NCG550349_Regional Office Historical File 20200518

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iatedfluortl'Carolina
'Department of Environment,
Health and Natural Resources 4 � 0
Division, of Environmental Management `
James. B.. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard,Jr., P.E., Director
September 30,1993
TOM.GREGORY
GREGORY RESIDENCE-(THOMAS H.)
3750 HIDDEN HILLS DRIVE
TITUSVILLE S FL 32796 Subject: GREGORY RESIDENCE-(THOMAS H.)
Certificate of Coverage NCG550349
General Permit NCG550000
Formerly NPDES Permit NCO062618
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 NC0062618. This Certificate of Coverage is issued pursuant to the requirements of North Carolina and the
US Environmental Protection Agency Memorandum of Agreement dated December 6,1983 and as subsequently
amended.
If any parts,measurement frequencies or sampling requirements contained in this general permit are unacceptable to
you,you have the right to submit an individual permit application,associated processing fee and letter requesting
coverage under an individual permit. Unless such demand is made,this decision shall be final and binding. Please
take notice this Certificate of Coverage is not transferable. Part II,E.4. addresses the requirements to be followed
in case of change of ownership or control of this discharge.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division,such as the
construction of additional or replacement wastewater treatment or disposal facilities. Construction of any
wastewater treatment facilities will require issuance of an Authorization to Construct from this Division.
Failure to abide by the requirements contained in this Certificate of Coverage and respective general permit may
subject the Permittee to an enforcement action by 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

Page 2.
TOM GREGORY
GREGORY RESIDENCE-(THOMAS H.)
Certificate of Coverage No. NCG550349
The issuance of this Certificate of Coverage is an administrative action initiated by the Division of
Environmental Management and therefore,no fees are due at this time. In accordance with current rules,there
are no annual administrative and compliance monitoring fees for coverage under general permits. The only fee
you will be responsible for is a renewal fee at the time of renewal. The current permit expires July 31,1997.
This coverage will remain valid through the duration of the attached general permit. The Division will be
responsible for the reissuance of the general permit and at such time,you will be notified of the procedures to
follow to continue coverage under the reissued permit. Unless you fail to follow the procedures for continued
coverage,you will continue to be permitted to discharge in accordance with the attached general permit.
The issuance of this Certificate of Coverage does not preclude the Permittee from complying with any and all
statutes,rules,regulations,or ordinances which may be required by the Division of Environmental Management
or permits required by the Division of Land Resources,the Coastal Area Management Act or any Federal or
Local other governmental permit that may be required.
If you have any questions or need additional information regarding this matter,please contact either the
Asheville Regional Office,Water Quality Section at telephone number 704/ 251-6208,or a review engineer in
the NPDES Group in the Central Office at telephone number 919/733-5083.
S. erely,
A.Preston Howar .,P.E.
cc: Asheville Regional Office
Central Files

i
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH,AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No.NCG550349
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,
GREGORY RESIDENCE-(THOMAS H.)
is hereby authorized to discharge treated domestic wastewater from a facility located at
GREGORY RESIDENCE-(THOMAS H.)
Haywood County
to receiving waters designated as the MINE BRANCH/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 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

Waler l)umity itction
. SEP 2 4 I'-.91
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State of North Carolina jS�iBYtll? I�
,Aafireville, North carolins f
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street•Raleigh,North Carolina 27611
James G.Martin,Governor George T.Everett,Ph.D
William W.Cobey,Jr.,Secretary Director
September 19, 1991
Tom Gregory
3750 Hidden Hills Drive
Titusville,FL 32796
Subject: Permit No. NCO062618
Thomas H. Gregory Residence
Haywood County
Dear Mr. Gregory:
In accordance with your application for discharge permit received on June 14, 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
Dale Overcashh-for
George T.Everett
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 Affirmative Action Employer

Permit No. NCO062618
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, ,
Thomas H. Gregory and Wanda Gregory
is hereby authorized to discharge wastewater from a facility located at
Thomas H. Gregory Residence
on West Meadowlark Lane,Lot 218
southwest of Dellwood
Haywood County
to receiving waters designated as Mine Branch in the French Broad River Basin
in accordance with effluent limitations,monitoring requirements, and other conditions set forth in
Parts I, II,and III hereof.
This permit shall become effective December 1, 1991
This permit and the authorization to discharge shall expire at midnight on November 30, 1996
Signed this day September 19, 1991
Original signed by
pate overcash for
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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Permit No. NC0062618
SUPPLEMENT TO PERMIT COVER SHEET
Thomas H. Gregory and Wanda Gregory
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of a 1000 gallon septic
tank followed by a 6 x 44 subsurface sandfilter trench located at Thomas H. Gregory
Residence, on West Meadowlark Lane,Lot 218, southwest of Dellwood,Haywood County
(See Part III of this Permit), and
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2. Discharge from said treatment works at the location specified on the attached map into Mine
Branch which is classified Class C-Trout 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 11
A. MANAGEMENT I.F:QU IREMENTS
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 con-
pliance with the terms and conditions of this permit.
3. Adverse Impact
The permittee shall take all reasonable steps to minimize any adverse
impact to navigable waters resulting from noncompliance with any
effluent limitations specified in this permit, including such accel-
erated or additional monitoring as necessary to determine the nature
and impact of the noncomplying discharge.
4. Bypassing
Any diversion from or bypass of facilities necessary to maintain com-
pliance with the terms and conditions of this permit is prohibited,
except (i) where unavoidable to prevent loss of life or severe
property damage, or (ii) where excessive storm drainage or runoff
would damage any facilities necessary for compliance with the
effluent limitations and prohibitions of this permit. The permittee
shall promptly notify the Water Quality Section of DEM in writing of
each such diversion or bypass.
5. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the
course of treatment or control of wastewaters shall be disposed of in
a manner such as to prevent any pollutant from such material from
entering waters of the State or navigable waters of the United
States,

PART 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:

j1
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 responsiblefor the following items regard-
ing the maintenance of the treatment system:
a. Septic tanks shall be maintained at all times to prevent
seepage of sewage or effluents to the surface of the ground.
b. Septic tanks need routine maintenance and should be checked
at least yearly to determine if solids need to be removed
or other maintenance performed.
c. Contents removed from septic tanks shall be discharged into
an approved sewer system, buried or plowed under at an
approved location within 24 hours; or otherwise disposed of
at a location and in a manner approved by the State or local
agency.
2. The permittee shall properly connect to an operational publicly-
owned wastewater collection system within 180 days of its availability
to the site.

Part III Permit No. NCO062618
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.

STATE ECE[VED
State of North Carolina JUG! 2 9 "990
Department of Environment Health, and Natural Resourk-%jlle Regiotqakoffiw
lJ Division of Environmental Management Ashevil I le, Nutt Garafirlla'
512 North Salisbury Street 0 Raleigh, North Carolina 27611
James G.Martin,Govemor George T.Everett,Ph.D.
WHIarn W.Cobey,Jr.,Secretary Director
June 29, 1990
Mr. Tom Gregory
3750 Hidden Hills Drive
Titusville, FL 32796
Subject: Permit. No. NCO062618
Tom Gregory Resi-dence
Haywood County
Dear Mr. Gregory:
In accordance with your application for discharge permit-, received on March
30, 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 2760/f. Unl.es-,, sncli demand is made,
this decision shall be final and binding.
Please take notice that this permit is not transferable. Part 11, B.2.
addresses the requirements to be followed in case of change in ownership or control of
this discharge.
This permit does not affect the legal- requixemonLs to' obtain other permits
which may be required by the Division of Environmental MnlingemolnL or permits required
by the Division of Land Resources, Coastal Area Mnnagr,mo.ni, Act, ni any other Federal or
Local governmental permit that may be required.
If you have any questions concerning this pormil -ontact Mr. Mack
Wiggins at telephone number 919/733-5083.
Sincerely,
Wginal SiVO4 of
Dale OvercaSh W
George T. Everett.
cc: Mr. Jim Patrick, EPA
Ponuflon Prevendon Pays
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

f
Perm`�i No. NCO062618
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission,and the Federal Water Pollution Control Act, as amended,
Mr. Thomas H. Gregory
is hereby authorized to discharge wastewater from a facility located at
Thomas H. Gregory Residence
on West Meadowlark Lane,Lot 218
southwest of Dellwood
Haywood County
to receiving waters designated as Mine Branch in the French Broad River Basin
in accordance with effluent limitations,monitoring requirements, and other conditions set forth in
Parts I, II, and III hereof.
This permit shall become effective August 1, 1990
This permit and the authorization to discharge shall expire at midnight on November 30, 1991
Signed this day June 29, 1990
Original .signed ap
�at� ��rer��sh Ik�r
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0062618
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Thomas H. Gregory
is hereby authorized to:
to operate an existing wastewater treatments stem consisting of a 1000 gallon septic
1. Continue p g y g
tank followed by a 6 x 44 subsurface sandfilter trench located at Thomas H. Gregory
Residence,on West Meadowlark Lane,Lot 218, southwest of Dellwood,Haywood County
(See Part III of this Permit), and
2. Discharge from said treatment works at the location specked on the attached map into Mine
Branch 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
Division of Environmental Management
512 North Salisbury Street 9 Raleigh, North Carolina 27611
James G. Martin, Governor R. Paul Wilms
S. Thomas Rhodes, Secretary Director
October 26, 1988
Mr. & Mrs. Tom Gregory
3750 Hidden Hills Drive
Titusville, Fl 32796
SUBJECT: NPDES No. NCO062618
Mr & Mrs. Tom Gregory Residence
formerly issued to Mr. Roy Heussner
Haywood County
Dear Mr. & Mrs Gregory:
In. accordance with your request received September 13, 1988, we are forwarding
herewith the subject Permit now issued to Mr. & Mrs. Tom Gregory. The only changes
in this Permit are in name and ownership. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215. 1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated
December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this
permit are unacceptable to you, you may request a waiver or modification pursuant to
Regulation 15 NCAC 2B .0508(b) by written request to the Director identifying the
specific issues to be contended. Unless such request is made within 30 days
following receipt of this permit, this permit shall be final and binding. Should
your request be denied, you will have the right to request an adjudicatory hearing.
Please take notice that this permit is not transferable. Part II, D.3.
addresses the requirements to be followed in case of change in ownership or control
of this discharge.
This permit does not affect the legal requirement to obtain other permits which
may be required by the Division of Environmental Management or permits required by
the Division of Land Resources, Coastal Area Management Act or any other Federal or
Local governmental permit that may be required.
RECEIVED
Water Qua{ity Section
NOV 3 - 1933
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] Asheviil^c ReU,ionai Office
Ashe,jilie, North Carolina
An Equal Opportunity Affirmative Action Employer

Page Two
If you have any questions concerning this permit, please contactMr. Mack
Wiggins, at telephone number 919/733-5083.
Sincerely,
Oftinat Sighed By
A#14UR AhOMERRY
R. Paul Wilms
cc: Mr. Jim Patric �E... r
,_. . gonal Off
Central Files

Permit No. NC0062618
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES AND 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,
Mr. & Mrs. Tom Gregory
is hereby authorized to discharge wastewater from a facility located at
Mr. & Mrs. Tom Gregory Residence
Lot No. 218
Mine Branch Road
Haywood County
to receiving waters designated as Mine Branch in the French Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, and III hereof.
This permit shall become effective October 26, 1988.
This permit and the authorization to discharge shall expire at midnight on August
31, 1990
1W SiVed F
Signed this day October 26, 1988, R-MOUBERRY
For
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0062618
SUPPLEMENT TO PERMIT COVER SHEET
Mr. & Mrs. Tom Gregory
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility,
and
2. Make an outlet into Mine Branch, and
3. After receiving an Authorization to Construct from the Division of
Environmental Management, construct and operate a 300 GPD wastewater
treatment facility located at lot (No. 218 on Mine Branch Road in Haywood
County (See Part III of this Permit), and
4. Discharge from said treatment works into Mine Branch which is classified
Class "C-Trout waters in the French Broad River Basin.

