NCG550551_Complete File - Historical_20200512

RCDENR
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
Thomas G. Clontz
3077 Stoney Creek Dr
Valdese,NC 28690
Subject: Renewal of coverage/General Permit NCG550000
3077 Stoney Creek Drive
Certificate of Coverage NCG550551
Burke County
Dear Permittee:
In accordance with your renewal application [received on January 18,20071,the Division is renewing
Certificate of Coverage(CoC)NCG550551 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,
U CL YE
for Coleen H. Sullins
r
cc: Central Files
Asheville Regional Office/Surface Water Protection' E
NPDES file
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 NofthCarohna
Phone: [phone]/FAX [phone]/Internet:www.newaterquality.org ;Vah(rally
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0
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550551
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,
Thomas G. Clontz
is hereby authorized to discharge domestic wastewater [360 GPD] from a facility located at
3077 Stoney Creek Drive
Morganton
Burke County
to receiving waters designated as Howard Creek (Propst 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

PIMA �
NCDENR HF� N 1 6 2007
North Carolina Department of Environment a d N Resources
Division of Witter Qualilt WATER QUALITY SECTION
Michael F. Easley, Governor ASHEVILLLM cretary
Alan W. Klimek, P.E., Director
}' ^•"" i'�� '+�'N3k^2'Re' n%6�.SrY.K'tlLLn+rmYbtiihkt}Enmb-P1Sk'.AR7Y&"L=iX�:B
January 9, 2007
Thomas Clontz
3077 Stoney Creek Dr
Valdese, NC 28690
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG550551
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
separatelybg 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 NofthCarohna
Phone: [phone],extension 511/FAX [phone]/charles.weaver@ ncmail.net ;Vaturally
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NCG550551 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,
Charles H. Weaver,Jr.
NPDES Unit
cc: Central Files
Asheville Regional Office/Larry Frost
NPDES file

ichaeLf. EL�J.r""'Som
0
VMIRM
RoNorth Carolina Departmentof E vir nt an Na
l.. t Al .
r � a 1Q1 �rl7ii'@c�r�a
—iDivisio Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION
November 14, 2005
Mr. Thomas G. Clontz
3077 Stoney Creek Dr
Valdese NC 28690
SUBJECT: Compliance Evaluation Inspection
Clontz residence
Permit No: NCG550551
Burke County
Dear Mr. Clontz:
Enclosed please find a copy of the Compliance Evaluation Inspection form from
the inspection conducted on November 3, 2005. Larry Frost of the Asheville Regional
Office conducted the Compliance Evaluation Inspection. The facility was found to be in
Compliance with permit NCG550551. "
Please refer to the enclosed inspection report for additional observations and
comments. If you have any questions, please call me at 828-296-4500.
Sincerely,
Lar Fr st
En Ironmental Chemist
Enclosure
cc: Central Files
Asheville Files
NorthCarolina
Natffrally
2090 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 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 15I 31 NCG550551 ill 121 05/11/03 117 181 CI 19I SI 201 I
Remarks
21IIII III- IIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----—------—------—-----Reserved-----------—--------
67 I 169 701 I 1
711 I 721 NJ 73I l—f u 174 751 I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
Clontz residence 09:00 AM 05/11/03 02/08/01
3077 Stoney Creek Dr Exit Time/Date Permit Expiration Date
Morganton NC 28655 09:30 AM 05/11/03 07/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible OfficiallTitle/Phone and Fax Number
Thomas G Clcntz,3077 Stoney Creek Dr Valdese NC 28690//828-433-173gjntacted
Yes
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit ■Operations&Maintenance N 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 Man a ent Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Roy M Davis (" 0 WQ//828-296-4500 Ext.4659/ , I
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete._
Page# 1

NPDES
yr/mo/day Inspection Type 1 \\
3I NCG550551 I11 12I 05/11/03
17 18I
C
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The facility is very clean and appears to be well maintained.
Page# 2

T
Permit: NCG550551 Owner-Facility: Clontz residence
Inspection Date: 1 110 3/2 00 5 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? ■ 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? 171 ❑ ■ n
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 11
Does the facility analyze process control parameters,for ex: MLSS,MCRT,Settleable Solids,pH, DO,Sludge ❑ ❑ ■ ❑
Judge,and other that are applicable?
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ■ n n n
Are the tablets the proper size and type? ■ ❑ n
Number of tubes in use? 2
Is the level of chlorine residual acceptable? n ❑ n
Is the contact chamber free of growth,or sludge buildup? ■ ❑ n n
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑ ■
Comment:
Page# 3

tom;:
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NCDENR
"North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross,Jr.,Secretary
Alan W.Klimek, P.E., Director
March 15,2005
Mr.T.Gerald Clontz
3077 Stoney Creek Drive
Valdese,North Carolina 28690
Subject: Renewal of coverage/General Permit NCG550000
Clontz property
Certificate of Coverage NCG550551
Burke County
Dear Mr.Clontz:
In accordance with your application for a Certificate of Coverage[received on February 28,2005],the Division is
forwarding herewith Certificate of Coverage NCG550551 to discharge under NCG550000. This permit is issued pursuant
to the requirements of North Carolina General Statue 143-215 .1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994[or as subsequently amended].
If any parts,measurement frequencies or sampling requirements contained in this General Permit are unacceptable
to you,you have the right to request an individual permit by submitting an individual permit application. Unless such
demand is made,the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the Division. The
Division may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality or permits required by the Division of Land Resources,Coastal Area Management Act or any other Federal
or Local governmental permit that may be required.
If you have any questions concerning this permit,please contact Charles H.Weaver,Jr.at telephone number 919
733-5083,extension 511.
Sincerely,
CA A��-,
04A an W.Klimek,P.E.
cc: Central Files - — -
,�shey111e �g� 11 Of#ice J J;m Reid: � ,
NPDES file iwk
�$ 2005-
.....,..,e.".e.......-3 W
OFi
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
512 North Salisbury Street,Raleigh,North Carolina 27604 NorthCarohna
Phone: [phone]/FAX [phone]/Internet:h2o.enr.state.nc.us ;Vaturally
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper

n,
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550551
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,
Thomas Gerald Clontz
is hereby authorized to operate a wastewater treatment facility that consists of a septic tank, subsurface sandfilter,
chlorine disinfection,and associated appurtenances with the discharge of treated wastewater from
3077 Stoney Creek Drive
Valdese
Burke County
to receiving waters designated as Howard Creek in the Catawba River Basin in accordance with the effluent
limitations,monitoring requirements, and other conditions set forth in Parts I,11,1II and IV hereof.
This certificate of coverage shall become effective March 15, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 15, 2005.
0A- Alan W.Klimek,P.E.,Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Latitude:35044'31" N C G 55055
Longitude:nude 8 1°3T40" Thomas Gerald Clontz
Location
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Quad:Morganton South,N.C.
Stream Class:WS-IV
Subbasin:30831 Receiving Stream Howard Creek Otth NOT TO!tl1LE

