NCG551137_Complete File - Historical_20200512

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Facility information
NPDES permit M NCG551137 Burke County
Facility name: Jeffrey S. & Wendy G. Kyro SFR
WWTP type: 360 gpd wastewater treatment system consisting
of gravity flow to dual 1000 gallon Norwesco, Inc.
polyethylene septic tanks (one primary tank and
one reserve tank with bull valve) with risers &
Zabel A-1800 filter and 1 ft x 1 ft surface diversion
dam; distribution box with speedy levels; 325 sq
ft (13' x 25') primary sand filter (with a loading
rate of not more than 1.15 gpd/sq ft) located in
the back yard; 200 sq ft (10' x 20') secondary
sandfilter (with a loading rate of not more than
2.30 gpd/sq ft) located on the left-side of the
home; 30 mil polyethylene trench liner; Geo cloth
fabric liner stone cover, under the 1 ft mounded
cover soil, tapering & extending 5 ft from the
edge of the sand filter bed walls; Aquaward ® A-
200 tablet chlorinator with dual feeder tubes;
chlorine contact chamber; rip rap aeration 4-inch
pvc discharge into Irish Creek (WS-III). There are
two discharge pipes there, one for another SFR.
The discharge pipe for this residence is the one
that is closer to the road.
A to C: Issued 7-6-2001
Tax info: Tax pin # 178505094223
Acres: 0.61
Deerfield Subdivision
Dwelling: 3-bedroom, primary residence, no
basement
Sold: 6-30-1994 to the Kyros
Certification: by Dennis Newton - dated 11-5-2001
Installer: D&D Grading & Backhoe, Inc.; 3989 Old Brittain
Road; Hickory, NC

Health Department: Letter from Burke Co HD on 11-6-2001, indicating
proper installation & compliance effective
11-5-2001 - Roger A. Wesley, registered sanitarian
WWTP location: 2007 Goodman Road (north of Oak Hill);
Morganton, NC 28655
Responsible official: Jeffrey S. & Wendy G. Kyro
Responsible " 's title: owners
Official's location: 2007 Goodman'Road (north of Oak Hill);
Morganton, NC 28655
Mailing address: 2007 Goodman Road (north of Oak Hill);
Morganton, NC 28655
Phone numbers
828-
Permit information
Date issued: 8-1-2007
Expiration date: 7-31-2012
Last inspection: 10-26-2005 by Larry Frost
Billing: current & paid thru 6-30-2012
Stream information
Stream: Irish Creek
River basin: Catawba River Basin
Sub-basin:
Hydrologic Unit Code:
Quad: Oak Hill, NC
Grid: D 11 SE
Latitude: 350 48' 12.2"
Longitude: 81° 45' 48.4"
Stream classification: WS - III
Drainage area sq mi: 1.2
Instream Waste Conc.:
Average stream flow: cfs
Summer 7Q10 cfs:
Winter 7Q10 cfs:
30Q2 cfs:

Other information
Directions: From Morganton, travel north on Highway 181.
Turn right on Goodman Lake Road (NCSR 1410).
Travel on Goodman Lake Road - 0.9 miles to
where the road crosses Irish Creek. The
discharge pipe is located on the left (upstream
side of the culvert).
Permit requirements:
Part 1.A. Initially (in 2001) monitoring / analyses (analyses were
required to be performed by a NC certified lab) four times a
year.
Parameter Sample type Permit Limits
Flow estimate
BOD grab 30 mg/I monthly average / 45 mg/I daily maximum
TSS grab 30 mg/I monthly average / 45 mg/I daily maximum
Fecal coliform grab 200 col/ml mo. ave. / 400 col/ml da. max.
*TRC grab 17 ug/I
(*TRC = Total residual chlorine)

Central Files: Apo___ avvp__
12/22/11
Permit Number NCG551137 Permit Tracking Slip
Program Category Status Project Type
NPDES VVVy Active Renewal
Permit Type Version Permit Classification
Single Family Domestic Wastewater Discharge COC 2.00 COC
Primary Reviewer Permit Contact Affiliation
ohar|eo.weavar
Coastal SVVRule
Permitted Flow
Facility
Facility Name Major/Minor Region
2007 Goodman Lake Road Minor Asheville
Location Address County
2OO7 Goodman Lake Rd Burke
Morganton NC 28855 Facility Contact Affiliation
Owner
Owner Name Owner Type
Individual
Jeffrey Kym Owner Affiliation
Jeffrey Kyro
2U07 Goodman Lake Rd
Morganton NC 28655
ocxaumru
o,io/amuw Appnenmivwu Draft Initiated |ss«un«« Public Notice Issue Effective Expiration
07/08/01 02/05/07 07/27/07 08/01/07 07/31/12
Regulated Activities
Domestic.other
Private residence,single family
OutfaH 001
xvoteruvuvmonm Stream Index Number Current Class ouuuasin
Irish Creek 11-36'3-(2) VVS'||| 03'08'31
-

Facility information
NPDES permit #: NCG551137 Burke County
Facility name: Jeffrey S. & Wendy G. Kyro SFR
Billing: All annual fees have been paid thru 6-30-2012
Permit: Issued: 8-1-2007
Expires 7-31-2012
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Record No.: 46958 Map: 11 Page: 58 Blk.Lot: 2162
PIN: 178505094323 Deed Reference: Bk. 827 Pg. 1763
Parcel Address: 2007 GOODMAN LAKE RD Land Area: 0.61 acres
Parcel Owner: Assessed Value:$88,199
KYRO JEFFREY S &WENDY G Building Value: $79,354
2007 GOODMAN LAKE RD Land Value: $8,845
MORGANTON NC 28655 Other Value: $0
Sales Amount: $70,000
Sales Date: 6/30/1994
http://arcims.webgis.net/nc/Burke/printable.asp?process=idl&x2=1180428.161375&y2=759328.45825... 10/26/2005

