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Home My WebLink AboutNCG550722_HistoricFile_20200507 nvelope ID:F49A7275-F95F-4000-BB63-._-5F9AE81A2 All 11,111 10 P July 17, 2019 Kimberly S Long 23 Meadow Brook Dr Fletcher, NC 28732 SUBJECT: Compliance Inspection Report 23 Meadow Brook Drive NPDES WW Permit No. NCG55O722 Buncombe County Dear Permittee: The North Carolina Division of Water Resources conducted an inspection of 23 Meadow Brook Drive on 4/25/2019. This inspection was conducted to verify that the facility is operating in compliance with the conditions and limitations specified in NPDES WW Permit No. NCG550722. The findings and comments noted during this inspection are provided in the enclosed copy of the inspection report entitled "Compliance Inspection Report". There were no significant issues or findings noted during the inspection and therefore, a response to this inspection report is not required. Your kind assistance with this inspection was greatly appreciated. If you should have any questions, please do not hesitate to contact me in the Asheville Regional Office at 828-296-4500 or via email at Janet cantwell@ncdenr.gov_. Sincerely, E4DocuSig�� yyne��d by:w ta AB4I DOCC719346C... Janet Cantwell, Environmental Specialist Water Quality Regional Operations Section Asheville Regional Office Division of Water Resources, NCDEQ ATTACHMENT Ec: DWR Laserfiche G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residence\550722 Kimberly S.Long\20190717_NCG550722_CEI.rtf Ak +` IY + .;' velope ID:F49A7275-F95F-4000-BB63, F9AE81A2 µ United States Environmental Protection Agency Form Approved. Washington,D.C.20460 OMB No.2040-0057 EPA Water Compliance Inspection Report Approval expires 8-31-98 Section A:National Data System Coding(i.e.,PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 IN 1 2 15 1 3 I NCG550722 I11 12 19/04/25 1 7 18 1,.1 19 I S I 20I I Lfi 21111111111 � 111111111111111111111111 � � � � � � � � 166 Inspection Work Days Facility Self-Monitoring Evaluation Rating 61 QA — -Reserved - 67 70 I I 71 � L 72 1 1 731 I 174 75 80 LJ Section B: Facility Data J I I I Name and Location of Facility inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 02:OOPM 19/04/25 19/02/06 23 Meadow Brook Drive Exit Time/Date Permit Expiration Date 23 Meadow Brook Dr 03:OOPM 19/04/25 20/10/31 Fletcher NC 28732 Name(s)of Onsite Rep resentative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name,Address of Responsible Official/Title/Phone and Fax Number Contacted Kimberly S Long,23 Meadow Brooth Dr Fletcher NC 28732//941-549-1907/ Yes Section C:Areas Evaluated During Inspection(Check only those areas evaluated) Permit N Operations&Maintenance 0 Records/Reports Facility Site Review Effluent/Receiving Waters Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date Janet Cantwell 0S ARO WQ//828-296-4500 Ext.4667/ ae 7/17/2019 Signature of Management Q A Re Agency/Office/Phone and Fax Numbers Date 9 9 ��EuSigned by: 7/17/2019 EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. Page# 1 DocuSign Envelope ID: F49A7275-F95F-4000-la 2B6F9AE81A2 NPDES yr/mo/day Inspection Type 1 31 NCG550722 I11 12 19/04/25 17 18 ICI Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) �\ met with Kimberly Long, owner, for the inspection. The permit was issued 2/6/19 and will expire 10/31/20. The area was clean and well maintained. File records show the septic tank was pumped in 2016 by the previous owner. There was no evidence of ponding on the surface/sandfilter. Page# 2 _.- ,nvelope ID:F49A7275-F95F-4000-BB63 ,16F9AE81A2 Permit: NCG550722 Owner-Facility: 23 Meadow Brook Drive Inspection Date: 04/25/2019 Inspection Type: Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ 0 ❑ application? Is the facility as described in the permit? N ❑ ❑ ❑ #Are there any special conditions for the permit? ❑ ❑ 0 ❑ Is access to the plant site restricted to the general public? ❑ ❑ 0 ❑ Is the inspector granted access to all areas for inspection? ❑ ❑ ❑ Comment: The permit was issued 2/6/19 and will expire 10/31/20. Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ 0 ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: The area was clean and well maintained. File records show the septic tank was pumped in 2016 by the previous owner. There was no evidence of ponding on the surface/sand filter. Chlorination and dechlorination tubes contained the correct tablets. Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? N ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? E ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑ Comment: The effluent pipe was visible and not discharging at the time of inspection. Page# 3 ROY COOPER. Governor M..ICHAEL S.REGAN' Secretu�y S.JAY ZIMM::ERMAN Water Resources Director Environmental Quality June 27, 2017 Christopher B Nichols 23 Meadow Brook Dr Fletcher,NC 28732 SUBJECT: Compliance Evaluation Inspection 23 Meadow Brook Drive Permit No: NCG550722 Buncombe County Dear Mr,Nichols: Thank you for sending us the test results for your system's effluent discharge. The results are within the permitted limits for the parameters tested, so your facility is now compliant with permit NCG550722. If you have any questions,please call me at 828-296-4658 or send me an email at daniel.boss@ncdenr.gov. Sincerely, Daniel J Boss Environmental Specialist Asheville Regional Office cc: MSC 1617-Central Files-Basement Asheville Files G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residence\550722 Chris Nichols\CEI 2.8.2017\Compliant letter 6.27.2018.doex State oPNorth Carolina I Environmental Quality I Water Resources 2090 U.S.Highway 70,Swannanoa,North Carolina 28778 828-296-4500 Central Files: APS _ SWP 6/7/2019 Permit Number NCG550722 Permit Tracking Slip Program Category Status Project Type NPDES WW Active Renewal Permit Type Version Permit Classification Single Family Domestic Wastewater Discharge COC 5.00 COC Primary Reviewer Permit Contact Affiliation charles.weaver Coastal SWRule Permitted Flow 1,000 Facility Facility Name Major/Minor Region 23 Meadow Brook Drive Minor Asheville Location Address County 23 Meadow Brook Dr Buncombe Facility Contact Affiliation Fletcher NC 28732 Owner Owner Name Owner Type Individual Kimberly S Long Owner Affiliation Kimberly S.Long 23 Meadow Brooth Dr Dates/Events Fletcher NC 28732 Scheduled Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration 12/13/1994 4/26/2018 2/6/2019 2/6/2019 10/31/2020 Regulated Activities Requested/Received Events Domestic,other Private residence,single family Outfall 001 Waterbody Name Streamindex Number Current Class Subbasin Gap Creek 6-57-13 C;Tr 04-03-02 Central Files: APS_ SWP_ 08/09/11 Permit Number NCG550722 Permit Tracking Slip Program Category Status Project Type NPDES WW Active Renewal Permit Type Version Permit Classificatio Single Family Domestic Wastewater Discharge COC 3.00 COC Primary Revie r Permit Contact Affiliation charles.weaver Coastal SW Rule Permitted Flow 400 Faicilit Facility Name Major/Min Region 23 Meadow Brook Drive Minor Asheville Location Address County 23 Meadow Brook Dr Buncombe Fletcher NC 28732 cility Contact Affiliation Owner Owner Name Owner Type Individual Richard E Green Ow fEitiatirtTn�` Richard E. Green 28343 Welfleet Ln au us CA 91350 Dates/Events Scheduled Orig Issue App Received Draft Initiate Issuance Public Notice Issue Effective EO7/31/12 ion 12/13/94 01/13/10 01/20/10 01/20/10 Regulated Activities Domestic,other Private residence,single family Outfall 001 Waterbody Name Stream Index Number Current Class Subbasin Gap Creek 6-57-13 C;Tr 04-03-02 ROY COOPER ia. Governor MICHAEL S. REGAN Secretary Water Resources S. JAY ZIMMERMAN ENVIRONMENTAL QUALITY Director February 17,2017 Christopher B.Nichols 23 Meadow Brook Drive Fletcher, NC 28732 Subject: General Permit NCG550000 Certificate of Coverage NCG550722 23 Meadow Brook Drive Buncombe County Dear Permittee: A review of your property's Certificate of Coverage(CoC)file recently noted that no updated copy of the CoC had been provided to you since you assumed ownership of the site in 2014. As a result,the Division hereby reissues NCG550722. This CoC is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated October 15, 2007[or as subsequently amended]. If any parts,measurement frequencies or sampling requirements contained in this General Permit are unacceptable to you,you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made,the certificate of coverage shall be final and binding. Please take notice that this Certificate of Coverage is not transferable except after notice to the Division. The Division may require modification or revocation and remi uance of the certificate of coverage. Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility. Regional Office staff will assist you in documenting the transfer of this CoC. This permit does not affect the legal requirements to obtain any other State,Federal,or Local governmental permit that may be required. If you have any questions concerning the requirements of the General Permit,please contact Charles Weaver of the NPDES staff[919 807-6391 or charles.weaver@ncdenr.gov]. ;Sinrely, f . y Zimmerman,P. Director,Division of Water Resources cc: Asheville Regional Office NPDES file RECEIVED f ftm dwaw hawrm FEB 2 4 2017 State of North Carolina Environmental Quality I Water R urces 1617 Mail Service Center I Raleigh,NC 27699-161 %Water Quality Regfond Opwatlons 919 807 6300 919-807-6389 FAX Ashevifle Regional Office httpsJ/deq.nc.govlabout/divisionstwater-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits 0 ;0 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES GENERAL PERMIT NCG550000 CERTIFICATE OF COVERAGE NCG550722 DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND OTHER 100%DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS 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, Christopher B. Nichols is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a facility located at 23 Meadow Brook Drive Fletcher Buncombe County to receiving waters designated as Gap Creek, a class C-Trout stream in subbasin 04-03-02 of the French Broad River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, and III hereof. This certificate of coverage takes effect February 17, 2017. This Certificate of Coverage shall remain valid for the duration of the General Permit. Signed this day February 17, 2017 r --foro&4ay Zimmerman, P.G. -M w0v 4* .: Director, Division of Water Resources By Authority of the Environmental Management Commission 4 Page 1 of 2 Notes MAPOVEST SFR NCG550722 Trip to 23 Meadow Brook Dr Fletcher, NC 28732-9101 12.81 miles -about 20 minutes 4jt 2090 s 70 Hwy, Swannanoa, NC 28778-8211 1. Start out going west on US-70 toward New Salem Rd. go 2.4 mi 2.Turn left onto Porter Cove Rd. go 0.1 mi 3. Merge onto 1-40 W toward 1-26/Asheville. go 2.4 mi 4.Take the US-74-A E exit, EXIT 53 , toward Blue Ridge go 0.2 mi Pkwy/Bat Cave. 5. Merge onto US-7 -ALT. go 5.2 mi 6.Turn right onto Emmas Grove Rd. go 0.3 mi 7. Turn right to stay on Emmas Grove Rd. go 1.0 mi 8.Turn left to stay on Emmas Grove Rd. go 0.4 mi 9. Turn left onto Lytle Rd. J go 0.2 mi 10. Turn left onto Meadow Wood Trl. go 0.2 mi 11. Turn left onto Meadow Brook Dr. go 0.3 mi http://classic.mapquest.com/print 8/9/2011 " Page 2 of 2 12. 23 MEADOWROOK DR is on the left. go 0.0 mi 23 Meadow r®a r, Fletcher, NC 28732-9101 Total Travel Estimate : 12.81 miles -about 20 minutes Route Map Fide 4@0 fL 1 fix, n� e w . r i is a A All rights reserved.Use subject to LicensatCopvright I Map Legend Directions and maps are informational only.We make no warranties on the accuracy of their content,road conditions or route usability or expeditiousness.You assume all risk of use.MapQuest and its suppliers shall not be liable to you for any loss or delay resulting from your use of MapQuest.Your use of MapQuest means you agree to our Terms of Use http://classic.mapquest.com/print 8/9/2011 tsuncomae county A i C9� ry 4�aµ E9pG� Z F Z O �i N Feet n 0 37.5 75 150 225 300 /V The information provided is based on the best available data at the time of currency for all datasets.It is the requestor's responsibility to verify any information derived from the GIS data before making any decisions or taking any actions based on the information.Buncombe County shall not be held liable for any errors in the GIS data.This includes errors of omission, commission,errors concerning the content of the data,and relative and positional accuracy of the data. Buncombe County Tax Lookup -p perty Card Page 1 of 2 COUNTY OF BUNCOMBE, NORTH CAROLINA Web Properly Record Card 9675-79-8713-00000 Date Printed: 8/9/2011 Owner Information Parcel Information Total Property Value: 323,000 Status: Active Owners: RICHARD E GREENAccount: 8224692 NATALIE F LILLEY Deed Date: 10/1/2007 CLINT E LILLEY Deed Book/Page: 4470/ 0902 Address: Plat Book/Page: 0059/ 0132 23 MEADOW BROOK DR Legal Reference: WARRANTY OR SPL/COMP TRANSFER FLETCHER NC 28732 Location: 23 MEADOW BROOK DR Property Location:23 MEADOW BROOK DR Class: RESIDENTIAL Taxing Districts Neighborhood: MEADOWOOD TRAIL Subdivision: MEADOWOOD County: Buncombe County Sub Lot: 52 City: Zoning: Fire: FAIRVIEW FIRE Conservation/Easement:N School: Flood: Ownership History Transfer Deed Vacant Seller Date Price Legal Reference Book/Page Qualified When Account Names Sold GREEN WARRANTY OR RICHARD E 10/01/07 $0 SPL/COMP 4470/ 0902 No: C No 8084245 GREEN TRANSFER SANDRA R Assessment History Year Account Acres Land Bldgs IO Prr Assessed Desc Exemptions Deferred Taxable 2011 8224692 1.39 55,700 267,3000 323,000 0 0 323,000 2010 18224692 1.39 55,700 267,30010 323,000 0 0 323,000 2009 8224692 1.39 55,700 267,3000 323,000 0 0 323,000 2008 8224692 1.39 55,700 267,3000 323,000 0 0 323,000 2007 8o84245 1.39 55,700 267,3000 323,000 0 0 323,000 2006 8084245 1.39 55,700 267,3000 323,000 0 0 323,000 2005 8o84245 1.39 47,400 201,900 0 249,300 0 0 249,300 2004 8o84245 1.39 47,400 201,900 0 249,300 0 0 249,300 2003 8o84245 1.39 47,400 201,900 0 249,300 0 0 249,300 2002 8o84245 1.39 47,400 201,900.0 249,300 1 0 0 249,300 2001 8o84245 1.39 31,700 1225,40010 1257,100 1 10 10 1257,100 Land Data Total Acres: 1.39 Land Value: Other Value: o Acres 55,700 Improvements [-Segment# Units Description 1 1.39 Acres LOT http://www.buncombetax.org/PropertyCard.aspx 8/9/2011 Buncombe County Tax Lookup- t,Pgerty Card Page 2 of 2 Building Structures Res. Sq Bsmt Bsmt Year Building ID Style Feet SgFt Finished Built Grade Condition Value 1 1.5-STY 2616 o 0 1998 B N 267300 CONVENTIONAL Refinement Description Built-Ins Units Foundation PIERS-WD/STL/MSNY Full Bath(s) 2 Roof TY/MT HIP W/COMP. SHGL. Half Bath(s) 1 Roof Structure WOOD JOIST Fireplace/Gas Log 1 Floor Finish W/W CARPET Bedrooms(s) 3 Interior Finish DRYWALL/SHEETROCK Heating HEAT PUMP Air Condition COMBINED SYS/HT PUMP Section SgFt # Stories 'L,OOIil. BASE AREA 1744 1.50 GARAGE 528 i.00 WOOD DECK 96 1.00 Oil OPEN PORCH16o ji.00 OPEN PORCH128 jjL.00 Total Building Value: 267,300 http://www.buncombetax.org/PropertyCard.aspx 8/9/2011 C NCDENR I o JAN - 4 201 North Carolina Department of Environment and Natural�Re s 1 Division of Water Quality Beverly Eaves Perdue Coleen H.Sullins v1ATER 01 I1` I an Governor Director ASH ivlu_E€;EIc y ecre ary '.YFbtIFdASLciF+,iA- Sass.