NCG120100_COMPLETE FILE - HISTORICAL_20161209

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C'�� I a nIC! d
DOC TYPE
8' HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ QOJ�o I a C
YYYYMMDD

100'
aceAnalytical'
www.yacelabsomr
December 09, 2016
Buddy Norris
Avery County Solid Waste
2175 Branch Creek Rd
Spruce Pine, NC 28777
RE: Project: Stormwater 12/2
Pace Project No.: 92321681
Pace Analytical Services, LLC
2225 Riverside Dr.
VC6
I
Asheville, NC 28804
[phone]
JAIL 10 2017
CENTRAL FILES
DWR SECTION
Dear Buddy Norris:
Enclosed are the analytical results for sample(s) received by the laboratory on December 02, 2016.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Chris Derouen
[e-mail]
Project Manager
Enclosures
cc: Buddy Norris, Avery County Soild Waste
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 13

aceAnalytical'
www.pecelaftco it
CERTIFICATIONS
Project: Stormwater 1212
Pace Project No.: 92321681
Asheville Certification IDS
2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030 Virginia/VELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Page 2 of 13

aceAnalytical
www.pacelab&C=
SAMPLE ANALYTE COUNT
Project: Stormwater 1212
Pace Project No.: 92321681
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Lab ID
Sample ID
Method
Analysts
Analytes
Reported
Laboratory
92321681001
A
SM 2540D
MLS
1
PASI-A
EPA 9040
KDF1
1
PASI-A
SM 9222D
KDF1
1
PASI-A
SM 5220D
MDW
1
PASI-A
92321681002
B
SM 2540D
MLS
1
PASI-A
EPA9040
KDF1
1
PASI-A
SM 9222D
KDF1
1
PASI-A
SM 5220D
MDW
1
PASI-A
92321681003
C
SM 2540D
MLS
1
PASI-A
EPA 9040
KDF1
1
PASI-A
SM 9222D
KDF1
1
PASI-A
SM 5220D
MDW
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 3 of 13

aceAnalytieal
1NNY.j7aCei8CACQRr
ANALYTICAL RESULTS
Project: Stormwater 1212
Pace Project No.: 92321681
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 26804
[phone]
Sample: A
Lab ID: 92321681001 Collected: 12102116 09:25
Received: 12/02116 12:16 Matrix: Water
Parameters
Results Units
Report Limit DF
Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
ND mg1L
13.2 1
12/08/16 11:20
9040 pH
Analytical Method: EPA 9040
PH
6.5 Std. Units
0.10 1
12/05/16 13:19 H6
MBIO 9222D Fecal Coliform AVL
Analytical Method: SM 9222D
Fecal Coliforms
267 CFU1100 mL
1.0 1
12t02116 14:57
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
32.0 mg/L
25.0 1
12/06/16 00:22
Sample: B
Lab ID: 92321681002 Collected: 12/02/16 10:10
Received: 12/02/16 12:16 Matrix: Water
Parameters
Results Units
Report Limit
DF
Prepared Analyzed CAS No,
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
44.4 mg1L
10.0
1
12/08/16 11:33
9040 pH
Analytical Method: EPA 9040
PH
6.0 Std. Units
0.10
1
_12/05/16 13:19 = -
_ MBIO 9222D Fecal Coliform AVL
Analytical Method: SM 9222D
Fecal Coliforms
165 CFU1100 mL
1.0
1
12/02/15 14:57
5220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
72.0 mg/L
25.0
1
12/06/16 00:22
Qual
H6-
Sample: C
Lab ID: 92321681003 Collected: 12102/16 10:35
Received: 12/02/16 12:16 Matrix: Water
Parameters
Results Units
Report Limit DF
Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
11.9 mg1L
4.0 1
12/08/16 11:33
9040 pH
Analytical Method: EPA9040
PH
6.6 Sid. Units
0.10 1
12/05116 13:19 H6
MBIO 9222D Fecal Coliform AVL
Analytical Method: SM 9222D
Fecal Coliforms
29.0 CFU1100 mL
1.0 1
12/02/16 14:57 ui
6220D COD
Analytical Method: SM 5220D
Chemical Oxygen Demand
ND mg1L
25.0 1
12/06/16 00:22
Date: 12/09/2016 05:23 PM
REPORT Of LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 13