Rand McNally - Get Directions Page 1 of 2
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...................................................................................................................................................................................................................................
Swannanoa, NC 28778
to
2007 Goodman Lake Rd
Morganton, NC 28655-7074
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Swannanoa, NC Morganton, NC
• page 74, grid section L-6, • page 74, grid section E-3
Western North Carolina map • page 74, grid section D-3
• page 74, grid section K-6,
Western North Carolina map
• page 74,grid section E-1
Estimated Total Driving Time: Estimated Total Driving Distance: Total Number of Steps:
1 hour, 10 minutes 54 miles 14
Step Directions Distance
1 You are at Swannanoa,NC.
..................................................................................................................................................................................................................................
2 Go SW on Riverwood Rd for 0.18 miles 0.2 miles
..................................................................................................................................................................-...............................................................
3 Turn hard left onto US-70 (Black Mountain Hwy) 0.4 miles
...................................................................................................................................................................................................................................
4 Turn right onto Patton Cove Rd 0.4 miles
...................................................................................................................................................................................................................................
5 Turn left on ramp to I-40 E 0.2 miles
...................................................................................................................................................................................................................................
6 Continue on I-40 E 43.6 miles
.............................................................................................................................................................................................................................
7 Bear right onto off-ramp at exit 103to US-64 0.2 miles
...................................................................................................................................................................................................................................
http://www.randmcnally.eom/rmc/directions/dirPrintDirections.j sp?ref=dirn&col=color&sStartName=&... 10/19/2005

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,Q E C E W
N
NCDENR !�
I JA(v 1 6 2007
North Carolina Department of Environment and Iva urallResources
Division of Water Quality- e
Michael F. Easley, Governor ,Wil4lam G, Ross,,,)r,Secretar
Alan W. Klimek,P.E., Director
X"V TZ- 0 January 9, 2007
Jeffrey Kyro
2007 Goodman Lake Rd ah
Morganton, NC 28655
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG551137
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 July 6, 2001.
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 NorthCarohna
Phone: [phone],extension 511/FAX [phone]/[e-mail] Naturally
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

NCG551137 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,
�/M
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
Asheville Regional Office/Larry Frost
NPDES file

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551137
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,
Jeffrey & Wendy Kyro
is hereby authorized to discharge domestic wastewater [<1000 GPD] from a facility located
at
2007 Goodman Lake Road
Morganton
Burke County
to receiving waters designated as Irish 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 1, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 27, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

WA
1t N
fn,
NCDENR
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
July 27,2007
Jeffrey&Wendy Kyro
2007 Goodman Lk Rd
Morganton,NC 28655
Subject: Renewal of coverage/General Permit NCG550000
2007 Goodman Lake Road
Certificate of Coverage NCG551137
Burke County
Dear Permittee:
In accordance with your renewal application [received on February 5, 20071,the Division is renewing
Certificate of Coverage(CoC)NCG551137 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 Reeional 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,
for Coleen H. Sullins.,,.
cc: Central Files JJJ
: I
Asheville Regional Office/Surface Water Protection r J U L 1 2007 L
NPDES file
WATER QUALITY SECTION
(: L A.S lEi,ILLE i,E^!CN ;L OFFICE
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
512 North Salisbury Street,Raleigh,North Carolina 27604 NOfthCarohna
Phone: [phone]/FAX [phone]/Internet:www.ncwaterquality.org Naturally
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

WATT r' 1
Q 9 Michael F.Easley
O� Q Governor
William G.Ross Jr.,Secretary
Department of Environment and Natural Resources
U 'C Kerr T.Stevens,Director
Division of Water Quality
July 6, 2001
Mr.& Mrs.Jeffrey Kyro
2007 Goodman Lake Road
Morganton, NC 28655
Subject: General Permit NCG550000
Cert. of Coverage NCG551137
Authorization to Construct
Jeffrey&Wendy Kyro Residence
JUL 9 ', �; Burke County
r !s4.a,
Dear Mr. & Mrs. Kyro:
In accordance with your application for an�1PDES„discharge permit received May 3,2001 by the Division, we
have issued the Certificate of Coverage under the state-NPDES general permit for Karen Weatherman. Authorization is
hereby granted by this letter for the construction of a 360 GPD wastewater treatment system consisting of two 1000 gallon
septic tanks, distribution box with speedy levels, 325 square foot (13'X 25') primary sandfilter,with a loading rate of not
more than 1.15 GPD/square foot,200,square foot(10'X 20') secondary sandfilter with a loading rate of not more than 2.30
GPD/square foot,chlorinator,chlorine contact tank and rip rap aeration with a discharge of treated wastewater into Irish
Creek classifiedWS-III waters in the Catawba River Basin. All elbow piping must be of the long sweeping type. All
cleanouts are to be housed in meter boxes below the surface. This system must be at least 10 feet from the dwelling and
property lines and at least 100 feet from water supply wells on and off the site. The system must also be constructed and
located above a 100 year flood.The trench must be lined with a minimum 30 mil polyethylene liner.
The Division of Water Quality is aware that your system will be installed to meet additional conditions required by
the Division of Environmental Health-Public Water Supply Section. These conditions are not a part of this general permit.
If you have questions associated with these additional conditions please contact Jerry Freeman in the Asheville Regional
Office of the Public Water Supply Section at [phone].
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 permit is
not transferable. Part II, E.4. addresses the requirements to be followed in case of change of ownership or control of this
discharge.
The Authorization to Construct is issued in accordance with Part III, Paragraph 2 of NPDES Permit No.
NCG550000, and 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 may be required by this Division, such as the
construction of additional or replacement wastewater treatment or disposal facilities.
The Asheville Regional Office, telephone number 828/251-6208, 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.
ATA
RMEM
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 [phone]
1 800 623-7748

W q TF�Q
Micha el F.Easley
�O G Governor
vj r William G.Ross Jr.,Secretary
Department of Environment and Natural Resources
Q `C Kerr T.Stevens,Director
Division of Water Quality
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 Permits Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
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 or Local 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.
Sincere) ,
s P
Kerr T. Stevens.
cc: Central Files
Asheville Regional Office,Water Quality
Roosevelt Childress, EPA
Point Source Compliance Enforcement Unit
Burke County Health Department
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 [phone]
1 800 623-7748

