NCG550935_HistoricFile_20200511

. State of North Caroli
Department of Envit&rment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Alan W. Klimek, P.E., Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 26,2002
HERBERT E DAVIS 1 � �' a�`
DAVIS HERBERT E-RESIDENCE
5137USHWY64
MORGANTON, NC 28655
Subject: Reissue-NPDES Wastewater Discharge Permit
Davis Herbert E-Residence
COC Number NCG550935
Burke County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG550000,the Division of
Water Quality(DWQ)is forwarding herewith the reissued wastewater general permit Certificate of Coverage
(COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S.Environmental Protection Agency,
dated May 9, 1994(or as subsquently amended).
The following information is included with your permit package:
* A copy of the Certificate of Coverage for your treatment facility
* A copy of General Wastewater Discharge Permit NCG550000
* A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG550000
Your coverage under this general permit is not transferable except after notice to DWQ. 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 DENR or relieve the permittee from responsibility
for compliance with any other applicable federal,state,or local law rule,standard,ordinance,order,judgment,or
decree.
Please note that effective January 1, 1999 the fees for all permits issued by DWQ were changed. This changed the
fee for your wastewater general permit coverage from a$240 fee paid once every five years to a yearly fee of$50.
If you have not already been billed this year for the yearly fee,you will receive a bill later this year.
If you have any questions regarding this permit package please contact Bill Mills of the Central Office Stormwater
and General Permits Unit at(919)733-5083,ext.548
Sincerely,
for Alan W.Klimek,P.E.
cc: Central Files
Stormwater&General Permits Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10% post-consumer paper

State of North Carol in- J,
Department of Environment •
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Gregory J. Thorpe, Ph.D., Acting Director . NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
11/26/01 2001
HERBERT E DAVIS
DAVIS HERBERT E-RESIDENCE
5137 U S HWY 64 ms, .. .
MORGANTON, NC 28655
Subject: NPDES Wastewater Permit Coverage Renewal
Davis Herbert E-Residence
COC Number NCG550935
Burke County
Dear Permittee:
Your residence or facility is currently covered for wastewater discharge under General Permit NCG550000. This
permit expires on July 31,2002. Division of Water Quality(DWQ)staff is in the process of rewriting this permit
with a scheduled reissue in the summer of 2002. Once the permit is reissued,your residence or facility would be
eligible for continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit,you must apply to the DWQ for renewal of
your permit coverage. To make this renewal process easier,we are informing you in advance that your permit will
be expiring. Enclosed you will find a general permit coverage renewal application form. This will serve as
your application for renewal of your permit coverage. The application must be completed and returned with the
required information by February 01,2002 in order to assure continued coverage under the general permit.There is
no renewal fee associated with this process.
Failure to request renewal within this time period may result in a civil assessment of at least$250.00. Larger
penalties may be assessed depending on the delinquency of the request. Discharge of wastewater from your
residence or facility without coverage under a valid wastewater NPDES permit would constitute a violation of
NCGS 143-215.1 and could result in assessments of civil penalties of up to$10,000 per day.
If the subject wastewater discharge to waters of the state has been terminated,please complete the enclosed
rescission request form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
If you have any questions regarding the permit coverage renewal procedures please contact the Asheville Regional
Office at 828-251-6208 or Bill Mills of the Central Office Stormwater Unit at(919)733-5083,ext. 548
Sincerely,
h;� � yv
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10%post-consumer paper

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FACILITY
COUNTY CLASS
MAILING ADDRESS
RESPONSIBLE FACILITY OPERATOR
OFFICIAL REPRESENTATIVE
TELEPHONE NO.
WHERE LOCATED
CERT. NUMBER
CLASS
NPDES PERMIT NUMBER NC OTHER PERMIT NO.
STATE FEDERAL DATE ISSUED
DATE ISSUED
EXPIRATION DATE
STREAM: NAME
CLASS
7Q10
SUB-BASIN

State of North Carolina
Department of Environment
and Natural Resources ` O
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secreta R
cc
A. Preston Howard, Jr., P E., Director C � m k Nl"k ,
S
December 5, 1997
Mr. & Mrs. Herbert E. Davis
5137 US 64
Morganton, North Carolina 28655
Subject: Permit Issuance
Authorization to Construct
General Permit NCG550000
Cert. of Coverage NCG550935
Davis Residence
Burke County
Dear Mr. &Mrs.Davis:
In accordance with your application for an NPDES discharge permit received August 18, 1997 by
the Division, we are herewith forwarding the subject Certificate of Coverage under the state-NPDES
general permit for Mr. &Mrs. Herbert E. Davis. Authorization is hereby granted for the construction of a
360 GPD wastewater treatment system consisting of an existing septic tank, primary distribution box, 318
square foot (6'X 53') primary sandfilter, with a loading rate of not more than 1.15 GPD/square foot,
secondary distribution box, 162 square foot (6'X 27') secondary sandfilter with a loading rate of not more
than 2.30 GPD/square foot,chlorinator, chlorine contact chamber and rip rap aeration with a discharge of
treated wastewater into Sutterwhite Creek classified class C waters in the Catawba River Basin. Upper
level infiltration lines in both the primary and secondary filters_must be capped or plugged. We
recommend the adjustable cap type for all distribution boxes and all elbow piping must be of the long
sweeping type. This system must beat least 10 feet from the dwelling, 10 feet from property lines and at
least 100 feet from water supply wells on and off the site. This Certificate of Coverage is issued pursuant
to the requirements of North Carolina and the U.S Environmental Protection Agency Memorandum of
Agreement dated December 6, 1983 and 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 submit an individual permit application and letter requesting
coverage under an individual permit. Unless such demand is made, this decision shall be final and
binding. Please take'notice this Certificate of Coverage is not transferable except after notice to the
Division of Water Quality. Part II, EA. addresses the requirements to be followed in case of change of
ownership or control of this discharge.
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.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions,the Permittee shall take immediate corrective action,including those as maybe required by this
Division, such as the construction of additional or replacement wastewater treatment or disposal facilities.
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone] FAX [phone]
d

Permit No. NCG550935
Mr. &Mrs. Herbert E. Davis
December 5, 1997
The Asheville Regional Office, telephone number 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 certifying that the permitted facility has been installed in accordance with the NPDES
Permit, the Certificate of Coverage, this Authorization to Construct and the approved plans and
specifications. Mail the Certification to the Stormwater and General Permit 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 sandfilters 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 any exfiltration
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.
Failure to abide by the requirements contained in this Authorization to Construct may subject the
Permittee to an enforcement action by the Division of Water Quality in accordance with North Carolina
General Statute 143-215.6A to 143-215.6C.
The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances which may be required by the Division of Water Quality or
permits required by the Division of Land Resources, the Coastal Area Management Actor any Federal,
Local or other governmental permit that may be required.
If you have any questions or need additional information,please contact Mack Wiggins, telephone
number 919/733-5083, extension 542.
Sincerely,
ORIGINAL SIGNED BY
BRADLEY BENNETT
A. Preston'Howard, Jr:, P'E.
cc: Central Files
Asheville Regional Office,Water Quality
Point Source Compliance Enforcement Unit
Stormwater and General Permit Unit
Burke County Health Dept.

