N in liquid 0.02 0.02 U mg/L as N EPA 350.1 REV 2 4/23/14 CGREEN
F mg/L as N EPA 351.2 REV 2 4/24114 CGREEN
Total Iyeldahl N as N in liquid 0.2 0.2 U
/ NO2+NO3 as N in liquid 0.02 0.12 mg/L as N EPA 353.2 REV 2 4123/14 CGREEN
Phosphorus-total as P In liquid 0.02 0.08 mg/L as P EPA 365.1 REV 2 4123/14 CGREEN
Nitrate as N in liquid _0.02 0.12 mg/Lash EPA 353.2 REV 5/1.4/14 CGREEN
Nitrite as N In liquid 0.01 0.01 U mg/L as h EPA 353.2 REV 2 4/22/14 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 5/7114 ESTAFFORDI
7429-90-5 Al by ICP 50 50 U ug/L EPA200.7 5/21/14 ESTAFFORDI
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA200.8 517/14 ESTAFFORD1
7429-90-5 B by ICP 50 50 U ug/L EPA200.7 5/21114 ESTAFFORDI
7440-38-3 Ba by ICP 10 IOU ug/L EPA200.7 5/21/14 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 4.1 mg/L EPA200.7 6/21114 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.60 U ug/L EPA200.8 5/7/14 ESTAFFORD1
7440-47-3 Cr by ICPMS 10 IOU ug/L EPA200.8 517/14 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0 18 ug/L EPA200.8 5/7/14 ESTAFFORDI
7439-89-6 Fe by ICP 50 50 U ug/L EPA200.7 5121/14 ESTAFFORDI
7440-09-7 K by ICP 0.10 1.2 mg/L EPA200.7 5/21/14 ESTAFFORDI
7439-95-4 Mg by ICP 0.10 0.96 mg/L EPA200.7 5/21/14 ESTAFFORD1
7439-96-5 Mn by ICP 10 IOU ug/L EPA200.7 5/21/14 ESTAFFORDI
7440-23-5 Na by ICP 0.10 3.6 mg/L EPA200.7 5/21/14 ESTAFFORDI
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 517/14 ESTAFFORD1
J-92-1 Pb by ICPMS 2.0 4.7 ug/L EPA200.8 5/7/14 ESTAFFORD1
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to :/Lpanai ca n a"! 6hv n i;rc nm;Icecha i tuo ca ou re cods<hta-N,pSrr=i cae2 a Iw t/a!i bin fl e imchasssn
Page 1 of 2

NC(DWQ La6oratory Section 4�?sufts
Location ID: 1C01116BRANBRICK Sample ID: AC07615 Collect Date: 04/21/2014 Collect Time::\ ,
MET
Result/ Method Analysis
CAS# Analyte Name PQL Units Valid'4.
Qualifier Reference Date
7782-49-2 Se by ICPMS 5.0 5.0 U ug/L EPA 200.8 5/7/14 ESTAFFORL'\
7440-28-0 Thallium(TI)ICPMS 2.0 2.0 U ug/L EPA 200.8 517/14 ESTAFFORDI`
7440-66-6 Zrrby ICPMS 10 IOU ug/L EPA 200.8 5/7/14 ESTAFF0RD1
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description ofthe qualifier codes refer to ftfi:&P 1—denr.o weblwan b!taHnfioh na 'tad f 4 in r ccdes<ntP/i oor I a /w b(aP bI-t;�9ote nasssea
Page 2 of 2

BUNCOMBE )NA Sample ID: AC07649
PO Number# ARO
AROAP Date Received: 04/21/2014
Time Received: 12:00
-ctor. A MOORE
LabworksLoginlD KJIMISON2
xegion: ARID
Final Report Date: 5/15114
Sample Matrix: GROUNDWATER
FI118�Rep01'� Report Print Date: 05/28/2014
Loc.Type: SUPPLY WELL
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: TIMOTHY WORTHINGTON 16 BRAN BRICK LANE ARDEN 28704
Location ID: 1CO1116BRANBIRICK Collect Date: 04/21/2014 Collect Time: 09:40 Sample Depth
If this report is labeled preliminary report,the results have not been validated, Do not use for Regulatory purposes.
CAS# Analyte Name PQL Result/ Units Method AnalVsis Validated by
Qualifier Reference Date
Others
Sample temperature at receipt by lab 2.6 °C 4/21/14 RBYRD
Coliform, MF Fecal In liquid 1 1 B2 CFU/100mi APHA9222D-20th 4/21/14 CGREEN
Coliform, MF Total In liquid 1 1 B2 CFU/100ml APHA922213-20th 4/21/14 CGREEN
Laboratory Section 1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to yfpt(I,pomi.nwenrorE/wep(,gL1st 'nryg(tecnasstzcao�tagyaiie.codes<htaa;oo„aLnmenr.or wet�wg/fabstftnflcheca�size>
Page 1 of 1

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4®s
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 11, 2014
Darhyl Boone,Town Manager
P.O. Box 368
Mars Hill, NC,28754
Subject: Permit No. WQ0037187
Town of Mars Hill
Mars Hill Commons
Wastewater Collection System Extension
County
Dear Mr. Boone:
In accordance with your application received May 27, 2014, we are forwarding herewith Permit No.
WQ0037187, dated June 11, 2014, to the Town of Mars Hill for the construction and operation 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 and supplement shall be considered a part of this permit and are therefore incorporated therein
by reference.
Please pay particular attention to the following conditions contained within this permit:
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 Town of Mars Hill 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.
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://podal.nodenr.org/web/wq
An Equal Opportunity\Affirmative Action Employer
G:\WR\WQ\Madison\Collection Systems\Mars Hill Collection System\WQ0037187 Mars Hill Commons.doc

Town of Mars Hill
WQ0037187
If you need additional information concerning this matter, please contact Jeff Menzel at(828)-296-4500
or via e-mail at [e-mail].
Sincerely,
for Thomas A. Reeder
Division of Water Resources
cc: Jesse Gardner, PE
County Health Department
Madison County Building Inspections Department
Town of Mars Hill WWTP NC0057151
ARO Files
MSC 1617-Central Files-Basement
PERCS(electronic copy)

e �
NCDENR
STATE OF NORTH CAROLING
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
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 Mars Hill
Madison County
for the construction and operation of approximately 1,310 linear feet of 8-inch gravity sewer to serve as
part of the Mars Hill Commons project and the discharge of 11,520 gallons per day of collected domestic
wastewater into the Town of Mars Hill existing sewerage system, pursuant to the application received
May 27, 2014, 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 Environment and Natural
Resources 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.
Permit issued this 11th day of the June, 2014.
for Thomas A. Reeder
Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number:WQ0037187

The Town of Mars Hill 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 Mars Hill
Wastewater Treatment Facility NPDES Permit#NC00057151 prior to being discharged into the receiving
stream.
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.
IL 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.
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.
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
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 as provided in 15A NCAC 2T.0403:
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. Noncompliance Notification:
The Permittee shall report by telephone to a water resources staff member at the Asheville Regional Office,
telephone number 828-296-4500, as soon as possible, but in no case more than 24 hours or on the next
working day,following the occurrence or first knowledge of the occurrence of 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 [phone]. 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 11 of Form
CS-SSO(or the most current Division approved form)can also be completed to show that the SSO was beyond
control.
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.

7. Per 15A NCAC 2T.0116, upon completion of construction and prior to operation of these permitted facilif,.,
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 pump station design calculations (selected pumps,system curve, operating
point, buoyancy calculations, available storage if portable generator(s) or storage greater than longest
past three year outage reliability option selected)for any pump stations permitted as part of this project.
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.
8. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the
wastewater collection facilities.
9. 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.
10. 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.
11. 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 other government agencies(local,state and federal)which

have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B .0200, erosion and
sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's General Permit NCG010000,
and any requirements pertaining to wetlands under 15A NCAC 2B.0200 and 15A NCAC 2H .0500.

A
,._
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_- __

.-sCK ENGINEERING CERTIFICATION
,iittee: Town of Mars Hill Permit No.WQ0037187
oject: Mars Hill Commons Issue Date: 06/11/2014
Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views and detail drawings of sewer lines) of the wastewater
collection system extension. Final record drawings should be clear on the plans or on digital media (CD or DVD
disk) in pdf format. Record drawings should indicate the design and the marked up changes during construction.
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s)or storage greater than longest past three year outage reliability option selected)for any pump stations
permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria Modifications should be submitted prior to certification.
This project shall not be considered complete nor allowed to operate until the Division has received this Engineer's
Certification and all required supporting documentation. Therefore it is highly recommended that this certification
be sent in a manner that provides proof of receipt by the Division.
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
❑Partial ❑ Final
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 subject project
for the 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'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.
North Carolina Professional Engineer's
Seal,signature, and date:
...................................................................................
....
SEND THIS FORM &SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
WATER QUALITY REGIONAL OPERATIONS SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 U.S. HWY 70
Swannanoa, NC 28778
........................................................................................
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.
DWR Use Only:
Flow from this project is tributary to:NCO05715.1

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 12, 2014
Michael Greene
236 Trull Lane
Waynesville, NC 28786
Re: Sample ID (AC07580 &AC07581)
Sample location address: 236 &49 Trull Lane
Haywood County,NC
Dear Mr. Greene,
Please find attached the analytical results for water samples collected at two water supply
wells located at the addresses referenced above,on April 21, 2014. The purpose of the site
visit was to follow up on an earlier groundwater investigation along Seminole Drive.The
samples were analyzed for the organochlorine pesticide compounds shown on the attached
laboratory analytical reports.The results indicate that none of these pesticide compounds
were present in either water supply well at the time of sampling.
You indicated during my site visit that the United States Environmental Protection Agency
(USEPA) sampled your water supply well (49 Trull Lane) several years ago but never notified
you of the results. I contacted the USEPA in Atlanta, on your behalf,and received a copy of the
analytical results (attached) taken on November 17, 2001.The sample (D13C4) was analyzed
for organochlorine pesticides and various metals.The detectable constituents are summarized
in the table below.The results are shown in units of micrograms of contaminant per liter of
water and are approximately equivalent to part per billion (ppb).
barium 2,000 700 18
calcium 11,000
iron 300 73
magnesium 1,800
potassium 2,000
sodium 4,600
strontium 47
zinc 1,000 9.7
The results indicate that none of the pesticide compounds were present in the well at the time
of sampling. There were a number of detectable metals present but none of the concentrations
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet http://portal.nodenr.org/webtwq
An Equal opportunity\Affirmative Action Employer

are above the NC Groundwater Standard (15A NCAC 2L. 0202). In fact, all of the detectable
metals appear to be within a normal range for water supply wells in western North Carolina.
Based on available data, both water supply wells are providing water that is safe for all
household uses including drinking, cooking,and showering. If you have any questions
regarding the results please contact me at [phone].
Sincerely;
Br tt Laver
W ter ityRegional Operations Section
Asheville Regional Office
Attachment: DWR analytical results(AC07580&AC07581)
USEPA analytical results(D13C4)
cc: file
Haywood County Health Department
Tony&Tiare Mashburn j
Dana Greene

HAYWOOD Sample ID: AC07680
A PO Number# 14GO116
AROAP c Date Received: 0412312014
x-i Time Received: 08:00
,actor: B LAVERTY
Labworks LoginlD MSWIFT
.-legion: ARO
Final Report Date: 613114
Sample Matrix: GROUNDWATER
n. O6/1 012 0 1 4
�inall3egorE
Report Print Date:
Loc.Type: SUPPLY WELL
Emergency Yes/No Visitl0
COG Yes/No
L�iN� Loc.Descr.: MICHAEL GREENE 236 TRULL LANE WAYNESVILLE.NC
Location ID: 1R44236TRULL Collect Dater 04/21/2014 Collect Time: 14:44 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis Validated by
CAS# Anale Name PQL Qualifier Units Reference Date
LAB
Sample temperature at receipt by lab 1.S °c 4123/14 RBYRD
PES
Chlorinated Pesticides in Liquid' TITLE_ ug/L EPA608 5/28/14 JHAYES
15972-60-8 Alachlor 0.28 Not detected ug/L EPA608 5128/14 JHAYES
309-00-2 Aldrin 0.06 Not detected ug/L EPA608 5/28/14 JHAYES
319-84-6 BHC-Alpha 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
319-85-7 BHC-Beta 0.03 Not detected ug1L EPA608 5/28114 JHAYES
319-86-8 BHC_Delta 0.06 Not detected ug/L EPA608 5/28/14 ' JHAYES
58-89-9 BHC-Gamma(Lindane) 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
3-9 Chlordane,Technical 0.5 Not detected ug/L EPA608 5128/14 JHAYES
5103-71-9 Chlordane,Alpha 0.03 Not detected ug/L EPA608 5128/14 JHAYES
5103-74-2 Chlordane, Gamma 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
3734-48-3 Chlordene 0.03 Not detected ug/L EPA608 5/28114 JHAYES
510-15-6 Chlorobenzilate 0.48 Not detected ug/L EPA608 5/28/14 JHAYES
1861-32-1 DCPA 0.03 Not detected ug/L EPA608 5128/14 JHAYES
53-19-0 DDD 2,4 0.06 Not detected ug/L EPA608 5/28/14 JHAYES
72-54-8 DDD 4,4 0.03 Not detected ug1L EPA608 5/28114 JHAYES
3424-82-6 DDE 2,4 0.05 Not detected ug/L EPA608 5/28/14 JHAYES
72-55-9 DDE 4,4 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
789-02-6 DDT 2,4 0.05 Not detected ug/L EPA608 5128/14 JHAYES
50-29-3 DDT 4,4 OM Not detected ug/L EPA608 5128/14 JHAYES
60-57-1 Dieldrin 0.03 Not detected ug/L EPA608 5/28114 JHAYES
959-98-8 Endosulfan 1 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
33213-65-9 Endosulfan 11 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
1031-07-8 Endosulfan sulfate 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
72-20-8 Endrin 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
7421-93-4 Endrin Aldehyde 0.06 Not detected ug/L EPA 608 5/28/14 JHAYES
53494-70-5 Endrin Ketone 0.03 Not detected ug/L EPA608 5128/14 JHAYES
2593-15-9 Ethazole 0.09 Not detected ug/L EPA608 5128114 JHAYES
76-44-8 Heptachlor 0.06 Not detected ug/L EPA 608 5128/14 JHAYES
;57-3 Heptachlor epoxide 0.03 Not detected- ug/L EPA608 5128/14 JHAYES
Laboratory Section 1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to h:o:;f o�nai.nccenr.o:�weeiwaAao!seaYnflc ri nnnatu_aiieer code=rn:;.//aorai nccenr orglwe>lw�Aa�sta@nxacnassisv
Page 1 of 2

XC(DPVQ Laboratory Section R,esuCts
Location fD: 1R44236TRULL Sample ID: AC07680 Collect Date: 0412112014 Collect Time:: \\
PES
CAS# Analvte Name PQL Result/ Units Method Analysis
ARL
Qualifier_ Reference Date
118-74-1 Hexachlorobenzene(Pest) 0.02 Not detected ug/L EPA 608 5/28/14 JHAYES',
2385-85-5 Mirex 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
39765-80-5 Trans Nonachlor 0.05 Not detected ug/L EPA608 5/28/14 JHAYES
27304-13-8 Oxychlordane 0.05 Not detected ug/L EPA608 5/28/14 JHAYES -
52645-53-1 Mixed Permethrin 1.20 Not detected ug/L EPA608 5128/14 JHAYES
1918-16-7 Propachlor 0.54 Not detected ug/L EPA608 5/28/14 JHAYES
117-18-0 Tecnazene _0.03 Not detected ug/L EPA608 5/28/14 JHAYES
1582-09-8 Trlfluralin 0.05 Not detected ug/L EPA608 5/28/14 JHAYES
12674-11-12 Aroclor 1016 1 Not detected ug/L EPA 608 5/28/14 JHAYES
11104-28-2 Aroclor 1221 1 Not detected- ug/L EPA608 5128114 JHAYES
11141-16-5 Aroclor1232 1 Not detected ug/L EPA608 5128/14 JHAYES
53469-21-9 Aroclor 1242 1 Not detected ug/L EPA 608 5/28/14 JHAYES
12672-29-6 Aroclor 1248 1 Not detected ug/L EPA 608 5/28/14 JHAYES
11097-69-1 Aroclor 1254 1 Not detected ug/L EPA608 5/28/14 JHAYES
11096-82-5 Aroclor-1260 1 Not detected ug/L EPA608 5/28114 JHAYES
37324-23-5 Aroclor 1262 1 Not detected ug/L EPA 608 5/28/14 ' JHAYES
8001-35-2 TOxaphene 3 Not detected ug/L EPA608 5/28/14 JHAYES
2675-77-6 Chloroneb 0.21 Not detected ug/L EPA608 5/28/14 JHAYES
1897-45-6 Chlorothalonil 0.2 Not detected ug/L EPA608 5/28/14 JHAYES
72-43-5 Methoxychlor 0.15 Not detected ug/L EPA608 5/28/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh;NC 27699-1623 (919)7333908 `
For a detailed description of the qualifier codes refer to nto//Dorsal nm rg%wehlwpllab;staN 56 tjchass(rt#Data QuaBfier CwJes ahtu•,/vonal n dery ora/webjviab stafinfioh efiass"sn
Page 2 of 2

HAYWOOD pJ Sample ID: AG07581
PO Number# 14GO116
AROAP Date Received: 04/2312014
a
"1 Time Received: 08:00
-ctoe B LAVERTY
Labworks LoginlD MSWIFT
,region: ARID
Final Report Date: 6/3114
Sample Matrix: GROUNDWATER ;A
'Fillad"Re06ft Report Print Date: 06/10/2014
Loc.Type: SUPPLY WELL
Emergency Yes/No Visit@
COC Yes/No "
ioc.Descr.: TONY MASHBURN 86 TRULL LANE WAYNESVILLE.NC
-V9 `ravLL
Location ID: 1R4486TRULL Collect Date: 04/21/2014 Collect Time: 14:69 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
CAS# Analyte Name
Result/ Units Method Analysis Validated by
PQL
Qualifier Reference Date
LAB
Sample temperature at receipt by lab 1.9 °c 4/23/14 RBYRD
PES
Chlorinated Pesticides in Liquid _TITLE_ ug/L EPA 608 5/28/14 JHAYES
15972-60-8 'Alachlor 0.28 Not detected ug/L EPA608 5/28/14 JHAYES
309-00-2 _Aldrin 0.06 Not detected ug/L EPA 608 5/218/14 JHAYES
319-84-6 BHC-Alpha 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
319-85-7 BHC-Beta 0.03 Not detected ug1L EPA608 5/28/14 JHAYES
319-86-8 BHC Delta 0.06 Not detected ug/L EPA608 5/28/14 JHAYES
58-89-9 BHC-Gamma(Lindane) 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
�-9 Chlordane,Technical 0.5 Not detected
ug/L EPA608 5/28/14 JHAYES
5103-71-9 Chlordane,Alpha 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
5103-74-2 Chlordane,Gamma 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
3734-48-3 Chlordene 0.03 Not detected ug/L EPA608 5128/14 JHAYES
510-15-6 Chlorobenzilate 0.48 Not detected ug/L EPA608 5/28/14 JHAYES
1861-32-1 DCPA 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
53-19-0 DDD 2,4 0.06 Not detected ug/L EPA608 5/28/14 JHAYES
72-54-8 DDD 4,4 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
3424-82-6 DDE 2,4 0.05 Not detected ug/L EPA608 5/28/14 JHAYES
72-55-9 DDE 4,4 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
789-02-6 DDT 2,4 0.05 Not detected ug/L EPA 608 5/28/14 JHAYES
50-29-3 DDT 4,4 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
60-57-1 Dieidrin 0.03 Not detected ug/L EPA608 6/28/14 JHAYES
959-98-8 Endosulfan 1 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
33213-65-9 Endosulfan 11 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
1031-07-8 Endosulfan sulfate 0.03 Not detected ug/L EPA608 5128/14 JHAYES
72-20-8 Endrin 0.03 Not detected ug/L EPA608 5/28114 JHAYES
7421-93-4 Endrin Aldehyde 0.06 Not detected ug/L EPA 608 5128/14 JHAYES
53494-70-5 Endrin Ketone 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
2593-15-9 Ethazole 0.09 Not detected ug/L EPA608 5128/14 JHAYES
7F-4,4-8 Heptachlor 0.06 Not detected ug/L EPA 608 5/28/14 JHAYES
a57-3 Heptachlor epoxide 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
Laboratory Section—1623 Mail Service Center,Raleigh,NC 276994623 [phone]
For a detailed description of the qualifier codes refer to t:tn:!/Ro_gg.ncdellr ary(aebl va/lab/ctaRnfio:ecn�ssinsoaca r uaueer Lodes ch.>//eo�nat n e�r.oralweo v ian'staflntL recFas
Page 1 of 2

NC(1)WQ Ga6oratory Section Results
Location ID: 1R4485TRULL Sample ID: AC07681 Collect Date: 04/21/2014 Collect Time::
PES
Result/ Method Analysis
CAS# Analyte Name PQL Units yalida..
Qualifier Reference Date
118-74-1 Hexachlorobenzene(Pest) 0.02 Not detected ug/L EPA608 5128114 JHAYES'\,
2385-85-5 MireX 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
39765-80-5 Trans Nonachlor 0.05 Not detected ug/L EPA 608 5/28/14 JHAYES
27304-13-8 Oxychlordane 0.05 Not detected ug/L EPA 608 5/28/14 JHAYES
52645-53-1 Mixed Permethrin 1.20 Not detected ug/L EPA608 5/28/14 JHAYES
1918-16-7 Propachlor 0.54 Not detected ug/L EPA 608 5128114 JHAYES
117-18-0 Tecnazene 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
1582-09-8 Trifluralin 0.05 Not detected ug/L EPA608 5/28/14 JHAYES
12674-11-12 Aroclor 1016 1 Not detected ug/L EPA 606 5128/14 JHAYES
11104-28-2 Aroclor 1221 1 Not detected ug/L EPA 608 5/28/14 JHAYES
11141-16-5 Aroclor 1232 1 Not detected ug/L EPA608 5/28/14 JHAYES
53469-21-9 Aroclor 1242 1 Not detected ug/L EPA 608 5128/14 JHAYES
12672-29-6 Aroclor 1248 1 Not detected ug/L EPA 608 5/28/14 JHAYES
11097-69-1 Aroclor 1254 1 Not detected ug/L EPA608 5/28/14 JHAYES
11096-82-5 Aroclor 1260 1 Not detected ug/L EPA 608 5128/14 JHAYES
37324-23-5 Aroclor 1262 1 Not detected ug/L EPA 608 5/28/14 JHAYES
8001-35-2 TOxaphene 3 Not detected ug/L EPA 608 5/28/14 JHAYES
2675-77-6 Chloroneb 0.21 Not detected ug/L EPA608 5/28/14 JHAYES
1897-45-6 Chlorothalonil 0.2 Not detected ug/L- EPA608 5/28/14 JHAYES
72-43-5 Methoxychlor 0.15 Not detected ug/L EPA608 5/28/14 JHAYES
Laboratory Section>>1623'Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to ht 1f pORatncaencor.3�w_jWy/:ati!stasnflutkechass'sewoffia aua�ireer Code;<hbi/oottai.ncd nr.o�a/Neb/Wa1 SbL fi�fio t^_chusisD
Page 2 of 2

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 12, 2014
Hunter Crump, Mayor
Town of Gamewell
2750 Old Morganton Rd
Lenoir,NC 28645
SUBJECT: Collection System Inspection
Gamewell Collection System
Permit No: WQCS00313
Caldwell County
Dear Mr. Crump:
On May 29, 2014, I conducted an inspection of the Gamewell collection system. Present during the inspection
were Mary Carter with the Town of Gamewell and the Operator in Responsible Charge (ORC) John Abernathy
with West Consultants. Their time and efforts were appreciated. The system appeared to be in compliance with
permit WQCS00313.
Please refer to the enclosed inspection report for detailed 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: John Abernathy, ORC(e-copy)
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Caldwell\Collection Systems\Gamewell Collection System\CEI.May2014.Ltr.doc
Water Quality Regional Operations-Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wql
An Equal Opportunity\Affirmative Action Employer

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Compliance Inspection Report
:rmit: WQCS00313 Effective: 06/01/13 ` Expiration: 05/31/21 Owner. Town of Gamewell
SOC: Effective: Expiration: Facility: Gamewell Collection System
County: Caldwell
Region: Asheville
Contact Person: Hunter Crump Title: Mayor Phone: [phone]
Directions to Facility:
System Classifications: CS1,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
NC0023981 City of Lenoir-Lower Creek WWTP
WQCS00035 City of Lenoir-Lenoir Collection System
Inspection Date: 05/29/2014 Entry Time: 10:00 AM Exit Time: 02:00 PM
Primary Inspector: Linda S Wiggs jo& Phone: Ext.46 6-4500
� Ext.4653
Secondary Inspectors):
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: M Compliant 0 Not Compliant
Question Areas:
Miscellaneous Questions Performance Standards operation&Maint Reqmts Records
Monitoring&Rpting Inspections Pump Station Manhole
Reqmts
Lines
(See attachment summary)
Page: 1

Permit: WQCS00313 Owner-Facility: Town of Gamewell
Inspection Date: 0 5/2 912 0 1 4 Inspection Type:. Collection System Inspect Non Sampling Reason for Visit: Routine \
Inspection Summary:
Present for the inspection were Mary Carter(Administrator)and John Abernathy(ORC).
This system is fairly young, late 1990's. There are 43,100'of gravity lines, 500'of force main and 1 pump station. There
are--160 taps and no restaurants nor industrial waste contributors in the Town of Gamewell. This system is unusual
because it not only discharges to theCity of Lenoir, but also receives sewerage flows from the City of Lenoir due to the
municipal boundaries. There are industrial sites and a school on the outskirts of Gamewell that flow through their system
but are within the City of Lenoir. It was mentioned that the flow meter to Lenoir is not operating properly and they
anticipate Lenior replacing the meter.
Manhole inspections at C 29-31 in the vicinity of Ivey Stine Rd revealed sluggish water indicating line cleaning in this area
should be undertaken..The Fire Department use to assist with Fine cleaning, but the Town is currently considering hiring
KRG Utility Inc. to perform cleaning and video operations.
The pump station looked good, although there was a moderate amount of grease. The ORC said it is scheduled to be
pumped around August and after that he is going to try using enzymes for grease control to see if that technique is
effective.
Page: 2

Permit: WQCS00313 Owner-Facility: Town of Gamewell
,ispection Date: 05/29/2014 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? 0 n n n
What educational tools are used?
bulletin board, mailings,soon to be on website.
Is Sewer Use Ordinance/Legal Authority available? ❑ n n
Does it appear that the Sewer Use Ordinance is enforced? n 0 n
Is Grease Trap Ordinance available? n 0 M n
Is Septic Tank Ordinance available(as applicable,i.e.annexation) 0 n n n
List enforcement actions by permittee, if any, in the last 12 months
Has an acceptable Capital Improvement Plan(CIP)been implemented? n 0 Q
Does CIP address short term needs and long term Vmaster plan\"concepts? n n 0
Does CIP cover three to five year period? ® n n n
Does CIP include Goal Statement? n n n
Does CIP include description of project area? n n 0
f--� Does CIP include description of existing facilities? n n n
Does CIP include known deficiencies? n n n
Does CIP include forecasted future needs? Cl n n
Is CIP designated only for wastewater collection and treatment? n n o
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
The components of a CIP are in various locations, i.e.work orders, invoices, budget sheets; it is not in a
formal Plan form but does suffice.
Is system free of known points of bypass? 0 n n
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? n n n
#Does the sign include:
Instructions for notification? ❑ n n
Pump station identifier? n n n
24-hour contact numbers n n n
If no,list deficient pump stations
Page: 3

Permit: WQCS00313 Owner-Facility: Town of Gamewell
Inspection Date: 05/29/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine\\
#Do ALL pump stations have an"auto polling"feature/SCADA? M 0 Q n
Number of pump stations 1
Number of pump stations that have SCADA o
Number of pump stations that have simple telemetry 1
Number of pump stations that have only audible and visual alarms 0
Number of pump stations that do not meet permit requirements 0
#Does the permittee have a root control program? I_l M 0
#If yes,date implemented?
Describe:
If needed they will contract work.
Comment: At this time there are no restaurants or kitchen establishments on the
system so a grease trap ordinance is not needed.
Inspections Yes No NA NE
Are maintenance records for sewer lines available? M ❑ Cl 0
Are records available that document pump station inspections? m n ❑ n
Are SCADA or telemetry equipped pump stations inspected at least once a week? M n
Are non-SCADA/telemetry equipped pump stations inspected every day? Q ❑ ® o
Are records available that document citizen complaints? n Cl 0
#Do you have a system to conduct an annual observation of entire system? M 0 fl Cl
#Has there been an observation of remote areas in the last year? M n 0 0
Are records available that document inspections of high-priority lines? M n ❑
Has there been visual inspections of high-priority lines in last six months? m n n 01
Comment: The ORC maintains a handwritten notebook/logbook that covers all the
record keeping requirements.
Operation &Maintenance Requirements Yes No NA NE
Are all log books available? 0 0 n
Does supervisor review all log books on a regular basis? ❑ 0 0
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?
The ORC is a contractor operator. He is in conversation on a regular or as needed basis with Mary Carter,
Town Administrator.
Are maintenance records for equipment available? 0 ❑ n
Page: 4

Permit: WQCS00313 Owner-Facility: Town of Gamewell
lispection Date: 05/29/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Is a schedule maintained for testing emergency/standby equipment? n n Cl
What is the schedule for testing emergency/standby equipment? Auto test monthly;2/yr
under load
Do pump station logs include:
Inside and outside cleaning and debris removal? Cl Cl n
Inspecting and exercising all valves? n 0
Inspecting and lubricating pumps and other equipment? n n n
Inspecting alarms,telemetry and auxiliary equipment? 13 n fl
Is there at least one spare pump for each pump station w/o pump reliability? n n
Are maintenance records for right-of-ways available? 0 0 n
Are right-of-ways currently accessible in the event of an emergency? fl 0 Cl
Are system cleaning records available? 0 n n
Has at least 10%of system been cleaned annually? n Q n
What areas are scheduled for cleaning in the next 12 months?
The MH and line inspected were moving slowly and will need cleaning ASAP. If grease is the cause the
citizens in this area may need added FOG education.
\' Is a Spill Response Action Plan available? 0 Cl 0
Does the plan include:
24-hour contact numbers 0 n 0
Response time n n 0
Equipment list and spare parts inventory Q C3 0
Access to cleaning equipment ❑ n
Access to construction crews,contractors,and/or engineers n n 0
Source of emergency funds n I] 0
Site sanitation and cleanup materials 0 ❑ Cl
Post-overflow/spill assessment ❑ 0 n
Is a Spill Response Action Plan available for all personnel? n 0 n
Is the spare parts inventory adequate? n ❑ 0
Comment:
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? Q ❑ 0 Cl
Are records of SSOs that are under the reportable threshold available? ❑
Page: 5

Permit:WQCS00313 Owner-Facility: Town of Gamewell
Inspection Date: 05/29/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine\ ,
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? 0 n n
If yes,is there a corrective action plan? rl n
Is a map of the system available? E fl fl fl
Does the map include:
Pipe sizes 0 El ❑ n
Pipe materials m In ❑ ri
Pipe location m n
Flow direction E n n 1=1
Approximate pipe age m n n n
Number of service taps N n ❑ 0
Pump stations and capacity 0 n
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? w n n n
Comment: There have not been any SSOs.
Monitoring and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available? n n n
Are public notices and proof of publication available? fl n n
#Is an annual report being prepared in accordance with G.S. 143-215.1 C? n n N n
#Is permittee compliant with all compliance schedules in the permits? n n n
If no,which one(s)?
Comment:
C 29, 30, 31 -
Manhole Yes No NA NE
Is manhole accessible? n n n
#Is manhole cover/vent above grade? n n n
Is the manhole free of visible signs of overflow? n n n
Is the manhole free of sinkholes and depressions? n n n
Is manhole cover present? n n n
Page: 6

Permit: WQCS00313 Owner-Facility: Town of Gamewell
ispection Date: 05/29/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
#Is manhole properly seated? 0 n fl
#Is manhole in good condition? n n n
#Is invert in good condition? n n n
Is line free-flowing and unrestricted in manhole? rl 0 n n
Is manhole free of excessive amounts of grease? M n n n
Is manhole free of excessive roots? 0 n n n
Is manhole free of excessive sand? n n n
Is manhole's extended vent screened? n n M n
Are vents free of submergence? n n 0 n
Are manholes free of bypass structures or pipes? n n n
Comment. The line needs cleaning soon; flow was sluggish between 29 and 31.
IVY STINE
Lines/Right-of-Ways/Aerie) Lines Yes No NA NE
Is right-of-way accessible for emergency? 0 n n
Is right-of-way free of sinkholes or depressions? n n n
Is line/right-of-way free of evidence of leakage? n n n
#Are there areas of exposed line? n M n n
#Is any exposed line constructed of ductile iron or other approved material? n n ® n
Are water crossing and supports in good condition? n n n
#Is right-of-way free of non-utility motorized traffic? n
Is line free of visible damage? n n
#Are there siphons in this system? n M 0 ❑
If yes,are they maintained and documented?
Comment: See above. This area of lines will need to be further evaluated for cleaning.
ROCKY RD -
Pump Station Yes No NA NE
Pump station type Duplex
Are pump station logs available? ® 0 El n
Is it accessible in all weather conditions? n D n
#Is general housekeeping acceptable? ® n n n
Page: 7

Permit: WQCS00313 Owner-Facility: Town of Gamewell
Inspection Date: 05/29/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Are all pumps present? M 0 n 13
Are all pumps operable? M 0 fl fl
Are wet wells free of excessive debris? 0 Cl (l n
Are upstream manholes free of excessive debris/signs of overflow? M n n n
Are floats/controls for pumps/alarms operable? n n In
Is"auto polling"feature/SCADA present? n o m o
Is"auto polling"feature/SCADA operational? n n
Is simple telemetry present? mn n n
Is simple telemetry operational? M Q n n
Are audio and visual alarms present? M 0 (_l 0
Are audio and visual alarms operable? M I_I n n
Is the Pump station inspected as required? M n n n
Are backflow devices in place? n n 0 n
Are backflow devices operable? n In m n
Are air relief valves in place? 0 `0 0 n '
Are air relief valves operable? n n n
# Is an emergency generator available? mn n n
Can the emergency generator run the pumps? m In n n
Is the pump station equipped for quick hook-up? (_l n E f7
Is the generator operable? n n n
#Is fuel in tank and sufficient? n n n
Is the generator inspected according to their schedule? n n n
Is a 24-hour notification sign posted? n C! 0
Does it include:
Instructions for notification? n In n
Pump station identifier? 0 0 0
Emergency phone number n ❑ n
is public access limited? M n n n
Is pump station free of overflow piping? 0 0 n n
Is the pump station free of signs of overflow? M 0 n n
Page: 8

Permit: WQCS00313 Owner-Facility: Town of Gamewell
inspection Date: 05/29/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Are run times comparable for multiple pumps? yes
Comment: There was a moderate amount of grease in the wet well. PS is schedued to
be pumped in August or sooner if need be. ORC is working with the Burke Co ORC to
try out enzymes for grease control.
Page: 9

`�:_i
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FqCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvaria, III
Governor Secretary
June 12, 2014
Marvin McHome
99 Dogwood Drive
Myrtle Beach, South Carolina
29575-4524
SUBJECT: Compliance Evaluation Inspection
U.S. Highway 64 @ U.S. Highway 74
Permit No:NCG550471
Henderson County
Dear Mr. McHome:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
May 15, 2014. The Compliance Evaluation Inspection was conducted by Ed Williams of the Asheville
Regional Office. The facility was found to be in compliance with permit NCG550471.
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,
it
Ed Williams
Enc.
cc:
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wglws
An Equal Opportunity\Affirmative Action Employer
G:\WR\WQ\Henderson\Wastewater\General\NCG55 SFR\0471 Marvin McHome\0471-cei2014.doc

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United States Environmental Protection Agency Form Approved,
EPA Washington,D.C.20460 OMB No.2040-0057
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 INI 2 15 I 31 NCG550471 111 121
14/05/15 117 18I CJ 191 c�!I 20I I
Remarks J
2111111111111111111111111111111111111111111IIIIII6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ------------ -----------Reserved--------- ---------
67I 169 70I_I 71 I I 721 NJ 73 L1J 74 751 I I I I I I 180
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)
09:30 AM 14/05/15 13/08/01
U.S.Highway 64 @ U.S.Highway 74
US Hwy 64 74 Exit Time/Date Permit Expiration Date
Bat Cave NC 28710 10:00 AM 14/05/15 18/07/31
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
John E Cudd,1606 Montcalm St Orlando FL 32806//704-625-8130/ No
Section C` Areas Evaluated During Inspection(Check only those areas evaluated)
Operations&Maintenance 0 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
Edward M Williams ARO GW///
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

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NPDES yr/mo/day Inspection Type 1
NCG550471 I11 12I 14/05/15 117 181 Ci
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
No visible evidence of system failure was noted. The chlorinator and discharge pipe could not be located.
Page# 2

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Permit: NCG550471 Owner-Facility: U.S.Highway 64 @ U.S.Highway 74
�pection Date: 05/15/2014 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 Solids, pH,DO,Sludge ❑ ❑ 0 ❑
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? 0 ❑ ❑ ■
Are pumps or syphons operating properly? ❑ ❑ ® ❑
Are high and low water alarms operating properly? ❑ ❑ ■ 0
Comment: It is recommended that the septic tank be pumped every 3 to 5 years
Sand filters (Low rate) Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational? ❑ ❑ ■ ❑
Is the distribution box level and watertight? ❑ ❑ ❑ ■
Is sand filter free of ponding? ❑ ❑ ■
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ ® ❑
#Is the sand filter surface free of algae or excessive vegetation? ❑ ❑ ® ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ ® ❑
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ ■ ❑ ❑
Are the tablets the proper size and type? ❑ ■ ❑ ❑
Number of tubes in use?
Is the level of chlorine residual acceptable? ❑ ® ❑ ❑
Is the contact chamber free of growth,or sludge buildup? ❑ E ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ■ ❑ Cl
Comment: Chlorinator could not be found
Page# 3

A
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 12, 2014
Randall Elley
1914 Trellis Ln
Hendersonville NC 28739
SUBJECT: Compliance Evaluation Inspection
119 Camellia Way
Permit No:NCG550433
Henderson County
Dear Mr. Elley:
Enclosed please find a copy of the Compliance Evaluation Inspection from the inspection conducted on May
15, 2014. The Compliance Evaluation Inspection was conducted by Ed Williams of the Asheville Regional
Office. The facility was found to be in compliance with permitNCG550433.
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,
Ed Williams
Enc.
cc: ,
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hftp://portal.ncdenr.org/web/wq/ws
An Equal Opportunity 1 Affirmative Action Employer
G:\WR\WQ\Henderson\Wastewater\General\NCG55 SFR\0433 Elly\elly 0433 cei 2014.docx

United States Environmental Protection Agency Form Approved.
PA 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 Fee Type
1 IN ( 2 15 1 3 NCG550433 I11 12 14/05/15 17 18 I-1 19 1 G,� 20LJ
21I I ' I 1 T I I I I II I � I I I I I I I I I I I ( I I I l i L I I II I I I 1 L166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -- — — Reserved------ ---------
67 70 I 1 71 U 1
72 � ,, � 73( I74 75 80
LJ Section B:Facility Data � L1J
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) 10:45AM 14/05/15 13/11/01
119 Camellia Way
Exit Time/Date permit Expiration Date
119 Camellia Way
11:05AM 14/05/15 18/07/31
Hendersonville NC 28739
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
111
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Randall Elley,1914 Trellis Ln Hendersonville NC 28739///
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Permit Operations&Maintenance
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
p
Edw d M wi lams ARO GW///
2ff� 1._—•r...
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 yr/mo/day Inspection Type 1
31 NCG550433 I11 12 14/05/15 9 7 18 ICI
Section D:Summary of finding/Comments(Attach additional sheets of narrative and checklists as necessary) \'\.
The facility appears to be well maintained and in good order. No discharge was observed. The septic
tank should be pumped every 3-5 years to ensure proper operation.
Page# 2

Permit: NCG550433 Owner-Facility: 119 Camellia Way
Inspection Date: 05/15/2014 Inspection Type: Compliance Evaluation
Operations&Maintenance Yes No Na Ne
Is the plant generally clean with acceptable housekeeping? 0 El D ❑
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 No
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ n 0
application? 0 El D El
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:
Septic Tank Yes No Na Ne
(If pumps are used)Is an audible and visual alarm operational?
Is septic tank pumped on a schedule? d
Are pumps or syphons operating properly? El El M El
Are high and low water alarms operating properly? El ®'
Comment:
Sand Filters (Low rate) Yes No Na Ne
(If pumps are used)Is an audible and visible alarm Present and operational? M
Is the distribution box level and watertight?
Is sand filter free of ponding? El ❑
El El 0 M
Is the sand filter effluent re-circulated at a valid ratio?
#Is the sand filter surface free of algae or excessive vegetation? ❑ ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) El El 0 M
Comment:
Disinfection-Tablet Yes No Na Ne
Are tablet chlorinators operational? ❑
Are the tablets the proper size and type? 0 El El
2
Number of tubes in use?
Page# 3

Permit: NCG550433 Owner-Facility: 119 Camellia Way
Inspection Date: 05/15/2014 Inspection Type: Compliance Evaluation \\
Disinfection-Tablet Yes No Na Ne
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? rl
Comment:
i
Page# 4

r �
RCDENR :
North Carolina Department of Environment and Natural Resources
-at McCrory John E. Skvarla, III
Governor Secretary
June 12, 2014
Ronald H Wilmot
PO Box 283
Bat Cave NC 28710
SUBJECT: Compliance Evaluation Inspection
491 Hemlock Falls Trail
Permit No:NCG550470
Henderson County
Dear Mr. Wilmot:
Enclosed please find a copy of the Compliance Evaluation Inspection from the inspection conducted on May
15, 2014. The Compliance Evaluation Inspection was conducted by Ed Williams of the Asheville Regional
Office. The facility was found to be in compliance with permit NCG550470.
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,
f
d j
d ,VV ✓ -
Ed Williams
Enc.
cc:
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:828-296A500 FAX:[phone]
Internet:http://portal.ncdenr.org/web/wglws
An Equal Opportunity Affirmative Action Employer
G:\WR\WQ\Henderson\Wastewater\General\NCG55 SFR\0470 cei 2014.docx

A
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United States Environmental Protection Agency Form Approved.
PA 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 1 3 I NCG550470 11 12 14/05/15 17 18)�j 19' G I 20' I
LJ
21111III I111111111I11IIIII I IIIIII 1IIIIIIII1I r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -------------------Reserved---—------------
67 70 I I 71 u 72 �, 73I I 174 75 80
LJ Section B:Facility Data l-J 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) 09:10AM 14/05/15 05/02/28
491 Hemlock Falls Trail
491 Hemlock Falls Trl Exit Time/Date Permit Expiration Date
Bat Cave NC 28710 09:40AM 14/05/15 07/07/31
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
Ronald H VUilmot,PO Box 283 Bat Cave NC 2871 ON
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance
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
Edward'M Williams r ARO GW///
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 yr/mo/day Inspection Type 1
NCG550470 �11 12 14/05/15 17 18 Li
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The system appears to be operating properly. I expressed to Mr.Wilmot the need for the septic tank to
be pumped every 5 years.
Page# 2

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Permit: NCG560470 Owner-Facility: 491 Hemlock Falls Trail
Inspection Date: 05/15/2014 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 El
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? El ® L7
Is the inspector granted access to all areas for inspection? 0 El 11 El
Comment:
Septic Tank Yes No Na Ne
(if pumps are used)Is an audible and visual alarm operational?
11 El
Is septic tank pumped on a schedule?
Are pumps or syphons operating properly?
Are high and low water alarms operating properly? El M N El
Comment:
Sand filters (Low rate) Yes No Na Ne
(If pumps are used)Is an audible and visible alarm Present and operational?
Is the distribution box,level and watertight?
Is sand filter free of ponding?
Is the sand filter effluent re-circulated at a valid ratio? ❑
El El 0
#Is the sand filter surface free of algae or excessive vegetation? M El El 0
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) El ❑
El N
Comment:
Page# 3