F UPI A T�
Q Michael F.Easley
\QC� QG Governor
Uj r William G.Ross Jr.,Secretary
Department of Environment and Natural Resources
Kerr T.Stevens,Director
Division of Water Quality
Engineer's Certification
1, , 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, , 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
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 [phone]
1 800 623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE
GENERAL PERMIT NO.NCG551137
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,
Jeffrey and Wendy Kyro
is hereby authorized to operate and construct a wastewater treatment facility that consists of two septic tanks,
distribution box, primary sandfilter, secondary sandfilter, chlorinator, chlorine contact tank, rip rap aeration and
associated appurtenances with the discharge of treated wastewater from a facility located at the
Jeffrey and Wendy Kyro Residence
2007 Goodman Lake Road
north of Oak Hill
Burke County
to receiving waters designated as Irish 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 July 6,2001
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 6,2001
VIM
Kerr T.Stevens,Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Markers
Name: Discharge Point-NCG551137
Short Name: Dschrg
Coordinates: 0350 48' 12.2" N, 0810 45'48.4"W
Comment: Jeffrey&Wendy Kyro Residence, Subbasin-030831, Catawba River Basin, Burke
County, Irish Creek, Class-WS-III, Quad D11SE

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4 BURKE
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URKE COUNTY
CAR°v HEALTH DEPARTMENT
700 East Parker Road DAVID L. RUST,JR.
P.O. Drawer 1266 - Director
Morganton, NC 28680-1266
Telephone [phone]
Fax[phone]
Mr. &Mrs. Kyro 2 j',
2007 Goodman Lake Road
Morganton, NC 28655
November 6, 2001
Dear Mr. &Mrs.Kyro,
You received a National Pollution Discharge Elimination System(NPDES)
permit to install a single-family, sand filter, discharge, wastewater system for your
dwelling located at the above address. The permitting agency for this single-family, sand
filter, discharge, wastewater system is the North Carolina Department Of Environment
and Natural Resources(NCDENR), Division of Water Quality/ Water Quality Section.
Their address in Raleigh is 1617 Mail Service Center, Raleigh, NC 27699-1617 and the
phone number is [phone]. The contact person in Raleigh is Mr. Mack Wiggins
and his extension number is 542. The regional office and contact people for NCDENR,
Division of Water Quality are Mr. Jim Reid or Mr. Jerry Freeman. Their address is 59
Woodfin Place,Asheville NC 28801 and their phone number is [phone].
The single-family, sand filter, discharge, wastewater system has been properly
installed effective November 5, 2001 in accordance with the parameters of the North
Carolina Department Of Environment and,Natural Resources(NCDENR;, Division of
Water Quality/Water Quality Section and the regional office for NCDENR, Division of
Water Quality. The single-family, sand filter,discharge, wastewater system was installed
by D&D Grading &Backhoe Inc, 3989 Old Brittain Road, Hickory,NC and the existing
on-site wastewater treatment and disposal system, including the tanks, have been
abandoned. Both these agencies have on file detailed design specifications on your new
system. I will forward`to these two agencies certification certifying that the dwelling's
system has been installed in accordance with the NPDES Permit. Your wastewater from
the dwelling is no longer in violation of any 130A state laws or 15A NCAC 18A .1900
rules.
Your single-family, sand filter, discharge, wastewater system is a gravity flow,
dual, sand filter system. The wastewater from your house exits and enters a 1000-gallon
"Promoting Health,Protecting the Environment"

Norwesco, Inc.polyethylene septic tank. Two risers, extending above grade level
protrude from the tank for access to the filter and for pumping purposes. A second
identical tank with risers exists in order to decrease the pump and hull times required in
the event the sand filter are taken out of service for repairs. A Bull valve exists just
before the tanks to control which tank receives the wastewater. Wastewater leaving the
septic tank then goes through two sand filter beds utilizing a 13 X 25 foot (325 sq. ft.)
primary sand filter with wastewater exiting the primary sand filter going to a 6 X 34 foot
(204 sq. ft.) secondary sand filter. These two filter beds have PVC vent pipes protruding
above ground level. The beds also utilize distribution boxes to equally distribute and
receive wastewater to and from the beds. After the wastewater exits the secondary sand
filter it receives post chlorination using an Aquaward, model A200 tablet feeder.It has
two PVC tablet feed tube protruding above grade level. A contact chamber follows this,
which is the well tile protruding above grade level. The treated wastewater then flows to
the creek just within the road right-of--way_ At the creek, your wastewater line (one of
two lines, side by side, protruding out from the rock) is the 4-inch PVC pipe, closer to the
road.Two yearly bacterial samples per year will be taken from this discharge point.
You will be required to take two water samples per year of the water from the
discharge pipe at the creek, provided the treated wastewater is flowing, and send the
results to NCDENR,Division of Water Quality 59 Woodfin Place, Asheville NC 28801
Attention to: Mr. Jim Reid or Mr. Jerry Freeman. This agency will monitor your system
and I would suggest you contact them regarding sample time and any other information
you might need about their policies and procedures. A local laboratory that will take/do
these samples is Water Tech: P.O. Box 1056 Granite Falls,NC 28630 and their phone
number is [phone].
The single-family, sand fitter, discharge, wastewater system has a few general
requirements that need to be adhered to for the proper operation/maintenance of this
system. These are:
I. The septic tank will need to be pumped out once every 3 to 5 years depending
on your use of the system.
2. You will need to maintain continuous chlorination of the wastewater by
insuring that chlorination tablets are always inside the chlorination unit.
3. You will never want to create a situation that will cause the surface water to
pond over the tanks or sand filter beds.
4. You are required to maintain a grass surface only on top of the sand filter
structures/component parts. Extreme care must be taken when mowing the
grass so as not to break off any of the protruding PVC pipes that are a part of
the system.
5. Any and all general information and requirements for operation and
maintenance of the single-family, sand filter, discharge, wastewater system
are in effect for the lifetime of the system's functioning for the dwelling. Any
future owners, should the property be sold or exchanged, will be required to
adhere to the general information and requirements for operation and
maintenance of the wastewater system.

