NCG550801_Regional Office Historical File 1995 to 2015

FACILITY
COUNTY
MAILING ADDRESS
RESPONSIBLE
OFFICIAL
TELEPHONE NO.
WHERE LOCATED
NPDES PERMIT NUMBER NC_
STATE FEDERAL
DATE ISSUED
EXPIRATION DATE
STREAM: NAME
CLASS
7Q10
SUB -BASIN
CLASS
FACILITY OPERATOR
REPRESENTATIVE
CERT. NUMBER
CLASS
OTHER PERMIT NO.
DATE ISSUED

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
1••
James B. Hunt, Jr., Governoi
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E.,
Blessed Hope Church
481 Dogwood C76-4
Hudson, NC 28638
Dear Permittee:
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31, 2002. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated December 6,1983. If any
parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have
the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, the Division of Land Resources, Coastal Area Management Act or any other Federal or Local
governmental permit that may be required.
If you have any questions concerning this permit, please contact the NPDES Group at the address below.
Sincerely,
A. Preston Howard, Jr., P.E.
cc: Central Files
Asheville Regional Office
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

4 STATE OF NORTH CAROLI
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550801
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,
Blessed Hope Church
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
Blessed Hope Church
U.S. 321 North
Lenoir
Caldwell County
-to receiving waters designated as subbasin 30801 in the Broad River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, H, Ill 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.
AA. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

,, Of North �aroli ,a
partment of Environa,.
,­'Health and andNatural Resources
Division of Environmental Management
Jalraes D. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
March 4, 1996
Mr. Clyde Raby
481 Dogwood Street, Cluster C76-4
Hudson, North Carolina 28638
Dear Mr. Raby:
Subjerct: General Permit NCCJ5500W -"
l.e!. of \Ll7'YL:SiI. l'1'v..•JJJi.IIU s
lessed Hap�ChLvch
-''
Caw
In accordance with your application for an NPDES discharge permit received December 1, 1995 by
the Division, we are herewith forwarding the subject Authorization to Construct permit for a wastewater
treatment system at the Blessed Hope Church and one set of final approved plans and specifications.
Authorization is hereby granted for the constructionand operation of a wastewater treatment facility for
100 GPD flow consisting of a 1000 gallon septic tank, 3.5 ft x 25 ft sand filter, chlorinator, cascade
aerator, and all other appurtenances associated with discharge of treated wastewater into Blair Fork Creek
in the Catawba River Basin. This Authorization to Construct 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.
The Authorization to Construct is issued in accordance with Part III, Paragraph 2 of NPDES
Permit No. NCG550000, and shall be subject to revocation unless the wastewater treatment facilities are
constructed in accordance with the conditions and limitations specified in Permit No. NCG550000.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those as may be required by this
Division, such as the construction of additional or replacement wastewater treatment or disposal facilities.
The Asheville Regional Office, telephone number [phone], shall be notified at least forty-
eight (48) hours in advance of operation of the installed facilities so that an in -place -inspection can be
made.. Such notification to the regional supervisor shall be made during the normal office hours from 8:00
a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.
Failure to abide by the requirements contained in this Authorization to Construct may subject the
Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C.
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

< o. NCG550801
Lilorization to Construct `
-c lessed Hope Church
Page 2
The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances ,which may be required by the Division of 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, please contact Susan Wilson, telephone
nu i 3-
tuber 919 13 � 5083 Ext. 555.
Sincerely,
OeIgIrml Signed By
Ol , n ric
A. Preston Howard, Jr., P.E.
cc: Central Files
Caldwell County Health Department
Asheville Regional office, Water Quality
Permits and Engineering Una_t

S I"ATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL., RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
CERTIFICATE Off" COVERAGE
GENERAL PERMIT NTO. N GGS50801
TO DISCHARGE DOIti1ESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgatedand adopted by the North Carolina Environmental. Management. Commission, and the
hederal Water Pollution Control Act, as amended.
Blessed Hope Church
is hereby authorized to operate of a wastewater treatment facility that consist of a septic tank, sandfilter, chlorination,
post aeration and associated appurtenances with the discharge of treated wastewater from a facility located at the
Blessed Hope Church
Highway 321
north of Lenoir
Caldwell County
to receiving waters designated as Blair Fork Creek in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, III
and ICI hereof:
This certificate of coverage shall become effective March 4, 1996.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 4, 1996.
Original Signed By
David A. Goodrich
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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;ounty:
CALDWELL
Liver Basin
CATAWBA
teport To
AROSP
;ollector:
B PRICE
Legion:
ARID
)ample Matrix:
WASTEWATER
.oc. Type:
EFFLUENT
Emergency Yes/No
,OC Yes/No
•lam 1 VI WVIi/ V
T
-n. sample ID:
AC08565
PO Number #
ARO
Date Received:
05/15/2014
Time Received:
15:30
Labworks LoginlD
KJIMISON2
Final Report Date:
6/6/14
Final Report
Report Print Date:
06/06/2014
VisitlD
Loc. Descr.: BLESSED HOPE ADVENT CHURCH
Location ID BLESSED HOPE NCG0801 Collect Date: 05/15/2014 I Collect Time: 13:05 I Sample Depth
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
CAS # Analyte Name
Result/ Units Metnoa Hnaiysis Validated by
PQL Qualifier Reference Date
Ithers
aC 5/15/14 RBYRD
Sample temperature at receipt by lab IA
Coliform, MF Fecal in liquid 1 2500 B3 CFU/100ml APHA9222D-20th 5/15/14 CGREEN
Residue —Suspended in liquid 6.2 11 mg/L APHA2540D-20th 5/19/14 CGREEN
35 57 i*39 f �3
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.-70y _7d g- SDq'
V,ro-S 4
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to htt l! ortal ncdenr ore/tikeb/wgllablstaffinfoJtechassist#Data Qualifier Codes <http://portal ncdenr.o web Jwa/lab/staffinfoJtechassist>
Page 1 of 1

WC-6 E N R
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
September 11, 2014
Gail Harris
Blessed Hope Advent Christian Church
2312 Blowing Rock Blvd.
Lenoir, NC 28645
SUBJECT: Compliance Sampling Inspection
Blessed Hope Advent Christian Church
Permit No: NCG550801
Caldwell County
Dear Ms. Harris:
John E. Skvarla, III
Secretary
Enclosed. please find a copy of the Compliance Sampling Inspection Form from the inspection conducted on May 15,
2014. The facility was found to be out of compliance with permit NCG550801.
The reason for non-compliance is elevated fecal coliform bacteria results obtained from samples collected at the time of
inspection. The system does not appear to be maintained as per permit requirements.
I have included information regarding sampling, operation & maintenance of your wastewater system. Please use this
reference material in addition to your permit for guidance on how to maintain your system. I would like to conduct
another sampling event after you have had time to address the current issue. Our database does not contain current
contact information (phone/e-mail address) for you. Please contact me as I would like to meet with you on site when I
collect the follow up sample.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions, please call me at [phone].
Sincerely,
Beverlv Price
Environmental Specialist
Enc.
cc: MSC 1617-Central Files -Basement
Asheville Files
G:\WR\WQ\Caldwell\Wastewater\General\NCG55 SFR\Blessed Hope\NCG550801 SFR Blessed Hope letter #2.doc
Water Quality Regional Operations — Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://portal.ncdenr.org/web/wqlws
An Equal Opportunity \ Affirmative Action Employer

North Carolina Department of Environmental Quality
Pat McCrory, Governor
Mrs. Doris Church
Blessed Hope Advent Christian Church
4911 Horseshoe Bend Rd
Hudson, NC 28638
Dear Permittee:
Donald R. van der Vaart, Secretary
November 20, 2015
Subject: General Permit NCG550000
Blessed Hope Advent Christian Church
Certificate of Coverage NCG550801
Caldwell County
Thank you for notifying the Division that the previous maintenance person at your facility had taken
your copy of the subject permit and Certificate of Coverage (CoC). The Division hereby issues an updated
version of NCG550801 under General Permit NCG550000. It 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 off is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain any other State, Federal, or Local
governmental permit that may be required. If you have any questions concerning the requirements of the
General Permit, please contact Charles Weaver of the NPDES staff [919 807-6391 or
charle s. w e ave r@nc denr. gov] .
cc: Asheville Regional Office
NPDES file
ince ly,
r S. Y imnerman, lair' . qr
Division of Water Resources
Divisionoj'�ia�er Res°urces
t
Water ca.rallt, Regional OPPrations
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street,.Raleigh, ,North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer -50% Recycled/101/o Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550801
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,
Blessed Hope Advent Christian Church
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
Blessed Hope Advent Christian Church
U.S. Hwy 321 N
Hudson
Caldwell -County ---- - - ----
to receiving waters designated as Blair Fork, a class C stream in subbasin 03-08-31 of the
Catawba River Basin in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage takes effect November 20, 2015.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed -this day November 20P 2015- _ - --
Zd(.. (_
for Zimmerman, Director
By Authority of the Environmental Management Commission