Permit No. NCG550935
Mr. & Mrs. Herbert E. Davis
December 5, 1997_
Engineer's Certification
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically,weekly, full time) the construction of the
project, 9 for 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

i
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE
GENERAL PERMIT NO. NCG550935
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,
Mr. &Mrs. Herbert E. Davis
is hereby authorized to operate of a wastewater treatment facility that consist of aseptic tank, primary distribution
box, primary sandfilter, secondary distribution box, secondary sandfilter, chlorinator, chlorine contact chamber, rip
rap aeration and associated appurtenances with the discharge of treated wastewater from a facility located at the
Davis Residence
on 5137 Highway 64
south of Glen Alpine
Burke County
to receiving waters designated as Sutterwhite Creek in the Catawba 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 December 5, 1997
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 5,1997
ORIGINAL SIGNED BY
BRADLEY BENNETT
A.Preston Howard, Jr.,P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

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ROAD CLASSIFICATION SCALE 1:24 000
PRIMARY HIGHWAY LIGHT-DUTY ROAD,HARD OR 0 1 MILE
HARD SURFACE ® IMPROVED SURFACE
SECONDARY HIGHWAY 0 7000 FEET
HARD SURFACE UNIMPROVED ROAD
1 0 1 KILOMETER
Latitude 3503832" Longitude 81°46'48"
Map # E1 1 NE Sub-basin 03-08-31 CONTOUR INTERVAL 40 FEET
Stream Class C QUAD LOCATION
Discharge Codes 04 Herbert E.Davis Residence
Receiving Stream Sutt erwhit a Creek NCG550935
Burke County
Design 0 360 GFD Permit expires 0 7/31/02

ROY COOPER
Governor
j
S. JAY ZIMMERMAN
a
Director
Water Resources �Rf
rr�...r,.,.ENVIRONMENTAL©UALITY � C/'� DJanuary 9, 2017 `^ ����~®�aY
.BAN 1 7 2017
Mr. Matthew Stomprude and Mrs.Heidi Stomprude
5137 US Highway 64
Morganton, NC 28655 eviff
WO As&Vy Re p
Subject: General Permit NCG550000
5137 US Highway 64
Certificate of Coverage NCG550935
Burke County
Dear Permittee:
The Division has received and approved your request to transfer ownership of the subject Certificate
of Coverage (CoC)under General Permit NCG550000. As a result,the Division hereby reissues NCG550935.
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 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 Brianna Young of the NPDES staff[919-807-6388 or
[e-mail]].
'f Since rely,
C
for S.Jay Zimmerman, f�
Director, Division of Water Resources
cc: Asheville Regional Office
NPDES File
State of North Carolina Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550935
DWSG _F DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
0%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,
Matthew Stomprude and Heidi Stomprude
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
5137 US Highway 64
Morganton
Burke County
to receiving waters designated as Sutterwhite Creek, a class C stream in subbasin 03-08-31 of the
Catawba 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 January 9, 2017.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day January 9, 2017.
for ay Zimmerman, P.G.
irector, Division of Water Resources
By Authority of the Environmental Management Commission

North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
May 8, 2015
Ms. Marjorie Davis
5137 US Hwy 64
Morganton,NC 28655
SUBJECT: Compliance Evaluation Inspection
Davis Residence
Permit No: NCG550935
Burke County
Dear Ms. Davis:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the
inspection conducted at your 5137 US Hwy 64 on May 1, 2015. The facility was found to be in
compliance with permit NCG550935 for Single Family Residence (SFR) wastewater discharge
permits.
Refer to the enclosed inspection report and Technical Bulletin for General Permits for
SFRs for additional information.
If you have any questions,please call me at 828-296-4500.
Sincerely,
Timothy Heim, P.E.
Environmental Engineer
Enclosure
cc: MSC 1617-Central Files-Basement
WQ Asheville Files
G:\WR\WQ\Burke\Wastewater\General\NCG55 Single Family Residences\NCG550935 David\NCG550935 CEI 4-
15.doc
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
Phone:[phone]\Internet:www.ncdenr.gov
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

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 h I 3 I NCG550935 I11 121 15/05/01 117 i 18 JCJ 19 r G r 20I
211 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 I 1 1 '1 1 1` I I I I I I I I I I I I 11 1 1 1 1 1 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating f B1 ' QA — - --------- --Reserved- -----------
671 1 70 I I 71 L� . 72 u 73 I I 174 75 80
Section B:Facility Data I 1
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date" Permit Effective Date
POTW name and NPDES permit Number)
01c45PM 15/05/01 13/08/01
5137 U.S. Highway 64
5137 U S Hwy 64 Exit Time/Date Permit Expiration Date
Morganton NC 28655 02:15PM 15/05/01 18/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible OfficiaUTitle/Phone and Fax Number
Contacted
Herbert E Davis,5137 U S Hwy64 Morganton NC 28655//828-584-8553/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit ® operations&Maintenance N-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
Timothy H Heim ARO WQ//828-296-4665/ � /
r
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Dfite.
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

\
\
NPDES yr/mo/day Inspection Type (Cont.) 1 \
31 NCG550935 I1 �2 15/05/01 17 18 L CJ ,\
\
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) \
\
Mrs.Davis(Permitee)was not home at the time of the inspection, I spoke with her son Philip. He
related that she is aware of the system location,components and purpose and is not experiencing any
problems with it. The yard and landscaping around the system are well maintained and accessible. I
was not able to open the chlorine contact chamber to observe if tablets were present. I inspected the
location of the effluent discharge pipe as indicated on the plans. I was not able to visualize the end of
the pipe due to vegetation; but the stream appeared free of adverse impacts. - -
Chlorination tablets must be placed within the tubes for the system to effectively treat the wastewater
prior to discharge.Make sure the chlorination tablets are certified for wastewater use. Wastewater
tablets are not the same type as those used for swimming pools.
Page# 2

Permit: NCG550935 Owner-Facility: 5137 U.S.Highway 64
Inspection Date: 05/01/2015 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? M ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? . ❑ ❑ ❑
Comment:
Operations &Maintenance Yes No NA NE
Is the plant generally clean,with acceptable housekeeping? ■ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS,MCRT, Settleable ❑ ❑ M ❑
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? ❑ ❑ 0 ❑
Is septic tank pumped on a schedule? ® ❑ ❑ ❑
Are,pumps or syphons operating properly? ❑ ❑ ® ❑
Are high and low water alarms operating properly? ❑ ❑ ■ ❑
Comment:
Sand Filters (Low rate) Yes No NA NE
(if pumps are used) Is an audible and visible alarm Present and operational? ❑ ❑ ■ ❑
Is the distribution box level and watertight? ❑ ❑ ❑
Is sand filter free of ponding? ❑ ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ ■ ❑
#Is the sand filter surface free of algae or excessive vegetation? ❑ ❑ M ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1)
El 0 M El
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ ❑ ❑
Are the tablets the proper size and type? ❑ ❑ ❑
Number of tubes in use? 2
Page# 3

LLw
Permit: NCG550935 Owner-Facility: 5137 U.S.Highway 64
Inspection Date: 05/01/2015 Inspection Type: Compliance Evaluation \\
Disinfection-Tablet Yes No NA NE
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth, or sludge buildup? ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ® ❑ ❑' ❑
Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ ❑
If effluent (diffuser pipesare required) are they operating properly? ❑ ❑ ! ❑
Comment:
Page# 4