+_. u.ry u:,.am.Ks_A:t..s!.� N'a:a. ywS i.. December 30,2009 CERTIFIED MAIL 7009-1680-0002-2464-5541 RETURN RECEIPT REQUESTED RICHARD E GREEN 151 LA MANCHA DRIVE APT 8 ASHEVILLE, NC 28805 SUBJECT: FINAL NOTICE-Delinquent Annual Fee NPDES Permit NCG550722(2007,2008,2009) Buncombe County Dear Mr.Green: This letter is being sent out to facilities that have not yet paid their Annual Compliance Monitoring Fee. This fee requirement is documented in your current permit in Part II. B. 14. Your total annual fees owed,for the permitted facility referenced above;is$170.00. Copies of each invoice for the permitted facility previously sent by the Division's Budget Office are attached. Failure to pay the annual fee is grounds for revocation of your permit,as documented in part ll. B. 13 and ll.B. 14. This matter must be promptly resolved.You will not receive any additional late payment fee request correspondence. This letter senses as final notice that the Division will refer the fee noted above to the North Carolina Attorney General's Office for collection through the courts unless payment is received by January 30,2010. Additional actions to revoke your operating permits will be initiated as well as referral for collection. Make checks payable to NC DENR;include the permit numbers and invoice numbers on the check. Send the fee payment to: Mrs. Fran McPherson Annual Administering and Compliance Fee Coordinator(919-807-6321) 1617 Mail Service Center Raleigh,NC 27699-1617 (919-807-6321) If you have evidence that the fee has already been paid,please contact me at 919-807-6387 or bob.ctuerraCamcdengov. Sincerely, e�8 aL Bob Guerra,Western NPDES Unit Enclosure: Invoice#2007PR000988,2008PR001056 and 2009PR000984 cc: Central Files NPDES File Rog 11 er Edwards,Asheville Regional Office, Surface Water Protection 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Location:512 N.Salisbury St Raleigh,North Carolina 27604 T�TOne Phone:919-807-6387\FAX 919-807-6495\Customer Service:1-877-623-6748 1�orthCaroli 1a Internet:www.ncwaterquality.org tf/y+R`jJ/ An Equal Opportunity lAffirmative Action Employer Na`u �/ t NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 2 0 0 7 P R 0 0 0 9 8 8 INVOICE Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period,regardless of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a$10,000 per day fine. If the permit is revoked and you later decide a permit is needed,you must reapply,with the understanding the permit request may be denied due to changes in environmental,regulatory,or modeling conditions. Permit Number: NCG550722 Annual Fee Period 00 Buncombe County 6-1 2-01o01 �30 23 Meadowbrook Drive _ Invoice Date: 01/17/07 Due Date: 02/16/07 Richard E.Green Annual Fee: $50.00 151 La Mancha Dr Apt 8 Asheville,NC 28805 Notes: 1. A$25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3,512. 2. Non-Payment of this fee by the payment due date will initiate the permit revocation process. 3. Remit payment to: NCDENR-Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 4. Should you have any questions regarding this invoice,please contact the Annual Administering and Compliance Fee Coordinator at 919-807-6321. (Return This Portion With Check) ANNUAL PERMIT INVOICE 2 0 0 7 P R 0 0 0 9 8 8 Overdue Permit Number: NCG550722 Annual Fee Period: 2006-12-01 to 2007-11-30 Buncombe County 23 Meadowbrook Drive Invoice Date: 01/17/07 Due Date: 02/16/07 Richard E.Green Annual Fee: $50.00 151 La Mancha Dr Check Number: Apt 8 Asheville,NC 28805 NORTH CA ROLINA DEPAR TMENT OF ENVIRONMENT AND NATURAL RESOURCES 2 0 0 8 P R 0 0 1 0 5 6 INVOICE Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period,regardless of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a$10,000 per day fine. If the permit is revoked and you later decide a permit is needed,you must reapply,with the understanding the permit request may be denied due to changes in environmental,regulatory,or modeling conditions. Permit Number: NCG550722 Annual Fee Period 2007-12-01 to 2008-11-30 Buncombe County Invoice Date: 01/23/08 23 Meadowbrook Drive Due Date: 02/22/08 Richard E.Green Annual Fee: $60.00 151 La Mancha Dr Apt 8 Asheville,NC28805 Notes: 1. A$25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3-512. 2. Non-Payment of this fee by the payment due date will initiate the permit revocation process. 3. Remit payment to: NCDENR-Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 4. Should you have any questions regarding this invoice,please contact the Annual Administering and Compliance Fee Coordinator at 919-807-6321. (Return This Portion With Check) ANNUAL PERMIT INVOICE 2 0 0 8 P R 0 0 110 5 6 Overdue Permit Number: NCG550722 Annual Fee Period: 2007-12-01 to 2008-11-30 Buncombe County Invoice Date: 01/23/08 23 Meadowbrook Drive Due Date: 02/22/08 Annual Fee: $60.00 Richard E.Green 151 La Mancha Dr Check Number: Apt 8 Asheville,NC 28805 0 NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND-NATURAL RESOURCES 2 0 0 9 P R 0 0 0 9 8 4 INVOICE Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period,regardless of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a$10,000 per day fine. If the permit is revoked and you later decide a permit is needed,you must reapply,with the understanding the permit request may be denied due to changes in environmental,regulatory,or modeling conditions. Permit Number: NCG550722 Annual Fee Period. 2008-12-01 to 2009-11-30 Buncombe County 23 Meadowbrook Drive Invoice Dater 01/23/09 Due Date: 02/22/09 Richard E.Green Annual Fee: $60.00 151 La Mancha Dr Apt 8 Asheville,NC 28805 Notes: 1. A$25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3-512. 2. Non-Payment of this fee by the payment due date will initiate the permit revocation process. 3. Remit payment to: NCDENR-Division of Water Quality 161:7 Mail Service Center Raleigh,NC 27699-1617 4. Should you have any questions regarding this invoice,please contact the Annual Administering and Compliance Fee Coordinator at 919-807-6321. (Return This Portion With Check) ANNUAL PERMIT INVOICE 2 0 0 9 P R 0 0 0 9 8 4 Overdue Permit Number: NCG550722 Annual Fee Period: 2008-12-01 to 2009-11-30 Buncombe County Invoice Date: 01/23/09 23 Meadowbrook Drive Due Date: 02/22/09 Annual Fee: $60.00 Richard E.Green 151 La Mancha Dr Check Number: Apt 8 Asheville,NC 28805 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NCG550000 CERTIFICATE OF COVERAGE NCG550722 DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS 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, Richard Ellis Greene is hereby authorized to discharge domestic wastewater [480 GPD] from a facility located at 23 Meadow Brook Drive Fletcher Buncombe County to receiving waters designated as Gap Creek, a class C-Trout stream in subbasin 04-03-02 of the French Broad River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This certificate of coverage shall become effective January 20, 2010. This Certificate of Coverage shall expire on July 31, 2012. Signed this day January20, 2010 for C en H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission INA/\ ! , NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue;Governor Coleen H.Sullins, Director Dee Freeman,Secretary January 20, 2010 Richard Ellis Greene 28343 Welfleet Ln Saugus, CA 91350 Subject: Renewal of coverage/General Permit NCG550000 23 Meadow Brook Drive Certificate of Coverage NCG550722 Buncombe County Dear Permittee: In accordance with your renewal application [received on January 13,20101,the Division is renewing Certificate of Coverage(CoC)NCG550722 to discharge under NCG550000. This CoC is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated October 15, 2007 [or as subsequently amended]. If any parts,measurement frequencies or sampling requirements contained in this General Permit are unacceptable to you,you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made,the certificate of coverage shall be final and binding. Please take notice that this Certificate of Coverage is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the certificate of coverage. Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility. Regional Office staff will assist you in documenting the transfer of this CoC. 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 permit that may be required. If you have any questions concerning the requirements of the General Permit, please contact Charles Weaver of the NPDES staff[919 807-6391 or charles.weaver@ncdenr.gov]. Sincerely, a, v Joleen H. Sullins $ JAN 2 5 2010 �a lti. cc: Central Files c 'O Asheville Regional Office/Surface Water Protection NPDES filer��•- 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 "'` One 512 North Salisbury Street,Raleigh,North Carolina 27604 NOrthCarOhna Phone: 919 807-6300/FAX 919 807-6495/Internet:www.ncwaterquality.org NaturallyAn Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper FMA 11 NCDENR JAN , 2027 . North Carolina Department of Environment an Naura Resources Division of Water Quality ---- Michael F.Easley, Governor 1tiam ta.Ross;;Jr,Secretary I Alan W. Klimek, P.E.,Direcfor F , January 9, 2007 Richard Green 151 La Mancha Dr, Apt 8 Asheville, NC 28805 Subject: Renewal Notice/General Permit NCG550000 Certificate of Coverage NCG550722 Buncombe County Dear Permittee: You are receiving this notice because you currently own a property covered under the subject General Permit for the discharge of domestic wastewater. NCG550000 will expire on July 31, 2007. Federal (40 CFR 122.41) and North Carolina (15A NCAC 2H.0105(e)) regulations require that permit renewal applications be filed at least 180 days prior to expiration of the current permit. To satisfy this requirement, the Division must receive a renewal request postmarked no later than February 1, 2007. The Certificate of Coverage (CoC) specific to your property was last issued on March 4, 2005. The Division needs information from you to determine if coverage under NCG550000 is still necessary. ➢ If your property still has a wastewater system like the ones described in the enclosed Technical Bulletin, you must renew the subject CoC. Complete the enclosed form and submit it to the address on the form. ➢ If you are not sure what type of system your property has, contact Larry Frost in the NC DENR Asheville Regional Office at. That person [or other staff members] can help you determine if you should renew your CoC. ➢ If you know that your property no longer discharges wastewater, contact me at the address or phone number listed below to request rescission of the CoC. ➢ This information request does not pertain to the Annual Fee of$50.00 billed separately by the Division's Budget Office. No money is required for this procedure. The Annual Fee is like the fee you annually pay the DMV for the sticker on your vehicle's license plate. Renewal of your CoC is like the renewal of your Driver's License [ca. every five years]. ➢ If you have already mailed a renewal request, you may disregard this notice. 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One �-r 512 North Salisbury Street,Raleigh,North Carolina 27604 NOrthCarolina Phone: 919 733-5083,extension 511/FAX 919 733-071 9/charles.weaver@ncmail.net Naturally An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper NCG550722 renewal notice January 9,2007 The attached application form shows the information the Division has on file for your property. Please verify that the provided information is correct, or make corrections on the form. Complete the additional questions,then sign and date the form. The completed form should be submitted to the address listed below the signature block. If you have any questions concerning this matter, please contact me at the telephone number or e-mail address listed below. (If it is difficult to reach me, please be aware that your facility is one of over 1100 that I am contacting regarding the renewal of NCG550000.) Thanks for your attention to this matter. Sincerely, V�* Charles H. Weaver, Jr. NPDES Unit cc: Central Files Asheville Regional Office/Larry Frost NPDES file rD NCDENR North Carolina Department of Environment and Natural es EA ( Q JALITY SECTION Division of Water Quality ASHEVILLE REGIONAL FFICF Michael F. Easley,Governor William G. Ross,�r:� ecrEQ -- Alan W. Klimek, P.E.,Director March 4,2005 Mr.Richard E.Green&Mrs. Sandra R.Green 23 Meadow Brook Drive Fletcher,North Carolina 28732 Subject: Renewal of coverage/General Permit NCG550000 Green residence Certificate of Coverage NCG550722 Buncombe County Dear Mr. &Mrs.Green: In accordance with your application for a Certificate of Coverage[received on March3,2005],the Division is forwarding herewith Certificate of Coverage NCG550722 to discharge under NCG550000. Your property was previously assigned this CoC number in 1993. Thus your application is being treated as a renewal of an existing CoC,rather than a new discharge application. This permit is issued pursuant to the requirements of North Carolina General Statue 143-215 .1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended]. If any parts,measurement frequencies or sampling requirements contained in this General Permit are unacceptable to you,you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made,the certificate of coverage shall be final and binding. Please take notice that this Certificate of Coverage is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the certificate of coverage. 