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross,Jr.,Secretary
Alan W. Klimek, P.E., Director
February 16, 2005
Thomas G. Ft Ruby L. Clontz
3077 Stoney Creek Drive
Valdese, North Carolina 28690
Subject: Notice of Ownership change
General Permit NCG550000
Certificate of Coverage NCG550551
Burke County
Dear Mr. Ft Mrs. Clontz:
You are receiving this notice because you currently own a home covered under the subject
General Permit for the discharge of domestic wastewater. The Certificate of Coverage (CoC) specific
to your property is in the name of the previous owner.
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 maintain 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 Jim Reid in the NC DENR Asheville
Regional Office at [phone]. He can help you determine if you need coverage under the
General Permit.
➢ If you know that your property no longer discharges wastewater to a waterbody, contact me at the
address or phone number listed below to request rescission of the CoC.
If you have any questions concerning this matter, please contact me at the telephone number
or e-mail address listed below.
Sincerely,
1
Charles H. Weaver, Jr.
Point Source Branch E (� E
D L�
cc: Central Files FEB 1 8 2005
As#�eville Regional Office /Jim Reid
NPDES file
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One 512 North Salisbury Street,Raleigh,North Carolina 27604 No thCarofina.
Phone: [phone],extension 511/FAX [phone]/[e-mail] ;Vahmllff
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State of North Carolina
Department of Environment,
Health and Natural Resources 4 • •
Division of Water Quality
AM
James B. Hunt, Jr., Governor C) E H N
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director July 21, 1997
Wade Powell
3855 Piedmont Road
Morganton,NC 28655
Subject: Certificate of Coverage No. NCG550551
Renewal of General Permit
Powell,Wade-Property
Burke County
Dear Permittee:
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31,2002. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215,1 and the Memorandum of
Agreement between North Carolina and the U.S.Environmental Protection Agency dated December 6, 1983. If any
parts,measurement frequencies or sampling requirements contained in this permit are unacceptable to you,you have
the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, the Division of Land Resources, Coastal Area Management Act or any other Federal or Local
governmental permit that may be required.
If you have any questions concerning this permit,please contact the NPDES Group at the address below.
Sincerely,
A. Preston Howard,Jr.,P.E.
cc: Central Files ;
NPDES Group`
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX[phone]i�o""p&[e-mail]
An Equal Opportunity Affirmative Action Employer 50% recycled / 10%post-consumer`paper

STATE OF NORTH CAROLI10
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550551
TO DISCHARGE DOMESTIC WASTEWATERFROM SINGLE FAMILY RESIDENCES
AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
Wade Powell
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility
located at
Powell,Wade-Property
232 North Anderson
Morganton
Burke County
to receiving waters designated as subbasin 30834 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 of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective August 1, 1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21, 1997.
/A. Preston Howard, Jr., P.E., Director
f _ Division of Water Quality
By Authority of the Environmental Management Commission

.sate of North Carolina �� r
Department of Environment,
Health and Natural Resources
Division of Water QualityDate fr Y pages►
7671 Post-it®Fax Note
From j rYf j £(
James B. Hunt, Jr., Governor To i'cK a� �� Co.
Wayne McDevitt, Secretary Co./Dept. Phone# �zc�
A. Preston Howard, Jr., P.E., Director Phone# D
_ Fax# , 7(J �,Z.S/-��j'2
Fax# Q ., S
� v3
November 7, 1997
� t
d
Mr. Wade Powelli
. Q�aTrTicuiiiuiiiz - /r v'e-,
Vald2,K5gl p rq/�fiF
r�F /
Subject: Permit Issuance
Authorization to Construct
General Permit NCG550000
Cert. of Coverage NCG55O551
�yI `,�yc, Wade Powell Residence
�/�tin �S D��i, r v d 1� �J Burke County
Dear Mr. Powell: 7
In accordance with your application for an NPDES discharge permit received June 3, 1997 by the
Division, we are herewith forwarding the subject Certificate of Coverage under the state-NPDES general
permit for Mr. Wade Powell. Authorization is hereby granted for the construction of a 360 GPD
wastewater treatment system consisting of a 1000 gallon septic tank, primary distribution box, 324 square
foot (6'X 54') 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 cascade aerator with a discharge of treated
wastewater into an unnamed tributary to Howard Creek classified class WS-IV 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. All elbow piping must be of
the long sweeping type. This system must be at 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. NCG55000O.
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.
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]

,,de Powell
-NCG550551
November 7, 1997
The Asheville Regional Office, telephone number 919/251-6208, 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 Permits 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 Coas al Area Management Act or 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
David A. Goodrich
A. Preston Howard, Jr., P.E.
cc: Central Files
Asheville Regional Office,Water Quality
Facility Assessment Unit
Stormwater and General Permits Unit
Burke County Health Dept.

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE
GENERAL PERMIT NO. NCG550551
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.Wade Powell
is hereby authorized to operate of a 360 GPD wastewater treatment facility that consist of a septic tank, primary
distribution box, primary sandfilter, secondary distribution box, secondary sandfilter, chlorinator, chlorine contact
chamber,cascade aeration and associated appurtenances with the discharge of treated wastewater from a facility located
at the
Powell Residence
east of Morganton near US 64& US 70 intersection
Stoneycreek
Burke County
to receiving waters designated as Howard Creek in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, III
and IV hereof.
This certificate of coverage shall become effective November 7, 1997
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 7, 1997 _
Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

77
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HARD SURFACE
SECONDARY HIGHWAY 7000 FEET
HARD SURFACE C=3MMK= UNIMPROVED ROAD = _ 19M M.
—
1 p 1 KILOMETER
Latitude 35°44'31" Longitude 81037'40"
Map # E12M Sub-basin 03-08-31 CONTOUR INTERVAL 40 feet
Stream Class WS-1V — —
QUAD LOCATION Wade Powell Residence
Discharge Class 4
NCG550551
Receiving Stream Howard Creek % Burke County
Design 0 360 GPD Permit exp. 07/31 /02

TYPICA[, ST7'r 111,Ari
SINGLE i M I LY RESIDENCE DUA f, SUBSUI�_ ,iCE
SAND FILTER TYPE TRFATMEN'[' SYSTEM
EXAMPLE ONLY - PLEASE PRESENT A SIMILAR SITE PLAN
SPECIFIC TO YOUR PROPERTY AND. PROPOSED
RESIDENCE SHOWING THE FOLLOWING:
Vicinity Map
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BUILDING LOT WATER SUPPLY WELL(S)
AND HOUSE VICINITY MAP WITH HIGHWAY
RECEIVING STREAM AND STATE ROAD (SR) NUMBERS
DISCHARGE POINT TREATMENT SYSTEM AND LAYOUT
NORTH ARROW

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WATERTIGHT SEALANT.
2 . BAFFLE CONSTRUCTED OF BRTCY. OR CONCRETE
(REINFORCED AS DESCRTBFF) ABOVE) WITH HOLES
PROVIDED SIMILAIR TO THOSF SHOWN.
3 SEPTIC TANK SHALL BE P f,A('Ft') ON UNDISTURBED EARTH
BASE OR COMPACTED SUTTART.F FTf.C, MATERIAL TO 90%
STD PROCTOR