1
North Carolina Department of Environment and Natural Resources
RCDENR
Pat McCrory John E. Skvarla, III
Govemor Secretary
June 13, 2014
Mayor Nancy Curtis
Town of Andrews
PO Box 1210
Andrews NC 28901-1210
SUBJECT: NOTICE OF VIOLATION
NOV-2014-PC-0131
Compliance Evaluation Inspection
Andrews WWTP
Permit No:NCO020800
Cherokee County
Dear Mayor Curtis:
Enclosed please find a copy of the Inspection Report from the inspection conducted 2014-05-29. The treatment
facility was found to be in violation of Permit NCO020800 for the following:
Parts of the wastewater plant may be beyond their useful life expectancy and are at risk of total failure. The
owners of this system need to take action to,ensure that this wastewater system is properly maintained and
operated to provide adequate treatment at all times. The Town was recently awarded a grant to fund an
engineered study which will outline WWTP priorities so that the Town can take measures to address these
issues. It is requested that you update this agency and provide us with a plan to correct these deficiencies noted
in the inspection report at the earliest date possible.
You should address the causes of noncompliance and all actions taken to prevent the recurrence of similar
situations. If you should have any questions,please do not hesitate to contact Jeff Menzel at 828-296-4500.
Sincerely,
G. Landon Davidson,P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enc.
cc: Mike Ladd,ORC
Mike Waresak,McGill Associates
MSC 1617-Central Files-Basement/
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http:/Iportal.ncdenr.org/web/wq/
An Equal Opportunity\Affirmative Action Employer
G:\WR\WQ\Cherokee\Wastewater\Muncipal\Andrews WWTP 20800\NOV-2014-PC-0131.doc

\.
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`�i

United States Environmental Protection Agency Form Approved.
eA 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 5j 3 � NCO020800 I11 12 14/05/29 117 18 L CJ 19 L !j 201
21111111 1111111111111111111111111 11111111111 �6
Infspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------Reserved----------
671. � 1 70 I I 71 U 72 1 N 73 L I 174 751 I I I 1 I j80
I� 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) 10:OOAM 14/05/29 13/08/01
Andrews WWTP
Reagan Ave Exit Time/Date Permit Expiration Date
01:OOPM 14/05/29 17/08/31
Andrews NC 28901
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Michael J.Ladd/ORC/828-479-6428/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Michael Ladd,PO Box 1210 Andrews NC 2 8 9 01 1 21 0//8 2 8-321-31 1 3/
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Flow Measurement Operations&Maintenance N Self-Monitoring Program
Sludge Handling Disposal 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
Jeff Menzel ARO WQ//828-296-4500/ a��y
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 Cont.)
31 NCo020800 �11 12 14/05/29 17 18 ICI
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) \
This inspection was done in coordination with the Town to document the overall status of the facility.
Discrepancies noted during the inspection are as follows:
There is no influent composite sampler at this facility.The permit requires that BOD and TSS be
composite samples.
The housekeeping is acceptable; however, some of the equipment at this facility is either at or near the
end of its life expectancy:
The operator stated that the spacing of the bar screen is wide enough to let material through. To clean
the screen the operator must climb into a confined space and haul`waste material up by hand.
The distribution arm on one of the trickling filters does not turn properly although the bearing assembly
has been replaced in the last couple of years.This same unit also has a leak in the side of the tank.
The clarifiers seemed to be working properly. Bubbles coming up to the surface of the clarifier indicate
the presence of old sludge.
The generator on site no longer functions as intended and according to the operator, is unable carry the
facility longer than 30 minutes at a time before the generator will overheat. The fuel tank on this unit has
a leak.
The digester has three blowers which appear to be functioning. The air lines within the digester have
rusted out and no longer carry air to the bottom of the tank. This inhibits the digester's ability to process
sludge.The drying beds where recently filled and appeared to be working as designed.
Parts of the wastewater plant may be beyond their useful life expectancy and are at risk of total failure.
The owners of this system need to take action to ensure that this waste water system is properly
maintained and operated to provide adequate treatment at all times.The Town was recently awarded a
grant to fund an engineered study which will outline WWfP priorities so that the Town can take
measures to address these issues. It is requested that you update this agency and provide us with a
plan to correct these deficiencies at the earliest date possible.
Page# 2

Permit: NCO020800 Owner-Facility: AndrewsWWTP
.nspection Date: 05/29/2014 Inspection Type: Compliance Evaluation
Influent Sampling Yes No Na Ne
#Is composite sampling flow proportional?
Is sample collected above side streams? El n
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)? El 0 El n
Is sampling performed according to the permit?
Comment: There is no influent composite sampler at this facility.The permit requires that
BOD and TSS be composite samples.
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: The housekeeping is acceptable; however,some of the equipment at this
facility is either at or near the end of its life expectancy.
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? El 0
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection? El
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? M El ❑
Is disposal of screening in compliance? El
Is the unit in good condition? 0 El El F1
Page# 3

Permit: NC0020800 Owner-Facility: Andrews V*VPP
Inspection Date: 05/29/2014 Inspection Type: Compliance Evaluation
Bar Screens Yes No Na Ne \ \
Comment: The operator stated that the spacing of the bar screen is wide enough to let
material through.To clean the screen the operator must climb into a confined space and
haul waste material up by hand.
Pump Station -Influent Yes No Na Ne
Is the pump wet well free of bypass lines or structures? 0 El El
Is the wet well free of excessive grease? El El
0 El El 0
Are all pumps present?
Are all pumps operable?
Are float controls operable? N ❑
Is SCADA telemetry available and operational?
Is audible and visual alarm available and operational? El El M E3
Comment:
Trickling Filter Yes No Na Ne
Is the filter free of ponding? 0 El El El
Is the filter free of leaks at the center column of filter's distribution arms? El 0 0 El
Is the distribution of flow even from the distribution arms? 11 El
Is the filter free of uneven or discolored growth?
Is the filter free of sloughing of excessive growth? 0 El El M
Are the filter's distribution arms orifices free of clogging? El ❑ El -
Is the filter free of excessive filter flies,worms or snails? El 1:1 ❑
Comment: The distribution arm on one of the trickling filters does not turn properly
although the bearing assembly has been replaced in the last couple of years.This same
unit also has a leak in the side of the tank.
Secondary Clarifier Yes No Na Ne'._
Is the clarifier free of black and odorous wastewater? 0 El El El
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
0 El 11 El
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?
Page# 4

Permit: NCO020800 Owner-facility: Andrews WWTP
.nspection Date: 05/29/2014 Inspection Type: Compliance Evaluation
Secondary Clarifier Yes No Na Ne
Is the drive unit operational? ❑
Is the return rate acceptable(low turbulence)?
Is the overflow clear of excessive solids/pin floc? R El El
Is the sludge blanket level acceptable?(Approximately%<of the sidewall depth) El R El
Comment: The clarifiers seemed to be working properly. Bubbles coming up to the surface
of the clarifier indicate the presence of old sludge.
Standby Power Yes No Na Ne
Is automatically activated standby power available? El N ❑
El 0 El R
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 El El R
?
' Comment: The generator on site no longer functions as intended and according to the
operator is unable carry the facility longer than 30 minutes at a time before the generator
will overheat. The fuel tank on this unit has a leak.
Aerobic Digester Yes No Na Ne
Is the capacity adequate?
El N El R
Is the mixing adequate?
Is the site free of excessive foaming in the tank?
#Is the odor acceptable?
#Is tankage available for properly waste sludge? 0 El El
Comment: The digester has three blowers which appear to be functioning.The air lines
within the digester have rusted out and no longer carry air to the bottom of the tank.This
inhibits the digester's ability to process sludge.The drying beds where recently filled and
appeared to be working as designed.
Effluent Pipe Yes No Na Ne
Is right of way to the outfall properly maintained? 0 El El R
Are the receiving water free of foam other than trace amounts and other debris? 0 El El El
If effluent (diffuser pipes are required) are they operating properly? M El
Comment:
Page# 5

permit: NC0020800 Owner-Facility: Andrews VWVfP
Inspection Date: 05/29/2014 Inspection Type: Compliance Evaluation \
Page# 6

1 ®r®
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E.Skvarla, III
Governor Secretary
June 13, 2014
CERTIFIED MAIL
RETURN RECIEPT REQUESTED 70121010 0002 1965 7505
Mr. W. Lane Bailey, City Manager
City of Lenoir
P.O. Box 958
Lenoir, North Carolina 28645-0958
Subject: Department of Environment and Natural
Resources and Environmental Management
Commission vs. City of Lenoir
Special Order,by Consent WQ S13-002
Stipulated Penalties
SP-2014-0006
NPDES Permit Number NCO023736
Gunpowder Creek WWTP
Caldwell County
Dear Mr. Bailey:
The City of Lenoir entered into a Special Order by Consent (SOC)WQ S13-002 with the
North Carolina Environmental Management Commission whereby operation of the City of Lenoir
Wastewater Treatment Plant (Gunpowder Creek WWTP) has been placed under interim effluent
limitations and an enforceable schedule while the existing WWTP is being upgraded.
Under section 3 of the Special Order by Consent, the City of Lenoir was required to
comply with interim effluent limitations as set forth in the Consent Order. The WWTP failed to
comply with the interim effluent limitations for Fecal Coliform contained in "Attachment A" of the
Order for the month of January 2014.
After careful review of this matter, I have not found grounds for sufficient justification to
waive the stipulated penalty, therefore, and pursuant to section 3 of the Special Order by
Consent, a stipulated penalty in the amount of$1,000.00 is now due for each violation and
$147.50 in enforcement costs for a total of$2,147.50.
Payment by certified check payable to the Department of Environment and Natural
Resources must be submitted to the Department at the address given below within thirty (30)
days from receipt of this demand:
Point Source Compliance/ Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: 828-296A500/ FAX: [phone]
Internet: http://pgrtal.nodenr.org/webtwq
An Equal Opportunity/Affirmative Action Employer

Mr. W. Lane Bailey
June 13,2014 �
Page Two
You are reminded that payment of said penalties mentioned in this letter will not
foreclose further penalties for any future or continuing violations, failure to meet deadline dates,
or interim effluent violations.
If you wish to contest any portion of the civil penalty assessment, you must request an
administrative hearing. This request must be in the form of a written petition to the Office of
Administrative Hearings and must conform to Chapter 150B of the North Carolina General
Statutes.
You must file your original petition with the:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, North Carolina 27699-6714
Telephone [phone] Facsimile [phone]
and mail or hand deliver a copy of the petition to:
General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
If you have any questions concerning this notification please contact Janet
Cantwell of this Office or me at(828) 296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations, NCDENR
Asheville Regional Office
cc: WQ Asheville Files
DENR General Counsel
NPDES Point Source Compliance Unit/SOC
G:1WR\WQ\CaldwelfiWastewater\Municipal\Gunpowder Creek 23736\SP-2014-0006.doc

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 13,2014
CERTIFIED MAIL 7012 1010 0002 1967 8562
RETURN RECEIPT REQUESTED
Mr. Joseph M. Moore, II, PE, City Manager
City of Brevard
95 West Main Street
Brevard,North Carolina 28712
SUBJECT: Duty to Mitigate Continuing Noncompliance
Submittal of Corrective Action Plan
NPDES PermitNCO060534
City of Brevard - Brevard WWTP
Transylvania County
Dear Mr. Moore:
In separate documents,the Division of Water Resources has assessed the City of Brevard civil penalties
for violations of effluent limitations found in NPDES permit NC0060534 that occurred during
September, October and November 2013, and January 2014. Additional Notices of Violation have been
delivered to the City citing violations that occurred during December 2013, and February and March
2014. The assessment of additional civil penalties is being considered to address those violations. A
detailed review of the facility's self monitoring data has shown that as of March 2014 the City of
Brevard WWTP has been noncompliant with permit effluent limitations for seven consecutive months
and ten out of the last twelve reporting months. Such performance is unacceptable and must be resolved
immediately.
Part II, Section B. (2.) of the NPDES permit states "The Permittee shall take all reasonable steps to
minimize or prevent any discharge or sludge use or disposal in violation of this permit with a reasonable
likelihood of adversely affecting human health or the environment"(the"Duty to Mitigate"condition).
NPDES permit limits and monitoring frequencies are established with the purpose of protecting water
quality such that best uses of receiving waters, including those dealing with matters related to human
health and the environment,are not compromised. Therefore,it is the Division's expectation that
adequate steps will be taken to ensure discharges exhibit consistent compliance with all terms contained
in their NPDES permits and it is the Permittee's explicit duty, as the holder of the NPDES permit,to
ensure this is done.
Water Quality Regional Operations—Asheville Regional Office
2090 US Hwy70,Swannanoa,NC 28778
Phone:[phone]\FAX:[phone]
Internet:http://portal.ned6nr.orgfwebtwq/ws
An Equal Opportunity 1 Affirmative`Action Employer

City of Brevard
Request for Corrective Action Plan
Page 2 of 2
In light of your duty to mitigate continuing noncompliance, and to reduce the potential for assessment\,
additional civil penalties,you are hereby required to prepare and submit a corrective action plan that
addresses this situation. The plan must document the magnitude and extent of all violations occurring ,
during this noncompliant episode and include discussions of their causes and effects, actions that are
being taken to bring the facility back into full and consistent compliance with the permit, and any
impediments hindering your progress toward that goal. It should also include the date when you believe
full compliance will be achieved. This plan must be submitted to the Water Quality Regional
Operations Section staff in the Asheville Regional Office within 30 days of your receipt of this letter.
Please note: failure to submit a corrective action plan, or failure to submit a corrective action plan that is
acceptable to the Division subjects the City of Brevard to the assessment of additional civil penalties
pursuant to Part II, Section B. (2.) of NPDES permit NC0060534.
A document containing a more detailed description of minimum required content for the plan has been
attached.
The plan must be sufficiently detailed so it may serve as the framework for the identification, analysis
and resolution of problems associated with wastewater treatment plant operations. Therefore,the plan
must be accurate, complete and actionable. Any strategy derived from the plan must be able to be
implemented immediately, in order to address the noncompliance in a timely fashion. Additionally, the
plan should be prepared to serve as a resource for the facility that can be utilized in the future if
instances of noncompliance return.
With the submittal of this plan,the Division will be better able to evaluate the nature of your
noncompliance and the need for further enforcement response. The information may also put this office
in a better position to provide you with compliance assistance, if that is desired. Thank you for your
prompt attention to this matter. If you have any questions,please contact Chuck Cranford in the
Asheville Regional Office at.828-296-4650, or via e-mail at [e-mail].
Sincerely,
?, G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Attachment
cc: Compliance &Expedited Permits Unit
Asheville Regional Office Enforcement Files
Central Files
ec: Laurie Lindquist Ireland-EPA Region 4
G:\WR\WQ\Transylvania\Wastewater\Municipal\Brevard WWTP 60534\Compliance Agreement\DTMNotificationLtr 06.11.14.docx
1

A4 ,a
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvada, III
Governor Secretary
June 13, 2014
Vista Developers
Attn: Scott McDowell
525 N. Main Street
Hendersonville,NC 28792
Bills Mountain, LLC.
Attn: Ed Nunez, Registered Agent
525 N. Main Street
Hendersonville,NC 28792
Stig Wennerstrom
3730 SW 3`d Avenue
Miami, FL 33129-2339
Subject: Incident Closure
The Vista at Bills Mountain
NOV-2013-SS-0008
Rutherford County
Dear Mr. McDowell:
The Division of Water Resources has conducted a compliance inspection related to the Notice of
Violation NOV-2013-SS-0008.
The constructed berm and ground cover establishment 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) 296-4664 or
tim.foxCa]ncdenr.gov.
Sincerely,
Tim Fox
Environmental Specialist
Water Quality Regional Operations
Asheville Regional Office
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nrdenr.org/webtwq
An Equal Opportunity 1 Affirmative Action Employer

cc: Karen Higgins—401 and Buffer Permitting Unit
Jan Gay—Vaughn&Melton(e-copy)
ARO File Copy \
DocuG:\WR\WQ\Rutherford\Complaints\Bilis Mountain Landslide\CLO.BillsMt.06-13-14.docmentl

t ••
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E.Skvarla, III
Governor Secretary
June 13, 2014
CERTIFIED MAIL
RETURN RECIEPT REQUESTED 70121010 0002 1965 7512
Mr. W. Lane Bailey, City Manager
City of Lenoir
P.O. Box 958
Lenoir, North Carolina 28645-0958
Subject: Department of Environment and Natural
Resources and Environmental Management
Commission vs. City of Lenoir
Special Order by Consent WQ S13-002
Stipulated Penalties
S P-2014-0007
NPDES Permit Number NCO023736
Gunpowder Creek WWTP
Caldwell County
Dear Mr. Bailey:
The City of Lenoir entered into a Special Order by Consent (SOC)WQ S13-002 with the
North Carolina Environmental Management Commission whereby operation of the City of Lenoir
Wastewater Treatment Plant (Gunpowder Creek WWTP) has been placed under interim effluent
limitations and an enforceable schedule while the existing WWTP is being upgraded.
Under section 3 of the Special Order by Consent, the City of Lenoir was required to
comply with interim effluent limitations as set forth in the Consent Order. The WWTP failed to
comply with the interim effluent limitations for Fecal Coliform contained in "Attachment A" of the
Order for the month of February 2014.
After careful review of this matter, I have not found grounds for sufficient justification to
waive the stipulated penalty, therefore, and pursuant to section 3 of the Special Order by
Consent, a stipulated penalty in the amount of$1,000.00 is now due for each violation and
$147.50 in enforcement costs for a total of$2,147.50.
Payment by certified check payable to the Department of Environment and Natural
Resources must be submitted to the Department at the address given below within thirty (30)
days from receipt of this demand:
Point Source Compliance/ Enforcement Unit
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Snrannanoa,North Carolina 28778
Phone: [phone]/ FAX: [phone]
Internet: hflp://portal.ncdenr.org/weblwq
An Equal Opportunity/Affirmative Action Employer

Mr. W. Lane Bailey
June 13,2014
Page Two
You are reminded that payment of said penalties mentioned in this letter will not
foreclose further penalties for any future or continuing violations, failure to meet deadline dates,
or interim effluent violations.
If you wish to contest any portion of the civil penalty assessment, you must request an
administrative hearing. This request must be in the form of a written petition to the Office of
Administrative Hearings and must conform to Chapter 150B of the North Carolina General
Statutes.
You must file your original petition with the:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, North Carolina 27699-6714
Telephone [phone] Facsimile [phone]
and mail or hand deliver a copy of the petition to:
General Counsel
"Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
If you have any questions concerning this notification please contact Janet
Cantwell of this Office or me at(828)'296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations, NCDENR
Asheville Regional Office
cc: WQ Asheville Files
DENR General Counsel
NPDES Point Source Compliance Unit/SOC
G:IWRiWQICaldweli\Wastewater\Municipai\Gunpowder Creek 237361SP-2014-0007:doc

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 13, 2014
Nathan D Benson
PO Box 1090
Mountain Home NC 28758-1090
SUBJECT: Compliance Evaluation Inspection
Benson Apartments WWTP
Permit No:NCO066362
Henderson County
Dear Mr. Benson:
On May 7, 2014,1 conducted a compliance evaluation inspection of Benson Apartments Waste Water Treatment
Plant. The facility was found to be in compliance with permit NCO066362.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call me at: 296-4500.
Sincerely,
Katherine H. Jimison
Chemistry Technician III
Asheville Regional Office
Enclosure
cc: James &James Environmental
MSC 1617-Central Files-Basement
Asheville Files
"f Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nodenr.org/web/wq/ws
An Equal Opportunity l Affirmative Action Employer
G:1WR1WQ\HendersonlWastewateAMinorslBenson Apartments 66362\66362 CEI 2014.doc

United States Environmental Protection Agency Form Approved.
PA Washington,D.C.20460 OMB No.2040-0057
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 INI 2 15 I 31 NCO066362 111 121 14/05/07 17 181,1 19I S I 20I_I
Remarks
211III1IIIIIIIIIII II11111111II IIIIIIIIIIII IIII II16
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA --------- -----------Reserved--------------------
671 )69 70I 2 I 71 I_I 721 N I 73' ' 174 75I I I I ' I I I 180
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)
12:40 PM 14/05/07 11/02/01
Benson Apartments
161 Brookside Camp Rd Exit Time/Date Permit Expiration Date
Hendersonville NC 28792 01:10 PM 14/05/07 15/12/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Kenneth Jason Rummel/ORC/828-697-0063/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Nathan D Benson,PO Box 1090 Mountain Home NC 287581090//828-693-5493/ No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance N Facility Site Review
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
Kathy Jimison ARO WQ//828-296-4500/
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 yr/mo/day Inspection Type
3� NC0066362 I11 12I 14/05/07 ( 17 18LCL
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Mrs. Juanita James, with James and James Environmental and Mr. Kenneth Jason Rummel, ORC, assisted
in this inspection.
There was a significant amount of solids in the chlorine contact basin. They were contained at the time of
this inspection, however, an increase in would send the solids to the receiving stream
This facility needs to be pumped for solids more frequently.
Page# 2

Permit: NCO066362 Owner-Facility: Benson Apartments
.action Date: 05/07/2014 Inspection Type: Compliance Evaluation
secondary Clarifier Yes No _NA NE
Is the overflow clear of excessive solids/pin floc? n n n
Is the sludge blanket level acceptable?(Approximately'/<of the sidewall depth) n n o
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system Diffused
Is the basin free of dead spots? En n n
Are surface aerators and mixers operational? n n N n
Are the diffusers operational? n n 0
Is the foam the proper color for the treatment process? ❑ 0 n
Does the foam cover less than 25%of the basin's surface? n n n
Is the DO level acceptable? n n n
Is the DO level acceptable?(1.0 to 3.0 mg/1) n ® n n
- Comment: At the time of this inspection, Kenneth Jason Rummel, ORC, was present.
He checked the DO of the aeration basin and his results were 0.6 mg/I. Upon further
examining the system, it was found that one of the blower motors had a frayed drive
belt. This I believe,was the reason for the low DO. I was assured by Juanita James,
that the belt would be replaced.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? M n El n
Are the tablets the proper size and type? E 0 0 n
Number of tubes in use? 1
Is the level of chlorine residual acceptable? n n n
Is the contact chamber free of growth,or sludge buildup? ❑ m C_l n
Is there chlorine residual prior to de-chlorination? n n n
Comment: A significant amount of solids was in the contact basin at the time of this
inspection. It is recomended that this facility be pumped for sollids more frequently.
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? 0 n 0 n
Is storage appropriate for cylinders? [1 n ® n
Page# 4

Permit: NCO066362 Owner-Facility: Benson Apartments
Inspection Date: 05/07/2014 Inspection Type: Compliance Evaluation \
Operations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? M n n n
Does the facility analyze process control parameters,for ex: MLSS,MCRT,Settleable Solids, pH, DO,Sludge 0 n n n
Judge,and other that are applicable?
Comment: ORC analyzes Settleable Solids, DO and pH.
Permit Yes No-NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? n 0 0 n
Is the facility as described in the permit? 0 n
#Are there any special conditions for the permit? fl m ❑ CI
Is access to the plant site restricted to the general public? 0 00 n
Is the inspector granted access to all areas for inspection? M fl n n
Comment:
Bar Screens Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical (1
Are the bars adequately screening debris? M 0011
Is the screen free of excessive debris? 11 [l
Is disposal of screening in compliance? n n
Is the unit in good condition? 0 n 0
Comment:
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? m n n n
Is the site free of excessive buildup of solids in center well of circular clarifier? n n N n
Are weirs level? n ❑ n
Is the site free of weir blockage? fl'(_I n
Is the site free of evidence of short-circuiting? n n n
Is scum removal adequate? I_l ❑ 0
Is the site free of excessive floating sludge? 0 n 0
Is the drive unit operational? n ❑ M 11
Is the return rate acceptable(low turbulence)? n El
Page# 3

Permit: NC0066362 Owner-Facility: Benson Apartments
.action Date: 05/07/2014 Inspection Type: Compliance Evaluation
Je-chlorination Yes No NA NE
#Is de-chlorination substance stored away from chlorine containers? n n M n
Comment:
Are the tablets the proper size and type? n n n
Are tablet de-chlorinators operational? n n In
Number of tubes in use? 1
Comment:
Page# 5

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 13, 2014
Ms. Cathy Childrey
Mizpah Healthcare Inc
PO Box 1029
Mountain Home NC 28752-1029
SUBJECT: Compliance Evaluation Inspection
Henderson's Assisted Living WWTP
Permit No:NCO071897
Henderson County
Dear Ms. Childrey:
On May 7, 2014, I conducted a compliance evaluation inspection of the Henderson's Assisted Living Waste
Water Treatment Plant. The facility was found to be in compliance with permit NC0071897.
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.
Sincerel ,
Kath rive H. Jimison
Chemistry Technician III
Asheville Regional Office
Enclosure
cc: James &James Environmental
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nodenr.org/web/wq/ws
An Equal Opportunity 1 Affirmative Action Employer
G:1WR\WQIHenderson\WastewateAMinorslHenderson's Assisted Living 718071897 CEI 2014.doc

United States Environmental Protection Agency Form Approved.
PA Washington,D.C.20460 OMB No.2040-0057
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 INI 2 15 I 31 NCO071897 111 121 14/05/07 117 181 Cl 19I S I 201 I
Remarks
211 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I 1 I 1 I I I 1 I I 1 1111
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ------ -----------Reserved-------- ---------
67I 169 70 I_I 711 I 721 N I 73'W' 174 751 I I ) I I I 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)
12:00 PM 14/05/07 11/01/01
Henderson'sAssisted Living WWTP
602 Brookside Camp Rd Exit Time/Date Permit Expiration Date
Hendersonville NC 28792 12:30 PM 14/05/07 15/11/30
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Kenneth Jason Rummel/ORC/828-697-0063/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Robert Crummie,PO Box 999 Mountain Home NC 287580999//828-676-9063/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations&Maintenance 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
Kathy Jimison ARO WQ//828-296-4500/
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 yr/mo/day Inspection Type
3 N 00071897 111 12 I 14/05/07 7 18�C \'\.
Section D; Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Juanita James of James and James Environmental assisted in this inspection.
It is recommended that the plant be pumped more frequently for solids removal It is currently pumped
approximately 2 times a year.
The facility had some invasive vegetation that should be cut back,to prevent excessive amounts of leaves
from entering the WWTP.
Page# 2

Permit: NCO071897 Owner-Facility: Henderson's Assisted Living WWTP
.ction Date: 05/07/2014 Inspection Type: Compliance Evaluation
.)perations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 n n 0
Does the facility analyze process control parameters,for ex:MLSS, MCRT,Settleable Solids, pH,DO,Sludge 0 0 0 n
Judge,and other that are applicable?
Comment: The ORC analyzes settleable solids, pH and DO.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? n n 0 n
Is the facility as described in the permit? 0 Cl n Cl
#Are there any special conditions for the permit? n n n
Is access to the plant site restricted to the general public? 0 n fl
Is the inspector granted access to all areas for inspection? D n
Comment:
Bar Screens Yes No 'NA NE
Type of bar screen
a.Manual
b.Mechanical n
Are the bars adequately screening debris? 0 n n fl
Is the screen free of excessive debris? N 0 Cl
Is disposal of screening in compliance? N n n Cl
Is the unit in good condition? n n n
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Diffused
Type of aeration system
Is the basin free of dead spots? 0 n 0
Are surface aerators and mixers operational? n n E n
Are the diffusers operational? ❑ n
Is the foam the proper color for the treatment process? n n n
Does the foam cover less than 25%of the basin's surface? ❑ n
Is the DO level acceptable?
000
Is the DO level acceptable?(1.0 to 3.0 mg/1)
Page# 3

Permit: NC0071897 Owner-Facility: Henderson's Assisted Living WWTP
Inspection Date: 05/07/2014 Inspection Type: Compliance Evaluation \\
Aeration Basins Yes No NA NE \
Comment:
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? m n n n
Is the site free of excessive buildup of solids in center well of circular clarifier? n n n
Are weirs level? n n n
Is the site free of weir blockage? n n n
Is the site free of evidence of short-circuiting? n n n
Is scum removal adequate? n n n
Is the site free of excessive floating sludge? n n n
Is the drive unit operational? n n 0 n
Is the return rate acceptable(low turbulence)? n n n
Is the overflow clear of excessive solids/pin floc? n n n
Is the sludge blanket level acceptable?(Approximately'/4 of the sidewall depth) n n n
Comment:
r
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? n n n
Are the tablets the proper size and type? In n n
Number of tubes in use? 1
Is the level of chlorine residual acceptable? n n n
Is the contact chamber free of growth,or sludge buildup? n n n
Is there chlorine residual prior to de-chlorination? n n n
Comment:
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? n n M n
Is storage appropriate for cylinders? In n N n
#Is de-chlorination substance stored away from chlorine containers? n n 0 n
Comment:
Are the tablets the proper size and type? n n n
Are tablet de-chlorinators operational? ® n n n
Page# 4

Permit: NC0071897 Owner-Facility: Henderson's Assisted Living WWTP
-ction Date: 05/07/2014 Inspection Type: Compliance Evaluation
de-chlorination Yes No NA NE
Number of tubes in use? 1
Comment:
Page# 5

AL
North Carolina Department of Environment and Natural Resources
NCDENR
fat McCrory John E. Skvarla, III
Governor Secretary
Junel3, 2014
Aubrey Lewis Deaver
A&D Water Service Inc.
PO Box 1407
Pisgah Forest,NC 28768-1407
SUBJECT: Compliance Sampling Inspection
High Vista Falls WWTP
Permit No: NCO089095
Status:Non-Compliant
Response Deadline: June 30,2014
Henderson County
Dear Mr. Deaver:
On May 20, 2014, I conducted a compliance sampling inspection of the High Vista Falls wastewater system.
The WWTP facility was found to be non-compliant with permit NC0089095. There are areas of violation and/or
dieficiency that need your immediate attention. To prevent further action, carefully review these violations and
deficiencies and respond in writing to this office by June 30, 2014. This facility has a history of non-
compliance as a non-discharging system. It is now operating as a discharging system which has already
received fines associated with the effluent. You need to evaluate the causes of non-compliance and report back
to me your findings as well as your plan of action to prevent the recurrence of similar situations in the future.
Please refer to the enclosed inspection report for important observations and comments. If you or your staff
have any questions, please call me at 828-296-4500.
Sincerely,
J�
Linda Wiggs
Environmental Senior Specialist
Asheville Regional Office
Enc.Inspection Report
cc:Vincent Edwards,ORC(e-copy)
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Henderson\Wastewater\Minors\High Vista Falls 89095\CSI.05-20-2014.ltr.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nedenr.org/web/wq
An Equal Opportunity\Affirmative Action Employer

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United States Environmental Protection Agency Form Approved.
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 2 (5 ( 3 I NC0089095 (11 12 14,05/20 17 18 L S I 19 I G j 20H
211III I IIIIIII1III I I I I I I I I I I I I I I I I I I I I I I I I I 166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ---------—---------Reserved----------
67 70 I I 71 L_j 72 L N � 73I J J_II74 75 80
l_J Section B:Facility Data l_J 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) 10:OOAM 14/05/20 12/06/01
High Vista Falls WWTP
Exit Time/Date Permit Expiration Date
Creasman Hill Rd
02:OOPM 14/05/20 15/10/31
Mills River NC 28759
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
Aubrey Lewis Deaver,PO Box 1407 Pisgah Forest NC
Yes
287681407//828-884-9772/8288848632
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit 0 Flow Measurement Operations&Maintenance E Self-Monitoring Program
Sludge Handling Disposal 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
Linda S Wiggs ARO WQ#828-296-4500 Ext.4653/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
s
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.) \
31 N00089095 I11 12 14/05/20 17 18 l C l
u
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Present during the inspection were Aubrey Deaver with A&D Maintenance and Bev Price with DWR.
This WWTP was built in the late 90's as a treatment unit for a non discharging(spray irrigation)
system.This facility recently was converted (March 25, 2013, Engineer Certification)to a discharging
system. However, it still can supply water to the spray irrigation (WQ0015929)system if need be.
Mr. Deaver stated solids are removed—2-3 months. Three loads of solids were removed last month.
EQ-When the float was lifted the visual and audio alarm did not work. The alarm is in the pump building
instead of outside which lessens the effectiveness, but the alarm system still will need to be repaired.
Clarifier-The clarifier did not have a blanket and there were suspended solids.The ORC stated he is
keeping solids in the aeration basin trying to avoid NH3 hits.The clarifier trough and weir needed
cleaning.
The Filter growth level was moderate.
Disinfection-There were solids apparent in the splitter. The tubing had what appeared to be a stalactite
and will need cleaning. The water level was below the outfall pipe. The sludge judge read a 6"blanket
and there were suspended solids present.
The post aeration chamber had suspended solids present when the air was turned off and the sludge
judge indicated a blanket level of 6".
The generator did not work.Aubrey Deaver stated they had problems with water in the fuel.A&D
Maintenance has since cleaned out the fuel and installed a cover over the generator in hopes of
remedying the water problem.-
The flow meter did not have a sticker indicating calibration.Aubrey Deaver has since sent an invoice
indicating that the flow meter has been calibrated. The flow chart was not moving and will need to be
fixed. There were also solids noted in this component.
Effluent Fecal Coliform Samples were obtained. The result was 160 col/100ml. Effluent Limit 25
col/100ml daily max.
Prior to dechlorination pH and Temperature were evaluated. pH-7.1 s.u.,temp-17 C
This facility has been having frequent violations of Fecal Coliform and NH3 since June 2013 and as
mentioned there appeared to be a problem with the solids. Upon discussion with the ORC (Vincent
Edwards), he commented on I&I issues.
This facility continues to be fined for effluent violations and was not compliant for the WWTP or CS
inspection. Comments over what may be coming to the WWTP from the CS were made by Mr. Deaver
and Mr. Edwards. Fecal Coliform and NH3 are the two parameters of effluent violations.A Notice of
Violation was not issued since this is the first inspection for both the CS and the discharging WWTP,
however it is required that a written response be sent to the inspector explaining the cause of
noncompliance and the course of actions to be taken to gain compliance.
Page# 2

Permit: NCO089095 Owner-Facility: High Vista Falls VVVVTP
spection Date: 05/20/2014 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: There was some bar screen debris on the ground that needed to be cleaned up
and disposed properly.
Permit Yes No Na Ne
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ M ❑
application?
El ❑
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:
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? ❑ ❑ ❑
Is disposal of screening in compliance? ❑ ❑ ❑
❑ ❑ ❑
Is the unit in good condition?
Comment: It was stated the facility gets a lot of rags. If this becomes an issue the owner
or ORC needs to address this through the collection system educational materials or deal
directly with HOA and/or industries.
See comment above regarding the clean up of debris.
Equalization Basins Yes No Na Ne
Is the basin aerated?
Is the basin free of bypass lines or structures to the natural environment? ❑ ❑ ❑
Is the basin free of excessive grease? ❑ ❑ ❑
❑ ❑ ❑
Are all pumps present?
Are all pumps operable? ❑ El ❑
Are float controls operable? ElEl ❑
Page# 3

Permit: NCO089095 Owner-Facility: High Vista Falls WWTP �\
Inspection Date: 05/20/2014 Inspection Type: Compliance Sampling
Equalization Basins Yes No Na Ne
Are audible and visual alarms operable?
#Is basin size/volume adequate? El 0
Comment: It is unclear if the float or the alarms are not working.When the float was lifted
neither the visual nor the audio alarm sounded.The alarms are in the pump building,so
they are not very effective even if working. Regardless,they need to be operational.
Aeration Basins Yes No Na No
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? 1:1 El
Is the foam the proper color for the treatment process?
Does the foam cover less than 25%of the basin's surface? El
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/1) ❑ ❑
Comment: There was no foam on the surface.
Secondary Clarifier Yes No Na Ne
Is the clarifier free of black and odorous wastewater? E ❑ 1:1 El
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level? El 0
Is the site free of weir blockage? ❑
El
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? ❑
Is the return rate acceptable(low turbulence)? El
Is the overflow clear of excessive solids/pin floc? ❑ ❑
Is the sludge blanket level acceptable?(Approximately%of the sidewall depth) El 1:1
Page# 4

Permit: NCO089095 Owner-Facility: High Vista Falls WWTP
spection Date: 05/20/2014 Inspection Type: Compliance Sampling
Secondary Clarifier Yes No Na Ne
Comment: Mr. Deaver used the sludge judge and there was not a blanket apparent.
There was some pin floc moving over the weir.
The weirs were in need of cleaning as were the trough and side walls.
There was excessive floating scum.
As noted below,there were plenty of solids beyond the clarifier. Had there been an upset
that caused a blanket/solids loss?
See summary.
Filtration (High Rate Tertiary) Yes No Na Ne
Type of operation: Up flow
Is the filter media present?
Is the filter surface free of clogging?
El 0
Is the filter free of growth? ❑ ❑
Is the air scour operational?
Is the scouring acceptable? ❑
Is the clear well free of excessive solids and filter media? ❑ ❑
Comment: There appeared to be a moderate amount of build up on the media, however
Mr. Deaver stated the build up was at a typical level.
Disinfection-Liquid Yes No Na Ne
Is there adequate reserve supply of disinfectant? E El 0 El
0 El El 0
(Sodium Hypochlorite)Is pump feed system operational?
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? ❑ N ❑ ❑
Is there chlorine residual prior to de-chlorination?
Comment: A sludge judge indicated—6"of solids in this system.This needs to be
cleaned/solids removed.
There was build up on the tubing delivering the disinfection liquid. This facility had several
fecal coliform violations in 2013 and was not compliant with the grab sample obtained
during the inspection.
See summary.
De-chlorination Yes No Na Ne
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? El 0 El
Is storage appropriate for cylinders?
Page# 5

Permit: NCO089095 Owner-Facility: High Vista Falls WWTP
Inspection Date: 05/20/2014 Inspection Type: Compliance Sampling \
De-chlorination Yes No Na Ne \
#Is de-chlorination substance stored away from chlorine containers? El El ❑
Comment:
Are the tablets the proper size and type? ❑ ❑ ❑
Are tablet de-chlorinators operational? ❑ ❑ ❑
Number of tubes in use? 1
Comment: The effluent basin had—6"of solids in it based on sludge judge and during
aeration many solids were apparent. Solids need to be removed from this system.
Standby Power Yes No Na Ne
Is automatically activated standby power available? ❑ ❑ ❑
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? ❑ E ❑ ❑
Is the generator fuel level monitored? ❑ ❑ ❑
Comment: The generator is not working, so a complete evaluation could not be performed.
This system needs to be repaired and functioning.
The generator used to have a fuel level gauge, however it was replaced with a cap in an
attempt to see if water was getting into the fuel at his location.
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? ❑ 0 ❑ ❑
Comment: It is unclear if this system was calibrated since there was not a sticker
indicating calibration. Mr. Deaver said it was and could get the work order to reflect
calibration.The chart was not moving and appeared to be in need of repair.
Mr. Deaver did send via email(May 28,2014)a work order/invoice indicating the meter had
been calibrated.
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? ❑ ❑ ❑
Page# 6

Permit: NCO089095 Owner-Facility: High Vista Falls VWVrP
,spection Date: 05/20/2014 Inspection Type: Compliance Sampling
Effluent Pipe Yes No Na Ne
Comment:
Effluent Sampling Yes No Na Ne
Is composite sampling flow proportional?
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 facilitysampling performed as required b the permit(frequency, sam lin t e
P 9 P 9 Y P sampling YP
representative)?
Comment: The ORC stated he is collecting 100ml aliquots.
The sampling location is not below all treatment units. Since this is now a discharging
system,the samples should be obtained below all treatment units and prior to discharge.
Page# 7

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvada, III
Governor
Secretary
June 13, 2014
Elk Creek Development Company of Banner Elk, LLC
Angelo Accetturo, Manager
PO Box 725
Banner Elk,NC 28604
Subject: Incident Closure
Elk Creek at Banner Elk
Project#2013-1070
NOV-2014-PC-0038
Avery County
Dear Mr. Accetturo:
The Division of Water Resources has conducted a compliance inspection regarding the status of the
Notice of Violation and Recommendation for Enforcement NOV-2014-PC-0038.
The work performed which included the removal of pipe and restored buffer 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)296-4664 or
tim.fox acncdenr.gov_.
Sincerely,
y
Tim Fo
Environmental Specialist
Water Quality Regional Operations
Asheville Regional Office
cc: Karen Higgins—401, and Buffer Permitting Unit
Boyd Devane—DWR(e-copy)
Tasha McCormick—USACE (e-copy)
Laura Herbert—DEMLR(e-copy)
John Vilas—McGill Associates, P.A. (e-copy)
Cheryl Buchanan—Town of Banner Elk—(e-copy)
David Ramsey—(e-copy)
ARO File Copy
DocG:\WR\WQ\Avery\401s\Non-DOT\Elk Creek @ Banner Elk\[e-mail]1
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hfp://portal.nGdenr.org/web/wq
An Equal Opportunity l Affirmative Action Employer

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
June 13, 2014
Ski Country Sports
Attn: Bill Leonard
1000 Merrimon Avenue
Asheville,NC 28804
Subject: Incident Closure
Project Asheville Sports Properties, LLC
NOV-2013-PC-0258
Buncombe County
Dear Mr. Leonard:
The Division of Water Resources has received the status report from Clearwater Environmental
Consultants, Inc.,related to the Notice of Violation NOV-2013-PC-0258 dated April 24, 2014.
The written response and plantings performed have satisfactorily resolved the violations noted in
the subject Notice of Violation.
This closure is for the planting portion of the NOV.
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)296-4664 or
tim.fax(ct)ncdenr.gov.
Sincerely,
Tim Fox
Environmental Specialist
Water Quality Regional Operations
Asheville Regional Office
cc: Tasha McCormick—US Army Corp of Engineers Asheville field Office (e-copy)
Karen Higgins—401 and Buffer Permitting Unit
Clement Riddle—Clearwater Environmental Consultants,Inc. (e-copy)
John F. Garner, PE—Bunnell—Lammons Engineering, Inc. (e-copy)
County Planning
ARO File Copy
G:\WR\WQ\Buncombe\Complaints\Asheville Sports Properties LLC\CLO.SkiCountrySports.1-3 1-14.dotx.doe
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone]\FAX:[phone]
Internet:http://portal.nodenr.org/web/wq
An Equal Opportunity\Affirmative Action Employer

9®
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 13, 2014
Aubrey Lewis Deaver
A&D Water Service Inc.
PO Box 1407
Pisgah Forest,NC 28768-1407
SUBJECT: Collection System Inspection
High Vista Falls
Permit No: WQCSD0128
Henderson County
Dear Mr. Deaver:
On May 20, 2014, I conducted a Collection System Inspection of the High Vista Falls system. The system was
noncompliant with 15A NCAC 02T.0403. It appears that some of the criteria of this rule are being performed;
however there is insufficient documentation to substantiate. Please respond in writing to this office by June
30, 2014, with how you plan to document the operation and maintenance of this system. This collection
system is listed as being owned by the development company NC Four C, LLC Robert Duffy. Please also
clarify the current ownership of this system.
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,
Linda Wiggs
Environmental Senior Specialist
Asheville Regional Office
Enc. Inspection Report
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Henderson\Collection Systems\High Vista Falls Collection System\CEI.05.20.14.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nedenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

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Compliance Inspection Report
.mit: WQCSD0128 Effective: 03/01/00 Expiration: Owner: NC Four C's, LLC
SOC: Effective: Expiration: Facility: High Vista Falls Phase V
County: Henderson
Region: Asheville
Contact Person: Robert J Duffy Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 05/20/2014 Entry Time: 11:00 AM Exit Time: 01:00 PM
Primary Inspector: Linda S Wiggs le / Phone: [phone]
�;"�'Secondary Inspectors): Ext.4653. ._
Jam-'
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Deemed permitted collection system management and
operation
Facility Status: Cl Compliant N Not Compliant
Question Areas:
Miscellaneous Questions Performance Standards Operation&Maint Reqmts Records
Monitoring&Rpting Inspections Manhole
Reqmts
(See attachment summary)
Page: 1