NCDENR
Nor
th Caroli
na Department
ment of Environment and Natural Resources
John E. Skvarla, III
Pat McCrory Secretary
Governor
July 23, 2014
Gail Harri
s
Blessed Hope Advent Christian Church
Hwy. 321 N
Hudson, NC 28638
SUBJECT: Compliance Sampling Inspection
Messed Hope Advent Christian Church
Permit No: NCG550801
Caldwell County
Dear Ms. Harris:
Enclosed please find a copy of the Compliance Sampling Inspection Form from the inspection conducted on May 15,
2014. The facility was found to be out of compliance with permit NCG550801.
The reason for non-compliance is elevated fecal coliform bacteria results obtained from samples collected at the time of
inspection. The system does not appear to be maintained as per permit requirements.
I have included information regarding sampling, operation & maintenance of your wastewater system. Please use this
uidance on how to maintain your system. I would like to conduct
reference material in addition to your permit for g
another sampling event after you have had time to address the current issue. Our database does not contain current
contact information (phone/e-mail address) for you. Please contact me as I would like to meet with you on site when I
collect the follow up sample.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions, please call me at [phone].
Sincerely,
Beverly Price
Environmental Specialist
Enc.
cc: MSC 1617-Central Files -Basement
Asheville Files`
G:\WR\WQ\Caldwell\Wastewater\General\NCG55 SFR\Blessed Hope\NCG550801 SFR Blessed Hope letter #2.doc
Water Quality Regional Operations — Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://portal,ncdenr.org/weblwq/ws
An Equal Opportunity \ Affirmative Action Employer

s•s,/wd FILM
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
July 23, 2014
Gail Harris
Blessed Hope Advent Christian Church
Hwy. 321 N
Hudson, NC 28638
SUBJECT: Compliance Sampling Inspection
Blessed Hope Advent Christian Church
Permit No: NCG550801
Caldwell County ,
Dear Ms. Harris:
Enclosed please find a copy of the Compliance Sampling Inspection Form from the inspection conducted on May 15,
2014. The facility was found to be out of compliance with permit NCG550801.
The reason for non-compliance is elevated fecal coliform bacteria results obtained from samples collected at the time of
inspection. The system does not appear to be maintained as per permit requirements.
I have included information regarding sampling, operation & maintenance of your wastewater system. Please use this
reference material in addition to your permit for guidance on how to maintain your system. I would like to conduct
another sampling event after you have had time to address the current issue. Our database does not contain current
contact information (phone/e-mail address) for you. Please contact me as I would like to meet with you on site when I
collect the follow up sample.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions, please call me at [phone].
Sincerely,
� e" " �' P_ " ��
Beverlv Price
Environmental Specialist
Enc.
cc: MSC 1617-Central Files -Basement
Asheville Files
G:\WR\WQ\Caldwell\Wastewater\General\NCG55 SFR\Blessed Hope\NCG550801 SFR Blessed Hope letter #2.doc
Water Quality Regional Operations — Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://portal.ncdenr.org/web/wq/ws
An Equal Opportunity 1 Affirmative Action Employer

United States Environmental Protection Agency Form Approved.
EPA
Washington, D.C.20460 OMB No. 2040-0057
r/1 Water Compliance Inspection Report Approval expiress-31-96
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN I 2 's J I 3 NCG550801 I11 121 14/05/15 17 18 I c I 19 1 S I 201 I
211 11 1 1 11 I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I( I6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------------------ Reserved -------------
67 70 I I 71 I I 72 1 N I 73I I 174 75 80
L_l Section B: FacilityData�I I I 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) 01:05PM 14/05/15 13/08/01
Blessed Hope Church
Exit Time/Date Permit Expiration Date
US 321 N
01:35PM 14/05/15 18/07/31
Lenoir NC 28645
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
William Crump,454 Horsebend Rd Hudson NC 28638//828-726-6081/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Operations & Maintenance E Facility Site Review
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
Beverly Price ARO GW//828-296-4500/
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

H
F-1
NPDES yr/mo/day Inspection Type
3I NCG550801 I11 12 14/05/15 117 18 1 c I (Cont.)
Section D: Summary of Finding/CommennttsJ(Attach additionallssJheets of narrative and checklists as necessary)
Samples collected: TSS & Fecal Coliform
TSS: 11 mg/1
Fecal Coliform: 2500 cfu/100mis
There was not enough effluent flow to collect a BOD sample.
The chlorinators are housed inside a large concrete structure with a concrete lid. I was not able to lift
the lid but it was ajar enough that I could see the chlorinators.
Based on the results of the fecal coliform sample, the chlorinators are either not working or they do not
contain any chlorine tablets.
The system should be properly maintained and operated which includes but is not limited to adding
chlorine tablets.
None of the phone numbers listed with this permit are still valid.
Page#

Permit: NCG550801 Owner - Facility: Blessed Hope Church
Inspection Date: 05/1512014 Inspection Type: Compliance Sampling
Operations & Maintenance
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:
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Yes No NA NE
❑ ❑ ❑
❑ ❑ M ❑
Yes No NA NE
Comment: The chlorinators are housed in a concrete structure with a concrete lid. The lid was too
heavy to move but it was ajar enough that I could see 2 chlorinators.
Page# 3

AL r I L E
RCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 5, 2014
Gail Harris
Blessed Hope Advent Christain Church
2240 Rural Retreat
Lenoir, NC 28645
SUBJECT: Compliance Sampling Inspection
Blessed Hope Advent Christain Church
Permit No: NCG550801
Caldwell County
Dear Ms. Harris:
Enclosed please find a copy of the Compliance Sampling Inspection Form from the inspection conducted on May 15,
2014. The facility was found to be out of compliance with permit NCG550801.
The reason for non-compliance is elevated fecal coliform bacteria results obtained from samples collected at the time of
inspection. The system does not appear to be maintained as per permit requirements.
I have included information regarding sampling, operation & maintenance of your wastewater system. Please use this
reference material in addition to your permit for guidance on how to maintain your system. I would like to conduct
another sampling event after you have had time to address the current issue. Our database does not contain current
contact information (phone/e-mail address) for you. Please contact me as I would like to meet with you on site when I
collect the follow up sample.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions, please call me at [phone].
Sincerely,
Beverly Price
Environmental Specialist
Enc.
cc: MSC 1617-Central Files -Basement
Asheville Files
G:\WR\WQ\Caldwell\Wastewater\General\NCG55 SFR\NCG550801 SIR Blessed Hope.doc
Water Quality Regional Operations — Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: hftp://portal.ncdenr.org/web/wgiws
An Equal Opportunity \ Affirmative Action Employer

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
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
JI 1_
1 INI 2 I111 121 14/05/15 181 a I 19= 20 U
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work bays Facility Self -Monitoring Evaluation Rating B1 CIA ------ ----------- ----- --- Reserved -------------------- --
67 69 70 IU 71 U 72I N I 73 L_U 74 751 I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
01:05 PM 14/05/15
13/08/01
Blessed Hope Church
Exit Time/Date
Permit Expiration Date
US 321 N
Lenoir NC 28645
01:35 PM 14/05/15
18/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
William Crump,454 Horsebend Rd Hudson NC 28638//828-726-6081/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Operations & Maintenance 0 Facility Site Review
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
Beverly Price ARO GW//828-296-4500/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
/X
6 0
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type (cont.) 1
3� NCG550801 I11 12, 14/05/15 I17 18��1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Samples collected: TSS & Fecal Coliform
TSS: 11 mg/I
Fecal Coliform: 2500 cfu/100mis
There was not enough effluent flow to collect a BOD sample.
The chlorinators are housed inside a large concrete structure with a concrete lid. I was not able to lift the lid
but it was ajar enough that I could seethe chlorinators.
Based on the results of the fecal coliform sample, the chlorinators are either not working or they do not
contain any chlorine tablets.
The system should be properly maintained and operated which includes but is not limited to adding chlorine
tablets.
None of the phone numbers listed with this permit are still valid.
Page # 2

Permit: NCG550801 Owner - Facility: Blessed Hope Church
Inspection Date: 05/15/2014 Inspection Type: Compliance Sampling
Operations & Maintenance
Yes No NA
NE
Is the plant generally clean with acceptable housekeeping?
❑ no
❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑
❑ ■
❑
Judge, and other that are applicable?
Comment:
Disinfection -Tablet
Yes No NA
NE
00011
Are tablet chlorinators operational?
❑
000
Are the tablets the proper size and type?
2
Number of tubes in use?
❑
❑ ❑
M
Is the level of chlorine residual acceptable?
❑
❑ 0
❑
Is the contact chamber free of growth, or sludge buildup?
❑
❑ ❑
Is there chlorine residual prior to de -chlorination?
Comment: The chlorinators are housed in a concrete structure with a concrete lid.
The lid was too heavy to move but it was ajar enough that I could see 2 chlorinators.
Page # 3

"NCG550000 SingFamilI Residence General k rmit Inspection Report
y
DWQ Inspector: raze Inspection date:
Permittee S �-�ra c�`�r°ca��r Inspection timer m
0
Permit Number: NCG55090(
Count
Location address: 2 3 2 3 �7t 53 �d
S1 33
Maili ig address if different
Contact erson s
Telephone numbers:
Permit exNires: Hof Annual fees aid: j,
?��
Did homeowner know of system: Age of system (ATC):
r�
Date & nature of repairs:
Date() p p p s of septic tank um inc � �-Z^ 4 r t
C
Date(s) of sampling by homem N 3a' -
WAIT
Sampling results: BOD:
Total Residual Chlorine: Fecal Coliform:
Certified Lab / Contractor:
H
r oresent:
r
Name of receiving stream• 561 Lo,k- Cre L.Y Stream classification:
Tablet dechlorinator resent: Number of tubes in use:
Cascade aerator resent: Dischar e Pipe located -
Date samples taken by DWQ: i 2
TSS results 1,1 Fecal Coliform results:
Observations: S\`, 6Cy\dv
r E'

0
Sampling Tips 0
Atypical annual sampling event, by a contractor, will probably cost - $150 per year.
That cost includes:
A trip charge to and from the single family residence and laboratory analyzing the samples.
Proper collection, preservation and analysis by a NC Certified Laboratory for.
BOD (Biochemical Oxygen Demand) — your daily maximum limit is 45 mg/I,
TSS (Total Suspended Solids) - your daily maximum limit is 45 mg/I,
Fecal Coliform - your daily maximum limit is 400 colonies/100 ml,
Field analysis of TRC (Total Residual Chlorine) performed on -site (within 15.minutes), with
low level monitoring equipment which measures ug/I (micrograms per liter). Your TRC
limit is 17 ug/I. A mailed copy of the sample analysis report and laboratory quality
control information.
(Keep the laboratory results for 3 years and show them to they DWQ inspector.)
In order to keep costs to a minimum:
Make sure that the discharge pipe can be accessed. Keep the area clear of debris and
vegetation. Make sure that the pipe itself and the cascade aerator does not have algae,
vegetation, or debris obstructing the discharge to the creek.
Make sure that the system discharges. If it doesn't discharge, then determine why and
remedy. At the time of sampling, it may be necessary to make the system discharge by
using water doing laundry or dishes or bathing. If you are not at home and there is no
discharge when the sampling event is scheduled to take place, another trip charge will
be added; until a sample can be collected.
Make sure that the system has a sufficient supply of chlorine tablets to disinfect the
wastewater. This will be reflected in the fecal coliform laboratory results. If the
wastewater is not properly disinfected, the system will be considered non -compliant and
will result in a Notice of Violation.
Make sure that the system has a. sufficient supply of dechlorination tablets. This will be
reflected in the Total Residual Chlorine (TRC) results. The TRC limit is 17 ug/I
(micrograms per liter). The results will be reported to the lowest detection limit that the
field equipment is annually certified for. For example: 17 ugjI may be reported as < 20
ug/I. Due to the sensitive and unstable nature of this test, any result that is measured
and less than 51 ug/I will be considered compliant with permit limits.