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2 . FILTRATE COLLECTION LINES SHA1:.,1, BE HARDWALL PVC WITH
PREDRILLED 1/2 HOLES LOCATrn TH THE TOP HALF OF THIS
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3 . DISTRIBUTION LIMES AND FTr,TRATE COLLECTION LINES SHALL
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i
State of Nprth Carolina
Department of Environment,
Health and Natural Resources ` •
LA
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
r September 30,1993
TERRY PERRY
PERRY RESIDENCE (TERRY)
232 NORTH ANDERSON
MORGANTON NC 28655 Subject: PERRY RESIDENCE (TERRY)
Certificate of Coverage NCG550551
General Permit NCG550000
Formerly NPDES Permit NCO078786
Burke County
Dear Permittee:
The Division of Environmental Management has recently evaluated all existing individual permits for potential
coverage under general permits currently issued by the Division. 15A N.C.A.C. 2H_0127 allows the Division to
evaluate groups of permits having similar discharge activities for coverage under general permits and issue coverage
where the Division finds control of the discharges more appropriate in this manner.The Division has determined
that the subject discharge qualifies for such coverage. Therefore,the Division is hereby issuing the subject
Certificate of Coverage under the state-NPDES general permit no. NCG550000 which shall void NPDES Permit
NC0078786. This Certificate of Coverage is issued pursuant to the requirements of North Carolina and the US
Environmental Protection Agency Memorandum of Agreement dated December 6,1983 and as subsequently amended.
If any parts,measurement frequen( #of •e unacceptable to
you,you have the right to submit Post-it Fax Note 47671DaPZ pages letter requesting
coverage under an individual pern To p l binding. Please
take notice this Certificate of Cove ;to be followed in
case of change of ownership or con #Phone# ;���"WZIn the event that the facilities fail Fax# * b Z (� j� editions,the
Perm ttee Shall take immediate cor ion, such as the
construction of additional or replac ia,,.ues. cvnsrrucnon of any
wastewater treatment facilities will require issuance of an Authorization to Construct from this Division.
Failure to abide by the requirements contained in this Certificate of Coverage and respective general,permit may
subject the Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C. Please note that the general permit does require
monitoring in accordance with federal law. The monitoring data is not required to be submitted to the Division
unless specifically requested,however, the permittee is required to maintain all records for a period of at least three
(3) years.
, �P /ce' #
#auoyd —S./ —b1 #auoyd
Post Office Box 29535,Ra -00 Idea/'00 083 FAX[phone]
An Equal Opportunity Afl , W 1 f woad sr- of %post-consumer paper
-Isod
GL9L atoN Xe-A J!

l
Page 2
TERRY PERRY
PERRY RESIDENCE (TERRY)
Certificate of Coverage No. NCG550551
The issuance of this Certificate of Coverage is an administrative action initiated by the Division of
Environmental Management and therefore,no fees are due at this time. In accordance with current rules,there
are no annual administrative and compliance monitoring fees for coverage under general permits. The only fee
you will be responsible for is a renewal fee at the time of renewal. The current permit expires July 31,1997.
This coverage will remain valid through the duration of the attached general permit. The Division will be
responsible for the reissuance of the general permit and at such time,you will be notified of the procedures to
follow to continue coverage under the reissued permit. Unless you fail to follow the procedures for continued
coverage,you will continue to be permitted to discharge in accordance with the attached general permit.
The issuance of this Certificate of Coverage does not preclude the Permittee from complying with any and all
statutes,rules,regulations,or ordinances which may be required by the Division of Environmental Management
or permits required by the Division of Land Resources,the Coastal Area Management Act or any Federal or Local
other governmental permit that may be required.
If you have any questions or need additional information regarding this matter,please contact either the
Asheville Regional Office,Water Quality Section at telephone number 704/ 251-6208,or'a review engineer in
the NPDES Group in the Cer tral Office at telephone number 919/733-5083.
S' erely,
.Presto Howar ,P.E.
cc: Asheville Regional Office
Central Files

i
iftaol
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No.NCG550551
TO DISCHARGE TREATED DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND
SIMILIAR WASTEWATERS UNDER THE
NATIONAL POLLUNTANT 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,
PERRY RESIDENCE (TERRY)
is hereby authorized to discharge treated domestic wastewater from a facility located at
PERRY RESIDENCE (TERRY)
Burke County
to receiving waters designated as the HOWARD CREEK/CATAWBA RIVER BASIN
in accordance with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,11,
III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective November 1, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day, September 30,1993.
A.Preston Howar ,Jr.,P.E.,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh,North Carolina 27611
James G.Martin,Govemor George T.Everett,Ph.D.
William W.Cobey,Jr.,Secretary Director
February 13, 1991
i
Mr. Terry Perry
250 North Anderson
Morganton, NC 28655
Subject: Permit No. NCO078786
Terry Perry Residence
Burke County
Dear Mr. Perry:
In accordance with your application for discharge permit received on March 9,
1990, we are forwarding herewith the subject State - NPDES permit. This permit is
issued pursuant to the requirements of North. Carolina General Statute 143-215. 1 and
the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in
this permit are unacceptable to you, you have the right to an adjudicatory hearing
upon,written request within thirty (30) days following receipt of this letter. This
request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings,
Post office Drawer 27447, Raleigh, North Carolina 27611-7447, Unless such demand is
made, this decision shall be final and bind:i_ng.
Please take notice that this permit is not transferable. Part II, B.2.
addresses the requirements to be followed in case of change in ownership or control of
this discharge.
This permit does not affect the legal requirements to obtain other permits
which may be required by the Division of Envi-ronmental Management or permits required
by the Division of Land Resources, Coastal Area Management: Act or any other Federal or
Local governmental permit that may be required.
If you have any questions concerning this permit:, t,leas , contact Mr. Mack
Wiggins at telephone number 91.9/733-5083.
sincere iy,
Original signed by.
bale Overcash for RECEIVED
George. T. Everett Water Quality Secticm
cc: Mr. Jim Patrick, EPA I , stir.
Asheville Regional Office FSw✓ E B; 1� � E
.Asheville Re ionai O
Pouutlon Pn-w�on Pays ,Asheville,North Carolina
T�I�.� ��.� .
P.O.6e- ,7687,Raleigh,North Caroline��',. ,N• oto.7�-A_7015
n.,Frn ial Onnortunity Affirmative Action Employer

Permit No. NCO078786
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission,and the Federal Water Pollution Control Act, as amended,
Mr. Terry Perry
is hereby authorized to discharge wastewater from a facility located at
Terry Perry Residence
Lot 25, Stoney Brook Subdivision on Hwy 70
south of Drexel
Burke County
to receiving waters designated as Howard Creek in the Catawba River Basin
in accordance with effluent limitations,monitoring requirements,and other conditions set forth in
Parts I, II, and III hereof.
This permit shall become effective February 13, 1991
This permit and the authorization to discharge shall expire at midnight on May 31, 1995
Signed this day February 13, 1991
Original signed by
Dale Overcash for
George T. Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Conmiissiuii

Permit No. NC0078786
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Terry Perry
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility,and
2. Make an outlet into Howard Creek, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management,construct and operate a 0.00036 MGD wastewater treatment facility located
at Terry Perry Residence,Lot 25, Stoney Brook Subdivision on Hwy 70, south of
Drexel,Burke County (See Part III of this Permit),_and
4. Discharge from said treatment works at the location specified on the attached map into
Howard Creek which is classified class WS-111 waters in the Catawba River Basin.

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PART I
"Act" used herein means the Federal Water Pollution Control Act , As
Amended.
®"Dal " used herein means the Division of Environmental Management of
the Department of Natural Resources and Community Development.
"EMC" used herein means the North Carolina Environmental Management
Commission.
Definitions
a. The monthly average, other than for fecal coliform bacteria, is
the arithmetic mean of all the composite samples collected in a
one-month period. The monthly average for fecal coliform bacteria
is the geometric mean of samples collected in a one-month period.
b. The weekly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected during a
one-week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one-week period.
c. Flow, O/day (MGD) : The flow limit expressed in this permit is the
24-hour average flow, averaged monthly. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month.
d. Arithmetic Mean: The arithmetic mean of any set of values is the
summation of the individual values divided by the number of indi-
vidual values.
e. Geometric Mean: The geometric mean of any set of values is the Nth
root of the product of the individual values where N is equal to the
number of individual values. The geometric mean is equivalent to
the antilog of the arithmetic mean of the logarithms of the indi-
vidual values. For purposes of calculating the geometric mean,
values of zero (0) shall be considered to be one {1) .