trio : . End Time.
SINGLE-pateA ILY W"TEWATER S ;S i•1E+ `# UST`fit t �
l�erf Permit:
.�tt �J r-
dress � . -
WSS _..Cell,Pho count
Es respaniisie##rtre oprarcxr.arf rna r�ar� e tfte € r Ltd r3 ,
Y _ Na APPfY
t,Is,the current t iderit tip h e the Ai e?,
2.,If iiotOoeSJhek residtil rerit from it err. ee
'ng pfownership form nep " ; (Mail form WMAhle inspection letter), 0 0
is ft,re a iri r on r€d ria ti rieiice agr ie t ;.' contractor?-
5: ff"yes tp *hq
P TANK The septirurR,andliftersOoWdbe tttetw annuai and pu as "
6- is all wasteweterftm the fs"e owne ed to theseptic tank
7. peas itteelr s t were re tie t o "i dated 0
s Has th t n pi pe '
9 if yes to Wd'a1e,iftfproof,,desrnte
Does the uiptic tank lave d�=FLU . t l i T' Y, (circl o )
1 .if y" :tti Ater en Vora ih filter ed rh�MDoofri
# '� _ if roc "i1e s� "
A ssibte sartd surfaces shall ire raked and tev Avery Wx enih4 an3 any ve ietiva.g fih�it be rezncn€ed rg�;e U
1 .is ti.s syst o t lh o . r ttiari ridfiR I
i ."if yes,what Bind`(examples-Peat `re tie ,c t r or brwW,,oa_r e.-A€f iJ Vic_)
t4_Does the permillee:know where thesandfifter is 0
..
El
't a,Does the Ater require maititenan6al
if no d to at se i ».
k e trt ava to rsik "ao?be specked*ogi4,The tamps ajid siaeeve should be ciearled ar repta a$�n Ra hluta pri er disirt
1 is
QV wo
IT Hattto UV Vfift beeO_"Nioedofid .ilbs l ned
fa w, ,ccs ph�fes"weekly, fore t3 , _J
r=6t5��t tA$ t in 0 Pr t4 the next Section-
The- t. icirtnat r unii shah b zhdckedvveekly to ensUM confInUOUS and prOp gon-
t .,Does f e. (ff norwe, r�rk"
f
0� Does the . itti know the location of the cil i or?;
..Were,chlorine tablets observed i 'the chlorinator?
.Are tablet$contact N�t r01
?it le eke d r
t iar rid YO 13 No o proceed,to thenext
Tha chWjnator dhif s sic iy to ensure c0flfinuOus and r. r nperatiort,
. is:.tt ie"permiffee,fna ?vfpe the dhtor is?
es th permittee havelbe ooi t .liar tsblets?' �'`
d
.Wepe dechlor tablets observedin�e dechlorinaflon chambo,rl" El `
El
215
Are e tees f l :ti i € fit 'lf ibl pp 144, m to d ire. C�
II �. c
�111
11

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A TL4LA.
FqCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross,Jr., Secretary
Coleen H.Sullins, Director
August 28,2007
Herbert E. Davis
5137 U.S. Hwy 64
Morganton,NC 28655
Subject: Renewal of coverage/General Permit NCG550000
5137 U.S. Hwy 64
Certificate of Coverage NCG550935
Burke County
Dear Permittee:
In accordance with your renewal application [received on February 1,20071,the Division is renewing
Certificate of Coverage(CoC)NCG550935 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 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.
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 Toya
Fields [919 733-5083, extension 551 or [e-mail]] or Susan Wilson [919 733-5083,extension 510
or [e-mail]].
Sincerely,
1
I '✓�rl'Ri^�:M'�tF'�4�� ,.� .a'4' �YawrW.�
t
for Coleen H. Sullins x
rA
cc: Central FilesAsheville Regional Office/Surface Water Protection2007
NPDES file
s
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 one
512 North Salisbury Street,Raleigh,North Carolina 27604 1V o thCarOlina
Phone: [phone]/FAX [phone]/Internet:www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper Naturally L

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550935
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,
Herbert E. Davis
is hereby authorized to discharge domestic wastewater [360 GPD] from a facility located at
5137 U.S. Hwy 64
Morganton
Burke County
to receiving waters designated as Sutterwhite Creek in subbasin 03-08-31 of the Catawba 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 August 28, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 28, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

FINWA
Adffsm� s� L007 I
NCDENR
North Carolina Department of Environment a�d atu d
p
Division of Water Quality
Michael F. Easley, Governor William G. Ross,Jr., Secretary ,
January 9, 2007
Herbert Davis
5137US Hwy 64
Morganton, NC 28655
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG550935
Burke 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 August 1, 2002.
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
512 North Salisbury Street,Raleigh,North Carolina 27604 NOrthCarollna
Phone:[phone],extension 511/FAX [phone]/[e-mail] Natwrally
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

MINIMMOR
NCG550935 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,
G
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
Asheville Regional Office/Larry Frost
NPDES file

Vq
6 AT ,C� � Michael F.Easley,Governor
"�) n' William G. Ross Jr.,SecretaryGp North Croftna Department of Environment and Natural Resources
r
Alan W.Klimek,P.E. Director
�
Division of Water Quality
O
Asheville Regional Office
SURFACE WATER PROTECTION
October 27, 2005
Mr. Herbert Davis
5137 U S Highway 64
Morganton, North Carolina 28655
SUBJECT: Compliance Evaluation Inspection
Davis Residence
Permit No: NCG550935
Burke County
Dear Mr. Davis:
Enclosed please find a copy of the Compliance Evaluation Inspection form from
the inspection"conducted on October 26, 2005. Larry Frost of the Asheville Regional
Office conducted the Compliance Evaluation Inspection. The facility was found to be in
Compliance with permit NCG550935.
Please refer to the enclosed inspection report for additional observations and
comments. If you have anyquestions, please call me at 828-296-4500.
Sincerely,
Lam Frost
E lronmental Chemist
Enclosure
cc: Central Files
Asheville Files
NorthCarolina
Naturally2090 U.S. Highway 70,Swannanoa, NC 28778 Telephone: [phone] Fax:[phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency
EPA Washington,D.C.20460 Form Approved.
OMB No.2040-0057
Water Compliance inspection Be__port 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 NCG550935 111 121 051/10/26 117 18I CI 191 S 201 I
Remarks
2111 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 116
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA --------------------------Reserved-------------------_
67I 169 70 I_I 71 I I 72 I N I 73 L J J 74 751 I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
Davis Herbert E— Residence 01:15 PM 05/10/26 02/08/01
5137 U S Hwy 64 - Exit Time/Date Permit Expiration Date
Morganton NC 28655
01:25 PM 05/10/26 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
Herbert E Davis,5137 U S Hwy 64 Morganton NC 28655//828-584-8553/ Contacted
No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit ®Operations&Maintenance E 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
Larry Frost ARO WQ//828-296-4500 Ext.4658/
Signature of ManagementQ AA Reviewer Agency/Office/Phone and Fax Numbers /Date
oger R C Edwards �i / 1 19 71 C
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. _' /%

NPDES yr/mo/day Inspection Type 1
3I NCG550935 I11 12I 05/10/26 I17 181C1
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
This system appears to be in excellent condition and operating well. The owners take a great deal of care with
the system. The annual testing is scheduled for December 2005.
Attached is a recommended maintenance schedule.

Permit: NCG550935 Owner-Facility: Davis Herbert E-Residence
Inspection Date: 10/26/2005 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
■ n
Is the facility as described in the permit? nn
■ nnn
Are there any special conditions for the permit? r I n ■ n
Is access to the plant site restricted to the general public? ❑ rl ■
Is the inspector granted access to all areas for inspection?
Comment: ® ❑ ❑
Operations&Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n ❑ ❑
Does the facility analyze process control parameters,for ex:MLSS,MCRT,Settleable Solids,pH,DO,Sludge Judge,and other that are applicable? ❑ f1 ■
Comment:System appears to be well maintained.
Disinfection-Tablet
----�— Yes No NA NE
Are tablet chlorinators operational? ■
Are the tablets the proper size and type? ■ ❑ Cl [I
Number of tubes in use?
2
Is the level of chlorine residual acceptable? ❑ ❑ ❑ ■
Is the contact chamber free of growth,or sludge buildup? [l f_1 (I
Is there chlorine residual prior to de-chlorination? 0 0 n ■
Comment:

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Burke.Co., NC --Printable Map .,, Page 1 of 2
Burke Co., NC
4038
i 1 0073
lY �
362.E
443,
CP
co 0698 4606 PB-26-241
A �
(940) WEST
276.3,33
130
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PROTE CTIQN ASSOCIATION ( .94A)
3009 5035 7086
9032
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(37:87A) (1.98A)
7633
9529 „ '�.
o
Parcels
Record No.: 26211 Map: 91 Page: 52 Blk. Lot: 2 84
PIN: 177000402242 Deed Reference: Bk. 883 Pg. 2281
Parcel Address: 5137 US 64 Land Area: 1.28 acres
Parcel Owner: Assessed Value:$115,396
DAVIS HERBERT E& MARJORIE T Building Value: $103,225
5137 HWY 64 Land Value: $11,596
MORGANTON NC 28655 Other Value: $575
Sales Amount: $90,000
Sales Date: 7/18/1997
http://arcims.webgis.net/nc/Burke/printable.asp?process=id 1&x2=1174234.5633125&y2=700242.18143... 10/27/2005