y`®
_ North Carolina Department of Environment and Natural Resources
Pat McCrory John E. varla, III
Governor
etar
Y
May 12, 2014
� rr
�t
V
Rob rt J. Pommersh Im
/V" 1
4 H nters Lane f
Hendersonville, NCP8791 or
SUBJECT: April 6, 2014
Compliance Evalu tion Inspection
I Robert J. Po r heim
Single Famil Re ence Wastewater
I I System
' Permit No: NCG 5 305
i
� I
Henderso
Coun ,
DearIMr. Pommersheim: 3
Enclosed I � ase find a c
p py of t e Compliance aluati n Inspec � orm .from
the inspection con ucted on A it 16 2914. The facility a in compi a
with permit NC 550305. I
I Pleas omp ete and submit the enclosed Nam /Own rship Change Form as
soo as po i le.
Ple se defer to\the enclos d inspecti n report (Su ma of Findings Page 2)
for a ditio al bservat ons and comments. f you or you staff ave any questions,
plea c I mat (82896-4685,
Sincere
rly Price
onmental So ciali t
Enclosure v
cc: ViateL - ualit ntral Fil s C l f
Water Quality Asheville Fes
G:\WR\WQ\Henderson\Wastewater\Genera I
Robert Pommersheim.doc
Water Quality Regional Operations —Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone:[phone] FAX: [phone]
Internet: http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer
SFR\0305 Robert J Pommersheim\NCG550305 SFR CEI 2014

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Qualitv
Michael F. Easley, Governor
August 24, 2007
Gail Harris
2240 Rural Retreat
Lenoir, NC 28645
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
Subject: Renewal of coverage / General Permit NCG550000
Blessed Hope Church
Certificate of Coverage NCG550801
Caldwell County
Dear Permittee:
In accordance with your renewal application [received on January 31, 20071, the Division is renewing
Certificate of Coverage (CoC) NCG550801 to discharge under NCG550000. This CoC is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Toya
Fields [919 733-5083, extension 551 or tova [e-mail]] or Susan Wilson [919 733-5083, extension 510
or [e-mail]].
Sincerely,
for Coleen H. Sullins
cc: Central Files
Asheville Regional Office / Surface Water Protection
NPDES file
AUG 2 8 2007 �
WATER t;'_)ALITY SECT1 N
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCarOlina
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org N�turally
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550801
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,
Gail Harris
is hereby authorized to discharge domestic wastewater [100 GPD] from a facility located at
Blessed Hope Church
Lenoir
Caldwell County
to receiving waters designated as Blair Fork in subbasin 03-08-31 of the Catawba River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, III and IV hereof.
This certificate of coverage shall become effective August 24, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 24, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

M�
NCDENR
North Carolina Department of Environment and !flat
Division of Water Quality i
Michael F. Easley, Governor I
i'
January 9, 2007
Gail Harris
2240 Rural Retreat
Lenoir, NC 28645
W F
ral Resources
� `W1111am-G.� Foss, ,Jr:,Secret
Alan W. Klimek, P.E., Direcary
Subject: Renewal Notice / General Permit NCG550000
Certificate of Coverage NCG550801
Caldwell County
Dear Permittee:
You are receiving this notice because you currently own a property covered under the subject
General Permit for the discharge of domestic wastewater. NCG550000 will expire on July 31, 2007.
Federal (40 CFR 122.41) and North Carolina (15A NCAC 2H.0105(e)) regulations require
that permit renewal applications be filed at least 180 days prior to expiration of the current permit.
To satisfy this requirement, the Division must receive a renewal request postmarked no later than
February 1, 2007.
The Certificate of Coverage (CoC) specific to your property was last issued on August 1, 2002
The Division needs information from you to determine if coverage under NCG550000 is still
necessary.
➢ If your property still has a wastewater system like the ones described in the enclosed
Technical Bulletin, you must renew the subject CoC. Complete the enclosed form and
submit it to the address on the form.
➢ If you are not sure what type of system your property has, contact Larry Frost in the NC
DENR Asheville Regional Office at. That person [or other staff members] can help you
determine if you should renew your CoC.
➢ If you know that your property no longer discharges wastewater, contact me at the
address or phone number listed below to request rescission of the CoC.
➢ This information request does not pertain to the Annual Fee of $50.00 billed
separately by the Division's Budget Office No money is required for this
procedure. The Annual Fee is like the fee you annually pay the DMV for the sticker on
your vehicle's license plate. Renewal of your CoC is like the renewal of your Driver's
License [ca. every five years].
➢ If you have already mailed a renewal request, you may disregard this notice.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone], extension 511 / FAX [phone] / [e-mail]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
NorthCarolina
Ndhirally

NCG550801 renewal not'(,,
January 9,'200",
The attached application form shows the information the Division has on file for your
property. Please verify that the _provided information is correct, or make corrections on the form.
Complete the additional questions, then sign and date the form.
The completed form should be submitted to the address listed below the signature block.
If you have any questions concerning this matter, please contact me at the telephone number
or e-mail address listed below. (If it is difficult to reach me, please be aware that your facility is one
of over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your attention to this matter.
Sincerely,
G�
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
Asheville Regional Office / Larry Frost
NPDES file

Michael F. Easley, Governor
lia ss Jr Se i�ry
North Carolina De Went of En ronment ndArNPIF—
ural Resources
Atari KlOli eec or
r^ Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION
July 25, 2005s5t!Eo
CERTIFIED MAIL
RETURN RECEIPT REQUESTED a002 2490 000s 290o 59112
Mr. Clyde Raby
Blessed Hope Church
481 Dogwood C76-4
Hudson, North Carolina 28638
Dear Mr. Raby:
1
C
Subject: NOTICE OF VIOLATION
NOV-2005-PC-0177
Compliance Evaluation Inspection
Blessed Hope Church
Permit No. NCG550801
Caldwell County
Enclosed please find a copy of the Inspection Report from the inspection conducted July 25,
2005. Mr. Larry Frost of the Asheville Regional Office conducted the Compliance Evaluation
Inspection. The treatment facility was found to be in violation of Permit NCG550801 for the
following:
Review of the self -monitoring reports revealed the following violations:
Inspection Area Compliance Issue
Tablet Chlorinator Not operational and in need of repair.
Please refer to the enclosed Inspection Report for any additional observation and comments.
To prevent further action, carefully review these violations and deficiencies and respond in
writing to this office within fifteen (15) working day of receipt of this letter. You should address the
causes of noncompliance and all actions taken to prevent the recurrence of similar situations. If you
should have any questions, please do not hesitate to contact Mr. Frost at 828/296-4500.
Sincerely,
�. L'. -
Roger C. Edwards, Regional Supervisor
Surface Water Protection
Attachment
cc: WQ Central Files w/ attachment
Enforcement w/ attachment
2090 U.S. Highway 70, Swannanoa, N.C. 28778 Telephone: [phone] FAX: [phone] Customer Service: 877/623-6748 one
NoLCarolina
Naturuil1,�

United States Environmental Protection Agency
Form Approved.
L� Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expiresB-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 U 2 U 31 NCG'5 08n1 1 11 121 0,5/ 0 2" 117 18 U 19 U 20 u
Remarks
2111111111 I I II IIII I III 111111111111 1111111111 L 111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved ----------------------
67' 169 70 U 71 U 72 Li 73 W 74 751 I I I L_L_Lj80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Blessed He ;De Criurcn
Exit Time/Date
Permit Expiration Date
32.1. a
US,-ens>ir
NC 28E38
1-.45 AMI �
05/0_ 1i-
07/'07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
r!/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Cl.pde Rabo ,48.i. Dogwood C7r.-4 Fadson. NC 28638//704-728-89 9/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Operations & Maintenance N Facility Site Review
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
I
(See attachment summary)
I
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
1
--arr 7.rost APO WQ/1828 .tau-4 00 E t.4558/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
R.cger CC E;dwarc9s d 828-29 -4 500 =:xt. 4 ' 1, '7 '
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.

NPIDES y Onno/day Inspection Type
N -'G 11 12 17 18
U 0 5 2 5
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
.,--'ee. the attach,-�d 4 nspe,--.tirn cui,.Ua�,nt.s,
'he Chlori.r.t at c- needs Lrarnedi4 ate at I ent,' --n - ... 1� - -

Yes
No MA
NE.,'the
plant generally clean with acceptable housekeeping?�
EjOO
�
Does the facility analyze process control parameters, for ex: ML3G.MCRT,Settleable Solids, pl-i, DO, Sludge Judge
and other that are applicable?
Comment: The Filter area has been covered with asphalt for parking, traffic over this area may cause the system tofail in
�
the future.
Yes
No MA
NE
Diainfection-Tablet
Are tablet chlorinators operational?
[]
Are the tablets the proper size and type?
Number oftuuse?
Obaoin
�
|athe level ofchlorine residual acceptable?
�
|othe contact chamber free ofgrowth, u,sludge buildup?
[]
[] []
E �
Is there chlorine residual prior tnde'ch|orinat/on?
[]
[]
/
Comment: The tablet chlorinator is out of place and not operational. Needs repair immediately.