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 permit that may be required. If you have any questions concerning this permit,please contact Charles H.Weaver,Jr.at telephone:number 919 733-5083,extension 511. Sincerely, 64— Alan W.Klimek,P.E. cc: Central Files . she*ille Regonal,Dft'ice.l Larry Frost 0 NPDE 'file 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One 7 512 North Salisbury Street,Raleigh,North Carolina 27604 NofthCarohna Phone: 919 733-5083/FAX 919 733-0719/Internet:h2o.enr.state.nc.us ;Vah(rally An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NCG550000 CERTIFICATE OF COVERAGE NCG550722 TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS 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, Richard E. Green & Sandra R. Green is hereby authorized to operate a wastewater treatment facility that consists of a septic tank, dual subsurface sandfilters, chlorine disinfection, cascade aeration and associated appurtenances with the discharge of treated wastewater from 23 Meadow Brook Drive Fletcher Buncombe County to receiving waters designated as Gap Creek in the French Broad River Basin in accordance with the effluent limitations,monitoring requirements, and other conditions set forth in Parts I, II,III and IV hereof. This certificate of coverage shall become effective March 4, 2005. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day March 4, 2005. 4, Alan W.Klimek,P.E.,Director Division of Water Quality By Authority of the Environmental Management Commission ti 28 i 40 Effluent Jr . rJ� IL s A �� rOv UfC Pr 5\k Facility Latitude:35'30'48" NC G 550722 Location Longitude:82°26'08" Richard E. Green & Quad:Oteen,N.C. Stream Class:GTrout Sandra R. Green Subbasin:40302 NOT TO TCALE Receiving Stream Gap Creek CffotfA State of North Carolina RL'o Department of Environment, IT _T_THealth and Natural Resources • Division of Water Quality A&4 James B. Hunt, Jr., Governor _ H F1 Wayne McDevitt, Secretary r r A. Preston Howard, Jr., P.E., Director July 21, 1997 Richard Green 300A Kensington Place Asheville, NC 28803 Subject: Certificate of Coverage No. NCG550722 Renewal of General Permit Green,Richard-Residence Buncombe County Dear Permittee: In accordance with your application for renewal of the subject Certificate of Coverage,the Division is forwarding the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31,2002. 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 December 6,1983. If any parts,measurement frequencies or sampling requirements contained in this permit are unacceptable to you,you have the right to request an individual permit by submitting an individual permit application.Unless such demand is made, this Certificate of Coverage shall be final and binding. The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage. If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional Office listed below at(704) 251-6208. Once discharge from your facility has ceased,this permit may be rescinded. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality,the Division of Land Resources,Coastal Area Management Act or any other Federal or Local governmental permit that may be required. If you have any questions concerning this permit,please contact the NPDES Group at the address below. Sincerely, A.Preston Howard,Jr.,P.E. cc: Central Files NPDES Group Facility Assessment Unit P.O.Box 29535, Raleigh, North Carolina 27626-0535 (919)733-5083 FAX(919)733-0719 p&e@dem.ehnr.state.nc.us An Equal Opportunity Affirmative Action Employer 50%recycled /1 o%post-consumer paper TE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NA JRAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG550000 CERTIFICATE OF COVERAGE NO. NCG550722 TO DISCHARGE DOMESTIC WASTEWATERFROM SINGLE FAMILY RESIDENCES AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS 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, Richard Green is hereby authorized to operate a wastewater treatment facility which includes aseptic tank, sand filter and associated appurtenances with the discharge of treated wastewater from a facility located at Green,Richard-Residence 23 Meadowbrook Drive Fletcher Buncombe County to receiving waters designated as subbasin 40302 in the French Broad River Basin in accordance with the effluent limitations,monitoring requirements, and other conditions set forth in Parts 1, Il, III and IV of General Permit No. NCG550000 as attached. This certificate of coverage shall become effective August 1, 1997. This certificate of coverage shall remain in effect for the duration of the General Permit. Signed this day July 21, 1997. A. Preston Howard, Jr., P.E., Director Division of Water Quality By Authority of the Environmental Management Commission State of North Ca. Tina Department of Environment, 14 Health and`Natural Resources • Division of Environmental Management A& James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary ` J A. Preston Howard, Jr., P.E., Director r December 13, 1994 Mr. Richard E. Green 10 Azalea Street Asheville, NC 28803 Subject: Permit No. NCG550000 Cert. of Coverage NCG550722 Septic System Buncombe County Dear Mr. Green: A letter of request for an Authorization to Construct was received September 12, 1994 by the 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 a 480 gpd wastewater treatment system consisting of a 1000 gallon septic tank, one (1) primary sand filter measuring 6 feet by 92 feet, one (1) secondary sand filter measuring 6 feet by 46 feet, a tablet chlorinator, and a chlorine contact tank with a 30 minute retention time; a dechlorination unit, and cascade aeration with discharge of treated wastewater into Gap Creek, a Class WS iV-Trout water in the French Broad River Basin. This Certificate of Coverage shall be subject to revocation unless the wastewater treatment facilities are constructed in accordance with the conditions and limitations specified in Permit No. NCG550000. The Asheville Regional Office, phone no. (704) 251-6208, shall be notified at least forty-eight(48) hours in advance of operation of the installed facilities so that an in- place 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 Certificate of Coverage and the approved plans and specifications. Mail the Certification to the Permits and Engineering Unit, P.O. Box 29535, Raleigh, NC 27626-0535. A copy of the approved plans and specifications shall be maintained on file by the Permittee for the life of the facility. The sand media of the sand filter units must comply with the Division's sand specifications. The engineer's certification will be evidence that this certification has been met. A leakage test shall be performed on the septic tank and dosing tank to insure that P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-5083 FAX 919-733-9919 An Equal Opportunity Affirmative Action Employer 50% recycled/10% post-consumer paper Page 2 NCG550722 December 13, 1994 any ex filtration occurs at a rate which does not exceed twenty (20) gallons per twenty- four(24) hour per 1,000 gallons of tank capacity. The engineer's certification will serve as proof of compliance with this condition. If you have any questions or need additional information, please contact Susan Robson, telephone number 919/733-5083. Sincerely, Original Signed By ®avid A. Goodrich A. Preston Howard, Jr., P.E. cc: Buncombe County Health Department Asheville Regional Office;Water Quahy Asheville Regional Office, Groundwater Training and Certification Unit Facilities Assessment Unit Jack Floyd, Groundwater Section Central Office RN STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH,AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL MANAGEMENT CERTIFICATE OF COVERAGE GENERAL PERMIT NO, NCG550722 TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER DISCHARGES WITH SIMILIAR CHARACTERISTICS 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, Richard Green is hereby authorized to construct and operate-a 480 GPD wastewater treatment facility consisting of a septic tank, dual subsurface sand filters,tablet chlorinator,dechlorination,cascade aeration,and associated appurtenances with the discharge of treated wastewater from a facility located at the Green Residence on Meadowbrook Drive Fletcher Buncombe County to receiving waters designated as Gap Creek in the French Broad River Basin in accordance with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,Il,III and IV hereof. This certificate of coverage shall become effective December 13, 1994 This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day December 13, 1994 Original signed BY J)avid A. Goodrich A.Preston Howard,Jr.,P.E.,Director Division of Environmental Management By Authority of the Environmental Management Commission ° M LHi�1806 i�/ ii f� /)• � - — 1 \ ;` `,'1\ c.2/�• \,• u I , .. - .�' 'Churr cIn Fine: nut-Mauntain� Gz\ t2® ZJ II - !s\• \ \_ \ _ \ �•' 1 •�. JO Q , `\`� 1lI Spinet'Lake Woo-a[�3/alcy. - _ I - PP f p 1.807 �--.I • - - \ _dti� SIB. �'�II` (i- ,• I. '- _ ` - - _ c.,\_. \\� _•_4__ ��-� �' ^I n \_ `'-�� _`� ••lI - 11 _ • __ '��-� i; II (� �.hrY ch• 11�� • Fzlr�le�+ Scr 3123 ��- Creek � 1 1~yC Shar_omTh -113E 31 29) Emmro�a -.-, _ " .. �� qo ° ram /. \ � I '~'.Church •� ;' 4 I j r, c� �� cMontreat 8 ! JT -.- 31028, 2309 27�30" 368 169 (FRUITLAND 202-NW)1370 FLE1'CHER 6.8 A41.)` '171 25' '372 r 4554 IV NW SCALE 1:24 000 u IODD 0 1000 2000 3000 4000 5000 60DO 7000 FEET 1 5 0 1 KILOMETER ILL. MO. KENTUCKY� CONTOUR INTERVAL 40 FEET DASHED LINES REPRESENT HALF-INTERVAL CONTOURS TENNESSEE NATIONAL GEODETIC VERTICAL DATUM OF 1929 MISS. "ALA GA. ORTH QUADRANGLE LOCAT EFT THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STANDARDS FOR SALE BY U.S. GEOLOGICAL SURVEY, DENVER, COLORADO 80225, OR RESTON, VIRGINIA 22092 Revisions shown in purple and we 1ana5 of �Nn t) S. TENNESSEE VALLEY AUTHORITY, CHATTANOOGA, TENN. 37402 in COODeration with State of Nort� ENGINEER'S CERTIFICATION FOR CONSTRUCTION OF TREATMENT FACILITIES 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 project, _ f o r the Project Name Location Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance and intent of the approved plans and specifications. Signature Registration No. Date fix.. IORITYr PROJEC r' N� IF YES, SOC NUMBER TO: PERMITS AND ENGINEERING UNIT WATER QUALITY SECTION ATTENTION: SUSAN ROBSON DATE: September 27 1994 NPDES STAFF REPORT AND RECOMMENDATION COUNTY Buncombe PERMIT NUMBER NCG550722 PART I - GENERAL INFORMATION 1. Facility and Address: Richard Ellis Green Residence 23 Meadowbrook Drive Fletcher, North Carolina 28732 �tP'',)- Mailing: 10 Azalea Street � -SO 0 Asheville, North Carolina 28863 2. Date of Investigation: First Site Evaluation - 3/12/93 - No Change Since 3. Report Prepared By: Max L. Haner 4. Persons Contacted and Telephone Number: 5. Directions to Site: The proposed site is located in Meadow Wood Subdivision at 23 Meadow Brook Drive (also known as lot #52) which is approximately .15 mile east of the intersection of Emmas Grove Road (NCSR 3128) and Lytle Road (NCSR 3127) in the Southeastern section of Buncombe County. The site is also accessed via a private wooden bridge from Gap Creek Road (NCSR 3129) , approximately .6 mile southeast of its intersection with Emmas Grove Road. 6. Discharge Point(s) , List for all discharge points: Latitude: 350 30' 48" Longitude: B20 26' 08" Attach a USGS map extract and indicate treatment facility site and discharge point on map. U.S.G.S. Quad No. E9SW U.S.G.S. Quad Name Oteen, N.C. 7. Site size and expansion area consistent with application? XX Yes No If No, explain: 8. Topography (relationship to flood plain included) : Site is relatively level - not in flood plain Page 1 fin/ 9. Location f o nearest a est w d ellin N/A 9 10. Receiving stream or affected' surface waters: Gap Creek a. Classification: WS IV - Trout b. River Basin and Subbasin No. : French Broad, 040302 C. Describe receiving stream features and pertinent downstream uses: Wildlife & Agriculture. Existing classification subject to change since WSIV basis was that Cane Creek which receives Gap Creek was secondary water supply for local industry (Cranston Print Works) . Industry has indicated no further interest in this-usage. Also, Gap Creek is within the 10 mile protected area for the proposed French Broad River intake (WSIV) for the Asheville/Buncombe Water Authority at Brevard Road in Buncombe County. The Asheville/Buncombe Water Authority is purchasing property near the Mills River in Henderson County and has requested reclassification of the Mills River at its mouth and the French Broad River at that point for future use. Both reclassification points are upstream of the Brevard Road site. Upon successful reclassification of these streams, the Authority has stated that intends to request a change in the current French Broad River WSIV Classification set for Brevard Road. The classification presently assigned to Gap Creek will change accordingly at that time. PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS 1. a. Volume of wastewater to be permitted 0. 000480 MGD (Ultimate Design Capacity) b. What is the current permitted capacity of the Wastewater Treatment facility? N/A C. Actual treatment capacity of the current facility (current design capacity N/A d. Date(s) and construction activities allowed by previous Authorizations to Construct issued in the previous two years: N/A e. Please provide a description of existing or substantially constructed wastewater treatment facilities: N/A f. Please provide a description of proposed wastewater treatment facilities: Proposed system will consist of a septic tank - dual subsurface sand filters with tablet Cl and effluent cascade for a single family residence with disc4Yara@CVU Gap Creek in Buncombe County. g. Possible toxic impacts- to surface waters: N/A h. Pretreatment Program (POTWs only) : N/A in development approved should be required not needed 2. Residuals handling and utilization/disposal scheme: Septic tank pumping company a. If residuals are being land applied, please specify DEM Permit Number Residuals Contractor Telephone Number b. Residuals stabilization: PSRP PFRP OTHER c. Landfill: d. Other disposal/utilization scheme (Specify) : 3. Treatment plant classification (attach completed rating sheet) : Class I 4. SIC Codes(s) : 4952 Wastewater Code(s) of actual wastewater, not particular facilities i.e., non- contact cooling water discharge from a metal plating company would be 14, not 56. Primary 04 Secondary Main Treatment Unit Code: 44007 PART III - OTHER PERTINENT INFORMATION 1. Is this facility being constructed with Construction Grant Funds or are any public monies involved. (municipals only)? 