PART 11
A. MANAGEMENT REQUIREMENTS
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms
and conditions of this permit. The discharge of any pollutant
identified in this permit more frequently than or at a level in
excess of that authorized shall constitute a violation of the
permit. Any anticipated facility expansions, production increases,
or process modifications which will result in new, different, or
increased discharges of pollutants must be reported by submission
of a new NPDES application or, if such changes will not violate the
effluent limitations specified in this permit, by notice to the DEM
of such changes. Following such notice, the permit may be modified
to specify and limit any pollutants not previously limited.
2. Facilities Operation
The permittee shall at all times maintain in good working order and
operate as efficiently as possible all treatment or control facili-
ties or systems installed or used by the permittee to achieve com-
pliance with the terms and conditions of this permit.
3. Adverse Impact
The permittee shall take all reasonable steps to minimize any adverse
impact to navigable waters resulting from noncompliance with any
effluent limitations specified in this permit, including such accel-
erated or additional monitoring as necessary to determine the. nature
and impact of the noncomplying discharge.
4. Bypassing
Any diversion from or bypass of facilities necessary to maintain com-
pliance with the terms and conditions of this permit is prohibited ,
except (i) where unavoidable to prevent loss of life or severe
property damage, or (ii) where excessive storm drainage or runoff
would damage any facilities necessary for compliance with the
effluent limitations and prohibitions of this permit. The permitteec
shall promptly notify the Water Quality Section of DEM in writing of
each such diversion or bypass.
5. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the
course of treatment or control of wastewaters shall be disposed of in
a manner such as to prevent any pollutant from such material from
entering waters of the State or navigable waters of the United
States.

PART II
6. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. Provide an alternative power source sufficient to operate
the wastewater control facilities;
or, if such alternative power source is not in existence,
b. Halt , reduce, or otherwise control production and/or all dis-
charges from wastewater control facilities upon the reduction,
loss, or failure of the primary source of power to said waste-
water control facilities.
B. RESPONSIBILITIES
1 . Right of Entry
The permittee shall allow the Director of the Division of Environ-
mental Management, the Regional Administrator, and/or their author-
ized representatives, upon the presentations of credentials:
a. To enter upon the permittee°s premises where an effluent
source is located or in which any records are required to
be kept under the terms and conditions of this permit; and
b. At reasonable times to have access to and copy any record:,
required to be kept under the terms and conditions of this
permit; to inspect any monitoring equipment or monitoring
method required in this permit; and to sample any discharge
of pollutants.
2. Transfer of Ownership or Control
This permit is not transferable. In the event of any change in con-
trol or ownership of facilities from which the authorized discharge
emanates or is contemplated, the permittee shall notify the prospcc
tive owner or controller by letter of the existence of this permit
and of the need to obtain a permit in the name of the prospective
owner. A copy of the letter shall be forwarded to the Division of
Environmental Management.
3. Permit Modification
After notice and opportunity for a hearing pursuant to NCGS 143-215. 1
(b) (2) _and NCGS 143-215.1 (e) respectively, this permit may be modi-
fied, suspended, or revoked in whole or in part during its term for
cause including, but not limited to, the following:

PART II
a. Violation of any terms or conditions of this permit;
b. Obtaining this permit by misrepresentation or failure to
disclose fully all relevant facts; or
c. A change in any condition that requires either a temporary
or permanent reduction or elimination of the authorized
discharge.
4. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II ,
A-4) and 11Power Failures (Part II, A-6) , nothing in this permit
shall be construed to relieve the permittee from civil or criminal
penalties for noncompliance pursuant to NCGS 143-215.6 or Section
309 of the Federal Act, 33 USC 1319.
5. Property Rights
The issuance of this permit does not convey any property rights in
either real or personal property, or any exclusive privileges, nor
does it authorize any injury to private property or any invasion of
personal rights, nor any infringement of Federal, State, or local
laws or regulations.
6. Severability
The provisions of this permit are severable, and if any provision 01'
this permit, or the application of any provision of this permit to
any circumstance, is held invalid, the application of such provision
to other circumstances, and the remainder of this permit shall not
be affected thereby.
7. Expiration of Permit
Permittee is not authorized to discharge after the expiration date.
In order to receive authorization to discharge beyond the expiration
date, the permittee shall submit such information, forms, and fees
as are required by the agency authorized to issue permits no later
than 180 days prior to the expiration date. Any discharge without
a permit after the expiration will subject the permittee to enforce-
ment procedures as provided in NCGS 143-215.6 and 33 USC 1251 et seq . .

PART III
A. PREVIOUS PERMITS
All previous State water quality permits issued to this facility,
whether for construction or operation, or discharge, are hereby
revoked by issuance of thif; permit. The conditions, requirements,
terms, and provisions of this permit authorizing discharge under thu
National Pollutant Discharge Elimination System govern discharges
from this facility.
B. CONSTRUCTION
No construction of wastewater treatment facilities or additions thereto
shall be begun until Final Plans and Specifications have been submitted
to the Division of Environmental Management and written approval and
Authorization to Construct have been issued. If no objections to Final
Plans and Specifications have been made by the DEM after 30 days follow-
ing receipt of the plans or issuance of this permit, whichever is latter,
the plans may be considered approved and construction authorized.
C. SPECIAL CONDITIONS
1 . The Permittee shall be responsible for the following items regard-
ing the maintenance of the treatment system:
a. Septic tanks shall be maintained at all times to prevent
seepage of sewage or effluents to the surface of the ground.
b. Septic tanks need routine maintenance and should be checked
at least yearly to determine if solids need to be removed
or other maintenance performed.
c. Contents removed from septic tanks shall be discharged into
an approved sewer system, buried or plowed under at an
approved location within 24 hours, or otherwise disposed of
at a location and in a manner approved by the State or local
agency.
2. The ,permittee shall properly connect to an operational publicly-
owned wastewater collection system within 180 days of its availability
to the site.

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

Permit No. NCO078786
N. C. DEPT. OF NATURAL
RESO RC-7S AND
STATE OF NORTH CAROLINA oQ AtU�'="Y i=F-VELOPMENT
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCET `T '7 n 1990
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT DIVISION OF f GEMEN_T
TO DISCHARGE WASTEWATER UNDER THE M�QESkI' t,� �L ;'1. OFfIC£
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. Terry Perry _
is hereby authorized to discharge wastewater from a facility located at
Terry Perry Residence
Lot 25, Stoney Brook Subdivision on Hwy 70
south of Drexel
Burke County
to receiving waters designated as Howard Creek in the Catawba River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, and III hereof.
This permit shall become effective
This permit and the authorization to discharge shall expire at midnight on May 31, 1995
Signed this day
DK"�'AFT '
iieorae T. E'veret, DE-1-clor
Division of Environ icrital Management
By ; uirora of. .e E-nv ron menial Management Commission

y Pernlit No. NCO078786
N. C. DEPT. OF NATURAL
CO1v11s; NI _ �4�d rL 1`0.iliT
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Terry Perry
7 0 1990
,�°:,I ri 0 ENT
is hereby authorized to: h$ �� o'` PT"J31'AL OFFICE
1. Enter into a contract for construction of a wastewater treatment facility, and
2. Make an outlet into Howard Creek, and -
3. After receiving an Authorization to Construct from the Division of Environmental
Management,construct and operate a 0.00036 MGD wastewater treatment facility located
at Terry Perry Residence, Lot 25, Stoney Brook Subdivision on Hwy 70, south of
Drexel, Burke County (See Part III of this Permit), and
4. Discharge from said treatment works at the location specified on the attached map into
Howard Creek which is classified class WS-III waters in the Catawba River Basin.