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\ e .STATE
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor R. Paul Wilms
S. Thomas Rhodes, Secretary August 30, 1985 Director
Mr. Roy Heussner
Mountain Top Development
9200 Littleton Road, NW #115
N. Fort Myers, FL 33903
Subject: Permit No. N00062618
Lot 218
Haywood County
Dear Mr. Heussner:
In accordance with your application for discharge permit received on
April 16, 1985, we are forwarding herewith the subject State - NPDES
permit. This permit is issued pursuant to the requirements of North
Carolina and the US Environmental Protection Agency dated December 6,
1983.
If any parts, requirements, or limitations contained in this permit
are unacceptable 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. Dale Overcash, at telephone number 919/733-5083.
Sincerely, RECEIVED
°'_ Fes' r�,:,. Water Quality Division
R. Paul Wilms SEP q 1985
cc: Mr. Jim Patrick, EPA
Asheville Regional Supervisor Western R�orth pffi
North ce
[shevilie, Carolins
Pollution Prevention Pays
P.O.Box 27687, Raleigh,North Carolina 27611-7687 Telephone [phone]
�xr i
An Equal Opportunity Affirmative Action Employer

e
�.."* Permit tio.- Pic 0062618
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
P E R M I T
To Discharge Wastewater Under the NATIONAL
POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.19
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
Mr. Roy Heussner
is her authorized to discharge wastewater from a facility located at
Mountain Top Development
Lot No. 218
Mine Branch Road
Haywood County
to receiving waters designated as Mine Branch in the French Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, and III hereof.
This permit shall become effective September 1, 1985
This permit and the authorization to discharge shall expire at midnight
on August 31, 1990
Signed this day of August 30, 1985 CRIGli,4AL SIGNED BY
ARTHUR MOUSERRY
FOR
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental
Management Commission
M1 & I1

Permit No. NC0062618
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Roy Heussner
is hereby authorized to.
1. Enter into a contract for construction of a wastewater
treatment facility, and
2. Make an outlet into Mine Branch, and
3. After receiving an Authorization to Construct from the Division
of Environmental Management, construct and operate a 300 GPD
wastewater treatment facility located at Mountain Top Development,
lot No. 218 on Mine Branch Road in Haywood County (See Part III,
condition No. B. of this permit) , and
4. Discharge from said treatment works into Mine Branch of the French
Broad River Basin which is classified Class "C-Trout" waters.

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Permit No.
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PAT MCCRORY
`..
f:•k.
DONALD R. VAN DER VAART
Scoclan
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL GUALITY
November 2, 2016
Susan Altman
717 Clemwood PI
Orlando, FL 32803
Subject: General Permit NCG550000
45 Mockingbird Lane
Certificate of Coverage NCG550349
Haywood County
Dear Permittee:
The Division recently reviewed your permit file and noted that the most recent version of your
Certificate of Coverage (CoC)was not present. As a result, the Division hereby reissues NCG550349. This
CoC is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
October 15, 2007 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you,you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Asheville Regional Office prior to any sale or transfer of the Permitted facility.
ReLrional Office staff will assist you in documenting the transfer of this CoC
This permit does not affect the legal requirements to obtain any other State, Federal, or Local
governmental permit that may be required. If you have any questions concerning the requirements of the
General Permit,please contact Charles Weaver of the NPDES staff[919 807-6391 or
[e-mail]].
4Sinerely,
for S.Jay Zimmerman
Director, Division of Water Resources
cc: Asheville Regional Office NPDES RECEIVED
file Dmsion of Water Resources
NOV - 8 2016
Water Ouailty Regional Operations
State of North Carolina Environmental Quality I Water R As? e.tiiie t%egiona!Office_ _..
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

i
i
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550349
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,
Susan Altman
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
45 Mockingbird Lane
Maggie Valley
Haywood County
to receiving waters designated as Mine Branch, a class C-Trout stream 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 takes effect November 2, 2016.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day November 2, 2016
for . ay Zimmerman, P.G.
'Director, Division of Water Resources
By Authority of the Environmental Management Commission

PAT MCCRORY
Gave ,,,
DONALD R. VAN DER VAART
.« cec�erm r
Water Resources S. JAY ZIMMERMAN
ENWRONMENTAL QUALITY
Director
November 23, 2016
Mrs. Susan Altman
717 Clemwood Pl
Orlando, FL 32803
Subject: Rescission of Certificate of Coverage
NCG550349
45 Mockingbird Lane
Haywood County
Dear Mrs . Altman:
Division staff has confirmed that the subject Certificate of Coverage (CoC)
is no longer required. Therefore, in accordance with your request, NPDES
CoC NCG550349 is rescinded, effective immediately.
If in the future you wish to discharge wastewater to the State' s
surface waters, you must first apply for and receive a new NPDES
permit.
If you have any questions concerning this matter, please contact Charles H.
Weaver at (919) 807-6391 or via e-mail [charles [e-mail]] .
Sincerely
;?4 / _yvmoq
for S. Jay Zimmerman, Director
Division of Water Resources
cc: Asheville Regional Office / Mikal Willmer
NPDES unit RECEIVED
Teresa Revis / Budget DMsion of Water Resources
DEC 1 6 2016
Water Orin ty Regional Operations
State of North Carolina I Environmental Quality I Wat ResourX�., ,r ,ai Office
1617 Mail Service Center I Raleigh,NC 27699-1617—
919 807 6300 919-807-6389 FAX
https://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

7L
PA. CCRGI�T
1.g'vf.miff
a . esourcesDkec,6r
Certified Mail #7015 1520 0003 5463 0707
Return Receipt Requested
September 02, 2016
Susan Altman
717 Clemwood PI.
Orlando, FL 32803 �
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-PC-0404
Permit No. NCG550349 -4tAs— A'
45 Mockingbird Ln.
Haywood County
Dear Permittee:
The North Carolina Division of Water Resources conducted a Compliance Evaluation Inspection at 45 Mockingbird
Ln. on August 26, 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. NCG550349. 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 Annual sampling records were not available at the time of the inspection.
[NCG550000 Part I. A. Effluent Limitations and Monitoring Requirements.
(see table in NCG550000 permit)]
Permit Permittee is not the current owner. Change of ownership required.
Septic Tank Septic tank maintenance records were not available at the time of the 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 other maintenance 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
j 828-296-4500

Effluent Pipe The effluent pipe could not be located:
[NCG550000 Part I. A. 4. (Operations & Maintenance) All system
components, including but not necessarily limited to, septic tanks,surface
sand filters, other filter components, pump/recirculation tanks,
disinfection units and the outfalls shall be maintained at all times and in
good operating order.]
Corrective Measures for the deficiencies noted above.
Effluent Sampling: Sample or document no discharge and submit to Asheville Regional Office.
Permit: Complete and submit enclosed Permit Name/Ownership Change Form to Raleigh.
Septic Tank: Provide receipt of septic tank pumping to Asheville Regional Office.
Effluent Pipe: Locate effluent pipe and system components.
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 QualityRegional
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
Permit Name/Ownership Change Form
Cc:WQS Asheville Regional Office- Enforcement File
NPDES Compliance/Enforcement Unit- Enforcement File
G:\WR\WQ\Haywood\Wastewater\General\NCG55 SFR\NCG550349-Altman\Inspect.August 26, 2016\NOD-2016-PC-0404.docx
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

i
r
United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 1 3 I NGG550349 I11 12 16/08/26 17 18 LC I 19)Li 20I
211 I_I 1 I 1 uI I I I I 11 I 1 I I I I I I I I I I I I I I I I I I I I I 11 I I I I 1166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----Reserved —
67 70 LI J L-I I I 71 I I 72 (-IN I 73[_LJ74 751 I I I I I I I80
Section B:Facility Data
i
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 01:10PM 16/08/26 13/08/01
Mockingbird Ln.
45 Mockingbird Ln Exit Time/Date Permit Expiration Date
01:21PM 16/08/26 18/07/31
Maggie Valley NC 28751
Name(s)of Onsite Representative(s)/Tibes(s)/Phone and Fax Number(s) Other Facility Data
t®Cl o5,.e
i
Name,Address of Responsible Official/Tifle/Phone and Fax Number
tF1_ Contacted
No
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 Willmar ARO WQ//828-296-4686/
--7-- 1
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
i

� Y \
NPDES yr/mo/day Inspection Type 1
3' NOG550349 I11 12 16/08/26 17 18 JCJ
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The inspector(Mika)Willmer)was unable to contact and meet onsite with the current owner, Susan
Altman. Ms.Altman is not the listed permittee.A name/ownership change form should be submitted to
Raleigh.
The grounds directly surrounding the house were well maintained. Could not locate the septic tank,
sand filter trench and effluent pipe.The owners should locate and properly maintain all treatment units.
The house appears to be a vacation home or rental property for the current owner.
Page# 2

r �
Permit: NCG550349 Owner-Facility: MockingbirdLn.
Inspection Date: 08/26/2016 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ® ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT,Settleable ❑ ❑ ■ ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: The grounds directly surrounding the house were well maintained, but could not locate any
of the treatment units.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ® ❑ ❑
application?
Is the facility as described in the permit? ❑ ❑ ■ ❑
#Are there any special conditions for the permit? ❑ ❑ ® ❑
Is access to the plant site restricted to the general public? ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment: Current owner(Susan Altman) is not the listed permittee. Change of ownership needed.
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: Unable to locate septic tank Could not contact owner to inquire about the septic tank
maintenance.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? 9 ❑ ® ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ■ ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ■ ❑
Comment: Unable to locate the effluent pipe leading to Mine Branch The permitted design shows the
effluent pipe down the embankment at the end of Mockingbird Ln.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ■ ❑
Is sample collected below all treatment units? ❑ ❑ ❑
Is proper volume collected? ❑ ❑ M ❑
Is the tubing clean? ❑ ❑ 0 ❑
Page# 3

Permit: NCG550349 Owner-Facility: MocldngbirdLn.
Inspection Date: 08/26/2016 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
#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 ❑ S ❑ ❑
representative)?
Comment: Unable to contact owners about sampling requirements. See above.
Page# 4