State of North Caroli
Department of Envirbi�-_ 'rlent
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, P.E., Director
CLYDE RABY
BLESSED HOPE CHURCH
481 DOGWOOD C76-4
HUDSON, NC 28638
Dear Permittee:
1�•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 26, 2002
Subject: Reissue - NPDES Wastewater Discharge Permit
Blessed Hope Church
COC Number NCG550801
Caldwell County
In response to your renewal application for continued coverage under general permit NCG550000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued wastewater general permit Certificate of Coverage
(COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency,
dated May 9, 1994 (or as subsquently amended).
The following information is included with your permit package:
* A copy of the Certificate of Coverage for your treatment facility
* A copy of General Wastewater Discharge Permit NCG550000
* A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG550000
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or
decree.
Please note that effective January 1, 1999 the fees for all permits issued by DWQ were changed. This changed the
fee for your wastewater general permit coverage from a $240 fee paid once every five years to a yearly fee of $50.
If you have not already been billed this year for the yearly fee, you will receive a bill later this year.
If you have any questions regarding this permit package please contact Bill Mills of the Central Office Stormwater
and General Permits Unit at [phone], ext. 548
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carols "a
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
11/26/01
CLYDE RABY
BLESSED HOPE CHURCH
481 DOGWOOD C76-4
HUDSON, NC 28638
1••
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMEPIaT ATURAL RESOURCES
EX
>f
Subject: NPDES Wastewater Permit Coverage_ Renewal
Blessed Hope Church
COC Number NCG550801
Caldwell County
Dear Permittee:
Your residence or facility is currently covered for wastewater discharge under General Permit NCG550000. This
permit expires on July 31, 2002. Division of Water Quality (DWQ) staff is in the process of rewriting this permit
with a scheduled reissue in the summer of 2002. Once the permit is reissued, your residence or facility would be
eligible for continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the DWQ for renewal of
your permit coverage. To make this renewal process easier, we are informing you in advance that your permit will
be expiring. Enclosed you will find a general permit coverage renewal application form. This will serve as
your application for renewal of your permit coverage. The application must be completed and returned with the
required information by February 01, 2002 in order to assure continued coverage under the general permit. There is
no renewal fee associated with this process.
Failure to request renewal within this time period may result in a civil assessment of at least $250.00. Larger
penalties may be assessed depending on the delinquency of the request. Discharge of wastewater from your
residence or facility without coverage under a valid wastewater NPDES permit would constitute a violation of
NCGS 143-215.1 and could result in assessments of civil penalties of up to $10,000 per day.
If the subject wastewater discharge to waters of the state has been terminated, please complete the enclosed
rescission request form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
If you have any questions regarding the permit coverage renewal procedures please contact the Asheville Regional
Office at 828-251-6208 or Bill Mills of the Central Office Stormwater Unit at [phone], ext. 548
cc: Central Files
Stormwater and General Permits Unit Files
Asheville Regional Office
Sincerely,
6
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
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

R. CARROLL WILLIAMS, P.E.
CONSULTING ENGINEER
DESIGN • WATER • SEWER • DRAINAGE • EROSION
4840 NORTH CENTER STREET 327-4697
HICKORY, NORTH CAROLINA 28601 (704 )
WA -(CV, QUALk-114S��'fldw,
tt 5 46I L. L'C
d[EUCTIE °3@IF 4G03USEOTTI L,
DATE
JOB MO.
ATT• TIOH r- � e-
��1wtES �i�ID �IJVILONM��
R[.
�IzrS osEu N PD 65 ?" nA I
iENTLEMEN:
WE ARE SENDING YOU Attached ❑ Under separate cover via the following items:
❑ Shop drawings Prints Plans ❑ Samples ❑ Specifications
[I Copy of letter ❑ Change order ❑
DATE
NO.
DESCRIPTION
)PIES
THESE ARE TRANSMITTED as checked below:
AFor approval
❑ Approved as submitted
❑ Resubmit
copies for approval
or your use
❑ Approved as noted
❑ Submit
copies for distribution
XAs requested
❑ Returned for corrections
❑ Return
corrected prints
❑For review and comment
❑
❑ FOR BIDS DUE
19
❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS— 1� Inav"
= 4_01) C
th4� � �4D a 2 s� D
/� mot_ F o I ►��s
,4S � I s c U ss_ �
E ADO1SG t-6W I
Lam, 15 1( L06I45 0
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COPY TO
SIGNED: �o. Wtd►u�-4�

State of Nnrth (nrn', 1 _ -
Departrn
Health a
Division o
James B.�,cc�
Jonathan Occ— L��.
A. Preston'
Clyde Raby
Blessed Hod
481 Dogwo
Hudson, Na
Subject: NPDES Permit Application
Application Number NCG550801
Blessed Hope Church WWTP
Caldwell County
Dean Mr. Rab
y
This is to acknowledge receipt of the following documents on December 1,1995:
Notice of Intent Form,
Engineering Proposal (for proposed control facilities),
Request for permit ,
Application processing fee of $ 500.00 (including Authorization to Construct
fee),
This application has been assigned to Susan Wilson (gign33-5083, extension 555) of the Permits
and Engineering Unit for review. You will be advised of any comments, recommendations,
questions or other information necessary for the review of the application.
If you have any questions regarding this application, please contact me at the number listed above_
Sincerely,
Susan A. Wilson
Environmental Engineer Q
cc: Asheville Regional Office
Permit Application, File '' -' i
e�
'! SECTION
� 9 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

SOC PRIORITY PROJECT: Yes No XX
IF YES, SOC NUMBER
TO: PERMITS AND ENGINEERING UNIT
WATER QUALITY SECTION
ATTENTION: Susan Wilson
DATE: November 22, 1995
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Caldwell
PERMIT NUMBER General Permit NCG550000
PART I - GENERAL INFORMATION
1. Facility and Address: Blessed Hope Church
Mailing: c/o Clyde Raby
481 Dogwood St, cluster C76-4
Hudson, NC 28638
2. Date of Investigation: July 6,'1995
3. Report Prepared By: James R. Reid
4. Persons Contacted and.Telephone Number: Clyde Raby
[phone]
5. Directions to Site: The facility is located on Highway
321 North of Lenoir approximately 4.5 miles North of
the intersection of Highways 18 and 321.
6. Discharge Point(s), List for all discharge points:
Latitude: 350 57, 4811 Longitude: 810 33' 5211
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. D12NE U.S.G.S. Quad Name Lenoir, NC
7. Site size and expansion area consistent with application?
X Yes No If No, explain:
Page 1

8. Topography (relationship to flood plain included): 2-3% Slope,
above flood plain
9. Location of nearest dwelling: approximately 130 feet
10. Receiving stream or affected surface waters: Blair Fork Creek
a. Classification: C (index # 11-39-3-1)
b. River Basin and Subbasin No.: CTB 030831
C. Describe receiving stream features and pertinent downstream
uses: Sandy substrate - Stream is largely in a
suburban/urban area, and consequently is substantially
impacted as a result of development.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted 0.0001 MGD (Ultimate
Design Capacity)
b. What is the current permitted capacity of the Wastewater
Treatment facility? 0.0001
C. Actual treatment capacity of the current facility (current
design capacity 0.0001
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two years:
e. Please provide a description of existing or substantially
constructed wastewater treatment facilities: Septic tank,
subsurface sandfilter, tablet -type chlorinator, cascade
aeration.
f. Please provide a description of proposed wastewater treatment
facilities:
g. Possible toxic impacts to surface waters:
h. Pretreatment Program (POTWs only):
in development approved
should be required not needed X
2. Residuals handling and utilization/disposal scheme: disposal at
the City of Lenoir in their sludge processing facility which
produces a class A product
Page 2

a. If residuals are being land applied, please specify DEM
Permit Number
Residuals Contractor
Telephone Number
b. Residuals stabilization: PSRP PFRP OTHER
C. Landfill
d. other disposal/utilization scheme (Specify):
3. Treatment plant classification (attach completed rating sheet):
I
4. SIC Codes(s): 8661
Primary 1.1 Secondary
Main Treatment Unit Code: 440-7
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds
or are any public monies involved. (municipals only)?
2. Special monitoring or limitations (including toxicity) requests:
3. Important-SOC, JOC, or Compliance Schedule dates: (Please
indicate)
Date
Submission of Plans and Specifications
Begin Construction
Complete Construction
4. Alternative Analysis Evaluation: Has the facility evaluated all
of the non -discharge options available. Please provide regional
perspective for each option evaluated.
Spray Irrigation: Insufficient Land
Connection to Regional Sewer System: Not Available.
Subsurface High Ground Water, fill dirt.
Other disposal options:
5. Other Special Items:
Page 3

PART IV EVALUATION AND RECOMMENDATIONS
Even though this project does not quite meet the requirements for coverage under
General Permit NCG550000, ARO staff emphatically recommend issuance of a
certificate of coverage under General Permit 550000 There are no other
foreseeable options which are more satisfactory.
Blessed Hope Church is currently connected to the septic tank/ground absorption
system serving the convenience store next door. Due to lack of repair area and
other concerns on the store's lot, the new owner of the convenience store has
ordered the Church to disconnect their building tap from the store's waste
treatment system. According to the Attorney General's Office, there is no way to
force the owner of the store to continue to accept the Church's waste stream.
Since the Church cannot remain connected to the store's treatment system, since
there is not central sewer service available within a distance of several miles,
and since the Church's lot and it characteristics prevent construction of any truly
satisfactory onsite system, the church must revert to its existing restroom
facilities as indicated on the attached plans. ARO staff recommend issuance of a
certificate of coverage under permit number NCG550000 for the system described on
the attached plans.
Coverage under NCG550000 will require that DEM waive certain requirements specified
in 2H.0219; those requirements may be waived for reasons stated below:
100 feet from wells - The corner of the sandfilter is located
approximately 81 feet from the convenience store's well. Blessed Hope's lot
doe not allow greater separation. It is the upper (higher in elevation)
corner of the filter which is closer to the store's well. Since the
underdrain in the filter drains away from the well, the likelihood of
contamination is minimized. Additionally, the filter is located withing 5
feet of the stream bank to which the filter will discharge, increasing the
probability that any seepage from the filter would be toward surface water
rather than groundwater. As a final protection, the septic tank has been
waterproofed.
dual sand filters - Requiring construction of an additional filter would
further diminish the buffer between both wells (the church's and the adjacent
store's). Due to the small volume (100 gpd design capacity) to be received
by the system, and the fact that the system would only operate one or two
days per week, one filter should be adequate. Specifying a 100 gpd system in
an A-to-C for the existing restroom facilities would allow the church to
continue use of its building but would prevent any expansions on the existing
lot.
50 feet from surface waters - The lay of the system maximizes protection
of groundwater. Since the stream channel is exceptionally deep
(approximately 10 feet), the location of the filter poses no foreseeable
threat to surface waters. Since it is a discharge filter there is not a
threat of ground absorbed liquids leaching through the bank to the stream.
50 feet from property line - The system is approximately 29 feet
(horizontally) from the Northern property boundary. The size of the Church's
lot makes greater separation impossible, but in addition to the horizontal
separation, there is also a vertical separation of approximately 10 - 15 feet
due to the property's location on a mountainside. The lot to the North of
the Church is fully occupied with an existing business, meaning that a
portion of that lot is not available the church for an upgrade of its
wastewater treatment system. The system is approximately 34 feet from the
lot line to the South; the size of the Church's lot prevents greater
separation. The lot South of the Church's is also fully occupied, also
making a portion of it unavailable to the Church.
Page 4

