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HomeMy WebLinkAboutNCG550412_Regional Office Historical File_20200521 Septic Tank Septic tank maintenance records were not available at the time of the inspection. [NCG550000 Part I. A. 3. Permit Conditions (Operations &Maintenance) Septic tanks shall be inspected at least yearly to determine if solids must be removed or if other maintenance is necessary. Septic tanks shall be pumped out every five years or when the solids level is found to be more than 1/3 of the liquid depth in any compartment.] Corrective Measures for the deficiencies noted above: Effluent Sampling: Sample or document no discharge and submit to Asheville Regional Office. Permit: Complete and submit enclosed Permit Name/Ownership Change Form to Raleigh. i Septic Tank: Provide receipt of septic tank pumping to Asheville Regional Office. Effluent Pipe: Locate and repair effluent pipe. - Compliance Issue: Vegetation surrounding and leading to treatment areas was overgrown. Access should be maintained to all treatment areas for monitoring and routine maintenance. Remedial actions should have already been taken to correct this problem and prevent further occurrences in the future. The Division of Water Resources may pursue enforcement action for this and any additional violations of State law. To prevent further action, please respond in writing to this office within M days upon receipt of this Notice regarding your plans or measures to be taken to address the indicated deficiencies and compliance issues. If you should have any questions, please do not hesitate to contact Mikal Willmar with the Water QualityRegional Operations Section in the Asheville Regional Office at 828-296-4500 or by email at mikal.willmer@ncdenr.gov. Sincerely, I G. Landon Davidson, P.G., Regional Supervisor Water Quality Regional Operations Section Asheville Regional Office Division of Water Resources, NCDEQ ATTACHMENTS: Inspection Report Permit Name/Ownership Change Form Cc:WQS Asheville Regional Office- Enforcement File NPDES Compliance/Enforcement Unit- Enforcement File G:\WR\WQ\Haywood\Wastewater\General\NCG55 SFR\NCG550412-Kitchen\NOD-2016-PC-0405.docx State of North Carolina I environmental Quality I Water Resources Asheville Regional Operations Center 2090 U,S.70 Highway,S,vannanoe,NC 28978 828-296-4500 nkap_ �otb 'AG-o4oS unites made Environmental Protedtion A9enry Form Approved EPA WeshLgton a 0.4W6p OMB No.2040-0057 ,,,Water Compliance Inspection Report Appraisal expires 8-31-98 Section A:National Data System Coding(i.e.,PCS) Transaction Code NPDES yrlmWday InspeQion Type Inspector Fac Type 1 IN 1 2 le 1 3 I NCG550412 11 12 16l0e11 17 18 Li 191 s I 201 I 211111 I I I I I I II 111 I I I I I ( I I I I I I I I I I I I I I II I I I I I IGS Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 CA Reserved 87 I� 70I LJ 711 L I 72 1 u 1 731 I 174 751 I I I I I I I80 ili Section B:Fr Data LJ I I t Name and Location of Facility Inspected(For Industrial Users discharging to ROM also Include Entry TimelDate Permit Egealive Dale POTW name and NPDES Permit Number) 11:20AM 161 13108/01 White Oak Rd. Ex 144 Wh8e Oak Rd Lot#2 lt Tlme)Dete permit Expiration Oete Maggie Valley NC 28751 11:45AM 16I08/26 IW07/31 Names)of Onaite Representative(s)?IIIes(s)1Phone and Fax Number(e) Other Facility Data 111 (`0 01� Cf1S.1E Name,Adams.of Responsible Offidea tlidPhiu a end Fax Number (tonnt o$, K.Aden ?oAce %n %4 CI. �te1x N\en,yh 43CiS ei contacted Raven-Pegg gP&83751' No Section C:Areas Evaluated During Inspection(Check only those areas evaluated) Permit E:Operations&Maintenance E Self-Monitoring Program E Effluent/Receiving Waters Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Naral and Slgnature(s)of Inspectors) AgencylOgicalPhone and Fa¢Numbers Data MIMI Wllmer ARC WOl1828-296-48e81 Signature of Management O A Revioder Agency/Office/Phone and Fax Numbers Data %#i' CI a-Vo EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. Page# 1 NPo2s yrrmWdsy Inspection Type (Cont.) t 31 NCG550412 I 12 iW0e128 17 16 Section D:Summary of FlndinglComments(Attach additional)sheets of narrative and checklists as necessary) The inspector(Mika)Willmar)was unable to contact and meet onsite with the current owner, Ronald Kitchen. Mr. Kitchen is not the listed permittee.A name/ownership change form should be submitted to Raleigh. Vegetation surrounding the home and leading down to the effluent pipe was overgrown. Unable to indefify the exact location of the septic tank and sand filter trench. The PVC effluent pipe was located, but broken in two pieces. Neither piece was connected to the treatment system. Could not identify where the pipe exited the sand filter trench.There was no apparent septic smell or visible ponding leading to the effluent pipe. The house appears to be a vacation home or rental property for the current owners. ,I I I, Page# 2 Parrott: NCG550412 Owner-Faclley: ROite Oak Rtl. Inepecaon Date: 0e12612016 Inepecyon Type: Compllani Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ❑ 0 ❑ ❑ Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ 0 ❑ Solids, PH, DO,Sludge Judge,and other that are applicable? Comment: House sits on a rocky bank above Jonathan's Creek. Vegetation was overgrown. Unable to identify exact location of septic tank and sand filter trench. Permit Yea No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ 0 ❑ ❑ application? Is the facility as described in the permit? ❑ ❑ ® ❑ #Are there any special conditions for the permit? ❑ ❑ 0 ❑ Is access to the plant site restricted to the general public? ❑ ❑ 0 ❑ Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑ Comment: Current owner(Ronald Kitchen)is not the listed permittee(Mortis). Change of ownership needed. Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? ❑ E ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑ Comment: Found general location of effluent Pipe PVC Pipe was broken in two pieces. Unable to locate where the effluent pipe exits the sand filter trench. Effluent Samplina Yes No NA NE Is composite sampling flow proportional? ❑ ❑ 0 ❑ Is sample collected below all treatment units? ❑ ❑ ■ ❑ Is proper volume collected? ❑ ❑ ■ ❑ Is the tubing clean? ❑ ❑ ■ ❑ #Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ 0 ❑ Celsius)? Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ❑ ❑ representative)? Comment: Annual sampling records were not available at the time of the inspection. See above. Septic Tank Yes No NA NE (If pumps are used)Is an audible and visual alarm operational? ❑ ❑ 0 ❑ Page# 3 Permit NCG550412 Owner-Facility: White Oak Rd Inapectlan Deb: 0 812 612 01 6 Inspection Type: Compliance Evaluation Septic Tank Yes No NA NE Is septic tank pumped on a schedule? ❑ ❑ ❑ Are pumps or syphons operating properly? ❑ ❑ 0 ❑ Are high and low water alarms operating properly? ❑ ❑ 0 ❑ Comment: Unable to locate septic tank This Property appears to be a rental or vacation property. Could not contact owners to inquire about the septic tank maintenance. i i III i i j II Page# 4 Track your package or shipment with FedEx Tracking Page I of 2 My 11AW, I B11001i I.nilbr, ( W Ell it $mvun or 4xpaRp number Subl �,., C&X, Shipping ( Tracking Manage Learn r FedEx Once® Login FedEx n Tracking 848343512849 9nrP de4y Arlum rmllvery �Wind 51912Ot7 Thin 512512O17 6:44 to. 'SWA Its Delivered NC US Anti:Rhp(.EN.S '. 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Trnckln9 namber 6AIItR1;i11049 Sorviro FrMFa PrlidlY 0vamI0M1t � ( Doirta,number lyl 1045941O1147 Worth, 0.51be 1021 k, Slgnelu ra fervlcne plied signature requited U01i To li Inbn inh X Total plecea 1 Thal shlpme11-111a 0I the 102S kqs Tmma Shippm Packogtn9 FedEx Gvelnpa Snyder henJll, On A,Weekday,Resden0al 6lendard y1ni 7by A 30 pm sedlin beli., aryd Si9ri Pequ4en Iransq FaicUk Seera'rerlma..muMv rObn ampanlae PoIIow FaU E, W W4ed SWraa br ioM1 New 1111 mer.111, F,IIn napery Mannper 1,11ZE,r— all, lnsinaoe cenNr Fed EF Sarni llYcrt nmmW https://www.fedex.com/apps/fedextrack/?tracknumbers=848343512049&cntry_code=us 5/26/2017 •'Tracloyour package or shipment with FedEx Tracking Page 2 of 2 ce CCvo emcapmanvcy lnlv nnv0an FFan aC.rmmlai pFeeJaJ EFHxxx foF l Onllie abbe]5olobbonao"POJ F TBf:ben.,tlNx Iball boll FVm@win rn 4nllwl PaJ[x'fmJe Na MOMs PboN Fetl Ex PackaGlnq bal FOJEx be.bl o—ba. bathe,Cllamvw.'a". ... bpply CM1dn HelNom 6LbtpoMo to PoJLe vmall Reba Fad Ex Compolible nlv4ar Hm'aaw Centxt all,MBvv3m BgMary paacx mobile It Fol dBS PO V ae—re I AI M1 I obal U.Map l be eons oNas l all oI 'w.wV �x N a m x https://www.fedex.com/apps/fedextrack/?trackn=bers=848343512049&cntty code=us 5/26/2017 �- Help Print Delivery exception ASHEVILLE;:NC Ship date: Thu 5/25/2017 asheville, NC US Scheduled delivery; Pending RALEIGH, NC US Recommended action: No action is required.The package is being returned to the shipper. No scheduled delivery date available at this time. Customize Delivery Hold at Fed Ex Location Request Notifications Obtain Proof of Delivery • More actions o Add Notes Hide Travel History Hide Help Date/Time Activity Location 5/2512017 -Thursday 6:38 pm Returning package to shipper ASHEVILLE, NC Return tracking number 848343512049 4:07 pm Picked up ASHEVILLE, NC 12:44 pm Shipment information sent to FedEx Select time zone Local Scan Time 711 Select _ - Hide Status New ETA: Reason : Shipment Facts Hide Tracking number 779229863806 Weight 0.5 ins/0.23 kgs Total shipment weight 0.5 lips/0.23 kgs Shipper reference 848343512049 Special handling section Deliver Weekday Service FedEx Express Saver Total pieces 1 Terms Recipient Packaging FedEx Envelope Standard transit • Track your package or shipment with FedEx Tracking Page 1 of 1 11,NMIP IScal UNnine ( MEnt al _wrcameacxmpnumm, sub, CLi.Z[e Shaping ( Tlacking Manage I Loon FedEx cases Login FedEx "Tracking 779229863806 _ Son Seta SommUlnd tlNivery' Thu W2512017 Pending lmr—lm.No us Delivery exception 'at I(H9n,NC US P::HFVII LE NC Unable to deliver shipment returned to shipper Recommended acli n No usol Is scrAparl the p kma islenopr l dr nPPar_ No scheduled delivery data available at this time. 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Haywood County Dear Permittee: Your property located at 144 White Oak Rd. has a General NPDES permit with the State of North Carolina. This permit is for a Single Family Residence (SFR) wastewater treatment system that discharges into a waters of the State. As owners, you are responsible for maintaining this system in compliance with the current NCG550000 permit. A copy of this permit can be found online at httr)://deci nc ciov/about/divisions/water-resources/water- resou rces-perm its/wastewater-branch/npdes-wastewater/genera l-oerm its. The North Carolina Division of Water Resources conducted a Compliance Evaluation Inspection of the system on August 26, 2016. This inspection was conducted to verify that the SFR is operating in compliance with the conditions and limitations specified in NPDES WW Permit No. NCG550412. A summary of the findings and comments noted during the inspection are provided in the enclosed copy of the inspection report. The Compliance Evaluation inspection was conducted by Division of Water Resources staff from the Asheville Regional Office (ARO). The following deficiencies were noted during the inspection: Inspection Area Description of Deficiency Effluent Sampling Annual sampling records were not available at the time of the inspection. [NCG550000 Part I.A. Effluent Limitations and Monitoring Requirements(see table in NCG550000 permit)] Effluent Pipe Effluent pipe broken. Unable to locate where the discharge pipe exits the treatment system. [NCG5500o0 Part I.A. 4. (Operations&Maintenance)All system components, including but not necessarily limited to,septic tanks,surface sand filters, other filter components, pump/recirculation tanks, disinfection units and the outfalls shall be maintained at all times and in good operating order.] Permit Permittee is not the current owner. Change of ownership required. Septic Tank Septic tank maintenance records were not available at the time of the inspection. [NCGSSOOOO.Part I.A. 3. Permit Conditions(Operations&Maintenance) Septic tanks shall be Inspected at least yearly to determine if solids must be removed or if other maintenance is necessary. Septic tanks shall be pumped out every five years or when the solids level Is found to be more than 1/3 of the liquid depth In any compartment.] Corrective Measures for the deficiencies noted above: Effluent Sampling: Sample or document no discharge and submit to ARO. Permit: Complete and submit enclosed Permit Name/Ownership Change Form to Raleigh. Septic Tank: Provide receipt of septic tank pumping to ARO. Effluent Pipe: Locate and repair effluent pipe. Submit documentation of repair to ARO. Compliance Issue: Vegetation surrounding and leading to treatment areas was overgrown. Access should be maintained to all treatment areas for monitoring and routine maintenance. Remedial actions should have already been taken to correct this problem and prevent further occurrences in the future. The Division of Water Resources may pursue enforcement action for this and any additional violations of State law. To prevent further action, please respond in writing to this office within 30 days upon receipt of this Notice regarding your plans or measures to be taken to address the indicated deficiencies and compliance issues. If you should have any questions, please do not hesitate to contact Mikal Willmer with the Water Quality Regional Operations Section in the Asheville Regional Office at 828-296-4686 or by email at mikal.willmer@ncdenr.gov. Sincerely, G. andon Davidson, P.G., Regional Supervisor Water Quality Regional Operations Section Asheville Regional Office Division of Water Resources, NCDEQ ATTACHMENTS: Inspection Report Permit Name/Ownership Change Form Cc:WQS Asheville Regional Office-Enforcement File NPDES Compliance/Enforcement Unit-Enforcement File G:\WR\WQ\Haywood\Wastewater\General\NCG55 SFR\NCG550412-Kitchen\NOD-2016-PC-0405.doa united state.Envlmnm.awl Prdeatlan Agency Form Approved. EPA tMehinglon.D.C.204e0 OMB No.204MO57 Water Compliance Inspection Report Approval explore8-31-96 Section A:National Data System Coding(i.e.,PCS) Transaction Code NPDES yrlmolday Inspection Type Inspector Fill.Type 1 I„ i 2 it i 3 I NO055o412 I11 12 10108M 17 18 t,.I 19 i a l 201 I 211 I II I I I I I III I I l I I I I I I I I I I I I I I I I I I I III I I I I I f6 Inspection Work Days Fadlity Self-Monitoring Evaluation Rating B1 CA, -Reserved 671 701 I 71.L1 L I 72 ., i 731 I 174 75I I I I I I I80 I� LJ Section B:FaGlity Data J t Name and Location of Facility inspected(For Industrial Users discharging to POTW,also Include Entry TimelDate Permit Effective Date POTW name and NPDES permit Number) 11:20AM 101OW78 13108/01 White Oak Rd. 144 White Oak Rd Lot#2 Exit Time/Date Permit Expiration Date Maggie Valley NO 28751 11:45AM 16/08126 10107/31 Name(e)of Onsite Representativets)/Tltled b/Phone and Fax Number(s) Other Facility Data 111 Name,Address of Responsible Ofldel?itlelPhona and Fax Number Comaned Rearm,Peggy Moms,PO Box 161 Maggie Valley NC 287511904-926-83751 No Section C:Areas Evaluated During Inspection(Check only those areas evaluated) Permit Operations 8 Maintenance 0 Self-Monitoring Program 0 EPouenVReceiving Waters Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(.)and Slgnaturebu of lrmpector(s) Agency/Ofdce/Ph wand Fax Numbers Data Mimi Wilmer ARO WO11828-29646861 Signature of Management O A Revlewer AgancylORCa/PhOne and Fax Numbers Date 10-17-16 EPA Form 35803(Rev 0-94)Previous editors are obsolete. Page# 1 I NPDES yrlmwday Inspecllon Type (Cont.) 1 31 NCG550412 Ill 12 1a10a12a j 17 18 [r ls Section D:Summary of FindinglComments(Attach add itonal sheets of narrative and checklists as necessary) The inspector(Mika)Willmar)was unable to contact and meet onsite with the current owner, Ronald Kitchen. Mr. Kitchen is not the listed permittee.A Name/Ownership Change Form should be submitted to Raleigh. 1 Vegetation surrounding the home and leading down to the effluent pipe was overgrown. Unable to identify the exact location of the septic tank and sand filter trench. The PVC effluent pipe was located, but broken in two pieces. Neither piece was connected to the treatment system. Could not identify where the pipe exited the sand filter trench.There was no apparent septic smell or visible ponding leading to the effluent pipe. The house appears to be a vacation home or rental property for the current owners. Page# 2 Parmlt NC3550412 o er-Facllity: wMla Oak Rd. Inapectisnpete: 061262016 Inspection Type: Compliance Evaluation Operations&Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ❑ 0 ❑ ❑ Does the facility analyze process control parameters,for ex:MLSS, MCRT, Settleable ❑ ❑ 0 ❑ Solids,pH,DO,Sludge Judge,and other that are applicable? Comment: House sits on a rocky bank above Jonathan's Creek Vegetation was overgrown Unable to identify exact location of septic tank and sand filter trench Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ 0 ❑ ❑ application? Is the facility as described in the permit? ❑ ❑ 0 ❑ #Are there any special conditions for the permit? ❑ ❑ 0 ❑ Is access to the plant site restricted to the general public? ❑ ❑ ■ ❑ Is the inspector granted access to all areas for inspection? 0 ❑ Cl ❑ Comment: Current owner(Ronald Kitchen) is not the listed permittee(Morris). Change of ownership needed Effluent Pipe Yes No NA NE Is right ofway to the outfall properly maintained? ❑ 0 ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ❑ Comment: Found general location of effluent pipe. PVC pipe was broken in two pieces. Unable to locate where the effluent pipe exits the sand filter trench. Effluent Sampling Yes No NA NE Is composite sampling flow proportional? ❑ ❑ ■ ❑ Is sample collected below all treatment units? ❑ ❑ M ❑ Is proper volume collected? ❑ ❑ 0 ❑ Is the tubing clean? ❑ ❑ ■ ❑ #Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ 0 ❑ Celsius)? Is the facility sampling performed as required by the permit(frequency,sampling type ❑ 0 ❑ ❑ representative)? Comment: Annual sampling records were not available at the time of the inspection. See above. Septic Tank Yes No NA NE (If pumps are used)Is an audible and visual alarm operatmnal? ❑ ❑ M ❑ Page# 3 Permit: NGG550412 Ovmer-Facility: while Oak Rd. Inspection Dam: OW26/2016 Inspection Type: Compliance Evaluation Septic Tank Yes No NA NE Is septic tank pumped on a schedule? ❑ N ❑ ❑ Are pumps or syphons operating properly? ❑ ❑ 0 ❑ Are high and low water alarms operating properly? ❑ ❑ 0 ❑ Comment: Unable to locate septic tank This property appears to be a rental or vacation property. Could not contact owners to inquire about the septic tank maintenance. ii Page# 4 users.Mare Details Less Details Tracking Number:70151520000354631148 delivered e Updated Delivery Day:Thursday,October 27,2016 Product 8 Tracking Information Postal Product: Features: o Certified Mail" :.. TU F I*M r , October 27,2016, 1:01 pm Delivered,To Original Sender SWANNANOA, NC 28776 Your item has been delivered to the original sender at 1.01 pm on October 27,2016 in SWANNANOA, NC 28778, October 27,2016 9:43 am Out for Delivery SWANNANOA, INC 28778 October 27,2016 9:33 am Sorting Complete SWANNANOA, NC 28778 October 27,2016,5:56 am Arrived at Unit SWANNANOA, NC 28778 October 26,2016,5:52 pm Departed USPS Facility GREENVILLE,SC 29607 October 20,2016,8:36 am Return to Sender WAYNESVILLE, NC 28786 October 20,2016,8:00 am Arrived at Unit WAYNESVILLE, NC 28786 October 18,2016, 11:29 pm Arrived at USPS Facility GREENVILLE, SC 29607 Mod PAT MG CRCJRI Gcwraai DdNALP R-,VAX 15,VR VAART 1C"ute-Reavpfei^ges'. s. )AY ZIUMERMAYv n-Rwgbbr+ X�GaFACI*y Drarai Certified Mail #7015 1520 0003 5463 0691 Return Receipt Requested September 02, 2016 Ronald Kitchen 2049 Pruett Ct. Glen Allen, VA 23059 SUBJECT: NOTICE OF DEFICIENCY Tracking Number: NOD-2016-PC-0405 Permit No. NCG550412 144 White Oak Rd. Haywood County Dear Permittee: The North Carolina Division of Water Resources conducted a Compliance Evaluation Inspection at 144 White Oak Rd. on August 26, 2016. This inspection was conducted to verify that the facility is operating in compliance with the conditions and limitations specified in NODES WW Permit No. NCG550412. A summary of the findings and comments noted during the Inspection are provided in the enclosed copy of the inspection report. The Compliance Evaluation inspection was conducted by Division of Water Resources staff from the Asheville Regional Office. The following deficiency(s) was noted during the inspection: Inspection Area Description of Deficiency Effluent Sampling Annual sampling records were not available at the time of the inspection. [NCG550000 Part I. A. Effluent Limitations and Monitoring Requirements (see table in NCG550000 permit)] Effluent Pipe Effluent pipe broken. Unable to locate where the discharge pipe exits the treatment system. [NCG550000 Part I. A. 4. (Operations &Maintenance)All system components, including but not necessarily limited to, septic tanks, surface sand filters, other filter components, pump/recirculation tanks, disinfection units and the outfalls shall be maintained at all times and in good operating order.] Permit Permittee is not the current owner. Change of ownership required. \ State ofNorth Carolina l Environmental Quality l Water Resources Asheville Regional Operations Center 2090 U.S.70 Highway,Swannonoa,NC 28778 928-296-4500 Septic Tank Septic tank maintenance records were not available at the time of the inspection. [NCGSS0000 Part I.A. 3. Permit Conditions(Operations&Maintenance) Septic tanks shall be inspected at least yearly to determine if solids must be removed or if other maintenance is necessary. Septic tanks shall be pumped out every five years or when the solids level is found to be more than 1/3 of the liquid depth in any compartment.] Corrective Measures for the deficiencies noted above: Effluent Sampling: Sample or document no discharge and submit to Asheville Regional Office. Permit: Complete and submit enclosed Permit Name/Ownership Change Form to Raleigh. Septic Tank: Provide receipt of septic tank pumping to Asheville Regional Office. Effluent Pipe: Locate and repair effluent pipe. Compliance Issue: vegetation surrounding and leading to treatment areas was overgrown. Access should be maintained to all !, treatment areas for monitoring and routine maintenance. Remedial actions should have already been taken to correct this problem and prevent further occurrences in the future. The Division of Water Resources may pursue enforcement action for this and any additional violations of j State law. To prevent further action, please respond in writing to this office within 30 days upon receipt of this Notice regarding your plans or measures to be taken to address the indicated deficiencies and compliance Issues. If you should have any questions, please do not hesitate to contact Mikal Willmar with the Water QualityRegional Operations Section in the Asheville Regional Office at 828-296-4500 or by email at mikal.willmer@ncdenr.gov. Sincerely, G. Landon Davidson, P.G., Regional Supervisor Water Quality Regional Operations Section Asheville Regional Office Division of Water Resources, NCDEQ ATTACHMENTS: Inspection Report Permit Name/Ownership Change Form Cc:WQS Asheville Regional Office-Enforcement He NPDES Compliance/Enforcement Unit-Enforcement File G:\WR\WQ\Haywood\Wastewater\General\NCG55 SFR\NCG550412-Kitchen\NOD-2016-PC-0405.doa StnteofNorth Carolina]Environmental Qodityl Water Resources Asheville Regional Operations Center 2090 U.S.70 Highway,Swannanaa,NC 28778 28-296-44500 ((a6- aLal(a —,pG-04,0V United states Envlronmenlel Frotachan Agency Farm Approved. EPA WashinSw.D,c.204a0 OMB No.2040-0067 Water Compliance Inspection Report Approval expires,B-31-98 Section Ai National Data System Coding(i.e.,PCS) Transaction Code NPDEB ydmolday Inspection Type Impact., Fac Type 1 IN I 2 IS I 3 NCG550412 I11 121 16/08,26 17 181s.1 19 I .c I 201 I 21111111111111111111111111111111111111111111 f6 Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 OA -Reserved 671 JI 701 J 71 I 72 LteJ 731 74 75 I I I I 80 Section B:Facility Data llome and Location of Facility Inspected(For Industrial Users discharging to POTW,also Include Entry Time/Dete Permit Effective Date POTW home and NPDES permit Number) 11:20AM 16/0W26 1&08I01 White Oak Rd. 144 White Oak Rd lot#2 Exit Time/D.I. Permit Expiration Date 11:45AM 16108128 16107131 Maggie Valley NO 28751 Name(.)of Onelte RePmbuS. fl.(.vrIfla.(.)/Phone said Fee Number(.) Other Facility Data 111 Pv Otx¢ 6P5.1$ . Name,Address of Respon.lbls OfBci.rdte/Phone and Fax Number RoneQ rA K actin `a-o4'K Poi2a+ U. 6L,, Pt\en,VA 43c'S i Contacted RavenPaBg gSH• No Section C:Areas Evaluated During Inspection(Check only those areas evaluated) Permit Operations&Maintenance E Self-Monitoring Program E Effluent/Receiving Waters Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Names)and Signatam(s)of lnspectm(s) Agency/Office/Phone and Fat,Numbers Data Mikal WIIme AROWQ//828-296.4689/ Signature of Management O A Reviewer Agency/ORme/Phone and Fax Numbers Date EPA Form 3560-3(Rev 494)Previous edition,are obsolete. Page# 1 i NPDES yrlmolday Inspection Type (Cont.) 1 3I NCG55o412 I11 12 ielaal2a 17 181n 1 L Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) The inspector(Mika)Wilmer)was unable to contact and meet onsite with the current owner, Ronald Kitchen. Mr. Kitchen is not the listed permittee.A name/ownership change form should be submitted to Raleigh. Vegetation surrounding the home and leading down to the effluent pipe was overgrown. Unable to Indetify the exact location of the septic tank and sand filter trench. The PVC effluent pipe was located, but broken in two pieces. Neither piece was connected to the treatment system. Could not identify where the pipe exited the sand filler trench.There was no apparent septic smell or visible ponding leading to the effluent pipe. The house appears to be a vacation home or rental property for the current owners. Page# 2 Percale NCO550412 Owner-Facility: NTite Oek Rd. Inapecaon Date: 0012moie Inspection Typs: Compliance Evaluation Operations&Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ❑ M ❑ ❑ Does the facility analyze process control parameters,for ex:MLSS,MCRT,Settleable - ❑ ❑ 0 ❑ Solids,pH, DO, Sludge Judge,and other that are applicable? Comment: House sits on a rocky bank above Jonathan's Creek Vegetation was overgrown. Unable to identify exact location of septic tank and sand filter trench. Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ 0 ❑ ❑ application? Is the facility as described in the permit? ❑ ❑ 0 ❑ #Are there any special conditions for the permit? ❑ ❑ 0 ❑ Is access to the plant site restricted to the general public? ❑ ❑ 0 ❑ Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑ Comment: Current owner(Ronald Kitchen) is not the listed permittee(Morris). Change of ownership needed. Effluent Pipe Yes No NA NE Is right of way to the oulfall properly maintained? _ ❑ 0 ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑ Comment: Found general location of effluent Pipe PVC Pipe was broken in two pieces. Unable to locate where the effluent Pipe exits the sand flier trench. Effluent Sampling Yes No NA NE Is composite sampling flow proportional? ❑ ❑ 0 ❑ Is sample collected below all treatment units? ❑ ❑ ■ ❑ Is proper volume collected? ❑ ❑ 0 ❑ Is the tubing clean? ❑ ❑ ■ ❑ #Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ ❑ Celsius)? Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ❑ ❑ representative)? Comment: Annual sampling records were not available at the time of the inspection. See above. Septic Tank Yes No NA NE (If pumps are used)Is an audible and visual alarm operational? ❑ ❑ 0 ❑ , \ ... \ Pege# 3 Permit NCG650412 Owner-Facility: white Oak Rd. In¢pacticn Dab: OW2612016 Inspection Type: Compliance Evalusiion Septic Tank Yes No NA NE Is septic tank pumped on a schedule? ❑ 0 ❑ ❑ Are pumps or syphons operating properly? ❑ ❑ 0 ❑ Are high and low water alarms operating properly? ❑ ❑ N ❑ Comment: Unable to locate septic tank This property appears to be a rental or vacation property. Could not contact owners to inquire about the septic tank maintenance ii Pe9e# 4 pQ WATFR Ml on.iE y oveig �1 r ""• Q William Jr cre ry . Cj G North Carolina Department of Environment atl a ural R our y Alan W.Klimek,• .r„ RE Director'" >— Division of Water Quality O '�? ` Asheville Regional Office SURFACE WATER PROTECTION December 21, 2005 Raven & Peggy Morris PO Box 161 Maggie Valley NC 28751 SUBJECT: Compliance Evaluation Inspection Morris Raven & Peggy- Res Permit No: NCG550412 Haywood County Dear Mr. Morris: Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection, which Larry Frost and I conducted on December 14, 2005 The facility was found to be in Compliance with permit NCG550412 Please refer to the enclosed inspection report for additional observations and comments. If you have any questions, please do not hesitate to call me at 296-4500. ;Incer ly, Keith Hayneif Environmental Specialist Enclosure cc: Central Files Asheville Files 1 N'S1 Cemlina 2090 U.S.Highway 70,Swannanoa, NC 28]]8 Telephone:(828)296-4500 Fax:(828)299-7043 Customer Service 1 877 623-6748 a'W017 i United States Environmental Protection Agency Form Aproved. EPA Washington,U.0 20460 OMB Ron 2(40-0111 Water Com liance Ins action Re o t APRroval expires 6-31-96 Section A: National Data System Coding(i.e., PCS) Transaction Code NPDES yorrolday Inspection Type Inspector Fee Type 1 t°l 2 1 51 31 t4cc55o41a 11 121 05/12/14 17 1E1 rl 101 201 1 21[ Remarks I J 1 � III I I I I I I II IIII II It s Inspection Work Days Facility Self-Monitoring Evaluation Rating 131 CA -----------------------Reserved----------------671 69 701J LJ 71 l 721 nrl 731 t 74 75L 1 ao Section B: F—liity Data IJJ Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date POND name and NPDES permit Number) moisie 'd'art 6 PegYY- Fe. 03:00 PM 05/12/14 97/09/01 tmt.ite oak Rd Exit Time/Date Permit Expiration Date ma0g`-e valley NC 20751 03:20 =n 05/12/11 02/09/31 Names)of Credits Representative(s)/Titles(s)/Phone and Fax Numbers) Other Facility Data Name,Address of Responsible Official/Title/Phone and Fax Number Raven Peggy MlOiiis,P0 Bnz 161 Maggie valley aC 28151//904-926-83iJC nlacted Wu Section C: Areas Evaluated During Inspection(Check only those areas evaluated) Facility Site Review 0 Effluent/Receiving Waters Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Names)and Signatures)of Inspectors) Agency/Offce/Phone and Fax Numbers Date 111,1Y P.o_a APO riQ//820-206-4500 Bnt.4058/ XeiCh Haynes ARO r!Q//B28-29C-4500/ iaaios Signature of Management O A Reviewer Agency/Office/Phone and Fax Numbers Date Bogen C Rtivacrls - � ARO WQ0820-256-9500/ EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. Page# 1 NPDES yrlmolday Inspadlm Type 3� NCGs5o41, 11 12L 21/12/14 117 18Ij Section D: Summary of Finding/Comments(Attach additional sheets or narrative and checklists as necessary) The subsurface sand filter appeared to be in good operating condition. There was no discharge during this visit. General information about single family residence systems is attached. 1 ill Page# 2 Permit: NCG550412 Owner-Facility: Morrls Raven&Peggy-Res Inspection Date: 12Ii412005 Inspection Type: Compliance Evaluation Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? ■ D ❑ ❑, Are the receiving water free of foam other than trace amounts and other debris? ■ ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ 0 Comment: Page# 3 State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor NCDENR William G. Ross Jr., Secretary Gregory J. Thorpe, PILD., Acting Director NORTH CAROLINA DEPARTMENT OF `� ry _ `� ENVIRONMENT AND NATORAL RESOURCES 1I 423/2002 CERTIFIED MAIL MAY .., 6 'Aid? RECEIPT REQUESTED ATTN: RAVEN PEGGY MORRIS MORRIS,RAVEN&PEGGY-RES. i,. PO BOX 161 MAGGIE VALLEY, NC 28751 Subject.NOTICE OF VIOLATION FAILURE TO SUBMIT RENEWAL APPLICATION MORRIS,RAVEN&PEGGY-RES. NCG550000 CDC NUMBER NCG550412 HAYWOOD COUNTY Dear Permitlee: This letter is to inform you that,as of the date of this letter,the Division of Water Quality has not received a renewal request for the subject permit certificate of coverage. This is a violation of NCGS §143.215.1(c)(1)which states"All applications shall be filed with the commission at least 180 days in advance of the date on which it is desired to commence the discharge of wastes or the date on which an existing permit expires,as the case may be". Any permittee that has not requested renewal at least 180 days prior to expiration or permittee that does not have a permit after the expiration and has not requested renewal at least 180 days prior to expiration,will be subjected to enforcement procedures as provided in NCGS§143-215.6 and 33 USC 1251 et.seq. In order to prevent continued,escalated action,including the assessment of civil penalties you must submit a completed permit coverage renewal application to the attention of the"Stormwater and General Permits Unit'at the letterhead address within ten(10)days of your receipt of this letter(renewal application enclosed). If the subject discharge has been terminated,please complete the enclosed rescission request form. Mailing instructions are listed on the bottom of the rescission request form. You will be notified when the rescission process has been completed. Thank you for your prompt attention to this situation. If you have any questions regarding this matter,please contact Mack Wiggins of the central office Stormwater and General Permits Unit at 919-733-5083,ext.542. Sincerely, for Gregory L Thorpe,Ph.D. Acting Director,Division of Water Quality cc: Swrmwater and General Permits Unit Files Central Files Asheville Regional Office 1617 Mail Service Center, Raleigh, Noah Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919 An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper State of North Carolina Department of Environment Alke and Natural Resources Division of Water Quality Michael F. Easley, Governor NCDENR William G. Ross Jr., Secretary Gregory J. Thorpe, Ph.D., Acting Director NORTH CAROLINA DEPARTMENT OF ENVIRONMENT ANO NATURAL RESOURCES 11/26/01 y i!F,C RAVEN PEGGY MORRIS MORRIS RAVEN&PEGGY-RES PO BOX 161 MAGGIE VALLEY, NC 28751 Subject: NPDES Wastewater Permit Coverage Renewal Morris Raven&Peggy-Res COC Number NCG550412 Haywood County Dear Permitter: 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 per 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 Real in assessments of civil penalties of up to$10,000 per day. If the subject wastewater discharge to waters of the state has been terminated,please complete the enclosed rescission request form. Mailing instructions are listed on the bottom of the form. You will be notified when the rescission process has been completed. If you have any questions regarding the permit coverage renewal procedures please contact the Asheville Regional _ Office at 828-251-6208 or Mack Wiggins of the Central Office Stormwater Unit at(919)733-5083,ext. 542 Sincerely, Bradley Bennett,Supervisor Star mwater and General Permits Unit cc: Central Files Stormwater and General Per Unit Files Asheville Regional Offce 1617 Mail Service Center, Raleigh, North Carolina 2 769 9-1 61 7 Telephone 919-733-5083 FAX 919-733-9919 An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper Page 1 of 1 Property Report-SR 1305 -� � 0794 7. 