SDTF4503_APPLICATION_INITIAL_2023

APPLICATION FOR A PERMIT TO OPERATE A SEPTAGE DETENTION OR
TREATMENT FACILITY
North Carolina Department of Environmental Quality RECEIVED
Division of Waste Management — Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646 APR 18 2"023
Operator and Facility Information SOLID WASTE SECTION
1. Applicant W
Address
E C'✓S 6n/ 1//
Phone
2. Contact person for site operation (if different from applicant): ec _
Title or position Phone -
Address
3. Landowner L__ lir ,7e, L,L�
Address fr ,
4. Site Location: County n/ e rso AJ State Road Number
Directions to site: 1, �, , a
a d Almm i#7 6/-?
5. Is the location on a permitted Septage Land Appticat on Site? CO
If yes, give the site permit number here:
6. Indicate whether project is: new -A— renewal modification
For a permit renewal or modification, indicate the existing permit number and the
permit expiration date
7 Attach written, notarized landowner authorization to operate a septage storage or treatment facility
form signed by the landowner (if the permit applicant does not solely own the property). If a
corporation owns the land use a corporate landowner authorization form. If Limited Liability
Company owns the land, use a limited liability company landowner authorization form.
8. Aerial photograph scale 1 inch = 400 feet with site property lines accurately located on the photograph
must be enclosed (if 1 inch = 400 feet is not available,1 inch = 660 feet may be substituted).
9. Vicinity map (county road map showing site location).
10. Land application site or wastewater treatment plant to be used after treatment or storage:
(over)

Facility Information: the following information shall be included with the application form.
1. Facility to be used for. Storage
Treatment
2. Types of septage to be stored or treated:
Domestic Septage _ Grease Trap Pumpings
Portable Toilet Waste __ Commercial/Industrial Septage
3. Types of treatment to be provided: pH Adjustment (lime stabilization) A! /1"
Screening Other (attach explanation if other)
4. A description of the proposed detention or treatment facility including the size, type, and number of
structures to be used and how those structures will be constructed or installed (use additional
paper to explain, if necessary): I ��� r�l`� /ozL? qe2l/o4
5. An explanation of how septage will be discharged into and removed from the facility (use
additional paper to explain, if necessary): 'fa �� �, to 16 Ie 5- e-i
4
6. An explanation of how any leaks or spills at the facility will cleaned and how odors will be
controlled (use additional paper to explain, if necessary _f¢ z is s�le-d
III. Certification
hereby certify that:
1. The information provided on this application is true, complete, and correct to the best of my
knowledge, and
2. 1 have read and understand the N.C. Septage Management Rules.
3. 1 am aware of the potential consequences, including penalties and permit revocation, for
fail'W77
ules and the conditions of a Septage Detention or Treatment
Fa
Signature ( Ignatureofcomrp�an"oti►aafmquied) Date
/ 4t- _
Print name Title
Note: This application will not be accepted for review until all parts of the application are complete.
S:Solid Wastekfalseptagetforms%SDTF-Application & Auf iorization%SDTF Permit Application -Jan 2016.docx
Rev 01-07-16

Limited liability Company Landown rest th ri ib'�ton y to Operate a
Septage Detention o
North Carolina Department of Environmental Quality
Division of Waste management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
undersigned limited liability company ?�� CA !M A14 0 -owns
l hereby �i that the � �
acres of land located +OT and page recorded deed or tax map parcel)
by � � t — 3 c �Ft-_�� SDTF permit
and that the rMiied rta dy company agrees to a "it men h
applicant) to use said land for a septage detention a treatment facility forape' rod of co ( 9t
date), and that on behalf of the limited liabil` company, l
of lime) beginning 4 ` � (� )
have read the North Carolina Septage Management Rules*. 2f5:5 dN1,#jA'-� A (name of
limited liability company) further understands that no septa a may be stared or treated until the Division of
Waste Management has islely sued a pern t for a detention or treatment Par ity. The a ve described property
is owned soby the undersigned limited liability company, or jointly with
(name all co -owners, or state none).
Date; a_�2b Z-3
2:46-
Company (Print Name)
Mem r or a ) Pant Name and Title
r-LO,-tuts
g„�� f —1-,County
r, 5 a Notary Public for said County and State do hereby certify that
M A �450 UL � �a� L (name of authorized member or manager of limited liability company)
personally appeared before me this day aril, being first duty sworn, aclmowledged that he (she) is a (the)
member or manager) of CJ#/, d iL, Lit- , a limited liability
du given and as the act of the limited liability company, the foregoing
Parry. and that by g member or manager) and that the
insiruvrrettt was signed to its name by its authorized kAg kt if ( g) ,
1 _day of
stater is contained thereinare true. Witness my hand and official seat, this the
20
(OFFICIAL SEAL)
blic �
My Canmission expire
_7
UUAM rwros
Way Pic, State of Florida
* 15A N.C. Admin. Code 138 Section .0800
CWffd8SWHH
0
Rev. 01-07-16

Henderson County, NC
Planning & Zoning Department
100 N. KING STREET • HENDERSONVILLE, NC 28792
PHONE: [phone] • FAX: [phone]
April 28, 2023
To:
Chester Cobb,
Environmental Program Consultant
NCDE
Re: TRC Approval for Chimney Rock Rd RV Park on PIN: 9680-13-2539
Dear Mr. Cobb
I am writing in response to your inquiry about the use of the parcel (referenced above
hereafter, "Subject Parcel"), which is located off Chimney Rock Rd, for a Recreational
Vehicle Park.
The Subject Parcel is currently under the Zoning Jurisdiction of Henderson County. It is
zoned as Local Commercial (LC). As per Section 42-62 Table of Permitted and Special
Use of the Henderson County Land Development Code, Recreational Vehicle Park is a
permitted by right use within the zoned area known as Local Commercial (LC).
The Subject Parcel went before the Technical Review Committee (hereafter, "TRC") on
December 6, 2023, for major site plan review. The major site plan shows six (6) RV
spaces, community well, and a central dump station for the occupants of the site. The
major site plan showed a solid waste collection facility and for each RV space to be
served by an electric and water pedestal. The TRC approved the major site plan with the
following conditions:
1. Soil erosion and sedimentation control permit if disturbance is greater than 1 acre.
2. Stormwater control permit if disturbance is greater than 1 acre.
3. NCDOT driveway permit
4. Revised major site plan to show current utility easements and right-of-way.
5. Verification and approval of central dump station by NCDEQ

6. Revise major site plan to show solid waste collection facility and required
screening.
7. Label total area of open space on revised major site plan.
If you need further information about such use, the Local Commercial (LC) zoning
district, or this letter, please feel free to contact me at any time.
Sincerely,
Matt Champion, MPA CZO
Zoning Administrator &
Code Enforcement Services Director

Mountain Contour Engineering, PLLC
Firm License Number: P-1664
909 Wickins Drive, Hendersonville, NC 28791
�•yf►�c�f►��Y�c3
Chester Cobb
Environmental Program Consultant, Division of Waste Management
North Carolina Department of Environmental Quality
[e-mail]
RE: Septic storage tank leak test
Subject Property: 2853 Chimney Rock Road, Hendersonville, NC
Dear Mr. Cobb,
This is to certify that a leak test was performed on the in -ground concrete 1000-gallon storage tank
and the tank passed.
If you have any questions or concerns, please do not hesitate to ca;l.
Sincerely,
Joseph C. Criscione, P.E., Manager
828-782-1177, [e-mail]
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