NC0033600_Regional Office Historical File Pre 2018

' ilichael'F Easley Governor
•QF v`ir& .oss J ecretary
O OG North Carolina Department of Envirifo fnbntid at rayources
', ! 'C Alan W K P.E.Director
Division of Water Quality
mopAsheville Regional Office
•
• SURFACE WATER PROTECTION •
May 17, 2006
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7005 0390 0001 3552 9494
Bob B, Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton, NC 28716
• Subject: NOTICE OF VIOLATION
NOV-2006-LV-0215
Permit No. NC0033600
Pigeon Valley Rest Home
Haywood County
Dear Mr Leatherwood:
A review of Pigeon Valley Rest Home's monitoring report for January 2006 showed the
following violations:-
Parameter Date Limit Value Reported Value Limit Type
BOD, 5-Day
(20 Degrees Celcius) 01/18/06 45.mg/I 51.4 mg/I Daily Maximum
Exceeded
Compliance Issue: Total Residual Chlorine
COMMENT: A low level chlorine meter that will measure the chlorine residual levels at the
28 ug/I limit needs to be used. The facility does not have a meter capable of reading these
low level concentrations.
REQUIREMENT: Each facility must have glassware,chemicals, supplies, equipment, and a source
of distilled or deionized water that will meet the minimum criteria of the approved methodologies.
Ref: 15A NCAC 2H .0805 (g) (4).
REQUIREMENT: In accordance with the directive from this division, a hand held pocket
colorimeter will be allowed to have a minimum reporting limit of 100 pg/I. For any facilities
with a limit less than this, the analysis must be performed with a spectrophotometer.
Reference: Division of Water Quality letter dated August 14, 2001.
%Tthcarolina
)Vatura/!g
2090 US Hwy 70, Swannanoa, NC 28778 828/296-4500 828/299-7043 Fax Customer Service 877-623-6748
O v

Bob B; Leatherwood Air S
Silver Bluff Village
May 17, 2006
Page 2 of 2
Remedial actions should be taken to correct this problem. The Division of Water Quality
may pursue enforcement action for this and any additional violations of State law.
To prevent further action, carefully review these violations and deficiencies and respond in
• writing to this office within 10 working days of receipt of this letter. You should address the
7 causes of non-compliance and all actions taken to prevent the recurrence of similar situations.
If you should have any questions, please do not hesitate to contact Wanda Frazier at 828-296-
4500.
The Asheville Regional Office currently has on staff a Wastewater Treatment Consultant
to offer technical assistance to.Wastewater Treatment Plants (WWTP) and Collection Systems
(CS),with operational concerns. This service is free and non-regulatory to assist in the identify-
cation and correction of operational problems. This service can be utilized for optimization of
the operation of WWTP and/or Collection Systems. Should you have questions about this
service, please contact Don Price at 828-296-4500 extension 4656.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Enclosure •
cc: Bob Guerra — NPDES Compliance Enforcement
�A RO'faci I ity-files--�,
WQ Central Files

b f
May 26, 2006
Mr. Bob Leatherwood
100 Silver Bluff Dr.
Canton,NC 28716
Re: Silver Bluff Nursing Home
Water/Wastewater Operations
Goldie &Associates Proposal No.P06053
Dear Mr. Leatherwood
Thank you for the opportunity to offer this proposal to you. We propose to provide daily
operations (5 days a week) for the Water and Wastewater Treatment Systems.
Daily Operations (5 day week) $970.00 per month
(Fee includes preparing the Discharge Monitor Report)
Routine Monthly Sample&Analytical Fee $400.00 per month
Total $1370.00 per month
Any additional sampling and analysis would be invoiced as collected which would
include: Nitrates,Lead & Copper, Organics, and any other required sampling.
Administrative Reports-
CCR- $100.00 per year
Please note the Consumer Confident Report is due by July 1,,2006.
Please indicate your acceptance of this proposal by signing the attached Terms &
Conditions and return to us.
Sincerely
_ _ _
-- e HnryD ar � -Operations Manager
GOLDIE &ASSOCIATES

t
TERMS & CONDITIONS
Silver Bluff Village
Goldie and Associates Proposal No. P06053
1. Invoices will be submitted monthly for services provided during the prior month.
Payment is due within 30 days of date of invoices. After 30 days, interest will be
added to accounts at a rate of one and one-half percent for each month of
delinquency. The client also agrees to pay the balance ofthe engineering fees in full
before any design submittal is released to a permitting agency for review. The client
agrees to pay Goldie &Associaes'cost of collection of all amounts due and unpaid
after 60 days, including court costs and reasonable attomey's fee.
2. -Any applicable-permit-fees and/or submission-fees required are to be paid by the -
client
3. Goldie & Associates will perform its services using that degree of care and skill
ordinarily exercised under similar conditions by reputable members of its profession
practicing in similar locality and in accordance with applicable law and regulations;
however, it is understood by the parties that Goldie & Associates cannot warrant
North Carolina DEHNR, or Transylvania County's approval or acceptance.
4. The client agrees to limit the liability incurred by Goldie&Associates to the owner,
contractor, and subcontractors on this project due to our negligent acts, errors or
omissions such that the total aggregate liability of Goldie& Associates to all those
named shall not exceed our total fee for services rendered on this project.
5. This proposal shall be valid for a period of 30 days from the date of this letter.
After such time, Goldie and Associates reserves the right to revise pricing and
terms as necessary.
6. To indicate your acceptance of this document, please sign below and return to
Goldie_&Assocates. --- -- - -- - - — - -
61/40846659
Name:
61/7616
ed. Dated:

IbL
1,02/0
SILVER BLUFF • ARROWHEAD COVE • PIGEON VALLEY • THE BLUFFS
June 1, 2006
Mr. Roger Edwards, Regional Supervisor
Surface Water Protection Section
NC DENR ——
2090 US Hwy 70
Swannanoa, NC 28778
Dear Mr. Edwards:
First, let me apologize for the tardiness of thistcorrespondence in response to your letter
dated May 17, 2006. We were awaiting a response from a potential contractor, Goldie
and Associates,to verify that they would be able to provide the required testing services
for our facility in order to meet the compliance requirements you have issued. (See
attached contract).
If there are any questions,please don't hesitate to call me at 828-549-0302.
Anc:ely,
ere erwood
Administrator
Silver Bluff Village _ _ .•
C 11 V
• 1:
JUN - 6 2006
.1: WATER QUALITY SECTION
'• ASHEVILLE REGIONAL OFFICE
at-t,
- ova

.
Cantwell, Janet
From: Miranda Roper[[e-mail]]
Sent: Wednesday, June 05, 2013 2:00 PM
To: Cantwell, Janet
Subject: Pigeon Valley NC0033600 NOV-2013-LV-0340
Attachments: March 2013 explanation for DMR.pdf
Attached is the explanation for the BOD violation for March 2013 for Pigeon Valley NC0033600.
Thanks, . •
,
Miranda Roper
Goldie &Associates
Operations Department
[phone] ext 139 Cc
•
•
•
•
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. .
• 1

•
�OF W/4 rF9Q • Michael F.Easley,Governor
O 9 William G.Ross Jr.,Secretary
j [ North Carolina Department of Environment and Natural Resources
O , r� Alan W.Klimek,P.E.Director
li �} !n` E fi vEitooq.^` ter Quality
s S �C �y� l�
•
_� I JUL 1 2 2006
July 11,2006
•
CERTIFIED MAIL 70031010000046202307 WATER QUALITY SECTION
RETURN RECEIPT REQUESTED ASHEVILLE REGIONAL OFFICE
Bob B. Leatherwood '
Silver Bluff Village -- -
100 Silver Bluff Drive
Canton, NC 28716
Subject: NOTICE OF VIOLATION
Pigeon Valley Rest home Rest Home
NOV-2006-LR-0050
Dear Mr. Leatherwood: /�l79-yJ
epe e
This is to inform you that the Division of Water Quality has not received your monthly monitoring report for October 2005.
This is in violation of Part II, Condition D(2) of the NPDES permit, as well as 15A NCAC 2B .506(a), which requires the
submittal of Discharge Monitoring Reports no later than the thirtieth (30th) day following the reporting period. Failure to
submit reports as required will subject the violator to the assessment of a civil penalty of up to$25,000 per violation. You
will be considered noncompliant with the self-monitoring requirements of your NPDES permit until the report has been
submitted.
To prevent further action,please submit said report to Bob Guerra at the address shown below,within fifteen(15)
days of receipt of this notice.
•
The Division must take these steps because timely submittal of discharge monitoring reports is essential to the efficient
operation of our water quality programs. We appreciate your assistance in this matter. If you have any questions about
this letter or Discharge Monitoring Reports, please contact the at 919-733=5083, extension 539.
Sincerely,
•
ass„,„
Bob Guerra
Western Region NPDES Unit
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•
cc: W. ,,QTAsNeville_;Sur!P W,ateiErntectioniSupe
'Central Files •• •
No na
)vaturu/Caroli/y
•
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 Phone[phone] Customer Service
Internet h2o.enr.statenc.us . 512 N.Salisbury St. Raleigh,NC 27604 FAX [phone] 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%°Post Consumer Paper

legarding NPDES Permit NC0033600
Subject: Regarding NPDES PemiitINCtl033600:_ D
From: "Bob Leatherwood" <[e-mail]> - AUG - 2 2006
Date: Mon, 31 Jul 2006 09:58:40 -0400
To: <[e-mail]> WATER QUALITY SECTION
CC: "Tommy Sorrells" <[e-mail]> ASHEVILLE REGIONAL OFFICE
Carolyn, I am responding to your letter with the information you requested for the
permit you have issued to Pigeon Valley Rest Home.
1) Mike Smith Pumping removes the solids from our treatment plant.
2) It is done on a monthly basis
3)The Solids are taken to the Town of Waynesville's wastewater treatment plant
If you have any further questions, please don't hesitate to contact me via email or at
my office by phone.
Sincerely,
Bob Leatherwood
Administrator
Silver Bluff Village
100 Silver Bluff Drive
Canton, NC 28716
[phone]
of 1 7/11l7006 19.77 PM

Michael F.Easley,Governor
Willia
G.Ross
Secretary
\0���W A T�'f,)) - . North Carolina Department of Environment+and Natural Resources
fT�, Alan W.Klimek,Y.E.Director
•
1 Division of Water Quality
.4-i5 Aslteville-RegionalOffice
e.
- SURFACE WATER PROTECTION SECTION
September 18, 2006
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7005 3110 0003 5474 0240
•
Mr. Bob B. Leatherwood
Silver Bluff Village .
100 Silver Bluff Drive •
•
Canton, NC 28716 , . , . • .. . ... .. i,. .. ~, -+. • . . .. .
t -ri ; a . •.
' Subject: NOTICE OF VIOLATION
. - . — i — NOV-2006-MV-0149
Pe rnairl fo fc100-336OD
fBigeonzValldj,fie_s Hon a—"‘•
Ha oodaC.ounty -
Dear Mr Leatherwood: .
A review of Pigeon Valley Rest Home's rnonitbring report for October 2005 showed the
following violations: - -
Parameter Date Measuring Frequency Violation
Amrr o is itrocf n October - 02005 Two times per month Failure to monitor
Remedial actions should be taken to correct this problem. The Division of Water Quality
may pursue enforcement action for this and any additional violations of State law.
•
2090 U.S.Hi hwa 70, Swannanoa,N.C. 28778. 8281296-4500 N,o,a,�`fhura lioa
9 Y (telephone) 82 812 9 9-704 3(Fax) Customer Service 877-623-6748 Naturally

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Mr. Bob B. Leatherwood
Silver Bluff Village
September 18; 2006
Page 2 of 2 -
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To prevent further action, carefully review these violations and deficiencies and respond
in writing to this office within 10 working days of receipt of this letter. You should address the
causes of non-compliance and all actions taken to prevent the recurrence of similar situations.
If you should have any questions, please do not hesitate to contactWanda-Frazier at'828=29
4500 extension 4662/ -
The Asheville Regional Office currently has on staff a Wastewater Treatment Consultant
to offer technical assistance to Wastewater Treatment Plants and Collection_Systems with
operational concerns: This service-is free and-non-regulatory-to assist in the identification and
correction of operational problems. This service can be utilized for optimization of the operation
of WWTP and/or Collection Systems. Should you have questions about this service, please
contact Don Price at 828-296-4500 extension 4656.
Sincerely,
@IVA,C/1 • c-te.00IA-C1
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Enclosure
cc: Bob Guerra, NPDES Point Source Compliance Enforcement
Wanda Frazier- ARO
-- - —Asheville Asheville RO=-facility file - • -
WQ Central Files

I —
ida
Subject: Permit No. NC0033600
Pigeon Valley Rest Home
Haywood County
Pertaining to the October 31, 2005, failure to sample the second ammonia
nitrogen, I made a mistake looking at the chain of custody form. I confused
the drinking water ammonia nitrate thinking it was the second ammonia
nitrogen. Since that failure, I've instigated logging the monthly samples on
a calendar and checking them off as they occur. I think this will insure the
- ---problem-from-occurring-again in the-future. — --- - — - - — - - -- -
ast
Gifford ulerson
ORC10126-2WW

lit.
-
O�«f WATFRQ 0 II Michael F.Easley,Governor
William G.Ross Jr.,Secretary
G North Carolina,Department of Environment and Natural Resources
VJ r x.:.s!,s r-trow—,0;-.ay.w.phia-txs.uud
j an W.Klimek ''''P'.E�y Director
--I n oat Quality
O - - L
f sheville gio 9aPetiice i
.- �
SURFACE WATER PROTECTION
October 4, 2006
Mr. Bob Leatherwood, Administrator
Silver Bluff Village
100 Silver Bluff Drive
Canton, North Carolina 28716
SUBJECT: Followup Compliance Evaluation
Inspection
Status: Compliant
Pigeon Valley Rest Home WWTP
Permit No: NC0033600
Haywood County
Dear Mr. Leatherwood:
Enclosed please find a copy of the Compliance Evaluation Inspection form from
the inspection conducted on September 21, 2006. The facility appeared to be in
compliance with Permit # NC0033600. There was one area needing attention: the
entrance gate to the facility was dragging on the ground, making it very difficult to open
and close. Please make the necessary repairs and let me know when this is completed.
Mr. Raulerson is doing a good job of operating this facility.
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
Ext.4667.
Sincerely, .
o
Janet Cantwell
' Environmental Technician
Enclosure
Ccc Y,_VO ATshevillle-F les,-w/-attachment. . .
WQ Central Files, w/attachment'---s
Gifford C. Raulerson/ORC, w/ attachment
Nor`IhCarolina
Naturally
2090 U.S.Highway 70,Swannanoa,NC 28778 Telephone:[phone] Fax:[phone] Customer Service 1 877 623-6748

e.
United States Environmental Protection Agency
EPA Washington,D.C.20460 Form Approved.
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 v1 2 151 31 NC0033600 111 121 06/09/21 117 181 el l9I sl 201�� Remarks
21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIs6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -------Reserved----
67I 169 701 I 71 I I 721 NI 731 I 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)
Pigeon Valley Rest Home 09:30 PM 06/09/21 05/05/01
100 Silver Bluff Dr Exit Time/Date Permit Expiration Date
Canton NC 28716 05:00 PM 06/09/21 06/11/30
Name(s)of Onsite Representative(s)/ritles(s)/Phone and Fax Number(s) Other Facility Data
Mark Fredrick Teague/ORC/828-293-9396/
Name,Address of Responsible OfficialTtle/Phone and Fax Number
Bob B Leatherwood,100 Silver Bluff Dr Canton NC Contacted
28716//828-648-2044/8286482065 Yes
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit •Operations&Maintenance IIRecords/Reports a Self-Monitoring Program
MI 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
Janet Cantwell ARO WQ//828-296-4500 Ext.4667/
/04
Signal f Managemen Reviewer Agency/Office/Phone and Fax Numbers Date
/ID/ cf/a 6
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (cant.) 1
31 NC0033600 111 121 06/09/21 I17 18U
Section a Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Gifford Raulerson, ORC, assisted in the inspection of this facility.
At the time of inspection, Mr. Raulerson had pulled the skimmer and was in the process of purchasing parts
for replacement.
It was noted during the inspection that it would be necessary to limit the mosquito problem.
Another area needing attention is the entrance gate to the facility. The gate is very difficult to open and
close since it is scraping the ground. Please make the necessary adjustments to ensure proper closure and
let me know when these have been completed.
•
Page# 2

Permit: NC0033600
Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 09/21/2006 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? ❑ ❑ ■ 0
Is access to the plant site restricted to the general public? ■ ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? IN ❑ n ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ ❑ ❑ ❑
Judge, and other that are applicable?
Comment:
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? ❑ n ❑ ■
Dates,times and location of sampling n
Name of individual performing the sampling ❑
Results of analysis and calibration ❑
Dates of analysis 0
Name of person performing analyses 0
Transported COCs 0
Are DMRs complete: do they include all permit parameters? ■ ❑ ❑ ❑
Has the facility submitted its annual compliance report to users and DWQ? ■ ❑ ❑ n
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator on each shift? 0 0 • 0
Is the ORC visitation log available and current? ■ ❑ n ❑
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? ■ n ❑ n
Is a copy of the current NPDES permit available on site? ■ ❑ ❑ ❑
Page# 3

.11
Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 09/21/2006 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? • ❑ ❑ ❑
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system Diffused
is the basin free of dead spots? U ❑ ❑ ❑
Are surface aerators and mixers operational? 0 ❑ • 0
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? ❑ ❑ ❑ a
Is the DO level acceptable?(1.0 to 3.0 mg/I) 0 0 0 •
Comment:
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? U ❑ ❑ ❑
Is the site free of excessive buildup of solids in center well of circular clarifier? ❑ ❑ U ❑
Are weirs level? a ❑ ❑ ❑
Is the site free of weir blockage? ■ ❑ ❑ ❑
Is the site free of evidence of short-circuiting? ■ ❑ ❑ ❑
Is scum removal adequate? • ❑ ❑ ❑
Is the site free of excessive floating sludge? • ❑ ❑ ❑
Is the drive unit operational? ❑ ❑ ■ ❑
Is the return rate acceptable(low turbulence)? ■ ❑ ❑ ❑
Is the overflow clear of excessive solids/pin floc? ■ ❑ ❑ n
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? 4
Page# 4

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 09/21/2006 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Is the level of chlorine residual acceptable? 0 0 0 •
Is the contact chamber free of growth, or sludge buildup? • ❑ n ❑
Is there chlorine residual prior to de-chlorination? 0 0 0 •
Comment:
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? n ❑ • ❑
Is storage appropriate for cylinders? ❑ ❑ • ❑
#Is de-chlorination substance stored away from chlorine containers? ■ ❑ n ❑
Comment:
Are the tablets the proper size and type? ■ ❑ ❑ ❑
Are tablet de-chlorinators operational? • ❑ ❑ ❑
Number of tubes in use? '1
Comment:
•
Page# 5

,p 1. WA1-, . Michael F. Easley,Governor
QG State of North Carolina Oill
William G.Ross,Jr.,Secretary
60 r Department of Environment and Natural Resources
Alan W. Klimek,P.E.,Director
Division of Water Quality
•
October 19, 2006
Mr.Bob Leatherwood
Silver Bluff Village
100 Silver Bluff Dr.
Canton,North Carolina 28716
Subject: NPDES PERMIT ISSUANCE
Permit Number NC0033600
. Pigeon Valley Rest Home WWTP
Haywood County
!Dear Mr.Leatherwood:
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we are forwarding the attached final NPDES discharge 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 U.S. Environmental Protection Agency dated May 9, -
1994 (or as subsequently amended). The following changes have been incorporated into this final
permit:
> Your expiration date for this permit has been changed to January 31, 2011.
If any parts, measurement frequencies or, sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty
(30) days following receipt of this letter. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings (6714 Mail Service center,Raleigh,North Carolina 27699-6714).Unless such
demand is made,this permit shall be final and binding.
•
Please take notice that this permit is not transferable. This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Quality or permits
required by the Division of Land Resources, Coastal Area Management Act, or any other Federal or
Local governmental permits which may be required.
If you have any questions or need additional information, please do not hesitate to contact
Carolyn Bryant of my staff at(919)733-5083, extension 363.
Sincerely,
la?, Alan W. Klimek;P . 2 c E 11 u i
/ I 15 lei W Inn
cc: Central Files J. l ',1
NPDES Unit Files •
1 OCT 2 4 2006 JJJ
altEalEi' -•.4 • 0'ice _urface 'ro ec 10 r f
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
R -
. t ,Aa•'. i..�..........,- •• ,nitat ,,,I
1617 MAIL SERVICE CENTER,RALEIGH, NORTH CAROLINA 27699-1617-TELEPHONE [phone]/FAX [phone]
VISIT US ON THE WEB AT http://h2oanr.state.nc.us/NPDES

•
•
Permit NC0033600
STATE OF NORTH CAROLINA •
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
•
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
•
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,
Silver Bluff Village
is hereby authorized to discharge wastewater from a facility located at the
Pigeon Valley Rest Home
100 Silver Bluff Drive •
south of Canton
Haywood County
to receiving waters designated as the Pigeon River in the French Broad River basin in accordance with
effluent limitations,monitoring requirements,and other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective December 1,2006.
This permit and authorization to discharge shall expire at midnight on January 31, 2011.
Signed this day October 19,2006.
or- Alan Kliimek,P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

.Permit NC0033600
•
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the
permit conditions, requirements, terms, and provisions included herein.
Silver Bluff Village is hereby authorized to:
1. Continue to operate an existing 0.025 MGD wastewater treatment facility with the
following components:
• Flow Splitter
• Aeration Basin
• Aerated Sludge Holding
• Dual Clarifiers with Sludge Return
• Chlorine Disinfection
• Dechlorination
• Post Aeration
The facility is located at Pigeon Valley Rest Home WWTP, 100 Silver Bluff Drive,
south of Canton, Haywood County.
2. Discharge from said treatment works at the location specified on the attached map
into the Pigeon River, classified WS-III Trout waters in the French Broad River
Basin.

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Facility Information Facility
Latitude: 35°28'45" Sub-Basin: 0403-05 '
Location . .
ir
Longitude: •
82°52'56"
Quad Name: ' ' Waynesville • '
Stream Class: WSdIITrout
Receiving Stream: Pigeon River _ North
SilverHlufiVillaNC0033600 :eyBestHame
LNG Haywood County
i

0
S.

Permit NC0033600
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on December 1, 2006 and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the
Permittee as specified below:
PARAMETER. _ LIMITS a MONITORING.REQUIREMENTS ,„
L
Monthly Average Daily Maximum .;,Measurement Sample Type . ° Sample
_ , . frequency' . �. Location
Flow 0.025 MGD Weekly Instantaneous Influent or
Effluent
BOD,5 day(20°C) 30.0 mg&L 45.0 mg/L Weekly Grab Effluent
Total Suspended Solids 30.0 mg/L 45.0 mglL Weekly Grab Effluent •
NH3 as N 2/Month Grab Effluent
Fecal Coliform 200/100 nil 400/100 ml Weekly Grab Effluent
(geometric mean)
• Total Residual Chlorine 28 pg/L 2/Week Grab Effluent •
Temperature(°C) Weekly Grab Effluent
pH >6.0 and<9.0 standard units Weekly Grab Effluent
There shall be no discharge of floating solids or visible foam in other than trace amounts.

