NCG550343_Regional Office Historical File 20200518

PAT MCCRORY
� Governor
ONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY -
Director
November 21, 2016
William Mulcay
902 W Palmetto St.
Wauchula, FL 33873
SUBJECT: Compliance Evaluation Inspection
Single Family Residence Permit;
35 Weebetook Way
Permit No: NCG550343
Haywood County,NC
Dear Mr. Mulcay;
On October 28, 2016, Dan Boss and I with the Asheville Regional Office (ARO) conducted a
Compliance Evaluation Inspection(CEI)of the Single Family Residence(SFR)wastewater system
located at 35 Weebetook Way. The property and system were well maintained and appeared to be
in compliance with NPDES Permit No NCG550343.
Please refer to the enclosed inspection report for additional observations and recommendations. I
have also attached a Name/Ownership Change Form should you wish to sell the property in the
future. If you have any questions, please feel free to contact me at 828-296-4686 or by email at
mikal.willmer@ncdenr..gov.
Sincerely,
Mikal it r
Environmental Specialist
Enclosure:Inspection Report
Name/Ownership Change Form
cc: MSC 1617-Central Files
WQ Asheville Files
G:\WR\WQ\Haywood\Wastewater\General\NCG55 SFR\NCG550343-Mulcay\lnspect.October 28,2016\CEI Letter 10-28-
16.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa NC 28778
828-296-4500

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN ( 2 15 1 3 I NGG550343 11 12 16/10/28 17 18'CJ 19 u 20LJ
2111111111111111111111111111111111 -1111111111 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA — -Reserved —
67 I 70 I I 71 Lj 72 l � 73 L_L 74 751 I I 1 1 1__U80
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry'time/Date Permit Effective bate
POTW name and NPDES permit Number) 12 30PM 16/10/28 13/08/01
35 Weebetook Way
Exit Time/Date permit Expiration Date
35.Weebetook Way
01:OOPM 16/10/28 18/07/31
Maggie Valley NC 28751
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
William T Mulcay,902 W Palmetto St Wauchula FL 33873///
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Permit - ® Operations&Maintenance ® Self-Monitoring Program ® Facility Site Review
® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Daniel J Boss ARO WQ//828-296-4658/
Mikal Wilmer ARO WQ//828-296-4686/
Signature of Manag Re ewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.)
31 NCG550343 11 12 16/10/28 17 18 ICI
Section D:,Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Inspectors Mika[Willmer and Dan Boss with the Asheville Regional Office(ARO)conducted a
Compliance Evaluation Inspection (CEI) on 10/28/2016,at 35 Weebetook Way. The property and
system were well maintained. The owner, Mr. Mulcay,was contacted but not available to meet onsite.
The septic tank was pumped in June of 2016.
The chlorination tubes were packed full of chlorine tablets and the bottom tablet was barely touching
the water. We asked the owner to clean out the chlorination tubes and restock them with fewer tablets.
It was confirmed that the owner is using the correct type of chlorination tablets. -
No discharge was visible at the time of inspection. This is a vacation home. The owner stated that
sampling was performed in previous years when,a regular discharge was observed. Mr. Mulcay will
send previous years'results at the beginning of the year when he returns.
Page# 2

Permit: NCG550343 Owner-Facility: 35 Weebetook Way
Inspection Date: 10/28/2016 Inspection Type: Compliance Evaluation
Operations& Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ M ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: The property around the treatments units was well maintained.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ 0 ❑
application?
Is the facility as described in the permit? ® ❑ ❑ ❑
#Are there any special conditions for the permit? ❑
Is access to the plant site restricted to the general public? ❑ ❑ ® ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment: It should be noted this property is a secondary home for the permittee. Flow was not
observed during the inspection Very little water present in chlorination chamber.
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ ® ❑
Is septic tank pumped on a schedule? ® ❑ ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ ® ❑
Are high and low water alarms operating properly? ❑ ❑ ® ❑
Comment: Mr. Mulcay_provided receipt of septic tank pumping The tank was pumped in June of 2016.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ® ❑ ❑ ❑
Are the tablets the proper size and type? ® ❑ ❑ ❑
Number of tubes in use? 2
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth, or sludge buildup? ® ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑
Comment: Chlorine tablets Were in use however,the tablets had crumbled and the tubes were filled to
the top The chlorination tubes should be cleaned out and restocked:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ® ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑
Page# 3

Permit: NCG550343 Owner-Facility: 35 Weebetook Way \
Inspection Date:.10/28/2016 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment: Flow was not present. Effluent pipe is located along a dry ditch behind the house.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ® ❑
Is sample collected below all treatment units? ❑ ❑ ® ❑
Is proper volume collected? ❑ ❑ ® ❑
Is the tubing clean? ❑ ❑ ® ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ 0 El
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type- ® ❑ ❑ ❑
representative)?
Comment: System was not discharging during the Inspection.This is a secondary home. Mr. Mulca rL
will send results from previous years when there was discharge. The owner states the
system has not discharged in recent years due to infrequent use.
Page# 4

Inspection Date: k 0- Start Time: End Time: C) 4 �--
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
11512015
Permittee: LP AV,� �\�, Permit: n CG'S �o i A-
Address: `3 S w� a-cx,K E-mail- bK�r \
Phone:( ) _ Cell Phone:( h,,-3 -4<r o Ae -A-- County: kAeAw
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Doesn't Did Not
Yes No Apply Investigate
1. Is the current resident in the home the Permittee?
2. If not does the resident rent from the permittee? El El 21 EJ
3. Change of Ownership form needed? (mail the form with the inspection letter) 0
El El
4. Is there a inspection and maintenance agreement with a contractor? El El ED EJ
5. If yes to#4 who is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumped/cleaned as needed.
6. Is all wastewater from the home connected to the septic tank? Pq EJ El El
7. Does the permittee/resident know where the septic tank is located?
El El El
8. Has the septic tank been pumped in the last 5 years?
9. If yes to#8 date, if known -5kx"\",\ If proof, describe
10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one)
11. If Yes to filter when was the filter cleaned? By whom?
SAND FILTER/TREATMENT PODS YES ❑ NO ❑ If no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every six months and any vegetative growth shall be removed manually.
12. Is system something other than a sand filter? El El D El
13. If yes, what kind? (examples- Peat, Textile, Other or brand name-Advantex,etc.) 0 0 El El
14. Does the permittee know where the filter is located? 0 El D El
15. Does the filter require maintenance?
If maintenace is required explain in the comment section.
DISINFECTION/UV YES ❑ NO If no proceed to the next section.
The ultraviolet unit shall be checked weekly.The lamps and sleeves should be cleaned or replaced as needed to ensure proper disinfection.
16. Is UV working? El D El El
El El D El
17. Has the UV Unit been serviced and bulbs cleaned?
18. Who completes the weekly check for the UV?( Non-Discharge)
DISINFECTION/TABLETS YES 0 NO If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation.
19. Does the permittee have the correct chlorine tablets?(If none, mark No) ED El El El
20. Does the Permittee know the location of the chlorinator?
El F
21. Were chlorine tablets observed in the chlorinator?
22. Are tablets contacting water? If possible poke them to determine.
DECHLOR(Discharge only) YES NO M7 If no proceed to the next section.
The dechlorinator unit shall be checked weekly to ensure continuous and proper operation.
23. Does the permittee know where the dechior is?
24. Does the permittee have the correct dechior tablets? El El EJ EJ
25. Were dechior tablets observed in the dechlorination chamber?

IRWIN
Doesn't Did Not
Yes No Apply Investigate
26. Are tablets contacting water? If possible poke them to determine. ❑ ❑ ❑
PUMP TANK YES NO ❑ If no proceed to the next section.
All pump and alarm sytems shall be inspected monthly.(non-discharge)
27. Is the pump working?, ❑ ❑ ❑ ❑
28. Are the audible and visual high water alarms operational? ❑ ❑ El ❑
El
29. Does the permittee know how to check the pump& high water alarm? ❑ El ❑
30. Last functional test?
DISCHARGE ONLY YES ❑ NO ❑ If no proceed to the next section.
A visual review of the outfail location shall be executed twice each year(one at the time of sampling to ensure no visible solids or evidence of a malfunction.
31. Does the permittee know where the outfail is located? ❑ ❑ ❑ ❑
32. Were you able to locate the outfall? ❑
33. Is the end of the discharge pipe visible? If not, explain why. ❑ ❑ ❑
34. Is outlet discharging? ❑ ❑
El
35. Is right of way maintained around the discharge point?
36. Any Lab Results available? ❑ ❑ ❑ ❑
37.. Is there evidence of solids around the discharge point? ❑ ❑ ❑ ❑
DRIP or SPRAY YES NO If no proceed to the next section.
The irrigation system shall be inspected monthly to ensure the system is free of leaks and equipment is operating as designed.
38. Is the system DRIP or IRRIGATION (circle one)? If irrigation number of sprinkler heads.
39. Are the buffers adequate? ❑ ❑ ❑ ❑
40. Is the site free of ponding and runoff? ❑ ❑ ❑ ❑
41. Does the application equipment appear to be working properly? ❑ ❑ ❑
El
42. Is there a minimum two wire fence surrounding entire irrigation area? ❑ ❑ ❑ ❑
GENERAL
43. Are the treatment units locked and or secured? ❑ ❑ ❑ ❑
44. Has resident had any sewage problems? If yes explain in the comment section. ❑ ❑ ❑ ❑
45. Does the system match the permit description?if no explain in the comment section. ❑ ❑ 0 ❑
46. Is the system compliant? ❑ ❑ ❑ ❑
47. Is the system failing? If yes,take pictures if possible. ❑ ❑ ❑
48. If system is failing, any sign of children or animals contacting sewage? ❑ ❑
NOD Sent#: - - - NOV Sent#• - - -
Comments: Photos Taken? YES ❑ NO ❑
Le,S, 9 -did-z S

i
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Thomas A.Reeder John E.Skvarla, III
Governor Acting Director Secretary
July 23, 2013
William T. Mulcay
902 W Palmetto St
Wauchula FL 33873
SUBJECT: Compliance Evaluation Inspection
35 Weebetook Way
Permit No: NCG550343
Haywood County
Dear Mr. Mulcay
Enclosed please find a copy of the compliance evaluation inspection conducted on
JuIV 10, 2013. No violations of permit requirements or applicable regulations were
observed during this inspection.
Please refer to the enclosed inspection report for additional observations and
comments. If you or your staff have any questions, please c me at 828-296-4500.
Sincerely,
Jeff Menzel
Environmental Specialist
Enclosure
cc: Central Files
Asheville Files
SURFACE WATER PROTECTION—ASHEVILLE REGIONAL OFFICE One
Location:2090 U.S.Highway 70,Swannanoa, NC 28778 NorthCarolina
Phone:[phone]\FAX:[phone] Natural[ff
Internet:www.ncwatergualitv.org
S:\SWP\Haywood\Wastewater\General\NCG55 SFR\NCG550343 CEI 2013.doc

United States Environmental Protection Agency Form Approved.
E^� Washington,D.C.20460 OMB No.2040-0057
r Water nnce on Report Approval expires 8-31-98
Section A: National Data System Coding(i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN I 2 15 I 3 1 NCG550343 111 12I 13/07/10 117 181 C I 19101 20I I
Remarks
211 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I III I I 1 1 16
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 CIA ----------------------Reserved—------------------
67I 169 701 I 71 I I 72 I N I 73 LU 74 751 I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
01:00 PM 13/07/10 12/08/01
35 Weebetook Way
35 Weebetook Way Exit Time/Date Permit Expiration Date
Maggie Valley NC 28751 01:30 PM 13/07/10 13/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
William T Mulcay,902 W Palmetto St Wauchula FL 33873//863-773-6016/ No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit E Operations&Maintenance 0 Facility Site Review E Effluent/Receiving Waters
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date`
Jeff Menzel ARO WQ//828-296-4500/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Days
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
3 NCG550343 111 12, 13/07/10 117
181
21
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The facility was not discharging at the time of inspection. Tablet chlorine was present for disinfection. No
violations of permit requirements or applicable regulations were observed during this inspection.
Page# 2