aceAnaljdical
www.pacehftcom
QUALITY CONTROL DATA
Project: Stormwater 1212
Pace Project No.: 92321681
QC Batch: 339956 Analysis Method: SM 2540D
QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92321681001, 92321681002, 92321681003
METHOD BLANK: 1885498 Matrix: Water
Associated Lab Samples: 92321681001, 92321681002, 92321681003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg1L ND 2.5 12/08/16 11:19
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
LABORATORY CONTROL SAMPLE:
1885499
Spike LCS LCS
% Rec
Parameter
Units
Conc. Result % Rec
Limits Qualifiers
Total Suspended Solids
mg1L
250 228 91
90-110
SAMPLE DUPLICATE: 1885500
92321681001 Dup
Parameter
Units
Result Result RPD
Qualifiers
Total Suspended Solids
mg1L
ND ND
SAMPLE DUPLICATE: 1885501
92321760001 =Dup
Parameter - - - Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 9.0 8,8 2
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/09/2016 05:23 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 13

lacmnalyficale
wwx.Pecelahsarn
QUALITY CONTROL DATA
Project: Stormwater 1212
Pace Project No.: 92321681
QC Batch: 339304 Analysis Method: EPA 9040
QC Batch Method: EPA 9040 Analysis Description: 9040 pH
Associated Lab Samples: 92321681001, 92321681002, 92321681003
SAMPLE DUPLICATE: 1881515
92321695004 Dup
Parameter Units Result Result RPD Qualifiers
pH Sid. Units 6.4 6.3 1 H6
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/09/2016 05:23 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 13

aceAnalytical
~pacefabs.am
QUALITY CONTROL DATA
Project: Stormwater 1212
Pace Project No.: 92321681
QC Batch: 339177 Analysis Method: SM 9222D
QC Batch Method: SM 9222D Analysis Description: 9222D MBIO Fecal Coliform - AVL
Associated Lab Samples: 92321681001, 92321681002, 92321681003
METHOD BLANK: 1880763 Matrix: Water
Associated Lab Samples: 92321681001, 92321681002, 92321681003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU1100 mL ND 1.0 12/02/16 14:57
SAMPLE DUPLICATE: 1880764
92321681001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms CFU1100 mL 267 242 10
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/09/2016 05:23 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 13

aceAnalytical •
wnw.Pacofaftco tt
QUALITY CONTROL DATA
Project: Stormwater 1212
Pace Project No.: 92321681
QC Batch: 339404 Analysis Method: SM 5220D
QC Batch Method: SM 5220D Analysis Description: 5220D COD
Associated Lab Samples: 92321681001, 92321681002, 92321681003
METHOD BLANK: 1882284 Matrix: Water
Associated Lab Samples: 92321681001, 92321681002, 92321681003
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mg/L ND 25.0 12/06116 00:22
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NO 28804
[phone]
LABORATORY CONTROL SAMPLE: 1882285
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Chemical Oxygen Demand mg1L 750 757 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1882286 1882287
MS MSD
92321525002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 11000 750 750 10600 10800 -53 -27 90-110 2 M6
MATR_ IX SPIKE & MATRIX SPIKE DUPLICATE:-- 1882288 - 1882289
MS MSD
92321681001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 32.0 750 750 797 797 102 102 90-110 0
Results presented on this page are in the units Indicated by the "Units' column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/09/2016 05723 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 13

acMnalytical �
www.pecelabs,carn
QUALIFIERS
Project: Stormwater 1212
Pace Project No.: 92321681
DEFINITIONS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL-Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azoberizene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyi ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for_the,current list of accredited analytes.- _ -
TNI - The NELAC Institute.
LABORATORIES
PAST -A Pace Analytical Services -Asheville
ANALYTE QUALIFIERS
H6 Analysis initiated outside of the 15 minute EPA required holding time.
M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution.
ul Results based upon colony counts outside acceptable range.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12109/2016 05:23 PM without the written consent of Pace Analytical Services, LLC, Page 9 of 13

aceAnalytical'
w*vNpacWaDsc=
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Stormwater 1212
Pace Project No.: 92321681
Lab ID Sample ID QC Batch Method QC Batch
92321681001
A
SM 2540D
339956
92321681002
B
SM 2540D
339956
92321681003
C
SM 2540D
339956
92321681001
A
EPA9040
339304
92321681002
B
EPA9040
339304
92321681003
C
EPA 9040
339304
92321681001
A
SM 9222D
339177
92321681002
B
SM 9222D
339177
92321681003
C
SM 9222D
339177
92321681001
A
SM 5220D
339404
92321681002
B
SM 5220D
339404
92321681003
C
SM 5220D
339404
Date: 12/09/2016 05:23 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Anatytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Analytical
Analytical Method Batch
Page 10 of 13