•
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NPDES Permit Requirements
Page 1 of 16
•
PART II
STANDARD CONDITIONS FOR NPDES PERMITS
•
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling,events.
3/Week
Samples are collected three times per week on three separate calendar days.
Act or"the Act"
The Federal Water Pollution Control Act,also known as the Clean Water Act,as amended,33 USC 1251, et. seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform,the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system,which
is not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
•
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 ml in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period. The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time
interval between grab samples, etc.) on a case-by-case basis. Samples may be collected manually or automatically.
Composite samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour
period of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection,or
(3) Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period
with the time intervals between samples determined by a preset number of gallons passing the sampling
point Flow measurement between sample intervals shall be determined by use of a flow recorder and
totalizer, and the preset gallon interval between sample collection fixed at no greater than 1/24 of the
expected total daily flow at the treatment system, or
(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at
a constant time interval. This method may only be used in situations where effluent flow rates vary
less than 15 percent. The grab samples shall be taken at intervals of no greater than 20 minutes apart
during any 24-hour period and must be of equal size and of no less than 100 milliliters. Use of this method
requires prior approval by the Director.
•
•
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In accordance with (4) above,influent grab samples shall not be collected more than once per hour.
Effluent grab samples shall not be collected more than once per hour except at wastewater treatment systems
having a detention time of greater than 24 hours. In such cases, effluent grab samples may be collected at
intervals evenly spaced over the 24-hour period that are equal in number of hours to the detention time of the
system in number of days. However, the interval between effluent grab samples may not exceed six hours nor
the number of samples less than four during a 24-hour sampling period.
Continuous flow measurement •
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass,the"daily discharge"is calculated as
the total mass of the pollutant discharged over the day. The "daily discharge" concentration comprises the mean
concentration for a 24-hour sampling period as either a composite sample concentration or the arithmetic mean of all
grab samples collected during that period. (40 CFR 122.3)
Daily Maximum
The highest "daily discharge" during the calendar month for conventional and other non-toxicant parameters.
NOTE: Permittees may not submit a "daily average" calculation for determining compliance with permit limits for
toxicants. See the relevant Federal effluent guideline[s] for the appropriate calculation interval.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit The Division expects that sampling shall be conducted on weekdays except where holidays or other
disruptions of normal operations prevent weekday sampling. If sampling is required for all seven days of the week
for any permit parameter(s),that requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWQ or"the Division"
The Division of Water Quality,Department of Environment and Natural Resources.
EMC
The North Carolina Environmental Management Commission.
Facility Closure
The cessation of wastewater treatment at a permitted facility, or the cessation of all activities that require coverage
under the NPDES. Completion of facility closure will allow this permit to be rescinded.
1
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean,values of"0" (or"< [detection level]") shall be considered= 1.
Grab Sample
Individual samples of at least 100 ml collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually. Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to'Section 311 of the Clean Water Act.
•
Instantaneous flow measurement
A measure of flow taken at the time of sampling,when both the sample and flow will be representative of the total
discharge.
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Monthly Avenge (concentration limit)
The arithmetic mean of all"daily discharges" of a pollutant measured during the calendar month. In the case of fecal
colifomt,the geometric mean of such discharges.
Permit Issuing Authority •
The Director of the Division of Water Quality.
Ouarterly Average (concentration limit)
The average of all samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable,
or substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant
Any pollutant listed as toxic under Section 307(a)(1) of the Clean Water Act.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities,, lack of preventive
maintenance,or careless or improper operation.
•
Weekly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform,the geometric mean of such discharges.
•
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation
of the Clean Water Act and is grounds for enforcement action;for permit termination,revocation and reissuance,
or modification;or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
Clean Water Act for toxic pollutants and with standards for sewage sludge use or disposal established under
section 405(d) of the Clean Water Act within the time provided in the reguladons that establish these
standards or prohibitions or standards for sewage sludge use or disposal, even if the permit has not yet been
modified to incorporate the requirement.
b. The Clean Water Act provides that any person who violates section 301,302,306,307,308,318 or 405 of the
Act, or any pent condition or limitation implementing any such sections in a permit issued under section
402, or any requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8)
of the Act, is subject to a civil penalty not to exceed $25,000 per day for each violation. [40 CFR 122.41 (a)
(2)]
c. The Clean Water Act provides that any person who negligently violates sections 301,302,306,307,308,318,or
405 of the Act, or any condition or limitation implementing any of such sections in a permit issued under
section 402 of the Act, or any requirement imposed in a pretreatment program approved under section
402(a)(3) or 402(6)(8) of the Act,is subject to criminal penalties of$2,500 to $25,000 per day of violation, or
imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a
negligent violation, a person shall be subject to criminal penalties of not more than $50,000 per day of
violation, or by imprisonment of not more than 2 years,or both. [40 CFR 122.41 (a) (2)]
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d. Any person who knowing violates such sections, or such conditions or limitations is subject to criminal
penalties of$5,000 to $50,000 per day of violation, or imprisonment for not mote than 3 years, or both. In
the case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
penalties of not more than$100,000 per day of violation, or imprisonment of not more than 6 years, or both.
[40 CFR 122.41 (a) (2)]
e. Any person who knowingly violates section 301,302,303,306,307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act,
and who knows at that time that he thereby places another person in imminent danger of death or serious
bodily injury, shall,upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not
more than 15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment
violation,a person shall be subject to a fine of not more than$500,000 or by imprisonment of not more than
30 years, or both.An organization, as defined in section 309(c)(3)(B)(Ih) of the CWA,shall upon conviction
of violating the imminent danger provision,be subject to a fine of not more than$1,000,000 and can be fined
up to$2,000,000 for second or subsequent convictions. [40 CFR 122.41 (a) (2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such
sections in a permit issued under section 402 of this Act Administrative penalties for Class I violations are
not to exceed$10,000 per violation,with the maximum amount of any Class I penalty assessed not to exceed
$25,000. Penalties for Class II violations are not to exceed $10,000 per day for each day during which the
violation continues, with the maximum amount of any Class II penalty not to exceed $125,000. [40 CFR
122.41 (a) (3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit which has a reasonable likelihood of adversely affecting human health or the environment
[40 CFR 122.41 (d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II. C. 4), "Upsets" (Part II. C. 5) and "Power
Failures" (Part II. C. 7), nothing in this permit shall be construed to relieve the Permittee from any
responsibilities, liabilities, or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309
of the Federal Act, 33 USC 1319. Furthermore, the Permittee is responsible for consequential damages, such as
fish kills,even though the responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities,liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any
exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor
any infringement of Federal,State or local laws or regulations [40 CFR 122.41 (g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
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7. Severability
The provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit to any circumstances,is held invalid,the application of such provision to other circumstances,and the
remainder of this permit,shall not be affected thereby [NCGS 150B-23].
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority,within a reasonable time, any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying,revoking and reissuing,or
terminating this permit or to determine compliance with this permit. The Permittee shall also furnish to the
Permit Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41 (h)].
•
9. Duty to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit,the
Permittee must apply for and obtain a new permit [40 CFR 122.41 (b)].
10. Expiration of Permit
The Permittee. is not authorized to discharge after the expiration date. In order to receive automatic
authorization to discharge beyond the expiration date, the Permittee shall submit such information, forms, and
fees as are required by the agency authorized to issue permits no later than 180 days prior to the expiration date.
Any Permittee that has not requested renewal at least 180 days prior to expiration, or any Permittee that does not
have a permit after the expiration and has not requested renewal at least 180 days prior to expiration,will subject
the Permittee to enforcement procedures as provided in NCGS 143-?15.6 and 33 USC 1251 et.seq.
11. Signatory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified
[40 CFR 122.41 (k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in
charge of a principal business function, or any other person who performs similar policy or decision
making functions for the corporation, or (b) the manager of one or more manufacturing,production, or
operating facilities,provided,the manager is authorized to make management decisions which govern the
operation of the regulated facility including having the explicit or implicit duty of making major capital
investment recommendations, and initiating and directing other comprehensive measures to assure long
term environmental compliance with environmental laws and regulations; the manager can ensure that
the necessary systems are established or actions taken to gather complete and accurate information for
permit application requirements; and where authority to sign documents has been assigned or delegated
to the manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor,respectively;or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
sighed by a person described in paragraph a. above or by a duly authorized representative of that person. A
person is a duly authorized representative only if:
1. The authorization is made in writing by a person described above;
2. The authorization specified either an individual or a position having responsibility for the overall
operation of the regulated facility or activity, such as the position of plant manager, operator of a well or
well field, superintendent, a position of equivalent responsibility, or an individual or position having
overall responsibility for environmental matters for the company. (A duly authorized representative may
thus be either a named individual or any individual occupying a named position.);and
3. The written authorization is submitted to the Permit Issuing Authority [40 CFR 122.22]
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c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate
because a different individual or position has responsibility for the overall operation of the facility, a new
authorization satisfying the requirements of paragraph (b) of this section must be submitted to the Director
prior to or together with any reports, information, or applications to be signed by an authorized
representative [40 CFR 122.22]
d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the
following certification [40 CFR 122.22]:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate
the infonmation submitted. Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations.°
12. -Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned
changes or anticipated noncompliance does not stay any permit condition [40 CFR 122.41 (f)].
13. Permit Modification.Revocation and Reissuance.or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the
permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws,riles,and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Tide 15A of the North Carolina
Administrative Code,Subchapter 2H.0100;and North Carolina General Statute 143-215.1 et al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 2H.0105 (b) (2)
may cause this Division to initiate action to revoke the permit
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
Upon classification of the permitted facility by the Certification Commission, the Permittee shall employ a
certified water pollution control treatment system operator in responsible charge (ORC) of the water pollution
control treatment system. Such operator must hold a certification of the grade equivalent to or greater than the
classification assigned to the water pollution control treatment system by the Certification Commission. The
Permittee must also employ one or more certified Back-up ORCs who possess a currently valid certificate of the
type of the system. Back-up ORCs must possess a grade equal to(or no more than one grade less than) the grade
of the system [15A NCAC 8G.0201].
The ORC of each Class I facility must
> Visit the facility at least weekly
> Comply with all other conditions of 15A NCAC 8G.0204.
The ORC of each Class II,III and IV facility must
➢ Visit the facility at least daily, excluding weekends and holidays
> Properly manage and document daily operation and maintenance of the facility
> Comply with all other conditions of 15A NCAC 8G.0204.
•
Once the facility is classified, the Permittee shall submit a letter to the Certification Commission designating the
operator in responsible charge:
a. Within 60 calendar days prior to wastewater being introduced into a new system .
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b. Within 120 calendar days of:
Receiving notification of a change in the classification of the system requiring the designation of a
new ORC and back-up ORC
> A vacancy in the position of ORC or back-up ORC.
2. Proper Operation and Maintenance
The Permittee shall at all times provide the operation and maintenance resources necessary to operate the existing
facilities at optimum efficiency. The Permittee shall at all times properly operate and maintain all facilities and
systems of treatment and control (and related appurtenances) which are installed or used by the Permittee to
achieve compliance with the conditions of this permit. Proper operation and maintenance also includes adequate
• laboratory controls and appropriate quality assurance procedures. This provision requires the Permittee to install
and operate backup or auxiliary facilities only when necessary to achieve compliance with the conditions of the
permit[40 CFR 122.41 (e)].
3. Need to Halt or Reduce not a Defense
It shall not be-a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41
(c)].
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41 (m) (2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b.and c. of this section.
b. Notice [40 CFR 122.41 (m) (3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior
notice, if possible at least ten days before the date of the bypass; including an evaluation of the
anticipated quality and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II.E. 6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass,unless:
•
(A) Bypass was unavoidable to prevent loss of life,personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance;and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system-wide collection system
permit associated with the treatment facility.
(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects,if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
5. Upsets
a. Effect of an upset [40 CFR 122.41 (n) (2)]: An upset constitutes an affirmative defense to an action
brought for noncompliance with such technology based permit effluent limitations if the requirements of
paragraph b. of this condition are met. No determination made during administrative review of claims that
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noncompliance was caused by upset, and before an action for noncompliance, is final administrative action
subject to judicial review.
b. Conditions necessary for a demonstration of upset A Permittee who wishes to establish the
affirmative defense of upset shall demonstrate,through properly signed, contemporaneous operating logs, or
other relevant evidence that
(1)An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated;and
(3)The Permittee submitted notice of the upset as required in Part II.E. 6. (b) of this permit
(4)The Permittee complied with any remedial measures required under Part II.B.2. of this permit.
c. Burden of proof[40 CFR 122.41 (n) (4)]: The Permittee seeking to establish the occurrence of an
upset has the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids,sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States. The Permittee
shall comply with all existing Federal regulations governing the disposal of sewage sludge. Upon promulgation of
40 CFR Part 503,any permit issued by the Permit Issuing Authority for the utilization/disposal of sludge may be
reopened and modified, or revoked and reissued, to incorporate applicable requirements at 40 CFR 503. The
Permittee shall comply with applicable 40 CFR 503 Standards for the Use and Disposal of Sewage Sludge (when
promulgated) within the time provided in the regulation, even if the permit is not modified to incorporate the
requirement. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 2H.0124 —
Reliability) to prevent the discharge of untreated or inadequately treated wastes during electrical power failures
either by means of alternate power sources,standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
1. Representative Sampling
Samples collected and measurements taken, as required herein, shall be characteristic of the volume and nature of
the permitted discharge. Samples collected at a frequency less than daily shall be taken on a day and time that is
characteristic of the discharge over the entire period the sample represents. All samples shall be taken at the
monitoring points specified in this permit and, unless otherwise specified, before the effluent joins or is diluted
by any other wastestream, body of water, or substance. Monitoring points shall not be changed without
notification to and the approval of the Permit Issuing Authority[40 CFR 122.41 (j)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1.1, 2, 3) or alternative forms approved by the
Director,postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the case of a new
facility, on the last day of the month following the commencement of discharge. Duplicate signed copies of
these,and all other reports required herein, shall be submitted to the following address:
NC DENA/Division of Water Quality/Water Quality Section
ATTENTION: Central Files •
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
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3. Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once-through condenser cooling water flow monitored by pump logs,or pump hour meters as specified in Part I
of this permit and based on the manufacturer's pump curves shall not be subject to this requirement •
4. Test Procedures
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to
NCGS 143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and to regulations published pursuant to
Section 304(g), 33 USC 1314, of the Federal Water Pollution Control Act (as Amended), and 40 CFR 136; or in
the case of sludge use or disposal,approved under 40 CFR 136,unless otherwise specified in 40 CFR 503,unless
other test procedures have been specified in this permit[40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum
detection and reporting levels that are below the permit discharge requirements and all data generated must be
reported down to the minimum detection or lower reporting level of the procedure. If no approved methods are
determined capable of achieving minimum detection and reporting levels below permit discharge requirements,
then the most sensitive (method with the lowest possible detection and reporting level) approved method must
be used.
5. Penalties for Tampering •
The Clean Water Act provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any
monitoring device or method required to be maintained under this permit shall,upon conviction,be punished by
a fine of not more'than $10,000 per violation, or by imprisonment for not more than two years per violation, or
by both. If a conviction of a person is for a violation committed after a first conviction of such person under this
paragraph,punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more
than 4 years,or both [40 CFR 122.41].
•
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge
use and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40
CFR 503),the Permittee shall retain records of all monitoring information,including.
> all calibration and maintenance records
> all original strip chart recordings for continuous monitoring instrumentation
> copies of all reports required by this permit
> copies of all data used to complete the application for this permit •
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement,report or application. This period may be extended by request of the Director at any time [40 CFR
122.41].
7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record
the following information [40 CFR 122.41]:
a. The date,exact place,and time of sampling or measurements;
b. The individual(s)who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s)who performed the analyses;
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e. The analytical techniques or methods used;and
£ The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director,or an authorized representative (including an authorized contractor acting
as a representative of the Director),upon the presentation of credentials and other documents as may be required
by law,to;
a. Enter upon the Permittee's premises where a regulated facility or activity is located or conducted, or where
records must be kept under the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this
pest
c. Inspect at reasonable times any facilities, equipment(including monitoring and control equipment),practices,
or operations regulated or required under this permit;and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the Clean Water Act,any substances or parameters at any location [40 CFR 122.41 @].
Section E Reporting Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit The discharge
of any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall
constitute a violation of the permit
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or
additions to the permitted facility[40 CFR 122.41 (1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29 (b);or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit,nor to
notification requirements under 40 CFR 122.42 (a) (1).
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices,
and such alteration, addition or change may justify the application of permit conditions that are different
from or absent in the existing permit, including notification of additional use or disposal sites not reported
•
during the permit application process or not reported pursuant to an approved land application plan.
•
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41 (1) (2)].
4. Transfers
This permit is not transferable to any person except after notice to the Director. The Director may require
modification or revocation and reissuance of the permit to document the change of ownership. Any such action
may incorporate other requirements as may be necessary under the Clean Water Act[40 CFR 122.41 (1) (3)].
5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41 (1) (4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II.D. 2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by this permit, the results of such
monitoring shall be included in the calculation and reporting of the data submitted on the DMR.
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6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances. The written
submission shall contain a description of the noncompliance,.and its cause; the period of noncompliance,
•
• including exact dates and times, and if the noncompliance has not been corrected, the anticipated time it is
expected to continue; and steps taken or planned to reduce, eliminate, and' prevent reoccurrence of the
noncompliance [40 CFR 122.41 (1) (6)].
b. The Director may waive the written report on a case-by-case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at(800) 662-7956, [phone] or(919) 733-3300.
7. Other Noncompliance •
The Permittee shall report all instances of noncompliance not reported under Part II.E. 5 and 6.of this permit at
the time monitoring reports are.submitted. The reports shall contain the information listed in Part II. E. 6. of
this permit[40 CFR 122.41 (1) CO].
•
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or
submitted incorrect information in a permit application or in any report to the Director,it shall promptly submit
such facts or information [40 CFR 122.41 (1) (8)].
9. Noncompliance Notification
The Peanittee shall report by telephone to either the central office or the appropriate regional office of the
Division 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 any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester, the known passage of a slug of hazardous substance through the facility; or any other unusual
•
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps,aerators, compressors,etc.
•
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to receiving
waters'without treatment of all or any portion of the influent to such station or facility.
•
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first_
knowledge of the occurrence.
•
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division of Water Quality. As required by the Act, effluent data shall not be considered confidential.
Knowingly making any false statement on any such report may result in the imposition of criminal penalties as
provided for in NCGS 143-215.1(b)(2) or in Section 309 of the Federal Act.
•
11. Penalties for Falsification of Reports
The Clean Water Act provides that any person who knowingly makes any false statement, representation, or
certification in any record or other document submitted or required to be maintained under this permit,including
monitoring reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of
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not more than $25,000 per violation, or by imprisonment for not more than two years per violation, or by both
[40 CFR 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that collect or treat municipal or domestic waste shall provide an annual
report to the Permit Issuing Authority and to the users/customers served by the Permittee (NCGS 143-215.1C).
The report shall summarize the performance of the collection or treatment system,as well as the extent to which
the facility was compliant with applicable Federal or State laws,regulations and rules pertaining to water quality.
The report shall be provided no later than sixty days after the end of the calendar or fiscal year, depending upon
which annual period is used for evaluation.
PART III
OTHER REQUIREMENTS
•
Section A. Construction
The Perrnittee shall not commence construction of wastewater treatment facilities,nor add to the plant's treatment
capacity,nor change the treatment process(es) utilized at the treatment plant unless the Division has issued an
Authorization to Construct(AtC) permit. Issuance of an AtC will not occur until Final Plans and Specifications for
the proposed construction have been submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall,upon written notice from the Director of the Division of Water Quality, conduct groundwater
monitoring as maybe required to determine the compliance of this NPDES permitted facility with the current
groundwater standards.
•
Section C. Changes in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe(40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent
basis, of any toxic pollutant which is not limited in the permit,if that discharge will exceed the highest of the
following "notification levels";
(1) One hundred micrograms per liter(100 µg/L); •
(2) Two hundred micrograms per liter (200 µg/L) for acrolein and acrylonitrile; five hundred micrograms
per liter (500 µg/L) for 2.4-dinittophenol and for 2-methyl-4.6-dinitrophenol;and one milligram per liter
(1 mg/L) for antimony;
. (3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non-routine or
infrequent basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the
highest of the following"notification levels";
(1) Five hundred micrograms per liter(500 µg/L);
(2) One milligram per liter(1 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
•
Section D. Evaluation of Wastewater Discharge Alternatives
The Permittee shall evaluate all wastewater disposal alternatives and pursue the most environmentally sound
alternative of the reasonably cost effective alternatives. If the facility is in substantial non-compliance with the terms
and conditions of the NPDES permit or governing rules,regulations or laws,the Permittee shall submit a report in
such form and detail as required by the Division evaluating these alternatives and a plan of action within 60 days of
notification by the Division.
Section E. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system
covered by this permit. The Division may require specific measures during deactivation of the system to prevent
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adverse impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit
continue at the permitted facility.
PART IV
SPECIAL CONDITIONS FOR MUNCIPAL FACILITIES
Section A. Publicly Owned Treatment Works (POTWsl
All POTWs must provide adequate notice to the Director of the following:
1. Any new introduction of pollutants into the POTW from an indirect discharger which would be subject to
section 301 or 306 of CWA if it were directly discharging those pollutants;and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger
• as influent to that POTW at the time of issuance of the permit
3. For purposes of this paragraph,adequate notice shall include information on (1) the quality and quantity of
effluent introduced into the PO 1 W,and (2) any anticipated impact of the change on the quantity or quality
of effluent to be discharged from the POTW.
Section B. Municipal Control of Pollutants from Industrial Users.
1. Effluent limitations are listed in Part I of this permit Other pollutants attributable to inputs from
industries using the municipal system may be present in the Permittee's discharge. At such time as
sufficient information becomes available to establish limitations for such pollutants, this permit may be
revised to specify effluent limitations for any or all of such other pollutants in accordance with best
practicable technology or water quality standards.
2. Under no circumstances shall the Permittee allow introduction of the following wastes in the waste
treatment system:
a. Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a dosed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees
Centigrade using the test methods specified in 40 CFR 261.21;
b. Pollutants which will cause corrosive structural damage to the PO 1 W, but in no case Discharges
with pH lower than 5.0,unless the works is specifically designed to accommodate such Discharges;
c. Solid or viscous pollutants in amounts which will cause obstruction to the flow in the POTW
resulting in Interference;
d. Any pollutant,including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flow
• rate and/or pollutant concentration which will cause Interference with the POTW;
e. Heat in amounts which will inhibit biological activity in the POTW resulting in Interference, but in
no case,heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C
(104°F)unless the Division,upon request of the P01 W,approves alternate temperature limits;
f. Petroleum oil, nonbiodegradable cutting oil, or products of mineral oil origin in amounts that will
cause interference or pass through;
g. Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a
quantity that may cause acute worker health and safety problems;
h. Any trucked or hauled pollutants, except at discharge points designated by the POTW.
3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the
Permittee to supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to
ensure compliance by the Permittee with all applicable effluent limitations. Such actions by the Permittee
may be necessary regarding some or all of the industries discharging to the municipal system.
4. The Permittee shall require any industrial discharges sending influent to the permitted system to meet
Federal Pretreatment Standards promulgated in response to Section 307(b) of the Act Prior to accepting
wastewater from any significant industrial user, the Permittee shall either develop and submit to the
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Division a Pretreatment Program for approval per I5A NCAC 2H .0907(a) or modify an existing
Pretreatment Program per 15A NCAC 2H.0907(b). •
•
5. This permit shall be modified,or alternatively,revoked and reissued,to incorporate or modify an approved
POTW Pretreatment Program or to include a compliance schedule for the development of a POTW
Pretreatment Program as required under Section 402(b)(8) of the Clean Water Act and implementing
regulations or by the requirements of the approved State pretreatment program,as appropriate.
Section C. Pretreatment Programs
Under authority of sections 307(b) and (c) and 402(6)(8) of the Clean Water Act and implementing regulations 40
CFR Part 403, North Carolina General Statute 143-215.3 (14) and implementing regulations 15A NCAC 2H
.0900, and in accordance with the approved pretreatment program, all provisions and regulations contained and
referenced in the Pretreatment Program Submittal are an enforceable part of this permit
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the Clean
Water Act, the Federal Pretreatment Regulations 40 CFR Part 403, the State Pretreatment Regulations 15A
NCAC 2H .0900, and the legal authorities, policies, procedures, and financial provisions contained in its
pretreatment program submission and Division approved modifications there of. Such operation shall include
but is not limited to the implementation of the following conditions and requirements:
1. Sewer Use Ordinance (SUO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program.
2. Industrial Waste Survey(IWS)
The Permittee shall update its Industrial Waste Survey (IWS) to include all users of the sewer collection
system at least once every five years.
3. Monitoring Plan
The Permittee shall implement a Division approved Monitoring Plan for the collection of facility specific
data to be used'in a wastewater treatment plant Headworks Analysis (HWA) for the development of
specific pretreatment local limits. Effluent data from the Plan shall be reported on the DMRs (as required
by Part II,Section D,and Section E.5.).
4. Headworks Analysis (HWA) and Local Limits
The Permittee shall obtain Division approval of a Headworks Analysis (HWA) at least once every five
years, and as required by the Division. Within 180 days of the effective date of this permit (or any
subsequent permit modification) the Permittee shall submit to the Division a written technical evaluation
of the need to revise local limits (i.e., an updated HWA or documentation of why one is not needed) [40
CFR 122.44]. The Permittee shall develop,in accordance with 40 CFR 403.5(c) and 15A NCAC 2H.0909,
specific Local Limits to implement the prohibitions listed in 40 CFR 403.5(a) and (b) and 15A NCAC 2H
.0909.
5. Induktrial User Pretreatment Permits (IUP) &Allocation Tables
In accordance with NCGS 143-215.1,the Permittee shall issue to all significant industrial users,permits for
operation of pretreatment equipment and discharge to the Permittee's treatment works. These permits
shall contain limitations, sampling protocols, reporting requirements, appropriate standard and special
conditions, and compliance schedules as necessary for the installation of treatment and control
technologies to assure that their wastewater discharge will meet all applicable pretreatment standards and
requirements. The Permittee shall maintain a current Allocation Table (Al)which summarizes the results
of the Headworks Analysis (HWA) and the limits from all Industrial User Pretreatment Permits (IUP).
Permitted IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA.
•
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6. Authorization to Construct(A to C)
The Permittee shall ensure that an Authorization to Construct permit (AtC) is issued to all applicable
industrial users for the construction or modification of any pretreatment facility. Prior to the issuance of
an AC,the proposed pretreatment facility and treatment process must be evaluated for its capacity to
comply with all Industrial User Pretreatment Permit(IUP)limitations.
7. POTW Inspection&Monitoring of their,SIUs
The Permittee shall conduct inspection, surveillance, and monitoring activities as described in its Division
approved pretreatment program in order to determine,independent of information supplied by industrial
users,compliance with applicable pretreatment standards. The Permittee must
a. Inspect all Significant Industrial Users(SIUs)at least once per calendar year;and
b. Sample all Significant Industrial Users (Sills) at least twice per calendar year for all permit-
limited pollutants, once during the period from January 1 through June 30 and once during the
period from July 1 through December 31,except for organic compounds which shall be sampled
once per calendar year;
8. SIU cAlf Monitoring and Reporting
The Permittee shall require all industrial users to comply with the applicable monitoring and reporting
requirements outlined in the Division approved pretreatment program,the industry's pretreatment permit,
or in 15A NCAC 2H.0908.
9. Enforcement Response Plan(ERP)
The Permittee shall enforce and obtain appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of the Clean Water Act(40 CFR 405 et. seq.),prohibitive
discharge standards as set forth in 40 CFR 403.5 and 15A NCAC 2H .0909,and specific local limitations.
All enforcement actions shall be consistent with the Enforcement Response Plan (ERP) approved by the
Division.
10. Pretreatment Annual Reports (PAR)
The Permittee shall report to the Division in accordance with 15A NCAC 2H.0908. In lieu of submitting
annual reports, Modified Pretreatment Programs developed under 15A NCAC 2H .0904 (b) may be
required to meet with Division personnel periodically to discuss enforcement of pretreatment requirements
and other pretreatment implementation issues:
For all other active pretreatment programs,the Permittee shall submit two copies of a Pretreatment Annual
Report(PAR) describing its pretreatment activities over the previous twelve months to the Division at the
following address:
NC DENR/DWQ/Pretreatment Unit
1617 Mail Service Center
Raleigh,NC 27699-1617
These reports shall be submitted according to a schedule established by the Director and shall contain the
following:
a.) Narrative
A brief discussion of reasons for, status of and actions taken for all Significant Industrial
Users (SIUs)in Significant Non-Compliance(SNC);
b.) Pretreatment Program Summary(PPS)
A pretreatment program summary(PPS)on specific forms approved by the Division;
c.) Significant Non-Compliance Report(SNCR)
The nature of the violations and the actions taken or proposed to correct the violations on
specific forms approved by the Division;
d.) Industrial Data Summary Forms (IDSF)
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Monitoring data from samples collected by both the POTW and the Significant Industrial
User (SIU). These analytical results must be reported on Industrial Data Summary Forms
(IDSF) or other specific format approved by the Division;
e.) Other Information
Copies of the POTW's allocation table,new or modified enforcement compliance schedules,
public notice of SIUs in SNC, and any other information, upon request, which in the
opinion of the Director is needed to determine compliance with the pretreatment
implementation requirements of this permit
11. Public Notice
The Permittee shall publish annually a list of Significant Industrial Users (Sills) that were in Significant
Non-Compliance (SNC) as defined in the Permittee's Division approved Sewer Use Ordinance with
applicable pretreatment requirements and standards daring the previous twelve month period. This list
shall be published within four months of the applicable twelve-month period.
12. Record Keeping
The Penmittee shall retain for a minimum of three years records of monitoring activities and results, along
with support information including general records,water quality records,and records of industrial impact
on the POTW.
13. Funding and Financial Report
The Permittee shall maintain adequate funding and staffing levels to accomplish the objectives of its
approved pretreatment pro grain.
14. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to local limits
modifications, POTW monitoring of their Significant Industrial Users (Sills), and Monitoring Plan
modifications, shall be considered apermit modification and shall be governed by 15 NCAC 2H..0114 and
15A NCAC 2H..0907.
Version 6/202003

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•
North Carolina Department of Environment and Natural Resources
r? 7 Alan W.Klimek,P.E.Director
p .l_ _ Y Division of Water Quality
•
Asheville Regional Office
9-
SURFACE WATER PROTECTION SECTION
January 3, 2007
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7005 1820 0002 9207 4328
Mr. Bob B. Leatherwood
Silver Bluff Village
•
100 Silver Bluff Drive
Canton, NC 28716
Subject: NOTICE OF VIOLATION
NOV-2007-LV-0001
Permit number NC0033600
Pigeon Valley Rest Home •
•
• Haywood County • .
Dear Mr. Leatherwood:
•
• A review of Pigeon Valley Rest Home's monitoring report for August 2006 showed the
following violations:
•
Parameter Date Limit Value Reported Value Limit Type
Coliform, Fecal MF, 08/28/06 400 colonies 1,280 colonies Daily Maximum Exceeded
M-FC Broth, / 100 mi / 100 ml
44.5 degees Celcius
•
Remedial actions should be taken to correct this problem. The Division of Water Quality may
pursue enforcement action for this and any additional violations of State law.
AlorthCarollna
2090 U.S.Highway 70, Swannanoa,N.C. 28778 828/296-4500(Telephone) 828/299-7043(Fax) Customer Service 877-623-6748 �lJflfYQ//!f

it
Mr. Bob B..Leatherwood
Pigeon Valley Rest Home
January 3, 2007
Page 2 of 2
To prevent further action, carefully review these violations and deficiencies and respond in writing
', to this office within 10 working days of receipt of this letter. You should address the causes of non-
-compliance and all actions taken to prevent the recurrence of similar situations. If you should have
•any questions, please do not hesitate to contact Wanda Frazier at 828-296-4500 extension 4662.
The Asheville Regional Office currently has on staff a.Wastewater Treatment Consultant to offer
technical assistance to Wastewater Treatment Plants and Collection Systems with operational
concerns. This service is free and non-regulatory to assist in the identification and correction of
operational problems. This service can be utilized for optimization of the operation of WWTP
and/or Collection Systems. Should you have questions about this service, please contact Don
Price at 828-296-4500 extension 4656.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
• Enclosure
cc: Bob Guerra, NPDES Point Source Compliance Enforcement
Wanda Frazier- ARO
cAsbeville=RO facility file
WQ Central Files

- l•
1 d l
• / C/b/077 /it
SILVER BLUFF • ARROWHEAD COVE • PIGEON VALLEY • THE BLUFFS
January 9,2007
Mr. Roger C. Edwards,Regional Supervisor
Surface Water Protection Section
__ _ Division of Water Quality_ _ —
NC DENR
2090 U.S.Highway 70
Swannanoa,NC 28778
Re: NOV-2007-LV-0001/Permit number NC0033600
Dear Mr.Edwards:
This letter is in response to your notice of violation sent January 3,2007 to my attention on a sample
collected at our facility on 08/28/06.
The following actions have been taken in response to the most recent violation cited:
1) Contacted our treatment plant operator Gifford Raulerson,of Goldie and Associates,to
discuss possible reasons for the failure of the wastewater treatment plant and any measures
that could be taken to avoid the problem in the future.
2) Called and left a message for Mr.Don Price of your staff to ask for technical assistance in
regards to our treatment plant operations.
3) Forwarded a copy of this letter to Goldie and Associates,and also to McGill and Associates
with whom we have contracted to do an engineering study of our system and make
recommendations to improve its operations.
I want to assure you that we take this problem seriously,and are taking steps to identify ways to remedy the
situation. If you have questions,please don't hesitate to contact me at(828)549-0302.
Sincerely, 'u,
...ff?:04:skat
Bob Leatherwood r
Administrator . •
cc: Goldie and AssociatesECEnE
McGill and Associates
Tommy Sorrells
Gifford Raulerson
JAN 1 2 2007
100 Silver Bluff Drive '
Canton, NC 25716 WATER QUALITY SECTION
AS'HEVILLE REGIONAL OFFICE
.`. Ci.

W ATF Michael F.Easley,Governor
\Oa0 9G • William G.Ross Jr.,Secretary
_� North Carolina Departrr -1 Environment and Natural Resources
UJ 7 Alan W.Klimek,P.E. Director
> y Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION
March 7, 2007
Mr. Bob Leatherwood, Administrator
Silver Bluff Village
100 Silver Bluff Drive
Canton, N.C. 28716
SUBJECT: February 13, 2007
Technical Assistance Inspection
Silver Bluff Village WWTP
Permit No: NC0033600
Haywood County
Dear Mr. Leatherwood:
Enclosed please find a copy of the Technical Assistance Inspection form from the
inspection conducted on February 13, 2007. The Technical Assistance Inspection was
conducted by Don Price of the Asheville Regional Office. The facility was not found to be in
Compliance with permit NC0030422 at the time of the Technical Assistance due to
housekeeping issues noted in the inspection report.
Please refer to the enclosed inspection report for these and additional observations
and comments. If you or your staff have any questions, please call me at [phone].
Sincerely,
Don Price
WWTP Consultant
Enclosure
cc: Gifford Raulerson, Goldie and Associates, ORC
Central Files
Asheville Regional Office Files
N�p�rI,Carolina
Naturally
2090 U.S.Highway 70,Swannanoa,NC 28778 Telephone:[phone] Fax:[phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency Form Approved.
EPA Washington.D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yrlmo/day Inspection Type Inspector Fac Type
1 I nl 2 15I 31 r;C0•033500 111 121 -_ 117 181 nl 191 cl 201 I
LJ Remarks IJ LJ lJ
21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III IIIIIIIIIII166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ---------Reserved —
671 1 69 701 LJ I 71 I ty I 72(n uI 731 I 174 751 I I I I I I 180
1 Section B: Facilityl 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)
Pigeon Valley Rest Home 09:00 AM 07/02/13 06/12/01
100 Silver Bluff Di Exit Time/Date Permit Expiration Date
Canton NC 26716 11; 11/01/31
PO AM PO/02/13
Name(s)of Onsite Representative(s)rTitles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Bob B rxood.100 Silver Bluff Dr Canton NC
Contacted
28715/fa2e-6
./828-64R-2044/B2f94:12055 No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
▪Flow Measurement •Operations&Maintenance •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
Don Price ARO 423.//828296-4500/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Roger C Edwards APC WO//828-276-4500!
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
•
Page# 1

NPDES yr/mo/day Inspection Type (cons.) 1
3I NC0033600 11 12I 07/02/13 I17 181_'
Section D: Summary of Finding/Comments(Attach additional sheetsof narrative and checklists as necessary)
This T/A was conducted at the request of Mr. Bob Leatherwood, Administrator for Silver Bluff Village, due to
NOV's received by the facility for previous permit limit violations.
There are several options the facility has available to prevent future violations and maintain compliance with
the NPDES permit and improve the operation of the'system. The following is a list,of the options in priority
order.
1) Eliminate the discharge. An alternatives analysis should be conducted to determine if the discharge could
be eliminated by use of a land based system (i.e. sub-surface, spray/drip irrigation, etc.), or installing a
pump station and force main to the City of Canton's Wastewater Collection system.
2) Conduct a system water audit, in order to determine if the entire system could be improved by reducing
and controlling the flow to the WWTP. This includes evaluating the installation of flow equalization to the
WWTP, and the installation of flow reducing devices on the facility's water closets, bath/showers, lavatory's
,and the facility laundry.
3) Improve operation of the facility by providing increased operator oversite of the entire wastewater
treatment plant. Housekeeping of the WWTP should be addressed immediately. Screenings need to be
disposed of properly. A cannister or other type of receptacle should be kept on site to collect screenings and
other debris in. After collection, the cannister,or receptacle contents should be disposed of properly (in the
landfil). Improve solids management of the system by supplying a small sump pump to keep solids removed
from the clarifier effluent trough. Also, review "raising"the effluent discharge by installing a "telescopic" pipe
in the effluent opening of the secondary clarifier pipe. In addition to this, review the option of lowering the
clarifier inlet pipe by the addition of new piping and sweeps.The above are suggestions offered to improve the operations of the system and overall compliance. Should
you have questions or need additional information, please contact me at [phone].
Page# 2

•
Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 02/13/2007 Inspection Type: Technical Assistance
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ■ 0 0
Does the facility analyze process control parameters, for ex: MLSS,MCRT, Settleable Solids,pH, DO,Sludge 0 • ❑ ❑
Judge, and other that are applicable?
Comment: At the time of the Technical Assistance, the operator had accumulated a
large amount of screenings with no apparent means available to dispose of properly.
Operator also stated he conducted process control for the facility, but did not reveal any
logs to substantiate his process control operations.
Bar Screens • Yes No NA NE
•
Type of bar screen
a.Manual • ■
b.Mechanical 0
Are the bars adequately screening debris? ❑ ■ ❑ ❑
Is the screen free of excessive debris? ❑ ■ ❑ ❑
Is disposal of screening in compliance? 0 ■ 0 0
Is the unit in good condition? ❑ ■ ❑ ❑
Comment: The bar screening unit appeared to be in fair condition at the time of the •
Technical Assistance visit. The large amount of screenings accumulated
on-site,indicated the operator was not disposing of screenings in a proper manner. Also,
no receptable was observed on-site in which to collect the screenings in, when •
maintenance is performed on the bar screen unit.
Grit Removal Yes No NA NE
Type of grit removal
a.Manual 0
b.Mechanical ❑
Is the grit free of excessive organic matter? • 0 0 ■ 0
Is the grit free of excessive.odor? _ ❑ ❑ •_ ❑_
#Is disposal of grit in compliance? 0 0 • 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? .NI 0 0 0
Are surface aerators and mixers operational? ❑ ❑ ■ ❑
•
. Page# 3

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 02/13/2007 Inspection Type: Technical Assistance
Aeration Basins Yes No NA NE
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) 0 ■ 0 0
Comment: At the time of the Technical Assistance DO (dissolved oxygen)
measurements were taken in the aeration basin revealing a DO of 4.45 mg/I (exceeds
3.0 mg/I). Aeration basin temp. was 17.6 degrees C. Foam occuring on the surface of
the aeration basin was not excessive. On-site settleability indicated 320m1/I after 30
min.; on-site miss = 470 mg/I. SVI = 680.8, this exceeds range of 100 to 150.
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? ■ n ❑ n
Is the site free of excessive buildup of solids in center well of circular clarifier? 0 ■ ❑ ❑
Are weirs level? 0 ■ 0 0
Is the site free of weir blockage? ■ ❑ ❑ ❑
Is the site free of evidence of short-circuiting? ■ ❑ ❑ ❑
Is scum removal adequate? 0 ■ ❑ ❑
Is the site free of excessive floating sludge? ❑ ■ 0 0
Is the drive unit operational? ■ ❑ ❑ 0
Is the return rate acceptable(low turbulence)? 0 ■ ❑ ❑
Is the overflow clear of excessive solids/pin floc? 0 ■ 0 0
Is the sludge blanket level acceptable?(Approximately%of the sidewall depth) ■ ❑ ❑ ❑
Comment: At the time of the Technical Assistance there was an accumulation of
solids in the clarifier center well, the scum removal trough, and the clarifier effluent
lauder. The RAS rate cannot be controlled due to the elevations of the clarifier influent
piping and effluent opening. The operator should spend more time on-site insuring
solids are removed form the effluent lauder, scum trough, and the package units
rectangular clarifier. Solids removal from the clarifier effluent trough could be
accomplished by using a portable sump pump to remove the solids.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ■ ❑ ❑ ❑
Are the tablets the proper size and type? ■ ❑ ❑ ❑
Number of tubes in use? 2
Page# 4

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 02/1312007 Inspection Type: Technical Assistance
Disinfection-Tablet Yes No NA NE
Is the level of chlorine residual acceptable? DODE
Is the contact chamber free of growth,or sludge buildup? ■ ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? 0 0 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? ■ ❑ ❑ ❑
Are tablet de-chlorinators operational? ■ ❑ ❑ ❑
Number of tubes in use? 2
Comment:
Pump Station -_Effluent Yes No NA NE
Is the pump wet well free of bypass lines or structures? ■ ❑ ❑ ❑
Are all pumps present? ■ ❑ ❑ ❑
Are all pumps operable? ■ ❑ ❑ ❑
Are float controls operable? ■ ❑ ❑ ❑
Is SCADA telemetry available and operational? ❑ ❑ ■ ❑
Is audible and visual alarm available and operational? ■ ❑ ❑ ❑
Comment:
Page# 5

OF MY n Michael F.Easley,Governor
9Q William G.Ross Jr.,Secretary
11. North Carolina Departmer�;vironment and Natural Resources
1 r • Alan W.Klimek, P.E.Director
-I Division of Water Quality
O -c.
Asheville Regional Office
Surface Water Protection Section IF I
L
April 18, 2007 `1-irtmgpm,.,�„�....„. ,,,.,o . r
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7006 2150 0005 2459 5588
Mr. Bob B. Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton,North Carolina 28716 •
•
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 NC0033600
Silver Bluff Village
Pigeon Valley Rest Home
Case No. LV-2007-0150
Haywood County
Dear Mr. Leatherwood:
This letter transmits allotice of Violation and assessment of civil penalty in the amount of$230.15
($100.00 civil penalty+ $130.15 enforcement costs) against Silver Bluff Village.
-This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report (DMR) submitted by Silver Bluff Village for the month of December 2006.
This review has shown the subject facility to be in violation of the discharge limitations and/or
monitoring requirements found in NPDES Permit NC0033600. The violations which occurred in
December 2006 are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that Silver Bluff Village violated the
terms, conditions or requirements of NPDES Permit NC0033600 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 Quality, I, Roger C. Edwards, Division of Water Quality
Regional Supervisor for the Asheville Region, hereby make the following civil penalty assessment
against Silver Bluff Village:
NorthCarolina
•
,Naturally
a... .
2090 U.S.Highway 70,Swannanoa,NC 28778 Phone:[phone] FAX:[phone] Customer Service 1-800 623-7748

0011 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$.00 NC0033600, by discharging waste water into the waters of the State
in violation of the Permit Monthly Average limit for BOD.
•
Q —_'d 1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$100F00 NC0033600, by discharging waste water into the waters of the State
--• in violation of the Permit Daily Maximum limit for BOD.
$100.00 TOTAL CIVIL PENALTY
$130.15 Enforcement Costs
$230.15 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 Quality
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

DIVISION OF WA]: R QUALITY- CIVIL PENALTY ASSESSMENT(FILE)
Violator: Silver Bluff Village/Pigeon Valley Rest Home
County: Haywood
Case Number: LV-2007-0423
ASSESSMENT FACTORS
As required by G.S. 143-214.6A(c),in determining the amount of the penalty I considered the factors
set out in 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;
There was no quantifiable harm to the natural resources of the State,to the public health, or to
private property;however,all effluent violations may be detrimental to the receiving stream.
2) The duration and gravity of the violation;
There were two Daily Max BODs: one exceeded the limit by 21.78 % and the other by 41.56%.
The Monthly Average for BOD was exceeded by 20.71 %
3) The effect on ground or surface water quantity or quality,or on air quality;
All effluent violations are detrimental to the receiving stream.
4) The cost of rectifying the damage;
The cost is unknown.
5) The amount of money saved by noncompliance;
Money was saved by not doing additional testing beyond what was required.
6) Whether the violation was committed willfully or intentionally;
The violation appears inadvertent;however, it still had an effect on the receiving stream.
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
In the past year there has been one enforcement:LV-2007-0150.
8) The cost to the State of the enforcement procedures.
$65.07 .
//41707 a
ate Ro er .Edwards,Regional Supervisor
Surface Water Protection Section
Asheville Regional Office