Permit: NCG550343 Owner-Facility: 35 Weebetook Way
Inspection Date: 07/10/2013 Inspection Type: Compliance Evaluation
Operations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS,MCRT,Settleable Solids, pH, DO,Sludge ■ ❑ 0 ❑
Judge,and other that are applicable?
Comment: The facility was not discharging at the time of inspection. Tablet chlorine
was present for disinfection.
Permit Yes No NA NE
(if the present permit expires in 6 months or less). Has the permittee submitted a new application? 0 ❑ ■ I]
Is the facility as described in the permit? ■ n ❑ 0
#Are there any special conditions for the permit? ❑ 0 0 n
Is access to the plant site restricted to the general public? 0 0 ❑ 11
Is the inspector granted access to all areas for inspection? ■ n 0 ❑
Comment: This is a general permit.
Page# 3
__

j
A 7L4LA.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross,Jr.,Secretary
Coleen H. Sullins, Director
July 27,2007
William T. Mulcay
902 W Palmetto St
Wauchula,FL 33873
Subject: Renewal of coverage/General Permit NCG550000
35 Weebetook Way
Certificate of Coverage NCG550343
Haywood County
Dear Permittee:
In accordance with your renewal application [received on January 26,20071,the Division is renewing
Certificate of Coverage(CoC)NCG550343 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,
for Coleen H. Sullins j '
cc: Central Files 2007
Asheville Regional Office/Surface Water Protection
NPDES file .�._.
14 TER QUALITY SEC-rtC;IV
f r'CE
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.ncwaterquality.org Naharally
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES �.
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550343
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,
William T. Mulcay
is hereby authorized to discharge domestic wastewater [300 GPD] from a facility located at
35 Weebetook Way
Maggie Valley
Haywood County
to receiving waters designated as an unnamed tributary to Big Spring Branch in subbasin
04-03-05 of the French Broad River Basin in accordance with the effluent limitations,
monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective 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

S'
NCDENR
North Carolina Department of Environment and N,2I I RW6ui&iOO7 h"
Division of Water Quality I.
Michael F. Easley, Governor vvAiiyv►� - t, M� � , ecret ry
ek T�E.Ure or
January 9, 2007 :.
William Mulcay
902 W Palmetto St
Wauchula, FL 33873
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG550343
Haywood County
Dear Permittee:
You are receiving this notice because you currently own a property covered under the subject
General Permit for the discharge of domestic wastewater. NCG550000 will expire on July 31, 2007.
Federal (40 CFR 122.41) and North Carolina (15A NCAC 2H.0105(e)) regulations require
that permit renewal applications be filed at least 180 days prior to expiration of the current permit.
To satisfy this requirement, the Division must receive a renewal request postmarked no later than
February 1, 2007.
The Certificate of Coverage (CoC) specific to your property was last issued on August 1, 2002.
The Division needs information from you to determine if coverage under NCG550000 is still
necessary.
➢ If your property still has a wastewater system like the ones described in the enclosed
Technical Bulletin, you must renew the subject CoC. Complete the enclosed form and
submit it to the address on the form.
➢ If you are not sure what type of system your property has, contact Larry Frost in the NC
DENR Asheville Regional Office at. That person [or other staff members] can help you
determine if you should renew your CoC.
➢ If you know that your property no longer discharges wastewater, contact me at the
address or phone number listed below to request rescission of the CoC.
➢ This information request does not pertain to the Annual Fee of$50.00 billed
separately by the Division's Budget Office. No money is required for this
procedure. The Annual Fee is like the fee you annually pay the DMV for the sticker on
your vehicle's license plate. Renewal of your CoC is like the renewal of your Driver's
License [ca. every five years].
➢ If you have already mailed a renewal request,you may disregard this notice.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 NOfthCarOhna
Phone: [phone],extension 511/FAX [phone]/charles.weaver@ ncmai1.net Naturallb,
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

NCG550343 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

State of North Carolina
Department of Environment •
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
WILLIAM T MULCAY
MULCAY WILLIAM-RESIDENCE
902 W PALMETTO ST
WANCHULA, FL 33873
Subject: Reissue-NPDES Wastewater Discharge Permit
Mulcay William-Residence
COC Number NCG550343
Haywood 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 Mack Wiggins of the Central Office
Stormwater and General Permits Unit at(919)733-5083,ext.542
Sincerely,
BAA,e�-ley
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

VqAr Michael F.Easley,Govern
� ��
i
� y �r North Carolina Department of E Nr 4 -N
6 .6\f ime P'.�E�
eDcir
DWvi Pe tary
,s'y
n o Q
Asheville Regional Office
SURFACE WATER PROTECTION
December 28, 2005
William T Mulcay
902 W Palmetto St
Wachula FL 33873
SUBJECT: Compliance Evaluation Inspection
Mulcay Residence
Permit No: NCG550343
Haywood County
Dear.Mr. Mulcay:
Enclosed please find a copy of the Compliance Evaluation Inspection- Report for
the inspection, which Mr. Larry Frost and I conducted at your residence on December 14,
2005. The facility appeared to be in Compliance with permit NCG550343, but does need
some minor maintenance.
Please refer to the enclosed inspection report for additional observations and
comments. If you have any questions, please do not hesitate to call Mr. Frost or me at
828-296-4500.
Sincerely,
Keith Hayn s
Environmental Specialist
Enclosure
cc: Central Files
Asheville Files
NorthCarolina
Naturally
2090 U.S.Highway 70,Swannanoa, NC 28778 Telephone:[phone] Fax:[phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460
OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I_vI 2 151 31 NCG550343 Ill 121 05/12/14 117 181 cI "I SI 201 I
Remarks
211111 IIII 11 II 111111111111 111111111111111111111116
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------—-------------Reserved-----------------
671 169 701 1 71 11 721 y 1 73' ' 174 75I I I I Ill 180
Section B: Facility Data L
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)
12:30 PI-1 05/12/14 021/08/01
tlulcav William-Residence
35 weebetco k way Exit Time/Date Permit Expiration Date
Maggie valley CIO. 28751 01.00 PM 05/12/14. G7/07i31
Name(s)of Onsite Representative(s)/Titles(s)1Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Willie T Mulcay,902 W Palmetto St Warhula FL 33873//704-926-0824/
No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit N Operations&Maintenance N Facility Site Review ■Effluent/Receiving Waters
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of inspector(s) Agency/Office/Phone and Fax Numbers Date
Larry Frost ., ARO `Q//828-296-4500 Ext.4658/
Keith Haynes %C. ARC WQ//828-296-4.`:00/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers ryryDat
/��" r. r � - 2 9 r 5 r 4 G J
Rcger C Edwards �`� AR,; :VL//��8-�:,,-4,.l.Or
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

F
Permit: NCG550343 Owner Facility: Mulcay William-Residence
Inspection Date: 12/14/2005 Inspection Type: Compliance Evaluation
Perm it Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? ■ ❑ ❑ fl
Is the facility as described in the permit? ■ fl 1711 n
#Are there any special conditions for the permit? ■ ❑ n- ❑
Is access to the plant site restricted to the general public? ❑ ❑ ■ ❑
Is the inspector granted access to all areas for inspection? ■ 0 n fl
Comment:
Operations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge n ❑ ■
Judge, and other that are applicable?
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ 0 ❑ n
Are the receiving water free of foam other than trace amounts and other debris? ❑ ■ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ■ ❑
Comment: Facility discharges into a dry ditch
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ■ ❑ ❑ ❑
Are the tablets the proper size and type? ■ ❑ 0
Number of tubes in use? 2
Is the level of chlorine residual acceptable? ❑ 0 ■ Q
Is the contact chamber free of growth,or sludge buildup? ❑ rl ■ ❑
Is there chlorine residual prior to de-chlorination? ❑ n ■ n
Comment: The walls (concrete blocks) around the tablet chlorinator need to be
built-up to prevent rain water from entering the chlorine contact area.
Page# 3

State of North Carolina
Department of Environment r
and Natural Resources
A�ADivision of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Gregory J. Thorpe, Ph.D., Acting Director NORTH CAROLING, DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
11/26/01
WILLIAM T MULCAY 4 „y
MULCAY WILLIAM-RESIDENCE
902 W PALMETTO ST
WANCHULA,•FL 33873
Subject: NPDES Wastewater Permit Coverage Renewal
Mulcay William-residence
COC Number NCG550343
Haywood 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 Mack Wiggins of the Central Office Stormwater Unit at(919)733-5083,ext. 542
Sincerely,
1 �
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

cate of North Carolina
Department of Environment
and Natural Resources •
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary N 3
Kerr T. Stevens, Director
® 1 AO ? ,
November 10, 1999 Y
� st
Mr. William T. Mulcay
Mulcay-Residence
902 W. Palmetto Street
Wanchula, Florida 33873
Subject: Permit Modification-Name and
Ownership Change
Mulcay-Residence
Permit No. NCG550343
(formerly Pugh,Elizabeth-Residence)
Haywood County
Dear Mr. Mulcay:
In accordance with your request received January 25, 1999, the Division is forwarding the subject
permit. The changes in this permit are only with regard to a name and an ownership. All other terms and
conditions in the original permit remain unchanged and in full effect. This permit modification 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.
This permit does not affect the legal requirement 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 government permit that may be required.
If you have any questions concerning this permit,please contact Ms. Vanessa Wiggins at telephone
number [phone], extension 520.
'ftfi 'SIGNED By
WILLIAM C,MILL
Kerr T. Stevens
A
cc: Central Files
Asheville Regional Office,Water Quality Section
Stormwater and General Permits Unit
Point Source Compliance Unit
1617 Mail Service Center Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO.NCG550000
CERTIFICATE OF COVERAGE No.NCG550343
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,
Mulcay-Residence
is hereby authorized to discharge wastewater from a facility located at the
Mulcay-Residence
35 Weebetook Way
Maggie Valley,NC
Haywood County
to receiving waters designated as subbasin 40305 in the French Broad River Basin
in accordance with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,II,III
and IV hereof.
This Certificate of Coverage shall become effective November 5, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 5, 1999.
ORIGINAL SIGN � y
WILLIAM C.MILLS
Kerr T. Stevens,Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources / •
Division of Water Quality
James B. Hunt, Jr., Governor
PkIi
Wayne McDevitt, Secretary ® H
A. Preston Howard, Jr., P.E., Director July L, 1997
in
°°'
Elizabeth R. Pugh
3
35 Weebetook Way fl
Maggie Valley, NC 28751
Subject: Certificate of Coverage No. NCG550343
Renewal of General Permit
Pugh, Elizabeth-Residence
Haywood 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,
-4.
fell"'
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] p&[e-mail]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550343
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,
Elizabeth R. Pugh
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
Pugh, Elizabeth-Residence
35 Weebetook Way
Maggie Valley
Haywood County
to receiving waters designated as subbasin 40305 in the French Broad River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III and IV 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.
1/ 1k. Preston Howard, Jr., P.E., Director
6f Division of Water Quality
By Authority of the Environmental Management Commission

Dec-05-01 08:35A Peace River Electric Coop 863-773-4190 P.01
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Dec-05-01 08:35A Peace River Electric Coop 863-773-4190 P.02
• r
State of North Carolina
Department of Environment
and Natural Resources i •
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary NCDENR
Kerr T. Stevens, Director
November 10, 1999
Mr.William T. Mulcay
Mulcay-Residence
902 W.Palmetto Street
Wanchula,Florida 33873
Subject: Permit Modification-Name and
Ownership Change
Mulcay-Residence
Permit No.NCG550343
(formerly Pugh,Elizabeth-Residence)
Haywood County
Dear Mr. Mulcay:
In accordance with your request received January 25, 1999,the Division is forwarding the subject
permit.The changes in this permit are only with regard to a name and an ownership. All other terms and
conditions in the original permit remain unchanged and in full effect. This permit modification 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.
This permit does not affect the legal requirement 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 government permit that may be required.
If you have any questions concerning this permit,please contact Ms.Vanessa Wiggins at telephone
number(919)733-5083, extension 520.
Sincerely,
eerrStevens
cc: Central Files
Asheville Regional Office,Water Quality Section
Stormwater and General Permits Unit
Point Source Compliance Unit
1617 Mail Service Center Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper

Dec-05-01 08:35A Pearce River Electric Coop 863-773-4190 P.03
M
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO.NCG550000
CERTIFICATE OF COVERAGE No.NCG550343
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,
Mulcay-Residence
is hereby authorized to discharge wastewater from a facility located at the
Mulcay-Residence
35 Weebetook Way
Maggie Valley,NC
Haywood County
to receiving waters designated as subbasin 40305 in the French Broad River Basin
in accordance with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,H,III
and IV hereof.
This Certificate of Coverage shall become effective November 5, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 5, 1999.
G-
Kerr T.Stevens,Director
Division of Water Quality
By Authority of the Environmental Management Commission