Document Name:
Document Revised: Sept. 21, 2016
e
dCEAllcZiyrlCrll
Sample Condition Upon Receipt(SCUR)
Page 1 of 2
Document No.:
Issuing Authority:
F•CAR-CS-033-Rev.01
Pace Quality Office
Laboratory receiving sa ies:
Asheville Eden❑ Greenwood ❑ Huntersville ❑ Raleigh❑ Mechanicsville[]
• • • { Client Name: Project vWO# : 92321661
? C a L)n of 11-�j
Courier: [:]Fed Ex ❑UPS J ❑USP Cl e_ t
❑ Commercial ❑Pace ❑Other: I 11 l 1 I I I 1
/ 82321fi81
Custody Seal Present? ❑Yes ❑ffO Seals Intact? ❑Yes ❑No
� Date Ktials Person EKamintng Contents: _P. Y) l,,
Packing Material: ❑Bubble Wrap ❑Bubble Bags ❑Kone ❑Other:
Thermometer:
❑ I un ID: Type of ice: et []Blue one 05amples on ice, cooling process has b un
Correction Factor: G Cooler Temp Corrected {'C]: 1 .`i Biological Tissue Frozen? ❑Yes ❑No N/A
Temp should be above freezing 6'C
USDA Regulated Soil (❑ ,water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate From a foreign source (intern ally,
11Yes 11No including Hawaii and Puerto Rico)? Dyes FINO
Comments/Discrepancy:
Chain of Custody Present?
❑ es
No
[]N/A
1.
Sam les Arrived within Hold Time?
es
ONo
N/A
2.
Short Hold Time Analysis (02 hr.)?
s
❑No
OmIA
3..
Rush Turn Around Time Requested?
(—]yes
❑N/
N/A
4.
SufficlentVolume?
es
❑No
❑N/A
S.
Correct Containers Used?
-Pace Containers Used?
es
es
❑No
❑No
❑N/A
N/A
6.
Containers Intact?
es
[IN.
[3NV
7.
Samples Field Filtered?
❑ s_
❑N..'
- N/A
B.__ ..Note If sediment is visible in the dissolved container
Sample Labels Match COC?
r
-Includes pate/Time/ID/Analysis Matrix:
❑Yes
❑No
❑N/A
9.
Headspace in VOA Vials (>5-6mm)?
❑Yes
❑No
N/A,.
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
(--]Yes❑No
❑No
Q /
/A
11.
CLIENT NOTIFICATION/RESOLUTION
Person Contacted:
Comments/Sample
Discrepancy:
Date/Time:
Field Data Required? []Yes ❑No
Project Manager SCURF Review: Date: lo/A
Project Manager 5RF Review: Date: Z i G
Note: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e.
Out of hold, Incorrect preservative, out of temp, Incorrect containers)
Page 11 of 13