Attached are photographs of Blessed Hope Church's lot, with additional commentary
about site restrictions. Those site restrictions prevent construction of waste
treatment facilities which would could comply with DEM's requirements better than
the existing restroom facilities, depicted on attached plans.
photo 1 - Note location of store's well.. The area behind the church is a
steep up slope which would be unsuitable for any type of onsite system.
photo 2 - Further shows the proximity of Blessed Hope Church to the
convenience store immediately South of the Church
photo 3 - Northern property line and area of high groundwater
photo 4 - Stream channel carrying Blair Fork Creek, The surface of the water
is approximately 10 feet below ground level due to the cut for Highway 321.
photo 5 - Blair Fork Creek, The creek has positive flow• see attached 7/10
sheet. The orange substance is iron bacteria.
Due to site restrictions, issuance of coverage under NCG550000 is recommended as
the best available waste treatment option. Issuance of an A-to-C for the existing
restroom facilities would prevent an expansion on this lot which is largely
unsuitable for an onsite system.
Signature of/,R:,eort Preparer
Wa er Qualit Reg'onal Supervisor
Date

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Facility:
NPDES#:
Receiving Stream: Blair Fork Creek
Comment(s): Computed according to USGS procedures by S. Bevington, Aug 1, 1995.
Low Flow Record Station Number.
Hydrologic Area Number: HA10
Drainage Area Low Flow Record Station:
Mean Annual Runoff:
Qave Low Flow Record Station: 0.00 cfs
s7Q10 Low Flow Record Station:
w7Q10 Low Flow Record Station:
30Q2 Low Flow Record Station:
must be < 400sq. miles
Drainage Area New Site:
0.16 sq. miles
MAR New Site:
1.5 cfs/miles squared
Qave per Report Equation:
0.22 cfs
s7Q10 per Report Equation:
0.03 cfs
w7Q10 per Report Equation:
0.06 cfs
30Q2 per Report Equation:
007 cfs
Drainage Area Ratio: #DIV/01
[ new DA / Da at gage ] #DIV/01
Weighted Ratio: #DIV/01
Over -ride Inappropriate Site (y ):
Drainage Area New Site: 0.15 miles squared
MAR New Site: 1.5 cfs/miles squared
Weighted Qave per Report Equation: #DIV/01
Weighted s7Q10 per Report Equation: no input from above
Weighted w7Q10 per Report Equation: no input from above
Weighted 30Q2 per Report Equation: no Input from above
P
F11Gr41 5

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor ®� H N
th B Howes Secretary
Jona an
Nann B. Guthrie, Regional Manager
Asheville Regional Office
WATER QUALITY SECTION
July 5, 1995
MEMORANDUM
TO: Steve Bevington
F,t'a�r�a :taa s�ik A,i�es¢
FROM: Jim Reid, AR
SUBJECT: Request for flow information
In accordance with our telephone conversation of this date,
attached is a request for flow information along with a map
detailing the location in question.
Your assistance with this item is appreciated. Please contact me
at telephone number 704-251-6208 if additional information is
required.
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

REQUEST No.
USGS Row Data Request
Requested by: -� �,,,` �� D -.�
SITE N0. 1 countyRiver Basin �-�-
NRCD Sub Basin 13 09-1- t Map No. or Name Le �o;Q C v�n �'I Z "1
StationNoSecondary Primary or Prima Road No. vS 32r Al
,:
Stream Name AI2. _ak k
Data Requested. Drainage Area Ave Flow 3002
Winter 7 Q 10 Summer 7 Q 10
0 0
T 0. 2
County '`
River Basin
NRCD Sub Basin
________
Map No.
or. Name
-'
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Station No.
-.�.
Secondary
or Primary
Road No.
U
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Stream Name
E
Data Requested
Drainage, Area
Average
Flow
30 t 2 a--
Winter 7010
Summer 7 Q 10 --
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7
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SITE No. 3
County
-
River Basin
Q;
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NRCD Sub Basin
Map No.
or Name
$
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Station No.
Secondary
or Primary
Road
w
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Stream Name-
Data Requested:
Drainage Area ^
Average Flow
30 Q 2
E
Winter 7 Q 10
Summer 7 Q
10
Q,
s

July 6, 1995
Mr. Clyde Raby
Blessed Hope Church
481 Dogwood Street
C 7 6 - 4
Hudson, N.C. 28638
Dear Mr. Raby,
This letter is to inform you about my evaluation of the
possibility of designing a subsurface sewage disposal system
for Blessed Hope Church. Unfortunately, because of limited
space, the presence of fill material, and the close proximity
of the stream, there is no possibility of a subsurface sewage
disposal system
I would encourage you to persue a wastewater discharge permit
as we have discussed.
If I can be of further assistance please contact me.
Sincerely,
Mike Beane, R.S.
Environmental Health Program Specialist
MGB/jkb
'Prevention
Today Means
Better Health
Tomorrow'
Caldwell County does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of services.

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Nann B. Guthrie, Regional Manager
I Off'
Asheville Regions Ice
WATER QUALITY SECTION
July 6, 1995
Mr.. Clyde Raby 70 4 L7 Z 8 45b4
Blessed Hope Church
481 Dogwood Street, Cluster C76-4
Hudson, North Carolina 28638
Subject: Blessed Hope Church
Proposed Discharge
Caldwell County
Dear Mr. Raby:
Receipt of the following documents is hereby acknowledged:
X Application Form
Engineering Proposal (for proposed control facilities)
Request for Permit Modification
X Permit Processing Fee
X Other Plans and Specifications
(,cGC'v iv,le ZZ, /9 5.S sea.)
The application package is being returned. Additional
information, consisting of the following, is required before review
of the package can continue.
Evaluation of non -discharge options - Section 2H.0105(c)(2) of
Title 15 North Carolina Administrative Code requires that the most
environmentally sound, cost effective treatment option be chosen. A
summary of treatment options considered and explanation of how the
proposed system and point of discharge were selected will be
necessary to determine compliance with the referenced portion of the
Administrative Code. Documentation from the local Health Department
should outline the ground absorption options evaluated and the
reasons each option was rejected. Evaluation of non -discharge
options is particularly important. At the proposed point of
discharge, the predicted seven-day-10-year-low-flow in Blair Fork
Creek appears to be "0". Generally, this Agency will not permit
discharges to 110"-flow streams.
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ i o% post -consumer paper

Clyde Raby
July 6, 1995
Page Two
Specifications for Sand - Item 8 of the Notice of Intent Form
details specifications for sand to be used in subsurface sandfilters.
Sand specifications noted on the plans do not meet the criteria sated
in the Notice of Intent.
Design Capacity - In the "design summary", the hydraulic
application rate is stated as 1.5 gpd/square foot. Unless
justification is provided, 1.15 gpd/square foot is the maximum
application rate for a subsurface sandfilter.
Distribution Line "Flat, -No slope" is indicated for the
distribution line. Since no dosing device is included, slope of at
least 0.250 (3 inches per 100 feet) would be required to insure that
liquid travels the length of the distribution line.
Separation of Overfill - Building paper rather than straw would
likely provide a more positive and permanent barrier in preventing
overfill from penetrating the gravel surrounding the distribution
line.
Location of Well - No well is indicated on the plans. All
components of the wastewater treatment system must be at least 100
feet from the nearest well.
If you have any questions regarding this application, please
contact me at telephone [phone].
fs Sincerely,
Q V ,7� ��
James R. Reid
6 f Environmental Engineer
xc: Roy M. Davis
Permits and Engineering