2. Special monitoring or limitations (including toxicity) requests: 3. Important SOC, JOC, or Compliance Schedule dates: (Please indicate:) Date Submission of Plans and Specifications _ Begin Construction Complete Construction — 4. Alternative Analysis Evaluation: Has the facility evaluated all of the non- discharge options available. Please provide regional perspective for each option evaluated. Spray Irrigation: N/A Connection to Regional Sewer System: N/A Subsurface: Health Dept Site Denial Other disposal options: 5. Other Special Items: Page 3 is PART IV - EVALUATION AND RECOMMENDATIONS Review of the plans and specifications submitted for this project are acceptable with the only necessary modifications being to relocate the cascade closer to the stream (at creek bank) immediately prior to discharge. Cascade can be built of rip-rap if elevation a problem. This matter can be handled during preconstruction briefing. Additionally, as discussed in Part II, Paragraph 10 (page 2) of this report, the initial basis for the WS-IV Trout classification assigned to Gap Creek was as tributary to Cane Creek which wat a secondary water supply for Cranston Print Works. Cranston no longer has interest in use of this stream for this purpose and reclassification considerations are proceeding. Further, Asheville/Buncombe Water Authority will likely request that the WS-IV classification be withdrawn for the French Broad River at its previously proposed intake site (Brevard Road) which will change the protected area and remove the WSIV classification for Gap Creek at that time. It is recommended that the Certificate of Coverage be issued as early as possible together with an Authorization to Construct.. i-13�gg Af G 1 Sign ure of Report Preparer t �y ` Water Quality Regional Supervisor �I Date Page 4 ---...r^..m.K7..�m�mx^+Tc+n w^r-.;».=ma-. .__-•>...... ,,...---..Mm.,..,..^,.-..s,r..mca-.++v��wm..�-.s....a.3.... ... ...... ..'fe..^..ww,k^#.ff w.'bk^Yfi,.k,. Y - ...,i _,.v.. ems.. ..... ...... .. t Date: Facility Name: Permit: �OQSSC>7 . Receiving Stream: . Class; (�U�US( V T�1.. Sub-Basin: C9tf6 OL County: 3 ullic y- Regional Office: Asheville Reference USGS Quad: ® �-eaAf1 �J c Existing: 410 Proposed: ' Elevation: 2-DAO Drainage Area: > 'Pvk-J- Hydrologic Group: Design Temperature: Z 3 0C Slope: Comments: RECOMMENDED EFFLUENT LIMITS Wasteflow (gpd) BOD5 (mg/1 ) : 36 P-e NH3-N (mg/1 ) : - -- — D.O. (mg/1) : - pH (SU) R(- - --- -- - Fecal Coliform (/100 ml ) : ' �0o TSS (mg/1 ) e — RECOMMENDED BY- DATE v i t APPROVED BY: Regional Engineer: Date : Regional Supervisor: Date : Route to Technical Support Group and Permits and Engineering Unit (Enclosed copy of USGS topographical map showing location of discharger) State of North G&&�,.-mina Department of Environment, Health and Natural Resources ` • Division of Environmental Management James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary 1� E H N F1 A. Preston Howard, Jr., P.E., Director September 14, 1994 Richard Ellis Green 10 Azalea Street Asheville, NC 28803 Subject: NOI Application NPDES NCG550722 Green Residence Buncombe County Dear Mr. Green: This letter is to acknowledge receipt of your application received September 12, 1994 for coverage under General Permit for Single Family Residences. The permit number highlighted above has been assigned to the subject facility. By copy of this letter,we are requesting that our Regional Office Supervisor prepare a staff report and recommendations regarding this discharge. If you have questions regarding this matter,please contact Susan Robson at(919) 733-5083. Sincerely, David A. Goodrich, Supervisor NPDES Group cc: Asheville Regional Office(with attachments) Permits and Engineering Unit Central Files �F ,4 TO, gr P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-5083 FAX 919-733-9919 An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper s-s a 7-Z Z Nc M' State of North Carolina Department of Environment, Health and Natural Resources Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27611 James B. Hunt, Jr., Governor r A. Preston Howard, Jr., P.E. Jonathan B. Howes, Secretary Director NOTICE OF INTENT National Pollutant Discharge Elimination System Application for Coverage under General Permit NCG550000; Single Family Domestic Units 1. Name, Address,location, and telephone number of facility requesting Permit. A. Official Name: t?iC14jgnb Et-6s 67re- B. Mailing Address: / AZAI-rr S'TTr� (1)Street Address; #SN 1/Ictt e AWW (2)City; 02794 4&et AJ'q (3)State; 2®®03 (4)ZipuwG�w+B� (5)County; `r C. Location; (Attach map delineating general facility location (1)Street Address; r�OW OOt� (2)City; 23 MFAb" 2 Ue . (3)State; (4)County; one 2 q-7-3 D. Telephone Number; ( o Z'I -V 2. Facility Contact: /1 A. Name; _ocogam �G 00"PA'Vy B Title; , Gag ONAM6 - l?/W5,,NeA;7- C. Company Name; D. Phone Number; (z0j_) 3. Application type (check appropriate selection): A. New or Proposed; _� B. Existing; If previously permitted,provide permit number_ and issue date C. Modification; (Describe the nature of the modification): 4. Description of discharge. A. Please state the number of separate discharge points. 1 MO; 2jl; 3ji; 4,[-]; —,[]• B. Please describe the amount of wastewater being discharged per each separate discharge point. ( flow is based on 120 GPD/bedroom with a minimum of 240 GPD/home) 1: gallons per day (gpd) 2: (gpd) 3: (gpd) 4: (gpd) Page 1 C. Check the dura tl I 01 nd fre quency quency of the discharge,per each separate discharge point 1.Continuous: 2.Intermittent(please describe): 3-Seasonal: (check the month(s)the discharge occurs):January [];February [ ];March [ ]; April [ ], May[];June[];July[];,August[];September[);October[];November[];December[]. 4.How many days per week is there a discharge?(check the days the discharge occurs) Monday [J, Tuesday [], Wednesday[], Thursday [],Friday [], Saturday [], Sunday []. 5.How much of the volume discharged is treated? (State in percent) LOO _% D. Describe the type of wastewater being discharged. (please list any known toxants being discharged from this residence); VAQ7F✓4TM1SEWA&, E. Check the appropriate type of treatment being used to treat the wastewater, 1. Septic Tank; 2. Sand. Filter(s); 3. Recirculating Sand Filter(s); 4. Chlorination; _ 5. Other form of disinfection(specify); 1jE-CIdCOR!l fi q OA/ 6. Aeration(specify type); ��gcr+aq 7. Other(describe, be specific); 8. Please describe in detail the information checked above. (Include specifics for each check; to include: type,dimensions, treatment amounts, design volumes,retention times for each system, manufacture's specifics and contractor's specifics) Existing treatment facilities should be described in detail and design criteria or operational data should be provided (including calculations) to ensure that the facility can comply with requirements of the General Permit.The following are the minimum design requirements needed for each of the treatments listed above: a.Septic Tank; Minimum tank septic tank size shall be 750 gallons for two bedrooms and 900 gallons for three bedrooms. The Division recommends the use of a 900 gallon tank for a two bedroom and a 1200 gallon tank for a three bedroom unit. If excavation into bedrock is necessary for the septic tank or sand filter then a liner of at least 10 mm thickness shall be provided for the septic tank and/or sand filter. b. Sand Filters; These shall be used to provide secondary treatment. For the sand filters, the loading rate shall be no less than 1.15 GPD per square foot of filter. The Recirculating Sand Filter should be able to handle 5.0 GPD per square foot with no more than a 3:1 recirculating ratio. Sand shall conform to the Division's standards of 0.35 to 0.5 mm effective size,3.0 uniformity coefficient,and 0.5% dust content. c. Chlorination; The chlorine contact chamber shall have at least a 30 minute detention time. The volume should be calculated as follows: Volume (gallons)= (design flow x 0.5)/ 24 hours. Discharge pipe from the chlorinator shall be perforated. d.Cascade aeration should consist of a 5 step concrete trough but may also be made of rip rap. NOTE: Construction of any wastewater treatment facilities require submission of three (3) sets of plans and specifications along with their application. Design of treatment facilities must comply with requirement 15A NCAC 2H .0138. If construction applies to the discharge, include the three sets of plans and specifications with the application. 5. Name of receiving water: Classification: (Attach a USGS topographical map with all discharge point(s) clearly marked) Page 2 l 1 6. Is the discharge directly to the receiving water?(Y,N) If no, state specifically the discharge point. Mark clearly the pathway to the potential receiving waters on the site map. (This includes tracing the pathway of the storm sewer to its discharge point, if a storm sewer is the only viable means of discharge.) 7. Please address possible non-discharge alternatives for the following options: / 0t4E_ A. Connection to a Regional Sewer Collection System; B. Subsurface Disposal; C. Spray Irrigation; 8. 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. Printed Name of Person Signing. l�HLLI S � � Title /��Z-- Date Application Signed 111 Signature of Applicant r 'CG�c r �'` Le�e.•t— NORTH CAROLINA GENERAL STATUTE 143-215.6 (B) (2) PROVIDES THAT: 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$10,000, 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 $10,000 or imprisonment not more than 5 years, or both, for a similar offense.) Notice of Intent must be accompanied by a check or money order for$400.00 made payable to the North Carolina Department of Environment, Health, and Natural Resources. Mail three (3) copies of entire package to: Division of Environmental Management NPDES Permits Group Post Office Box 29535 Raleigh, North Carolina 27626-0535 Page 3 From tsi/scandiofelt PHONE No. 704 6284021 f Jul.07 1994 9:22AM P02 Bunconibe County Health Department BUNCOMBE COUNTY HEALTH CENTER JAMES B.T'ENNEY,M.D.,Dr-P.H. ASHEWIJLF,NORTH CAROLINA 29801-3073 CHARLES F.MURRAY,M.D. (704)255-5671 Clinieal 131hn or 12LAINE C.BAKNES,R.D.,M.D.A. Ademinia®r®Ilve Vireslur February 15. 1993 Mr. Tony Riela 62 Rocking Horse false Fairview, NC 28730 Dear Mac. Riela® Ken Castelloe, and l recently conducted a site evaluation on Lot 52 of the kle dowwood Vubdivision in Fairview. North Carolina. After examining backhoe fits. we determined that the lot is unsuitable for a ground absorption sewage treatment and disposal system for a single family residence, modules home, or mobile l ume flue to Llte follOW11151 factux-rs. (1) noi.l wetness, conditions (2) excess fill material (3) landscape portion. T recommend that you contact Max Haner with the North Carolina. Division of Nnvisonmental Hanagemcnt at 25 -6203 to pursue the possibility of a sand filter system. If I can be of further auuiutance, you may reach me at 255-5691. 8inuerely. t Clayton B. Tucker, R.6- Environmental Health Specialist Environmental Health services CHT/wr Aug, 31. 1994 2: 15PM RE/MAX REALTY No. 3690 P. 3/3 /" •t I1t�4TN FNON AFFO a , 1 ♦S45 o \ I ; U ;r � '�� s O __ AMA MYlAtM�_ --- � •�� 1 1 is , , /1 1 1 1 � R 1 , o i 1 1 }•o R aQ rye U5 �5 SO4t6 Ifende �onr�P 2SA S tep Cnee RoAd tz Concord Rd. b SINGLE FAMILY RESIDENCE WWTF REQUIREMENTS FOR DUAL SEPTIC TANK SUBSURFACE SAND FILTER SYSTEMS 1 . Wastewater design flow based upon 120 gallons per day (gpd) times the number ( ? ) of bedroom in the proposed house. (Maximum design flow will be 1000 gpd) Example: one ( 1) bedroom house = 120 gpd two (2) bedroom house = 240 gpd three ( 3) bedroom house = 360 gpd four (4) bedroom house = 480 gpd 2 . NPDES, General Permit Number (NCG550000) will be applicable to the specific discharge location and volume of the proposed single family residence by issuance of a Certificate of Coverage (COC) to be valid for the remaining life of the General NPDES Permit. 3 . Minimum treatment required for a single family residence to use a dual subsurface sand filter _type system provides for the following: a septic tank, dual subsurface sand filters ( in series), , tablet type effluent chlorination* (disinfection) and an effluent cascade (post aeration) *DISCHARGES TO TROUT WATERS WILL REQUIRE DECHLORINATION OR A DEMONSTRATED, METHOD OF DISINFECTION OTHER THAN CHLORINATION. 4 . Minimum influent sewer size is 4-inch diameter installed at a minimum slope of 1 . 0% . A hardwall polyvinyl chloride (PVC) should be used for all influent and treatment facility sewer lines with exception that distribution lines on surface of sand filters and discharge line from chlorinator to cascade may be flexible or perforated. 5 . Minimum septic tank hydraulic capacity must be 1000 gallons or twice the design flow of the treatment system whichever is Larger. 6 . Excavation to bedrock or presence of a high ground water table in filter bed area requires a liner of at least 10 mm thickness for the septic tank and/or sand filter system. 7 . Dual sand filter systems shall utilize sand corresponding to the Division ofEnvironmental Management standards of 0 . 35 - 0 .50 mm effective size, 3 .0 uniformity coefficient, and 0 . 5% dust content. Dual sand filter systems shall conform to the following design criteria: Primary subsurface sand filter application rate = 1 . 15 gpd/ft . Secondary subsurface sand filter application rate 2 . 30 ;gpd/ft ^gym' tHOwio0E o Page 2 - SINGLE FAMILY RESIDENCE WWTF REQUIREMENTS FOR DUAL SEPTIC TANK SUBSURFACE SAND FILTER SYSTEMS 8 . The minimum difference in elevation (drop) between the discharge end of primary filter and the influent distribution box to the secondary filter must be at least 34-inches . 9 . The distribution box shall be of standard concrete design . sized as suitable for the treatment system and installed plum and level to promote equal. flow to all distribution lines in each filter. 10 . The chlorine contact chamber shall be baffled and shall have a design detention time of a minimum of 30 minutes based upon the design of the treatment facility. 11 . The effluent cascade shall consist of a 5-step concrete or rip-rap trough with each step measuring a minimum of 6-inches high and 12-inches wide. 12 . Minimum ground cover on influent and effluent sewer lines shall be 18 inches . Each subsurface sand filter shall be covered with a minimum of 4 inches . 