DIVISION OF WA fill QUALITY- CIVIL PENALTY ASSESSMENT(FILE)
Violator: Silver Bluff Village
(Pigeon Valley Rest Home)
County: Haywood
Case Number: LV-2007-0150
ASSESSMENT FACTORS
As required by G.S. 143-214.6A(c),in determining the amount of the penalty I considered the factors
set out in 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;
Daily Maximum for BOD was exceeded by 45.78 % and Monthly Average for BOD was exceeded
by 7 %. All effluent violations are detrimental to the receiving stream.
2) The duration and gravity of the violation;
There was one Daily Max violation for BOD and one Monthly Average violation for BOD.
3) The effect on ground or surface water quantity or quality or on air quality;
All effluent violations are detrimental to the receiving stream.
4) The cost of rectifying the damage;
The cost is unknown.
5) The amount of money saved by noncompliance;
Money may have been saved by not doing any additional testing beyond what was required.
6) Whether the violation was committed willfully or intentionally;
It appears to be neither; however, it still has an effect on the receiving stream.
The ORC states on the back of the DMR"The WWTP effluent was cloudy on the day the sample
was taken and may have contributed to the high BOD. The WWTP is operating at near the design
capacity. Silver Bluff Village has contracted McGill&Associates to do an engineering study to
make recommendations to improve its operations."
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
In the previous year there were no assessed violations. There were 3 NOVs: one BOD Daily
Maximum and two Fecal Daily Maximums.
8) The cost to the State of the enforcement procedures.
$130.15.
ii �7 ., � c_ 2—
(Date Roge C.Edwards,Regional Supervisor
Surface Water Protection
Asheville Regional Office

\NATe Michael F.Easley,Governor l�ba.s
9 William G.Ross Jr.,Secretary
0'4 QG - North Carolina Departmer ivironment and Natural Resources
Alan W.Klimek,P.E.Director
j � • Division of Water Quality
pan,q.�
May 3,2007
Bob B Leatherwood U
Silver Bluff Village '
100 Silver Bluff Dr MAY - 7 2007
Canton,NC 28716 r .'•
WATER QUALITY SECTION
SUBJECT: Payment Acknowledgment ASHEVILLE REGIONAL OFFICE
Q. Civil Penalty Assessment "' 14- r;?
Pigeon Valley Rest Home "--;;T:7----7--•'-'•-•---n;"...-112"..'1.4.,_;:j.
Permit Number: NC0033600
Case Number: LV-2007-0150
Haywood County
Dear Mr. Leatherwood::
This letter is to acknowledge receipt of check number 38370 in the amount of$230.15 received
from you dated May 1, 2007. This payment satisfies in full the above civil assessment levied
against the subject facility, and this case has been closed. Payment of this penalty in no way
precludes future action by this Division for additional violations of the applicable Statutes,
• Regulations, or Permits.
If you have any questions,please call Bob Guerra at-919-733-5083 Ext 539..
Sincerely, •
( p
• Frances Candelaria
cc: Enforcement File#: LV-2007-0150
ypati rAs'lieville;RegionahOffice,Sn rvisor-)
Central Files
•
•
•
"aurally
dvaturaff;
1617 Mail Service Center Raleigh,NC 27699-1617 [phone] Customer Service 1 800 623-7748

Oc W AT - I Michael F.Easley,Governor
' • Cl Q,. 1, William G.Ross Jr.,Secretary
0 G North Can......:..apartment of Environment and Natural Resources
(D . . Y
r Alan W.Klimek,P.E.Director
Division of Water Quality
'."'" _-., �, 'f
Asheville Regional Office
SURFACE WATER PROTECTION —,... _,y,,,�r -,�,,,m,-, -
May 22, 2007 d ' cat,
LA i
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7006 2150 0005 2459 6318
Mr. Bob B. Leatherwood •
Silver Bluff Village
100 Silver Bluff Drive
Canton, North Carolina 28716
Subject: NOTICE OF VIOLATION
NOV-2007-LV-0277
Permit No. NC0033600 ,
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Home's monitoring report for March 2007 showed the
following violation:
Parameter Date Limit Value Reported Limit Type
Value
•
BOD, 5-Day (20 Deg. C) 03/28/07 45 mg/I 61.1 mg/I Daily
Maximum
Exceeded
Remedial actions should be taken to correct this problem. The Division of water Quality may pursue
enforcement actions 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,
Roger C. Edwards, Regional Supervisor
Surface Water Protection
ccVViQfllfiimaph
WQ Central Files
Bob Guerra / Enforcement Files
Goldie & Associates / ORC
•
2090 U.S.Hi hwa 70, Swannanoa,N.C. 28778 828/296-4500 Northura11y
9 Y (Telephone) 828/299-7043(Fax) Customer Service 877-623-6748 �1atlllYl//1,/

WAT Michael F.Lesley,Governor
9 - William G. Ross Jr.,Secretary
\O� QG North Carolina Departmen rvironment and Natural Resources
II It r Coleen H.Sullins,Director
• Division of Water Quality
r "' wr . Asheville . nat
J-f""�sr�"�°� gi.n Q(ficeY„
SURFACE WATER PROTECTION ,l
August 27, 2007P„-
•
Mr.. Bob B. Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton, North Carolina 28716
SUBJECT: Compliance Evaluation Inspection
Status: Compliant
Pigeon Valley Rest Home WWTP
Permit No: NC0033600
Haywood County
Dear Mr. Leatherwood:
Enclosed please find a copy of the Compliance Evaluation Inspection form from
the inspection conducted on August 22, 2007. The facility appeared to be in compliance
with permit NC0033600. There is, however, an item which needs attention. The gate into
the facility is in need of repair to prevent access to the plant. Please respond in writing
within fifteen days with a timetable for repairs.
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, Ext.
4667.
Sincerely,
anet Cantwell
Environmental Specialist
Enclosure
ewe I es w/ attachment
WQ Central Files w/attachment
Goldie & Associates/ORC w/ attachment
N"o�``h1,Carolina
Naturally
2090 U.S.Highway 70,Swannanoa,NC 28778 Telephone:[phone] Fax: [phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 IsI 31 Nd0033600 I11 121 07/08/22 117 181ci 19131 201 11
Remarks
211IIIIIIIIIIIIIIIIIIIII111111IIIIII111111IIIII1I66
Inspection Work Days Facility Self-Monitoring Evaluation Rating 81 QA -----------Reserved ----
671 169 MI I 711 I 721 N I 731 1 1 74 751 1 1 1 1 1 1 1 80
Section B: Facility Data
Name and Location-of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
02:00 PM 07/08/22 06/12/01
Pigeon Valley Rest Home
100 Silver Bluff Dr Exit Time/Date Permit Expiration Date
Canton NC 28716 - 02:50 PM 07/08/22 11/01/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
//
Name,Address of Responsible Officialrtle/Phone and Fax Number
Contacted •
Bob B Leatherwood,100 Silver Bluff Dr Canton NC
28716//828-648-2044/8286482065 No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
®Permit is Operations&Maintenance ®Records/Reports ®Self-Monitoring Program
Z 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
Janet Cantwell ARO WQ//828-296-4500 Ext.4667/.
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W C,l2MAtL= 127/,. 7
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
•
Page# 1

NPDES yr/mo/day Inspection Type (cont.) 1
31 NC0033600 111 12I 07/08/22 I17 18ICI
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Gifford Raulerson/ORC assisted in the inspection of this facility.
The previous compliance evaluation inspection was conducted on September 21, 2006, by Janet Cantwell.
A review of the files indicates that the permit will expire January 31, 2011.
The effluent data on the day of the inspection:
Dissolved Oxygen = 5.2 mg/I
Temperature =22 degrees Celcius
Chlorine =23 ug/L
pH = 7.6 units
The effluent was clear.
The fence gate was dragging the ground and could not be closed completely. The facility could easily be
accessed, resulting in a compromise to the operations of the plant. This was mentioned in the last
inspection on September 21, 2006.
•
Page# 2

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 08/22/2007 - 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? OOZED
Is the facility as described in the permit? - El n n n
#Are there any special conditions for the permit? n n ® l
Is access to the plant site restricted to the general public? n ® ❑ n
Is the inspector granted access to all areas for inspection? ® n ❑ n
Comment:
The fence gate is dragging the ground and cannot close completely. This was
mentioned in the last inspection on September 21, 2006.
Operations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? MOOD
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ® 0 n 0
Judge, and other that are applicable?
Comment:
Bar Screens Yes No NA NE
Type of bar screen
a.Manual EZ
• b.Mechanical ❑
Are the bars adequately screening debris? ® n n ❑
Is the screen free of excessive debris? ® n n n
Is disposal of screening in compliance? ® n n n
Is the unit in good condition? iginnn
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system Diffused
Is the basin free of dead spots? ® n n n
Are surface aerators and mixers operational? n n ® n
Are the diffusers operational? ® n n O
Is the foam the proper color for the treatment process? 0 n n n
Does the foam cover less than 25%of the basin's surface? NDOCI
Is the DO level acceptable? n n n
Page# 3

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 08/22/2007 Inspection Type: Compliance Evaluation
Aeration Basins Yes No NA NE
Is the DO level acceptable?(1.0 to 3.0 mg/I) 0 0 0
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? Ninon
Is the site free of weir blockage? p n n n
Is the site free of evidence of short-circuiting? ® n n n
Is scum removal adequate? ® ❑ ❑ ❑
Is the site free of excessive floating sludge? ® n n n
Is the drive unit operational? ■ n n n
Is the return rate acceptable(low turbulence)? S ❑ ❑ ❑
Is the overflow clear of excessive solids/pin Floc? ® n n n
Is the sludge blanket level acceptable?(Approximately Y.of the sidewall depth) ® ❑ ❑
Comment:
Both clarifiers were operational.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ® ❑ ❑ 0
Are the tablets the proper size and type? E n ❑ ❑
Number of tubes in use? 4
Is the level of chlorine residual acceptable? ® n n n
Is the contact chamber free of growth, or sludge buildup? 11000
Is there chlorine residual prior to de-chlorination? 30. 00
Comment:
Chlorine was measured at 23 ug/L.
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 ❑ ® 0
#Is de-chlorination substance stored away from chlorine containers? sa n n n
Page# 4

•
Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 08/22/2007 Inspection Type: Compliance Evaluation
De-chlorination Yes No NA NE
Comment:
Are the tablets the proper size and type? is n n n
Are tablet de-chlorinators operational? ■ ❑ Q ❑
Number of tubes in use? 4
Comment:
•
•
Page# 5

i
-— i, ‘-.1 -. ) / 3
v . • • ..
.eris• i -_-”sir, le J.
SILVER BLUFF • ARROWHEAD COVE • PIGEON VALLEY • THE BLUFFS
September 4,2007
Ms. Janet Cantwell
Environmental Specialist - - - - --
Division of Water Quality
2090 US Highway 70
Swannanoa,NC 28778
Dear Ms. Cantwell:
This letter is in response to your letter dated August 27,2007 regarding your site visit to
our waste treatment facility on August 22,2007. Per your request,we have made repairs
to the gate in the fence surrounding our wastewater treatment plant and secured it with a
combination lock. We trust this will meet with your approval. Please feel free to come
by and inspect it as you see fit.
If there are any other matters requiring attention,please don't hesitate to contact me or
our maintenance supervisor,Tommy Sorrells, at 828-648-2044.
Sincerely,
fid,c7,<_a0
-- - - -Bob eatherwood- ---- -- -. - - -_ - - —
Administrator
4
Cc: Goldie&Associates yl
SEP 1 1 2007 / '
' WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
5
100 Stew gerill Driv ¢' . , " "'~ . .�,, ..
..hey.. . ,..aw.f.-� /.`'ry ,n-.'LY:/J,
Canton , Ne 2.8116

11'

WATF Michael F.Easley,Governor
41111 Teo? • William G.Ross Jr.,Secretary
Q G North Carolina Departmeevironment and Natural Resources
Tr. Y Coleen H.Sullins, Director
!•'• Rol COPY IllPf/ 11r Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
November 6, 2007
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7006 3450 0002 7064 1342
Mr. Bob B. Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton,North Carolina 28716
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 NC0033600
Silver Bluff Village
Pigeon Valley Rest Home WWTP
Case No. LV-2007-0423
• Haywood County
Dear Mr. Leatherwood:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of$515.07
($450.00 civil penalty+ $65.07 enforcement costs) against Silver Bluff Village.
• This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report(DMR) submitted by Silver Bluff Village for the month of April 2007. This
review has shown the subject facility to be in violation of the discharge limitations and/or
monitoring requirements found in NPDES Permit NC0033600. The violations which occurred in
April 2007 are summarized in Attachment A to this letter.
Based upon the above facts,I conclude as a matter of law that Silver Bluff Village violated the
terms, conditions or requirements of NPDES Permit NC0033600 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 Quality, I, Roger C. Edwards, Division of Water Quality
Regional Supervisor for the Asheville Region, hereby make the following civil penalty assessment
against Silver Bluff Village:
NorthCarolina
Naturally
North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,NC 28778 Phone[phone] Customer Service
Internet:www.ncwaterqualitv.orq FAX [phone]D 623-7748

the 2 violations of G.S. 143-215.1(a)(6 nd NPDES Permit No.
$200.00 NC0033600, by discharging waste water into the waters of the State •
in violation of the Permit Daily Maximum limit for BOD.
1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$250.00 NC0033600, by discharging waste water into the waters of the State
in violation of the Permit Monthly Average limit for BOD.
I $450.00 TOTAL CIVIL PENALTY
$65.07 Enforcement Costs
$515.07 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 Quality
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 statem1 tat establishes,why you believe the c enalty should be
remitted, and submit it to the Division of Water Quality 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 the Division of Water Quality 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 Quality also requests that
you complete and submit the enclosed"Justification for Remission Request." Both forma should
be submitted to the following address:
•
Point Source Compliance/Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh,North Carolina 276991617 . ,

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
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,
•
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
ATTACHMENTS
;,sc:W.Q_AshevillerEilesFw/<-attachments
WQ Central Files w/attachments
Bob Guerra/Enforcement Files w/attachments
Goldie &Associates/ ORC w/attachments

JU�.IFICATION FOR REMISSION RESIST
• DWQ Case Number: LV-2007-0423 County: Haywood
Assessed Party: Silver Bluff Village
Permit No. NC0033600 Amount Assessed: $515.07
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 (Le., explain the steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident(i.e., explain why the violation
was unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;.
_ (e) payment of the civil penalty will prevent payment for the remaining necessary remedial
actions (i.e., explain how payment of the civil penalty will prevent you from performing the activities
necessary to achieve compliance).
EXPLANATION:

STATE OF NORTH CAROLRNA DEPART TJ'iVT OF ENVIRONMENT
AND NATURAL RESOURCES
COUNTY OF HAYWOOD
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINSTRATIVE HEARING AND
) STIPULATION OF FACTS
SILVER BLUFF VILLAGE )
PERMIT NO. NC0033600 ) FILE NO. LV-2007-0423
Having been assessed civil penalties totaling $515.07 for violation(s) as set forth in the
assessment document of the Division of Water Quality dated November 7, 2007, 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 Quality within thirty (30) days of
receipt of the notice of assessment. No new evidence in support of a remission request will be allowed
after(30) days from the receipt of the notice of assessment.
This the day of , 20
SIGNATURE
ADDRESS
TELEPHONE

ATTACHMENT
Silver Bluff Village
CASE NUMBER:LV-2007-0423
PERMIT:NC0033600 FACILITY:Pigeon Valley Rest Home COUNTY: Haywood REGION:Asheville
Limit Violations
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED %OVER
PENALTY REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE OMIT VALUE LIMIT VIOLATION TYPE
$100.00 4-2007 001 Effluent BOD 04/04/07 Weekly mg/I 45 63.7 41.56 Daily Maximum Exceeded
$100.00 4-2007 001 Effluent BOD 04/25/07 Weekly npfl 45 54.6 21.76 Daily Maximum Exceeded
6250.00 4-2007 001 Effluent BOD 04/30/07 Weekly. mg/1 30 36.21 20.71 Monthly Average Exceeded
•
•

Pti e FL. 110
EFFLUENT .
NPDES PERMIT NO.A/C oo 1-5 6 0 0 DISCHARGE NO. co 1. MONTH YEAR 07007
FACILITY NAME 5;I✓Pr •e u'pp 1/1 i 4 ' CLASS '� COU TY
OPERATOR IN RESPONSIBLE CHARGE(O�C) G,'P ne
P0 rA C. 0.wI ertch GRADE7•C PHONE a"--
CERTIFIED LABORATORIES (1)_6-0IO(.I e wK d f}95ocio-1--es (2) far e A nCJyl-icuI
CHECK BOX IF ORC HAS CHANGED ❑ PERSON(S)COLLECTING SAMPLES
Mail ORIGINAL and ONE COPY to: E L` � // /C t/� /fQdr� —
ATTN:CENTRALFR.ES t !1',vl r/
DIV.OF ENVIRONMENTAL MANAGEMENT (SIGNAT OF OPERATOR IN RESPONSIBLE C. RGE '/ T�
DEHNR )'p i(fn/ DATE
BY THIS SIGNATURF.,I CERTIFY THAT THIS REPORT IS
P.O.BOX 29535 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH, NC 27626-0535
50050 00010 00400 50060 00310 00610 00530 31616 00300 00600 00665
x
E F-LOW ENTER PARAMETER CODE
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% ' •.
• Facility Status: (Please check one of the following) /�//�� -_
•
All monitoring data and sampling frequencies meet permit requirements I!�—+'I
Compliant
All Monitoring data and sampling frequencies do NOT meet permit requirements
. Noncompliant
If the facility is noncompliant,please comment on corrective actions being taken in respect to equipment,operation,maintenance,etc.,
and a time table for improvements to be made.
S; Iver 11u4'-P p)ant has AA hea j Qoab Ioadlnj and i,s (IitPP <i1- hi
"I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that qualifiedpersonnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the
information submitted.is,to the best of my knowledge and belief,true,accurate,and complete. I am aware that there are significant
penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations."
Perrnittee .(Please print or:type) f tf Ak.74 0'4''/ )
/c/ te as, 5"--/7. 07 co/dia. 0Lf.Jfa/4
Signature of Perntittee** Date
Permittee Address Phone Number Permit.Exp.Date.
PARAMETER CODES
00010 Temperature 00556 Oil&Grease 00951 Total Fluoride 01067 Nickel 50060 Total
. 00076 Turbidity . , 00600 Total Nitrogen 01002 Total Arsenic 01077 Silver Residual
00080 Color(Pt-Co). ` 00610 Ammonia Nitrogen 01092, Zinc Chlorine
00082 Color.(ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum
Nitrogen •
00095 Conductivity 00630 Nitrates/Nitrites 01032 Hexavalent Chromium 01 147 Total Selenium 71880 Formaldehyde
00300 Dissolved'Oxygen 01034 Chromium 31616 .Fecal Coliform 71900 Mercury
00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene
00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene
00400 pH 00745 Total Sulfide 01042 Copper 34481.Toluene .
00530 Total Suspended 00927 Total Magnesium 38260 MBAS
Residue 00929 Total Sodium 01045 Iron .39516 PCBs
00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow
Parameter Code assistance may obtained by calling the Water Quality Compliance Group at(919)733-5083,extension 581 or 534.
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per15A`NCAC 8A.0202(b)(5) (B).
** If sinned by other than the permittee.delegation of signatory autl1O iity must be on file with.the.state per I5A NCAC 2I3 .0506(b) '
(2) (D). 1«ila A/dL 43 .*:1 Ck:i_ii=

•
•
Facility Status:.(Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements -
• Compliant
•
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant,please comment on corrective actions being taken in respect to equipment,operation,maintenance,etc..
and a time table f, �
for improvements to be made.
7/c MO 7,yy�4vt-/ //( 3 c/t>� o 1/e d /j 2 S4 Ti / j.U4 5 // er! a fl o/
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//.y/O/D✓e- /-r o/Jei'ti�ionJ .
•
"I certify,/ under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information subtriitted. Based on my
inquiry of the person or persons who manage the system,•or those persons directly responsible for gathering the information,the
information submitted is,to the best of my knowledge and belief,true,accurate,and complete. I am aware that here are significant
penalties for submitting false information,including the possibility of fines and'imprisonment for knowing violations."
Sid✓er ✓9/a{/ b?/�i5e
Pernvttee {Please print 6r..type) ,7c, no
/1e4142,7 2- - /-/t 07 Gv/G�ed.7�Socio/-
Signature df Perntittee** Date
Pennittee Address Phone Number Permit Exp. Date
PARAMETER CODES
00010 Temperature 00556 Oil &Grease 00951 Total Fluoride 01067 Nickel 50060 Total
00076 Turbidity 00600 Total Nitrogen 01002 Total Arsenic 01077 ,Silver Residual
00080 Color(Pt-Co) 00610 Animonia Nitrogen 01092 Zinc Chlorine
00082 Color.(ADMI) 00625 Total Kjeldhal 01027 Cadmium 01105 Aluminum
Nitrogen
00095 Conductivity 00630 Nitrates/Nitrites '01032 Bexavalent Chromium 01147 Total Selenium 71880 Formaldehyde
00300 Dissolved Oxygen 01034 Chromium 31616 .Fecal Coliform 71900 Mercury
00310 BOD5 00665 Total Phosphorous 32730 Total Phenolics 81551 Xylene
00340 COD 00720 Cyanide 01037 Total Cobalt 34235 Benzene
00400 ,pH 00745 Total-Sulfide :01042 Copper 34481•Toluene
00530 Total Suspended 00927 Total Magnesium 38260 MBAS
Residue 00929 Total.Sodium 01045 Iron :39516:PCBs
00545 Settleable Matter 00940 Total Chloride 01051 Lead 50050 Flow
•
Parameter Code assistance may obtained by calling the Water Quality Compliance Group at(919)733-5083,extension 581 or 534.
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit facility and document visitation-offacility as required per 1SA NCAC'8A.0202(b)(5)(B).7 ;;ur
**If signed by other than the permittee,delegation of signatory authority must be on file with,the.state per 15A NCAC 2B .0506(b)
i_2
(2) (D). .. 111.1 '4i!t3 't-;.e:::3 i i. ti,i<"....a,

t. .
EI 4! 4 NT • <E IteriFEB — 2 2007
NPDES PERMIT NO. /V Coo 31) 6 O 0 DISCHARGE NO. tl 1. MONTH �G
FACILITY NAME £'I✓Pr •�l ce, c YEAR C2
� "V 11 cis en ASS � COUNTY Ca �, we c..T'
OPERATOR IN RESPONSIBLE CHARGE(O�?C) G -PT a rei C. {P0. 4,v10:1 GILADE1L PHONE .2,- `b,- %3 :e-—<)C3y;CERTIFIED LABORATORIES (1)_6 C lot f e u.K of /ks5ocf -Yes 2
CHECK BOX IF ORC HAS CHANGED ❑ PERSON(S)COLLECTING SAMPLES r eA PI ��'�/ a�
PLES G/'><' oveC, {it'u u je 0-c
Mail ORIGINAL and ONE COPY to: 4 / .1( ��t(LL� ��I
ATTN:CENTRAL FILES z
-02
DIV.OF ENVIRONMENTAL MANAGEMENT (SIGNATU O�ATOR IN RESPONSIBLE CHARGE ` T_
DEHNR BY THIS SIGNATURE,I CERTIFY THAT THIS REPORT IS ) DATE
P.O.BOX 29575 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH, NC 27626.0535 •
50050 00010 00400 50060 00310 00610 00530 31616 00300 00600 00665 I I I
E c FLOW/ - ENTER PARAMETER CODE
[� a /� ems,,� qq m ABOVE NAME AND UNITS
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4—V.— ?o 9 _0/ 0 - 4 � 114,9* s*I-
.r !l�iD0 k1149, aa21 • �p,D

• prepare a detailed stateme> t establishes why you believe the cii'>, _;natty should be •
remitted, and submit it to the Division of Water Quality 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 paynient 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 the Division of Water Quality 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
withinthirty (30) days of receipt of this notice. The Division of Water Quality 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 Quality
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
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,
' t E
RogeY C. Edwards, Regional Supervisor
Surface Water Protection
Asheville Regional Office
ATTACHMENTS •
c St.g heuill- Biles attachments
WQ Central Files w/ attachments
Bob Guerra/Enforcement File w/attachments
Gifford Raulerson/ ORC w/attachments

La
• JUG 'CATION FOR REMISSION REG. . ST.
DWQ Case Number: LV-2007-0150 County: Haywood
Assessed Party: Silver Bluff Village
(Pigeon Valley Rest Home)
Permit No: NC0033600 Amount Assessed: $230.15
' 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:

STATE OF NORTH CAROIC i DEPART13_.-T OF ENVIRONMENT f
AND NATURAL RESOURCES
COUNTY OF HAYWOOD -
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADM NSTRATIVE HEARING AND
) STIPULATION OF FACTS
SILVER BLUFF VILLAGE )
(PIGEON VALLEY REST HOME) I )
PERMIT NO. NC0033600 ) FILE NO. LV-2007-0150
Having been assessed civil penalties totaling $230.15 for violation(s) as set forth in the
assessment document of the Division of Water Quality dated April 18,2007, 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 Quality 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

ATTACHMENTA
Silver Bluff Village
CASE NUMBER:LV-2007-0150
•
PERMIT:NC0033600 FACILITY:Pigeon Valley Rest Home COUNTY:Haywood REGION:Asheville
Limit Violations •
.MONITORING OUTFALLI VIOLATION UNIT OF CALCULATED %OVER
PENALTY REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE LIMIT VIOLATION TYPE
$100.00 12-2006 001 Effluent BOD 12/13/06 Weekly mg/I 45 65.6 45.78 Daily Maximum Exceeded
$.00 12-2006 001 Effluent BOD 12/31/06 Weekly mg/I 30 32.1 7.00 Monthly Average Exceeded

V1ATF __ • - Michael F.Easley,Governor
3
\OHO qQG William G.Ross Jr.,Secretary
North Carolina Department ivironment and Natural Resources
�I Coleen H.Sullins,Director
> - Division of Water Quality
November 16, 2007
� EC ! OV �
BOB B LEATHERWOOD ! 1
SILVER BLUFF VILLAGE J
100 SILVER BLUFF DR NOV 2 0 2007
CANTON NC 28716
WATER QUALITY SECTION
SUBJECT: Payment Acknowledgment ; ASHEVILLE REGIONAL OFFICE
Civil Penalty Assessment F`
k
Pigeon Valley Rest Home . `- .
Permit Number.NC0033600
Case Number:LV-2007-0423
Haywood County
Dear Mr.Leatherwood:
This letter is to acknowledge receipt of check number 39306 in the amount of$515.07 received
from you dated November 9,2007. This payment satisfies in full the above civil assessment levied
against the subject facility,and this case has been closed. Payment of this penalty in no way
precludes future action by this Division for additional violations of the applicable Statutes,
Regulations,or Permits.
•
If you have any questions,please call Bob Guerra at 919-733-5083,Ext. 539.
Sincerely,
Dina Sprinkle
cc: Enforcement File#: LV-2007-0423
DWQ Asheville Regional Office Supervisor
Central Files -
•
N%.`IslalICQ�Carolin/�a
1617 Mail Service Center Raleigh,NC 27699-1617 [phone] Customer Service 1 800 623"7746

0*W,4TF Michael F.Easley,Governor
�O+ , 90 lieFILE COPY WilliamG.RossJr.,Secretary
v North Carolina ariment of Environment and Natural Resources
•
r Coleen H.Sullins,Director
)_ 1 Division of Water Quality
5
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
January 29, 2008 tc-
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7002 0460 0001 9899 6586
Mr. Bob B. Leatherwood
Silver Bluff Village -
100 Silver Bluff Drive
Canton, North Carolina 28716 •
Subject: NOTICE OF VIOLATION
. NOV-20081LV=0054 `
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
.A review of Pigeon Valley Rest Home's monitoring report for November 2007 showed the
following violation:
•
Parameter Date Limit Value Reported Limit Type
Value •
BOD, 5-Day (20 Deg. C) 11/20/07 45 mg/I 66.8 mg/I Daily
Maximum
• 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: however, should you have
additional information concerning the'violations or comments which you wish to present, please
submit them to the attention of Janet Cantwell.
The Division of water Quality may pursue enforcement actions for this and any additional
violations of State law.
NorthCarolina
RterttrC
A'aturally
arolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone[phone] Customer Service
Internet: w.w.ncwaterqualitv.orq ' FAX [phone] 1-877-623-6748

Mr. Bob B. Leatherwood ! v9 .c o 3 8 f l 1 0 r.
January 29, 2008
Page Two
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 Don Price of this Office for additional information.
If you should have any questions, please do not hesitate to contact Janet Cantwell or me at
828/296-4500.
Sincerely,
dada
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
e o A o _ • = Ashevil- ,i
DWQ-SWP Central Files •
Goldie &Associates/ ORC
•
•
•
G:\WPDATA\DEMWQ\Haywood\33600 Pigeon Valley Rest home\33600.NOV-2008-LV-0054.doc

'Pair e
Annual Wastewater Treatment System Performance Report
for
Silver Bluff Village
for the Operating Period
January thru December, 2007
Preface
On July 20 1999, the North Carolina General Assembly ratified House Bill 1160, the Clean
Water Act of 1999, which place significant new reporting requirements on those entities that
own or operate wastewater treatment and collection systems. Specific items included:
1. A Spill Response Plan
2. Sewer Collection System Operation&Maintenance Plan
3. Annual Performance Report
These new requirements became effective October 1, 1999.
This report is designed to meet the minimum requirements for the Annual Performance Report
established by the North Carolina Department of Environment and Natural Resources (DEHNR)
as set forth in their guidance document dated October 19, 1999.
This law was established to provide a mechanism for public oversight(and hopefully,to instill
public confidence) in owners and operators of wastewater treatment systems and in their efforts
to protect the waters of the state.