FACILITY E ,Z
COUNTY4 ( k.)" CLASS
MAILING ADDRESS
RESPON.91BLE FACILITY OPERATOR
OF CIAL REPRESENTATIVE
TELEPHONE NO.
WHERE LOCATED
CERT. NUMBER
CLASS
NPDES PERMIT NUMBER NC OTHER PERMIT NO.
STATE FEDERAL DATE ISSUED
DATE ISSUED
EXPIRATION DATE
STREAM: NAME
CLASS
7Q10
SUB-BASIN _

State of North Carolina
Department of Environment,
Health and Natural Resources ! •
Division of Environmental Management '
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A.Preston Howard, Jr., P.E., Director
September 30,1993
ELIZABETH R. PUGH
PUGH RESIDENCE (ELIZABETH R.)
5 BLACKBERRY TRACE
MAGGIE VALLEY NC 28751 Subject: PUGH RESIDENCE (ELIZABETH R.)
Certificate of Coverage NCG550343
General Permit NCG550000
Formerly NPDES Permit NC0062341
Haywood 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 NC0062341. 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 frequencies or sampling requirements contained in this general permit are unacceptable to
you, you have the right to submit an individual permit application,associated processing fee 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. Part II, E.4.addresses the requirements to be followed
in case of change of ownership or control of this discharge.
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. Construction 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.
Post Office Box 29535,Raleigh,North Carolina 27626-0535 Telephone[phone] FAX[phone]
An Equal Opportunity Affirmative Action Employer 501/6 recycled-10%post-consumer paper

Page 2.
ELIZABETH R. PUGH
PUGH RESIDENCE (ELIZABETH R.)
Certificate of Coverage No. NCG550343
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 Central Office at telephone number 919/733-5083.
S' erely,
A.Preston Howar .,P.E.
cc: Asheville Regional Office
Central Files

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH,AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No.NCG550343
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,
PUGH RESIDENCE (ELIZABETH R.)
is hereby authorized to discharge treated domestic wastewater from a facility located at
PUGH RESIDENCE (ELIZABETH R.)
Haywood County
to receiving waters designated as the UT BIG SPRING/FRENCH BROAD RIVER BSN
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 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

�awsN'2o�
tate Of North
Department of Environment Health°hna
and Natural Resources
Division of Environmental Management
512 North Salisbury Street.Raleigh,North Carolina 27611
James G.Martin,Governor
William W.Cobey,Jr.,Secretary George T.Everett,Ph.D
Director
January 9, 1992
Elizabeth R.Pugh
5 Blackberry Trace
Maggie Valley,NC 28751
Subject: NPDES Permit No. NCO062341
Elizabeth R. Pugh Residence
Dear Ms.Pugh: Haywood County
In accordance with your application for discharge permit received on September
we are forwarding herewith the subject state - NPDES permit. This permit is issued
the requirements of North Carolina General Statute 143-215 .1 and. P tuber 24, 1991,
morandum of
Agreement between North Carolina and the US Environmental Pursuant to
6, 1983. ental Protection agency ated December
If any parts,measurement frequencies or sampling requirements cont
unacceptable to you, you have the right to an adjudicatory hearing upon written request
are
thirty (30) days following receipt of this letter. This request must be in the
petition, conforming to Chapter 150B of the North Carolina General Statutes, q within
Office of Administrative Hearings, Post Office Drawform of a written
-7447. Unless such demand is made, this decision shall be final an and filed with the
Drawer 27447,.Raleigh, North Carolina 27611
d binding.
Please take notice this p
ermit is not transferable. Part lI uir qements to
, B.2. addresses the re
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 required by the Division of Environmental Management or permits required b y be
Land Resources, Coastal Area Management Act or any other Federal or Local y the Division of
that may be required. governmental permit
If you have any questions concerning this permit, please contact Mr.
Mack Wiggins at
telephone number 919/733-5083.
Sincerely,
Wginal signed by
Dale Overcash for
cc: Mr.Jim Patrick,EPA George T.Everett RECEIVIED
Haywood Regional Office T
Pollution Prevention Pays A
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone] z ,
An Equal Opportunity Affirmative Action Employer
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Ashav He, North CaratIro

Permit No. NCO062341
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH,AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGF ELIMINATION YSTFM
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,
Elizabeth R. Pugh
is hereby authorized to discharge wastewater from a facility located at
Elizabeth R.Pugh Residence
5 Blackberry Trace
northwest of Dellwood
Haywood County
to receiving waters designated as an unnamed tributary to Big Spring in the French Broad 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 March 1, 1992
This permit and the authorization to discharge shall expire at midnight on November 30, 1996
Signed this day January 9, 1992
Ori&al signed by
Dal*Owc"h for
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

F�
i
1
Permit No. NCO062341
SUPPLEMENT TO PERMIT COVER SHEET
Elizabeth R. Pugh
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of a septic tank,
subsurface sand filter trench, and effluent chlorination located at Elizabeth R.Pugh Residence, 5
Blackberry Trace, northwest of Dellwood,Haywood County (See Part III of this Permit), and
2. Discharge from said treatment works at the location specified on the attached map into an
unnamed tributary to Big Spring which is classified Class C waters in the French Broad River
Basin.

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PART I
"Act"used herein means the Federal Water Pollution Control Act, As
Amended.
"DEM" 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, M3/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 I
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 innew, 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 con-
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 permittee
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 I1
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 records
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 prospec-
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 Il,
A-4) and "Power 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 of
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 this: permit. The conditions, requirements,
terms', and provisions of this permit authorizing discharge under the
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 town operational publicly-
owned wastewater collection system within 180 days of its availability
to the site.
-- _

srnn
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor R. Paul Wilms
S. Thomas Rhodes, Secretary May 7, 1987 Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Ms. Elizabeth R. Pugh
2963 Annwood Street
Cincinnati, Ohio 45206
SUBJECT: Permit No. NCO062341
Elizabeth R. Pugh - Residence
Haywood County
Dear Ms. Pugh
In accordance with your application for discharge permit received on April
9, 1987, 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 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 may request a waiver or modification
pursuant to Regulation 15 NCAC 2B . 0508(b) by written request to the Director
identifying the specific issues to be contended. Unless such request is made
within 30 days following receipt of this permit, this permit shall be final and
binding. Should your request be denied, you will have the right to request an
adjudicatory hearing.
Please take notice that this permit is not transferable. Part 11, 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 requirement to obtain other permits
which may be required by the Division of Environmental 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.
_ Continued . . .
`tCIE 4V E D
V'Jaer t;�ua4ity�es;tf�i
w,
1987
Pollution Prevention Pays
psliurl' : (l { P.O. Box 27697, Raleigh, North Carolina 27611-7697 Telephone [phone]
ite O'.1g?IJ 1'S- liMce
iV01`(di CafQIjgg An Equal Opportunity Affirmative Action Employer

Page Two _
Ms. Elizabeth R. Pugh
If you have any questions concerning this permit, please contact Mr. Dale
Overcash, at telephone number 919/733-5083.
R. Paul Wilms
cc: Mr. Jim Patrick, EPA
Asheville Regional Office
DO/gwt

Permit No. NC0062341
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
P E R M I T
To Discharge Wastewater Under the NATIONAL
POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215. 1,
other lawful standards, and regulations promulgated and adopted by the North'
Carolina Environmental Management Commission, and the Federal Water Pollution
Control Act, as amended,
ELIZABETH R. PUGH
is hereby authorized to discharge wastewater from a facility located at
Elizabeth R. Pugh - Residence
5 Blackberry Lane
Clyde
Haywood County
to receiving waters designated as an unnamed tributary to Big Spring Branch in
the. French Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions
set forth in Part 1, l l, and III hereof.
This permit shall become effective May 7, 1987.
This permit and the authorization to discharge shall expire at midnight on
April 30, 1992.
Signed this day of May 7, 1987.
ORIGINAL SlCiNED BY
FI')F
R. PAUL WILMS, DIRECTOR
DIVISION OF ENVIRONMENTAL MANAGEMENT
BY AUTHORITY OF THE ENVIRONMENTAL
MANAGEMENT COMMISSION
M1 S 11

Permit No. NC0062341
SUPPLEMENT TO PERMIT COVER SHEET
Elizabeth R. Pugh
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility, and
2. Make an outlet into an unnamed tributary to Big Spring Branch, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management, construct and operate a 300 GPD wastewater treatment facility
located off Blackberry Lane, Clyde, Haywood County, (See Part Ili of this
Permit) , and
4. Discharge from said treatment works into an unnamed tributary to Big Spring
Branch which is classified as Class "C" waters in the French Broad River Basin.

Part i
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&4n State of North Carolina : , r
Department of Natural Resources and Community Development
512 North Salisbury Street• Raleigh, North Carolina 27611
James G. Martin, Governor S. Thomas Rhodes, Secretary
June 21, 1985
Mr. Gregory J. Bender
Route 3, Box 123
Clyde, North Garolina28721
SUBJECT: Permit No. NCO062341
Gregory J. Bender's Residence
Haywood County
Dear Mr. Bender:
In accordance with your application for discharge Permit received March 29,
1985, we are forwarding herewith the subject State-NPDES Permit. This permit
is issued pursuant to the requirements of North Carolina General Statute143.215.1
and the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency dated December 6, 1983.
If any parts, requirements, or limitations contained in this Permit are un-
acceptable to you, you have the right to an adjudicatory hearing before a hearing
officer upon written demand to the Director within 30 days following receipt of
this Permit, identifying the specific issues to be contended. Unless such demand is
made, this Permit shall be final and binding.
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 Environmental Management. If you have
any questions concerning this Permit, please contact Mr. Dale Overcash, telephone
number 919/733-5083.
ORf&fflAJ4) 'a B RRY
ARTHUR Mt}U
FOR
R. Paul Wilms
Director
cc: Mr. Jim Patrick, EPA
Asheville Regional Supervisor
RPW/gwt
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity/Affirmative Action Employer

Permit No.. NC 0062341
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
P E R M I T
To Discharge Wastewater Under the NATIONAL
POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
Gregory J. Bender
is hereby authorized to discharge wastewater from a facility located at
Gregory J. Bender's Residence
Clyde
Haywood County
to receiving waters designated as an unnamed tributary to Big Spring Branch in the
French Broad 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 June 21, 1985
This permit and the authorization to discharge shall expire at midnight
on May 31, 1990
Signed this day of June 21, 1985
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental
Management Commission
M1 I1

Permit No. NC 0062341
SUPPLEMENT TO PERMIT COVER SHEET
Gregory J. Bender
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment
facility, and
2. Make an outlet into an unnamed tributary to Big Spring Branch, and
3. After receiving an Authorization to Construct from the Division of
Environmental Management, construct and operate a 300 GPD waste-
water treatment facility located off Blackberry Lane, Clyde, Haywood
County, (See Part III, condition No. C. of this Permit), and
4. Discharge from said treatment works into an unnamed tributary to
to Big Spring Branch of the French Broad River Basin which is
classified 'C' waters.