Rand McNally '
_ _ ^.��",""^ �-� Page } 0f3
TAT
�
�rP oum�
Use the print feature m your browser toprint this page.
---------------------------------------------------------------------------'
Swwannanoa, NC 28778
to
5137Us 64
Morganton, NC 28655-8659
5,137
�
�
Find itin the omo6 Road Atlas
wc Morganton, NC
" page r4' grid section L=6. ° page n:' grid section s's
Western North Carolina map
° page 74' grid section n'o'
Western North Carolina map
" page 7*' grid section s'z
Estimated Total Driving Time: Estimated Total Driving Distance: Total Number pfSteps:
1 hour, 10mmutcs 42mUes 18
Step Directions Distance
l You are atSvvannanoa,NC.
--------------------------------.-------------------------------.-----------.
2 Go N on RivarwoodRd for 150feet « 0.1 miles
-------- .........................................................................................................................................................................................................
3 Turn right onto Old US70 2.4rni|as
..................................................................................................................................................................................................................................
4 Continue onto Old US7OVV 1.9oni|em
---------------~--------------------------------------^--------------------.
S Turn right onto College St < 0`1 rn||es
.... .............................................................................................................. ..........................................................................................................
—�
6 Turn left onto US-70 (State St) 1.3 miles
—. --------------------------------------------------------------------------
7 Continue onto US-7O E (State StE) 0.3 nni|as
---------------------------------------------------------------------------'
hMn j — 10/19/2005

Rand McNally - Get Directions Page 2 of 3
-----.-----------------------_--.-------------------------------------------.
' i|
9 Continue 3O
nueonI-4OE (US-7OE) .7 miles
----.------------------------------------------.----------------------------.
10 Bear right onto off-ramp at exit 96ho Kathy Rd 0.2 miles
-----------------------------------------_--^-----------------------------.
i|
11 Turn h
right KathyKathv Rd � .1 miles
---------------------------------------------------------------------------.
12 Turn hard left onto Jamestown Rd 0.5 nn||as
---------------------------------------------------------------------------.
13 Turn right onto Scott Rd 2.7 rn||ea
---------------------------------------------------------------------------.
`
14 Bear left onto Bennett Rd 0.3 rni|ea
—�r------------------------------------------------------------------------'
15 Bear right onto Conley Rd 0.6nni|eo
---------------------------------------------------------------------------'
16 Turn left onto `Rich Rd 0.7 miles
----------------.---------------------------------------''------------------'
17 Turn right onto US-64 0.1 miles
......................................................................................................................................................... ........................................................................
18 You are atS137Us 64,Morganton,NC
—`----------------------------`---------------------------------------------'
Destination: 5137un6*
Morganton, mC28655'86G9
IMA
NAVTEQ
�
We hope that you find our maps and driving directions helpful and easy to use.The driving directions you get on randmcnally.com are our best
suggestions based on our currently available data and routing calculations. It's always a good idea oo consult n printed Rand McNally map o,road atlas
hrtp://xnmnw. ly.o udo irectioou 'ap?ref=dioudtool=onlVrdbaStaztNazue=&... 10/19/2005
'

SOC PRIORITY PROJECT: No
TO: PERMITS AND ENGINEERING UNIT
WATER QUALITY SECTION
ATTENTION:
DATE: September 9, 1997
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Burke
PERMIT NUMBER NCG550935
PART I - GENERAL INFORMATION
1. Facility and Address: Mr. & Mrs. Herbert Davis
Mailing: 5137 Highway 64
Morganton, NC 28655
2 . Date of Investigation: September 5, 1997
3 . Report Prepared By: James R. Reid
4 . Persons Contacted and Telephone Number: Herbert Davis
704-584-8553
5 . Directions to Site: From the intersection of I-40 and US Highway 64
in Morganton, travel West on Highway 64 approximately 8 miles to the
Davis' residence which is located on the left . Residence is located
0 . 2 - 0 . 3 miles West of Nowling Chapel .
6 . Discharge Point (s) , List for all discharge points:
Latitude: 350 38' 321 Longitude: 810 46' 48"
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. E11NE U.S.G.S. Quad Name Glen Alpine
7. Site size and expansion area consistent with application?
_X_ Yes No If No, explain:
8 . Topography (relationship to flood plain included) :
Flat, adjacent to flood plain
9 . Location of nearest dwelling: 200 -300 feet (across Highway 64)
_1_

10 . Receiving stream .or affected surface waters: Sutterwhite Creek
a. Classification: C
b. River Basin and Subbasin No. : CTB 03-08-31
C. Describe receiving stream features and pertinent downstream
uses: Small stream with rocky substrate and a moderate
accumulation of sediment . The stream is a source of water for
wildlife support, agricultural support and recreation.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted 0 . 000360 MGD (Ultimate
Design Capacity
b What is the current permitted capacity of the Wastewater
Treatment facility? None : subject system is proposed
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: Septic tank with dual sand filters followed by
chlorination apparatus
g. Possible toxic impacts to surface waters: None anticipated
h. Pretreatment Program (POTWs only) :
in development approved
should be required not needed X
2 . Residuals handling and utilization/disposal scheme:. Not specified
a. If residuals are being land applied, please specify DWQ Permit
Number
Residuals. Contractor
Telephone Number
b. Residuals stabilization: PSRP PFRP OTHER
C. Landfill
d. Other disposal/utilization scheme (Specify)
-2-

j
Treatment plant classification (attach completed rating sheet) : I
4 . SIC Codes (s)
Primary N/A (Private Residence, single family) Secondary
Main Treatment Unit Code: 4607
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or
are any public monies involved. (municipals only) ? N/A
2 . Special monitoring or limitations (including toxicity) requests:
None
3 . Important SOC, JOC, or Compliance Schedule dates: (Please indicate)
N/A 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: Lot appears to be 0 . 3 0 . 5 ac (insufficient room
with structure and driveway)
Connection to Regional Sewer System: Miles (5-7) from Municipal
system.
Subsurface: Subsurface system has failed; proposed discharge system
is a replacement.
Other disposal options
5 . Other Special Items:
-3-

PART IV - EVALUATION AND RECOMMENDATIONS
Most of the entire property appeared to be filled wetland. Options are
therefore limited.
Issuance of the permit is recommended.
Z2
Signature of Report Preparer
ater Quality Regional Supervisor
Date
-4-