� t
PAT MCCRORY
Governor
4.
DONALD R.. VAN DER VAART
S�CP£'7XY1'
S. JAY ZIMMER.MAN
Yt'�tt�r rRe.�r�ta�-c:es
ENVIRONMENTAL OUAUTY
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NCG550349
1. Facility Name: 45 Mockingbird Ln. Maggie Valley, NC
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
_X _a. Change in ownership of property/company
b. Name change only
c. Other(please explain):
2. New owner's name(name to be put on permit):
3. New owner's or signing official's name and title:
(Person legally responsible for permit)
(Title)
4. Mailing address: City:
State: Zip Code: Phone: ( )
E-mail address:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
http://portal.ncdenr.org/web/wq

A
Applicant's Certification:
attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this application are not completed and that
if all required supporting information and attachments are not included, this application
package will be returned as incomplete. .
Signature: Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ/ DWR/ NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 1212015

Septic Companies in Haywood County NC
Sorrells Septic Tank Pumping: 828-456-6327
Birchfield Brothers Septic: 828-456-7144
Mike Smith Pumping: 828-646-3709
Able Septic Tank Services: 828-452-2030
Y'-\k� ,
s_fie �rrr�

PAT MCCR.OR.Y
Ooverpor
DONALD R. VAN DER VAART
aterResource S JAY ZIM.M'.ERMAN
ENVIRONMENTAL QUALITY
August 11,2016
Susan Altman
717 Clemwood PI
Orlando, FL 32803
Subject: Single Family Residence Wastewater
Treatment System
NPDES General Wastewater Permit
No./Certificate of Coverage
NCG550349
Compliance Evaluation Inspection
Dear Permittee:
The Division of Water Resources (DWR) database records show that you currently
own/operate a single family residence (SFR) wastewater treatment and disposal system
located at 45 Mockingbird Ln, Maggie Valley, NC. In the next 30 days, DWR personnel
from the Asheville Regional Office(ARO)need to conduct a comprehensive review of your
system with you in order to verify that your system is operating properly and to determine
the compliance status of the system pursuant to your NCG550349 permit. We anticipate
such a review would take approximately one to two hours, provided that all needed
documentation and data is readily available at the time of the site visit.
Due to the difficulties involved with catching owners at home during the workday,we would
like to pre-schedule this site visit with you to ensure we can meet and complete the required
system review as expeditiously as possible. In order to facilitate this process, we ask that
you contact Mikal Willmer, of our office, at 828-296-4686 or by email at
[e-mail], between the hours of 8AM and 4PM,Monday through Friday.
To prepare for the inspection, we recommend you review your permit to ensure you are
maintaining and monitoring your system as required. Also, in the interest of efficiency,
please have the following documentation and information available during the site visit:
1. Permit/Certificate of Coverage: Issued by DWR,you should have received this
via regular U.S. Postal Service mail. It can also be found at
http://deq.nc.gov/about/divisions/water-resources/water-resources-
permits/wastewater-branch/npdes-wastewater/general-permits. Current general
permit expires July 31 st,2018.
2. A Schematic of the Treatment/Disposal System: Please have available all
schematics or other technical drawings and/or design specifications that show the
complete and/or partial layout of your treatment/disposal system.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

3. Analytical Monitoring: Required in Part I(A) of the general NCG550000
permit,please have available all official records of analytical monitoring
conducted to date. Sampling is required annually.
4. Septic Tank Inspections/Pumping: Required in Pan I(A) of the general
NCG550000 permit,please have available all records of annual septic tank
inspections and/or septic tank pumping.
5. Chlorination/Dechlorination Tablets (If Applicable): Please have available the
original containers in which both the chlorination and dechlorination tablets were
stored when you purchased them. Tablets must be certified for wastewater
treatment.
We appreciate your time and understanding and look forward to hearing from you to
schedule this site visit. If for some reason you're unable to contact us, we will make every
effort to contact you to schedule the review of your system. If you have questions or concerns
about this letter or the required review, please contact Mikal Willmer between the hours of
8AM and 4PM, Monday through Friday at 828-296-4686 or by email at
[e-mail].
Sincerely,
Mikal Willmer
Environmental Specialist
Asheville Regional Office
State of North Carolina Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

097550.550 tc�� 1(/S�/15)Page 1 of 1
Site: 45 MOCKINGBIRD LN
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0697
228 218
1 .6A
9631
586
216
E Property Details:
U&COLOR 0 PARENT 10
ST RT -1625 71UNIQUEID 18739
PIN:.DASH 7696-04-9631 11 PIN 7696049631
NAME1 11ALTMAN,SUSAN NAME2
AD)RESS1 11001 N HAMPTON AVE JADDRESS2
CT4_ST ZIP ORLANDO,FL 32806 IMAPSHEET 17696.03
LEA:•AL_REF1 504/346 LEGALREF2
A7D,)_REF1 = JADD-REF2
C,.C_ACRES 0.5801 STREET_ADD 45 MOCKINGBIRD LN
s-k.E_DAT1 10/9/2001 IFSALE_PRIC1 1107000
PR=3P DESC PT#216&PT#218 MTN TOP DEV SEC B SUBDIV_COD MTTO
SU`3DIV_NAM MOUNTAIN TOP DEVELOPMENT TOT MKT VA 121350
TO '_BLD_VA 88460 JIMAIN_AREA 11020
YR;_BUILT I 1986 JILAND VALUE 1132890
DEi"ER_VAL 0 IFT6 ASSD_VA 11121350
C T NO 141861 TOWNSHIP IVY HILL
SA,.E_DAT2 I SALE PRIC2 110
TA:_CODES F09,G01 BUILD_USE DWELLING
OC'wUPANCY SINGLE FAMILY LAND TYPE HOMESITE,MKTADJ
DIS"LAIMER:These maps and information either in digital or hardcopy format are not surveys.This map data is prepared from the inventory of real property found within this
lun.:liction and is compiled from recorded deeds,plats,and other public records and data Users of any maps generated on this site are hereby notified that the aforementioned
pubic primary information sources should be consulted for verification on the information contained herein.Haywood County assumes no legal responsibility for the information
con rained on these maps.
htt.t://www2.undersys.com/scripts/testadv/usiwebd.dll/usi?formis=ptmap&MouseX=143&MouseY=370... 11/14/2006

State of North Carolina
Department of Environment •
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Gregory J. Thorpe, Ph.D., Acting Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
4/23/2002
CERTIFIED MAIL
RETURN RECEIPT REQUESTED '
Ay `" 6
ATTN: TOM GREGORY
GREGORY,THOMAS-RESIDENCE
3750 HIDDEN HILLS DR
TITUSVILLE, FL 32796
Subject: NOTICE OF VIOLATION
FAILURE TO SUBMIT RENEWAL APPLICATION
GREGORY,THOMAS-RESIDENCE
NCG550000
COC NUMBER NCG550349
HAYWOOD COUNTY
Dear Permittee:
This letter is to inform you that,as of the date of this letter,the Division of Water Quality has not received a
renewal request for the subject permit certificate of coverage. This is a violation,of NCGS §143.215.1 (c)(1)which
states"All applications shall be filed with the commission at least 180 days in advance of the date on which it is
desired to commence the discharge of wastes or the date on which an existing permit expires,as the case may be".
Any permittee that has not requested renewal at least 180 days prior to expiration or permittee that does not have a
permit after the expiration and has not requested renewal at least 180 days prior to expiration,will be subjected to
enforcement procedures as provided in NCGS §143-215.6 and 33 USC 1251 et.seq.
In order to prevent continued,escalated action;including the assessment of civil penalties you must submit a
completed permit coverage renewal application to the attention of the"Stormwater and General Permits Unit" at
the letterhead address within ten(10)days of your receipt of this letter(renewal application enclosed).
If the subject discharge has been terminated,please complete the enclosed rescission request form. Mailing
instructions are listed on the bottom of the rescission.request form. You will be notified when the rescission
process has been completed.
Thank you for your prompt attention to this situation. If you have any questions regarding this matter,please
contact Mack Wiggins of the central office Stormwater and General Permits Unit at 919-733-5083,ext.542.
Sincerely,
for Gregory J.Thorpe,Ph.D.
Acting Director,Division of Water Quality
cc: Stormwater and General Permits Unit Files
Central 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 a •
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Gregory J. Thorpe, Ph.D., Acting Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT'ANt) NATURAL IRESOURCES
1.1/26/01
TOM GREGORY FC I 2001
GREGORY THOMAS-RESIDENCE
3750 HIDDEN HILLS DR
TITUSVILLE, FL 32796
Subject: NPDES Wastewater Permit Coverage Renewal
Gregory Thomas-Residence
COC Number NCG550349
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,
6
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, LIU I MAI
Health and Natural Resources Ag4: i
Division of Water Quality
James B. Hunt, Jr., Governor � E H N
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director July 21, 1997
Tom Gregory
1
3750 Hidden Hills Drive
Titusville,_FL 32796 _
Subject: Certificate of Coverage 1Vo:=NGG55034g
Renewal of General Pe -it
Gregory,Thomas-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,
cc: Central Files
fr_41�
A. Preston Howard,Jr.,P.E.
raw
i
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. NCG550349
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,
Tom Gregory
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
Gregory,Thomas-Residence
218 West Meadowlark Lane
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.
Preston Howard, Jr., P.E., Director
f Y Division of Water Quality
By Authority of the Environmental Management Commission

4 s
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State of North Cary )a
Department of Environment, "
Health and Natural Resources ( •
Division of Environmental Management
James B. Hunt, Jr., Governor Kim
Jonathan B. Howes, Secretary CC
A. Preston Howard, Jr., P.E., Director G
November 29 1993
Thomas H Gregory
3750 Hidden Hills Drive
Titusville S FL 32796
Subject: Certified Operator Requirements
Single Family Treatment Systems
NPDES Permit No. NCG550349
Haywood County
Dear Mr. Gregory:
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
NCG550349
Page 2
In addition to being required by your permit,proper maintenance of your treatments stem
is extremelyimportant to the long term serviceability of our wastewater treatments stem.
P g n' Y Y
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
A
Cindy.F' an, Su rvis r
g and Cert on Unit
cc: Asheville Regional Office-Water Quality
Facilities Assessment Unit
Central Files
i
I

i

is PERMITS AND ENGflikERING UNIT `
WATER QUALITY SECTION
DATE: July 10, 1991
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Haywood
PERMIT NUMBER NCO062618
PART I - GENERAL INFORMATION
1. Facility and Address: Tom and Wanda Gregory Residence
Lot 218 Mountain Top Development
Maggie Valley, North Carolina
2 . Date of Investigation: July 10, 1990.
3 . Report Prepared By: Kerry S _ Bec} er
4. Persons Contacted and Telephone Number: Tom Gregory
407-267-6357
5. Directions to Site: From the intersection of U. S. Hwy 19 and NCSR
1307, travel east 0. 3 mile on U. S. Hwy 19 to Mine Branch Rd.
Turn onto Mine Branch Rd. and travel approx. 0.5 mile to
residence on the right side of the road.
6. Discharge Point(s) , List for all disc-barge points:
Latitude: 35 do<_f. 30 min. 29 sec .
Longitude: 83 deg. 03 min. 50 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_r,. s. Quad Name Dellwood, NC
7. Size (land available for expansion and upgrading) : N/A
8. Topography (relationship to flood Pl.a.i.n included) : Steep
9. { Location of nearest dwelling: N/A