Should you have any questions that I might be able to answer about the single-
family, sand filter, discharge, wastewater system or about anything related to its design,
installation, operation and maintenance, please feel free to contact me Monday through
Friday between 8:00 AM and 5:00 PM at [phone] or feel free to stop by our
Environmental Health office located at 200 Avery Avenue in downtown Morganton.
Sincerely,
Roger A. Wesley,RS/REHS
Environmental Health Supervisor
Cc: Dave Rust,Health Director
Mr. Redmond Dill, County Attorney
Mr. Mack Wiggins
Mr. Jim Reid/Mr. Jerry Freeman
Mr. Dennis Newton

Michael F.Easley
G _ ' Governor
rWilliam G.Ross Jr.,Secretary
>_ Aua :1 Department of Environment and Natural Resources
Kerr T.Stevens,Director
Division of Water Quality
Engineer's Certification
_r z 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, 4i�a c���s��� .l 016 la 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//.�C�/� /t�� Registration No.
Date
Engineer's Certification
I, X2 AF—/? —, , as a Registered Environmental Health Specialist
in the State of North Carolina, having been authorized to observe(periodically, weekly,
full time) the construction of the project,
Project Name
for the Permittee hereby state that, to the
Location
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
NCDENR
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 [phone]
1 800 623-7748

Al
SAND FILTER PLAN ADDENDUM
May 29, 2001
KYRO PROPERTY:
Address: 2007 Goodman Lake Road
Morganton,NC 28655 (Burke County)
Tax Map#: 11-5 8-2-162
Acres: 0.606
Subdivision: Deerfield Subdivision
Lot Number: 2
Dwelling: 3-bedroom4 primary residence, no basement
PROPERTY OWNER:
Jeffrey& Wendy Kyro
2007 Goodman Lake Road
Morganton,NC 28655
Home phone# [phone]
After a plan and site review by the Asheville Public Water Supply section of the NC
Department of Environment,Health, and Natural Resources, changes and clarifications
were ordered to the sand filter discharge system design by that office. The following
changes and clarifications are to be made to the sand filter discharge system:
1. Surface water is to be diverted off the sand filter beds by mounding the soil cover
over the beds above grade level.
2. Eave trough water coming off the roof is to be piped past any sand filter component
part or line using solid piping.
3. Surface water is to be diverted around the septic tanks using surface diversion ditches
or mounded soil to act as a barrier.
4. In order to decrease the pump and hull times required in the event the sand filter are
taken out of service for repairs a second 1000 gallon Norwesco, Inc. polyethylene
septic tank;with risers, will be installed to act as a reserve volume holding tank. Its
installation will be next to the other septic tank and connect to the inlet line and the
outlet line using two bull valves that can be manually operated.
Corrected drawings showing these changes are attached with this addendum.
5. Sampling shall be increased from once per year to four times per year r
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37
SAND FILTER PLAN ADDENDUM
May 28, 2001
KYRO PROPERTY:
Address: 2007 Goodman Lake Road
Morganton,NC 28655 (Burke County)
Tax Map#: 11-5 8-2-162
Acres: 0.606
Subdivision: Deerfield Subdivision
Lot Number: 2
Dwelling: 3-bedroom, primary residence, no basement
PROPERTY OWNER:
Jeffrey& Wendy Kyro s t.4 U N - 4 2001
2007 Goodman Lake Road
Morganton, NC 28655 L
CENR - WATER QUALITY
Home phone # - [phone] POINT SOURCE BRANCH
The following change is to be made to the submitted Kyro sand filter plans:
1. The liner to be used in the bed of the primary and secondary sand filters is to be of 30
mil minimum thickness.
2.As stated on the April 21"addendum a Geo cloth fabric liner will be used to cover the
top laver of stone before the fill/cover soil is added.
Corrected drawing(s) showing this change are attached with this addendum.
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Ni(,: L°ieC't. of Environme"I
R; Natural Resources�$t;na'.11e Regional Office
May 4,2001 F�iAl 11 2001
MEMORANDUM pill,
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a
To: Hornlean Chen N 1 8 20, 01
Division of Environmental Health
From: Mack Wiggins
Subject: Review of the discharge locations for the follow'mlfg:
Jeffrey and Wendy Kyro Residence
Burke County
NCG551137 j
Please indicate below your agency's position or viewpoint onLthe faeilir?y +fisted abovie.
Attached is the staff report for the facility. We cannot issue the permit without your
concurrence. Please return this form at your earliest convience.
RESPONSE:
This agency has reviewed the draft permit and determined that the proposed
discharge will not be sufficiently close to any existing or known proposed
public water supply intake so as to create an adverse effect on water quality.
We concur with the issuance of this permit provided the facility is operated
and maintained properly, the stated effluent limits are met prior to discharge,
and the discharge does not contravene the designated water quality standards.
Concurs with issuance of the above permit, provided the following conditions r
a e met: l _r t S fSq t ff-WS.
tI SQJ,&Cc, Wit � 4 C��'tLtr�'S ���. �i,'G�� l��yi!��k l't tA�
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C-i�'�Aj VVI
Opposes the issuance of the above permit, based on reasons stated below, or
Fn� C �c
att hed:
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Signed c�— Date: ( d J ►'
cc: file
o,�B A01.