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F
IATING SCALE- FOR CLASSIFICATION OF WATER POLLUTION CONTROL SYSTEMS
lame of Facility: E' C a
)wner or Contact Person: tr/
Bailing Address; �Oc ,. Zt v - vSDit/ N� ry 3K
;ounty:�w Telephone:�i'cF'
'resent Classification, New Facility Existing Facility
IPDES Per. No.'Ieor'7U4 Nondisc. Per. No.WQ Health Dept.Per No.
fated by: /2: E%/J Telephone: Jo4:-JS/-624k Date: /T/
leviewed by: Health Dept. Telephoner
Regional Office Telephone: 7oy-45t-4yo�
Central Office Telephone:
)RC: Grade: Telephone;
:heck Classification(s): Subsurf a Spray Irrigation Land Application
Jastew ter Classification: (Circle One) 1 II III IV Total Points:
-_ �_%dw__� _ g fya-----------------------
ONSIDERREDENT FORTHEPURPOSE OFCLASSIFICATION.
ALSO SEPTIC TANK SEPTiCTAN
ND GRAMS NITRIFICATION LINES ARE EXEMPT FROM CLASSIFICATION
SPRAY IRRIGATION CLASSIFICATION
-------------------------------------------------------------
UBSURFACE CLASSIFICATION
beck all units that apply)
(check all units that apply)
septic tanks
1.
preliminary treatment (definition no. 32 )
pump tanks
2.
lagoons
siphon or pump -dosing systems
3.
septic tanks
sand filters
4
pump tanks
grease trapAnterceptor
5.
pumps
oil/water; separators:
6
sand filters
gravity subsurface treatment and disposal:
7.
grease trapAnterceptor
._pressure subsurface treatment and disposal:
S.
oil water_ separators
9.
disinfection
10.
chemical addition for nutrient/algae control
11.
spray irrigation of wastewater
n addition to the • above classifications, pretreatmentof wastewater in excess of these components shall
le, rated using the point rating system and will require an operatorwith. an appropriate dual certification.
AND APPLICATION/RESIDUALS CLASSIFICATION (Appries,only to permit holder)
- - - Land application of biosolids, residuals or contaminated soils on a designated site.
-------------------------------------------------------------
VASTEWATER TREATMENT FACILITY CLASSIFICATION
be following systems shall be assigned a Class I. classification. unless the flow is of a significant quantity or the technology is unusually
complex, to require consideration by the Commission on a case -by -case basis: (Check If Appropriate)
Oil/waler A)paralor Systems consisting only of physical separation, pumps and disposal;
!Septic Tank/Sand Fitter Systems consisting only of septic tanks, dosing apparatus, pumps,sand filters, disinfection
and direct discharge;
1. Lagoon Systems consisting only of preliminary treatment, lagoons, pumps, disinfection, necessary chemical treatment for
algae or nutrient control, and direct discharge;
Closed-toop Recycle Systems;
�. Groundwater Remediation Systems consisting only of oil/water separators, pumps, air -stripping, carbon adsorption, disinfection
and disposal;
i. Aquaculture operations with discharge to surface waters;
Water Plant sludge handling and back -wash water treatment;
f. Seafood processing consisting of screening and disposal.
)_Single-family discharging systems, with the exception of Aerobic Treatment Units, will be classified it permitted after July 1,
1993 or if upon inspection by the Division, it is found that the system is not being adequately operated or maintained. Such
systems will be notified of the classification or reclassification by the Commission, in writing.

.
the following scale
is used f tin9 wastewater treatmentatment facilities
litie s.rcle appropriate
a-te points)
REM POINTS
( 1) Industrial Pretreatment Units or Industrial Pretreatment Program (see dellnition No. 33)..............................................4
(2) OESIGN
FLOW OF PLANT IN gpd (no( applicable to non contaminated cooling waters, sludge handling facilities for
water
purification plants, totally dosed cycle systems(see definition No. 11). and facilities consisting only of flan
(4)(d)
or Items (4)(d) and (11)(d))
0 - 20,000................................:........................:.. 1
20,001 - 50.000...................................................
2
50.001 - 100.000
...............................................:................:...:...............................:.:..:.............._.......:...3
100,001 - 250.000....:..............................................................................................................................4
250,001 - 500,000
.......................................................................................:.........................:........:.......5
500.001 - 1,000.000
......:........................................................................................................................ a
1.000.001 - 2,000,000...............................................................». ...10
2.000.001 (and up) rate 1 point additional for each 200.000 gpd capacity up to a maximum of ..30
Design Flow (gpd)
(3) PRELIMINARY UJffS/PROCESSES (see definition No.32)
(a)
BarScraens..................................:...............................................»...........................................................1
or
(b)
Mechanical Screens. Static Screens or Comminuting Devices ...... _................................................................ 2
(c)
GritAernaM.........................:....:........:....................:.................................................................................1
or
(d)
Mechanical or Aerated Grit Removal ..........................................................................:...:......:.......................2
FlowMeasurfngDevice
................................................................................................................._..............1
or
(f)
Instrumented Flow Measurement................................................._.............................................................2
(g)
Preaeratlon................................................................................._............................................................2
(h)
Influent Flow Equalization............................................................................................................2
ti)
Grease or Oil Separators - Gravity ...................... _... ...... ......... ..... ............................................................... 2
Mechanical...........................................................................»..............................................................3
Dissolved Air Flotation. e
(U
Prechforinatlon... 5
....... ........................................................................................
(4) PRIMARYTREATMENT UA41rWROCESSi S
(a)
Septic Tank (see delfntlion No. 43).............. _ 2
_................_
(b)
Imholf Tank ... ....... ........ .........................
..... ..... ..... ..... ................:............................
(c)
Primary Clarltlers................................................................... ...................................................................
(d)
Settling Ponds or Settling Tanks for Inorganic Nort•toxlc Materials (sludge handling facilities for water
purification plants, sand, gravel, stone, and other mining operations except recreational activities such a. gem
orgold mining)........................................................................................................................................2
(5) SECONDARY TREATMENT U ITSJPROCESSES
(a)
Carbonaceous Stage .
(1) Aeration -High Purity Oxygen System ............... ...... ........................................................ 20
DiffusedAir System ........................................... ............................................................ 10
Mechanical Air System (fixed, floating or rotor)_................................................................8
SeparateSludge Reaeration.............................................................................................3
(II) Trickling Ricer
HighRate ................................. ................... »........................................................ ........7
StandS .
ard Rate...................................»..........»».................................................. ...5
Packed Tower ........... . ................... _............................................................. 5
(III) Biological Aerated Filter or Aerated Bio4lcal Filter».........................................................10
(IV) Aerated Lagoons......................... »-................. ........................................................... 1 0
(v) Rotating Biological Contactors............ .........................................................................10
(VI) Sand Filters -intermittent biological ................ ...... _.......................................................... 2
Recirculatingbiological.....................................................................................................3
(vil) Stabilization Lagoons......................................_.............................................................5
(vill) Cladrw..::....................................................................................................................5
(Ix) Single stage system for combined carbonaceous removal of BOD and nitrogenous removal by
nitrification (see definition No. 12)(Poirts for this item have to be In addition to Hems
(5)(a)(1). through (5)(a)(vfil),.
utilizing the extended aeration process (see definition No.3a) .. ...............................
utilizing other than the extended aeration process ................ 8
(x ) Nutrient additions to enhance BOD removal ......... .................:..........................................5
(XI) BloNical Culture ('Super Bugs')addtbn....................................................................... 5
(b)
Nitrogenous Stage
(1) Aeration - High Purity Oxygen System......._.:__.............................................................. 26
DiffusedA1r System .....................» ...»..........................................................10
Mechanical Air System (fixed, floating or rotor ............... ..............................................8
SeparateSludge Reaeration............................................................................................3
(11) Trickling Filter -High Rate .......... _..................... ._............................................................... 7
StandardRate .......................... ................»»...:........ 5
PackedTower.....................................:..._...........................................:...........:.....5
(III) Biological Aerated Filter or Aerated Biologic Fliter.............................................................100
d(Iv) Rotating Biological Conlaors...... _..»............. _......................................... _................
(v) Sand Filer - Intermittent biological .................... _............................................................
Recirculating biological ...................................._..............................................................3
NOClarifier.............. ..:......:.......................-.............................................................5
(6) TERTIARY
OR ADVANCED TREATMENT UJiTSrF'ROCESSES
(a)
Activated Carbon Beds
withoutcarbon regeneration ................ ... ............... ............................................................. b
withcarbon regeneration.......... ....»..............:_...........................................................15
(b)
Powdered or Granular Activated Carbon Feed -
withoutcarbon regeneration.,.:............._..........................................:...............:.•5
withcarbon regeneration .........................
. ...... . .. ........... ...............'...1 5
X.
(c)
t d)
Air stripping..... .... . ...............»... ....................................................... 5
Denitrtflcatlon Process...
r
(a) •
_......................................................................10
Electrodlalysis.............. :........................................._._........................................................................5
(I)
Foam Separation..........................:.....:.......:.............................._..............................................................5
(g)
.
Ion Exchange ...................... .......................... ...... ......................................................................... 5
(h)
Land Application of Treated Effluent (see definition No. 22b) (not applicable for sand, gravel' stone
and other similar mining operations) by high rate Infiltration
0)
......_..._.....................:.......................................4
Mlcroscreens.... .5
. ......
O)
Phosphorous Removal by Biological Processes (See definition No. 26.....
:..
_
(k)
Polishing Ponds - without aeration............................................................................................................2
with aeration
....................:......................................:.....................................................5