10. Receiving stream or affected surface waters: Mine Branch
a. Classification: C-Trout j
b. River Basin and Subbasin No. : FBR 04-03-05
C . Describe receiving stream features and pertinent downstream
uses: Provides habitat for the propagation and maintenance
of wildlife.
I
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100 % Domestic
Industrial
a. Volume of Wastewater: MGD (Design Capacity)
b. Types and quantities of industrial wastewater:
C. Prevalent toxic constituents in. wastewater:
d. Pretreatment Program (POTWs only) :
i
in development approved
should be required not needed
2 . Production rates (industrial discharges only) in pounds per day:
a. Highest month in the past 1.2 months:. lbs/day
b. Highest year in the past 5 years - lbs/day
3. Description of industrial process (for industries only) and
P P � Y)
applicable CFR Part and Subpart:
4. Type of treatment (specify whether proposed or existing) : The
existing facility consists of a 1_000 gal-lon septic tank and a 6' x
44' 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 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 recominend.s renewal of NPDES Permit
#NC0062618.
Signature of Report Preparer
W _er. OTali Regional Supervisor
1
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v- Water Quality St'dion
JUN 2 8 1991
State of North Carolina Asheville Regional al Oftv
Department of Environment, Health, and Natural Resourcdgheville, tort Carolina
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
June 26, 1991
Mr. Thomas H. Gregory Subject : NPDES Permit App=ication
37 0 Hidden Hills Drive NPDES Permit No ..:00062618
Titusville, Florida 32796
Thomas H. Gregory Residence
Dear Mr. Gregory : Haywood Count_`
This is to acknowledge receipt of the following documents on June 14, 1991:
Application Form
Engineering Proposal (for proposed control facilities) ,
Request for permit renewal,
Application Processing Fee of $120.00,
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
Other
The items checked below are needed before review can begin :
Application Form
Engineering proposal (see attachment) ,
Application Processing Fee of
Delegation of Authority (see attached)
Biocide Sheet (see attached)
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
Other
Polludon Prevendon Pays
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Afflnnative Action Employer

r,
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: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 ruck Wiggins
(919/733-5083) of our Permits Unit for review. You wiii be advised of any
comments recommendations, questions or other information necessary for the
review of the application .
I am, by copy of this letter, requesting that our Regional Office
Supervisor prepare a staff report and recommendations regarding this
discharge. If you have any questions regarding this applications,
please contact the review person listed above .
Sincerely,
ki. Dale OvV ash, P .E .
CC : Asheville Regional Office �lj

NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COO M(ITY KMOPMENT
ENVIRONMENTAL MANAGEMENT C"ISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM AMt.tiJ►piOM la0+bp1
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR
AGENCY Al G U d (�
To be filed otily by services. wholesale and retail trade. USE Call dEfIIYli)
and other cones rcial establishments including vessels
TEPA a to.& DAY
Do not attempt to cowlete this form without reading the aceemoanyin l tnstevctiens �/o2a•oa
►tease Print or type
1. Name, address. and telephone number of facility producing discharge
A. Mauve � s I Y, Gr- o r-
a. Street address ali 0J,--4' E O ltJ L
C. City MArZGZE VALLEY 0. stab
E. County NAYGJaon F. ZIP
G. Telephone No. 70 r1a( - 30 6(,
Arta r4A Ph
Code �
CodeHo �E y07- .261'635 7
2. sic cry (t10P,K W7 g5,S5 7a4110)n t) GRFGoR�
(leave blast)
3. Number of erployees 0
f �eiVTAf '1, Nature Of Dut/ntis -t SEA-'-;nJu A --
S. (a) Check here if discharge occurs all yeareor
(b) Check the month(S) disChatVe Occurs:
1,OJanuary 2.0Febrwary 3.0PWM:h d.OApriI 6.01lay ;-
6.0 June 7.0July Q.0August 9.0 septaelber 10.O;,,tte6er
11.O hovevot r 12.0 Do"me r J
W Mow IMny days per week:
1.0 1 2.0 2-3 3.o f-S 4.0 6-7
6. Types of waste water discher9to to surface waters only (check as applicable)
Flow, gallons per operating day llalusst treated befo*t
dietharling (percent)
Discharge per
operating day 0.1.999 1000-N99 f000-29" 10�000 10.000 Ilene 0.1• m i5- 95.
49.999 or mere 29.9 64.9 94.9 lot
(1) (2) (2) (A) (6) (6) (7) (8) (9) (1C,
A. Sanitary, daily .' /
average
8. Cooping wate►, etc.,
daily average
C. Other discharge $),
daily average;
Specify
C. Maxlffiv* per oor•11
ing day for com-r t;
ditchergr (all tyors t

7, If any of the tyott of waste identified in ltem 6, e1 Wr thaw or M.
treated, are discharged to places ether Nan surface waters, d"k below
as applicable.
Waste rater is discharged to: 0.1_109 10004M 101000 91"t i0.o00 sr sort
(i)
A. Mk,niLip4l te*w•r tystenr
h, U�uw ►gnru�A ww•11
f., •,ept it tank7F
V. (wporation lagoon or pond
E. other, specify:
8. MNvbtr of separate discharge points:
A. 01 B.02-3 C.O 4-5 0.0 6 or mory
9. Mast of rectiving rater or waters M i NE AR4 NG f�
. 10. Does your discharge contain or is it possible for your disehar*e to Contain
one or more of the toll0winq substahces Alga as • result of peer operations,
activities, or ►rocesses: pwonia, Cyan , a Nsinir, beryllia, tariMm.
chromium, copper, load, oercuryry, nickel, sele lue, tioc. phooels. sit asd
heist, and chlorin: (r+estduaI
A.C yes i.O no
1 certify that 1 as familiar with the information Contained 11t tM oplieatiom had
that to the best of ay knowlsop and belief such iMsAstion is trve, Complete, had
a-cccuurrate.
r10 s CAS P 1-
Printed kame of Person Signin
i<itie
Cate AppI cation signs p
�C!
tprature of ApplicMt
North: Carolina General Statute 10-21S,6(b Z rovides that: Any person who knevinitly tak.
`iny _.false stateneat representat on, or mere cat on say applieat4oat•teeord, report, p::
or other documant files ,or required to be maintained tinder Article 21 or regulations of c;:e
En•?ironneatal 'danasawmt Commisatoa is>< 1000&�l that Article, or who falsifies, to tilers L 1
Lr knowly renders inaccurate any .recordia= or nonitorillj 4p iea or method required to be
r-cerated or cuint;ained under ATtfels 22-ot regulations -of the ltnvironnental Manasement Co.—
_-p'_e�e=ting that Article, shall be vuUtT. of a 'Lodsraaor punishable by • fine sot to cxc(
or by iuprisonmpnt not to exceed six months, or by both. (ls L.S.C. Section 10o1 F.
pun:s1r=e, by a fine of'aot more that $10,000 or isprisoaesnt not snore than S years or b,
a zinilar o`fprae. )

i
J V-21n
W._. D
r
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G.Martin,Govemor George T.Everett,Ph.D.
William W.Cobey,Jr.,Secretary Director
February 19, 1_991
TOM GREGORY
GREGORY RESIDENCE(TOM)
3750 HIDDEN HILLS DRIVE
TITUSVILLE S, FL 32796
Subject: NPDES PERMIT NO. NCO062618
HAYWOOD COUNTY
Dear Permittee:
The subject permit issued on 6/21/90 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 expiration_da_te. 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 expira.titon. 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 c'iv[- asse ssment o_f at least $300.00;
larger penalties may be assessed depending upon the delinquency of the request.
A renewal application shall consist of a letter requesting permit renewal along
with the appropriate completed end signed application form (copy attached), submitted
in triplicate, referenced in Title 15 of the North Carolina Administrative Code (15
NCAC) Subchapter 2H .0105(a) . Primary industries listed in Appendix A of Title 40 of
the Code of Federal Regulations, Part 122 shall also submit a priority pollutant
analysis in accordance with Part 122.21, A processing fee mu.st be submitted with the
application. In addition to penalties referenced above, a permit renewal request
received after the expiration date will be considered as a new application and will
require the higher application fee.
R E C E I V
Water Quality
FEB n
I',o
PoDution Prevention Pays A;R�1$VtIJL' ies('l ;;
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]ASheVtffe, North Calc>I(rla
An Equal Opportunity Affirmative Action Employer

Attached is a copy of the fee schedule from 15 NCAC 28.0105(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 No.rtli. Carolina Department of Environment,
Health, and Natural Resources which may be abbreviated as DEHNR.
If there are questions or a need for additional information regarding the permit
renewal procedure, please contact me at telephone number (919) 733-5083.
Sincerely,
M. Dale Overcasb, P.E.
Supervisor, NPDES Permits Group
cc: Asheville Regional Office
Permits and Engineering Unit
Central Files

ram.
AA
��a�srnre4��
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
July 19, 1990
Tom and Wanda Gregory
3750 Hidden Hills Drive
Titusville, Florida 32796
Subject: Compliance Evaluation Inspection
Status: In Compliance
Tom and Wanda Gregory Residence
NPDES Permit Number NCO062618
Haywood County
Dear Mr. Gregory:
A Compliance Evaluation Inspection was conducted July 10, 1990,
of the septic tank/ subsurface sandf:ilter trench serving the residence
at Lot 218 Mountain Top Development in Maggie Valley, North Carolina.
The facility grounds and the receiving stream indicated no problems.
The wastewater treatment facility appears to be operating
satisfactorily and is considered to be in compliance with its NPDES
permit.
If, in the future, the residence is sold, please inform the new
owners that they will need to apply for a new permit. NPDES permits
are not transferrable.
If you should have any questions, please contact either Max Haner
or me at 704-251-6208 .
Sincerely yours,
K Becker
Environmental Technician
cc : Dan Aher EPA
ksb
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 • Felephone 704-251-6208
An Frn,al

United States Environmental Protection Agency Form Approved
Washington,D.C.20460
Compliance Inspection OMB No.2o400003
EP� NPDES Com Report P P P Approval Expires 7-31-85
Section A:National Data System Coding
Trans ction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1� L 1 114 40 [1 12V 1� 181 „ ,2Y 1,9 10 I'll I I d l 17 1�d 19�s1 2d2j
Remarks
1111111111111111111111111111111111IIIIIIIIIIII
66
Reserved Facility Evaluation Rating BI ------------------Reserved-----------------
67 69 70 710 72/(/ 73W 74 7d I I I I I 180
Section B:facility Data
Name and Location oA Facility In ected q2�_30 Entry Time❑ AM UYPM Permit Effective Date
/v 4.-0-2-IT S[tf D.t, I Exit Time/Date Permit Expiration Date
Name of On-Site R presents ve(s) Title(s) Ph ne No(s)
Name,Address EI l�Le of Re/s�onsible Official
T Title
/m v A O-U s
3 7 S o /,/;viz' Z'- Pho a No. wU U"J 5-�—-70c(( Contacted
/�7yt5V;11Z O �B7it al c397 - r26p /— 6 3�;-2 ❑ Yes UXNo
Section C:Areas Evaluated During Inspection
(S=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated)
Permit Flow Measurement Pretreatment Operations&Maintenance
Records/Reports q/ Laboratory Compliance Schedules Sludge Disposal
Facility Site Review .S Effluent/Receiving Waters Self-Monitoring Program Other:
Section D:Summary of Findings/Comments(Attach additional sheets if necessary)
Name(s)and Sig?tature(s)of Inspector(s) Agency/Office/Telephone D
fK
4♦
S e of Reviewer Agency/Office Date
A/C �3
Regulatory Office Use yZiy
Action Taken Date GfomplianA Status
kompliance
compliance
'PA Form 3560-3 (Rev. 3-85)Previous editions are obsolete.