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RATING SCALE FOR CLASSIFICATION OF WATER POLLUTitN CONTROL SYSTEMS
Name of Facility: 4�-Z( 9)Zl -PRyi S I< s i d e,jC��
Owner or Contact Person: Aka +- IIARS eiz-Mr-iLr -L-3Wy+S
Mailing Address: 5/,3`7 19�v 4aZ/ /tic,
County: Buekc= Telephone: 704— S 0-
3
Present Classification: A)IA New Facility Existing Facility
NPDES Per. No. NCOOiUCty iSOl3�-Nondisc. Per. No.WO Health Dept.Per No.
Rated by: 5f M Pi,0 Telephone: f-64o ' Dater-2-2
Reviewed by: Health Dept. Telephone:
FeI 44 �� Regional Office Telephoner 7cw-,4-V-<.2cj
Central Office Telephone:
ORC: Grade: Telephone:
Check Classification(s): Subsurface Spray Irrigation Land Application
Wastewater Classification: (Circle One I II III IV Total-Points:
- --��-e �,�i�'T ScE ._z &q/v---------------------------
-
1.
PROCSSSES AND RE .EQUIPMENT M41CH ARE AN INTEGRAL PART OF INDUSTRIAL PRODUCTION SHAI I NOT RE
CONSIDERED WASTE TREATMENT FOR THE PURPOSE OF CLASSIFICATION.ALSO SEPTIC TAW SYSTEMS CONSISTING ONLY OF SEPTIC TANK
AND GRAVITY NITRIFICATION LINES ARE EXEMPT FROM CLASSIFICATION,
SUBSURFACECLASSIFICATION SPRAY IRRIGATION CLASSIFICATICN
(check all units that apply) (check all units that apply)
1. septic tanks 1. preliminary treatment (definition no. 32 )
2. pump tanks 2. lagoons
3. siphon or pump-dosing systems 3. septic tanks
4. sand filters 4. pump tanks
5. grease trap/interceptor 5. pumps
6. oil/water separators 6. sand filters
7. gravity subsurface treatment and disposal: 7. grease trap/interceptor
8. pressure subsurface treatment and disposal: 8. oil/water separators
9. disinfection
10. chemical addition for nutrient/algae control
11. spray irrigation of wastewater
In addition to the above classifications, pretreatment of wastewater In excess of these components shsil
be rated using the point rating system and will require an operator with an appropriate dual certification.
LAND APPLICATION/RESIDUALS CLASSIFICATION(Applies only to permit holder)
1. Land application of biosolids, residuals or contaminated soils on a designated site.
-------------------------------------------------------------
WASTEWATER TREATMENT FACILITY CLASSIFICATION
The following systems shall be assigned a Class I classification, unless the flow is of a significant quantity or the technology is unusually
complex,to require consideration by the Commission on a case-by-case basis: (Check it Appropriate)
1. Oil/water Separator Systems consisting only of physical separation, pumps and disposal;
2. Septic Tank/Sand Filter Systems consisting only of septic tanks, dosing apparatus, pumps,sand filters, disinfection
and direct discharge;
3. Lagoon Systems consisting only of preliminary treatment, lagoons, pumps, disinfection, necessary chemical treatment for
algae or nutrient control, and direct discharge;
4. C►osed-loop Recycle Systems;
5. Groundwater Remediation Systems consisting only of oil/water separators, pumps, air-stripping, carbon adsorption, disinfection
and dispo.-J;
6. Aquaculture operations with discharge to surface waters;
7. Water Plant sludge handling and back-wash water treatment;
8. Seafood processing consisting of screening and disposal.
9. Single-family discharging systems, with the exception of Aerobic Treatment Units, will be classified 9 permitted after July 1,
1993 or H upon inspection by the Division, it is found that the system is not being adequately operated or maintained. Such
systems will be notified of the classification or reclassification by the Commission, in writing.

The following scale is uJQfor rating wastewater treatment fac : (circle appropriate points)
ITEM POINTS
(1) Industrial Pretreatment Units or Industrial Pretreatment Program(see definition No.33)...................................................4.
(2) DESIGN FLOW OF PLANT IN gpd[not applicable to non-contaminated cooling waters,sludge handling facilities for
water purification plants,totally closed cycle systems(see definition No.11), and facilities consisting only of hem
(4)(d) or Items (4)(d) and (11)(d)]
0 - 20,000.................................................................................................................................................11
20,001 - 50,000......................................................................................................................................3
50,001 - 100.000....................................................................................................................................
100,001 250,000..................................................................................................................................
250,001 - 500,000..................................................................................................................................
500.001 - 1,000,000...............................................................................................................................0
1,000,001 - 2.000,000...........................................................................................................................
2.000.001 (and up) rate 1 point additional for each 200,000 gpd capacity up to a maximum of .................30
Design Flow (gpd)
(3) PRELIMINARY UNITSIPROCESSES(see definition No.32)
(a) Bar Screens...............................................................................................................................................1
or
(b) Mechanical Screens, Static Screens or Comminuting Devices...........................................................................2
(c) Grit Removal..............................................................................................................................................I
or
(d) Mechanical or Aerated Grit Removal.............................................................................................................2
(e) Flow Measuring Device................................................................................................................................1
or
(f} Instrumented Flow Measurement.....................................................................:.........................................2
(g) Preaeration...............................................................................................................................................2
(h) Influent Flow Equalization..........................................................................................................................2
(i) Grease or Oil Separators - Gravity.................................................................................................................2
Mechanical.................................................................................................................................................3
DissolvedAir Flotation................................................................................................................................8
O) Prechlorination.........................................................................................................................................5
(4) PRIMARY TREATMENT LN ITSIPROCESSES
(a) Septic Tank (see definition No. 43)............................................................................................................2
(b) Imhoff Tank..............................................................................................................................................5
(c) Primary Ciaritiers.........................................................................................................................................5
(d) Settling Ponds or Settling Tanks for Inorganic Non-toxic Materials(sludge handling facilities for water
pur fication plants.sand,gravel,stone,and other mining operations except recreational activities such as gem
orgold mining)........................................................................................................................................2
(5) SECONDARY TREATMENT UNTIVPROCESSES
(a) Carbonaceous Stage
(1) Aeration-High Purity Oxygen System..............................................................................20
DiffusedAir System.......................................................................................................10
Mechanical Air System (fixed, floating or rotor)..................................................................8
SeparateSludge Reaeration.............................................................................................3
Trickling Flier
HighRate.......................................................................................................................7
StandardRate...............................................................................................................5
PackedTower................................................................................................................5
(ill) Biological Aerated Filter or Aerated Biological Fiher............................................................1 0
(iv) Aerated Lagoons..........................................................................................................10
(v) Rotating Biological Contactors......................................................................................10
(vi) Sand Filters -intermittent biological..................................................................................2
Recirculatingbiological.....................................................................................................3
(vii) Stabilization Lagoons.....................................................................................................5
(viii) Clarifier..........................................................................................................................5
(Ix) Single stage system for combined carbonaceous removal of BOO and nitrogenous removal by
nitrification(see definition No. 12)(Points for this hem have to be in addition to hems
(5)(a)(i) through (5)(a)(viii),
utilizing the extended aeration process(see definition No.3a) ...........................................2
utilizing other than the extended aeration process............................................................a
(x) Nutrient additions to enhance BOD removal......................................................................5
(XI) Biological Culture ('Super Bugs')addhion........................................................................5
(b) Nitrogenous Stage
(I) Aeration - High Purity Oxygen System........................................................................... 20
Diffused Air System.......................................................................................................
10
Mechanical Air System (fixed, floating or rotor)............................................................... .8
SeparateSludge Rsaeration............................................................................................3
TricklingFilter-High Rate...................................................................................................7
StandardRate...............................................................................................................5
PackedTower................................................................................................................5
(Ili) Biological Aerated Fier or Aerated Biological Fiher.............................................................10
(Iv) Rotating Biological Contactors......................................................................................10
(v) Sand Filter-Intermittent biological................................................................................. 2
Recirculatingbiological....................................................................................................3
(VI) Clarifier..........................................................................................................................5
(6) TERTIARY ORADVANCEDTREATMENTLNn PROCESSES
(a) Activated Carbon Beds-
withoutcarbon regeneration...................................................................................................5
withcarbon regeneration.......................................................................................................15
(b) Powdered or Granular Activated Carbon Feed
-without carbon regeneration.................................................................................................5
withcarbon regeneration.....................................................................................................15
(c) Air stripping............................................................................................................................................10
(d) Denkrtficatlon Process..............................................................................................................................
(e) Electrodialysis............................................................................................................................................5
(f) Foam Separation.......................................................................................................................................5
(g) Ion Exchange.............................................................................................................................................5
(h) Land Application of Treated Effluent(see definition No.22b) (not applicable for sand,gravel,stone
and other similar mining operations) by high rate infiltration..........................................................................4
(i) Microscreens........................................................................................................................................... S
()) Phosphorous Removal by Biological Processes(See definition No.26)........................................................
(k) Polishing Ponds - without aeration..............._...........................................................................................2
withaeration..................................................................................................................5