Permit: WQCSDO128 Owner-Facility: NC Four C's,LLC
Inspection Date: 05/20/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
This collection system (CS)serves the High Vista development, a small industrial park and will soon serve the Mills River
Health and Rehabilitation center. A&D Maintenance Inc. operates and maintains the collection system and the
wastewater treatment plant. This is the first inspection of the collection system.,Aubrey Deaver with A&D Maintenance
was present for the inspection as was Bev Price with DWR.
Mr. Deaver stated this was his first collection system inspection and he did not have the required paperwork with him, nor
did he send it upon request(email 5/21/14). The Inspector informed him onsite, and in an email (5/21/14), of the required
paperwork to document compliance with the 2T rules. It is suggested that the log sheets sent to Mr. Deaver in the email
be used to gain compliance. This collection system is small and it is possible that several of the required CS program
components are being met, however without the proper documentation this inspection is considered non-compliant.
Mr. Deaver stated that mailings for grease (FOG)are sent to residents annually and that work order invoices are used to
track work performed on the CS. FOG materials should be sent 2/yr or more often if needed.
The owner of this system is listed as NC Four C's, LLC Robert J. Duffy. The LLC could not be found on the Secretary of
State website and Mr. Duffy cannot be reached at the phone number supplied. Please clarify the ownership of this system.
Written response is required to indicate how compliance will be achieved..
Page: 2

Permit: WQCSDO128 Owner-Facility: NC Four C's,LLC
,pection Date: 0 512 0/2 0 1 4 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Performance Standards Yes No PIA NE
Is Public Education Program for grease established and documented? n n n
What educational tools are used?
Mr. Deaver indicated they are using the State suggested form in a yearly mailing.
Mailings need to be sent twice a year.
He also stated he believed the Clubhouse does have a grease trap and it is pumped 2/yr.
We were unable to find the manhole below the Clubhouse to evaluate for grease. He will determine where that
manhole is located and evaluate if cleaning is needed.
Is Sewer Use Ordinance/Legal Authority available? n N n n
Does it appear that the Sewer Use Ordinance is enforced? n n N n
Is Grease Trap Ordinance available? n ❑ 0 n
Is Septic Tank Ordinance available(as applicable,i.e.annexation) n n E n
List enforcement actions by permittee, if any, in the last 12 months
Has an acceptable Capital Improvement Plan(CIP)been implemented? n n E n
Does CIP address short term needs and long term\"master plan\"concepts? n n 0 n
Does CIP cover three to five year period? n n mn
Does CIP include Goal Statement? n n mn
Does CIP include description of project area? n n N n
Does CIP include description of existing facilities? n n mn
Does CIP include known deficiencies? n n En
Does CIP include forecasted future needs? n n n
Is CIP designated only for wastewater collection and treatment? n n n
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
A formal CIP is not required for this system. However, reinvestment into this system through sufficient
operation and maintenance is required,therefore the development of some semblance of a CIP is suggested.
Is system free of known points of bypass? n n n
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? Cl n 0 n
#Does the sign include:
Instructions for notification? n n E n
Pump station identifier? n ❑ 0 n
Page: 3

Permit: WQCSDO128 Owner-Facility: NC Four C's,LLC
Inspection Date: 05/20/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine \
24-hour contact numbers n n in n
If no, list deficient pump stations
#Do ALL pump stations have an "auto polling"feature/SCADA? n n n
Number of pump stations 0
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
#Does the permittee have a root control program? n n ❑
#If yes,date implemented?
Describe:
Comment: See summary for detailed comments.
Inspections Yes No NA NE
Are maintenance records for sewer lines available? n n n
Are records available that document pump station inspections? n n n
Are SCADA or telemetry equipped pump stations inspected at least once a week? ❑ n Cl
Are non-SCADA/telemetry equipped pump stations inspected every day? n n n
Are records available that document citizen complaints? n N 11 n
#Do you have a system to conduct an annual observation of entire system? Cl E n n
#Has there been an observation of remote areas in the last year? n E Cl n
Are records available that document inspections of high-priority lines? n M n n
Has there been visual inspections of high-priority lines in last six months? n m n n
Comment: See summary for detailed comments.
Operation &Maintenance Requirements Yes No NA NE
Are all log books available? n E n n
Does supervisor review all log books on a regular basis? n n n
Does the supervisor have plans to address documented short-term problem areas? n n n
What is the schedule for reviewing inspection, maintenance,&operations logs and problem areas?
See summary.
Are maintenance records for equipment available? n ® n n
Page: 4

Permit: WQCSDO128 Owner-Facility: NC Four C's, LLC
,pection Date: 05/20/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Is a schedule maintained for testing emergency/standby equipment? n n Cl
What is the schedule for testing emergency/standby equipment?
Do pump station logs include:
Inside and outside cleaning and debris removal? n n n
Inspecting and exercising all valves? n n
Inspecting and lubricating pumps and other equipment? In n m n
Inspecting alarms,telemetry and auxiliary equipment? n n m n
Is there at least one spare pump for each pump station w/o pump reliability? n n E n
Are maintenance records for right-of-ways available? n n n
Are right-of-ways currently accessible in the event of an emergency? n n n
Are system cleaning records available? n m n n
Has at least 10%of system been cleaned annually? n n n
What areas are scheduled for cleaning in the next 12 months?
Mr. Deaver stated they are doing camera work instead of cleaning.Camerawork in concert with cleaning
should be performed.
See summary.
Is a Spill Response Action Plan available? n n n
Does the plan include:
24-hour contact numbers n n n
Response time n n n
Equipment list and spare parts inventory n n n
Access to cleaning equipment n m n n
Access to construction crews,contractors, and/or engineers n N n n
Source of emergency funds n n n
Site sanitation and cleanup materials n n n
Post-overflow/spill assessment n M n n
Is a Spill Response Action Plan available for all personnel? n m n n
Is the spare parts inventory adequate? n m n n
Comment: See summary.
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? n m n n
Are records of SSOs that are under the reportable threshold available? n E n n
Page: 5

Permit: WQCSD0128 Owner-Facility: NC Four C's,LLC
Inspection Date: 05/20/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine \
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? n n n
If yes, is there a corrective action plan? n n n
Is a map of the system available? n n n
Does the map include:
Pipe sizes n E n Cl
Pipe materials n 0 n n
Pipe location n n n
Flow direction n n n
Approximate pipe age n n D
Number of service taps n ❑ n
Pump stations and capacity n n w n
If no,what percent is complete?
List any modifications and extensions that need to be added to the map
Ths system is small and fairly young 1990's;the age and pipe material is similar.The map is the original
Engineer plan sheet,so the pertinent information is there.
#Does the permittee have a copy of their permit? In n n \'
Comment: Deemed system.
2T Rule has been given to Mr. Deaver for assistance.
Monitoring and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available? n n n
Are public notices and proof of publication available? n n o
#Is an annual report being prepared in accordance with G.S. 143-215.1 C? n n n
#Is permittee compliant with all compliance schedules in the permits? n n n
If no,which one(s)?
Comment: Refer to summary.
MH -
Manhole Yes No NA NE
Is manhole accessible? n n n
#Is manhole cover/vent above grade? n n n
Is the manhole free of visible signs of overflow? n n n
Is the manhole free of sinkholes and depressions? n n n �-
Page: 6

Permit: WQCSD0128 Owner-Facility: NC Four C's,LLC
.spection Date: 05/20/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Is manhole cover present? n n n
#Is manhole properly seated? n 1­1 n
#Is manhole in good condition? n n ❑
#Is invert in good condition? n n ❑
Is line free-flowing and unrestricted in manhole? M n n n
Is manhole free of excessive amounts of grease? n n n n
Is manhole free of excessive roots? ❑ n n
Is manhole free of excessive sand? n n n
Is manhole's extended vent screened? n 1=1 m o
Are vents free of submergence? n n N n
Are manholes free of bypass structures or pipes? 0 n n n
Comment: There were several manholes inspected. As noted above,the one by the
clubhouse was not found during the inspection. Further conversation with Mr. Deaver
revealed he found the downstream manhole associated with the clubhouse. Upon
inspection he determined that line will need cleaning.
Two manholes (Split Crk Ct.) along the creek were inspected, they appeared ok. It was
suggested lines along the creek be considered for camera inspection to make sure I&I is
not ocurring.
The manhole by Hwy 191 did have some issues. This manhole will receive flows from
the Mills River Health Center. This manhole sits in a wetland and did have signs of I&I.
Since it was noted the WWTP receives elevated flows with rain events, remediating
sources of I&I should be a priority.
i
Page: 7

A/0
�.e. 4'
NCM�NR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 13, 2014
Brian Osteen
Greystone Enterprises Inc
PO Box 2059
Hendersonville NC 287932059
SUBJECT: Collection System Inspection
Greystone Subdivision
Permit No: WQCSD0340
Henderson County
Dear Mr. Osteen:
On May 7, 2014, I conducted a compliance evaluation inspection on the Greystone Subdivision collection
system. The system appeared to be in compliance with permit WQCSD0340.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call me at: 296-4500.
Sincerely,
b
Katherine H. Jimison 7
Chemistry Technician III
Asheville Regional Office
Enclosure
cc: James &James Environmental
MSC 1617-Central Files-Basement
Asheville Files
-'' Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal,ncdenr.org/web/wq/ws
An Equal Opportunity 1 Affirmative Action Employer
G:IWMWQ1HendersonlCollection SystemslGreystone Subdivision WQCSD034010340 CEI 2014.doc

Compliance Inspection Report
,mit: WQCSD0340 Effective: 08/13/08 Expiration: Owner: Greystone Enterprises Inc
SOC: Effective: Expiration: Facility: Greystone Subdivision
County: Henderson NCSR 1513
Region: Asheville
Hendersonville NC 28792
Contact Person: Brian Osteen Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 05/07/2014 Entry
Time: 01:20 PM Exit Time: 02:00 PM
Primary Inspector: Kathy Jimison 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: 0 Compliant n Not Compliant
Question Areas:
Miscellaneous Questions 0 Performance Standards
(See attachment summary)
Page: 1

Permit: WQCSDO340 Owner-Facility: Greystone Enterprises Inc
Inspection Date: 05/07/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine\,
,
Inspection Summary:
The sewer map was available on site at the time of this inspection.
There are no pump stations on this system. �\
Page: 2

Permit: WQCSD0340 Owner-Facility: Greystone Enterprises Inc
.spection Date: 05/07/2014 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? 0 n n n
What educational tools are used?
Pamphlets and bulletins are distributed to homeowners.
Is Sewer Use Ordinance/Legal Authority available? In In m o
Does it appear that the Sewer Use Ordinance is enforced? n n M n
Is Grease Trap Ordinance available? n n ® n
Is Septic Tank Ordinance available(as applicable,i.e.annexation) 0 n 00
List enforcement actions by permittee, if any,in the last 12 months
Has an acceptable Capital Improvement Plan(CIP)been implemented? n n n
Does CIP address short term needs and long term\"master plant/concepts? In n ■ n
Does CIP cover three to five year period? n n 0 n
Does CIP include Goal Statement? n n ® n
Does CIP include description of project area? n n M ❑
Does CIP include description of existing facilities? n In n
Does CIP include known deficiencies? In n
Does CIP include forecasted future needs? n ❑ ® n
Is CIP designated only for wastewater collection and treatment? n n n
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
Is system free of known points of bypass? M n n n
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? n n ■ n
#Does the sign include:
Instructions for notification? n n n
Pump station identifier? In ❑ m o
24-hour contact numbers 0 0 M n
If no, list deficient pump stations
There are no pump stations located at this collection system.
Page: 3

Permit: WQCSD0340 Owner-Facility: Greystone Enterprises Inc
Inspection Dater 05/07/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine X
#Do ALL pump stations have an"auto polling"feature/SCADA? fl rl f_1
Number of pump stations 0
Number of pump stations that have SCADA 0,
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 0
#Does the permittee have a root control program? ❑ fl n
#If yes,date implemented?
Describe:
Comment;
Page: 4

41*
. ... .4 71
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 13, 2014
Brian Osteen
Greystone Enterprises Inc
PO Box 2059
Hendersonville NC 287932059
SUBJECT: Compliance Sampling Inspection
Greystone Subdivision
Permit No:NCO068799
Henderson County
Dear Mr. Osteen:
On May 7, 2014, I conducted a compliance sampling inspection of the Greystone Subdivision Waste Water
Treatment Plant. The facility was found to be in compliance with permit NC0068799.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions, please call me at: 296-4500.
Sincerely, __..-,.__...__
Katherine H. Jimison
Chemistry Technician III
Asheville Regional Office
Enclosure
cc: James &James Environmental
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wgiws
An Equal Opportunity\Affirmative Action Employer
G:IWRIWQ1HendersonlWastewateAMinorslGreystone Subdivision 68799168799 CSI 2014.doe

United States Environmental Protection Agency Form Approved.
®� Washington,D.C.20460
OMB Na 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 U 2 15 I 3 I NCO068799 111 12 14/05/07 17 18 L e i 19 1 s 20( I
21111111 1111111 11 11 1 11 1111 1 1 11111 111111 111 1 1 r6
Inspection Work Days II Facility Self-Monitoring Evaluation Rating B1 QA ---------- Reserved--- ------------
671 1 70 L_J 71 u 72 L1J N 73I I (74 751 11
1 1 � I80
Section B:Facility Data I I 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) 01:20PM 14/05/07 10/12/01
Greystone Subdivision
NCSR 1513 Exit Time/Date Permit Expiration Date
Hendersonville NC 28792 02:OOPM 14/05/07 - 15/11/30
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Kenneth Jason Rummel/ORC/828-697-0063/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Brian Osteen,PO Box 2059 Hendersonville NC 287932059/1828-693-5534/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance 0 Facility Site Review
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(�Jimis7o
Inspector(s) envy/Office/Phone and Fax Numbers Date
Kat ARO //828-296-4500/
e o2-
Signature of Management Q A Reviewer ncy/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES ydmo/da
Y Inspection Type
31 NC0068799 I11 12 14/05/07 17 18 1$ \
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Juainta James with James&James Environmental and Kenneth Jason Rummel, ORC assisted in this
inspection.
The facility appears to be well maintained.
Facility was last pumped January 24,2014.
Effluent samples were taken and analyzed at the Asheville Regional Office.The results are as follows:
BOD 9.3 mg/I
TSS 6.21 I mg/I
Fecal Coliform 130 CFU/100ml
Effluent data obtained by ORC:
pH 7.0
Temperature 23.4 degrees C
DO 6.12mg/I
Page# 2
6 <

Permit: NCO068799 Owner-Facility: Greystone Subdivision
.aspection Date: 05/07/2014 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; ORC analyzes Settleable Solids, DO and pH.
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:
Bar Screens Yes No Na Ne
Type of bar screen
i
a.Manual
El
b.Mechanical
Are the bars adequately screening debris? ❑ ❑
Is the screen free of excessive debris? ❑ ❑ ❑
Is disposal of screening in compliance? ❑ ❑
Is the Unit in good condition? 0 El ❑ ❑
Comment:
Aeration Basins Yes No Na Ne
Ext.Air
Mode of operation
Diffused
Type of aeration system
Is the basin free of dead spots? ❑ ❑
Are surface aerators and mixers operational? El ❑ E
.❑
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?
Page# 3

Permit: NCO068799 Owner-Facility: Greystone Subdivision \\
Inspection Date: 05/07/2014 Inspection Type: Compliance Sampling
Aeration Basins Yes No Na Ne
Is the DO level acceptable?(1.0 to 3.0 mg/1) 11 ❑ ® �
Comment:
Secondary Clarifier Yes No Na Ne
Is the clarifier free of black and odorous wastewater? El El
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level? 0 El El El
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? E El El
Is the drive unit operational? ❑
Is the return rate acceptable(low turbulence)? 0 El El El
Is the overflow clear of excessive solids/pin floc? "
Is the sludge blanket level acceptable?(Approximately%4 of the sidewall depth) ❑
El N
Comment.-
Disinfection-Tablet Yes No Na Ne
Are tablet chlorinators operational? ❑
Are the tablets the proper size and type? 0 El El D
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? El E] EIN
Comment:
De-chlorination Yes No Na Ne
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? ❑ ❑ ❑
Is storage appropriate for cylinders? El ❑
0 El
#Is de-chlorination substance stored away from chlorine containers?
Comment:
Page# 4

Permit: NC0068799 Owner-Facility: Greystone Subdivision
inspection Date: 05/07/2014 Inspection Type: Compliance Sampling
De-chlorination Yes No Na Ne
Are the tablets the proper size and type? EM 0 El El
Are tablet de-chlorinators operational? M El El
Number of tubes in use?
Comment:
Page# 5

®NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvaria, III
Governor Secretary
June 13, 2014
Gene A Wilkie
Geneco Inc
PO Box 1519
Mountain Home NC 287581519
SUBJECT: Compliance Evaluation Inspection
4800 Asheville Hwy
Permit No:NCG550013
Henderson County
Dear Mr. Wilkie:
An inspection of the single family sand filter wastewater system at Geneco Inc. located on Hendersonville
Highway was conducted on May 15, 2014. The Compliance Evaluation Inspection was conducted by Ed
Williams of the Asheville Regional Office. The facility was found to be in compliance with permit
NCG550013.
Please refer to the enclosed inspection report for additional observations and comments. If you have any
questions,please call me at 828/296-4500.
Sincerely,
s
Ed Williams
Enc. .
cc:
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hltp://portal.ncdenr.org/web/wgtws
An Equal Opportunity\Affirmative Action Employer
C:\Userslemwilliamsl\Desktop\0013 geneco cei 20141.docx

United States Environmental Protection Agency Form Approved.
,A 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 1 3 I NCG550013 (11 12 14/05/15 17 18 19' G I 20 H
1131
�+I
2111111111111111111111111111111111IIIIIIIIII f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA --------------Reserved----------------
67 1 I._J 70L J 71 u 72 L�J 73 Lam 74 751 IL_1I JI_L1_._U80
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) 01:OOPM 14/05/15 07/08/01
4800 Asheville Hwy Exit Time/Date Permit Expiration Date
4800 Asheville Hwy
01:30PM 14/05/15 12/07/31
Hendersonville NC 28791
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
N
Name,Address of Responsible Official/Title/Phone and Fax Number
\ Contacted
Gene A WiIkie,PO Box 1519 Mountain Home NC
No
287581519//828-692-9629/8286929685
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit N Operations&Maintenance 0 Self-Monitoring Program E 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
AndrevrVV7df=e ARO WQ//828296464/
,( to j
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 yr/mo/day Inspection Type 1\
31 NCG550013 (11 12 14/05/15 17 18 '( I \\
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The facility appeared to be working properly. A past inspection stated that the effluent pipe was
capped. I could not locate the effluent pipe. It could have been buried in the stream bank
Page# 2

Permit: NCG550013 Owner-Facility: 4800 Asheville Hwy
.ispection Date: 05/15/2014 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
D El
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑
application? ri
Is the facility as described in the permit?
❑ ❑ ❑
#Are there any special conditions for the permit?
El
Is access to the plant site restricted to the general public? ❑ ❑
Is the inspector granted access to all areas for inspection?Is ❑ ❑
Comment:
Effluent Pipe Yes No Na Ne
El El El
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:
Septic Tank Yes No Na Ne
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑
❑ ❑ ❑
Is septic tank pumped on a schedule? rl
Are pumps or syphons operating properly? El
Are high and low water alarms operating properly?
Comment:
Sand Filters (Low rate) Yes No Na Ne
(if pumps are used)Is an audible and visible alarm Present and operational? ❑ ❑ ® ❑
Is the distribution box level and watertight?
❑ ❑ ❑
Is sand filter free of ponding?
Is the sand filter effluent re-circulated at a valid ratio?
#Is the sand filter surface free of algae or excessive vegetation? ❑ ❑ ® ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) El
Page# 3

Permit: NCG550013 Owner-Facility: 4800 Asheville Hwy \
Inspection Date: 0 511 5/2 0 1 4 Inspection Type: Compliance Evaluation
Sand Filters(Low rate) Yes No Na Ne
,
Comment:
Disinfection-Tablet Yes No Na Ne
Are tablet chlorinators operational?
Are the tablets the proper size and type? El El M El
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? M El
Comment:
De-chlorination Yes No Na Ne
Type of system?
Is the feed ratio proportional to chlorine amount(1 to 1)?
Is storage appropriate for cylinders?
#Is de-chlorination substance stored away from chlorine containers? El M El
U
Comment:
Are the tablets the proper size and type? 0 El
Are tablet de-chlorinators operational?
Number of tubes in use?
Comment:
Effluent Sampling Yes No Na Ne
Is composite sampling flow proportional? 0 El 0 El
Is sample collected below all treatment units? El 0 M El
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
representative)?
Comment:
Page# 4

Permit: NCG550013 Owner-Facility: 4800 Asheville Hwy
,spection Date: 05/15/2014 Inspection Type: Compliance Evaluation
Page# 5

_ - - - �-
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74LA.
A F-IMA
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 13, 2014
Marc Pitters
511 Granite Cir
Chuluota FL 32766
SUBJECT: Compliance Evaluation Inspection
Camellia Way- Lot 32
Permit No:NCG550434
Henderson County
Dear Mr. Pitters:
An inspection of the proposed single family septic tank/sand filter wastewater system at your lot located on
Camelia Way was conducted on May 15, 2014. The Compliance Evaluation Inspection was conducted by Ed
Williams of the Asheville Regional Office. The facility was found to be in compliance with permit
NCG550013.
Please refer to the enclosed inspection report for additional observations and comments. If you have any
'- , questions,please call me at 828/296-4500.
S�iinceply,
Ed Williams
Enc.
cc:
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/webtwq/ws
An Equal Opportunity\Affirmative Action Employer
G:\WR\WQ\Henderson\Wastewater\General\NCG55 SFR\0434 Pitters\0434 pitters cei letter 2014.docx

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United States Environmental Protection Agency Form Approved,
A 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 [5 j 3 ) NCG550434 11 12 14/05/15 J17 181-1 191 s I 201
21I r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating 61 QA -------------Reserved------------------
67 I 70) I 71 I l J
72 ( N 73 W 74 751 I I I ( 11
I80
(J Section B:Facility Da
ta 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) 12:00PM 14/05/15 13/08/01
Camellia Way-Lot 32
Exit Time/Date Permit Expiration Date
Camellia Way-lot 32
12:15PM 14/05/15 18/07/31
Hendersonville NC 28739
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
Marc Pitters,511 Granite Cir Chuluota FL 32766///
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Other
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
Ed drd M Williams r' ARO GW///
r�
i
s'
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 yr/mo/day Inspection Type31 j
NGG550434 �� 12 14/05115 17
LJ �
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The facilty has not yet been built.
U
Page# 2

Permit: NCG550434 Owner-Facility: Camellia Way-Lot 32
,spection Date: 05/15/2014 Inspection Type: Compliance Evaluation
Other Yes No Na Ne
Comment:
Page# 3

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NCDENR
North Carolina Department of Environment and Natural Resources
rat McCrory John E. Skvarla, III
Governor Secretary
June 13, 2014
Alta B Wells
PO Box 6341
Hendersonville NC 28793
SUBJECT: Compliance Evaluation Inspection
132 Clear Oak Road
Permit No:NCG550334
Henderson County
Dear Ms. Wells :
An inspection of the single family septic tank/sand filter wastewater system at your property located on Clear
Oak Road was conducted on May 15, 2014. The Compliance Evaluation Inspection was conducted by Ed
Williams of the Asheville Regional Office. The facility was found to be in compliance with permit
NCG550013.
I was unable to locate the discharge pipe for the system due to the creek area being overgrown and trash in and
around the creek. It is recommended that someone clear the area and try to locate the pipe.
Please refer to the enclosed inspection report for additional observations and comments. If you have any
questions,please call me at 828/296-4500.
Sincerely,
{{ Y
Ed Williams
Enc.
cc:
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http:t/portal.ncdenr.org/web/wq/ws
An Equal Opportunity\Affirmative Action Employer
G:IWR\WQ\HendersonlWastewateAGeneral\NCG55 SFR10334 Wellls10334 wells cei letter 2014,docx

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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 N 2 15 1 3 I NCG550334 (11 12 14/05/15 17 18 I r l 19 1 5 20 LJ
21IIIIIIIIIIII1IIIIIIIIIIIIIIIIIIIIIIIIIIIII f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ---------------Reserved---------------
67 f I 701 I 71 L 72 1 N, � 73�74 751
I I I I I I I80
I —I L J Section B:Facility Data 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) 11:45AM 14/05/15 13/08/01
132 Clear Oak Road
Exit Time/Date Permit Expiration Date
132 Clear Oak Rd
12:OOPM 14/05/15 18/07/31
Hendersonville NC 28793
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Ill
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Alta B Wells,PO Box 6341 Hendersonville NC 28793//826-698-0085/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Operations&Maintenance
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspectors) Agency/Office/Phone and Fax Numbers Date
Edwa M� 16 ms,$ ARO GW///
✓
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

A
NPDES yr/mo/day Inspection Type
31 NCG550334 (11 12 14/05/15 17 18
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) \\
Could not locate the discharge pipe. 'Creek area is overgrown and there is trash in and around the
creek preventing proper inspection. It is recommended that someone clean up the area and locate the
discharge pipe.
Page# 2

Permit: NCG550334 Owner-Facility: 132 Clear Oak Road
pection Date: 05/15/2014 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 El n
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 n El 0
Are pumps or syphons operating properly?
Are high and low water alarms operating properly? El El N El
Comment:
Sand Filters (Low rate) Yes No Na Ne
(If pumps are used)Is an audible and visible alarm Present and operational?
Is the distribution box level and watertight? El
Is sand filter free of ponding?
Is the sand filter effluent re-circulated at a valid ratio? El El 0 El
#Is the sand filter surface free of algae or excessive vegetation? El El M El
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1)
Comment:
Page# 3

J i

A'14",a
HCDENR
North Carolina Department of Environment and Natural Resources
.mat McCrory John E. Skvarla, III
Governor Secretary
June 13, 2014
Bill Hale
Bon Worth Inc
PO Box 2890
Hendersonville NC 28793
SUBJECT: Compliance Evaluation Inspection
Bon Worth WWTP
Permit No: NCO037176
Henderson County
Dear Mr. Hale:
On May 7, 2014, 1 conducted a compliance evaluation inspection on the Bon Worth Waste Water Treatment
Plant. The facility was found to be in compliance with permit NC0037176.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call me at: 296-4500
Sincerely,
,. z &
Katherine H. Jimison
Chemistry Technician III
Asheville Regional Office
Enclosure
cc: James &James Environmental
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq/ws
An Equal Opportunity 1 Affirmative Action Employer
G:\WR\WQ\Henderson\Wastewater\Minors\Bon Worth 37176\37176 CEI 2014.doc

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United States Environmental Protection Agency Form Approved.
'A 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 ( 3 I NCO037176 �11 12 14/05/07 �17 18 i r ) 19' g I 20 U
211111 1 1 I I I I II I I I I I I I I I I I I I 1 1 l l l 1 I I I I III 1 1 1 1 f
Inspection Work Days Facility Self-Monitoring Evaluation Rating 131 QA -------------Reserved------------
67 70 L I 71 L_j 72 LI
N G 73I I 174 751 III I I (80
Section B:Facility Data 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)
02:15PM 14/05/07 10/12/01
Bon Worth WWTP
40 Francis Rd Exit Time/Date Permit Expiration Date
Hendersonville NC 28791 02:30PM 14/05/07 15/11/30
Name(s)of Onsite Representative(s)/Tities(s)/Phone and Fax Number(s) Other Facility Data
///
Kenneth Jason Rummel/ORC/828-697-0063/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Bill Hale,PO Box 2890 Hendersonville NC 28793//828-697-2216/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance 0 Facility Site Review
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
Kathy.Jimi�n ADO WQ//828-296-4500/
v
m,
Signature of Manage 4ent Q A Reviewer Agency/Office/Phone and Fax Numbers Date
611-III`
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type
31 NCO037176 I1 12 14/05/07 17 18 ICI
\\\
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) \\
Juanita James of James&James Environmental assisted in this inspection.
The facility was well kept and effluent appeared to be in compliance. Effluent samples were not taken
for analysis.
Page# 2

Permit: NCO037176 Owner-Facility: Bon Worth WWTP
.nspection Date: 05/07/2014 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 El El E ❑
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 0
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? ❑ ❑
0 El
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? ❑
0 El
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 0
/ Is scum removal adequate? El 0
Page# 3

s Permit: NC0037176 Owner-Facility: Bon Worth WWTP \
Inspection Date: 05/07/2014 Inspection Type: Compliance Evaluation \
Secondary Clarifier Yes No Na Ne
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the return rate acceptable(low turbulence)? - ❑
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable?(Approximately'/4 of the side wall depth) El El El M
Comment:
Disinfection-Tablet Yes No Na Ne
Are tablet chlorinators operational?
Are the tablets the proper size and type? ❑
El D
Number of tubes in use? 1
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup? El n
Is there chlorine residual prior to de-chlorination?
Comment:
De-chlorination Yes No Na Ne-
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? ❑
Is storage appropriate for cylinders? ❑
El M El
#Is de-chlorination substance stored away from chlorine containers? E
Comment:
Are the tablets the proper size and type?
Are tablet de-chlorinators operational?
Number of tubes in use? 1
Comment:
Page# 4

a®
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E.Skvarla, III
Governor Secretary
June 16, 2014
Mr. and Mrs. Byron McCall
481 Katie Drive
Hendersonville, NC 28792
SUBJECT: Compliance Evaluation
Inspection
Katie Drive/Lot 8R
Permit No: NCG551400
Henderson County
Dear Mr. and Mrs. McCall:
A review of Henderson County property records indicates you are the current
owners of the subject residence, which includes a single family wastewater discharge
system permitted through this office. According to our records, the system is currently
permitted to a previous homeowner. I have enclosed an Ownership Change Form with
this letter. Please complete the form and mail to the address indicated. I have also
enclosed a General Permit as well as some additional information related to the system.
Enclosed find a copy of the Compliance Evaluation Inspection Form for the
inspection conducted on June 12, 2014. The facility was found to be in compliance with
permit NCG551440.
Please refer to the enclosed inspection report for additional observations and
comments. If you have any questions or believe you have received this letter in error,
please call me at 828-296-4500.
Sincerely,
A�' kv."�
Andrew Moore
Environmental Senior Technician
Enclosure
cc: MSC 1617-Central Files-Basement
WQ Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity l Affirmative Action Employer

A47LA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory, Governor John E. Skvarla III,Secretary
I. Please enter the CoC number for which the change is requested.
Certificate of Coverage
5 10 0 0 0 5 1 4 0 0
II. Please provide the following for the requested change(revised permit).
a. Request for change is a result of: ❑ Change in ownership of the residence/property
❑ Name change of the facility or owner
If other please explain:
b. Permit will be issued to(company
name, if applicable):
c. Person legally responsible for permit:
First MI Last
Title
Permit Holder Mailing Address
i
City State Zip
( )
Phone E-mail Address
d. Facility name(discharge): Katie Drive/Lot 8R
e. Facility address: 481 Katie Drive
Address
Hendersonville NC 28792
City State Zip
f. Facility contact person:
First MI Last
( )
Phone E-mail Address
III. Permit contact information(if different from the person legally responsible for the permit)
Permit contact:
First MI Last
Title
Mailing Address
City State Zip
( )
Phone E-mail Address
IV Will this permitted facility continue to discharge the same volume and type of wastewater as
prior to this ownership or name change?
❑ Yes
❑ No(please explain)
Revised 2/2009

NCG550000 OWNERSHIP
Required Items: TIIIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
VL ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership(such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are \
not sufficient for an ownership change.
.....................................................................................................................
The certifications below must be completed and signed by the new applicant in the case of an ownership
change request.
APPLICANT CERTIFICATION
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included,this application package will be
returned as incomplete.
Signature Date
....................................
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
NC DENR/DWR/NPDES
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Revised 7/2008

United States Environmental Protection Agency Form Approved.
-PA Washington,D.C.20460 OMB No.2040-0057
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 INI 2 1 51 31 NCG551400 111 121 14/06/12 117 18I C I 191 S I 20I
Remarks
211111IIIIIIIIIIII IIIIIIII IIIIIIIIIIIIIIIIIIIIIII6
Inspection Work Days Facility Self-Monitoring Evaluation Rating 61 QA ---------------—----------Reserved---------------------
67I 169 701 I 1 71 I_I 721 N I 73 L1J 74 751 I I I I I I 180
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)
10:00 AM 14/06/12 12/08/01
Katie Drive/Lot 8R
Lot 8r Katie Dr Exit Time/Date Permit Expiration Date
Hendersonville NC 28792 10:30 AM 14/06/12 13/07/31
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
Sandra Felix,481 Katie Dr Hendersonvlle NC 28792//252-213-1652/ No
/ Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit E Self-Monitoring Program 0 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)
82 a`®6 0 /b 11 a �
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Andrew W Moore�� � ARO WQ//828296464/
1
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 yr/mo/day Inspection Type
3� NCG551400 111 12, 14/06/12 117 18I d
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) `
The current permittee is no longer the homeowner. Change of ownership form provided to homeowner. \
Make sure the correct chlorination and dechlorination tablets are in use.
Have the septic system pumped every 3-5 years.
Make sure the effluent pipe is accessible and maintained.
� 1
Page# 2

Permit: NCG551400 Owner-Facility: Katie Drive/Lot 8R
.;tion®ate: 06/12/2014 Inspection Type: Compliance Evaluation
.°ermit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? 0 rl M I1
Is the facility as described in the permit? is n n n
#Are there any special conditions for the permit? n M n Cl
Is access to the plant site restricted to the general public? n n n
Is the inspector granted access to all areas for inspection? n n n
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? 0 M D ❑
Are the receiving water free of foam other than trace amounts and other debris? MOD n
If effluent (diffuser pipes are required) are they operating properly? n n w n
Comment: I was unable to find the effluent pipe due to excessive vegetation.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? n n n
Is sample collected below all treatment units? n n n
Is proper volume collected? n n n
Is the tubing clean? n n []
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees Celsius)? n n n
Is the facility sampling performed as required by the permit(frequency,sampling type representative)? [I D ❑
Comment:
Page# 3

AIL
KDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 16, 2014
John R. Toepfer
Duke Energy Progress, Inc.
410 S.Wilmington Street/NC14
Raleigh, NC 27601
RE: Response to comments from Duke Energy Progress dated February 18, 2014
concerning the Asheville Airport engineered fill project-Area 3 development
Dear Mr. Toepfer,
The Asheville Regional Office of the Division of Water Resources (DWR) acknowledges
receiving a response to our review comments dated October 23, 2013.Additional comments
and questions are given in the bulleted items below:
® In your letter,you state that all future water quality data pertaining to leachate or CCB
contact water within the open cells will be submitted beginning with the April 2014
groundwater monitoring results. Please submit all past and future water quality data
pertaining to the contact water within CCB structural fill areas 3 and 4.
® In your letter,you state that it is well documented in the scientific literature that
chloride can be responsible for a false positive result for thallium. Based on
conversations with our own DWR laboratory, chloride levels must be significantly
elevated before any polyatomic interference can take place. Do you have additional
evidence that suggests chloride concentrations as low as 3 mg/1 may be a source of
analytical interference with regards to thallium?Please submit any pertinent scientific
literature that supports your position.
® According to 15A NCAC 02T.1204 (d)(2), new and expanding [CCB] structural fill sites
must describe and explain site specific engineering or institutional controls proposed
to prevent adverse impacts to public health and the environment. The composite liner
system for CCB areas 3 and 4 is designed to significantly restrict infiltrating
precipitation and limit the release of CCB leachate. The composite liner system,while
restrictive, cannot be considered entirely impervious. Therefore,limited solute
transport modeling was conducted by GTI to demonstrate the performance of the
composite liner system and its ability to protect groundwater quality at nearby
regulatory and water supply receptors.
The ARO previously provided comments regarding Geotrack Technologies Inc. (GTI)
groundwater modeling results where the 90% concentrations for several analytes
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:828-296A500 FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity i Affirmative Action Employer

A
Duke Energy Progress-Asheville
June 16,2014
Page 2 of 3
were higher at the compliance boundary than the review boundary for three different
modeled geometries.The ARO requested a more detailed description of the IWEM
model's "prediction error" or alternatively, further analysis that includes a greater XI
number of Monte Carlo realizations. GTI responded by performing additional ground
water modeling (January 30, 2014) to reflect conditions more specific to the area. The
modeled geometry included receptors at the review boundary (62 feet), compliance
boundary (165 feet), and an offsite water supply well (240 feet). Please note that the
distance given for the modeled review boundary is not midway between the waste and
compliance boundaries as defined by 15A NCAC 02L.0108.
The conceptual model of groundwater flow in the Blue Ridge and Piedmont regions of
North Carolina is essentially a two-part system consisting of regolith or weathered
rock and the underlying fractured bedrock. In many locations,the regolith includes a
transition zone above the fractured bedrock consisting of coarse fragments of partially
weathered bedrock.According to technical documents,the IWEM model is designed for
relatively simple groundwater flow systems in which flow is dominated by a regional
gradient. The model may not be appropriate for sites associated with fractured
bedrock, heterogeneous aquifers, non-uniform thickness of water bearing zones, or
sites with significant seasonal variations in water table elevation. Please provide a
detailed discussion as to why the IWEM model is appropriate for this location.
In the"no liner" scenario, GTI does not adequately address potential problems with the
model's performance. In one instance,there is a slight increase in modeled
concentrations for arsenic and barium from the compliance boundary to the water
supply receptor. GTI responds by saying the no liner scenario is unrealistic for this site
and that predicted arsenic and barium concentrations follow a more logical reduction
in the other two liner scenarios. The suggestion of ignoring one set of modeling results
for another is not a viable answer.Another observation is an almost complete lack of
attenuation for any constituent in the "no liner" scenario. It is our understanding that
the greatest influx of CCB leachate to the unsaturated/saturated zone modules occurs
in the"no liner" scenario. It seems unrealistic that little to no depletion of the leachate
constituents occur as a result of dispersion, diffusion, or sorption processes.
In the "clay liner" scenario,the modeled concentration for chromium increases from
the review to the compliance boundary. Similarly,the modeled concentrations for
boron, iron, and sulfate increase from the review to the compliance boundary in the
"composite liner" scenario. In both scenarios, GTI ignores problematic trends based
solely on the fact that the predicted concentrations are below analytical detection.
After it has been demonstrated that the model is producing consistently reliable
results, it is suggested that sensitivity analyses be conducted to determine which
variables are the most critical to the modeled solute transport.
An attempt was made by GTI to address performance issues with the IWEM model.
They suggest that default infiltration rates combined with the relatively low subsurface --
hydraulic conductivities result in theoretical ground water mounding.According to

ogress Asheville
-4
r3
their interpretation,this mounding dilutes modeled concentrations near the CCB fill
and less so as the mounding dissipates with distance.According to technical
documents,the unsaturated zone (1-D) and saturated zone (3-D) modules are separate
domains computationally linked through continuity of flow and constituent
concentration across the water table directly underneath the waste management unit
(WMU). Groundwater mounding due to high infiltration rates may occur in the
unsaturated zone module and is represented by increased head values at the top of the
aquifer. The actual saturated zone module is based on the assumption of a constant
saturated thickness and the only direct effect of ground-water mounding is to increase
simulated ground-water velocities. In other words,the module does not simulate the
actual physical increase in the thickness of the saturated zone.
GTI concludes by saying, "while the results indicate [for the composite liner scenario]
small increases in concentrations of certain compounds with distance from the fill, all
of the computed concentrations can be considered essentially zero" and "thus,we
conclude that the modeling demonstrates that the proposed liner system is protective
of the environment."According to technical documents,the mass of constituents
leached from the WMU is directly proportional to the infiltration rate of the various
liner scenarios. There is no discussion as to the fate of leachate mass once it enters the
unsaturated/saturated zone modules.
Modeling is an important component of the project given the close proximity of
= receptors to the CCB waste boundary. To this end,the Division would like to see a more
robust conceptual model, a model that is producing consistently reliable results, and a
sensitivity analysis of key variable affecting the predictive results.Along with this, the
Division would like to see a description of the model limitations and any associated
implications regarding its use for the Asheville Airport CCB structural fill project.
Please feel free to contact me if you have any questions regarding our review comments. I can
be reached at [phone] or [e-mail].
Sincerely
G.
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Br� t Lay°eerty
Water Quality Regional Operations Section
Asheville Regional Office
Cc: file
Jon Risgaard 'DWR Raleigh

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 16, 2014
Ronnie Setzer, Mayor
Town Of Cajah's Mountain
1800 Connelly Springs Rd
Lenoir,NC 28645
SUBJECT: Collection System Inspection
Cajahs Mountain Collection System
Permit No: WQCS00317
Caldwell County
Dear Mr. Setzer:
On May 28, 2014, I conducted a Collection System Inspection at the Town of Cajahs Mountain. The system
was found to be marginally compliant with permit WQCS00317 due to deficient reporting requirements.
Present during the inspection were Matt Bolick the Operator in Responsible Charge (ORC) and Clarence
Lockemy with the Wooten Company.
Please refer to the enclosed inspection report for areas that need immediate attention. 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
ORC Designation Form
cc: Matt Bolick,ORC(e-copy)
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Caldwell\Collection Systems\Cajah's Mtn.Collection System\CEI.May2014.Ltr.doe
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

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Compliance Inspection Report
,mit: WQCS00317 Effective: 06/01/13 Expiration: 05/31/21 Owner: Town Of Cajah's Mountain
SOC: Effective: Expiration: Facility: Cajah Mountain Collection System
County: Caldwell
Region: Asheville
Contact Person: Ronnie Setzer Title: Phone: [phone]
Directions to Facility:
System Classifications: CS1,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
WQCS00035 City of Lenoir-Lenoir Collection System
NCO023736 City of Lenoir-Gunpowder Creek WWTP
Inspection Date: 05/28/2014 Entry Time: 10:00 AM Exit Time: 02:00 PM
Primary Inspector: Linda S Wiggs �Jy�,,/ Phone: [phone]
Ext.4653
Secondary Inspector(s):J ..
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: ❑ Compliant E Not Compliant
Question Areas:
Miscellaneous Questions Performance Standards Operation&Maint Reqmts Records
Monitoring&Rpting Inspections Pump Station Manhole
Reqmts
Lines
(See attachment summary)
Page: 1

Permit: WQCS00317 Owner-Facility: Town Of Cajah's Mountain
Inspection Date: 05/28/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine\
Inspection Summary: \
Present for the inspection were Matt Bolick (ORC)and Clarence Lockemy(Engineer).
This system is fairly young; around the late 1990's and consists of mostly PVC pipe. There are~14 miles of gravity lines,
1 mile of force main and 1 pump station. There are 3 restaurants and no industrial waste flows. There are—394 taps and
currently Cajah's Mountain sends—59,000 GPD to Lenoir.
There have been recent changes in personnel; the Town Manager is no longer with the Town and there is a new Operator
in Responsible Charge (ORC). Unfortunately, it is unknown where many records are located. The previous inspection
indicated that the Town did have such records. The inspector gave the new ORC the collection system logs created by
Division of Water Resources staff and advised him to use them starting immediately. I have attached an ORC designation
form which will need to be submitted once the certification is issued.
Manholes (MH)visited during the inspection were in the vicinity of the restaurants, as well as downstream from the force
main (FM). The MH indicated issues related to blocked lines and decay. The MH (C3-5)by Frosty Freez and the strip mall
on Connelly Springs Road was mostly blocked with very slow flow and will need cleaning immediately. Customers on this
line also need to be determined; there was some question which entities in the strip mall were flowing to this line. MH (A2)
below the FM and the Shaire Center had signs of decay likely from the FM gases. This MH should be inspected with
some regularity and considered for repair. It may also be worth evaluating if air relief valves on the FM are warranted.
An ORC Designation Form is enclosed with the letter. This needs to be filled out and submitted immediately.
Page: 2