SOC PRIORITY PROJECT: Yes No X
IF YES, SOC NUMBER
TO: NPDES UNIT
WATER QUALITY SECTION
ATTENTION: Mack Wiggins
DATE: April 26, 2001
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Burke
PERMIT NUMBER NCGSS1137
PART I GENERAL INFORMATION
1 . Facility and Address: Kyro Residence
2007 Goodman Lake Road
Morganton NC 28655
Mailing: Same
2 . Date of Investigation: October 27, 2000
3 . Report Prepared By: James R. . Reid
4. Persons Contacted and Telephone Number: David Rust, Roger Wesley
828-438-5430
5 . Directions to Site: From Morganton, travel North on Highway 181 to
right on Goodman Lake Road (SR 1410) . Travel on Goodman Lake Road
approximately 0 . 9 mile to the point where the Road crosses Irish
Creek. The discharge pipe is located on the left (upstream side the
culvert) .
6. Discharge Point (s) , List for all discharge points:
Latitude: 350 48 ' 121 Longitude: 810 45 ' 4711
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. D11SE U.S .G.S. Quad Name Oak Hill
-1-

7 . Site size and expansion area consistent with application?
X Yes No If No, explain:
8 . Topography (relationship to flood plain included) : above flood
plane
9 . Location of nearest dwelling: approx. 50 feet
10 . Receiving stream or affected surface waters: Irish Creek
a. Classification: WS-III
b. River Basin and Subbasin No. : , CTB 030831
C. Describe receiving stream features and pertinent downstream
uses: Tributary to water supply, recreation, wildlife,
agriculture
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted 0 . 00036 MGD (Ultimate
Design Capacity)
b. What is the current permitted capacity of the Wastewater
Treatment facility? New facility
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: 1000 gallon polyethylene septic tank with Zable A-
1800 filter, distribution box, 325 sq ft primary sand filter,
200 sq ft secondary filter, and Aquaward brand table
chlorinator.
g. Possible toxic impacts to surface waters:
h. Pretreatment Program (POTWs only) : N/A
-2

in development approved
should be required not needed
2 . Residuals handling and utilization/disposal scheme: septage hauler
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) Licensed
septage hauler
3 . Treatment plant classification (attach completed rating sheet) : I
4 . SIC Codes(s)
Primary Secondary
Main Treatment Unit Code: 460-7
PART III OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or
are any public monies involved. (municipals only)? No
2 . Special monitoring or limitations (including toxicity) requests: No
3 . Important SOC, JOC, or Compliance Schedule dates: (Please indicate)
Date
Submission of Plans and Specifications N/A
Begin Construction
Complete Construction
-3-

r
4 Alternative Analysis Evaluation: Has the facility evaluated all of
the non-discharge options available. Please provide regional
perspective for each option evaluated. Yes,
Spray Irrigation: insufficient land area
Connection to Regional Sewer System: Not available
Subsurface: unsuitable soil
Other disposal options not available
5 . Other Special Items None
PART IV - EVALUATION AND RECOMMENDATIONS
Issue certificate of coverage. Drainage area above the point of
discharge is 1 .2 square mi . Only 0 .45 square mile is required._ Site
meets DWQ' s requirements for single family dwellings .
ignature of Report Preparer
Water Quality Regional Supervise
Z,,�
Date
-4-

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WATER POLLUTION CONTROL SYSTEM OPERATORS
CERTIFICATION COMMISSION
CLASSIFICATION
RATING SHEET FOR WATER POLLUTION CONTROL SYSTEMS
FACILITY INFORMATION:
NAME OF FACILITY: `1
MAILING ADDRESS: ? eai�172AV
COUNTY: u r�
CONTACT PERSON: JL FFk c:y TELEPHONE: (�)" -
PERMIT NO: Check One: NCVVQ HEALTH DP
ORC: TELEPHONE:
RATING INFORMATION: (Before completing this section,please refer to pages 2-4)
PERMITTED FLOW: � � •3�y MGD BNR? YES NO
{
CHECK CLASSIFICATION: WASTEWATER: 1 2 3 4
COLLECTION: 1 2 3 4
SPRAY IRRIGATION SUBSURFACE LAND APPLICATION
PHYSICAL/CHEMICAL GRADE I GRADE II
e� �
RATED BY: -�G REGION: __7 DATE: 0_ l
REGIONAL OFFICE TELEPHONE NUMBER: ( f- 20 9 EXT:

PAT MOCRORY
LM
$r�nr
'IV,CM 1
0,C 'N.ALD R. VAN DER.,VA. RT
Wl" '
JAB' II XIER: AN
Certified Mail #7015 1520 0003 5463 0622
Return Receipt Requested
August 22, 2016
Jeffrey Kyro
2007 Goodman Lake Rd
Morganton, NC 28655
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-PC-0394
Permit No. NCG551137
2007 Goodman Lake Road
Burke County
Dear Permittee:
The North Carolina Division of Water Resources conducted an inspection at 2007 Goodman Lake Road on
August 4, 2016. This inspection was-conducted to verify that the facility is operating in compliance with the
conditions and limitations specified in NPDES WW Permit No. NCG551137. A summary of the findings and
comments noted during the inspection are provided in the enclosed copy of the inspection report.
The Compliance Evaluation inspection was conducted by Division of Water Resources staff from the Asheville
Regional Office. The following deficiency was noted during the inspection:
Inspection Area Description of Deficiency
Effluent Sampling Permittee has not conducted the required annual sampling event.
[NCG550000 Part I. A. Effluent Limitations and Monitoring Requirements (see table in
NCG550000 permit)].
Corrective Measure for the deficiency noted above:
Sample and report results to the Asheville Regional Office.
State of North Carolina I Environmental Quality i Water Resources
1 2090 U.S.70 Highway,Swannanoa,NC 28778
2 828-2964500

Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of `
State law. �.
To prevent further action, please respond in writing to this office within 30 days upon receipt of this Notice
regarding your plans or measures to be taken to address the indicated deficiency.
If you should have any questions, please do not hesitate to contact Mikal Willmer with the Water Quality
Regional Operations Section in the Asheville Regional Office at 828-296-4500 or by email at
[e-mail].
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS: Inspection Report
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit- Enforcement File
G:\WR\WQ\Burke\Wastewater\General\NCG55 Single Family Residences\551137 Kyro SFR\Inspect August 4, 2016\NOD-2016-PC-0394.doo<
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