13 . All treatment units shall be located a minimum of 100 feet from a potable water supply well . 14 . Plans and specifications must be submitted in triplicate and prepared by either the homeowner or a registered professional engineer. 4 -Pi7 pio3uoo ngg Pdo� a .Vj �a7aew5 b`SZ ��"��7I alI!�uogpaPRa R 4>'no5 SZ So Q� e ' R 1 � C � 1 , 3 rci)� od L---- AIdY377AFu1Y d ------ - -- 1 \ JJ � a nk a d ; e S 3 � a v ----------- , CA 'd 069E 'ONE L'IM NUN WdSI ;Z HE 'IC -R TYP tCAi., S r TE slr,nri SINGLE FAMILY RESIDENT^E DUAr, SUBSURFACE SAND FILTER TYPE TREATMENT SYSTEM EXAMPLE ONLY - PLEASE PRESENT A SIMILAR SITE PLAN SPECIFIC TO YOUR PROPERTY AND PROPOSED RESIDENCE SHOW w � i a rl y - _ o Dy Cm y � , 5 ' cD SITE PLAN SHOULD- SHOW THE FOLLOWING: BALDING LOT r�_- WATER SUPPLY WELL(S) r� C7 AND HOUSE - VICINITY MAP WITH HIGHWAY RECEIVING STREAM("�/-AND STATE ROAD (SR) NUMBERS DISCHARGE POINTGi�C0P .RFATMENT SYSTEM AND LAYOUT NORTH ARROW - _. . - a ICAf 1000 dK ^ �Gt10E Z INLET _r cu P WATL'rR'TIL,l{L UV`g1 0S - l+�j i 1 . SEPTIC TAITK TO BE CONST.RUC:TEU ON CONCRETE (MINIMUM 2500 PSI ) REINFORCED IN ALL DIRECTIONS WITH 3/8 INCH ¢C BARS 1.2- INCH O.C. OR APPROVED EQUAL. ALL INTERIOR St?R.FA(-F.S TO BE COATED WITH WATERTIGHT SEALANT. 2 . BAFFLE CONSTRUCTED OF BRTCP; OR CONCRETE (REINFORCED AS DESCRIBED ABOVE) WITH HOLES PROVIDED SIMILAIR TO TIOSF SHOWN. 3 . SEPTIC TANK SHALL BE PLACED ON UNDISTURBED EARTH BASE OR COMPACTED SUTTART.F: FTC,L MATERIAL TO 90% STD PROCTOR TYPE A L SUBSTJR.FACF -AMP r• T LTFT' 4"-rb 6,' -1b ALLOv-/ Fc2 -- �='xis ,- -- C�Zhu N D / '(4#0-rR F A-re D Unr�rR CAT EV ►III •' •• br�G PI�P-R 1 . •.. III � _ ', � nl F�Ilu . ZANY FILTER SAN Vi, il, 36" Mex . 7z„Max. FILTER T2ENCj.4 F" 1LTV- R SE n JfbT To SCALE (TA/c oft moKE D15T L)N S) EXIST-GfZOt�rvD LEVEL VAITRH dT�D . SLnCi. Pz1,PE2 %9 a-nF-1 h!E C ZL,./E L FILTER SAh1D FILTER SAND SPECIFICATIONS BOAR 0. 35-0. 50 mm STorvE-- If' EFFECTIVE SIZE 2- <3 .0 UNIFORMITY COEFICIENT ut,jIFo2M C� <0. 5tDUST CONTENT B 0T V4 L I N F=: 1 . DISTRIBUTION LINES SHALL RE r`ET"FORATED (FLEXIBLE) PVC PLACED SUCH THAT THE DISCTTARrE FROM THE LINE EXITS THE SIDEWALL. THE END OF F.A(-'TT PT�TRTnT.JTION LINE SHALL BE PLUGGED OR CAPPED. 2. FILTRATE COLLECTION LINES SHALT, BE HARDWALL PVC WITH PREDRILLED 1/2 HOLES LOCAT'P TrT THE TOP HALF OF THIS COLLECTION LINE. 3 . DISTRIBUTION LIMES AND FTLTR.A'PF. COLLECTION LINES SHALL BE 4-INCH DIAME`.CER. 4. GRADE BOARD IS NOT REQUIRED TT TRENCH (FILTER) IS CONSTRUCTED AT 3-INCH PF..R inn T-r' GRADE. Vol.. 1 5/12/83 rzz GAscafl>= AERATOR � 1 1 , Ile -0p , f 000 t TOP i t 1 N Orr To 6CM-LF v+r'nu. CON6T RucTen As RL-QulR8-fl .- Tb CONTOI ry fill V i 1 i!r`t art' =►rr ` EXtS-{'. SECT'1o�1 a -A GR0un.1n i - cASC�Dc s��r�� 8E Gar�s7RUcYe� pF CONS CRETE , uocnSr_-I/ FULL L-.r N 6Td S`( C�MPgG� eD gL1RT1� S� (To 90 "/o ST4: PRocTaj�o O>ti STEEL - r ,01 GL n--ec,r SOS13 —ro � I (704)274-4141 BUS.,298-7734 RES. -- 1-800-627-1939 TOLL FREE - JOHN MOORE REALTOR• - y _ COLDWELL BANKER HARRELL&ASSOCIATES, --- --- --a REALTORS" 1280 HENDERSONVILLE ROAD ASHEVILLE,NC28803 —� An Independently Owned and Operated Member of Coldwell Banker Residential Affiliates,Inc. y 7 I j � I I ! i i � I I ! t I I � I � I I �I I ..., ,. 0 ROY COOPER , � Governor MICHAEL S.REGAN Secretary Water Resources S.JAY ZIMMERMAN Environmental Quality Director June 7, 2017 Christopher B Nichols 23 Meadow Brook Dr Fletcher,NC 28732 SUBJECT: Compliance Evaluation Inspection 23 Meadow Brook Drive Permit No: NCG550722 Buncombe County Dear Mr Nichols: Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on 2/8/2017. The facility was found to not be compliant with permit NCG550722. The reason for noncompliance is that the effluent needs to be tested for parameters in the permit. Please refer to the enclosed inspection report for additional observations and comments. If you have any questions,please call me at 828-296-4658 or send me an email at daniel.boss@ncdenr.gov. Sincerely, Daniel J Boss Environmental Specialist Asheville Regional Office Enclosed: Inspection Report List of Certified Labs cc: MSC 1617-Central Files-Basement Asheville Files G:\WR\WQ\Buncombe\Wastewater\GeneIal\NCG55 Single Family Residence\550722 Chris Nichols\CEI 2.8.2017\Noncompliant letter 6.7.2018.docx State of North Carolina I Environmental Quality I Water Resources 2090 U.S.Highway 70,Swannanoa,North Carolina 28778 828-296-4500 h United States Environmental Protection Agency Form Approved. EPA Washington,D.C.20460 OMB No.2040-0057 Water Compliance Inspection Report Approval expiresB-31-96 Section A:National Data System Coding(i.e.,PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 IN 1 2 LJ 3 1 NCG550722 11 12 '17/02/08 17 18 U 19 1 20u 21111111 111111111111111111 l l 11111 11111111111 f6 Inspection Work Days Facility Self-Monitoring Evaluation Rating 131 QA Reserved -- 67 70 71I J I 72 �,I_I 731 I 174 751 III I _U80 Section B:Facility Data Name and Location of Facility inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 11:00AM 17/02/08 10/01/20 23 Meadow Brook Drive 23 Meadow Brook Or Exit Time/Date Permit Expiration Date Fletcher NC 28732 11:45AM 17/02/08 12/07/31 Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name,Address of Responsible Official/Title/Phone and Fax Number Contacted Christopher B Nichols,23 Meadow Brook Dr Fletcher NC 28732//828-669-0090/ Yes Section C:Areas Evaluated During Inspection(Check only those areas evaluated) Permit 0 Operations&Maintenance Self-Monitoring Program M 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 Daniel J Bosses ARO WQ//828-296-4658/ � �� ' Signature of'f agement 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 NCG550722` I11 12 17/02/08 i 17 18 ICI \` Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) On 2/8/17 I (Dan Boss)conducted a Compliance Evaluation Inspection at 23 Meadowbrook Dr in Buncombe County. The owner, Chris Nichols,was present for the duration of the inspection. The general appearance of the system was well maintained. There were no signs of septic failure or sand filter ponding. Chris had the septic tank pumped in 2016. The effluent pipe was discharging clear water. The stream quality looked fine and there were no signs of degradation. Chris told me that the effluent pipe was discharging even when he was examining the home before he purchased it. The previous owner lived there alone at the time,which made me suspect that the discharge could be purely groundwater. Then Chris told me that he has a toilet which is constantly.running and I suggested that he fix that and see if the discharge stops. Chris said he would fix the toilet in 30 days and get back in touch with me. If the discharge continues then the effluent needs to be tested by a certified lab for Total Suspended Solids, Biological Oxygen Demand (BOD), Fecal Coliform Bacteria,and residual chlorine. Page# 2 .aS'.- R•�eai !t75rvkhTS%�n 'u ,t}t..^mm :... zxn„x. ...g= --.,.: Permit: NCG550722 Owner-Facility: 23 Meadow Brook Drive Inspection Date: 02/08/2017 Inspection Type: Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ 0 ❑ application? Is the facility as described in the permit? 0 ❑ ❑ ❑ #Are there any special conditions for the permit? ❑ ❑ M ❑ Is access to the plant site restricted to the general public? ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? M ❑ ❑ ❑ Comment: Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑ Does the facility analyze process control parameters,for ex: MLSS,MCRT, Settleable ❑ ❑ M El Solids, pH, DO,Sludge Judge, and other that are applicable? Comment: Septic Tank Yes No NA NE (If pumps are used)Is an audible and visual alarm operational? ❑ ❑ ❑ Is septic tank pumped on a schedule? ❑ ❑ ❑ Are pumps or syphons operating properly? Are high and low water alarms operating properly? ❑ ❑ MEI Comment: Sand Filters (Low rate) Yes No NA NE (If pumps are used)Is an audible and visible alarm Present and operational? ❑ ❑ ® ❑ Is the-distribution box level and watertight? ❑ ❑ ❑ Is sand filter free of ponding? ❑ ❑ ❑ Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ ® ❑ #Is the sand filter surface free of algae or excessive vegetation? ® ❑ ❑ ❑ #Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ ® ❑ Comment: Disinfection-Tablet Yes No NA NE Are tablet chlorinators operational? 0 ❑ ❑ ❑ Are the tablets the proper size and type? 0 ❑ ❑ ❑ Number of tubes in use? 2 Page# 3 Permit: NCG550722 Owner-Facility: 23 Meadow Brook Drive Inspection Date: 02/08/2017 ` Inspection Type: -Compliance Evaluation \\ Disinfection-Tablet Yes No NA NE Is the level of chlorine residual acceptable? ❑ ❑ El M Is the contact chamber free of growth, or sludge buildup? 0 ❑ ❑ ❑ 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)? ❑ ❑ 0 ❑ Is storage appropriate for cylinders? ❑ ❑ M ❑ #Is de-chlorination substance stored away from chlorine containers? ❑ ❑ 0 ❑ Comment: Are the tablets the proper size and type? 0 ❑ ❑ ❑ Are tablet de-chlorinators operational? 0 ❑ ❑ ❑ Number of tubes in use? 2 Comment: Effluent Sampling Yes No NA NE Is composite sampling flow proportional? ❑ ❑ ® ❑ Is sample collected below all treatment units? ❑ ❑ ® ❑ Is proper volume collected? ❑ ❑ Is the tubing clean? #Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ ® ❑ Celsius)? Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ® ❑ ❑ representative)? Comment: Effluent needs to be tested for TSS BOD Fecal Coliform and residual chlorine. Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? ® ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ® ❑ Comment: Page# 4 C Certified. Commercial Laboratories IBM TSS & Fecal Coliform) (sorted by zip code) Water Quality Lab&i • Paul. PO Box 544 � Banner Elk 28804- 828.898-6277 wglo@skybest:com i Operations, Isenhour 1167 Inc, . Water Tech Lafayette. P.O.Box -- 50 Granite Falls NC 28630, 828-396-4444 watertk@charter.net Labs,Inc. A.Gragg 1056 275 Blue Ridge David P.O.Box Lenoir NC" AUG. 828 728-0149 BlueRidgetabs@yahao.com Labs Wessinger . 2940 Statesville Dena P.O.Box 446 Statesville NC 28687- 704-872-4697 denamyers@beilsouth.net Analytical Myers 228 Cherokee i P.O.Box• 235 WWTP Mike Bolt 547 Cherokee NC 28719- 820 497-6824 michboit@nc-cherokee.com I Laboratory Environmental, Anthony P.O.Box 57 Culiowhee NC 28723- 828.293-9396 environmentalinc@aol.com Inc. Tirona 954 �= James& James Juanita 3801 482 Environmental Asheville Hendersonville NC 28791- 828-697-0063 Hems@belisouth.net Management, James Hwy. ;! Inc. .Environmental ' Kelley E. PO Box 28802 KeKeenan@aol.com or 600 Testing Asheville NC 828-360-9364 Solutions,Inc. Keenan 7565 7565 Jim.Sumner@aoi.com i e PACE Analytical" Barry 2225 3 40 Riverside Asheville 'NC 28804- jAsVkM Tftl barryjohnson@pacelabs:com Services,Inc. Johnson Drive Asheville 828-254-7176 Earth Michael J. 75 Bison d L52 Environmental Murphy. NC 28906- 828-479-6428 earthenvser@webworkzcom # _ Services Ladd Lane 3 .t i a NC Commercial-Laboratories Certified to Analyze Field Parameters (Chlorine) (sorted by zip code) I Service Inc'.of.• Darrell 6191 P.O Box 337 Banner Elk NO 28604- $28-998-5011 rdyoung@uiwater-com. NO-Western Young _ Region Hickory Regional Wayne 3200 20th paul.spencer@veoliawaterna. 6466 Newton NO 28668= 828.466-140.1 -- Compost Facility Carroll Avenue SE corn, Best water, Scott 6386. PO Box 651 Valle Crucis NO 28691- 828-297-6234 srvbws@charter.net Services Vasgaard Clearwater Deborah 2253 Hwy. . $021 Columbus NO 28722- 828.869-6626 JoelBurrell@HOTMAIL.com Services Bradley 108' Environmental, 'Mark P.O.Box Cullowhee NO 28723 828-293-9396 Environmentaitnc@aol.com Inc. Teague .1360 Tom Kilpatrick& Tom P.O..Box i 6037 Etowah .NO. 28729. 828.890-4810 twkk@mchsi.com Associates Kilpatrick 679 Safety& John 64 Web 6216 Environmental Fred Fletcher NO 28732- 828.684-0722 Consulting,Inc. Edwards Place 6188 Keith Bond Keith 99 Maple Hilt Penrose NC 28766 828.877-36.66 Bond Road 6250 Royal Water Wesley PO Box 778 Pisgah Forest NC 28768- 828.884-9637 wesr@citcom.net Works,Inc. Royal A&D Aubrey PO Box 6339 Maintenance, Pisgah Forest NO 28768- 020-884-9772 admaint@cltcom.net Inc. Deaver 1407 James&James 3801 Environmental. Juanita 482 Asheville Hendersonville NO 28791- 828-697-0063 yeml@bellsouth.net Management, James Inc. Hwy. -— Trevor C. 2020 6127 TREVCO Howard Gap Hendersonville NC 28792- 828.691-7191 trevorcm@belisouth.net McMinn Road Altamont Anna 50 College 828-281-3350 asaylor@altamontenvironmen -- 5445 Environmental, Asheville NO 28801- Inc. Saylor Street ext.16 tai.com 6167 RPB Systems, Bob Barr P.O.Box Asheville NC 28802. 828-261-1900 rbarr@rpbsystems.com Inc. 1325 210 W. - Goldle& Henry North 864-882-8194 henrv(i�sroldieassoctates.com 5428 Associates,Inc. Dyer Second Seneca SC 29672- ext.105 (operates in Western NC) - Street James Jaynes'Errvlrva dotal Management' A 8#1 Asheville H�s e dery'jivitle x NC 8�91 NC C T,abora O NC Wastewater" NC Drinkin Water#317763 i I April 24,2017' Chris Nichols 3 Meadow Brook Drive Fletcher,_NC7-1 Dear'Mr.Nidhofs, Enclosed are the results of the analysis perform by our staff ou your samples. The analysis p rf performed conform d Method 18 Edition. a plc W s s Meth result Units s _rMD I t nal� - - -__ D1117 FECAL 9122D <10.0 c/l00mL <I 04-11-17 L DI BOO 52IOB <2 m /L 10 04-1 -17 L D1I17' T -c .. 1 milt 04-12-17 D Should you have questions regarding these results plea feel free to contact us. ji Thank you, rich Baran Administrative Assistant t cn r( bellsoutImet 2 � EI63 3 i Q 3 i � R a � m 2 2Yd a M W os FIXOMOR s ,�-�, °.-�"�s`� y . a. I L North Carolina Department of Environmental Quality. 