N
0
W
v
v
s
m
0
4
A
io
K
w
ro
tr
x
c
v
0
m
�
�
D
II
p�
�
N
rD
3
m
r•'
O
a
�
n
c
0
R
a
ro
f9
M
C
M
w m
C.
Ln
m
w
C
o
3
�
�
a
3
a
Y �
a N
c
ry
O_
N
F~+
O
V
C1
V7
A
V]
N
M
Item#
Z.'1/xZZZZZZZZ__Z_1_
BP4U-125 mL Plastic Unpreserved (N/A) (CI-)
MU-250 mL Plastic Unpreserved (N/A)
BPZU-50O mt Plastic Unpreserved (N/A)
9P1U-1 liter Plastic Unpreserved (N/A)
BP3S-250 mL Plastic H2SO4 (pH < 2) (Cl-)
BP3N-ZSO mi. plastic HNO3 (PH < 2)
BP3Z.250 mL Plastic ZN Acetate & NaOH (>9)
zzzzzMC-250
mL Plastic NaOH (pH > 12) (Cl-)
WGFU-wide-mouthed Glass jar Unpreserved
AGIU-1 liter Amber Unpreserved (N/A) (CI-)
AG1H-1 liter Amber HCI (pH < 2)
AG3U-250 mL Amber Unpreserved (N/A) (CI-)
AG1S-1 liter Amber H2SO4 (pH < 2)
AG3S-250 mL Amber H2SO4 (pH < 2)
ZZZZ7zzzzz
AG3A(DG3A)-250 mLAmber NH40 (N/A)(CI-)
DG9H-4D mL VOA HCI (N/A)
VG9T-40 mt VOA Na2S203 (N/A)
VG9U40 mL VOA Unp (N/A)
DG9P-40 mLVOA H3PO4 (NIA]
VOAK (6 vials per kit)-5035 kit (NJA]
VJGK (3 vials per kit)-VPH/Gas kit (N/A)
SPST-125 ml.Sterile Plastic (N/A —lob)
5PZT-250 mLSterilePlastic (N/A —lab)
zx
AX
Z111,1117
'1,_/
BP3A-250 ml. Plastic (NHZ)2504 (9.3-9.7)
Cubitainer
VSGU-20 mt Scintillation vials (N/A)
GN
r me
m
Z A
•• r
<D
W
b
M
< 4
O M
C3
W
m
r
N
Cn
N
OI

l : PaceAnaly tr l -
CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chain-of•Custody is a LEGAL DOCUMENT, All relevant fields must bo completed accurately.
0
Section A Section B Section C
page: of m
Required Clicnt Inlornlation: Required Project information: Invoice Information:,
O.
Reoon To: Attention:
195 9 612
Ad : Q fj /
.O (n
Copy To: [ r i G v J
G
Company Name: ''
REGULATORY AGENCY
L -"
6�l 8
Address: I
F NPDES r - GROUNDWATER[— DRINKING WATER
F UST F- RCRA r OTHER
Email To:
.Sr
Purchase Order No.: -32
i o (
Pace Ouow
Rerer .:
Project. Name:
P�W'•'�t
5itCLocation
CJ
U.
lran.,fnr.
STATE:
Requested Duo Data/TAT:
Project Number,
P,nce Prordo p;
Requested
Analysis
Filtered
(YIN)
Section Matrix Codes
g
n
�
Z
Roqutred ctionl lnlomweon MATRIX 1 CODEs
a
COLLECTED
Preservatives
s
Drinking Water DW
uO
water wT
Wastewater WW
x
s
U
onco"�rE
�o5ne:
Product P
swr
ENaACJiAA
J
Z
Soilf$osd SL
g
p
W
}
SAMPLE ID Oil OL
v
�;
a)
Wipe YVP
(A-Z 0 9l : ) Air AR
Wp
tU
a
Q.
w
aYNi
F-y
•_
Sample IOs MUST BE UNIQUE Tssue TS
O
o.
w
<
t
r-
#
Other OT
X
a
'
O
y
I
S
$
cc
a
¢
a
LL
O
Z
y
ro
ti
O
i
S
fJ
m
Q
i
a
DATE
TIME
DATE
TIME
N
z
Y
Z
ZO
O
tY
Paco Project No./ Lab J.D.
1
A C
r� 7 1,,
9,1S
��31- t�s -M1
2
4 i
�"
! 1)y
fd:IU
) rZ
3
G
�*
!
)G'5
a
G
a
G 90
W
5
G
7
9
li
12
ADDITIONAL COMMENTS
RELINQUISHED BY 1 AFFILIATION
DATE
TIME
ACCEPTER BY! AFFILIATION
DATE
TIME
SAMPLE CONDITIONS
ORIGINAL �[ 1 SAMPLER NAME AND SIGNATURE
�1f-�fGti^t/�L
U
..
a Z
Qg
m
C
PRINT Name of SAMPLER:
n U Z
7
�J
SIGNATURE of SAMPLER:[, .(MMIDDNYI• DATE Signed
~
o
U a
N
/
'Important Note: BY stpnmq this torn, you aro =epllnq Pw&s NET 3D day payment Wane and apreont] to late cn atrils of 1,5% pa momh for any invoices not padd wWin 30 days,
-.. - '" ." •`-- • w . -+err. � ... _ . .. �.. - _ ' s »- —. - .. -. _. ,. - r »-_ . - - ,..,. _ -
F-ALL-0-020rev,07, 15-Ma+'