. . _ _ ir
I. General Information
Facility/System Name: Silver Bluff Village
Haywood County AO, //
friffixte-
Responsible Entity: Silver Bluff Village r r l eO� va`"(�
Person(s) in Charge/Contact: Bob Leatherwood
Gifford Raulerson—Operator-in-Responsible Charge (ORC)
Henry Dyar, Project Manager- Goldie &Associates
Applicable Permits: NPDES #NC0033600
Description of Treatment Process, Collection System, and Facilities Served:
Treatment Process—The treatment facility is a typical"Extended Aeration"process
capable of treating .025 million gallons per day (MGD). The treated effluent is
discharged to the Pigeon River,in the French Broad River Basin.
Collection System—The collection system is a standard design consisting of 8-inch diameter
Pipe, and standard precast manholes. The system was designed to meet all state standards for
wastewater collection systems.
Facilities Served—This system serves the Silver Bluff Village at Canton,NC.
II. WWTP Performance
All operating parameters were in compliance with NPDES permit limits for 2007, except for the
following occurrences. In March,April,November and December 2007,there were BOD
violations. Sliver Bluff Village and Goldie &Associates are investigating possible causes for
the elevated BOD.
We take pride in our efforts to protect the local environment and the quality of waters in
our streams. 1D E C E Y [ `'
Ill
J FEB 1 9 2008 I`
WATER QUALITY SECTION
ASHEVILLE Rlc'O'2" cc-,CE

III. Notification
A notice advising of the availability of this report will be sent to each user.
A copy of this report is available to interested persons in the Silver Bluff office or the offices of:
Goldie&Associates
210 West North Second Street
Seneca, SC 29678
As required, three copies of this report are being provided to NCDEHNR.
IV. Certification
I certify that under penalty of law that this report is complete and accurate to the best of
my knowledge.
�t�Pnv 5�r�a 7/0te
Henry Dyar, Goldie &Associates Date
This report prepared by:
Henry Dyar
Goldie&Associates
210 West North Second Street
Seneca, SC 29678
Phone: [phone]
Fax: [phone]

WArE Michael F.Easley,Governor Y'�/
0�0 re-),
r William G.Ross Jr.,Secretary /
North Carolina Department : ironment and Natural Resources
Cq - r Golsen H.Sullins,Director
1 Division of Water Quality
Y
•
March 28,2008 • _
BOB B LEATHERWOOD LI APR - 1 2008 LD
SILVER BLUFF VILLAGE • i
100 SILVER BLUFF DR
CANTON NC 28716 WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
SUBJECT: Payment Acknowledgment
Civil Penalty Assessment
• Pigeon Valley Rest Home
Permit Number:NC0033600
• Case Number: LM-2008-0006
• Haywood County .
•
Dear Mr.Leatherwood:
This letter is to acknowledge receipt of check number 10978 in the amount of$215.07 received
from you dated March 13,2008. This payment satisfies in full the above civil assessment levied
against the subject facility,and this case has been closed. Payment of this penalty in no way
precludes future action by this Division for additional violations of the applicable Statutes,'
Regulations,or Permits. •
If you have any questions,please call Bob Guerra at 919-733-5083,Ext. 539.
Sincerely,
,llGc.ta.�+Ltide,
•
Dina Sprinkle .
cc: Central Files •
DWQ AsheyhlleiRegional Office Supervisor
•
nit —7
•
NZ7 Carolina
Naturally
1617 Mail Service Center Raleigh,NC 27699-1617 [phone] Customer Service 1 800 623-7748

WAT - - Michael F.Easley,Governor
�,� - 90 William G.Ross Jr.,Secretary
+I
_ North Carat' . apartment of Environment and Natural Resources
EiFILE COPY
'C
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
4_
' March 31, 2008
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7007 1490 0004 0713 9875
Mr. Bob B. Leatherwood
Silver Bluff Village
100 Silver Bluff Drive •
Canton, North Carolina 28716
Subject: NOTICE OF VIOLATION
NOV-2008-LV-0150
Permit No. NC0033600
•
Pigeon Valley Rest Home WWTP •
• Haywood County
Dear Mr. Leatherwood: . •
A review of Pigeon Valley Rest Home's monitoring report for January 2008 showed the following violation:
Parameter Date Limit Value Reported Value Limit Type
Coliform, Fecal MF, M-FC 01/16/08 400#/100m1 1,620#/100m1 Daily Maximum
Broth,44.5C Exceeded
•
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: however, should you have additional information
concerning the violations or comments which you wish to present, please submit them to the attention of Janet Cantwell. o
The Division of Water Quality may pursue enforcement actions 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,
RAO-LON-NM ,2L„,..X._ fril)
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
•
cc DWCITSWP sh Ife Fildie
DWQ-SWP Central Files
Bob Guerra/ DWQ-SWP Enforcement Files _
Goldie&Associates/ORC
i •
G\WFDATAVDEMWQ\Haywood\33600.NOV-2008-LV-0150.doc •
No thCarolina
Naturally
rth Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwaterquality.orq - FAX [phone] 1-877-623-6748

c WAlk Michael F.Easley,Governor
O � - 9Q(r William G.Ross Jr.,Secretary
rth Carolina Departmen•iironment and Natural Resources
I? it FILE COP` .. Coleen H.Sullins,Director
?� Division of Water Quality
; ' --a• Asheville Regional Office
SURFACE WATER PROTECTION SECTION
April 3, 2008
• Mr. Bob B. Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton, North Carolina 28716
SUBJECT: • Compliance Evaluation Inspection
Status: Compliant
Pigeon Valley Rest Home WWTP
Permit No: NC0033600 •
Haywood County
Dear Mr. Leatherwood:
Enclosed please find a copy of the Compliance Evaluation Inspection form from
the inspection conducted on April 1, 2008. The facility appeared to be in compliance with
permit N00033600. The kind assistance of Mr. Gifford Raulerson/ ORC and Tommy
Sorrells/ Maintenance was appreciated. Mr. Raulerson is doing a fine job of operating .
this facility.
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, Ext.
4667.
Sincerely, •
•
ret Cantwell -
Environmental Specialist
Enclosure
D o-SW Ashevill pile a -a-diluents
DWQ-SWP Central•Files w/ attachmen s
Goldie &Associates/ORC w/ attachments
G:\WPDATA\DEMWQ1Haywood133600 Pigeon Valley Rest home\33600-CEI.08.doc c
North Carolina
Naturally
2090 U.S.Highway 70,Swannanoa, NC 28778 Telephone:[phone] Fax:[phone] Customer Service 1 877 623-6748

.ct
e United States Environmental Protection Agency: Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding(i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 151 31 NC0033600 111 121 08/04/01 117 181 r 191 sl 20I
Remarks
211IIIIIIIIII11I111111II1111I1II1I1III1I1IIII1I1166
Inspection Work Days Facility Self-Monitoring Evaluation Rating 81 QNA' ----------------Reserved----
671 I69 7°II I 711 72 Li 731 1 174 751 1 1 1 1 1 1 18°
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include . Entry Time/Date I Permit Effective Date
POTW name and NPDES permit Number)
Pigeon Valley Rest Home 09:50 AM 08/04/01 06/12/01
100 silver Bluff Dr Exit Time/Date Permit Expiration Date
•
Canton NC 28716 10:35 AM 08/04/01 11/01/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible OffdalTtle/Phone and Fax Number
Bob B Leatherwood,100 Silver Bluff Dr Canton NC Contacted
28716//828-648-2044/8286482065 No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
i Permit - .�Flow Measurement •Operations&Maintenance •Records/Reports
Self-Monitoring Program In 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
Janet Cantwell ARO WQ//828-296-4500 Ext.4667/
--- -- - - - -
e
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
'In\--IP off-{b 0B
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

•
•
NPOES yr/mo/day Inspection Type 1
31 NC0033600 1111 1z 08/04/01 117 18ICI
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Gifford Raulerson/ORC, Henry Dyar/Goldie &Associates and Tommy Sorrells/Maintenance Supervisor for
Silver Bluff assisted in the inspection.
The previous inspection was conducted on 8/22/07. •
A review of the files indicates the permit will expire 1/22/2011.
The effluent was clear.
The roof of the pump station needs repair/replacement.
•
•
•
Page# 2

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 04/01/2008 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? n n ® ❑
Is the facility as described in the permit? ■ n ❑ ❑
#Are there any special conditions for the permit? n ® n n
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 ❑
Comment:
Operations & Maintenance • Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n n n
Does the facility analyze process control parameters, for ex: MLSS, MCRT,Settleable Solids, pH, DO, Sludge ■ 0 0 0 •
Judge,and other that are applicable?
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? ■ n n n
Is disposal of screening in compliance? ■ n n ❑
Is the unit in good condition? • Ninon
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 0 ■ .❑
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) ❑ ❑ ❑ ■
Page# 3

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 04/01/2008 Inspection Type: Compliance Evaluation
Aeration Basins Yes No NA NE
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet.chlorinators operational? a ❑ ❑ ❑
Are the tablets the proper size and type? ■ ❑ ❑ ❑
Number of tubes in use? 4
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:
De-chlorination Yes No NA NE .
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? ❑ ❑ • rl
Is storage appropriate for cylinders? fl fl s ❑
#Is de-chlorination substance stored away from chlorine containers? ■ ❑ ❑ ❑
Are the tablets the proper size and type? ■ ❑ ❑ ❑
Comment There are 4 tubes of chlorine to 1 tube of de-chlor.
Are tablet de-chlorinators operational? ■ ❑ ❑ ❑
Number of tubes in use? - 1
Comment:
•
Page# 4

OF NI ATFR Y Michael F.Easley,Governor
O� �G 8 F l can n D William G.Ross Jr.,Secretary
h i a epartment ronment and Natural Resources
UJ r Coleen H.Sullins, Director
• Division of Water Quality
•
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
s
March 3, 2008
CERTIFIED MAIL •
RETURN RECEIPT REQUESTED 7002 0460 0001 9899 7095
Mr. Bob B. Leatherwood •
Silver Bluff Village
100 Silver Bluff Drive
Canton,North Carolina 28716 •
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 NC0033600 •
Silver Bluff Village
Pigeon Valley Rest Home
Case No. LM-2008-0006 •
Haywood County
•
Dear Mr. Leatherwood:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of$215.07
($150.00 civil penalty+ $65.07 enforcement costs) against Silver Bluff Village. •
This assessment is based upon the following facts: a review has been conducted of the discharge .
monitoring report (DMR) submitted by Silver Bluff Village for the month of December 2007.
This review has shown the subject facility to be in violation of the discharge limitations and/or
monitoring requirements found in NPDES Permit NC0033600. The violations which occurred in
December 2007 are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that Silver Bluff Village violated the
terms, conditions or requirements of NPDES PermitNC0033600 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 Quality, I,Roger C. Edwards, Division of Water Quality
Regional Supervisor for the Asheville Region,hereby make the following civil penalty assessment
against Silver Bluff Village:
N"Oo�``hnCarolIna
dVaturaIIy
•
North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,NC 28778 Phone[phone] Customer Service
Internet:www.ncwaterqualitY.orq • FAX [phone] 623-7748

•
1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$100.00 NC0033600,by discharging waste water into the waters of the State
in violation of the Permit Daily Maximum limit for BOD.
1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No. .
$50.00 NC0033600,for failure to monitor TOTAL RESIDUAL
CHLORINE twice weekly.
$150.00 TOTAL CIVIL PENALTY
$65.07 Enforcement Costs
$215.07 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 Quality
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 of 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 establishes why you believe the civalty should be
remitted, and submit it to the Division of Water Quality 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 the Division of Water Quality 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 Quality 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 Quality
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
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 Generals 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,
tic
Roger C. Edwards, Supervisor
• Surface Water Protection Section
Ashevill Regional Office
ATTACHMENTS
c.; 0-SPfh"e7il1?Filhmen
• WQ-SWP Central Files w/attachments
Bob Guerra/SWP Enforcement Files w/attachments
Goldie &Associates/ORC w/attachments
6:\WPDATA\DEMWQ\Haywood\33600 Pigeon Valley Rest home\33600 LM-2008-0006.doc

.1 JUSIIICATION FOR REMISSION REQ*T
DWQ Case Number: LM-2008-0006 County: Haywood
Assessed Party: Silver Bluff/Pigeon Valley
Permit No.: NC0033600 Amount Assessed: $215.07
•
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
wro-ngfully 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 (Le., explain how payment of the civil penalty will prevent you from performing the activities
necessary to achieve compliance).
EXPLANATION:

•
STATE OF NORTH CAROL, DEPARTIv OF ENVIRONMENT
AND NATURAL RESOURCES
COUNTY OF HAYWOOD
IN THE MAI1ER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINSTRATIVE HEARING AND
) STIPULATION OF FACTS
SILVER BLUFF/PIGEON VALLEY REST HOME)
PERMIT NO. NC0033600 ) FILE NO. LM-2008-0006
Having been assessed civil penalties totaling$215.07 for violation(s) as set forth in the
assessment document of the Division of Water Quality dated March 3, 2008,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 Quality 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

.4
ATTACHMENT A
Silver Bluff Village '
CASE NUMBER:LM-2008-0006
•
PERMIT:NC0033600 FACILITY:pigeon Valley Rest Home COUNTY: Haywood REGION:Asheville
Limit Violations
PENALTY MONITORING OUTFALL/ LOCATION PARAMETER VIOLATION FREQUENCY UNIT OF LIMIT CALCULATED %OVER VIOLATION TYPE
REPORT PPI DATE . MEASURE VALUE LIMIT
$100.00 12-2007 001 Effluent BOD 12/19/07 Weekly mg/ 45 60.1 33.56 Daily Maximum Exceeded
•
Monitoring Violations
PENALTY MONITORING OUTFALL/ LOCATION PARAMETER VIOLATION FREQUENCY UNIT OF LIMIT CALCULATED %OVER VIOLATION TYPE
REPORT PPI DATE MEASURE VALUE LIMIT
$50.00 12-2007 001 Effluent CHLORINE 12/01/07 2 X week ug/I Frequency Violation

Permit Enforcement History by Owner
02/26/08
Owner:Silver Bluff Village
Facility: Pigeon Valley Rest Home
Permit: MC0033600
Region:Asheville County: Haywood
Case Number .MR Penalty Penalty Enforcemen Damages Remission Enf Conf Enf EMC EMC OAH Collection Total Paid Balance Due Has Case
Assessment Request Remission Hearing Remission Remission Memo Sent Pmt
Approved Amount t Costs Received Held Closed
Amount Hold Amount Amount to AGO Plan
RV-1993-0077 12/06/93 $250.00 $.00 $.00 01/25/94 04/06/94 $.00 $.00 $250.00 $.00 No 07/07/94
LV-2002-0265 07/15/02 $250,00 $49.28 $299.28 $.00 No 08/27/02
LV-2002-0305 08/13/02 $250.00 $49.28 $298.26 $.00 No 08/27/02
LV-2002-0498 10/14/02 $250.00 $49.28 $299.28 $.00 No 10/28/02
' LV-2005-0341 5-2005 05/01/05 $350.00 $100.00 $450.00 $.00 No 10/04/05
LV-2007-0150 12-2006 04/18/07 $100.00 , $130.15 $230.15 $.00 No 05/03/07
LV-2007-0423 4-2007 11/06/07 $450,00 $65.07 $515,06 $.00 No 11/16/07
LM-2008-0006 12-2007 $150.00 $65.07 $215.07 No
Total Cases:8 $2,050.00 • $508.13 $2,343.05 $215.07
Total Penalties: $2,558.13 Total Penalties after romisslon(s): $2,558.12
•
•
•
a

DIVISION OF WA0 QUALITY- CIVIL PENALTY ASSVIENT (FILE)
Violator: Silver Bluff Village/Pigeon Valley Rest Home
County: Haywood
Case Number: LM-2008-0006
ASSESSMENT FACTORS
As required by G.S. 143-214.6A(c),in determining the amount of the penalty I considered the factors
set out in 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;
All effluent violations are detrimental to the receiving stream.
2) The duration and gravity of the violation;
One Daily Maximum for BOD was exceeded by 33.56 % and one Chlorine of twice weekly
monitoring was not sampled.
3) The effect on ground or surface water quantity or quality or on air quality;
It is unknown.
4) The cost of rectifying the damage;
It is unknown.
5) The amount of money saved by noncompliance;
Money was saved by not doing required of monitoring.
6) Whether the violation was committed willfully or intentionally;
It is unknown; however, it still has an effect on the receiving stream.
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
There have been two enforcements in the past year.
8) The cost to the State of the enforcement procedures.
$65.07.
j/ ir c
ate t C.Edwards,Regional Supervisor
Surface Water Protection Section
Asheville Regional Office

,_ 1 Q4 W ATFR ,�--_, • ,' Michael F.Easley,Governor
) William G.Ross Jr.,Secretary
a�`,� " C. l� North Carolinabepartment of Environment and Natural Resources
r E F I L E COPY Coleen H.Sullins,Director
--I Division of Water Quality
O Y
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
June 2, 2008 '
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7002 0460 0001 9899 8023
Mr. Bob B. Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton, North Carolina 28716
Subject NOTICE OF VIOLATION
NOV-2008-LV-0247
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Home's monitoring report for March 2008 showed the following violation:
Parameter Date Limit Value Reported Value Limit Type
BOD, 5-Day(20 Deg. C) 03/05/08 45 mg/I 61.2 mg/I Daily Maximum
• 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: however, should you have additional information concerning the violations or comments
which you wish to present, please submit them to the attention of Janet Cantwell.
The Division of Water Quality may pursue enforcement actions 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, ^^
Reirti
< 131.—"-A—:_.A —ce) ' - .
- Roger C. Edwards, Regional Supervisor
Surface Water Protection Section'
•
D'ra , .le! e ,
y
DWQ Central Files
Bob Guerra/DWQ Enforcement Files
Goldie&Associates/ORC
.
G:IWPDATA\DEMWQ1Haywood133600 Pigeon Valley Rest home13360D.NOV-2008-LV-0247.doc N�`rthCarolina
,4atura!!y
North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone[phone] , Customer Service
Internet: ww.v.ncwaterqualitv.orq FAX [phone] 1-877-623-6748

4 c
alb/
'`
440 e r
SILVER BLUFF • ARROWHEAD COVE • PIGEON VALLEY • THE BLUFFS
September 17,2008
Mr. Roy Davis
NC DENR
Division of Water Quality
2090 U.S. Highway 70
Swannanoa,N.C. 28778
Subject: Investigation and Development of Proposed Replacement,
Modifications, Improvements or Alternatives to Existing WWTP
Silver Bluff Village WWTP
NC0033600
Haywood County
Dear Mr. Davis:
You have received or will be receiving a letter dated September 17, 2008,prepared by
Mr. J. Thurman Horne, P.E., (Horizon Engineering & Consulting, Inc.)which details the
efforts that are underway to evaluate the improvements or alternatives needed at our
existing WWTP and a schedule for completion.
Please accept that I endorse Mr. Horne's letter and that it represents Silver Bluff
Village's commitment to undertake the described actions to address any improvements,
modifications, etc. that are needed.
I appreciate the courtesy and assistance you and your staff have and are providing. I hope
that this information is sufficient but, if you have any questions or need any additional
information, I hope that you will call me or Mr. Horne.
Sincerely
/p7(.._
ob Lea a trantrt
c/....._
Administrator El C E Mil E D
f
SEP 1 9 2008 I
C: Larry Clark WATER QUALITY SECTION
Patrick Bradshaw ASHEV!LLE REGIONAL OFFICE,
Thurman Horne

I.
Horizon Engineering & Consulting, Inc.
2510 Walker Road
_-- - .. - _ Mt.Pleasant,N.C. 28124-8567
704-788-4455
Fax:[phone]
NECE 11 n
September 17, 2008 '
SEP 1 9 2008
Mr. Roy Davis
NC DEN
R
o WATER QUALITY SECTION
Divisionof Water Quality 2090 U.S. Highway 70 ASHEVILLE REGIONAL OFFICE
Swannanoa,N.C. 28778
Subject: Investigation and Development of Proposed Repl'aeeinent;
Modifications, Improvements or Alternatives to Existing WWTP
Silver Bluff Village WWTP
NC0033600
Haywood County
Dear Mr. Davis:
Mr. Bob Leatherwood of Silver Bluff Village,has asked that I prepare this letter to describe the
ongoing activities and proposed future activities relating to the evaluation of the existing and
future wastewater treatment needs. Horizon Engineering & Consulting, Inc. has been retained to
review existing conditions and develop a plan for resolving any current inadequacies and to
provide for reasonable future growth.
This evaluation is underway and is following the guidelines of North Carolina DENR,
"Engineering Alternatives Analysis Guidance Document" dated June 23, 2005. The intent of this
investigation is to:
1. Determine existing rates of flow being treated at the WWTP.
2. Determine if practical and cost effective non- discharge alternatives exist for handling
existing and projected wastewater needs.
3. If no reasonable non- discharge alternatives can be found, develop a preliminary
design for modifying and/or expanding the existing WWTP.
4. If the conclusion of the investigation is to expand the existing WWTP in a manner
requiring an increase in the currently permitted discharge limit,prepare draft
application documents for signature and submission by the owner to request an
increase in the NPDES permit flow limit.
After completion of the evaluation of the alternatives, Silver Bluff will implement the
recommendations of the selected plan or alternatives.
I have prepared the following schedule of what I believe is a timeline for the various steps of the
evaluation, implementation and completion of the recommended plan or alternatives.
Schedule:
1. Assessment of current conditions and assessment of alternatives, concluding with a

2
recommended plan or alternatives for improving, expanding and/or replacing the existing
wastewater treatment facilities. Depending upon the conclusions of the evaluation, the
recommendations may be to modify the existing WWTP, expand the existing WWTP
and/or use alternative treatment and disposal means to address current and projected
future wastewater treatment needs.
Complete by December 31,2008.
2. Implement fmdings and recommendations of the evaluation. Prepare plans and
specifications for improvements and/or expansion of the existing WWTP and submit
request for Authorization to Construct(ATC.) Prepare and submit application to request
increase in NPDES permit flow capacity(if applicable based on the conclusions of the
evaluation.)
Complete by March 31,2009.
3. Award contract to begin construction of improvements, modifications and/or expansion
of the existing WWTP within one month of receiving *ATC.
* Assuming that ATC will be received within 4 months of submitting request with plans
and specifications to NC DENR,the award of contract and beginning of the construction
of improvements, modifications and/or expansion of the existing WWTP will be August
31,2009.
4. Complete construction of improvements, modifications and/or expansion of the existing
WWTP within nine (9)months of receiving *ATC.
* Assuming that ATC will be received within 4 months of submitting request with plans
and specifications to NC DENR,the construction of improvements, modifications and/or
expansion of the existing WWTP will be complete by April 30,2010.
I believe that this is a reasonable schedule for these events. These efforts are in progress and you
will find attached, a letter from Silver Bluff Village expressing their concurrence and their
agreement to continue on this course and schedule.
If you need any assistance or if you have any questions or matters we should discuss,I hope that
you will call me at 704-788-4455.
Sincerely,
J. Thurman Horne,P.E.
C: Mr. Bob Leatherwood
Mr. Larry Clark
Mr. Patrick Bradshaw

pr'Sep. 11. 2008 1 :48PM 'No. 4370 P. 1
Ci dk
Civil DESNGN COS 4...soSy3'A D E C I II n U R
Y _ SEP 1 1 2008 th
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
To: Mr.Roger Edwards,NC Division of Water Quality I
•
L dlaerwoor S r
cc: Mr.IanyCladc,(3mic�ood,hta and IvhBob ...._::_ ._.......: . ....
From: Patrick Bradshaw,PE P&EL
t7
Date: September 11,2008
Re: Silver Bluff Nursing Home Proposed 20 Bed Expansion
As a follow up to our conversation yesterday,Silver BluffNursing Home is in the process of
preparing an application,known as a Certificate of Need(CON)for a proposed 20-bed expansion
to their existing facility.
As a summary,I would offer the following:
•` Silver Bluff Village has a current permit for 25,000 gallons/day of wastewater discharge
: to the Pigeon River under NPDES permit number NC 0033600
•' The current W WTP had no real viable means of monitoring the daily discharge and it
• became apparent that the average daily flow needed to be evaluated before proceeding
with the plans for expansion.
• Based on a recent flow monitoring gage that was installed at the wastewater treatment
. facility,the average daily discharge from the treatment facility is 20,386 gallons per day.
• The flow monitoring device was installed and monitored by Mr.Thurman Home,PE of
. Horizon Engineering and Consulting from August 2—August 27,2008.
•: Evaluating the results of the flow monitoring device vs.the current permitted discharge,it
. is determined that the existing treatment plant has 4,614 gallons per day of remaining
capacity under the current permit,
• ' The design daily flow for nursing homes as provided in the Laws and Rules for Sewage
Treatment and Disposal Systems as published by the State of North Carolina Department
: of Environment and Natural Resources is 120 gallons/bed/day.
• The proposed 20 bed addition will equate to 2,400 gallons per day of additional
wastewater being contributed to the existing facility leaving 2,214 gallons per day of
, remaining wastewater allocation available under their existing permitted daily flow.
Mailing Address:P.O.Box 5432,Asheville,NC 28813
200 Swaananoa River Rd Asheville,NC 28805 1210 S.Main Street,Waynesville,NC 28786
Phone [phone] Fax [phone] Phone:[phone] Fax:[phone]

Sep. 11. 2008 1 :49PM No. 4370 P. 2 's4
Please allow this letter to serve as a recent analysis of the existing wastewater plant discharge for
Silver Bluff Village demonstrating that there is available capacity for the proposed 20-bed
addition. As a part of the CON process,Silver Bluff needs a concurrence letter from your office
that the wastewater capacity is adequate for the subject improvements to be constructed.
Assuming you are in agreement,please feel free to use this letter as your reference in preparing a
letter addressed to Mr.Bob Leatherwood at Silver Bluff Nursing Home reflecting the same.
It is important to note that Silver Bluff Village has retained the services of Mr.Thurman Home,
PE with Horizon Engineering and Consulting and he is currently performing an evaluation and
potential upgrade scenario of the existing WWTP facility, It is realized and understood by the
Owner that they are currently at approximately 80%of their permitted flow and with the addition
of an additional 20 beds as requested under this project that would bring their average daily flow
to around 90%of existing permitted capacity.
Should you have any questions in the interim please do not hesitate to contact me. Thanks in
advance for your cooperation in this matter and we look forward to working with you and your
staff along with Silver Bluff Village in the successful completion of this project in the months to
come.
•
If you could find the time to generate the letter requested above by September 18,2008 that would
be appreciated as their CON submittal deadline is September 20,2008 and that letter is needed to
accompany the application package.
Should you have additional questions regarding this matter please do not hesitate to contact me.
•
•
•
•
Mailing Address:P.O.Box 5432,Asheville,NC 28813
200 Swannanan River Rd Asheville,NC 28805 1210 S.Main Street,Waynesville,NC 28786
Phone [phone] Fax [phone] Phone:[phone] Fax:[phone]

F WArt Michael F.Easley,Governor
\Oaf 9G (yyl William G.Ross Jr..Secretary
1 North Carolina Department(, ;ronment and Natural Resources
r -HERE
E Coleen H.Sullins,Director
>_ 1 C®P T Division of Water Quality
-c
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
September 19, 2008
•
Mr. Bob Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton, North Carolina 28716
SUBJECT: Wastewater Treatment Plant
Capacity
Pigeon Valley Rest Home
Permit No: NC0033600
Haywood County
Dear Mr. Leatherwood: •
•
I am writing this in response to Mr. Patrick Bradshaw's September 11, 2008
Memorandum to Mr. Roger Edwards, Regional Supervisor, Surface Water Protection
Section. In that memorandum Mr. Bradshaw asked for a written statement to the effect
that the 25,000 GPD wastewater treatment plant serving Silver Bluff Nursing Home has
the capacity to treat the wastewater which would result if 20 additional beds were
installed. You may treat this letter as that statement.
• According to our data and calculations the addition of 20 new beds at Silver Bluff
Nursing Home would result in a wastewater flow of approximately 24,000 GPD through
your 25,000 GPD capacity plant. This statement is provided on the basis of the promises
you made to me in your September 17, 2008 letter. You may call me at [phone]
should you have need to discuss this matter.
•
•
Sincerely, .
• Roy M. D vis •
Environmental Engineer •
Cc: Patrick Bradshaw, PE
Thurman Horne, PE
Janet Cantwell, ARO
Surface Water Protection Section Central Files
G:\WPDATA\DEMWQ\Haywood\33600 Pigeon Valley Rest home133600-Additional WW Flow.08.doc • 1�""�`t,Carolina
,Naturally
2090 U.S.Highway 70,Swannanoa,NC 28778 Telephone:[phone] Fax:[phone] Customer Service 1 877 623-6748

le: Silver Bluff Village wastewater study
Subject: Re: Silver Bluff Village wastewater study
From: Roy Davis <[e-mail]>
Date: Tue, 13 Jan 2009 09:30:38 -0500
To: Bob Leatherwood <[e-mail]>, Wanda Frazier
<[e-mail]>, "janet.cantwell>> Janet Cantwell" <[e-mail]>
Bob: We look forward to receiving the report. Roy Davis
Bob Leatherwood wrote:
Mr. Davis:
I wanted to update you on the status of our plans here to upgrade our wastewater
treatment plant operations. The contractors and engineers met with our staff on
January 5"th to review the current status of the project and Thurman Horne's
preliminary findings and ideas for improvements. Some modifications were
discussed based on observations of current usage and newly revised estimates of
future needs. We anticipate these revisions will be incorporated into a final
report and be available to you within a couple of weeks. If you need something
further from us, please don't hesitate to contact me.
Sincerely,
Bob Leatherwood, Administrator/Co-Owner
Silver Bluff Village
Roy Davis - [e-mail]
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Water Quality - Water Quality Section
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Roy Davis <Roy.Davis(cr�,ncmail.net>
NC DENR-Asheville Regional Office
Division of Water Quality-Water Quality Section
of 1 1/14/2009;2:43'PW-4 i

iilver Bluff Village wastewater study
Subject: Silver Bluff Village wastewater study
From: "Bob Leatherwood" <[e-mail]>
Date: Tue, 13 Jan 2009 08:38:56 -0500
To: <[e-mail]>
CC: "'Thurman Home"' <[e-mail]>, "'Larry Clark'
<[e-mail]>, "'Patrick Bradshaw' <[e-mail]>,
"'Tommy Sorrells"' <[e-mail]>, "'Lisa Leatherwood"'
<[e-mail]>
Mr. Davis:
I wanted to update you on the status of our plans here to upgrade our wastewater treatment plant operations.
The contractors and engineers met with our staff on January 5th to review the current status of the project and
Thurman Home's preliminary findings and ideas for improvements. Some modifications were discussed based
on observations of current usage and newly revised estimates of future needs. We anticipate these revisions
will be incorporated into a final report and be available to you within a couple of weeks. If you need
something further from us, please don't hesitate to contact me.
Sincerely,
Bob Leatherwood,Administrator/Co-Owner
Silver Bluff Village
•
•
1 of 1 1/13/2009 9:30 AM

4
-t.
Horizon Engineering & Consulting, Inc.
2510 Walker Road
Mt.Pleasant,N.C. 28124-8567
70 r788-4455
70 1,8 4455
�6 u ni na3L�17 it-. t
January 21 2009
CC© EOYE t
Mr. Roy Davis i n
NC DENR t , JAN 2 U 2009 4
Division of Water Quality
2090 U.S. Highway 70
Swannanoa,N.C. 28778 WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
Subject: Investigation and Development of Proposed Replacement,
Modifications, Improvements or Alternatives.to,-Existing WWTP----"--
Silver Bluff Village WWTP
NC0033600
Haywood County
Dear Mr. Davis:
This letter is a follow up to my letter dated September 17, 2008 and provides a copy of the
Engineering Alternatives Analysis.for Silver Bluff.
This investigation began in July of 2008 in an effort to evaluate multiple possibilities that were
under consideration at that time. The main thrust of this effort has been to consider alternatives to
either eliminate the existing WWTP, improve the existing WWTP, expand and improve the
existing WWTP or some combination thereof. At the time this effort began, Silver Bluff was
considering the possibility of future growth and expansions that would require additional
wastewater treatment capacity. It was obvious that a possible alternative to accommodate such an
expansion might be likely to include an expansion of the existing WWTP. Whereas, any such
expansion of the existing WWTP would require an increase in the existing NPDES allowed
discharge, it was agreed that our investigation of alternatives should try to follow the published
guidelines of North Carolina DENR, "Engineering Alternatives Analysis Guidance Document"
dated June 23, 2005.
I have noted in the attached report that, in the course of the investigation, it was concluded that
Silver Bluff would not be able to expand its nursing facilities within the foreseeable future.
ere ore,t e conclusi slmrdiPe mneurlatiun mo-difieations nd 'trip men s o
l
e existing WAWAPland�ma"intain the existing capacity and rD S permit at -52000 gpd.
The decision that Silver Bluff will not seek to increase wastewater treatment capacity was
influenced in part by the significant costs projected for any such expansion but, more
significantly, Silver Bluff has come to realize that they have no lands available, nor are any
obtainable, for any physical expansions. This is due in part to the Haywood County Watershed
Ordinance requirements and the North Carolina Administrative Code (including maintaining a
100 foot setback to buildings from any public water supply well.) Silver Bluff Village relies on
several wells for water supply and these required setbacks, coupled with the already short supply
of undeveloped land, leave Silver Bluff to conclude that they can not plan for future expansion
within the foreseeable future.
Basically, our investigation first looked at the possible alternatives for expanding existing
wastewater treatment capacity to 50,000 gpd. However, upon reviewing the costs of such
expansion along with realizing that no potential for growth appears to exist, the focus of the
effort moved to developing recommendations for making modifications and improvements to the
existing WWTP. These proposed improvements will involve the following:

.. _ - ,
v
1. Installing a used/refurbished sacka ewastewater treatment plant that will be
used to provide n uent ow equalization ` otal EQ volume= 6,727 gallons) and
increased sludge holding digestion(Total sludge digestion= 6,247 gallons.)
2. Removal of portions of a wall now dividing.the existing aeration basin from the
existing sludge holding tank. This will effectively 'fbww iw7 si_e o e aer. e
roi the current 25,000 gallons to 27,562 gal ons, thus giving some
rdalitigral buffer and detention capacity.
3. nstalling bawd 1 3 screen and solids grinding faci ihes "Muffin
• stern)
4. Installing a new influent chemical feed system to allow for the flexibility to
neutralize any incoming high chlorine strength wastes.
All other components of the existing WWTP will continue to be used.
More specific details of the proposed design for improvements and modifications
to the existing wastewater treatment facility, with no expansion beyond the
current 25,000 gpd capacity,and the estimated costs are included within the
attached report in Appendix L. A schematic flow diagram showing the proposed
configuration of this selected alternative is included in Appendix H.
We hope that you will consider these as significant improvement to the existing facilities. We
look forward to proceeding with the next step identified in my September 17, 2008 letter which
is:
Implement findings and recommendations of the evaluation. Prepare plans and
specifications for improvements and/or expansion of the existing WWTP and submit
request for Authorization to Construct (ATC.) Prepare and submit application to request
increase in NPDES permit flow capacity (if applicable based on the conclusions of the
evaluation.)
Complete by March 31,2009.
Obviously, since we have concluded not to seek an increase in the WWTP capacity we will not
be submitting and application for NPDES permit modification but we will be requesting an ATC
for the proposed modifications and improvements.
I hope that you will review the attached report and offer any suggestions, etc. that you feel are
appropriate. We value your experience and appreciate any suggestions you may offer.
Whereas we will need to move forward reasonably soon if we are to stay on course with our
schedule, I would certainly appreciate if you could advise of any suggestions before the end of
this month if possible.
It was very nice seeing you again during my visit to your office. I certainly appreciate the
courtesy and assistance provided by you and your staff. If you need any assistance or if you have
any questions or matters we should discuss,I hope that you will call me at 704-788-4455.
Sinter
urman Horne, P.E. C: Mr. Bob Leatherwood
Mr. Larry Clark
Mr.Patrick Bradshaw
Mr. Josh Best

W ATF9 -Beverly Eaves Perdue,Governor
OO QG Dee Freeman,Secretary
North Carolina Department' vironment and Natural Resources
Y • '" e _ Coleen H.Sullins,Director
r a L L c Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
February 17, 2009
Mr. Bob Leatherwood
Silver Bluff Village
100 Silver Bluff Drive •
Canton, North Carolina 28716
SUBJECT: Engineering Alternatives
Analysis
Wastewater Treatment Plant
Pigeon Valley Rest Home
Permit No: NC0033600
Haywood County
Dear Mr. Leatherwood:
I am writing in response to the Engineering Alternatives Analysis submitted by
Silver Bluff Village and dated January 6, 2009. The Analysis proposes modification of the
wastewater treatment plant serving Silver Bluff Village by addition of influent flow
equalization, increased aeration capacity, installation of a new influent bar screen and ,
parallel comminutor, and new aerated sludge holding basin. I find the proposed plant
modifications to be reasonable. We look forward to receipt of the necessary request-for
Authorization to Construct on or before March 31, 2009.
Please do not hesitate to call me at [phone] should you have need to
discuss this matter.
Sincerely,
1^,' N- ova.-� 3
Roy M. vis
Environmental Engineer
Cc: Thurman Home, PE
Wanda Frazier, ARO
Surface Water Protection Section Central Files
G:\WPDATA\DEMWQ1Haywood\33600 Pigeon Valley Rest home\33600-Response to Engineering Study.doc
NonthCarolina
,Nafura!/ji
2090 U.S.Highway 70,Swannanoa,NC 28778 Telephone:[phone] Fax:[phone] Customer Service 1 877 623-6748

ilver Bluff Nursing Home, Haywood County.NC
Subject: Silver Bluff Nursing Home, Haywood County, NC
From: "Patrick Bradshaw" <[e-mail]>
Date: Thu, 12 Mar 2009 07:56:28 -0400
To: <[e-mail]>
Roger—Attached is a letter along with a copy of the building floor plan following up from our conversation
yesterday afternoon. Let me know if you have any questions.
Thanks
Patrick Bradshaw, P.E.
[e-mail]
Civil Design Concepts, P.A.
Waynesville Office
1210 S. Main Street
Waynesville, NC 28786
Tele: [phone]
Fax: [phone]
ca
croi msiwcowC MIL w
Privileged and Confidential:The information contained in this email message and any attachments is
confidential information intended only for the use of individuals or entities named above. If the reader of this
message is not the intended recipient you are hereby notified that any dissemination, distribution or copying of
this communication is strictly prohibited. If you have received this email in error, please notify us immediately by
email at the originating address.
Morton Floor Plan.pdf
silver bluff.pdf
•
of 1 3/13/2009 3:11 PM