Permit: WQCS00317 Owner-Facility: Town Of Cajah's Mountain
spection Date: 05/28/2014 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? M n n
What educational tools are used?
website, newsletter
Is Sewer Use Ordinance/Legal Authority available? M n n n
Does it appear that the Sewer Use Ordinance is enforced? n n n
Is Grease Trap Ordinance available? ❑ ❑ ❑
Is Septic Tank Ordinance available(as applicable, i.e.annexation) n n n
List enforcement actions by permittee, if any, in the last 12 months
Has an acceptable Capital Improvement Plan(CIP)been implemented? n n n
Does CIP address short term needs and long term\"master plan\"concepts? n n n
Does CIP cover three to five year period? ❑ n n
Does CIP include Goal Statement? n n n
Does CIP include description of project area? n n n
-., Does CIP include description of existing facilities?
Does CIP include known deficiencies? n n
Does CIP include forecasted future needs? n 0 n
Is CIP designated only for wastewater collection and treatment? n n
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
Is system free of known points of bypass? MOOD
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? M n ❑ n
#Does the sign include:
Instructions for notification? n n n
Pump station identifier? n n n
24-hour contact numbers M n n
If no, list deficient pump stations
Page: 3

Permit: WQCS00317 Owner-Facility: Town Of Cajah's Mountain
Inspection Date: 05/28/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine\,
#Do ALL pump stations have an"auto polling"feature/SCADA? n n n
Number of pump stations 1
Number of pump stations that have SCADA 0
Number of pump stations that have simple telemetry 1
Number of pump stations that have only audible and visual alarms 0
Number of pump stations that do not meet permit requirements 0
#Does the permittee have a root control program? I l ❑ n
#If yes,date implemented?
Describe:
Comment: If roots become a problem the town will contract the work.
Inspections Yes No NA NE
Are maintenance records for sewer lines available? n E n n
Are records available that document pump station inspections? n n n
Are SCADA or telemetry equipped pump stations inspected at least once a week? f_1 f_1 n
Are non-SCADA/telemetry equipped pump stations inspected every day? n nN n \- "
Are records available that document citizen complaints? ❑ n n
#Do you have a system to conduct an annual observation of entire system? n n n
#Has there been an observation of remote areas in the last year? n Cl n
Are records available that document inspections of high-priority lines? n n n
Has there been visual inspections of high-priority lines in last six months? n n n
Comment: There have been recent changes in personnel; the Town Manager is no
longer with the Town and there is a new ORC. Unfortunately, it is unknown where many
records are located. The previous inspection indicated that the Town did have such
records.
The inspector gave the new ORC the collection system logs created by Division of
Water Resources staff and advised him to use them starting immediately. The ORC was
also advised if records are found to get them to the inspector. See summary.
Operation &Maintenance Requirements Yes No NA NE
Are all log books available? ❑ M n f=1
Does supervisor review all log books on a regular basis? ❑ n n
Does the supervisor have plans to address documented short-term problem areas? ❑ ❑ n
Page: 4

Permit: WQCS00317 Owner-Facility: Town Of Cajah's Mountain
pection Date: 05/28/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
What is the schedule for reviewing inspection, maintenance, &operations logs and problem areas?
See comments above and in summary.
Are maintenance records for equipment available? 110130
Is a schedule maintained for testing emergency/standby equipment? n m n n
What is the schedule for testing emergency/standby equipment?
Do pump station logs include:
Inside and outside cleaning and debris removal? n E n n
Inspecting and exercising all valves? n m o n
Inspecting and lubricating pumps and other equipment? f_I m n o
Inspecting alarms,telemetry and auxiliary equipment? n m n o
Is there at least one spare pump for each pump station w/o pump reliability? n 0 n 0
Are maintenance records for right-of-ways available? n w n n
Are right-of-ways currently accessible in the event of an emergency? n 0 n n
Are system cleaning records available? n n n
Has at least 10%of system been cleaned annually? n n n
What areas are scheduled for cleaning in the next 12 months?
A slow flowing line was found during inspection and will be cleaned immediately.
See comments above and in summary regarding records.
Is a Spill Response Action Plan available? f=1 El n
Does the plan include:
24-hour contact numbers n n n
Response time n n n
Equipment list and spare parts inventory n n n
Access to cleaning equipment n n n
Access to construction crews,contractors, and/or engineers n n n
Source of emergency funds n n n
Site sanitation and cleanup materials Cl n n
Post-overflow/spill assessment n n n
Is a Spill Response Action Plan available for all personnel? 0 n n n
Is the spare parts inventory adequate? n n n
Page: 5

Permit: WQCS00317 Owner-Facility: Town Of Cajah's Mountain
Inspection Date: 05/28/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Comment: Many components of this program are contracted out including cleaning \,
crew/equipment.
Since there has been recent change in personnel, the contact information and phone
numbers need to be updated.
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? n n n
Are records of SSOs that are under the reportable threshold available? n n En
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? n n n
If yes, is there a corrective action plan? n n n
Is a map of the system available? n n n
Does the map include:
Pipe sizes n n n
Pipe materials n n n
Pipe location n n n
Flow direction n n n
Approximate pipe age n n n
Number of service taps n n n
Pump stations and capacity n n Cl
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? n n n
Comment: There have not been any SSOs. Inspector did go over procedures for
SSOs with the new ORC.
Monitoring and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available? n n n
Are public notices and proof of publication available? n n n
#Is an annual report being prepared in accordance with G.S. 143-215.1C? n n n
#Is permittee compliant with all compliance schedules in the permits? n n n
If no,which one(s)?
Comment: Again, no SSOs and required procedures were discussed with new ORC. J
Page: 6

ermit: WQCS00317 Owner-Facility: Town Of Cajah's Mountain
action Date: 05/28/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
6RAND®N FAD
Pump Station Yes No NA NE
Pump station type Duplex
Are pump station logs available? E n n n
Is it accessible in all weather conditions? n n n
#Is general housekeeping acceptable? n n n
Are all pumps present? n n n
Are all pumps operable? n n n
Are wet wells free of excessive debris? 0 n n
Are upstream manholes free of excessive debris/signs of overflow? ❑ n n
Are floats/controls for pumps/alarms operable? n n n
Is"auto polling"feature/SCADA present? n 171 0n
Is"auto polling"feature/SCADA operational? In n mn
Is simple telemetry present? n n n
Is simple telemetry operational? n n n
Are audio and visual alarms present? n n n
Are audio and visual alarms operable? n n n
Is the Pump station inspected as required? n n n
Are backflow devices in place? n n n
Are backflow devices operable? n n n
Are air relief valves in place? n n n
Are air relief valves operable? n n 0 n
# Is an emergency generator available? n n n
Can the emergency generator run the pumps? n n n
Is the pump station equipped for quick hook-up? n In m n
Is the generator operable? En n n
#Is fuel in tank and sufficient? 0 n n n
Is the generator inspected according to their schedule? n 0 n
Is a 24-hour notification sign posted? n n n
Does it include:
Page: 7

Permit: WQCS00317 owner-Facility: Town Of Cajah's Mountain
Inspection Date: 05/28/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routin,-�,
C3nn
Instructions for notification?
Pump station identifier? 0 ❑ n
Emergency phone number Cl 0 0
Is public access limited? nnn
Is pump station free of overflow piping? n 0 Q
Is the pump station free of signs of overflow? (_1 Q
Are run times comparable for multiple pumps? yes
Comment:
FROSTY FREEZ -
Yes No NA NE
Manhole
Is manhole accessible? nnn
#Is manhole cover/vent above grade? Q Cl Cl
Is the manhole free of visible signs of overflow? n 0
Is the manhole free of sinkholes and depressions? ❑ 0 11
Is manhole cover present? n
#Is manhole properly seated? n 0
#Is manhole in good condition? n
#Is invert in good condition? 0 n n
Is line free-flowing and unrestricted in manhole? n a nn
Is manhole free of excessive amounts of grease? nnn
Is manhole free of excessive roots? 0 ❑ 0
Is manhole free of excessive sand? ❑ 0 0
Is manhole's extended vent screened? fl ❑ 0
Are vents free of submergence? 0 n C1
Are manholes free of bypass structures or pipes? ❑ 0 n
Comment: This MH indicated there was blockage in the downstream line. See line
comments.
MALL-FROSTY FRZ -
Lines/Right-of-Ways/Aerie) Lines Yes No NA NE
Is right-of-way accessible for emergency? Q fl Q
Page: 8

r'ermit: WQCS00317 Owner-Facility: Town Of Cajah's Mountain
,iection Date: 05/28/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Is right-of-way free of sinkholes or depressions? [I 00
Is line/right-of-way free of evidence of leakage? 0 0 0
#Are there areas of exposed line? n E ❑ n
#Is any exposed line constructed of ductile iron or other approved material? D fl 0 0
Are water crossing and supports in good condition? 1­1 f=1 0 n
#Is right-of-way free of non-utility motorized traffic? Q Q Q
Is line free of visible damage? E ❑ n 0
#Are there siphons in this system? n o f1
If yes,are they maintained and documented?
Comment: Three Manholes (MH)were inspected (C 2,3,4)on this line. The one
upflow(C4) from Frosty Freez, the one receiving Frosty Freez (C3) as noted in this
inspection and the one downflow(C2)from Frosty Freez. The line between C2 and C3
was not free flowing and needs to be cleaned and possibly video'd. Frosty Freez
needs to be inspected specifically regarding their grease trap as well as FOG educated.
Also, the lines flowing to C4 need to be evaluated further. There was some
confusion/questions about the flows from the strip mall to the lines in this MH.
SHAIRE CENTER -
Manhole Yes No NA NE
Is manhole accessible? 0 Cl fl
#Is manhole cover/vent above grade? ❑ 11
Is the manhole free of visible signs of overflow? 0 El
Is the manhole free of sinkholes and depressions? I] f1 Q
Is manhole cover present? 0 n
#Is manhole properly seated? n n 0
#Is manhole in good condition? fl0 Q ❑
#Is invert in good condition? 0 0
Is line free-flowing and unrestricted in manhole? 0 n n
Is manhole free of excessive amounts of grease? ❑ 0 0
Is manhole free of excessive roots? D n n
Is manhole free of excessive sand? El n n
Is manhole's extended vent screened? fl fl 0
Page: 9

Permit: WQCS00317 Owner-Facility: Town Of Cajah's Mountain
Inspection Date: 05/28/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine\\
Are vents free of submergence? nn 0 n
Are manholes free of bypass structures or pipes? ❑ ❑ fl \\
Comment: This MH is the second down from the outfall of the FM. It is showing signs
of corrosion possibly from the FM. This MH should be inspected regularly as should the
MH directly receiving the FM flows.
Page: 10

Water Pollution Control System Operator Designation Form
WPCSOCC
NCAC 15A 8G.0201
mittee Owner/Officer Name:
Mailing Address:
City: State: Zip: - Phone#: ( )
Email address:
Signature: Date:
...................................................................................................I.............................................
Facility Wane: Permit#:
SUBMIT A SEPARATE FORM FOR EACH TYPE SYSTEM!
Facility Type/Grade-
Biological WWTP Surface Irrigation
Physical/Chemical Land Application
Collection System
.........................................................................................q.....................................................
.
Operator in Responsible Charge(ORC)
Print Full Name:
Certificate Type/Grade/Number: Work Phone#:
Signature: Date:
"I certify that I agree to my designation as the Operator in Responsible Charge for the facility noted.I understand and will abide by the rules
and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G.0204 and failing to do so can result in Disciplinary
Actions by the Water Pollution Control System Operators Certification Commission."
.................................................................................................................................................
Bach-Up Operator in Responsible Charge(BU ORC)
Print Full Name:
Certificate Type/Grade/Number: Work Phone#: ( )
Signature: Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted.I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G.0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
.................................................................................................................. ..............................
Mail,fax or email the W_ PCSOCC, 1618 Mail Service Center, Raleigh,NC 27699-1618 Fax:[phone]
original to: a to o
Mail or fax a copy to the Asheville Fayetteville Mooresville Raleigh
appropriate Regional Office: 2090 US Hwy 70 225 Green St 610 E Center Ave 3800 Barrett Dr
Swannanoa 28778 Suite 714 Suite 301 Raleigh 27609
Fax:[phone] Fayetteville 28301-5043 Mooresville 28115 Fax:[phone]
Phone:[phone] Fax:[phone] Fax:[phone] Phone:[phone]
Phone:910.433,3300 Phone:[phone]
Washington Wilmington Winston-Salem
943 Washington Sq Mall 127 Cardinal Dr 585 Waughtown St
Washington 27889 Wilmington 28405-2845 Winston-Salem 27107
Fax:[phone] Fax:[phone] Fax:[phone]
Phone:[phone] Phone:[phone] Phone:[phone]
Revised 03-2014

Facility Name: Permit#:
................................................................................................................................................. \
Back-Up Operator in Responsible Charge(BU ORC) \
Print Full Name:
Certificate Type/Grade/Number: Work Phone#: ( )
Signature: Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted.I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G.0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
.................................................................................................................................................,
Back-Up Operator in Responsible Charge(BU ORC)
Print Full Name:
Certificate Type/Grade/Number: Work Phone#: ( )
Signature: Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted.I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G.0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
................................................................................................................................................
Back-Up Operator in Responsible Charge(BU ORC)
Print Full Name:
Certificate Type/Grade/Number: Work Phone#: ( )
Signature: Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted.I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G.0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
.................................................................................................................................................
Back-Up Operator in Responsible Charge(BU ORC)
Print Full Name:
Certificate Type/Grade/Number: Work Phone#: ( )
Signature: Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted.I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G.0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
..........................................................................................................................................................................
Revised 03-2014

AEja
HCDENR
North Carolina Department of Environment and Natural Resources
Hat McCrory John E. Skvarla, III
Governor Secretary
June 17, 2014
Mr. Nicholas Stefanou
Biltmore Investments LTD
104 Low Gap Road
Hendersonville, North Carolina 28739
SUBJECT: Compliance Evaluation Inspection
Bear Wallow Valley MHP WWTP
Permit No: NCO076082
Henderson County
Dear Mr. Stefanou:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection I
conducted on May 28, 2014. The facility was found to be marginally in compliance with permit NCO076082
due to the "out of service" generator. Please respond in writing within thirty (30) days of receipt of this letter
with a timetable for the repair of the generator.
Mr. Kevin White, the Operator in Responsible Charge, has been doing a fine job of operating and
maintaining this facility. His assistance during the inspection was greatly appreciated.
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,
anet Cantwell
Environmental Specialist
Asheville Regional Office
Enclosure
cc: Asheville Files
MSC 1617-Central Files-Basement
Kevin C. White/ORC
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

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United States Environmental Protection Agency Form Approved.
A 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 (5 3 N00076082 I11 12 14/05/28 17 181_1 191 S 1 201
21111111111111111II1111IIIII1IIIIIIIIIIIIIII r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -----------------Reserved------------
67 70 I 71 L_j 72 N 73L L L1JI74 75 III I J _U80
LJ Section B:Facility Data 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) 10:30AM 14/05/28 11/02/01
Bear Wallow Valley MHP WW P
Exit Time/Date Permit Expiration Date
Bearwallow Rd NCSR 1587
11:30AM 14/05/28 15/11/30
Hendersonville NC 28792
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Kevin C White/ORC/828-289-2165/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Nicholas Stefanou,104 Low Gap Rd Hendersonville NC 28739H828-685-3881/
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit 0 Flow Measurement Operations&Maintenance E Records/Reports
Self-Monitoring Program 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
Janet Cantwell ARO WQ//828-296-4500 Ext.4667/
00
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 (Cont.)
31 NCO076082 (11 12 14/05/28 17 18 ICI
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The kind assistance of Mr. Kevin White/ORC was appreciated during this inspection. \
Below is a summary recap of findings:
The permit will expire November 30, 2015.
At the time of the inspection, Mr. White/ORC was in the process of repairing the chlorine contact
basin.
The plant and the grounds were neatly maintained.
The log book was present on site and contained appropriate records.
This facility is permitted for "instantaneous flow."
The screening debris is disposed in the dumpster.
The audible alarm was operable. A bulb for the visual alarm will be replaced by the ORC.
This facility has dual aeration basins and dual clarifiers.
Mr. White stated the sludge blanket is kept low.
The ORC stated they use Biomax dechlorination tablets. ,
The permit requires grab samples.
Mr. White stated that the generator has been down about two years and was told that a transfer switch
may need replacement to make it operable again.
He also stated he would look into this repair and get back with this office with an answer.
Page# 2

Permit: NCO076082 Owner-Facility: Bear Wallow Valley MHP WWTP
ospection Date: 05/28/2014 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? EJ
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? ❑
El 0
Is the inspector granted access to all areas for inspection? ❑
Comment: The permit will expire November 30,2015.
Operations & Maintenance Yes No Na Ne
Is the plant generally clean with acceptable housekeeping? El El ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable El ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: At the time of the inspection, Mr.White/ORC was in the process of repairing
the chlorine contact basin.
The plant and the grounds were neatly maintained.
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? ❑
0 El
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? El El El M
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? ❑
(If the facility is=or>5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ❑
on each shift?
Is the ORC visitation log available and current?
Page# 3

Permit: NCO076082 Owner-Facility: Bear Wallow Valley MHP WWTP
Inspection Date: 05/28/2014 Inspection Type: Compliance Evaluation \
Record Keeping Yes No Na Ne
0 El El El
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? M El
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review? ❑
Comment: The log book was present on site and contained appropriate records.
Flow Measurement-Effluent Yes No Na Ne
#Is flow meter used for reporting? E
Is flow meter calibrated annually? El ❑ 0 ❑
Is the flow meter operational? ❑
El 0 El
(If units are separated) Does the chart recorder match the flow meter?
Comment: This facility is permitted for "instantaneous flow."
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: The screening debris is disposed in the dumpster.
Equalization Basins Yes No Na Ne
Is the basin aerated? ❑ ❑ ❑
Is the basin free of bypass lines or structures to the natural environment?
Is the basin free of excessive grease? ❑ El ❑
Are all pumps present?
Are all pumps operable? ❑
El El
Are float controls operable? ❑ ❑
Are audible and visual alarms operable? ❑
#Is basin size/volume adequate? M El El ❑
Page# 4

Permit: NCO076082 Owner-Facility: Bear Wallow Valley MHP WWT'P
.ispection Date: 05/28/2014 Inspection Type: Compliance Evaluation
Egualization Basins Yes No Na Ne
Comment:
The audible alarm was operable. A bulb for the visual alarm will be replaced by the ORC.
Aeration Basins Yes No Na Ne
Ext.Air
Mode of operation
Diffused
Type of aeration system
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/i)
❑ ❑ ❑
Comment: This facility has dual aeration basins.
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? ❑ El E ❑
Are weirs level? ❑ ❑ ❑
Is the site free of weir blockage? ❑ ❑ ❑
Is the site free of evidence of short-circuiting? ❑ ❑ ❑
Is scum removal adequate? ❑ El ❑
Is the site free of excessive floating sludge? ❑ 0 ❑
Is the drive unit operational? ❑ ❑ 0 ❑
Is the return rate acceptable(low turbulence)? ❑ ❑ ❑
Is the overflow clear of excessive solids/pin floc? ❑ ❑ ❑
Is the sludge blanket level acceptable?(Approximately Y4 of the sidewall depth) ❑ ❑ ❑
Comment: The facility has dual clarifiers.
Mr.White stated the sludge blanket is kept low.
Disinfection-Tablet Yes No Na Ne
Are tablet chlorinators operational? ❑ ❑ ❑
Are the tablets the proper size and type? ❑ ❑ ❑
Page# 5

Permit: NCO076082 Owner-Facility: Bear Wallow Valley MHP WWfP
Compliance Evaluation
Inspection Date: 05/28/2014 Inspection Type: Com p
Disinfection-Tablet Yes No Na Ne
Number of tubes in use? 2
Is the level of chlorine residual acceptable? El 0 El 0
Is the contact chamber free of growth, or sludge buildup? M El El 0
Is there chlorine residual prior to de-chlorination? El El El 0
Comment: At the time of the inspection,the ORC was making repairs to the chlorine
contact basin.
De-chlorination Yes No Na Ne
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? ❑
Is storage appropriate for cylinders? ❑ 0 ❑
#Is de-chlorination substance stored away from chlorine containers?
Comment: .
Are the tablets the proper size and type? ❑
El M
Are tablet de-chlorinators operational? M El 0 El
Number of tubes in use? 2 /
`L J
Comment: The ORC stated they use Biomax dechlorination tablets.
Effluent Sampling Yes No Na Ne
Is composite sampling flow proportional? El ❑ 0 ❑
Is sample collected below all treatment units? M El ❑
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 facilitysampling performed as required b the permit(frequency, sam lin e
P 9 P q Y P sampling type
representative)?
Comment: The permit requires grab samples.
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:
Page# 6

Permit: NC00760&2 Owner-Facility: Bear Wallow Valley MHP WWTP
inspection Date: 05/28/2014 Inspection Type: Compliance Evaluation
Standby Power Yes No Na Ne
Is automatically activated standby power available?
Is the generator tested by interrupting primary power source? ❑ ❑
Is the generator tested under load?
Was generator tested&operational during the inspection? El El 11 N
Do the generator(s)have adequate capacity to operate the entire wastewater site? ❑ 11 ❑
Is there an emergency agreement with a fuel vendor for extended run on back-up power? El El FJ E
Is the generator fuel level monitored? ❑ ❑
Comment: Mr.White stated that the generator has been down about two years and was
told that a transfer switch may need replacement to make it operable again.
He also stated he would look into this repair and get back with this office with an answer.
Page# 7

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 17, 2014
Mr. Thomas W. Kilpatrick
Etowah Sewer Company
P.O. Box 1659
Etowah, North Carolina 28729
SUBJECT: Deemed Collection System Inspection
Etowah Sewer Company
Permit No: WQCSDO135
Henderson County
Dear Mr. Kilpatrick:
Enclosed please find a copy of the Collection System Inspection form from the inspection I conducted
on May 22, 2014. The facility appeared to be in compliance with permit WQCSD0135. Your kind assistance
during the collection system inspection was appreciated.
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,
et Cantwell
Environmental Specialist
Asheville Regional Office
Enclosure
cc: Asheville Files
MSC 1617-Central Files-Basement
G:ibURiFVQ`.I Ie!ulu son\Collecti,n Systems,E.to,ah Collection System,WQCS D0 CS inspS-?3-1-'Ldoc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] Fax:[phone]
Internet:hftp://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

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Compliance Inspection Report
.mit: WQCSD0135 Effective: 03/01/00 Expiration: Owner: Etowah Sewer Company
SOC: Effective: Expiration: Facility: Etowah Sewer Company WWTP
County: Henderson Hwy 64
Region: Asheville
Etowah NC 28729
Contact Person: Thomas W Kilpatrick Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 05/22/2014 Entry Time: 11:20 AM Exit Time: 12:40 PM
Primary Inspector: Janet Cantwel Phone: [phone]
Secondary Inspectons):
Ext.4667
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Deemed permitted collection system management and
operation
Facility Status: M Compliant f_1 Not Compliant
Question Areas:
Miscellaneous Questions 0 Inspections
(See attachment summary)
Page: 1

Permit: WQCSD0135 Owner-Facility: Etowah Sewer Company
Inspection Date: 05/22/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
The Collection System for Etowah Sewer Company consists of six pump stations and all are equipped with SCADA.
These pump stations are all easily accessible from the road in the area they serve and are all well-maintained.
There are no remote or high-priority lines in this system.
All pumps and generators were tested during the inspection and were operable.
Manholes were also observed, but not opened. No evidence of any spills or overflows was observed.
A&D Maintenance Company services all the lines, pump stations and generators.
A spare pump is kept at the WWTP if needed.
1. The Meadows: This is the oldest of the pump stations.
Audio and visual alarms worked; pumps worked; needs to replace signage.
2. Sunset Ridge: Uses degreaser;the pumps worked; has generator which pre-tests and it worked;
has signage.
3. Jonathan Creek: Both alarms worked; pumps worked; generator worked; has signage.
4. Homeplace: Serves 7 houses; pumps worked; audible alarm worked; one light out and needs signage.
5. Etowah's Reach: This is a retirement community. Pumps worked.
6. Brandy Mill: Pumps worked; light worked; audible alarm not working.
A map of the system is kept and system logs for the pump stations are available and up to date.
Except for a few minor problems,which the operator stated would be fixed, the system appears to be in good condition
and well-maintained.
Page: 2

Permit: WQCSD0135 Owner-Facility: Etowah Sewer Company
.spection Date: 05/22/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Inspections Yes No NA NE
Are maintenance records for sewer lines available? ❑ n n
Are records available that document pump station inspections? n n I_I
Are SCADA or telemetry equipped pump stations inspected at least once a week? n n n
Are non-SCADA/telemetry equipped pump stations inspected every day? n n n
Are records available that document citizen complaints? n n n
#Do you have a system to conduct an annual observation of entire system? 0 ❑ n n
#Has there been an observation of remote areas in the last year? n n n
Are records available that document inspections of high-priority lines? n n m n
Has there been visual inspections of high-priority lines in last six months? n n m n
Comment: All six pump stations are equipped with SCADA.
There are no remote or high-priority lines in this system. All pump stations are easily
accessible from the road in the area they serve.
Manholes were also observed, but not opened. No evidence of any spills or overflows
was observed.
A map of the system is kept and system logs for the pump stations are available and
up to date.
A& D Maintenance services all the lines, pump stations and generators.
Page: 3

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 17, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED - 7012 1010 0002 1967 8586
Powell Wheeler
North Carolina Wildlife Resources Commission
20830 Great Smoky Mountains Expressway
Waynesville,NC 28786
Re: Water Supply Well Analytical Results-Sample ID AC07622
20830 Great Smoky Mountains Expressway
Haywood County,NC
Dear Mr. Wheeler,
Please find attached the analytical results for a water sample collected from the well at the
referenced address on April 22, 2014. The water sample was collected in response to a
recommendation from the Occupation and Environmental Epidemiology Branch(OEEB) of the
North Carolina Department of Health and Human Services to resample your water following the
detection of dieldrin at a concentration of 0.02 micrograms per liter(µg/l) in a sampled collected
from the referenced well on January 8, 2014. The results of the January 8, 2014 sampling were
provided to you in a letter dated March 18, 2014. The recommendation to resample was provided on
a Health Risk Evaluation (HRE) completed by the OEEB,which was provided to you with the
January 8, 2014 letter. A copy of that HRE is attached.
During the April 22, 2014 sampling, a water sample was collected for analysis of
chlorinated pesticides. Dieldrin was again detected at a concentration of 0.02 µg/1.No other
pesticides were detected in the April 22, 2014 sample.
The HRE provided with the March 18, 2014 letter recommended the water not be used for
drinking or cooking unless you install a water treatment system and limiting bathing and showering
times to under ten minutes. You should continue to follow these recommendations. If you have any
questions regarding the HRE,please contact Dr. Ken Rudo at [phone].
North Carolina Division of Water Resources—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,N.C. 28778
Phone[phone]
FAX [phone]
Internet: http://portal.ncdenr.org/weblwq/
An Equal Opportunity/Affirmative Action Employer

Powell Wheeler
June 17,2014
Page 2 of 2
If you have any questions regarding the results please contact me at(828) 296-4684.
Sincerely,
Andrew Moore
Water Quality Regional Operations Section
Asheville Regional Office
Attachments: Laboratory Analytical Results
Health Risk Evaluation for January 8,2014 Sampling
cc: Water Quality Asheville Files
Haywood County Environmental Health Department
�4Y,;

ROOD NPtT �i' Sample ID: AC07622
1 PO Number# 14GO117
AROAP TiDate Received: 04/24/2014
I--; Time Time Received: 07:56
A MOORE 4
gion: AROAP 31W Labworks LoginlD MSWIFT
Sample Matrix: GROUNDWATER Final Report Date: 6/6/14
Loc.Type: WATER SUPPLY
Pillar Report Report Print Date: 06/09/2014
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: NORTH CAROLINA WILDLIFE RESOURCES COMMISSION
Location ID: 1CO44BALSAMHATCHERY Collect Dater 04/22/2014 Collect Time: 10:28 Sample Depth
if this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
CAS# Analyte Name PQL Result/ Units Method Analysis Validated by
Qualifier Reference Date
LAB
Sample temperature at receipt by lab 2.1 °C 4/24/14 MSWIFT
PIES
Chlorinated Pesticides in Liquid TITLE ug/L EPA608 5/28/14 JHAYES
15972-60-8 Alachlor 0.28 Not detected ug/L EPA608 5/28/14 JHAYES
309-00-2 Aldrin 0.06 Not detected ug/L EPA 608 5/28/14 JHAYES
319-84-6 BHC-Alpha 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
319-85-7 BHC-Beta 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
319-86-8 BHC_Delta 0.06 Not detected ug/L EPA 608 5/28/14 JHAYES
s 89-9 BHC-Gamma(Lindane) 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
r
9 Chlordane,Technical 0.5 Not detected ug/L EPA 608 5/28/14 JHAYES
5103-71-9 Chlordane,Alpha 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
5103-74-2 Chlordane, Gamma 0.03 Not detected ug/L EPA 608 5128114 JHAYES
3734-48-3 Chlordene 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
510-15-6 Chlorobenzilate 0.48 Not detected ug/L EPA608 5/28/14 JHAYES
1861-32-1 DCPA 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
53-19-0 DDD 2,4 0.06 Not detected ug/L EPA 608 5/28/14 JHAYES
72-54-8 DDD 4,4 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
3424-82-6 DDE 2,4 0.05 Not detected ug/L EPA608 5128/14 JHAYES
72-55-9 DDE 4,4 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
789-02-6 DDT 2,4 0.05 Not detected ug/L EPA 608 5/28/14 JHAYES
50-29-3 DDT 4,4 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
60-57-1 Dieldrin 0.03 0.02J9 ug/L EPA608 5/28/14 JHAYES
959-98-8 Endosulfan) 0.03 Not detected ug/L EPA608 5/28114 JHAYES
33213-65-9 Endosulfan II 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
1031-07-8 Endosulfan sulfate 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
72-20-8 Endrin 0.03 Not detected ug/L EPA 608 5/28114 JHAYES
7421-93-4 Endrin Aldehyde 0.06 Not detected ug/L EPA608 5/28/14 JHAYES
53494-70-5 Endrin Ketone 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
2593-15-9 Ethazole 0.09 Not detected ug/L EPA 608 5/28/14 JHAYES
'^448 Heptachlor 0.06 Not detected ug/L EPA 608 5128/14 JHAYES
-57-3 Heptachlor epoxide 0.03 Not detected ug/L EPA 608 5/28/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to^fP.1/.P3ii,I,.�._de ors[wcp�g[ta{rt,r;.nn�aec-asisigo_ica,_. a_it;e�cwe_<neL[.parei_�,_een;,r�jwel:,aitaJ_x�{;�r;,�.:�en.,=,z:p
Page 1 of 4

XC 1DWQ Ga6oratmy Section 4�?sufts
Location ID: 1C044BALSAMHATCHERY Sample ID: AC07622 Collect Date: 04/22/2014 Collect Tim".
PIES
Result/ Method Analysis
CAS# Analyte Name PQL Qualifier Units Reference Date
118-74-1 Hexachlorobenzene(Pest) 0.02 Not detected ug/L EPA608 5/28/14 JHAYE�,
2385-85-5 Mirex 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
39765-80-5 Trans Nonachlor 0.05 Not detected ug/L EPA 608 5128/14 JHAYES
27304-13-8 Oxychlordane 0.05 Not detected ug/L EPA608 6/28114 JHAYES
52645-53-1 Mixed Permethrin 1.20 Not detected ug/L EPA608 5/28/14 JHAYES
1918-16-7 Propachlor 0.54 Not detected ug/L EPA 608 5/28/14 JHAYES
117-18-0 Tecnazene 0.03 Not detected ug/L EPA608 5/28/14 JHAYES
1582-09-8 Trifluralin 0.05 Not detected ug/L EPA608 5/28/14 JHAYES
12674-11-12 Aroclor 1016 1 Not detected ug/L EPA608 5/28/14 JHAYES
11104-28-2 Aroclor1221 1 Not detected ug/L EPA608 5/28/14 JHAYES
11141-16-5 Aroclor 1232 1 Not detected ug/L EPA 608 5/28/14 JHAYES
53469-21-9 Aroclor1242 1 Not detected ug/L EPA608 5128/14 JHAYES
12672-29-6 Aroclor 1248 1 Not detected ug/L EPA 608 5/28/14 JHAYES
11097-69-1 Aroclor 1254 1 Not detected ug/L EPA608 5/28/14 JHAYES
11096-82-5 Aroclor 1260 1 Not detected ug/L EPA608 5/28/14 JHAYES
37324-23-5 Aroclor 1262 1 Not detected ug/L EPA608 5/28/14 JHAYES
8001-35-2 Toxaphene 3 Not detected ug/L EPA608 5128/14 JHAYES
886-50-0 Phosphorus based Pesticides in Liquid _TITLE_ ug/L EPA614 5/1114 JHAYES
786-19-6 Carbophenothion 0-80 Not detected ug/L EPA614 5/1/14 JHAYES
2921-88-2 Chlorpyrifos 0.40 Not detected ug/L EPA614 5/1/14 JHAYES
78-48-8 DEF(Oxidized merphos) 0.40 Not detected ug/L EPA614 5/1/14 JHAYES �-
126-75-0 Demeton 0.80 Not detected J2 ug/L EPA614 5/1/14 JHAYES
62-73-7 Dichlorvos 0.6 Not detected ug/L EPA614 5/1/14 JHAYES
333-41-5 Diazinon 0.40 Not detected ug/L EPA614 5/1/14 JHAYES
60-51-5 Dimethoate 1.6 Not detected ug/L EPA614 5/1114 JHAYES
298-04-4 Disulfoton 0.9 Not detected ug/L EPA614 5/1/14 JHAYES
2497-06-5 Disulfoton Sulfone 0.40 Not detected ug/L EPA614 511/14 JHAYES
2497-07-6 Disulfoton Sulfoxide 10. Not detected ug/L EPA614 5/1/14 JHAYES
2104-64-5 EPN 0.40 Not detected ug/L EPA614 5/1/14 JHAYES
563-12-2 Ethion 0.40 Not detected ug/L EPA614 5/1/14 JHAYES
13194-48-4 Ethoprop 0.40 Not detected ug/L EPA614 5/1/14 JHAYES
55-38-9 Fenthlon 0.40 Not detected ug/L EPA614 5/1/14 JHAYES
115-90-2 Fensulfothion 6 Not detected ug/L EPA614 511/14 JHAYES
121-75-5 Malathion 0.5 Not detected ug/L EPA614 5/1114 JHAYES
6923-22-4 Monocrotophos 1.0 Not detected ug/L EPA614 5/1/14 JHAYES
300-76-5 Naled 3.0 Not detected ug/L EPA614 5/1/14 JHAYES
56-38-2 Ethyl Parathion 0.40 Not detected ug/L EPA614 5/1114 JHAYES
298-00-0 Methyl Parathion 0.40 Not detected ug/L EPA 614 5/1/14 JHAYES
7786-34-7 Mevinphos 0.9 Not detected ug/L EPA614 5/1/14 JHAYES
298-02-2 Phorate 0.40 Not detected ug/L EPA614 5/1/14 JHAYES
299-84-3 Ronnel 0.40 Not detected ug/L EPA614 5/1/14 JHAYES
3689-24-5 Sulfotepp 0.40 Not detected ug/L EPA614 5/1/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,INIC 27699-1623 [phone]
For adetailed description of the qualifier codes refer to*tp:jypora�.nccenr.:rh[sve!;e�laoLta„no!cec.-a_.z�:c�a_�ya !;.•a/pjpcati,nlfo�
Page 2 of 4

NC OWQ L.a6oratory Section Results
.ALSAMHATCHERY Sample ID: AC07622 Collect Date: 04/22/2014 Collect Time:: 10:28
Analvte Name PQL Result/ Units Method Analysis Validated by
Qualifier Reference Date
Terbufos 0.6 Not detected ug/L EPA 614 5/1/14 JHAYES
47-6 Nitrogen based Pesticides in Liquid _TITLE_ ug/L EPA619 4/30/14 JHAYES
834-12-8 Ametryn 9 Not detected ug/L EPA 619 4/30/14 JHAYES
1610-17-9 Atraton 9 Not detected ug/L EPA 619 4/30/14 JHAYES
1912-24-9 Atrazine 9 Not detected ug/L EPA619 4/30/14 JHAYES
314-40-9 Bromacil 27 Not detected ug/L EPA619 4/30/14 JHAYES
23184-66-9 Butachlor 24 Not detected ug/L EPA619 4/30/14 JHAYES
2008-41-5 Butylate 9 Not detected ug/L EPA 619 4/30/14 JHAYES
101-21-3 chlorpropham 33 Not detected ug/L EPA619 4/30/14 JHAYES
21725-46-2 Cyanazine 9 Not detected ug/L EPA619 4/30/14 JHAYES
1134-23-2 Cycloate 9 Not detected ug/L EPA619 4/30/14 JHAYES
957-51-7 Diphenamid 9 Not detected ug/L EPA619 4/30/14 JHAYES
759-94-4 EPTC(Eptam) 9 Not detected ug/L EPA 619 4/30/14 JHAYES
60168-88-9 Fenarimol 12 Not detected ug/L EPA619 4/30/14 JHAYES
59756-60-4 Fluridone 80 Not detected ug/L EPA619 4/30/14 JHAYES
51235-04-2 Hexazinone 6 Not detected ug/L EPA 619 4/30/14 JHAYES
000950-35-6 Methyl Paraoxon 9 Not detected ug/L EPA 619 4/30/14 JHAYES
51218-45-2 Metolachlor 18 Not detected ug/L EPA619 4/30/14 JHAYES
21087-64-9 Metribuzin 18 Not detected ug/L EPA619 4/30/14 JHAYES
2212-67-1 Molinate 9 Not detected ug/L EPA619 4/30/14 JHAYES
152 9-99-7 Napropamide 15 Not detected ug/L EPA619 4130/14 JHAYES
4-13-2 Norflurazon 12 Not detected ug/L EPA619 4/30/14 JHAYES
1114-71-2 Pebulate 9 Not detected ug/L EPA619 4/30/14 JHAYES
1610-18-0 Prometon 9 Not detected ug/L EPA 619 4/30/14 JHAYES
7287-19-6 Prometryn 9 Not detected ug/L EPA619 4/30/14 JHAYES
23950-58-5 Pronamide 33 Not detected ug/L EPA619 4/30/14 JHAYES
139-40-2 Propazine 9 Not detected ug/L EPA619 4/30/14 JHAYES
1014-70-6 Simetryn 9 Not detected ug/L EPA619 4/30/14 JHAYES
5902-51-2 Terbacil 15 Not detected ug/L EPA619 4/30/14 JHAYES
34014-18-1 Tebuthiuron 30 Not detected ug/L EPA 619 4/30/14 JHAYES
886-50-0 Terbutryn 9 Not detected ug/L EPA619 4/30/14 JHAYES
43121-43-3 Triadimefon 9 Not detected ug/L EPA 619 4/30/14 JHAYES
41814-78-2 Tricyclazole 48 Not detected ug/L EPA 619 4/30/14 JHAYES
961-11-5 Tetrachlovinphos 6 Not detected ug/L EPA619 4/30/14 JHAYES
1929-77-7 Vernolate 9 Not detected ug/L EPA619 4/30114 JHAYES
2675-77-6 Chloroneb 0.21 Not detected ug/L EPA 608 5/28/14 JHAYES
1897-45-6 Chlorothalonil 0.2 Not detected ug/L EPA608 5/28/14 JHAYES
72-43-5 Methoxychlor 0.15 Not detected ug/L EPA608 5/28/14 JHAYES
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to htpy/yor�l_n_aenr or,.3ygb':,g(lablvtafinn;'_e^sssis[rypnaq;�i_fier_.J,eg_<h ,[[.pgga�,nc�enr,� iv�'o�:tigj lagj 2aHnfi_ech•�ssist,:
Page 3 of 4

NC 1D WQ Ga6oratory Section Results
Location ID: 1C044BALSAMHATCHERY Sample ID: AC07622 Collect Date: 04/22/2014 Collect Timt.
PES
Result/ Method Analysis
�4
GAS# Analyte Name PQL Qualifier Units Reference Date —`
Sample Comments \�
PES:OPP-J2-estimated-1 analyte failed<LCL in the CV2
PES:OCP-J9-estimated-Dieldrin detected below PQL limit.
l
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to r5��s:�d n.a��weei;,,,aymJ_s-;.�__e n�ssssc,>
Page 4 of 4

4 03:35 9198704807 QEEH MERA PAGE 01/02
Nortb Carolina Division of Public Health
000up t+pnai and PAVirownental Epidemiology Branch,Epidemiology Seolion
L' INOAGANIC CHEMICAL ANALYSIS REPORT
Friv46 well water Information and recommendations
Cvunr;_ Y. °° Name: Sample 1d;plumber; r�39
Locativti' 1'�`'� tf}erk�i 'a(�a ouYf s Q'aP#r+ fj
Revieweraviewiewer
ANALMS REPORT
Your VM11 rater wM tested.for 15:xttetals,plus nitrates,nitrites,and p1l. The results were evaluated rasing the
federal drinking water standards. T'b,e pH is a measure of the acidity of the watex. Drinldng grater may
contain substances that can occur naturally in water or can be intToduced into the water from amnmade
srsurce�, --
TEST IkESULTS AND USE]RECOMMENDATIONS
_Your well water meets federal drixilciztg water standards, Yom water can.be used for drinking, cooking,
washing, cleaning,bathing,and,showering.
The followinng substances)dxceeded federal drinlung water standards. Your water can be used for
dritildng,cooking,washing,cleaning,bathing,and showering„ but aestl>etic problems such as bad taste,odor,
staining of porcelain,cte.way occut. Yon MY wmt to install a houwhold water treatment system to address
_ aesthetic problems.
t3erium t<sdtztiuus �hmmiuna Mori& Iran 3vta ium
Maus ausosc Seletnium Silvw Sodium Zinc �T
The following substance(s)Exceeded federal dnaing wator staudatds.We iecommend that your well
watch not be used for drinlsang and ccoYjug,unless you install a water twatrmont system to r csve tha cirge
substance(s). f TT� ) �
• S 41v�V' y � �� 1� /17t12tr'7�3
A raeriic 3arium Cadmium (1mmium Co er Fluoride Lead an
an ne M'rc bursts! itrite Selenium Silver Sodium
�Re-simpling is reromtuended xn "` months,
Post-Ir Pax Note 7671 Dais +! pa9gg�`
TO �g{,y aar2 f rnm � jl:�� ,,4 ,5 minute,stint IS winuft sample inside the house
ae and a 15 minute sample at the well head,to
Phona# �j {} Mono#
Fax dF �
id.outine well water sampling fist'the above substances is recommended every two it)three years. Sample your well water when there is a known problem,or conumination in your area,der repairs or replacement of
your well,or after a flooding event. Contact your local health department for sampling instructions.
For further informations please contact your county health department or the Oceupathunal and Environmental -
i Epidemiology Branch at 9I9-707-5900, --
Revind January,W11

l

e®®
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 17,2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED - 7012 1010 0002 1967 8579
Durack Family Investments,LLC
Attn: David Tulloch Durack, Registered Agent
1700 Woodstock Road
Durham,NC 27705
SUBJECT: NOTICE OF VIOLATION and
RECOMMENDATION FOR ENFORCEMENT
Durack Family Investments, LLC
NOV-2014-PC-0133
Stream Standard Violation- Other Waste (In-stream sediment)
Caldwell County
f-_ Response deadline: July 15,2014
Dear Mr. Durack:
On June 12, 2014, Tim Fox from the Asheville Regional Office of the Division of Water
Resources (DWR) conducted a site inspection near the end of Eagle Mist Drive in Timber Rock
Development, PIN (2835568719), in Caldwell County. Darlene Kucken with the Division of
Energy, Mineral, and Land Resources was present during the inspection.
Stream standard violations were noted during the inspection and file review. Sediment impacts
to Orchard Branch a Class C; Trout Water were documented.
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 (3)f—An undetermined length of Orchard Branch,a Class C; Trout water was
impacted by sediment deposition measured to be at least five inches in depth throughout
the inspected stream reach, representing Water Quality Stream Standard violation of 15A
NCAC 02B .0211 (3) (f).
i
Water Quality Regional Operations—Asheville Regional Office
2090 US Hwy 70,Swannanoa,NC 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq/ws
An Equal Opportunity 1 Affirmative Action Employer