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM
Director
October 9, 2013
Mr. Henry "Buddy" Norris
Avery County C & D Landfill
P. 0. Box 640
Newland, NC 28657
Pat McCrory, Governor
John E. Skvarla, III, Secretary
Subject: General Permit No. NCG1.20000
Avery County C & D Landfill
COC NCG120100
Avery County
Dear Mr. Norris.
In accordance with your application for a discharge permit received on
September 12, 2013, we are forwarding herewith the subject certificate of coverage
to discharge under the subject state - NPDES general permit. This permit is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the US Environmental
Protection Agency -dated October_ 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except
after notice to the Division of Energy Mineral & Land Resources (DEMLR). If the
property changes ownership or the facility is closed DEMLR may require
modification, revocation or reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits
which may be required by DEMLR or any other federal, state, or local governmental
authority.
If you have any questions concerning this permit, please contact Larry Wade
at telephone number [phone].
Sincerely,
x� P;4
for Tracy E. Davis, P.E. CPM
cc: Asheville Regional Office
Central Files
Stormwater Permitting Unit Files
Received
OCT 1 1 2013
Land Quality Section
Asheville
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • Telephone [phone] FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 Internet: http://portal.ncdenr.org/webllr/land-quality
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LANA RESOURCES
GENERAL PERMIT NO. NCG120000
CERTIFICATE OF COVERAGE No. NCG120100
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Mr. Henry "Buddy" Norris
is hereby authorized to discharge stormwater from a facility located at
Avery County C & D Landfill
2175 Brushy Creek Rd.
- Spruce Pine_
Avery County - - -
to receiving waters designated as Brushy Creek, a class C,Tr water in the French Broad
River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts 1, 11, III, IV, V, and VI of General Permit No. NCG120000 as
attached.
This certificate of coverage shall become effective October 9, 2013.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 9, 2013.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

NCG120100
Map Scale 1: 24,000
Henry "Buddy" Norris
Avery County C & D Landfill
Latitude: 351 57' 31.7" N
Longitude: - 81' 58' 15.3" W
County: Avery
Receiving Stream: Brushy Creek
Stream Class: C,Tr
Sub -basin: 04-03-06 (French Broad River Basin)
Facility Location

Stepp, Jonathan
From: Stepp, Jonathan
Sent: Tuesday, October 01, 2013 12:10 PM
To: Wade, Larry
Subject: RE: NCG120100 Avery County C & D Landfill
HI Larry,
My recommendation is to proceed with permitting. I will schedule an inspection after they are covered. Solid waste just
inspected the site and it is in good standing. Please let me know if I can be of further assistance.
Sincerely,
Jonathan
Jonathan Stepp — [e-mail]
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Energy, Mineral, and Land Resources - Land Quality Section
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
therefore may be disclosed to third parties.
From: Wade, Larry
Sent: Friday, September 27, 2013 2:05 PM
To: Stepp, Jonathan
Subject: NCG120100 Avery County C & D Landfill
Hello Jonathan,
Please find attached the NOI for the subject project for your review. If you have any concerns for prior to the issuance
of this NCG12000 permit please let me know. if a response is not received within 30 days of this request, I will proceed
to issue the permit pending approval from the central office.
If you have any questions or require additional information, please let me know.
Thanks,
Larry W. Wade PE Telephone: [phone]
Fax: [phone]
Stormwater Permitting Program
North Carolina Department of Environment & Natural Resources

Division of Energy Mineral and Land Resources
1612 Mail Service
942S
Raleigh, NC 27699-1612
Physical Address - 512 N. Salisbury St. Room
Raleigh, NC 27604
***********************Th15 is a government E-mail address****************************
*********E-mails sent and received from this address can be disclosed to third parties************