CCI. 41/
CIVIL DESIGN CONCEPTS,PA
fir/
M
To: Mr.Roger Edwards,NC Division of Water Quality
cc Mr.Rml eats ood
From: Patrick Bradshaw,PE FAA- AUL
Date: March 12,2009
Re: Silver Bluff Nursing Home,Haywood County
Storage Building Replacement/Laundry Facility Relocation
As a follow up to our conversation yesterday,Silver Bluff Nursing Home has recently constructed
a new building on their campus. The new structure is a Morton Building and as I indicated the
primary use of this building is to replace a barn/storage facility that was lost due to fire
approximately two years ago. In addition,the new facility includes space for the relocation of
their on-site laundry facility from within their existing skilled nursing facility that is currently
operational. Based on the predominance of the new floor space being used as replacement of lost
dry storage and the fact that the laundry is not a new use,only a relocation of an existing use,it is
our opinion that the overall wastewater flows for those two components of the building will not
contribute additional wastewater flows to the existing WWTP that serves the Silver Bluff campus.
There is one new use proposed in the facility and that is to provide space for a part-time satellite
location for a Haywood County EMS ambulance and associated staff to better serve the southern
part of Haywood County. Treating the EMS portion as office space with two employees and
assuming they have a 24-hr(3 shifts per day)presence that would only add by rule 150 gallons per
day of additional wastewater to the current system.
As a summary,I would offer the following:
• Silver Bluff Village has a current permit for 25,000 gallons/day of wastewater discharge
to the Pigeon River under NPDES permit number NC 0033600 for their WWTP.
• The new storage building sewer service line was tied into an existing 6"sewer collection
line that serves the existing WWTP.
• Based on a recent flow monitoring gage that was installed at the wastewater treatment
facility,the avenge daily discharge from the treatment facility is 20,386 gallons per day.
Mailing Address:P.O.Box 5432,Asheville,NC 28813 •
200 Swannanoa River Rd Asheville,NC 28805 1210 S.Main Street,Waynesville,NC 28786
Phone [phone] Fax [phone] Phone:[phone] Fax:[phone]

• The flow monitoring device was installed and monitored by Mr.Thurman Home,PE of
Horizon Engineering and Consulting from August 2—August 27,2008.
[ • Evaluating the results of the flow monitoring device vs.the current permitted discharge,it
is determined that the existing treatment plant has 4,614 gallons per day of remaining
capacity under the current permit.
• Silver Bluff is also proceeding with plans for a proposed 20 bed addition as we originally
discussed with your office in a letter dated September 12,2008. The proposed 20 bed
addition will equate to 2,400 gallons per day of additional wastewater being contributed to
the existing facility leaving 2,214 gallons per day of remaining wastewater allocation
available under their existing permitted daily flow. Knowing this the conservative
estimate of 150 gallons per day of additional flow that may be generated by the EMS
portion of the facility is almost negligible,coupled with the fact that Silver Bluff will be
installing more high efficiency,lower water usage laundry equipment as a part of their
relocation of the laundry facility.
Please allow this letter to serve as a recent analysis of the existing wastewater plant discharge for
Silver Bluff Village demonstrating that there is available capacity for the newly constructed
storage/laundry/EMS building. In order to obtain a Certificate of Occupancy for the new
storage building Haywood County Building Inspections is requiring a concurrence letter from
your office. Please feel free to reference this letter in your response to the same.
It is also important to note that Silver Bluff Village has retained the services of Mr.Thurman
Home,PE with Horizon Engineering and Consulting and he is currently performing a design
upgrade of the existing WWTP facility. It is realized and understood by the Owner that they are
currently at approximately 80%of their permitted flow and with the addition of an additional 20
beds as requested under the previous correspondence that would bring their average daily flow to
around 90%of existing permitted capacity. Mr.Home has been corresponding with Roy Davis of
your office on that matter directly since approximately September of 2008.
As I mentioned yesterday,the storage/laundry/EMS building has been released by all necessary
building inspections with the exception of the scenario described above. Needless to say the
Owners are eager to occupy the new structure and would appreciate as timely a response as you
may be able to provide on this issue. Also,for your use,I have attached a copy of the floor plan
for the storage/laundry/EMS building as described above.
Should you have any questions in the interim please do not hesitate to contact me. Thanks in
advance for your cooperation in this matter and we look forward to hearing from you.
Mailing Address:P.O.Box 5432,Asheville,NC 28813
200 Swannanoa River Rd Asheville,NC 28805 1210 S.Main Street,Waynesville,NC 28786
Phone [phone] Fax [phone] Phone:[phone] Fax:[phone]

A/CDO33o ea
Annual Wastewater Treatment System Performance Report
for
Silver Bluff Village
vs Fr 2-
for the Operating Period REcErv. t,7
January thru December, 2008 MAR - 9 2009
DENR - WATER .QUAI._!TY
POI NLS_QURCERRAN
RECEIVEir
Preface L..)
•
• MAR 1 2 2009
On July 20 1999,the North Carolina General Assembly ratified House Bill 17600 thetelean=crioN
Water Act of 1999, which place significant new reporting requirements_on°ffiose=entitlgs`a°' F °e
own or operate wastewater treatment and collection systems. Specific items included:
1. A Spill Response Plan
2. Sewer Collection System Operation &Maintenance Plan
3. Annual Performance Report
These new requirements became effective October 1, 1999.
This report is designed to meet the minimum requirements for the Annual Performance Report
established by the North Carolina Department of Environment and Natural Resources (DEHNR)
as set forth in their guidance document dated October 19, 1999.
This law was established to provide a mechanism for public oversight(and hopefully, to instill
public confidence) in owners and operators of wastewater treatment systems and in their efforts
to protect the waters of the state.

I. General Information
Facility/System Name: Silv luff Village
Haywood Cat
Responsible Entity: Silver Bluff Village
Person(s) in Charge/Contact: Bob Leatherwood
Gifford Raulerson—Operator-in-Responsible Charge (ORC)
Henry Dyar, Project Manager- Goldie &Associates
Applicable Permits: NPDES#NC0033600
Description of Treatment Process, Collection System, and Facilities Served:
Treatment Process—The treatment facility is a typical "Extended Aeration"process
capable of treating .025 million gallons per day (MGD). The treated effluent is
discharged to the Pigeon River, in the French Broad River Basin.
Collection System—The collection system is a standard design consisting of 8-inch diameter
Pipe, and standard precast manholes. The system was designed to meet all state standards for
wastewater collection systems.
Facilities Served This system serves the Silver Bluff Village at Canton,NC.
II. WWTP Performance
All operating parameters were in compliance with NPDES permit limits for 2008, except for the
following occurrences. In March, and October 2008,there were BOD violations. In January
2008 there was a fecal conform violation.
We take pride in our efforts to protect the local environment and the quality of waters in
our streams.

•
M. Notification
A notice advising of the availability of this report will be sent to each user.
A copy of this report is available to interested persons in the Silver Bluff office or the offices of:
Goldie &Associates
210 West North Second Street
Seneca, SC 29678
As required, three copies of this report are being provided to NCDEHNR.
IV. Certification
I certify that under penalty of law that this report is complete and accurate to the best of
my knowledge.
/Tien t. , 3- y—,n cr •
Henry Dyar, Goldie&Associates Date
This report prepared by:
Henry Dyar
Goldie&Associates
210 West North Second Street
Seneca, SC 29678
Phone: [phone]
Fax: [phone]

NCDENR L I M COPY
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Beverly Eaves Perdue Director Dee Freeman
Governor Secretary
March 13, 2009
Mr. Bob Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton, North Carolina 28716
SUBJECT: Occupancy of New Building
Wastewater Treatment Plant
Pigeon Valley Rest Home
Permit No: NC0033600
Haywood County
Dear Mr. Leatherwood:
We understand that a new building has been constructed at Silver Bluff Nursing
Home that would serve as a storage facility, laundry and space for a satellite office of the
Haywood County EMS. It is our opinion that the wastewater treatment plant serving
Silver Bluff has sufficient capacity to provide treatment of the wastewater generated by
these activities and therefore have no objection to the issuance of a Certificate of
Occupancy for the new building. By the way, we look forward the submission of a request
for an Authorization to Construct on or before March 31, 2009.
Please do not hesitate to call me at [phone] should you have need to
discuss this matter.
Sincerely,
Roy M. Davis
Environmental Engineer
•
Cc: Patrick Bradshaw, PE
Wanda Frazier, ARO
Surface Water Protection Section Central Files
•
G:\WPDATA\DEMWQ1Haywood\33600 Pigeon Valley Rest home133600-CO Letter.doc
SURFACE WATER PROTECTION SECTION—ASHEVILLE REGIONAL OFFICE One
Location:2090 U.S.Highway 70,Swannanoa,North Carolina 28778 North Carolina
Phone-828-296-45001 FAX:[phone] Customer Service:1-877-623-6748 Naturally
Internet: www.newaterquality.org NK
An Equal Opportunity I Affirmative Action Employer

NC®ENRrill con
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
SURFACE WATER PROTECTION SECTION
April 14, 2009
Mr. Bob B. Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton, NC 28716
Subject: NOTICE OF VIOLATION
NOV-2009-LV-0178
•
Permit No. NC0033600
Pigeon Valley Rest Home
Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Home's monitoring report for October 2008 showed the
following violations:
Parameter Date Limit Value Reported Value Limit Type
BOD, 5-Day (20° C) 10/29/08 45 mg/I 58.5 mg/I Daily Maximum 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: however, should you have additional
information concerning the violations or comments which you wish to present, please submit them to the
attention of Wanda Frazier.
•
The Division of Water Quality 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 Keith Haynes of this office for additional information.
If you should have any questions, please do not hesitate to contact Wanda Frazier or me at 828-296- -
4500.
Sincerely, 6
jr+Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
•
cc: WQ Central Files
Bob Guerra, Western NPDES Point Source Compliance Enforcement NZ' hCarotina
Naturally
North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwaterquality.orq FAX [phone]

T 1
April 7, 2009
NC Division of Water Quality
Construction Grants&Loans Section
1633 Mail Service Center
Raleigh,North Carolina 27699-1633
Attention: Mr. Kim Colson, P.E.
- --- - -Supervisor — —
Subject: Request for Authorization to Construct (ATC)
Proposed Flow Equalization and Sludge Digestion Facilities at Existing WWTP
Silver Bluff Village WWTP
NC0033600
Haywood County
Dear Mr. Colson:
Please accept this letter, the attached plans, specifications, and supplemental materials provided
by Horizon Engineering & Consulting, Inc. as our request for Authorization to Construct.
If you need any assistance or if you have any questions or matters we should discuss, I hope that
you will call me or J. Thurman Home, P.E. (Horizon Engineering & Consulting, Inc.) at 704-
788-4455.
S�A� " ' Y'
.Gs
Bob eatherwood
Silver BluffRealty, LLC
President
C: Horizon Engineering & Consulting, Inc.
Clark& Leatherwood, Inc.
Civel Design Concepts, P.A.

in •
North Carolina Division Of Water Quality
Construction Grants & Loans Section
Authorization To Construct (ATC) Application Form
(To Be Used On and After August 1, 2007)
Date:4/7/2009
PermitteelOwner Name: Silver Bluff Realty, LLC. Professional Engineer of Record: J. Thurman Home
P.E.
Contact Person: Bob Leatherwood Engineering Firm: Horizon Engineering &'Consulting, Inc.
Address: Silver Bluff Village Address: 2510 Walker Road
100 Silver Bluff Drive
Canton. N.C. 28716 Mount Pleasant, N.C. 28124
Telephone Number: [phone] Telephone Number: [phone]
Please Note:The following items and information must be Information Is
submitted to be considered a complete application Provided Remarks/Explanation
package. If any applicable item is missing the package will
IZI
be returned as Incomplete.
Letter of request for ATC from Permittee/Owner or ® Attached
authorized agent with written authorization.
2 Brief description of the proposed project. ® Addition of flow equalization and
sludge digestion facilities.
Complete copy of the NPDES permit or public notice of
3 a draft NPDES permit. ® Attached
4 Design capacity in Million Gallons per Day (MGD). ® 0.025.MGD
If new or expanding design capacity is greater than or Not applicable. This is an existing .025
5 equal to 0.5 MGD, include a copy of Finding Of No ❑ MGD facility with no expansion of
Significant Impact(FNSI). design flow.
Two sets of plans: signed, sealed, and dated by a NC
6 Professional Engineer and stamped "Final Drawing - ® Attached
Not Released For Construction".
Two sets of technical specifications: signed, sealed, ® Attached
and dated by a NC Professional Engineer.
Two sets each of process, design, buoyancy, and Information is included within the plans
8 hydraulic profile calculations: signed, sealed, and dated ® and specifications.(See Appendix B-
by a NC Professional Engineer. Design Basis)
9 Hydraulic profile and a flow schematic with sizes of ® Attached
major components on 8'W X 11" paper.
Documentation that a Soil & Erosion.Control permit applicable. Less than 1 acre to be
Not
10 application has been submitted to the Division of Land ❑ N Ndiot ppd.
Resources.
Residuals Management Plan for all new or expanding
11 facilities producing residuals, or when modifying ® Attached
residual facilities.

Please Note: The following items and information must be Information Is
submitted to be considered a complete application Provided Remarks/Explanation
package.If any applicable item is missing the package will
be returned as incomplete.
12 Construction Sequence Plan for all modifications. ® Attached
13 110 volt GFCI receptacle and potable water source ® Note: This is an existing facility and
included on plans. these amenities are already present.
14 Hydrogeologic information must be provided if a 0 Not Applicable
potential for groundwater contravention exists.
15 For abandonment of WWTPs: a statement that the ❑ Not applicable
facility will be properly disconnected.
16 All property lines, construction easements, permanent
easements, and ROW shown.
17 All wells within 200 feet of project shown. ® There are no active wells within 200
feet.
18 All houses and places of public assembly within 100 ® None are present within 100 feet.
feet shown.
Wetlands, watercourses, and drainage features within Shown on site (sht 2 and 5 of 6 of
19 50 feet of all wastewater treatment or storage facilities ® plans)
shown.
20 Identify on the plans each water body's watershed ® Included in Appendix"B"of the
classification. specifications.
Plan sheets for all applicable disciplines. The project will utilize the existing
electrical system to provide service to
the new pumps and blowers.
Therefore, the only electrical plan is a
21 ® one line diagram which is included. As
shown, the new pumps and blower will
be connected to electrical service
already existing for the WWTP
blowers.
Reliability per NCAC 2T .0505 (I). This application is only to add flow
22 ® equalization and sludge digestion
facilities only.
23 Identify 100 year flood elevation on plans. ® Shown on site(sht 2 and 5 of 6 of
plans)
24 North arrow on each plan sheet. ® Shown on site (sht 2 of 6 of plans)
25 Horizontal and vertical control. El
Subsurface investigation for new structures. Not applicable since this is merely
constructing new facilities at an
Y6 ® existing site that has already
experienced approved construction of
subsurface WWTP structures.
Municipal/Public Facilities,also include the following:
Engineer's Certification signed, sealed, and dated by
27 the Engineer Of Record stating that the project 0
complies with G.S. 133-3.

1
Please Note:The following items and information must be Information Is
submitted to be considered a complete application Provided Remarks/Explanation
package.If any applicable item is missing the package will
be returned as incomplete.
28 Minority Business Forms for Local Government ❑
Projects.
29 Minority Business Guide. ❑
30 Dispute.Resolution with mediation for Local ❑
Governments.
31 Contract Duration included. ❑
Projects funded through CG&L must include the
32 Submittal Checklist, found under Plans & ❑
Specificiations at:
htto://www.nccptnet/EncfineerinWplans.html

iL ( J/
Project Description
Addition of Flow Equalization and Sludge Digestion Facilities to the Existing Silver Bluff
Village Wastewater Treatment Plant
Prepared by: J. Thurman Home, P.E.
Horizon Engineering& Consulting, Inc.
March 26, 2009
Silver Bluff Village is a nursing facility which includes the adjoining properties and facilities of
Silver Bluff, LLC, Arrowhead Cove,LLC and Pigeon Valley, LLC. All of these properties are
owned by the same owner, and function as one nursing complex. An existing waste water
treatment plant is located on the property of Pigeon Valley, LLC and serves all of the nursing
complex facilities. The existing wastewater treatment plant is a 25,000 gpd package type,
extended aeration process facility which has an influent bar screen, aeration basin, dual ,
1 secondary clarifiers, dual effluent chlorine contact basins (tablet feeders) a single effluent
I(_ dechlorination basin (with post air mixing and tablet feeder), effluent pump station and sludge 1
holding basin. The treated effluent is discharged into the Pigeon River in the French Broad River
basin.
This existing waste water treatment plant is located approximately 4.25 miles south of Canton,
N.C. in Haywood County. This is in an area that is located well beyond the extent of current
municipal sewer service.
The existing waste water treatment plant has a marginal overall compliance history with NC
DWQ regulations and Silver Bluff has agreed to make improvements to the existing level of
treatment being provided. An investigation of the existing facilities and consideration of various
alternatives for improvements has resulted in the proposal for improvements and modifications
of existing facilities as described herein.
This project is for the addition of a proposed flow equalization basin and sludge digestor to be
added at the existing 25,000 gpd package WWTP. The existing WWTP does not have influent
flow equalization and has an undersized capacity for sludge holding/digestion. At present,
influent enters directly into the WWTP aeration basin. This proposal is to add a rectangular steel 1
flow equalization basin and sludge digestor, formed by relocating an existing package
wastewater treatment plant. The existing package wastewater treatment plant is being purchased
from an outside source.
The proposed flow equalization facilities will receive the raw wastewater from the existing
influent sewer and will equalize peaks and surges before pumping into the existing aeration basin
and subsequent existing treatment facilities. The flow equalization basin pumps will lift the
equalized flow up into the existing WWTP aeration basin. At 25,000 gpd, the average flow rate
should be about 17.4 gpm. This would be close to the ideal, continuous pump rate for the
equalization basin pumps. Using a peaking factor of 2.5, the design peak flow rate is 43.5 gpm.

r
�, ,
This will be a duplex pump installation and will have a control panel and floats (4) for HOA
operation, alternating pumps, audible and visual alarm.
The proposed addition of the flow equalization basin will not alter the existing wastewater
treatment facilities. All existing facilities will remain in service. The proposed flow equalization
facilities will serve to equalize the flows.influent to the existing wastewater treatment facilities
by dampening the surges in flow that now occur.
A proposed flow splitter box will receive flow from the proposed flow equalization basin pumps
and will allow the rate of flow from the equalization basin to be adjusted and delivered to the
aeration basin at a desired, steady rate with excess being returned to the equalization facilities.
With this installation,the operator should be able to utilize the proposed equalization basin to
receive and dampen the recurring surges in flow now being and control the rate of flow from the
equalization basin to a much more uniform rate of delivery, equalized over the course of the
entire day.
A new, larger sludge digestion basin will be provided that will receive waste sludge from the two
(2) existing clarifiers. The digestor will include an adjustable decant/skimmer.assembly to allow
periodic return of clear supernatant into the proposed flow equalization basin. The facility will
continue the present practice of periodically removing accumulated sludge from the digestor by
pumping to a private licensed hauler for proper disposal off site.
The facilities will also include the installation of a new influent solids grinder and a simple bar
screen as a back up for removing large solids.
In the broader sense, this project does not change the existing treatment methodology and
employs the same treatment processes as now exist, other than to add the benefits of influent
flow equalization and adequate sludge digestion.
The remainder of the existing treatment processes (aeration, clarification, sludge holding, chlorine
disinfection, dechlorination and pumped effluent discharge are unchanged by these proposed
facilities.

•
Exist. Dechlorine
Contact Basin Exist.Effluent
�., — Pump Station 1'
A
Exist. ' Exist.
Chlorine Chlorine
Contact Contact
Basin Basin
A
Exist. Exist.
Clarifier Clarifier
( 177 SF.) (96 SF.)
•
4'
Exist.
•
Prop. Sludge Aeration
Digestion Basin
(7 110 gall (Modified to
(27,652 gal)
Prop. Flow
Equalization
Prop. Influent
.)Solids Grinder and
Bar Screen
3 rvlu4ln YYlonst¢r
Proposed Modified 25,000 GPD WWTP Process Flow Diagram Horizon Engineering & Consulting, Inc.
Silver Bluff Village-WWTP 2510 Walker Road
Mt. Pleasant, N.C. 28124 January 13, 2009
Canton,N.C. Scale:NTS

Residuals Man gement Plan and Construction Sequence uence Plan
Silver Bluff Village WWTP
Prepared byj J. hurman Horne, P.E.
Horizon Engnee ng& Consulting, Inc.
Marc 25, 2009
Residuals Management Plan:
The proposed replacement of existing facilitie an. the associated modifications and improvements do not
include any increase in existing WWTP desi cap.city. The treatment processes remain the same.
Therefore,there is not expected to be any incr ase n the volumes of sludge to be generated.
Sludge removal and off site disposal will contipue n the manner as now exists, although it is expected
that the addition of the new sludge digestor shquld _reatly reduce the current frequency of off site, sludge
disposal. Periodically,the accumulated volumes o sludge in the sludge holding basin are removed and
disposed off site. The current method of dispoal i' by private contractors Mike Smith Pumping Service,
which is disposed by the contractor at the Town of aynesville POTW.
Construction Sequence Plan:
The construction of the proposed modifications sh.uld be able to be accomplished with negligible
interference to the continued operation of the e tist a g WWTP. The proposed new facilities will be
constructed largely independent from the exist g WTP facilities. All of this construction will be
accomplished without interfering with the ope atio s of the currently existing wastewater treatment
facilities.
During construction of the new flow equalizat' n . d sludge digestion facilities, the existing influent to
the existing aeration basin will remain intact and u disturbed. After completing installation of the flow
equalization and sludge digestion facilities, the co tractor will then remove a section of the existing
influent sewer, connect the influent into the propoY-d flow equalization basin and reconnect the effluent
from the proposed flow splitter box, back to the ex sting influent sewer to the existing aeration basin. This
will effectively bring the new flow equalizatiol an' sludge digestion facilities into service.
After completing construction of the new flow equ: ization and sludge digestion facilities, the contractor
will proceed with removal of two section of an exi ting wall which now divides the existing aeration
basin from an existing sludge holding chamber. T e removal of these sections of wall will effectively
eliminate the existing sludge holding chamber i(sin e it is no longer needed by virtue of the new sludge
digestion basin) and add this existing capacity to i crease the total capacity of the existing aeration basin.
In order to remove the wall sections, the contracto i will temporarily plug the influent line into the aeration
basin and hold all incoming sewage in the equiliz. ion basin. The contractor may also plug the influent
line coming into the equalization basin and mcnito manholes upstream to insure that there is no danger of
overflow while sewage is temporarily allowed to b ild within the sewer.
I
The contractor will also be allowed to utilize the a ailable capacity of the new sludge digestion basin to
pump out a portion of the contents of the existing .eration basin (but the contractor must return these
stored wastewaters after the wall sections have be-1 removed.) The contractor must also provide the

• •
-
services of a licensed sept g hauler to remove the remaining contemstof the aeration basin and either
haul this wastewater to an approved site (i.e. the Town of Waynesville POTW) or hold the contents within
the tanker on site, and return the contents into the aeration basin upon completion of removing the wall
sections.
The contractor will be required to coordinate activities in advance and in an expeditious manner. It is
expected that the job of removing the wall sections should be able to be accomplished in less than one
half day. In any event, the contractor will be required to interrupt construction activities, remove all plugs
and restore the WWTP to operation in the event of any problems or unforeseen events that would threaten
to cause any overflow of the sewer.
No bypass of untreated wastewater to any surface waters or lands will be allowed.
As described above,the sequencing of these events is such that it should be possible to maintain treatment
with the existing WWTP with only minimal interruption during the last step of removing the wall
sections.

\\-?-) E, C E
JU
5 2009
Horizon Engineering & Consulting, Inc.
WATER QUALITY SECTION 25 0 Walker Road
ASHEVILLE P.EGIONIMtLP,ieas5n C
7 788 45 04- -45
Fax:[phone]
April 7, 2009
A 8 80 2009
NC Division of Water Quality
Construction Grants & Loans Section COPENUCTON GRANTS&
1633 Mail Service Center ., LOAN SECTION
Raleigh,North Carolina 27699-1633
Attention: Mr. Kim Colson, P.E.
Supervisor
Subject: Request for Authorization to Construct (ATC)
Proposed Flow Equalization and Sludge Digestion Facilities at Existing WWTP
Silver Bluff Village WWTP
NC0033600
Haywood County
Dear Mr. Colson:
Please accept this letter, the attached plans, specifications, and supplemental materials, along
with the letter from Mr. Bob Leatherwood as Silver Bluffs request for Authorization to
Construct.
If you need any assistance or if you have any questions or matters we should discuss, I hope that
you will call me at 704-788-4455.
Si
/lHorne, P.E.
C: Silver Bluff Realty, LLC
Clark& Leatherwood, Inc.
Civil Design Concepts, P.A.

trA
NCDENR 6' R--
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins • - . - Dee Freeman
• Governor Director p- Secretary
June 10, 2009 Q u n
Mr. Bob Leatherwood J U N 1 5 2009I
Silver Bluff Village •
100 Silver Bluff Drive WATER QUALITY SECTION
Canton,North Carolina 28716 ASHEVILLE REGIONAL OFFICE
SUBJECT: Acknowledgement of Request for an—
Authorization Authorization to Construct
Silver Bluff Village
Silver Bluff Village WWTP
WWTP Improvements
NPDES Permit No. NC0033600
Dear Mr. Leatherwood:
The Construction Grants and Loans Section received your request for an Authorization to
Construct and the supporting documentation on April 30, 2009. We will notify you and your
engineer upon completion of our review. Your project has been assigned to Steve Coffey, P.E.
He can be reached at(919) 715-6222.
If you have any questions concerning this matter, please contact me at(919)715-6206.
Sincerely,��4
Seth Robertson, P.E., Supe r
Construction Grants and Loan Section
Design Management Unit
swc/dr
cc: J. Thurman Horne, P.E., Horizon Engineering & Consulting, Inc., 2510 Walker Rd.,
Mount Pleasant, NC 28124
C'As evl1 RegionaL0ifE
WQ Central Files
Steve Coffey, P.E.
ATC File 033600A01
1633 Mail Service Center,Raleigh,North Carolina 27699-1633 One
Location:2728 Capital Blvd.Raleigh,North Carolina 27604 NorthCarolina
Phone:[phone]\FAX:[phone] Customer Service:1-877-623-6748 Internetwiv.v Naturally
.ncwaterquality.org FL r
An Equal Oppo turtily\Affumative Aden Employer

AWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H.Sullins Dee Freeman
Governor Director Secretary
June 10, 2009
MEMORANDUM
TO: Roger Edwards, Regional Water Quality SupervisorECEG
Asheville Regional Office,Division of Water Quality D
a) FROM: Steve Coffey, P.E.,Project Review Engineer _ JUN 1 5 2009 _y
Design Management Unit
WATER QUALITY SECTION
SUBJECT: Request for an Authorization to Construct ASHEVILLE REGIONAL OFFICE
Silver Bluff Village WWTP
NPDES Permit No. NC0033600
Plans, specifications and supporting documents have been received for the subject
project. It is requested that comments and recommendations, including the items listed below, be
received by July 10, 2009 from the Regional Office Staff:
CAMA
Compliance With NC Well Construction Standards
Groundwater Comments
_X_Recommendations for inclusion in the Authorization to Construct
Recommendations for inclusion in the Non Discharge Permit
Schedule for Issuance of the NPDES Permit
SOC, or Other Schedules Which Must be Met
Standby Power Needs
Status of Stormwater Permit
Plan documents are submitted as follows for your reference,review, and comments on the above items:
•
_X_Plans and Specifications
Subsurface/Soils Report
Power Outage Information
Other
If you have any questions, please contact me at(919) 715-6222.
Attachment
swc
cc: Steve Coffey, P.E.
ATC File 036600A01
1633 Mail Service Center,Raleigh,North Carolina 27699-1633 i One
s Location:2728 Capital Blvd.Raleigh,North Carolina 27604 1°'!S. ror
�/ Phone:[phone]\FAX:[phone]\Customer Service:1-877623-6748
Internet www.ncwaterquality.org Nature
An Equal Opportunity\Affirmative Action Employer

Davis, Roy
From: Frazier, Wanda
Sent: Monday, June 22, 2009 11:38 AM
To: Coffey, Steve
Cc: Davis, Roy
Subject: ATC request NC0033600 Silver Bluff Village, Haywood Co.
Hi Steve,
I reviewed the request& looked at the plans. I don't know of anything else that should be considered for inclusion into
the subject ATC request.
(It wasn't clear if they intend to use a tablet dechlorination unit or a chemical feed solution system to dechlorinate.)
Thanks,
Wanda
Wanda Frazier
Email: [e-mail]
North Carolina Department of
Environment and Natural Resources
Asheville Regional Office
Division of Water Quality
Surface Water Protection Section
2090 US 70 Highway
Swannanoa, NC 28778
Switchboard: 828-296-4500 x 4662
Direct line: 828-296-4662
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.
1

FA
A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins • Dee Freeman
Governor Director Secretary
SURFACE WATER PROTECTION SECTION
August 5, 2009
Mr. Bob B. Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton, NC 28716
SUBJECT: Compliance Evaluation Inspection
Pigeon Valley Rest Home
Permit number: NC0033600
Haywood County
Dear Mr. Leatherwood:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the
inspection conducted on August 4, 2009. The facility was found to be in compliance with permit
NC0033600.
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 828-296-4500 extension 4662.
Sincerely, ,�
�aa- 'Wanda P. Frazier
Environmental Specialist
Enclosure
xc: Central Files
aiaAshevitle_Files
_�%�n Carolina
,Natural!;
North Carolina Division of Water Quality 2090 U.S.Highway 70;Swannanoa, N.C. 28778 Phone[phone]
Customer Service 1-877-623-6748 Internet: www.ncwaterqualitv.orq FAX[phone]
R9

•
United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 pl 2 CI 31 NC0033600 111 121 09/08/09 117 181 CI 19111 201 I
J ` I Remarks l—!
21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 ci —Reserved----
671 1.0 169 70111 71 I I 721 N I 731 I 174 751 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 09/08/04 06/12/01
Pigeon Valley Rest Home
100 silver Bluff Dr - Exit Time/Date Permit Expiration Date
Canton NC 28716
11:00 AM 09/08/09 11/01/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Gifford C Raulerson/ORC/828-235-8951/
Name,Address of Responsible OffdaYTitle/Phone and Fax Number
Bob B Leatherwood,100 Silver Bluff Dr Canton NC Contacted
28716//828-698-2099/8286482065 No •
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit El Operations&Maintenance •Records/Reports II Facility Site Review
1.1 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
Wanda P Frazier
ARO WO//828-296-4500.Ext.4662/eczrt
Si n ure 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 (cont.) 1
31 NC0033600 111 12, 09/08/04 117 181C1
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Inspection:
Gifford Raulerson, grade II certified contract operator with Goldie &Associates, assisted in
the inspection.
Records & Reports:
A review of the files indicates that the last compliance evaluation inspection was
conducted on 4-1-2008 by Janet Cantwell.
The permit expires on 1/31/2011. Please request a permit renewal 6 months prior to expiration. A renewal
notice will be mailed as a reminder.
The 2008 Annual Performance Report was received on March 9, 2008.
The log book was present on-site and had good notation of daily events.
Operations & Maintenance/Summary:
This facility appears to be in need of the proposed improvements, i.e. flow equalization and
sludge holding.
Effluent:
The effluent appeared to be clear, indicating compliance with permit limits.
Page# 2

Permit NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 0810412009 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? 0 0 • 0
Is the facility as described in the permit? 0 ■ 0 0
#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: Description should read: 0.025 MGD extended aeration (Clow®) package
WWTP with: manual bar screen; aeration basin; dual clarifiers with sludge returns (one
clarifier is rectangular and part of the original Clow®unit and one is circular&was
added on to the plant); flow splitter; aerated sludge holding tank; dual tablet chlorination
systems; tablet dechlorination; and post aeration. Plans have been submitted and are
under review, for the addition of flow equalization and an aerobic digestor.
Bar Screens Yes No NA NE
Type of bar screen
a.Manual ■
b.Mechanical 0
Are the bars adequately screening debris? ■ ❑ ❑ ❑
Is the screen free of excessive debris? ■ ❑ ❑ ❑
Is disposal of screening in compliance? ■ ❑ n n
Is the unit in good condition? ■ ❑ ❑ ❑
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system Diffused
Is the basin free of dead spots? ROOD
Are surface aerators and mixers operational? ❑ ❑ ■ ❑
Are the diffusers operational? ■ ❑ ❑ ❑
Is the foam the proper color for the treatment process? 11000
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:
Secondary Clarifier Yes No NA NE
Page# 3

r ,
Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 08/04/2009 Inspection Type: Compliance Evaluation
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 n n
Are weirs level? ■ ❑ ❑ ❑
Is the site free of weir blockage? ■ ❑ n n
Is the site free of evidence of short-circuiting? ■ n n n
Is scum removal adequate? ■ ❑ ❑ ❑
Is the site free of excessive floating sludge? ■ ❑ n n
Is the drive unit operational? ■ ❑ ❑ ❑
Is the return rate acceptable(low turbulence)? ■ ❑ ❑ ❑
Is the overflow dear of excessive solids/pin floc? ■ ❑ ❑ ❑
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? 8
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? ■ ❑ ❑ ❑
Comment: There are two tablet chlorinator units. Each unit is currently dispensing 4
tubes of tablets. In addition, tablets have been.placed in the weir troughs of both
clarifiers to kill algae and disinfect the wastewater.
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? 0 0 • 0
Is storage appropriate for cylinders? 001110
#Is de-chlorination substance stored away from chlorine containers? 'Irmo
Comment:
Are the tablets the proper size and type? ■ ❑ ❑ ❑
Are tablet de-chlorinators operational? ■ ❑ ❑ ❑
Page# 4

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 08/04/2009 Inspection Type: Compliance Evaluation
De-chlorination Yes No NA NE
Number of tubes in use? 1
Comment: Dechlorination basin is equipped with post aeration (1 HP). It is
recommended that this basin be pumped, in addition to the clarifier stilling well and
sludge holding tank, during the monthly pumping visit..
Operations& Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 • 0 0
Does the facility analyze process control parameters, for ex:MLSS,MCRT,Settleable Solids, pH,DO,Sludge ■ 0 0 ❑
Judge,and other that are applicable?
Comment: The grass and weeds need to be kept mowed.
Page# 5

ANA
NCDENR
North Carolina Department of Environment and Natural-Resources ._-
Division of Water Quality , i
Beverly Eaves Perdue Coleen H. Sullins Dee-Ereemab. . •
Governor Director D C f nec t ryy,
August 7, 2009 AUG 1 1 2009-
Mr. Bob Leatherwood
Silver Bluff Village WATER QUALITY SCTION
ASHEVILLE REGIONAL OFFICE
100 Silver Bluff Drive
Canton, North Carolina 28716 _
• SUBJECT: Request for Additional Information
Silver Bluff Village
Silver Bluff Village WWTP
WWTP Improvements
ATC No. 033600A01
Haywood County
Dear Mr. Leatherwood:
A review of the plans and specifications in support of the request for Authorization to
Construct has been completed by the Construction Grants and Loans Section (CG&L). The
comments resulting from this review are being transmitted directly to your engineer for
clarification and resolution; a copy is attached for your reference. Our goal is to issue the
Authorization to Construct as soon as possible. If a complete response is not received within 30
days, the application and supporting information will be returned.
Upon receipt of satisfactory responses from your engineer to our comments, the review of
the plan documents will be completed. If you have any questions concerning this matter, please
do not hesitate to contact Steve Coffey, P.E, State Project Review Engineer, at [phone].
Shwerely,
- - - - —atin Ck 11 - -- — —
tiSeth Robertson, P.E., Oa, lsor
Construction Grants and Loans Section
Design Management Unit
swc/dr
Attachment to all
cc: J. Thurman Home, P.E., Horizon Engineering & Consulting, Inc., 2510 Walker Rd.,
Mount Pleasant, NC 28124
1 Ashr.11el2egion 1fUtficc
Steve Coffey, P.E.
ATC File 033600A01
1633 Mail Service Center,Raleigh,North Carolina 27699-1633 One
Location:2728 Capital Blvd.Raleigh,North Carolina 27604 NorthCarol ina
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 �7 �f/////
Internet:www.ncwaterquality.org Naturally
An Equal Opportunity\Affirmative Action Employer

Construction Grants & Loans Section
Design Management Unit
Silver Bluff Village
Silver Bluff Village WWTP
WWTP Improvements
ATC No. 033600A01
Haywood County
Request for Additional Information
General Comments
—_— — — _ 1._Provide_three (3)copies of the revised plans and specifications with written responses to
all review comments.
Review of Plans
1. Sheet 4 of 6.
It is recommended to change the compacted gravel leveling course to 6 inches of clean
washed stone.
Review of Specifications
1. It is recommended that a geotechnical engineer make preliminary observations of the
foundation excavation and test the bearing capacity of the subgrade materials for the
proposed tankage. Unstable materials should be corrected as suggested by the
geotechnical engineer.
2. Installation of a gravity drain, at the lowest point of the foundation, should be considered
to minimize the risk of water collection below the foundation.
3. Tankage foundation design and construction observation by a geotechnical engineer is
recommended. Foundations for the proposed tankage should be designed for a net
allowable bearing pressure. Differential settlement should be addressed in the
geotechnical design and construction observations.