Durack Family Investments,LLC
June 17,2014
Page 2 of 3
A
REQUIRED RESPONSE �\v
The DWR requests that you respond by July 15, 2014. Your response should be sent to the \
\\
attention of Tim Fox, Division of Water Resources, 2090 US HWY 70, Swannanoa,NC 28778 \.
and should address the following items:
1. Stream Standard - Other Waste (In-Stream Sediment)
a. Please provide a map of the project area. The map must include all streams and
wetlands, detailing impacts both on- and off-site.
b. 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. You must secure an environmental consultant experienced in
stream restoration to assist you with developing your Plan, and obtaining any
necessary approvals. It is recommended that your consultant contact Tim Fox of
the Asheville Regional Office for additional guidance during Plan development.
The Plan should include:
® A narrative explaining how sediment will be removed including techniques,
manpower and tools to be used.
® 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.
® A narrative explaining how and where the removed sediment will be disposed
and stabilized.
® Please explain how turbidity standards will not be exceeded.
c. Once the work is complete, a final report documenting the results of the sediment
removal activities should be submitted to Tim Fox.
It is imperative that the site is stabilized immediately to prevent any further sedimentation to the
streams below. Adequate soil and erosion control measures need to be installed to prevent
further damage. All drainages leading to surface waters need to be evaluated and appropriate
measures installed to prevent sediment migration to surface waters.
�J

vestments,LLC
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. 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 Tim
Fox at [phone] or tim.fox,•c ncdenngov.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
cc: Karen Higgins - 401 & Buffer Permitting Unit
ARO File Copy
Laura Herbert -DEMLR
Tasha Alexander - USACE
Caldwell County Planning
G:\WR\WQ\Caldwell\Complaints\Durack Family Investments\NOV-2014-PC-0133.Durack.06.17.2014.doc

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 18, 2014
Certified Mail 7012-1010-0002-1967-8616
Return Receipt Requested
Larry Cooper
2828 Riverfront Drive
Mooresboro, NC 28114
Re.: Analytical Results for Private Supply Well at
2828 Riverfront Drive, Mooresboro, NC 28114
Dear Mr. Cooper,
This letter is to provide you with analytical results for samples from the private water supply well at
2828 Riverfront Drive in Cleveland County collected by Asheville Regional Office's Division of Water
Resources (Division) on May 7, 2014. Samples were collected at the hose bib next to the well and were
analyzed for total metals, chloride, fluoride, and sulfate. All constituents were below the Environmental
Protection Agency (EPA) maximum contaminant level (MCL) or action level and the North Carolina
Administrative Code (NCAC) title 15A 2L .0202 (2L) groundwater standards with the exception of total iron
at 820 micrograms per liter(ug/L). The State standard for total iron is 300 ug/L. Total iron above 300.ug/L
is often associated with aesthetic issues such as taste, odor, and (or) staining.
The analytical results were provided to Dr. Ken Rudo, State Toxicologist, Division of Public Health,
for a Health Risk Evaluation (HRE). Recommendations from the evaluation are attached and state that, for
the sampled constituents,your water meets federal drinking water standards and can be used for drinking,
cooking, washing, cleaning, bathing, and showering; however, aesthetic problems such as bad taste, odor,
and (or) staining of porcelain may occur.
If you have any questions about the results or standards please call me at 828-296-4500 or
Continued
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

email me at [e-mail].
Sincerely, \
n
Ted Campbell, Hydrogeologist
Water Quality Regional Operations Section
Water Resources Division, NCDENR
Enclosed:HIRE and analytical results
Cc: Cleveland County Health Department—Environmental Health
Debra Watts—DWR Raleigh

_VELAND
WAi-�� Sample ID: AC08289
�s Q PO Number# 14G0176
AROAP max . Date Received: 0 6/0 912 0 1 4
,or: A MOORE +
Time Received: 08:10
-gion: ARO Labworks LoginlD MSWIFT
Sample Matrix: GROUNDWATER Final Report Date: 6/13/14
Loc.Type: WATER SUPPLY Final Report Report Print Date: 06/13/2014
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: 2828
Location ID: 1R232828RIVERFRONT Collect Date: 05/07/2014 Collect Time: 12:10 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
CAS# Analyte Name PQL Result/ Units Method Analysis Validated by
Qualifier Reference Date
LAB
Sample temperature at receipt by lab 2.1 °C 5/9/14 MSWIFT
WET
7440-28-0 Ion Chromatography TITLE_ mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Chloride 1.0 2.2 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Sulfate 2.0 6.8 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Bromide 1.0 X1 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
'?9-90-5 Al by ICP 50 50 U ug/L EPA200.7 5123/14 ESTAFFORD1
(440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
7429-90-5 B by ICP 50 50 U ug/L EPA200.7 5/23/14 ESTAFFORD1
7440-38-3 Ba by ICP 10 10 ug/L EPA200.7 5/23/14 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 16 mg/L EPA200.7 5/23/14 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U u9/L EPA200.8 5/15/14 ESTAFFORDI
7440-47-3 Cr by ICPMS 10 IOU ug/L EPA200.8 5/15/14 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 3.5 ug/L EPA200.8 5/15/14 ESTAFFORD1
7439-89-6 Fe by ICP 50 820 ug/L EPA200.7 5/23/14 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA 245.1 5/15/14 ESTAFFORD1
7440-09-7 K by ICP 0.10 3.1 mg/L EPA200.7 5/23/14 ESTAFFORDI
7439-95-4 Mg by ICP 0.10 2.0 mg/L EPA200.7 5/23114 ESTAFFORD1
7439-96-5 Mn by ICP 10 33 ug/L EPA200.7 5/23114 ESTAFFORDI
7440-23-5 Na by ICP 0.10 8.9 mg/L EPA200.7 5/23/14 ESTAFFORDI
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7782-49-2 Se by ICPMS 5.0 5.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-24-6 Sr by ICPMS 10 50 ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-28-0 Thallium(TI)ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 IOU ug/L EPA200.8 5/15/14 ESTAFFORDI
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to.pt„((_,,„r.,a�;ncg_gnprp,(.ygL[,?,;g(;a_y[spafinficLe�nas;tstnaaca cy In",zr,_�'Ades_�hcp;ji,por,ai,;prenr,org/weh(wg(,ahJstafi95o(tachass(st,
Page 1 of 1

z:45 919870,4807 OEEB MERA PAGE 03/09
----------------
NOO Carofin Divisim
OU
Section
F 1 a ��'
d
44A�r � Aw4f
L3oo on; r
�p p}Pr
i Was y
•reap As federal ftbng Waft ° 1
& Vie pH is e mown of&a add*
of to Water. DtNdng water may
can d• m=ma&9D °
YourATIO
Y can be used cool6�i'i;
clt
er
ne Boll e(s)Mweeded faing-drh9tag watm mmubnk. Your wSW caa be used fat°
stainIng of l� !oa c1 ,and �° ld problaw such as bad taste,odox
s Occur° YOU MW want water t syam
LWS ° problems.
to addm
�0 •
.� nc fall s)excectttd .We reconmund tltart your well
water not be used racas you bMWa Water treat mtuat SYStm to rMu ex the circlet
stabs s), Hbwpw,it may 1ze Used °we g.
lad �a011 sianaa
Maa a lfrite 9elemin� 0I[ 9odbana Zinc �
R"ampling is recommended in rot
R"ample for lead and lox copper. Take a fiucst draw,5 mimte,and 15 MiAute sample in"the house
(preferably the laMen)and if possible a first draw,5 mima mW a 15 uta sample at the well head to
deterndno the some of the lead and/or cappa.
OTHER CONSIDERATIONS
Routine'well water sampling for ft above substances is re0ommended every two to 0M years. Sample
your well water when mere is a known problem or conumajoadon in your°area,after repairs or replacement o
Your well,or after a flooding event. Contact your local heals depattnent for sampling insbrwAlons.
For further inch nation please contaet your county beath deparimmt or the Occupational akd Ear+imnmeaW
Epideaaalology ljrsnch at 919-707 S900.
• I

1 ®•
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 18, 2014
Greg Blake
Cliffside Sanitary District
PO Box 427
Cliffside NC 28024
SUBJECT: Collection System Inspection
Cliffside Sanitary District WWTP
Permit No: WQCSD0287
Rutherford County
Dear Mr. Blake:
Enclosed please find a copy of the collection system inspection conducted on May 13, 2014. The facility was
found to be in compliance with permit WQCSD0287. There are two pump stations currently on this system both
of which were observed during this inspection. Flow contributions originate from 70 homes, 2 schools, and 1
industry.No violations of permit conditions or applicable regulations were observed during this inspection.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please 11 me at 828-296-4500.
Sincerely,
Jeff Menzel
Environmental Specialist
Enc.
cc: Buren Bailey/Michael Franklin Gibert, ORC
MSC 1617-Central Files-Basement
Asheville Files
-' Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nGdenr.org/webtwq
An Equal Opportunity 1 Affirmative Action Employer
GMMWWutherforMollection Systems\Cliffside Sanitary District WQCSD02871WQCSD0287 CEI 2014.doc

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United States Environmental Protection Agency Form Approved.
A 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 u 2 ib ' 3 I NC0004405 111 12 14/05/13 17 181( � 191 S I 20H
Ill
21LIIII1111111111111111111111111111111111111 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA --------------Reserved-------------
671 70 LJ 71 Lj 72 NJ
� 73[ 74 751 I I I I I I I80
Section B:Facility Data 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) 12:OOPM 14/05/13 08/10/01
Cliffside Sanitary District WWTP
3400 Hwy 221-A Exit Time/Date Permit Expiration Date
Cliffside NC 28024 01:OOPM 14/05/13 13/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Michael Franklin Gibert/ORC/828-657-9180/
Name,Address of Responsible Official/Title/Phone and Fax Number
/ Michael Franklin Gibert,376 Aqua Dr Forest City NC 28043//828-657-9180/ Contacted
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit E Operations&Maintenance 0 Facility Site Review
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
Jeff Menzel(JAI ARO WQ//828-296-4500/ —46Cl
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

A
NPDES yr/mo/day Inspection Type (Cont.)
31 NC0004405 �11 12 14/05/13 17 18
ICI
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
There are only 70 homes, 2 schools and 1 industry(Abercrombie 10,000 god,°process water)
contributing to the system, there are no funds available for improvements. The WWTP is showing
signs of deterioration due to age and lack of funds for maintenance.A county wide engineering study
has been conducted regarding water and sewer infrastructure.The results of that study may steer the
direction of this WWTP's future as a viable facility. No violations of permit requirement or applicable
regulations were observed during this inspection.
Page# 2

Permit: NC0004405 Owner-Facility: Cliffside Sanitary District WWTP
,ispection Date: 05/13/2014 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No Na Ne
Is the plant generally clean with acceptable housekeeping? 0 El El El
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 0 El El R
application?
Is the facility as described in the permit? El El
#Are there any special conditions for the permit?
Is access to the plant site restricted to the general public? 0 El El 0
Is the inspector granted access to all areas for inspection? 0 El El El
Comment:
Page# 3

Compliance Inspection Report
.nit: WQCSD0287 Effective: 11/08/07 Expiration: Owner: Cliffside Sanitary District
SOC: Effective: Expiration: Facility: Cliffside Sanitary District WWTP
County: Rutherford 3400 Hwy 221-A
Region: Asheville
Cliffside NC 28024
Contact Person: Greg Blake Title: Phone: [phone]
Directions to Facility:.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
On-site representative Mike Gibert Phone: [phone]
Related Permits:
Inspection Date: 0 5/1 312 0 1 4 Entry Time: 09:30 AM Exit Time: 12:00 PM
Primary Inspector: Jeff Menzel Phone: [phone]
Secondary Inspectors): s
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Deemed permitted collection system management and
operation
Facility Status: E Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions Operation&Maint Reqmts Records Inspections
Pump Station Manhole Lines
(See attachment summary)
Page: 1

Permit: WQCSD0287 Owner-Facility: Cliffside Sanitary District
Inspection Date: 05/13/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary: \
There are two pump stations currently on this system both of which were observed during this inspection. Flow
contributions originate from 70 homes, 2 schools, and 1 industry(Abercrombie 10,000 gpd process water).The owners of
this system have had difficulty with manhole lids and rings being stolen, presumably to be sold for scrap metal. No
violations of permit conditions or applicable regulations were observed during this inspection.
Page: 2

Permit: WQCSD0287 Owner-Facility: Cliffside Sanitary District
;pection Date: 05/13/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
inspections Yes No NA NE
Are maintenance records for sewer lines available? n n n
Are records available that document pump station inspections? n n n
Are SCADA or telemetry equipped pump stations inspected at least once a week? n n n
Are non-SCADA/telemetry equipped pump stations inspected every day? n n n
Are records available that document citizen complaints? m n n n
#Do you have a system to conduct an annual observation of entire system? E n n n
#Has there been an observation of remote areas in the last year? E n 0 n
Are records available that document inspections of high-priority lines? mn n n
Has there been visual inspections of high-priority lines in last six months? E n 0 n
Comment:
Operation& Maintenance Requirements Yes No NA NE
Are all log books available? E n n n
Does supervisor review all log books on a regular basis? 0 n n n
Does the supervisor have plans to address documented short-term problem areas? M n n n
What is the schedule for reviewing inspection, maintenance, &operations logs and problem areas?
Are maintenance records for equipment available? E n n n
Is a schedule maintained for testing emergency/standby equipment? E n n n
What is the schedule for testing emergency/standby equipment?
Do pump station logs include:
Inside and outside cleaning and debris removal? E n n n
Inspecting and exercising all valves? 0 n n Cl
Inspecting and lubricating pumps and other equipment? m n n n
Inspecting alarms,telemetry and auxiliary equipment? m n n n
Is there at least one spare pump for each pump station w/o pump reliability? ■ n n n
Are maintenance records for right-of-ways available? 0 n n n
Are right-of-ways currently accessible in the event of an emergency? m n n n
Are system cleaning records available? 0 n n n
Has at least 10%of system been cleaned annually? E n n n
Page: 3

Permit: WQCSD0287 Owner-Facility: Cliffside Sanitary District
Inspection Date: 05/13/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine \
What areas are scheduled for cleaning in the next 12 months?
Regular cleaning is done by HST Environmental Inc.Approximately 3825 feet of sewer had been cleaned in
the last year.
Is a Spill Response Action Plan available? n n n
Does the plan include:
24-hour contact numbers n n n
Response time n In n
Equipment list and spare parts inventory n n n
Access to cleaning equipment n n
Access to construction crews,contractors,and/or engineers n n n
Source of emergency funds n n n
Site sanitation and cleanup materials n n n
Post-overflow/spill assessment n ❑ n
Is a Spill Response Action Plan available for all personnel? n n n
Is the spare parts inventory adequate? n n n
Comment:
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? n n n
Are records of SSOs that are under the reportable threshold available? n n n
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? n n Cl
If yes, is there a corrective action plan? o n n
Is a map of the system available? n n n
Does the map include:
Pipe sizes n n In
Pipe materials n n n
Pipe location n n n
Flow direction o o n
Approximate pipe age n N n n
Number of service taps n M n n
Pump stations and capacity mn n n
If no,what percent is complete? 80%
Page: 4

Permit: WQCSD0287 Owner-Facility: Cliffside Sanitary District
4pection Date: 05/13/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
List any modifications and extensions that need to be added to the map
#Does the permittee have a copy of their permit? ❑ ❑ 1=l
Comment:
Page: 5

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 18, 2014
Certified Mail 7012-1010-0002-1967-8647
Return Receipt Requested
Guy Hutchins
2954 Riverfront Drive
Mooresboro, NC 28114
Re.: Analytical Results for Private Supply Well at
2954 Riverfront Drive, Mooresboro, NC 28114
Dear Mr. Hutchins,
This letter is to provide you with analytical results for samples from the private water supply well at
2954 Riverfront Drive in Cleveland County collected by Asheville Regional Office's Division of Water
Resources (Division) on May 7, 2014. Samples were collected at the hose bib and were analyzed for total
metals, chloride, fluoride, and sulfate. All constituents were below the Environmental Protection Agency
(EPA) maximum contaminant level (MCL) or action level and the North Carolina Administrative Code (NCAC)
title 15A 2L.0202 (2L)groundwater standards.
The analytical results were provided to Dr. Ken Rudo, State Toxicologist, Division of Public Health,
for a Health Risk Evaluation (HRE). Recommendations from the evaluation are attached and state that, for
the sampled constituents,your water meets federal drinking water standards and can be used for drinking,
cooking,washing, cleaning, bathing, and showering.
Lead, often associated with leaching from well plumbing materials,was detected at 2.0 ug/L. While
the lead standard is 15 ug/L, the EPA recommends that it be as low as possible in drinking water. Lead
concentrations often may be reduced by flushing the tap prior to each use (additional flushing information
may be obtained from Dr. Rudo,919-707-5911).
If you have any questions about the results or standards please call me at 828-296-4500
Continued
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hftp://portal.ncdenr.org/web/wq
An Equal Opportunity l Affirmative Action Employer

or email me at [e-mail]. �
Sincerely,
Ted Campbell, Hydrogeologist
Water Quality Regional Operations Section
Water Resources Division, NCDENR
Enclosed:FIRE and analytical results
Cc: Cleveland County Health Department—Environmental Health
Debra Watts—DWR Raleigh
i-

✓ELAND
VtA p Sample ID: AC08291
C 43 PO Number# 14GO178
AROAP : Date Received: 0 6/0 912 01 4
.,r: A MOORE Time Received: 08:10
,gion: ARO Labworks LoginlD MSWIFT
Sample Matrix: GROUNDWATER Final Report Date: 6/9114
Loc.Type: WATER SUPPLY Final report Report Print Date: 06/13/2014
Emergency Yes/No '§4 VisitlD
CDC Yes/No
x
Loc.Descr.:
� r
Location ID: 1R2 RIVERFRONT Collect Date: 06/07/2014 Collect Time: 13:15 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.1 °C 5/9/14 MSWIFT
WET
7440-28-0 Ion Chromatography _TITLE_ mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Chloride 1.0 2.4 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Sulfate 2.0 2.0 U mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Bromide 1.0 X7 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
9-90-5 Al by ICP 50 50 U ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA 200.8 5/15/14 ESTAFFORD1
7429-90-5 B by ICP 50 60 U ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-38-3 Ba by ICP 10 21 ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-70-2 Ca by ICP 0.10 9.3 mg/L EPA200.7 5/23/14 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7440-47-3 Cr by ICPMS 10 IOU ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0 55 ug/L EPA200.8 5115/14 ESTAFFORDI
7439-89-6 Fe by ICP 50 78 ug/L EPA200.7 5/23114 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA 245.1 5/15/14 ESTAFFORDI
7440-09-7 K by ICP 0.10 1.9 mg/L EPA 200.7 5/23/14 ESTAFFORD1
7439-95-4 Mg by ICP 0.10 1.3 mg/L EPA200.7 5/23/14 ESTAFFORDI
7439-96-5 Mn by ICP 10 IOU ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-23-5 Na by ICP 0.10 1.6 mg/L EPA200.7 5/23/14 ESTAFFORDI
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 ug/L EPA200.8 5/15/14 ESTAFFORDI
7782-49-2 Se by ICPMS 5.0 5.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7440-24-6 Sr by ICPMS 10 33 ug/L EPA200.8 5/15/14 ESTAFFORD1
7440-28-0 Thallium(TI)ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 83 ug/L EPA200.8 5/15/14 ESTAFFORDI
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to nco:[,!.noral;nwanr;c�;(�ne�[w_y;.:ab(;;attn,.o[trcnz_sstppaa,..gualtner codPSrtA..rlgnEx;/,y en,w4.,'gi z;ar.,.no;<ecnasstst>
Page 1 of 1

_.45 9198704807 OEEB MERA PAGE 02/09
. .
ton
fMORGAIUC. T
xI
"
Mm
Location: r 1�
t;{
Your well water was tesled fbr 15
ti wwr ev
is a measm oftbe MdIV o£ . D °
0 OOM n&MMUY&Mter or M be inft&md°
so
T U ONS
-IL
Your Well s. Your VVMr M be used fbr MakirI&cookiq
cle b
_The followlngsu s)e c , Yourwaftowbousedfix
&mkmg,co ° 9, ` ,of ,and ShOWMI09,bIt MA=Pfoblaw such as bad taste,ocla
sWning of pomlaK ate may oem. Your maY W=to bstg a kumhold
aesawdo problems.
awl ua► um TC 6
2i
The fioll s)exceeded federal . We recommend that your well
water not be used for dduldng and coo uolaas YOU iNW®wflW ft0huNA system to remove the oirclex
su (s). Nowam,it be used fim vmsWn&clewing, sh
Ara�ioIi7wWI.eeo� Tana Ad e�$um
age M !rl[o tuu 83ivver �o ,c
® l ling isv=m=ded in ss
_Re-e®mple for lead RAd/are OWer. TWOA w, 5 mfin1fiN and 15 mute sample:inside the house
(prefe+nably the kitchen)and if possible it ft draw,5 minuft and a 15 m►hmte sample at the well head to
detmittine this source o£the lead and/or wpM,
OTHER CONSEDERATIONS
outitm well Water sampling for the above substances is recommended every two to dm years. Sample
your well water when there is a laovm ptnblew or conammadon in your area,after repairs or replacement o
your well,or after p flooding event. Contact yuut-local health depwtment fbr sampling instructions.
For further tnforrn Ittlon please contact Your county bealth department or the Occupational gird Eavirunme"tal
Xpidemfolagy Branch at 91 707- OU.

e®�
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 18, 2014
Certified Mail 7012-1010-0002-1967-8593
Return Receipt Requested
Allen Phillips
2800 Riverfront Drive
Mooresboro, NC 28114
Re.: Analytical Results for Private Supply Well at
2800 Riverfront Drive, Mooresboro, NC 28114
Dear Mr. Phillips,
This letter is to provide you with analytical results for samples from the private water supply well at
2800 Riverfront Drive in Cleveland County collected by Asheville Regional Office's Division of Water
Resources (Division) on May 7, 2014. These samples were collected with authorization obtained by your
family member Miles Bostic. Samples were collected at the hose bib and were analyzed for total metals,
chloride, fluoride, and sulfate. All constituents were below the Environmental Protection Agency (EPA)
maximum contaminant level (MCL) or action level and the North Carolina Administrative Code (NCAC) title
15A 2L.0202 (2L)groundwater standards.
The analytical results were provided to Dr. Ken Rudo, State Toxicologist, Division of Public Health,
for a Health Risk Evaluation (HRE). Recommendations from the evaluation are attached and state that, for
the sampled constituents,your water meets federal drinking water standards and can be used for drinking,
cooking, washing, cleaning, bathing, and showering.
Lead, often associated with leaching from well plumbing materials, was detected at 3.3 ug/L. While
the lead standard is 15 ug/L, the EPA recommends that concentrations be as low as possible in drinking
water. Lead concentrations often may be reduced by flushing the tap prior to use (additional
Continued
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

flushing information may be obtained from Dr. Rudo at 919-707-5911).
If you have any questions about the results or standards please call me at 828-296-4500 or email
me at [e-mail].
Sincerely,
Ted Campbell, Hydr geologist
Water Quality Regional Operations Section
Water Resources Division, NCDENR
Enclosed:HRE and analytical results
Cc: Cleveland County Health Department—Environmental Health
Debra Watts—DWR Raleigh
F

,ELAND
WA Sample ID: AC08290
PO Number# 14GO177
AROAP Date Received: 06/09/2014
t
TCAMPBELL Time Received: 08:10
ter. � - �-
jlon: ARO Labworks LoginlD MSWIFT
Sample Matrix: GROUNDWATER Final Report Date: 6/13/14
Loc.Type: WATER SUPPLY Fula' Report Report Print Date: 06/13/2014
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: 8290
Location ID: 1R23280ORIVERFRONT Collect Date: 06/07/2014 Collect Time: 13:26 Sample Depth
If this report is labeled preliminary report, the results have not been validated. ®o not use for Regulatory purposes.
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.1 �C 5/9/14 MSWIFT
WET
7440-28-0 Ion Chromatography _TITLE_ mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Chloride 1.0 3.9 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Sulfate 2.0 2.0 U mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Bromide 1.0 X1 mg/L EPA 300,0 rev2.1 5/13/14 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA 200.8 5/15/14 ESTAFFORDI
9-90-5 Al by ICP 50 50 U ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA 200.8 5/15/14 ESTAFFORDI
7429-90-5 B by ICP 50 50 U ug/L EPA200.7 5/23114 ESTAFFORDI
7440-38-3 Ba by ICP 10 17 ug/L EPA200.7 5/23/14 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 3.1 mg/L EPA200.7 5/23/14 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA 200.8 5/15/14 ESTAFFORD1
7440-47-3 Cr by ICPMS 10 IOU ug/L EPA 200.8 5115/14 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0 37 ug/L EPA 200.8 5/15/14 ESTAFFORDI
7439-89-6 Fe by ICP 50 50 U ug/L EPA200.7 5/23/14 ESTAFFORD1
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA 245.1 5/15/14 ESTAFFORDI
7440-09-7 K by ICP 0.10 1.3 mg/L EPA200.7 5/23/14 ESTAFFORDI
7439-95-4 Mg by ICP 0.10 1.4 mg/L EPA200.7 5/23/14 ESTAFFORD1
7439-96-5 Mn by ICP 10 10 U•. ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-23-5 Na by ICP 0.10 2.4 mg/L EPA200.7 5/23/14 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA 200.8 5115/14 ESTAFFORDI
7439-92-1 Pb by ICPMS 2.0 3.3 ug/L EPA 200.8 5/15114 ESTAFFORD1
7782-49-2 Se by ICPMS 5.0 5.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-24-6 Sr by ICPMS 10 20 ug/L EPA 200.8 5/15/14 ESTAFFORD1
7440-28-0 Thallium(TI)ICPMS 2.0 2.0 U ug/L EPA 200.8 5/15/14 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 11 ug/L EPA 200.8 5/15114 ESTAFFORDI
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to nt;,,,�!_�,rcai;_n<�xn,.,.ors;[x.•.ey[.wrii a?�acarynfq./eecnxyc?s;nna;a c}„aiiner copes<nra;/:.yorca7.;ncn=.nr,;oreistrn,�yq(�an�sta5�,c(ceynas�isca.
Page 1 of 1

\\
1
/ \
�_ l
_ __ __ _ __

_:45 9198704807 OEEB MERA PAGE 01/09
Nw&Camans,D ° •c
°
n
-rill- lgwAbe
COMV
+r
Yom wag Waft
"'r,e e Uw
maw
PH
°�r.� is a u
oontain�RI�
7your
TM RUMTS AM UM RWOMMMDA'a0ra
W011
yaw wMw can be used Aw drinjdag,ceoW n
wmhm& cle
°
The follolving mbstance(s) " arils. You '
.be used° ol ° • b such as bad odp
nbg of ° etc. OWN- YOU W °bW a household
mmftr treougew SYMM to
addm
plearlda M
� silver
The f011 (s)axed .We mcommew the YOM vveli
waftr not be used for drhg&g and cooking,Mhu you justan a water,Ueaftnem system to remove the cimlec
sub (s). However,it tray be used fic wmbln&d9wiU9,Wft and dw
Arsenic Bark= Ew
snese I MNLwain—M
aa,a ► '
Post-It"Fax Note 771 f{ � ' page
"to From Yr_
Co./Dept• MV Co. 1
Phone# Phone# 1 i Ir,5 MkMtC6 and 15 mIiOufm sample inside the house
Fax 0 ute and it 15 uute sample at the well lead to
OTHER CONSWERATIONS
Rout'ne well water 54'npling fbr the above substances is recommended every two to tbree years, Sample
your well water when there is a known probim or Cagugjwfion in your Xe,4 aft repm or repiacexment o
} your well,or dDr°a flooding evew, Contact your local hedth department for ompling fimbudions,
Ifor further ins brmatian pieaee contact your coos ty health departmelat Or the Occupational and Environmental
Epidemioloff Branch at 9x9-707-5900.
t

,�
' �
.,
i- �
� _,
'��.�J
__

AIM
ALIE
,ANWimr,
�..�& 1
IL
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 18, 2014
Certified Mail 7012-1010-0002-1967-8623
Return Receipt Requested
Miles Bostic
PO Box 381
Boiling Springs, NC 28017
Re.: Analytical Results for Private Supply Well at
2817 Riverfront Drive, Mooresboro, NC 28114
Dear Mr. Bostic,
This letter is to provide you with analytical results for samples from the private water supply well at
r
2817 Riverfront Drive in Cleveland County collected by Asheville Regional Office's Division of Water
Resources (Division) on May 7, 2014. Samples were collected at the hose bib and analyzed for total metals,
chloride, fluoride, and sulfate. All constituents were below the Environmental Protection Agency (EPA)
maximum contaminant level (MCL) or action level and the North Carolina Administrative Code (NCAC) title
15A 2L.0202 (2L)groundwater standards with the exception of total iron at 780 micrograms per liter(ug/L).
The State standard for total iron is 300 ug/L. Total iron above 300 ug/L is often associated with aesthetic
issues such as taste, odor, and (or)staining.
The analytical results were provided to Dr. Ken Rudo, State Toxicologist, Division of Public Health,
for a Health Risk Evaluation (HRE). Recommendations from the evaluation are attached and state that, for
the sampled constituents, your water meets federal drinking water standards and can be used for drinking,
cooking, washing, cleaning,bathing, and showering; however, aesthetic problems such as bad taste, odor,
and (or)staining of porcelain may occur.
Lead, often associated with leaching from well plumbing materials,was detected in your well water
at 4.4 ug/L. While the lead standard is 15 ug/L,the EPA recommends that it be as low as possible in
Continued
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

water. Lead concentrations often may be reduced by flushing the tap prior to each use (additional flusn1�
information may be obtained from Dr. Rudo,919-707-5911).
If you have any questions about the results or standards please call me at 828-296-4500 or email
me at [e-mail].
Sincerely,
Ted Campbell, Hydrogeologist
Water Quality Regional Operations Section
Water Resources Division, NCDENR
Enclosed:HRE and analytical results
Cc: Cleveland County Health Department—Environmental Health /-
Debra Watts—DWR Raleigh

✓ELAND
WA � Sample ID: AC08286
40 PO Number# 14GO173
AROAP p Date Received: 05/09/2014
A MOORE Time Received: 08:10
jlon: ARO Labworks LoginlD MSWIFT
Sample Matrix: GROUNDWATER Final Report Date: 6/9/14
Loc.Type: WATER SUPPLY F6ne0 deport Report Print Date: 06/13/2014
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: 2817 RIVERFRONT DRIVE MOORESBORO NC
Location ID: 1R232817RIVERFRONT Collect Date: 05/07/2014 Collect Time: 11:01 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.1 °C 5/9/14 MSWIFT
WET
Ion Chromatography _TITLE_ mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Chloride 1.0 2.5 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Sulfate 2.0 8.3 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Bromide 1.0 X1 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
9-90-5 Al by ICP 50 50 U ug/L EPA200.7 5/23/14 ESTAFFORDI
1440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
7429-90-5 B by ICP 50 50 U ug/L EPA200.7 5/23/14 ESTAFFORD1
7440-38-3 Ba by ICP 10 IOU ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-70-2 Ca by ICP 0.10 20 mg/L EPA200.7 5/23/14 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-47-3 Cr by ICPMS 10 IOU ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0 49 ug/L EPA200.8 5115/14 ESTAFFORDI
7439-89-6 Fe by ICP 50 780 ug/L EPA200.7 5/23/14 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 5/15/14 ESTAFFORD1
7440-09-7 K by ICP 0.10 3.0 mg/L EPA200.7 5/23/14 ESTAFFORDI
7439-95-4 Mg by ICP 0.10 2.6 mg/L EPA200.7 5/23/14 ESTAFFORDI
7439-96-5 Mn by ICP 10 32. ug/L EPA200.7 5/23/14 ESTAFFORD1
7440-23-5 Na by ICP 0.10 6.2 mg/L EPA200.7 5/23/14 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 4.4 ug/L EPA 200.8 5/15/14 ESTAFFORDI
7782-49-2 Se by ICPMS 5.0 5.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7440-24-6 Sr by ICPMS 10 55 ug/L EPA200.8 5/15/14 ESTAFFORD1
7440-28-0 Thallium(TI)ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 38 ug/L EPA200.8 5/15/14 ESTAFFORDI
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to nc�;(,,?.�rt;i;nygenr;o.pf,Pb(„•.d;aq(_;ar_n{;o/ee<nzss;�cana;a_,guatt�er,cndps. tt„rr,erg/wrn[w,gPah[sgOdfio(t_echa;
Page 1 of 1

_ -- -
- -
----
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,L

.45 9198704807 OEEB MERA PAGE 06/09
c
Aofta° °V MMA kgdanioloU `on
JWORGAMC CIU=c&ANALyW IT
1 s
Loc
•rJS
Yo11r wig waft w8a Mad for I s
is a Mealm offt acift ONO
I91 Water.
TAST JUNUTS AND USE IMMA1111141MAW0146
.,Your wQU waW mwW fe&xal ddukog waft a. Your VMter Cau be USed for carol
Weaning,
_j/ The£off a) waftr s. Yoaar
aoo ° iqg� be used for
staining ofko"ft but probl such as bad taste,odim
aa
a�st&etic etc.may . ion p in"a s
Cm urn
The fbll (s)excee&d fideral ddlftg waft OMW4. We t your vmll
waft M be used for coo uulesa you° a t to ramtove the circ#
aubatance(s). I40 ,it ivay be used vm clay and also
c Baer ide Lead Ire s
elie M bite 8 3fwm�t .
P-e-5=049 is Mommanded inq
Re- le fix lead and/or copper. Tub a.first dMw, 5 and 15 minus
sample inside the house
WOMW the kitchen)and if possible a&g draw,S n&ute ad a 15 Mitlute sample at the well head
dc#�e the source ofthe lead x ilor er°
to
OTHER CONSIUMAnONS
Routine well water mmpling for the above substances is recowmonded every two to throe yearn, sample
Your well water when there is a kwwn problem or covtuWnation in your area dta repairs or replamont o
your well,or aft. flooding event. COWart your local health department for sampling inshucdons.
For further information please co®tactyour coutaty hWth department or the C MAPatianal and Environmental
,� Epidemiology Branch at 9R9-711rj ►U°

e '•
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 18, 2014
Certified Mail 7012-1010-0002-1967-8654
Return Receipt Requested
Miles Bostic
PO Box 381
Boiling Springs, NC 28017
Re.: Analytical Results for Private Supply Well at
2952 Riverfront Drive, Mooresboro, NC 28114
Dear Mr. Bostic,
This letter is to provide you with analytical results for samples from the private water supply well at
2952 Riverfront Drive in Cleveland County collected by Asheville Regional Office's Division of Water
Resources (Division) on April 9, 2014. Samples were collected at the hose bib beside the well head and
were analyzed for total metals, chloride, fluoride, and sulfate. All constituents were below the
Environmental Protection Agency (EPA) maximum contaminant level (MCL) or action level and the North
Carolina Administrative Code (NCAC) title 15A 2L .0202 (2L) groundwater standards with the exception of
total iron at 750 micrograms per liter(ug/L). The State standard for total iron is 300 ug/L. Total iron above
300 ug/L is often associated with aesthetic issues such as taste,odor, and (or) staining.
The analytical results were provided to Dr. Ken Rudo, State Toxicologist, Division of Public Health,
for a Health Risk Evaluation (HRE). Recommendations from the evaluation are attached and state that, for
the sampled constituents, your water meets federal drinking water standards and can be used for drinking,
cooking, washing, cleaning, bathing, and showering; however, aesthetic problems such as bad taste, odor,
and (or) staining of porcelain may occur.
If you have any questions about the results or standards please call me at 828-296-4500 or
Continued
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

email me at [e-mail].
Sincerely,
Ted Campbell, Hydrogeologist
Water Quality Regional Operations Section
Water Resources Division, NCDENR
Enclosed:FIRE and analytical results
Cc: Cleveland Co.Health Department—Environmental Health
Debra Watts—DWR Raleigh
�- 1

.rIERFORD
}t4T Sample ID: AC07305
4 PO Number# 14GO094
AROAP5' Date Received: 04/11/2014
.ar. T CAMPBELL Time Received: 07:50
,gion: ARO Labworks LoginlD MSWIFT
Sample Matrix: GROUNDWATER Final Report Date: 5/27/14
Loc.Type: WATER SUPPLY FI1110 R@pOI Report Print Date: 06/13/2014
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: MILES BOSTIC 2952 RIVERFRAND DR.•MOORESBORO NC 28114
Location ID: 1R812952_RIVERFRONT Collect Date: 04/09/2014 Collect Time: 14:00 Sample Depth
If this report Is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
CAS# A_ nalvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.1 °c 4/11/14 MSWIFT
WET
7440-28-0 Ion Chromatography _TITLE_ mg/L EPA 300.0 rev2.1 4/11/14 MOVERMAN
Chloride 1.0 2.4 mg/L EPA 300.0 rev2.1 4/11/14 MOVERMAN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 4/11/14 MOVERMAN
Sulfate 2.0 6.8 mg/L EPA 300.0 rev2.1 4/11/14 MOVERMAN
Bromide 1.0 1.0 U mg/L EPA 300.0 rev2.1 4111/14 MOVERMAN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 4/16114 ESTAFFORD1
9-90-5 Al by ICP 50 50 U ug/L EPA200.7 4/21/14 ESTAFFORD1
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7429-90-5 B by ICP 50 50 U ug/L EPA200.7 4/17/14 ESTAFFORD1
7440-38-3 Ba by ICP 10 IOU ug/L EPA200.7 4/21/14 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 14 mg/L EPA200.7 4/21/14 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 4116/14 ESTAFFORD1
7440-47-3 Cr by ICPMS 10 IOU ug/L EPA200.8 4116/14 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16l14 ESTAFFORD1
7439-89-6 Fe by ICP 50 7$0 ug/L EPA200.7 4/21/14 ESTAFFORD1
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 4/30/14 ESTAFFORD1
7440-09-7 K by ICP 0.10 2.9 mg/L EPA200.7 4/21/14 ESTAFFORD1
7439-95-4 Mg by ICP 0.10 1.6 mg/L EPA200.7 4/21/14 ESTAFFORD1
7439-96-5 Mn by ICP 10 41 ug/L EPA200.7 4/21/14 ESTAFFORD1
7440-23-5 Na by ICP 0.10 3.8 mg/L EPA200.7 4/21/14 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7782-49-2 Se by ICPMS 5.0 6.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7440-28-0 Thallium (TI) ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 IOU ug/L EPA200.8 4/16/14 ESTAFFORD1
Laboratory Section»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to n;p.:,([�crc31 n�gxnr,.org(•httil q1!a!�[s;arJ.ntsoJ�ecryrss;agC7aja C�yaElfier_Cn�es,<htp fJ.porial,;nrAen_.ors;;'yiz„A,?wg(lan(s;afin5c;;t„e<hass!st•.
Page 1 of 1

.45 9198704807 OEEB MERA PAGE 08/09
N DfvWon OtPublic,Heaftb
4
WMWW
C ° _ UT�g3' �t[on
rdwaft WA rl
as
is
ar:
Locafaon;
• `1r
ANALYNSROORT
r�
Yalu°WWI w4UF WW tested far 15 mew.
federal 0 mswts !C evaluated th
s, Thepad i�S�a� `&C acMtY Of 60 Water. j�zh water,
atalrP subatartces ally•in or be' dud into So ade
TROT RESULTS AND USE RECOMMENDATIONS
._ Your well WRtar s n29- g . Your watercan be used far
&and 9wwaing,
o
°
'The£Wowing subuftmee(s)aled 161e ° WaW
M 9 wa Cie .
, Your water call be used A.
iaxag of porcelab, oc h 'yout'y wad �b household blem,� tar
h as bad o,air,
aesthetic prrbl water treaunew system to address
Barium tam
I� aa1� 8
mac H
---- The follOV&g su (s)exc k"Odemi d6nicilIg
Wmernot be used.for . Wee+ad that your t?ve11
. 't� �u° a t s
su ce(s). HOWevear,it may, be used.for wa hing,cle ' ga
bohing ad swg. to remove the circled
ptraeni,G �advm Cadm�pq er Markle
1VCs eae M t� SeI Silver L Irane8itita
8oditan �e
Re-samples is recomnmWed its
tavr�lhs.
l -,s=pla for lead and/or copper. Ta lea 6nt draw,5 and 15 nninute5=Vlen3,de(preferably the kitchen)and if�ssble a first draw,5 tn"ute and a 1 S mute sample e wen bead to
dete=ine the source of the lead attdlor COpper.
T` E It CONS E 'r`IOl'
Rotative well water sampling for the Oabove substances is recornnaended ovmy two to dame your well water when there is a known emblem or tion in your area, after repaixs replacement of
YOu r wail, or after a flooding event Ontact your loud hoal9h tnt for�. sampling P ag itasfruotxons.
For farther It rmatiom please contact B ynut�county health d rtement or the
Epidemiology Occupational and EnvironmentalvlEnvironmental1, gy ranch at 919 7 7-$90e.