J �
Lr
February 19, 1990
ROY HEUSSNER
MOUNTAIN TOP DEV. -LOT 228
9200 LITTLETON RD. , NW #115
NORTH FT. MYERS, FL 33903
Subject: NPDES PERMIT NO. NCO062626
HAYWOOD COUNTY
Dear Permittee:
Our files indicate that the subject permit issued on 10/01/85 expires on
9/30/90. 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(a).
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. If the facility covered
by this permit contains some type of treatment works, a narrative description of the
sludge management plan that is in effect at the facility must be submitted with the
application for renewal.
The Environmental Management Commission adopted rules on August 1, 1988,
requiring the payment of an annual fee for most permitted facilities (see attached 15
NCAC 2H .0105(b) regulations). You will be billed separately for that fee (if
applicable), after your permit is approved.
Please be advised that this permit must not be allowed to expire. If the renewal
request is not received within 180 days prior to the permit's expiration date as
required by 15 NCAC 2H .0106, you will be assessed an automatic civil penalty. This
civil penalty by North Carolina General Statute may be as much as $10,000 per day. If
a permit renewal request is not received 180 days before permit expiration, a civil
penalty of at least $300 will be assessed. Larger penalties may be assessed depending
h�

on how late the request is made. In addition, any permit renewal request received
after the permit's expiration date will be considered as a new application and will be
required to pay the higher permit application fee.
The letter requesting renewal, along with a completed NPDES Permit application
and appropriate standard 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, and Natural Resources (DEHNR) .
If you have any questions or need any additional information regarding this
matter, please contact me at (919) 733-5083.
Sincerely,
Original Signed By
M. Dale Overcash
M. Dale Overcash, P.E.
Supervisor, NPDES Permits Group
cc: Asheville Regional Office
Permits and Engineering Unit
Central Files

Perri:.:No, NCO062618
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH,AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Mr. Thomas H. Gregory
is hereby authorized to discharge wastewater from a facility located at
Thomas H. Gregory Residence -
on West Meadowlark Lane,Lot 218
southwest of Dellwood
Haywood County
to receiving waters designated as Mine Branch in the French Broad River Basin
in accordance with effluent limitations,monitoring requirements, and other conditions set forth in
Parts I, 11, and M hereof.
This permit shall become effective
This permit and the authorization to discharge shall expire at midnight on November 30, 1991
Signed this day
.02
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NCO062618
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Thomas H. Gregory
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of a 1000 gallon septic
tank followed by a 6 x 44 subsurface sandfilter trench located at Thomas H.Gregory
Residence,on West Meadowlark Lane,Lot 218, southwest of Dellwood,Haywood County
(See Part III of this Permit), and
2. Discharge from said treatment works at the location specified on the attached map into Mine
Branch which is classified Class C-Trout waters in the French Broad River Basin.

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Permit No. NCO062618
Part III
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.

TO: PERMITS AND ENG,__,iEERING UNIT i
WATER QUALITY SECTION
DATE: April 18, 1990
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Haywood
PERMIT NUMBER NC0062618
PART I - GENERAL INFORMATION
1. Facility and Address: Thomas H. and Wanda Gregory Residence
Lot 218 West. Meadowlark Lane
Maggie Valley, North Carolina 28751
2. Date of Investigation: August 11, 1989
3 . Report Prepared By: Kerry S. Becker
4. Persons Contract and Telephone Number:
5. Directions to Site: From the intersection of U. S. Hwy 19
and NCSR 1307 in Maggie Valley, travel east 0.3 miles on
U. S. Hwy 19 to Mine Branch Rd. Turn south on Mine Branch
Rd. and travel 0. 5 miles to the residence on the west side
of the road.
6. Discharge Point(s) , List for all discharge points:
Latitude: 35 deg. 30 min. 29 sec.
Longitude: 83 deg. 03 min. 50 sec.
7. Size. ,(land available for expansion and upgrading) : 1/8 acre
8. Topography (relationship to flood plain included) : Sloping
with increasing steepness towards Mine Branch.

�
IJ
9 . Location of nearest dwelling: 100 feet (N/A)
10. Receiving stream or affected surface waters: Mine Branch
a. Classification: C-Trout
b. River Basin and Subbasin No. : 04-03-05
C. Describe receiving stream features and pertinent downstream
uses: Stream provides habitat for the propagation of
wildlife.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100 % Domestic
Industrial
a. Volume of Wastewater: .000450 MGD (Design Capacity)
b. Types and quantities of industrial wastewater: N/A
C. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only) : N/A
in development approved
should be required not needed
2. Production rates (industrial discharges only) in pounds per 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 1000 septic tank followed by a 6
x 44 subsurface sandfilter trench.
5. Sludge handling and disposal scheme: Sludge disposal eill be
handled by a licensed commercial septic tank cleaning firm with
disposal of this material in accordance with N.C. General
Statutes.
6. Treatment plant classification: Less than 5 points; no rating
(include rating sheet) . N/A - Single family residences are not
rated.
7. SIC Codes(s) : 4952
Wastewater Code(s) : Primary 04 Secondary

Fa.
i
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant funds
(municipals only)? N/A
2 . Special monitoring requests: None
3 . Additional effluent limits requests: None
4. Other:
PART IV - EVALUATION AND RECOMMENDATIONS
The Asheville Regional Office recommends renewal of NPDES Permit
#NCO062618.
Signatu3x of Report Preparer
Water Quality Regional Supervisor
lam, /"ggv
Date

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1 MILE
1000 0 _ L �7 rY�l
1000 2000 --
-
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"-�-- - 0 1 KILOMETER Stream
I MQ KENT�„^KY m Pond and darn- l,�j
Contour interval 40 feet / VA Mine or quarry
I `Woodland T�.r ti ccc. -
Datum,s me:ui sea level

Witer Q olity Section
A l !:x
Asheville 1 i ; ;;'.ice
State of North Carolina ,Asheville, IVorih Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor 4/2/90 George T. Everett, Ph.D.
William W. Cobey, Jr., Secretary Director
Mr. Thomas H. Gregory
3750 Hidden Hills Drive Subject : NPDES Permit Application
Titusville, Florida 32796 NPDES Permit No.NC0062618
Thomas H. Gregory Residence
Dear Mr. Gregory Haywood County
This is to acknowledge receipt of the following documents on April 2, 1990:
Application Form
Engineering Proposal (for proposed control facilities) ,
Request for permit renewal,
Application Processing Fee of $60.00,
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 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,
4r
M. Dale Ovepc sh, P .E .
CC: Asheville Regional Office
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 COMUITY DEYECOpKW
ENVIRONMENTAL MANAGEMENT COWISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM --
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D AP►lMAl10N NUMHER
FOR 0 16
AGENc.
to filed omtly by services, wholesale and retail trade. USE DATE RECEIYfO
o
and other commercial establisheents including vessels p D
YEAR ao. DAY
Do not attempt to complete this fora without reading the accompanying instructions
Please print or type
1. New. address, and telephone number of facility producing discharge U
A. Namne
B. Street address/,-
C. City , / 0. slat!--1ui
E. County CiCU t. F. /.a
G. Telephone No. 70
Area
/. G f- , �,�� + El Dr
2. SIC l_. I I I I
(Leave blank) ,qv7 �7-'6 c% /j4 ,e
7- ys� �u yi t�vrfc
3. Number of employees
4. Nature of business 1-co irk- N 5 e ,
Y' l
5. (a) Check here if discharge occurs all year 0 , or
S
(b) Check the month(s) discharge occurs,
1.0 January 2.0 February 3.0Pamh 4.0 Apri 1 S.O Play (1 E'1+� tj 0 I �u
6, June 1,OJuly B August 4. Septemmber 10;b*tober �r r•a
II.0Noveember 12.ODecember „' e E 'Gi,1EE_RIN,;
(c) Mow many days per week:
1,01 2.02-3 3.04-5 4.06-7
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 6000."" 10,0010- 50,000 None 0.1- 30- 65- 95.
49,"9 or more 29.9 64.9 94.9 100
(1) (2) (3) (4) (S) (6) (7) (B) (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 combined
discharge (all types)

7. if any of the types of waste identified in item 6. either treated or w-
treated. are discharged to places other than surface waters, check below
as applicable.
Waste water is discharged to: 0.1-99'9 1000-49" 5000.9!!9 10.00049.M SO,00D or more
(1) (2)
A. Municipal %ewrr systw
11, IInM•r {r�wo�r1 w11
C, septic tank
U. Evaporation lagoon or pond
E. Other. specify:
8. Number of separate discharge points:
(�A.01 B.02-3 C.a 4-5 D.O 6 or sore
9. Name of receiving water or waters
.10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances Aggd as a result of your operations,
activities, or processes: amwonis, cyM11 ek, aluminum, beryllium, eNeium,
chromium, copper. lead, wtrcuryry. nickel, selenium, tint. /henels, Oil and
grease, and chlorine (residual).
A.Oyes B.O no V_
i certify that I in familiar with the information contained in the "pllcaiOn and
that to the best of my knwledQe and belief such information is true, conet
"Al OW
accurate.
Printed Name of Pers'06 Sign ng
Afy�_
Title
Date Application Signedd j
Sigwture of A,ppM- ' .
',,orth Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly make
any false atatemont representation, or cartificatILOU 1Z any applicst .ona'zeeord, report, alc
or other document files or required to be saintained under Article 21 or reotlations of the
Environmental Management Commission implemoza U4 that Articles or vho Salsifies, tampers �.'_t`
c,r knovly renders inaccurate any recording or nonitorigS dies or method required to be
operated or Maint;ainod under ATtials 21,or. regulations of the Envirom Octal Management Cow
�p�e�entin� that Article, sha23{be ;v3. tY- of a misdemeanor punishable by a -fine not to exce
. jn,non, or by imprisonmOnt not to exceed six months, or by both. (18 U.S.C. Section 1001 pt
pun4_s`ment by a fine of"AOt more than $10,000 or imprisolameat not pore than S years, or bn'
_`;,r a si^ilar offense.)
fi