C TILE COPY
AWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
SURFACE WATER PROTECTION SECTION
August 21, 2009
Bob B Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton, NC 28716 Subject: NOTICE OF VIOLATION
NOV-2009-LV-0393
Permit No. NC0033600
Pigeon Valley Rest Home
Dear Mr. Leatherwood: Haywood County
A review of Pigeon Valley Rest Home's monitoring report for May 2009 showed the
following violations:
Parameter Date Limit Value Reported Value Limit Type
BOD Concentration 05/27/09 45 mg/I 59.9 mg/I Daily Maximum Exceeded
Remedial actions, if not already implemented, should be taken to correct any problem. The
reverse side of the relevant DMR required an adequate explanation for any and all violations. If an
explanation was provided, then it is not requested that a response be submitted. If an explanation
was not provided or should you have additional information concerning the violation(s), please
submit them to the attention of Wanda Frazier.
If missing data is available, please provide this data by re-submitting two copies of the
original DMR to Central Files (to the address provided on the DMR) and highlighting the additional
data and comments (such as, "Amended"). The Division of Water Quality may pursue enforcement
actions for this and any additional violation(s).
If 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 Keith Haynes of this office for additional
information.
If you have any questions, please do not hesitate to contact me or Wanda Frazier at 828-
296-4500.
Sincerely,
o-5csa C. I&%VI L4
Roger C. Edwards, Regional Supervisor
xc: Central Fills / ROEji e-e Surface Water Protection Section
£°AhCarolina
A'aturallg
North Carolina Division of Water Quality 2090 US Hwy 70; Swannanoa,NC 28778 Phone[phone]
Customer Service 1-877-623-6748 Internet: www.ncwaterqualitv.orq FAX[phone]

trfA
NCDENR
North Carolina Department of Environment and Natural Resour.Qes . -.. .• -
Division of Water Quay'"' i" ' t t` ' Y�' `T y 4
Beverly Eaves Perdue Coleen H. Sullins a ee-F a man
Governor Director y.kECEnlil Etary
October 21, 2009 c
•
OCT 2 8 2009
1
Mr. Bob Leatherwood II! WATER QUALITY SECTION
1
Silver Bluff Realty, LLC ' ASHEVILLE REGIONAL OFFICE
100 Silver Bluff Drive I ^_, ,i" _•.'_:. - --- --
Canton, North Carolina 28716 ,; w',--6
SUBJECT: Authorization to Construct
A to C No. 033600A01
Silver Bluff Realty, LLC
Silver Bluff Village WWTP
Haywood County
Dear Mr. Leatherwood:
A letter of request for an Authorization to Construct was received April 30, 2009, by the
Division of Water Quality (Division), and final plans and specifications for the subject project
have been reviewed and found to be satisfactory. Authorization is hereby granted for the
construction of modifications to the existing 0.025 MGD Wastewater Treatment Plant, with
discharge of treated wastewater into the Pigeon River in the French Broad River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
Installation of a refurbished 7,100 gallon flow equalization tank, influent bar screen, 80
GPM influent grinder, flow diverter box, and two (2)43 GPM flow equalization pumps;
conversion of an existing sludge digestion basin into an aeration basin; installation of a
refurbished 7,100 gallon sludge digestion basin, decant and skimmer sludge pumps; a 60
scfm blower, and associated yard piping, electrical work and control systems, in
conformity with the project plans, specifications, and other supporting data subsequently
filed and approved by the Department of Environment and Natural Resources.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NC0033600 issued December 1, 2006, and shall be subject to revocation
unless the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0033600.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 NorthCarolina
Phone:[phone] FAX:[phone]%Customer Service:1.877.623-6748 //
Internet:www.ncwaterquality.org Naturally
An Equal Oppoitwty Alfirmafve Acton Employer i/

Mr. Leatherwood
October 21, 2009
Page 2
•
The sludge generated from these treatment facilities must be disposed of in accordance
with G.S. 143-215.1 and in a manner approved by the Division.
In the event that the 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 the Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Asheville Regional Office, telephone number(828)296-4500, shall be notified at
least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the permitted facility
has been installed in accordance with the NPDES Permit, this Authorization to Construct and the
approved plans and specifications. Mail the Certification to: Construction Grants &Loans,
DWQ/DENR, 1633 Mail Service Center,Raleigh, NC 27699-1633.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities. The operator must hold a certificate of the type and grade at
least equivalent to or greater than the classification assigned to the wastewater treatment
facilities by the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class II, III and IV facility at least daily, excluding
weekends and holidays, must properly manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of T15A:8G.0202.
A copy of the approved plans and specifications shall be maintained on file by the
Permittee for the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall
continue to properly maintain and operate the existing wastewater treatment facilities at all times,
and in such a manner, as necessary to comply with the effluent limits specified in the NPDES
Permit.
You are reminded that it is mandatory for the project to be constructed in accordance
with the North Carolina Sedimentation Pollution Control Act, and when applicable, the North

Mr. Leatherwood
October 21, 2009
Page 3
Carolina Dam Safety Act. In addition, the specifications must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
applicable permits from the State.
Failure to abide by the requirements contained in this Authorization to Construct may
subject the Permittee to an enforcement action by the Division in accordance with North
Carolina General Statute 143-215.6A to 143-215.6C.
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal)which have jurisdiction.
One(1) set of approved plans and specifications is being forwarded to you. If you have
any questions or need additional information, please contact Seth Robertson, P.E. at telephone
number(919) 715-6206.
Sincerely,
Coleen H. Sullins
swc:sr �1
cc: J. Thurman Horne, P.E., Horizon Engineering& Consulting, Inc., 2510 Walker Rd.,
Mount Pleasant,-NC28124
_Ashevillaeg oval Office;ASurface-Water Protection
Technical Assistance and Certification Unit
Point Source Branch, NPDES Program
Steve Coffey, P.E.
ATC File 033600A01

Silver Bluff Realty, LLC
A To C No. 033600A01
Issued October 21, 2009
Engineer's Certification
I, , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Silver Bluff Village WWTP,
located on Silver Bluff Drive in Haywood County for the Silver Bluff Village, hereby state that,
to the best of my abilities, due care and diligence was used in the observation of the following
construction:
Installation of a refurbished 7,100 gallon flow equalization tank, influent bar screen, 80
GPM influent grinder, flow diverter box, and two (2) 43 GPM flow equalization pumps;
conversion of an existing sludge digestion basin into an aeration basin; installation of a
refurbished 7,100 gallon sludge digestion basin, decant and skimmer sludge pumps; a 60
scfm blower, and associated yard piping, electrical work and control systems, in
conformity with the project plans, specifications, and other supporting data subsequently
filed and approved by the Department of Environment and Natural Resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Signature Registration No.
Date
Send to: Construction Grants &Loans /
DENR/DWQ
1633 Mail Service Center "
Raleigh, NC 27699-1633

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality r
Beverly Eaves Perdue Coleen H. Sullins 4'`ntihF- u-cn—Dee-Freeman
Governor . Director fi Secretary
October 28, 2009 D C E [IU E
19
.Mr. Bob Leatherwood OCT 3 0 2009
Silver Bluff Realty, LLC
100 Silver Bluff Drive t
Canton,North Carolina 28716 WATER.QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
SUBJECT: Silver Bluff Vil a e WWTP _
Permit No. NC0033600 A
Transmittal of Approved Plans and Specifications
Dear Mr. Leatherwood:
Enclosed is a copy of the plans and specifications, which were approved on
October 21, 2009. The subject documents have been stamped"approved" for your records. A
copy is also being forwarded to the Asheville Regional Office. The Permittee should retain these
documents for the life of the facility.
Should you have questions regarding this matter, call me at [phone].
Sincerely,
h
Seth Robertson, P.E., Supervisor
Design Management Unit
swc: Sr
Enclosures
cc: J. Thurman Home, P.E., Horizon Engineering & Consulting, Inc., 2510 Walker Rd.,
Mount Pleasant, NC 28124
Asleville Regional_Offi_c •
Steve Coffey, P.E.
ATC File 033600A01
•
1633 Mail Service Center,Raleigh,North Carolina 27699-1633 One
Location:2728 Capital Blvd.Raleigh,North Carolina 27694 NorthCarolina
Phone:[phone]\FAX:[phone]\Customer Service:1.877-623-6748 Internet:www.ncwaterquality.org Naturally
An Equal Opportunity 1Affumative Action Employer �/

' i1.aY4HNFuaYsLdcdt:
i
N il L
NCDE
NR
® snnY.a.v-.wns..oevannvY�vw.KMv»:.;i-W�•
Y , DENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
January 14, 2010
•
Mr. Bob B Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton, NC 28716 • •
Subject: NOTICE OF VIOLATION
NOV-2010-LV-0029-
Permit No. NC0033600
Pigeon Valley WWTP
Haywood County
•
Dear Mr. Leatherwood: •
A review of Pigeon Valley Rest Home's monitoring report for October 2009 showed the
following violations:
•
Parameter Date Limit Value Reported Value Limit Type
Total Suspended Solids 10/28/09 45 mg/I 53 mg/I• Daily Maximum 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; however, should you have additional
information concerning the violations or comments which you wish to present, please submit them to the
attention of Wanda Frazier.
The Division of Water Quality may pursue enforcement actions for this and any additional
violations. If you should have any questions, please do not hesitate to contactWanda Frazier 828-
296-4662.
Sincerely,
•
f'0i( Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Enclosure
cc: W_ QCentraJrFiles
'Asheville ales
gn
NOV-2010-LV-0029.Silver BIuff.01-14-10.doc h AhCarolinaAttureff •
North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwaterqualitv.orq FAX [phone]
�SCL.

6 Coo33th a w 4iD
Annual Wastewater Treatment System Performance.Rep.nr-t..,=- .
for [ C E E
lb
Silver Bluff Village tc "�1
i'•' WATER QUALITrgtCTION
for the Operating Period • ASHEVILLE REGIONAL OFFICE
January thru December, 2009 E R@EROWE D
MAR 222010
DENR-WATER QUALITY
POINT SOURCE BRANCH
Preface
•
On July 20 1999, the North Carolina General Assembly ratified House Bill 1160, the Clean
Water Act of 1999, which place significant new reporting requirements on those entities that
own or operate wastewater treatment and collection systems. Specific items included:
1. A Spill Response Plan
2. Sewer Collection System Operation & Maintenance Plan
3. Annual Performance Report
These new requirements became effective October 1, 1999.
This report is designed to meet the minimum requirements for the Annual Performance Report
established by the North Carolina Department of Environment and Natural Resources (DEHNR)
as set forth in their guidance document dated October 19, 1999.
This law was established to provide a mechanism for public oversight (and hopefully, to instill
public confidence) in owners and operators of wastewater treatment systems and in their efforts
to protect the waters of the state.

I. General Information
Facility/System Name: Silver Bluff Village
Haywood County
Responsible Entity: Silver Bluff Village
Person(s) in Charge/Contact: Bob LeatherWood
Gifford Raulerson— Operator-in-Responsible Charge (ORC)
Henry Dyar, Project Manager- Goldie &Associates
Applicable Permits: NPDES #NC0033600
Description of Treatment Process, Collection System, and Facilities Served:
Treatment Process—The treatment facility is a typical "Extended Aeration"process
capable of treating .025 million gallons per day (MGD). The treated effluent is
discharged to the Pigeon River, in the French Broad River Basin.
Collection System—The collection system is a standard design consisting of 8-inch diameter
Pipe, and standard precast manholes. The system was designed to meet all state standards for
wastewater collection systems.
Facilities Served—This system serves the Silver Bluff Village at Canton,NC.
II. WWTPPerformance
All operating parameters were in compliance with NPDES permit limits for 2009, except for the
following occurrences. In May, and November 2009, there were BOD violations. In October,
and November 2009 there were TSS violations. Silver Bluff has received a construction
permit to install an equalization basin to help prevent shock loading on the system.
We take pride in our efforts to protect the local environment and the quality of waters in
our streams.

•
III. Notification
A notice advising of the availability of this report will be sent to each user.
A copy of this report is available to interested persons in the Silver Bluff office or the offices of:
Goldie &Associates
210 West North Second Street
Seneca, SC 29678
As required, three copies of this report are being provided to NCDEHNR.
IV. Certification
I certify that under penalty of law that this report is complete and accurate to the best of
my knowledge.
ge .3-/9- /
Henry Dyar, goldie &Associates Date
This report prepared by:
Henry Dyar
Goldie &Associates
210 West North Second Street
Seneca, SC 29678
Phone: [phone]
Fax: [phone]

r' tV
Frazier, Wanda
From: Thurman Home [[e-mail]]
Sent: Wednesday, March 31 , 2010 4:08 PM
•
To: Coffey, Steve
Cc: Lisa Leatherwood; Bob Leatherwood; Larry Clark; Joe Hill;
Josh Best; Frazier, Wanda
Subject: Proposed WWTP Improvements, Silver Bluff Village
WWTP, Haywood'County, ATC No. 033600A01
Attachments: . Thurman Horne.vcf;
SilverBluffPropNewLocationForEQ&SHTank033110.pdf
Mr. Coffey,
This is a follow up to our telephone conversation on March 29, 2010.
I have attached a photocopy of an excerpt from the site plan for the project on which I have depicted the location that was
originally proposed for the EQ&SH tank, and the new proposed location. As you can see, we are moving the location
approximately 40 feet. This is being done to avoid some underground electrical utilities and to move a safer distance
from an existing pond. The fence will, of course, be extended around the new location.
As we discussed, this is a minor relocation only and does not alter the size, function, etc. of any of the proposed facilities.
My understanding is that you agree that this is not a substantial deviation from the approved plans, specifications and the
Authorization to Construct, and that this modest change is acceptable. In accordance with our discussion, I am sending
this email with the attached diagram for your records and to make sure that I have not misunderstood anything from our
conversation. Of course, if I have misunderstood or if you should need any additional information, I hope that you will call
me as soon as possible(704-788-4455.)
I appreciate your understanding that this proposed relocation is needed.
Again, if you should need any additional information or if there are any matters we should discuss, I hope that you will call
me.
Sincerely, -
J. Thurman Home, P.E.
Horizon Engineering &Consulting, Inc.
•

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FtiriLE C®My
NCDENR
North Carolina Department of Environment and Natural.Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
May 28,2010
Mr. Bob B. Leatherwood
Silver Bluff Village .
100 Silver Bluff Drive
Canton,North Carolina 28716
Subject: NOTICE OF VIOLATION
NOV-2010-LV-0191
Permit No.NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Home's WWTP monitoring report for January 2010 showed the following
violation:
Parameter Date Limit Value Reported Value Limit Type
BOD, 5-Day(20 Deg. C)- 01/06/10 45 mg/1 66.8 mg/I Daily Maximum
Concentration Exceeded
Reminder: Holidays should be clearly marked on the appropriate monthly DMRs.
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:however,should you have additional information concerning the violations or comments which you
wish to present,please submit them to the attention of Janet Cantwell.
The Division of Water Quality 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 at 828/296-4500.
Sincerely,
Roger C. Edwards,Regional Supervisor
Surface Water Protection Section
cc. - - ,.D ashevllle-Files'
llll "—"WQ Central Files
Goldie&Associates/ORC pp
S\.SWI'\I—laymodtwacteseaterlMinors\Silver Bluff-Pigeon Valley 336001NOV-2010-1.V-019Ldoe N"on�elrCarolina
Avaturally
North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwateraualitv.orq FAX [phone] 1-877-623-6748

pp e irrey.1
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Silver B u + e t �C • ` , v
•
Yr § ' i D JUti 2 ?010
-A'inie*lNo:=033600A0:1 a
Issued October 21, 2009 t, - AUG 1 0 2010
i' ( mjt{ iw.,.
' WATER QUALITY SECTION
'r rt "'ib' NAL OFFICE
Engirt rs,Gert�cattoft
I, T tnza wv, izni ,,#i , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe, .eriodic. I , eekly/full time)
the construction of the modifications and improvements to the[Silver•t1 i age WWWTPPI
located on Silver Bluff Drive i Ha.od"Cot if for the Silver Bluff Village, hereby state that,
to the best of my abilities, due care and diligence was used in the observation of the following
construction:
J
Installation of a refurbished 7,100 gallon flow equalization tank, influent bar screen, 80
GPM influent grinder, flow diverter box, and two (2) 43 GPM flow equalization pumps;
conversion of an existing sludge digestion basin into an aeration basin; installation of a
refurbished 7,100 gallon sludge digestion basin, decant and skimmer sludge pumps; a 60
scfm blower, and associated yard piping, electrical work and control systems, in
conformity with the project plans, specifications, and other supporting data subsequently
filed and approved by the Department of Environment and Natural Resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance •poi
d i •- approved plans and specifications. (.ss.e n'or s SECow)
�
Signature .1j� Registration No. /D 73 i
Date - / 20 0
Or
ate/lj��r .
Send to: Construction Grants & Loans ad ' / � • /
DENR/DWQ -
1633 Mail Service Center 1Q{
40 sz:
Raleigh, NC27699-1633 4 e• a
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1'41I

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NCDENRAvTA
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H.Sullins Dee Freeman
Governor
Director 0. s:; as,;s;,•:aL;-,. ;F.ar SeG—�e�taly.'";°,i<,_,.
August 5,2010 D,
BOB LEATHERWOOD t L AUG 1 1 2010
ADMINISTRATOR I
SILVER BLUFF VILLAGE ([. WATER QUALITY SECTION
•
100 SILVER BLUFF DRIVE ASHEVILLE REGIONAL OFFICE
CANTON NC 28716 .. 1
•
Subject: Receipt of permit renewal application
• NPDES Permit NC0033600
Pigeon Valley Rest Home
Haywood County
Dear Mr.Leatherwood:
The NPDES Unit received your permit renewal application on August 2, 2010. A member of the NPDES
Unit will review your application. They will contact you if additional information is required to complete your
-permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing permit
expires.
If you have any additional questions concerning renewal of the subject permit,please contact Bob Guerra at
[phone].
Sincerely,
Dina Sprinkle
Point Source Branch
cc: CENTRAL FILES
Ashevillt!RegiouaIAffice/Surface Water Protection
NPDES Unit
Henry Dyar, Operations Manager, Goldie and Associates,210 W. North Second Street,Seneca,NC 29678
•
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 One
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 NorthCarolina
Internet ptu A native rg
Action
Naturally
Na1u a ly
An Equal Opportunity 1 Affirrnafive Acton Employer ��/ ` L "

•
GOLDIE
ASSOCIATES
engineering, environmental
and laboratory services
July 27, 2010
Mrs. Dina Sprinkle
NC DENR/DWQ /Point Source Branch
1617 Mail Service Center
Raleigh,NC 27699— 1617
RE: NPDES #N00033600 Permit Renewal
Silver Bluff Village (Pigeon Valley Rest Home WWTP)
Dear Mrs. Sprinkle;
Enclosed please find all items required for NPDES Permit Renewal for the above
referenced system: •
If you have any questions, please call [phone] ext 105.
Sincerely;
Goldie&Associates
lvP �/
Henry Dyar
Operations Manager
CC: Bob Leatherwood, Silver Bluff Village
•
•
•
210 W.North Second Street •Seneca, South Carolina 29678 •Phone [phone] •Fax[phone]

Jun. 30. 2010 11 : 22AM Silver Bluff No. 0135 P. 4/6
1IPDES APPLICATION - FORM I)
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MOD
Mail the complete application to:N. C. DENR/ Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617.
- • • ' • . NPDES Permit NCO° 23Coo
If you.are completing this form in computer use the TAB key.or the up - down arrows to move from/one
field to the heat: To checic the boxes, click your Mouse on,top_of'the box. Otherwise,please print or type.
1. Contact Information:Owner Name £/ye✓' .1/c 'V/ �/a -
•
Facility Name 51/ref /J/li�f 7////a._calPiJce/ ValA7 &sit/Amx bite L
Mailing Address - �DC7 S//rcrISkgl./r
City ran. /oil /j
State / Zip Code G 8 7/6 •
Telephone Number ( (.4,) ,Cy a' 2 0 .yl
Fax Number ( ) . D - @ I pd EE D
e-mail Address I
AUG — 22010
2. Location of facility'producing discharge: DENR-WATER QUALITY
Check here if same address as above,W
POINT SOURCE s ANCH
Street Address or State Road ;
City .
State/ Zip Code
County l/lil.� iiiond (^`✓ce ni �j
3. Operator Information: /
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible
Charge orpCRC)
Name C-DI�t/2 /T-r/s'DG(c-fCs
Mailing Address 2/D tD . /Yorf4l f co/7d -5-74reet
City Seneca. / S C
State / Zip Code --Cc_ _256 .78
Telephone Number (861{) �`6 2- _ 8/9 r
Fax Number (y t/) R'8Z-- 0 3'S!
1 of 3 FormA 05108
Received Time Jun. 30. 11 : 20AM

Jun. 30. 2010 11 : 22AM Silver Bluff No. U13h r. b/b
�.FOES APPLICATION - FORM U
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that.apply):
•
Industrial ❑ Number of i;mployeds -' ' ' • •
Commercial 0 Numberbf Employees • • .. - --. - - -
Residential ❑ Number of Homes
School ❑ Number of Students/Staff
Other f Explain: /✓u /siriy % e
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.): n V uY f,//9 /cto e.
population served: 31-3
5. Type of collection system
❑ Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points O
Outfall Identification number(s) .... • -
Is the outfall equipped with a diffuser? ❑ Yes ❑ No
7. Name of receiving stream(s) (Provide a map.showing the exact location of each outfall):
�15eon /g/✓er
8. Frequency of Discharge: Ff Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system - • •
List all installed components, including capacities,provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
8&D /)'end" vc&/ /ecf71 77 percent sec/
oil ZSo in9/L /n and 30 rrly/L. fe/•ryi,f "rat)
/Nitrogen , �[ /ecs•t� ro/ f7errnvi /faro/ai of NH3 ". A
04-57yJ on .yz n9/L ` K/" /i'! • and - 9 /27/L ,Dc,i r7'
/
!! ri'I1 / ,
✓Ce //�� /� �� S T F/D u) eq.�JaC;f/es d r-t�y �s
2(13 �C / Form-D05/08
Received Time Jun. 30. 11 : 20AM

Jun. 30. 2010 11 : 22AM Silver Bluff No. 0135 P. 6/6
ir1PDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow • D 25 MGD •
-
Annual Average daily flow .0 I I MGD (for the previous 3 years)
Maximum daily flow , 0-13 MGD (for the•pr evaous'3 years). • • • "
11. Is this facility located on Indian country?
1] Yes la No
12. Effluent Data
Provide data for the parameters listed.Petal Coliform,Temperature and plishall be grab samples,for all other
parameters 24-hour composite sampling shall be used.If more than one analysis is reported,report daily maximum
and monthly average,If only one analysis is reported,report as daily maximum.
Parameter Daily Monthly Units of'
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5) 5. 38 4633/s tz-
Fecal Coliform CS / 7 n/
Total Suspended Solids 3, 7 Sr 03-
Temperature (Summer) / S /3 - ° C
Temperature (Winter) Z6 . 2:3 oC
pH C Ci
13. List all permits, construction approvals and/or applications;
Type Permit Number Type • Permit Number
Hazardous Waste (RCRA) NESHAPS (CM)
UIC(SDWA) Ocean Dumping(MPRSA)
NPDES /VG DO 33adbDredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program(CAA) •
14. APPLICANT CERTIFICATION • - ' ..• .
•
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
%b Leath erudo 2 . 215-6-a,1✓'
Printe me of Per n Si ing Title
Signature o licant Date
North Carolina General Statute 143.215.E(b)(2)slates; Any person who knowingly makes any false statement representation, or certification in any
application,record,report,plan,or other document files or required to be maintained under Article 21 or regulatons of the Environmental Management
Commission Implementing that Article, or who falsifies, tampers with, or knowingly renders Inaccurate any recording or monitoring device or method
required to be operated or maintained under Miele 21 or regulations of the Environmental Management Commission implementing that Article,shall be
guilty of a misdemeanor punishable by a fine not to exceed$25,000,or by Imprisonment not to exceed six months,or by both. (18 U.S.C.Section 1001
provides a punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
3 of 3 Form-D 05108
Received Time Jun. 30. 11 : 20AM

. f ,-6.CkM0)(14
1. Continue to operate an existing 0.025 MGD wastewater treatment facility with the
following components:
♦ Flow Splitter
• Aeration Basin
• Aerated Sludge Holding
♦ Dual Clarifiers with Sludge Return
+ Chlorine Disinfection
♦ Dechlorination
♦ Post Aeration
The facility is located at Pigeon Valley Rest Home WWTP, 100 Silver Bluff Drive,
south of Canton, Haywood County.
•
2. Discharge from said treatment works at the location specified on the attached map
into the Pigeon River which is classified WS-Ill- Trout waters in the French Broad
River Basin,

•
GOLDIE
ASSOCIATES
engineering, environmental
and laboratory services
July 27, 2010
Mrs. Dina Sprinkle
NC DENR/DWQ/Point Source Branch
1617 Mail Service Center
Raleigh,NC 27699— 1617
RE: NPDES #NC0033600 Permit Renewal
Silver Bluff Village (Pigeon Valley Rest Home WWTP)
Dear Mrs. Sprinkle;
Any sludge or solids that are produced as a part of this wastewater treatment operation
will be removed by a licensed hauler and transported for proper treatment and disposal to
the Town of Waynesville.
If you have any questions,please call [phone] ext 105.
Sincerely;
Goldie&Associates
/4 ` - Zia"—
Henry Dyar
Operations Manager
CC: Bob Leatherwood, Silver Bluff Village
210 W.North Second Street • Seneca,South Carolina 29678 •Phone[phone] • Fax[phone]

Q
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H.Sullins
Governor Director Dee Freeman
Secretary
October 21, 2009
Mr. Bob Leatherwood
Silver Bluff Realty, LLC
100 Silver Bluff Drive
Canton, North Carolina 28716
SUBJECT: Authorization to Construct
-A to C No. 033600A01
Silver Bluff Realty,LLC
Silver Bluff Village WWTP
Haywood County
Dear Mr. Leatherwood:
•
A letter of request for an Authorization to Construct was received April 30, 2009, by the
Division of Water Quality (Division), and final plans and specifications for the subject project
have been reviewed and found to be satisfactory. Authorization is hereby granted for the
construction of modifications to the existing 0.025 MGD Wastewater Treatment Plant, with
discharge of treated wastewater into the Pigeon River in the French Broad River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
•
Installation of a refurbished 7,100 gallon flow equalization tank, influent bar screen, 80
GPM influent grinder, flow diverter box, and two (2)43 GPM flow equalization pumps;
conversion of an existing sludge digestion basin into an aeration basin; installation of a
refurbished 7,100 gallon sludge digestion basin, decant and skimmer sludge pumps;a 60
scfm blower, and associated yard piping, electrical work and control systems, in
conformity with the project plans, specifications, and other supporting data subsequently
filed and approved by the Department of Environment and Natural Resources.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NC0033600 issued December 1, 2006, and shall be subject to revocation
• unless the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0033600.
•
1617 Man Senrice Center,Raleigh,Norm Carolina 27699.1617
Location:512 N.Salisbury St Raleigh,Nonh Carolina 27604 One
Phone:[phone] FAX:[phone] Customer Service:1-677-623-6746 Nor thCarolina
Internet xw,v.rkwaterquality.org
An Equal epponumy%Mrmative Action Employer Naturally .

