NCG550347_Regional Office Historical File 20200518

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State of North Carolina / -
Department of Natural Resources and Community Development ( �-
Division of Environmental Management JV%A
512 North Salisbury Street • Raleigh, North Carolina 27611 PJII�
James G. Martin, Governor I R. Paul Wilms
William W. Cobey, Jr., Secretary September 28, 1989 Director
RUSSELL R. PETERSON
PETERSON (RUSSELL) REST198
D gal T I
Subject: NPDES Permit No. NCO062529
HAYWOOD
Dear RUSSELL R. PETERSON
Our files indicate that the subject permit for a wastewater discharge to the
surface water expires on 900531. GS 143-215. 1(c) requires that an application for
renewal must be filed 180 days prior to the expiration date. We have not received an
application for renewal from you as of this date.
A renewal application shall consist of a letter requesting renewal along with the
appropriate completed and signed application form, submitted in triplicate, referenced
in Title 15 of the North Carolina Administrative Code, Subchapter_ 2H, .0105. Primary
industries listed in Appendix A of Title 40 of the Code of Federal Regulations, Part
122 (40 CFR Part 122), shall submit a priority pollutant analysis that is performed in
accordance with 40 CFR Part 122.21. A processing fee must be submitted with the
application. Please find attached a copy of the 15 NCAC 2B .0105(b) regulations. The
processing fee for your facility is based on the design. or permitted flow, whichever
is appropriate, listed in the first five categories of facilities. No facility is
allowed to submit a fee for the general permits listed. in the fee schedule at this
time since EPA has not approved our general permit. Also the Environmental Management
Commission adopted .rules on August 1,1988, requiring the payment of an annual fee for
most permitted facilities (See Attached) . You. will be billed separately for that fee
(if applicable), after your permit is approved.
This matter should be given. prompt attention in that continued discharge after
the permit's expiration, without the filing of a complete and timely application for
renewal, constitutes discharge without a permit and is a. violation of GS 143-215. 1(a)
and the Federal Clean Water Act of 1977. The application for renewal should be
submitted to:
Permits and Engineering Unit
Division of Environmental Management
P. 0. Box 27687
Raleigh, North Carolina 27611-7687
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPNENT
ENVIRONMENTAL MANAGEMENT C004MISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM WLI CAT ION NiMbER
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR
AGENCY
USE OAiE RECEIYEf1
To be filed only by services, wholesale and retail trade,
and other commercial establishments including vessels
YEAR M. DAY
Do not attempt to complete this form without reading the accompanying instructions
Please print or typo
1. Now., address, and telephone number of facility producing discharge
A. Name
B. Street address
C. City 0. S tau
E. County F. ZIP
G. Telephone No.
Area f :.
Code
2. sic
(Leave blank)
r
3. Number of employees '
4. Nature of business
5. (a) Check here if discharge occurs all year 0, or
(b) Check the month(s) disch4►9e occurs:
1.0January 2.0February 3.amertih 4.0April S.ONay
6.0 June 7.0July 8.aAugust 9.0 Septef0er 10.aOctober
11.O November 12.0 Doe
(c) Mow many days per week:
1.01 2.0 2-3 3.0 4-5 4.0 6-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
discharging (percent)
Discharge per
operating day 0.1-999 1000.1999 5000-5999 10,000• S0,000 None 0.1• 30- 66- 95.
49,999 or more. 29.9 64.9 94;9 wo
(1) (2) (3) (4) (S) (6) (7) (8) (9) (10)
A. Sanitary, daily
average
B. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify
D. Maximum per operat-
ing day for com',Ined
d1Schxrge (all types)

r
7. If any of the types of wste identified in Item 6, either treated or un-
treated, are discharged to places other than surface waters, check below
as applicable.
Waste water is discharged to: 0.1-999 1000-4119 5000-99% 10.00049,M 50,000 or more
(1) tt1 (3) (4) (S)
A. Municipal %ew-r System
1�, IbuM•rgr�w�n�l w•i{
C. Septiu tank
D. Evaporation lagoon or pond
1. Other, specify:
a. Number of separate discharge points:
A.01 B.02-3 C.O 4-5 0.a 6 or more
9. Nam 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 added as a result of your operations,
activities, or processes: -MIMM&, CrMi�e aluminum, beryllium, CNmhn,
chromium, copper, lead, mercu�y nickel, selenium, zinc, PIMMIs, oil and
grease, and chlorine (residual).
A.O yes 60 no
1 certify that 1 in familiar with the information contained In the apollCatior and
that to the best of my knowledge and belief such iMermetion ill true, Cemitte, and
accurate.
Printed Namr! of Person Signing
Title
Date Application Signed
Signature of A41p)lCant .
*'orth Carolina General Statute 143-215.6(b) (Z) provides that: Any person who kzMwingly zak,�
any false statement representat on, or certification in any applicatiosa'record, report, pla
or other document files --or required to be maintained under Article 21 or reotlations of tee
Enviranaeatal Management caumissi,on izplamez U* that Article, or who falsifies, tMpers u t`
ur knowly renders inaccurate any recordin= or "Onitorin tjwice or wathod required to be
mperated or maintained under ATtials 21-or• regulations -Of the Environmental Management Co:=a
,mplenenting that itticle, shali!%e"j'u itv of a -misdemeanor punishable by a fine not to exec^
Sln,non, or by imprisonment not to exceed six months, or by both. (18 L.S.C. Section 1001 pr
a punishment by a fine of""lot iaorn than $10,000 or-i"risaimment not care than 5 years, orbnf
f(,r a similar offeense.)

i
i"ACIL1T?' - N RESIDENCE
DDNb y Haywood CLASS
RATLINC ADDRESS
Responsible Faci!i,, Operator
Official Represe.ntative
Telephone No.
There Located C7�;
Cert. Number
Crass
NPDES Permit No. NIC fther Permit No.
State 0 Federal Date issued
yu
EXDi ration Date
.. r �
Class
/Q1
Sub-basin

if North Carolina
,,oartment of Environment,
Abaft th and Natural Resources 4 •
rADivitiont of Environmental Management ROW,
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Neston Howard, Jr., P.E., Director F1
September 30,1993
DOROTHY E. HAWKINS
I-IAWKINS (DOROTHY E)RESIDENCE
313 TIMBERLINE DRIVE
MAGGIE VALLEY NC 28751 Subject: HAWKINS (DOROTHY E)RESIDENCE
Certificate of Coverage NCG550347
General Permit NCG550000
Formerly NPDES Permit NCO062529
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 NC0062529. 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,EA. 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
Pem-dttee 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 50%recycled-10%post-consumer paper

rage 2
DOROTHY E. HAWKINS
HAWKINS (DOROTHY E)RESIDENCE
Certificate of Coverage No. NCG550347
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
fallow 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

� eFe
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH,AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No.NCG550347
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,
HAWKINS (DOROTHY E)RESIDENCE
is hereby authorized to discharge treated domestic wastewater from a facility located at
HAWKINS (DOROTHY E)RESIDENCE
Haywood County
to receiving waters designated as the UT JONATHANS CRK/FRENCH BROAD RVR BS
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

,mo o RECEIVED
q� Water Qua ity !' stiofl
� SE P � 6 L
State of North Carolina ,Asheville Regional
Department of Environment,Health and Natural Resourchevilie, North Carte
Division of Environmental Management
512 North Salisbury Street-Raleigh,North Carolina 27611
James G.Martin,Governor A.Preston Howard,Jr.,P.E.
William W.Cobey,Jr.,Secretary Acting Director
September 14, 1992
Dorothy E.Hawkins
313 Timberline Drive
Maggie Valley,NC 28751
Subject: Permit No. NC0062529
Hawkins Residence
Haywood County
Dear Ms.Hawkins:
In accordance with your application for discharge permit received on April 23, 1991, we are
forwarding herewith the subject state - NPDES permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement
between North Carolina and the US Environmental Protection agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you,you have the right to an adjudicatory hearing upon written request within thirty
(30) days following receipt of this letter. This request must be in the form of a-written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings,Post Office Drawer 27447,Raleigh,North Carolina 27611 -7447. Unless
such demand is made,this decision shall be final and binding.
Please take notice 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 or permits required by the Division of Land
Resources, Coastal Area Management Act or any other Federal or Local governmental permit that
may be required.
If you have any questions concerning this permit, please contact Mr. Mack Wiggins at
telephone number 919/733-5083.
Sincerely,
Original Signed By
Coleen H. Sullins
A.Preston Howard,Jr.
cc: Mr.Jim Patrick,EPA
Asheville Regional Office
Pollution Prevention Pays
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Al-umative Action Employer
(n/

No. NCO062529
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,
Ms.Dorothy Elizabeth Hawkins
is hereby authorized to discharge wastewater from a facility located at
Hawkins Residence
313 Timberline Drive
Maggie Valley
Haywood County
to receiving waters designated as an unnamed tributary to Jonathans Creek 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 October 1, 1992
This permit and the authorization to discharge shall expire at midnight on November 30, 1996
Signed this day September 14, 1992
Signed ey
prig�nati N.Sultans
C®keen
A.Preston Howard,Jr.,Acting Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0062529
SUPPLEMENT TO PERMIT COVER SHEET
Ms.Dorothy Elizabeth Hawkins
is hereby, authorized to:
1. Continue to operate an existing wastewater treatment system consisting of a septic tank and
subsurface sandfilter trench located at Hawkins Residence,313 Timberline Drive, Maggie
Valley,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 Jonathans Creek which is classified Class GTrout 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 in new, different, or
increased discharges of pollutants must be reported by submission
of a new NPDES application or, if such changes will not violate the
effluent limitations specified in this permit, by notice to the DEM
of such changes. Following such notice, the permit may be modified
to specify and limit any pollutants not previously limited.
2. Facilities Operation
The permittee shall at all times maintain in good working order and
operate as efficiently as possible all treatment or control facili-
ties or systems installed or used by the permittee to achieve com-
pliance with the terms and conditions of this permit.
3. Adverse Impact
The permittee shall take all reasonable steps to minimize any adverse
impact to navigable waters resulting from noncompliance with any
effluent limitations specified in this permit, including such accel-
erated or additional monitoring as necessary to determine the nature
and impact of the noncomplying discharge.
4. Bypassing
Any diversion from or bypass of facilities necessary to maintain com-
pliance with the terms and conditions of this permit is prohibited,
except (i) where unavoidable to prevent loss of life or severe
property damage, or (ii) where excessive storm drainage or runoff
would damage any facilities necessary for compliance with the
effluent limitations and prohibitions of this permit. The 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 II
6. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. Provide an alternative power source sufficient to operate
the wastewater control facilities;
or, if such alternative power source is not in existence,
b. Halt, reduce, or otherwise control production and/or all dis-
charges from wastewater control facilities upon the reduction,
loss, or failure of the primary source of power to said waste-
water control facilities.
B. RESPONSIBILITIES
1. Right of Entry
The permittee shall allow the Director of the Division of Environ-
mental Management, the Regional Administrator, and/or their author-
ized representatives, upon the presentations of credentials:
a. To enter upon the permittee's premises where an effluent
source is located or in which any records are required to
be kept under the terms and conditions of this permit; and
b. At reasonable times to have access to and copy any 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 II ,
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 grrnind.
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.
e. Contents removed from septic tanks shall be discharged into
an approved sewer system, buried or plowed under at an
approved location within 24 hours, or otherwise disposed of
at a location and in a manner approved by the State or local
agency.
2. The permittee shall properly connect to an operational publicly-
owned wastewater collection;system within 180 days of its availability
to the site.