'Pat McCrory Donald R, van der Vaart Governor Secretary February 24, 2016 Christopher Nichols 23 Meadow Brook Drive Fletcher,NC 28732 SUBJECT: Compliance Evaluation Inspection 23 Meadow Brook Drive Permit No: NCG550722 Buncombe County Dear Mr.Nichols: Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection conducted February 18, 2016. The wastewater treatment system at 23 Meadow Brook Drive was found to be noncompliant as annual fees are overdue and the permit has expired. The previous permittee is no longer the homeowner and the enclosed change of ownership form must be submitted. Please contact Bob Sledge at(919) 807-6398 to determine how to renew the subject permit. Other violations observed include failure to provide chlorine tablet disinfection, and tablet dechlorination. The system must have these tablets present to function properly. Ensure chlorination tablets are certified for wastewater use as wastewater tablets are not the same as those used for swimming pools. Although the receiving stream was flowing clear and did not show signs of degradation,the effluent pipe was not located. Access to the effluent pipe should be maintained by the permittee. Your system was approved by the Department with a step aeration device listed in the original permit application. No such aeration device was observed during this inspection. Please construct a proper discharge point that facilitates sample collection and a post-aeration device prior to mixing with the receiving stream. Commence annual monitoring as required by the NPDES General Permit NCG55 (enclosed)and comply with all permit requirements at all times. Within thirty (30) days upon receipt of this letter,please submit any of the required records and a corrective action plan to the undersigned addressing the non-compliance identified in this report. If additional time is needed to return to full compliance,please include anticipated completion dates in your letter. Failure to complete remedial measures in a timely manner may result in a Notice of Violation and the assessment of civil penalties. 2090 U.S.Hwy.70,Swannanoa,North Carolina 28778 Phone:828-296-45001 Internet:www,ncdenr.gov An Equal Opportunity i Affirmative Action Employer—Made in part by recycled paper Refer to the enclosed inspection report for additional observations and comments. If you have any questions,please call me at 828-296-4500. Sincerely, Rob Topolsk Environmental Specialist Division of Water Resources Enclosure: Inspection Report NCG55 Permit and Technical Bulletin Property Record Card Change of Ownership form cc: MSC 1617-Central Files-Basement WQ Asheville Files G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residence\550722 Richard Green\CEI.02182016.ltr.doe � — United States Environmental Protection Agency Form Approved. EPA Washington,D.C.20460 OMB No.2040-0057 Water Compliance Inspection Report Approval expires 8-31-98 Section A:National Data System Coding(i.e.,PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 IN 1 2 15 1 3 I NCG550722 I11 12 16/62/18 17 18 i,.i 19 i s 201 21111111 11111111111 1111, 1111111111 1 � 1111�1 � � � � �6 Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ---- ---- 67 70 71 t I 72 73( i 74 751 I I I I 1 j I80 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 Numbed 10:30AM 16/02/18 10/01/20 23 Meadow Brook Drive 23 Meadow Brook Dr Exit Time/Date Permit Expiration Date 10:45AM 16/02/18 12/07/31 Fletcher NC 28732 Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name,Address of Responsible Official/Title/Phone and Fax Number Contacted Christopher E Nichols,23 Meadow Brook Dr Fletcher NC 28732N No Section C:Areas Evaluated During Inspection(Check only those areas evaluated) ® Operations&Maintenance ® Records/Reports ® Effluent/Receiving Waters Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers /// Date Robert Topolski ARO WQ//828-296-4500/ C/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 NCG550722 111 12 16/02/18 17 18 ICI Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) On February 18,2016, 1(Rob Topolski)and Andrew Moore of the Asheville Regional Office conducted a compliance evaluation inspection at the 23 Meadow Brook Drive single family residence wastewater treatment plant. The previous inspection was conducted under previous ownership and the current owners,Amanda B Nichols and Christopher B Nichols,.were identified from the Buncombe County Property Record Card. No phone number was found and no one was at the home to be present during this inspection. Mr. Moore left his business card in the 23 Meadow Brook Drive mail box with a request for a returned call. Annual permit fees have not been paid since 2011 and are overdue. Therefore, Permit No. NCG550722 was not renewed and is expired resulting in a violation of discharging without a proper permit. No chlorine tablets or dechlorination tablets were observed and the discharge pipe and step aeration device were not present and visible.The receiving stream was flowing clear with no indication of excessive solids discharging from this system. Samples were not collected at this time. Please Note: This inspection report includes a checklist with Yes, No, NA(not applicable), and NE (not evaluated). Violations were observed during this inspection. Please comply with the remedial measures and submit requested records by the due dates listed in the cover letter of this inspection report. L - Page# 2 Permit: NCG550722 Owner-Facility: 23 Meadow Brook Drive Inspection Date: 02/18/2016 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? ❑ ❑ ❑ Is all required information readily available,complete and current? ❑. ❑ ❑ Are all records maintained for 3 years(lab.reg.required 5 years)? ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? ❑ ❑ ®_ ❑ Is the chain-of-custody complete? ❑ ❑ ❑ Dates,times and location of sampling ❑ Name of individual performing the sampling ❑ Results of analysis and calibration ❑ Dates of analysis Name of person performing analyses ❑ Transported COCs El Are DMRs complete:do they include all permit parameters? ❑ ❑ ® -❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ ® ❑ (If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator ❑ ❑ ® ❑ on each shift? Is the ORC visitation log available and current? ❑ ❑ ® ❑ 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? ❑ ❑ ® ❑ Is a copy of the current NPDES permit available on site? ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ® ❑ Comment: This facility does not hold an active NCG55 permit. The property owner was not able to be reached:therefore, the required records were not reviewed. Discharge Monitoring Reports (DMRs)and Certified Operators in Responsible Charge (ORC)are not required under the NCG55 Permit. Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ® ❑ ❑ ❑ Does the facility analyze process control parameters,for ex:MLSS, MCRT,Settleable ❑ ❑ ® ❑ Solids, pH, DO,Sludge Judge,and other that are applicable? Comment: Septic Tank Yes No NA NE (If pumps are used)Is an audible and visual alarm operational? ❑ ❑ ® ❑ Is septic tank pumped on a schedule? ❑ ❑ ❑ Are pumps or syphons operating properly? ❑ ❑ ® ❑ Page# 3 Permit: NCG550722 Owner-Facility: 23 Meadow Brook Drive Inspection Date: 02/18/2016 Inspection Type: Compliance Evaluation \ Septic Tank Yes No NA NE Are high and,low water alarms operating properly? ❑ ❑ ® El Comment: Records were not available for inspection at this time. Septic tank pumping frequency is unknown. Disinfection-Tablet Yes No NA NE Are tablet chlorinators operational? ❑ ® ❑ ❑ Are the tablets the proper size and type? ❑ ® ❑ ❑ Number of tubes in use? 2 Is the level of chlorine residual acceptable? ❑ ❑ ❑ Is the contact chamber free of growth,or sludge buildup? ❑ ❑ ❑ Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑ Comment: There was no indication that chlorine tablets were present. 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: There was no indication de-chlorination tablets were present. Effluent Pipe Yes No NA NE Is right of way to the o.utfall properly maintained? ® ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ® ❑ Comment: The effluent pipe and cascade aeration was not visible at the receiving stream bank. It is possible that flooding broke the pipe and buried it and washed out the step aeration device. Page# 4 ty Tax Lookup-Property Card http://www.buncombetax.org/PropertyCard.aspx s COUNTY OF BUNCOMBE O. NORTH CAROLINA Web Property Record Card 9675-79-8713-00000 Date Printed:2/i8/2oi6 Owner Information Parcel Information Total Property Value:373,900 Status: Active Owners: AMANDA B NICHOLS Deed Date: 7/7/2014 CHRISTOPHER B NICHOLS Deed Book/Page: 5223/0283 Address: 23 MEADOW BROOK DR Plat Book/Page: 0059/0132 FLETCHER NC 28732-9101 Legal Reference: TRANSFER BY DEED Property Location:23 MEADOW BROOK DR Location 23 MEADOW BROOK DR Taxing Districts Class: RESIDENTIAL Neighborhood: MEADOWOOD TRAIL County: Buncombe County Subdivision: MEADOWOOD LSch Sub Lot: 52 FAIRVIEW FIRE Conservation/Easement:N l: Flood: Y Ownership History Transfer Legal Deed Vacant Price Qualified When Seller Names Date Reference Book/Page Sold TRANSFER BY RICHARD E GREEN 07/07/14 $415,000 DEED 5223/0283 Yes No (ETAL)NATALIE F LILLEY(ETAL) TRANSFER i0/01/0� $0 BY 4470/0902 No:C No RICHARD E GREEN DEED SANDRA R GREEN Assessment History Year Acres Land Bldgs Other Impr Assessed Desc Exemptions Deferred Taxable 2015 1.39 37,200 336,700 0 373,900 0 0 373,900 2014 1.39 37,200 245,200 0 282,400 0 0 282,400 2013 1.39 37,200 1245,200 0 282,400 0 0 282,400 2012 1.39 55,700 267,300 0 323,000 10 0 323,000 2011 1.39 55,700 267,300 0 323,000 10 0 323,000 2010 1.39 55,700 267,300 0 323,000 10 0 323,000 2009 1.39 155,700 267,300 0 323,000 10 0 323,000 2oo8 1.39 155,700 267,300 0 323,000 0 0 323,000 2007 1.39 55,700 267,300 0 323,000 10 0 323,000 2oo6 1.39 55,700 267,300 0 323,000 10 0 323,000 2005 1.39 47,400 201,900 0 249,300 10 0 249,300 2004 1.39 47,400 201,900 0 249,300 0 0 249,300 2003 1.39 47,400 201,900 0 249,300 0 0 249,300 2002 1.39 47,400 1201,900 0 1249,300 0 0 249,300 2001 1.39 31,700 1225,400 0 1257,100 o 10 257,100 t of 2 2/18/2016 8:43 AM Buncombe County Tax Lookup-Property Card http://www.buncombetax.org/Prop, Land Data Total Acres: 1.39 Land Value: Other Value:o Acrea e 37,200 Improvements Segment# Units Description 1 1.39 Acreage LOT IN AC Building Structures Res. Sq Bsmt Bsmt Year Building ID Style Feet SgFt Finished Built Grade Condition Value 1 1.5 2 880 0 0 1998 B N 336,700 \\ CONVENTIONAL ' Refinement Description Built-Ins Units Foundation PIERS Full Baths 2 Roof Type HIP W/COMP.SHGL. Half Baths 1 HVAC HEAT WITH A/C Fireplace/Gas Log 1 Bedrooms 3 RLfK . f6: R9P S, Section SqFtStories RtDd � RGlsfi =- OPEN PORCH 128 1 12 1/2-STY LIVING 264 0.5 DECK 96 1 1.5 ST LIVING 2,616 1. pan) 4$ AREA 5 GARAGE 528 1 24',: SCREENED 160 1 1B PORCH s ROF Total Building Valuer 336,7oo of 2 2/18/2016 8:43 AM North C1ina Department of Environmental`,_ Iality McCrory,Governor Donald R.van der Vaari,Secretary I. Please enter the CoC number for which the change is requested. Certificate of Coverage 5 p 7 2 2 II. Please provide the following for the requested change(revised permit). a. Request for change is a result of x Change in ownership of the residence/property ❑ Name change of the facility or owner If other please explain: b. Permit will be issued to(company name, if applicable): c. Person legally responsible for permit: First MI Last Title Permit Holder Mailing Address City State Zip ( ) Phone E-mail Address d. Facility name(discharge): 23 Meadow Brook Drive e. Facility address: 23 Meadow Brook Drive Address Fletcher NC 28732 City State Zip f. Facility contact person: First MI Last ( ) Phone E-mail Address III. Permit contact information(if different from the person legally responsible for the permit) Permit contact: First MI Last Title Mailing Address City State Zip ( ) Phone E-mail Address IV Will this permitted facility continue to discharge the same volume and type of wastewater as prior to this ownership or name change? x Yes ❑ No(please explain) Revised 212009 NCG5500 WNERSHIP CHANGE FO , Page 2 o 1 VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: This completed application is required for both name change and/or ownership change requests. ❑ Legal documentation of the transfer of ownership(such as relevant pages of a contract deed, or a bill of sale)is required for an ownership change request. Articles of incorporation,are not sufficient for an ownership change. ....... ........ ................................................................................................. The certifications below must be completed and signed by the new applicant in the case of an ownership change request. APPLICANT CERTIFICATION attest that this application fora name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included,this application package will be returned as incomplete. Signature Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: NC DENR/DWR/NPDES 1617 Mail Service Center Raleigh,North Carolina 27699-1617 Revised 7/2008 J�n 'A 702 NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory John E. Skvarla, III Governor Secretary May 12,2014 Mr.Richard E. Green 23 Meadow Brook Drive Fletcher,NC 28732 Subject: Payment of Overdue Annual Fees/Reinstatement of General Permit Coverage Certificate of Coverage NCG550722 Buncombe County Dear Mr. Green, As follow up to our phone conversation of May 9, 2014,I wanted to provide you with some documents that will help you move forward with the agreed upon plan of action that will lead to reinstatement of the expired certificate of coverage for your residence in Buncombe County. First of all,the last two overdue annual fees associated with the permit must be paid. The total overdue amount is $120.00. Copies of the invoices for the fee payments have been attached to this letter. On the invoices are directions regarding how you may pay the fees by check and instructions as to how electronic payments may be made. I've also attached a renewal form for coverage under the general permit. Please complete and sign the form. You may send your entire submittal (payment, return invoice forms,renewal application)to my attention at the address shown at the bottom of the page. Once these items are received,the formal reinstatement of permit coverage should move smoothly. I've also included a copy of a change-of ownership form. When the property is sold,both you and the new owner should complete and sign the applicable parts of the form. The new owner should submit the document to our office and formally request transfer of permit coverage. I hope these items are helpful to use as you work through these processes. Please feel free to contact me if I may be of further assistance. You can call me at(919) 807-6398 or send me an e-mail at bob.sledge@ncdenr.gov. Sincerely, r k 1 Bob Sledge,Environmental Specialist Fwater tREtw�t'REDrces Division of Water Resources attachments MAY 1 4 2014 cc: Linda Wiggs,ARO NPDES Permit File ouaiity Regiona►operations sheville Regional Office 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Phone:919-807-6300 Vntemet:www.ncwaterquality.org An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper NCDR DWQ PERMIT FEE SCHEDULE Effective September 1, 2007 CATEGORY A NEW PERMIT APPLICATION FEE/ MAJOR MODIFICATION FEE- ACTIVITY- See Notes 1,2 ANNUAL FEE See Note 3 Major Individual NPDES Permits $3,440 $1,030 Minor Individual NPDES Permits $860 $260 Sin le Family Residences $60 $20 Stormwater&Wastewater $100 N/A Discharge General Permits Recycle Systems $360 $110 Animal Permits (Small Ops) $60 N/A Animal Permits (Medium Ops) $180 N/A Animal Permits (Large Ops) $360 N/A Nondischarge Major Permits $1,310 $395 Nondischarge Minor Permits $810 $245 CATEGORIC B ACTIVITY- See Note 1 ADDITIONAL ANNUAL FEE - See Note 4 PROJECT FEE - See Note 3 Special Order by Consent-Major $500 $400 Special Order by Consent-Minor $250 $400 CATEGORIC' C ACTIVITY- See Note 1 ADDITIONAL ANNUAL FEE - See Note 4 Sewer Extensions $480 State Stormwater $505 Water Quality Certifications-Major $570 Water Quality Certifications-Minor $240 Petroleum Contaminated Soils $480 MISCELLANEOUS ACTIVITY PROJECT FEE Permit Renewal No Fee Authorization to Construct No Fee Minor Permit Modification No Fee Notes: 1. Refer to definitions page for specific descriptions of each activity category. 