sMiYM caRn� _._ �.. ;,curls: — PI
14NINoylanAvenue..Raleigh14U27G113 919H28UP?
Eli I;111fIRS
September 10, 2013
NCDENR
Division of Energy, Mineral and Land Resources
Attention: Stormwater Permitting Program
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Avery County C&D Landfill, Spruce Pine, NC
NOI: General Permit #NCG120000 (Landfills)
Dear Sir/Madam:
7.1 E
v.'ww Smil 1yOfdnefinc.cern
Smith Gardner, Inc. (S+G1 is pleased to submit this Notice of Intent (NOI) package for the Avery County
C&D Landfill facility located in Avery County, NC. The site operates under NC Solid Waste Permit No:
06-03. As such, we are submitting an NOl for coverage under the General Permit #NCG120000
(Landfills). Please find the attached NOI package for coverage under this permit.
If you have any questions, or require further information, please contact me at [phone] ext. 224
or by email at donfdsmithgardnerinc.com.
Sincerely,
SMITH + "ARDNER, INC. /
Don Mis heimer
Project cientist
CC: File
Attachment
HAProieds\Avery Counsy INCIINPOESNNOI\AveryC&O_N01_Sept 2013,doca

z
Division of Water Quality / Surface Water Protection
Section
A-W.A.
National Pollutant Discharge Elimination System
t1k
NCG120000
i7i��YIMrW?Irh'FJ
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under
NCG 120000:
STORMWATER DISCHARGES associated with activities classif led as:
FOR AGENCY USE ONLY
Date Received
Year M"nlh
Ua
CeniGcale of Coverage
11210 lid
Check k
Amount
P rmil Ausi ned to
a4
Landfills that are permitted by the North Carolina Division of Waste Management
provisions and requirements of North Carolina General Statute 130A — 294.
The following activities are specifically excluded from coverage under this General Permit:
Stormwater discharges from open dumps, hazardous waste disposal sites, or discharge of waste (including
leachate) to the waters of the state.
w� For questions, please contact the DWO Regional Office for your area. See page 4.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailedl:
Name
Street Address
City
Telephone No.
Mr. Henry "Buddy" Norris
P 0 Box 640
Newland
[phone]
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Email -
State NC
Fax. (828)
ZIP Code _
733-8209
28657
Avery County C&D LAndfill
Mr. Henry "Buddy" Norris
2175 Brushy Creek Road
Spruce Pine State NC ZIP Code 28777
Avery
[phone] Fax: [phone]
budd .norrisoaver count nc. ov
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection).
The site entrance is on Brushy Creek Road, approximately 2.2 miles east of the Brushy Creek Road and HYW 19E intersection.
(A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application.)
4) Latitude 35deg 57' 31.743 N Longitude 91deg 50115.314 W (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility
® Existing
Date operation is to begin
Page 1 of 4
SWU-227-071408 last revised 7114108

If
NCG120000 N.O.l.
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility.
SIC Code: 4 9 5 3
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility:
Site activities include the operation of a permitted C&D Landfill, as well as, the
operation of a permitted waste Transfer Station.
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 3
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Brushy creek
Receiving water classification: c, Tr
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
0 No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
© No
The site has an NC solid waste permit, No. 06-03.
❑ Yes
If yes, list the permit -numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
® Yes (Show structural BMPs on the site diagram.)
If yes, please briefly describe:
The Site utilizes 5edimen basins rock check dams, diversion berms,
and stormwater conveyance channels.
12) Does this facility have a Stormwater Pollution Prevention Plan?
® Nc
❑ Yes The site has a DWM approved Erosion and sediment Control Plan as required.
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
® No ❑Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
0 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
SW U-227.071408
Page 2 of 4
Last revised 7/14108

NCG120000 N.O.I.
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
® No ❑ Yes If yes, Include Information to demonstrate protection from flooding,
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where Is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor: _
Vendor address:
15) Certification:
North Carolina General Statute 143-215.6B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification In any appllcallon, record, report,
plan, or other document filed ar required to be maintained under this Article or a rule Implementing this Article; or who
knowingly makes a false statement of a material fact In a rutemaking proceeding or contested case under this Article; or
who falsifies, tampers with, or knowingly renders Inaccurate any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission Implementing this Article shall be guilty of a Class
2 misdemeanor which may Includo a fine not to exceed ten thousand dollars (y10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and Is enforceable In the same manner as an
individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such Information Is true, complete, and accurate.
Printed Name t f Per ri Signing:. k n r�y d- No t',r ; -S �1 r
Title: �ir' -c- nie,-, & _
of A plica ) I (bate Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Page 3of4
SWU-227.071408 Last revised 7/14/08

'r
NCG120000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documents
❑ A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee coverage under the NPDES General Permit.
For questions, please contact the DWQ Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
S W U-227-071408
Page 4 of 4
Last revised 7/14108