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North Carolina Department of Environment and Natural Resourc
Pat McCrory John E.Skvar(a, III
Governor Secretary
May 23, 2014
Mr. Thomas G. Clontz
3077 Stoney Creek Drive
Valdese, NC 28690
SUBJECT: Compliance Evaluation
Inspection
Clontz Residence
Permit No: NCG550551
Burke County
Dear Mr. Clontz:
Enclosed please find a copy of the Compliance Evaluation Inspection Form from
the inspection conducted on May 21, 2014. The facility was found to be in compliance
with permit NCG550551.
Please refer to the enclosed inspection report for additional observations and
comments. If you have any questions, please call me at 828-296-4500.
Sincerely,
Andrew Moore
Environmental Senior Technician
Enclosure
cc: MSC 1617-Central Files-Basement
WQ Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet.,http://portal.ncdenr.org/web/Wq
An Equal Opportunity\Affirmative Action Employer

NCG550000 Single Family Residence General Permit Inspection Report
DWQ Inspector: 37Lez Inspection date:
Permittee: Inspection time:
Permit Number: NCG55 O Sw County:
Location address: a �-• /�L �Co �C
Ir
Mailing address (if different):
Contact person(s):
Telephone numbers.-
Permit expires: Annual fees paid:
Did homeowner know of system: ,/ Age of system (ATC):
Date & nature of repairs:
Dates of septic tank pumping- C� oz.
Date(s) of sampling by homeowner:
Sampling results: BOD: TSS
Total Residual Chlorine: Fecal Coliform:
Certified Lab / Contractor:
Tablet chlorinator present:!/ Number of tubes in use:
Name of receiving stream: Stream classification:
Tablet dechlorinator present Number of tubes in use:
Cascade aerator present, Discharge pipe located: 1� d
Date samples taken by DWQ: BOD results:
TSS results- Fecal Coliform results:
Observations: t�-�GL� -�X

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Swannanoa, NC 28778
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Valdese, NC 28690-9432
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• page 74, grid section L-6, • page 74, grid section E-3
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• 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 51 miles 12
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 103 to US-64 0.2 miles
...................................................................................................................................................................................................................................
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rc { y
North Carolina Department of Environment and Natural Resou
Pat McCrory John E.Skvarla, Ili
Governor Secretary
May 23, 2014
Mr. Thomas G. Clontz
3077 Stoney Creek Drive
Valdese, NC 28690
SUBJECT: Compliance Evaluation
Inspection
Clontz Residence
Permit No: NCG550551
Burke County
Dear Mr. Clontz:
Enclosed please find a copy of the Compliance Evaluation Inspection Form from
the inspection conducted on May 21, 2014. The facility was found to be in compliance
with permit NCG550551.
.Please refer to the enclosed inspection report for additional observations and
comments. If you have any questions, please call me at 828-296-4500.
Sincerely,
dj"t�.j
Andrew Moore
Environmental Senior Technician
Enclosure
cc: MSG 1617-Central Files-Basement
WQ Asheville Files
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet.http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer

j
United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water C Approval expires 8-31-98
Section A: National Data System Coding(i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I N I 2 15 I 31 NCG550551 111 121 14/05/21 117 181 r I 19I C I 20I I
Remarks J -1
2111111111IIIIIIII IIIIIIII IIIIII1111111111llll1116
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 CIA -------------------Reserved—------------------
67 I 169 70I I 71 I_I. 72I N I 73[ 174 75I I I I I I 80
Section B: Facility Data WI 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)
12:00 PM 14/05/21 13/08/01
3077 Stoney Creek Drive
3077 Stoney Creek Dr Exit Time/Date Permit Expiration Date
Morganton NC 28655 12:15 PM 14/05/21 18/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Thomas Gerald Clontz///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Thomas Gerald Clontz,3077 Stoney Creek Dr Valdese NC 2869ON No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Other
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
Andrew W Moore ARO WQ//828296464/
YALI '-I
4L &a,,
Signature of Management Q AA 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
3I NCG550551 111 12I 14/05/21 117 18I CI
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

�Xk
Permit: NCG550551 Owner-Facility: 3077 Stoney Creek Drive
Inspection Date: 05/21/2014 Inspection Type: Compliance Evaluation
Other Yes No NA NE
Comment: The tablet chlorinators were present and appeared to be operational.
We recommend having your septic tank pumped out every three to five years.
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? ■ 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:
Page# 3

Michael F. Easley, Governor
+ William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
.... Alan W. Klimek,P.E.Director
-- Division of Water Quality
4/24/2003
CERTIFIED MAIL
RETURN RECEIPT REQUESTED �� i r
j y
/
Wade Powell
3077 Stoney Creek Dr APR
Valdese NC 28690 9
SUBJECT: NOTICE OF VIOLATION AND REVOCATION FOR NON PAYMENT
PERMIT NUMBER NCG550551
Powell Wade-Property
Burke COUNTY
Dear Permittee:
Payment of the required annual administering and compliance monitoring fee of$50.00 for this year has not
been received for the subject permit. This fee is required by Title 15 North Carolina Administrative Code 2H.0105, under
the authority of North Carolina General Statutes 143-215.3(a)(1), (ia)and(1b). Because this fee was not fully paid within
30 days after being billed,this letter initiates action to revoke the subject permit, pursuant to 15 ncac 2H.0105(b)(2) (k)
(4),and G.S. 143-215.1 (b) (3).
Effective 60 days from receipt of this notice,subject permit is hereby revoked unless the required Annual
Administering and Compliance Monitoring Fee is received within that time. Discharges without a permit are subject to the
enforcement authority of the Division of Water Quality. Your payment should be sent to:
N.C. Department of Environment and Natural Resources
Division of Water Quality
Budget Office
1617 Mail Service Center
Raleigh, NC 27699-1617
If you are dissatisfied with this decision,you have the right to request an administrative hearing within Thirty(30)
days following recipt of this notice,identifying the specific issues to be contended. This request must be in the form of a
written petition conforming to Chapter 150E of the North Carolina General Statutes,and filed with the Office of Administrative
Hearings, Post Office Drawer 27447, Raleigh,North Carolina,27611-7447. Unless such request for hearing is made or
payments received,revocation shall be final and binding. If you have any questions,please contact:
Mr. , Water Quality Regional Supervisor, .
Sincerely,
i
Alan AKri e , .
cc: Supevisor,Water Quality Permits and Engineering Unit
Regional Office
County Health Department
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper

State of North Caroli� ,If MAI
Department of Envir6thent •
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
WADE POWELL
POWELL WADE-PROPERTY
3077STONEY CREEK DR
f
VALDESE, NC 28690
Subject: Reissue-NPDES Wastewater Discharge Permit
Powell Wade-Property
COC Number NCG550551
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 ir ,
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`A,D.NATURAL RESOURCES
l 1/26/01
WADE POWELL '
POWELL WADE-PROPERTY
3077 STONEY CREEK DR
VALDESE, NC 28690
Subject: NPDES Wastewater Permit Coverage Renewal
Powell Wade-Property
COC Number NCG550551
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,
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