-
��r- FILE COPY
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
October 15, 2010
Mr. Bob B. Leatherwood
Silver Bluff Village
100 Silver Bluff Drive
Canton, North Carolina 28716
Subject: NOTICE OF VIOLATION
NOV-2010-MV-0148
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Home's WWTP monitoring report for May 2010 showed the
following violation:
Parameter Date Measuring Violation
Frequency
Ammonia Nitrogen Month ending 05/31/2010 2 X/Month Failure to Monitor
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: however, should you have additional information
concerning the violations or comments which you wish to present, please submit them to the attention of Janet
Cantwell.
The Division of Water Quality 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 at
828/296-4500.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
D sheville,Fle
- -=DwQ-CentraP-R --;-_�
Goldie &Associates/ORC 9
S:\SWP\Haywood\Wastewater\Minors\Silver Bluff-Pigeon Valley 33600\NOV-2010-MV-0148.doc N? Carolina
Naturally
North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwaterouality.orq FAX [phone] 1-877-623-6748

Q�;r �'itE Copy
NCDENR
North Carolina Department of Environment and Natural Resources •
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 21, 2011
Mr. Bob B. Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Drive
Canton, North Carolina 28716
Subject: NOTICE OF VIOLATION
NOV-2011-LV-0077
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Home's WWTP monitoring report for August 2010 showed the
following violations:
Parameter Date Limit Value Reported Value Limit Type
BOD, 5-Day (20 Deg. C) - 08/25/2010 45 mg/I 57.4 mg/I Daily Maximum
Concentration Exceeded
• Flow, in conduit or thru 08/31/2010 0.025 mgd 0.031 mgd Monthly
treatment plant Average
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: however, should you have additional information
concerning the violations or comments which you wish to present, please submit them to the attention of Janet
Cantwell.
Please review your records for a Flow of 0.112 MGD recorded on August 2, 2010.
The Division of Water Quality 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 at
828/296-4500.
Sincerely,
Rert
Roger C. Edwards, Regional Supervisor
_ Surface Water Protection Section
cc DWQ-AsfievilleFilea
DWQ Central Files
Goldie &Associates/ORC
S:1SWP1Haywood\Waslewaterwinors\Silver Bluff-Pigeon Valley 33600WOV-2011-LV-0077.doc IN` Carolina
Nrrtura/!y
North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,N.C. 28778 . Phone[phone] Customer Service
Internet: www.ncwatereuality.orq FAX [phone] 1-877-623-6748

►� Er LE COPY
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
July 21, 2011
Mr. Bob B. Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Drive
Canton, North Carolina 28716
Subject: NOTICE OF VIOLATION
NOV-2011-LV-0259
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Home's WWTP monitoring report for March 2011 showed the
following violation:
•
Parameter Date Limit Value Reported Value Limit Type
pH 03/28/2011 6 su 4 su Daily Minimum
Not Reached
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.
For future reference, please make sure the permittee's name, full address, phone number and other
pertinent information are typed on the line below the signature on the reverse of each DMR.
Remedial actions should be taken to correct this problem. The Division of Water Quality 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 at 828/296-4500.
Sincerely,
'' /SA-
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
rrWA,p cshevillerFiles,
DWQ Cen 'Filer w�
Goldie &Associates/ORC DDn
S.�SWPHaywood1Wastewater\Minors\Silver Bluff-Pigeon Valley 33600WOV-2011-LV-0259.doc Iv'o�`1,Carolina
Naturally
North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwateroualitv.orq FAX [phone] 1-877-623-6748

-7
AIWA'
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality ,,;,,
Beverly Eaves Perdue Coleen H.Sullins. t9: , -:111 pee free non
Governor Director ecrelary
February 2,2011 l D
Bob Leatherwood—Administrator
FEB - 4 2°11 I
Silver Bluff Realty, LLC
100 Silver Bluff Drive i SECTION
Canton, North Carolina 28716 4 WATER QUALITY
F E REGIONAL OFFICE
Subject: Issuanc o. NC0033600 ?
Pigeon Valley Rest Home W WTP ry
Ha al County . ,.....--------
• '—
Dear Mr. Leatherwood:
Division personnel have reviewed and approved your application for renewal of the subject permit.Accordingly,we are forwarding the
attached NPDES discharge 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 U.S.Environmental Protection Agency dated October 15,2007
(or as subsequently amended).
The following modifications in the December 8,2010 draft permit remain in the final permit:
• Footnote#1 has been added with the following additional Total Residual Chlorine Language:"The facility shall report all
effluent TRC values reported by a NC certified laboratory including field certified. However,effluent values below 50 ugll will
be treated as zero for compliance purposes."
If any parts,measurement frequencies or sampling requirements contained in this permit are unacceptable to you,you have the right to
an adjudicatory hearing upon written request within thirty(30)days following receipt of this letter. This request must be in the form of a
written petition, conforming to Chapter 150E of the North Carolina General Statutes, and filed with the Office of Administrative Hearings
(6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless such demand is made,this decision shall be final and
binding.
Please note that this permit is not transferable except after notice to the Division. The Division may require modification or revocation
and reissuance of the permit. This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Water Quality or permits required by the Division of Land Resources,the Coastal Area Management Act or any other
Federal or Local governmental permit that may be required. If you have any questions conceming this permit, please contact Bob
Guerra at telephone number(919)807-6387 or email at(bob.querraancdenr.00v).
Sy, /ALI
oleen H.Sullins -
Enclosure: NPDES Permit NC0033600 '
cc: NPDES Unit
(AstievZe Regionaloffice bSurface Water Protection, Roger Edwards,Supervisor
Goldie&Associates -
210 W. North Second Street .
Seneca, South Carolina 29678
Central Files
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Sarabury St.Raleigh,North Carolina 27604 One
Phone:[phone] FAX:[phone]\Customer Service:1-877 623-6748 NorthCarolina
Internet htlpJfportatocdenr.orghveblwgThome Naturally
An Equal OpportniyIAfamative Action Employer (. �•'�'•'urally

• Permit Number NC0033600
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions 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, the
Silver Bluff Realty, LLC
is hereby authorized to discharge wastewater from a facility located at the
Pigeon Valley Rest Home WWTP
55 Lake Drive
Canton
Haywood County
to receiving waters designated as the Pigeon River in the French Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, Ill and IV hereof.
This permit shall become effective March 1, 2011
This permit and authorization to discharge shall expire at midnight on January 31, 2016
Signed this day February 2, 2011
Col H. Sullins, Director _
D' sion of Water Quality
By Authority of the Environmental Management Commission

Permit Number NC0033600
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge,
are hereby superseded and, as of this issuance, any previously issued permit
describing this treatment facility or bearing this number is no longer effective. Therefore,
the exclusive authority to operate and discharge from this facility arises under the permit
conditions, requirements, terms, and provisions described herein.
Silver Bluff Realty, LLC is hereby authorized to:
1. Continue to operate an existing 0.03 MGD wastewater treatment facility with the
following components:
•
• Flow equalization tank (7,100 gallon)with 2 (43 GPM) Pumps
• Influent bar screen
• Influent grinder (80GPM)
• Flow diverter box
♦ Aeration basin
• Sludge digester basin (7,100 gallon)
♦ Decant and skimmer sludge pumps and 60 cfm blower
• Tablet Chlorination
• Tablet dechlorination
• Post aeration
This facility is located at the Pigeon Valley Rest Home WWTP, 55 Lake Drive,
Canton, in Haywood County.
•
2. Discharge from said treatment works at the location specified on the attached map
into the Pigeon River, classified WS III Trout Waters in the French Broad River
Basin.

it r
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Silver Bluff Realty, LLC I Facility •
`'Pigeon Valley Rest Home WWTP
Location _• "• - -
Latitude: 35°28'45" N State Grid: Waynesville not to scale -
Longitude: 82°52'56" W Permitted Flow: 0.030 MOD
NPDES Permit No.NC0033600
Receiving Stream: Pigeon River Stream Class: WS III Trout North Drainage Basin: French Broad River Basin Sub-Basin: 04-03-05-06010106 Haywood County

Permit Number NC0033600
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee
is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the
Permittee as specified below: , 7
_
Limits MonitoringRequirements. Effluent Characteristics q
= Monthly Daily Measurement ., Sample .
. Average. Maximum Frequen•cy Sample Type , Location.
50050 - Flow 0.03 MGD Weekly Instantaneous Influent or Effluent
50060 -Total 28 gg/L 2/Week Grab Effluent
Residual Chlorine
00310-BOD, 5 30.0 mg/I 45.0 mg/I Weekly Grab Effluent
day(20°C)
00530-Total 30.0 mg/I 45.0 mg/I Weekly Grab Effluent
Suspended Solids
31616 - Fecal
Coliform 200/100 ml 400/100 ml Weekly Grab Effluent
(geometric mean)
00010— Weekly Grab Effluent •
Temperature(°C)
00400 -pH Between 6 & 9 standard units Weekly Grab Effluent
00610 - NH3 as N 2/Month Grab Effluent
Footnotes:
1.. The Division shall consider all effluent TRC values reported below 50 ug/I to be in compliance with the
permit. However,the Permittee shall continue to record and submit all values reported by a North Carolina
certified laboratory(including field certified),even if these values fall below 50 ug/I.
There shall be-no discharge of floating solids or visible foam in other than trace amounts. --

• ,,,c,033&00
Annual Wastewater Treatment System Performance Report
for
Silver Bluff Village
for the Operating Period
January thru December, 2010
Preface
On July 20 1999, the North Carolina General Assembly ratified House Bill 1160,the Clean
Water Act of 1999,which place significant new reporting requirements on those entities that
own or operate wastewater treatment and collection systems. Specific items included:
1. A Spill Response Plan
2. Sewer Collection System Operation &Maintenance Plan
3. Annual Performance Report
These new requirements became effective October 1, 1999.
This report is designed to meet the minimum requirements for the Annual Performance Report
established by the North Carolina Department of Environment and Natural Resources (DEHNR)
as set forth in their guidance document dated October 19, 1999.
This law was established to provide a mechanism for public oversight(and hopefully,to instill
public confidence)in owners and operators of wastewater treatment systems and in their efforts
to protect the waters of the state.
E © EI1V
MAR 2E2011 IltglEgyg@
MAR 3 1 2011 ! o _
d• POINTSOURCE
+OUR C B RAH
1
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE

I. General Information
Facility/System Name: Silver Bluff Village
Haywood County
Responsible Entity: Silver Bluff Village
Person(s) in Charge/Contact: Bob Leatherwood
Gifford Raulerson—Operator-in-Responsible Charge (ORC)
Henry Dyar,Project Manager- Goldie &Associates
Applicable Permits: NPDES #NC0033600
Description of Treatment Process, Collection System, and Facilities Served:
Treatment Process—The treatment facility is a typical"Extended Aeration"process
capable of treating .025 million gallons per day (MGD). The treated effluent is
discharged to the Pigeon River, in the French Broad River Basin.
Collection System—The collection system is a standard design consisting of 8-inch diameter
Pipe, and standard precast manholes. The system was designed to meet all state standards for
wastewater collection systems.
Facilities Served—This system serves the Silver Bluff Village.at Canton,NC.
II.W WTP Performance
All operating parameters were in compliance with NPDES permit limits for 2010, except for the
following occurrences. In January, and August 2010, there were BOD violations. In May 2010 there
was a failure to monitor for Ammonia violation. Improvements have been made at the WWTP that
should help prevent future BOD violations. Also, a sample schedule has been put in place to help
prevent failure to monitor violations.
We take pride in our efforts to protect the local environment and the quality of waters in
our streams.

M.Notification
A notice advising of the availability of this report will be sent to each user.
A copy of this report is available to interested persons in the Silver Bluff office or the offices of:
Goldie &Associates
210 West North Second Street
Seneca, SC 29678
As required,three copies of this report are being provided to NCDEHNR.
IV. Certification
I certify that under penalty of law that this report is complete and accurate to the best of
my knowledge.
�V 3 Z 3—//
Henry Dya/ Goldiee&&Associates Date
This report prepared by:
Henry Dyar
Goldie&Associates
210 West North Second Street
Seneca, SC 29678
Phone: [phone]
Fax: [phone]

I {1Co t-i0.Tw.
4
Annual Wastewater Treatment System Performance Report
for
Silver Bluff Village ,..<.:::::: ;-4-z `.;.,.a,,,..
EC ! MVED
for the Operating Period ��l
a
MAR 3 0 2012
January thru December, 2011
( _ WATER QUALITY SECTION
1 ASHEVILLE REGIONAL OFFICE '
a
Preface
On July 20 1999,the North Carolina General Assembly ratified House Bill 1160,the Clean
Water Act of 1999, which place significant new reporting requirements on those entities that
own or operate wastewater treatment and collection systems. Specific items included:
1. A Spill Response Plan
2. Sewer Collection System Operation &Maintenance Plan
3. Annual Performance Report
These new requirements became effective October 1, 1999.
This report is designed to meet the minimum requirements for the Annual Performance Report
established by the North Carolina Department of Environment and Natural Resources (DEHNR)
as set forth in their guidance document dated October 19, 1999.
This law was established to provide a mechanism for public oversight(and hopefully, to instill
public confidence) in owners and operators of wastewater treatment systems and in their efforts
to protect the waters of the state.
I ?,,i i
MAR 2 6 2012
OENR-WATER QUALITY
POINT SOURCE BRANCH

r
I. General Information
Facility/System Name: Silver Bluff Village
Haywood County
Responsible Entity: Silver Bluff Village
Person(s) in Charge/Contact: Bob Leatherwood
Gifford Raulerson—Operator-in-Responsible Charge (ORC)
Henry Dyar, Project Manager- Goldie &Associates
Applicable Permits: NPDES #NC0033600
Description of Treatment Process, Collection System, and Facilities Served:
Treatment Process—The treatment facility is a typical "Extended Aeration"process
capable of treating .025 million gallons per day (MGD). The treated effluent is
discharged to the Pigeon River, in the French Broad River Basin.
Collection System—The collection system is a standard design consisting of 8-inch diameter
Pipe, and standard precast manholes. The system was designed to meet all state standards for
wastewater collection systems.
Facilities Served—This system serves the Silver Bluff Village at Canton,NC.
II.WWTP Performance
All operating parameters were in compliance with NPDES permit limits for 2011.
We take pride in our efforts to protect the local environment and the quality of waters in
our streams.

III.Notification
A notice advising of the availability of this report will be sent to each user.
A copy of this report is available to interested persons in the Silver Bluff office or the offices of:
Goldie &Associates
210 West North Second Street
Seneca, SC 29678
As required,three copies of this report are being provided to NCDEHNR.
IV. Certification
I certify that under penalty of law that this report is complete and accurate to the best of
my knowledge.
gter, 3-22—/2_
Henry Dyar,Goldie &yAssociates Date
This report prepared by:
Henry Dyar
Goldie &Associates
210 West North Second Street
Seneca, SC 29678
Phone: [phone]
Fax: [phone]

1 R.RO
Annual Wastewater Treatment System Performance Report
for KLUEIVED
MAR 2 6 2013
Silver Bluff Village CENTRAL FILES
C'NWQ/30G
for the Operating Period
January thru December, 2012
•
Preface
On July 20 1999, the North Carolina General Assembly ratified House Bill 1160, the Clean
Water Act of 1999, which place significant new reporting requirements on those entities that
own or operate wastewater treatment and collection systems. Specific items included:
1. A Spill Response Plan
2. Sewer Collection System Operation &Maintenance Plan
3. Annual Performance Report
These new requirements became effective October 1, 1999.
This report is designed to meet the minimum requirements for the Annual Performance Report
established by the North Carolina Department of Environment and Natural Resources (DEHNR)
as set forth in their guidance document dated October 19, 1999.
This law was established to provide a mechanism for public oversight (and hopefully, to instill
public confidence) in owners and operators of wastewater treatment systems and in their efforts
to protect the waters of the state.
RECEIVED
APR 1 5 2013
�DW Q/Surface Water Protection Section o Py^�/�/�
Asheville Regional Office `>D
FFE 22013
0
PON Sot/R Fe

•
I. General Information
Facility/System Name: Silver Bluff Village
Haywood County
Responsible Entity: Silver Bluff Village
Person(s)in Charge/Contact: Bob Leatherwood
Gifford Raulerson—Operator-in-Responsible Charge (ORC)
Henry Dyar, Project Manager- Goldie &Associates
Applicable Permits: NPDES #NC0033600
Description of Treatment Process, Collection System, and Facilities Served:
Treatment Process—The treatment facility is a typical "Extended Aeration"process
capable of treating .025 million gallons per day (MGD). The treated effluent is
discharged to the Pigeon River, in the French Broad River Basin.
Collection System—The collection system is a standard design consisting of 8-inch diameter
Pipe, and standard precast manholes. The system was designed to meet all state standards for
wastewater collection systems.
Facilities Served—This system serves the Silver Bluff Village at Canton,NC.
II. WWTP Performance
All operating parameters were in compliance with NPDES permit limits for 2012.
We take pride in our efforts to protect the local environment and the quality of waters in
our streams.

III.Notification •
A notice advising of the availability of this report will be sent to each user.
A copy of this report is available to interested persons in the Silver Bluff office or the offices of:
Goldie &Associates
210 West North Second Street
Seneca, SC 29678
As required,three copies of this report are being provided to NCDEHNR.
IV. Certification
I certify that under penalty of law that this report is complete and accurate to the best of
my knowledge.
i/-nat / y 2 -17-13
Henry Dyar, Goldie &Associates Date
This report prepared by:
Henry Dyar
Goldie&Associates
210 West North Second Street
Seneca, SC 29678
Phone: [phone]
Fax: [phone]

AWA
CCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E. John E. Skvarla, Ill
Governor Director Secretary
May 31, 2013
Mr. Bob B. Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Drive
Canton, North Carolina 28716
Subject: NOTICE OF VIOLATION
NOV-2013-LV-0340
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Home's WWTP monitoring report for March 2013 showed the
following violation:
Parameter Date Limit Value Reported Value Limit Type
BOD, 5-Day(20 Deg. C) - 03/27/2013 45 mg/I 56.9 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 Quality 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.
Sincere) , e�ze
Chuck Cranford, Regional Supervisor
Surface Water Protection Section
C o _.IDIIIVLPlgOievl - a1 es,._
DWQ Central Files
Goldie &Associates/ORC
S:\SWP\Haywood\WastewaterWlinors\Silver Bluff-Pigeon Valley 33600WOV-2013-LV-0340.doc I T`o hCarolina
,Naturally
North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone[phone]
Internet: www.ncrateroualitv.orq FAX [phone] .

- _ 7Wes/'-// /.'C/
The BOD sample taken on March 27, 2013-exceeded the permit limit this may have been
from seasonal temperature changes. The BOD sample taken the following week was in
compliance. The compliance box on the back of the DMR was marked incorrectly it
should have been mark non-compliance.
vJ��fe

r� .
NCDENR
North Carolina Department of Environment and Natural Resources •
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, Ill
Governor Director Secretary
September 4, 2013
Mr.Bob B. Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Drive
Canton, North Carolina 28716
Subject: NOTICE OF VIOLATION
NOV-2013-LV-0502
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
•
A review of Pigeon Valley Rest Home's WWTP monitoring report for May 2013 showed the
following violation: - ..
Parameter Date Limit Value Reported Value Limit Type
BOD, 5-Day (20 Deg. C) - 05/22/2013 45 mg/I 118 mg/I Daily Maximum
Concentration 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,
,W
Chuck Cranford, Regional Supervisor
Surface Water Protection Section
cc� 1=,DWR Asheville File`s_;
DWR Central Files
Goldie &Associates/ORC
G:\WQ\SWP\Haywood\Wastewater\Minors\Silver Bluff-Pigeon Valley 33600\NOV-2013-LV-0502.doc
DIVISION OF WATER RESOURCES 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone [phone]
Internet: www.ncwaterqualitv.orq An Equal Opportunity/Affirmative Action Employer FAX [phone]

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E.Skvada, Ill
Governor Director Secretary
January 17, 2014
Bob B Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Dr
Canton NC 28716
SUBJECT: Compliance Evaluation Inspection
Pigeon Valley Rest Home .
Permit No: NC0033600
Haywood County •
Dear Mr. Leatherwood :
Enclosed please find a copy of the Compliance Evaluation Inspection conducted on December 11,2013. The
cooperation from the operator is appreciated. No violations of permit requirements or applicable regulations
were observed during this inspection. The facility was found to be in compliance with permit NC0033600.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any question please call me at 828-296-4500.
Sincerely,
Jeff Menzel
Environmental Specialist
cc: Gifford C Raulerson,ORC
Central Files
Asheyille 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.orgIwe6Avq/ws
An Equal Opportunity\ARrmative Action Employer
G:IWQISWPWaywood\WastewaterlMinors\Silver Bluff-Pigeon Valley 33600133600 CEI 2013.doc

c
United States Environmental Protection Agency
Form Approved. ..
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac(Type
1 I N I 2 I S I 31 NC0033600 111 121 13/12/11 117 18 20 I
Remarks J L fJ
21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ------------------Reserved-----------
671 169 70 I 71 I I 721 ni I 731 I 174 751 I I I I I I 180
`J Section B: Facility Data IJ
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)
Pigeon Valley Rest Home 10:00 AM 13/12/11 11/03/01
100 Silver Bluff Dr Exit Time/Date Permit Expiration Date
Canton NC 28716 11:00 AM 13/12/11 16/01/31
Name(s)of Onsite Representative(s)Ttles(s)/Phone and Fax Number(s) Other Facility Data •
///
Gifford C Raulerson/ORC/828-235-8451/
Name,Address of Responsible OfficialTtie/Phone and Fax Number
Contacted
Bob B Leatherwood,100 Silver Bluff Dr Canton NC 28716//828-648-2044/8286482065 Yes
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit El Operations&Maintenance •Records/Reports III Facility Site Review
Efluent/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 /Jk ARO WO//828-296-4500/ )�A
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 (cont.) 1
3I NC0033600 111 12I 13/12/11 J 17 18IS_
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
This facility consists of a 0.025 MGD extended aeration package WWTP with: manual bar screen, aeration
basin, dual clarifiers with sludge returns, flow splitter, aerated sludge holding tank, dual tablet chlorination
systems, tablet dechlorination and post aeration.
During the summer months this facility started accepting approximately 300 gallons of waste water daily
from a nearby vegetable packing house.According to the operator this additional water has not caused any
issues with the treatment plant.
The cooperation from the operator is appreciated. No violations of permit requirements or applicable
regulations were observed during this inspection.
•
Page# 2

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home •
Inspection Date: 12/11/2013 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 ■ ❑ 0 0
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? ❑ ❑ U ❑
Is the facility as described in the permit? ■ ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ❑ ■ ❑
Is access to the plant site restricted to the general public? ■ ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑
Comment: The permit is set to expire on January 31, 2016.
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? ■ ❑ ❑ ❑
Is the site free of excessive buildup of solids in center well of circular clarifier? ■ ❑ ❑ ❑
Are weirs level? ■ ❑ ❑ ❑
Is the site free of weir blockage? ■ ❑ ❑ ❑
Is the site free of evidence of short-circuiting? ■ ❑ ❑ ❑
Is scum removal adequate? ■ ❑ ❑ ❑
Is the site free of excessive floating sludge? ■ ❑ ❑ ❑
Is the drive unit operational? ■ ❑ ❑ ❑
Is the return rate acceptable(low turbulence)? ■ ❑ ❑ ❑
Is the overflow clear of excessive solids/pin floc? ■ ❑ ❑ ❑
Is the sludge blanket level acceptable?(Approximately%of the sidewall depth) 0 0 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? ❑ ❑ ■ ❑
Are the diffusers operational? ■ ❑ ❑ ❑
Page# 3

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 12/11/2013 Inspection Type: Compliance Evaluation
Aeration Basins Yes No NA NE
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? ❑ 0 0 ■
Is the DO level acceptable?(1.0 to 3.0 mg/I) 0 0 0 ■
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ■ ❑ ❑ ❑
Are the tablets the proper size and type? ■ ❑ ❑ ❑
Number of tubes in use? 4
Is the level of chlorine residual acceptable? ■ ❑ ❑ ❑
Is the contact chamber free of growth,or sludge buildup? ■ I] n n
Is there chlorine residual prior to de-chlorination? ■ ❑ ❑ ❑
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? U ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? 0 0 ■ 0
Comment: The outfall pipe is adjacent to the Highway 110 bridge just before the
intersection with Highway 276.
Page# 4

N®p �p
C fl
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
July 24, 2014
•
Mr. Bob B. Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Drive
Canton, North Carolina 28716
Subject: NOTICE OF VIOLATION
NOV-2014-MV-0053
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Home's WWTP monitoring report for March 2014 showed the
following violation:
Parameter Date Measuring Frequency Violation
Nitrogen, Ammonia Total 03/31/2014 2 X month Failure to Monitor
(as N) - Concentration
•
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
cr�c;lWQSheville Files_Y
MSC 1617-Central Files-Basement
Goldie &Associates/ORC
G:\WR\WG\Hay.vood.Was;ewarer\Minars\Silver Sluff-Pigeon Valley 33500\N0V-2014.MV-0053 doe
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http:l/partal.ncdenr.org/weblwq
An Equal Opportunity!Affirmative Action Employer

�Fr;�/�
NCDENR •
North Carolina Department of Environment and Natural Resources
•
Pat McCrory Donald R. van der Vaart
Governor • Secretary
March 20, 2015
•
Mr. Bob B. Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Drive •
Canton, North Carolina 28716
• Subject: NOTICE OF VIOLATION
NOV-2015-MV-0042
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Home's WWTP monitoring report for November 2014 showed the
following violation;
Parameter Date Measuring Frequency . Violation
Nitrogen, Ammonia Total 11/30/2014 2 X/Month Failure to Monitor
(as N) - Concentration
•
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
�Fc WQ Asheville Files:-
-Mad 1617=Central-Files-Basement
Goldie &Associates/ORC
•
G\WR\WO\HaywooNWaslewater%4inors\Silver Bluff-Pigeon Valley 33600\NOV-2015-MV-0042.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: [phone] Fax: [phone]
Internet: http://pertal.ncdenr.org/web/wq
An Equal Opportunity!Affirmative Action Employer

•
•
NCDENR •
North Carolina Department of Environment and Natural Resources
•
Pat McCrory Donald R. van der Vaart
Governor . Secretary
June 5, 2015
Mr. Bob B. Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Drive
Canton, North Carolina 28716
• Subject: NOTICE OF DEFICIENCY
• NOD-2015-MV-0084
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
• Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Home's WWTP monitoring report for February 2015 showed the
following violation:
Parameter Date Measuring Violation
Frequency
Chlorine, Total Residual 02/28/2015 2 X/Week Failure to Monitor
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. If the above
parameter was left off inadvertently, please send an amended DMR within 10 business days of receipt
of this letter to Raleigh at the address found on the front page of your DMR and also a copy to this •
office.
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. Land an Da dson, P.G., Regional Supervisor
Water Q ' , Regional Operations, NCDENR
Asheville Regional Office
ccr WLYLasheville Files 7
MSC 1617-Central Files-Basement
Goldie &Associates/ORC
G:\WR\WQ\Haywood\Wastewater\Minors\Silver Bluff-Pigeon Valley 3360014 0D-2015-MV-00a4.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/weblwq
An Equal Opportunity/Affirmative Action Employer

ATA,
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Wart •
Governor Secretary
June 8, 2015
Mr. Bob B. Leatherwood
Silver Bluff Realty LLC •
-
100 Silver Bluff Drive
Canton, North Carolina 28716 •
Subject: NOTICE OF VIOLATION
NOV-2015-LV-0352
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Mr. Leatherwood:
A review of Pigeon Valley Rest Homers WWTP monitoring report for March 2015 showed the
following violation:
Parameter Date Limit Value Reported Value Limit Type
BOD, 5-Day (20 Deg. C) - 03/11/2015 45.0 mg/I 51.8 mg/I Daily Maximum
Concentration 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, r
G. Lando idson, P.G., egional Supervisor
Water Quality Regional Operations, NCDENR
Asheville Regional Office
Washeville-Files
MSC 1617-Central Files-Basement
Goldie &Associates/ORC
, G:1WR\WQWayweo tWaslewalerWinoretSilver Bluff-Pigeon Valley 336001N0V-2015-LV-0352.doc
Water Quality Regional Operations—Asheville Regional Office 2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone: [phone] Fax: [phone] .
Internet: http•I/portal.ncdenr.org/webfwq
An Equal Opportunity/Affirmative Action Employer

' G ® r ED I S Civil and Environmental Engineering
• ` Environmental Consulting
`y , — ASSOCIATES — Utility Operations
tv
Environmental Laboratory
September 23,2015
Wren Thedford
NC DENR/DWR/NPDES Unit
. 1617 Mail Service Center
Raleigh, NC 27699-1617
RECEIVEDIDENRIDWR
RE: NPDES#NC0033600 Permit Renewal SEP 30 2015
Silver Bluff Village (Pigeon Valley Rest Home W WTP) Water Quality
Dear
Section
ear Mr.Thedford:
Enclosed please find all items required for NPDES Permit Renewal for the above referenced system.
If you have any questions please call(864)882-8194,ext. 122.
Sincerely,
Goldie and Associates
6f I,0Sy /J� , ', RECEIVED
/ d • Division of Water Fesources
Christopher Martin
Operations Manager OCT 2 1 2015 CC: Bob Leatherwood,Silver Bluff Village " Water Quality Regional Operations
Asheville Regional Office
•
210 W.North 2nd Street www.goldleassociates.com Phone:[phone]
Seneca,SC 29678 WE LISTEN.WE SERVE. Fax:[phone]

'-" C 0 L C I Civil and Environmental Engineering
Environmental Consulting
— ASSOCIATES — Utility Operations
Environmental Laboratory
September 23, 2015
Wren Thedford
NC DENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617 . RECEIVED/DENR/DWR
SEP 3 0 2015
RE: NPDES#NC0033600 Permit Renewal
Silver Bluff Village(Pigeon Valley Rest Home W WTP) Water Quality
Permitting Section
Dear Mr.Thedford:
Any sludge or solids that are produced as a part of this wastewater treatment operation will be removed
by a licensed hauler and transported for proper treatment and disposal to the Town of Waynesville.
If you have any questions please call [phone],ext. 122.
Sincerely,
Goldie and Associates
Christopher Martin
Operations Manager
CC: Bob Leatherwood,Silver Bluff Village
•
210 W.North 2°d Street www.goldieassociates.com Phone:[phone]
Seneca,SC 29678 WE LISTEN.WE SERVE. Fax:[phone]

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR/ Division of Water Resources / NPDES Program
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit NCOO 33600
If you are completing this form in computer use the TAB key or the up—down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise,please print or type. •
1. Contact Information:
Owner Name Silver Bluff Village
Facility Name Silver Bluff Village (Pigeon Valley Rest Home WWTP)
Mailing Address 100 Silver Bluff Drive
City Canton REC�fVFn
State / Zip Code NC/28716 /�� wR
,CED n
Telephone Number [phone] u 6 2075
Fax Number water
( ) penhittin Q1/a/ity
e-mail Address won
2. Location of facility producing discharge:
Check here if same address as above
Street Address or State Road
City
State / Zip Code
County Haywood County
3. Operator Information:
Name of the fnn, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Goldie &Associates / Gifford Raulerson
Mailing Address 210 W North Second Street
City Seneca
State / Zip Code SC/29678
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 3 Form-D 9t2013

z.
NPDES APPLICATION - FORM D
For privately-owned treatment systems'treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial 0 Number of Employees
Residential ❑ Number of Homes
School 0 Number of Students/Staff
Other ® Explain: (Uursvx truhint,
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Nursing home
Number of persons served: 383
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 01
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? D Yes ® No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
Pigeon River
S. Frequency of Discharge: ® Continuous 0 Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities,provide design removal for ROD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
BOD and TSS Removal: at least 87% (based on 250 mg/L in and 30 mg/L permit limit)
Nitrogen: at least 80%removal of NH3-N (based on 40 mg/L TKN in and 8 mg/L permit limit)
See Attachments: Flow, capacities, and upgrades
2of3 FomrD912013

•
NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
•
10. Flow Information:
Treatment Plant Design flow 0.025 MGD
Annual Average daily flow 0.012 MGD (for the previous 3 years)
Maximum daily flow 0.017 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed.Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used.If more than one analysis is reported,
report daily maximum and monthly average.If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading(Daily Maximum)and Monthly Average over
the past 36 months for parameters currently in your permit. Mark other parameters `N/A°.
Parameter Daily Monthly units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5) 118 28.32 mg/L
Fecal Coliform 101 21 # / 100 ml
Total Suspended Solids 36 15.2 mg/L
Temperature (Summer) 26 25.8 °C
Temperature (Winter) 19 18.75 °C
PH 7.4 —
—
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste(RCRA) NESHAPS (CAA)
VIC(SDWA) Ocean Dumping(MPRSA)
NPDES NC0033600 Dredge or fill(Section 404 or CWA)
PSD (CAA) Other
Non-attainment program(CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
.bab Lea ter aced ',�,,
Printed eofPerson . � ihls rdlfi r
fining Title
ree /
_.e_.2ta 4.—_,.0_1 7..? ? Z V/5—
Signs o phcant Date
North Carolina General Statute 143-215.6 (b)(2)states: Any person who knowingly makes any false statement representation, or certification in any
application, record,report,plan,or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission Implementing that Article, or who falsifies, tampers with, or knowingly renders Inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article,shall be
• guilty of a misdemeanor punishable by a fine not to exceed$25,000,or by imprisonment not to exceed six months,or by both. (18 U.S.C.Section 1001
provides a punishment by a fine of not more than$25,000 or Imprisonment not more than 5 years,or both,for a similar offense.)
3 of 3 Form-D 9/2013

1. Continue to operate an existing 0.025 MGD wastewater treatment facility with the
following components:
♦ Flow Splitter
♦ Aeration Basin •
• Aerated Sludge Holding •
♦ Dual Clarifiers with Sludge Return
♦ Chlorine Disinfection
♦ Dechlorination
♦ Post Aeration
The facility is located at Pigeon Valley Rest Home WWTP, 100 Silver Bluff Drive,
south of Canton, Haywood County.
•
2. Discharge from said treatment works at the location specified on the attached map
into the Pigeon River which is classified WS-III-Trout waters in the French Broad
River Basin.