4
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 NCG551137 I11 12 16/08/04 17 18 I C I 191 S I 201
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA — Reserved---
67 70 I 71 Lj 72 L NJ
I N G 73I 174 751 11
1 1 1 1 180
LJ 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) 09:30AM 16/08/04 16/07/29
2007 Goodman Lake Road
2007 Goodman Lake Rd Exit Time/Date Permit Expiration Date
Morganton NC 28655 10:40AM 16/08/04 18/07/31
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
Jeffrey Kyro,2007 Goodman Lake Rd Morganton NC 28655//828-437-0992/
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Permit ® Operations&Maintenance ® Records/Reports ® Self-Monitoring Program
® 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
Mikal Willmar, ARO WQ//828-296-4686/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers bate
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.) �.
31 NCG551137 I11 12 18/08/04 117 18 ICI
Section D;Summary of Finding/Comments(Attach additional sheetsof narrative and checklists as necessary)
The inspector(Mika)Willmer)met onsite with the owner,Jeffrey Kyro. Linda Wiggs with DWR was
also present
Owner is keeping up with routine system maintenance.The septic tank was pumped on 6/7/2016 and
chlorine tablets rated for wastewater treatment were present and in use.
Effluent pipe is inaccessible.Outfall is located a tenth of a mile from permittees property down a steep
embankment on DOT right-of-way. Inspectors recommended sampling from chlorine contact
chamber. Mr. Kyro was provided with a list of laboratories that test for BOD,TSS and Fecal Coliform.
Permittee may consider a conventional septic system, but current SFR treatment system appeared to
be operating properly and in good condition.
Mr. Kyro contacted Water Tech Labs on 8/18/2016 to sample on August 23, 2016.
Page# 2

Permit: NCG551137 Owner-Facility: 2007 Goodman Lake Road
Inspection Date: 08/04/2016 Inspection Type: Compliance Evaluation
Operations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ® ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ . ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: Property around treatment units was well maintained.
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:
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? ❑ ❑ ® ❑
Comment: Septic tank was pumped on 6-7-16. Permittee provided copy of payment for septic
pumping_
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? ❑ ❑ ❑ O
Comment: Chlorine tablets rated for wastewater treatment were present and in use. Suggested owner
poke tablets down into tubes to ensure they are in contact with water.
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? ❑ ❑ ❑ O
Page# 3

s �
Permit: NGG551137 Owner-Facility: 2007 Goodman Lake Road
Inspection Date: 08/04/2016 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ® ❑
Comment: Effluent pipe is inaccessible Outfall is located a tenth of a mile from permittee's property
down a steep embankment on DOT right-of-way.
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: Owner was unaware of sampling requirement. Effluent pipe is inaccessible. Annual
samples have to be taken from chlorine contact chamber. Permittee will contact laboratory
to have sampling completed for the year.
Page# 4

pC, v jq�-
Inspection Bate. �- ->� Start Time: 0'�t• "3C� End Time: 1 c� 40
" SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
IWO45
Permittee: "5 e-< � Permit \ LL7 IS
Address at> (, + e -m ail- , �i -0-e� .t, -4-
Phone 1 T All -. _L ia, -Cell:Phone:( - ounty. u:¢,_
The Permittee is responsible for the operation and maintenance of the end
re wastewater treatrrteltt anddispos4system.
Doesn't Did Not
Yes No Apply investigate`
1. Is the current resident in the home the Permittee?' LJ
2. If not does the resident rent from the permittee? ❑ ❑'
3. Change of Ownership form needed?(mail the form with the inspection letter) ❑ ❑ E
El
4, Is there a inspection and maintenance agreement with a contractor-7 Cl ❑ ❑`
5. If yes to#4 who is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumpedlcleaned as needed.
6. Is all wastewater from the home connected to the septic tank? P' ❑' ❑ ❑
7. goes the permittee/resident know where the septic tank is located? ❑ E
El
8. Has the septic tank been pumped in the last 5 years? 19 F-1'
9. If yes to#8 Mate, If known if proof,describe
10. Does the.septic tank have a LIJE IT PIL TE or SANITARY T? (circle erne) §-
11.If Yes to filter when was the filter cleaned' try,N � By whom? NIVV - :5t -c
SAND FILTER I TREATMENT T PODS YES NO Li if no proceed to the next section.
Accessible send filter surfaces shall be raked and leveled every six months and any vegetative growth shall be removed manually.
12. Is system something other than a sandfilter? D ❑ ❑ ❑
13. If yes,what kind?(examples-Peat,Textile,Other or brand name-Advantex,etc.)
14. Does the permittee know where the sandfllter is located? � � ❑
15, Does the sandfilter,require'maintenance? E-1 El 0 ❑`
it maintenance is required explain in the comment section.
DISINFECTION I UV YES No If no proceed to the next section.
The ultraviolet unitshall"be~checked weekly.The tamps and sleeves,should tie cleaned or reel-Z as needed to ensure proper disinfection.
16. Is UV working? ❑ ❑
17. Has the UV'Unit been serviced and bulbs cleaned?; ❑ ❑`
18.who cornpletes the weekly check for the UV?(Non-Discharge)
1.
DISINEECTIt' N t TABLETS YES NO =if no proceed to the next section.
The tablet chlorinator unit shall he checked weekly to ensure continuous and proper operation.
19. Does the permittee have the correct chlorine tablets?(if none,mark No)`
20. Does the Permittee know the location of the chlorinator? � F 1 ❑
21.Were chlorine tablets observed in the chlorinator? ❑ ❑ ❑
22.Are tablets contacng water?If possible puke them to determine.
�` ❑ ❑
DECHL OR(Dlsch rge only) ,YES NO It no proceed to.the next sections
The dechlorinator unit shall be checked weektyto ensure continuous and,proper operation.
23. Does the permittee know where the dechlor is? ❑' El ❑
24. Goes the permittee have the correct dechlor tablets?' ❑ ❑ ❑` ❑'
25.Were dechlor tablets observed in the dec lorination chamber? ❑' ❑ 0 El
26.Are tablets contacting water?If passible poke them to determine. ❑ ❑ ❑