__
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WE
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor John E. Skvarla, III
Secretary
June 18, 2014
Certified Mail 7012-1010-0002-1967-8609
Return Receipt Requested
Edward Potter
2801 Riverfront Drive
Mooresboro, NC 28114
Re.: Analytical Results for Private Supply Well at
2801 Riverfront Drive, Mooresboro, NC 28114
Dear Mr. Potter,
This letter is to provide you with analytical results for samples from the private water supply well at
2801 Riverfront Dr in Cleveland County collected by Asheville Regional Office's Division of Water Resources
(Division) on May 7, 2014. Samples were collected at the well head and were analyzed for total metals,
chloride, fluoride, and sulfate. All constituents were below the Environmental Protection Agency (EPA)
maximum contaminant level (MCL) or action level and the North Carolina Administrative Code (NCAC) title
15A 2L .0202 (2L) groundwater standards with the exception of total iron at 1600 micrograms per liter
(ug/L). The State standard for total iron is 300 ug/L. Total iron above 300 ug/L is often associated with
aesthetic issues such as taste,odor, and (or)staining.
The analytical results were provided to Dr. Ken Rudo, State Toxicologist, Division of Public Health,
for a Health Risk Evaluation (HRE). Recommendations from the evaluation are attached and state that, for
the sampled constituents, your water meets federal drinking water standards and can be used for drinking,
cooking, washing, cleaning, bathing, and showering; however, aesthetic problems such as bad taste, odor,
and (or)staining of porcelain may occur.
Your arsenic level was 6.4 ug/L. While the arsenic standard is 10 ug/L, the EPA recommends that
arsenic concentrations in drinking water be as low as possible; under-sink point-of-use reverse osmosis
filtration systems often provide effective treatment.
Based on our well inspection, it is recommended that additional insulation be added to your well
Continued
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hftp://portal.ncdenr,org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

head to help provide adequate thermal protection during freezing conditions if you have any questions
about the results or standards please call me at 828-296-4500 or email me at [e-mail].
Sincerely,
Ted Campbell, Hydrogeologist
Water Quality Regional Operations Section
Water Resources Division, NCDENR
Enclosed:HRE and analytical results
Cc: Cleveland County Health Department—Environmental Health
Debra Watts—DWR Raleigh
t—_

ELAND , phi��� Sample ID: 7AC08287
PO Number# 0174
AROAPDate Received: 912014
TCAMPBELL Time Received: 0
awn: ARID Labworks LoginlD MSWIFT
Sample Matrix: GROUNDWATER Final Report Date: 6/9/14
L
WATER SUPPLY Final Rewrt Report Print Date: 06/13/2014
No VisitlD
Loc.Descr.: 2801
1R232801RIVERFRONT Collect Date: 05/07/2 11 1 Collect Time: 11:25 Sample Depth
s labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
CAS# Analyte Name PQL ResulU Method Analysis
Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.1 °C 5/9/14 MSWIFT
WET
7440-28-0 Ion Chromatography _TITLE_ mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Chloride 1.0 2.0 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Sulfate 2.0 8.0 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Bromide 1.0 X1 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
3-90-5 Al by ICP 50 660 ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-38-2 As by ICPMS 2.0 6.4 ug/L EPA200.8 5/15/14 ESTAFFORDI
7429-90-5 B by ICP 50 50 U ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-38-3 Ba by ICP 10 IOU ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-70-2 Ca by ICP 0.10 19 mg/L EPA200.7 5/23/14 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-47-3 Cr by ICPMS 10 IOU ug/L EPA200.8 5/15/14 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7439-89-6 Fe by ICP 50 1600 ug/L EPA200.7 5/23/14 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 5/15/14 ESTAFFORDI
7440-09-7 K by ICP 0.10 2.8 mg/L EPA200.7 5/23/14 ESTAFFORDI
7439-95-4 Mg by ICP 0.10 2.9 mg/L EPA200.7 5/23/14 ESTAFFORDI
7439-96-5 Mn by ICP 10 48 ug/L EPA200.7 5/23/14 ESTAFFORD1
7440-23-5 Na by ICP 0.10 6.0 mg/L EPA200.7 5/23/14 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.8 ug/L EPA200.8 5115/14 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA 200.8 5/15/14 ESTAFFORD1
7782-49-2 Se by ICPMS 5.0 5.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7440-24-6 Sr by ICPMS 10 43 ug/L EPA200.8 5/15/14 ESTAFFORD1
7440-28-0 Thallium(TI)ICPMS 2.0 2.0 U ug/L EPA200.8 5/15114 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 11 ug/L EPA200.8 5/15/14 ESTAFFORDI
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to h:n:(,!_ynal;.n�y.��cor,(xpb/:yg/labf;;aflnfigfteche�sistNUa;a Caµxiifier„Codes<htp;J/ynriat,n«ienr;orp,(y�eh�yyn[ian[aaSnFc,t,A;hass sc_
Page 1 of 1

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......_...._._....
.;45 9198704807 OEEB MERA PAGE 04109
Nob CaDfing ujwdaa
so 4
r
rewwMandawm
U-1�4
le Xd Ni�tbeso
L,d� °ate t
y _
'l5 to evaluated �
®. i0� Of 'w
aW nay
c lid y
� '
Youfl°
MWM&c1e Your be ,. ,
'Tha fail �s)m dt . Y Can be used for
a •. . , da a cl �t e a and' o " a but M911920 b1 as bad taste,od(m
gto'n•
Reaffiedc problem. system to addres
RROW
4C
Tbv followips s e(s)excee6d fadmil ddakitg water standaWs, We rwunmxW dW your we11
r+ limit be used ° °coo unkss you a to remove ftcwle,
substaa ft(s). Howem,it�W be used fm washing dleanin&baftig mW sh
Arctic Harms eY kan simn
—Re-omplitig is recommended is mouft.
RO-ORUIP1e for load and/arcopper. Take a nrat dMw, 5 m1mve,emd 15 minute sample amide the house
reforably►the kitchen)and if pltssible a first draw,5 minute and a 15 sample at the well head to
determine the so=e of&e lead or cgper.
Routine well water smpling for ttAe abo"OTHER CONSIDERATIONS
substances is recommended every two tv florae yews. Sample
yt�ur well water when there is a Imo problem or eon it oigt in your area, a r "" °h or replacement o
your-well,or after.a flooding event, Cow your local health department for sampling Monts.
For krther inforinatian please contact your coubty hoWth department or the occupg1oamal and Environmtemtsl
Epidemiology Rrsneb at 9j'._707 OD,
t
5

'��
A
�1

ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
John E. Skvarla, III
Governor Secretary
June 18, 2014
Certified Mail 7012-1010-0002-1967-8661
Return Receipt Requested
Allen Langley
520 E. Dixon Blvd.
Shelby, NC 28152
Re.: Analytical Results for Private Supply Well at
105 Downriver Drive, Mooresboro, NC 28114
Dear Mr. Langley,
This letter is to provide you with analytical results for samples from the private water supply well at
105 Downriver Drive in Cleveland County collected by Asheville Regional Office's Division of Water
Resources (Division) on April 9, 2014. Samples were collected at the cabin hose bib and were analyzed for
total metals, chloride, fluoride, sulfate, total dissolved solids, alkalinity, bicarbonate, carbonate, and
turbidity. All constituents were below the Environmental Protection Agency (EPA) maximum contaminant
level (MCL) or action level and the North Carolina Administrative Code (NCAC) title 15A 2L .0202 (2L)
groundwater standards with the exception of total iron at 320 micrograms per liter (ug/L). The State
standard for total iron is 300 ug/L. Total iron above 300 ug/L is often associated with aesthetic issues such
as taste, odor, and (or) staining.
The analytical results were provided to Dr. Ken Rudo, State Toxicologist, Division of Public Health,
for a Health Risk Evaluation (HRE). Recommendations from the evaluation are attached and state that, for
the sampled constituents,your water meets federal drinking water standards and can be used for drinking,
cooking, washing, cleaning, bathing, and showering; however, aesthetic problems such as bad taste, odor,
and (or)staining of porcelain may occur.
Please note that our well inspection indicated that the well is not grouted. Current state NCAC 15A
2C well construction standards require that a drilling contractor use a grout seal to help
Continued
Water Quality Regional Operations—Asheville Regional Office
2090 U.S,Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hftp://portal.ncdenr.org/web/wq
An Equal Opportunity t Affirmative Action Employer

prevent surface contaminants (such as coliform bacteria) from entering the well. It is also recommerfL.,
that additional insulation be added to the well head to help provide adequate thermal protection during-,,
freezing conditions.
If you have any questions about the results or standards please call me at 828-296-4500 or email
me at [e-mail].
Sincerely,
Ted Campbell, Hydrogeologist
Water Quality Regional Operations Section
Water Resources Division, NCDENR
Enclosed:FIRE and analytical results
Cc: Cleveland County Health Department—Environmental Health
Debra Watts—DWR Raleigh
Ken Harris,105 Downriver Dr.,Mooresboro,NC 28114

rERFORD
VA i Sample ID: AC07304
PO Number# 14GO093
AROAP Date Received: 04/11/2014
T CAMPBELL N. Time Received: 07:60
,jlon: ARO Labworks LoginlD MSWIFT
Sample Matrix: GROUNDWATER Final Report Date: 5/27/14
Loc.Type: WATER SUPPLY Filial Report Report Print Date: 06/13/2014
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: ALLEN LAUGLEY:106 DOWNRIVER DR.MOORESBORO NC 28114
Location ID: 1 R81105DOWNRIVER Collect Date: 04/09/2014 Collect Time: 13:00 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.1 °c 4/11/14 MSWIFT
WET
Ion Chromatography _TITLE_ mg/L EPA 300.0 rev2.1 4/11/14 MOVERMAN
Chloride 1.0 2.3 mg/L EPA 300.0 rev2.1 4/11/14 MOVERMAN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 4111114 MOVERMAN
Sulfate 2•0 6.8 mg/L EPA 300.0 rev2.1 4/11/14 MOVERMAN
Bromide 1.0 1.0 U mg/L EPA 300.0 rev2.1 4/11/14 MOVERMAN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 4/16/14 ESTAFFORDI
3-90-5 Al by ICP 50 50 U ug/L EPA200.7 4/21/14 ESTAFFORDI
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7429-90-5 B by ICP 50 60 U ug/L EPA200.7 4/17/14 ESTAFFORD1
7440-38-3 Ba by ICP 10 12 ug/L EPA200.7 4/21/14 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 16 mg/L EPA200.7 4/21/14 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 4/16/14 ESTAFFORDI
7440-47-3 Cr by ICPMS 10 IOU ug/L EPA200.8 4/16/14 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 2.3 ug/L EPA200.8 4/16/14 ESTAFFORDI
7439-89-6 Fe by ICP 50 320 ug/L EPA200.7 4121/14 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA 245.1 4/30/14 ESTAFFORD1
7440-09-7 K by ICP 0.10 3.3 mg/L EPA 200.7 4/21/14 ESTAFFORD1
7439-95-4 Mg by ICP 0.10 2.0 mg/L EPA200.7 4/21/14 ESTAFFORDI
7439-96-5 Mn by ICP 10 35 ug/L EPA200.7 4/21/14 ESTAFFORDI
7440-23-5 Na by ICP 0.10 8.0 mg/L EPA200.7 4/21/14 ESTAFFORDI
7440-02-0 Ni by ICPMS 2.0 5.3 ug/L EPA200.8 4/16/14 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16114 ESTAFFORDI
7782-49-2 Se by ICPMS 5.0 5.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7440-28-0 Thallium (TI) ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 IOU ug/L EPA200.8 4/16/14 ESTAFFORDI
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to n;n,4.,a_y_r,.a(;���zn,.;ry,[�xepn,.,9a,rr'_.ar7.,;,go(ternaz�nana;a_cx�aitfier cod=s,<htg;/!„enrgzl_,ncde,r.or�,/web%wq(i_a!,[s3a5npojte;haxssst:•
Page 1 of 1

- __ .__-_
..�
��
��
/ _\1

,HERFORD
QAT Sample ID: AC07428
PO Number# ARO
AROAP Date Received: 04l09/2014
.jr: T CAMPBELLs Time Received: 16:30
gion: ARO Labworks LoginlD KJIMISON2
Sample Matrix: GROUNDWATER Final Report Date: 5/15/14
Loc.Type: Final Report Report Print Date: 0 611 3/2 0 1 4
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: ALLEN LAUGLEY•105 DOWNRIVER DR.M00RESBOR0 NC 28114
Location ID: 1R81105DOWNRIVER Collect Date: 04/09/2014 Collect Time: 13:00 Sample Depth
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Others
Sample temperature at receipt by lab 3.6 °C 4/9/14 RBYRD
Turbidity 1 1 U NTU APHA21306-20th 4/10/14 CGREEN
Total Dissolved Solids in liquid 12 99 mg/L APHA2540C-18TH 4/15/14 CGREEN
Alkalinity to pH 4.5 of liquid _TITLE_ mg/L as CaCO3 APHA2320B-20th 4/22/14 CGREEN
Alkalinity4.5 1.0 59 mg/L as CaCO3 APHA2320B-20th 4/22/14 CGREEN
Alkalinity8.3 1.0 1 I I mg/L as CaCO3 APHA2320B-20th 4/22/14 CGREEN
Bicarbonate 1.0 59 mg/L as CaCO3 APHA2320B-20th 4/22/14 CGREEN
Carbonate 1.0 1 U mg/LasCaCO3 APHA232013-20th 4/22/14 CGREEN
pH—Alkalinity 8.15 mg/L as CaCO3 APHA2320B-20th 4/22/14 CGREEN
Laboratory Section 1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to nin;,-?grta�;ncdenng:p!wet>(:ygiasf;carieo/cech��s;txua;a ige�._caaes<n��,;lr.;,orz),nMerr;pry,;y.,rn(y• �an[seanntc;re:npsssc>
Page 1 of 1

:45 9198704887 OEEB MERA PAGE 09109
Naft Cuofin Dividm of pub .c
CMWCALANALYMMCpMT
Nmw A). - -e �
Solt*Id
.
Location: a,
Your"JI for 19 ANALYM T
�. is a Of is FVAn a #
di`
ao that n naturally III WBtW or be . & may
MTJ,131M'n AND USE RWOMMIMAnONS
Your
cle bWo"ryew can be d for soak
n.
Thefoll&ing)Mweebd
y .
#. YOUr Natter en be used for
° ofP ` 9 etc. bad"and ahow"tIg but MUR a fan 1�� as bad oft
` mob W a to
Cadinim
affm
ran
Tc following (s) e
waler not he used for&*ddng Ind
. We tW your well
substance(s).Ho Rt, ' , be wed for wa . , l a Water hwtment rystem to NMOVC the lec
bdft e �
and sho
Moog= Mac itrhe � = Lead I In
�.�. SHWSWM—
Re- is recommended in
s.
Re-sample ft lead and/cr coppe,. T a
(preferably dw kitchen)and iffposst'ble a first draw,S minute and a IS minute ale at the wen��tonse
determine the source of the lead=&or W.
l TIONS
Routine we11 water samplizrg for the above Hubstmms is recommended every two to three years. sample
your.-well water when there is a known problem or conUminadcM inYow ar after repairs
your well, or after a flooding 0VCnt.* Co_qtart yotW local or anptace�itettt o
5 ent fox'satxxpling instructions.
Epider�atoltr�i�xan�at���-707- CIO.
farmer armatlan please caatsat)°our county health department or the Occupations,and Environmental
�� .

-_ -
_.-
_..
�`
i '�
�1
__

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
John E. Skvarla, III
Governor Secretary
June 18, 2014
Certified Mail 7012-1010-0002-1967-8685
Return Receipt Requested
Larry Cooper
2968 Riverfront Drive
Mooresboro, NC 28114
Re.: Analytical Results for Private Supply Well at
2968 Riverfront Drive, Mooresboro, NC 28114
Dear Mr. Cooper,
This letter is to provide you with analytical results for samples from the private water supply well at
2968 Riverfront Drive in Cleveland County collected by Asheville Regional Office's Division of Water
Resources (Division) on April 9, 2014. Samples were collected at the kitchen faucet and were analyzed for
total metals, chloride, fluoride, sulfate, total dissolved solids, alkalinity, bicarbonate, carbonate, turbidity,
and total and fecal coliform bacteria. All constituents were below the Environmental Protection Agency
(EPA) maximum contaminant level (MCL)or action level and the North Carolina Administrative Code (NCAC)
title 15A 2L .0202 (2L) groundwater standards with the exception of total iron at 790 micrograms per liter
(ug/L). The State standard for total iron is 300 ug/L. Total iron above 300 ug/L is often associated with
aesthetic issues such as taste, odor,and (or)staining.
The analytical results were provided to Dr. Ken Rudo, State Toxicologist, Division of Public Health,
for a Health Risk Evaluation (HRE). Recommendations from the evaluation are attached and state that, for
the sampled constituents, your water meets federal drinking water standards and can be used for drinking,
cooking, washing, cleaning, bathing, and showering; however, aesthetic problems such as bad taste, odor,
and (or)staining of porcelain may occur.
Please note that our well inspection indicated that the well is not grouted. Current state NCAC 15A
2C well construction standards require that a drilling contractor use a grout seal to help prevent surface
contaminants (such as coliform bacteria)from entering the well. It is also recommended that additional
Continued
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.nodenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

Insulation be added to the well head to help provide adequate thermal protection during freer,.
conditions.
If you have any questions about the results or standards please call me at 828-296-4500 or email
me at [e-mail].
Sincerely,
Ted Campbell, Hydrogeologist
Water Quality Regional Operations Section
Water Resources Division, NCDENR
Enclosed:FIRE and analytical results
Cc: Cleveland County Health Department—Environmental Health
Debra Watts—DWR Raleigh ,

tERFORD
+,CAI Sample ID: AC07306
AROAP PO Number# 14GO095
� y
r Date Received: 04/11/2014
-1: TCAMPBELL CS Z; Time Received: 07:60
,4ion: ARO Labworks LoginlD MSWIFT
Sample Matrix: GROUNDWATER Final Report Date: 5/27/14
Loc.Type: WATER SUPPLY Final Report Report Print Date: 06/13/2014
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: LARRY COOPER 2968 RIVERFRONT DR•MOORESBORO NC 28114
Location ID: IR812968RIVERFRONT Collect Date: 04/09/2014 Collect Time: 11:20 Sample Depth
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.1 °C 4/11/14 MSWIFT
WET
7440-28-0 Ion Chromatography _TITLE_ mg/L EPA 300.0 rev2.1 4/11114 MOVERMAN
Chloride 1.0 2.3 mg/L EPA 300.0 rev2.1 4/11/14 MOVERMAN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 4/11/14 MOVERMAN
Sulfate 2.0 7.0 mg/L EPA 300.0 rev2.1 4111/14 MOVERMAN
Bromide 1.0 1.0 U mg/L EPA 300.0 rev2.1 4/11/14 MOVERMAN
MET
11 7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 4/16/14 ESTAFFORDI
3-90-5 Al b ICP
y 50 50 U ug/L EPA 200.7 4121/14 ESTAFFORD1
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7429-90-5 B by ICP 50 50 U ug/L EPA 200.7 4/17/14 ESTAFFORDI
7440-38-3 Ba by ICP 10 10 ug/L EPA 200.7 4/21/14 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 16, mg/L EPA 200.7 4/21/14 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7440-47-3 Cr by ICPMS 10 10 U ug/L EPA 200.8 4/16/14 ESTAFFORD1
7440-50-8 Cu by ICPMS 2,Q 2.0 U ug/L EPA200.8 4/16114 ESTAFFORD1
7439-89-6 Fe by ICP 50 790 ug/L EPA 200.7 4/21/14 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA245.1 4/30/14 ESTAFFORDI
7440-09-7 K by ICP 0.10 3.0 mg/L EPA 200.7 4/21/14 ESTAFFORDI
7439-95-4 Mg by ICP 0.10 2.0• mg/L EPA 200.7 4/21/14 ESTAFFORDI
7439-96-5 Mn by ICP 10 33 ug/L EPA 200.7 4/21/14 ESTAFFORD1
7440-23-5 Na by ICP 0.10 8.5 mg/L EPA 200.7 4/21/14 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA 200.8 4/16114 ESTAFFORD1
7782-49-2 Se by ICPMS 5.0 5.0 U ug/L EPA200.8 4116/14 ESTAFFORD1
7440-28-0 Thallium(TI) ICPMS 2.0 2.0 U ug/L EPA200.8 4/16/14 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 IOU ug/L EPA200.8 4/16114 ESTAFFORD1
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to nco:/,!,.,,�r;ai;ncdxryco [xac/�yq�!a;,(_tzfinfioJtechxzs;(npata,_C,qs,lfier,,:;a�es,<h(Q;(i.pgrtal,;nMnr.crp,�ygeh!wg(ian[s:an;�Q;Sachassist�
Page 1 of 1

ME(1)RJO Ca6io Its
rAERFORD � A ' Sample ID: AC07427
4 PO Number# ARO
AROAP Date Received: 04/09/2014
jr: TCAMPBELL Time Received: 16:30
.gion: ARO Labworks LoginlD KJIMISON2
Sample Matrix: GROUNDWATER Final Report Date: 5/15/14
Loc.Type: Final Report Report Print Date: 06/13/2014
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: LARRY COOPER 2968 RIVERFROPdT DR•MOORESBORO NC 28114
Location ID: 1R812968RIVERFRONT Collect Date: 04/09/2014 Collect Time: 11:20 Sample Depth
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Others
Sample temperature at receipt by lab 3.6 °C 4/9/14 RBYRD
Coliform, MF Fecal in liquid 1 1 B2 CFU/100ml APHA9222D-20th 4/9/14 CGREEN
Coliform, MF Total in liquid 1 1 B2 CFU/100ml APHA922213-20th 4/9/14 CGREEN
Turbidity 1 5.6 NTU APHA213013-20th 4/10/14 CGREEN
Total Dissolved Solids in liquid 12 101 mg/L APHA2540C-18TH 4/15/14 CGREEN
Alkalinity to pH 4.5 Of liquid _TITLE_ mg/L as CaCO3 APHA232013-20th 4/22/14 CGREEN
Alkalinity4.5 1.0 54 mg/L as CaCO3 APHA2320B-20th 4/22/14 CGREEN
Alkalinity8.3 1.0 1 U mg/LasCaCO3 APHA23206-20th 4/22/14 CGREEN
Bicarbonate 1.0 54 mg/L as CaCO3 APHA23206-20th 4/22/14 CGREEN
Carbonate 1.0 1 U mg/L as CaCO3 APHA23208-20th 4/22/14 CGREEN
pH Alkalinity 7.49 mg/L as CaCO3 APHA232013-20th 4/22/14 CGREEN
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to nc�:([..n,�nai,nw,gneory„pyen).u;!Iab/starTnfefpechxssjstpUata C,uziifi;r„Cpdeg 5ht;[j.pgri'a(;nr�zn,orpyyrh(}vc�(,xh[s;afin5gjtgchass(st,
Page 1 of 1

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Locution.
AMLYWROORT
Efr
Y(Ivr wall wder WE tww for l
1IMPHisafteemmofthe t
conWA bIn wltl�or oft be
Your wall water mom federal ftift Owndmd& Your water can be used for dtfifldn&cooki4
The following
pob1 9 ach as bad to „ode
&Wnjngof ` etc. . YOU a household
°o a
$ Sodium zioc
_The fol (s)weeded federal s. We ammend to ym well
water not be Used for ddaking and wok"wokkj&ugless you h0M a water ftMM=t M10Mto remove the oirclec
sub (s). However,it inay be used ft waddn&cleanhig bWhingand showering.
ArscBada ids Lead km sum
sae 1 I�Ti Silvee
ling is r=MM&d in Months.
Re-sample for lead and/or eMer. TaW a&St draw,5 Mft4e, 15 Minute$ampie inside the house
(gr&mbly the lrit hen)and if possible a fim draw,5 mintft and.a 15 minute sample at the well head to
detennine the source of the lead andlor cupM,
OTHER CONSEDERATIONS
Routine well vv r 3MMOD9 for the above seabstanees is recomwen&d eves two to tiara years. Sample
Your well water when there is a kmvm problem or watamingfion m your area, aft Npirs or replacement o
Your well, or after a flooding event. Contact your local health depgftent for sampling instructions.
For tortker Information please contact your county heal department or tea Occrepat;ona!and EnvironmentalF-p➢domioloU Branth at 919;7O7,0",

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E, Skvarla, III
Governor
Secretary
June 18, 2014
Certified Mail 7012-1010-0002-1967-8630
Return Receipt Requested
Guy Hutchins
2814 Riverfront Drive
Mooresboro, NC 28114
Re.: Analytical Results for Private Supply Well at
2814 Riverfront Drive, Mooresboro, NC 28114
Dear Mr. Hutchins,
This letter is to provide you with analytical results for samples from the private water
supply well at 2814 Riverfront Drive in Cleveland County collected by Asheville Regional Office's
Division of Water Resources (Division) on May 7, 2014. Samples were collected at the well head
and were analyzed for total metals,chloride,fluoride,and sulfate. All constituents were below
the Environmental Protection Agency(EPA) maximum contaminant level (MCL)or action level
and the North Carolina Administrative Code (NCAC)title 15A 2L.0202 (2L)groundwater
standards with the exception of total manganese at 190 ug/L. The State standard for total
manganese is 50 ug/L. Total manganese above 50 ug/L is often associated with aesthetic issues
such as taste,odor, and (or) staining.
The analytical results were provided to Dr. Ken Rudo,State Toxicologist, Division of
Public Health,for a Health Risk Evaluation (HRE). Recommendations from the evaluation are
attached and state that,for the sampled constituents,your water meets federal drinking water
standards and can be used for drinking, cooking,washing, cleaning, bathing,and showering;
however,aesthetic problems such as bad taste,odor, and (or)staining of porcelain may occur.
If you have any questions about the results or standards please call me at 828-296-4500
Continued
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

or email me at [e-mail].
Sincerely,
Ted Campbell, Hydrogeologist
Water Quality Regional Operations Section
Water Resources Division, NCDENR
Enclosed:HRE and analytical results
Cc: Cleveland County Health Department—Environmental Health
Debra Watts—DWR Raleigh
�1 1
-

-VELAND
A Sample ID: AC08288
�� PO Number# 14GO176
AROAP Date Received: 06/09/2014
.or: T CAMPBELL t 7 -
Time Received: 08:10
:gion: ARO Labworks LoginlD MSWIFT
Sample Matrix: GROUNDWATER Final Report Date: 6/13/14
Loc.Type: WATER SUPPLY Final Regort Report Print Date: 06/13/2014
Emergency Yes/No VisitlD
COC Yes/No
Loc.Descr.: 2814
Location ID: 111232814RIVERFRONT Collect Date: 05/07/2014 Collect Time: 12:20 Sample Depth
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
CAS# Analyte Name PQL Result/ Units Method Analysis Validated by
Qualifier Reference Date
LAB
Sample temperature at receipt by lab 2.1 °C 5/9/14 MSWIFT
WET
7440-28-0 Ion Chromatography _TITLE_ mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Chloride 1.0 2.8 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Fluoride 0.4 0.4 U mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
Sulfate 2.0 8.4 mg/L EPA300.Orev2.1 5/13/14 CGREEN
Bromide 1.0 x9 mg/L EPA 300.0 rev2.1 5/13/14 CGREEN
MET
7440-22-4 Ag by ICPMS 1.0 1.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
9-90-5 AI by ICP 50 50 U ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-38-2 As by ICPMS 2.0 2.0 U ug/L EPA200.8 5/15114 ESTAFFORDI
7429-90-5 B by ICP 50 50 U ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-38-3 Ba by ICP 10 10 U ug/L EPA200.7 5/23/14 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 34 mg/L EPA200.7 5/23/14 ESTAFFORDI
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7440-47-3 Cr by ICPMS 10 IOU ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7439-89-6 Fe by ICP 50 50 U ug/L EPA200.7 5/23/14 ESTAFFORDI
7439-97-6 Hg 245.1 0.2 0.20 U ug/L EPA 245.1 5/15/14 ESTAFFORD1
7440-09-7 K by ICP 0.10 2.6 mg/L EPA200.7 5123/14 ESTAFFORD1
7439-95-4 Mg by ICP 0.10 1.6 mg/L EPA200.7 5/23/14 ESTAFFORDI
7439-96-5 Mn by ICP 10 190 - ug/L EPA200.7 5/23/14 ESTAFFORDI
7440-23-5 Na by ICP 0.10 3.9 mg/L EPA200.7 5/23/14 ESTAFFORDI
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7782-49-2 Se by ICPMS 5.0 6.0 U ug/L EPA200.8 5/15/14 ESTAFFORD1
7440-24-6 Sr by ICPMS 10 50 ug/L EPA200.8 5115/14 ESTAFFORDI
7440-28-0 Thallium (TI) ICPMS 2.0 2.0 U ug/L EPA200.8 5/15/14 ESTAFFORDI
7440-66-6 Zn by ICPMS 10 IOU ug/L EPA200.8 5/15/14 ESTAFFORDI
Laboratory Section>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to n:a:(isaraj;nrde�;r.crFp•Pg/�cgnat!;;attn*,,.o/eE�n�ssistnoa�a c?,<j<ji5er,Cad=,z_<hr;l/,partp(.nrdeir,,o_rpjy�eb;wo/%ah[s:afinfic;teghassist+
Page 1 of 1

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-:45 9198704807 OEEB MERA PAGE 05109
---------------
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INORGAMC C1EWcALWALVW RygpMT
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ANALUBMWORT
Fourwon. was is s,
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cOutain substances that can ohft ` .W
sa�ar �.
the Waft fiUM mabmade
3"ROUTS AND UM RECOMMMATIOM
dour wall show
Y Man be used for cooki,A
b Wd
fntl ce(e)Mwded i ,dr' . 3t'ottr can be used f r
cc&o1 wa i pfc6lem'ssue,as bad tgte,odo,
y occur. You MRY Wag W inflftll a household
Ba�m[I 4�dm�ue ti{itu � �hmu
8�
The fbIlowing so (sdfh&ft waft Standards.We
r�ra r ma be usedinshn �y��nd that your weyll
subst s), may o s u a t S to remove the caa�clec
itwashing, showaft
An BarMIM
MW
Rg"ampling is recommended in -mouths.
Re-sample for lead and(m COPPer, Tske a first draw,5 ,and 15 minute sample inside the house
ire hly the Idtclhen)and if possible a draw,5 mute acid a 15 animate sample at the well head�
d ' e the goy of ttxe lead antdlor copper,
OTHER CO TIO
your Routine well weer samp fbr the above substances is ended every two to three yam. Sample
your will water when there is a known problem or co on in yo�w area, a
ft your well,or after a flcsxd" event, rep�ias or replacentteat c
your 1eca1 health d ent for sampling imtractions.
' For forther iafannatton please 00RUd your eoutaty health de m ent or the occopmtjonW and Environm®rstal
EpidewloaoU amneh at 919 707-MO&
- 1
t

'C&E N R
North Carolina Department of Environment and Natural Resources
Pat McCrory John E.Skvarla, III
Governor Secretary
June 18, 2014
CERTIFIED MAIL 7012 1010 0002 1967 8692
RETURN RECEIPT REQUESTED
Rob Duckett, General Manager
Mountaintop Community Association, Inc.
Post Office Box 2126
Cashiers,NC 28717
Subject: Notice of Violation
NOV-2014-PC-0134
Mountaintop Golf& Lake Club WWTF
Wastewater Treatment & Reclaimed Water Utilization System
Permit No. WQ0028693
JacksonCounty
Dear Mr. Duckett,
On June 17, 2014, staff of the NC Division of Water Resources(DWR), Water Quality Regional
Operations Section (WQROS), reviewed the subject wastewater treatment and disposal system's
Non-Discharge Monitoring Report (NDMR) for March 2014.
The following item specifies the permit condition that was in violation at the time of the review:
MONITORING AND REPORTING REQUIREMENTS
Condition IVA requires effluent from the subject facilities to be monitored by the
Permittee at a point prior to irrigation every March, July & November for the following
parameters."
Total Dissolved Total Organic Chloride
Solids Carbon
A review of the file for March 2014 indicates that the effluent was not
monitored/reported for Total Dissolved Solids and Chloride.
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hftp://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

Mr. Duckett
Permit No WQ0028693 �\
June 18, 2014 �\
Page 2 of 2
You are required to take any necessary action to correct the above violation and to provide
a written response to this Notice by July 18, 2014. 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 actin accordance with the terms, conditions, or requirements of a permit under
authority of G.S. 143-215.6A. Please note that each day a violation continues may be considered
a separate violation, subject to additional civil penalties.
If you have any questions concerning this Notice, please contact Beverly Price at (828) 296-
4685.
Sincere
G. Landon Davidson, L.G.
Regional Supervisor
Water Quality Regional Operations Section
cc: Bob Barr, RPB Systems
Central Files
MSC 1617-Central Files-Basement
WQ Asheville Files
G:\WR\WQ\Jackson\Wastewater\Non-discharge\MountainTop Reuse\WQ0028693 NOV-2014-PC-0134.docDate
1

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting
Regional Staff Report
June 18,2014
To: DWR Water Quality Permitting Section Central Office Application No.: WQ0028693
Attn: Chonticha McDaniel Regional Login No.:
From: Bev Price
Asheville Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or❑No
a. Date of site visit: 5/8/14 Annual Compliance Inspection
b. Site visit conducted by: Bev Price
c. Inspection report attached? ® Yes or❑No
d. Person contacted: and their contact information: Eric Shomaker,Director of Grounds Operations 828-
743-2661; Mike Beck,ORC 828-545-7724
e. Driving directions: From intersection of Hwy.64 & Hwy. 107 go north on Hwv 107 for approximately
1.5mi. Turn left on Laurel Knob Rd. (SR1142). Turn left at entrance to Mountaintop, cross bridge to
guard shack. Go straight; turn right Just past driving range,go approx.%mi.and WWTP is on the left
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 4

III.EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs)for the facility? ® Yes ❑ No ❑N/A`.
ORC: Mike Beck Certificate#:991669 Backup ORC: John C. Greene Certificate#:998079
2. Are the design,maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ❑ Yes or®No v
If no,please explain: The facility engineer and contract operations firm believes that the EO basin is not
adequately sized and that the tertiary filter should be replaced.
3. Are the site conditions(e.g., soils,topography, depth to water table, etc)maintained appropriately and adequately
assimilating the waste? ® Yes or❑No
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: MW#1 has been dry 80%
of the time since monitoring began in 2007 When the well does have water,the sample volume is not
sufficient for all required parameters We recommend replacement of this MW.
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 ❑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
0 , „ 0 I lI
0 , „ 0 ,
0 , „ 0 I lI
0 , „ 0 ,
0 , „ 0 ,
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: See#14 below.
13. Are there any permit changes needed in order to address ongoing BIMS violations? ® Yes or❑No
If yes,please explain: Minor modifications to the WWTP—see IVA.
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.)
NOV-2013-LV-0606(NOV/REA) for May 2013 limits violations '
NOV-2013-LV-0647 (NOV/REA)for June 2013 limits violations
FORM:APSRSR 04-10 Page 2 of 4

,:,V-0700(NOV/REA)for July 2013 limits violations
-dl3-LV-0701 (NOV/REA)for August 2013 limits violations
,ecember 2013 NDMR-Ammonia Nitrogen limit exceeded.December Result=4.1 mg/1;Permit Monthly
Limit=4.0 mg/l No action taken so far.
March 2014 NDMR—An NOV will be issued for failure to monitor for Chloride&Total Dissolved Solids
The NOV/REA's referenced above were initially addressed in a Proposed Settlement Agreement letter to
Mountaintop dated December 11,2013.The Settlement Agreement was given as an option because it is
currently being used as an option by the DWR for NPDES permits. The idea was that the permittee would
make modifications to the WWTP which would address the problems causing limits violations and those
enforcements would be held in abeyance until the upgrades were in place. However,Jon did not feel that
we should use the Settlement Agreement for Non-Discharge permit limit violations. Instead,we agreed
that the permit would be modified to reflect the modifications to the WWTP. The permit would contain a
Compliance Schedule for upgrades to the WWTP. When the upgrades are completed,those NOV/REA's
would not be considered for further enforcement. Any limits violations in the meantime would be BPJ in
BIMS.All limits violations after WWTP upgrades will be considered as usual for enforcement action based
upon current guidance.
15. Have all compliance dates/conditions in the existing permit been satisfied? ❑Yes ❑No ®N/A
If no,please explain:
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:
IV.REGIONAL OFFICE RECOMMENDATIONS
1-11
1. Do you foresee any problems with issuance/renewal of this permit? ❑Yes or Z 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
Compliance Schedule for This would be based upon the details that will be submitted in regard to the e-
Completion of mail notification dated June 6,2014 for modifications to the existing WWTP.
modifications to the The e-mail and Cover Letter are attached.
existing WWTP
Replace Monitoring Well#1
and update the site map. The well has been dry or partially dry 80%of the time since monitoring began in
Provide at least one year 2007.
- from the time of renewal
for the MW to be installed.
FORM:APSRSR 04-10 Page 3 of 4

5. Recommendation: ❑ Hold,pending receipt and review of additional information by regions;,,
® Hold,pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information \ \
❑ Issue
❑ Deny(Please state reas )
6. Signature of report preparer: ,W'
Signature of APS regional supervisor:
.M� �" C 1
Date: (Q;` .1
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
The permit is issued to Mountaintop Community Association Inc Mountaintop Golf and Lake Club owns the land
parcels Is this an issue that we should be concerned about with regard to responsibility for possible groundwater
violations?
FORM:APSRSR 04-10 Page 4 of 4

NCDENR
North Carolina Department of Environment and Natural Resources
r'at McCrory John E. Skvarla, III
Governor Secretary
June 19, 2014
Mr.Nicholas Stefanou
Bearwallow Valley Mobile Home Park
104 Low Gap Road
Hendersonville,North Carolina 28739
SUBJECT: Compliance Evaluation Inspection
Bearwallow Valley MHP Collection System
Permit No: WQ0007935
Henderson County
Dear Mr. Stefanou:
Enclosed please find a copy of the Collection System Compliance Evaluation Inspection form from the
inspection I conducted on May 28, 2014. The facility appeared to be in compliance with permit WQ0007935.
The kind assistance of Mr. Kevin White/ ORC was greatly appreciated during this inspection. Mr.
White is doing a fine job of operating and maintaining this system.
Please refer to the enclosed inspection report for additional observations and comments. A copy of the
"2T Rules"which regulate your collection system is included. If you or your staff have any questions, please
call me at 828-296-4500.
Sincerely,
et Cantwell
Environmental Specialist
Asheville Regional Office
Enclosures
cc: WQ Asheville Files w/attachments
MSC 1617-Central Files-Basement w/attachments
Kevin White/ ORC w/attachments
. VR`-V's).tcttd;s(n.ra_tewtti,�i�orc ;ia: SjalottVailk�MIThtr� tt(3f)ti€,';}„> unp-C'c_�e Sv;- 38-1�7<ioc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity i Affirmative Action Employer

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Compliance Inspection Report
,nit: WO0007935 Effective: 01/14/94 Expiration: Owner: Bearwallow Valley Mobile Home Park
SOC: Effective: Expiration: Facility: Bearwallow Valley Mhp-Mhp
County: Henderson
Region: Asheville
Contact Person: Nicholas Stefanou Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 05/28/2014 Entry Time: 11:30 AM Exit Time: 12:25 PM
Primary Inspector: Janet Cantwell ® � Phone: [phone]
Ext.4667
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Gravity Sewer Extension, Pump Stations,&Pressure
Sewer Extensions
Facility Status: E Compliant n Not Compliant
Question Areas:
Miscellaneous Questions E Misc
(See attachment summary)
Page: 1

Permit: WQ0007935 Owner-Facility: Bearwal low Valley Mobile Home Park
Inspection Date: 05/28/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine\
Inspection Summary:
This is the first inspection of the collection system for this facility. Mr. Kevin White/ORC/operator in responsible charge
for the WWTP has been taking very good care of the collection system for many years.
This collection system consists of a pump station, five manholes and one high priority line.
The original map and a copy of the collection system map are kept in the well-house. It is suggested that the original map
be kept by the owner and a copy be kept on site. The well-house is rather damp so a drier area would be more
appropriate.
The pump station w/dual pumps was operable and the audible and visual alarms were working. It was also clean inside.
There was no spare pump, however,A& D Maintenance services equipment at the facility and would supply a spare
pump if needed.
The operator and inspector inspected one of the manholes and it was found to be free-flowing and clean.
The one"high priority" line crosses the creek near the wastewater treatment plant and appeared to be in good shape and
was easly accessible.
Mr. White/ORC stated that copies of the"FOG" (fats, oils, grease)educational materials are handed out every six months
to the residents and are printed in English and Spanish. Copies of these are in the DWR-WQ facility file.
The ORC also stated they have an emergency/overflow response plan in place.
Mr. White walks through the development periodically to observe the area and the manholes. The pump station is also
checked daily during the week and the Park Manager looks after it on weekends and holidays(365 days per year as
required by the permit). --
A copy of the"2T Rules" (15A NCAC 02T .0403) under which this system is regulated is included with this inspection
report.
Misc Yes No NA NE
Is the facility compliant? n n 0
Comment: This is the first inspection of the collection system for this facility. The
operator in responsible charge for the WWTP has been taking very good care of the
collection system for many years.
Page: 2

15A NCAC 02T.0403 PERMITTING BY REGULATION . _ --- --_._
(a) Collection systems having an actual, permitted or Division approved average daily flow less than 200,000
gallons per day are deemed permitted pursuant to Rule .0113 of this Subchapter provided the system meets the
criteria in Rule.0113 of this Subchapter and all specific criteria required in this Rule:
(1) The sewer system is 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.
(2) A map of the sewer system has been developed and is actively maintained.
(3) An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
(4) Pump stations that are not connected to a telemetry system (i.e., remote alarm system) are
inspected by the permittee or its representative every day(i.e., 365 days per year). Pump stations
that are connected to a telemetry system are inspected at least once per week.
(5) High-priority sewers are inspected by the permittee or its representative at least once every six-
months and inspections are documented.
(6) A general observation by the permittee or its representative of the entire sewer system is
conducted at least once per year.
(7) Overflows and bypasses are reported to the appropriate Division regional office in accordance
with 15A NCAC 02B .0506(a),and public notice is provided as required by G.S. 143-215.1C.
(8) A Grease Control Program is in place as follows:
(A) For publicly owned collection systems,the Grease Control Program shall include at least
bi-annual distribution of educational materials for both commercial and residential users
and the legal means to require grease interceptors for new construction and retrofit, if
necessary, of grease interceptors at existing establishments. The plan shall also include
legal means f6r 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.
(B) 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.
(C) Grease education materials shall be distributed more often than required in Parts(A)and
(B)of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
(9) Right-of-ways and easements are maintained in the full easement width for personnel and
equipment accessibility.
(10) Documentation shall be kept for Subparagraphs(a)(1)through(a)(9)of this Rule for a minimum
of three years with exception of the map,which shall be maintained for the life of the system.
(b) Private collection systems on a single property serving an industrial facility where the domestic wastewater
contribution is less than 200,000 gallons per day shall be deemed permitted.
(c) The Director may determine that a collection system should not be deemed to be permitted in accordance with
this Rule and Rule .0113 of this Subchapter. This determination shall be made in accordance with Rule .0113(e)of
this Subchapter.
I
History Note: Authority G.S. 143-215.1(a); 143-215.3(a); 143-215.9B,
Eff. September 1, 2006

•r ss CDENR
�A
North Carolina Department of Environment and Natural Resources r'
Pat McCrory John E. Skvarla, III
Governor Secretary
June 20, 2014
Anthony Hensley, Public Works Director
Town of Burnsville
2 Town Square
Burnsville, NC 28714
Subject: Permit No. WQ0037201
Town of Burnsville
Mountain Energy-Burnsville
Wastewater Collection System Extension
Yancey County
Dear Mr. Hensley:
In accordance with your application received June 11, 2014, we are forwarding herewith Permit No.
WQ0037201 dated June 20,,2014, to Town of Burnsville for the construction and operation 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 and supplement shall be considered a part of this permit and are therefore incorporated therein
by reference.
Please pay particular attention to the following conditions contained within this permit:
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 Town of Burnsville 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.
G:IWRIWQ1YanceylCo1lect1on SystemslBumsville Collection SystemlWQ0037201.MtnEnergyRelocate.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal,ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

Town of Burnsville
WQ0037201
If you need additional information concerning this matter, please contact Linda Wiggs at(828) 296-4500
or via e-mail at [e-mail].
Sincerely,
for Thomas A. Reeder
Division of Water Resources
cc: Jesse Gardner(e-copy)
ARO Files
MSC 1617-Central Files-Basement
PERCS(e-copy)

ENR
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
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 Burnsville
Yancey County
for the construction and operation of approximately 80 linear feet of 10-inch gravity sewer as part of the
Mountain Energy-Burnsville line relocation project, and the discharge of zero gallons per day of
collected domestic wastewater into the Town of Burnsville existing sewerage system, pursuant to the
application received June 11, 2014, 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
Environment and Natural Resources 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.
Permit issued this 20th day of June, 2014.
for Thomas A. Reeder
Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number:WQ0037201

SUPPLEMENT TO PERMIT COVER SHEET �v
Town of Burnsville 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 Burnsville Wastewater
Treatment Facility(NPDES Permit# NC0020290) prior to being discharged into the receiving stream.
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
II. 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.
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.
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
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 as provided in 15A NCAC 2T.0403:
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.

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. Noncompliance Notification:
The Permittee shall report by telephone to a water resources staff member at the Asheville Regional Office,
telephone number 828-296-4500, as soon as possible, but in no.case more than 24 hours or on the next
working day,following the occurrence or first knowledge of the occurrence of 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 [phone]. 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 11 of Form

CS-SSO (or the most current Division approved form)can also be completed to show that the SSO was be,.,
control.
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.
7. Per 15A NCAC 2T.0116, 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 pump station design calculations (selected pumps, system curve, operating
point, buoyancy calculations, available storage if portable generator(s) or storage greater than longest
past three year outage reliability option selected)for any pump stations permitted as part of this project.
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.
8. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the
wastewater collection facilities.
9. 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.

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.
11. 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 other government agencies(local,state and federal)which
have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B .0200, erosion and
sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's General Permit NCG010000,
and any requirements pertaining to wetlands under 15A NCAC 2B.0200 and 15A NCAC 2H .0500.