°' c Page of
Permit No.
J NC 0062341
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State of North Cara
Department of Environment, f
Health and Natural Resources ` •
Division of Environmental Management
James B. Hunt,:Jr., Governor
Jonathan B. Howes, Secretary E
A. Preston Howard, Jr., P.E., Director
November 29, 1993
�J
Elizabeth R Pugh
5 Blackberry Trace
Maggie Valley NC 28751
Subject: Certified Operator Requirements
Single Family Treatment Systems
NPDES Permit No.NCG550343
Haywood County
Dear Ms. Pugh;
During February of this year, public hearings were held on proposed changes to modify the
operator certification rules. The proposed rules included a requirement that single-family
discharge systems would be classified wastewater treatment facilities,which would require
an annual inspection by a certified operator. The intent of the rule was to insure that the
systems are being properly operated and maintained.
During the public comment period, a significant amount of comments, statements and
additional information was submitted.As a result, the Water Pollution Control System
Operators Certification Commission amended the proposed rules. The rule, as adopted and
effective July 1, 1993, now requires single-family discharging systems to be classified
only if they are permitted after July 1, 1993 or if upon inspection by the Division of
Environmental Management (DEM) it is found that the system is not being adequately
operated and maintained. Systems can be inspected by`DEM during routine compliance
inspections, permit renewals,or complaint investigations. Once a system is classified, it
will be required to have at a minimum,an annual inspection by a certified operator.
It is important to remember that the NPDES permit is part of a Federal program
administered by the State of North Carolina and that violations of the permit are enforceable
by Federal and State laws. Although your system will not be required to have a certified
operator at this time, proper operation and maintenance is needed for the system to function
satisfactorily. In as much as each system must be individually designed and sited, special
maintenance requirements may apply to a specific installation. The attached maintenance
schedule should however be applicable"to most systems. The frequencies suggested are
considered to be the minimum necessary. More frequent attention may be needed for a
specific system and may be required by conditions of the permit.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper

Certified Operator Requirements
NCG550343
Page 2
In addition to being required by your permit,proper maintenance of your treatment system
is extremely important to the long term serviceability of your wastewater treatment system.
If proper maintenance is not given to the system, it will fail and will result in major
expenses for repairs.
We would strongly encourage you to take the necessary action to insure that your system is
operating properly.If we can be of any assistance to you or if you have any questions or
comments, please call Dwight Lancaster of our staff at(919)733-0026.
S' erely,
Cind inan, pe sor
raining and C i ation Unit
cc: Asheville Regional Office-Water Quality
Facilities Assessment Unit
Central Files

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street 0 Raleigh, North Carolina 27611
James G.Martin,Govemor George T. Everett,Ph.D.
William W.Cobey,Jr.,Secretary Director
October 4, 1991
Elizabeth R. Pugh Subject : NPDES Permit Application
5 Blackberry Trace NPDES Permit No.NC0062341
Maggie Valley, NC 28751
Elizabeth R. Pugh Residence
Dear Ms. Pugh Haywood County
This is to acknowledge receipt of the following documents on October 4, 1991:
Application Form
Engineering Proposal (for proposed control facilities) ,
Request for permit renewal,
Application Processing Fee of $120.00,
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
Other
The items checked below are needed before review can begin:
Application Form ,
Engineering proposal (see attachment) ,
Application Processing Fee of
Delegation of Authority (see attached)
Biocide Sheet (see attached)
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
Other
Pollution Pnevvendon Pays
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

If the application is not made complete within thirty (30) days, it will be
returned to you and may be resubmitted when complete.
This application has been assigned to Mack Wiggins
(919/733-5083) of our Permits Unit for review. You wiii be advised of any
comments recommendations, questions or other information necessary for the
review of the application.
I am, by copy of this letter, requesting that our Regional Office
Supervisor prepare a staff report and recommendations regarding this
discharge. If you have any questions regarding this applications,
please contact the review person listed above .
Sincerely,
M. Dale Over sh, P .E .
CC:— .�� h@'Mlle Regional Office. �j��

as`^^'F4 \
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
October 16, 1.991
Ms. Elizabeth Pugh
2200 Victory Parkway
#1906
Cincinnati, Ohio 45206
Subject: Compliance Evaluation Inspection
Status : In Compliance
NPDES Permit Number NCO062341
ywood County
Dear Ms. Pugh:
A Compliance Evaluation Inspection was conducted September 27,
1991, of the septic tank/subsurface sandfilter trench serving your
residence. Since the facility grounds and the receiving stream
indicated no problems, the wastewater treatment facility appears to be
operating properly, and is, therefore, considered to be in compliance
with its NPDES Permit.
If, in the future, the residence is sold, please inform the new
owners that they will need to apply for a new permit as NPDES Permits
are not transferable.
If you should have any questions, please feel free to contact me
at 704-251-6208.
Sin erely yOyrt}s, /
Kerry Becker
Environmental Technician
KSB
Enclosure
xc : Dan Ahern, EPA
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 •Telephone [phone]
An Equal Opportunity Affirmative Action Employer

_/Mted States Environmental rotection Agency Form Approved
Washington,O.C.20460
810 E N PD ES Com liance Ins ection Re ort OMB No. 204
0-0003
P p P Approval Expirreses 7-3-31-85
Section A: National Data System Coding
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1JAIJ —' 53' cj 6161�13IVI /111 t2I'jJ/ I �I`� I I-7I 17 , cj 19u z
Remarks
I � Ililllllllllllllillll111111111111111111111111
Reserved Facility Evaluation Rating BI QA ------------------ReJsserved-----------------
ss
� j 6J 69 7 71U 72u 73�J 74 7� j I I I I 180
Section B:Facility Data
Name and Loca on Cof�acility Inspected Entry Time AM 0 PM Permit Effective Date
C /'-z I& (� N PS-L��'z.�Z ld 5'C� `j
S/3/yC,t Tel-17V E Exit Time/Date Permit Expiration Date
1,Ct C rrr- //, (�L o �i ti i>T p �/U 7 — 3GI•—! Z
Name(s)of On-Site Representative(s) Title(s) Phone No(s)
Name,Address of Responsible Official Title
v2�07) " c fz2 / �v •Q .vt
�U6v, )t Phone No. Contacted °
1 S 3 3 ;G `7 yes❑ No
Section C:Areas Evaluated During Inspection
(S=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated)
/j Permit ni Flow Measurement Pretreatment Operations&Maintenance
5 Records/Reports V Laboratory Iv Compliance Schedules 5 Sludge Disposal
Facility Site Review Effluent/Receiving Waters Self-Monitoring Program Other:
/ Section D:Summary of Findings/Comments(Attach additional sheets it nece)ss/ary)
R 6i C C L 67 / /v 5 znt�'cry r ,�✓V Zt o la( �S �C'��cY'.
✓'G l! 7/
Name(s)and Sighature(s)of spector(s) Agency/Office/Telephone Date
Si re of Reviewer Agency/Office Date
/JC,4QE /D A>
Regulatory Office Use my
Action Taken Date Mmpliance Status
❑ Noncompliance
Compliance

Permit No. NCO062341
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,
Elizabeth R. Pugh
is hereby authorized to discharge wastewater from a facility located at
Elizabeth R.Pugh Residence
5 Blackberry Trace
northwest of Dellwood
Haywood County
to receiving waters designated as an unnamed tributary to Big Spring in the French Broad 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 November 30, 1996
Signed this day
George T. Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0062341
SUPPLEMENT TO PERMIT COVER SHEET
Elizabeth R. Pugh
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of a septic tank,
subsurface sand filter trench, and effluent chlorination located at Elizabeth R. Pugh Residence, 5
Blackberry Trace, northwest of Dellwood,Haywood County (See Part III of this Permit), and
2. Discharge from said treatment works at the location specified on the attached map into an
unnamed tributary to Big Spring which is classified Class C waters in the French Broad River
Basin.

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TO: PERMITS AND ENGI1-, :RING UNIT
'WATER QUALITY SECTION
DATE: October_ 16, 1991
NPDES STAFF REPORT AND RECOMMENDATION
\ COUNTY Haywood
�1 PERMIT NUMBER NCO062341
PART I - GENERAL INFORMATION
1 . Facility and Address: Elizabeth Pugh Residence
5 Blackberry Lane
Maggie Valley, North Carolina 28721
2 . Date of Investigation: September_ 27, 1991
3 . Report Prepared By: Kerry S . Becker
4. Persons Contacted and Telephone Number: Elizabeth Pugh
5. Directions to Site: From the intersection of NCSR 1307 and Hwy
19-276 near Maggie Valley, travel on NCSR 1307 to Maggie
Balley Country Club on right. Turn into parking area
proceeding onto Laurel Heights Rd. Travel on Laurel Heights
Rd. to Laurel Ridge North on right. Travel on Laurel Ridge
North to Blackberry Lane on right. Residence is located on
left side of Lane at second drive.
6. Discharge Point(s) , List for all discharge points:
Latitude: 350 31 ' 53" Longitude: 830 03 ' 12"
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U. S.G. S. Quad No. 174-SE U. S.G. S. Quad Name Dellwood
7 . Size (land available for expansion and upgrading) : N/A
8. Topography (relationship to flood plain included) : Flat, adjacent
to creek.
9. Location of nearest dwelling: N/A

10. Receiving stream, lr affected surface waters., U.T. to Big Spring
Branch
a. Classification: C
b. River Basin and Subbasin No. : FBR 04-03-05
C. Describe receiving stream features and pertinent downstream
uses: Small tributary approx. _1 foot wide. Provides habitat
for the propagation and maintenance of wildlife.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1 . Type of wastewater: 100 % Domestic
Industrial
a. Volume of Wastewater: 0. 00030 MGD (Design Capacity)
b. Types and quantities of industrial wastewater:
C. Prevalent toxic constituents in wastewater:
d. Pretreatment Program (POTWs only) :
in development approved
should be required not needed
2 . Production rates (industrial discharges only) in pounds per day:
a. Highest month in the past 12 months: lbs/day
b. Highest year in the past 5 years: lbs/day
3 . Description of industrial process (for industries only) and
applicable CFR Part and Subpart:
4. Type of treatment (specify whether proposed or existing) : The
existing facility consists of a septic tank followed by a
subsurface sand filter trench and effluent chlorination.
5. Sludge handling and disposal scheme: Licensed commercial septic
tank cleaning firm.
6. Treatment plant classification (attach completed rating sheet) :
7 . SIC Codes(s) : 4952
Wastewater Code(s) : Primary 04 Secondary
Main Treatment Unit Code: 440-7

PART III - OTHER PE_ -INENT INFORIMATION
1. Is this facility being constructed with Construction Grant funds
(municipals only)?
2 . Special monitoring requests:
3 . Additional effluent limits requests:
4. Other:
PART IV - EVALUATION AND RECOMMENDATIONS
The Asheville Regional Office recommends renewal of NPDES Permit
#NC0062341 .
Signatvir4j of Report Preparer
b Zo 11171--
ater Quali y Regional Supervisor
/D
Date

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July 19, 1991
GREGORY J. BENDER
PUGH RESIDENCE (ELIZABETH R. )
2963 ANNWOOD STREET
CINCINNATI, OH 45206
Subject: NPDES PERMIT NO. NCO062341
HAYWOOD COUNTY
Dear Permittee:
The subject permit issued on 5/07/87 expires on 4/30/92. North Carolina
General Statute (NCGS) 143-215. 1(c) requires that an application for permit renewal
be filed at least 180 days prior to the expiration date. As of the date of this
letter, the Division of Environmental Management had not received an application for
renewal.
If operation of a discharge or waste treatment facility is to occur after the
permit's expiration date, or if continuation of the permit is desired, it must not be
allowed to expire. A renewal request must be submitted no later than 180 days prior
to the permit's expiration date. Operation of the waste treatment works or
continuation of a discharge after the expiration date would constitute a violation of
NCGS 143-215. 1 and could result in assessment of civil penalties of up to $10,000 per
day. If continuation of the permit is desired, failure to request renewal at least
180 days prior to expiration will result in a civil assessment of at least $300.00;
larger penalties may be assessed depending upon the delinquency of the request.
A renewal application shall consist of a letter requesting permit renewal along
with the appropriate completed and signed application form (copy attached), submitted
in triplicate, referenced in Title 15 of the North Carolina Administrative Code (15
NCAC) Subchapter 2H .0105(a). Primary industries listed in Appendix A of Title 40 of
the Code of Federal Regulations, Part 122 shall also submit a priority pollutant
analysis in accordance with Part 122.21. A processing fee must be submitted with the
application. In addition to penalties referenced above, a permit renewal request
received after the expiration date will be considered as a new application and will
require the higher application fee.
-

/. �,
Attached is a copy of the fee schedule from 15 NCAC 2B.0105(b) . The application
processing fee is based on the design or permitted flow, whichever is appropriate,
listed in the first five categories of facilities. Presently, no facility is allowed
to submit a fee for the general permits listed in the schedule since the Environmental
Protection Agency has not approved the State of North Carolina's general permit. If
the facility covered by this permit contains some type of treatment works, a narrative
description of the sludge management plan must be submitted with the application for
renewal.
The Environmental Management Commission adopted revised rules on October 1, 1990
(attached), requiring the payment of an annual fee for most permitted facilities. You
will be billed separately for that fee (if applicable), after your permit is approved.
The letter requesting renewal, the completed Permit application, and appropriate
fee should be sent to:
Permits and Engineering Unit
Division of Environmental Management
Post Office Box 29535
Raleigh, North Carolina 27626-0535
The check should be made payable to the North Carolina Department of Environment,
Health, and Natural Resources which may be abbreviated as DEHNR.
If there are questions or a need for additional information regarding the permit
renewal procedure, please contact me at telephone number (919) 733-5083.
Sincerely,
Lei,
M. Dale Overcash, P.E.
Supervisor, NPDES Permits Group
cc: Asheville ,Reganal Ofc
Permits and Engineering Unit
Central Files