Part III Permit No. NCO062529
D. In the event that violations of the fecal coliform requirements of the North Carolina water
quality standards occur as a result of this discharge, disinfection will immediately be required and
the permit amended to establish a coliform effluent limitation.
E. Disposal Alternatives
The Permittee shall continually evaluate all wastewater disposal alternatives and pursue the most
environmentally sound alternative of the reasonably cost effective alternatives. If the facility is in
substantial non-compliance with the terms and conditions of the NPDES permit or governing rules,
regulations, or laws,the permittee shall submit a report in such form and detail as required by the
Division evaluating these alternatives and a plan of action within sixty (60) days of notification by
the Division.

Cg; State of North Carolina
pa
rtment of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G.Mardn,Govemor George T. Everett,Ph.D.
William W.Cobey,Jr.,Secretary Director
November 16, 1990
Mrs. Dorothy E. Hawkins
313 Timberline Drive
Maggie Valley, NC 28751
SUBJECT: Permit No. NCO062529
Dorothy Hawkins Residence
Dear Mr. Hawkins: Haywood County
In accordance with your application for discharge permit received on July 11,
1990, we are forwarding herewith the subject State - NPDES permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215. 1 and
the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in
this permit are unacceptable to you, you have the right to an adjudicatory hearing
upon written request within thirty (30) days following receipt of this letter. This
request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings,
Post Office Drawer 11666, Raleigh, North Carolina 27604. Unless such demand is made,
this decision 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 or permits required
by the Division of Land Resources, Coastal Area Management Act or any other Federal or
Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Mr. Mack
Wiggins at telephone number 919/733-5083.
Sincerely,
original signed,by
pale Overcash for
George T. Everett RECEIVED
cc: Mr. Jim Patrick, EPA Mader Quality SK-ticm
Asheville Regional Office
Polludon Prevention Pays Asheville Regional Office
Asheville, North CarolinaP.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
An Friui Onnnrhmitt'Aff'irmitiva Artion FmnlnvPr

J
Permit No. NC0062529
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,
Ms.Dorothy Elizabeth Hawkins
is hereby authorized to discharge wastewater from a facility located at
Dorothy E.Hawkins Residence
313 Timberline Drive
Maggie Valley
Haywood County
to receiving waters designated as an unnamed tributary to 7onathans Creek in the French Broad River
Basin
in accordance with effluent limitations,monitoring requirements,and other conditions set forth in
Parts 1,11, and III hereof.
This permit shall become effective December 1, 1990
This permit and the authorization to discharge shall expire at midnight on November 30, 1991
Signed this day November,16, 1990
0f,jgina4 signed by
Date Overcash for
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NCO062529
SUPPLEMENT TO PERMIT COVER SHEET
Ms.Dorothy Elizabeth Hawkins
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 Jonathans Creek,and
3. After receiving an Authorization to Construct from the Division of Environmental
Management,construct and operate a 0.00045 MGD wastewater treatment facility located
at Dorothy E.Hawkins Residence,313 Timberline Drive, Maggie Valley,Haywood
County (See Part III of this Permit),and
4. Discharge from said treatment works at the location specified on the attached map into an
unnamed tributary to Jonathans Creek which is classified class C-Trout waters in the
French Broad River Basin.

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State of North Carolina
Department of Natural Resources and Community Development
512 North Salisbury Street • Raft
lina 276tt
ames G. Martin, Governor r Y
Water Quality Division S. Thomas Rhodes, Secretary
JUN 26 1985 June 21, 1985
Mr. Russell R. Peterson
2015 Haines Road Western Tze;Tonal Office
Lapeer, Michigan 48446 &heville, North Carolina
SUBJECT: Permit No. NC0062529
Peterson's Residence
Haywood County
Dear Mr. Peterson:
In accordance with your application for discharge Permit received April 24,
1985, 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, 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 requirement 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. Russel Talley, telephone
number 919/733-5083.
Sincerely,
ORIGINAL SIGNED BY
ARTHUR IVIG(JBEF? ,y
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]
,1 �V An Equal Opportunity/Affirmative Action Employer

Permit No.- NC0062529
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
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,
Russell R. Peterson
is hereby authorized to discharge wastewater from a facility located at
Peterson Residence
Near US19/NCSR 1265 Intersection
Near Maggie Valley, N.C.
Haywood County
to receiving waters designated as an unnamed tributary to Jonathan Creek of 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, 198 IGINA1 'SOCaNE BY
ART UR MOUBERRY
FOR
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental
Management Commission
M1 I1

Permit No. N00062529
SUPPLEMENT TO PERMIT COVER SHEET
Russell R. Peterson
Haywood County
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 Jonathan Creek, and
3. After receiving an Authorization to Construct from the Division
of Environmental Management, construct and operate a 300 GPD
wastewater treatment facility consisting of a septic tank, a subsurface
sand filter, and chlorination located at the Peterson residence,
(See Part III, condition No. C. of this Permit) , and
4. Discharge from said treatment works into an unnamed tributary to
Jonathan Creek of the French Broad River Basin which is classified
'C-Trout' waters.

Part I
c Page of
Permit No.
NC 0062529
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SON&
'tT 3CECFF' iT
.,w•
DON �..: i'i €".Dt :•V,'ART
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MWIar
Certified Mail #7015 1520 0003 5463 0677
Return Receipt Requested
September 02, 2016
Dorothy E Hawkins
PO Box 682
Maggie Valley, NC 28751
SUBJECT:NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-PC-0403
Permit No. NCG550347
467 Timberline Drive
Haywood County
Dear Permittee:
The North Carolina Division of Water Resources conducted a Compliance Evaluation Inspection at 467
Timberline Drive on August 15, 2016. This inspection was conducted to verify that the facility is operating
in compliance with the conditions and limitations specified in NPDES WW Permit No. NCG550347. A
summary of the findings and comments noted during the inspection are provided in the enclosed copy of
the inspection report.
The Compliance Evaluation inspection was conducted.by Division of Water Resources staff from the
Asheville Regional Office. The following deficiency(s) were noted during the inspection:
Inspection Area Description of Deficiency
Effluent Sampling Permittee has not conducted the required annual sampling event.
[NCG550000 Part I. A. Effluent Limitations and Monitoring
Requirements (see table in NCG550000 permit)].
Septic Tank Septic tank maintenance records were not available at the time of inspection.
[NCG550000 Part I. A. 3. Permit Conditions (Operations &
Maintenance) Septic tanks shall be inspected at least yearly to
determine if solids must be removed or if othermaintenance is
necessary. Septic tanks shall be pumped out every five years or
when the solids level is found to be more than 1/3 of the liquid
depth in any compartment.]
State of North Carolina I Environmental Quality I Water Resources
Asheville Regional Operations Center
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

Corrective Measures for the deficiencies noted above:
Effluent Sampling: Sample or document no discharge and submit to Asheville Regional Office.
Septic Tank:. Provide receipt of septic tank pumping to Asheville Regional Office.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in
the future. The Division of Water Resources may pursue enforcement action for this and any additional
violations of State law.
To prevent further action, please respond in writing to this office within 30 days upon receipt of this Notice
regarding your plans or measures to be taken to address the indicated deficiencies and compliance issues.
If you should have any questions, please do not hesitate to contact Mikal Willmer with the Water Quality
Regional Operations Section in the Asheville Regional Office at 828-296-4500 or by email at
[e-mail]. .
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS: Inspection Report
Cc: WQS Asheville Regional Office- Enforcement File
NPDES Compliance/Enforcement Unit- Enforcement File
G:\WR\WQ\Haywood\Wastewater\General\NCG55 SFR\NCG550347-Hawkins\Inspect August 15,2016\NOD-2016-PC-0403.docx
State of North Carolina Environmental Quality I Water Resources
Asheville Regional Operations Center
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 Fee Type
1 IN 1 2 15 1 3 I NCG550347 I11 12 16/08/15 17 18 ICI 19 I G I 20 L J
21111111 111111111 II I II 1111 1111111 111111111 I I f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 CIA Reserved —
67 70I j 71 I I 72 I n, I 73I I 174 75 80
u Section B:Facility Data
LJ I 1
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 09:30AM 16/08/15 13/08/01
467 Timberline Drive
467 Timberline Dr Exit Time/Date Permit Expiration Date
10:OOAM 16/08/15 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
Dorothy E Hawkins,PO Box 682 Maggie Valley NC 28751N
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Permit ® Operations&Maintenance ® Self-Monitoring Program ■ Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Mikal Willmer ARO WQH828-296-4686/
C4� —l�
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES ydmo/day Inspection Type 1
(Cont.)
31 NCG5503! I11 12 16/08/15 17 18 ICI
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The inspector(Mika)Willmer) met onsite with the owner, Dorothy Hawkins.
Ms. Hawkins was provided with a copy of the updated permit and technical bulletin.
The permittee did not have a copy of the septic tank pumping, but stated it was pumped about four
years ago. Asked permittee to provide a receipt of the most recent septic pumping or have the tank
pumped within the next couple of weeks.
Owner was unaware of sampling requirement.The permittee stated she has not seen flow since
owning the property. Flow was not present during the inspection. Requested during the inspection that
Ms. Hawkins monitor the effluent pipe regularly and to record whether or not the system is discharging
and if at any point there is a regular discharge to collect an annual sample. Previous inspections
indicated no discharge.
Page# 2

Permit: NCG550347 Owner-Facility: 467 Timberline Drive
Inspection Date: 08/15/2016 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ S ❑
application?
Is the facility as described in the permit? ❑ ❑ ® ❑
#Are there any special conditions for the permit? ❑ ❑ i ❑
Is access to the plant site restricted to the general public? ❑ ❑ 0 ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment: Dorothy Hawkins(permittee)stated she had not received an updated permit in 2013. The
inspector(Mika)Willmer)provided her with a copy of the updated permit and technical
bulletin.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ® ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ ■ ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: Property was well maintained No evidence of ponding above the sand filter trench.
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: Ms Hawkins did not have a copy of the septic tank pumping but stated it was pumped about
four Years ago Asked permittee to provide a receipt of the most recent septic pumping or
have the tank pumped within the next couple of weeks.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? 0 ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? M ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ® ❑
Comment: Access to the effluent pipe was well maintained.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ® ❑
Is sample collected below all treatment units? ❑ ❑
Is proper volume collected? ❑ ❑ ® ❑
Page# 3

V f \
o C \
Permit: NCG550347 Owner-Facility: 467 Timberline Drive \
Inspection Date: 08/15/2016 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
Is the tubing clean? ❑ ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ ■ ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ■ ❑ ❑
representative)?
Comment: Owner was unaware of sampling requirement. Requested during the inspection that Ms.
Hawkins monitor the effluent pipe regularly and to record whether or not the system is
discharging. Flow was not present during the inspection.The permittee stated she has not
seen flow since owning the property.
Page# 4

STATEMENT
Invoice# 2992 Date: "' ------E
BIRCHFIELD BROTHERS
SEPTIC TANK SERVICE
70 Meadow Street,Waynesville, NC 28786
"We Pump Septic Tanks, Basements & Grease Pits"
ERINt� BIRCHFIEL
#Gal
We Appreciate Your Business!
ERNEST
[phone]
ERE
aw �vF� $P 6 201F1e ton al Operationslty 9 4le Regional Offii_ �..____.