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``
SLUDGE TREATMENT
' � mvuno o��um"T�ox ' xvumo _----________.'_______�
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operations containing nitrogen or phosphorus compounds In amounts significantly greater than .. .
�
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uent Flow Equalization (not applicable to storage basins which are Inherent In land application r
(riot applicable to storage basins ,,o`°.,,In land application �systems) ....... __..........................
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(15) Elecirodialysis. Process for removing Ionized salts from water through the use of ion -selective Ion -exchange membranes;
(16) Filter Press. A process operated mechanically for panlally dewatering sludge;
(17) Foam Separation. The planned frothing of wastewater or wastewater effluent as a means of removing excessive amounts of detergent materials through
the introduction of air In the form of fine bubbles; also called foam fractionation;
j (18) Grit Removal. The process of removing grk and other heavy mineral matter from wastewater;
(19) Imhoff Tank. A deep two story wastewater tank consisting of an upper sedimentation chamber and a lower sludge digestion chamber.
(20) Instrumented Flow Measurement. A device which Indicates and records rate of flow;
(21) Ion Exchange. A chemical process in which ions from two different molecules are exchanged;
(22) Land application:
(a) Sludge Disposal. A final sludge disposal method by which wet sludge may be applied to land either by spraying on the surface or by subsurface injection
(i.e.. chisel plow); (not applicable for types of sludge described In (11) Of this Rule);
(b) Treated Effluent. The process of spraying treated wastewater onto a land area or other methods of application of wastewater onto a land area as a
means of final disposal or treatment;
(23) Microscreem A low speed, continuously back -washed, totaling drum filter operating under gravity conditions as a polishing method for removing
suspended solids from effluent;
(24) Nitrification Process. The biochemical conversion of unoxidized nitrogen (ammonia and organic nitrogen) to oxidized nitrogen (usually nitrate);
(25) Nitrogenous Stage. A separate stage of wastewater treatment designed for the ecific purpose of converting
(26) Phosphate Removal, Biological. The removal of phosphorus 9 P �° n9 ammonia nitrogen to nitrate nitrogen;
09 horns from wastewa
ter
P sP r a n oxid
by the microorganisms; by anoxic process designed to enhance luxury uptake of phosphorus
(27) Polishing Pond. A holding pond following secondary treatment with sufficient detention time to allow settling of finely suspended solids;
(28) Post Aeration. Aeration following conventional secondary treatment units to Increase effluent D.O. or for any other purpose;
(29) Post Aeration. (Cascade) A polishing method by which dissolved oxygen is added to the effluent by a nonmechanical, gravity means of flowing down a
series of steps or weirs; The flow occurring across the steps or weirs moves in a fairly thin layer and the operation of the cascade requires no operator
adjustment; thus• zero points are assigned even though this Is an essential step to meeting the limits of the discharge permit;
(30) Powdered to Granular Activated Carbon Feed. A biophysical carbon process that utilizes biological activity and organic absorption by using powdered or
granular acitvaled carbon; Virgin or regenerated carbon Is food controlled Into the system;
(31) Preaeratton. A lank constructed to provide aeration prior to primary treatment;
(32) Preliminary Units. Unit operations in the treatment process, such as' screening and comminution, that prepare the liquor for subsequent major operations;
(33) Industrial Pretreatment.
(a) Pre-treatment Unit, industrial. The conditioning of a waste at its source before discharge, to remove or to neutralize substances Injurious to sewers and
treatment Processes or to effect a partial reduction In bad on the treatment process which is operated by the same governing body as the wastewater
treatment plant being rated;
b) Pre-treatment Program, Industrial - must be a State or EPA required program to receive points on the rating sheet;
(34) Primary Clarifiers. The first settling tanks through which wastewater Is passed In a treatment works for the purpose of removing settleable and suspended
solids and BOO which is associated with the solids;
(35) Pumps. All Influent, effluent and In -plant pumps;
(36) Radiation. Disinfection or sterilization process utilizing devices emitting ultraviolet or gamma rays;
(37) Reverse Osmosis. A treatment process in which a heavy contarnlnated liquid Is pressurized through a membrane forming nearly pure liquid free from
suspended solids;
(38) Rotating Biological Contractors. A fixed biological growth process in which wastewater flows through tanks in which a series of partially submerged circular
surfaces are rotated;
(39) Sand Fillers:
(a) Intermittent Biological. Filtration of effluent following septic tanks, lagoons, or some other treatment process In which further blodecomposhlon Is
expected to produce desired effluents; Hydraulic loading rates on these filters are computed In gpdfac and have a resulting low gprr✓sl (less than one),
b) Recirculating biological - the same type of sand filter as defined in Subparagraph (39) (a) of this Rule with the added capability to recycle effluent back
through the sand filter,
(40) Sand or Mixed -Media Fitters. A polishing process by which effluent Ilmhs are achieved through a further reduction of suspended solids;
(a) low rate - gravity, hydraulically loaded filter with loading rates In the one to three gpm/sf range;
(b) high rate — a pressure, hydraulically loaded filter with loading rates in the five gprn/d range; At any rate, the loading rate will exceed three gpnMd;
(41) Secondary Clarifiers. A tank which follows the biological unit of treatment plant and which has the purpose of removing sludges associated with the
biological treatment units;
(42) Separate Sludge Reaeratlon. A part of the contact stabilization process where the activated sludge Is transferred to a tank and aerated before returning it
to the contact basin;
(43) Septic Tank. A single -story &sitting tank In which settled sludge is In contact with the wastewater flowing through the tank; shall not be applicable for
septic tank systems serving single family residences having capacity of 2.000 gallons or less which discharge to a nitrification field;
(44) Sludge Digestion. The process by which organic or volatile matter and sludge Is gasified, liquefied, mineralized or converted into more stable organic matter
through the activity of living organisms, which Includes aerated holding tanks;
(45) Sludge Drying Beds. An area comprising natural or artificial layers of porous materials upon which digested sewage sludge is dried by drainage and
evaporation:
(46) SludgeElutriatlon. A process of sludge conditioning in which certain constituents are removed by successive washings with fresh water or plant effluent;
(7) Sludge Gas Utilization. The process of using sewage gas for the purpose of heating buildings, driving engir(es, etc.;
(48) Sludge Holding Tank (Aerated and Nonaerated). A tank utilized for &map wastewater treatment plants not containing a digester In which sludge may be
kept fresh, and supernatant withdrawn prior to a drying method (i.e. sludge drying beds); This may be done by adding a small amount of air simply to keep the
sludge fresh, but not necessarily an amount• that would be required to achieve stabilization of organic matter. A.nonaeraled tank would simply be used to
decant sludge prior to dewatering and would not allow long periods (several days of detention) without resulting odor problems;
(49) Sludge Incinerators. A furnace designed to bum'sludge and to remove all moisture and combustible materials and reduce the sludge to a sterile ash;
(50) Sludge Stabilization (Chemical orThermaf). A process to make treated sludge less odorous and putrescble, and to reduce the pathogenic organism
content; This may be done by pH adjustment, chlorine dosing, or by heat treatment;
(51) Sludge Thickener. A type of sedimentation tank In which the sludge Is permitted to settle and thicken through agitation and gravity;
(52) Stabilization Lagoon A type of oxidation lagoon in which biological oxidation of organic matter Is effected by natural transfer of oxygen to the water from
air (not a polishing pond);
(53) Stand -By Power Supply. On site or portable electrical generating equipment;
(54) Static Screens. A stationary screen designed to remove solids, including non -biodegradable particulate (floafabie solids, suspended solids and BOD
reduction) from municipal and Industrial wastewater treatment systems;
(55) Tertiary Treatment. A stage of treatment following secondary which Is primarily for the purpose of effluent polishing; A settling lagoon or sand or coal filter
might be employed for this purpose;
(56) Thermal Pollution Control Device. A device providing for the transfer of heal from a fluid flowing in tubes to another fluid outside the tubes, or vice versa;
or other means of regulating liquid temperatures;
(57) Thermal Sludge Conditioner. A conditioning process by which heat Is added for a protracted period of time to knprove the dewaterablifty of sludge by the
solubillzing and hydrauilzing of the smaller and more highly hydrated sludge particles;
(58) Toxic Materials. Those wastes or combinations of wastes; Including disease -causing agents which alter discharge and upon exposure, Ingestion. Inhalation
or assimilation into any organism, either directly from the environment or indirectly by ingestion through food chains, will cause death, disease, behavioral
abnormalities, cancer, genetic mutations, physiological malfunctions (Including malfunctions In reproduction) or physical deformations. In such organisms or their
offspring; Toxic.materials Include, byway of Illustration and not limitation: lead, cadmium, chromium, mercury, vanadium, arsenic, zinc, ortho-Ntro chiolobenzene
(ONCE), polychlorinated biphenyls (PCBs) and dichlorodlphenyl trichioroethane (DDT); and any other materials that have or may hereafter be determined to have
toxic properties
7 (59) Trickling Flier. A biological treatment unit consisting of a material such as broken stone or rock over which wastewater Is distributed; A high rate trickling
fitter Is one which operated at between 10 and 30 mgd per acre. A low rate trickling lifter Is one which is designed to operate at one to lour mgd per acre:
(60) Trickling Flier (Packed Tower). A plug flow type of operation In which wastewater flows down through successive layers of media or filtrate malettal; Organic
material Is removed continually by the active biological fixed growth in each successive layer. This method may produce 'secondary- quality effluent, or may be
adapted to produce a n1trifled effluent;
(61) Vacuum Filter. Centrifuges, or Filter Presses. Devices which are designed to remove excess water from
or further treatment. either digested of undigested sludge prior to disposal

State of North Carolina
Department of Environment, my
Health and Natural Resources 1' • 0
Division of Environmental Management
James B. Hunt, Jr., Governor p EE H N i=
Jonathan B. Howes, Secretary
Nann B. Guthrie, Regional Manager
Asheville Regional Office
WATER QUALITY SECTION
July 6, 1995
Mr.. Clyde Raby
Blessed Hope Church
481 Dogwood Street, Cluster C76-4
Hudson, North Carolina 28638
Subject: Blessed Hope Church
Proposed Discharge
Caldwell County
Dear Mr. Raby:
Receipt of the following documents is hereby acknowledged:
X Application Form
Engineering Proposal (for proposed control facilities)
Request for Permit Modification
X Permit Processing Fee
X Other Plans and Specifications
(1Z'rd o u,le zZ, iS 17s
The application package is being returned. Additional
information, consisting of the following, is required before review
of the package can continue.
Evaluation of non -discharge options —Section 2H.0105(c)(2) of
Title 15 North Carolina Administrative Code requires that the most
environmentally sound, cost effective treatment option be chosen. A
summary of treatment options considered and explanation of how the
proposed system and point of discharge were selected will be
necessary to determine compliance with the referenced portion orf the
Administrative'Code. Documentation from the local Health Department
should outline the ground absorption options evaluated and the
reasons each option was rejected. Evaluation of non -discharge
options is.particularly important. At the proposed point of
discharge, the predicted seven-day-10-year-low-flow in Blair Fork
Creek appears to be 11011. Generally, this Agency will not permit
discharges to 110"-flow streams.
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 Telephone [phone] FAX [phone]
An Equal opportunity Affirrnallve Action Employer 60% recycled/ 10% post -consumer paper

Clyde Raby
July 6, 1995
Page Two
Specifications for Sand - Item 8 of the Notice of Intent Form
details specifications for sand to be used in subsurface sandfilters.
Sand specifications noted on the plans do not meet the criteria sated
in the Notice of Intent.
Design Capacity - In the "design summary", the hydraulic
application rate is stated as 1.5 gpd/square foot. Unless
justification is provided, 1.15 gpd/square foot is the maximum
application rate for a subsurface sandfilter.
Distribution Line - "Flat, -No slope" is indicated for the
distribution line. Since no dosing device is included, slope of at
least 0.25% (3 inches per 100 feet) would be required to insure that
liquid travels the length of the distribution line.
Separation of Overfill - Building paper rather than straw would
likely provide a more positive and permanent barrier in preventing
overfill from penetrating the gravel surrounding the distribution
line.
Location of Well - No well is indicated on the plans. All
components of the wastewater treatment system must be at least 100
feet from the nearest well.
If you have any questions regarding this application, please
contact me at telephone [phone].
Sincerely,
1
r a Q Ir
James R. Reid
Environmental Engineer
xc: Roy M. Davis
Permits and Engineering