,NGINEERING CERTIFICATION
TOWN OF BURNSVILLE Permit No.WQ0037201
MOUNTAIN ENERGY BURNSVILLE LINE RELOCATION Issue Date: 20/06/14
,omplete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views and detail drawings of sewer lines) of the wastewater
collection system extension. Final record drawings should be clear on the plans or on digital media (CD or DVD
disk) in pdf format. Record drawings should indicate the design and the marked up changes during construction.
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected)for any pump stations
permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit regulations or
minimum design criteria. Modifications should be submitted Drior to certification
This project shall not be considered complete nor allowed to operate until the Division has received this Engineer's
Certification and all required supporting documentation. Therefore, it is highly recommended that this certification
be sent in a manner that Drovides proof of receipt by the Division
PERMITTEE'S CERTIFICATION
Fbeen
the undersigned agent for the Permittee, hereby state that this project has
constructed pursuant to the applicable standards & requirements, the Professional Engineer below has
ed 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
❑ Partial ❑ Final
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 subject project
for the 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'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.
North Carolina Professional Engineer's
Seal,signature, and date:
........................................................................................
SEND THIS FORM &SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
WATER QUALITY REGIONAL OPERATIONS SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 U.S. HWY 70
................................................................................
Swannanoa, NC 28778
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.
DWR Use Only:
Flow From this project is tributary to: NCO020290

WDERR"
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 20, 2014
Brian Novak,Senior Director of Project Design
Walmart Real Estate Business Trust
2001 SE 10th Street
Bentonville,Arkansas 72716
Subject: Permit No. WQ0037200
Walmart Real Estate Business Trust
Hudson Walmart Grocery-Store#7296
W o astewater Collection System Extension
�Cu�y
Dear Mr. Novak:
In accordance with your application received June 16, 2014, we are forwarding herewith Permit No.
WQ0037200 dated June 20, 2014, to Walmart Real Estate Business Trust for the construction and
operation 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 and supplement shall be considered a part of this permit and are therefore
incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
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 Walmart Real Estate Business Trust 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.
GMRMQICaldwell\collection Systems1enoir Collection SystemlSewer permits Fast TrackIWQ0037200.HudsonWalmartGro#7296.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

Walmart Real Estate Business Trust
WQ0037200
If you need additional information concerning this matter, please contact Linda Wiggs at(828) 296-4500
or via e-mail at [e-mail].
Sincerely,
for Thomas A. Reeder
Division of Water Resources
cc: Kimley-Horn and Assoc.-Nathan Tidd (e-copy)
Caldwell County Building Inspections Department
Gunpowder WWTP (Monty Wall)
ARO Files
MSC 1617-Central Files-Basement
PERCS(e-copy) _
ice,

CDG?4R
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAND NATURAL RESOURCES
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
Walmart Real Estate Business Trust
Caldwell County
for the construction and operation of approximately 72 linear feet of 6-inch gravity sewer; and
approximately 700 linear feet of 8-inch gravity sewer to serve the Hudson Walmart Grocery-Store#7296
project, and the discharge of 1,109 gallons per day of collected domestic wastewater into the City of
Lenoir's existing sewerage system, pursuant to the application received June 16, 2014, 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 Environment and Natural Resources 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.
Permit issued this 20th day of June, 2014.
for Thomas A. Reeder
Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number:WQ0037200

SUPPLEMENT TO PERMIT COVER SHEET
Walmart Real Estate Business Trust 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 Gunpowder Wastewater
Treatment Facility (NPDES Permit# NC0023736) prior to being discharged into the receiving stream.
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. This permit shall become voidable unless the agreement between WALMART REAL ESTATE BUSINESS TRUST
and City of Lenoir for the collection and final treatment of wastewater is in full force and effect.
2. No flow in excess of the quantity permitted herein, 1,109 GPD, shall be made tributary to the subject sewer
system until an application for permit modification for an increase in flow has been submitted to and
approved by the Division of Environmental Management.
II. 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.
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.
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.

wastewater collection facilities shall be properly maintained and operated at all times. The Permittee
�nall 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 as provided in 15A NCAC 2T.0403:
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. Noncompliance Notification:
The Permittee shall report by telephone to a water resources staff member at the Asheville Regional Office,
telephone number 828-296-4500, as soon as possible, but in no case more than 24 hours or on the next
working day,following the occurrence or first knowledge of the occurrence of either of the following:

a. Any process unit failure, due to known or unknown reasons, that renders the facility incapau,
adequate wastewater transport, such as mechanical or electrical failures of pumps, line blockage
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 [phone]. 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.
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.
7. Per 15A NCAC 2T.0116, 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 pump station design calculations (selected pumps, system curve, operating
point, buoyancy calculations, available storage if portable generator(s) or storage greater than longest
past three year outage reliability option selected)for any pump stations permitted as part of this project.
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

,auction. After-construction requests are discouraged by the Division and may not be approved, thus
equiring replacement or repair prior to certification&activation.
8. A copy of the construction record drawings shall be maintained on file by the Permittee for the life of the
wastewater collection facilities.
9. 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.
10. 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.
11. 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 other government agencies(local, state and federal)which
have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B .0200, erosion and
sedimentation control requirements in 15A NCAC Ch. 4 and under the Division's General Permit NCG010000,
and any requirements pertaining to wetlands under 15A NCAC 26.0200 and 15A NCAC 2H .0500.

_�GINEERING CERTIFICATION
Walmart Real Estate Business Trust Permit No.WQ0037200
HUDSON WALMART GROCERY-STORE#7296 Issue Date: 20/06/14
;omplete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views and detail drawings of sewer lines) of the wastewater
collection system extension. Final record drawings should be clear on the plans or on digital media (CD or DVD
disk) in pdf format. Record drawings should indicate the design and the marked up changes during construction.
• Supporting design calculations (selected pumps, system curve, operating point, available storage if portable
generator(s) or storage greater than longest past three year outage reliability option selected)for any pump stations
permitted as part of this project
• Changes to the project should be clearly identified on the record drawings or in written summary form. Permit
modifications are required for any changes resulting in non-compliance with this permit, regulations or
minimum design criteria. Modifications should be submitted prior to certification.
This project shall not be considered complete nor allowed to operate until the Division has received this Engineer's
Certification and all required supporting documentation. Therefore, it is highly recommended that this certification
be sent in a manner that provides proof of receipt by the Division.
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
❑ Partial ❑ Final
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 subject project
for the 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'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.
North Carolina Professional Engineer's
Seal, signature, and date:
........................................................................................
SEND THIS FORM &SUPPORTING DOCUMENTATION
WITH REQUIRED ATTACHMENTS TO THE FOLLOWING ADDRESS
WATER QUALITY REGIONAL OPERATIONS SUPERVISOR
ASHEVILLE REGIONAL OFFICE
2090 U.S. HWY 70
Swannanoa, NC 28778
:........................................................................................
The Permittee is responsible for tracking all partial certifications up until a final certification is received. 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.
DWR Use Only:
Flow From this project is tributary to: NCO023736

MCDENR p
North Carolina Department of Environment and Natural Resources
McCrory John E. Skvarla, III
Governor Secretary
June 23, 2014
Dan Harbaugh, Executive Director
Tuckaseigee Water & Sewer Authority
1246 W. Main Street
Sylva,NC 28779
SUBJECT: Compliance Evaluation Inspections
TWSA Class A EQ Residuals Production Facility and Distribution Program
Permit No: WQ0005763
Jackson County
Dear Mr. Harbaugh:
Enclosed please find a copy of the Compliance Evaluation Inspection Forms from the inspections conducted on
June 17 & 19, 2014. The facility was found to be in compliance with permit WQ0005763.
Please refer to the enclosed inspection reports (Inspection Summary Page 2) for additional observations and
comments. If you or your staff have any questions,please call me at [phone].
'Sincerely,
Beverly Price
Environmental Specialist
Enc.
cc: Stan Bryson, Wastewater Treatment Plant Superintendent w/Enc.
Water Quality Central Files
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Jackson\Wastewater\Non-discharge\Tuckaseigee Water&Sewer Authority\WQ0005763 CEI14&2013 AR Review.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq/ws
An Equal Opportunity\Affirmative Action Employer

Compliance Inspection Report
WQ0005763 Effective: 10/08/10 Expiration: 07/31/14 Owner: Tuckaseigee Water&Sewer Authority
SOC: Effective: Expiration: Facility: TWSA Class A EQ Residuals Production
Facility and Distribution Program
County: Jackson 1871 N River Rd
Region: Asheville
Sylva NC 28779
Contact Person: Dan Harbaugh Title: Executive Director Phone: [phone]
Ext.203
Directions to Facility:
From the intersection of North River Road(SR 1359)and Hwy.441 in Dillsboro,turn left onto SR 1359. Travel approximately 2 miles
to TWSA Plant#1 on the left.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Stan D Bryson Phone: [phone]
On-site representative Stan D Bryson Phone: [phone]
Related Permits:
Inspection Date: 06/19/2014 Entry Time: 01:00 PM Exit Time: 01:45 PM
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 (=1 Not Compliant
Question Areas:
0 Miscellaneous Questions 0 Record Keeping Treatment Sampling
(See attachment summary)
Page: 1

Permit: WQ0005763 Owner-Facility: Tuckaseigee Water&Sewer Authority `.
Inspection Date: 06/19/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine\
Inspection Summary:
This site visit included a tour of the facility.
Sludge from the other 3 facilites and WWTP#1 is mixed in the upper aerobic digester. The thickened sludge from the
upper digester is sent to the lower digester and mixed/aerated further. From here the sludge goes to the belt-press and
then to the dryer.
The maintenance/operation logs were good.
Dried sludge is stored in the silo. A Non-Hazardous Manifest is filled out each time the hauler comes to pick up residuals.
A Spill Control Plan is located on the back of the manifest. Soil Plus, Inc. is currently taking the sludge. Kinsland Trucking
out of Whittier, NC is hauling the product for Soil Plus(Scott Carpenter). In addition to the nutrient analysis performed by
Tuckaseigee, Mr. Carpenter has the product analyzed for nutrient content by A&L Eastern Labs.
Mr. Bryson indicated that he might need to send some product to the landfill to make room in the silo.
Page: 2

,nit: WQ0005763 Owner-Facility: Tuckaseigee Water&Sewer Authority
,don Date: 06/19/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
pe Yes No NA NE
Land Application n
Distribution and Marketing 0
Record Keeping Yes No NA NE
Is GW monitoring being conducted, if required? n n m n
Are GW samples from all MWs sampled for all required parameters? n n m n
Are there any GW quality violations? n n n n
Is GW-59A certification form completed for facility? n 0 ■ n
Is a copy of current permit on-site? ■ n n n
Are current metals and nutrient analysis available? n n 0 n
Are nutrient and metal loading calculating most limiting parameters? n n m n
a. TCLP analysis? n n ■
b. SSFA(Standard Soil Fertility Analysis)? n n ■ n
Are PAN balances being maintained? n n III n
Are PAN balances within permit limits? n n m n
Has land application equipment been calibrated? ❑ n n
Are there pH records for alkaline stabilization? In n n n
Are there pH records for the land application site? n n m n
Are nutrient/crop removal practices in place? n In m n
Do lab sheets support data reported on Residual Analysis Summary? n In ■ n
Are hauling records available? ❑ n
Are hauling records maintained and up-to-date? n n n
#Has permittee been free of public complaints in last 12 months? n n n
Has application occurred during Seasonal Restriction window? n n n
Comment:
Treatment Yes No NA NE
Check all that apply
Aerobic Digestion
Anaerobic Digestion n
Alkaline Pasteurization(Class A) n
Page: 3

Permit: WQ0005763 Owner-Facility: Tuckaseigee Water&Sewer Authority
Inspection Date: 06/19/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Alkaline Stabilization (Class B)
Compost
Drying Beds n
Other ■
Comment: Hot oil dryer
Sampling Yes No NA NE
Describe sampling:
Total percent solids samples are colleced at the hopper from each batch run from the dyer. Fecal coliform,
metals, nutrients and TCLP samples are collected either from the hopper or from the storage silo.
Is sampling adequate? ■ ❑ 0 0
Is sampling representative? ■ n ❑
Comment:
Page: 4

Compliance Inspection Report
WQ0005763 Effective: 10/08/10 Expiration: 07/31/14 Owner: Tuckaseigee Water&Sewer Authority
SOC: Effective: Expiration: Facility: TWSA Class A EQ Residuals Production
Facility and Distribution Program
County: Jackson 1871 N River Rd
Region: Asheville
Sylva NC 28779
Contact Person: Dan Harbaugh Title: Executive Director Phone: [phone]
Directions to Facility: Ext.203
From the intersection of North River Road(SR 1359)and Hwy.441 in Dillsboro,turn left onto SR 1359. Travel approximately 2 miles
to TWSA Plant#1 on the left.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Stan D Bryson Phone: [phone]
On-site representative Stan D Bryson Phone: [phone]
Related Permits:
Inspection Date: 06/17/2014 Entry Time: 02:00 PM Exit Time: 03:00 PM
Primary Inspector: Beverly Price Phone: [phone]
1, 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 ■Pathogen and Vector
Attraction
(See attachment summary)
Page: 1

Permit: WQ0005763 Owner-Facility: Tuckaseigee Water&Sewer Authority \
Inspection Date: 06/17/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The inspection included a review of the 2013 Annual Report.
123.25 Dry Tons of product was distributed during 2013.
64.8 tons of sludge were hauled to R and B Landfill in Homer Ga. in 2013.
Metals/nutrient and TCLP analyses were completed as required. Metals were within ceiling concentration and monthly
average concentration limits.
Pathogen and vector attraction reduction requirements appeared to be met based on the data submitted.
3rd Batch-7/29/13 Calculations were not completed. Please make sure all calculations are completed.
Recipient information was included.
Please include the degree C or F on the dryer operations daily log.
Type Yes No NA NE
n
Land Application
Distribution and Marketing ■
Pathogen and Vector Attraction Yes No NA NE
a. Fecal coliform SM 9221 E(Class A or B) ■ ❑ n fl
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 fl
Fecal coliform SM 9222 D(Class B only) Cl n ■ n
Geometric mean of 7 samples per monitoring period for class B<2.0'10E6 CFU/dry gram n \ -,
b. pH records for alkaline stabilization (Class A) 0 n ■ 0
c. pH records for alkaline stabilization (Class B) n n ■ n
Temperature corrected n
d. Salmonella(Class A,all test must be<3MPN/4 gram day) n Cl ■ n
e. Time/Temp on: n 1300
Digester(MCRT) n
n
Compost —
n
Class A lime stabilization —
f. Volatile Solids Calculations ❑ ❑ ■ 0
g. Bench-top Aerobic/Anaerobic digestion results fl 0 ■ I_l
Comment:
Page: 2

NCDENR
North Carolina Department of Environment and Natural Resources
,(McCrory John E. Skvarla, III
Governor Secretary
June 23, 2014
Barry W. Jones
Chairman of the Board
Cliffside Sanitary District
Post Office Box 122
Cliffside,NC 28024
SUBJECT: Compliance Evaluation Inspections—2013 Annual Report Review and Permit Renewal Sites
Cliffside Plant Residuals Land Application Program
Permit No: WQ0002379
Rutherford County
Dear Mr. Jones:
Enclosed please find a copy of the Compliance Evaluation Inspection Forms from the inspections conducted on
June 6, 2014. The facility was found to be in compliance with permit WQ0002379.
Please refer to the enclosed inspection reports for additional observations and comments. If you or your staff
=have any questions,please call me at [phone].
Sincerely,
Beverly rice
Enc.
cc: Mike Gibert, ORC w/Enc. Cliffside Sanitary District
MSC 1617-Central Files-Basement
Water Quality Central Files
Asheville Files
G:\WR\WQ\Rutherford\Wastewater\Non-discharge\Cone Denim,LLC\WQ0002379 CEI14 and 2013 Annual Report Review.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:hfp://portal.ncdenr.org/web/wq/ws
An Equal Opportunity\Affirmative Action Employer

�.
fir'
��__�
__

Compliance Inspection Report
WO0002379 Effective: 05/19/05 Expiration: 02/28/14 Owner: Cone Denim LLC
SOC: Effective: Expiration: Facility: Cliffside Plant Residuals Land Application
Program
County: Rutherford PO Box 335
Region: Asheville
Cliffside NC 28024
Contact Person: Michael Franklin Gibert Title: ORC Phone: [phone]
Directions to Facility:
Hwy 221-A south to SR1003(Boiling Springs Road)turn left,travel approx.0.1 mi.turn right on to SR1975.,take next paved road to
the right(Vellow,gate)WWTP is aatt the end of the road.
System classifications: CA,
Primary ORC: Michael Franklin Gibert Certification: 14756 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Michael Franklin Gibert Phone: [phone]
On-site representative Michael Franklin Gibert Phone: [phone]
Related Permits:
Inspection Date: 06/05/2014 Entry Time: 10:00 AM Exit Time: 10:15 AM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Land Application of Residual Solids(503)
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
0 Miscellaneous Questions
(See attachment summary)
Page: 1

Permit: WQ0002379 Owner-Facility: Cone Denim LLC
Inspection Date: 06/05/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine\
Inspection Summary: A
This inspection included a review of the 2013 Annual Report.
No residuals were land applied or disposed of in any other manner in 2013. They do not anticipate any land application
activity in 2014. Any residuals produced can be stored in the residuals storage tanks. Both tanks are empty.
The permit is in the process of being renewed.
Page: 2

ermit: WQ0002379 Owner-Facility: Cone Denim LLC
action Date: 06/06/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
`ype Yes No NA NE
Distribution and Marketing n
Land Application ■
Record Keeping Yes No NA NE
Is GW monitoring being conducted,if required? n n ■ n
Are GW samples from all MWs sampled for all required parameters? n n ■ 13
Are there any GW quality violations? n n ■ n
Is GW-59A certification form completed for facility? n n ■ n
Is a copy of current permit on-site? ■ ❑ n
Are current metals and nutrient analysis available? n n ■ n
Are nutrient and metal loading calculating most limiting parameters? n n ■ n
a. TCLP analysis? n n ■ n
b. SSFA(Standard Soil Fertility Analysis)? ❑ n ■ n
Are PAN balances being maintained? n n ■ n
Are PAN balances within permit limits? n n ■ n
Has land application equipment been calibrated? In n ■ n
Are there pH records for alkaline stabilization? n n ■ n
Are there pH records for the land application site? n n ■ n
Are nutrient/crop removal practices in place? n n ■ n
Do lab sheets support data reported on Residual Analysis Summary? n n ■ n
Are hauling records available? n n ■ n
Are hauling records maintained and up-to-date? n n ■ n
#Has permittee been free of public complaints in last 12 months? n n ■ n
Has application occurred during Seasonal Restriction window? n n ■ n
Comment:
Page: 3

Compliance Inspection Report
.c WO0002379 Effective: 05/19/05 Expiration: 02/28/14 Owner: Cone Denim LLC
SOC: Effective: Expiration: Facility: Cliffside Plant Residuals Land Application
Program
County: Rutherford PO Box 335
Region: Asheville
Cliffside NC 28024
Contact Person: Michael Franklin Gibert Title: ORC Phone: [phone]
Directions to Facility:
Hwy 221-A south to SR1003(Boiling Springs Road)turn left,travel approx.0.1 mi.turn right on to SR1975.,take next paved road to
the right ellowgate)WWTP is aatt the end of the road.
System lassifications: LA,
Primary ORC: Certification: Phone:
Secondary ORC(s):
Michael Franklin Gibert Certification: 14756 Phone: [phone]
On-Site Representative(s):
24 hour contact name Michael Franklin Gibert Phone: [phone]
On-site representative Michael Franklin Gibert Phone: [phone]
Related Permits:
Inspection Date: 06/06/2014 Entry Time: 12:30 PM Exit Time: 03:30 PM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Land Application of Residual Solids(503)
Facility Status: ■ Compliant n Not Compliant
Question Areas:
0 Miscellaneous Questions 0 Record Keeping
(See attachment summary)
Page: 1

Permit: WQ0002379 Owner-Facility: Cone Denim LLC
Inspection Date: 06/06/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary: \
The purpose of this site visit was for the permit renewal.
Most of the land owners are opting out of the land application program. Terry Hines and Edwin B. Holland are remaining
in the program. A total of 102.7 acres will remain permitted.The maps should be re-submitted showing all
corrections/clarifications noted in the staff report(an Additional Information Request will come from the Central Office).
Regarding sludge handling at the WWTP: there are no changes at the WWTP. Any sludge produced can be held in the
sludge holding tanks.
Kati Wesson is listed as the Land Application ORC on the renewal application but is not designated in BIMS.An ORC
designation Form should be submitted for Kati Wesson.
Page: 2

ermit: WQ0002379 Owner-Facility: Cone Denim LLC
Action Date: 06/06/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
ype Yes No NA NE
Distribution and Marketing n
Land Application 0
Record Keeping Yes No NA NE
Is GW monitoring being conducted, if required? n n ■ 13
Are GW samples from all MWs sampled for all required parameters? n ❑ ■ n
Are there any GW quality violations? n n ■ n
Is GW-59A certification form completed for facility? n n ■ n
Is a copy of current permit on-site? ■ fl n n
Are current metals and nutrient analysis available? n n E n
Are nutrient and metal loading calculating most limiting parameters? n n m n
a. TCLP analysis? n n 0 n
b. SSFA(Standard Soil Fertility Analysis)? ❑ ❑ ■ n
Are PAN balances being maintained? n n N n
Are PAN balances within permit limits? n n ■ n
Has land application equipment been calibrated? n In ■ n
Are there pH records for alkaline stabilization? n ❑ ■ n
Are there pH records for the land application site? n n 0 n
Are nutrient/crop removal practices in place? n n 0 n
Do lab sheets support data reported on Residual Analysis Summary? n n ■ n
Are hauling records available? n n ■ Cl
Are hauling records maintained and up-to-date? n n E n
#Has permittee been free of public complaints in last 12 months? n In 0 n
Has application occurred during Seasonal Restriction window? n n ■ ❑
Comment:
Page: 3

Ae ®MMA
NCDENR
North Carolina Department of Environment and Natural Resources
-at McCrory John E. Skvarla, III
Governor Secretary
June 23, 2014
Anna A Payne
Town of Murphy
PO Box 130
Murphy NC 28906-0130
SUBJECT: Collection System Inspection
Murphy Collection System
Permit No: WQCS00132
Cherokee County
Dear Ms. Payne:
Enclosed please find a copy of the collection system inspection conducted on May 15, 2014. The purpose of
the inspection was to determine whether Murphy's sewage collection system operation and maintenance
program meets the requirements of Collection System Permit Number WQCS00132. The permit requires that
the Town maintain records which document the annual inspection of the entire collection system and the
semiannual inspection of high priority lines along with the sections of sewer lines which are cleaned. The Town
has updated their paper collection system maps. Computer based mapping is a better way to document the
system and to track maintenance records; the inspector recommends that the Town move in this direction.
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,
Jeff Menzel
Environmental Specialist
Enc.
cc: Matthew Scott Helton, ORC
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/weblwq
An Equal Opportunity 1 Affirmative Action Employer
G:NRIWMCherokee\Collection Systems\Murphy Collection System\WQCS00132 CEI 2014.doc

Compliance Inspection Report
ait: WQCS00132 Effective: 05/01/09 Expiration: 04/30/17 Owner: Town of Murphy
SOC: Effective: Expiration: Facility: Murphy Collection System
County: Cherokee PO Box 130
Region: Asheville
Murphy NC 289060130
Contact Person: Anna A Payne Title: Phone: [phone]
Directions to Facility:
System Classifications: CS1,
Primary ORC: Matthew Scott Helton Certification: 986635 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
NC0020940 Town of Murphy-Murphy WWTP
Inspection Date: 05/15/2014 Entry Time: 09:30 AM Exit Time: 02:00 PM
Primary Inspector: Jeff Menzelai&`! Phone: [phone]
Secondary Inspectors): i
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: 0 Compliant I_l Not Compliant
Question Areas:
Miscellaneous Questions Performance Standards Operation&Maint Reqmts Records
Monitoring&Rpting Inspections Pump Station
Reqmts
(See attachment summary)
Page: 1

Permit: WQCS00132 owner-Facility: Town of Murphy
Inspection Date: 05/15/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine \
Inspection Summary:
The purpose of the inspection was to determine whether Murphy's sewage collection system operation and maintenance \
program meets the requirements of Collection System Permit Number WQCS00132. The Town's Collection System
Permit requires that the Town maintain records which document the annual inspection of the entire collection system and
the semiannual inspection of high priority lines along with the sections of sewer lines which are cleaned. The Town has
updated their paper collection system maps. Computer based mapping is a better way to document the system and to
track maintainence records;the inspector recommends that the Town move in this direction.
�y
Page: 2

Permit: WQCS00132 Owner-Facility: Town of Murphy
,pection Date: 05/15/2014 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? 0 0 0
What educational tools are used?
Pamphlets are sent out annually with water bill.
Is Sewer Use Ordinance/Legal Authority available? D fl 11
Does it appear that the Sewer Use Ordinance is enforced? fl ❑ 0
Is Grease Trap Ordinance available? rl 0 El
Is Septic Tank Ordinance available(as applicable, i.e. annexation) 0 n ❑
List enforcement actions by permittee, if any, in the last 12 months
Has an acceptable Capital Improvement Plan (CIP)been implemented? 0 ❑ n
Does CIP address short term needs and long term\"master plan\"concepts? M ❑ 0 0
Does CIP cover three to five year period? M 0 fl
Does CIP include Goal Statement? M rl fl 0
Does CIP include description of project area? 0 n 0
Does CIP include description of existing facilities? 0 n ❑
Does CIP include known deficiencies? n fl n
Does CIP include forecasted future needs? 0 f1 n
Is CIP designated only for wastewater collection and treatment? f=1 M Cl n
Approximate capital improvement budget for collection system? $500,000.00
Total annual revenue for wastewater collection and treatment? $511,000.00
CIP Comments
Is system free of known points of bypass? 0 ❑ 0
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? ❑ fl fl
#Does the sign include:
Instructions for notification? 0 n 0
Pump station identifier? ❑ El
24-hour contact numbers 0 n
If no, list deficient pump stations
Page: 3

Permit: WQCS00132 Owner-Facility: Town of Murphy
Inspection Date: 05/15/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine ,
#Do ALL pump stations have an"auto polling"feature/SCADA? n n n \\
Number of pump stations 18
0
Number of pump stations that have SCADA
Number of pump stations that have simple telemetry 12
6
Number of pump stations that have only audible and visual alarms
Number of pump stations that do not meet permit requirements 0
#Does the permittee have a root control program? n n n
#If yes,date implemented? 01/01/2006
Describe:
Comment:
Inspections Yes No NA NE
Are maintenance records for sewer lines available? n n n
Are records available that document pump station inspections? n n n
Are SCADA or telemetry equipped pump stations inspected at least once a week? n n n -
Are non-SCADA/telemetry equipped pump stations inspected every day? n n ❑
Are records available that document citizen complaints? ❑ n n
#Do you have a system to conduct an annual observation of entire system? fl 0 n 0
#Has there been an observation of remote areas in the last year? n n n
Are records available that document inspections of high-priority lines? nE n
El
Has there been visual inspections of high-priority lines in last six months? Q Cl
01
Comment: The Town of Murphy should have in place a records keeping system to
track system observation and high priority lines
inspections.
Operation &Maintenance Requirements Yes No NA NE
Are all log books available? n ❑ 0
Does supervisor review all log books on a regular basis? ❑ n n
Does the supervisor have plans to address documented short-term problem areas? n n n
What is the schedule for reviewing inspection, maintenance,&operations logs and problem areas?
As needed.
Are maintenance records for equipment available? n Cl ❑
Is a schedule maintained for testing emergency/standby equipment?
Page: 4

Permit: WQCS00132 Owner-Facility: Town of Murphy
.,pection Date: 05/15/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
What is the schedule for testing emergency/standby equipment? Monthly
Do pump station logs include:
Inside and outside cleaning and debris removal? fl n 0
Inspecting and exercising all valves? 1=l 0 0
Inspecting and lubricating pumps and other equipment? 0 ❑ 0
Inspecting alarms,telemetry and auxiliary equipment? n Q 0
Is there at least one spare pump for each pump station w/o pump reliability? 0 a ❑
Are maintenance records for right-of-ways available? 1=1 E 0 D
Are right-of-ways currently accessible in the event of an emergency? 0 0 1=1
Are system cleaning records available? 0 ❑ 0
Has at least 10%of system been cleaned annually? n 0 El
What areas are scheduled for cleaning in the next 12 months?
Is a Spill Response Action Plan available? ❑ fl
Does the plan include:
24-hour contact numbers n ❑ ❑
Response time ❑ n ❑
Equipment list and spare parts inventory rl 0 (_l
Access to cleaning equipment 0 0 1=1
Access to construction crews, contractors,and/or engineers
Source of emergency funds 0 ❑ fl
Site sanitation and cleanup materials ❑ 0 n
Post-overflow/spill assessment 0 0 n
Is a Spill Response Action Plan available for all personnel? ❑ 0 0
Is the spare parts inventory adequate? (1 0 0
Comment:
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? 000 Q
Are records of SSOs that are under the reportable threshold available? 0 n 0
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? fl N ❑ 0
If yes, is there a corrective action plan? ❑ n o
Page: 5

Permit: WQCS00132 Owner-Facility: Town of Murphy
Inspection Date: 05/15/2014 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine\\,
Is a map of the system available? ❑ D n
Does the map include:
Pipe sizes 0 ❑ n
Pipe materials ❑ Q fl
Pipe location ❑ 0
Cl
Flow direction ❑ n n
Approximate pipe age n E 0 n
Number of service taps n
Pump stations and capacity rl0 fl 0
80
If no,what percent is complete?
List any modifications and extensions that need to be added to the map
The Town currently uses paper sewer maps.The inspector encourages the Town to move in the direction of
computer based sewer maps.
#Does the permittee have a copy of their permit? 0 0 ❑ ❑
Comment:
Monitoring and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available? i1 n n
Are public notices and proof of publication available? ❑ 0
#Is an annual report being prepared in accordance with G.S. 143-215.1C? 0
#Is permittee compliant with all compliance schedules in the permits? n ❑ 0
If no,which one(s)?
Comment:
Page: 6

NCDENR
North Carolina Department of Environment and Natural Resources
r'at McCrory John E. Skvarla, III
Governor Secretary
June 23, 2014
Anna A Payne
Town of Murphy
PO Box 130
Murphy NC 28906-0130
SUBJECT: Compliance Evaluation Inspection
Murphy WWTP
Permit No: NCO020940
Cherokee County
Dear Ms. Payne:
Enclosed please find a copy of the compliance evaluation inspection conducted on May 15, 2014. No violations
of permit requirements or applicable regulations were noted during this 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 828-296-4600.
Sincerely,
Jeff Menzel
Environmental Specialist
Enc.
cc: Matthew Scott Helton, ORC
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer
G:IWRIWQICherokeelWastewater MunicipallMurphy WWTP 209401NC0020940 CEI 2014.doc

__
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United States Environmental Protection Agency Form Approved.
A 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 u 2 15 I 3 I NCO020940 111 12 14/05/15 17 18 i"1 19 i G 201 I
21L1.1 1 1 1 ....L. I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I III I I f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -----------------Reserved------------
671 70 71 L_j 72 Lj 73 f I �74 751 1 1 1 1 1 ( j80
Section B:Facility Data J I 1 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 14/05/15 13/12/01
Murphy WWTP
Payne St Exit Time/Date Permit Expiration Date
Murphy NC 28906 01:45PM 14/05/15 17/08/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Matthew Scott Helton/ORC/828-837-5035/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Anna A Payne,PO Box 130 Murphy NC 289 06 0 1 30//8 28-837-251 0/
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit 0 Operations&Maintenance E Facility Site Review
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
Jeff MenzelS4 ARO WQH828-296-4500/
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 yr/mo/day Inspection Type
31 NC0020940 J1 1 121 14/05/15 17 18
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
This was a brief inspection done in coordination with a collection system inspection. The Town \
received a considerable amount of rain the night before and the facility was able to continue stable
operation. No violations of permit requirements or applicable regulations were noted during this
inspection.
Page# 2

Permit: NCO020940 Owner-Facility: MurphyWWfP
npspection Date: 05/15/2014 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 ❑ ❑ ❑
Solids, pH, DO;Sludge Judge, and other that are applicable?
Comment:
Sequencing Batch Reactors Yes No Na Ne
Type of operation: Duplex
Is the reactor effluent free of solids? N ❑ ❑ ❑
Does minimum fill time correspond to the peak hour flow rate of the facility? ❑ ❑ ❑
Is aeration and mixing cycled on and off during fill? ❑ ❑ ❑
The operator understands and can explain the process? ❑ ❑ ❑
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? ❑ ❑ N ❑
Is access to the plant site restricted to the general public? E ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ❑ ❑ ❑
Comment:
Page# 3

_._ ____
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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Join E. Skvarla, III
Governor Secretary
June 23,2014
Subject: Stream Identification Request
To Whom It May Concern:
This letter provides the findings of a site visit to 44 Manetta Road PIN(9740-51-296 1-00000) in
Asheville NC conducted on June 16,2014 to provide a stream determination. The results were as
follows:
Stream#1
Features Score Comments
Geomorphology 14.0
Hydrology 7.0
The evaluation occurred across PIN(9740-
Biology 6.0 51-2961-00000).
44 Manetta Road
Total 27.0
Intermittent
Determination: Stream
Determination
Please contact me if I can be of any further assistance: 828-296-4664 or tim.foxLncdenngov .
Sincerely,
ox
Environmental Specialist
Water Quality Regional Operation Section
Water Quality Regional Operations Section
2090 U.S.Highway 70,Swannanoa,N.C. 28778
Phone[phone]
FAX [phone]
Internet: h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer

_._ __
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ors
i!CDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 23,2014
Subject: Stream Identification Request
To Whom It May Concern:
This letter provides the findings of a site visit to Salola Street PIN(9628-82-2492-00000)in
Asheville NC conducted on June 6,2014 to provide a stream determination. The results were as
follows:
Stream#1
Features Score Comments
Geomorphology 7.0
Hydrology 2.0
The evaluation occurred across PIN(9628-
Biology 0.0 82-2492-00000).
Salola Street
Total 9.0
Ephemeral
Determination: Stream
Determination JI
Please contact me if I can be of any further assistance: 828-296-4664 or tim.fox2ncdenr.gov .
Sincerely, ,
Tim Fox .
Environmental Specialist
Water Quality Regional Operation Section
Water Quality Regional operations Section
2090 U.S.Highway 70,Swannanoa,N.G. 28778
Phone[phone]
FAX [phone]
Internet: h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer

,w��.ir iLAr
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 24,2014
Subject: Stream Identification Request
To Whom It May Concern:
This letter provides the findings of a site visit to five different parcels located along Broadway
Street in Asheville NC conducted on June 16,2014 to provide a stream determination. The
results were as follows:
Stream#1
Features Score. Comments
Geomorphology 14.0
Hydrology 7.0
The evaluation occurred across FINS
Biology 6,0 964923383700000,964923480600000,
964923486600000,964923584500000
964923683500000.Along Broadway Street.
Total 27.0
Intermittent
Determination: Stream
Determination
Please contact me if I can be of any further assistance: 828-296-4664 or [e-mail].
Sincere y,
Fox
Environmental Specialist
Water Quality Regional Operation Section
Water Quality Regional Operations Section
2090 U.S.Highway 70,Swannanoa,N.C. 26778
Phone[phone]
FAX [phone]
Intemet: h2o,ex.state,naus
An Equal Opportunity(Affirmative Action Employer

,,\
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0
NCDENR
North Carolina Department of Environment and Natural Resources
,-at McCrory John E. Skvarla, III
Governor
Secretary
June 24, 2014
DWR# 14-0493
Transylvania County
Kristin Bail
160 Zillicoa Street, Suite A
Asheville, NC 28801
Subject: APPROVAL, OF 401 WATER QUALITY CERTIFICATION
Tucker Creek Stream Enhancement
Dear Ms. Bail:
In accordance with your application dated May 9, 2014 and additional information received on June 17, 2014,
approval has been granted for the impacts listed in the table below. This approval requires you to follow the
conditions listed in the enclosed certifications) or general permit and any additional conditions listed
below.
''rcject impacts are covered by the attached Water Quality General Certification Number 3885 and the
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 obtain or otherwise comply
with any other federal, state or local permits before proceeding with your project, including those required by
(but not limited to) Erosion and Sediment Control, Water Supply Watershed and Trout Buffer regulations.
IMPACTS APPROVED
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.
Type of Impact Amount Approved
Permanent
Stream 445 (linear feet)
ADDITIONAL, CONDITIONS
1. 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
Water Quality Regional Operations—Asheville Regional Office
2090 US Hwy 70,Swannanoa,NC 28778
Phone:[phone] FAX:[phone]
Internet:http:l/portal.ncdenr.org/web/wq/ws
An Equal Opportunity 1 Affirmative Action Employer

Kristin Bail
June 24,2014 �
Page 2 of 3
letter and General Certification(s)/Permit/Authorization and is responsible for complying witty,
conditions.
2. This project is exempt from Water Quality Certification No. 3885 Condition 7. Work in the Dry.
This approval and its conditions are final and binding unless contested.
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.ncoali.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:OOam and 5:OOpm, 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):
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:
Lacy Presnell, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh,NC 27699-1601

completes the review of the Division under section 401 of the Clean Water Act as described in 15A
.0500. Please contact Chuck Cranford at 828-298-4638 or chuck.cranford c ncdenrgo v if you have any
.,stions or concerns.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3885
Certificate of Completion
cc: DWR ARO 401 files
DWR 401 and Buffer Permitting Unit
ec: Brady Dodd USDA Forest Service
USAGE Asheville Regulatory Field Office
G:\WR\WQ\Transylvania\401s\Non-DOT\Tucker Creek\APRVL.06.24.14.docx

I
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ANY-KNCDENR
North Carolina Department of Environment and Natural resources
?at McCrory John E Skvarla,III
Governor Secretary
June 25,2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7012 1010 0002 1965 7529
Ms. Susan Glenn
Blackberry Sewer System
P.O. Box 1770
Blowing Rock,North Carolina 28605
Subject: Notice of Violation and
Recommendation for Enforcement
Tracking#: NOV-2014- V-0039
Blackberry Sewer System WWTP
NPDES Permit No.NCO055611
Caldwell County
Dear Ms. Glenn:
A review of the December 2013 self-monitoring report for the subject facility revealed violations of the
following parameters:
Date Outfall Parameter Frequency Violation
12/31/2013 001 Total Nitrogen Quarterly Failure to Monitor
12/31/2013 001 Total Phosphorus Quarterly Failure to Monitor
A Notice of Violation/Notice of Recommendation for Enforcement(NOV/NRE) is being issued for the
noted violation of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. NCO055611.
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 you wish to provide additional information
regarding the noted violation, request technical assistance, or discuss overall compliance please respond in
writing within ten(10) days after receipt of this Notice. A review of your response will be considered along
with any information provided on the December 2013 Discharge Monitoring Report. 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.
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://portal,ncdenr.org/web/wq
An Equal Opportunity/Affirmative Action Employer

Ms. Susan Glenn
June 25, 2014
Page Two
Remedial actions, if not already implemented, should be taken to correct any problems. The Divisiv,
Water Resources may pursue enforcement actions for this and any additional violations. If the violations are oil
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. You may
contact this office for additional information.
If you have questions concerning this matter, please do not hesitate to contact Janet Cantwell or
me at 828/296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations,NCDENR
Asheville Regional Office
cc: WQ Asheville Files
MSC 1617-Central Files-Basement
WQ Enforcement/NPDES Point Source Branch
WQ Lab & Operations/ORC
NOV doe

i��
RZWE N R
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 25, 2014
Dr. William Miller
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722-0638
Subject: NOTICE OF VIOLATION
NOV-2014-LV-0279
Permit No. NCO033553
Polk Central School WWTP
Polk County
Dear Dr. Miller:
A review of Polk Central School's monitoring report for December 2013 showed the following
violation:
Parameter Date Limit Value Reported Value Limit Type
BOD, 5-Day (20 Deg. C) - 12/17/2013 45 mg/I 49 mg/I Daily Maximum
Concentration Exceeded
It was also noted that the Compliance box on the back of the DMR was marked "Compliant"when in
fact it should have been marked "Non-Compliant"with an explanation for the non-compliance
Remedial actions should be taken to correct this problem. 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 Janet Cantwell or me at 828/296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations, NCDENR
Asheville Regional Office
cc: WQ Asheville Files
MSC 1617-Central Files-Basement
Deborah Bradley/ORC
G:'\If rfR'ljvQ',Pol Iiliastewater\Minors':Ac!k Central School 33553,.N0V-2014-LV-0279.de0
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://portai.ncdenr.org/web/wq
An Equal Opportunity/Affirmative Action Employer

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VCNENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 25, 2014
Mr. John Condrey, City Manager
Town of Forest City
P.O. Box 728
Forest City, North Carolina 28043-0728
Subject: NOTICE OF VIOLATION
NOV-2014-LV-0280
Permit No. NCO087084
Riverstone Industrial Park WWTP
Rutherford County
Dear Mr. Condrey:
A review of Riverstone Industrial Park WWTP's monitoring report for November 2013 showed the
following violations:
1,
[Parameter Date Limit Value Reported Value Limit Type
ids, Total Suspended 11/16/2013 45 mg/I 56.5 mg/I Weekly Average
oncentration Exceeded
Fecal coliform 11/23/2013 400#/ 100 ml 590#/100 ml Weekly Geometric
Mean Exceeded
Remedial actions, if not already implemented, should be taken to correct any problem. Since the
comments section on the reverse of the relevant DMR provided an adequate explanation for the subject
violation, it is not requested that a response be submitted.
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 Janet Cantwell or me
at 828/296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations, NCDENR
Asheville Regional Office
cc: WQ Asheville Files
MSC 1617-Central Files-Basement
G:?u'JR;!NQ?Rutne`fordit-Jaste+,,;aier:Ntinors�.Riverstone industr al Park 87084'.N0V-2014-I_V-02.30.d0c
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://portal.ncdenr.org/web/wq
An Equal Opportunity/Affirmative Action Employer

WATER QUALITY REGIONAL OPERATIONS SECTION
APPLICATION REVIEW REQUEST FORM
Date: May 27, 2014
To: ARO-WQROS:Chuck Cranford/Landon Davidson
From: Nathaniel Thornburg, Water Quality Permitting Section-Non-Discharge Permitting Unit
Telephone: [phone] Fax. [phone] E Mail: [e-mail]
A. Permit Number: WQ0036327
B. Applicant: Meadows Partnership
C. Facility Name: Mystic Meadows WWTF
D. Application:
Permit Type. High-Rate Infiltration
Project Type:Minor Modification
E. Comments/Other Information:
❑ I would like to accompany you on a site visit.
i
Attached, you will find all information submitted in support of the above-referenced application for your
review, comment,and/or action. Within 45 calendar days,please take the following actions:
® Return a completed WQROSARR Form. ® Return a completed WQROSSR Staff Report
❑ Attach a classification rating sheet. ❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification. ❑ Issue an Attachment B Certification.
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 Water Quality Permitting Section contact
person listed above.
RO-W®ROS Reviewer: Date: j
REZEIVEED
vislan i,waw Raisvuv
AN " '2 014
FORM: WQROSARR 02-14 Page 1 of I

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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting
Regional Staff Report
6/27/2014
To: DWR Water Quality Permitting Section Central Office Application No.: W00036327
Attn: Nathaniel Thornburg Regional Login No.:
From: Bev Price
Asheville Regional Office
I. GENERAL SITE VISIT INFORMATION
l. Was a site visit conducted?❑ Yes or®No
a. Date of site visit:
b. Site visit conducted by:
c. Inspection report attached? ❑Yes or®No
d. Person contacted and their contact information:
e. Driving directions: From Asheville: I-40 West to Hwy. 19 West toward Bryson City. Facility is located on
the left approximately 3 miles after entering the Nantahala Gorge
1. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS
1. Facility Classification: (Please attach completed rating sheet to be attached to issued permit)Facili
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 Pagel of 3