(i) Post Aeration cascade....
diffused or mechanical.......... .........
(m) ,tse Osmosis...:................................:...... .........2
............................. .... ..........5
(n) Sand or Mixed-Media Filters - low rate......... ........ ........................
2
highrate.................... .........5
(a) Treatment processes for removal of metal or cyanide................................... ......... ......... ...............1 5
(p) treatment processes for removal of toxic materials other than metal or cyanide..............................................15
(7) SLUDGETREATMENT
(a) Sludge Digestion Tank - Heated (anaerobic)..........................:....................................................................10
Aerobic ............................................................. 5
Unheated (anaerobic).......................................:...................................... 3
(b) Sludge Stabilization(chemical or thermal).:.................................................
(c) Sludge Drying Beds-Gravity............................................................................:.........................................2
Vacuum Assisted.....................:
(d} Sludge Elutriation............................................................................................................:.....:...................5
(a) Sludge Conditioner (chemical or thermal).........................................................................:..:........................5
MSludge Thickener (gravity).........................................................................:............:....,.............:...............5
(g) Dissolved Air Flotation Unit [not applicable to a unit rated as (3)(i)}.................:.. 8
(h) Sludge Gas Utilization (including gas storage).......................................... .............2
(1) Sludge Holding Tank - Aerated.....................................................................: 5
Non-aerated............................................................................... 2
(Jj Sludge Incinerator(not Including activated carbon regeneration)... .... .......10
(k) Vacuum Filter, Centrifuge, or Filter Press or other similar dewatering devices ........ ......... ................1 0
(8) RESIDUALS UTILIZATION/DISPOSAL(including incinerated ash)
(a) Lagoons..............................:..............................:...................................................................................2
(b) Land Application (surface and subsurface) (see definition 22a)
by contracting to a land application operator or landfill operator who holds the land application permit
orlandfill permit............................................................. .........
( ' (c Dedicated Landfill(burial) by the permittee of the wastewater treatment facility................................................5
9 DISINFECTION
(a) Chlorination.....................................................:.....................................................................................5
(b) Dechiorination..................................................................................................................:.:.....................5
(c) Ozone.....................................................:................................................................:.............................5
(d) Radiation................................................................................... 5
(1 0) CHEMICAL ADDITION SYSTEM(S)(see definition No.9)[not applicable to chemical additions rated as ftem(3)(1),
(5)(a)(xi), (6)(a), (6)(b), (7)(b), (7)(e). (ga), (9)(b) or (9)(c) 5 points each.
List
.............................................................. .................. ...............5
................................................................................... .. ... .5
.......... ........ .........................
..........................................................................................:.:.........................:...............5
(1 1) MISCELLANEOUS UNITS/PROCESSES
(a) Holding Ponds,Holding Tanks or Settling Ponds for Organic or Toxic Materials including wastes from mining
operations containing nitrogen or phosphorus compounds in amounts significantly greater than is common
fordomestic wastewater...................................................................................:........................................4
(b) Effluent Flow Equalization(not applicable to storage basins which are inherent In land application systems).....2
(c) Stage Discharge (not applicable to storage basins inherent in land application'systems).............. 5
....................
(d) Pumps.............................................. .......................................... .........:...,
(a) Stand-By Power Supply...................... .......................................... .............. ...........3
(f) Thermal Pollution Control Device..........
TOTALPOINTS.........................................................:................
CLASSIFICATION
ClassI...........................................................................................................5-25 Points
Class11.........................................................................................................26-50 Points
ClassIII........................................................................................................51-65 Points
ClassIV.......................................................................................................66-Up Points
---------------------------
Facilities having a rating of one through four points,Inclusive,do not require a candied operator.
Facilities having an activated sludge process will be assigned a minimum classfication of Class IL
Facilities having treatment processes for the removal of metal or cyanide will be assigned a minimum classification of Class If.
Facilities having treatment processes for the biological removal of phosphorus will be assigned a minimum classification of Class III.
-----------------
.0004 DEFINITIONS
The following definitions shall apply throughout this Subchapter.
(1)Activated Carbon Beds. A physical/chemical method for reducing soluble organic material from wastewater effluent;The column-type beds used in this
method will have a flow rate varying from two to eight gallons per minute per square foot and may be either upflow or downfiow carbon beds. Carbon may or
may not be regenerated on the wastewater treatment plant site;
(2)Aerated Lagoons. A basin in which all solids are maintained in suspension and by which biological oxidation or organic matter Is reduced through artificially
accelerated transfer of oxygen on a flow-through basis;
(3)Aeration. A process of bringing about Intimate contact between air or high purity oxygen in a liquid by spraying, agitation or diffusion;(3a) Extended
Aeration. An activated sludge process utilizing a minimum hydraulic detention time of 18 hours.
(4)Agriculturally managed site. Any site on which a crop Is produced,managed,and harvested (Crop includes grasses,grains,trees, etc.);
(5)Air Stripping. A process by which the ammonium Ion is first converted to dissolved ammonia(pH adjustment)with the ammonia then released to the
atmosphere by physical means;or other similar processes which remove petroleum products such as benzene,toluene,and xylene;
(6)Carbon Regeneration. The regeneration of exhausted carbon by the use of a furnace to provide extremely high temperatures which volatilize and oxidize the
absorbed impurities•
(7)Carbonaceous Stage. A stage of wastewater treatment designed to achieve'secondary'effluent limits;
(8)Centrifuge. A mechanical device in which centrifugal force is used to separate solids from liquids or to separate liquids of different densh!as;
(9)Chemical Addition Systems-The addition of chemical(s)to wastewater at an application point for purposes of improving solids removal,pH adjustment,
alkalinity control,etc.;the capability to experiment with different chemicals and different application points to achieve a specific result will be considered one
system;the capability to add chemicals)to dual units will be rated as one system;capability to add a chemical at a.different application points for different
purposes will result in the systems being rated as separate systems;
(10)Chemical Sludge Conditioning. The addition of a,chemical compound such as lime,ferric chloride,or a polymer to wet sludge to coalesce the mass prior to
its application to a dewatering device;
(11) Closed Cycle Systems. Use of holding ponds or holding tanks for containment of wastewater containing inorganic, non-toxic materials from sand,gravel,
crushed stone or other similar operations.Such systems shall carry a maximum of two points regardless of pumping facilities or any other appurtenances;
(12)Combined Removal of Carbonaceous BOD and Nitrogenous Removal by Nitrification-A single stage system required to achieve permit effluent limits on BOD
and ammonia nitrogen within the same biological reactor,
(13)De-chlorination. The partial or complete reduction of residual chlorine in a liquid by any chemical or physical process;
(14) Denitrification Process. The conversion of nhrate-nhrogen to nitrogen gas;