Z,D001-nn
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street.Raleigh,North Carolina 27604
James G. Martin,Governor George T.Everett,Ph.D.
William W.Cobey,Jr.,Secretary Director
September 25, 1991
Ms. ELIZABETH PUGH
5 BLACKBERRY TRACE
MAGGIE VALLEY,NORTH CAROLINA 28751
Subject: Application No. NCO062341
PUGH RESIDENCE (ELIZABETH)
Haywood County
Dear Ms. PUGH:
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials received on September 24, 1991. This application has been assigned the number
shown above. Please refer to this number when making inquiries on this project.
Your project has been assigned to Mack Wiggins for a detailed engineering review. A technical
acknowledgement will be forthcoming. If this acknowledgement is not received within thirty (30)
days,please contact the engineer listed above.
Be aware that the Division's regional office,copied below, must provide recommendations from the
Regional Supervisor for this project prior to final action by the Division.
If you have any questions,please contact Mack Wiggins at(919) 733-5083.
l
Sincerely,
(�1 M. Dale Overcash,P.E.
Supervisor, NPDES Permits Group
cc: d ille Regional Office REcrtiVED
Water Quality Stdiaq
q nq
Pollution Prevention Pays S E P � !0,I i
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
\. An Equal Opportunity Affirmative Action Employer ,Asheville Pegia-,ial Offiw
Asheville, North Caroling

N. C. DEPARTMENT OF ENVIRONMENT, HEALTH NATURAL RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMBFR
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR L
AGENCY
USE 9 TE RECEIVED
To be filed only by services, wholesale and retail trade. � _`=
and other commercial establishments including vessels
YEAR M0.cam- DAYlay
Do not attempt to complete this form without reading the accompanying instructions
Please print or type ��
1. Name. address, and telephone number of facility producing discharge
A. Name g ( I 7A AuG/ /f ES'/PC-7Y C�
B. Street address
C. City LLAfZ- D. Stata/
E. County ff 1' .)zw oD F. ZIP?—X 7S—�
G. Telephone No. 71P 9 Z( ,ag
Area
Code
2. SIC
(Leave blank)
3. Number of employees
4. Nature of business _��.�1 V / LI/19 t=214 C--E
5. (a) Check here if discharge occurs all year43/, or
(b) Check the month(s) discharge occurs':
1.o January 2.O February, 3.O March 4.0 April S.0 May
6,0 June 7.O Jul y 8.`O August 9.o Sepi ember 10.0 October
11.0November 12.0 December
(c) How many days per week:
1.131 2.0 2-3 3..0 4-5 4.�(6-7
6. Types of waste water discharged to surface waters only (check as aoplicable)
Volme
Flow, gallons per operating day discha treated before
discharging (percent)
Discharge per
operating day 0.1-999 1000-4999 5000-S999 10,000- 50.000 None 0.1 30- 65- 95-
49.999 or more 29.9 64.9 94.9 100
(1) (2) (3) (4) (5) '(6) (7) (8) (9) (10)
A. Sanitary. daily /
average
B. Cooling water, etc.,
daily average
C. Other discharge(s).
daily average;
Specify
0. Maximum per operat-
ing day for combined
discharge (all types)

types of was 7. If any of the te identified in item 6. either treated or
treated, are discharged to places other than surface waters, check below
as applicable.
Waste water is discharged to: 0.1-999 1000-49" 5000-9999 10,000-49,999 50.000 or more
{1) (2) (3) (4) (5)
A. Munir.il►al trwor ;ystenl
11, Ilrulrrgrriunrl w1•II
C. Septic tank
U. Evaporation lagoon or pond
E. Other, specify:
8. Number of,separate discharge points:
A.'o l B.o 2-3 G.o 4-5 0.0 6 or more
9. Name of/receiving water or waters
-10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances jdded as a result of your operations.
activities. or processes: ammonia, cyanide, aluminum, beryllium. cadmium.
chromium. copper, lead. mercur ,nickel, selenium, zinc. phenols, oil and
grease. and chlorine (residual_
A.O yes B. o
I certify that I am familiar with the information contained in the application and
that to the best of my knowledge and belief such information is true, complete, and
accurate
Printed Name of Person Signing'
Title
Date Applic tion Signed
Ad
2_14n t Z /6
Signature of Applicant e
)rth Carolina General Statute 143-215.6(b) (2) provides that: Any person who knowingly makes
iy false statement representation, or certification in any applicat;.on, 'record, report, plan,
other document files or required to be maintained under Article 21 or regulations of the
ivironmental Management Commission implementtng that Article, or who falsifies, tampers w_ci ,
knowly renders inaccurate any- recording or monitoring device or method required to be
aerated or maintained under Arti•ale 2:1:-oc regulations -of the Environmental Management Co=n.is, on
nplementing that Article, s.hali •be.'-'gujity. of a misdemeanor punishable by a -fine not to exceed'_
LO,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 pro• :_
punishment by a fine of not more than S10,000 or imprisonment not pore than 5 years, or bot+r-,
:r a sinilar offense.)

'61�� o
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
August 13 , 1.991
Ms. Elizabeth R. Pugh
2200 Victory Parkway
#1906
Cincinnati , Ohio 45206
Subject: NPDES Permit Renewal
NPDES Permit Number NCO062341
Haywood County
Dear Ms. Pugh:
The subject permit issued on May 7, 1987, is due to expire April 30,
1992 . North Carolina General Statute 143-215 . 1(c) requires that an
application for permit renewal be filed at least 180 days prior to the
expiration date. Failure to do so will result in an automatic civil
assessment of at least $300 . 00. To prevent this from happening, please
be sure to submit the enclosed applications along with a $120. 00 check or
money order payable to the Division of Environmental Management to:
Permits and Engineering Unit
Division of Environmental Management
Post Office Box 29535
Raleigh, North Carolina 27626-0535
The applications and processing fee should be received by the Division no
later than October 31, 1991 .
If I can be of further assistance, please feel free to contact me at
704-251-6208.
Sincerely yours,
Kerry S. Becker
Environmental Technician
KSB
Enclosure
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 •Telephone [phone]
An Equal Opportunity Affirmative Action Emplover

A Mc SLATE o�
ti
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
July 19, 1990
Ms. Elizabeth Pugh
2963 Annwood Street
Cincinnati , Ohio 45206
Subject: Compliance Evaluation Inspection
Status: In Compliance
Elizabeth Pugh Residence
NPDES Permit Number NCO062341
IF
County
Dear Ms. Pugh:
A Compliance Evaluation Inspection was conducted July 19, 1990,
of the septic tank/ subsurface sandfilter trench serving the residence
at 5 Blackberry Lane in Maggie Valley, North Carolina. The facility
grounds and the receiving stream indicated no problems. The
wastewater treatment facility appears to be operating satisfactorily
and is considered to be in compliance witli its NPDES permit.
If, in the future, the residence is sold, please inform the new
owners that they will need to apply for a new permit. NPDES permits
are not transferable.
If you should have any questions, pl_ea.se contact either Max Haner
or me at 704-251-6208.
Sincerely yours,
K �rry . Becker
Environmental Technician
cc : Dan Ahern, EPA
ksb
Interchange Building, 59 Woodfin Place, Asheville, N.0 28801 • Telephone [phone]

United States Environmental Protection Agency Form Approved
Washington,D.C.20460
\- 0-0003
EPA NPDES Compliance Inspection Report OMB No 204res7-3
P p P Approval Expires 7-31-85
Section A: National Data System Coding
Tra tion Cod NPDES yr/mo/day Inspection Type Inspector Fac Type
1p 5 jV�C)I()1 6I,2I 31C1 /111 1?�rl,0l1) 1 ?I1 19117 18 19L�d 2cL4
Remarks
111111111111111111111111111111111111111lilllll616
Reserved Facility Evaluation Rating BI ------------------Reserved-----------------
6A 1 1J 69 7a 71L_� 72/0 7k_LJ 74 7� I I 1 I I 1 80
Section B: Facility Data
Name
and/Lotl �foff Fa ity Inspected Entry Time AM PM Permit Effective
Date
-ZA- xes/_ �Ce— Zed ;w /l /
S-(�/9� rFJu�cr yl ,I.gw� Exit Time/Date Per it E piration Date
VIA)PD C C' f1 la Z 36
Na )of On-Site resent tive(s) Title(s) Frhone No(s)
Name,Addres f R sponsible Official Title
q7UN✓40��t /S Phone No. Contact�ed�
(�1/VC t.r/N A Gt i D 5�02 El Yes IL�J No
Section C:Areas Evaluated During Inspection
(S=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated)
Permit Flow Measurement Pretreatment Operations&Maintenance
Records/Reports Laboratory Compliance Schedules S Sludge Disposal
Facility Site Review j Effluent/Receiving Waters Self-Monitoring Program Other:
Section D:Summary of Findings/Comments(Attach additional sheets if necessary)
A C �� i s /t F.e u�t!-ti ws S 7,t-�a,141 6 K !t i/Q o S .tee ms
y - i '
Name(s)and Sig tature(s)of Inspe tors) Agency/Office/Telephone Dat
Zd
Si e of Review r Agency/Office Date
Regulatory Office Use On
Action Taken Date ompli�ncetatus
❑�/fpliance
PCnce
EPA Form 3560-3 (Rev 3-85) Previous edition,are obsolete

V
State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
James G. Martin, Governor Ann R Orr
William W Cobey, Jr., Secretary Regional Manager
4 DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
August 11, 1989
Ms. Elizabeth Pugh
2963 Annwood Street
Cincinnati , Ohio 45206 0
Subject: Compliance Evaluation Inspection
Status: In Compliance
Elizabeth Pugh Residence
NPDES Permit Number NC0062341
Haywood County
Dear Ms. Pugh:
A Compliance Evaluation Inspection was conducted July 11, 1989, of
the septic tank/ subsurface sandfilter trench serving the residence at
5 Blackberry Lane in Maggie Valley, North Carolina. The facility
grounds and the receiving stream indicated no problems . The
wastewater treatment facility appears to be operating satisfactorily,
and is considered to be in compliance with its NPDES permit. "
If, in the future, the residence is sold, please inform the new
owners that they will need to apply for a new permit. NPDES permits
are not transferrable.
If you should have any questions, please contact either Max Haner
or me at 704-251-6208.
Sincerely yours,
Kerry S. Becker
Environmental Technician
cc: Dan Ahern, EPA
ksb
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28w •Telephone [phone]
An Equal Opportunity Affirmative Action Employer

r -
n to tates nvironmentat Protection Agency Form Approved
Washington,D.C.20460
wr OMB No.2040-0003
® NP®ES Compliance Inspection Deport Approval Expires7-31-85
Section A: National Data System Coding
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 �ryl�la 16I 6 IyI� I „ 1 'I�Itr�Ll� le 117 1 ,9 2
Remarks
1616
Reserved Facility Evaluation Rating 81 OA ------------------Reserved-----------------
67 69 70W 71 rLJ 72 73W 74 75� I III I 1 80
"I Section B:Facility Data
Name and Locati of,{Fa 'lity Inspected Entry Time r-� Permit Effective Date
Z e5• t t c-e, t S"l r1 ❑ AM Lr PM
�rrf ,c Exit Time/D to Permit Expiration Date
r e S"/S a / - 3c
Na )of On-Site R p esentative(s) Title(s) Phone No(s)
Name,Address of Responsible Official Title
// c
14
,2'- !J �7,v.^ Guc::oc,- Phone No. - Contacted
.,tsc'ss✓/Va4 �i C1 ❑ Yes® No
Section C:Areas Evaluated During Inspection
IS=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated)
Permit Flow Measurement Pretreatment Operations&Maintenance
Record:;/Reports Laboratory Compliance Schedules S- Sludge Disposal
Facility Site Review Effluent/Receiving Waters :j Self-Monitoring Program Other:
Section D:Summary of Findings/Comments(Attach additional sheets if necessary)
Ni CMcuf 0 C'C wJU et t(,o-c. ✓.A S
v
Names)and Sig mture(s)of Inspector(s) Agency/Office/Telephone Date
t '
�Iy( -Ica'/- Z S — 2.6 /t)
Signatur of Reviewer Agency/Office Date
Reg Iatory Office Use my
Action Taken Date Compliance Status
❑ Noncompliance
Com liance