Inspection Date: 4f" r IS--I Lp Start Time: End Time: l
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
11512015
Permittee: ea 00 Permit:
Address E-mail- c
Phone:( LT ) Q01( - a"?3o Cell Phone:(ja.k ) 55"4 - %,o3�- County: LAc ��
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal's stem.
Doesn't Did Not
Yes No Apply Investigate
1. Is the current resident in the home the Permittee? ❑ EJ ❑
2. If not does the resident rent from the permittee? ❑ .❑ E ❑
3. Change of Ownership form needed? (mail the form with the inspection letter) ❑ ® ❑
ED
4. Is there a inspection and maintenance agreement with a contractor? ❑ 21 ❑ ❑
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? ® ❑ ❑ ❑
7. Does the permittee/resident know where the septic tank is located? U1 ❑ ❑ ❑
8. Has the septic tank been pumped in the last 5 years? El El ❑
V is b (Is v
9. If yes to#8 date, if known " by r`r 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
13. If yes, what kind? (examples- Peat, Textile, Other or brand name-Advantex, etc.)
14. Does the permittee know where the filter is located? El ❑ ❑ Eli � cQ ❑ ❑ El
15. Does the filter require maintenance. �6�
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? ❑ ❑ ❑ ❑
17. Has the UV Unit been serviced and bulbs cleaned? ❑ ❑ ❑ ❑
18.Who completes the weekly check for the UV?( Non-Discharge)
DISINFECTION/TABLETS YES 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) ❑ ❑ ❑ ❑
20. Does the Permittee know the location of the chlorinator? ❑ El El ❑
21. Were chlorine tablets observed in the chlorinator? ❑ ❑ ❑ ❑
22. Are tablets contacting water? If possible poke them to determine. ❑ ❑ 0 ❑
DECHLOR(Discharge only) YES Li NO If no proceed to the next section.
The dechlorinator unit shall be checked weekly to ensure continuous and proper operation.
El
23. Does the permittee know where the dechlor is? El ❑ El
El
24. Does the permittee have the correct dechlor tablets? El El ❑
25. Were dechlor tablets observed in the dechlorination chamber?

Doesn't Did Not
Yes No Apply Investigate
26. Are tablets contacting water? If possible poke them to determine. ❑ ❑ ❑ ❑
PUMP TANK YES El NO If no proceed to the next section.
All pump and alarm sytems shall be inspected monthly.(non-discharge)
27. Is the pump working? ❑ 0 El ❑
28. Are the audible and visual high water alarms operational? ❑ ❑ ❑ ❑
29. Does the permittee know how to check the pump & high water alarm? ❑ ❑ ❑ ❑
30. Last functional test?
DISCHARGE ONLY YES ❑ NO ❑ If no proceed to the next section.
A visual review of the outfall 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 outfall is located? ❑ ❑ ❑
32. Were you able to locate the outfall? �" ❑ 0 ❑
33. Is the end of the discharge pipe visible? If not, explain why. ❑ ❑
34. Is outlet discharging? ❑
35. Is right of way maintained around the discharge point? `34 � ❑ ❑ ❑
36. Any Lab Results available?
37. Is there evidence of solids around the discharge point? Q,efrr. 1-ec \.r-snN 0 d ❑ ❑
DRIP or SPRAY YES ❑ NO UZ, if no proceecHo 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? ❑ ❑ KI ❑
44. Has resident had any sewage problems? If yes explain in the comment section. ❑ [2 ❑ ❑
45. Does the system match the permit description? If no explain in the comment section. ❑ ❑ ff] ❑
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? ❑ ❑ Fk1 ❑
NOD Sent#: - - - NOV Sent#: - - -
Comments: Photos Taken? YES NO ❑
S S c ,c is cad canC�• c h
cj-
rn
c�. \

RCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross,Jr., Secretary
Coleen H.Sullins, Director
July 27, 2007
Dorothy E. Hawkins
P.O. Box 682
Maggie Valley,NC 28751
Subject: Renewal of coverage/General Permit NCG550000
467 Timberline Drive
Certificate of Coverage NCG550347
Haywood County
Dear Permittee:
In accordance with your renewal application [received on January 18,20071,the Division is renewing
Certificate of Coverage(CoC)NCG550347 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 to„[e-mail]] or Susan Wilson [919 733-5083,extension 510
or [e-mail].
Sincerely,
for Coleen H. Sullins is t
cc: Central Files ': v
Asheville Regional Office/Surface Water Protection I
NPDES file t J U L 3 1 2007
WATER QUALITY SECTION
f ASHEVILLE REGIONIA
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Orie
512 North Salisbury Street,Raleigh,North Carolina 27604
Phone: [phone]/FAX [phone]/Internet:www.ncwaterquality.org � ��""`*�`�r���� 0����'011l�a
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 NCG550347
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,
Dorothy E. Hawkins
is hereby authorized to discharge domestic wastewater [450 GPD] from a facility located at
467 Timberline Drive
Maggie Valley
Haywood County
to receiving waters designated as an unnamed tributary to Jonathans Creek 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

O
E i
Y
NCDENR
JA N 1 6 2607 i i- �
North Carolina Department of Environment and Natural Resources
Division of Water Quality m
1�nT�Fi JR� h TICIw
Michael F. Easley, Governor Asrit fi1U r1 Jos ,Jr, ecr tary
Alan W. Klimek, P.E., Irktor ,-
•
January 9, 2007
Dorothy Hawkins
313 Timberline Dr
Maggie Valley, NC 28751
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG550347
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 NorthCarolna
Phone: [phone],extension 511/FAX [phone]/[e-mail] Natiarally
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

NCG550347 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,
1
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
Asheville Regional Office/Larry Frost
NPDES file

IT
State of North Carolina
Department of Environment 4 •
and Natural Resources A ;Ia
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
z
ir! l
DOROTHY E HAWKINS
HAWKINS DOROTHY-RESIDENCE
313 TIMBERLINE DR
MAGGIE VALLEY, NC 28751
Subject: Reissue-NPDES Wastewater Discharge Permit
Hawkins Dorothy-Residence
COC Number NCG550347
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,
for Alan W.Klimek,P.E.
cc: Central Files
Stormwater&General Permits Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10%post-consumer paper

State of North Carolina
Department of Environment •
and Natural Resources
Division of Water Quality
IL
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Gregory J. Thorpe, Ph.D., Acting Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
11/26/01
i .., 2001
DOROTHY E HAWKINS
HAWKINS DOROTHY-RESIDENCE
313 TIMBERLINE DR
MAGGIE VALLEY, NC 28751
Subject: NPDES Wastewater Permit Coverage Renewal
Hawkins Dorothy-Residence
COC Number NCG550347
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,
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

State of North Carolina
Department of Environment,
Health and Natural Resources • •
Division of Water Quality
Ink
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
July,2 1,199 "
cad ,
Dorothy E. Hawkins
467 Timberline Drive
Maggie Valley,NC..28751 0a
n
yew..
Subject: Certificate of Coverage No. NCG550347
Renewal of General Permit
Hawkins,Dorothy-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,
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]
An Equal Opportunity Affirmative Action Employer 50%recycled /10%post-consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550347
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,
Dorothy E. Hawkins
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
Hawkins, Dorothy-Residence
467 Timberline Drive
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.
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
y
By Authority of the Environmental Management Commission

Michael F.Easley,Governor
Willljp*64Rosf Jr., cretary
North Carolina Department of Environme Natal R ources
ram.
FAlan/.Klimek,P.E. irector
> t Division of Water Quality
C� .
Asheville Regional Office
SURFACE WATER PROTECTION
November 21, 2006
Dorothy E Hawkins
313 Timberline Dr
Maggie Valley NC 28751
SUBJECT: Compliance Evaluation Inspection
Hawkins Dorothy- Residence
Permit No: NCG550347
Haywood County
Dear Ms Hawkins:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for
the inspection conducted on November 7, 2006. Larry Frost and I of the Asheville
Regional Office conducted the Compliance Evaluation Inspection. The facility was found
to be in Compliance with permit NCG550347.
Please refer to the enclosed inspection report and technical bulletin for additional
observations and comments. If you have any questions, please do not hesitate to contact
me at 828-296-4500.
Sincerely,
Keith Haynes
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)
r Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I_a I 2 I_I 31 N C G,5 S 0 3,4 7 111 121 117 181 c( 191 I 20 I_I
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self-Monitoring Evaluation Rating 131 QA ------—-------------------Reserved----------------------
67I 169 70I I 71 I_I 72IL1I) 73I ' 174 751 I L 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)
11:00 AM 06/1.1/0� 02/08/01
Hawkins Dorothy- Residence
467 Tiniberaine Dr Exit Time/Date Permit Expiration Date
Maggie Vai.ley NC 28751 11:20 A14 06!1.1/07 07/07/3_
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number($) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Dorothy r Hawk4ns,<13 -irber.ine Dr Maggie i%all.ey NC
287511//704- 2c-2330/ No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
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 1:ros- ;ems z ARO W /;828-296-4100 Ext.4e58/
_Keith Haynes �T^•/` A.<O F4Q,,' 23-29F-3:i00/
Signature of Management qA Reviewer Agency/Office/Phone and Fax Numbers Date
� /�� (/ —
Rogex: C Edwards v� W //828 a 4-'--00 ( ( d� v 1C/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
3 11 12 17 18I
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Other than the noted comments about the effluent pipe no problems were noted.
Page# 2

i
Permit: NCG550347 Owner-Facility: Hawkins Dorothy-Residence
Inspection Date: 11/07/2006 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? r n ■ n n
Are the receiving water free of foam other than trace amounts and other debris? ■ n n n
If effluent (diffuser pipes are required) are they operating properly? ❑ n ■ n
Comment: The effluent pipe was not located. One of the residents of the house was
under the impression that the pipe may have been covered with mulch. It is
recommended that the pipe be located and the area around it kept Clear.
Page# 3

NCDENR l E W'
North Carolina Department of Environment and Natural Resources
Division of Water Quality
I Beverly Eaves Perdue Coleen H.Sullins Dee Freeman
Governor Director Secretary
June 7, 2011
Dorothy E Hawkins
PO Box 682
Maggie Valley NC 28751
SUBJECT: Compliance Evaluation Inspection
467 Timberline Drive
Permit No: NCG550347
Haywood County
Dear Ms. Hawkins:
Enclosed please find a copy of the Compliance Evaluation Inspection conducted
on May 19, 2011. The facility appeared to be in Compliance with permit NCG550347.
Please refer to the enclosed inspection report for additional observations and
comments. If you or your staff have any questions, please call me at 828-296-4500.
Sincerely,
Jeff Menze
Environmental Specialist
Enclosure
cc: Central Files
Asheville Files
SURFACE WATER PROTECTION—ASHEVILLE REGIONAL OFFICE
Location:2090 U.S.Highway 70,Swannanoa,NC 28778 NbrthCarolina
Phone:[phone]\FAX:[phone]\Customer Se ice:1-877-623-6748 a� //
Internet:www.newaterguality.org S:\SWP\Haywood\Wastewater\General\NCG55SFR\NCG550347CEI2011.doc d VaturQ" l

United States Environmental Protection Agency Form Approved.
EPA
/� Washington,D.C.20460 OMB No.2040-0057
Gr/'1 Water Compliance inspection Report Approval expires 8-31-98
Section A: National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN
( 11 12I 11/05/19
117 18= 191U.c1 20LU ) Remarks
211111111111111IIIIIIIIIIIII11IIIIIIIIIIIIIIIIIII6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -----------—------------Reserved-------------------
67I 169 70U a 71I I 72i N� 73LU 74 751 I I I I I I 180
+—! Section B: Facility Data t---t
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
467 Timberline Drive 12:00 PM 11/05/19 07/08/01
467 Timberline Dr Exit Time/Date Permit Expiration Date
Maggie Valley NC 28751 12:15 PM 11/05/19 12/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official[Title/Phone and Fax Number
Dorothy E Hawkins,PO Box 682 Maggie Valley NC 28751/// ContactedNo
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Facility Site Review
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Si u {s)of In pector(s) Agency/Office/Phone and Fax Numbers Date
Jeff Menzel ARO WQ//828-296-4500/ 7 /
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
3) NCG550347 I11 12I 11/05/19 ' 17 181rd
Section D: Summary of Finding/Comments(Attach additional sheetsof narrative and checklists as necessary)
No violations of permit requirements or applicable regulations were observed during this inspection. The
system appears to be operating properly.
Page# 2