2. For new permit requests under activities listed in Category A, a fee equivalent to the corresponding annual fee is required. This fee is non-refundable if the permit request is denied. If the permit is granted, this fee applies as the annual fee for the first year after permit issuance. 3. This fee is non-refundable if the permit request is denied. A major modification shall be defined as one that increases the volume, increases the pollutant load, results in a significant relocation of the discharge point, or results in a change in the characteristics of the waste generated. 4. These fees shall be in addition to the associated annual fee as listed under Category A. 5. This fee is non-refundable if the permit request is denied. Definitions of Permitted Activities: >= 1.0 million gallons per day. Industries with high toxic Individual NPDES (Major) potential; municipalities.with pretreatment programs; municipal stormwater permits. < 1.0 million gallons per day. Industries with low toxic potential; Individual NPDES (Minor) municipalities; small domestic waste facilities; industrial stormwater permits. All individual systems covered under NPDES General Permit Single Family Residences Number NCG550000 and non-discharge single family residential s stems. Stormwater&Wastewater Discharge Facilities covered under statewide General NPDES Permits. Common examples include: mine dewatering, cooling water, General Permits vehicle maintenance activities, etc. Recycle Systems Must be complete closed-loop recycle system. Animal Permits (Small) 38,500 to 99,999 Steady State Live Weight Animal Permits (Medium) 100,000 to 799,999 Steady State Live Weight Animal Permits (Large) > 800,000 Steady State Live Weight Nondischarge Permits (Major) > 10,000 gallons per day or> 300 acres of land required. Nondischarge Permits (Minor) 100,000 to 799,999 Steady State Live Weight Special Order by Consent(Major) Refer to categories described above for Major facilities. Special Order by Consent(Minor) Refer to categories described above for Minor facilities. Collection system construction or extension to an existing Sewer Extensions system. All new development in the 20 coastal counties. New development located throughout the state near designated State Stormwater sensitive waters (i.e. High Quality Waters, Outstanding Resource Waters). Water Quality Certifications (Major) > 1.0 acre wetland fill, > 150 feet stream impacts Water Quality Certifications (Minor) < 1.0 acre wetland fill, < 150 feet stream impacts Petroleum Contaminated Soils Removal, treatment & disposal of petroleum-contaminated soils. Les IL / r� i �� II h� AaBbCcOdEe AaBbCcQdEe t�r.1�13�C 'F° t Norma! k No Spacing Headiesg 1 1 2 e 5 6 G�I91�+e del Vg try I `O (i)�IG miiiN I ev >00f 12AM20i a11f3(ifl I h ce t 02Q-- 0l 1U(I. k000 i£IA soloa inn..�.8 Permit A=n al Fee 2007 �92f01t2007 '11f30t20 6 Decemp THE,/008 12008PR061056 $n oo MA9_ verd a �� ill - PermitAn�aalFee_.2008 12t011200° 11130t2007 Decemq �02iM 07 200.?R000988 sn o9 luala ;Permit An uai Fea 2005 1VOU2006 17I30t200E�ecemte �02f2�2000 2006pR007048 $fl➢.9b $Q94__-�5400 iWai e� b' a ,.a� �I`+ �� ?,��I ,''�.��I� � i��PermIV �.�i6Ne 001 1�7011N)(x �17i3012 Decemi O2tL 00 200 F00061(i t...,-"", e - o INNMI SIN �u�41 flumm Bill �ii iil r � CC ,2 N. ' • ' ' f NCDENR North Carolina Department of Environment and Natural ke s J,"N ' 4 2010 Quality Water of Division o Q ty :. Beverly Eaves Perdue Coleen H.Sullins WATER QUALITY E`�—rIOIv n Governor ASHEVILLE REGIOTq� �7 Fn@ ' ecre ary December 30,2009 CERTIFIED MAIL 7009-1680-0002-2464-5541 RETURN RECEIPT REQUESTED RICHARD E GREEN 151 LA MANCHA DRIVE APT 8 ASHEVILLE,NC 28805 SUBJECT: FINAL NOTICE-Delinquent Annual Eee NPDES Permit NCG550722(2007,2008,2009) Buncombe County Dear Mr.Green: This letter is being sent out to facilities that have not yet paid their Annual Compliance Monitoring Fee. This fee requirement is documented in your current permit in Part II.B. 14. Your total annual fees owed,for the permitted facility referenced above;is$170.00. Copies of each invoice for the permitted facility previously sent by the Division's Budget Office are attached. Failure to pay the annual fee is grounds for revocation of your permit,as documented in part 11.B. 13 and II.-B.14. This matter must be promptly resolved.You will not receive any additional late payment fee request correspondence. This letter serves as final notice that the Division will.refer the fee noted above to the North Carolina Attorney General's Office for collection through the courts unless payment is received by January 30,2010. Additional actions to revoke your operating permits will be initiated as well as referral for collection. Make checks payable to NC DENR;include the permit numbers and invoice numbers on the check. Send the fee payment to: Mrs.Fran McPherson Annual Administering and Compliance Fee Coordinator(919-807-6321) 1617 Mail Service Center Raleigh,NC 27699-1617 (919-807-6321) If you have evidence that the fee has already been paid,please contact me at 919-807-6387 or bob.guerra(a�ncdenr.pov. Sincerely, Bob Guerra;Western NPDES Unit Enclosure: Invoice#2007PR000988,2008PR001056 and 2009PR000984 cc: Central Files NPDES File Roger Edwards,Asheville Regional Office,Surface Water Protection 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Location:512 N.Salisbury St Raleigh,North Carolina 27604 One, 7' Phone:919-807-63871 FAX 919-807-64951 Customer Service:1-877-623-6748 NOl ffiCarollna Iritemet:www.ncwaterquality.org -1►�}��l//� An Equal Opportunity iAffirmative Act f�/�/on Employer a NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 2 0 0 7 P R 0 0 0 9 8 8 INVOICE Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period,regardless of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a$10,000 per day fine. If the permit is revoked and you later decide a permit is needed,you must reapply,with the understanding the permit request may be denied due to changes in environmental,regulatory,or modeling conditions. Permit Number: NCG550722 Annual Fee Period 2006-12-01 to2007-11-30 Buncombe County -- 23 Meadowbrook Drive Invoice Date: 01/17/07 Due Date: 02/16/07 Richard E.Green Annual Fee: $50.00 151 La Mancha Dr Apt 8 Asheville,NC 28805 Notes: I. A$25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3-512. 2. Non-Payment of this fee by the payment due date will initiate the permit revocation process. 3. Remit payment to: NCDENR-Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 4. Should you have any questions regarding this invoice,please contact the Annual Administering and Compliance Fee Coordinator at 919-807-6321. (Return This Portion With Check) ANNUAL PERMIT INVOICE 2 0 0 7 P R 0 0 0 .9 8 8 Overdue Permit Number: NCG550722 Annual Fee Period: 2006-12-01 to 2007-11-30 Buncombe County 23 Meadowbrook Drive Invoice Date: 01/17/07 Due Date: 02/16/07 Richard E.Green Annual Fee: $50.00 151 La Mancha Dr Check Number: Apt 8 Asheville,NC 28805 1 NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 2 0 0 8 P R 0 0 1 0 5 6 INVOICE Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code., It covers.the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period,regardless of the facility's operating status. Failure to pay the fee by the due date will subject the.permit to revocation. Operating without a valid permit is a violation and is subject to a$10,000 per day fine. If the permit is revoked and you later decide a permit is needed,you must reapply,with the understanding the permit request may be denied due to changes in environmental,regulatory,or modeling conditions. Permit Number: NCG550722 Annual Fee Perio 2007-12-01 to 2008-11-30 Buncombe County 23 Meadowbrook Drive Invoice Date: 01/23/08 . Due Date: 02/22/08 Richard E.Green Annual Fee: $60.00 151 La Mancha Dr Apt 8 Asheville,NC 28805 Notes: 1. A$25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3-512. 2. Non-Payment of this fee by the payment due date will initiate She permit revocation process. 3. Remit payment to: NCDENR-Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 4. Should you have any questions regarding this invoice,please contact the Annual Administering and Compliance Fee Coordinator at 919-807-6321. (Return This Portion With Check) ANNUAL PERMIT INVOICE 2 0 0 8 P R 0 0 1 .0 5 6 Overdue Permit Number: NCG550722 Annual Fee Period: 2007-12-01 to 2008-11-30 Buncombe County Invoice Date: 01/23/08 23 Meadowbrook Drive Due Date: 02/22/08 Annual Fee: $60.00 Richard E.Green 151 La Mancha Dr Check Number: Apt 8 Asheville,NC 28805 F� NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 2 0 0 9 P R 0 0 0 9 8 4 INVOICE Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period,regardless of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a$10,000 per day fine. If the permit is revoked and you later decide a permit is needed,you must reapply,with the understanding the permit request may be denied due to changes in environmental,regulatory,or modeling conditions. Permit Number: NCG550722 Annual Fee Period 2008-12-01 to 2009-11-30 Buncombe County 23 Meadowbrook Drive Invoice Dater 01/23/09 Due Date: 02/22/09 Richard E.Green Annual Fee: $60.00 151 La Mancha Dr Apt 8 Asheville,NC 28805 Notes:. 1. A$25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3-512. 2. Non-Payment of this fee by the payment due date will initiate the permit revocation process. 3. Remit payment to: NCDENR-Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 4. Should you have any questions regarding this invoice,please contact the Annual Administering and Compliance Fee Coordinator at 919-807-6321. (Return This Portion With Check) ANNUAL PERMIT INVOICE 2 0 0 9 P R 0 0 0 9 8 4 Overdue Permit Number: NCG550722 Annual Fee Period: 2008-12-01 to 2009-11-30 Buncombe County Invoice Date: 01/23/09 23 Meadowbrook Drive Due Date: 02/22/09 Annual Fee: $60.00 Richard E.Green 151 La Mancha Dr Check Number: Apt 8 Asheville,NC 28805 United States Environmental Protection Agency Form Approved. E p n Washington,D.C.20460 OMB No.2040-0057 I�/`1 Water Compliance Inspection Report Approval expires 8-31-98 Section A: National Data System Coding(i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 I NI 2 I sI 31 NCG550722 111 121 09/12/17 117 18I CI 19I SI 20III Remarks 211IIIIIIIIII1IIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIII6 Inspection Work Days Facility Self-Monitoring Evaluation Rating 61 QA -------------------------Reserved-------------------- 67I 169 701 11 711 I 721 NJ 73' I �74 751 I I I I I I 180 Section B: Facility Data a—I Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 23 Meadow Brook Drive 09:30 AM 09/12/17 05/03/04 23 Meadow Brook Dr Exit Time/Date Permit Expiration Date Fletcher NC 28732 09:45 AM 09/12/17 07/07/31 Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name,Address of Responsible Official/Title/Phone and Fax Number Richard E Green,28343 Welfleet Ln Saugus CA 91350/// Contacted yes Section C: Areas Evaluated During Inspection(Check only those areas evaluated) Permit Operations&Maintenance E Facility Site Review Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date Jeff Menzel ARO WQ//828-296-4500/ Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. Page# 1 NPDES yr/mo/day Inspection Type (cont.) 1 3I NCG550722 I11 12I 09/12/17 1 17 18N Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) The permit for this facility expired July 31, 2007. The home owner is required to submit a permit renewal form. There were no chlorine or de-chlor tablets in the tubes at the time of inspection. This is considered a violation of permit NCG550722.This home is currently for sale. Use a Permit name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage. Page# 2 Permit: NCG550722 Owner-Facility: 23 Meadow Brook Drive Inspection Date: 12/17/2009 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 Is the facility as described in the permit? ■ fl ❑ 171 #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? ■ rl Q ❑ Comment: The permit for this facility expired on July 31. 2QQZ. The facility is operating without t a valid permit. The home owner is required to submit a permit renewal. Operations &Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ■ n Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑ ❑ ■ 0 Judge,and other that are applicable? Comment: Disinfection-Tablet Yes No NA NE Are tablet chlorinators operational? ■ 1-1 n 1-1 Are the tablets the proper size and type? [1 ■ fl Number of tubes in use? 0 Is the level of chlorine residual acceptable? ❑ ■ Cl n Is the contact chamber free of growth, or sludge buildup? ■ ❑ I_l Is there chlorine residual prior to de-chlorination? Q ■ ❑ 0 Comment: There were.no._cblarine tablets in the tubes at the time of inspection. This is considered a violation of permit NCG550722. 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 #Is de-chlorination substance stored away from chlorine containers? 