F-�
=Date 0 Ll,�G? � �
NPDES STAFF REPORT AND RECOMMENDATIONS
County Haywood
NPDES Permit No. NCO062341
PART I — GENERAL INFORMATION
1 . Facility amd Address: Elizabeth Pugh Residence
5 Blackberry Lane
Maggie Valley, North Carolina 28721
2 . Date of Investigation :
3. Report Prepared By : Kerry Becker
4 Persons Contacted and Telephone Number :
5. Directions to Site: Site is located adjacent to Blackberry Lane (Maggie
Valley Country Club Estates) , approximately 0.1 mile from Laurel Hts. Road.
Laurel Hts. :Road begins at the country club parking lot near NCSR 1390, .7 mile
south of Blackberry Lane.
6. Discharge Point '- Latitude: 350 31' 53" N
Longitude: 830 03' 12" W
Attach a USGS Map Extract and indicate treatment plant site and
discharge point on map.
USGS Quad No . 174-SE or USGS; Quad Name Dellwood
i
711. Size (land available for expansion and upgrading) : N/A
8. Topography (relationship to flood plain included) :
Lot isslightly sloping in grade; however, the general area is hilly.
9 . Location of -:nearest dwelling: Approximately 60 feet.
10. Receiving stream or affected surface waters : Unnamed tributary to
Big Spring,Branch
a . Classification: C
b. River Basin and Subba:sin No . : French Broad -04 03 05
C . Describe receiving stream features and pertinent downstream
uses: The small tributary (approximately 1 foot :in width) is used
for fish and wildlife propagation.

PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1 . Type of wastewater : _----- ��0- Domestic
Industrial
a . Volume of Wastewater : .0003 MG1)
b . Types and quantities of industrial wastewater : N/A
C . Prevalent toxic constituents in wastewater: N/A
d . Pretreatment Program, (POTWs only) N/A
in development approved
should be required not needed
2 . Production rates (industrial discharges only) in pounds N/A
a . highest month in the last 12 months .
b . highest year in last S years
3 . Description of :industrial process (for industries only) and
_applicable CFR Part and Subpart : N/A
4 . Type of treatment (specify whether proposed or existing) :
Septic tank/sand filter trench followed by chlorination.
S . Sludge handling and disposal. scheme :
Disposal _will-be; by licensed septic tank hauler.
6 . Treatment plant classification : N/A
7 . SIC Code (s)
Wastewater. Cede (-s)
1

PART III OTHER PERTINENT INFORMATION
1 . Is this facility being constructed with Construction Grants Funds
(municipals only) ? N/A
2. Special monitoring requests : None
3. Additional effluent limits requests : None
4. Other
PART IV EVALUATION AND RECOMMENDATIONS
It is> recommended' that a new permit be issued to Mrs. Elizabeth Pugh for
the wastewater treatment system located at 5 Blackberry Lane.
Sig ature o r or pre
parer
;9J
I.,1 9 A4-0,
Water Quality egion.a Supervisor

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W,3,3 er Quality Section
APR 16 1981
i e 0 le n,^i Guffice
State of North Carolina Asheville, l Urtri Carod;ga
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbu Street a Raleigh, North Carolina 27611
James G. Martin, Governor "� ,,° R. Paul Wilms
S. Thomas e Rhodes, Secretary
J
F.m Director
c
Subject: NPDES Permit Application
NPDES Permit No. NC00{„
t.
K C
County
Dear
This is to acknowledge receipt of the following documents oX
Application Form, `
Engineering Proposal (for proposed control facilities) , f
Request for permit renewal ,
Application Processing Fee of,, $Y f �
0 ',
W ,
f /
The items checked below are neede# b.-fore review can begin:
Application form ( Copy enclosed),
Engineering Proposal See Attachment) ,
Application Processing Fee of $ ,
Other
If the application is not made complete within thirty 30 days , it will
be returned to you and may be resubmitted when complete .
�A
This application has been assigned toJ� !
(919/733-5083) of our Permits Unit for review. You willf,-bp" advised of
any comments recommendations, questions or =ether information necessary
for the review of the application.
I am, by copy of this letter, requesting that our Regional Office
Supervisor prepare a staff report and recommendations regarding this
discharge . If you have any questions regarding this application, please
contact the review person listed above .
Sinxpcer ,ly,
ry} U do
z
ifliu, tubeiry, P.E.
Supervisor, Permits and Engineering
e
Pollution Prevention Pays
/ P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
` ! An EqualOpportunity Affirmative Action Employer

2963 Annwood St.
Cincinnati , Ohio 45206
April 6, 1987
Permits and Engineering Unit
N. C. Division of Environmental Management
Post Office Box 27687
Raleigh, NC 27611
Attention: Kerry S. Becker
Subject: Name Change for Gregory Bender Residence
NPDES Permit Number NCO062341
Haywood County, North Carolina
Gentlemen:
I am very glad to enclose a check for $25. 00 together with a copy of the
deed for our residence at 5 Blackerry Trace, Maggie, NC.
I trust that this is the information needed and that you will be able to
issue a permit in my name for the residence.
Sincerely yours,
�� 7 ((ti l-\ P�" g X/�,
Elizabeth R. Pugh
� s
Ap
+moo

j"
State of North Carolina
Department of .natural Resources and Community Development
Asheville Regional Office
James G. ti11artin, Governor S. I hornas Rhodes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
March 20 , 1987
Mrs . Elizabeth Pugh
2963 Annwood 'Street
Cincinnati, Ohio 45206
Subject: Name Change for Gregory Bender Residence
NPDES Permit Number NCO062341
Wastewater Treatment System
Haywood County, North Carolina
Dear Mrs. Pugh:
Upon checking my files, I have found that our agency has not
received an application from you requesting the issuance of a permit in
your name as the current owner of the residence at 5 Blackberry Lane.
Since permits are not transferable with change of ownership, you are in
effect operating the wastewater treatment system serving this residence
without a permit which is a violation of North Carolina General
Statutes 143-215 . 1 .
Please send an application consisting of a letter requesting the
.issuance of a permit in your name along with proof of ownership and a
$25 . 00 check (processing fee) to:
Ms . Kerry Becker
N. C. Dept. of Natural Resources & Community Development
Post Office Box 370
Asheville, North Carolina 28802
Your immediate attention to this matter would be greatly
appreciated. Should there be any questions , please contact me at
704/253-3341 .
Sincerely,yours, „
KSB: Is Kerry~`S. Becker
xce Max L. Haner Environmental Technician
Pia- PU n ,

SfA7�
Ski
State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
lames G. Martin, Governor S. 7"r:omas Rhodes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
March 20 , 1987
Mrs. Elizabeth Pugh
2963 Annwood Street
Cincinnati, Ohio 45206
Subject: Name Change for Gregory Bender Residence
NPDES Permit Number NCO062341
Wastewater Treatment System
Haywood County, North Carolina
Dear Mrs . Pugh:
Upon checking my files, I have found that our agency has not
received an application from you requesting the issuance of a permit in
your name as the current owner of the residence at 5 Blackberry Lane.
Since permits are not transferable with change of ownership, you are in
effect operating the wastewater treatment system serving this residence
without a permit which is a violation of North Carolina General
Statutes 143-215 . 1 .
Please send an application consisting of a letter requesting the
issuance of a hermit in your name along with proof, of ownership and a
$25 . 00 check (processing fee) to:
Ms. Kerry Becker
N. C. Dept., of Natural Resources & Community Development
Post Office Box 370
Asheville, North Carolina 28802
Your immediate attention to this matter would be greatly
appreciated. Should there be any questions , please contact me at
704/253-3341 .
Sincerely yours , .,
:r
KSB: is 'Kerry-' S. Becker
xc: Max L. Haner,/ Environmental Technician

r
State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
James G. Martin, Governor S. Thomas Rhodes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
October 23 , 1986
Mrs. Elizabeth R. Pugh
2963 Annwood Street
Cincinnati, Ohio
Subject: Compliance Evaluation Inspection
Gregory Bender Residence
NPDES Permit Number NCO062341
Haywood County, North Carolina
Status: In Compliance
Dear Mrs. Pugh: `
Enclosed with this letter is a copy of the regulations regarding
the issuance of permits by this agency. As the new owners of the
residence at 5 Blackberry Lane, an application must be submitted to
this agency requesting a new permit to be issued in your name. This
application should consist of a letter with proof of ownership and
$25 .00 application fee for processing to be submitted to:
Permits and. Engineering Unit
N. C. Division of Environmental Management
Post Office Box 27687
Raleigh, North Carolina 27611
If you have any questions, please contact me at 704/253-3341 .
Sincerely,
�? J
Kerry Becker
Environmental Technician
KB: ls
Enclosure
xc: Gil Wallace, EPA
Interchange Building, 59 Woodfin Place, P.O. Box 370, Asheville, N.C. 2 8 802-03 70® Telephone [phone]
4,, F—„I 1—t— F..,.1--- _

----U-nt-t-e taie-s-'Env—ir6-nm—entaTProtection Agency Form Approved
Washington,D.C.20460
,4 �s-------- a OMB No.2040-0003 PA® ems® pli nce Ins ection eport Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code NPDES - yr/mo/day Inspection Type Inspector Fac Type
11d 1 �AI10_10 (0Ii0I�?I3i1/1/ Ill 1� 1 111 1 1 117 1 lic 19u 2
Remarks
� IIIPlllll ( IIIIIIIIiIIIIl �II1iIIIIII1IiII11iI �
Reserved Facility Evaluation Rating BI __.� Reserved---- --- ------
6L 69 70[,3j71/ 7 73LLJ 74 74 I 1 I I 1180
Section B:Facility Data -
NrName and Location of Facility; Inspected __ »� Entry Time M PM Permit.Effective,Date
tTlle 02 1? �e L d E5zsdeivctt ❑ A
/ Exit Time/Date Permit Expiration Date
13 10 .AAA to Jci f� MAY 36 d '70
ame(s)o On- iteep Rres ntative(s) Title(s) Phone No(s)
f
Cltz,4�el� 9a
Ocean:&-_P sia - .2 as e
Name,Address of Res onsible Official Title
a4 6 3 A^M Lrw-a __ _ Phone No. Contacted
�r 'A l��:O_ // `_, 74) Yes
6 G --
C*A.Iel4 y c� _ V.2 -O � ❑ No
-- --.-_.-._Section C:Areas EvaluatediDuring Inspection _.. ..-
(S=-Satisfattory,M='Marginal,U=Unsatisfactory,N=Not Evaluated}
Permit /. F36W fdf easu�dment Pretreatment Opef6tions:&"Maintensince'
Records/Reports' Laboratory. - - - Compliance Schedules Sludge Disposal---=-
Facility Site Review ` 'Efffdent7Receiving Waters /� Self-Monitoring Program Other:
(�. Section D:Summary of Findings/Comments�Attach additional sheets if necessary) �/ -- =-------f---
P tart �irut= 8 f Tic doU51/0 6Fll( rc�— ecs2C i�fF 5 �t6/d7� ollsC ZY C� T„ay�� IdL£ �/l3sTCkJ.�P�I�
e #•Ir7 - /G, c- /C-I alfd,ei..v4lex/ f'Lz2/ a�/Jft l`.,a ,�j eorfG✓� �y G✓//C/ "If-Ill .11
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/lid 77{ tefj Yl4'5 t%�CA� .`iC(� /'fA�s• �l7✓��z<[d /[. i�lA!/G� rt� dJJ4S /c'JP� Se:r ✓v
T tir�f a -f 7'7tic iws"Pec Od1 >`/fc_ 6� �y
14Alc UVA 15C_C6 A_ /C¢sLt�ui-tIat
LtJ s�6'f�( ZGd�'r � eu Imp t-r s• .1
we 'S `Ta 1.t1 v,e s Luck.1! tip 7 41r ee,4ve_ 7� e(/1-10—'
Name(s)and Sig�ture(s)of Inspector(s) Agency/pffice//Telephon r 1 Date
�2,}/s. r &C/C /� eke,/ �t ,,a1 �c. � /�`e�a�cszces / t c v,sm. &a,
s she.,, "He 7L,!f= .2S 3— 3 3yf /0 --
Signature of viewer Agency/Office Date
/®'zz—
Regulatory Office Use Only
Action Ta en Date Compliance Status
® Noncompliance
Com dance