t oesn't Did Not
Yes No Apply Investigate
PUMP TANK YES NO If no proceed to the next section.
All pump and alarm syte s shall be inspected monthly.(non-discharge)
Ej
27.Is the pump working? � �:
28.Are the audible and visual high water alarms operational?
29. Does the permittee know hour to check the pump&high water alarm?
30.Last functional test: PUMP _ AUDIBLE&VISUAL
DISCHARGE ONLY YES- Nd If no proceed to the next section.
visual review of the outfall location shall be executed twice each year(tine at the time of sampling to ensure no visible sobs or evidence of a malfunction.
El
31. .Does the;permittee know where the outfall is located'?_
32.Were you able to locate the outfail? C
33. Is the end of the discharge pipe visible and accessiible?'
F-1 El
34. is outlet discharging? C] 0 El R
36. Is right of way maintained around the discharge point? Vacs� � � �
36.Any tab Results,available? '
37. Is there evidence of solids.around the discharge point. � Q
DRIP or:SPRAY YES EJ tf no proceed to the next section.
The irrigation system shall be inspected monthly to ensure the system is free of teaks and equipment is operating as designed.
38. Is the system DRIP or IRIRIGATIO {circle cane)? If irrigation number of sprinkler treads.
39.Are the buffers adequate? F-1 ❑ EJ 13
40.Is the site free of ponding and runoff? EJ E F 0
41. Does the application equipment`appear to be working properly? 171 D E" Ej
42.is there a minimum two wire fence surrounding entire irrigation area? Q
GrHN L
43.Are the treatment units lacked and or secured? M ❑ A El
44.Has resident had any sewage problems? if yes explain in the comment section. F-1 M` 0
45. Does the system match�the permit description?it no explain in the comment section. t� F-1 C1
46.Is the system compliant? F]
47. Is the system failing? if yes,taxe pictures'if possible.
483 If system is failing,any sign of children+fir animals contacting sewage?
NOD Sent;#. - - w NOV Sent-#:
Comments: Ph tcs Taken? YES NO
INSPECTOR,: SIG ATURE:

United States Environmental Protection Agency
Form Approved.EPA
Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires8-31-98
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 ( 3 I NCG551137 I11 12 16/08/04 17 18 I C I 19 I S I 201
21111I 1 I I I I III I I I I I I I I I I I I I I I I I I I I I I III 111 11 f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating 61 QA -Reserved —
67 70L JI 71 I 72 L�J 73 I 174 751
I I I I I 80
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 09:30AM 16/08/04 16/07/29
2007 Goodman Lake Road
2007 Goodman Lake Rd Exit Time/Date Permit Expiration Date
Morganton NC 28655 10:30AM 16/08/04 18/07/31
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
Jeffrey Kyro,2007 Goodman Lake Rd Morganton NC 28655//828-437-0992/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance 0 Records/Reports Self-Monitoring Program
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
Mikal Willmer ARO WQ//828-296-4686/
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
31 NCG5!L2 I11 12 16/08I04 17 18 JCJ
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

Permit: NCG551137 Owner-Facility: 2007 Goodman Lake Road
Inspection Date: 08/04/2016 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? jg—❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ [9 ❑
application?
Is the facility as described in the permit? - ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ LE' ❑ ❑
Is access to the plant site restricted to the general public? ❑ ❑ a ❑
Is the inspector granted access to all areas for inspection? 91,. ❑ ❑ ❑
Comment:
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ lam- ❑
Is septic tank pumped on a schedule? ❑ ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ ® ❑
Are high and low water alarms operating properly? ❑ ❑ I ❑
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? a ❑ ❑ ❑
Are the tablets the proper size and type? [9- ❑ ❑ ❑
Number of tubes in use? °L
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth, or sludge buildup? 19 ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ E1 ,0
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? �+ � p u ❑ ❑ M ❑
Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ ❑ W
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ❑ M
Page# 3

Permit: NCG551137 Owner-Facility: 2007 Goodman Lake Road
Inspection Date: 08/04/2016 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Comment: �ie9� <1�e'K F�•.al--� e� S cr,.+�^ ��r� '"�` n"
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ M' ❑
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: c+�.rT'
Page# 4
.� ��...�,•�.,���-,���.,.�,�.- ��ftd� � ��,�-...�,�.-.-N.z���-�.x,.�,��-,�� :... Win—

State of North Carolina '
Department of Environment
and Natural Resources A
e n
Michael F.Easley,Governor Ori
Alan W.Klimek,P.E.,Director
Coleen H. Sullins,Deputy Director NCDENR
Division of Water Quality NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Asheville Regional Office
WATER QUALITY SECTION
November 4, 2003
Mr. Tim Newton
214 Avery Avenue
Morganton, North Carolina 28655
Subject: Single Family Dwelling
Burke County
Dear Mr. Newton:
In response to the inquiry concerning wastewater discharge permits for single family dwellings,
please find enclosed a "Notice of Intent", "Typical Site Plan and "NPDES Submittal Requirements". The
"Notice of Intent" is the application form for a discharge permit for a single-family dwelling. The "Notice
of Intent" lists most of the supporting documentation that must be submitted along with the form. The
"Typical Site Plan" details the minimum layout and specifications for the treatment system.
Your interest in this matter is appreciated. Please contact me at telephone number 828-251-6208 if
there are questions.
Sincerely,
James R. Reid
Environmental Engineer
Enclosure
Asheville Regional Office,59 Woodfin Place,Asheville,North Carolina 28801 Phone: [phone] Fax: [phone]
An Equal Opportunity/Affirmative Action Employer—50%Recycled\110%Post Consumer Paper