CCWLIANCE MONITORING SYSTEM
CHANGE REQUEST FC3W p
PERMIT NUMBER: S.5 d S�/! PIPE DATE: I�- AG �o
FACILITY: ram,r,Je 1 L 6S7 dCA1& caJWY: 11,E C
FaDQJFSTID BY: ,M t ,�, REGION: f,P®
Listed belay IS incorrect monitoring data and should be changed accordingly.
PARAMETER:
MC NTH
ID:
YY/MM
CD:
ID:
YY/rM
CD:
OTC CMU,'(;ES RBXESTED
1. Permit Limits: Final Interim SOC
(Parameter)
ID: ID: ID:
CD: CD: CD:
2. Facility Classification:
Y 3. OTHER: �
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- S t�� 38.E 5 jt.EJJrno,�r �d
LEG M: ID:Incorrect data
CD:Correct data C D ' -50 7`1 STa NE �,Q�Ek 7
D:Delete VAL D CSE A!C aF�09 d
FOR COMPLIANCE GROUP USE ONLY:
RE� DATE:
REVIE7AM:
COMPLETION/RESULTS
vN� � -

17EM-P & E :919-733-0719 Nov 12 '97 P.01/01
State of North Carolina PUSt-its Fax ty o 7671 oute
D partrrlent of Environment, T4 �►vt R-6i Fhmm
Health and Natural Resources Gaxepl.
Division of Water Quality Phone
Fax p
`.lames 1_ Hunt, Jr_, Qovemor Fax
Wayne McDevitt, Secretary
A_ Preston Howard,Jr., P.L., Director _
November 7, 1997
Mr_Wade Powell
3855 Piedmont Road
Mozgantnzt,Noah Carolina 2,8655
Subject: Permit Issuance
Authorization to Construct
General Permit NCG550000
Cert. of Coverage NCG550551
Wade:Powell Residence
Burke County
Dear Mr. Powell:
In accordance with your application for an NPDES discharge permit received June 3, 1997 by the
Division, we are herewith forwarding the subject Certificate of Coverage under the state--NPDES general
permit for Mr. Wade Powell. Authorization is herby granted for the construction of a 360 GPD
wastewater treatment system consisting;of a 1000 gallon septic tank,primary distribution box,324 square
foot (6'X 54') primary sandfilter, with a leading; 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
GPI /square foot, chlorinator, chlorine contact chamber and cascade_ aerator with a discharge of treated
wastewater into an unnamed tributary to Howard Creek classified class WS-1V 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 acliustablo cap type for all distribution boxes. All elbow piping must be of
the long sweeping type. This ;system must be at least 10 feet from the dwelling, 10 feel from property
lines and at least 100 feet from water supply wells on and off the site. This Certificate of Coverage is
issued pursuant tp tho requirements of North Carolina and the US I nvironmental Protection Agency
Memorandum of Agreement dated December 6, 1983 and as subsequently arne-nded.
If any parts, measurement frequencies or sampling*requimments contained in this general permit
are unacceplable to you.you have the;right to submit an individual permit application and]eater requcsting
coverage under an individual permit. I.Mless such demand is made, this decision shall lac final and
binding. Please take notice this Certificate of Coverage is not transferable except after notice to the
Division of Water Quality. Part 11, EA. addresses the requirements to be followed in case of change of
ownership or control of this discharge.
This Certificate of Coverage sha_Et be subject to revocation unless the.wastewater treatment facilities
ark: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 creatiem or nuisance
conditions, the.Pernittee shall take immediate corrective action,including;those as inay be required by this
Division, such as the construction of additional or rcplac;crncnt 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 9i 9-733-5033 FAX 919-7W-0719
uY.aiiY' r rvYr...•JJ.+a Y v
Sgormwater and General Permits Unit
Burke County Health Dcpt.
WATER Qt1ALITY SECTION
ASHEVILItt REGIONAL OFFICE

DEM-P & E x:919-733-0719 Nov 12 '97 9:27 P.01/02
Wade Powell Post-ir Fax Note 7$71 nay Ir (4 } � t`
NCG550551 T8 t Fro.. v•
Noverttber 7, 1997 cn. CD.
Phone# Phone#
Fax N Fax#
The Asheville Regional Office, telephone '%"aat LUILy-
eight (48) hours in advance of operation of the installed facilities so that an in-place inspection can he
made. Such noLifcation to the regional supervisor shall be made during the normal office hours from 8:00
a.m.until 5:00 p.m. on Mouday through Friday,excluding State Holidays-
Upon completion of construction and prior to operation of this permitted facility, a certification
mast be received certifying that the permitted facility has been installed in accordance with the NPDE5
Permit, the Certificate of ['_overage, this Authorizatioxz to Construct and the approved ;{clans and
specifications. Mail the Certification it) the Stornawater and General Permits unit, P.O. Box 29535,
Raleigh,NC 27626-0535.
A,copy of the approved plans and specifications shall be maintains d on fill;by the Pernuttee for the
life of the.facility.
The sane] media of the sandfiltcrs must comply with the Division's sand specifications. The
engineer's certification will be evidence that this certification has been met.
A Ie-akage test shall be performed on the septic tank and dosing tank to insw.e tout any exEltration
occurs at s 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 Authorisation to Construct may subject the
Perinittee.to an enforcement action by the Division of Water Quality in accordance with North Carolina
Geiaeral Statute 14.3-215.6A to 143-215.6C.
The issuance of this permit sloes not preclude the Permittee from co. plying with any :n,d all
,statutes, .rules, regulations, or ordirimices which may be required by the Division of Water (,duality or
permits required by the Division of Land Ramurces, the Coastal Area Management Act or any Federal,
LocAl or other Bove minenud peizt*that may be required.
s
If you have any questions or need additional information,please contact Mack Wiggins,telephone
number 9191733-5093,extension 542..
Sincerely,
Originai Signed By
David A. Goodrich
A. Preston Howard, Jr., P.E.
cc: Central Files
A heville Regional Office,Water Quality
Facility Assessment Unit
Ston-nwatm and.Generai:Pormiti Unit
Burke County Healtb,Dept.
IMN ! 219�i'
WATER Q RA i�IY
ASHEV

DEM—P & E ,Fix:919-733-0719 Nov 12 '97'. 9:28 P.02/d2
STATE OF NORn-1 CAROLINA
DEPARTMENT OF ENVIRONMENT,HEALTH,AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
,FR I VERAGE
GENERAL PERMIT NU._NCG559551
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNIDER T14E
NATIONAL POLLUTANT DISCHARGU ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215_I, other lawful standards and
regulations promulgated and adoptzd by the North Carolina Environmental Management Commission, and the
federal Water Pollution Control.act,as amended,
Mr.Wade Powell
is hcreby authorized to operate of a 360 GPD wastewater tTeatment facility tbat consist of a,septic tank,primary
distribution boat,primary sandfilter,scrondary distribution box,secondary sandfilter,chlorinator,chlorine contaut
chamber,cascade aeration and associated appurtenances with the discharge of treated wastewater firm a Fa6lily located
at the
Powell Residence
east of Morganton near US 64&US 70 intcrscction
Stoncycreek
BktrLe County
to receiving waters designated as Roward 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 November 7, 1997
TI-is Certificate of Coverago shalt remain in effect for tho duration of the Gcourat Permit_
Signed this day November 7, 1 q97
Y
prentnn Howard,Jr,,P.E.,Director
Division of water Quality
By Authority of the Fnviram15et1T2l Management Commission