C%&..
mod
So- �C,o�rv. _ " � � � ter Qiaaiifiy Di' ;5;on
MAY 8 1985
Western Regional Gri�ice
State of North Carolina &heville, North Caroling
✓� Department of Natural Resources and CommunityDevelopment
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor S. Thomas Rhodes, Secretary
"""� � ,ti_�;,,..• ram'^ `�,.� �:1 � �r��.�°
61,
y E
Dear "; . .
We acknowledge receipt of the following documents: - 19;g r
permit application - N ' '
engineering plans
specifications
other
Your project has been assigned to .- A ` ° r i for a detailed engineering review.
All project documents will be reviewed with respect to the proposed wastewater facilities. This review will not commit
this Division to approving any expansion of these treatment facilities or increase of flowrate in the future.
Prior to the issuance of the permit, you will be advised of the recommendations any comments of this Division.
You will also be informed of any matter which needs to be resolved.
Our reviews are scheduled based on receipt date of complete informations. The items checked below are needed
before your project can be reviewed. N
permit application (copies enclosed)
r
- ..�
engineering plans (signed and sealed by N.C.P.E.) `
—specifications (signed and sealed by N.C.P.E. +
other additional information detailed mrr—attac�mmi
The above checked information is needed by ,,�; f t" ; `7 '-` _ . If not received, your application
package will be returned as incomplete. Please be aware that the Division's Regional Office
must provide RECOMMENDATIONS from the Regional Supervisor or a Procedure Four Evaluation for this project,
prior to final action by the Division.
If you have any questions, please call the review engineer at this telephone number 919/733-5083.
Sincerely,
cc: V40
I � "
v
}b f
A 3n =5.� r't{^^
rV
I
9 P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

March 27, 1985
RECEIVED
Water Quality Divi"
APR 4 1985
Mr. Gil Vinzani , Supervisor Western Regional Office,
State Engineering Review Group Asheville, North Car0tina
Division of Environmental Management
Post Office Box 27687
Raleigh , North Carolina 27611
RE: Residence for Gregory Bender
Haywood County
Dear Mr. Vinzani :
Please 'use this letter as my official request for authorization
to construct a wastewater treatment plant f6r a residence.
Since ely ,
Grego y J Bender, Owner
cc: Appalachian Engineering, P.A.

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rded
inh .
t.,. Pe; nit "do. NCO062341
STAFF REPOIR A!` D R ^o Ax r -ni-r 7
l
�tlUr
PART I - INSPECTIaFm OF FACILITY
1 : Place Visited: Gregory 'Bender Residence
Haywood County
2. Date Visited March 37, 1985
3. By: Max. L. Haner >>>)+
I
4. Persons Contacted: Edward D. Seagle, Consultant
5. Directions to Site: Proposed site is located adjacent to Blackberry Lane
(Maggie Valley Country Club .states) approximately 0. 1 mile from Laurel
Heights Road. Laurel Heights Road begins at the country club parking lot
near NCSR- 13 0.7 mile south of Blackberry Lane (Haywood County) .
c�
6. Latitude and Longitude of the Di s cha rae
Latitude:- 350 31'� 5.3" N
Longitude: 830 03' 12" W
7. Size: Approximately 4 acre
8. Topography: Slopes southward
.9. Location of Nearest Dwelling: N/A Due to type of system proposed.
- C2.1 V'1t�Q.__S_tL"eaIIl_.._�y._..-�s`:�!_._ u_..�-�.,y _ r .;- _ .a.�..� ::-• su..�_
I -
(b) Sub-basin: 04-03-05
- - (c) Attach map indicating location of discharge point.
PART II - DESCRIPTION OF DISCHARGE
l . Type of wastewater: Domes ti c

of Di s ch'a rge: 300 GP D
3. Production Rates and Major Processes. __ ( If industrial , guidelines
are based on production.) N/A'
4. Description of Treatment Facility/Class: Septic tank/subsurface sand filter wit
"effluent Cl i f requi red.
5. Sample Locations: N/A
U -
c -
I -
E -
6. 4-Digit SIC Code
PART III - OTHER PERTINENT INFORMATION: Engineer has proposed to oversize
sand filter to minimize impaction surface waters. Stream is spring
fed and ,reportedly flows year round. Effluent chlorination system
should be built for future use if stream fecal coliform measurements
requi re.

PART IV - RECOMMENDATIONS, Permit and authorization to construct `should be issued.
_
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APPROVED BY: '
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Regional Supervisor :
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State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
James G. Martin, Governor S. Thomas Rhodes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
ASHEVILLE REGIONAL OFFICE
WATER QUALITY SECTION
Mr. Edward D. Seagle
Appalachian Engineering, P.A. April 12, 1985
P. 0. Box 925
Maggie Valley, North Carolina 28751
Subject: ,- Plans, Specifications, and Request for
Authorization to Construct
Gregory Bender Single Family Residence
NPDES Permit No. NCO062341
Haywood County, North Carolina y
Dear Mr. Seagle:
This will acknowledge receipt of plans, specifications, and request for
authorization to construct regarding the captioned residence® These documents
will be forwarded to the Permitting and Engineering Unit in the Raleigh Office-
for review and processing, together with a Staff Report and Recommendations for
this discharge which is being prepared by the Asheville Regional Office. You will
be advised of any comments, recommendations, questions, or other information neces-
sary to complete this review.
If you have any questions regarding this application, please contact the
Permitting and Engineering Unit, Water Quality Section, P. 0. Box 27687 , Raleigh,
North Carolina 27611 .
Sincerely,
uuxr. - M�x L. Haner, y
_��_
n
MLH/pf - -
cc: Permitting and Engineering
Unit
Roy M. Davis
Interchange Building, 59 Wbo6m Place, P.O. Box 370, Asheville, N.C. 28802-0370 •Telephone [phone]
An Equal Opportunity Affirmadve Action Employer

ED\k-'ARD D.SEAGLE, P.E. L ERI
POST OFFICE BOX 925 ' P.A.
MAGGIE VALLEY,'NORTH CAROLINA 28751
704/926-0251 -fand �a.nnb2
April 1 , 1985 ,
RECEIVED
Water Qunlit., [firt C
,_
Mr. Gil Vinzani , Supervisor APR 4 17M-5
State Engineering Review Group
Division of Environmental Management � r s� .� + -e for I :c
Post 'Office Box 27687 �� ' KPW
Raleigh , North _Carolina 27611
RE; Residence for Gregory Bender
Lot 21 , Maggie Valley C. C. Area AJCo®(a�,34-1
Haywood County
Dear Mr. Vinzani :
Enclosed for, your review and/or approval are two ('2 ) copies of
the site plan , and filtration trench for, the referenced -proj'ect',,
6 ..
Also enclosed is a copy of a letter requesting authorization to
construct.
A reply at your earliest convenience would be appreciated .
Sincerely ,
APPALACHIAN '-ENGINEERING, P. A.
Edward D.' Seagle , P.E.
Enclosures
Jow
_L7 r or --

March 27 , `1985
RL
W ter Q
APR 4 vvu
Mr. Gil Vinzani Supervisor yyl -, Offic .
State Engineering Review Group r�shc-41c—, North �"arohm
Division of Environmental Management
Post Office Box 27687
Raleigh , '.North Carolina 27611
RE: Residence for Gregory Bender
Haywood County
Dear Mr. Vinzani :
Please 'use this letter as my official request for authorizatronR
to construct a wastewater treatment plant for a residence,
Since,rely ,,
12�-'�'
GregoyJr Bender , 'Owner
cc : Appalachian Engineering, P.A.

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REC
l s�Aic r Water r•
u !;p
on
JUL
Westerm Reg;onal Of f;cq
&tteyilio, North Carol;n� ,
State of North Carolina
Department of Natural Resources and Community Development
512 North Salisbury Street• Raleigh, North Carolina 27611
James G. Martin, Governor July 3, 1985 S.Thomas Rhodes, Secretary
Mr. Gregory Bender
Route 3, Box 123
Clyde, North Carolina 28721
l
SUBJECT: Permit No. NCNCO062341
Authorization to Construct
Bender Residence
Septic Tank/Sand Filter
Haywood County
Dear Mr. Bender
A letter of request for Authorization to Construct was received April 16,
1985,. by the Division and final plans and specifications for the subject project
have been reviewed and found to be satisfactory. Authorizat on is hereby granted
for the construction of a 300 GPD wastewater treatment facility consisting of
a 1,000 gallon septic tank, a distribution box, a standard subsurface sand filter
measuring 6 feet by 66 feet, a tablet chlorinator, and a chlorine contact chamber
to serve the Bender Residence.
This Authorization to Construct is issued in accordance. with Part III, para-
-graph C of NPDES Permit No. NC006234I issued June 211V 1985, and shall be subject
to revocation unless the wastewater treatment facilities are constructed in
accordance with the conditions and. limitations specified in Permit No. NCO062341.
The sludge generated from these treatmen facilities must be disposed of
in accordance with G.S. 143-215-.1 and in a manner approvable by the North Carolina
Division of Environmental Management.
The Asheville Regional Office, telephone No. 7-G4/253-3341- shall be notified
at least twenty-four (24) hours in advance of backfilling of the installed subsurface
filter system so that an in-place inspection can be made of said system prior
to backfilling. Such notification to the Regional Supervisor shall be made during
the normal office hours. from 8:DG A.M. until 5:00 P`.M. on Monday through Friday,
excluding State Holidays
In event the facilities fail to perform satisfactorily in meeting its NPDES
permit effluent limits., Gregory Bender shall take such immediate corrective action
as may be required by this Division, inclduing the construction of additional
wastewater treatment and disposal facilities.
Contd.
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
(� , An Equal-Opportunity!Affirmative Action Employer

_.L0062341
The sand media of the subsurface filter must comply with the Division's sand
specifications and must be analyzed and approved by this Division either by direct
sampling or by acquisition of filter sand from a dealer who is currently certified
by the Division as an acceptable source.
The septic tank shall be pumped a minimum of once per year and shall be inspected
at least every six (6) months.
One (1) set of approved plans and specifications is being forwarded to you.
If you have any questions or need additional information, please contact Mr. Cecil
Madden, telephone No. 919/733-5083, ext. 122.
Sincerely yours,
ORIGINAL SIGNED BY
DENS F. RAMSEY
R. PaulfoWilms
Director
cc: Haywood County Health Department
Appalachian Engineering
Mr. Dennis R. Ramsey
Asheville Regional Supervisor
CGM/cgc