0 ❑ ❑ ■ Comment: Are the tablets the proper size and type? Q ■ 0 Q Are tablet de-chlorinators operational? ■ 0 fl Number of tubes in use? 0 Comment: There were no de-chlor tablets in the tubes at the time of inspection. This is considered a violation of permitNCG-550722. Page# 3 tF4 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue,Governor Coleen H.Sullins, Director Dee Freeman,Secretary January 20,2010 Richard Ellis Greene 28343 Welfleet Ln Saugus,CA 91350 Subject: Renewal of coverage/General Permit NCG550000 23 Meadow Brook Drive Certificate of Coverage NCG550722 Buncombe County Dear Permittee: In accordance with your renewal application [received on January 13,20101,the Division is renewing Certificate of Coverage(CoC)NCG550722 to discharge under NCG550000. This CoC is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated October 15,2007 [or as subsequently amended]. If any parts,measurement frequencies or sampling requirements contained in this General Permit are unacceptable to you,you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made,the certificate of coverage shall be final and binding. Please take notice that this Certificate of Coverage is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the certificate of coverage. Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility. Regional Office staff will assist you in documenting the transfer of this CoC 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 permit that may be required. If you have any questions concerning the requirements of the General Permit, please contact Charles Weaver of the NPDES staff[919 807-6391 or charles.weaver@ncdenr.gov]. Sincerely, I 3 oleen H. Sullins . 1 "Di ' a cc: Central Files t Asheville Regional Office/Surface Water Protection NPDES file P -- 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One 512 North Salisbury Street,Raleigh,North Carolina 27604 NOrthCarohna Phone: 919 807-6300!FAX 919 807-6495/Internet:www.ncwaterquality.org NahaniltkAn Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper STATE OF NORTH CAROLINA ' DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NCG550000 CERTIFICATE OF COVERAGE NCG550722 DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND OTHER 100%DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS 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, Richard Ellis Greene is hereby authorized to discharge domestic wastewater [480 GPD] from a facility located at 23 Meadow Brook Drive Fletcher Buncombe County to receiving waters designated as Gap Creek, a class C-Trout stream in subbasin 04-03-02 of the French Broad River Basin in accordance with the effluent limitations,monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This certificate of coverage shall become effective January 20, 2010. This Certificate of Coverage shall expire on July 31, 2012. Signed this day January 20, 2010 for dbWen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission ��'' +Lib'wt,M¢t�.sw�,a.,'�+,�,aMsltt�§�a•. +z,��s. 74 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H:Sullins Dee Freeman Governor Director Secretary January 7, 2010 Richard E. Green 23 Meadow Brook Dr. Fletcher NC 28732 151 La Mancha Dr. Apt 8 Asheville, NC 28805 Subject: NOTICE OF VIOLATION NOV-2010-PC-0007 Compliance Evaluation Inspection Green Residence Permit No. NCG550722 Buncombe County Dear Mr. Green: Enclosed please find a copy of the Inspection Report conducted 2009-12-17. The Compliance Evaluation Inspection was conducted by Jeff Menzel of the Asheville Regional Office. The treatment-facility was found to be in violation of Permit NCG550722 for the following: Inspection Area Compliance Issue Permit Operating without a valid permit Maintenance Failure to maintain system Please refer to the enclosed Inspection Report for any additional observations and comments. The sewage treatment system serving your residence at 23 Meadow Brook Drive was constructed under the provisions of Certificate of Coverage NCG550722. Currently the system is operating without a valid permit. Attached is a copy of the RENEWAL FORM which is to be used to request renewal of your Certificate of Coverage. Please return the completed form to the Raleigh address indicated. SURFACE WATER PROTECTION—ASHEVILLE REGIONAL OFFICE One Location:2090 U.S.Highway 70,Swannanoa,NC 28778 NOIt1Ca�01111a Phone:(828)296-4500\FAX:828 299-7043\Customer Service:1-877-623-6748 o /'/ Internet:www.ncwaterguality.org G:\WPDATA\DEMWQ\Buncombe\Move\Wastewater\General\NCG55 SFR atul ally E Please understand that such a discharge without a valid permit constitutes a violation of North Carolina General Statute (NCGS) 143-215. 1; enforceable under provisions of NCGS 143-215.6A as administered by this Agency. To prevent further action, carefully review these violations and deficiencies and respond in writing to this office within fifteen (15)working days of receipt of this letter. You should address the causes of noncompliance and all actions taken to prevent the recurrence of similar situations. If you should have any questions, please do not hesitate to contact Jeff Menzel at 828/296-4500. Sincerely, A-1 Roger C. Edwards, Regional Supervisor Surface Water Protection Attachment cc: Central Files w/ attachment Asheville Files w/ attachment r�. 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 NCG550722 111 121 09/12/17 117 181 CI 191 gI 20U Remarks 21111111111111111111111111111111111111111111111116 Inspection Work Days Facility Self-Monitoring Evaluation Rating 61 QA ---—---------------------Reserved--------------------- 67 I 169 70 1 71 Ili I 72 I N 73 I Iu_I 174 751 ( I I I I I 180 �—� Section B: Facility Data t_t 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) 23 Meadowbrook Drive 09:30 AM 09/12/17 05/03/04 23 Meadowbrook Dr Exit Time/Date Permit Expiration Date Fletcher NC 28732 09:45 AM 09/12/17 07/07/31 Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name,Address of Responsible Official/Title/Phone and Fax Number Contacted Richard E Green,23 Meadow Brook Dr Fletcher NC 28732/// Yes Section C: Areas Evaluated During Inspection(Check only those areas evaluated) Permit ®Operations&Maintenance ■Facility Site Review Section D: Summary of Find in /Comments Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date Jeff Menzel ARO WQ//828-296-4500/ �G�O 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 t NPDES yr/mo/day Inspection Type (cont.) 1 3� NCG550722 I11 121 09/12/17 I17 18H Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) The permit for this facility expired July 31, 2007. The home owner is required to submit a permit renewal form. There were no chlorine or de-chlor tablets in the tubes at the time of inspection. This is considered a violation of permit NCG550722.This home is currently for sale. Use a Permit name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage. Page# 2 Permit: NCG550722 Owner-Facility: 23 Meadowbrook Drive Inspection Date: 12/17/2009 Inspection Type: Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new application? ❑ ® ❑ ❑ Is the facility as described in the permit? ■ ❑ ❑ ❑ #Are there any special conditions for the permit? ❑ ❑ ■ ❑ Is access to the plant site restricted to the general public? ■ ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑ Comment: The permit for this facility expired on July 31, 2007. The facility is operating without a valid permit. The home owner is required to submit a permit renewal. Operations &Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 00013 Does the facility analyze process control parameters,for ex:MLSS, MCRT, Settleable Solids,pH,DO,Sludge ❑ ❑ ■ ❑ Judge, and other that are applicable? Comment: Disinfection-Tablet Yes No NA NE Are tablet chlorinators operational? i ❑ ❑ ❑ Are the tablets the proper size and type? ❑ ® ❑ ❑ Number of tubes in use? 0 Is the level of chlorine residual acceptable? ❑ ■ ❑ ❑ Is the contact chamber free of growth,or sludge buildup? ■ ❑ ❑ ❑ Is there chlorine residual prior to de-chlorination? ❑ ■ ❑ Comment: There were no chlorine tablets in the tubes at the time of inspection. This is considered a violation of permit NCG550722. De-chlorination Yes No NA NE Type of system? Tablet Is the feed ratio proporti nal to chlorine amount(1 to 1)? ❑ ■ ❑ ❑ Is storage appropriate for cylinders? ❑ ❑ 0 ❑ #Is de-chlorination substance stored away from chlorine containers? ❑ ❑ ❑ ■ Comment: Are the tablets the proper size and type? ❑ ■ ❑ ❑ Are tablet de-chlorinators operational? O ❑ ❑ ❑ Number of tubes in use? 0 Comment: There were no de-chlor tablets in the tubes at the time of inspection. This is considered a violation of permit NCG550722.. Page# 3 `J® � F" v is L asl error illiss retary North Carolina Department of Environment and Natural Resources Fas Alan W.Klimek,P.E.Director Division of Water Quality SURFACE WATER PROTECTION July 15, 2005 Mr. Richard Green 23 Meadow Brook Drive Fletcher, North Carolina 28732-9101 SUBJECT: Compliance Evaluation Inspection Green Residence Permit No: NCG550722 Buncombe County Dear Mr. Green: Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on July 14, 2005. Larry Frost of the Asheville Regional Office conducted the Compliance Evaluation Inspection. The facility was found to be in Compliance with permit NCG550722. Please refer to the enclosed inspection report for additional observations and comments. If you have any questions, please call Mr. Frost at (828) 296-4658. Sincerely, 11-4 oger C. Edwards, Regional Supervisor Surface Water Protection Section Enclosure cc: Central Files Non thCarolina Adura!!Iff North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,NC 28778 Phone(828)296-4500 Customer Service Internet: h2o.enr.state.nc.us FAX (828)299-7043 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper f, nn/� United States Environmental Protection Agency EI�/`1 Washington,D.C.20460 _ _ Form Approved. OMB No.2040-0057 Water Com liance Inspection Re ort Approval expires 8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES r/mo/da Y Y Inspection Type Inspector Fac Type 1 U 2 U 31 t7:',35507 _ 1 11 12 0 ; ,.. 1-' 117 18U 19U 20U 211 i l l l l l l l l l l l l l l l l l l l l Remarks mrks166 Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------—---------------Reserved----------------------- 67 69 70 U 71 U 72 1_l 731 74 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) Gr-ee3i res.idenc.e il';__� PCB 05/07/14 05/103/0A •23 r4ea orr r..00k. nr. Exit Time/Date Permit Expiration Date 'leacher aK', 297-32 01:30 PI 0 /0' /le 07/07/31 Name(s)of Onsite Rep re sentative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name,Address of Responsible Official/Title/Phone and Fax Number F.ich.a.r.cl E Gree.zi,23 Meadow Broc-K Dr Contacted Yes Section C: Areas Evaluated During Inspection(Check only those areas evaluated) Operations&Maintenance ® Facility Site Review Section D: Summary of Findin /Comments Attach additional sheets of narrative and checklists as necessary)_ (See attachment summary) i Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date .ro=- Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date C - 7 � EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. - - c') NPDES yr/mo/day Inspection Type _ 1 3� PCG551;-22 I11 12I -C-07/I4 117 18I I Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) This system appears to be well maintained and operating properly. 6 O12e rat ions&Maint nan Yes No NA N Is the plant generally clean with acceptable housekeeping? e ❑ ❑ ❑ Does the facility analyze process control parameters;for ex:MASS,MCRT,Settleable Solids, pH,DO,Sludge Judge, ® ❑ ❑ ❑ and other that are applicable? Comment: Disinfection-Tabl _t Yes No NA N Are tablet chlorinators operational? ❑ ❑ ❑ Are the tablets the proper size and type? ❑ ❑ ❑ Number of tubes in use? 2 Is the level of chlorine residual acceptable? ❑ ❑ ❑ Is the contact chamber free of growth,or sludge buildup? ❑ ❑ ❑ Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑ Comment: 0171t�LR Lion Yes No NA NE Type of system? Tablet Is the feed ratio proportional to chlorine amount(1 to 1)? 0 1 ❑ ❑ ❑ Is storage appropriate for cylinders? ❑ ❑ e ❑ 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 Is the feed ratio proportional to chlorine appropriate?(Approximately ratio 1:1) ❑ ❑ ❑ ❑ Comment: OF W A t'� � Q� RQG Mic el F.Easl Governor illia oss r., ecretary r North Carolina Department of Environment and Natural Resources Alan W.Klimek,P.E.Director Division of Water Quality SURFACE WATER PROTECTION SECTION February 17, 2005 Richard E. G reen 23 Meadow Brook Drive Fletcher, North Carolina 28732-9101 Subject: Certificate of Coverage No. NCG550722 Sewage Treatment System Residence at 23 Meadow Brook Drive Buncombe County Dear Mr. Green: The sewage treatment system serving your Residence at 23 Meadow Brook Drive (Buncombe County Parcel Identification Number 9672.08-79-7663.000) was constructed under the provisions of Certificate of Coverage Number NCG550722. This permit has now expired. Attached is a copy of your partially completed RENEWAL FORM, which is to be used to request renewal of your Certificate of Coverage. Please return the completed form to the Raleigh address indicated. Please understand that such a discharge without a valid permit constitutes a violation of North Carolina General Statute (NCGS) 143-215.1; enforceable under provisions of NCGS 143-215.6A as administered by this Agency. I am sure you will have questions regarding this matter so please do not hesitate to call me at (828) 296-4658. Sincerely, La r r t vironmental Chemist Enclosure xc: Charles Weaver NorthCarolina Naft rall,y North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,NC 28778 Phone(828)2964500 Customer Service Internet: h2o.enr.state.nc.us FAX (828)299-7043 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper State of North Carolina Department of Environment F?WA and Natural Resources Division of Water Quality Michael F. Easley, Governor NCDENR William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF Alan W. Klimek, P.E., Director ENVIRONMENT AND NATURAL RESOURCES GENERAL PERMIT Certificate of Coverage RENEWAL FORM I. CURRENT PERMIT INFORMATION: Certificate of Coverage (CoC) Number: NCG5 50722 Owner's name (name to be put on permit): Owner's or signing official's name and title: (Person legally responsible for permit) (Title) Mailing address: City: State: Zip Code: Phone: ( ) E-mail address: Applicant's Certification: I, , attest that [to the best of my knowledge] the property previously covered by the Certificate of Coverage (CoC) listed above is under my ownership/control. I hereby request renewal of the CoC listed above and assume responsibility for wastewater discharge[s] from the site. Signature: Date: Send this completed form and a copy of the property deed to: Mr. Charles H. Weaver, Jr. NC DENR/ DWQ/ NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Telephone(919)733-5083 FAX(919)733-0719 An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper