NCG551100_File - Historical_20200527

ROY COOPER
I Govern'
* MICHAEL S.REGAN
JAN 19 2018 1 secretary
-I LINDA CULPEPPER
Interim Director
Water Resources ( tva1N '1'^ � np rdlons
ENVIRONMENTAL QUALITY
January 3, 2018
Mr. Allen Davidson
5801 Slat Street South
St. Petersburg, FL 33715
Subject: NPDES General Permit NCG550000
Transfer of NCG551100
83 Carefree Circle
Jackson County
Dear Mr. Davidson:
The Division hereby transmits Certificate of Coverage (CoC) NCG551100, issued under
NPDES General Permit NCG550000. This action is taken to show that you are now the
owner of the subject facility. This CoC 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 October 15, 2007 (or as
subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in the
General Permit are unacceptable to you, you have the right to request an individual NPDES
permit upon written request within thirty (30) days following receipt of this letter. Unless
such a request is made, this transfer of the subject CoC shall be final and binding.
This CoC is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the CoC. This permit does not affect the
legal requirements to obtain other permits which may be required by any other Federal,
state, or local government. If you have any questions concerning this matter, please contact
Emily Phillips at [phone] or via e-mail [[e-mail]].
cerel� _
LindaCupepper
Interim Director
cc: Asheville Regional Office)
NPDES files
State of North Caroline I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
hops://deq.nc.gov/abwt/divisions/water-resources/water-resources-pe iWwastowater-brmeh/npdesw"tewalu-jp nits \
1

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
CERTIFICATE OF COVERAGE NCG551100
Under GENERAL PERMIT NCG550000
TO DISCHARGE 100%-DOMESTIC AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
N( PDES]
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,
Allen Davidson
are hereby authorized to operate a wastewater treatment facility with a discharge of<1000
gallons per day); discharging from
83 Carefree Circle
Sapphire
Jackson County
to receiving waters designated as an unnamed tributary (UT) to Horsepature River [stream
segment 4-13-(0.5)], a waterbody currently classified C; Tr+ located within sub-basin
03-13-02 of the Savannah River Basin, in accordance with the effluent limitations,
monitoring requirements, and other conditions set forth in Parts I, 11, and III of General
Permit NCG550000 as attached.
This certificate of coverage shall become effective January 3, 2018.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 3, 2018. (::
a Culpepper
Interim Director, Division of Water Resources
By Authority of the Environmental Management Commission

i
General Permit NCG650000
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
i
JAN 1 9 2018
GENERAL PERMIT NCG5500001
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY
RESIDENCES AND OTHER 100% DOMESTIC DISCHARGES WITH
SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other
lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control
Act, as amended, this permit is hereby issued to all owners or operators, hereafter
permittees, which are covered by this permit as evidenced by receipt of a Certificate
of Coverage by the Environmental Management Commission to allow the discharge of
treated domestic wastewater in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective August 1, 2013.
This permit shall expire at midnight on July 31, 2018.
Thomas A. Reeder, P.E.,Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 1 of 16 Pages

General Permit NCG660000
PART
MONITORING,CONTROLS,AND LIMITATIONS FOR PERMITTED DISCHARGES
A. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Applicability of Coverage
This permit authorizes discharges(pursuant to the conditions described in this permit)to all waters
of the state unless otherwise excluded in this section. Discharges to the following waters are
excluded from permit coverage and will require an individual permit to discharge:
Waters classified as WSI(Water Supply 1)
Waters classified as HQW(High Quality Waters,excluding WS II)
Waters classified as SA
Waters classified as ORW(Outstanding Resource Waters)
Waters located in the Randleman Lake Watershed
Applicable to Treatment Systems:
1) Single Pass Filter Systems discharging less than 1000 gallons per day(applicable to existing
facilities only)
2) Multi-Phase Filter Systems (Primary&Secondary Single Pass,Recirculating Sand Filters as well
as other alternative technologies that provide treatment equivalent to,or greater than,
recirculating sand filters)discharging less than 1000 gallons per day
Treatment system requirements for existing systems (built prior to August 1,2007)systems:
• Septic Tank
Ili • Sand or media filter component(Single Pass Filter Systems,Multi-Phase Filter Systems)
• Disinfection. (All facilities adding chlorination after the August 1,2007 will also be required to
add dechlarination. If a system had chlorination before August 1,2007,then the addition of
dechlorination is not required)
Treatment system requirements for new and existing systems (built after August 1,2007):
• Septic tank(with riser)
• Filter media
• Recirculating pump tank(s)per approved design(Multi-Phase Filter Systems only)
• Primary&Secondary Single Pass Filter Systems(Multi-Phase Filter Systems only)
• Filter media component per approved design
• Disinfection unit(Chlorination/dechlorination,or equivalent means of disinfection),
• Effluent pipe/outfall with aeration/erosion control(rip rap)
Forpurposes ofthis permit,failed orfailing systems that require replacement will be subject to
requirements for new systems built after August 1, 2007
Far purposes arthispermit, systems that were constructed prior to August 1, 2007 that did not have
a valid permit shall be required to get a valid permit. They will not be required to replace or
upgrade systems installed prior to August 1, 2007 unless they are failing and require replacement.
Page 2 of 16 Pages
I
I�

General Permit NCG660000
During the period beginning on August 1,2013 and lasting until expiration,the Permittee is
authorized to discharge domestic wastewater from outfall 001. Such discharges shall be limited and
monitored by the Permittee as specified below:
PARAMETER LIMITS MONITORING REQUIREMENTS
Monthly Daily Measurement Sample - Sample
Average Maximum Frequency a Location
Flow [50050] Annually Estimate Effluent
BOD,5-Day,20°C3[003101 30.0 mg/l 45.0 mg/l Annually Grab Effluent
Total Suspended Solids 30.0 mg/l 45.0 mg/l Annually Grab Effluent
00530
Fecal Coliform 200/100 ml 400/100 ml Annually Grab Effluent
Geometric mean 31616
Total Residual Chlorine '
[50060] Annually Grab Effluent
Enterococci 'S Annually Grab Effluent
1. Effluent is defined as wastewater leaving the treatment system,prior to discharge into a creek or
other water body.
2.. The wastewater discharge flow from this facility may not in any case exceed 1000 gallons per
day.
3. A North Carolina certified laboratory must perform the wastewater analysis.
4. Receiving sheam chlorine levels are not to exceed 17 µg/L. The sample shall be taken from the
effluent pipe,prior to discharge into a creek or other waterbody.
5. Applicable for discharges to Sid and SC waters only. In SB and SC waters,the requirement for a
fecal coliform sample is not required.
There shall be no discharge of floating solids or foam visible in other than trace amounts.
Page 3 of 16 Pages

General Permit NCG650000
Permit Conditions
(Operation&Maintenance)
1) The tablet chlorinator and dechlorinator[if applicable] shall be inspected weekly to ensure
there is an adequate supply of tablets for continuous&proper operation. The dechlorinator
unit shall be labeled"dechlorination only".
2) Treatment systems shall be maintained at all times to prevent seepage of sewage to the surface
of the ground.
3) Septic tanks and secondary tank(recirculating/pump tanks) shall be inspected at least yearly to
determine if solids most 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,whichever is greater. All tanks should be emptied of their contents
whenever any of the tanks meet this requirement. Effluent filters shall be inspected at least
once a year,cleaned and reinstalled or replaced. Contents removed from septic tanks shall be
disposed at a location and in a manner compliant with all local and state regulations,
41 All system components,including but not necessarily limited to, septic tanks,surface sand
filters,other filter components,pump/recirculation tanks,controls and alarms,disinfection
units,dechlorination apparatus,and the outfalls shall be maintained at all times and in good
operating order.
5) All monitoring data shall be retained onsite for a minimum of five years and available for
inspection. The permittee shall notify the Division upon receipt of a sampling or monitoring
report indicating noncompliance with the permit.
i
6) A visual review of the outfall location shall be executed twice each year(one at the time of
sampling)to ensure that no visible solids or other obvious evidence of system malfunctioning
is observed. Any visible signs of a malfunctioning system shall be documented and steps taken
to correct the problem.
Transfer Coverage from Other Permits
7) Upon issuance of this general permit,all existing and acting certificates of coverage issued in
conjunction with the NCG5700000 permits will be eligible for coverage under this permit.
8) Upon issuance of this general permit,all existing and active individual permits issued since
June of 2010 for discharge of domestic wastewater from single family residences and other
100%domestic discharges with similar characteristics will be eligible for coverage under this
permit.
This permit does not affect the legal requirements to obtain other permits that may be required by the
North Carolina Department of Natural Resources, or any other federal or local governmental permit.
Page 4 of 16 Pages

General Permit NCG660000
PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A, Definitions
2 onth
Samples are collected twice per month with at least ten calendar days between sampling events,These samples shall be
representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days.These samples shall be representative of
the wastewater discharged during the sample period.
Act or"the Act'
The Federal Water Pollution Control Act,also known as the Clean Water Act(CWA),as amended,33 USC 1251,et.
seq.
Annual Average
The arithmetic mean of all"daily discharges"of a pollutant measured during the calendar year.In the case of fecal
coliform,the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system,which is
not a designed or established or operating mode for the facility.
Calendar Dqy
The period from midnight of one day until midnight of the next day.However,for purposes of this permit,any
consecutive 24-hour period that reasonably represents the calendar day may be used fm sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Ouarter
One of the following distinct periods:January through March,April through June,July through September,and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 mL in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period.The
Director may designate the most appropriate method(specific number and size of aliquots necessary,the time interval
between grab samples,etc.)on a case-by-case basis, Samples may be collected manually or automatically.Composite
samples may be obtained by the following methods:
(1) Continuous:a single,continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume:a series of grab samples collected at equal time intervals over a 24 hour period
of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection,or
(3) Variable time/constant volume:a series of grab samples of equal volume collected over a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point.Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer,and the
preset gallon interval between sample collection fixed at no greater than 1124 of the expected total daily flow at
the treatment system,or
(4) Constant time/constant volume:a series of grab samples of equal volume collected over a 24-hour period at a
constant time interval.Use of this method requires prior approval by the Director.This method may only be
used in situations where effluent flow rates vary less than 15 percent.The following restrictions also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
➢ Influent samples shall not be collected more than once per hour.
Page 5 of 16 Pages

General Permit NCG550000
➢ Permittees with wastewater treatment systems whose detention time<24 hours shall collect effluent grab
samples at Intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect effluent
grab samples at least every six hours;there must be a minimum of four samples during a 24-hour sampling
period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility.Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling.For pollutants measured in units of mass,the"daily discharge'is calculated as
the total mass of the pollutant discharged over the day.For pollutants expressed in other units of measurement,the
"daily discharge"is calculated as the average measurement of the pollutant over the day.(40 CFR 122.2;see also
"Composite Sample,"above.)
Daily Maximum
The highest"daily discharge"during the calendar month.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit.Sampling shall be conducted on weekdays except where holidays or other disruptions of normal operations
prevent weekday sampling.If sampling is required for all seven days of the week for any permit parameter(s),that
requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWO or"the Division'
The Division of Water Quality,Department of Environment and Natural Resources.
Effluent
Wastewater discharged following all treatment processes from a water pollution control facility or other point source
whether treated or untreated.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit.Completion of facility closure will allow this
permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N=the number of individual values.For purposes of
calculating the geometric mean,values of"0"(or"<[detention level)")shall be considered= I.
Grab Sample
Individual samples of at least 100 mL collected over a period of time not exceeding 15 minutes.Grab samples can be
collected manually.Grab samples most be representative of the discharge(or the receiving stream,for insheam
samples).
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance.To the extent practical,instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the samples and flow are representative of the discharge
during that sampling period.
Page 6 of 16 Pages

General Permit NCG550000
Monthly Average(concentration limit)
The arithmetic mean of all"daily discharges"of a pollutant measured during the calendar month.In the case of fecal
coliform or other bacterial parameters or indicators,the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Quality.
Oumferly Average(concentration limit)
The arithmetic mean of a0 samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property,damage to the treatment facilities which causes them to become inoperable,or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass.Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant,
Any pollutant listed as toxic under Section 307(a)(1)of the CWA.
Uoset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements.An upset does not include noncompliance caused by
operational error,improperly designed treatment facilities,inadequate treatment facilities,lack of preventive
maintenance,or cureless or improper operation.
Weekly Average(concentration limit)
The arithmetic mean of all "daily discharges"of a pollutant measured during the calendar week.In the case of fecal
coliform or other bacterial parameters or indicators,the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit.Any permit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action;for permit termination,revocation and missuance,or
modification;or denial of a permit renewal application[40 CFR 122.41].
a. The Penalties shall comply with effluent standards or prohibitions established under section 307(a)of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d)of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal,even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s]301,302,306,307,308,318 or 405 of the Act,or
any permit condition or limitation implementing any such sections in a permit issued under section 402,or any
requirement imposed in a pretreatment program approved under sections 402(a)(3)or 402(b)(8)of the Act,is
subject to a civil penalty not to exceed$37,500 per day for each violation. [33 USC 1319(d)and 40 CFR
122.41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301,302,306,307,308,318,of 405 of
the Act,or any condition or limitation implementing any of such sections in a permit issued under section 402
of the Act,or any requirement imposed in a pretreatment program approved under section 402(a)(3)or
402(b)(8)of the Act,is subject to criminal penalties of$2,500 to$25,000 per day of violation,or
imprisonment of not more than 1 year,or both.In the case of a second or subsequent conviction for a negligent
violation,a person shall be subject to criminal penalties of not more than$50,000 per day of violation,or by
imprisonment of not more than 2 years,or both. [33 USC 1319(c)(1)and 40 CFR 122.41(a)(2)]
it. Any person who knowingly violates such sections,or such conditions or limitations is subject to criminal
penalties of$5,000 to$50,000 per day of violation,or imprisonment for not more than 3 years,or both.In the
case of a second or subsequent conviction for a knowing violation,a person shall be subject to criminal
penalties of not more than$100,000 per day of violation,or imprisonment of not more than 6 years,or both.
[33 USC 1319(c)(2)and 40 CFR 122.41(a)(2)]
e. Any person who knowingly violates section 301,302,303,306,307,308,319 or 405 of the Act,or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act,and
Page 7 of 16 Pages

General Permit NCG550000
who knows at that time that he thereby places another person in imminent danger of death or serious bodily
injury,shall,upon conviction,be subject to a fine of not mare than$250,000 or imprisonment of not more than
15 years,or both.In the case of a second or subsequent conviction for a knowing endangerment violation,a
person shall be subject to a fine of not more than$500,000 or by imprisonment of not more than 30 years,or
both.An organization,as defined in section 309(c)(3)(B)(Iii)of the CWA,shall,upon conviction of violating
the imminent danger provision,be subject to a fine of not more then$1,000,000 and can be fined up to
$2,000,000 for second or subsequent convictions.[40 CFR 122.41(a)(2)]
f. Under state law,a civil penalty of not more than$25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms,conditions,or requirements of a permit. [North
Carolina General Statutes§ 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301,302,
306,307,308,318 or 405 of this Act,or any permit condition or limitation implementing any of such sections
in a permit issued under section 402 of this Act.Administrative penalties for Class I violations me not to
exceed$16,000 per violation,with the maximum amount of any Class I penalty assessed not to exceed
$37,500.Penalties for Class II violations are not to exceed$16,000 per day for each day during which the
violation continues,with the maximum amount of any Class II penalty not to exceed$177,500.[33 USC
1319(g)(2)and 40 CFR 122.41(a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
j violation of this permit with a reasonable likelihood of adversely affecting human health or the environment 140
CFR 122.41(d)].
' 3. Civil and Criminal Liability
Except as provided in permit conditions on"Bypassing"(Part ILCA),"Upsets"(Part II.C.S)and"Power Failures"
(Part II,C,7),nothing in this permit shall be construed to relieve the Permittee from any responsibilities,liabilities,
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act 33
USC 1319.Furthermore,the Permittee is responsible for consequential damages,such as fish kills,even though the
responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee from
any responsibilities,liabilities,or penalties to which the Permittee is or may be subject to under NCGS 143-215.75
at seq.or Section 311 of the Federal Act,33 USG 1321.Furthermore,the Permittee is responsible for
consequential damages,such as fish kills,even though the responsibility for effective compliance may be
temporarily suspended,
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[40 CFR 122.41(g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
=i 7. Severabilitv
The provisions of this permit are severable.If any provision of this permit,or the application of any provision of
this permit to any circumstances,is held invalid,the application of such provision to other circumstances,and the
remainder of this permit,shall not be affected thereby[NCGS 150E-23j.
S. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority,within a reasonable time,any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying,revoking and reissuing,or
terminating this permit or to determine compliance with this permit.The Permittee shall also furnish to the Permit
Issuing Authority upon request,copies of records required by this permit[40 CFR 122.41(h)].
9. Signatory Requirements
All applications,reports,or information submitted to the Permit Issuing Authority shall be signed and certified[40
CFR 122.41(k)].
Page 8 of 16 Pages

General Permit NCG650000
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer.For the purpose of this Section,a responsible
corporate officer means: (a)a president,secretary,treasurer or vice president of the corporation in charge
of a principal business function,or any other person who performs similar policy or decision making
functions for the corporation,or(b)the manager of one or more manufacturing,production,or operating
facilities,provided,the manager is authorized to make management decisions which govern the operation
of the regulated facility including having the explicit or implicit duty of making major capital investment
recommendations,and initiating and directing other comprehensive measures to assure long term
environmental compliance with environmental laws and regulations;the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate Information for permit
application requirements;and where authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor,respectively;or
(3) For a municipality,State,Federal,or other public agency: by either a principal executive officer or
ranking elected official[40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a,above or by a duly authorized representative of that person.A
person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the overall operation
of the regulated facility or activity,such as the position of plant manager,operator of a well or well field,
superintendent,a position of equivalent responsibility,or an individual or position having overall
responsibility for environmental matters for the company.(A duly authorized representative may thus be
either a named individual or any individual occupying a named position.);and
(3) The written authorization is submitted to the Permit Issuing Authority[40 CFR 122,22]
c. Changes to authorization: If an authorization under paragraph(b)of this section Is no longer accurate because
a different individual or position has responsibility for the overall operation of the facility,a new authorization
satisfying the requirements of paragraph(b)of this section must he submitted to the Director prior to or
together with any reports,information,or applications to be signed by an authorized representative[40 CFR
122.22]
d. Certification.Any person signing a document under paragraphs a,or b.of this section shall make the following
certification[40 CFR 122.22].NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
"I cerr , under penalty oflaw, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that quaked personnel poperlygather and
evaluate the information submitted.Based on my inquiry ofthe person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best ofmy
knowledge and belief, true,accurate,and complete.I am aware that there are significant penalties for
submltfingfalse Information, including the possibility offines and imprisonment for knowing vtolations."
10. Permit Actions
This permit may be modified,revoked and reissued,or terminated for cause.The filing of a request by the
Pennittee for a permit modification,revocation and mismance,or termination,or a notification of planned changes
or anticipated noncompliance does not stay any permit condition[40 CFR 122.41(f)].
11. Permit Modification Revocation and Reissuance,or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the permit,
revoking and reissuing the permit,or terminating the permit as allowed by the laws,rules,and regulations
contained in Title 40,Code of Federal Regulations,Parts 122 and 123;Title 15A of the North Carolina
Administrative Code,Subchapter 02H.0100;and North Carolina General Statute 143.215.1 et.al.
12, Annual Administering and Compliance Monitoring Fee Requirements
The Pennines must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division.Failure to pay the fee in a timely manner in accordance with ISA NCAC 02H.0105(b)(2)
may cause this Division to initiate action to revoke the permit.
Page 9 of 16 Pages

General Permit NCG550000
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
For purposes of this permit,this requirement does not apply will the primitive receives a letter from the Division
notifying them of classification of the facility.
Owners of classified water pollution control systems must designate operators,certified by the Water Pollution
Control System Operators Certification Commission(WPCSOCC),of the appropriate type and grade for the
system,and,for each classification must[Tl5A NCAC 08G.0201]:
a. designate one Operator In Responsible Charge(ORC)who possesses a valid certificate of the type and grade
at least equivalent to the type and grade of the system;
b. designate one or more Back-up Operator(s)in Responsible Charge(Back-up ORCs)who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system,with the
exception of no backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year;and
c. submit a signed completed"Water Pollution Control System Operator Designation Form"to the Commission
(or to the local health department for owners of subsurface systems)countersigned by the designated certified
operators,designating the Operator in Responsible Charge(ORC)and the Back-up Operator in Responsible
Charge(Back-up ORC):
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system;or
(2) within 120 calendar days following:
D receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge(ORC)and Back-up Operator in Responsible Charge(Back-up ORC)
of the proper type and grade;or
D a vacancy in the position of Operator in Responsible Charge(ORC)or Back-up Operator in
Responsible Charge(Back-up ORC).
(3) within seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or
designating at least one of the responsibilities.
The ORC of each Class I facility(or the Back-up ORC,when acting as surrogate for the ORC)must;
D Visit the facility as often as is necessary to insure proper operation of the treatment system;the treatment
facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 08G.0204.
2. Proper Operation and Maintenance
The Permittee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances)which are installed or used by the Permittee to achieve compliance with the conditions
of this permit.Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures.This provision requires the Permittee to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit[40 CFR 122A 1(a)).
NOTE: Properly and officially designated operators ere fully responsible for all proper operation and maintenance
of the facility,and all documentation required thereof,whether acting as a contract operator[subcontractor]or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permitter in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit[40 CFR 122,41(c)].
t 4. Bypassing of Treatment Facilities
l a, Bypass not exceeding]imitations[40 CFR 122.41(m)(2)]
Page 10 of 16 Pages

General Permit NCG660000
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded,but
only if it also is for essential maintenance to assure efficient operation.These bypasses are not subject to the
provisions of Paragraphs b.and c,of this section.
b. Notice[40 CFR 122.41(m)(3)]
(1) Anticipated bypass.If the Permittee knows in advance of the need for a bypass,it shall submit prior notice,
if possible at least ten days before the date of the bypass;including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass.The Permittee shall submit notice of an unanticipated bypass as required in Part
B.E.6.(24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass,unless:
(A)Bypass was unavoidable to prevent loss of life,personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass,such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime.This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance;and
(C) The Permittee submitted notices as required under Paragraph b.of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system-wide collection system
permit associated with the treatment facility.
(3) The Permit Issuing Authority may approve an anticipated bypass,after considering its adverse effects,if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1)of this section.
S. upsets
a. Effect of an upset[40 CFR 122.41(n)(2)]: An upset constitutes an affirmative defense to an action brought for
noncompliance with such technology based permit effluent limitations if the requirements of paragraph It.of
this condition are mat.No determination made during administrative review of claims that noncompliance was
caused by upset,and before an action for noncompliance,is final administrative action subject to judicial
review.
b. Conditions necessary for a demonstration of upset: Any Permittee who wishes to establish the affirmative
defense of upset shall demonstrate,through properly signed,contemporaneous operating logs,or other relevant
evidence that:
(1)An upset occurred and that the Permittee can identify the cause(s)of the upset;
(2)The Permittee facility was at the time being properly operated;and
(3)'the Permittee submitted notice of the upset as required in Part E.E.6.(b)of this permit.
(4)The Permittee complied with any remedial measures required under Part B.B.2,of this permit.
c. Burden of proof[40 CFR 122.41(n)(4)1: The Permittee seeking in establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids,sludges,filter backwash,or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States except as permitted
by the Commission.The Permittee shall comply with all applicable state and Federal regulations governing the
disposal of sewage sludge,including 40 CFR 503, Standards for the Use and Disposal of Sewage Sludge;40 CFR
Part 258,Criteria For Municipal Solid Waste Landfills;and ISA NCAC Subchapter 2T,Waste Not Discharged To
Surface Waters.The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
Page 11 of 16 Pages

General Permit NCG550000 ,
7. Power Failures
The Permittee 1s responsible for maintaining adequate safeguards(as required by 15A NCAC 0211.0124)to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by means
of alternate power sources,standby generators or retention of inadequately treated effluent.
I
Section D. Monitrerine and Records
1. Representative Samnline
Samples collected and measurements taken,as required herein,shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents.All samples shall be taken at the monitoring points specified in this
permit and,unless otherwise specified,before the effluent joins or is diluted by any other wastestream,body of
water,or substance.Monitoring points shall not be changed without notification to and the approval of the Permit
Issuing Authority[40 CPR 122.41(j)].
2. Reoortine
Monitoring results obtained during the previous month(s)shall be summarized for each month and reported on a
monthly Discharge Monitoring Report(DMR)Farm(MR 1,1.1,2,3)or alternative forms approved by the
Director,postmarked no later than the last colander day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the ease of a new
facility,on the last day of the month following the commencement of discharge.Duplicate signed copies of these,
and all other reports required herein,shall be submitted to the following address:
NC DENR/Division of Water Quality/Surface Water Protection Section
- ATTENTION:Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
3. Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shell be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges,The
devices shall be installed,calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device.Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10%from the true discharge rates throughout the range of expected discharge
volumes.Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once-through condenser cooling water flow monitored by pump logs,or pump hour meters as specified in Part I of
this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division.Permittees should contact the Division's
Laboratory Certification Section(919 733-3908 or http://portal.nedenr.org/web/wq/lab/cert)for information
regarding laboratory certifications.
Facilities whose personnel are conducting testing of field-certified parameters only must hold the appropriate field
parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations(published pursuant to NCGS
143-215.63 at.sail),the Water and Air Quality Reporting Acts,and to regulations published pursuant to Section
304(g),33 USC 1314,of the CWA(as amended),and 40 CFR 136;or in the case of sludge use or disposal,
approved under 40 CFR 136,unless otherwise specified in 40 CFR 503,unless other test procedures have been
specified in this permit[40 CFR 122.41].
To meet the intent of the monitoring required by this permit,all test procedures must produce minimum detection
and reporting levels that are below the permit discharge requirements and all data generated must be reported down
to the minimum detection or lower reporting level of the procedure.If no approved methods are determined
capable of achieving minimum detection and reporting levels below permit discharge requirements,then the most
sensitive(method with the lowest possible detection and reporting level)approved method must be used.
Page 12 of 16 Pages
I

General Permit NCG550000
5. Penalties for Tampering
The C WA provides that any person who falsifies,tampers with,or knowingly renders inaccurate,any monitoring
device or method required to be maintained under this permit shall,upon conviction,be punished by a fine of not
more than$10,000 per violation,or by imprisonment for not more than two years per violation,or by both.If a
conviction of a person is for a violation committed after a first conviction of such person under this paragmph,
punishment is a fine of not more than$20,000 per day of violation,or by imprisonment of not more than 4 years,or
both[40 CPR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge use
and disposal activities,which shall be retained for a period of at least five years(or longer as required by 40 CPR
503),the Permittee shall retain records of all monitoring information,including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
D copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement,report or application.This period may be extended by request of the Director at any time [40 CPR
122.41].
7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit,the Penalties shall record the
following information[40 CPR 122.41]:
a. The date,exact place,and time of sampling or measurements;
b. The individual(s)who performed the sampling or measurements;
a. The date(s)analyses were performed;
d. The individual(s)who performed the analyses;
a. The analytical techniques or methods used;and
f. The results of such analyses.
g. Inspection and Entry
The Pernittee shall allow the Director,or an authorized representative(including an authorized contractor acting
as a representative of the Director),upon the presentation of credentials and other documents as may be required
by law,to;
a. Enter,at reasonable times,upon the Permittee's premises where a regulated facility or activity is located or
conducted,or where records must be kept under the conditions of this permit;
b. Have access to and copy,at reasonable times,any records that must be kept under the conditions of this permit;
c. Inspect at reasonable times any facilities,equipment(including monitoring and control equipment),practices,
or operations regulated or required under this permit;and
d. Sample or monitor at reasonable times,for the purposes of assuring permit compliance or as otherwise
authorized by the CWA,any substances or parameters at any location[40 CPR 122.41(1)].
Section Reporting Reauurements
I. 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.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility[40 CPR 122.41(1)].Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CPR
122.29(b);or
Page 13 of 16 Pages

General Permit NOG550000
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged.This notification applies to pollutants subject neither to effluent limitations in the permit,nor to
notification requirements under 40 CPR 122.42(a)(1);or
c. The alteration or addition results in a significant change in the Penalties's sludge use or disposal practices,and
'. such alteration,addition or change mayjustify the application of permit conditions that are different from or
absent in the existing permit,including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Penalties shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit[40 CPR 122.41(1)(2)].
4. Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CPR 122.61.The Director may condition approval in accordance with NCGS 143-215.1,in
particular NCGS 143-215.1(b)(4)b.2.,and may require modification or revocation and reissuance of the permit,or
a minor modification,to identify the new permittee and incorporate such other requirements as may be necessary
'.� under the CWA[40 CPR 122.41(I)(3), 122.61]or state statute.
j5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit[40 CPR 122.41(I)(4)].
a. Monitoring results must be reported on a Discharge Monitoring Report(I)MR)(See Part ILD.2)or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b• If the Permittee monitors any pollutant more frequently than required by this permit using test procedures
approved under 40 CPR Part 136 and at a sampling location specified in this permit or other appropriate
instrument governing the discharge,the results of such monitoring shall be included in the calculation and
reporting of the data submitted on the DMR.
6. Twenty-four flour Reporting
a. The Penalties shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment.Any information shall be provided orally within 24
hours from the time the Permittee become aware of the circumstances.A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances.The written submission
shall contain a description of the noncompliance,and its cause;the period of noncompliance,including exact
dates and times,and if the noncompliance has not been corrected,the anticipated time it is expected to
continue;and steps taken or planned to reduce,eliminate,and prevent reoccurrence of the noncompliance[40
CPR 122.41(l)(6)].
b. The Director may waive the written report on a case-by-case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at(800)662-7956,[phone] or(919)733-3300.
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part ILE.S and 6.of this permit at the
time monitoring reports are submitted.The reports shall contain the information listed in Part ll•E•6,of this permit
[40 CPR 122.41(1)(7)b
8. Other Information
Where the Permittee becomes await that it failed to submit any relevant facts in a permit application,or submitted
incorrect information in a permit application or in any report to the Director,it shall promptly submit such facts or
information[40 CPR 122.41(1)(8)]•
Page 14 of 16 Pages

General Permit NCG650000
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible,but in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic,such as the dumping of the contents of a sludge
digester,the known passage of a slug of hazardous substance through the facility,or any other unusual
circumstances.
b. Any process unit failure,due to known or unknown reasons,that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps,aerators,compressors,etc.
c. Any failure of a pumping station,sewer line,or treatment facility resulting in a by-pass without treatment of all
or any portion.of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following fast
knowledge of the occurrence.Also see reporting requirements for municipalities in Part IV.C.2.c.of this permit.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143.215.3(u)(2)or Section 308 of the Federal Act,33
USC 1318,all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division.As required by the Act,effluent data shall not be considered confidential.Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215.1(b)(2)or in Section 309 of the Federal Act.
11. Penalties for Falsification ofRenorts
The C WA provides that any person who knowingly makes any false statement,representation,or certification in
any record or other document submitted or required to be maintained under this permit,including monitoring
reports or reports of compliance or noncompliance shall,upon conviction,be punished by a fine of not more than
$25,000 per violation,or by imprisonment for not more than two years per violation,or by both[40 CFR 122.41].
Page 15 of 16 Pages

i
General Permit NCG550000
PART III
OTHER REQUIREMENTS
Section A. Construction
a. The Permittee shall not commence construction of wastewater treatment facilities,nor add to the plant's treatment
capacity,nor change the treatment process(es)utilized at the treatment plant unless(1)the Division has issued an
Authorization to Construct(AtC)permit or(2)the Permittee is exempted from such AtC permit requirements
under Item b,of this Section.
b. In accordance with NCGS )[SL 2011-394a5 143-215.1( permit shall be required to enter into a contract for the
],no
construction,installation,or alteration of any treatment work or disposal system or to construct,install,or alter any
treatment works or disposal system within the State when the system's or work's principle function is to conduct,
treat,equalize,neutralize,stabilize,recycle,or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above,the permit issued for the
discharge may be modified if required by federal regulation.
c. Issuance of an AtC will not occur until Final Plans and Specifications for the proposed construction have been
submitted by the Permittee and approved by the Division.
Section R. Groundwater Monitoring
The Permittee shall,upon written notice from the Director,conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes In Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe(40 CPR 122.42);
a. That any activity has occurred or will occur which would result in the discharge,on a routine or frequent basis,of
any toxic pollutant which Is not limited in the permit,if that discharge will exceed the highest of the following
"notification levels";
(1) One hundred micrograms per liter(100 µg/L);
(2) Two hundred micrograms per liter(200 µg/L)for acrolein and acrylonitrile;five hundred micrograms per liter
(500 µg/L)for 2,44nitrophenol and for 2-methyl-4,6-dinitrophenol;and one milligram per liter(1 mg/L)for
antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge,on a non-routine or infrequent
basis,of a toxic pollutant which is not limited in the permit,if that discharge will exceed the highest of the
following"notification levels";
(1) Five hundred micrograms per liter(500 µg/ );
(2) One milligram per liter(t mg/L)for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
by this permit.The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State.This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
i
1
Page 16 of 16 Pages

ROY COOPER
Governor
- - - _ NHCHAEL S.REGAN
� S'ecre(uty
Water Resources S.JAY ZINIMERMAN
Envirunmeotal Quality Director
September 1,2017
Steve Avery
83 Carefree Circle
Sapphire,NC 28774 V 9f�@ ;
SUBJECT: Compliance Evaluation Inspection " 9
83 Carefree Circle
Permit No.NCG551100
Jackson County
Dear Mr.Avery:
Thank you for repairing the UV system for your waste treatment system and retesting the effluent.
Your facility is now compliant with permit NCG551100. If you have any questions,you can reach
me at 828-296-4658 or by email at [e-mail].
Thank you,
J ' //j
Daniel J. Boss
Environmental Specialist
Asheville Regional Office �J
:r
�e
VFy
"J
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WA\WQUvckeov\WaztewatwlGavv9WCG553FRWCG551100,Avery,Telbot\Cvmplimt Letkr,AHo-WRepav 8.312011.dccx �-1
L
-- >-Nothknq
State of Noah Cmeli"I Environmental Quality l Wator Resources
1 .
2090 U.S.Highxrey OO,Swannevoa,Nonh Caroliw28918
828-296-4500 _ �(, ! ;.�..r �J/ �\�P-✓�.

Pace Analyfeal 8arvmas LLC
aGeAnalytiGI P 2225 a vary de Cc
AeM1evlle NC 2e804
N A+P-0W@46dyX' [phone]
May 22, 2017
Private Client
Private Client
Private Client
Asheville, INC 28804
RE: Project: Steve Avery 5112
Pace Project No.: .q,29ao�4 8_
Dear Private Client:
Enclosed are the analytical results for sample(s) received by the laboratory on May 12, 2017.The
results relate only to the samples included in this report. Results reported herein conform to the most
current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where
applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Chris Derouen
[e-mail]
[phone]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
wiNoutiM1e wMlen consent or Pace Analyticel5ervicea,LLC. - Page of 12

Pace Analytical Scon ,
aGeAnalytf # NlvNC28
Asheville,NC 290oI
Nwe"hicafBWm (028J254'!f]e
j
CERTIFICATIONS
Project: Steve Avery 5112
Pace Project No.. 92340426
Asheville Certification IDs
2225 Riverside Drive,Asheville,NC 28804 North Carolina Wastewater Certification#:40
FloridalNELAP Certification#:E87648 South Carolina Certification#:99030001
Massachusetts Certification#:M-NC030 UrginiaNELAP Certification#:460222
North Carolina Drinking Water Certification#:37712
i
I
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
without the within consent of Pace Analy0cel Services,LLC. Page 2 of 12

Pace Anelyfcal Servcee LLC
a tla p`aceAnalyticale Asheville.NC
28804
[phone]
SAMPLE ANALYTE COUNT
Project: Steve Avery5/12
Pace Project No.: 92340426
Abell
Lab ID Sample ID Method Analysts Reports! Laboratory
92340426001 83 Carefree Circle SM 2640D NAL 1 PASI-A
SM 5210B ALC 1 PASI-A
Colilert-18 KDF1 1 PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be raprotluced,except In full,
all the worse consent of Pace Malybcal Services,LLC. Page 3 of 12

Pace Analytical Servlc.
2225 Riverside
HaM1eNlle No
,NC Y98n4
w,wA4t/e4&a9rb (628)2547176
ANALYTICAL RESULTS
Project: Steve Avery 5112
Pace Project No.: 92340426
Sample: 83 Carefree Circle Lab ID: 82340426001 Collected: 0511211710:00 Received: 05/12/1713:47 Matrix:Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Quay
25400 Total Suspended Solids Analytical Method SM 2540D
Total Suspended Solids ND mg/L 5.0 1 05/17/1722:13
5210B BOD,5 day Analytical Method:SM 5210B
BOD,5day ND on 2.0 1 05/1211 17:01 05/1 7/1711:02
Co1glert-18 Fecal Coliform AVL Analytical Method:Colllert-18
Fecal California 461 MPN/100mL 1.0 1 06/12/1715:22
I
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except In full,
Date:OS/22/201704:25 PM without the written consent of Pace analytical services,LLC. Page 4 of 12

ROY COOPER
r`
c­
MICHAEL S. REGAN
.. scc,emly
Water-Resources — - - S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Direcmr
WtCp'IVCD
April 21, 21 17 IuVQoR or Water IIIL11116
Mr. Steve Avery & Ms. Leslie Talbot APR 2 5 2017
83 Carefree Circle, #96
Sapphire, NC 28774 Water Quality Regional Operations
Ashe"llle Re ionel0
Subject: NPDES Gener erm rC'�.P550000
Transfer of NCG551100
83 Carefree Circle, #96
Jackson County
Dear Owners:
The Division hereby transmits Certificate of Coverage (CoC) NCG551100, issued under
NPDES General Permit NCG550000. This action is taken to show that you are now the
owner of the subject facility. This CoC 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 October 15, 2007 (or as
subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in the
General Permit are unacceptable to you, you have the right to request an individual NPDES
permit upon written request within thirty (30) days following receipt of this letter. Unless
such a request is made, this transfer of the subject CoC shall be final and binding.
This CoC is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the CoC. This permit does not affect the
legal requirements to obtain other permits which may be required by any other Federal,
state, or local government. If you have any questions concerning this matter, please contact
Emily Phillips at [phone] or via e-mail [[e-mail]].
Slnc ely,
S. Jay Zi erm.anm .
Director
cc: Asheville Regional Office ,
NPDES Unit
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc.gov/about/divisions/.ter-resource/water.resources-pertnits/wmtewater-brmch/npdes-wastmatu-peanits

i
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
CERTIFICATE OF COVERAGE NCG551100
Under GENERAL PERMIT NCG550000
TO DISCHARGE 100%-DOMESTIC AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
NPDES
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. Steve Avery 8s Ms. Leslie Talbot
are hereby authorized to operate a wastewater treatment facility with a discharge of<1000
gallons per day); discharging from
83 Carefree Circle, #96
Sapphire
Jackson County
to receiving waters designated as an unnamed tributary (UT) to Horsepasture River ]stream
segment 4-13-(0.5)], a waterbody currently classified C; Tr+ located within sub-basin
03-13-02 of the Savannah River Basin, in accordance with the effluent limitations,
monitoring requirements, and other conditions set forth in Parts I, II, and III of General
Permit NCG550000 as attached. -
This certificate of coverage shall become effective April 21, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 21, 2017.
S y Zimmerman, P.G.
erector, Division of Water Resources
By Authority of the Environmental Management Commission

_ ROY COOPER
i• {&y...... f,,,� «� 1.-__,_� Governor
MICHAEL S.REGAN
Seirelury
Water Resources . S.JAY ZIMMERMAN
Environmental Quality Dbet or
March 28, 2017
Steve Avery -
83 Carefree Circle
Sapphire,NC 28774
SUBJECT: Compliance Evaluation Inspection
83 Carefree Circle
Permit No. NCG551100
Jackson County
Dear Mr. Avery:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection
conducted on 3/27/2017. The facility was found to be not compliant with permit NCG551100
because the annual effluent sampling requirements have not been met. The effluent needs to be
sampled and tested by a certified laboratory for BOD,Total Suspended Solids,and Fecal Coliform
Bacteria. Please contact me when this action has been taken. You can call me at 828-296-4658
or send me an email at [e-mail].
Please refer to the enclosed inspection report for additional observations and comments.
Thank you,
Daniel J. Boss
Environmental Specialist
Asheville Regional Office
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQVackson\Wms watedGeneml\NCG55 SFRWCG551100,Avery,TelloWompliance inspection Ufter.damc
^•50—Nothing-Gampares,:-s,-.-
Stato ofNnnh Carolina I Environmental Quality I Water Rcsonrces
2090 US,ni&p ,70,Swannanoa,North Contai n.28778
828-2964500

United States Emimnmenlel Protection ABenq Form Approved
EPA Washington DX 2NOO
OMB N .2040-0057
Water Compliance Inspection Report Approval etipbes 81
Section A:National Data System Coding(i.e.,PCS)
Transaction Cade NPDES yrlmNday Inapediod Type Inspector Fee Type
1 („ ( 2 15 I 3 NCG551100: Ill 12 1711 17 18 t r.t 19( ,¢j 201
211111 11111111111111111111111111111111111111 P6
Inspection Work Days Fertility Self-Monitoring Evaluation Rating 31 CA — -Reserved
67I I 70' 71 IL I 72 I u I 731 1 174 751 1 I I 1 I I I80
lity
I� LJ Section B:Fe Data
LJ I I I
Name and Location of Facility Impounded(For Industrial Us..d charging to POTW,ab.home Entry TimelOate Permit Eased a Date
POTW name and NPDES permit Number) 10:30AM 1711 13/081
83 Carefree Gimle
83 Carefree Clr Exit TlmNDrte Pmmit Expimticn Date
Sapphire NC 28774 11:15AM 17103/27 18/07131
Names)of Christ Representative(s)Ritles(s)/Phone and Fax Numbers) Other Facility Data
I//
Name,Address of Responsible Of icieVTiflademmin and Fax Number
Contacted
Jon F Ebed,5270 Tamarind Ridge Dr Naples FL 34119/ll
Yee
Section G Areas Evaluated During Inspection(Check only those areas evaluated)
AN permit ®Operations&Maintenance ®Self-Monitoring Program ®Facility Site Review
Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(.)and Sig istins �s)of lnsp setor(s) Agency/ORoe/Phone and Fax Numbers Date
DanielJ Boss DV ARE WQ//828-296-4658/ 3/a`p/��
Signature of My g6Fi8 tQ A Reviewer Agency/OglcelPhone and Fax Numbers Data
EPA Form 3561(Rev aped)Previous editions are obsolete.
Page#