...-.._..-... .
State of North Care ',,ta
Department of Environment,
Health and Natural Resources 4 • •
Division of Environmental Management
James B. Hunt, Jr., Governor .`�Ir
Jonathan B. Howes, Secretary G H
A. Preston Howard, Jr., P.E., Director
November 29, 1993
1,7
Dorothy E Hawkins
313 Timberline Drive i W,
' `i 4
,.
Maggie Valley NC 28751
Subject: Certified Operator Requirements
Single Family Treatment Systems
NPDES Permit No.NCG550347
Haywood County
Dear Ms.Hawkins:
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
NCG550347
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' rely,
Cind Finan, up isor
' ing and C ation Unit
cc: Asheville Regional Office-Water Quality
Facilities Assessment Unit
Central Files

��tra 57ATp o
.ku Qr
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 cECTION
March 27, 1.991
Mrs. Dorothy E. Hawkins
313 Timberline Drive
Maggie Valley, North Carolina 28751
Subject.: NPDES Permit Applications
NCO062529
Haywood County
Dear Mrs. Hawkins:
Enclosed are the applications needec+ for the renewal .of your NPDES
permit. I have partially completed the applications and have marked
with an asterisk those portions that need to be completed. The
applications should be submitted along with a $120. 00 check or money
order payable to the Division of EnvironmF-�ntal Management to:
Division of Envi.ronment:a.]_ Management
Permits and Engineering Unit
.O. Box_ 2"I'=87
Raleigh, North Carolina 27611
I am enclosing a copy of the original_ plot plan indicating the
location of the septic tank/sand _f_i ltex- t-.rr>nch. Hopefully, it will help
in locating the septic tank and sand fill_ F(—r trench. Max Haner of this
Division visited the residence before th.e Jedds sold the property and
was able at that time to locate the d.isc-Y1<1.rge pipe.
If I can be of further assistanc- , please contact me at
704-251-6208.
Sincer;-,l •, yol.a.rs,
I t, ry :, . Becker
Enclosure
ks
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 •Telephone [phone]
An Equal Opportunity Affirmative Action Employer

TO: PERMITS AND ENGfiS .ERING UNIT
WATER QUALITY SECTION
DATE: June 6, 1991
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Haywood
PERMIT NUMBER NC0062529
PART I - GENERAL INFORMATION
1 . Facility and Address: Dorothy E. Hawkins Residence
313 Timberline Drive
Maggie Valley, North Carolina 28751
2 . Date of Investigation: November 7, 1989
3 . Report Prepared By: Kerry S. Becker
4. Persons Contacted and Telephone Number:
5. Directions to Site: Facility is located adjacent to NCSR
1265 approx. 0. 7 mile south of its intersection with U. S.
Hwy 19 in Maggie Valley.
6. Discharge Point(s) , List for all discharge points:
Latitude: 35 deg. 30 min. 15 sec .
Longitude: 83 deg. 04 min. 48 sec .
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U. S.G. S. Quad No. E6 SE U. S.G. S. Quad Name Dellwood, NC
7. Size (land available for expansion and upgrading) : 3/4 acre
8. Topography (relationship to flood plain included) : sloping
9. Location of nearest dwelling: N/A

10. Receiving stream or affected surface waters: UT to Jonathan
Creek
a. Classification: C-Tr
b. River Basin and Subbasin No. : 04-03-05
C. Describe receiving stream features and pertinent downstream
uses: 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. 000450 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/subsurface sand
filter trench.
5 . Sludge handling and disposal scheme: Licensed commercial septic
tank cleaning firm
6. Treatment plant classification: Less than 5 points; no rating
(include rating sheet, if appropriate) . N/A
7. SIC Codes(s) : 4952

Wastewater Code(s)f: Primary 04 `-secondary

PART III - OTHER PERTINENT INFORMATION
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 that NPDES permit
NC0062529 be renewed.
Si ur o Report Preparer
ater Qua ty egional Supervisor
Date

4e�
I W 'Ik r„ B�Id
/ I
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Trial phototr(,ipfi, A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOL
5 It1tOl Nld htxl

RECEI1iD
^'Ev 'dater Quality sectioo
State of North Carolina t,evilte Regional Ofte
Department of Environment, Health, and Natural Resource Vie„itle,'North Carotin
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G.Martin,Govemor George T. Everett,Ph.D.
William W.Cobey,Jr.,Secretary Director
5/10/91
Ms. Dorothy Elizabeth Hawkins Subject : NPDES Permit Application
313 Timberline Drive NPDES Permit No .NC0062529
Maggie valley, NC 28751 Dorothy E. Hawkins Residence
Haywood County
Dear Ms. Hawkins
This is to acknowledge receipt of the following documents on April 23, 1991:
Application Form
Engineering Proposal (for proposed control facilities) ,
Request for permit renewal,
Application Processing Fee of $120.00,
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)
Other
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 wi e advised ot 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,, ,
G'tC7DaleO sh,. P .E .
CC: Asheville Regional Office
Pollution Prevention Pays
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
An Equal Or)portunity Affirmative Action Employer

�C. DE P RTMENT OF ENVIRONMENT, HEALTH & NATURAL RESOURCES /
;-ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICAT ION NUMBFR
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR AGENCY d U 5
AGENCY
USE DATE RECEIVED
to be filed only by services, wholesale and retail trade,
and other commercial establishments including vessels
YEAR Mo. DAY
ZW* >o/9
_41Lo pa
Do not attempt to complete this form without reading the accompanying instructions
•
Please print or type
1. Name, address, and tel hone number of facility, produciqg discharge
A. Name
B. Street address 313 /i ri ym' Vb* IbleldG
C: City V D. State A1.11 A'edz4)'4
E. County F. Z1P7,>-_L_9 9-
G. Telephone No. Zdf -0 6t/IGVArea
F'
. .
Ode
2. SIC s r,
(leave blank) p�ITS& F,p
�h�t�l
3. Number of employees t
4. Nature of business S� �[,
5. (a) Check here if discharge occurs all year e', or
(b) Check the'month(s) discharge occurs:
l,o January 2.O February 3.0 March 4.0 April 5.O May
6.a June 7.c July '8.o August 9.o September 10.0 October
11,Cl November 12.0 December,
(c) How many days per week:
1.131 2.13 2-3 13.0 4-5 4.136-7
6. Types of waste water discharged to surface wagers only (check as applicable)
Flow, gallons per operating day Volume rested 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 V/
B. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify
D. Maximum per operat-
ing day for combined
discharge (all types)

7_ If any Of the types of waste tified in item 6. either treated or un-0
treated. are discharged to places other than surface waters. check below
as applicable. \1
Waste water is discharged to: 0.1-999 1000-49" S000-9999 10,000-49.999 50,000 or more
(11 (2) (3) (4) (S)
A. Munic.ipol sewer• ,ystemi
II„Ilnrir rgriiunrl wr l l
C. ept.ic tank
0. Evaporation lagoon or pond
E. Other. specify;
8. Number of eparate discharge points:
A.V B.0 2-3 C.a 4-5 0.0 6'or more
9. Name of receiving water or waters"NRMed T/Z f fv 6PjAfra,y.v 4t.-,/L,
.10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances:jaded as a result of your operations,
activities, or processes: ammonia,< cyanide, aluminum. beryllium, cadlmium,
chromium, copper, lead,`mercur , nickel, selenium, zinc. phenols.-oil 'and
` grease, a Id chlorine (residualT.
A.ages 0.0 no
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_
Dorothy E. Hawkins
Printed Nagle of Verson Signing
Title
Oate Application Signed v
si ture of Ar#11cant
rth Carolina General Statute 143-215.6(b) (2) provides that: Any person who knowingly makes
y� false statement representation, or certification in any 'application, *record, report, plan,
other document files or required to be maintained under Article 21 or regulations of the
rironnental Management Commission implementing that Article, or who falsifies, tampers u1th,
knowly renders inaccurate any. recor-diEng or nonitorigg device or method required to be
grated or maintained under Art$ale 21—Gir. regulations -of the Environmental Management Cotnisa-or.
?lementiig that Article, shahi­be.'�ltv- of a misdemeanor punishable by a •fine not to exceed
7,000, or by imprisonmian.t not to exceed six months, or by both, (18 L.S.C. Section 1001 prcrzL_ :
)unishment by a fine of`-not more than $10,000 or imprisonment not nore than 5 years, or botb,
a sinilar. offense.)

M STATE q,
��-�W��..� /LI.✓� - �,.,�1�c�-� �may"'''
State of North Carolina `
Department of Environment, Health, and Natural Resources � -
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G.Marlin,Govemor George T.Everett,Ph.D.
William W.Cobey,Jr.,Secretary Director
February 19, 199:1
DOROTHY E. HAWKINS
HAWKINS (DOROTHY E)RESIDENCE
313 TIMBERLINE DRIVE
MAGGIE VALLEY, NC 28751
Subject: NPDES PERMIT NO. NCO062529
HAYWOOD COUNTY
Dear Permittee:
The subject permit issued on 11/16/90 expires on 11/30/91. 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 exp_irat_ion 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 tlae 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. Cnrol:i.na 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 sball also subm:i-L 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 ns a. new application and will
require the higher application fee.
RECEIVED
Water Quality Secti m
FEB ? 0 1991
Pollution Prevention Pays
Asheville Regional 0ff#ce
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]AIheville, North Carolina
An Equal Opportunity Affirmative Action Employer

sJ
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 27687
Raleigh, North Carolina. 27611-7687
The check should be made payable to the North Carolina Department of Environment,
Health, end 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,
M. Dale Overcash, P.E.
Supervisor, NPDES Permits Group
cc: Asheville Regional Office
Permits and Engineering Unit
Central Files

TO: `PERMITS AND ENGl _,ERING UNIT
WATER QUALITY SECTION
DATE: August 15, 1990
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Haywood
PERMIT NUMBER NC0062529
PART I - GENERAL INFORMATION
1 . Facility and Address: Dorothy E. Hawkins Residence
313 Timberline Drive
Maggie Valley, North Carolina 28751
2 . Date of Investigation: November 7, 1989
3 . Report Prepared By: Kerry S . Becker
4. Persons Contacted and Telephone Number: Eric Gerald Jedd
5 . Directions to Site: Facility is located adjacent to NCSR
1265 approx. 0 . 7 miles south of its intersection with U. S.
Hwy 19 in Maggie Valley, N. C. in Haywood Co.
6. Discharge Point( s) , List for al-1 discharge points: .
Latitude: 35 deg. 30 min. 15 sec .
Longitude: 83 deg. 04 min. 48 sec .
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U. S.G. S. Quad No. E6 SE U. S .G. S. Quad. Name Dellwood, NC
7 . Size ( land available for expansion and upgrading) : 3/4 acre
8. Topography (relationship to flood plain included) : sloping
9. Location of nearest dwelling: N/A

10. Receiving stream or affected surface waters: UT to Jonathan
Creek
a. Classification: C Trout
b. River Basin and Subbasin No. : 04-03-05
C. Describe receiving stream features and pertinent downstream
uses: Provides habitat for the propagation and
maintenance of wildlife_
PART II - DESCkIPTION OF DISCHARGE AND TREATMENT WORKS
1 . Type of wastewater: 1.00 % Domestic
Industrial
a. Volume of Wastewater: . 000450 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
i
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/subsurface sand
filter trench.
5 . Sludge handling and disposal scheme: Licensed commercial septic
tank cleaning firm.
6. Treatment plant classification: Less than 5 points; no rating
(include rating sheet, --if appropriate) . N/A
7 . SIC Codes(s) : 4952
Wastewater Code(s) : Primary 0%1. Secondary

PART III - OTHER PERTINENT INFORMATION
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 the reissuance of NPDES
Permit NCO062529 to Ms. Dorothy Hawkins .
Sign of Report Preparer
r
Water uality Regional Supervisor
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Permit No. NCO062529
Vol� STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT -
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT UTANT 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,
Ms.Dorothy Elizabeth Hawkins
is hereby authorized to discharge wastewater from a facility located at
Dorothy E.Hawkins Residence
313 Timberline Drive
Maggie Valley
Haywood County
to receiving waters designated as an unnamed tributary to Jonathans Creek in the French Broad River
Basin
in accordance with effluent limitations,monitoring requirements,and other conditions set forth in
Parts I, 11, and III hereof.
This permit shall become effective
This permit and the authorization to discharge shall expire at midnight on November 30, 1991
Signed this day
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

`1
Permit No. NC0062529
SUPPLEMENT TO PERMIT COVER SHEET
Ms.Dorothy Elizabeth Hawkins
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 Jonathans Creek, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management,construct and operate a 0.00045 MGD wastewater treatment facility located
at Dorothy E.Hawkins Residence , 313 Timberline Drive, Maggie Valley,Haywood
County (See Part III of this Permit),and
4. Discharge from said treatment works at the location specified on the attached map into an
unnamed tributary to Jonathans Creek which is classified class C-Trout waters in the
French Broad River Basin.