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SEAIZ
State of North Carolina
Department .of Environment, Health . and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E.
Director
NOTICE OF INTENT
National Pollutant Discharge Elimination System
Application for Coverage under General Permit NCG550000; Single Family Domestic Units
1. Name, Address, location, and telephone number of facility requesting Permit.
A. Official Name: t- - sse 40
B. Mailing Address: c'/o A5`(
(1)Street Address; 4-% ( -b6'a WOO S T . C Lus-Me- GTE-�}
(2)City; 14 ut).e 0
(3)State; 1`1orZ`rN P—AP-6c-10A
(4)Zip; Z g G�3g
(5)County; CAA L_.b�E�
C. Location. (Attach map delineating general facility location)
(1)Street Address; Il S 3% l tJotZ r>{
(2)City; l.Euott
(3)State; tJoP-Tt-k C,A1z0L-1'.!A
(4)County; WE: t-L'
D. Telephone Number;
2. Facility Contact:
A. Name;. iTA U..
B. Title;
C. Company Name;
D. Phone Number; (70 4) TO - g9 1,1_
3. Application type (check appropriate selection):
A New or Proposed; V
B. Existing; If previously permitted, provide permit number
and issue date
C. Modification;
(Describe the nature of the modification):
4. Description of discharge.
A. Please state the number of separate discharge points.
B. Please describe the amount of wastewater being discharged per each separate discharge point.
(Design flow is based on 120 GPD/bedroom with a minimum of 240 GPD/ home)
1: 100 gallons per day (gpd) 2: (gpd) 3: (gpd) 4: (gpd)
GKuReIi 1N1`iiiot)T W -tlEa otz ��yCF{ee FAC�I IT�ES 3 �"aPb/�rn�uwF3 -

C. Check the duration and frequency of the discharge, per each separate discharge point
1.Continuous:
2.Interm tient (please describe): S'uu ' WE.)NEspAY EOErJt 4e;
'3.Seasonal: (check the month(s) the discharge occurs):January [ ];February [ ];March [ ]; April [ j,
May [ ];June [ ];July [];,August [ ]; September [ ];October [ ]; November [ ];December [ j.
4.How many days per week is there 'a dis harge?(check the days the discharge occurs)
Monday [ ], Tuesday [ ], Wednesday [r.]�Thursday [ ],Friday [ ], Saturday [ j, Sunday [
S.How much of the volume discharged is treated? (State in percent) 1130 %
D. Describe the type of wastewater being discharged. (please list any known toxants being
discharged from this residence); -ZoME-STic—* % ►ao VwoLo k3 1 oXA► Ff S
E. Check the appropriate type of treatment being used to treat the wastewater,
NOTE
1. Septic Tank;
2. Sand Filter(s); ✓
3. Recirculating Sand Filter(s);
4. Chlorination;
5. --
Other form of disinfection(specify);
6. Aeration(specify type); ri (f,45c.-bc Po5'C Ae�zAnck)
7. Other(describe, be specific);
8: Please describe in detail the information checked above. (Include specifics for each check; to
include: type, dimensions, treatment amounts, design volumes, retention times for each
system, manufacture's specifics and contractor's specifics) Existing treatment facilities
should be described in detail and design criteria or operational data should be provided
(including calculations) to ensure that the facility can comply with requirements of
the General Permit.The following are the minimum design requirements needed for each of
the treatments listed above:
a.Septic Tank; Minimum tank septic tank size shall be 750 gallons for two bedrooms and
900 gallons for three bedrooms. The Division recommends the use of a 900 gallon tank for
a two bedroom and a 1200 gallon tank for a three bedroom unit. If excavation into
bedrock is necessary for the septic tank or sand filter then a liner of at least 10 mm
thickness shall be provided for the septic tank and/or sand filter.
b. Sand Filters; These shall be used to provide secondary treatment. For the sand filters,
the loading rate shall be no less than 1.15 GPD per square foot of filter. The
Recirculating Sand Filter should be able to handle 5.0 GPD per square foot with no more
than a 3:1 recirculating ratio. Sand shall conform to the,Division's standards of 0.35 to
0.5 mm effective size, 3.0 uniformity coefficient, and 0.5%,dust content.
c. Chlorination; The chlorine contact chamber shall have'at"least a 30 minute detention
time. The volume should be calculated as follows: Volume (gallons)= (design flow x
0.5)/ 24 hours. Discharge pipe from the chlorinator shall be perforated.
d.Cascade aeration should consist of a 5 step concrete trough but may also be made of rip
rap.
Construction of any wastewater treatment facilities require submission of three (3) sets of plans
and specifications along with their application. Design of treatment facilities must comply
with requirement 15A NCAC 2H .0138. If construction applies to the discharge, include the
three sets of plans and specifications with the application.
5. Name of receiving water: Classification:
(Attach a USGS topographical map with all discharge point(s) clearly marked)
Page 2

6. Is the discharge directly to the receiving water?(Y,N)
If no, state specifically the discharge point. Mark clearly the pathway to the potential receiving
waters on the site map. (This includes tracing the pathway of the storm sewer to its discharge point,
if a storm sewer is the only viable means of discharge.)
7. Please address possible non -discharge alternatives for the following options:
A. Connection to a Regional Sewer Collection System; C vc aF Lsao d l v_ z;E' :L Ctz- 7— s V" I C-E S
500'rbl. CI-c,, (i5 Uo %MrAmbWCE PLANS -To irk.-VWD '5e?_0lCET im `rttt5 �4Re'R
B. Subsurface Disposal; PRo? ajL-z is Too 9 m n Ul— Fom zu"Olz FAA E , W l•rtE 13Lu C7 Ae31>
PhR11-tor, .1 AVAILAIC-C ,
C. Spray Irrigation; PWPMQ.-t IS "r®cD SPAAL.t_ FOOL spQLAI IRV_1c4 4T16+J < 'PPo EP_-C ABoo;
go, wto-. lb ?AV-LI'0C SpAe—C A\UdNll..11Sl.E;
8. I certify that I am familiar With the information contained in the application and that to the best of
my knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing tz 'QA V3Y
Title S 14 N
Date Application Signed
Signature of Applicant
NORTH CAR01 INA GENUAL ST T T 14 215 6 (B) 2) PROVIDES THAT
Any person who knowingly makes any false statement, representation, or certification in any
application, record, report, plan or other document files or required to be maintained under Article 21 or
regulations of the Environmental Management Commission implementing that Article, or who falsifies,.
tampers with or knowingly renders inaccurate any recording or monitoring device or method required to
be operated or maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to "
exceed $10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides
similar offense.)
a punishment by a fine of not more than $10,000 or imprisonment not more than S years, or both, for a
'e0 ,, (/-, 1�4/
Notice of Intent must be accompanied by a check or money order for $400.0 e payable to the North
Carolina Department of Environment, Health, and Natural Resources. Mdildthree (3) copies of entire
package to:
Division of Environmental 'Management
NPDES Permits Group
Post Office Box 29533
Raleigh, North Carolina 27626-0535
Page 3

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Health and Natural Resources AWA 7
Division of Environmental m �7 gement
James B. Hunt, Jr., Governor IL
Jonathan B. Howes, Secretary E H N Nann B. Guthrie, Regional Manager
Asheville Regional Office
WATER QUALITY SECTION
October 25, 199
Mr. Carroll Williams
4840 North Center Street
Hickory, North Carolina 28601
Subject: Blessed Hope Church
Proposed NPDES Permit
Caldwell County
Dear Mr. Williams:
In accordance with our telephone conversation of this date,
attached are the plans for Blessed Hope Church's sewer treatment
system. As we discussed, please move the location of the septic
tank to maximize the distance between any of the system's
components and the wells indicated on the plans. Additionally,
please make the other changes (which are highlighted in pink and
red) on the returned plans.
Your cooperation is genuinely appreciated. Please contact
me at telephone number 704-251-6208 if there are questions
concerning the requested changes. After I receive the revised
plans, I will submit them to the Central Office for review and
issuance of a Certificate of Coverage. Additional items may be
requested during the Central Office's review.
Sincerely,
James R. Reid
Environmental Engineer
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
w�
L12 t.

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management Ai;A
James B. Hunt, Jr., Governor
Jonathan B, Howes, Secretary FE H
Nann B. Guthrie, Regional Manager
Asheville Regional Office
WATER QUALITY SECTION
July 11, 1995
Mr. Clyde Raby
Blessed Hope Church
481 Dogwood Street, Cluster C76-4
Hudson, North Carolina 28638
Subject: Blessed Hope Church
Proposed Discharge
Caldwell County
Dear Mr. Raby:
Depending upon the particulars of the agreement with the
previous store owner, the new owner may still be obliged to provide
sewer service for Blessed Hope Church. If so, this would save the
church the expense on installing, maintaining, and operating a new
sewage system. g
Please contact me at telephone [phone] at your earliest
convenience regarding specifics of the agreement with the adjacent
property owner for water/sewer service.
Sincerely,
James R. Reid �S
Environmental Engineer
0�
ill _
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 60% recycled/ 10% post -consumer paper

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A septic Ta table lob a, s ptic taul�' SPecifiTa C4 de�
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the v th s a eas ow Septic lghwa This s,. h' �2
ecountered tional sVte ble ar ldbe A as due to h tY' a e - 1 g� 9
ost convea h water to condition the lob aural mm l,erical sh P c _ 36_
14 ,nbig water stem, stru these . wallt1, ies, S�8
talled Duna al sy eld areas- bs, a ert 0
j1ould a hlgl? gr ve,1t1on e leach' e four ar lcal e section Prof e use P
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ow throng would eq the deep e needed the polyethy x �219
eucO wotyldbac, . uidlevels the. proviaehproperties
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water The hq d the outsid�°ostatic lit's l . d to
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een . the tan Despite ackfi above
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An tared the by tables- Systems ill amr tables wehozontal Plathe tank from ed cover °f °n
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it is of
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including into ---
hy�ost tic stresses on
the tank, --

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