� STATfa
lilt
"a
•�41uM Vim\.
State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W, Cobey, Jr., Secretary Regional Manager
y DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
August 11, 1989
Tom and Wanda Gregory
3750 Hidden Hills Drive
Titusville, Florida 32796
Subject: Compliance Evaluation Inspection
Status: In Compliance
Tom and Wanda Gregory Residence
NPDES Permit Number NCO062618
Haywood County
Dear Mr. Gregory:
A Compliance Evaluation Inspection was conducted July 11, 1989, of
the septic tank/ subsurface sandfilter trench serving the residence
at Lot 218 Mountain Top Development in Maggie Valley, North Carolina.
The facility grounds and the receiving, stream indicated no problems.
The wastewater treatment facility appears to be operating
satisfactorily and is considered to be in compliance with its NPDES
permit.
If, in the future, the residence is sold, please inform the new
owners that they will need to apply for a new permit. NPDES permits
are not transferrable.
If you should have any questions, please contact either Max Haner
or me at 704-251-6208.
Sincerely yours,
Kerry US. Becker
Environmental Technician
cc: Dan Ahern, EPA
ksb
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 •Telephone [phone]
An Equal Opportunity Affirmative Action Employer

�i
United states nvironmental Protection Agency Form Approved
� R �+ Washington,D.C.20460
EDANP®ES-Com fiance Inspection Report OMBN lExpir s7-3
Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code NPDES yr/mo/day' ,I Inspection Type Inspector Facc Type
1u AIL IUD Ibl l �t 1+�111 1 G 1 �117 1 19 2d2
Remarks
(� � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111616
Reserved Facility Evaluation Rating BI QA ------------------Reserved------------ ----
67W[_j 69 70bd 71LAJ 7 JAA 73W 74 A I I I I I 180
Section B:Facility Data
Name and Loc tion of Facilit Inspected Entry Time❑ AM �y PM Permit Effective Date
L3�
Oo w R �Z.r titer es"QQ ce. f y3 G> ® . 26 :firs'
�o 74 ? �!/l r �� Lp e lq-fg-a s l Exit Time/Date Permit Expiration Date
Na s)of On-Site epfesentative(s) Title(s) Phone No(s)
Name,AddrElps of Re risible Official Title
iJ G
Phone,►�io. Contacted
cfA a ': Pv jj_lf oZ 6 3J 7 ❑ Yes® No
Section C:Areas Evaluated.During Inspection
(S=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated)
Permit A/ Flow Measurement N Pretreatment Operations&Maintenance
Records/Reports ,✓ 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)
v::t (g /�C�fh/¢j� � d�GVC S �i F,.�G(t•f/r
Name(s)and Sig?rature(s)of Inspector(s) Agency/Office/Telephone Date
SignatA of Reviewer Agency/Office Da e
Re ulatory Office se Only
Action Taken Date Compliance Status
❑-Noncompliance
Com liance

t
NPD.ES STAFF REPORT AND RECO.MMEND:A:TIONS
C o u n t yaY.ys4� .._y _
NPDE.S�Permit No.. NCO06261$ �
PART GEi.ERA1.: T-�IFO.RMATIQN
l : Facil'i;ty and Address : Tom and Wanda Gregory! Residence
.Lot 21.8,. Mountain Top - eve I pment
Maggie 'Valley, Maywood County, ..North Carolina
2 Date -of- In7.est4,.a.t:i_on : .Tune 6,
3 . Report -Prepared By:" Remy Becer
4 . Persons :Contacted. ,and Telephone Number: Wanda Gregory
I6 -6357
_6D`?
5, Directions to_ Site: from tlie.:intersection of U.S. ighway 19 and 'IVCSR 1307
Maggie Valley, travel east -0-3 mile- on I'. ,. ghway .19 .to Mine ,Branch Road.
Turn south on Mine Branch .Road sand"Gravel approximately =0. mile to i6sidence
on,-west side__ o:f. r:©ad.
6, D-ischarge Point Laaitude: 35;° _30' 29" N
Long..i.tuda;....Ba .03'. 50" W
Attach a USGS Map ,Ex­11.tll r~act a.n;d 'In cote treatment mpl:ant =site .and.
All chatge,�p�int :oi, ms.P.•
USES Quad No,. .E65E USGS -Quad :Name :Dellwood,, N.C.
7. Size Land. avaihafle €oz
expansion and u radon
p„S 8)
Approximately 118 3cre.
8. To.pogra-phy, (relatlans:h.ip to flood .Pla"in inclu'd.ed) s
Hilly
9, Loc-atiom of ne:are�&t, awel ingz 100 .feet'
10. Receiving stream or affected .surfac-e- w.at.ers: Mine :Branch
a . I Classificat'lon: C-'rout
b . River Basin and Su.bbasin .No.. : Rrench Broad '04-03-05
c . Describe , rece"iv;ing"-e.tream featuaes. and pertinent downstream
uses : Wildli,fe,.habitat

PART' II DESCRIF ON OF DISCHARGE .ANTI TREA, NT WORKS
Type of wastewater: 100_.__ 2 Domeatici. .
7 -Industrial.
a . Volume of Was.tewate.r; ..00045 MCD -
b . Types and quan-tt�ties of ,in'dns.trial wa` tesaat=e.x` .
c . Prevan let - toxi-c .n-
co. stituents in waste,waie.x'
d . Pret.r.eatment program (POT 's -only)
in ievelopment approved
yshoui� be req=uixe-dn�eeded _
2. . Pro'duct on rattes -< industrial discharges only) iri pounds
a.' h.igh,estanth i.n `the' last 12 mont.hs
b . high'est^ year- in l.,asf 5 years -
3 . Des'cr1,V-tion� of ndus.tria�I - "proce-ss (for in dustries only)...and
.
applic-able -- FR P--art and :Subp-art
4 . Tyge o-f; treatmeirt .(-specify whether proposedo. r, ex-tstling) :�
Ek st3 s stern consists of a 1;4000- a1lcnseptic taak-an substrf-ace .
sand �filter",trench .(6.'..X 44 ).
5 . Sludge handling and :`dis.posal scheme: Sludge disposal mill be
.:handled by :a licensed .cpmmercial septic tank cleaning .firm.
5. Tre-atmRnt plant° ;classification,: ,
7 SIC 'C o.d a (s) 4952
Wastewater .Code=('s). ,.; 04" "

PART III - OTHER(, 'RT.IN`ENT INFORMATION
Is this facility dieing c"onstructed with to'n 'tru-c.t i on Grants Funds"
(Muni cipals :Only.) ?
2.. Special monitoring reguea s;
. 3.. A d4l ti"onaI effluent . limits .requests.:
& . Other :
...
PART= IV EVALUATION AND 'RECOMMENDATIGNS
1. The'Asfieville Regional ,Office recommendation is to reissue.-this -,perm-it
" in 'Tom 'and Wanda Gregory's name.
2. The new -owners. reside in -Florida duuring the,winter -months. " "Their--address
is:
3750..Hidden Hills 'Dri.ve`
Titusville, 1'rida " 32796,
�.,.
Tel-ephon'e: (305) 267-6357
Sr �_ r or r �r.t� xeparex
a��ter ,Qual1ty Regional S.upe:xv.is.o.r

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\ �J F+/� ,/f t ���lr �r ,� � ���,�� ��-' � I` ) t � �� ��.. ! � ���� \ �� ,1l � t� 1 7 �,\:✓
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State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbu Street • Raleigh, North Carolina 27611
James G. Martin, Governor P/ ���o� R. Paul Wilms
S. Thomas Rhodes, Secretary / / Director
v --.
Subject : NPDES Permit Application ell
NPDES Permit No . N1 00 61do
County
D e a ryt1��S�
This is to acknowledge receipt of the following documents o
Application Form,
Engineering Proposal (for proposed control facilities) ,
Request for permit renewal,
Application Pgocessin Fee of $Ar. o-d ,
Other / C
The items checked below are needed be ore review can begin:
Application form ( Copy enclosed) ,
Engineering Proposal See Attachment) ,
Application Processing Fee of $ ,
Other
If the application is not made complete within thirty 30 days, it will
be returned to you and may be resubmitted when complete .
This application has been assigned to -C
( 919/733-5083) of our Permits Unit for rev ew. You wiJZ Ae- 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 rep-ort and recommendations regarding this
discharge . If you have any questions regarding this application, please
contact the review person listed above .
eL:, I-
4%�thur
Mouberry, P.E. RECEIVED
�- Supervisor, Permits andMft01Sfi4)e3rthV
cc : el
Pollution Prevention Povs OCT +; 1988
P.O Box 27697, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer AsheviHe Rer. ;Mtiai liificesh a t+a
ot•1'li :.., '0t1�, OaCOl(11a

ri (- r,TY
,. ;- I•:. :., ,,,:,,itrl.,,. . '.:f.i,1E[�'q ^�i1ri'°'QP/2'� "`' ;`�
.UU ; IS CERTI;IED TO 8E CORRECT. FILED FOR
AY OF 1 if) ni. —194— Al- ._L I--.O't . 3 )N D/f
BOO
K 2 i;
PAGE �_.�_2
A4 REGISTER OF DEEDS
RECEIVED // A
Kill 4 Aub y
drawn b ..... "" "�� �•
[Space Above This Line For Recording Datal I4 y f
PERMITS& ENGINEERING I = :.
t S DEED OF TRUST ;
THIS DEED OFTR> ST("Security Instrument")is made on.............J.An.U.A.>'.y....2.7..........
TiiOt4AS...I1....GR> G.OR df1a...W.ife,...F11>L1UA...Z._...GRE.G.ORY........ �1)4� an; :+' iA�';1 Eft
19...8.6...The grantor is ZNtr................ rta,
v
.......("Borrower').The trustee is.....T..E...M.•.... .
("Trustee").The beneficiary is i h
.................................E........................................................... which is organized and existing
Southeastern Savings & Loan CompanX. . •, g
................. g
NoCth Carolina., and whose address is ............... .�s..........("Lender").
. ender").�.512 u
under the laws of........................... .................... ( Lender ).
Charlotte r...:NC............ .... ....I.......................
...
Borrower owes Lender the principal sum of...k'QR.�'.X-k.4?.V.R �(IOU.S.A:NA.This�debt
i evidenced p..•orr
.....................................Dollars(U.S.s..4.4.,7 O.O...D.O.......J.Thiadebl is evidenced by Borrower's note
dated the same date as this Security Instrument("Note") which rovides for monthly payments,with the full debt,if not
paid earlier,due and payable on ............k:e.b.x.Ua.r.y. 2,61.6.......
This Security Instrument secures to Lender:(a)the repayment of the debt evidenced by the Note,with interest and all
renewals,extensions and modifications;(b)the payment of all other sums,with interest,advanced under paragraph 7 to
protect the security of this Security Instrument;and(c)the performance of Borrower's covenants and agreements under
this Security Instrument and the Note.For this purpose,Borrower irrevocably grants and conveys to Trustee and Trustee's
successors and as�"l�ns in trugt,with power of sale,the following described property located in .......................................
..........ridwoo(]..........................................County,North Carolina:
18
BEGINNING at an iron (found) at the common corner of Lots 216, 217 and 2W.
in the Subdivision hereinafter referred to and runs thence S. 24° e 5" W.
63.46 feet to an iron stake; thence S. 74° 35' 48" W. 123.01 feet to a
point in center ofbranch; thence up and withen er of44" aWch21°ur 91 feats
as follows: N. 14° 30 26" W. 25.01 fee ; N.35' 57" W. 75.19 feet; thence
N. 040 31' 07" E. 46.66 feet; and N. 02
5.77 feet; thence N. 750 08' 18" E.
leaving branch N. 770 18' 50" E. 8
26.94 feet to a point in center of cul de sac; thence with center of
right—of—way with an arc of a circle on a curve to the left and in a
northeasterly direction (R= 799.09 feet and with a chord of N. 730 2s. 45"
E. 49.99 feet) a distance of 50 feet; thence leaving right-of-way
00, 00" E. 110 feet to the BEGINNING and containing 9 cres a30per
bearing survey and plat of James T. Herron, R.L.B. , 9 drawing no
and date of October 7, 1985.
BEING the identical property conveyed by Roy H. Heussner et ux. to Thomas
H. Gregory et ux by deed of even date herewith and subject to the
out therein.
restriction set
"
t
Summ;t.t...�r•ive ........... ................Ma99.ke...V.��I.�Y.........
which has the address of............. ICRYI
............ ]Street)
North Carolina 28751...................................... ("Property Addreas");
(Zip Code]
To HAVE AND To HOLD unto Trustee and Trustee's successors and assigns, forever, together with all the
improvements now or hereafter erected on the prope`toyckaandall
all fixtures nowrights,
or hereafter aeparttrents,
of theroyalties,
propertyeAV
oil and gas rights and.profits, water rights and
replacements and additions shall also be covered by this Security Instrument. All of the foregoing is referred to in this
Security Instrument as the"Property."
BORROWER COVENANTS that Borrower is lawfully seised of the estate encumbrances o d ecord and aIIo rowertwar to ganls
and convey the Property and that the Property is unencumbered,except
and will defend generally the title to the Property against all claims and demands,subject to any encumbrances of record.
THIS SECURITY INSTRUMENT combines uniform covenant$ for national use and non-uniform covenants with
limited variations by jurisdiction to constitute a uniform security in, covering real property.
NORTH CAROLINA—Single Family—FNMAIFHLMC DEED OF TRUST 12.83
Leagw Services of N.C.
-- 637