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Part III Permit No. NC0062529
D. In the event that violations of the fecal coliform requirements of the North Carolina water
quality standards occur as a result of this discharge, disinfection will immediately be required and
the permit amended to establish a coliform effluent limitation.
E. The wastewater treatment facility shall be physically inspected by the owner annually. The
results of the inspection shall be submitted within ten days of the inspection-to the Regional
Supervisor, Asheville Regional Office, Interchange Building, 59 Woodfin Place, Asheville, NC
28802.

. . ......-._-..... .
COMPLIANCE FORM
Permit No. NCO062529 New Mod. Renewal �l
Discharging Code: Active Special* -4 Newly Issued
Inactive Active, but not discharging
SIC Code: 4952 Wastewater Code(s): 04
Basin Code: Major 04 Minor 03 Sub-Minor 05
Latitude: 35030'15" Longitude: 8300448"
Type Ownership: PR Minor -I Major
*Permitted with no monitoring required

ME r/C,
DATE: ��-"
90
rne� /ZrA�✓� fJ�/
TO: SUBJECT:
iUGcn �zs2 �
,1 d Z 9 —c I ,(u00.1
GX4 .
J k)b
AtU4-t
N06 a lina epea went of Environment,
Health, and Natural Resources
v��

MEMO
DATE:
2-
TO: !� SUBJECT: ��Z
COI kc
C �L:� 1-7 t
r
1
r
pZt ( d —�
North Carolina De artment of Environment
Health, and Natural Resources t
'w f

�ooa
June 27, 1990
N. C. Dept. of Environment, Health, & Natural Resources
59 Woodfin Place
Asheville, N. C. 28801
ATTN: Mr. Max Haner Re: Russell R. Peterson
Permit NCO062529
Dear Mr. Haner:
As per your instructions, enclosed is the Application for Permit,
a copy of the Offer to Purchase contract and a check for $120.
You had asked that these be sent to you instead of mailing direct
to Raleigh.
If you have any questions, please contact me.
Thanks for your help on this.
Sincerely,
Betty Mann
Realtor
Enclosures
Tils .�LJ 1`' ! ! 1
!? �iev!;ae, North th "aro ipa
127 Park Street, P. O. Box 988, Canton, N.C. 28716
Betty Mann 648-5523 Kent Williamson 274-0042

P OO NEIrk�BORS REALTY ----- _
i"
3161
CANTON, �28716
i
66-30
531
PAY
OROEROF_ N. C. Dept. of Environment, Health, & Natural Resources
I $ 120 00
ONE HUNDRED TWENTY & 00/100 -------------------------------------------------
FIRST CITIZENS BANK DOLLARS
GOOD NEIGHBORS REALTY
First Citizens Bank&Trust Company
Canton, N.C. 28716
FOR JEDD HOUSE/HOME EQUITTY
PURCHASER DY E. �
9 00 3 pROTy L6 LII'�� 8:0�IN003001: 2 23 2S6686a11'
5f
1. Nam. address. and telephone number of facility producing discharge
IT A. Name 17fthCjthf1 F.P,i 7nho1H 1anulh i 7 A ^ R_
8. Street address 313 Timbenf�.ne DAive
d C. city _ Ma2gie Vaftey, NC 28751
D. State 11f('
E. County=_11a Uwa od
� F. zlv 28751
;C G. Telephone No. 704 92G-0679 wk #
Area
R Code
Y, 2, SIC
(leave blank)
if
3. Number of emp 1 oyees None
4. Nature of business Thia is a sincate f,amit_U dwe�tina
5. (a) Check here if discharge occurs all year d, or
(b) Check the month(s) discharge occurs:
1-a January 2.a February 3.0 March 4.a Apri 1 S.o may
6,a June 7.a Jul y 8,a August 9,O septesiber 10,o October
11-a November 12.a December
(c) How many days per week:
1.131 2,0 2-3 3,a 4-S 4.106-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
Discharge per discharging (percent)
operating day Fo
1000-49" S000-5999 10.OW_ 50.000 None 0,1- 30- 65- 95-
49�999 or more 29,9 64.9 94.9 100
(2) (3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitery� daily
average
8. Cooling water, etc..
daily average
C. Other disctm rge(s),
daily average;
Specify
D. Maximum p=c7ombined
ing day fdischarge
in the event that Buyer has agreed that possession is not ucuv

7. if any of the types of waste identified in item 6. either treated or un-
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
(11 (2) (3) (4) (5)
A. Municipol Sewer system
I1, ItnrN rgr'rrunrt well
C. ;ept.ir tank
U. Evaporation lagoon or pond
E. Other, specify:
8. Number of separate discharge points:
A,01 B.02-3 C.0 4-5 0.a 6 or more
9. Name of receiving water or waters Unmamed tAibutany to Jonathan Cneeh to Fneach
BAoad Riven Basin
.10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances j_4" as a result of your operations.
activities, or processes: ammonia, cyanide. aluminum, beryllium, cadmium.
chromium, copper. lead, mmercu�y. nickel. selenium, zinc, phenols, oil and
grease. and chlorine (residual).
A.0 yes B.9f no
1 certify that 1 am familiar with the informmation contained in the application and
that to the best of my knowledge and belief such information is true, complete, and
accurate.
DoAothU Efizabeth Hawkins
Printed Vase of Person Signing
�c,<.rti'e2�,a.tyf k
Title
Me Application Sigwo
Signature of App cant
North Carolina General Statute 143-215.6(b) (2) provides that: Any person who knowingly makes
any false statement representation, or certification 1z any application, -record, report, plan,
or other document files or required to be maintained under Article 21 or regulations of t:Ae
En•iironmental 'Management Commission implementing that Article, or who falsifies, tampers L'_th,
or knowly renders inaccurate any- recording or nonitorinj 41tvice or method required to be
mperated or maintained under Aptiale 21-oc- regulations of the Environmental Management Co=!Lis;;o
implementing that Article, shalI be'-guilty! of a misdemeanor punishable by a fine not to exceed
S1Q,Cn0, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 prov:_ =
a punishment by a fine oU not more than $10,000 or imprisonment not pore than 5 years, or bot'r,
E(,r a sinilar. offense.)

f
Permit No.- NCO062529
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES b 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,
Russell R. Peterson
is hereby authorized to discharge wastewater from a facility located at
Peterson Residence
Near US19/NCSR 1265 Intersection
Near Maggie Valley, N.C.
Haywood County
to receiving waters designated as an unnamed tributary to Jonathan Creek of 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, 198PRiGINHi BY
A`?THUR MOUSERRY
FOR
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental
Management Commission
M1 E I1

o o!
P
I
.
u
milt No. NCOO62529 XJ
it
C_n
r nFE RE PORT A( D R Ci? "` GATT
LL "
PART I INSPECTION OF FACILITY.
1 . Place Visited: Russell Peterson Res i`den.ce
Haywood County
2. Date Vi si ted: March 7, 1985
3. By: Max L. Haner
I
4. Persons Contacted: Jon Printz,' Realtor
5., Directions to Site: Proposed site is located adjacent to NCSR 11265 , 0. 7
mile south of its intersection with U. ' S. Highway '19 in Maggie Valley,
N. C. (Haywood County).
6. Latitude and Longitude of the Discharge
Latitude: 350 30' 15'" N
Longitude 830 04' 48" W
7. Size: Approximately 3/4 acre
8. Topography: Slopes to northeast
9. Location of Nearest Dwelling: N/A Due to type of system proposed.
w�
� �� .� '� ,���r�_� f� ,-ream UT to don,�i<han~Creek �-' "°"'� �:'...°;• �; _--_�_
(a� ._C1a5c�fz_cation_: . OT _ - .-
(b) Sub-basin: 04-03-05
(c) Attach map indicating location of discharge _point.
PART DESCRIPTION OF DISCHARGE
1 . Type of Wastewater: Domestic

2. Volume of Discharge: 450 GPD
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
5. Sample ,Locations: NSA
U
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6. 4-Digit SIC Code:
PART III OTHER PERTINENT INFORMATION:
Flowing Stream (See attached WLA)
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PART: IV 4 RFCOMME RATIONS Permit and authorization to construct should be issued
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RECEIVED
Water Q11al�t�3 ��ct9t�n
State of North Carolina
Department of Environment, Health, and Natural ResiourceAsheville t(e",J".' {illice
Division of EmAronmental Management ,Asheville, North Ga'Olin3
512 North Salisbury Street a Raleigh, North Carolina 27611
James G.Martin,Govemor George T.Everett,Ph.D.
Wiliam W.Cobey,Jr.,Secretary Director
7/11/90
Ms. Dorothy Elizabeth Hawkins Subject : . NPDES Permit Application
313 Timberline Drive NPDES Permit NO.NC0062529
Maggie Valley, NC 28751 Dorothy E. Hawkins Residence
Dear Ms. Hawkins Haywood County
This is to acknowledge receipt of the following documents on July 11, 1990:
Application Form
Engineering Proposal (for proposed control facilities) ,
Request for permit renewal,
Application Processing Fee of $120.00,
Other Offer to purchase contract.,
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)
Other
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 will e 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 Overc s P .E .
CC .a,��
Pollution Prevention Pays
P.O.Box 27687,Raleigh,North Carolina 27611-7681 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA DEPART OF ENVIRCDIlOIT HEAL TH;: AND NATURAL RESOURCES
ENVIRONMENTAL MANAGEMENT COWISSION
NATIONAL POLLUTANT-I-DISCHARGE'-ELIMINATION SYSTEM
APPt,1 CAT I ON Nlpibf R
APPLICATION FOR PERMIT TO DISCHARGE - SHORT. FORM G FOR AlC 'o v z. 5 Z 9
AGENCY
USE DATE RECEIVED
To be filed only by services, wholesale and retail trade,
and other commercial establishments including vessels
YEAR No. 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 Vngath4r T=P i 7aho th I-Inuih i h $iLTR,.ti
8. Street address 313 Timbutt:i.ne Dit ive
C. City Maggie Vattey, NC 28751 o. stag N�
E. County -=f-faUWOOd F. ZIP 28751
G. Telephone No. 704 926-0679 wk #
Area
Code
2. Sic
(leave blank)
3. Number of employees None
4. Nature of business Th.i-6 iz a zinate f am.ita dwelt ina
5. (a) Check here if discharge occurs all yearCK, or
(b) Check the month(s) discharge occurs:
1.O January 2.0 February 3.0 March 4.0 Apri 1 5.a May
6.o June 7.O July 8.O August - 9.0 September 10.0 October
11.a November 12.0 December
(c) Now many days per week:
1.01 2.0 2-3 3.0 4-5 4A4 6-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume, treated before
discharging (percent)
Discharge per
operating day 0.1-999 1000-49" 5000-S999 10,000 50.000 More 0.1- 30- 65- 95-
49,999: or more 29.9 64.9 94.9 100
(1) (2) (3)- (4) (s) (6) (7) (8) (9) (10)
A. Sanitary, daily
average
X
B. Cooling water,;etc..
daily average
C. Other discharge(s),
daily average;
Specify
D. Maximum per operat-
Ing day for combined
discharge (all types)