(15) Electrodialysis. Process for removing Ionized sails from water through the use of ion-selective Ion-exc nge membranes,
(16)Filter Press. A process operated mechanically for partially dewatering sludge;
(17) Foam Separation. The planned frothing of wastewater or wastewater effluent as a means of removing excessive amounts of detergent materials through
the introduction of air in the form of fine bubbles;also called foam fractionation;
(18)Grit Removal. The process of removing grit and other heavy mineral matter from wastewater;
(19) Imhoff Tank. A deep two story wastewater tank consisting of an upper sedimentation chamber and a lower sludge digestion chamber.
(20)Instrumented Flow Measurement. A device which indicates and records rate of flow;
(21)Ion Exchange. A chemical process in which ions from two different molecules are exchanged,
(22) Land application:
(a)Sludge Disposal. A final sludge disposal method by which wet sludge may be applied to land either by spraying on the surface or by subsurface injection
(i.e., chisel plow);[not applicable for types of sludge described in(11) of this Rulej;
(b)Treated Effluent. The process of spraying treated wastewater onto a land area or other methods of application of wastewater onto a land area as a
means of final disposal or treatment;
(23)Microscreen. A low speed,continuously back-washed,rotating drum filter operating under gravity conditions as a polishing method for removing
suspended solids from effluent;
(24) Nitrification Process. The biochemical conversion of unoxidized nitrogen(ammonia and organic nitrogen)to oxidized nitrogen(usually nitrate);
(25)Nitrogenous Stage. A separate stage of wastewater treatment designed for the specific purpose of converting ammonia nitrogen to nitrate nitrogen;
(26) Phosphate Removal,Biological. The removal of phosphorus from wastewater by an oxic/anoxic process designed to enhance luxury uptake of phosphorus
by the microorganisms;
(27) Polishing Pond. A holding pond following secondary treatment with sufficient detention time to allow settling of finely suspended soiids;
(28) Post Aeration. Aeration following conventional secondary treatment units to Increase'effluent D.O.or for any other purpose;
(29) Post Aeration. (Cascade) A polishing method by which dissolved oxygen is added to the effluent by a nonmechanical,gravity means of flowing down a
series of steps or weirs; The flow occurring across the steps or weirs moves in a fairly thin layer and the operation of the cascade requires no operator
adjustment;thus,zero points are assigned even though this is an essential step to meeting the limits of the discharge permit;
(3o) Powdered to Granular Activated Carbon Feed. A biophysical carbon process that utilizes biological activity and organic absorption by using powdered or
granular activated carbon; Virgin or regenerated carbon is food controlled into the system;
(31) Preaeration. A tank constructed to provide aeration prior to primary treatment;
(32) Preliminary Units. Unit operations in the treatment process,such as screening and comminution, that prepare the liquor for subsequent major operations;
(33) Industrial Pretreatment.
(a) Pre-treatment Unit,Industrial. The conditioning of a waste at its source before discharge,to remove or to neutralize substances injurious to sewers and
treatment processes or to effect a partial reduction in load on the treatment process which is operated by the same governing body as the wastewater
treatment plant being rated
b) Pre-treatment Program,Industrial-must be a State or EPA required program to receive points on the rating sheet;
(34) Primary Clarifiers. The first settling tanks through which wastewater is passed in a treatment works for the purpose of removing settleable and suspended
solids and BOD which is associated with the solids;
(35) Pumps. All influent,effluent and in-plant pumps;
(36) Radiation. Disinfection or sterilization process utilizing devices emitting ultraviolet or gamma rays;
(37)Reverse Osmosis. A treatment process in which a heavy contaminated liquid is pressurized through a membrane forming nearly pure liquid free from
suspended solids;
(38) Rotating Biological Contractors. A fixed biological growth process in which wastewater flows through tanks in which a series of partially submerged circular
surfaces are rotated;
(39)Sand Filters:
(a) Intermittent Biological. Fiftration of effluent following septic tanks, lagoons,or some other treatment process in which further biodecomposition is
expected to produce desired effluents;Hydraulic loading rates on these fitters are computed in gpd/ac and have a resulting low gpr✓st(less than one);
b) Recirculating biological-the same type of sand filter as defined in Subparagraph(39)(a)of this Rule with the added capability to recycle effluent back
through the sand filter,
(40)Sand or Mixed-Media Filters. A polishing process by which effluent limits are achieved through a further reduction of suspended solids;
(a)low rate—gravity,hydraulically loaded filter with loading rates in the one to three gpm/sf range;
(b)high rate—a pressure,hydraulically loaded filter with loading rates in the five gpm/sf range;At arty rate,the loading rate will exceed three gpMsh
(41) Secondary Clarifiers. A tank which follows the biological unit of treatment plant and which has the purpose of removing sludges associated with the
biological treatment units;
(42) Separate Sludge Reaeration. A part of the contact stabilization process where the activated sludge is transferred to a tank and aerated before returning for lt
to the contact basin;
(43)Septic Tank. A single-story settling tank in which settled sludge is in contact with the wastewater flowing through the tank;shall not be applicable for
septic tank systems serving single family residences having capacity of 2,000 gallons or less which discharge to a nitrification field
(44)Sludge Digestion. The process by which organic or volatile matter and sludge is gasified,liquefied.mineralized or converted into more stable organic matter
through the activity of living organisms, which includes aerated holding tanks;
(45)Sludge Drying Beds. An area comprising natural or artificial layers of porous materials upon which.digested sewage sludge is dried by drainage and
evaporation
(46) Sludge Elutriation. A process of sludge conditioning in which certain constituents are removed by successive washings with fresh water or plant effluent;
(47)Sludge Gas Utilization. The process of using sewage gas for the purpose of heating buildings,driving engines,etc.;
(48)Sludge Holding Tank(Aerated and Nonaerated). A tank utilized for small wastewater treatment plants not containing a digester in which sludge may be
kept fresh,and supernatant withdrawn prior to a drying method(i.e.sludge drying beds);This may be done by adding a small amount of air simply to keep the
sludge fresh,but not necessarily an amount that would be required to achieve stabilization of organic matter. A nonaerated tank would simply be used to
decant sludge prior to dewatering and would not allow long periods(several days of detention) without resulting odor problems;
49)Sludge Incinerators. A furnace designed to bum sludge and to remove all moisture and combustible materials and reduce the sludge to a sterile ash;
(
(49)Sludge Stabilization(Chemical or Thermal). A process to make treated sludge less odorous and putresclle,and to reduce the pathogenic organism
content;This may be done by pH adjustment,chlorine dosing,or by heat treatment;
thicken through agitation and gravity:(51)Sludge Thickener. A type of sedimentation tank In which the sludge is permitted to settle and ty:i
(52)Stabilization Lagoon. A type of oxidation lagoon in which biological oxidation of organic matter is effected by natural transfer of oxygen to the water from
air (not a polishing pond);
(53) Stand-By Power Supply. On site or portable electrical generating equipment;
(54)Static Screens. A stationary screen designed to remove solids,including non-biodegradable particulate(floatable solids,suspended solids and BOD
reduction)from municipal and industrial wastewater treatment systems;
(55)Tertiary Treatment. A.stage of treatment following secondary which is primarily for the purpose of effluent polishing;A settling lagoon or sand or coal filter
might be employed for this purpose;
(56)Thermal Pollution Control Device. A device providing for the transfer of heat from a fluid flowing In tubes to another fluid outside the tubes,or vice versa;
or other means of regulating liquid temperatures;
(57)Thermal Sludge Conditioner. A conditioning process by which heat is added for a protracted period of time to Improve the dewaterabillty of sludge by the
solubilizing and hydraulizing of the smaller and more highly hydrated sludge particles;
(58)Toxic Materials. Those wastes or combinations of wastes,including disease-causing agents which attar discharge and upon exposure,ingestion,Inhalation
or assimilation into any organism,either directly from the environment or indirectly by ingestion through food chains,will cause death,disease,behavioral
abnormalities,cancer,genetic mutations,physiological malfunctions(including malfunctions in reproduction)or physical deformations,in such organisms or their
offspring;Toxic materials include,by way of illustration and not limitation:lead,cadmium,chromium, mercury,vanadium,arsenic,zinc,ortho-nitro-chlored to have
(ONCB),polychlorinated biphenyis(PCBs)and dichlorodiphenyl ldchloroethane(DDT);and any other materials that have or may hereafter be determined to have
toxic properties;
(59)Trickling Filter. A biological treatment unit consisting of a material such as broken stone or rock over which wastewater is distnbuted;A high rate trickling
fitter Is one which operated at between 10 and 30 mgd per acre. A low rate trickling filter is one which is designed to operate at one to four mgd per acre;
(60)Trickling Filter(Packed Tower). A plug flow type of operation in which wastewater flows down through successive layers of media or filtrate material;Organic
material is removed continually by the active biological fixed growth in each successive layer. This method-may produce'secondary'quality effluent,or may be
adapted to produce a nitrified effluent;
(61)Vacuum Filter,Centrifuges,or Filter Presses Devices which are design®d to remove excess water from either digested or undigested sludge prior to disposal
or further treatment.