III.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
If no,please explain: System start up approval letter was sent in May 2014 There is no data available vet
to make this determination.
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? Z 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:
�J
10. Were monitoring wells properly constructed and located? ® Yes❑No ❑N/A
If no,please explain: MW#3 is outside RB.
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
0 , „ _ 0
0 , „ _ 0
0 , �, _ 0
0 , ,� _ 0 ,
0 , „ _ 0
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:
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

any issues related to compliance/enforcement that should be resolved before issuing this permit?
Is❑No ®N/A
yes,please explain:
GIONALL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ®Yes or❑No
If yes,please explain: The more stringent monitoring requirements were put in the permit because of the
proximity of the facility to the Nantahala River. Also,this type of system has never been installed in the
Western Region. A normal monitoring schedule for High Rate Systems between 1k-10k gpd only requires
4x/year monitoring. We felt a more stringent schedule at least initially(first 2 years)would give us a better
idea if the system will perform as expected.
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item Reason
Designate An ORC and According to BIMS the facility does not have designated operators.
Backup
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 asons:,Please see IV. 1.above)
6. Signature of report preparer: ,s f�- 111-/ 14
Signature of APS regional supervisor:
Date: (�.Z&- .' o 9 LA
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM:APSRSR 04-10 Page 3 of 3

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 30, 2014
Lauren Popkin Herschthal
PO Box 1029
Hendersonville,NC 28793
SUBJECT: Compliance Evaluation Inspection
Blue Star Camps WWTP
Permit No: NCO036251
Henderson County
Dear Ms. Herschthal:
On June 25, 2014, I conducted a compliance evaluation inspection on the Blue Star Camps Waste Water
Treatment Plant. I was assisted in this inspection by Mr. Tom Kilpatrick. The facility was found to be in
compliance with permit NCO036251.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
- have any questions,please call me at: 296-4500.
Sincerely, w.._..._.,...
Katherine H. Jimison
Chemistry Technician III
Asheville Regional Office
Enclosure
cc: Thomas W Kilpatrick, ORC
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer
G:IWRIWQ1HendersonlWastewateAMinorslBlue Star Camps 36251Q6251 CEI 2014.doc

United States Environmental Protection Agency Form Approved.
A 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 ydmo/day Inspection Type Inspector Fac Type
1 u 2 15 1 3 NC0036251 111 12 14/06/25 17 18 19 � G I 20 H
LCJ
211 I I I I I I I I I II I I I I I I j I I I I I I I I I I I I I I I I II I I I I I f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 CIA ------------------Reserved-------------
67 1 � 70 71 J
I ' 72 r,J 73 f 74 751 I I I I I I 180
I_1 Section B: Facility Data
L I_L—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) 11:OOAM 14/06/25 11/04/01
Blue Star Camps WWTP
Exit Time/Date Permit Expiration Date
Rt 3 Crab Creek Rd P
Hendersonville NC 28793 12:OOPM 14/06/25 15/09/30
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Thomas W Kilpatrick/ORC/828-243-1784/
Name,Address of Responsible Official/Title/Phone and Fax Number
Tom Kilpatrick,PO Box 679 Etowah NC 287290679/ORC/828-890-4810/ Contacted
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit N Flow Measurement Operations&Maintenance N Records/Reports
Facility Site Review
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
Kathy Jimison ARO WQ//828-296-4500/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers ® Da
d
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

A
NPDES yr/mo/day Inspection Type
31 NCO036251 I1 12 14/06/25 17 18 1,1
LJ \
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) \
Mr. Tom Kilpatrick assisted in this inspection.
The ORC has found it difficult to maintain sufficient ice in his composite sampler to keep samples at
the required 4 degrees. It is highly recommended that a refrigerated auto sampler be installed to
maintain sample integrity and consistency.
The flow meter totalizer is operational, however, the chart motor is not working. Owner has been
made aware and there are plans for replacement.The flow meter is due for calibration 08-2014.
Page# 2

Permit: NCO036251 Owner-Facility: Blue Star Camps VW TP
nspection Date: 06/25/2014 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 ❑ ❑ 0 ❑
application?
Is the facility as described in the permit? ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ 0 ❑ ❑
Is access to the plant site restricted to the general public? ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ❑ ❑ ❑
Comment: Mr.Tom Kilpatrick assisted in this inspection
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: ORC analyzes for Settleable Solids DO sludge judge etc
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 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? ❑ ❑ ❑
(If the facility is=or>5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ❑ M ❑
on each shift?
Is the ORC visitation log available and current? M ❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? M ❑ ❑ ❑
i
Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ ❑
Is a copy of the current NPDES permit available on site? ❑ ❑ ❑
Page# 3

Permit: NCO036251 owner-Facility: glue Star Camps WWTP
Inspection Date: 06/25/2014 Inspection Type: Compliance Evaluation \'
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑ \
Comment:
Egualization Basins Yes No NA NE
Is the basin aerated? 0 ❑ ❑ ❑
Is the basin free of bypass lines or structures to the natural environment? N ❑ ❑ ❑
Is the basin free of excessive grease? ❑ ❑ ❑
Are all pumps present? ❑ ❑ ❑
Are all pumps operable? ❑ ❑ ❑
Are float controls operable? ❑ ❑
Are audible and visual alarms operable? ❑ ❑
#Is basin size/volume adequate? N ❑ ❑ ❑
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext.Air J
Type of aeration system Diffused
Is the basin free of dead spots? 0 ❑ ❑
Are surface aerators and mixers operational? ❑ ❑ 11 ❑
Are the diffusers operational? E El ❑ ❑
Is the foam the proper color for the treatment process? E ❑ ❑ ❑
Does the foam cover less than 25%of the basin's surface? N ❑ ❑ ❑
Is the DO level acceptable? ❑ ❑ ❑ 11
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? E ❑ ❑ ❑
Is the site free of excessive buildup of solids in center well of circular clarifier? ❑ ❑ M ❑
Are weirs level? E ❑ ❑ ❑
Is the site free of weir blockage? 0 ❑ ❑ ❑
Is the site free of evidence of short-circuiting? N ❑ ❑ ❑
Is scum removal adequate? E ❑ ❑ ❑
Page# 4

Permit: NC0036251 Owner-Facility: Blue Star Camps WWTP
.,spection Date: 06/25/2014 Inspection Type: Compliance Evaluation
Secondary Clarifier Yes No NA NE
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the return rate acceptable(low turbulence)?
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable?(Approximately Y4 of the sidewall depth)
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? M El R El
Are the tablets the proper size and type?
Number of tubes in use? 3
Is the level of chlorine residual acceptable? M El El M
Is the contact chamber free of growth,or sludge buildup? 0 El EJ (l
Is there chlorine residual prior to de-chlorination? EJ El El 0
Comment:
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)?
Is storage appropriate for cylinders?
#Is de-chlorination substance stored away from chlorine containers?
Comment:
Are the tablets the proper size and type? D El
Are tablet de-chlorinators operational? El 0
Number of tubes in use? 4
Comment:
Flow Measurement- Effluent Yes No NA NE
#Is flow meter used for reporting? El El El
Is flow meter calibrated annually?
Is the flow meter operational?
(If units are separated)Does the chart recorder match the flow meter?
Page# 5

Permit: NCO036251 owner-Facility: glue Star Camps WWfP
Inspection Date: 06/25/2014 Inspection Type: Compliance Evaluation
Flow Measurement- Effluent Yes No NA NE
Comment: The flow meter totalizer is operational however, the chart motor,is not working. Owner has
been made aware and there are plans for replacement The flow meter is due for calibration
08-2014.
Page# 6

iarwr+
NCDENR
North Carolina Department of Environment and Natural Resources
-'Pat McCrory John E. Skvarla, III
Governor Secretary
June 30, 2014
Audrey Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest NC 28768
SUBJECT: Compliance Evaluation Inspection
Sapphire Lakes WWTP #2
Permit No: NCO059439
Transylvania County
Dear Mr. Deaver:
On May 28, 2014, I conducted a compliance evaluation inspection on the Sapphire Lakes WWTP #2. I would
like to thank you for your assistance in this inspection. The facility was found to be in compliance with permit
NC0059439.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call me at: 296-4500.
Sincerely,
r
Katherine H Jimison
Chemistry Technician III
Asheville Regional Office
Enclosure
cc: MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity\Affirmative Action Employer
G:\WR\WQ\Transylvania\Wastewater\Minors\Sapphire Lakes WWTP#2 59439\59439 CEI 2014.doc

United States Environmental Protection Agency Form Approved.
A 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 Cod'e- 1' NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN l 2 'b 3 ( NCO059439 111 12 14/05/28 17 18 1"1 19 G 20I I
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA --------—----------Reserved------------
67 70 71 L] 72 NJ
� 731 1 174 751 I I 1 I I I 180
1=J Section B:Facility Data l_ 1 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) 12:05PM 14/05/28 12/09/01
Sapphire Lakes Plant VW TP#2
1600 US Hwy 64 W Exit Time/Date Permit Expiration Date
Sapphire NC 28774 12:30PM 14/05/28 17/08/31
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
Audrey Deaver,PO Box 1407 Pisgah Forest NC 28768/l882-884-9772/ Contacted
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit E Operations&Maintenance N Facility Site Review
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
Kathy Jimison ARO WQ#828-296-4500/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers �dl g Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type
31 NC0059439 I11 12 14/05/28 17 18
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Mr.Aubrey Deaver assisted in this inspection.
Some sections of the lattice fencing are gone. The fencing needs to be repaired or replaced to prevent
access by unauthorized personnel.
The facility appears to be operated and maintained well.
.'v
Page# 2

Permit: NCO059439 Owner-Facility: Sapphire Lakes Plant WWTP#2
,spection Date: 05/28/2014 Inspection Type: Compliance Evaluation
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 ❑ ❑ M ❑
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? 0 ❑ ❑ ❑
Comment: Some sections of the lattice fencing are gone The fencing should be repaired and or
replaced to prevent access by unauthorized personnel
Sand Filters (Low rate) Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational? ❑ ❑ 0 ❑
Is the distribution box level and watertight? ❑ ❑ 0 ❑
Is sand filter free of ponding? 0 ❑ ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ M ❑
#Is the sand filter surface free of algae or excessive vegetation? M ❑ ❑ ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ M ❑
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ ❑ ❑
Are the tablets the proper size and type? ❑ ❑ ❑
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: There was no flow at the time of this inspection.
De-chlorination Yes No NA NE
Page# 3

Permit: NCO059439 Owner-Facility: Sapphire Lakes Plant WNfrP#2
Inspection Date: 05/28/2014 Inspection Type: Compliance Evaluation
De-chlorination Yes No NA NE \
Type of system? Other
Is the feed ratio proportional to chlorine amount(1 to 1)? ❑ ❑ ❑
Is storage appropriate for cylinders? ❑ ❑ ❑
#Is de-chlorination substance stored away from chlorine containers? ❑ ❑ 11 ❑
Comment:
Are the tablets the proper size and type? ❑ ❑ M ❑
Are tablet de-chlorinators operational? ❑ ❑ 0 ❑
Number of tubes in use?
Comment: A stepped aerator is used for dechlorination.
Page# 4

A'Y�
4j-
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 30, 2014
Audrey Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest NC 28768
SUBJECT: Compliance Evaluation Inspection
Sapphire Lakes WWTP#1
Permit No:NCO059421
Transylvania County
Dear Mr. Deaver:
On May 28, 2014, I conducted a compliance evaluation inspection on the Sapphire Lakes WWTP #1. I would
like to thank you for your assistance in this inspection. The facility was found to be in compliance with permit
NC0059421.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call me at: 296-4500.
Sincerely,
Katherine H Jimison
Chemistry Technician III
Asheville Regional Office
Enclosure
cc: MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer
G:IWRIWQITransylvanialWastewater\MinorslSapphire Lakes WWTP#1 59421159421 CEI 2014.doc

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__

United States Environmental Protection Agency Form Approved.
'A 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 LJ 2 u 31 NCO059421 I11 12 14/05/28 �17 181 g 1 19 1 g I 201 I
21111111 11111111111111IIII _� IIIIII I6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -------------—-----Reserved-------------
67 70[z j 71 L_j 72 L N J 73�74 751 11 I I I I �80
Section B:Facility Data 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) 11:15AM 14/05/28 12/09/01
Sapphire Lakes Plant WWTP#1
1600 US Hwy 64 W Exit Time/Date Permit Expiration Date
Sapphire NC 28774 12:OOPM 14/05/28 17/08/31
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
Audrey Deaver,PO Box 1407 Pisgah Forest NC 28768//882-884-9772/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit 0 Flow Measurement Operations&Maintenance N Records/Reports
Facility Site Review
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
Kathy Jimispn' A i ARO WQ//828-296-45001
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
:Jy
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
i
Page# 1

NPDES yr/mo/day Inspection Type
31 NCO059421 �11 12 14/05/28 17 18
isi
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Mr.Aubrey Deaver assisted in this inspection.
At the time of this inspection,the flow meter had not been calibrated in the last year. However, a copy
of an invoice was sent to me showing a calibration date of 5-30-14.
This facility appears to be operated and maintained well.
Page# 2

Permit: NCO059421 Owner-Facility: Sapphire Lakes Plant WNlrP#1
.,ispection Date: 05/28/2014 Inspection Type: Compliance Sampling
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? M ❑ ❑ ❑
Comment:
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 ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: ORC analyzes process control parameters including DO and Settleable Solids
Egualization Basins Yes No NA NE
Is the basin aerated? ❑ ❑ ❑
Is the basin free of bypass lines or structures to the natural environment? ❑ ❑ ❑
Is the basin free of excessive grease? ❑ ❑ ❑
Are all pumps present? ❑ ❑ ❑
Are all pumps operable? ❑ ❑ ❑
Are float controls operable? ❑ ❑ ❑
Are audible and visual alarms operable? ❑ ❑ ❑
#Is basin size/volume adequate? ❑ ❑ ❑
Comment:
Bar Screens Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical ❑
Are the bars adequately screening debris? N ❑ ❑ ❑
Is the screen free of excessive debris? 0 ❑ ❑ ❑
Is disposal of screening in compliance? 0 ❑ ❑ ❑
Is the unit in good condition? ❑ ❑
Page# 3

Permit: NCO059421 Owner-Facility: Sapphire Lakes Plant WWTP#1
Inspection Date: 05/28/2014 Inspection Type: Compliance Sampling
Bar Screens Yes No NA NE
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system Diffused
Is the basin free of dead spots? 11 ❑ ❑
Are surface aerators and mixers operational? ❑ ❑ ❑
Are the diffusers operational? ❑ ❑ ❑
Is the foam the proper color for the treatment process? 10 ❑ ❑ ❑
Does the foam cover less than 25%of the basin's surface? E ❑ ❑ ❑
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? ❑ ❑ N ❑
Are weirs level? ❑ ❑ ❑
Is the site free of weir blockage? ❑ ❑ ❑
Is the site free of evidence of short-circuiting? M ❑ ❑ ❑
Is scum removal adequate? 0 ❑ ❑ ❑
Is the site free of excessive floating sludge? 0 ❑ ❑ ❑
Is the drive unit operational? ❑ ❑ E ❑
Is the return rate acceptable(low turbulence)? 0 ❑ ❑ ❑
Is the overflow clear of excessive solids/pin floc? 0 ❑ ❑ ❑
Is the sludge blanket level acceptable?(Approximately%of the sidewall depth) ❑ ❑ ❑
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ ❑ ❑
Are the tablets the proper size and type? ❑ ❑ ❑
Number of tubes in use? 2
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Page# 4

Permit: NCO059421 Owner-Facility: Sapphire Lakes Plant WWTP#1
,aspection Date: 05/28/2014 Inspection Type: Compliance Sampling
Disinfection-Tablet Yes No NA NE
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de-chlorination? El El El 0
Comment:
De-chlorination Yes No NA NE
Type of system ? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? El El M 0
Is storage appropriate for cylinders?
#Is de-chlorination substance stored away from chlorine containers? El 0 10 El
Comment:
Are the tablets the proper size and type?
Are tablet de-chlorinators operational?
Number of tubes in use? 2
Comment:
f,
Flow Measurement- Effluent Yes No NA NE
#is flow meter used for reporting?
Is flow meter calibrated annually? EJ El
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter? El ❑ El M
Comment: At the time of this inspection, the flow meter had not been calibrated in over 12 months
However Mr. Deaver has documentation showing that the meter was calibrated on
05-30-2014, two days after this inspection.
Page# 5

MCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor
Secretary
June 30, 2014
DWR# 12-0881 V2
Jackson County
Travis Sinclair
Duke Energy Lake Services EC12Q
PO Box 1006
Charlotte,NC 28201-1006
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION
Bear Creek Lake Access Area
Dear Mr. Sinclair:
In accordance with your application dated May 28, 2014, approval has been granted for the impacts listed in the
table below. This approval requires you to follow the conditions listed in the enclosed certifications) or
general permit and any additional conditions listed below.
`_,Project impacts are covered by the attached Water Quality General Certification Number 3898 and the
conditions listed below. This certification is associated with the use of General Permit Number 30 issued by the
U.S. Army Corps of Engineers. Please note that you should obtain or otherwise comply with any other federal,
state or local permits before proceeding with your project, including those required by(but not limited to)
Erosion and Sediment Control,Water Supply Watershed and Trout Buffer regulations.
IMPACTS APPROVED
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.
Type of Impact Amount Approved
Permanent
Open Waters Above Pool Below Pool
0.2 (acres) 0.03 (acres)
ADDITIONAL CONDITIONS
1. 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
Water Quality Regional Operations—Asheville Regional Office
2090 US Hwy 70,Swannanoa,NC 28778
Phone:[phone] FAX:[phone]
Internet:http://poral.ncdenr.org/web/wq/ws
An Equal Opportunity 1 Affirmative Action Employer

Travis Sinclair \
June 30,2014
Page 2 of 3
with the appropriate fee. If the property is sold,the new owner must be given a copy of this apt
letter and General Certification(s)/Permit/Authorization and is responsible for complying with all ,,,,,
conditions.
This approval and its conditions are final and binding unless contested.
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://wtivw.ncoah.coin/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):
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:
Lacy Presnell, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh,NC 27699-1601

,;r completes the review of the Division under section 401 of the Clean Water Act as described in 15A
02H 0.500. Please contact Chuck Cranford at 828-296-4650 or chuck.cranford c ncdcringov if you have
<ry questions or concerns.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion
cc: DWR ARO 401 files
DWR 401 and Buffer Permitting Unit
ec: Clement Riddle - ClearWater
USACE Asheville Regulatory Field Office
f
G:\WR\WQVackson\401s\Non-DOT\Bear Creek Lake Access\APRVL.06.30.14.docx

m®�
North Carolina Department of Environment and Natural Resources
NCDENR
-at McCrory John E. Skvarla, III
Governor Secretary
June 30,2014
Terry Foxx,Interim Plant Manager
Baxter Healthcare Corporation
65 Pitts Station Road
Marion,NC 28752
SUBJECT: Compliance Evaluation Inspections
Baxter Healthcare
Land Application of Residual Solids
WQ0031725
North Cove Steam Generation Plant Ash Distribution Program
Permit No: WQ0010689
McDowell County
Dear Mr. Foxx:
Enclosed please find a copy of the Compliance Evaluation Inspection Forms from the inspections conducted on June 18,
2014. The facility was found to be in compliance with permits WQ0010689 &WQ0031725.
Regarding permit WQ0010689,please resubmit the following information to the Asheville Regional Office:
1. Residuals Sampling Summary Form with the correct sample identifier or an
explanation for the sample locations given.
2.Recipient data sheets with the correct information; some sheets were dated 2012&2009.
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,
G x�
Beverly Price
Environmental Specialist
Enc.
cc: Ricky Styles, ORC
WQ Central Files
WQ Asheville Files
G:\WR\WQ\McDowell\Wastewater\Non-discharge\Baxter Healthcare\WQ0010689&WQ0031725 CEI14 2013 AR Review.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq/
An Equal Opportunity\Affirmative Action Employer

A
l

Compliance Inspection Report
,rmit: WQ0010689 Effective: 06/07/10 Expiration: 11/30/14 Owner: Baxter Healthcare Corporation
SOC: Effective: Expiration: Facility: North Cove Steam Generation Plant Ash Distribution
County: McDowell 2859 Old Linville Rd
Region: Asheville
Marion NC 28752
Contact Person: Amanda Richcreek Title: Environmental Engineer Phone: [phone]
Directions to Facility:
Take NC Hwy.221 North out of Marion to NCSR 1560(located behind Baxter-North Cove). The facility is located on the left.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Amanda Richcreek 828-756-6809
Related Permits:
Inspection Date: 06/18/2014 Entry Time: 01:OOPM Exit Time: 02:OOPM
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: WQ0010689 Owner-Facility:Baxter Healthcare Corporation
Inspection Date: 06/18/2014 Inspection Type:Compliance Evaluation Reason for Visit: Routine \`
Inspection Summary:
This inspection included a review of the 2013 Annual Report.
1576.12 dry tons of ash were distributed during 2013.
Metals/nutrients samples collected as required by the permit.
The TCLP was done in 2011.
Some of the recipient information sheets were dated 2012 and one was dated 2009. Please resubmit the correct recipient
data sheets-the totals on these sheets should match the Distribution Certification Form.
Residuals Sampling Summary Form-resubmit with correct sample identifier.
Page: 2

Permit: WQ0010689 Owner-Facility:Baxter Healthcare Corporation
,nspection Date: 06/18/2014 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Type
Yes No NA NE
Land Application
Distribution and Marketing
Record Keeping
Yes No NA NE
Is GW monitoring being conducted,if required? El 0 11 El
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?
Are there pH records for alkaline stabilization?
Are there pH records for the land application site?
Are nutrient/crop removal practices in place?
Do lab sheets support data reported on Residual Analysis Summary?
Are hauling records available? 0 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?
Comment:
Page: 3

__-_ - -
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___

Compliance Inspection Report
ermit: WQ0031725 Effective: 04/21/11 Expiration: 08/31/16 Owner: Baxter Health Care Corporation
SOC: Effective: Expiration: Facility: North Cove Steam Generation Plant
County: McDowell Hwy 221n
Region: Asheville 65 Pitts Sta Rd
Marion NC 28752
Contact Person: Amanda Richcreek Title: Environmental Engineer Phone: [phone]
Directions to Facility:
Take Hwy.221 North from Marion for approximately 7 miles to Baxter. VWVfP is located on the right just past the intersection of Pitts
Station Rd.and Hwy.221.
System Classifications: LA,
Primary ORC: Dennis Key Certification: 15704 Phone: [phone]
Secondary ORC(s):
Zach D Key 27660 336-957-7871
On-Site Representative(s):
Related Permits:
Inspection Date: 06/23/2014 Entry Time: 10:OOAM Exit Time: 11:OOAM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Land Application of Residual Solids(503)
Facility Status: Compliant Not Compliant
Question Areas:
Miscellaneous Questions
(See attachment summary)
Page: 1

A
permit: WQ0031725 Owner-Facility:Baxter Health Care Corporation
Inspection Date: 06/23/2014 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
This inspection included a review of the 2013 Annual Report.
95.2 DT were applied over 44.56 acres. The Douglas Poplin Field DP3 is strip cropped with fescue and corn. In the future,
land application events for this field should be recorded on two separate field summary forms with acreage separated
between corn and fescue.
PathogenNector Attraction Reduction/metals/nutrients/TCLP requirements were met.
Page: 2

d ®®
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvaria, III
Governor Secretary
June 30, 2014
Mr. J Patrick Kennedy
700 Cary Dr.
San Leandro, CA 94577-3812
SUBJECT: Compliance Evaluation Inspection
Singing Waters Camping Resort WWTP
Permit No:NCO038687
Jackson County
Dear Mr Kennedy:
On June 26, 2014, I conducted a compliance evaluation inspection on the Singing Waters Waste Water
Treatment Plant. Mr. Mark Teague assisted in this inspection. The facility was found to be in compliance with
permit NC0038687.
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,
Katherine H. Jrimi so,n
Chemistry Technician III
Asheville Regional Office
Enclosure
cc: Mark Fredrick Teague, ORC
MSC 1617-Central Files-Basement
Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity\Affirmative Action Employer
G:1WR1WQ1JacksonlWastewaterlMinorslSinging Waters Camping Resort 38687\38687 CEI 2014.doc

United States Environmental Protection Agency Form Approved.
A 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 u 2 15 I 3 NC0038687 I11 12 14/06/26 17 181 19 1 s 201 I
211 -]-1 1 1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 I I I I I f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating 81 QA -----------------Reserved-------------
671 70[_J� 71 Lj 72 L N ( 73 W 74 7511 1 1 1 1 1 I 180
Section B:Facility Data u
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:OOAM 14/06/26 12/12/01
Singing Waters Camping Resort
ira
Exit Time/Date Permit Expiration Date
1006 Trout Creek Rd P
Tuckasegee NC 28783 10:30AM 14/06/26 17/10/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Mark Fredrick Teague/ORC/828-293-9396/
Name,Address of Responsible Official/Title/Phone and Fax Number
Ken Dinger, //828-421-1282/ Contacted
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit
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
Kathy Jimison ARO WQ//828-296-4500/
-77
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Dat?e,
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type
31 NCO038687 I11 121 14106/26 17 18 JCJ
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Mr. Mark Teague assisted in this inspection.
The plant has been shut down since October 2006. It was pumped out at that time. However, some
rainwater has filled the plant partially, but there is no discharge.
Some small trees have taken root at the head of the plant.These should be removed to prevent root
damage to the facility.
Page# 2

Permit: NCO038687 Owner-Facility: Singing Waters Camping Resort
Inspection Date: 06/26/2014 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? ❑ 11 ❑ ❑
Is access to the plant site restricted to the general public? M ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? N ❑ ❑ ❑
Comment: This facility was shutdown in October 2006 The plant was pumped out There is some
rainwater that has collected however, no discharge
Page# 3

N C E NOm I
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 30,2014
CERTIFIED MAIL—7012 1010 0002 1967 5722
RETURN RECEIPT REQUESTED
Thomas L. Wells
98 Scarlett Drive
Pisgah Forest,North Carolina 28768
SUBJECT: NOTICE OF VIOLATION and
RECOMMENDATION FOR ENFORCEMENT
Wells Property at 98 Scarlett Drive
NOV-2014-SS-0002
Stream Standard Violation-Other Waste (In-stream sediment)
Transylvania County
Response Deadline: July 17,2014
Dear Mr.Wells:
On June 21,2014, Jeff Menzel and Kevin Barnett from the Asheville Regional Office of the Division of
Water Resources(DWR)conducted a site inspection at your property located along Scarlett Drive in
Pisgah Forest in Transylvania County.
Stream standard violations were noted during the inspection and file review. Sediment impacts to an un-
named tributary to Williamson Creek,a Class C;Trout;High Quality Water were documented.
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 (3)f-
An undetermined distance of an un-named tributary to Williamson Creek, a Class C; Trout; High
Quality Water was impacted by sediment deposition ranging in depth from 1 to 3 inches
throughout the inspected stream reach,representing Water Quality Stream Standard violation of
15A NCAC 02B .0211 (3)(f).
REQUIRED RESPONSE
The DWR requests that you respond by July 17,2014. Your response should be sent to the attention of
Chuck Cranford,Division of Water Resources,2090 US HWY 70, Swannanoa,NC 28778 and should
address the following items:
1. Stream Standard- Other Waste(In-Stream Sediment)
Water Quality Regional Operations—Asheville Regional Office
2090 US Hwy 70,Swannanoa,NC 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq/ws
An Equal Opportunity 1 Affirmative Action Employer

Thomas L.Wells
June 30,2014
Page 2 of 2
a. Please provide a map of the project area. The map must include all streams and wetlands," .,
detailing impacts both on-and off-site.
b. 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.You
must secure an environmental consultant experienced in stream restoration to assist you
with developing your Plan, and obtaining any necessary approvals. It is recommended
that your consultant contact Chuck Cranford of the Asheville Regional Office for
additional guidance during Plan development. The Plan should include:
® A narrative explaining how sediment will be removed including techniques,
manpower and tools to be used.
® 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.
® A narrative explaining how and where the removed sediment will be disposed and
stabilized.
® Please explain how turbidity standards will not be exceeded.
c. Once the work is complete,a final report documenting the results of the sediment
removal activities should be submitted Chuck Cranford.
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. 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 Chuck Cranford at(828)296-4650 or
chuck.cranfordncdenr.gov .
Sincerely,
G.Landon Davidson,P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
cc: Karen Higgins-401 &Buffer Permtting Unit
ARO File Copy
Laura Herbert-Division of Energy, Mineral,and Land Resources
Transylvania County Planning
G:\WR\WQ\Transylvania\Complaints\Wells.98ScarlettDr\Wells.98ScarlettDr.NOV2014SS0002.doc

a e
MCDENR
North Carolina department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 30, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED - 7012 1010 0002 1967 8708
Mr.J. Robert Boyette
City of Marion
P.O. Box 700
Marion,NC 28752
Subject: Notice of Violation
NOV-2014-1VIV-0040
Permit No. WQ0003698
Surface Disposal of Residuals
McDowell County
Dear Mr. Boyette
On June 23, 2014, staff of the NC Division of Water Resources (DWR), Water Quality Regional Operations
(WQRO), reviewed the Groundwater Quality Monitoring: Compliance Report Forms (GW-59 Forms)for the
May 12,2014 monitoring at the subject facility.
The following items were determined to be missing at the time of the review:
1. Total Suspended Solids (TSS) results were not reported for monitoring wells MW-1R, MW-2, MW-
3, or MW-4 as required in Attachment C of your permit.
Note that the City of Marion was issued a Notice of Deficiency (NOD-PC-0445) in a letter dated December
17, 2013 for failure to report TSS for wells MW-1R, MW-2, MW-3, and MW-4 for the November 4, 2013
monitoring at the subject facility.
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.
North Carolina Division of Water Resources—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,N.C. 28778
Phone[phone]
FAX [phone]
Internet: http://portal.ncdenr.org/web/wq/
An Equal Opportunity/Affirmative Action Employer

City of Marion
Permit WQ0003698
NOV-201.4-MV-0040
June 30,2014
Paac 2 of 2
If you have any questions concerning this Notice, please contact Andrew Moore via email at
[e-mail] or at(828)296-4684.
Sincerely,
G.Landon Davidson,P.G.
Regional Supervisor
Water Quality Regional Operations Section
cc: ARO-WQRO Files
WQ Central Files
r
i

e °®
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 30, 2014
Keith Hoilman, Public Works Director
Town of Newland
PO Box 429
Newland,NC 28657
SUBJECT: Collection System Inspection
Newland Collection System
Permit No: WQCS00218
Avery County
Dear Mr. Hoilman:
On June 17, 2014, I conducted a Collection System Inspection. You and Roger Woods were present. Your time
and efforts during the inspection and with this program are appreciated. Overall the program appeared to be in
compliance with permit WQCS00218. However, there are areas that need attention. Record keeping could be
improved; I sent you an email on June 26, 2014 with an excel spreadsheet containing various log sheets for your
consideration. The CIP needs improvement; I sent you an email on June 27, 2014 to assist you with the CIP.
Also, we inspected two areas of the collection system that may become problematic if not maintained soon.
Please refer to the enclosed inspection report for detailed 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\Avery\Collection Systems\Newland Collection System\CEI.June2014.Ltr.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet:http://portal.ncdenr.org/web/wq
An Equal Opportunity\Affirmative Action Employer

__ __ �--
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__,
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__
__

Compliance Inspection Report
.,ermit: WQCS00218 Effective: 05/01/13 Expiration: 04/30/18 Owner: Town of Newland
SOC: Effective: Expiration: Facility: Newland Collection System
County:Avery PO Box 429
Region: Asheville
Contact Person: Keith E Hoilman Title: Phone: [phone]
Directions to Facility:
System Classifications: CS1,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
NC0021857 Town of Newland-Newland WWTP
Inspection Date: 06/17/2014 Entry Time: 10:OOAM Exit Time: 02:OOPM
Primary Inspector: Linda S Wiggs - ;' Phone: [phone] Ext.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 Performance Standards Operation&Maint Reqmts
Records Monitoring&Rpting Reqmts Inspections
Pump Station Manhole
(See attachment summary)
Page: 1

pen-nit: WQCS00218 Owner-Facility:Town of Newland
Inspection Date: 06/17/2014 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
Present during the inspection were Keith Hoilman(Public Works Director)and Roger Woods(Assistant Director).
An Operator in Responsible Charge(ORC)Designation Form was left with Mr. Hoilman.This form needs to be filled out and
returned immediately as directed on the form, including a copy to this office.
The system is dated to the late 1970's.There are—10 miles of gravity lines,—1 mile of force main(FM)and two pump
stations(PS). There are—444 taps. PS#1 estimated capacity is 1,500 gpm. PS#2 estimated capacity is 500 gpm. There
are no industrial users at this time.
There is another PS/FM that is a satellite system to the Newland collection system serving the Board of Education(BOE)
facilities(High School).The BOE operates and maintains this PS/FM(WQ0001585).
Overall the functions of the Collection System Program appear to be adequately performed. However, because the record
keeping/documentation is not pulled together very well,deficiencies exist. Examples of log sheets,along with CIP
development materials have been sent to Mr. Hoilman to assist him with the permit requirements.
PS#2 is dated and should be considered for upgrades. Fortunately this PS is visible so if the alarms were to activate it is
likely someone would notify the town. However,telemetry would be better and would ease the daily visit requirement as
well. See comments in the questions section.
Page: 2

Permit: WQCS00218 Owner-Facility:Town of Newland
inspection Date: 06/17/2014 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?
Newpaper,website,grease goblin
Is Sewer Use Ordinance/Legal Authority available? 1:1 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) 0 ❑ El El
List enforcement actions by permittee,if any,in the last 12 months
There have been none.
Has an acceptable Capital Improvement Plan(CIP)been implemented?
Does CIP address short term needs and long term\"master plan\"concepts? El N El 0
Does CIP cover three to five year period?
Does CIP include Goal Statement?
Does CIP include description of project area?
Does GIP include description of existing facilities?
Does CIP include known deficiencies?
Does CIP include forecasted future needs? El N On
Is CIP designated only for wastewater collection and treatment?
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment? $419,000.00
CIP Comments
An updated CIP is needed. There area few components of a CIP,but it is not properly pulled together to
indicate the reinvestment and future planning for this system. Newland does not appear to have capital
improvements budgeted for the sewer system. The revenues listed above are for sewer and water.
However,if small amounts of monies are needed they do have a general emergency type fund(-$600,000)
they can pull from.Were large funds needed they would have to apply for grant funding.
Mr.Hoilman will update a CIP with the appropriate components.
Is system free of known points of bypass? 0 El ❑ ❑
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? E El ❑ El
#Does the sign include:
Instructions for notification?
Pump station identifier? ❑ 00
24-hour contact numbers M ❑ El 0
If no,list deficient pump stations
The PS#1 should also have signage at the lower section of the PS.The owners of the land know whom to
call,but it is still advisable to have a sign at that gate as well.
#Do ALL pump stations have an"auto polling"feature/SCADA? On E10
Page: 3

permit; WQCS00218 Owner-Facility:Town of Newland
Inspection Date: 06/17/2014 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine \
Number of pump stations 2
Number of pump stations that have SCADA
Number of pump stations that have simple telemetry 1
Number of pump stations that have only audible and visual alarms 1
Number of pump stations that do not meet permit requirements 0
#Does the permittee have a root control program? ❑ ❑ ❑
#If yes,date implemented?
Describe:
They have not had a need for a root program;if it became a need they would contract the services.
Comment: Having SCADA for both PS's would be beneficial or at least getting telemetry for PS#2 so the
limited staff do not have to visit the PS daily.
Inspections Yes No NA NE
Are maintenance records for sewer lines available? 0 ❑ ❑ ❑
Are records available that document pump station inspections? ❑ ❑ ❑
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 ❑ ❑ ❑
#Do you have a system to conduct an annual observation of entire system? M ❑ ❑ ❑ /.-
#Has there been an observation of remote areas in the last year? M ❑ ❑ ❑
Are records available that document inspections of high-priority lines? ❑ ❑ ❑
Has there been visual inspections of high-priority lines in last six months? ❑ ❑ ❑
Comment: The Town has 13 high-priority lines which are inspected after each storm event.
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?
Work orders are used to document activities.This is a small town so the Public Works staff are able to
maintain frequent contact on problem areas/maintenance needs.
Are maintenance records for equipment available? ❑ ❑ ❑
Is a schedule maintained for testing emergency/standby equipment? ❑ ❑ ❑
What is the schedule for testing emergency/standby equipment? self test
weekly/yearly
maintenance
Do pump station logs include:
Inside and outside cleaning and debris removal? ❑ ❑ ❑
Inspecting and exercising all valves? ❑ ❑ ❑
Inspecting and lubricating pumps and other equipment? ❑ ❑ ❑
Page: 4

Permit: WQCS00218 Owner-Facility:Town of Newland
,nspection Date: 0 611 7/2 0 1 4 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspecting alarms,telemetry and auxiliary equipment? 0 0 EJ ❑
Is there at least one spare pump for each pump station w/o pump reliability?
Are maintenance records for right-of-ways available? R 0 ❑
Are right-of-ways currently accessible in the event of an emergency? 0
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?
There are two problem areas that lack grade so they are on a regular cleaning schedule.(First Citizen Bank
to First Baptist Church and Mtn Electric to PS#2)
The two lines/MH evaluated during the inspection will need attention ASAP.
Is a Spill Response Action Plan available?
Does the plan include:
24-hour contact numbers
Response time E El El El
Equipment list and spare parts inventory E El El El
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: Other than small spills the Town hires contractors to assist them if spills occur.
Records
Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? 0 El El D
Are records of SSOs that are under the reportable threshold available?
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 0 El El El
Pipe materials
Pipe location
Flow direction 0 El El 0
Approximate pipe age
Number of service taps
Pump stations and capacity
Page: 5

permit: WQCS00218 Owner-Facility:Town of Newland
Inspection Date: 06/17/2014 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
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? M ❑ ❑ ❑
Comment:
Monitoring and Reporting Reguirements Yes No NA NE
Are copies of required press releases and distribution lists available? ❑ ❑ M ❑
Are public notices and proof of publication available? ❑ 110 ❑
#Is an annual report being prepared in accordance with G.S. 143-215.1 C? M ❑ ❑ ❑
#Is permittee compliant with all compliance schedules in the permits? ❑ ❑ M ❑
If no,which one(s)?
Comment: The logs used for the PS could include more information: compare them to the logs sent via
email. If the current logs continue to be used please add the inspectors initials.
BALL PARK -
Manhole Yes No NA NE
Is manhole accessible? M ❑ ❑ ❑
#Is manhole cover/vent above grade? ❑ M ❑ ❑
Is the manhole free of visible signs of overflow? M ❑ ❑ ❑
Is the manhole free of sinkholes and depressions? 0 ❑ ❑ ❑
Is manhole cover present? 0 ❑ ❑ ❑
#Is manhole properly seated? M ❑ ❑ ❑
#Is manhole in good condition? M ❑ ❑ ❑
#Is invert in good condition? 0 ❑ ❑ ❑
Is line free-flowing and unrestricted in manhole? ❑ M ❑ ❑
Is manhole free of excessive amounts of grease? M ❑ ❑ ❑
Is manhole free of excessive roots? 0 ❑ ❑ ❑
Is manhole free of excessive sand? ❑ 0 ❑ ❑
Is manhole's extended vent screened? ❑ ❑ M ❑
Are vents free of submergence? ❑ ❑ 0 ❑
Are manholes free of bypass structures or pipes? M ❑ ❑ ❑
Comment: Several manholes were inspected along the line by the Ball Park and Banners Cabinet. A portion
of the line was slightly clogged from what appeared to be gravel debris(sand size to large gravel
size). There were excessive amounts of gravel debris on the shelf and in the invert at the
manhole between the Ball Park and Banners Cabinet: this manhole also receives run-on from
the road and is not above grade The manhole cover is well seated and the holes were not the
obvious cause of the gravel intrusion: much of the gravel was larger than the holes, so it is
unknown how the gravel got into the system.The gravel debris will need to be removed to
prevent complete blockage.
2 - By Ingles and Animal Sh(
Page: 6

Permit: WQCS00218 Owner-Facility:Town of Newland
aspection Date: 06/17/2014 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Pump Station Yes No NA NE
Pump station type Duplex
Are pump station logs available? M ❑ ❑ ❑
Is it accessible in all weather conditions? M ❑ ❑ ❑
#Is general housekeeping acceptable? 0 ❑ ❑ ❑
Are all pumps present? 0 ❑ ❑ ❑
Are all pumps operable? M ❑ ❑ ❑
Are wet wells free of excessive debris? 0 ❑ ❑ ❑
Are upstream manholes free of excessive debris/signs of overflow? 0 ❑ ❑ ❑
Are floats/controls for pumps/alarms operable? 0 ❑ ❑ ❑
Is"auto polling"feature/SCADA present? ❑ ❑ M ❑
Is"auto polling"feature/SCADA operational? ❑ ❑ 0 ❑
Is simple telemetry present? ❑ ❑ M ❑
Is simple telemetry operational? ❑ ❑ 0 ❑
Are audio and visual alarms present? 0 ❑ ❑ ❑
Are audio and visual alarms operable? M ❑ ❑ ❑
Is the Pump station inspected as required? M ❑ ❑ ❑
Are backflow devices in place? 0 ❑ ❑ ❑
Are backflow devices operable? ❑ ❑ ❑
Are air relief valves in place? ❑ ❑ ❑
Are air relief valves operable? ❑ ❑ M ❑
# Is an emergency generator available? 0 ❑ ❑ ❑
Can the emergency generator run the pumps? ❑ ❑ ❑
Is the pump station equipped for quick hook-up? ❑ M ❑ ❑
Is the generator operable? ❑ ❑ ❑
#Is fuel in tank and sufficient? ❑ ❑ ❑
Is the generator inspected according to their schedule? ❑ ❑ ❑
Is a 24-hour notification sign posted? 0 ❑ ❑ ❑
Does it include:
Instructions for notification? M ❑ ❑ ❑
Pump station identifier? ❑ ❑ ❑
Emergency phone number ❑ ❑ ❑
Is public access limited? ❑ M ❑ ❑
Is pump station free of overflow piping? 0 ❑ ❑ ❑
Is the pump station free of signs of overflow? 0 ❑ ❑ ❑
Are run times comparable for multiple pumps? yes 23/18
Page: 7

Permit: WQCS00218 Owner-Facility:Town of Newland
s Inspection Date: 06/17/2014 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine \
Comment: This PS could use updating. It is not fenced in but is locked. If a generator is needed the town will
have to rent one; there is not a quick hook up nor is there an access road to the PS. There are
only audible and visual alarms.
There was an extension sewer permit issued (WQ0032513)for anticipated flows of—216 000
qpd from the Wilderness Trail Development. The Division currently issues a sewer extension
permit with an evaluation of the receiving PS capacity included. When the Wilderness Trail line
is built, this PS capacity(staff currently estimates the capacity at 500 qpm)will have to
re-evaluated.
RADIOSHACK - Below Resi
Manhole
Yes No NA NE
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?
Is manhole cover present?
#Is manhole properly seated?
#Is manhole in good condition? M El [l El
#Is invert in good condition?
Is line free-flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots? 1:1 El
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? 0 El El 0
Comment: This manhole is below many of the local food establishments. There was a fair amount of
grease evident in this manhole. It was not causing a blockage but it did indicate this line is a good
candidate for increased cleaning. Once cleaned, frequent inspections could be performed to
track the build up and assist in determining if grease trap inspections and/or added education is
needed in this area of town.
1 -
Pump Station Yes No NA NE
Pump station type Duplex
Are pump station logs available? [�
Is it accessible in all weather conditions?
#Is general housekeeping acceptable?
Are all pumps present? [�
Are all pumps operable? ME] 00
Page: 8

Permit: WQCS00218 Owner-Facility:Town of Newland
Inspection Date: 06/17/2014 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow? 0 El El EJ
Are floats/controls for pumps/alarms operable?
Is"auto polling"feature/SCADA present?
Is"auto polling"feature/SCADA operational?
Is simple telemetry present? 0 ❑
Is simple telemetry operational? ❑ M El ❑
Are audio and visual alarms present? 1:1 El
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? M El
Are air relief valves operable? El El M R
# 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?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited? M El 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? yes 44/40
Comment: Lightninq hit the phone line and the town is waiting on AT&T to fix it
This is an unusual PS: part of it is up the hill next to the road and the remainder is down in the
field. Signage is on the upper area but not on the lower area. The area down in the field should
have signage.
Page: 9