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
Fax to: Mr. Matthew Gupton
(828-432-2466 fax)
Burke County Health Department
Environmental Health Section
From: Wanda Frazier
Environmental Specialist
NCDENR-DWQ-SWPS
Date: 12-22-2011
Re: Single Family Residence wastewater systems
NPDES permit #: NCG551138
Stephen D. & Tracy A. Boutin SFR
(formerly: Karen Weatherman SFR)
And
NPDES permit #: NCG551137
Jeffrey S. & Wendy G. Kyro SFR
am faxing you some more detailed information regarding these facilities.
Please call me at 828-296-4662 to discuss and schedule a joint inspection.
Thanks,
1G;c �?
SURFACE WATER PROTECTION SECTION —ASHEVILLE REGIONAL OFFICE One
Location: 2090 U.S. Highway 70, Swannanoa, North Carolina 28778 NorthCarolina
Phone: [phone]\FAX: [phone]\Customer Service: 1-877-623-6748 ;Vatura!lly
Internet: www.ncwaterquality.org
An Equal Opportunity\Affirmative Action Employer

F N1AT�C
Michael F.Easley,Governor
aC� William G.Ross Jr.,Secretary
F ort arolina epartment of-..;vironment and Natural Resources
co
w Alan'W.Klimek,P.E.Director"( Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION
October 26, 2005
Mr. Jeffrey Kyro
2007 Goodman Lake Rd
Morganton, North Carolina 28655
SUBJECT: Compliance Evaluation Inspection
Kyro Residence
Permit No: NCG551137
Burke County
Dear Mr. Kyro:
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 NCG551137.
Please refer to the enclosed inspection report for additional observations and
comments. If you any questions, please call me at 828-296-4500 Ext.4658.
Sincerely,
lEvironmetntal
ros
Chemist
Enclosure
cc: Central Files
Asheville Files
Post-it®Fax Note 7671 Date p Of
agges�
ToJrIG � ¢.,nF' 9�f� From Z1NorF�
Co./Dept. Co. Tel`Phone# Phone# �
Fax# Fax#
NorthCarolina
JVatura!!y
2090 U.S.Highway 70, Swannanoa, NC 28778 Telephone:[phone] Fax:[phone] Customer Service 1 877 623-6748

y
United States Environmental Protection Agency
�� Washington,D.C.20460 Form Approved.
OMB No.2040-0057
Water Compliance inspection Report Approval expires 8-31-98
Section A: National Data System Coding(i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 I SI 31 NCG551137 111 121 05/10/26 1 17 181 CI 191 S1 201 1
Remarks
211111 11111111111111111111111111 L I III11111 ► II I II16
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA --------------- ---------Reserved----------------------
671 1 69 701 1 711 1 721 NJ 73I ' '74 751 1 1 1 80
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
Jeffrey & Wendy Kyro 11:45 AM 05/10/26 01/07/06
2007 Goodman Lake.Rd Exit Time/Date Permit Expiration Date
Morganton NC 28655
11:55 AM 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
Jeffrey Wendy Kyro,2007 Goodman Lake Rd Morganton NC Contacted
28655//828-437-0992/ No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance ®Facility Site Review
Section D: Summary of Find in9/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/ J /�
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Roger C Edwards / �®
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.

NPDES yr/mo/day Inspection Type 1
3� NCG551137 I11 12I 05/10/26 I17 181C1
Section D: Summary of Find in (Attach additional sheets of narrative and checklists as necessary)
The septic tank covers, sand filters vents, chlorinator and chlorine contact chamber appear to be in good
condition.
There were no tablets in the chlorinator. Tablets must be kept in the chlorinator at all times to ensure
disinfection of the wastewater.

P
y
Permit: NCG551137 Owner-Facility: Jeffrey&Wendy Kyro
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- (_j ■ n
Is the facility as described in the permit? ® n n n
Are there any special conditions for the permit? n n ® n
Is access to the plant site restricted to the general public? n n n
Is the inspector granted access to all areas for inspection? n n ® n
Comment:
J
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 ❑ n n
Judge,and other that are applicable?
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? n n n
Are the tablets the proper size and type? ❑ ■ 0 n
Number of tubes in use? 0
Is the level of chlorine residual acceptable? n n n
Is the contact chamber free of growth,or sludge buildup? ❑ ❑ ❑ ■
Is there chlorine residual prior to de-chlorination? f1 n n
Comment:This system has 2 tubes for chlorine dispensing,neither has a tablet in them.
You must keep tablets in the chlorinator,inorder for the wastewater to be disinfected.

PAT MCCRORY
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
Water Resources
ENVIRONMENTAL GUALITY
July 29, 2016
Jeffrey &Wendy Kyro`
2007 Goodman Lake Rd
Morganton, NC 28655
Subject: General Permit NCG550000
2007 Goodman Lake Rd
Certificate of Coverage NCG551137
Burke County
Dear Permittee:
The Division did not renew your Certificate of Coverage (CoC)under General Permit NCG550000 in
2013 because you had not paid the 2012 annual fee. However, in light of your regular payment of annual
fees since then, and in response to a request from the NC DENR Asheville Regional Office staff, the Division
hereby reissues NCG551137. 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 Charles Weaver of the NPDES staff[919 807-6391 or
[e-mail]].
inc rely,
for S.Jay Zimmerman, P.
Director, Division of Water Resources
cc: Asheville Regional Office RECE IV D
NPDES file Division of water Resources
AUG 1 1 2016
State of North Carolina Environmental Quality I Water Reso ces Water Quality Regional Operations Ashc.,i1'o i� �Orf�A4�`if4l;ve:
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 NCG551137
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,
Jeffrey &Wendy Kyro
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
2007 Goodman Lake Rd
Morganton
Burke County
to receiving waters designated as Irish Creek, a class WS-III 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, III and IV hereof.
This certificate of coverage takes effect July 29, 2016.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day July 29, 2016
for y Zimmerman, P.G.
Director, Division of Water Resources
By Authority of the Environmental Management Commission
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