AMAS
VNCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue Division of Water Quality ,
Governor Colean EL SullinsDee Freeman
Secretary
October 21,2009
Mr.Bob Leatherwood
Silver Bluff Realty,LLC
100 Silver Bluff Drive
Canton,North Carolina 28716
SUBJECT: Authorization to Construct
A to C No.033600A01
Silver Bluff Realty,I df
Silver Bluff Village WWTP
Haywood County
Dear Mr.Leatherwood:
A letter of request for an Authorization to Construct was received April 30,2009, by the
Division of Water Quality (Division),and final plans and specifications for the subject project
have been reviewed and found to be satisfactory. Authorization is hereby granted for the
construction of modifications to the existing 0.025 MGD Wastewater Treatment Plant,with
discharge of treated wastewater into the Pigeon River in the French Broad River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
Installation of a refurbished 7,100 gallon flow equalization tank, influent bar screen, 80
GPM influent grinder,flow diverter box,and two (2)43 GPM flow equalization pumps;
conversion of an existing sludge digestion basin into an aeration basin;installation of a
refurbished 7,100 gallon sludge digestion basin,decant and skimmer sludge pumps; a 60
sef n blower,and associated yard piping,electrical work and control systems, in
•
conformity with the project plans, specifications, and other supporting data subsequently
filed and approved by the Department of Environment and Natural Resources,
This Authorization to Construct is issued in accordance with Part III,Paragraph A of
NPDES Permit No.NC0033600 issued December 1, 2006,and shall be subject to revocation
unless the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No.NC0033600.
•
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North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
October 13,2015
Mr. Bob Leatherwood,Administrator
Silver Bluff Village
100 Silver Bluff Drive
Canton,NC 28716 •
Subject: Acknowledgement of Permit Renewal
Application No.NC0033600
Pigeon Valley Rest Home
Haywood County
Dear Permittee:
The Water Quality Permitting Section has received your permit renewal application on September
30, 2015. A member of the NPDES Unit will review your application. They will contact you if
additional information is required to complete your permit renewal. Per G.S. 150B-3 your current permit
does not expire until permit decision on the application is made. Continuation of the current permit is
contingent on timely and sufficient application for renewal of the current permit. Please respond in a
timely manner to requests for additional information necessary to complete the permit application.
If you have any additional questions concerning renewal of the subject permit, please contact
Wren Thedford at 919-807-6304 or [e-mail].
RECEIVED
Division of Water Resources
Sincerely, j
ocT 2 1 2015
W re A,ninekfard,
Wren Thedford Water Quality Regional Operations
• ii Asheville Regional Office ,
Wastewater Branch
.....rt.trzttrenterrttcyrern
cc: Central,Eiles
shi bgbg alrOffice Wilter-Qnalitya2egionalflperatiims:Sectioni0
NPDES Unit
•
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St.Raleigh,North Carolina 27604
Phone:[phone] Fax:[phone]/Customer Service:1-877-623-6748
Internet::www.ncwater.org
An Equal 0pportunilyWtirmative Action Employer

PAT MCCRORY
P.? Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
� p , a
• / 0� alay ,drL 4—P December 15,2015
MrcebL, �j
Culdie Assoc. /Q0 l/-Gt .�l •
-249-W.North 2'1 St. /J -/ /AG Z 4
oC2nc�,r Gir/iyTt/Y�- T
S Pyw¢ oc z�o r
Subject: Issuance of NPDES Permit NC0033600
Pigeon Valley Rest Home WWTP
Haywoo ounty
CIa33-WitsrT—
Dear Mr.Martin:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly,we are forwarding the attached NPDES discharge 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 U.S.Environmental Protection Agency dated October 15, 2007(or as
subsequently amended).
•
This final permit includes no major changes from the draft permit sent to you on October 21,2015.
•
If any parts,measurement frequencies or sampling requirements contained in this permit are unacceptable
to you,you have the right to an adjudicatory hearing upon written request within thirty(30)days
following receipt of this letter. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes,and filed with the Office of Administrative
Hearings(6714 Mail Service Center,Raleigh,North Carolina 27699-6714). Unless such demand is
made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal .�
requirements to obtain any other Federal, State, or Local governmental permit that may be required. If
you have any questions concerning this permit,please contact Sonia Gregory at telephone number(919)
807-6333.
Sinc ely,
S.Jay Zimmerm ,Director ; CEIVED
Division of Water Resour8esb10n of Water Resources .
cc: Central Files •
A�sii ille`RegionalOffice_7
NPDES Unit JAN - 5 2016
Water Quality Regional Operations
Asheville Regional Office
State of North Carolina I Environmental Quality l Water Resources
1617 Mail service Center l Raleigh,North Carolina 27699-1617 •
919 707 9000

PermitNC0033600
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility,whether for operation or discharge, are
hereby superseded and, as of this issuance, any previously issued permit describing this
treatment facility or bearing this number is no longer effective. Therefore,the exclusive authority
to operate and discharge from this facility arises under the permit conditions,requirements,
terms, and provisions described herein. .
Silver Bluff Realty,LLC is hereby authorized to: _
•
1. Continue to operate an existing 0.03 MGD wastewater treatment facility with the following
components:
• Flow equalization tank (7,100 gallon)with 2 (43 GPM) Pumps
• Influent bar screen
• Influent grinder(80GPM)
• Flow diverter box
• Aeration basin
♦ Sludge digester basin(7,100 gallon)
♦ Decant and skimmer sludge pumps and 60 cfin blower
♦ Tablet Chlorination
• Tablet dechlorination
• Post aeration
This facility is located at the Pigeon Valley Rest Home WWTP, 100 Silver Bluff Dr.,
Canton, in Haywood County.
•
2. Discharge from said-treatment works at the location specified on the attached map into the
Pigeon River, classified WS III Trout Waters in the French Broad River Basin.
Page 2 of 5

Permit NC0033600
STALE, OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WAS I'LWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions 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,the
Silver Bluff Village
is hereby authorized to discharge wastewater from a facility located at the
Pigeon Valley Rest Home WWTP
100 Silver Bluff Dr.
Canton
Haywood County
•
to receiving waters designated as the Pigeon River in the French Broad River Basin
in accordance with effluent limitations,monitoring requirements, and other conditions set forth
in Parts I, II, III and IV hereof.
This permit shall become effective February 1,2016.
This permit and authorization to discharge shall expire at midnight on January 31, 2020
Signed this day December 15, 2015.
S. immerman,P.G., Director
ision of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 5

Permit NC0033600
Part I. •
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et.seq., 02B .0500 et seq.] •
During the period beginning on the effective date of this permit and lasting until expiration,the
Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and
monitored 1 by the Permittee as specified below: •
EFFLUENT
CHARACTERISTICSEFFLUENTTLIMITS M©NITQRING!REQUEREMENTS,
-
Mouthly Daily ;Measurement
Average Maximum', Frequency Sample Type Sample'Location
Flow
[50050] 0.03 MGD Weekly Instantaneous Influent or Effluent
Total Residual Chlorine 2 •
[50060] 28 pg/I 2/VVeek Grab Effluent
•
BOD, 5 day(20°C) •
mg/I mg/I 45.0 m /I WeeklyGrab, Effluent
[00310]
Total S1uspended Solids 30.0 mg/I 45.0 mg/I Weekly . Grab Effluent
[00530Fecal Coliform (geometric
mean) 200/100 ml 400/100 ml Weekly Grab Effluent
[31616]
Temperature CC) Weekly Grab Effluent
[00010]
pH
[00400] Between 6&9 standard units Weekly Grab Effluent
NH3 as N
[00610] 2/Month Grab Effluent
Footnotes:
1. No later than 270 days from the effective date of this permit,the permittee shall begin submitting discharge
monitoring reports electronically using the Division's eDMR system[see A.(2)].
2. The Division shall consider all effluent,TRCvalues reported below 50 ug/1 to be in compliance with the
permit. However,the Permittee shall continue to record and submit all values reported by a North Carolina
certified laboratory(including field certified),even if these values fall below 50 ug/l.
•
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 3 of 5

Permit NC0033600
A. (2) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[G.S. 143-215.1(b)]
Proposed federal regulations require electronic submittal of all discharge monitoring reports(DMRs)and
specify that,if a state does not establish a system to receive such submittals,then permittees must submit
DMRs electronically to the Environmental Protection Agency(EPA). The Division anticipates that these
regulations will be adopted and is beginning implementation.
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit(Standard Conditions for NPDES Permits):
• Section B.(11.) Signatory Requirements
• Section D. (2.) Reporting •
• Section D.(6.) Records Retention
• Section E. (5.) Monitoring Reports •
1. Reporting 'Supersedes Section D. (2.) and Section E. (5.) (a)l
Beginning no later than 270 days from the effective date of this permit,the permittee shall begin
reporting discharge monitoring data electronically using the NC DWR's Electronic Discharge
Monitoring Report(eDMR)intend application.
Monitoring results obtained during the previous month(s)shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data and submit DMRs electronically using the interne. Until such time that the state's
eDMR application is compliant with EPA's Cross-Media Electronic Reporting Regulation
(CROMERR),permittees will be required to submit all discharge monitoring data to the state
electronically using eDMR and will be required to complete the eDMR submission by printing,
signing,and submitting one signed original and a copy of the computer-printed eDMR to the
following address:
NC DENR/Division of Water Resources/Information Processing Unit
Al t'ENTION: Central Files/eDMR
1617 Mail Service Center
Raleigh,NC 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility
being physically located in an area where less than 10 percent of the households have broadband
access,then a temporary waiver from the NPDES electronic reporting requirements may be granted
and discharge monitoring data may be submitted on paper DMR forms(MR 1, 1.1,2,3)or alternative
forms approved by the Director. Duplicate signed copies shall be submitted to the mailing address
above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be
submitted in writing to the Division for written approval at least sixty(60) days prior to the date the
facility would be required under this permit to begin using eDMR. Temporary waivers shall be valid
for twelve(12)months and shall thereupon expire. At such time,DMRs shall be submitted
electronically to the Division unless the permittee re-applies for and is granted a new temporary
waiver by the Division.
Page 4 of 5 •

1
Permit NC0033600
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
http://portal.ncdenr.org/web/wq/adm in/bog/ipu/edmr
Regardless of the submission method,the first DMR is due on the last day of the month following the
issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
1. Signatory Requirements [Supplements Section B. (11.)(b) and supersedes Section B.(11.)
(d)1
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II,
Section B. (11.)(a)or by a duly authorized representative of that person as described in Part U,
Section B.(11.)(b). A person,and not a position,must be delegated signatory authority for eDMR
reporting purposes. _
For eDMR submissions,the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North Carolina's
eDMR system,registering for eDMR and obtaining an eDMR user account,please visit the following
web page:
http://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr
•
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make
the following certification[40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION
WILL BE ACCEPTED:
"I certt& under penalty of law, that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that quaked personnel
properly gather and evaluate the information submitted.Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the information,
the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.I
am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
2. Records Retention[Supplements Section D. (6.)1
•
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions.
These records or copies shall be maintained for a period of at least 3 years from the date of the report.
This period may be extended by request of the Director at any time[40 CFR 122.41].
•
Page 5 of 5

.
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Silver Bluff Realty, LLC I
Pigeon Valley Rest Home WWTP Faciti :
Location ' .,atitude: 35°28'45" N State Grid: Waynesville not to scale °'
onpitude: 82°52'56" W Permitted Flow: 0.030 Mop G:
eceivine Stream: Pigeon River Stream Class: WS III Trout 7� I NPDES Permit No.NC0033600 I
rainaee Basin: French Broad River Basin Sub-Basin: 04-03-05-06010106 North
Haywood County

Cantwell,Janet
From: Gregory, Sonia
Sent: Friday,January 15, 2016 4:16 PM
To: Cantwell,Janet
Subject: E_Pigeon Valley:RestHome1N00033600 Haywood Co,,7-.
fetes, I,caninakeLth_ese.changes.'Thanksy
Sonia Gregory
Environmental Specialist
Compliance and Expedited Unit
Division of Water Resources
North Carolina Department of Environmental Quality
1617 Mail Service Center, Raleigh, NC 27699-1617
[phone]
sonia.gregorypncdenr.qov
Nothing Compares.— .
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and maybe disclosed to third parties.
From: Cantwell,Janet
Sent:Thursday,January 14, 2016 12:22 PM
To: Gregory,Sonia<[e-mail]>
Cc:Wiggs, Linda<[e-mail]>; Heim,Tim <[e-mail]>; Cantwell,Janet
<janet.cantwell@ncden r.gov>
Subject: Pigeon Valley Rest Home NC0033600: Haywood Co.
Hi Miss Sonia---I just got a copy of the new WWTP permit for Pigeon Valley Rest Home/Silver Bluff dated 12/15/15
effective 2/1/16.
It shows-the WW1 -CCIas5 W W 1E It is a WW 2:
It is also addressed to Goldie &Associates in Seneca,SC, and not to the owner Bob Leatherwood in Canton, NC. Goldie
is the operating firm and they provide the ORC,they don't own it. They may have submitted the renewal application for
the owner,though.
Can you provide the changes? Thanks--Janet
Janet Cantwell
Environmental Specialist—Asheville Regional Office
Water Quality Regional Operations Section
NCDEQ— Division of Water Resources
828-296-4500 Office
828-299-7043 Fax
1

•i
Email: janet.cantwell a(�ncdenr.go� -
2090 US Highway 70
Swannanoa, NC 28778-8211
-c"— 'Nothing Compares.-,.._ '
•
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
t
•

. . - PAT MCCRORY.
0
DONALD R,,I$AV DER VAAtr
WaierResources
trNvtROAkexrat tivAirt :5.'7AY ZIMMERMAI;T
0ectei
February 2, 2016
Bob B Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Dr
Canton, NC 28716
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0073
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Permittee:
A review of the July 2015 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported '
Location Parameter Date Value Value Type of Violation
001 Effluent pH (00400) 7/27/2015 9 73 Daily Maximum Exceeded
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
a
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
tee WQS Ashev1fe-RegionaliOffice-Enforcement:File - r
NPDES Compliance/Enforcement Unit- Enforcement File
Goldiie &Associates/ ORC G:\WR\WQ\Haywood\Wastewater\Minors\Silver Bluff-Pigeon Valley 33600\NOV-2016-LV-0073.rtf
State of North Carolina I Environmental Quality I Water Resources - .
2090 U.S.70 Highway,Swannanoa,NC 28778 r
828-2964500

L.cppx
gouensr
DONALD Ik VAR DEit T'AART
WpterResgurces
ENytRe}tatxra%.alJnt if SC:JAY ZIMMERMAN;
_ Drecuii
February 3, 2016
Bob B Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Dr
Canton, NC 28716
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-MV-0021
Permit No. NC0033600
Pigeon Valley Rest Home
Haywood County
Dear Permittee:
A review of the October 2015 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Monitoring Violation(s):
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent Nitrogen, Ammonia Total (as N) - 10/31/2015 2 X month Frequency Violation
Concentration (C0610)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: LOfFF
Q�=Asheville-Regiona �ce„=Enforcement File
NPDES Compliance/EnforcemenUiit``t Enforcement File
Goldie &Associates/ ORC G:\WR\WQ\Haywood\Wastewater\Minors\SNer Bluff-Pigeon Valley 33600\NOV-2016-MV-0021.rtf
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

. .
•
P 9T; dCCILORS
D'ONALIY It_VAN,I ER �YAART
F'Y,ater'Reeito§
. )e.cFolo ititv9.0437Y $':;SAY ZIhf1vTP.RMA'N
. Ijuaigi
Certified Mail # 7012 1010 0002 1965 6799
Return Receipt Requested
July 22, 2016
Bob B Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Dr
Canton, NC 28716
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0417 •
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Permittee:
A review of the March 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day (20 Deg. C) - 3/2/2016 45 52.9 Daily Maximum Exceeded
Concentration (C0310)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
Please refer to the latest letter titled"Electronic Reporting Requirements" dated March 31, 2016, concerning
registering to use the Division's new e-DMR system for the completion and electronic submittal of monthly
Discharge Monitoring Reports (DMRs).
Your facility will be required to report your Discharge Monitoring Reports electronically by December 21, 2016.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

•
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
GCc:--WQS-Asheville-Regional=Office---Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Goldie &Associates/ ORC
•
•
G:WR\WQ\Haywood\Wastewater\Minors\Bluer Bluff-Pigeon Valley 33600\NOV-2016-LV-0417.rtf

PAT'Mt"rC:RORX
NC _(1: '. . -
DONALPR VAWDER. )'AART
WaterRespitrces . ,
•
�i.0 0.00i ac-QIAF;:im• ,$.•`JAY'�INSh�tER'I.3�:.N
Certified Mail # 7012 1010 0002 1965 6188
Return Receipt Requested
June 10, 2016
•
Bob B Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Dr
Canton, NC 28716
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0321
Permit No. NC0033600
Pigeon Valley Rest Home
Haywood County
Dear Permittee: '
A review of the January 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day(20 Deg. C) - 1/13/2016 45 45.1 Daily Maximum Exceeded
Concentration (C0310)
001 Effluent BOD, 5-Day (20 Deg. C) - 1/27/2016 45 62.7 Daily Maximum Exceeded
Concentration (C0310)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
Please refer to the latest letter titled 'Electronic Reporting Requirements" dated March 31, 2016, concerning
registering to use the Division's new e-DMR system for the completion and electronic submittal of monthly
Discharge Monitoring Reports (DMRs).
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

•
iI
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
yr"
roe
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Ji
fec: WQS=Asheville-Regional-Office---Enforcemenf-File-7
NPDES Compliance/Enforcement Unit - Enforcement File
Goldie &Associates/ ORC
•
•
•
•
G:\WR\WQ\Haywood\Wastewater\Minors\Slyer Bluff-Pigeon Valley 33600\NOV-2016-LV-0321.rtl

•
r_
. •
xax�
D'cTh AL13 R tiANBEt*1Lh4T
Stt'r'$eigkais .
Certified Mail # 7014 0510 0000 4466 4729
Return Receipt Requested
September 9, 2016
Bob B Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Dr
Canton, NC 28716
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0505
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Permittee:
A review of the May 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violationfs):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day (20 Deg. C) - 5/4/2016 45 59.3 Daily Maximum Exceeded
Concentration (C0310)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
Please refer to the latest letter titled "Electronic Reporting Requirements"dated March 31, 2016, concerning_
registering to use the Division's new e-DMR system for the completion and electronic submittal of monthly
Discharge Monitoring Reports (DMRs).
Your facility will be required to report your Discharge Monitoring Reports electronically by December 21, 2016.
State of North Carolina I Environmental Quality I Water Resources
• 2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

•
.
For more information, please visit the eDMR Website at the following address:
http://portal.ncdenr.org/web/wo/admin/bog/ipu/edmr. •
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cCc.—WQS Asheville Regional Office - EnforcementF ie-
NPDES Compliance/Enforcement Unit - Enforcement File
Goldie &Associates/ ORC
•
•
•
•
•
GT/VR\WQ\Haywood\Wag— atervllnors\Silver Bluff-Pigeon Valley 33600\NOV-2016-LV-0505.rtf •

ROY COOPER
is taverner
•
MICHAEL S. REGAN
seamy
Water Resources S.JAY ZIMMERMAN
ENYIRONNENTALOUAUTY Metter
February 06, 2017
Mr.Bob B Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Dr
Canton,NC 28716
Subject: Payment Acknowledgement
Pigeon Valley Rest Home '
Permit NC0033600
Case No. LV-2017-0024
• County Haywood
Dear Mr. Leatherwood:
This letter is to acknowledge receipt of payment in the amount of$566.62 received from you on
02/06/2017.This payment satisfies in full the above civil assessment(s) levied against the subject facility,
and this case has been closed. Payment of this penalty in no way precludes future action by this Division for
additional violations of the applicable Statues, Regulations, or Permits. .
If you have any questions,please contact Wren Thedford at 919-807-6397.
Sincerely,
3t/� cal
Wren Thedford ,.._
cc: Central Files
NPDES tit°�►
A`sheuille•Regional-Offiie tterei s. .
000
0.33
a2�v
Pea\010°11/4
�e5ec paste elk
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500 - -

ROY COOPER
�• �� '?., Governor
, a - rrat.l t --_1
MICHAEL S. REGAN
Secretary
Water Resources S. JAY ZIMMERMAN
Exwttota urrM,atAnUn'
Director
1
•
May 1, 2017
Bob Leatherwood
Silver Bluff Realty
100 Silver Bluff Dr.
Canton,NC 28716
•
SUBJECT: Compliance Evaluation Inspection
Pigeon Valley Rest Home WWTP
PermitNo: NC0033600
Haywood County
Dear Mr. Leatherwood:
On April 5, 2017, I conducted a Compliance Evaluation Inspection of the Individual NPDES
Discharge Permit that serves the Pigeon Valley Rest Home WWTP.This inspection was conducted
to ascertain what steps have been taken to improve plant performance after several consecutive
months of BOD limit violations in 2016. Several of the system components were being repaired at
the time of the inspection; however,based on records reviewed, discussions with staff and the on-
- site evaluation, the system was determined to be compliant with Permit No. NC0033600. To
maintain compliance,the following item needs to be addressed as soon as possible:
• Effluent pipe location is currently unknown. Deter iine the location of the effluent pipe
and notify the Asheville Regional Office.
The assistance of the ORC, Joedavid Hall, was greatly appreciated. Please refer to the enclosed
inspection report for additional observations and recommendations. If there are any questions or
additional information is needed, please feel free to contact me at 828-296-4500 or by email at
[e-mail].
Sincerely,
Z-7/2/ ,
Mikal Willmer
Environmental Specialist
Asheville Regional Office
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

C
m
Enclosure:Inspection Report -
cc: Joedavid Hall,ORC
MSC 1617-Central Files
�WQrAsheville-.Eiles� •
G:\WR\WQ\Haywood\Wastewater\Minors\Silver Bluff-Pigeon Valley 33600\Inspect.April 5,2017\CEI Letter 04-05-
2017.docx

Z
United States Environmental Protection Agency Form Approved.
EPA Washington.D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 i , ) 2 IS I 3 I NC0033600 111 121 17/04/05 117 181,.1 19I c I 20I I
21� III ! III I I I I I I I I I I I mil I I i l
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA — —Reserved ---
671 701 I 71 I 72 I N I 731 I 174 79 I I I I I I I80
Section B:Facility Data 1
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Dale Permit Effective Date
POTW name and NPDES permit Number) 10:50AM 17/04/05 16/02/01
Pigeon Valley Rest Home
100 Silver Bluff Dr Exit Time/Date Permit Expiration Date
Canton NC 28716 - 11:20AM 17/04/05 20/01/31
Name(s)of Onsite Representative(s)Rtles(s)/Phone and Fax Number(s) Other Facility Data
///
Joedavid Matthew Flall/ORC/828-586-5588/
Name,Address of Responsible Official/Title/Phone and Fax Number
Bob B Leatherwood,100 Silver Bluff Dr Canton NC 28716//828-648-2044/8286482065 Contacted
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
MI Permit 111 Flow Measurement 11 Operations&Maintenar Records/Reports
Self-Monitoring Progran 1.1 Sludge Handling Dispos 1M1 Facility Site Review EEffluent/Receiving Wate
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
Mikal Willmar ARO WQ//828-296-4686/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
S I --I �
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

1
NPDES yr/mo/day Inspection Type (Cont.) 1
3I NC0033600 Ill 121 . 17/04/05 117 18 U
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Inspector, Mikal Willmer, with the Asheville Regional Office conducted a Compliance Evaluation
Inspection of the Pigeon Valley Rest Home's Wastewater Treatment Plant on April 5, 2017. ORC
Joedavid Hall with Environmental Inc. was present and assisted in the inspection. This inspection was
conducted to ascertain what steps have been taken to improve plant performance after several
consecutive months of BOD limit violations in 2016. ,
Environmental Inc. took over operations in December 2016. Per the ORC, they believe some of the
past issues with BODs were due to problems with aeration and solids handling within the plant. Since
adjusting plant operations over the past few months, he is no longer seeing solids pass through to the
dechlorination chamber. Environmental Inc. is currently in the process of repairing electrical controls to
the AB blower motors and in the process of ordering a new effluent pump. The ORC mentioned the
chlorine contact basin appeared to be out of level. Environmental Inc. and Pigeon Valley Rest Home
Staff may wish to investigate this matter further.
The location of the effluent pipe is currently unknown.A previous inspection report indicates it is
adjacent to the route 110 bridge before intersecting with 276. DWR requests Environmental Inc. and
Pigeon Valley Rest Home staff locate the effluent pipe for routine monitoring and maintenance. Please
notify DWR when the effluent pipe is found.
Inspector, Mikal Willmer, spoke with the ORC on 4/18/2017 to discuss the possible location of the
effluent pipe. He stated he would begin searching for the pipe near the 110 bridge.
Additionally, DWR recommends manually checking flow when pulling samples to obtain a more
representative measurement.
•
•
Page# 2

i
Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 04/05/2017 - 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 • ❑. 0 0
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: Environmental Inc. began operating and maintaining this facility at the beginning of
December 2016. ORC, Joedavid Hall, states he is routinely checking setteability as they
work on managing the solids.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ ❑
application?
Is the facility as described in the permit? M ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ E ❑ ❑
Is access to the plant site restricted to the general public? • ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? • ❑ ❑ ❑
Comment: Permit was renewed in December of 2015.
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? 11000
Are all records maintained for 3 years (lab. reg. required 5 years)? B ❑ ❑ ❑
Are analytical results consistent with data reported on DMRs? � ❑ ❑ ❑
Is the chain-of-custody complete? 00110
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? 0 0 • 0
(If the facility is =or> 5 MGD permitted flow) Do they operate 24/7 with a certified operatc ❑ 0 • 0
on each shift?
Is the ORC visitation log available and current? ❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? • ❑ ❑ ❑
Is the backup operator certified at one grade less or greater than the facility classification' ❑ ❑ ❑
Page# 3

P
Permit: NC0033600 Owner.Facility: Pigeon Valley Rest Home
Inspection Date: 04/O5/2017 . - Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE •
Is a copy of the current NPDES permit available on site? 11100D
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ED
Comment: Environmental Inc. has only been operating the facility for four months. No CoC used.
Operator brings samples directly to Environmental Inc.'s laboratory. Sample information is
located on bottle.
Bar Screens Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical ❑
Are the bars adequately screening debris? IN ❑ ❑ 0
Is-the screen free of excessive debris? • ❑ ❑ ❑
Is disposal of screening in compliance? • ❑ ❑ ❑
Is the unit in good condition? l• ❑ ❑ ❑
Comment: ORC states change in practice at the Pigeon Valley Rest Home has reduced the amount of
debris flowing into the system.
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system Diffused
Is the basin free of dead spots? MI ❑ ❑ ❑
Are surface aerators and mixers operational? ❑ ❑ • ❑
Are the diffusers operational? ❑ 0 0
Is the foam the proper color for the treatment process? • ❑ ❑ ❑
Does the foam cover less than 25% of the basin's surface? 0 0 ❑
Is the DO level acceptable? ❑ ❑ ❑ a
Is the DO level acceptable?(1.0 to 3.0 mg/I) 0 0 0 •
Comment: Electrician is coming to work on blowers. Environmental Inc. has temporarily fixed leak in ail
feed to diffusers. Diffusers appeared to be operational. Aeration is set on a timer. ORC
stated the diffusers did not appear to have issues from corrosion. No apparent dead spots
were observed during the inspection.
Equalization Basins Yes No NA NE
Is the basin aerated? ■ ❑ ❑ ❑
Is the basin free of bypass lines or structures to the natural environment? M ❑ ❑ ❑
Page# 4

I
Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 04/05/2017 Inspection Type: Compliance Evaluation
Equalization Basins Yes No NA NE
Is the basin free of excessive grease? • ❑ ❑ ❑
Are all pumps present? S •❑ ❑ ❑
Are all pumps operable? • 0 ❑ ❑
Are float controls operable? 5 ❑ ❑ ❑
Are audible and visual alarms operable? • ❑ ❑ ❑
#Is basin size/volume adequate? • ❑ ❑ ❑
Comment: EQ basin has some build up that needs to be removed, but appeared to be free of excessive
debris. Staff of the Pigeon Valley Rest Home have switched to using rags, which has
reduced issues with the pumps in the EQ basin.
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? • ❑ ,❑ 0
•
Are weirs level? • ❑ ❑ ❑
Is the site free of weir blockage? • ❑ ❑ ❑
•
Is the site free of evidence of short-circuiting? • ❑ ❑ ❑
Is scum removal adequate? - • ❑ ❑ ❑
Is the site free of excessive floating sludge? • ❑ ❑ ❑
Is the drive unit operational? • ❑ ❑ ❑
Is the return rate acceptable (low turbulence)? 0 0 ❑
•
Is the overflow clear of excessive solids/pin floc? 110 ❑ ❑
Is the sludge blanket level acceptable? (Approximately'A of the sidewall depth) ❑ ❑ ❑
Comment: There are currently two secondary clarifiers, one circular and one rectangular clarifier which
was part of the original plant.
Aerobic Digester Yes No NA NE
Is the capacity adequate? • ❑ ❑ ❑
Is the mixing adequate? • ❑ ❑ ❑
Is the site free of excessive foaming in the tank? 110 ❑ ❑
#Is the odor acceptable? • ❑ ❑ ❑
#Is tankage available for properly waste sludge? • ❑ .❑ ❑
Comment: Currently solids are being pumped every one to two months by Mike Smith Pumping.
Environmental Inc. is currently making repairs to system components. •
• Disinfection-Tablet Yes No NA NE
Page# 5

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 04/05/2017 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? MEI ❑ ❑
Are the tablets the proper size and type? a ❑ ❑ ❑
Number of tubes in use? 3
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? II1000
Comment: ORC checked for the presence of chlorine directly after the chlorination tubes in the chlorine
contact chamber at the request of the Inspector. There was a slight indication of chlorine
directly after the chlorination tubes and almost none prior to discharge from the contact
chamber. The ORC planned to adjust the amount of chlorine to increase the residual.
De-chlorination Yes No NA NE
Type of system ? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? 0 0 • 0
Is storage appropriate for cylinders? 0 0 • 0
#Is de-chlorination substance stored away from chlorine containers? ❑ ❑ ❑
Comment:
Are the tablets the proper size and type? • ❑ ❑ ❑
Are tablet de-chlorinators operational? 1110 ❑ ❑
Number of tubes in use? 3
Comment:
Flow Measurement - Effluent Yes No NA NE
#Is flow meter used for reporting? 0 . 00
Is flow meter calibrated annually? 00110
Is the flow meter operational? ❑ ❑ • ❑
(If units are separated) Does the chart recorder match the flow meter? ❑ ❑ • ❑
Comment: This facility uses water meter flow readings for weekly measurements. ORC reports daily
flows are between 15000 and 16000 GPD. Permit requires instantaneous flow. Recommend
manually checking flow when pulling samples to obtain a more representative
measurement.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ • 0 ❑
Are the receiving water free of foam other than trace amounts and other debris? 000111
Page# 6

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home
Inspection Date: 04/05/2017 Inspection Type: Compliance Evaluation -
Effluent Pipe • Yes No NA NE
If effluent (diffuser pipes are required) are they operating properly? ❑ 0 ❑
Comment: ORC and Pigeon Valley Staff are unaware of the location of the effluent pipe. One of the twc
effluent pumps are currently down. Environmental Inc. is in the process of ordering a
replacement. The Division of Water Resources requested Environmental Inc. and the
Permittee locate the effluent pipe as soon as possible.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ � ❑
Is sample collected below all treatment units? ❑ ❑ • ❑
Is proper volume collected? ❑ ❑ MI ❑
Is the tubing clean? ❑ ❑ 0
#.Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ 0 � ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type • 0 0 ❑
representative)?
Comment: Permit only requires the collection of qrab samples. ORC brings samples directly to the
laboratory, he indicated a CoC is not used.
Standby Power Yes No NA NE
Is automatically activated standby power available? • ❑ Cl 0
Is the generator tested by interrupting primary power source? • ❑ ❑ 0
Is the generator tested under load? U 0 ❑ ❑
Was generator tested &operational during the inspection? 0 ❑ 0
Do the generator(s) have adequate capacity to operate the entire wastewater site? • 0 0 ❑
Is there an emergency agreement with a fuel vendor for extended run on back-up power? • ❑ ❑ ❑
Is the generator fuel level monitored? • 0 ❑ ❑
Comment: Generator self-tests every Monday morning. Pigeon Valley Rest Home has a service
contract with StarTek Electric.
•
Pump Station - Effluent Yes No NA NE
Is the pump wet well free of bypass lines or structures? • ❑ ❑ ❑
Are all pumps present? • ❑ ❑ ❑
Are all pumps operable? • 0 • ❑ ❑
Are float controls operable? 0 ❑ 0 111
Is SCADA telemetry available and operational? ❑ ❑ • 0
Is audible and visual alarm available and operational? • ❑ ❑ ❑
Page# 7

Permit: NC0033600 Owner-Facility: Pigeon Valley Rest Home •
Inspection Date: 04/05/2017 • Inspection Type: Compliance Evaluation
Pump Station - Effluent Yes No NA NE
Comment: One of the two effluent pumps is currently out of service. Environmental Inc. is in the
process of ordering a replacement pump.
Page# 8

•
•
ROYOOPER
•
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1vfICfiAEL•'S:REGAN
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Wateraesources, lacCUISEPPER
ENVIRONMENTAL QUALITY -
•
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May 4, 2018
Bob B Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Dr
Canton, NC 28716
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2018-LV-0299
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
•
•
Dear Permittee:
A review of the March 2018 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Coliform, Fecal MF, MFC Broth, 3/28/2018 400 70D Daily Maximum Exceeded
44.5 C(31616)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
It was also noted that the Compliance reference on the back of the eDMR was marked"Compliant"when in fact
it should have been marked"Non-Compliant"with an explanation for the violation:
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
cTht
• G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional.Office
Division of Water Resources, NCDEQ
Cc: Laserfiche GAV/RMIHayvrwdWasinvatakWmrsWiver Bluff-Pigeon Valley 3360011nolatbre 28180509_14C0033600_NOV2018LVD299.rt
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

•
9
tEs •
ENVIRONMENTAL
Inc...,.&.�.,.�ee.
e 1w„
Mailing Address:PO Box 954,Cullowhee,NC 28723
Physical Address: 2675 Skvlaud Drive,Sylva,NC 28779 [phone]
Physical Address: 240-D Swannanoa River Road,Asheville,NC 28805(828)350-8704
Toll Free: [phone],Fax:.[phone],Email: environmentalinc(a?aoLcom
http://www.environmentalinc.co/
May 14, 2018
North Carolina Department of Environment and Natural Resources
Water Quality Regional Operations- Asheville Regional Office
Attention: Janet Cantwell
2090 US Highway 70
Swannanoa,NC 28778
RE:Notice of Violation
Tracking#: NOV-2018-LV0299
Pigeon Valley Rest Home WWTP
NPDES Permit No.NC0033600
Haywood County
Dear Ms. Cantwell,
Per the Notice of violation for Pigeon Valley Rest Home WWTP;the Coliform,Fecal
exceeded the daily maximum due to the fluctuation and sudden rise in the temperature.
We will continue to monitor per the permit guidelines. It has been within limits since.
If you have any further questions, please feel free to contact me.
Sincerely,
Mark Teague
Environmental, Inc. •

ROYCOOPER
Gfsaki
Ivi1CHAELSkE0AN'.
. SegalarY
Water(esources LIPIDA CULP.HPPER
ts xn tvtactreacawtuiv ,iil riinD2ra r
May 4, 2018
Bob B Leatherwood
Silver Bluff Realty LLC
100 Silver Bluff Dr
Canton, NC 28716
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2018-LV-0299
Permit No. NC0033600
Pigeon Valley Rest Home WWTP
Haywood County
Dear Permittee:
A review of the March 2018 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
Indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Coliform, Fecal MF, MFC Broth, 3/28/2018 40D 700 Daily Maximum Exceeded
44.5 C(31616)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
It was also noted that the Compliance reference on the back of the eDMR was marked"Compliant"when in fact
it should have been marked"Non-Compliant`with an explanation for the violation.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
•
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: Laserfiche Gt1WR\WQUtaywoodlWastewater\Mlnors\Silver Bluff-Pigeon Valley 33500\Vtolaao:u\2818150911C1033600_NGV2818LVD299M
State of North Carolina I Environmental Quality I Water Resomtes
2090 U.S.70 highway,Swannanoa,NC 28778
828-296-4500

Cantwell,Janet
- -
From: Environmentalinc <[e-mail]>
Sent: Thursday, May 17, 2018 3:29 PM
To: Cantwell,Janet
Subject: [External] Pigeon Valley Rest Home NOV-2018-LV-0299
Attachments: Pigeon Valley NOV 5-17-18.pdf
CAUTION: External email. Do not click links or open attachments unless verified.Send all suspicious email as an attachment to
Hi Janet,
Please see the attached response for the above NOV.
Thank you,
Melissa
ENVIRONMENTAL
—Inc, --..
G' WC' Voted 2015 C-Well Operator of the Year
Environmental, Inc.
Mailing Address: PO Box 954, Cullowhee, NC 28723
Physical Address: 2675 5kyland Drive, 5ylva, NC 28779
Physical Address: 240-D 5wannanoa River Road, Asheville, NC 28805
[phone], Fax [phone]
http://www.waterwnc.com/
This email (including any attachments) contains PRIVILEGED AND CONFIDENTIAL
INFORMATION protected by federal and/or state law and is intended only for
the use of the individual(s) or entity(ies) designated as recipient(s).
•