7. If any of the types of waste identified in item 6, either treated or un-
treated, are discharged to places other than surface waters, check below
as applicable.
Waste water is discharged to: 0.1-999 1000-4999 6000-9999 10,000-49,999 $0,000 or more
(1D (2) (3) (4) (S)
A. Mun i c i Nd,l smgr .ystew
H,,Ihnb•r(rnunri:w,•i
C, Septic tank
U. 'Evaporation Iagoon or pond
E. Other, specify:
B. Number of separate discharge points:
A.01 B.02-3 C,G 4-6 0.0 6 or more
9. Name of receiving water or waters Unmamed tAibutaAy to Jonathan Cxeek to FAench
Broad Rivex Bazin
.10. Does your discharge contain or is it possible for your dischar9e to contain
one or more:of the.following substancesAl"as a result of your operations,
activities, or processes: ammnois, cyanide. slueinum, beryllium, cadmium,
chromium, copper, lead, WercUry, nickel, selenium, tine, phenols,'oil and
grease, and chlorine (residual).
A.Oyes B.ilfno
4
I certify.that I an familiar with the information contained in the application and
that to the best of ■y,knowleage and belief,such information is true, complete, and
accurate.
Daxothu Etizabeth_ Hawking
Printed Name of Person Signing
T1 tle,
Date Application Sig
Signature of App cant
worth Carolina General .Statute 143-215.6(b) (2) provides that Any person who knowingly makes
any false statement representat on, or certification in any applicatton,'record, report, plan,
)r other document files or required to be maintained under Article 21 or regulations of the
Environmental Management Commission implemez>tng that Article, 'or who falsifies', tampers oath,
,r knowly renders inaccurate any. recording or nonitorivs ¢juice or method required to be
)perated or maintained under AT;Xale Z-1^oc regulatioeis •of the Environmental Management Cormissior,
Lmplementi;ng that Aiticle, s.hal-1:%e.' uiity-�•of A •misdemeanor punishable by a -fine not:. to 'exceed
i10,000, or by imprisonment- at®t to exceed six months, or by both. (18 U.S.C. Section' 1001 prov:-- :
: punishment by a fine of "not more than $10,000 or imprisonment not more than 5, years, or both,
.or a similar offense.)

Permit No.- N00052529
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEEjNT
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,
Russell R. Peterson
is hereby authorized to discharge wastewater from a facility located at
Peterson Residence
Near US19/NCSR 1265 Intersection
Near Maggie Valley, N.C.
Haywood County
to receiving waters designated as an unnamed tributary to Jonathan Creek of 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, 198_0R1G1;vr1 S-i:NED BY
ARTHUR MOUBERRY
FOR
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental
Management Commission
M1 IS

ti
�^Art rs.T°
Curw�•
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. {Martin, Governor Ann R Orr
William W. Cobey, Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
November 20, 1989
Mr.& Mrs. Eric Gerald Jedd
313 Timberline Drive
Maggie Valley, North Carolina 28751
Subject: Compliance Evaluation Inspection
Jedd Residence
(Formerly Peterson Residence)
NPDES Permit Number NCO062529
Haywood County
Dear Mr & Mrs. Jedd:
A Compliance Evaluation Inspection was conducted November 7,
1989, of the septic tank/subsurface sandfilter system serving the
residence at 313 Timberline Drive in Maggie Valley, North Carolina.
The facility grounds and the receiving stream indicated no problems.
The wastewater treatment facility appeared to be operating
satisfactorily and in accordance with NPDES Permit NCO062529 . A Copy
of the report is attached for your review. For your information, a
copy of the NPDES Permit for this system is also attached.
As you are aware, the NPDES Permit for this system is presently
held by the previous owner of this residence; Russell R. Peterson.
Upon change of ownership, you should have requested that the permit be
reissued in your name to be in full compliance with rules and
regulations administered by this Agency. Comments and recommendations
entered in the attached report outline a course of action to be taken
to correct this oversight while maintaining consideration of your
intent to sell this property. The requested paperwork should be
submitted on or before December 31, 1989, by either the new owner (that
person executing the sales contract) or you. The material to be
submitted is as follows:
(1) Letter request for renewal of the NPDES Permit
together with three (3 ) copies a completed permit
application (forms attached) .
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 •Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Page Two
November 20, 1989
(2 ) Evidence of ownership ( sales contract, deed to property, or
letter from previous owner) .
(3 ) Check for processing fee in the amount of $60. 00 made
payable to the N. C. Department of Environment, Health, and
Natural Resources.
The mailing address is as follows:
N. C. Department of Environment, Health, and
Natural Resources
Permits & Engineering Section
P. O. Box 27611
Raleigh, North Carolina 27611
If you should have any questions, please contact me at
704-251-6208.
You,rj truly,
Max L. Haner
Environmental Chemist
cc : Dan Ahern, EPA
Forrest R. Westall

ji tates Environmental Protection Agency \ f Form Approved
Washington,D.C.20460 OMB No.2040-0003
NPDES Compliance Inspection Report Approval Expires?-31-85
Section A: National Data System Coding
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
ol yl(alLls1zl91 „ ,�8191/I� lol?I17 1 ,9Us 2d2-
Remarks
lILI ss
Facility Evaluation Rating 81 QA ------- Reserved-----------------
Reserved67� j 69 7( - 71 72� 73�74 75L I I I III 80
Section B:Facility Data
Name and Location of Facility Inspected T Entry Time Permit Effective Date
�` 9�ILt!I'.T fG�[G �£IG4L� J F 5❑ AM® PM �OcoL1
,Cu.r.,tcl! Q. P.tTt 4/rx, Exit Time/Date Permit Expiration Date
r" IG Iva&C iU C /. a �-t 90a53/
Name(s)of On-Site Represents ive(s) Title(s) Phone No(s)
Name,Address of Responsible Official Title
/fart AaA_ L [G �ru-1� J&(l T o
,c.L�.0 a W2ct�e.
313 ��,�' Phone No. Contacted
q, Yes El No
YK
Section C:Areas Evaluated During Inspection Cam,M JUALM
-
(S=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated)
LL Permit Flow Measurement Pretreatment Ps Operations&Maintenance
N Records/Reports Laboratory ^/ Compliance Schedules Sludge Disposal
s' Facility Site Review S Effluent/Receivin Waters Self-Monitoring Program Other:
Section D:Summary of Findings/Comments(Attach additional sheets it necessary]
pu,
{ �. .�� a
errtfua�fJ ��
0qa Ar
iu �c
u
Name(s)and Sig ature(s)of Inspector(s) Agency/Office/Teleph one Date
Si f Reviewer Agency/Office Date
�e�lb
Regulatory Office Use O
Date omplian a Status
Action Taken
oncompliance
Com liance

j
V
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
William W. Cobey, Jr., Secretary September 28, 1989 Director
RUSSELL R. PETERSON
PETERSON (RUSSELL) RESI
2015 HAINES ROAD
LAPEER MI 48446
Subject: NPDES Permit No. NC )062529
HAYWOOD
Dear RUSSELL R. PETERSON
Our files indicate that the subject permit for a wastewater discharge to the
surface water expires on 900531. GS 143-215. 1(c) requires that an application for
renewal must be filed ,180 days prior to the expiration date, We have not received an.
application for renewal from you as of this date.
A renewal application shall consist of a letter reques-t .ng renewal along with the
appropriate completed and signed application form, submitted in triplicate, referenced
in Title 15 of the North Carolina Administrative Code, ;Subchapter 211, .0105. Primary
industries listed in Appendix A of Title 40 of the Code of Federal Regulations, Pact
122 (40 CFR Part 122), shall submit a priority pollutant analysis that is performed in
accordance with 40 CFR Part 122.21. A processing fee must be submitted with the
application, Please find attached a copy of the 15 NCAC 2.B .0105(b) regulations. The
processing fee for your facility is based on the design or permitted flow, whichever
is appropriate, listed in the first five categories of facilities. No facility is
allowed to submit a fee for the, general permits listed in the fee schedule at this
time since EPA has not approved our general permit. Also the Environmental Management
Commission adopted rules on August 1, 1988, requiring the payment of au annual fee for
most permitted facilities (See Attached) , You will be billed separately for that fee
(if applicable), after your permit is approved.
This matter should be given prompt attention in `that continued discharge after
the permit's expiration, without the filing of a complete and timely application for
renewal, constitutes discharge without a permit and is a violation of CS 1.43-215. 1(8.)
and the Federal Clean Water Act of 1977. The applications. for renewal should be
submitted to:
Permits and. Engineering Unit
Division of Envi.roiame.u.tal Management
P. 0. Box 27687
Raleigh, North Carolina. 27611.E-7687
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
-

Wk-
For further information, please contact me at 919 733-7015.
Sincerely,
'Original Signed By
M. Dale paercash
M. Dale Overcash, P.E.
Supervisor, NPDES Permits Group
cc: ASHEVILLE Regional Office
Central Files

United tates Environmental Protection Agency Form Approved
A + Washington,D.C.20460 p
0003
®"`®E PN NP®ES Compliance Inspection Report OMB N l Expires
7-3
p � � Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code NPDE,S " yr/mo/day Inspection Type Inspector Flac Type
1 n�i 5 1 q 0-101 Q 1 U I;t J �.{I;11? 111 1� 7 11 17 1 li 19u 20L2�
Remarks
III ' Illllllllllllllllllllllllllllllllllllllllllsls
Reserved Facility Evaluation Rating BI GA ------------------Reserved-----------------
6t_L]_j 69 70u 71 A/ 72u 73W 74 7� I I I I I 180
Section B: Facility Data
Name and Locat//ion_ of Facility Inspected Entry Time❑ AM PM Permit Effective Date
�
Exit Time/Date Permit Expiration Date
Names)of On-Site Representative(s) Title(s) Phone No(s)
Name,Address of Responsible Official Title
Phone No. Contacted
❑ Yes❑ No
Section C:Areas Evaluated During Inspection
(S=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated)
Permit Flow Measurement Pretreatment Operations&Maintenance
Records/Reports Lj Laboratory Compliance Schedules Sludge Disposal
Facility Site Review Effluent/Receiving Waters Self-Monitoring Program Other:
Section D:Summary of Findings/Comments(Attach additional sheets if necessary) /
p
i
Name(s)and Sigrtature(s)of Ins ector(s) Agency/Office/Telephone Date C
4
Signature of Reviewer Agency/Office Date
f'
Regulatory Office Use Only
Action Taken Date Compliance Status
❑ Noncompliance !,
❑ Com liance
EPA Form 3560-3(Rev.3-85)Previous editions are obsolete.