e"`sutEo
Water Quality:Section
is
SEP 2 0 '1088
AsheAle Regional Office
State of North Carolina ,Ashevil►e, Nortfl Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury_Street • Raleigh North Carolina 27611
James G. Martin, Governor
y..,,
S Thomas Rhodes Secretary R. Paul Wilms�'"
Director
-41
Subject : NPDES Permit Application
NPDES Permit No. NC00
a✓�'`r" `d y�fe `;::� fir° x ����^'dr� `r „�',�i k 2•r9
Dear . ire : , � --�' County
This is to acknowledge receipt of the following documents on_,,;f, pfi;, = ,
Application Form,
Engineering Proposal - (for proposed control facilities) ,
Request for permit renewal ,
Application Processing Fee of $ "
Other '
F
The items checked below are needed before review can begin:
Application form _ (Copy enclosed) ,
Engineering Proposal See Attachment) ,
Application Processing Fee of
Other . '�". ', :� .01
S
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 tom '
( 919/733-5083) of our Permits Unit for revs ew. You wiJX a advised of
any comments recommendations, questions or other information necessary
for the review of the application.
I am, by copy of this letter, requesting that our Regional Office
Supervisor prepare a staff report and recommendations regarding this
discharge . If you. have any questions regarding this application, please
contact the review person listed above .
Sincerely,
>y
. 0
f
Arthur Mouberry, P.E.
Supervisor, Permits and Engineering
cc .
d'
Pollution Prevention Pays t.
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Date forwarded
to Raleigh:. 4 25 85
Permit No. NCO062618
STAFF REPORT AND RECOMMENDATIONS
PART I - INSPECTION OF FACILITY
I . Place Visited: Mountain Top Development, Lot Z18
2. Date Visited: Roy Heussner Associates
March 7, 1985
3. By: Max L. Haner
4. Persons Contacted: Ed Seagle - Consultant
5. Directions to Site: From the intersection of U.S. Highway 19 and
NCSR 1307 in Maggie Valley (Haywood County) , travel east 0.3 mile on
U.S. Highway 19 to Mine Branch Road. Turn south on Mine Branch Road
for approximately 0.5 mile. Proposed site is on west side of road.
(See Page 2, Part III).
6. Latitude and Longitude of the Discharge:
Latitude: 350 30' 29" N
Longitude: 830 03' 50" W
7. Size:
Approximately 1/8 acre
8. Topography: Hilly
9. Location of Nearest Dwelling:
N/A due to type of facility proposed
10. Receiving Stream: Mine Branch
(a) Classification: CT
(b) Sub-basin: 04-03-05
(c) Attach map indicating location of discharge point.
PART II - DESCRIPTION OF DISCHARGE
1. Type of Wastewater:
Domestic

-2-
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/sand filter (subsurface)
5. Sample Locations: N/A
U -
D -
I -
E -
6. 4-Digit S I C Code:
PART III - OTHER PERTINENT INFORMATION:
Lots 216, 217, and 218 - To discharge to Mine Branch from east side
of stream.
Lots 217 and 218 - Will discharge through common discharge pipe.
Lot 228 is located on west side of Mine Branch across stream from
Lots 216, 217, and 218.
All units will be constructed 50-feet from stream.

-3-
PART IV - RECOMMENDATIONS
Recommend permits be issued as requested.

a-
R J'1�v�,c. ��"o� ��.�,.�.��,�•,�-�' - LET -z� /
Name :
�� � 11.eA�,C10 2e F e r m I t : cX5�o 2, (�
�v+
�(C �^ C lass Sub-6 a s i n : "G —6�_
Receiving Streem:__ —
Re I or„ U` I C_ 1���-��
CbUSGS Quad _
�U-W _, . Inc rropcsec —
pP'I b1.•¢ �Y �ter. -, �/ _ f� - / 1
, 1..0 rlvv' (erav P
( g p d ) t7 Oc��S MGM_
SODS (mg / l )
' :j ( S U 614 O
Fecal Coli ( / loom; ) :
TSS (mg / 1 ) : 3arv�
P-.CC!;M.ENDFD BY xik
"r'FOVcC BY
�ngineei
� Gionel S4perviscr -
r �. , r , ', _ �: nti . . erring Unit
o Teen n lc �
t 5; r f d charger )
c; _ Cc, c1 � ;

,
,00r a7 j
'� ie
- Olivet Ich -
-� LHT 8
���� ��y !� � — E�titirts aM 3 -
It
LHT
i -
0hns0f1"- r l
-21
11
310 (11azelEro.RP'175-NF') '14
4i5a I NE
SCALE: 1.24000 �
{
II)l1D :DUU - I' 4000 ',IHT�I _-b()l 40() TFI
GN,
1'12' I O MII-S
21 M,,,,� Contour int,'rval 40 feet
Datum is'--an—level
IiTM GRID AND 1941 MAGNETIC NORTH
DECLINATION AT CFNTER OF SHLFT
FOR SALE BY U. S. GEOLOGICAL SURVEY, WASHINGTON, D. C. 20242.
U. S. TENNESSEE VALLEY AUTHORITY, CHAT"T"""��'��'ANOOGA, TENN. 37401 OR KNOXVILLE, TENN.
A FOLDER DESCRIBING TOPOGRAPHIC I)APS AND SYMBOLS IS AVAILABLE ON REQUEST
I'

PERSONAL DATA FACILITY
ADDRESS : MAILING (REQUIRED) DIFFERENT FROM MAILING)
STREET : 9200 LITTLETON RD. , NW 4115 STREET : 9200 LITTLETON RD . , NW 011 !�-5
CITY : NORTH FT. MYERS ST FL ZIP 33903 CITY : NORTH FT . MYERS ST FL ZIP
STATE CONTACT) TALLEY PERSON 114 CHARGE ROY HEUSSNE
PERMIT APPLICATION INFORMATION NC006260'.-�'-.`
DATE . ,.. ,.., ... - - -
DATE STAFF REP REQS 04/30/85 APPLICANT TO PAY NOTICE N
DATE STAFF REP RCVD 05/07/85 DATE PAY REQS AMOUNT
.. :.a..,.,,...
DATE DRAFT PREPARED SCH TO ISSUE
DATE OT AG COM RAS DATE DENIED
DATE
, ..,..E :...
AG COM RCVD DATE RETURNED
DATE TO EPA DATE ISSUED 08/30/85 ASSIGN/CHANGE PERM!'i''
DATE FROM EPA EXPIRATION DATE 08/31 /90
NPDES FACILITY AND PERMIT DATA
Y NCO062600
RETRIEVE OPTION ....... ........ ......
PERSONAL DATA FACILITY APPLYING FOR PERM!''..'' REGION
FACILIT. i � COUNTY) HAYWOOD .. ,
MOUNTAIN. TOP
��{:.. as ....: :_...
MAILING
TREET : 9200 LITTLETON RD . , NW 0115 STREET : 9200 LITTLETON RD. , NW
...
NORTH ....T -YERS _
FL ZIP 33903 CITY : NORTH FT . MYERS ST FL ZIP 3390'.'.."s,
STATE CONTACT ) TALLEY PERSON 114 CHARGE ROY HEUSSNEI:.'-.,.
PERMIT APPLICATION INFORMATION FOR PERMIT NUMBER> ) > ) ) > ) ) ) NCO062600
DATE
APP R
DATE STAFF REP REQS 04/30/85 APPLICANT TO PAY NOTICE N
DATE STAFF REP RCVD 05/07/85 DATE PAY REQS AMOUNT
..... DATE PAY 7`:... ... AMOUNTDATE .. .. ...
DATE DRAFT PREPARED SCH TO ISSUE
DATE OT AG (DOM REQS DATE DENIED
DATE OT AG COM RCVD DATE RETURNED
DATE TO EPA DATE ISSUE!) ASSIGN/CHANGE PERM!'IF
FROM
a...: EXPIRATION
02
NPDES FACILITY AND PERMIT DATA
PERSONAL DATA FACILITY APPLYING FOR PERM!'' REGION
ADDRES0 MAILING (REQUIRED) LOCATION (WHEN DIFFERENT FROM MAILING )
STREET : 9200 LITTLETON RD. , NW 0115 STREET :
CITY : NORTH PIT . 14YEKROW ST FL ZIP 33903 CITY : ZIP 33903
STATE CONTACT) :..a i.. '' PERSON f'S
. . ..... ......x,...,
E... ..:. APPLICATION
:i.. - PERMIT
. . x:.:. ::.: ":"�. a i^.�i 3':i .... .. .. .................