1790 c6 2g , 9 1307 r 0 co 16 113 9549 ' s a --'°° 0555 Property Details START 1605 UNIQUEIO 27128 PIN_DASH 7686-29-1603 PIN ]686291603 NAMEt 11 MORRIS,RAVEN W NAME2 MORRIS,PEGGV L ADDRESSt 11po BOX 161 ADDRE552 CTY ST ZIP MAGGIE VALLEY,NC 28]51-0161 MAPSHEET T686.01 LEGAL_REF1 438/1119 LEGAL_REF2 ADD_REF1 5]fi/21fi I.FADD-REF2 CALC_ACRES 0.415 STREET_ADD SR 1305 SALE_DAT1 10/15/1993 SALE_PRIC1 59000 PROP_DESC SR 1305 SUBDIV_COD SUBDIV NAM ITOT_MKT_VA I 11 2256 TOT_BLD_VA 91938 MAIN_AREA 158fi VR_BUILT 1981 LAND_VALUE 19320 DEFER_VAL 0 TO_ASSD VA 11125fi ACCT_NO J171410 TOWNSHIP TOWN OF MAGGIE SALE_DAT2 SALE_PRIC2 TAX-CODES JIF09,GD1.CI3 BUILD USE DWELLING OCCUPANCY SINGLE FAMILY LAND TYPE HOMESITE http://www.undersys.com/scripts/testadv/usiwebhl.dll/usi?formis—ptmap&MouseX=O&MouseY=O&zoo... 9/16/2005 Page 1 of 1 xrr n`er CIA, 5916 rmm n `1e e �1927 !, 1.JA 906 ms c+z z66 „� z ' 6899 pni 6879 1 R 94 3 38$ •5869 d po-i 6888 e $ :u86 186 P88 2 S 1.m 5707 ~ V 37 0484R3 5735a M 7738 7710` 4 � a r d7d3 4770 ;a � � 0794 1790i , rB. d 68 rma - 3627 w a s 5944 rn �q66 ix° 6631 - ' 16 rra tM,raa 4643,�� o-a.o- 1e11 u� 38 a a 4550 0555 6566 ,_ 5t92 A7a1'e6 57BuS'a +er4R�� rte 1582 3418 wr' nun 1 e $ 0 6401 .� g e 1431 1 ro 7347 8386 S32e t=al 73 or r 1.1A 1.OA e s';A z 0390 1 �2 2288 6 °� r:o-z 8253 6256 nn http://www.mdersys.com/haywood/haymaps/mapfiles/wv386l 15484486111.png 9/16/2005 State of North Carolina Department of Environment, Health and Natural Resources • �/ Division of Water Quality r � James B. Hunt, Jr., Governor ID FEE N R► Wayne McDevitt, Secretary A. Preston Howard, Jr.,P.E., Director July 21, 1997 Raven&Peggy Morris P.O. Box 161 Maggie Valley, NC 28751 Subject: Certificate of Coverage No. NCG550412 Renewal of General Permit Morris,Raven&Peggy-residence Haywood County Dear Permittee: In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31,2002. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency dated December 6,1983. If any parts,measurement frequencies or sampling requirements contained in this permit are unacceptable to you,you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, this Certificate of Coverage shall be final and binding. The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage. If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional Office listed below at (704) 251-6208. Once discharge from your facility has ceased, this permit may be rescinded. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality, the Division of Land Resources,Coastal Area Management Act or any other Federal or Local governmental permit that may be required. If you have any questions concerning this permit,please contact the NPDES Group at the address below. Sincerely, cc: Central Files A.Preston Howard, 6_ Asheville Regional Office NPDES Group Facility Assessment Unit '(0 T P.O. Box 29535, Raleigh, North Carolina 27626-0535 (919)733-5083 FAX(919)733-0719 p&e�,dll`ehhcstate.naus An Equal Opportunity Affirmative Action Employer 50%recycled /10%post-consumer paper,c �4;F STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL,RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG55000G CERTIFICATE OF COVERAGE NO. NCG550412 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, Raven & Peggy Morris 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 Morris,Raven&Peggy-residence White Oak Road Maggie Valley Haywood County to receiving waters designated as subbasin 40305 in the French Broad River Basin in accordance with the effluent limitations,monitoring requirements, and other conditions set forth in Parts I, II, III and IV of General Permit No.NCG550000 as attached. This certificate of coverage shall become effective August 1, 1997. This certificate of coverage shall remain in effect for the duration of the General Permit. Signed this day July 21, 1997. A-/A. Preston Howard,Jr., P.E., Director a Division of Water Quality By Authority of the Environmental Management Commission FACILITY MINTY lI 00 CLASS MA.?LING ADDRESS Responsible Facility Offi cizl Representative Operator - Telephone No. Where -located - - �— - - - Cert. Number Class NPDES Permit NO. NC bn k79y °L Other P` rmit No. O State 0 Federal : ate issued - Date Issued - Expiration Date Stream: Naw Class 7p1D — Sub-basin _42q_03 -(5- .(ate of North Carolina �) Department of Environment, yr AF Health and Natural Resources • Division of Environmental Management James B. Hunt, Jr., Governor `y Jonathan B. Howes, Secretary p E H N R A. Preston Howard, Jr.; P.E., Director September 30,1993 MRS LOUIS ALFONSO LOUIS ALFONSO-RESIDENCE 6612 PROVIDENCE ROAD RIVERVIEW FL 33569 Subject: LOUIS ALFONSO-RESIDENCE Certificate.of Coverage NCG550412 General Permit NCG350000 Formerly NPDES Permit NC0067989 Haywood County Dear Permittee: The Division of Environmental Management has recently evaluated all existing individual permits for potential coverage under general permits currently issued by the Division. 15A N.C.A.C.211 .0127 allows the Division to evaluate groups of permits having similar discharge activities for coverage under general permits and issue coverage where the Division finds control of the discharges more appropriate in this manner.The Division has determined that the subject discharge qualifies for such coverage. Therefore, the Division is hereby issuing the subject Certificate of Coverage under the state-NPDES general permit no. NCG530000 which shall void NPDES Permit NC0067989. This Certificate of Coverage is issued pursuant to the requirements of North Carolina and the US Environmental Protection Agency Memorandum of Agreement dated December 6,1983 and as subsequently amended. If any parts,measurement frequencies or sampling requirements contained in this general permit are unacceptable to you, you have the right to submit an individual permit application,associated processing fee and letter requesting coverage under an individual permit. Unless such demand is made,this decision shall be final and binding. Please take notice this Certificate of Coverage is not transferable. Part II, EA. addresses the requirements to be followed in case of change of ownership or control of this discharge. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions,the Perrdttee shall take immediate corrective action, including those as may be required by this Division,such as the construction of additional or replacement wastewater treatment or disposal facilities. Construction of any wastewater treatment facilities will require issuance of an Authorization to Construct from this Division. Failure to abide by the requirements contained in this Certificate of Coverage and respective general permit may subject the Permttee to an enforcement action by the Division of Environmental Management in accordance with North Carolina General Statute 143-215.6A to 143-215.6C. Please note that the general permit does require monitoring in accordance with federal law. The monitoring data is not required to be submitted to the Division unless specifically requested,however, the permittee is required to maintain all records for a period of at least three (3) years. Post Office Box 29535,Raleigh,North Carolina 27626-0533 Telephone(919)733-5083 FAX(919)733-9919 An Equal Opportunity Affirmative Action Employer 50%recycled-10%post-consumer paper � n Page 2 MRS LOUIS ALFONSO LOUIS ALFONSO-RESIDENCE Certificate of Coverage No. NCG550412 The issuance of this Certificate of Coverage is an administrative action initiated by the Division of Environmental Management and therefore,no fees are due at this time. In accordance with current rules,there are no annual administrative and compliance monitoring fees for coverage under general permits. The only fee you will be responsible for is a renewal fee at the time of renewal. The current pennant expires July 31, 1997. This coverage will remain valid through the duration of the attached general permit. The Division will be responsible for the reissuance of the general permit and at such time,you will be notified of the procedures to follow to continue coverage under the reissued permit. Unless you fail to follow the procedures for continued coverage,you will continue to be permitted to discharge in accordance with the attached general permit. The issuance of this Certificate of Coverage does not preclude the Permittee from complying with any and all statutes,rules,regulations,or ordinances which may be required by the Division of Environmental Management or permits required by the Division of Land Resources,the Coastal Area Management Act or any Federal or Local other governmental permit that may be required. If you have any questions or need additional information regarding this matter,please contact either the Asheville Regional Office,Water Quality Section at telephone number 704/ 231-6208,or a review engineer in the NPDFS Group in the Central Office at telephone number 919//733-5°083�. S 83 A. Preston Howa .,P.B, cc: Asheville Regional Office Central Files (� f ) STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL MANAGEMENT GENERAL PERMIT NO. NCG550000 CERTIFICATE OF COVERAGE No.NCG550412 TO DISCHARGE TREATED DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND SIMILIAR WASTEWATERS UNDER THE NATIONAL POLLUNTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1,other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission,and the Federal Water Pollution Control Act,as amended, LOUIS ALFONSO-RESIDENCE is hereby authorized to discharge treated domestic wastewater from a facility located at LOUIS ALFONSO-RESIDENCE Haywood County to receiving waters designated as the JONATHAN CREEK/FRENCH BROAD RVR BASN in accordance with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,II, III and IV of General Permit No. NCG350000 as attached. This certificate of coverage shall become effective November 1, 1993. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day,September 30, 1993. jd_Aj PrestonHowar ,Jr.,P.E.,Director vision of Environmental Management By Authority of the Environmental Management Commission n ( l 1/\ YIA1V�a•�r��\\V sure., PJator Quality S9eiion V e SEP 'l 4 1091 Asheville Regional ONi( State of North Carolina ,Asheville, North Carolina Department of Environment, Health and Natural Resources Division of Environmental Management 512 North Salisbury Street•Raleigh,North Carolina 27611 James G.Martin,Governor George T.Everett,Ph.D William W.Cobey,Jr.,Secretary Director September 19, 1991 Mr. Louis Alfonso 6612 Providence Road Riverview,FL 33569 Subject: Permit No. NCO067989 Louis Alfonso Residence Haywood County Dear Mr.Alfonso: In accordance with your application for discharge permit received on June 13, 1991, we are forwarding herewith the subject state - NPDES permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated December 6, 1983. If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings, Post Office Drawer 27447, Raleigh, North Carolina 27611 -7447. Unless such demand is made, this decision shall be final and binding. Please take notice this permit is not transferable. Part E, B.2. addresses the requirements to be followed in case of change in ownership or control of this discharge. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required. If you have any questions concerning this permit, please contact Mr. Mack Wiggins at telephone number 919/733-5083. - Sincerely, Original signed by Dale Overcesh for George T. Everett cc: Mr. Jim Patrick,EPA Asheville Regional Office Pollution Prevention Pays P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone 919-733-7015 An Equal Opportunity Affirmative Action Employer Permit No. NCO067989 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL MANAGEMENT PERMIT TO DISCHARGE WASTEWATER UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission,and the Federal Water Pollution Control Act, as amended, Mr.Louis Alfonso is hereby authorized to discharge wastewater from a facility located at Louis Alfonso Residence on Old White Oak Road Cove Creek Haywood County to receiving waters designated as Jonathan Creek in the French Broad River Basin in accordance with effluent limitations,monitoring requirements, and other conditions set forth in Parts I, II, and IB hereof. This permit shall become effective December 1, 1991 This permit and the authorization to discharge shall expire at midnight on November 30, 1996 Signed this day September 19, 1991 Original signedby Dale Oaercash for George T.Everett,Director Division of Environmental Management By Authority of the Environmental Management Commission r'�I NORTH CA RrNNA-HAYWOOD CO .^"oPt� 11 7.5 MINUTE SERIL- TOPOGRAPHIC) 174-SE \+°s 83-00- 35°37'30" •1 ;. BM � 5 n43 8a 1 r ao° _ � zgls \ , xoupess EET 24 Sutton W i 4441 \. 05 o Silo ry _ L`4 KT O .mn 40 J` M�J ✓`tom e j y "\ Sllady G c' R.i,k Hill Sch Ch C) Cl Permit No. NC0067989 SUPPLEMENT TO PERMIT COVER SHEET Mr. Louis Alfonso is hereby authorized to: 1. Continue to operate an existing wastewater system consisting of a septic tank, subsurface sand filter trench located at Louis Alfonso Residence,on Old White Oak Road, Cove Creek, Haywood County (See Part III of this Permit), and 2. Discharge from said treatment works at the location specified on the attached map into Jonathan Creek which is classified Class C-Trout waters in the French Broad River Basin. C } ; /\ \ \ ) E / ) \ \ / \ / /) ) & � ® E E \ / \ \« E } )f ( j} j ) \ \) \ f \ � f \ j ) ) \ } } m z\ o PART I "Act" used herein means the Federal Water Pollution Control Act, As Amended. "DEN" used herein means the Division of Environmental Management of the Department of Natural Resources and Community Development. "EMC" used herein means the North Carolina Environmental Management Commission. Definitions a. The monthly average, other than for fecal coliform bacteria, is the arithmetic mean of all the composite samples collected in a one-month period. The monthly average for fecal coliform bacteria is the geometric mean of samples collected in a one-month period. b. The weekly average, other than for fecal coliform bacteria, is the arithmetic mean of all the composite samples collected during a one-week period. The weekly average for fecal coliform bacteria is the geometric mean of samples collected in a one-week period. c. Flow, M3/day (MGD) : The flow limit expressed in this permit is the 24-hour average flow, averaged monthly. It is determined as the arithmetic mean of the total daily flows recorded during the calendar month. d. Arithmetic Mean: The arithmetic mean of any set of values is the summation of the individual values divided by the number of indi- vidual values. e. Geometric Mean: The geometric mean of any set of values is the Nth root of the product of the individual values where N is equal to the number of individual values. The geometric mean is equivalent to the antilog of the arithmetic mean of the logarithms of the indi- vidual values. For purposes of calculating the geometric mean, values of zero (0) shall be considered to be one -(1). C) PART 11 A. MANAGEMENT REQUIREMENTS 1. Change in Discharge All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge of any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall constitute a violation of the permit. Any anticipated facility expansions, production increases, or process modifications which will result in new, different, or increased discharges of pollutants must be reported by submission of a new NPDES application or, if such changes will not violate the effluent limitations specified in this permit, by notice to the DEM of such changes. Following such notice, the permit may be modified to specify and limit any pollutants not previously limited. 2. Facilities Operation The permittee shall at all times maintain in good working order and operate as efficiently as possible all treatment or control facili- ties or systems installed or used by the permittee to achieve con- pliance with the terns and conditions of this permit. 3. Adverse Impact The permittee shall take all reasonable steps to minimize any adverse impact to navigable waters resulting from noncompliance with any effluent limitations specified in this permit, including such accel- erated or additional monitoring as necessary to determine the nature and impact of the noncomplying discharge. 4. Bypassing Any diversion from or bypass of facilities necessary to maintain com- pliance with the terms and conditions of this permit is prohibited, except (i) where unavoidable to prevent loss of life or severe property damage, or (ii) where excessive storm drainage or runoff would damage any facilities necessary for compliance with the effluent limitations and prohibitions of this permit. The permittee shall promptly notify the Water Quality Section of DEM in writing of each such diversion or bypass. 5. Removed Substances Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters shall be disposed of in a manner such as to prevent any pollutant from such material from entering waters of the State or navigable waters of the United States. n � PART II 6. Power Failures In order to maintain compliance with the effluent limitations and prohibitions of this permit, the permittee shall either: a. Provide an alternative power source sufficient to operate the wastewater control facilities; or, if such alternative power source is not in existence, b. Halt, reduce, or otherwise control production and/or all dis- charges from wastewater control facilities upon the reduction, loss, or failure of the primary source of power to said waste- water control facilities. B. RESPONSIBILITIES 1. Right of Entry The permittee shall allow the Director of the Division of Environ- mental Management, the Regional Administrator, and/or their author- ized representatives, upon the presentations of credentials: a. To enter upon the permittee's premises where an effluent source is located or in which any records are required to be kept under the terms and conditions of this permit; and b. At reasonable times to have access to and copy any records required to be kept under the terms and conditions of this permit; to inspect any monitoring equipment or monitoring method required in this permit; and to sample any discharge of pollutants. 2. Transfer of Ownership or Control This permit is not transferable. In the event of any change in con- trol or ownership of facilities from which the authorized discharge emanates or is contemplated, the permittee shall notify the prospec- tive owner or controller by letter of the existence of this permit and of the need to obtain a permit in the name of the prospective owner. A copy of the letter shall be forwarded to the Division of Environmental Management. 3. Permit Modification After notice and opportunity for a hearing pursuant to NCCS 143-215.1 (b) (2) and NCOS 143-215.1(e) respectively, this permit may be modi- fied, suspended, or revoked in whole or in part during its term for cause including, but not limited to, the following: C) PART II a. Violation of any terms or conditions of this permit; b. Obtaining this permit by misrepresentation or failure to disclose fully all relevant facts; or c. A change in any condition that requires either a temporary or permanent reduction or elimination of the authorized discharge. 4. Civil and Criminal Liability Except as provided in permit conditions on 'Bypassing" (Part II. A-4) and "Power Failures (Part II, A-6) , nothing in this permit shall be construed to relieve the permittee from civil or criminal penalties for noncompliance pursuant to NCGS 143-215.6 or Section 309 of the Federal Act, 33 USC 1319. 5. Property Rights The issuance of this permit does not convey any property rights in either real or personal property, or any exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any infringement of Federal, State, or local laws or regulations. 6. Severability The provisions of this permit are severable, and if any provision of this permit, or the application of any provision of this permit to any circumstance, is held invalid, the application of such provision to other circumstances, and the remainder of this permit shall not be affected thereby. 7. Expiration of Permit Permittee is not authorized to discharge after the expiration date. In order to receive authorization to discharge beyond the expiration date, the permittee shall submit such information, forms, and fees as are required by the agency authorized to issue permits no later than 180 days prior to the expiration date. Any discharge without a permit after the expiration will subject the permittee to enforce- ment procedures as provided in NCGS 143-215.6 and 33 USC 1251 et seq. . PART III A. PREVIOUS PERMITS - All previous State water quality permits issued to this facility, whether for construction or operation, or discharge, are hereby revoked by issuance of this permit. The conditions, requirements, terms, and provisions of this permit authorizing discharge under the National Pollutant Discharge Elimination System govern discharges from this .facility. E. CONSTRUCTION No construction of wastewater treatment facilities or additions thereto shall be begun until Final Plans and Specifications have been submitted to the Division of Environmental Management and written approval and Authorization to Construct have been issued. If no objections to Final Plans and Specifications have been made by the DEM after 30 days follow- ing receipt of the plans or issuance of this permit, whichever is latter, the plans may be considered approved and construction authorized. C. SPECIAL CONDITIONS 1. The Permittee shall be responsible for the following items regard- ing the maintenance of the treatment system: a. Septic tanks shall be maintained at all times to prevent seepage of sewage or effluents to the surface of the ground. b. Septic tanks need routine maintenance and should be checked at least yearly to determine if solids need to be removed or other maintenance performed. c. Contents removed from septic tanks shall be discharged into an approved sewer system, buried or plowed under at an approved location within 24 hours, or otherwise disposed of at a location and in a manner approved by the State or local agency. 2. The permittee shall properly connect to an operational publicly- owned wastewater collection system within 180 days of its availability to the site. C.11 C ) Part III Permit No. NCO067989 D. Disinfection Condition In the event that violations of the fecal coliform requirements of the North Carolina water quality standards occur as a result of this discharge, disinfection will immediately be required and the pemvt amended to establish a coliform effluent limitation. ft� r wi " F i. V1<D V -/,\/ 4 Asheville P09101131 Office State of North Carolina Asheville, wrth Carolina Department of Natural Resources and Community Development Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27611 James C. Martin, Covemor February 11, 1988 R. Paul Wilms S. Thomas Rhodes, Secretary Director Mr. & Mrs. Louis Alfonso 6612 Providence Road Riverview, Florida 33569 SUBJECT: Permit No. N00067989 Mr. & Mrs. Louis Alfonso formerly issued to Ms. LaDonne Wightman i Ilgywood County f hear Mr. & Mrs. Alfonso: In accordance with your request received Janaury 13, 1988, we are forwarding herewith the subject permit now issued to Mr. & Mrs. Louis Alfonso. The only changes in this permit are in name and ownership. This permit is issued pursuant to the requirements of North Carolina General Statute 143-21.5, 1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency dated December 6, 1983. If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you may request a waiver or modification pursuant to Regulation 15 NCAC 2B .0508(b) by written request to the Director identifying the specific issues to be contended. Unless such request is made within 30 days following receipt of this permit, this permit shall be final and binding. Should your request be denied, you will have the right to request an adjudicatory hearing. Please take notice that this permit is not transferable. Part II, B. 2. addresses the requirements to be followed in case of change in ownership or control of this discharge. This permit does not affect the legal requirement to obtain other permits which may be required by the Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required: Milian hevan(ion Pnys PO Box 276 ,, Raleigh, North Camlima 27611-7657 Tdephoae 91%733 M15 An Egwl Opponuniry Affirmative A m EmPlmcr n n Page 'No If you have any questions concerning this permit, please contact Mr. Dale Overcash telephone number 919/733-5083. Sincerely, ;!GNFD GY WHOR �oureRRY FOR R. Paul Wilms cc: Mr. Jim Patrick, CPA. „,Asheville Regional Office., DO/gwt n n Permit No. NG0067989 STATE OF NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT DIVISION OF ENVIRONMENTAL MANAGEMENT PERMIT TO DISCHARGE WASTEWATER UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION_ SYSTEM In compliance with the provisions of North Carolina General Statute 143-215. 1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Mr. & Mrs. Louis Alfonso is hereby authorized to discharge wastewater from a facility located at Mr. & Mrs. Louis Alfonso Residence off Old White Oak Road Haywood County to receiving waters designated as Jonathan Creek in the French Broad River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, and III hereof. This permit shall become effective February 11, 1988. This permit and the authorization to discharge shall expire at midnight on September 30, 1991. Signed this day February 11, 1988. C)RIGI1O,A,L SK-011131 ARTHUR MOUB R gy FOR R. Paul Wilms, Director Division of Environmental Management By Authority of the Environmental Management Commission n � Permit No. NCO067989 SUPPLEMENT TO PERMIT COVER SHEET Mr. E Mrs. Louis Alfonso is hereby authorized to: I. Enter into a contract for construction of a wastewater treatment facility, and 2. Make an outlet into Jonathan Creek, and 3. After receiving an Authorization to Construct from the Division of Environmental Management construct and operate a 300 GPD wastewater treatment facility located on Old White Oak Road in Haywood County (See Part III of this Permit), and 4. Discharge from said treatment works into Jonathan Creek which is classified Class "C-Trout" waters in the French Broad River Basin. Part I �d O` Page of Permit No. I I NC 0067989. �s 0 L N ' prl�l Cc H y� 3 k QE S E u N S O O ccO �c d F1 tl O Y N � nvl O� Y 0 L y� L L ' a a alp 8 N < 00 V G OOOpGGG dd11Y do O 00 0 0 c N W W L H b C ('1 f.l NI N C p W Y V N m °1uc 1O F Cv�+ t . C pO zd c--QLQ g o v w r �Y v 4 0 g c I. oYeM U 'ad Y O C U N 6 H V O 0 Z N o H u n6 M3 m l� � P6one, c� t' t� ... D Tm2, p�rSor� Ca�� Np,�y('t, 6� tAc C,�� State of North Carolina Department of Environment, Health and Natural Resources A � • Division of Environmental Management James B. Hunt, Jr., Governor �� Jonathan B. Howes, Secretary [D E H N F A. Preston Howard, Jr., P.E., Director November 29, 1993 Alfonso Louis 6612 Providence Road Riverview FL 33569 Subject: Certified Operator Requirements Single Family Treatment Systems NPDES Permit No. NCG550412 Haywood County Dear Mr.Louis: During February of this year,public hearings were held on proposed changes to modify the operator certification rules. The proposed rules included a requirement that single-family discharge systems would be classified wastewater treatment facilities, which would require an annual inspection by a certified operator. The intent of the rule was to insure that the systems are being properly operated and maintained. During the public comment period, a significant amount of comments, statements and additional information was submitted. As a result, the Water Pollution Control System Operators Certification Commission amended the proposed rules. The rule, as adopted and effective July 1, 1993, now requires single-family discharging systems to be classified only if they are permitted after July 1, 1993 or if upon inspection by the Division of Environmental Management (DEM) it is found that the system is not being adequately operated and maintained. Systems can be inspected by DEM during routine compliance inspections, permit renewals, or complaint investigations. Once a system is classified, it will be required to have at a minimum,an annual inspection by a certified operator. It is important to remember that the NPDES permit is part of a Federal program administered by the State of North Carolina and that violations of the permit are enforceable by Federal and State laws. Although your system will not be required to have a certified operator at this time,proper operation and maintenance is needed for the system to function satisfactorily. In as much as each system must be individually designed and sited, special maintenance requirements may apply to a specific installation. The attached maintenance schedule should however be applicable to most systems. The frequencies suggested are considered to be the minimum necessary. More frequent attention may be needed for a specific system and may be required by conditions of the permit. - P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-0026 FAX 919-733-1338 An Equal Opportunity Affirmative Action Employer 50% recycled/10 h post-consumer paper � (l Certified Operator Requirements NCG550412 Page 2 - In addition to being required by your permit, proper maintenance of your treatment system is extremely important to the long term serviceability of your wastewater treatment system. If proper maintenance is not given to the system, it will fail and will result in major expenses for repairs. We would strongly encourage you to take the necessary action to insure that your system is operating properly. If we can be of any assistance to you or if you have any questions or comments,please call Dwight Lancaster of our staff at(919)733-0026.. ind inan, Su rvi r Travung and Ce i on.Uni[ cc:Asheville Regional Office-Water Quality Facilities Assessment Unit Central Files s � State of North Carolina Department of Environment, Health, and Natural Resources Asheville Regional Office James G. Martin, Governor rryy�� Ann R Orr W.William Cobey,Jr., SecreDiVISION OF ENVIRONMENTAL MANAGEMENT Regional Manager WATER QUALITY SECTION September 8, 1991 Mr.Louis Alfonso 6612 Providence Road Riverview, Florida 33569 Subject: Compliance Evaluation Inspection - Status: In Compliance F Permit Number NCO067989 od County Dear Mr. Alfonso: A Compliance Evaluation Inspection was conducted August 21, 1991, of the septic tank/ subsurface sandfilter trench serving your r idence: Since the facility y grounds and the receiving stream indicated no problems, the wastewater treatment facility appears to be operating properly and is, therefore, considered to be in compliance with its NPDES permit. I£, in the future, the residence is sold, please inform the new owners that they will need to apply for a new permit. NPDES permits are not transferable. If you should have any questions, please contact me at 704-251-6208. Sinnce/er�rely 'y''//'jjo,��,''`u''���rr' s, '( r "S�Becker Environmental Technician cc: Dan Ahern, EPA ksb Interchange Building, 59 Woodfin place, Asheville, NC. 28801 •Telephone 704-2516208 An Equal Oppommiry A(Pomaeve Action Employer n A nne 101Washingwmennal rodeo on Agency Form Approved <%EPA NPDES Com fiance Ins inspection Re port OMB No.2000.0003 P p p Approval Expires 7.31-85 Section A: National Data System Coding Transa Lion Code NPDES yr/mo/day Inspection Type Inspect., Fac Type 1 � �/U'CIo1z)1( 714111I/111 1�Q1 /101221/ 17 14A t9[:Sj 2(i- 11111111111111111111 Rem arks 11111111IIIIIIIIIII11111111 T Reserved Facility Evaluation Baling BI CA ------------------Reserved---------- 66 61 1 1 69 7& 71u 7� 7j_ j 74 7q 1 1 1 1 1 80 Section 6:Facility Data �� N/Name and Location D Facility Inspected Entry Time❑ AM L I-Li PM Permit Effective Data ,O /SrTIJ Z ey ©r�L(Jk fR OA 41&1 Exit Time/Date Permit Expiration Date �� ✓ �r o s am o n- ite flepre mive(s) Title(s) Pholhe No(s) �N me.Atldress of Responsible Official Title m is Ao /L�nso pp / WZ— /P Phone No. Contacted/ Fw S� 9 d'/3 - 67 - 2 1- ❑ yes 7❑-'Na Section C:Areas Evaluated During Inspection IS=Satisfactory,M=Marginal,U=Unsatisfactory.N=Not Evaluated) Permit N Flow Measurement Pretreatment Operations&Maintenance Njecortls/Reports Laboratory Compliance Schedules S Sludge Disposal Facility Site Review q Effluent/Receiving Waters I Al I Self-MDnitoring Program Other: /ten Section nqD��:.�S��ummery of Findings/Commee/nts/Attach additional sheets i/necessaM c r �/� �GNiWCvS ✓"/vl� � S7�LEP/H- f�/aGCiC �/GI?�O�'rLl//QLp . ���. / '�`y Qi✓-�2CG/1/J- �j �. o��"rry r.�r'X�-��Y�(C l�d' -�= Name(s)and Si&tature(s)of I ector(s) Agency/Office/Telephone Date Efyl 0 70� 2s%-G2d� 39 lipagest"of Reviewer Agency/Office Date Regulatory Office Use Only Action Taken Date Compliance Status BC cgncomplia nce OT fiance Permit No. NCO067989 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH,AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL MANAGEMENT PERMIT TO DISCHARGE WASTEWATER UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Mr. Louis Alfonso is hereby authorized to discharge wastewater from a facility located at Louis Alfonso Residence on Old White Oak Road Cove Creek Haywood County to receiving waters designated as Jonathan Creek in the French Broad River Basin in accordance with effluent limitations,monitoring requirements, and other conditions set forth in Parts I, II, and III hereof. This pennit shall become effective This permit and the authorization to discharge shall expire at midnight on November 30, 1996 Signed this day N ft:3 � George T.Everett,Director Division of Environmental Management By Authority of the Environmental Management Commission n � Cl n Permit No. NC0067989 SUPPLEMENT TO PERMIT COVER SHEET Mr. Louis Alfonso is hereby authorized to: 1. Continue to operate an existing wastewater system consisting of a septic tank, subsurface sand filter trench located at Louis Alfonso Residence,on Old White Oak Road, Cove Creek, Haywood County (See Part III of this Permit), and Discharge from said treatment works at the location specified on the attached map into Jonathan Creek which is classified Class C-Trout waters in the French Broad River Basin. VG ,I'll, la(UH UttHIVV LC. t SERIO NORTH CAR INA yWOOD ;O oip 7,5 MINUTE rTO �RAPHIC I74 S(�.y/ 'I6 ❑ c ' 35°3l 30 ✓fr�332 V 3y N A Gaei° IW; 1 1 t l \ \ \ I s '°93 rf HOL ess H'h, / 1 SuttonAwn. 6 1 //r 7 ^91 T anch� i - moo ITI 1.,10 J,a40 C E s Ip ' 1 l ' 1 Shady C o F' Rock Hill Sch /\ \ / ) { } )) \) 2 \ j / ] }/ # ) \ E \ . u/ 33 . g : f ° 00 f Part III Permit No. NCO067989 D. Disinfection Condition In the event that violations of the fecal coliform requirements of the North Carolina water quality standards occur as a result of this discharge, disinfection will immediately be required and the permit amended to establish a coliform effluent limitation. "PO: 'PERMITS AND ENGII,..ERING UNIT I WATER QUALITY SECTION DATE: July 10, 1991 NPDES STAFF REPORT AND RECOMMENDATION COUNTY Haywood PERMIT NUMBER NC0067989 PART I - GENERAL INFORMATION 1. Facility and Address: Louis Alfonso Residence Old White Oak Road Maggie Valley, North Carolina 2. Date of Investigation: July 11 , 1989 3. Report Prepared By: Kerry S. Recker 4. Persons Contacted and Telephone Number: Louis Alfonso 813-677-2289 5. Directions to Site: From the intersection of Hwys I-40 and 276, travel on 276 approx. 0. 1 mile to Cove Creek Rd. Travel on Cove Creek Rd. to Old White Oak Rd. on right. Travel on Old White Oak Rd. 0.25 mile to residence on right. 6. Discharge Point(s) , List for all discharge points: Latitude: 15 deg. 36 min. 31 sec. Longitude: 83 deq. 00 min. 49 sec. Attach a USGS map extract and indicate treatment facility site and discharge point on map. U.S.G.S. Quad No. U. S.C. S. Quad Name Dellwood, NC 7. Size (land available for expansion and upgrading) : N/A e. Topography (relationship to flood plain included) : Steep, facility is located adjacent to Jonathan Creek. I 9. Location of nearest dwelling: M/A 4 10. Receiving stream or affected sur.fsc� waters: Jonathan Creek a. Classification: C-Trout b. River Basin and Subbasin No. : FBR 04-03-05 C. Describe receiving stream features and pertinent downstream uses: Provides habitat for the propagation and maintenance of wildlife and provides water for agricultural activities. PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS I. Type of wastewater: 100 % Domestic % Industrial a. Volume of Wastewater: 0. 00030 MGD (Design Capacity) b. Types and quantities of i.ndust.r.isl wastewater: C. Prevalent toxic constituents i.n wastewater: d. Pretreatment Program (POTWs only) : in development approved should be required not. needed 2. Production rates (industrial discharges only) in pounds per day: a. Highest month in the past 12 months: lbs/day b. Highest year in the past 5 years: lbs/day 3 . Description of industrial process ( for industries only) and applicable CFR Part and Subpart,: 4. Type of treatment (specify whether proposed or existing) : The existing facility consist of a. s^ ,pti ^ tank/subsurface sand filter trench. S. Sludge handling and disposal scheme: Licensed commercial septic tank cleaning firm. 6. Treatment plant classification: Less than 5 points; no rating i (include rating sheet, if appropriate) . N/A 7. SIC Codes(s) : 4952 Wastewater Code(s) : Primary 04 Secondary C-� C) PART III - OTHER PERTINENT INFORMATTON 1. Is this facility being constructed with Construction Grant funds (municipals only)? 2 . Special monitoring requests: 3. Additional effluent limits requests: 4. Other: PART IV - EVALUATION AND RECOMMENDATIONS The Asheville Regional Office recommends renewal of NPDES Permit #NCO067989. Signature o Report Preparer ter. 9iali y Regional Supervisor Da e uc��vvvvu Wwwn,vivu ter_ NORTH CA iNA-HAYWOOD CO 7.5 MINUTE SERI �.. (TOPOGRAPHIC) I74SE pw's 3°pp 3537'3p.. N ATI y n32 1 \ h 02CST "�� )� �A ,� J.f •N 06n 1 �] � ( 4 i I i Suttonfit �A j y° ;'� 11li7 v 2 i � w %/ I v � sip ♦�_. ) _ h, ion h• ti .c. s,o 35 s,, I �\� q• A I Slq�� m 0,1 Gem I . ,\ , S"dr c ovp' ao IsIkhl Sin =- `� Irl .J`a State of North Carolina Department of Environment, Health, and Natural Resources Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27611 James G.Martin,Governor George T.Everett,Ph.D. Wiiiiam W.Cobey,Jr.,Secretary Director June 26, 1991 Mr. Louis Alfonso Subject ; NPDES Perm.-t Application 6612 Providence Road NPDES Perm- - No.NC0067969 Riverview, Florida 33569 Louis Allone- Residence Dear Mr. Alfonso : Haywood Count_ This is to acknowledge receip= of the following documents on =ine 26, 1991: 1) Application Form Engineering Proposal (fcr proposed control facilities) , �l Request for permit renew--1, 1l Application Processing Fee of $120.00, Engineering Economics Al-ernatives Analysis, _ Local Government Signoff, _ Source Reduction and Rec_cling, Interbasin Transfer, _ Other , The items checked below are needed before review can begin : _ Application Form Engineering proposal (see attachment) , _ Application Processing Fee of Delegation of Authority (see attached) _ Biocide Sheet (see attar-.ed) Engineering Economics Alternatives Analysis, rn _ Local Government Signoff, _ Source Reduction and Rec+:cling, _ Interbasin Transfer, Other Polludon Pn rrdan Pays P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone 919-733-7O15 � An Equal Opportunity Atflrmadve Action Employer �Y 4 If the application is not made complete within thirty (30) days, it will be returned to you and may be resubmitted when complete . -his application has been assigned to Mack Wiggins ( 919/733-5083) of our Permits Unit for review. You wi e acvise o any comments recommendations, questions or other information necessary for the review of the application. am, by copy of this letter, requesting that our Regional Of-ice Supervisor prepare a staff report and recommendations regarding this discharge . If you have any questions regarding this applicat_ons, please contact the review person listed above . Sincerely,7 f/ 9 � . CC : AshevilleM, 'ale Overcash E .Regional Office I./.f � C (� N. C. DEPARTMENT OF ENVIRONMENT, HEALTH k NATURAL RESOURCES ENVIRONMENTAL MANAGEMENT COMMISSION NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM tDATE AIIQN NIIMIIFR APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR yj A6ENcr USE NE(LIVID 10 be Bled only by services, wholesale and retail trade, end other camiKrclal establishments including vessels D / YEAR No. DAY C4ND.WSr/ Do not attempt to complete this forty without reading the accompanying instrectlons OD Please print or type I. Name, address, and telephon1e�number of facility producing discharge A. Name w-(J_c ,1 4 1 J(!o ,so 4¢S rlIt�/4 G B. Street address ��� Win.. qK d C. city M A 1 I D. State � t E. County — 6a F. 21P .4- G. Telephone No. Area MA''-Ns Add YC Si. 11 Code 2. SIC 5= FZwe2Jlew Fl°x"�� 33SL l (Lea vve�e ,blank) F13-0 7- a�9 3. Number of e'ebaeyeaa S 2 /�7/�Y Ra-n-aln S 4. Nature of business 5irJ CaLt' rrl+rrlLl/ iestb EAJCl _ 5. (a) Check here if discharge occurs all year0, or p y� (b) Check the months) discharge occurs: r- I.0January 2.0 February 3.0 March 4.0 April 5.0 Key JUN 1�91 6.0 June 7,o July IT.0 Augu st 9.0 Septewber 10.0 Do tober 11.0 No vember 12.O December (c) Maw many days per week: p4R(31TS F+ FNGIN".'IIi➢I!: 1.01 2.o2-3 3.04-5 4.06-7 6. Types of waste water discharged to surface waters only (check as applicable) - Flow, gallons per operating day Volume treated before discharging (percent) Discharge per clue rating day 0.1-999 1000.4999 5000-S999 10,000- 50.000 None 0.1- 30_ 65- 95- 49,999 or more 29.9 64.9 94.9 100 (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) A. Sanitary, daily / overage ✓ B. Cooling water, etc., daily average C. Other dlscharge(s), daily average; Specify 0. Maximum per Operat- ing day for combined discharge (all types) 1_ If any of the types of waste iuentified in Item 6, either treated or u - Lrea Led, are discharged to places other than surface waters, check below 1 as applicable. Waste water is discharged to: 0. 1-999 IODO-4999 5000-9999 10.000-49.999 50,000 or more (1) (2) (9) (4) (5) a. Nunn.Ipel L!wn-v.ystmm n.'nud�.ngn�rtil 4�•I'I L, Sept I, tank li U. Evaporation lagoon or pond E. Other, specify: B. Number o—f`s$parate discharge points: A. LVI B. 02J C.04-5 D.06 o��r((m��orie 9. Name of receiving water or waters J 9p/.}�'6k. 10. Does your discharge contain or is it possible for your discharge to contain one or more of the following substances ded ad as a result of your operations, mm activltles, or processes: aonia, cyanide, aluminum, beryllium, cadmium, chromium, copper, lead, mercun , nickel, selenium, tine, phenols, oil and grease, a0d chlorine (residual). A. yas 9.0 no I certify that I am familiar with the Inforeiation contained in the application and that to the best of my knowledge and belief such information is true, complete, and accurate. IK 40 L;l litPONsO Printed Name of person Signing aU) AlELY Title 7uN� y , 1991 Date Application Till dd�//l (7�{XIiUX> ��FTY1P_--U Signature of Applic orth Carolina General Statute 143-215.6(b) (2) rovldes that: Any person who knowingly makas y false statement representation, or certi cat an n aay application, record, report, plan, other document files or required to be maintained under Article 21 or regulations of tie �rrironmental Management Commission implementing that Article, or who falsifies, tampers eith , knowly renders inaccurate any recording or nonitorigg dparice or method required to be �llerated or maintained under Attiale 21,,oi regulations of the Environmental Management Cor ia� o,. plementing that Article, shall%e'yuiito of a misdemeanor punishable by a -fine not to exceed 10,000, or by imprisonment not to exceed six months, or by both. (18 P.S.G. Section 1001 prorr- punishment by a fine of'not more than S10,000 or imprisonment not more than 5 years, or bot'r, .r a sinllar offense. ) State of North Carolina Department of Environment, Health, and Natural Resources Asheville Regional Office James G. Martin, Governor Ann R On William W. Cobey, Jr., Secretary Regional Manager DIVISION OF ENVIRONMENTAL MANAGEMENT WATER QUALITY SECTION July 19, 1990 N nn Mr. Louis Alfonso 6612 Providence Road �( 3 3O h�•of [ Riverview, Florida 33569 �U� lyt.P.ctZ a-..v� , se-tt,-r Wi Subject: Compliance Evaluation Inspection Status: In Compliance Louis Alfonso Residence NPDES Permit Number NC0067989 Haywood County Dear Mr. Alfonso: I A Compliance Evaluation Inspection was conducted July 19, 1990, of the septic tank/ subsurface sandfilter trench serving the residence at Old Whiteoak Road in Maggie Valley, North Carolina. The facility grounds and the receiving stream indicated no problems. The wastewater treatment facility appears to be operating satisfactorily and is considered to be in compliance with its NPDES permit. If, in the future, the residence is sold, please inform the new owners that they will need to apply for a new permit. NPDES permits are not transferrable. If you should have any questions, please contact either Max Haner or me at 704-251-6208. Sincerely yours, _'`''/ K rry' S. Becker Environmental Technician cc : Dan Ahern, EPA ksb Inrerchangc L.Id.,,, 59 W dfin Vlaca. A,h,,11,, NC_28801 •Telephone 70<251G208 A„ anal 0 Arm—, Aim... F,n1.... nue tales n enm tettion Agency Form Approved ComW OMB No.2040-0003A/EPA' NPDES liance Inspection Report Approval Expires 7-31-65 Section A: National Data System Coding Trans ction Code NPDES yr/mo/day Inspection Type Inspector Fee Type 1, 3I),�10014 J1 Y11111 1�'410101 ?1/1217 1qd 19LJ xdJ Remarks IIII' IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1151s Reserved Facility Evaluation Rating B -----------------ResJerved--------------- 6A 1 1 69 7� 71 7 7�74 7q I I 60 Section B:Facility Date ame andsn Loccation of ecilityy Inspected FE;itiinn./D y Time Permit Effective Date �b-uwa ! (Yon sa =Side,-u. AM PM Old Gllw-04/c Rd. / d ot Permit Expiration Data /h!+ ie v az 0 y9. C o n0 Z ?d / 99 am s)o n-Site epresen tivels) Titlefs) h ne Nafs) Name,AddrrtessRf Responsible Official Title �bbt/5 H/ip+�50 rta✓you ce. o/- Phone No. Cents Kr u,o�.vreW C//o/[i� 3a5 — z 11 yea[YNo Section C:Areas Evaluated During Inspection 1S=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated) PermitPKZ Flow Measurement Pretreatment Operations&Maintenance Records/Reports laboratory Compliance Schetlules S Sludge Disposal Facility Site Review 11 Effluent/Receiving Waters Self-Monitoring Program Other: ( / Section D::Summery of Findings/CommentslAttach additional sheets�it,ne�c�ess/ary/ ,Up�d J7 �/oC,SCGs�.e�(`'`j1'; - '�;r. <y [A-OI�'S , ✓LG4P�V4 S�✓cPay�.- O A/d Namels)and Sigilaturefs)of Ins togs) Agency/Office/telephone Dat o — 23/ - 6zdOF z3 /43d r of Reviewer Agency/Office Date flegulato fy Office Use Only Action Taken Date m-dianc Status ❑ 06c,.unplianco Com liance EPA Form 3560-31Rev. 3-85I Previous editions are obsolete. N. C. DEPARTMENT OF ENVIRONMENT, HEALTH & NATURAL RESOURCES ENVIRONMENTAL MANAGEMENT COMMISSION NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMBER APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR AGENCY C U U ITS( DATE Rf CF:iviD To be I fled only by sei, wholesale and retail trade, and other commercial establishments including vessels YEAR Mo. DAY Do not attempt to complete this form without reading the accompanying instructions Please print or type 1. Name, address, and telephone number 1�o�sf ff1ee1eiilty producing discharge A. Name u.1� t e P�.. _)+ma So -srd+..c:, 8. Street address Oil W It, 1.k d C. City s,s�� c D. State E. CountY-1 Iw/OD� n F. IIP ok L, Telephme No. Area MA;�,NS RdC Yefs. Code �eG(.Z f RJY rrLr•.tu. ��' �1me2J�Ew 7 F(JR.�r�.a. a3SL9 2. sic (Leave blank) 3. Number o/ ema$a�wM 5 2 a�i.Y.emrMn S i 1s,, 4. Nature of bust mess ILO G E L FAYLA 11� 2?i Es1d6 JCF *5. (a) Check here If discharge occurs all yearn, or (b) Check the month(s) discharge occurs: 1.a January 2,a February 3.13 March 4.a Apr11 5.a May 6.a June 7.a July 8.0 August 9.0 September 10.a OctobenG.S✓ l4rd0.T 11,a November 12.0 December s'LL12.L' ni 199 (q Now many days per week: 1.01 2.02-3 3.04-5 4.06-7 b. Types of waste water discharged to surface waters only (check as applicable) Flow, gallons per operating day Yolu*WTi 'mated before discharging (percent) Discharge per operating day 0.1-999 10DO-4999 5000-9999 10,000- 50,D00 None 0.1- 30- 65- 95- 49,999 or more 29.9 64.9 94.9 100 (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) A. Sanitary, daily average V ✓ 8. Coaling water, etc., daily average C. Other dlscharge(s), daily average; Specify D. Mnrimum per, opt,t- Ing day for combined discharge )all types) C! 1, If any of the types of waste identified in item 6, either treated or un- treated, are discharged to places other than surface waters, check below as applicable. Neste water is discharged to: 0.1-999 1000-4999 5000-9999 10,000-49,999 50,000 or more A. Municipal sewer system ❑. Iludr r,lr.nu..I wrll f, St,tlr tank D. Evaporation lagoon or pond E. Other, specify: B. Number of s pa rate discharge points: A. OV 0.02-3 ,C.0<-5. .0.06 oa�r//Nam 9. Nanc of receiving water or waters„ J OpvWIM.RrJ \ l(.A.�CA� 10. Does your discharge contain or is it possible for your discharge to contain one or more of the following substances Added as a result of your operations, activities, or processes: ammonia, cyanide, aluminum, beryllium: cadmium, chroml um, copper, lead, mercur , nl ckel, selenium, tlnc, phenols, 'oil and grease, chlorine (residual). A. yes 0.a no I certify that 1 am familiar with the information contained in the application and that to the best of my knowledge and belief such Informatim is true, cmglete, and accurate, La La-i QL >1-OlU SO Printed Nam of Person Signing Title 7itiNe y , l99/ Date Application�9i9 d Signature of Apple t Ilillrth Carolina General Statute 143-215.6(b) (2) jooadea that: Any person who knowingly makes ,y false statement representation, or certl cat on any application, 'record, report, plan, other document files or required to be maintained under Article 21 or regulations of the Ivironmental Management Commission implemaatIng that Article, or who falsifies, tampers with , knewly renders inaccurate any�recarding or monitorigg dpvlce or method required to be aerated or maintained under Aptiale 21-oi regulations -of the Environmental Management Commissior. 