State of North Ca�o Ana
Department of Environment,
Health and Natural Resources 1-
Division of Water Quality �r
James B. Hunt, Jr., Governor 091
Wayne McDevitt Secretary H N
A. Preston Howard, Jr., P.E.,,Director
August 25, 1997
Mr. &Mrs Herbert E. Davis
5137 US 64
Morganton, North Carolina 28655
Subject: NPDES General Permit Application
Application Number NCG550935
Mr. Mrs. Herbert E. Davis
Davis Residence
Dear Mr. &Mrs.Davis: Burke County
This is to acknowledge receipt of the following documents on August 18, 1997:
X Completed Notice of Intent (Application Form),
Engineering Proposal (for proposed control facilities),
Request for permit renewal,
X Application processing fee of$340.00.,
X Evaluation of Wastewater Disposal Alternatives,
Engineering Plans and Specifications
Local Government Signoff,
Source Reduction and Recycling,
_ Interbasin Transfer,
X Other: County health department letter denying the site for ground absorption.
Surveyors map showing layout of system. Topo map showing site.
The items checked below are needed before review can begin:
Completed Notice of Intent (Application Form),
Engineering proposal (see attachment),
Application Processing Fee of$,
Delegation of Authority(see attached),
Biocide Sheet(see attached),
Engineering Economics Alternatives Analysis,
Engineering Plans and Specifications
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
Other:
If the application is not made complete within thirty (30) days,it will be returned to you and may
be resubmitted when complete.
P.O.Box 29535,Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%`recycled/10%post-consumer paper

This application has been assigned to Mack Wiggins (919/733-5083) of our Permits Unit for
review. You will be advised of any comments,recommendations,questions or other information
necessary for the review of the application.
I am,by copy of this letter,requesting that our Regional Office Supervisor prepare a staff report
and recommendations regarding this discharge.If you have any questions regarding this
application,please contact the review person listed above.
Sincerely,
IkWiggins
cc: Asheville Regional Office S�
Permit Application File

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 A.Preston Howard,Jr.,P.E.
Jonathan B. Howes, Secretary Director
NOTICE OF INTENNT
National Pollutant,Discharge Elimination System
Application for Coverage under General Permit NCG550000; Single Family Domestic Units
I. Name,Address,location,and telephone um er of cility requesting Permit.
A. Official Name: , UAAK OSftrk tC.
B. Mailing Address:
(1)Street Address;
(2)City; 2°f11�2
(3)State;
(4)Zip -Z
(5)County;
C. Location. (Attach map delineating general facility Io tion
.
(1)Street Address; s
(2)City;
(3)State;
(4)County;
D. Telephone Number;
2. Facility Contact:
A. Name;
B. Title;
C. Company Name;
D. Phone Number;
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, 2,(1; 3,[1; 4,[1; _,[1.
B. Pl ase describe the amount of wastewater being discharged per each separate discharge point.
(Design flow is based on 120 GPD/bedroom with a minimum of 240 GPD/home)
1: �allons per day (gpd) 2: (gpd) 3: (gpd) 4: (gpd)
Page 1

C. Check the duration and frequency of the discharge,per each separate discharge point
LContinuous:
2.Intermittent(p ease 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 K Tuesday M, Wednesday] , Thursday Wriday[�, Saturday�L Sunday'F�d..
S.How much of the volume discharged is treated? (State in percent) Mc %
D. Describe the type of wastewater being discharged.(please list any known toxants being
discharged from this residence); rDpAt
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);
6. Aeration(specify type);
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. Dual or recirculating
filters are required for new systems. For dual sand filters, the loading rate shall be
no greater than 1.15 GPD per square foot for primary filters and no greater than 2,3 GPD
per square foot for secondary filters. Recirculating Sand Filters 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 21-1 .0138. If construction is necessary to meet permit
requirements, 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

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
if a storm sewer is the only viable means of discharge.) point,
7. Please address possible non-discharge alternatives for the following options:
A.Connection to a Regional Sewer Collection System;
B. Subsurface Disposal;
C. Spray Irrigation;
S. 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
Title mil,
Date Application Signed 0', l!�'� 19 9>
Signature of Applicant licant
NORTH CAROLINA GE'VERAL 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,r`oo,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$240.00 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

i
EVALUATION OF WASTEWATER DISPOSAL ALTERNATIVES
FOR
HERBERT E. DAVIS
BURKE COUNTY,NORTH CAROLINA
JULY, 1997
CHESTER R. WEST,P.E.
WEST AND ASSOCIATES,P.A.
MORGANTON,NORTH CAROLINA
rrrvvevrrrr►rr
4ed �a•���FESSip�,q�� .�,�
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6 f �
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EVALUATION OF WASTEWATER DISPOSAL ALTERNATIVES
I. General Information:
A. Mr. and Mrs. Herbert E. Davis,Disposal Facility
Burke County
5137 US 64
Chester R. West,P.E.
West and Associates,P.A.
405 S. Sterling Street
Morganton,NC 28655
[phone]
B. This project will consist of the elimination of a failed ground absorption wastewater
disposal system and the proposing to install a discharge type system. The residential
unit is an existing three-bedroom unit which would result in the flowtuf,360 gallons
per day of flow.
C. It is not intended for any of the existing septic tank and drain field lines to be used
in the proposed system.
D. It is not proposed that the project will be constructed in phases.
II. Evaluation of Disposal Alternatives
A. Connection to a sewer collection system:
1. Existing sewerage system: The City of Morganton owns and operates a
wastewater system. The nearest point to intercept this system is
approximately seven(7)miles. The nearest point to intercept this system is
approximately seven(7)miles. Also, there 4} drainage basins to
cross to reach this area. This would mean ,000 LF of 8�gravity sewer and
four(4)pump stations. The project co 1,100,000.
2. This is well south of the existing City Limits and according to the City of 8
Morganton,there are no immediate plans to annex this area.
B. Land Based Disposal:
According to the letters from Mr. David L. Rust, R.S. dated June 5, and June 25,
1997,the ground around the existing structure is not suitable. The only land which
would be suitable is to the rear of the property. The property owner has been
contacted concerning this tract and the owner declined. Attached is a letter from
Mr. Lo stating that the declines the request.

A\
C. Wastewater Reuse:
Since this is a single family residence, there would be little wastewater reuse
generated. The laundry facility would be the only area to capture wastewater and
reuse this;however,a final wastewater treatment system would be necessary. Since
this would not address the true problem and since existing property is not usable nor
is the only acceptable adjacent; it is not relevant to use this as an option.
D. Surface Water Discharge:
1. The stream proposed to accept the wastewater is Sutterwhite Creek at US 64.
The drainage area at this point is in excess of 300 acres.
2. It is proposed to install a new 1,000 gallon septic tank; a primary sand filter
(1.15 GPD/SF) 6' x 55; a secondary filter (2.3 GPD/SF) 6' x 30; and a
chlorine contact chamber suitable to provide adequate contact time.
3. The cost of this should be less than$25,000.
4. The existing property can be used for this purpose. See attached property
map.

Appendix A
Present Value of Costs
Connection to Existing Sewer:
Present Cost =$1,100,000
Cost/Year Operate =$100,000
Time = 10 years
End Year — 10
r = 7%
PV =$1,100,000 + 1,000,000 11 +0.07)10 1
[0.07(1 +0.07)10
_$1,100,000 + $1,000,000 0.97
0.14
_$81-0281571
Surface Discharge:
Present Cost =$25,000
Cost/Year Operate =$1,200
Time = 10
r =7%
PV =$25,000+ 12,000 0.97
0.14

Appendix B
Find attached the soils analysis recommendation.

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