DEM-P & E Fa:x:919-733-0719 Nov 12 '97; l 9:28 P.01/01
Post it'Fax Note 71371 bat$Ta f� #of ;``M1 ~ '•+ �'u`
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ROAD CLASSIFICAT30N SCALE 1:24 000
AR;MAFYY HIGHWAY LIGHT-DUTY ROAD.MARD OR _ a 1 MILE
HARD$URFACE wriCIVED SURFACE _—
SEt.ONDARti' I�iHWAY .511 FEETHARD 'l'r E UNIMPROVEO ROAD .!,„T_
y a 1 KILOMETER
Latitude 35°44:3-r Longitude W37040"
Map# E121WV Sub-basin 03`08-31_ CONTOUF2 INTERVAL 40 feet
Stream Class WS-IV OLIAD LOCATION
Wade Powell Residence
Discharge Class 4
NCG550557
Receiving Stream Nc,yrvard Creek Burke County
1.Design Q 5D 5Po Permit exp. Q7/31102
ov 207

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State of North Carolina
Department of Environment,
Health and Natural Resources • •
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary � H N
A. Preston Howard, Jr., P.E., Director
F;Z
Asheville Regional Office
WATER QUALITY SECTION
June 5, 1997
Ms. Mary Louise Hatley
103 Main Street West '`"
Valdese, North Carolina 28690
Subject: NPDES Permit Application
Single Family Dwelling
Burke County
Dear Ms. Hatley:
In response my conversation with Mr. David Rust (Burke County Health
Department) concerning a replacement wastewater treatment system for a single
family dwelling, please find enclosed materials concerning discharge type
wastewater treatment facilities serving single family residences. Attached
items include, (1) "Notice of Intent"-3 copies, (2) General Permit Number
NCG550000, (3) "Evaluation of Wastewater Disposal Alternatives", (4) "Example
Only" plans for a discharge type system to serve a single family residence, and
(5) "Waste Not Discharged to Surface Waters". Procedures to be followed in
submitting an application for a permit are outlined below.
Submit three copies of a completed "Notice of Intent"
Provide three copies of plans and specifications for the
treatment system. Plans may be similar to the "Example Only"
plans attached to this letter. Note the minimum design
requirements appearing in item E.8. of the "Notice of Intent
and section 2H.0219 (page 21) of the enclosed "Waste Not
Discharged to Surface Waters (Despite the title,
"Waste Not Discharged . ", the minimum design
requirements are applicable to discharge-type
systems.)
Include a check made payable to "NC-DEHNR" in the amount
of $340.00 ($240 application fee plus $100 "Authorization
to Construct" fee) .
Submit three copies of information required in the
"Evaluation of Wastewater Disposal Alternatives"
Add a cover letter to the application package requesting
"Authorization to Construct" in accordance with the plans
and specifications included in the package.
Interchange Building,59 Woodfin Place Xlmf
FAX [phone]
Asheville,North Carolina 28801 C An Equal Opportunity/Affirmative Action Employer
Voice 704-251-6208 _ 500k recycles/10%post-consumer paper

j
r�
Mary Louise Hatley
June 5, 1997
Page Two
Send the completed application and supporting materials to:
Mr. Dave Goodrich, Supervisor
Permits and Engineering Section
N. C. Division of Environmental Management
Post Office Box 29535
Raleigh, N. C. 27626-0535.
Discharge of treated wastewater from a single family residence would
require the existence of a flowing stream at the point of discharge; the
drainage area above the point of discharge would be required to be at least 0.45
square mile. Plans and specifications for a discharge-type treatment system may
be drawn by an applicant-homeowner. However, a consultant engineer could be
engaged to draw plans and specifications and prepare the application package for
the homeowner's signature.
Should the application package meet all requirements and the Division of
Environmental Management issue a discharge permit, it would be like the enclosed
General Permit Number NCG550000. Annual effluent testing would be required in
accordance with the limitations and schedule contained in Part I of the permit.
A certified operator would be required for the system. That operator could be
the homeowner provided that he/she had successfully completed an approved
operator's training course.
Please contact me at telephone number 704-251-6208 if there are questions
or a need for assistance with the application procedure.
Sincerely,
James R. Reid
Environmental Engineer
Enclosure

SOC PRIORITY PROJECT: NO X
To: Permits and Engineering Unit
Water Quality Section
Attention: Mack Wiggins
AUTHORIZATION TO CONSTRUCT
NPDES PERMIT
REPORT AND RECOMMENDATIONS
Date June 23, 1997
COUNTY Burke
PERMIT NUMBER NCG550551
PART I - GENERAL INFORMATION
1. Facility Name and Current Address: Wade Powell Residence
Stoney Brook Drive
Morganton, NC
2. Changes since previous action on NPDES Permit: Initial
construction of
system permitted
under NCG550551
3 . Compare Discharge Point (s) on plans with NPDES Permit application.
List of all discharge points:
Xi No Change
_—= Change New Latitude: 0 " Longitude: 0 "
1
PART II EVALUATION AND RECOMMENDATIONS
Issue A-to-C. Lot will allow owner to meet all criteria for a discharge
type on-site -system. All land surrounding the lot is utilized; securing
land from an adjacent property for a ground absorption system does not
appear to be feasible.
zc�
A copy of the most recent pajNPDES Staff Report is repared By/Da e
attached. 49
*er ality egional Supervisor
.. ,

��
rt • `
,e
,
�\
. J To: Permits and Engineering Unit
Water Quality.Section
Date: April 6, 1990
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Burke
NPDES .Permit No. : NC 0078786
MRO No. : 90-54
PART I — GENERAL INFORMATION
1. Facility and, Address: Terry Perry Residence
Terry Perry
250 North Anderson Street
2 . Date of Investigation: March 26, 1990
3 . Report Prepared By: Kim H. Colson, Environmental Engineer I
4. Person Contacted and Telephone Number: Terry Perry, Chester
West, Ray Pridgen; telephone number (704) 433-1874
5 . Directions to Site: From the intersection of U. S. Highway
70 and N. C.- Highway 114 -in the Town of Drexel, proceed west
on U. S Highway 70 ,approximately 1. 4 miles. Turn left into
subdivision (paved road) , take the first right, proceed to
the cul-de-sac The house is the last lot on the right.
D A ,e r6 c
6 . Discharge Point(" ) , ist for . all. schare Points: -
Latitude: 350 44 ' 31"
Longitude:. 810 . 37 ' 40"
,.. (for Howard Creek)
Attach a USGS Map Extract and indicate treatment plant site
and discharge point on map.
USGS Quad No: : E 12 NW
7 . Size ( land available for expansion and upgrading) : There is
limited size for expansion and upgrading.
8. Topography (relationship to flood plain included) :
Topography is relatively flat. Site appears to be above the
flood plain, however, there is a small flood- plain along
Howard Creek.
9. Location of Nearest Dwelling: One dwelling within 150 feet.
There is one lot adjacent to proposed facility.
10. Receiving Stream or Affected Surface Waters: Unnamed
tributary to Howard Creek