Statc of Nardi di Carohriz, T,2
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R;.--cc-i-rji, of th follo,,!4—ala dacui.,C2nt:S 1S het:E_ ly 2.(a.:?.CT;1..:=_d-laci:
E1-1 L?.C:: 1_:i x''_cllr7^< L (for pr000sc.d- coat-n-A. i?.C.i.l1r_.' )
-....C1t._E. ._ f�ocss:I► i�ae.._._ef':a?Tc° _______._ �� .Y_--_ -___..w_. _ ..___ _�.__._
If aotl Cyr t;:t 1.i, :Ia Lt l �d belov are Ch,.ecl e—i, tf1r,
'-' _:."r!: 3i"cl tllc �,1C1.�.C<..;�•-.� .1.tE'_u^1(S) IIl',.1SC be T'Lr't?�.V�i[ }'.' 1,."? c...�..2 7 C !3 •_ .i.. _ -
E.. 'plir,;�_t._n,, Foz';�t (Caoie-s ea!- JIosed)
E n--i TteG:Cixvi Pror(1o5 1 (See (b) 1-"5 on attach c.i)
_ ✓_..O rh2z��..�f�r�+9«►__C''��`�`J__!?L..fK �8f�lf�i� ... '._!�__,���si►��?�..�.;t'��L4.i_...�1.�.�._..Jllt_t�t .�af:s�e?1ar�(�.
is ilot 'aC7c = Dlet- viLhim thi-r r7 (30) d3 - s it vi'-Ii. be
-ou and ma,. b,2 r_esi)I)mitted vhen complete.
7_n.ts a.ripl?_c tiara has been assigned ta__ Jafe___.v:_
/733-50'83) of our "De'C`IJits U111_t for ZLvi-taw anc pre l 4---Loa Or 2
c : title perrii_t is dza.fted, public notice trttYst be issued for forty-five: (45) d?.T.s
to fiaal aCtioa on the. .issuance -or- derilai. o.f t'ue L%em:ii..t> Yoc, 741.11 be a'.'vised
c'1"t�- CO�i.1ll�.EY1t5y .--reCOIL�DSt�ritl� tl.OItSy Cj1IE'St1G?1S' orotherirjfa-LTr-3-t-�.OR'II.eC.2SS3.r"y- or CCt2
.�.E_'Ti; O the
--I a-.I, by co-o of this letter, requestimx that O-o T ,1UI231 Of-fice- SC!.p,?-�T Sor
'.are <? Stom.-`_-f Zc't o t iid. recormileadatioas 2.O-3.-Cj*j i'.cCj15CE?c'Y if VO r<1 T
-aE:S`'ioua re: i-:diag tLds a-,)-!_ication, please- CO_._:2.{:t, t'liC ':'iti?+' PaT'S.00,
Sivrc_. ely Yoar ;
.i1T 6rAt�5.- iL.r.L:.J i�,'.'.lt �.1:,♦ '//
nn S i ,� Yr 1_c i• F ::LT.t 4 alA Lx .,ne 1
ZtiQgt-n- 1 S4<<,E,_ , _s:

jRTH CAROLINA DEPT. OF NATURAL & ECONOMIC RESOURCES
NVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMBER
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR c
AGENCY USE DATE RECEIVED
To be filed only by services, wholesale and retail trade,
and other commercial establishments including vessels
YEAR M0. DAY
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
1. Name, address, and telephone number of facility producing discharge
A. Name Gregory J. Bender
B. Street address Rt. 3, Box 123
C. City Clyde __ D. State N. C.
E. County Haywood F. ZIP 28721
G. Telephone No. 704 627-6552
Area
Code
2. SIC
(Leave blank)
3. Number of employees 1 1 ) 2 Bedroom Residence
4. Nature of business Domestic
5. (a) Check here if discharge occurs all yearxq or
(b) Check the month(s) discharge occurs:
1.o January 2.13 February 3.0 March 4.0 Apri 1 5.O May
6.0 June 7.o July 8.a August 9.0 September 10.o October
11.o November. 12.a December
(c) Now many days per week:
1.01 2.0 2-3 3.0 4-5 4.L -1
6. Types of waste water discharged to surface waters only (check as applicable)
Volume treated before
Flow, gallons per operating day discharging (percent)
Discharge per
operating day 0.1-999 1000-4999 5000-S999- 10,000- 50,000 None 0.1 30 65- 95-
49,999 or more 29.9 64.9 94.9 100
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitary, daily
average Ix
B. Cooling water, etc.. ,
daily average
C. Other discharge(s),
daily average;
Specify i L
MAR
D. Maximum per operat MAR 2 91985
ing day for combined
discharge (all types) x WATER QUALITY SECtIO
OPERATIONS BRANCH

eated, are discharged to p•. �)s other than surtace waters, u1et-K ueivM
js applicable.
Waste water is discharged to: 0.1-999 1000-4999 5000-9999 10,000-49,999 50,000 or more
41) (2) (3) (4) (5)
A. Mun l c iyd l .ihw r system►
It. 141 -1-4jr(14M W-11
c. Septic tank
D. Evaporation lagoon or pond
E. Other, specify:
8. Number of separate discharge points:
A.Ctl 8.02-3, C.0 4-5 D.o 6 or more
9. Name of receiving water or waters unnamed tributary to Jonathan Creek.
10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances jg#Sj as a result of your operations,
activities, or processes: ammonia, cyanide..aluminum, beryllium, cadmium,.
chromium, copper, lead, mercury$nickel, selenium, zinc, phenols, oil and
grease, and chlorine (residual.
A.a yes 0.0 no
I certify that I am familiar with the informlation contained in the application and
that to the best of my knowledge and belief such information is true, complete, and
accurate.
Gregory J. Bender
Printed Name of Person Signing
Owner t
Title t
3/26/85
-'Date.'Application St9
5 gnature f A 1 a
Qorth Carolina General Statute 143-215.6(b) (2), provides that: Any person who. k iwly makes
any false statement representation, or certification in any application, record, report, plan,
)r 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,
:)r knowly renders inaccurat zany recording or monitoring device or method required to be
operated elm i �tsnde rArticle 21 or regulations of the Environmental Manage , It Commission
implement g-�h tt A"rticle, shall be guilty of a misdemeanor punishable by a fine no-C to exceed
$10,nOO, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides
EL punishment lty al Iine`,n�f- not more than $10,000 or imprisonment not more than 5 years, or both,
for a similar offense., A3TkW

>� -
ss+ 1 -�
State of North Carolina
Department of Natural resources and Community Development
Asheville Regional Office
James G. Martin; Governor S. Thomas Rhodes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
ASHEVILLE REGIONAL OFFICE
WATER QUALITY SECTION
Mr. Edward D. Seagle
Appalachian Engineering, P.A. April 12, 1985
P. 0. Box 925
Maggie Valley, North Carolina 28751
Subject: - Plans , Specifications and Request for
Authorization to Construct
Gregory Bender Single Family Residence
NPDES Permit No. NC0062341
Haywood County, North Carolina
Dear Mr. Seagle:
This will acknowledge receipt of plans, specifications, and request for
authorization to construct regarding the captioned residence. These document
will be forwarded to the Permitting and Engineering Unit in the Raleigh Officer-
for review and processing, together with a Staff Report and Recommendations for
this discharge which is being prepared by the Asheville Regional Office. You will
be advised of any comments, recommendations, questions, or other information neces-
sary to complete this review.
If you have any questions regarding this application, please contact the
Permitting and Engineering Unit, Water Quality Section, P. 0. Box 27687 , Raleigh,
North Carolina 27611 .
Sincerely, -
�WW._�_
'Y.v3wWEer -.-- .._�vl�V
_ r
cc: Permitting and Engineering
Unit
Roy M. Davis
interchange Building, 59 Wbodfin Place, P.O. Box 370, Asheville, N.C. 28SO2-0370, ® Telephone [phone]
An Equal Opportunity .Affirrnative Action Ernplovci

NPDES STAFF REPORT AND RECOMMENDATIONS
County Haywood
NPDES Permit No. N00062341
PART I - GENERAL INFORMATION
1 . Facility and Address : Elizabeth R. Pugh Residence
5 Blackberry Lane
Maggie Valley, North Carolina 28721
2. Date of Investigation : October 9, 1986
3. Report Prepared By : Kerry S. Becker
4 . Persons Contacted and Telephone Number : Elizabeth R. Pugh
704/926-0824
513/961-3504
5 . Directions to ,Site : Near N.C. Secondary Road 1390 turn onto Laurel Heights
Road (beginning at Maggie Valley Country Club parking lot) and travel .7 miles
to Blackberry Lane. Turn right onto Blackberry Lane, traveling .1 mile to
residence on left.
6 . Discharge Point - Latitude : 350 311 5311
Longitude: 83 03 12
Attach a USGS Map Extract and indicate treatment plant site and
discharge point on map.
USGS Quad No . 174-SE or USGS Quad Name Dellwood _
7 . Size (land available for expansion and upgrading) : N/A
S. Topography (relationship to flood plain included) : Level
9 . Location of nearest duelling: 75 - 100 feet.
10 . Receiving stream or affected surface waters : Unnamed tributary to Big
Spring Branch
a. Classification: C
b . River Basin and Subbasin No . o FBR 04-03=05
c . Describe receiving stye-am features and pertinent downstream
uses : Stream is spring-fed and is approximately 1 foot in width.

PART II - DESCRIPTION OF DISCHARGE AND TREATMk'NT WORKS
1 . Type of wastewater: 100 % Domestic
% Industrial
a . Volume of Wastewater : .0003 MGD
b . Types and quantities of industrial wastewater : NIA
C . Prevalent toxic constituents in wastewater : N/A
d . Pretreatment Program (POTWs only) N/A
in development approved
should be required not needed
2. Production rates (industrial discharges only) in pounds NIA
a . highest month in the last 12 months
b. highest year in last 5 years
3. Description of industrial process, (for industries only) and
applicable CFR Part and Subpart : N/A
4. Type of treatment (specify whether proposed or existing) :
Septic tank sand filter trench with chlorinator.
5 . Sludge handling and disposal scheme : Licensed septic tank hauler.
6 . Treatment plant classification :

PART III - OTHER PERTINENT INFORMATION
1 . Is this facility being constructed with Construction Grants Funds
(municipals only) ? N/A
2. Special monitoring requests :
3. Additional effluent limits requests :
4. Other :
PART IV - EVALUATION AND RECOMMENDATIONS
This system was oversized to minimize the impact on the receiving stream.
Since the receiving stream has a very low flow and flows through the yards of
several residents, it is recommended that the chlorination requirement be included
in the new permit.
Signal e port p e ar
Wa u lit Re tonal eervisor

_. Al COO
State of North Carolina
Development
Department or Natural Resources and Community Develo
Asheville Regional Office
James G. Martin, Governor S. Thomas Rhodes; Secrete:y
DIVISION OF ENVIRONMENTAL MANAGEMENT
ASHEVILLE REGIONAL OFFICE
WATER QUALITY SECTION
Mr. 'Edward D. Seagle
Appalachian Engineering, P.A. AiDril 12 1985
P. ,O Box e25 ,
Maggie Valley,, North Carolina 28751
Subject: Plans , Specifications, and Request for
Authorization to Construct
Gregory Bender Single Family Residence
NPDES Permit No. NC0062341
Haywood County, North Carolina
Dear Mr. SeaQle; ;
This will acknowledge receipt of plans, specifications, and request for
author7zation ';to construct regarding the captioned residence. These documents
will be forwarded to the Permitting and Engineering Unit in the, Raleigh Office,=
for review and processing, together with a Staff Report and Recommendations '0�
this discharge which is being prepared by the Asheville Regional Office. You will
be advised of any comments, recommendations, questions, or other information neces-
sary to complete this review.
If you have any questions regarding this application, please contact the
Permitting and Engineering Unit, Water Quality Section, P. 0. Box 27687 , Raleigh,
North Carolina 27611 .
Sincerely,
4aw
cc: Permitting and Engineering
Unit
Roy M. Davis
a�, Goy., lac�: K.. :,t _?0, c\illc. tiL_ _b8 _ '0 " ,� CiieFnone � �»331

s
March 27 , 1985
RECRI'NTE
Water Qua
APR19�5
-
Mr. Lr11 v �, � }`" rout�
--�trn.� neen.gy Review Group
;. '�VPo'st Office Box 27687`
` _Raleigh , North Caroli-na 27611
RE: Residence ;for Gregory Bender
Haywood County
Dear Mr. Vinzani ;
Please *use this letter as my official request for authorization
to construct a wastewater treatment plant f6r a residence.
Since ely ,
" Grego, y Jam' Bender , Owner
cc: Appalachian Engineering, P.A.

EDWARD D. SEAGLE P.E. �� E I G
POST OFFICE BOX 925
MAGGIE VALLEY, NORTH CAROLINA 28751
704/926-0251 'Fn inEF-1cLn90 -f anc1 -(-P[arznZn_q
April 1 , 1985
RECEIVE
Water Gu�-'3ty
Mr. Gil nzani uidct vl t - . ..
Environmental Management -
_
.-:ar-, •SCCC.��.�.�TI'� IV VZ�:.i s.�;otz rvi-�..y;:x-'-;:.-r'v_..._-T,_„"--_'-' �__ -,- ......:-.._.--:_.-•-__,_...�.�.._. -.
RE: Residence for Gregory Bender �1L'C�O��-�� l
Lot 21 , Maggie Valley C. C. Area
Haywood County
Dear Mr. Vinzani :
Enclosed for your review and/or approval are two ( 2 ) copies of
the site plan , and filtration trench for the referenced project.
Also enclosed is a copy of a letter requesting authorization to
, construct.
A reply at your earliest convenience would be appreciated .
Sincerely ,
APPALACHIAN ENGINEERING, P.A.
Edward D. Seagle , P.E.
Enclosures
cc : Mr . Gregory Bender

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