DATE TO EPA DATE ISSUE!) ASSIGNICHANGE PERMIT
DATE FROM EPA EXPIRATION DATE
lESSAGE1 NPDES FACILITY AND PERMIT DATA
PERSONAL DATA FACILITY APPLYING FOR PERM!'i'' REGION
FACILITY NAME ) MOUNTAIN TOP DEV . -LOT 216 COUNTY ) HAYWOOD 011.,
ADDRESS :
STREET :
:.. ..;.. NORTH
:...... .. NORTH FIT . i E. ..f. :.. FL ZIP
...... .. ...
STATE CONTACT) TALLEY PERSON 114 CHARGE ROY HEUSSNEF----.
i -P
...:.:. ............. . .... ....
is

RECEIVED
o Water Qualify Divisio4l
FEB 12 1986
�J Western Regional Office
•�' w�. Asheville, North Carolina
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street 0 Raleigh, North Carolina 27611
James G. Martin, Governor gam , 4, 1986 R. Paul Wilms
S. Thomas Rhodes, Secretary Director
Mr. Roy Heussner
9200 Littleton RD N.W. #115
North Fort Myers, FL 33903
SUBJECT: Permit No. NCO062618
Authorization to Construct
Mr. Roy Heussner
Lot 218
Haywood County
Dear Mr. Heussner:
A letter of request for Authorization to Construct was received April 10,
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 flow distribution box and a standard subsurface
sandfilter measuring 6 feet by 43 feet with a discharge to, Mine Branch.
This Authorization to Construct is issued in accordance with Part III Para-
graph C of NPDES Permit No. NC006218 issued September 1, 1986 and shall be
subject to.revocation unless the wastewater, treatment facilities are constructed
in acoordance with the conditions and limitations specified in Permit No.`NC0062618
The sludge generated from these treatment facilities must be disposed of
in accordance with G.S. 143.215.1 and in a manner approvable by the North Carolina
Division of Environmental Management.
The Asheville Regional Office, telephone number 704/253-3341 shall be
notified at least twenty--four (24) hours in advance of backfilling of the in-
stalled sub-surface filter system so that an in-place inspection can be made
of said system prior to backfilling. Such notification to the Regional Supervisor
shall be made during the normal office hours from 8:00 a.m. until 5:OO 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. Ray Heussner shall take such immediate
corrective action as may be required by this Division, including the construction
of additional wastewater treatment and disposal facilities.
Pollution Prevention Pays
P.O. Boot 27687, Raleigh, North Carolina 27611-7697 Telephone [phone]

NC0062618
Page 2
The sand media of the sub-surface filter must ccanply with the Division's
sand specifications and must be analyzed and approved by this Division either
by direct sampling or by acquisition of filter sand from a dealer who is
currently certified by the Division as an acceptable source.
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 number 919/733-5083, ext. 122.
Sincerely yours,
R. Paul Wilms
cc: Haywood County Health Department
Mr. Dennis R. Ramsey
Asheville Regional Supervisor
Appalachian Engineering
Central Files
CM/ad

I }
C µ
t'
I
S
v:
l !V
I
I ,
I >
State of North Carolina
.Tr ' rces ;and Community Development
I�epartreaent o Natural Resources P
Asheville Regional Office
S. Thomas Rhodes Secreta
lam_, G. I'�har<:r,; Governor ry:
DIVISION OFIENVIRONMENTAL MANAGEMENT
ASHEUILLE REGIONAL'NFICE
I
WATER QUALITY 'SECTION
Mr. Edward D. Seagle
Engineering, P.A. April-: 12, �1985
E vnalachian En il'
O. Box 925,
Maggie Valley, North _Carolina 28751
Subject: Receipt of ...Four (4) NPDES `Permit
Applicatons`for Four (4) Single
Family 'Residences
Roy Huessner Associates
` m.
Mountain Top Development
I -
Haywood County, North Carolina
Dear Mr. Seagle: '
Receipt of the following documents is hereby acknowledged: ,
1 . Four Application Forms (Lots `216, 217, 218 and 228)
2. Four Engineering Proposals
3. Permit Processina, Fee of $100.00
4. Four separate sets of Plans and 'Specifications and Requests for
Authorization to 'Construct
These applications have been forwarded to 'the Permitting and Engineering
"in it in the Raleigh Office for ;review and preparation of a draft permit, together
with Staff Reports and Recommendations regarding these discharges being pr¢oar^-4
e Regional, Off�Office You wi 1 l be advised of any comments, recai
_.
PJ -
a
Engineering Unit, Water Quali � Section, P. O. Box 2,687, Raleigh,
_ C g g
No --h` CarC. i na 27611 .
Sincerely,
Max L. Haner.
Environmental Chemistry Consultant
✓ i osura -
.i tt i ng and Engi neeri ng !Jn i t, Roy M. Davis
Buui.m_ 4`:'o��� - , F lar c (1, A+ heville, N.C. 28802-0370 s -?clephonc r0,-_�; -3-,}1

R. H. HUESSNER AiSDCEATES, 674
,
i� PHONE [phone] /f �
9200 ;.1TTLETQN ROAD. N.V'J., 115
N. FORT tvtYERS. FL 33903 670
19
N PAY TO THE
ORDER OF - $
Al- — - -
watdxl - - — - - — _ —
0AP8C foc Maex <wf s�gws.FbAi1laY — * l-.,
—
„5

rl
i
t.
N. C. DEPARTMENT OF NATURAL.. ® 4690
RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION/SECTION r
19
Received from f`� ��. L.✓ t 1 - !� ''�°L'®'
Dollars
For t i, 5'L 4'zg't . �.-11[
21
-._..__
asr�rQ.

III If IIIa, i
i
IS
i
Ap
ril 19
85
P 5�
AECE
A
�E ,DguAsf 1
ss ne r
erg
Mr— Roy Y
He u _
9200 Littleton Road , N.W. , # 115 'R 10
North Ft. Myers , Florida 33903
VIVesgerna R.�ag u;aj O-Ffi e
Asheville,)NorthCarolina
Mr. Gil :Vinzani , Supervisor
State Engineering Review 'Group
I
f Environmental Management
�1V1sTOn O
Post Office Box 27687
Raleigh, North Carolina ,27611
RE: Roy Heussner
Single Family 'Residence WWTP.,
Lots 216 , 217, 218, & 228
Mountain Top ;Development
"Haywood County
Dear Mr. Vinzani
Please use this letter as my official request `for authorization
to construct the four (4;) wastewater treatment plants for the
residences in H County.
Sincere)
Ro eu sner , IIwner
cc: Appalachian Engineering , P .A.

EDW
D.
POST F ICE BO 9 P.E APPAL IA ENGINEERING, P.A.
.POST OFFICE �X 925 �-'�
MAGGIE VALLEY, NORTH CAROLINA 28751
704 j326-0251 Eiz�irzE-Tin �'a n.c� ��
anin9
April 5 , 1985
,
¢g�Yj n� +gryy
S.-f.f6.4y F'-9t ion
Mr. Gil Vinzani , Supervisor Im
State Engineering Review Group APR 10:
Division of Environmental Management
Post Office Sox ,27687 r°az;toy ) Rc�;¢onaf 04fice
Raleigh, North Carolina 27611 w< Nr,:rth Carolir
RE: Residences - Lots 216; 217, 218 , & 228
Mountain 'Top Development
Haywood County
Dear Mr. Vinzani :
Enclosed for your review and/or approval are two (2) copies of
the site 'plans, and filtration trench for the referenced projects,x
Also enclosed is -a copy of a letter requesting authorization to
construct.
A reply- at your earliest ,convenience would be appreciated,
Sincerely , '
APPALACHIAN ENGINEERING, P.A.
,7
Edward D. Seagle , P.E.
Enclosures
. wt -
_.

EDWARD D. SEAGLE, . .. -
P.E. L IAN:ENGINEERING, P.A.
POST OFFICE BOX 925
MAGGIE VALLEY,'i NORTH CAROUNA 28751
704/926-0251 n9ME—F- Lri9 and �art►zcra9
April 5 , 1985
Mr'. Arthur Mouberry, P.E. , Supervisor
Permits and Engineering .Unit
Division of Environmental Management'
Post Office Box 27687
Raleigh, North 'Carolina; 27611
RE': Permit Applicatic.n
Mountain Top Development- -' Lot # 218
Haywood County , , 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
� qR4
--- T- - m�
c Mr.--Roy eu s sn e4r -

NORTH CAROLINA DEPT. OF r �URAL & ECONOMIC RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMBER
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR
AGENCY
USE DATE RECEIVED
To be filed only by services, 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
Please print or type
1. Name, address, and telephone number of facility producing discharge
A. Name ' Roy Heussner,
B. Street address _ 9200 Littleton Road , N. W. #115
C. City North Ft.. Myers D. State .Florida
E. County Haywood F. ZIP 33903
G. Telephone No. 813 9 9 5-2 7 91
Area
Code
2. SIC l_LL_.LJ
(Leave blank)
3. Number of employees _ 11.) 2 Bedroom House (Lo.t # 21 ) ,
4. Nature of business Domestic
5. (a) Check here if discharge occurs all year, or
(b) Check the month(s) discharge occurs:
1.0 January 2.Q February 3.0 March 4.0 April S.0 May
6.0 June 7.a July 8.a August 9.0 September 10.0 October
11.o November. 12.o December
(c) How many days per week;
1.01 2.0 2-3 3.0 4-5 4.[K6-7
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 5000-5999 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),
daily average;
Specify
D. Maximum per operat-
ing day for combined
discharge (all types) X

). If any of the types of waste. identified in item 6, either treated or, un-
treated, are discharged to es other than surface waters, check bel
as applicable.
Waste water is discharged to,: 0.1-999 1000-4999 5000-9999 10,000-49,999 50.000 or more
(l) (2) (3) (4) �5)
A. Runic ipol scwa'r Vstea►
N. W-tt
C. Septic tank
D. Evaporation lagoon or pond
E. Other, specify:
8. Number of separate discharge points:
A.Xi B.a2-3 C.0 4-5 D.a b or more
9. Name of receiving water or waters
Mine 'Branch
10. Does your discharge contain or is it possible for ywr discharge to corrttaim
one or more of the following substances Ago&as a result of your operations,;
activities, or processes: ammonia, cyanide, alwainum, beryllium lils/codmiand
chromium. copper, lead, mercury, nickel, selenium, zinc, p
grease. and chlorine (residual
A.a yes 8.4 no
I certify that I am familiar with the Info 006 contained in the appl•icatton, and
that to the best of my knowledge and belief smch twfc mation. is true, complete, and
accurate. ,
1�oy Heussner
Printed Name of Person Signing
Owner
*of/Applicant
a Appl ,tat
North Carolina General Statute 143-215�.6(b)1(2}? rovides that Arty, person who. knowingly makes
any false statement representation, or certification in any application, record, mart, plaza,
quired to be maintained under Article 21 or regulations of the
or other document files or re
ssion implementing ttorinrt falsifies,
requredebe with,
Environmental Management Commi
or knowly renders inaccurate any recording. or monitoring device or method
operated or maintained under Article 21 or regulations of the Environmental ManagSMnt COMmissio
implementing that Article, shall be guilty of a misdemeanor punishable by a fine, ne't to exceed
$10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Sect-ion 1001 provid
a punishment by a fine of not more than $10,000 or imprisonment' not more than 5 yews, or both,
for a similar offense.)

ENGINEERING PROPOSAL
1 . The wastewaters will be generated by ( 1 ) , 2 bedroom house.
2. The proposed WWTP will be 300 GPD, underground sand filter
trench.
3. The discharge will have minimal effect on the receiving stream.
4. The location map has a scale of 1" = 200001 . Copy enclosed.
5. A copy of the plot plan is enclosed.
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