p t
r .
Page .Two
a. 'Classification: WS-III
b. River` Basin .and Subbasin No. : Catawba; 03-08-31
c :Describe receiving stream features ar�d pertinent
;downstream uses: Creek has a small dhannel with very
little flood plain. The creek has a moderate slope
upstream, however, the gradient flattens below the
dischar'ge',point
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of :Wastewater: 100o . Domestic
0 o Industrial
a. Volume of Wastewater: Unknown
r b. Types and quantities of industrial wastewater: N/A
c. . Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only) : N/A '
2. Production Rates ( industrial discharges only) in Pounds:
N/A
3 . Description of Industrial Process (for industries only) and
rr Applicable CFR Part and Subpart: N/A
4 Type of Treatment (specify whether proposed or existing) :
Treatment system will include a septic tank and sand filter.
5: ' Sludge Handling and Disposal Scheme:
6 . Treatment PlantClassification: Less than 5 points; no
rating (include rating sheet) None
7 . SIC Code(s) : 9999
' Wastewater Code(s) :
1
Primary: 04
a' Secondary:
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants
Funds (municipals only) ? No
y 2. Special monitoring requests: N/A
t 3 . Additional effluent limits requests: N/A
4. Other: N/A
PART IV —EVALUATION AND RECOMMENDATIONS
The applicant, Terry Perry, has proposed to discharge
wastewater into ankunnamed tributary of Howard Creek. The
wastewater``will be" treated by a septic tank and sand filter type

•S *$Rq^ '�.R'""CS
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a
1
Page Three.,
system. The discharge is for .a proposed single-family residence
on a subdivision lot.
The unnamed tributary to Howard Creek does not have the
required flow to support the discharge. The outfall can easily be
_extended :to Howard Creek. The subdivision lot borders Howard
Creek on the.,west side. Howard Creek has approximately 0 . 45
square miles .drainage .area at this point which is the minimum
drainage area fora positive 7Q10 flow stream in the "B"
hydrologic group.
Other lot owners may be applying in the future for discharge
permits. The stream is classified as WS-III, however, the
engineer stated that the Town of Drexel now obtains drinking
water from the ,City of Morganton.
It is recommended that Technical Services perform an
in-depth waste load allocation. If the stream does have a
,. positive 7Q10 low flow then it is recommenced that the Permit be
issued provided that the sand filter system can meet water
quality standards. The system should be, at a minimum, a
recirculating type sand filter and be capable of providing a BODS '
15 mg/1 effluent limitation. If the stream has zero 7Q10 flow,
E then it is recommended the Permit be denied. Technical Services
should be aware that other SFD dischargers may be requested along
this_.same receiving stream.
s
Signature of Report Preparer
�—e-
Water Quality Re nal Supervisor

MORGANTON SOUTH QUADRANGLE
NORTH CAROLINA—BURKE CO. +
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State of North Carolina
Department of Environment, Health and Natural Resources
Division of Water Quality
59 Woodfin Place Asheville,North Carolina 28801
June 23, 1997
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Don Danford
City of Morganton
P.O. Box 3448
Morganton, North Carolina 28680
SUBJECT: NOTICE OF VIOLATION
, Effluent Toxicity Testing
I NPDES Permit No. NC0026573
City of Morganton Wastewater Treatment Facility
Burke County
Dear Mr. Danford:
This is to inform you that a review of your toxicity self-monitoring report form
for the month of April 1997 indicates a violation of the toxicity limitation specified in
your NPDES Permit.
You should take whatever remedial actions are necessary to eliminate the
conditions causing the effluent toxicity violations. Please be aware that North Carolina
General Statutes provide for assessment of civil penalties for violations of NPDES permit
limitations and requirements. If it would be helpful to discuss this situation or possible
solutions, please contact Mr. Keith Haynes with this office at [phone].
Sincerely,
Roy M. Davis, Regional Supervisor
Division of Water Quality
cc: Forrest Westall-Asheville Regional Office
Keith Haynes-Asheville Regional Office
Aquatic Survey and Toxicology Unit
Central Files

997

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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 INTENT
_National Pollutant Discharge Elimination System
Application for Coverage under General Permit NCG550000; Single Family Domestic Units
1. Name,Address,location,and telephone num er nf acility reque in Pe, t. ��
A. Official'' Name: Lo br )QC D u
B. Mailing Address: S'S` + �A '_K a
(1)Street Address; -
(2)City; to
(3)State;
(4)Zip;
(5)County; to rf`
C. Location. (Attach map delineating general facility loc tion)
(1)Street Address; {�e�
(2)City; rJ
(3)State;
(4)County;
D. Telephone Number; (Lb-A) -
2. Facility Contact:
A. Name;
B. Title;
C. Company Name;
D. Phone Number; �) -
3. Application type (check appropriate selection):
A. New or Proposed; k--,'
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,[1; 2,[1; 3,[1; 4,[1; ___,[1.
B. Please 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: gallons 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 \
1.Continuous
2.Intermittent(please describe):
3.Seasonal:(check the month(s) the discharge occurs):January [ ];February[ ];March [ ];April [],
May[];June[];July[];,August[];September[];October[];November[];December[].
4.1-low many days per week is there a discharge?(check the days the discharge occurs)
Monday[], Tuesday 11, Wednesday[], Thursday[],Friday 11, Saturday(], Sunday[].
5.How much of the volume discharged is treated? (State in percent) %
D. Describe the type of wastewater being discharged.(please list any known toxants being
discharged from this residence);
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);
. Other(describe, be specific);
8. lease 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 2H .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 point,
if a storm sewer is the only viable means of discharge.)
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;
8. I certify that I am familiar with the information contained in the application and that to the best of
my knowledge and belief such information is true,complete,and accurate.
Printed Name of Person Signing ��`' � Loet
Titled ® a �
Date Application Signed
Signature of Applicant , ,—� ��`�'�
NORTH CAROLINA GENERAL STATUTE 143-215.6 (B) (2) PROVIDES THAT:
Any person who knowingly makes any false statement, representation, or ,certification in any
application,record,report,plan or other document files or required to be maintained under Article 21 or
regulations of the Environmental Management Commission implementing that Article,or who falsifies,
tampers with or knowingly renders inaccurate any recording or monitoring device or method,required to
be operated or maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to
exceed$10400,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, Hdalth, 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

06/10/97 22:15 HICKORY NC - DEHNR PSHEVILL NO.106 P003/003
7942516452
06/13/1997 15:45 7047516d52 PAGE 52
14
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FILTER SAr�D. FILTER SAND
SPECIFICATIONS
BOAR C 0. 35-0.50 mm
STorvE Fy' EFFECTIVE SIZE
<3 .0 UNIFORMITY
� � — /_ COEFICIENT
uh4fFoRnr�' C�RQDE <0. 5�DUST CONTENT
3,�
OT r-t L IN ES
1. DISTRIBUTION LINES SHALL BE PEPFORATED (FLEXIBLE) PVC
PLACED SUCH THAT THE DISCETARGF.. FROM THE LINE EXITS THE
SIDEWALL. THE END OF FArFT nTSTRTBUTION LINE SHALL BE
PLUGGED OR CAPPED
2 . FILTRATE COLLECTION LINES SHAIJ. BE HARDWALL PVC WITH
PREDRILLED 1/2 HOLES LOCATED Tnr THE TOP HALF OF THIS
COLLECTION LINE. -
3 . DISTRIBUTION LINES AND FTI,TR,ATF' COLLECTION LINES SHALL
BE 4-INCH DIAMETER.
4. ` ' GRADE'BOARD IS NOT REQUIRED TF TRENCH (FILTER) IS
CONSTRUCTED AT 3-INCH PER inn FT GRADE.

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