1plementing that Article, shall Abe'guilty-of a misdemeanor punishable by a fine not to exceed i0,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 prmr - 1 punishment by a fine of'itot more than 810,000 or imprieotsment not more than 5 years, or both, r a simile, offense.) 2551 LOUIS OR DAHLIA S. ALFONSO 09-76 6612 PROVIDENCE RD RIVERVIEW, FL 33569 LL 63-6141631 Y 11 ne , C, ) s -7, —IDOLILARS The Cftieene and Souffi.loN.6...I Ba-k of Merida -illsbonough County FOR 1:063 LOP. LL. Si: 2SS 1 00030 28 LL. 3ii- � ern State of North Carolina Department of Environment, Health, and Natural Resources Asheville Regional Office James G. Martin, Governor Ann U. Orr William W Cobey Jr., Secretary Regional Manager DIVISION OF ENVIRONMENTAL MANAGEMENT WATER QUALITY SECTION May 14, 1991 Mr. Louis Alfonso 6612 Providence Road Riverview, Florida 33569 Subject: Loris Alfonso Residence NPDES Permit #NC0067989 Haywood County Dear Mr. Alfonso: Enclosed are the spplicati.ons needed P.o renew your NPDES Permit as requested per our telephone conversation. May 10, 1991 . The applications have been partially completed, and I hams marked with an asterisk those portions which need to be compl_-ted by ynu. The applications should be submitted along with a $120. 00 check or m,ney order payable to the Division of Environmental Manages.oent to - Division of Envircnment:al. Management Permits and Engineering Unit Post Office Sox 25535 Raleigh, Nctth Caroli.nt 27626-0535 Essentially, any facility which. di.sr.harges treated wastewater to a stream must have a NPDES permit allowing such discharge to occur. For most of the facilities which have NPDEB permits, some type of weekly or monthly monitoring of the effluent is required; NPDES Permits for single family residences such as yours, however, are not requi.red to perform any monitoring. NPDES Permits are valid for a period of five years at which time they must be renewed. Approximately eight months before the permit is due to expire, the Division sends tc n : 1 permit holders renewal applications. These anp li.cations and ihr. required permit processing fee must be submitted no later than six montl'�s prior to the expiration date contained in the permit to avoid the asses^:T.ent of automatic fines. In addition, NPDES Permit:, are not tranafe r,+h le . In. the event the house is ever sold, the new owners wi.l.l. need to reapply for a new permit. InmrchaI,, limkfng, y Woodfin Place, A,—,1le. KC 28 (A •Telephone 704 251 62 08 Al, F,,,d Opl.,mioi.. Alnnnm,m Ac P,) I rnplav,, C Page Two Mr. Louis Alfonso May 14, 1991 An inspector from the Asheville Regional Office performs an annual inspection of the wastewater treatment facility to determine whether the facility is generating an effluent in compliance with the effluent limits contained in the NPDFS Permit and to determine that no other problems exist concerning the facility. An inspection report is completed and sent to the permit holder for their review. Any questions or concerns that a permit holder might hive are welcomed by the Division. We are glad to offer what assistance we can . If you should have any qu:,sti_on, feel free to contact either Max Haner or me at 704-251-6208 . Sincerely, Kerry S. Becker Environmental_ Technician Enclosure State of North Carolina Department of Natural Resources and Community Development Asheville Regional Office James G. Martin, Governor Ann B. Off William Cobey,Jr., Secretary Regional Manager ,1. DIVISION OF ENVIRONMENTAL MANAGEMENT - WATER QUALITY SECTION August 11, 1989 Mr. Louis Alfonso 6612 Providence Road Riverview, Florida 33569 ° Subject: Compliance Evaluation Inspection Status: . In Compliance Louis Alfonso Residence NPDES Permit Number NC0067989 . Haywood County Dear Mr. Alfonso: A Compliance Evaluation Inspection was conducted July 11 , 1989, of the septic tank/ subsurface sand£ilter trench serving the residence .at Old Whiteoak Road in Maggie Valley, North Carolina.. The facility grounds and the receiving stream indicated no problems. The wastewater treatment facility appears to be operating satisfactorily and is considered to be in compliance with its NPDES permit. 11 If, in the future, the residence is sold, please inform the new owners that they will need to apply for a new permit. NPDES permits are not transferrable. If you should have any questions, please contact either Max Haner or me at 704-251-6208. Sincerely j yours, ('Gerry uS. Becker Environmental Technician cc: Dan Ahern, EPA ksb InmchanW Buildin,,59 Woodfin Platt, Asheville,N.C.2M •Telephone II 2516208 An Equal OPportunin,Alfinnadw Acton Employer Y^� United tates nv mental tenion Agency Form Approved A Washington,D-L.10460 003 I&EPA NPDES Compliance Inspection Report OMB No 204res 7-3 P P P Approval Expires]-31-65 Section A:National Data System Coding Trans coon Code NPDES yr/mo/day Inspection Type Inspector Fac Type tr 2LJ 3WILI I '1 / 19xg tt 1aIP191a191 /Ii 17 1J� l� 2d__4 Remarks IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII .III Reserved FaciliryEvaluation paring BI I---I---I-----------Reserved----------------- 66 6��69 xU3 ]1u ]Z ]31 1 ]a 74 80 Section S:Facility Data Name and L cation f Facility Inspected Entry Time Permit Effective Date /f [$1� F ❑ AM PM f OytS (/Ii/UIYSu '\15/fir+CQ.. /L L`D [//G.;Y[a/!�C �" p� Exit Time/Date Permit Expiration Date f/ L. No — e (s)of m it Represen[etivels) Title(s) Phone Nola) Name,Address of Responsible Official Title /ou/5 A/�crro L'p/elE2 /p(y/2 �,jo✓/dyracy ✓ Phone No. Contacted YJC IF13 - 4:,77 aPY ❑ YesS No Section C:Areas Evaluated During Inspection IS=Satisfactory.M=Marginal,U=Unsatisfactory,N=Not Evaluated) Permit Flow Measurement Pretreatment C' Operations&Maintenance J` Records/Reports Laboratory Complia nce Schedules' Sludge Disposal Facility Site Review Effluent/Receiving Waters Self-Monitoring Program Other: / Section D:Summaa�ryof Findiings/Com/ments(Artach additional sheets i/necessary) d rsC Ito- rr. WA s 0CC "'—j L-Tin XN e. �.{ /7.7- 1..✓"a- ✓1 it Sy?e �-F.r.v . �C , L '�y ���3 ��Q ��L21J �,.r S-��,,.f NJ�rnr.�d (N:• p�lodlC,+A S. Name(s)and Signature(s)of Inspector(s) Agency/Office/Telephone Date Signature of Reviewer Agency/Office D e C) R gulatory Office Uae Only Action Taken Data C pliance Status ❑ Noncompliance r�.Complience /� /� � \ � ! / H|��U0/�ANDUH~� MARCH Y/ i9C6 ' f.O DILi DAM OW NTATE P8RHIT% REVIEW THRU : F0�RE�T � WE�T4LL, �E��6 mrsOR WATER �UALITY %[ClI0N/ARO �8/ ^ FROM , MAX L HANER WATER QUALlTY %ECTlO�/�R8 &8 SUBJECT CbMHENlS AND RECOMMENDATION A011HbRIZAT1ON TO CONSTRUCT Nb� AC8867989 ' L8UI% �LFON%O REClDE�CE HAiWbDD MUUNTY, N0KTH CAROLIUA THE REGIONAL bFFIL[ :IS IN RECEIPT OF A COPY Or: MR, ALFUN%O ' � LETTEk OF MARCH 4/ 1Y88, REQU�%TIN� AN AUTHURI��TION TO CON1TRUCT UNDER NPDE% PERMIT NO NC8867989 FUl:� SUBJECT RE%lbENCE THE REGUE%T HAS BEEN REVIEWED IN THIS OFFlCE^ PLANS FOR THE SUBSURFACE %AND � FILTER SYSTEM ACCOMPANYING THIS KEQU[%) DO NOT COKkE%POND TO STANDARD DESIGN NORMALLY APPLIED BY %ING*LE FAMILY REMDENCE% NEEUINC DI%CHARONG TYPE SYSTEMS. THE FOLLOWING' C0HHEN/% ARE OFFERED TO RESOLVE THIS MATTER : i 7H11�: %U8%URFACE FlL7[R NEEDS A MINIMUM OF 261 SQUARE FEET OF 1: 11 TER SAND TO tURRENPGND WITH A DESIGN HLOW OF 366 CPD AS CO �TAlNED IN THE | PERMIT. A BED HE4%UUN[ 8 FT BY 48 FT IS NEEDLE%%L/ UVERDE%ICUED AND |. IT IS RECGHGEN6ED THAT THE BE1) BE REDL%IvNj.�:D TO B FT BY 33 FT/ OR TIE. � MORE COMMON 6 FT BY 44 Fl��� � THI� P|�KMIT WA% lC%UED AT THE OLD DESIGN FLOW (�F i �8 CPDNBED8OOU | OR A 2 UEDKSIM H0 E U� AND WE RECO[NIhE TK�T EVEN A F-|'TEk OF 2m1 FE[T 1�0K THMi U-�AGL IS ;VECDE�IGNEx FUR THIS 2. THE %UB%URFACE FILTEk SHOULD DE REDE%I�NE3 TO PROVIDE AN 8 IN[H GRAVEL ' LAYER IN DOTH THE 6I%TRI6UTION AREA AND THE COLLECTION AREA WITH A KIAIKUH UF 18 INCH OF APPROVED SAND. WHETHER 7Hl:�: OWNER HA% ONE OR TWO ` COT LECTION FOR THI3 FILTER IS OF' NO MAJOR CONCERN, / o MR' ALFON%O 1HOUiD DE REQUESTED Tb REDRAFT THESE DRAWINGS IN ACCORDANCE WITH THE%E COrHI::NT� PRlOR TO 1%%UAN[E OF AN AlUTH8RIZA(I0N TO CON%TkUCT, HE %HOULD Ai70 8E INF0kHED OF THF NE[D FOR P.E, CERTIFICATION IF ANYONE [,!HER THAN THE HOMEOWNER PREPARES THESE PLANS AM) %PECIFICATlbN%, 3|OULD yOU HA;E PUE%TIOH%, PLEAJE ADVISE, ^ � | | State of North Carolina Department of Natural Resources and Community Development Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27611 James G. Martin, Governor R. Paul Wilms S. Thomas Rhodes, Secretary Date:. 19 Director SUBJECT: Application No. APN. County Dear The Divisions Permits and Engineering Unit acknowledges receipt of your permit application and supporting materials on: l:' , 19' This application has been assigned the number shown above. Please refer to this number when making Inquiries on this project. Your project has been assigned to 1 i -, for a detailed engineering review. A technical acknowledgement will be forthcoming. If this acknowledgement is not received within thirty (30) days, please contact the engineer listed above. Be aware that the Division's regional office, copied below, must provide recommendations from the Regional Supervisor or a Procedure Four Evaluation for this project, prior to final action by the Division. If you have any questions, please call the review engineer listed above at (919) 733-5083. Sincerely, Arthur Mouberry, P.E. Supervisor, Permits and Engineering cc: Regional Supervisor (" j Pot(atiox Prevention PaYs ���lhEl PA B.31W Raleigh,Nonh Cmdina V611-76B1 Tdq&.o 919M-7015 � An Egiel Oppwwnity Mmnat ANw Fmplo= . & Mrs. Louis Alfonso 661 MAR 3 6612 Providence Road ;j Riverview, Fla. 33569 _ oERNIIT8 & "ENGINEERING March 4, 1988 Mr. Arthur Mouberry Permits & Eng. Unit N.C. Dept. of Natural Res. Div. of Environmental Mgmt. P.O. Box 27687 .� Raleigh, N.C. 27611 Re: L. Alfonso Permit # NPDES NC 0067989 Dear Mr. Mouberry: We arer requesting an authorization to construct -- a (2) bedroom residence , design flow 300 gallons ....per day. f _ ., r . Sand to be purchased from Southern Concrete in Waynesville, N.C. . .. . .. .: _ Regards, Louis Alfonso, Owner 1 r V� Mr. & Mrs. Louis Alfonso 6612 Providence Rd. Riverview, Fla. 33569 March 4, 1988 Mr. MaxL. Haner Envir. Chem. Consultant Div. Of EnVir. Mgmt. 59 Woodfin Place, P.O. Box 370 Asheville, N.C. 28802 Dear Mr. Haner: Enclosed are the copies you asked for regarding our Request to Construct a sand filter septic system. Regards, b oey"fWJ D Louis Alfonso , � � � � ,.p __ ___ ____- s J :, ��� - �. �� � i -- � j I i ,' � � � � � O .h � � � -� r� F :� l3 � f �� O J _ � y� s � � � �' I U .� �. — ., 1 ( ' a ,AMr '�, 4 �w t� �3„y�';"� - K�+�i�Y ' wf� �N°.�` +•t�r t. �� kV,., ^,a+,,.•4;m_ 'u �.` r4�- f „ •,al ,r + A q h yx�4ait w, 6 , ,ri R ti i V • r Vp ` "J- U, llshas i I t L ::tifle _a ri `tiG�f d _ _ 1 i M:N I ti ',V'pTEK'f +yT 4; a�r � I ACT !J SGQvE I i i F I i I -ANK ro Z_ c_o,MMUCTED or c�.tcreT ;, va z�s�Fsi) QEINrc WCE Qu- VV/ --416-4 rt-,A25 I:." APPKavFD Em(AA4, ( ALL IN'rugler2. S4iZ Fp GES 8-F CDA"fYD ', Wt7'}4 WpTE 2Y16 F1Y �jEALAfJY'. Z, B,C�FFI-= CONST�4FCTC Y9 ?Jr B�'ICK 8fZ ,'QNG� ETE (KEIFJpn� f.ED AS DamanD ,azcv E., 40TO 000S PROVIDED �rO T1405E .' 14o,n/N, 3: TFiNKn SHPk OF P_ WD aN UNS07UlaWD 0AW01 WIS Cl lHdt'vtOOG _F ';N ,".I F °y'• DELLWOOD QUADRANGLE `wa° 174.3F 117 83'oo I a..r , t F r4 `2 ^ t Y It J.. Tom, •1 0' fa -.�. } �3i C R E } 9E k ` ; � t s' I U.,,.d tactcs v tat Protection Agsno, Form Approved _ wasninem�o.C.zoaso \80EPA NPDES Com liance Inspection Ri ort OMB No.20ires 7-3 p p p Approval Expires]-31-85 Section A:National Data System Coding Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 111 kJ5 4edclato G 99 � 9 „ 1VIjaN h-Ir ,] ,eLJ 1�J 2oJ Remarks III' IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIBIB Reserved Facility Evaluation Rating BI GA ------—----------Reserved--------------- BAI 1 1 Isg ]d,J 71U nU ]a_U]a 75I I80 Section B:Facility Data Name and Location of Facility Inspected Entry Time❑ AM❑ PM Permit Effective Date / / // /' � / //77 Exit Time/Date Permit Expiration Date r(.%Zr tS //( 4s e iC5+d.,�eG1 �/F�Wdb(� l.GI Names)of On-Site Representatives) Initials) Phone No(s) Name,Address of Responsible Official Title Phone No. Contacted ❑ Yes❑ No .Section C:Areas Evaluated During Inspection IS=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated) Permit Flow Measurement Pretreatment Operations IL Maintenance Records/Reports Laboratory Compliance Schedules Sludge Disposal Facility Site Review Effluent/Receiving Waters Self-Monitoring Program Other: Section D:Summary of Findings/Comments(Attach additional sheets brnecessary) /s r.✓�K�n. Cd++,C PCc. i Name(s)and Sigilature(s)of Inspector(s) Agency/Office/Telephone Date l �I Signature of Reviewer Agency/Office Date Regulatory Office Use Only Action Taken .Date Compliance Status ❑ Noncompliance ❑ Compliance EPA Form 3580-3(Rev.3-85)Previous editions are obsolete. INSTRUCTIONS Section A: National Data System Coding (i.e., P.CS) Column 1 :Transaction Code: Use N,C,or D for New,Change,or Delete.All inspectionswill be new unless there is an error in the data entered. Columns 3-11 : NPDES Permit No. Enter the facility's NPDES permit number. (Use the Remarks columns to record the State permit number, if necessary.) Columns 12-17: Inspection Date. Insert the date entry was made into the facility. Use the year/month/day format (e.g., 82/06/30 = June 30, 1982). Column 18: Inspection Type. Use one of the codes listed below to describe the type of inspection: A— Performance Audit - E — Corps of Engrs Inspection S — Compliance Sampling B — Biomonitoring L— Enforcement Case Support X — Toxic Sampling C — Compliance Evaluation P- Pretreatment D — Diagnostic. R — Reconnaissance Inspection Column 19: Inspector Code. Use one of the codes listed below to describe the lead agency in the inspection. C — Contractor or Other Inspectors (Specify in N — NEIC Inspectors Remarks columns) R — EPA Regional Inspector E — Corps of Engineers S — State Inspector - J —Joint EPA/State Inspectors—EPA lead T—Joint State/EPA Inspectors—State lead Column 20: Facility Type. Use one of the codes below to describe the facility. 1 - Municipal. Publicly Owned Treatment Works (POTWs) with 1972 Standard Industrial Code (SIC) 4952. 2 — Industrial. Other than municipal, agricultural, and Federal facilities. 3 — Agricultural. Facilities classified with 1972 SIC 0111 to 0971 . 4 — Federal. Facilities identified as Federal by the EPA Regional Office. Columns 21-66: Remarks.These columns are reserved for remarks at the discretion of the Region. Column 70: Facility Evaluation Rating. Use information gathered during the inspection(regardless of inspection type)toevaluatethequalityofthefacilityself-monitoring program. Gradethe program using a scale.of 1 to 5 with a score of 5 being used for very reliable self-monitoring programs,3 being satisfactory, and 1 being used for very unreliable programs. Column71 : Biomonitoring Information. Enter D for static testing. Enter F for flowthrough testing. Enter N for no biomonitoring. Column 72: Quality Assurance Data Inspection. Enter Q if the inspection was conducted as followup on quality assurance sample results. Enter N otherwise. Columns 73-80: These columns are reserved for regionally defined information. Section B: Facility Data This section is self-explanatory. Section C: Areas Evaluated During Inspection Indicate findings (S, M, U, or N) in the appropriate box. Use Section D and additional sheets as necessary.Support the findings,as necessary, in a brief narrative report. Use the headings given on the report form (e.g., Permit, Records/Reports) when discussing the areas evaluated during the inspection.The heading marked"Other"may include activities such as SPCC,BMP's,and multime- dia concerns. Section D: Summary of Findings/Comments Briefly summarize the inspection findings. This summary should abstract the pertinent inspection findings, not replace the narrative report. Reference a list of attachments, such as completed checklists taken from the NPDES Compliance Inspection Manuals and pretreatment guidance documents, including effluent data when sampling has been done. Use extra sheets as necessary. n C), W �� Q h l Asllevl la eg Jlsdleville, North Carotin& ` State of North Carolina Department of Natural. Resources and Community Development Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27611 James G. Martin, Goveruor April 12, 1988 R. Paul Wilms S. Thomas Rhodes, Secretary Director Mr. & Mrs. Louis Alfonso 6612 Providence Road Riverview Ft, 33569. SUBJECT: Permit No. NC0067989 Authorization to Construct Alfonso Residence Wastewater Treatment Facility Haywood County -Dear Mr. & Mrs. Alfonso: - - A letter of request for an Authorization to Construct was received March 11, 1988, by the Division and final plans and specifications for the subject project have been reviewed and found to be satisfactory. Authorization is hereby granted for the construction of a 600 GPD wastewater treatment facility consisting of a 1,000 gallon septic tank, a distribution box and a 264 sq. ft. sand filter. This Authorization to Construct is issued in accordance with Part III paragraph B of the NPDES Permit No. NC0067989 issued February 11, 1988, and shall be subject to revocation unless the wastewater treatmentfacilities are constructed in accordance with the conditions and limitations specified in Permit No.. NG0067989 - -_ The sludge generated from these treatment facilities must be disposed of in accordance with G.S. 143-215. 