INSTRUCTIONS
Section A: National Data System Coding (i.e., P.CS)
Column 1 :Transaction Code: Use N, C,or D for New, Change,or Delete.All inspections will be new
unless there is an error in the data entered.
Columns 3-11 : NPDES Permit No. Enter the facility's NPDES permit number. (Use the Remarks
columns to record the State permit number, if necessary.)
Columns 12-17: Inspection Date. Insert the date entry was made into the facility. Use the
year/month/day format (e.g., 82/06/30 = June 30, 1982).
Column 18: Inspection Type. Use one of the codes listed below to describe the type of inspection:
A — Performance Audit E — Corps of Engrs Inspection S — Compliance Sampling
B — Biomonitoring L Enforcement Case Support X — Toxic Sampling
C - Compliance Evaluation P Pretreatment
D — Diagnostic R — Reconnaissance Inspection
Column 19: Inspector Code. Use one of the codes listed below to describe the lead agency in the
inspection.
C — Contractor or Other Inspectors (Specify in N — NEIC Inspectors
Remarks-columns) R EPA Regional Inspector
E — Corps of Engineers S — State Inspector
J -Joint EPA/State Inspectors—EPA lead T—Joint State/EPA Inspectors—State lead
Column 20: Facility Type.Use one of the codes below to describe the facility.
1 — Municipal. Publicly Owned Treatment Works (POTWs) with 1972 Standard Industrial Code
(SIC) 4952.
2 — Industrial. Other than municipal, agricultural, and Federal facilities.
3 —Agricultural. Facilities classified with 1972 SIC 0111 to 0971 .
4— Federal. Facilities identified as Federal by the EPA Regional Office.
Columns 21 -66: Remarks.These columns are reserved for remarks at the discretion of the Region.
Column 70: Facility Evaluation Rating. Use information gathered during the inspection(regardless
of inspection type)to evaluate the quality of the facility self-monitoring program. Grade theprogram
using a scale of 1 to 5 with a score of 5 being used for very reliable self-monitoring programs,3 being
satisfactory, and 1 being used for very unreliable programs.
Column 71 : Biomonitoring Information. Enter D for statictesting. Enter Fforflowthrough testing.
Enter N for no biomonitoring.
Column 72: Quality Assurance Data Inspection. Enter Q if the inspection was conducted as
followup on quality assurance sample results. Enter N otherwise.
Columns 73-80: These columns are reserved for regionally defined information.
Section B: Facility Data
This section is self-explanatory.
Section C: Areas Evaluated During Inspection
Indicate findings (S, M, U, or N) in the appropriate box. Use Section D and additional sheets as
necessary. Support the findings,as necessary, in a brief narrative report. Use the headings given on
the report form (e.g., Permit, Records/Reports) when discussing the areas evaluated during the
inspection.The heading marked "Other" may include activities such as SPCC, BMP's,and multime-
dia concerns.
Section D: Summary of Findings/Comments
Briefly summarize the inspection findings. This summary should abstract the pertinent inspection
findings, not replace the narrative report. Reference a list of attachments, such as completed
checklists taken from the NPDES Compliance Inspection Manuals and pretreatment guidance
documents, including effluent data when sampling has been done.Use extra sheets as necessary.
EPA Form 3560-3(Rev.3-85)Reverse

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STATF
F
A
O
State of North Carolina
Department of Natural Resources and Community Development
512 North Salisbury Street•Raleigh, North Carolina 27611
James G. Martin, Governor June 26, 1985 S.Thomas Rhodes,Secretary
Mr. Russel Peterson
2015 Haines Road
Lapeer, Michigan 48446
SUBJECT: Permit No. NC0062529
Authorization to Construct
Russel Peterson Residence
Septic Tank/Sand Filter
Haywood County
Dear Mr. Peterson:
A letter of request for Authorization to Construct was received April 6,
1985, by the Division and final plans and specifications for the subject project
have been reviewed and found to be satisfactory. Authorization is hereby granted
for the construction of a 300 GPD wastewater treatment facility consisting of
a 1,000 gallon septic tank a standatd subsurface sand filter measuring six (6)
feet by 44 feet, ct c nd a &jb±et e
the Peterson Residence.
This Authorization to Construct is issued in accordance with Part III para-
graph C of NPDES Permit No. NC0062529 issued June 21, 1985, and shall be subject
to revocation unless the wastewater treatment facilities are constructedin
accordance with the conditions and limitations specified in Permit No. NC0062529..
The sludge generated from these treatment facilities must be disposed of
in accordance with General Statutes 143-215.1 and in a manner approvable by the
North Carolina Division of Environmental Management.
The Asheville Regional Office, telephone No. 919/253-3341 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 tothe Regional Supervisor shall be made during
the normal office hours from 8:OO 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, Mr. Russel Peterson shall take such immediate corrective
action as may be required by this Division, including the construction and additional
wastewater treatment and disposal facilities.
Contd.
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity/Affirmative Action Employer

No.. NC0062529
--Page Two
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 acquisistion of filter sand from a dealer who is currently certified
by the Division as an acceptable source.
The septic tank must be pumped a minimum of once a year and should be inspected
a minimum of once very 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
G. Madden, Jr. , telephone No. 9191733-5083, ext. 122.
Sincerely yours,
R. Paul Vilms
Director
cc: Haywood County Health Department
Mr. Edward Seagle
Mr. Dennis R. Ramsey
Asheville Regional Supervisor
CCM/cgc

tate of North Carolina
epartment of Natural Resources and Community Development : ,C,n
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor A - '- 't S. Thomas Rflodes, secretary
�
Pang �".r`�,�: P� .a,.. ��1,.ti.-�.a''� ..�:.,9 t�^.. �'�•t.Et:a.�"`wSt„3�. '"w�,zaG'^�.a".�. ,v` :�..,i�'"'"`-,�'�`s,
% ¢
Dear �f
We acknowledge receipt of the following documents: _ ' - µ l r 19 ; ,
permit application --ASK engineering plans
specifications
other
Your project has been assigned to ( " .. t'" ` "` a 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
t� a� ^ �'?fi e
. . _ s
before your project can be reviewed.
permit application (copies enclosed)
engineering plans (signed and sealed by N.C.P.14) p sn a "
specifications (signed and sealed by N.C.P.E.)
other additional information detailed on-attac4rrerit
r 4-
The above checked information is needed by 7 If nol received, your application
package will be returned as incomplete. Please be aware that the Division's � '+ � 'Y 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; r
3 r' p 4 4,
F°�^ "f
€ P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

T E C E I V E D
HAYWOODWater Quality Division
COUNTY MAY 22 1985
HEALTH DEPARTMENT Westorn Regional Offico
TELEPHONE [phone] Asheville, North Carotini
May 15, 1985
Mr. Scott Campbell
Campbell Construction
Route One, Box 243 C
Clyde, North Carolina 28721
RE: 1.30 ACRE LOT ON TIMBERLINE
DRIVE OWNED BY R. R. PETERSON
Dear Mr. Campbell:
On May 10, 1985, I performed a site evaluation on the above lot for a
ground absorption sewage disposal system. This lot contains at least
three spring drains and a branch. Because the legal separation dis-
tance of 50 feet between any streams and a ground absorption sewage
disposal system cannot be met, this lot is unsuitable.
I would recommend that you explore the possibility Of obtaining a sand
filter discharge permit. Please contact Mr. Max Haner at the Division
of Environmental Management (253-3341) about this possibility. Please
feel free to contact me at this office if I can be of any further
assistance.
Sincerely,
William B. Lupton
Sanitarian
WBL:cg
�1
2216 ASHEVILLE ROAD • WAYNESVILLE, NORTH CAROLINA 28786

14
State of North Carolina
Department of Natural Resources and Community Development '
512 North Salisbury Street•Balogh,North Carolina 27611
James G.Martin,Governor
S.Thomas Rhodes,Secretary
L 0.Pic r � i•1 1�t� C�4..3
Subject: Application for WDES Permit No.Ncoo(92S-z
tAa w ao9 County
Dear
Receipt of the following documents is hereby acknowledged: 4 P2i� 24_ l9es
__ ""Application, Fo ---
Engineering Proposal (for proposed control facilities)
Request for permit renewal - - -- `--- -- -- -- - -- -_-._-- _ .
If any, of the items listed below are checked, the application received is in—
complete and.the indicated.item(s) must be received be-fore_review can begin:
APPlicatioa Form (copies enclosed)
Engineering Proposal (Sete (b) 1-5 on attached) y '
_,ZOther ITE ��IIAI UTTER `((l--r
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 2u5-sck L.
(919/733-5083) of our Permits Unit for review and preparation of a draft permit.
Once the permit is drafted, public notice must be issued for forty—five (45) days
prior to final action on the issuance-or denial of the permit. You will be advised
of any comments, recommendations, questions or other information necessary for the
review of the application.
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
bove.
Sincerely yours,
C /
Arthur Mouberry, _p.E.
Supervisor, Permits and Engineering
cc: ^�S,a�,,,`�E Regional, Supervisor '
/nn�pP/�LpC�A ( e"C,uvEF(LintCt , P.A. .
KJS�`I L J , An Equal Opportunity Affirmuive Ac:don Empiover

--L;AROLINA DEPT. OF ��ATURAL. & ECONOMIC RESOURCES
41RONMENTAL MANAGEMENT COMMISSION
'NATIONAL ROLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMUR
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR (, 2- ,5 2 9
AGENCY
USE DATE RECEIVED
To be filed only by services, wholesale and retail trade,
and other commercial establishments including vessels
YEAR MD. DAY
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
l..Name, address, and teleohone number of facility producing discharge
A. Nam: _ Russell_R. Peterson
B. Strec� addv„ssY2015 Haines_ Road
C. city D. State Michigan
E. Coun,y Haywood _ F. ZIP 48446
G. Telephony No. 316 ­ 664-4116
Area
Code
2. SIC
(Leave blank)
3. Number of employers --Al ) 2 Bedroom Residence
4. Nature of busines Domestic
5. (a) Check here if discharge occurs all year M or
(b) Check the month(s) discharge occurs:
1.0 January 2.a February 3.0 March 4.0 April 5.0 May
6.(3 June 7.13 July 8.a August 9,o September 10.0 October
11.0 November 12.a December
(c) How many days per week:
1.01 2.0 2-3 3.0 4-5 4.X o_7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
discharging (percent)
Discharge per
operating day 0.1-999 1000-4999 5000-9999 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 X ;
B. Cooling water, etc.,
daily average
C. Other discharge(s), A
daily average; K
Specify
D. Maximum per operat-
ing day for combined P
discharge (all types) X 4
oPERAQUALITY SECTION
BRANCH

yN w��
Led,'are discharged to III, ,yes other than surfact ers, check belo
-es applicable.
Waste water is discharged to: O. 1-999 1000-4999
5000-9999 10,000-49,999 50,000 or more
(1) (2) (3) (4) (5)
A, Muni r i p,r l .rwr r •y.f.em
i�, �Inrlr r.{rrirmd wel l
C, ,ept.i<, tank
U. Evaporation lagoon or pond
E. Other, specify:
B. Number of separate discharge points:
B.02-3 C,O 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 dddjA 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,O yes B.j, "a
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.
Russell R. Peterson
Printed game of Person ',igninq
Owner
Title
4/3/85
Date Application Signed
Signat a of Applicant
e 143-215.6(b) �2) pr
ovides that: Any person who knowingly makes
North Carol'_na General Statut
any false scarement representation, to beificatio
rmaintai.ned undert n in anyArtpiclea21 or regulations oof�the
an,
or other docturent fides or required
or otter eoai `:nt filent Co>uaission implementing that Article, or who falsifies, tampers with,
quired to
or knowly renders inaccurate any recording or monitoring deviceEnvironmentalC!, method eManagementbCo^m►issio
operated or maintained under_.Ar.ticle 21 or regulations
liall'be lty of a misdemeanor punishable by a fine not to exceed
implementing that, arltic�'g; gui
S10,nnn, �r by irtprsdninent not to exceed six months, or by both. (18 L.S.C. Section 10�1 previd
a pur.ishwent by a fine of not more than S10,000 or imprisonment not more than 5 years, or both,
for a sinilar offense,)

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
April 12, 1985
Mr. Edward D. Seagle
Appalachian Engineering, P.A.
P. 0. Box 925
Maggie Valley, North Carolina 28751
Subject: Receipt of NPDES Permit Application
and Plans and Specifications
Peterson Residence
Haywood County, North Carolina
Dear Mr. Seagle:
Receipt of the following documents is hereby acknowledged:
1 . Application Form
2. Engineering Proposal
3. Permit Processing Fee - $25.00
4. Plans, Specifications, and Request for Authorization to
to Construct
This application is being forwarded to the Permitting and Engineering Unit in
the Raleigh Office for review and preparation of a draft permit, together with a
Staff Report and Recommendations regarding this discharge being_ prepared by the
Asheville Regional Office. You will be advised of ar 4' j:
'��, . ��—:�thPr_,i fc�xrnati.on necessar for the review yr""- ne a 1icatiu' :
_ T n�,aest�ons regarding
` ng this application, please contact the
__•..__.., ,_ .__ c�., a n 7, Raleigh,
North Carolina 27611 .
Sincerely,
Max L. Haner,
Environmiental Chemistry Consultant
MLH/pf
Enclosure
cc: Permitting and Engineering Unit
Roy M. Davis
Interchange Building, 59 Vll odfin Place, P.O. Box 370, Asheville, N.C. 28802-0370 41 Telephone [phone]
An Equal Opportunity Affirmative Action Emplover

I I j I
I
f THIS CHECKE IS DELIVERED IN
j NN_ CO ECT ONWITH THE FOLLOWING ACCOUNTI(S_�,
r 2511
CA PBELL CONSTRUCTION INC.
PERFORMANCE IS ALL THAT COUNTS
ONCE THE JOB BEGINS 1 ! 66-210
PH. 704-926-0887 OR 627-8055 c 531
— ROUTE 19 BOX 243 C CLYDE, NC 28721 =1g—
TOTAL OF INVOICES -
LESS %DISCOUNT I PRY TO THE f
d i LESS ORDER OF
_ —
�' TOTAL DEDUCTIONS
+ AMOUNT OF CHECK E Lai`.. � l.A+" •"9 C `✓`,.f DOLLARS
First Union National Bank J
1 v Waynesville,North Carolina 28786
1180000 2 5 1 1110 -� 1:0 53 10 2 1041: ? 1085046 OIIW
N. C. DEPARTMENT Of NATURAL' a 4689
RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION/SECTION fkc
Received from ' `3�7 (,tG1 y.
e i
Dollars $
For _ vn '
Y
❑ Cash jA Check ❑ Money Order
Cashier .
- - -

F.DWARE) D. SEAGLE, P.E. g ®
I i I 9
iOS t OErICE X'925P.A.
MAGGIE VALLEY, NORTH CAROLINA 28751
704/926.0251
April 3 , 1'9g5.
-a
Mr, Arthur Mouberry ,,.'P.E. Supervisor
Permits and _Engineering _Unit APR 16 k 215
Division of Environmental Management
Post Office Box 27687 ,° � 3
Raleigh , ;North Carolina 27611 _ Ash inn, Nor f, C'aroiina
RE: Permit Application
Russell R. Peterson Residence
Maggie Valley , North Carolina
Dear Mr. Mouberry_:
Enclosed for your review and/or approval are .two ( 2) copies of
the application for permit to -discharge and a locator map for
the referenced project.
A check for $25. 00 is enclosed.
A reply at your earliest convenience would be appreciated .
Sincerely , �.
APPALACHIAN ENGINEERING, P.A.
Edward D. Seagle , P.E.
Enclosures
cc M R. Peterson

� r
NORTH CAROLINA DEPT. OF NATURAL & ECONOMIC RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLL DISCHARGE FLit".TNATION SYSTEM APpLlr:ntloN NUMBER
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR
AGENCY
USE DATE RECE:10 D
To be filed only by service,,, wholesale and retail trade, "
and other commercial establishments including vessels
YEAR Mo. DAY
Do not attempt to complete this form without reading the accompanying instructions
Pl�,ase print or type
—iiicrrin iischar e — _- __._.
1. Name, address, and telephone ,, cr ,,. q
t3 i rep t 015 Haines Road
G. Telephone [phone]
Area
Code
2. SIC
(Leave .blank)
3. Number of emplovc �, . _;.� �.w�2 Bedroom Residence -
4. Nature of busitlp'_, Domestic
5. (a) Check here if discharge occurs all year;; or
(b) Check the month(s) discharge occurs„ "
1.o January 2 0 February 3.0 March> 4.0 April 5.❑May
6,a June - 7.a July 8.a August 9,o September 10.a October
11.o November 12.o December
(c) How many days per week:
1.131 2.13 2-3 3.0 4-5 :x ,p
'b. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
discharging (percent)
Discharge per
operating day 0.1-999 1000-4999 5000-3999 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 l
average X
B. Cooling water etc.
daily average
C. Other discharge(s),
daily average;
Spec.i f y
D. Maximum per operat-
ing day for combined
discharge (all types) }{

Waste water,'-'water rs.•disciiaryedL 0-1-999 j 1000-4999 5000-9999 10,000-49,994 50,000 or
(l) (?) (3) (q) (5)
A. Mull f r r t„i I %r•wr•r y.tem,
i!. I1n G r fr runrl wr•I 1
C. eptic tank
U• Evaporation lagoon or !pond
E. Other, specify:
S. Number of separate discharge points`.
A.1 t:: B;02-3 C.',o 4-5 -: Q_0 6 or more
9. Name of receiving water or waters unnamed tributary t0 Jonathan Creek
10. 'Does your discharge contain or is it possible for your discharge to contain
one or more of-the following substances addtd as a result of your operations,
activities, or:processes: ammonia, cyaniae,°aluminum, 'beryl Iium, cadmium,
chromium, capper; lead, mercur�, nickel, selenium, zinc, phenols, oil and
grease, and chlorine. (resic2ua?�,
A.o yes
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.
Russell R. Peterson
Print(d NiIme tit Parson 'e5gning
Owner
Title
4/3/g5
Date Application Signed
r _
'I-Signat6fe of A
PPl scant
Kr
NorthL2) prop ides that Any person who Tknowing1v makes
l S? Sr?tE'^leIl reDreSeY]t$t�0^� OL �er,t2tCt7 an­
-0 Mqe .cm�ent_ files or required to be maintained under Article ZY or regul�txors oY` rne"
�fana ement 'Corunission implementing that Article, or who falsifies, tampers with,
or 'knowlti genders ;inaccurate any recording or monitoring device or method required.to be
Operated or .maintained' under Article 21 or regulations of the Environmental.Management Co^_missio
imp lementiug\that "Article, shall be guilty of a misdemeanor punishable by a fine not to exceed
$10,ron, nr by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 orevidl
a pun.is'ent by a fine ofnot more than S10,000 Or imprisonment not more than 5 years, or 'both,
for a sinimar offense.)
�ti� T

17
ENGINEERING PROPOSAL
1 . The wastewaters will be generated by kti1, 2 bedroom house .
2. The proposed WWTP will be 300 GPD, underground sand filter
,.,; rr__tablet,_chlorination disinfectant.
--- 3 _ The discharge will have minimal effect on the"recexvarr� mac.:- ...� -,v
u _ the_1®c a t itzn_m�p has a s c al e: of P? 2—
k
5 A copy of the o _ r to e : ik

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NPDES FACILITY AND PERMIT DATA
PERSONAL ,E FACILITY APPLYING !..{,R PERMIT
.:: REGION
FACILITY NAME) PETERSON (RUSSELL) RESIDENCE COUNTY) HAYWOOD oi
MAILING (REQUIRED) ....;.E`.: .....?E`' tE j.,}is:.E°t DIFFERENT FROM MAILING )
STREET : ::•.0 i 5 E"E A I E'`E::.r.. ROAD STREET : t.,.z::G,.,' E::..'.: . E,.........,,E.. , E O B�..... . .......
STATE CONTACT) MOUBERRY PERSON IN CHARGE
F ....P z•i iP i.i::•E•.}.j :•....- :.- x ': + ::....j.:...S..3z+r'' , iE E :i1 E.x.f.: S :.i.... , + ...!'E E"E .... : •'�' E.E.i....e .... :..:E�'? ... "j'i i--Es-....E•E i..:•
PERMIT APPLICATION INFORMATION FAR PERMIT
z
a..; 85 :v....F:;. F:,i , j'}•-^F'i S.J i.?.L' .:. .:F"E E .....:{, •,E.'•.E,.
DATE STAFF REP REQS APPLICANT TO PAY NOTICE
DATE STAFF REP RCVD DATE PAY REQS
AMOUNT
E: : E : D r S DATE
f ; : : + F AMOUNT
..
DATE E DRAFT PREPARED
..{.:•{,.i.. ..ERE::.i ... ...•E'i TO .,,r...t U E::,
DATE OT AG
i{ivi i.i+E
'z ?
DATE DENIED
DATE OT AG COM RCVD DATE RETURNED
DATE TO EPA DATE ISSUE!) ASSIGN/CHANGE P�&Mllf
DATE FROM ..F....

OFFER TO PURCHASE AND CONTRACT
DoA'othy Etizabeth Haw hin,5
hereby offers to purchase and Home E q u-( y as Buyer,
as Seller,
upon acceptance of said offer, agrees to sell and convey, all of that plot, piece or parcel of land described below, together with all improvements
located thereon and such personal property as is listed below (the real and personal property are collectively referred to as "the Property"), in
accordance with the Standard Provisions on the REVERSE SIDE,HEROOF,ag m d u on the following terms and conditions:
1. REAL PROPERTY: Located in the City of Maggie a C C e f� County of Haywood
State of North Carolina, being known as and more particularly described as:
Street Address 3 1 3 T.f►n b e)t i.l n D)Live Zip 2 8 7 51
Legal Description 3841666
2. PERSONAL PROPERTY: Ran_geLOVen, Re{ylli-ge&-aton , 2 Ceitinc Fang , Di shwa,6heA
T 4 teAo nm aLP AP.PI i na "aA i,�'°
3. PURCHASE PRICE: The purchase price is$- 7.2.1, 7 2 7 and shall be paid as follows:
(a) $ 50 0 in earnest money paid by h e A A o n a.P C h e G k (cash;bank,certified,or personal check)
with the delivery of this contract,to be held in escrow by -Good N e i p h b o A 6 R e a t t y ,as agent,
until the sale is closed, at which time it will be credited to Buyer, or until this contract is otherwise terminated and it is
n/a disbursed in accordance with the Standard Provisions on the REVERSE SIDE HEREOF;
(b)$ by assumption of the unpaid principal balance and all obligations of Seller on the existing loan secured by a deed of trust
on the Property;
(c) $ n/a by a promissory note secured by a purchase money deed of trust on the Property with interest prior to default at the rate of
%per annum payable as follows:
Prepayment restrictions and/or penalties,if any,shall be:
n/a
Assumption or transfer rights,if an ,shall be;
n 7a
(d)$- 72 , 2 2 7 the balance of the purchase price in cash at closing.
4. CONDITIONS: (State N/A in each blank of paragraph 4(a) and 4(b)that is not a condition to this contract.)
(a)The Buyer must be able to obtain a firm commitment on or before J u t y 8 ► 1 9 9 0 ,effective through the date of closing,
fora VA loan in the principal amount of$ 7 2 , 7 2 7 for a term of 30 year(s),at an interest
rate not to exceed 9 S %per annum,with mortgage loan discount points not to exceed 3 %of the loan amount.Buyer agrees to use his best
efforts to secure such commitment and to advise Seller immediatel upon receipt of the lender's decision. If Seller is to pay any loan closing costs, those costs
areasfollows: 3 Pointb oA as Ae4u4.Aed 6y VA
(b) The Buyer must be able to assume the unpaid principal balance of the existing loan described in paragraph 3(b) above for the remainder of the
loan term,at an interest rate not to exceed n a %per annum fixed(or describe type of loan)
with mortgage loan assumption and/or discount points not to exceed % of the loan balance. (See Standard Provision No. 2), If such assumption
requires the lender's approval,approval must be granted on or before .Buyer agrees to use his best efforts to
secure such approval and to advise Seller immediately upon his receipt of the lender's decision. If Seller is to pay any loan assumption costs, those costs
are as follows: Vt/a
the_-reasonable use of the real property for