1 and in a manner approvable by the North Carolina Division of Environmental. Management, The Asheville Regional Office, telephone number 704/251-6208 shall be notified at least twenty-four (24) hours in advance of backfi.11ing of the installed system so that in-place inspection can be made. Such notification to the Regional Supervisor shall be made daring the normal office hours from 8:00 a.m. until 5:00 p.m. on Monday thorough Friday, excluding State Holidays. In event the facilities fail to perform satisfactorily in meeting its NPDES permit effluent limits, the Permittee shall take such immediate corrective action as may be required by this Division, including the construction of additional wastewater treatment and disposal facilities. Continued. . . . Pollution Pre'eWwn Pays PO R..27687, Raleigh, North C.mfim.276117687 T I,hone 919,7 3 3-7 01 5 A.F-1 nnnnm,niry Aff,mad,Amon Emolo er 7 The septic tank must be pumped once a year and the filters must be rehabilitated as needed but should be inspected no less than once every three years of operation. The sand media of the sub-surface filter must comply with the Division's sand specifications. If you have any questions or need additional information, please contact Ms. Babette McKemi.e at telephone number 919/733-5083. Sincerely yours, R. PailWilms cc: Haywood County Health Department Asheville Regional Supervisor Dennis Ramsey - ^ ' /—\� \ �/ \ \ NON NPDE% FACUITY AND PE|MlT DATA R| TRI[YE OK ION TjNxID 6(}U KEY 0067789m, PEK�ONAL 1)A7A FAcILITY APPLYINC rOR ERM]�T APP/PERMIT FEE- $ W8 RECION FAC1LITY NAK[� ALFUR(} RE%IDENC[—L0UIJ Y COUNT\> HAYW()0D Gi A6DRE%C � MAILING (kE0UIRED) ENGINEER � NONE JTREE ( � 6612 R0� %TREET : C] TY RIVERvIEW ET FL ZIP CITY : N% %T ZIP � TELEPHONE 8 "d 8 [ELEPHON[ : % I ATE COIN TACT � IE FACILlTI'll CGUT4Cl LOU] Al FON9O PERHIT AP['L!CA TION IJFURMA7ION F0N PERMI7 NUH8]"k> > ) } > � � � � 8667Y89AC TY|/E OF PROJECT> AU7H0NVATION TO: C RUCT LAT ; DATE APP RCVo 0,i/� I /D6 PERHIT EXF,lRATION DATE EDGED 03/14/8C N NEW, X�UOi/IFl ATIOX/ R`kE !|E> N DATF RE;IEWED ,)�/l2/83 REiUkN D�'T|� RE(, COMH 83/14/88 REG COHH RC;D 83/25/21 8 DAl [ DENIED ADD IN| O 8 22/88 ADD INFO kCVi> 04/68/B8 DATE RETURNED / / TKIB DAlE— G� mC COM 0LQ% / / 0T A(� COM RCVD / / DATE WUED 81/i2/88 A%%II,N/CHAN C. PERMl7 END %TAT All , P 87/07/88 CUKK| N� g ; ME%NA[0 r w EIVl- i-) 1Naler Qilalily Sortinn Asll2vi!le f2e ';or,a: Office Ashevi!lo, Wmll'I Ca;o!ma State of North Carolina Department of Natural Resources and Community Development Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27611 James G. Martin, Governor S. Thomas Rhodes, Secretary JaA_ unrl, SJ iyBB R. Paul Wilms 11s. L a'r Alb is Director rP:Verv:eJ FL 33�y SUBJECT: NPDES Permit Application emus Ale AICa�7 Bf /� Ut County Dear 175. tTltont> On .lae_u'aTy the Division of Environmental Management received a NPDE.S Permit Application for the subject facility. The application is considered incomplete. Therefore, the Division of Environmental Management is returning the application. - The returned information must be resubmitted with the following to complete the application: A check for $150.00 ($100.00 processing fee and $50.00 public -. notice fee);-,, The attached application, completed and signed by the appropriate ,.- official, and submitted in triplicate; _. porgy-permit renewals, a letter requesting renewal ,- "" Engineering Proposal (see attached); Nutrien Sensitive Waters Inform®£ (see e/r.f•ts/B a.r..n!.ts+ee.k..+:e..r, a A'•d.,,�'r .i+,. t, cA..�1wa�t`rtached);Oe ;� d4u1 - prr Le wLwHR tag d• The Division of Environmental Management will initiate the permit review process upon receipt of the above requested information. The receipt of the . above Information does not preclude this Division from requesting ndditi.onal information at a future date. - -- -- If you have any questions, please contact Mr. Dale Overcnsh at (919) 733-5083. Sincerely, rthur Do '�rry, P.E. Supervisor, Permits and Engineering cc: 4S�¢aaf¢ Regional Office P Ilufinn Pre, flon Pars _-- - ~ P.O Bar 27W,, Rakish, North Gmlina 2761I-76 Telephone 919-733.7015 MIF'M()I A N D u M JANUA(�, 26, i51(:ffl TY ARTHUR MOUBI.'.,RRY, "WERVISOR F'ERMITS AND IENGINETRIN(., [,JN:JI AlIENTION MAC K WIGGINY I REGIONAL WAVER QUOL.1 1�1111 I i R 0 U G p 1 1::ORRES,T w Ep s T A L I FROM . MAX " FMNEk WATER QUALITY Sl C T 10 N I ram EUBJEC I COMMILNIS AND RJECOMMENBATIoNg RIEQUIESI FOR CHAN(.,E: IN 000067989) LOUIS ALFONSO -6E:.nmz NO E l°.rm I ADomof-I WIGHTMAN ll(',YW()Ol) (:mumly, Nomil NU)2,. ECT PERMII WAS OF41CRNNLY ISAMD 70 MS. LAMINNA WIMOIAN ON OCnMEn 9, 19W', WITH SUFFICIEN.f Fl OW fO 1NERVIE: A fj4(.I I.q. , I)hioo M HOME. 30o AS THE APPI I CA f:l ON FOR 11flEISSUANCE ArlI AU IN ORDER, IHERE I.Y NO ODjEj:Oj :f.Ow FROM 1HIS Ol c E.::.�::I J::OR T21 :1 s C HAINGE ANI) :1:.f, I S RECOMMENDED IFIAT THE FERMI! BE ISnMD TO MR AND MRS' AI 1::ONS'[1 AS' EARI y AS P(.IE:iIBI Ed, S1.4on,l) You ::URTHE:R D:rS'CLJS,%:I:c)N, tyC, F.iVI:a ^pr Qi llity CC 1i311 State of North Carolina Asheville eohlo,�l oiflra Department of Natural Resources and Community Developriient'`reuna Division of Environmental Management 512 North Salisbury Street Raleigh, North Carolina 27611 James G. Marlin, Governor - R. Paul Wilms S. Thomas Rho d s, Secretary. Director J✓TSl rw Subject : NPDES Permit Application NPDES Permit No. NC90 �7 6 17Gv'��Jacl ��i�a�i County Dear L., This is to acknowledge receipt of the following documents on Application Form, Engineering Proposal (for proposed control facilities) , Request for permit renewal , 1 Application Processing Fee o£ Other ��1�i� /ir v r /2 /%° �2! 7> f f-a�Y %"Lztr6P / C. �✓✓: ,'-` The items checked below are needed before review c,A begin: Application form (Copy enclosed) , Engineering Proposal See Attachment) , A,+ '' -- tion Processing Fee of $ A Q1 is not made complete within thirty 30 days , it. will /VO'-IrI X� i and may be resubmitted when complete . �l �'as been assigned to �e ic�'!�R.``�- /%� 84� our Permits Unit for rew You will/�' advised of --(,cJ6-�—woendations, questions r other inf ormStion necessary .or the review of the application. I am, by copy of this letter, requesting that our Regional Office Supervisor prepare a staff report and recommendations regarding this discharge . If you have any questions regarding this application, please contact the review person listed above . Si.n`c erely, r r Arthur Mouberry, P.E. Supervisor, Permits and Engineering \ Pollution Prevention Pnys� P.O. Box 27687, Raleigh, Nooh Camlina)7611-7687 Telephone 919-733-M15 An Equal Opponuni,Affirma ve Action Employer P OV(2. OK0.GV121. LOLLi3 pJLtOK10/ /'� �� �g 6612 nzovtdcnce mod. cRivc2oiew� �� 33569 0.00 47 �x WDES 7 9 se: TWO , i 5� State of North Carolina Department of Natural Resources and Community Development Asheville Regional Office James G. MarPin, Governor - S. Thomas Rhodes, Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT WATER QUALITY SECTION December 22, 1987 Mr. and Mrs. Louis Alfonso 6612 Providence Road Riverview, Florida 33569 Subject: Sale of Wightman Property NPDES Permit Number NCO067989 Haywood County, North Carolina Dear Mr. and Mrs. Alfonso: As result of our conversation on this day, you have advised me that you have recently purchased the Ladonne Wightman Property adjacent... to White Oak Road in Haywood. County, North Carolina and that you wish to have the NPDES Permit issued for this property reissued to you. In - this regard, I am requesting that you write to Mr. Arthur Mouberry, . Supervisor of the Permits and Engineering Unit in this Division' s - Raleigh. Office with the request that NPDES Permit Number NCO067989 be reissued in your name. To support your request, you must attach documentation of your ownership or purchase of this property to your letter. The request should be directed to the following address : Mr. Arthur Mouberry, Supervisor Permits and Engineering Unit N. C. Department. of Natural Resources and Community Development Division of Environmental Management Post Office Box 27687 Raleigh, North Carolina 27611 In addition, I note that plans and specifications for the proposed wastewater treatment system ( septic tank, subsurface sand filter with discharge to Jonathan Creek) have not been submitted for this project. I am attaching a copy of typical drawings which may be tailored to your project together with a list of sand suppliers and map. Please submit three copies of the drawings of the proposed septic tank, subsurface \ sand filter system (with map) that you wish to build on this property and please submit, a letter requesting that these plans be reviewed and an "Authorization to Construct" issued to you concurrent with issuance of the NPDES Permit. These plans must be approved and an "Authoriza- Imcmn se P Id. <9 AAo,,it KjcL 11 ). Po. 170 Ashc.Ale, NC. 8802VA)•"rely v:701 293341 n n Mr. and Mrs. Louis Alfonso December 22, 1987 Page Two tion to Construct" must be issued prior to construction of the treatment system. The plans, specifications, and letter requesting the "Authorization to Construct" should also be directed to Mr. Mouberry. Also, I am requesting you send a copy of each submittal to me at addresses at the bottom of this letter. If you wish to discuss this in more detail prior to preparation or mailing, do not hesitate to contact me. Y-4d.ours truly, �,,g, Max L. Haner Environmental Chemist MLH:1s Enclosure xc: Nancy Cowan / Forrest R. Westall ` ,.�. ... _ DATE: [YJ D 9 n� � ��4a TO: ��_V- `�"��� 4 SUBJECT: �"�^ `✓��^V-r- �� � Cor� Z4d'9 r o z � N �-� - £ m �,t�.�Cu-���.� y �. m O o 9 4' ', North Carolina Department of Natural Resources &Community Development; El OR yp ryryry peg Cry J N ry N l0 i r m yy(( O E 1 � "� S ❑❑ N Pm 'J '1 1 f VVV }« oplr ry I OCT 20 1986 �,,�d, W;s1«rn xmduynml c;Ricg �ty{9tcrilla, Npefi C+«�II«a State of North Carolina Department of Natural Resources and Community Development Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27611 James G. Martin, Governor R. Paul Wilms S. Thomas Rhodes, Secretary October 9, 1986 Director CERTIFIED MAIL RETURN RECEIPT REQUESTED Ms. LaDonne :Wightman Route 1, Box 808-E Maggie Valley, North Carolina 28786 SUBJECT: Permit No. NCO067989 LaDonne Wightman - Residence Haywood County Dear Ms. Wightman: In accordance with your application for discharge permit received on July 29, 1986, we are forwarding herewith the subject State NPDES Permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215. 1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency dated December 6, 1983. If any parts, measurement frequencies or sampling requirements contained in this permit are. unacceptable to you, you may request a waiver or modification pursuant to Regulation 15 NCAC . 0508(b) by written request to the Director identifying the specific issues to be contended. Unless such request is made within 30 days following receipt of this permit, this permit shall be final and binding. Should your request be denied, you will have the right to request an adjudicatory hearing. Please take notice that this permit is not transferable. Part 11 , B. 2. addresses the requirements to be followed in case of change in ownership or control of this discharge. This permit does notaffect the legal requirement to obtain other permits which maybe required_.by.the Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required. (/ Continued . . . Pollution Prevention Pays P.O. B.27687, R.Idgh, North Carolina 276nJ687 Telephone 919-733J015 An Equal OpportuMry Affirmative Anion Employer Page Two Ms. La Donne Wightman If you have any questions concerning this permit, please contact Mr. Dale Overcash, at telephone number 919/733-5083. Sincerely , ORIGINAL SIGNED BY ARTHUR MOUSERRY FOR R. Paul Wilms cc: Jim Patrick, EPA i;As hevii le Regional Office DO/gwt it t C-) _. Permit No. NC0067989 STATE OF NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES 8 COMMUNITY DEVELOPMENT DIVISION OF ENVIRONMENTAL MANAGEMENT PERMIT To Discharge Wastewater Under the NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provisions of North Carolina General Statute 143-215. 1, other lawful standards, and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Ms. LaDonne Wightman is hereby authorized to discharge wastewater from a facility located at Ms. LaDonne Wightman - Residence off Old White Oak Road Haywood County to receiving waters designated as Jonathan Creek in the French Broad_Riven-Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Part 1, 11, and III hereof. This permit shall become effective October 9, 1986. This permit and the authorization to discharge shall expire at midnight on September 30, 1991. Signed this day of October 9, 1986. ORIGINAL. SIGNED BY A91-HUR 1w4O )BERRY FOR R. PAUL WILMS, DIRECTOR DIVISION OF ENVIRONMENTAL MANAGEMENT BY AUTHORITY OF THE ENVIRONMENTAL MANAGEMENT COMMISSION M1611 Permit No. NC0067989 SUPPLEMENT TO PERMIT COVER SHEET LaDonne W ightman is hereby authorized to: 1 . Enter into a contract for construction of a wastewater treatment facility, and 2. Make an outlet into Jonathan Creek, and 3. After receiving an Authorization to Construct from the Division of Environmental Management construct and operate a 300 CPD wastewater treatment facility located on Old White Oak Road in Haywood County (See Part III of this Permit), and 4. Discharge from said treatment works into Jonathan Creek which is classified Class 1% Trout" waters in the French Broad River Basin. Part Iof /N 0067989 | ! . e 2 E ■ ! ;4J �.� §' / E £ - \ / fjcc } § � >% I a . ! - �. _ ; 2 § E ! ■ 5 / ! m ■ ) \ � 7 �� a � ■ . 13 ? { @z / � , ) ) \ � ! ) \ ! rs\ ate ■ , Wf ' < . PART I "Act" used herein means the Federal Water Pollution Control Act, As Amended. "DEM" used herein means the Division of Environmental Management of the Department of Natural Resources and Community Development. "EMC" used herein means the North Carolina Environmental Management Commission. Definitions a. The monthly average, other than for fecal coliform bacteria, is the arithmetic mean of all the composite samples collected in a one-month period. The monthly average for fecal coliform bacteria is the geometric mean of samples collected in a one-month period. b. The weekly average, other than for fecal coliform bacteria, is the arithmetic mean of all the composite samples collected during a one-week period. The weekly average for fecal coliform bacteria is the geometric mean of samples collected in a one-week period. C. Flow, M3/day (MGD) : The flow limit expressed in this permit is the 24-hour average flow, averaged monthly. It is determined as the arithmetic mean of the total daily flows recorded during the calendar month. d. Arithmetic Mean: The arithmetic mean of any set of values is the summation of the individual values divided by.the number of indi- vidual values. e. Geometric Mean: The geometric mean of any set of values is the Nth root of the product of the individual values where N is equal to the number of individual values. The geometric mean is equivalent to the antilog of the arithmetic mean of the logarithms of the indi- vidual values. For purposes of calculating the geometric mean, values of zero (0) shall be considered to be one (1) . PART 71 A. MANAGEMENT REQUIREMENTS 1. Change in Discharge All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge of any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall constitute a violation of the permit. Any anticipated facility expansions, production increases, or process modifications which will result in new, different, or increased discharges of pollutants must be reported by submission of a new NPDES application or, if such changes will not violate the effluent limitations specified in this permit, by notice to the DEM of such changes. Following such notice, the permit may be modified to specify and limit any pollutants not previously limited. 2. Facilities Operation The permittee shall at all times maintain in good working order and operate as efficiently as possible all treatment or control facili- ties or systems installed or used by the permittee to achieve com- pliance with the terms and conditions of this permit. 3. Adverse Impact The permittee shall take all reasonable steps to minimize any adverse impact to navigable waters resulting from noncompliance with any effluent limitations specified in this.permit, including such accel- erated or additional monitoring as necessary to determine the nature and impact of the noncomplying discharge. 4. Bypassing Any diversion from or bypass of facilities necessary to maintain com- pliance with the terms and conditions of this permit is prohibited, except (I) where unavoidable to prevent loss of life or severe property damage, or (ii) where excessive storm drainage or runoff would damage any facilities necessary for compliance with the effluent limitations and prohibitions of this permit. The permittee shall promptly notify the Water Quality Section of DEM in writing of each such diversion or bypass, 5. Removed Substances Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters shall be disposed of in a manner such as to prevent any pollutant from such material from entering waters of the State or navigable waters of the United States. PART II 6, Power Failures In order to maintain compliance with the effluent limitations and prohibitions of this permit, the permittee shall either: a. Provide an alternative power source sufficient to operate the wastewater control facilities; or, if such alternative power source is not in existence, b. Halt, reduce, or otherwise control production and/or all dis- charges from wastewater control facilities upon the reduction, loss, or failure of the primary source of power to said waste- water control facilities. B. RESPONSIBILITIES 1. Right of Entry The permittee shall allow the Director of the Division of Environ- mental Management, the Regional Administrator, and/or their author- ized representatives, upon the presentations of credentials: a. To enter upon the permittee's premises where an effluent source is located or in which any records are required to be kept under the terms and conditions of this permit; and b. At reasonable times to have access to and copy any records required to be kept under the terms and conditions of this permit; to inspect any monitoring equipment or monitoring method required in this permit; and to sample any discharge of pollutants. 2. Transfer of Ownership or Control This permit is not transferable. In the event of any change in con- trol or ownership of facilities from which the authorized discharge emanates or is contemplated, the permittee shall notify the prospec- tive owner or controller by letter of the existence of this permit and of the need to obtain a permit in the name of the prospective owner. A copy of the letter shall be forwarded to the Division of Environmental Management. 3. Permit Modification After notice and opportunity for a hearing, pursuant to NCGS 143-215.1 (b) (2) and NCGS 143-215.1(e) respectively, this permit may be modi- fied, suspended, or revoked in .whole or in part during its term for cause including, but not limited to, the following: C) PART II a. Violation of any terms or conditions of this permit; b. Obtaining this permit by misrepresentation or failure to disclose fully all relevant facts; or c. A change in any condition that requires either a temporary or permanent reduction or elimination of the authorized discharge. 4. Civil and Criminal Liability Except as provided in permit conditions on 'Bypassing" (Part II. A-4) and "Power Failures (Part II, A-6), nothing in this permit shall be construed to relieve the permittee from civil or criminal penalties for noncompliance pursuant to NCGS 143-215.6 or Section 309 of the Federal Act, 33 USC 1319. 5. Property Rights The issuance of this permit does not convey any property rights in either real or personal property, or any exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any infringement of Federal, State, or local laws or regulations. 6. Severability The provisions of this permit are severable, and if any provision of this permit, or the application of any provision of this permit to any circumstance, is held invalid, the application of such provision to other circumstances, and the remainder of this permit shall not be affected thereby. 7. Expiration of Permit Permittee is not authorized to discharge after the expiration date. In order to receive authorization to discharge beyond the expiration date, the permittee shall submit such information, forms, and fees as are required by the agency authorized to issue permits no later than 180 days prior to the expiration date. Any discharge without a permit after the expiration will subject the permittee to enforce- ment procedures as provided in NCGS 143-215.6 and 33 USC 1251 et seq. . PART III A. PREVIOUS PERMITS All previous State water quality permits issued to this facility, whether for construction or operation, or discharge, are hereby revoked by issuance of this: permit. The conditions, requirements, terms, and provisions of this permit authorizing discharge under the National Pollutant Discharge Elimination System govern discharges from this facility. B. CONSTRUCTION No construction of wastewater treatment facilities or additions thereto shall be begun until Final Plans and Specifications have been submitted to the Division of Environmental Management and written approval and Authorization to Construct have been issued. If no objections to Final Plans and Specifications have been made by the DEM after 30 days follow- ing receipt of the plans or issuance of this permit, whichever is latter, the plans may be considered approved and construction authorized. C. SPECIAL CONDITIONS 1. The Permittee shall. be responsible for the following items regard- ing the maintenance of the treatment system: a. Septic tanks shall be maintained at all times to prevent seepage of sewage or effluents to the surface of the ground. b. Septic tanks need routine maintenance and should be checked at least yearly to determine if solids need to be removed or other maintenance performed. c. Contents removed from septic tanks shall be discharged into an approved sewer system, buried or plowed under at an approved location within 24 hours, or otherwise disposed of at a location and in a manner approved by the State or local agency. 2. The permittee shall properly connect to an operational publicly- owned wastewater collection system within 180 days of its availability to the site. RECEIVER Woo, Qeallty Division AUG 21 1986 A'k�-idu, tVmrtht c.'MhM State of North Carolina Department of Natural Resources and Community Development Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27611 James G. Martin, Governor 0"/( �9 ���rn R. Paul Wilms �S. Thomas Rhodes, $ cmta ,rye,,�,,,� J Director 1r zdfzA Subject: NPDES Permit Application NPDES Permit No. NCO 0%7 j ftJi<�Pnc Dear /u���c� County _ L fM,R1� This is to acknowledge receipt of the following documents oq % t/ Application Form, Engineering Proposal (for proposed control facilities) , Request for permit renewal, h Application Processing Fee of $- ,5� d ) , Other The items checked below are needed before review can begin: Application form ( Copy enclosed) , Engineering Proposal See Att—achment) , Application Processing Fe'p of $ 1 O t h e r Q L,? Pi- GUi� �✓ / utid� ✓ �,YJtie If the ap 1 catfo is not/bade complete within thi y 30 days , it will be returned to you and may be resubmitted wwhheenn/ complete . � This application has been assigned to (919/733-5083) of .our Permits Unit for revi/e,* You will advised of any comments recommendations , questions or other information necessary for the review of the application. I am, by copy of this letter, requesting that our Regional Office Supervisor prepare a staff report and recommendations regarding this discharge . I£ you have any questions regarding this application, please contact the review person listed above. Sin re�/l/�JyC,.�.Ca(��� thur Mouberry, P.E . /yy� `Supervisor, Permits and Engineering cc : PaRufion Prevention Pays P.O. Be.27687, Raleigh, North Carolina 27611-7687 Telephone 919 733 7015 An Equal Oppenrunio,Affirmaxve Action Employer Date 0 i c NPDES STAFF REPORT AND RECOMMENDATIONS County Haywood NPDFS Permit No . NC0067989 PART I - GENERAI. INFORMATION 1 . Facility and Address : Ms. LaDonne Wightman Residence Route 1, Box 8081E Maggie Valley, North Carolina � 28751 2 . Date of Investigation : July 15, 1986 y(//1w 3 . Report Prepared By : Forrest R. Westall ��✓"" 4 . Persons Contacted and Telephone Number : Ms. Whiteman 5 . Directions to Site : Take I-40 West to Exit 20 on Hwy 276 . Take Hwy. 276 South approximately 0.1 mile to Cove Creek Road. Turn right on Cove Creek Road, go across bridge and turn right on Old White Oak Road site._is 0. 25 mile 'ttween road and Jonathan Creek. 6 . Discharg6 Point - Latitude : 35p 361 31" N Longitude : 83 001 49" W Attach a USGS Map Extract and indicate treatment plant site and discharge point on map . USGS Quad No . or USGS Quad Name 7 . Size (land available for expansion and upgrading) : Lot is approximately 1 acre. 8 . Topography (relationship to flood plain included) : The lot slopes steeply from White Oak Road to the creek with a level area 10 to 15 feet above Jonathan Creek. (outside flood plain area) 9 . Location of nearest dwelling : Approximately 300 feet. 10 . Receiving stream or affected surface waters : Jonathan Creek a . Classification : C-Trout b . River Basin and Subbasin No . : FBR/04-03-05 C . Describe receiving stream features and pertinent downstream uses : Wildlife, Agriculture C) (i PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS 1 . Type of wastewater : 100 % Domestic % Industrial a . Volume of Wastewater : 0 .000300 MOD b . Types and quantities of industrial wastewater : N/A C . Prevalent toxic constituents in wastewater : N/A d.. Pretreatment Program (POTWs only) in development approved should be required not needed 2 . Production rates (industrial discharges only) in pounds a . highest month in the last 12 months b . highest year in last 5 years 3 . Description of industrial process (for industries only) and applicable CFR Part and Subpart : N/A 4 . Type of treatment (specify whether proposed or existing) : Septic Tank, subsurface sand filter. 5 . Sludge handling and disposal scheme : Septic Tank Pumping Company 6 . Treatment plant classification : N/A PART III - OTHER PERTINENT INFORMATION : . Is this facility being constructed with Construction Grants Funds (municipals only) ? 2 . Special monitoring requests : None 3 . Additional effluent limits requests : None 4 . Other : PART IV - EVALUATION AND RECOMMENDATIONS Jonathans Creek provides a large dilution flow for this proposed discharge. Provided that the Health Department submits a written confirmation that a subsurface system is not possible on this site, a discharge permit should be issued. Sign 'e ofA re ort pre arer�__ water Quality Regional. Supervisor � �NPDEa' �R IA'F C T 0 A D ALL /q';' ION Rn c, /� . rea..� 7f/ � �r ; lu= � GTs� -:=�� IA ( �-Q�a C r �� /,/ f Q Regioriai Off c Ref E . =_ ncs � .:uaC /�- /LI�Od ist i P...g pr DeeseC y ismp'ra ,, u ' e .Al . . _ _ - � m� � ✓ pNRi Cam: /^BGeiv��g Was I e1 log•' tgpdt : ® 3®p . BODS (mg 11 ) : J6 NH-s-N (m]/ li : D . O . (mg / 17 . - pH ( SU7 : Fecal Coli T55 ,,.(/(mmJg RECOMMN NDEo g'E'; : .�/ZG _,u � .� V Date : — RCP7 c :. I .._ r r o mi ( . b Rr oiree -.g 5h v i a y�3yly0 �w •w ' � � t n n+s' t 9m1! vm r Po MP 9d M �' a a `ifI Y .2Jr�%r�� 0 �d+"v Y4ry 1 M x / ms COUZ 7'0 i 7� �I�S. LCC.O�OMGI l�V�r ��il� Sox i' I � l i li! cc W,tar 4a+lttv DlvlOM J AUG 4 198E iA✓abfurn Reyy4anul V'b:.m '(ks, 4rrunN(m, txkerMw Cwroline State of North Carolina Department of Natural Resources and Community Development Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27611 James G. Martin, Governor R. Paul Wilms i S. Thomas Rhodes, $ecretary , Director A77 i/sir 9i F� Subject : NPDES Permit Application NPDES Permit No. NC00 eJ' County Dear z" i This is to acknowledge receipt of the following documents on �.. . Application Form, —T— Engineering Proposal (for proposed control facilities) , Request for permit renewal , Application Processing Fee of Other The items checked below are needed before review can begin: Application form ( Copy enclosed) , Engineering Proposal See Attachment) , l Application Processing Fee of $ Other If the application is not,/made complete within this. y 30 days , it will be. returned to you and may be resubmitted when complete . This application has been assigned to I I�!ll ' ,/i r�'/Gyr ,�/,t (919/733-5083) of our Permits Unit for review. You will;%be advised of any comments recommendations, questions or 'other information necessary for the review of the application. I am, by copy of this letter, requesting that our Regional Office Supervisor prepare a staff report and recommendations regarding this discharge . If you have any questions regarding this application, please contact the review person listed above . 11 Sincerely, ��0 i ti�rJJ P l ilx ra; Arthur Mouberry, P .E . Supervisor, Permits and Engineering , cC Pollution Preoentian Pays P.O. Box 27687, Raleigh,North Carolina 27611-7687 Telephone 919733-MI5 An Equal Opportunity Alfirmanve Action Employer t NORTH CAROLINA. DEPT, OF NATURAL RESOURCES AND COWUNITY DEVELOPMENT ENVIRONMENTAL MANAGEMENT COMMISSION NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM AP FL:f.AiWN NDMbfa APPLICATION FOR PERMIT TO DISCHARGE — SHORT FORM G FOR O y < AGENCY USE DAR Ilf l'Vi D To be filed �ly by se rvi<es, wholesale and retail trade, llf f` C m and other comnerci al establishments Inc ludlno vessels YEAR W). f DAY .(iU Do not attempt to complete this form without reading the accompanying instructions 1',c 6tI1V ii`d0Y— Please print or ty De 1, Name, address, and,vela;;h on umber of fall' Oducing discharge r�e. ��/¢¢/�n rl A. NaQ-bYNHM.O LlI A/YY/cthU B. street address C. City 2P D. state7l�mE e Cr r; E, Cauntye�:�� ZI P .2P7z'C. G. Telephone No. Area Code 2. SIC (mil l l s . . (Leave bla,l ) JUL"4291986 3. Number of employees EER(NG 4. Mature Of business _ l 5. (a) Check here if di,ha',de occurs all year or (b) Check the moith(s) dischA ge occurs- l.o January 2,OFebruary 3.0 Na rch 4.0April 5.Ca May 6.0 June 7,O Jul: 8.O August ?,o September 10.o October 11.O No, .ber 12.O December (c) Nor, u'any days her week: I .v'. _._ I-3 3.04.5 4, 6. Types of waste x,ter tlL=cha rgeo to surface waters only (check as aoolicable) _--^ Flow, callers per operating day volume-' treated before !— discharging (percent) Ufscharge D:I.r c operating fay I '.1-g99 7_000--Z99 5000-5499 , 9O- � SO,GO P Hone O. 49,99 or mire 29.9 64.9 'e 100 I I iil (2) IT) (4) (5) (6) (7) (8) (4) iID% A. Sanitary, daily ©Q average S. Coaling water, etc. , daily average C. Other discharge(s), daily average; Shed To D. Maximum per Operat- ing day . omhined dis on,y m' c ::apes) 0 I 1 ,. If any of the types of wa stea do tified in item 6, either treated or un`. ' _ treated, are discharged to places other than surface waters, check below as applicable, - Waste water is discharged to: O.I-999 1000-4999 5000-9999 10.000-49.999 50,000 or more (1) (2) (3) (4) (5) A. Munl,_iVal sewn sy,;icm --- I. m�dr np:nnul well j C, ' .i.�:ii tank O. Evaporation lagoon or pond E. Other, specify: 8. Humber of/sep orate discna,'ge paints: A-MI B. o2-3 C.c 4-5 0.06 or more 9. Name of receivinn water or waters .10. Does your discharge contain or is it possible for your discharge to contain one or more of the following substances addeQ as a result of your operations, activities, or processes: ammonia, cyanide, aluminum, beryllium, cadmium, chromium, copper, lead, mercury, nickel, selenium, zinc, phenols, oil and grease, and chlorine ( A.Qyes 0, no I certify that I am familla.r with the information contained in the application and that to the nest of my knowledge and belief such information is true, complete, and accurate. P. inted Name of Verson Signing s—a Oa to Vlicati Signed 5 t4yn ure of Applicant Sex th. Ca-el ira Geaera'_ Statute 143-212) id that: Any person who knowin sakes ny false statement representation, or ce rti. lcation gly in any applicatioa, 'record, report, plan , r other doctrnent files or required to be maintained under Article 21 or regulations of t o rmrCror:mental `fanageceat Corriission. implementing that Article, or who falsifies , tampers cr knowly renders inaccurate any recording or nonitorivig device or method required to be n,rerated or main4a;neil under Ar:Sale 21�oi regulations of the Ervironn:ental N.anageraent Cotovds� ' np'.ementi';t z, that Article, shall be Sut- tv of a misdemeanor punishable by a -fine not to �^_x mead or by imprisenmainC not to exceed six months, or by both. flS U.S.C. Section 1�51 p-n, a m.r.-:'.shmeot be a fine of'-not more than 510,00!) or imprisonment not pore than 5 years, or 'pot^.. S,r a sinilar ' � NPbEC I ACI| I17 AND | [|�HI T Y)ATA kI kIEYE OPTIO 1RXID �"'NU KEY H('886T9R7 P|]W%ONAL 04T0 Fn[ILI TY 1 OR PERHIT RUG I(}A FACILlTY NAMF> UI('HTK*N RE%] DENCE (LA6ONNE) ' COUNTY) 11AYW0DD 81 KAIiINf:1 (REQUIRED) L0CATI()N (WHVN DIFFE|00 FROM UAILINC ) �TCEET R()i/lE i , COX 3G8 E f K! LIT � R0HTE i , 8O� E CiTY MNJGIE ;A| ]'EY CTNCZIP2[�706 CITY . HAGuI|, VALLEY JTNCZIP2B/86 7ELEPHON[ 8 8 6 8ATF | LE PAID . 0/29/86 AMOUNT 2508 STATE CONTACT) W]�QGIN% PER.30N IN' CHA|O.'E LAl)ONNE WI(;HTpwN i �9ROPO%ED/ 2=EXICT' 3=CLO%ED > i :MUN/ �=NON-MUN 2 |`| WIT WLICAT]�()U INFORMA7I()N FOK PER110 Ni)M8ER> > > > | > > > > NC8867939 �ATE AP|` RCYD 07/2, /86 NNEW, H=MO3lFIC�TION , |�=R[�] �%(|E> N DATE %TAFF REP REQ% 07/29/86 APPLICANT TO PAY 1107ICE � DATE STAFF REP VVD 03/19/86 DATl REI � / / AMUUN� 86 WAST[LDAD R| QC / / DOT[ yM7 kCV8 / / AMOUNT 80 WA%TE|3�D RCVD / / DATE iO P NO7IC[ 6ATE DRAFT PREPAkED / / %CK 7O IJXUE D";TE O 1 m" CON REQC / / DATE DENIED D')T[ 0: 7 AC CON RC;D / / DATE RETURN[D |�T'RGlT DAT[ | ROH EPA / / i�XPIRATION DATE / / COMUENTJ : 83 ME%%AC[ : ` �� �. � �� k - � � I '•lam" �. W � 'w ti m Rg O � � � � 1�0 ry ' '�• Y � G J 'Y" Y Y � � NN `� � VI NY _� � ST h1 Y� �i H� � � d�d � 5 a oa•. 6. i' �' w `�, cC L16y M � 'yY ..