NPDES. yrlmolday Inspection Type (Cent.) 1
31 NCG551100 71 12 lnovs7 17 18.1,.1
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
I(Dan Boss) conducted a Compliance Evaluation Inspection at 83 Carefree Circle in Jackson County
on 3/2712017. The owner, Steve Avery,was present for the inspection. The facility consists of a septic
tank,4 peat modules, a pump station,and UV disinfection.
Overall the appearance of the facility was clean and well maintained. I could not determine if the UV
disinfection bulb was working or not. A fecal coliform test should reveal the functionality of it. The
pumps and alarms were tested by Mr.Avery during the inspection and all were found to be operational.
Mr.Avery was not aware of the sampling requirements,but now plans to get the required sampling and
lab tests performed.
Page# 2

Permit NCG551100 Owner-Faolllty: 83cererreecloce
Inspection Date: 0312712017 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted anew ❑ ❑ 0 ❑
application? -
Is the facility as described in the permit? M ❑ ❑ ❑
#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 ❑ ❑ ❑
Comment:
Operations& Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS,MCRT, Settleable ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? 0 ❑ ❑ ❑
Is septic tank pumped on a schedule? ❑ M ❑ ❑
Are pumps or syphons operating properly? 0 ❑ ❑ ❑
Are high and low water alarms operating properly? 0 ❑ ❑ ❑
Comment: Owners have only lived in the home for about 3 months full time
Disinfection -UV Yes No NA NE
Are extra UV bulbs available on site? 0 ❑ ❑ ❑
Are UV bulbs clean? M ❑ ❑ ❑
Is UV intensity adequate? ❑ ❑ ❑
Is transmittance at or above designed level? ❑ ❑ ❑ ■
Is there a backup system on site? ❑ M ❑ ❑
Is effluent clear and free of solids? ❑ ❑ ❑
Comment: There is no backup system to the UV disinfection on site.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? 0 ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating property? ❑ ❑ 0 ❑
Page# 3

Permit; N00561100 Owner-Facility: 53Cerehee Cirde
Inspection pate: 03122I2017 Inspection Type: Compliance Evaluation
Effluent Pl a -' Yes No NA NE
Comment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ❑
Is sample collected below all treatment units? ❑ ❑ ■ ❑
Is proper volume collected? ❑ ❑ ■ ❑
Is the tubing clean? ❑ ❑ ■'-❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ M ❑
Celsius)?
Is the facility sampling performedas required by the permit(frequency,sampling type ❑ 0 ❑ ❑
representative)?
Comment: Mr.Avery was not aware of the annual sampling requirements.
I'
Page# 4

ROY COOPER
•"'.- '.. ._. Governor.
MICHAEL S.REGAN
Sccrelury
Water Resrrurecs S.JAY ZIMMERMAN
Fa viromnental Quality Director
March 16, 2017
Leslie D. Talbot
83 Carefree Circle
Sapphire,NC 28774
SUBJECT: Compliance Evaluation Inspection
83 Carefree Circle
Sapphire,NC 28774
Dear Ms. Talbot: .
I am contacting you with regards to the NPDES Wastewater Permit that is held for your property
at 83 Carefree Circle in Jackson County,NC. The permit number for your wastewater system is
NCG551100. I need to conduct an inspection of this facility to determine if it is in compliance
with the state permit. Please contact me so that we may set up an inspection and discuss your
wastewater system. You can call my office phone at 828-296-4658 or email me at
[e-mail].
Thank
you,—
Daniel J. Boss
Environmental Specialist
Asheville Regional Office
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Jacksan\Waatewnkr\General\NCG55 SFRWCG551100,Ebert\Letter to New Owner,Talbot.docx ,
.:'.' Nothing CbmPares".,_
SmteofNorth Carolina l Environmental Quality Water Resomcna
2090 US Highway 70,Swannanoa,North Carolina 28778
828-2964500

ROY COOPER
Governor
MICHAEL S.REGAN
Sacretnry
S.JAY ZIMMERMAN
Water Resources
Fnviranmentnl Quali[y Diruatra
March 16, 2017
Leslie D. Talbot
83 Carefree Circle
Sapphire,NC 28774
SUBJECT: Compliance Evaluation Inspection
83 Carefree Circle
Sapphire,NC 28774
Dear Ms. Talbot:
I am contacting you with regards to the NPDES Wastewater Permit that is held for your property
at 83 Carefree Circle in Jackson County,NC. The permit number for your wastewater system is
NCG551100. I need to conduct an inspection of this facility to determine if it is in compliance
with the state permit. Please contact me so that we may set up an inspection and discuss your
wastewater system. You can call my office phone at 828-296-4658 or email me at
[e-mail].
Thank you,
'z
Daniel J. Boss -
Environmental Specialist
Asheville Regional Office
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQUackson\Wastewater\Genem[\NCG55 SFRNCG551100,Eberl\Letter to New Owner,Talbot,Sacx
=-- Nothfng Compares::-�..,-.-.
Stale aFNarth Carolina I Environmental Qoalby I Water Rasomces
2090 U.S.Highway 70,Swannanoa,North Co.]iaa 28778
828-296-4500

Steve Avery
From: Southern Horizon Builders <[e-mail]>
Sent: Tuesday, June 26, 2012 11:44 PM
To: Steve Avery
Subject: Re: Puraflo System (Post)Inspection
Hi Steve,
The tanks are side by side in between the house and green septic modules(peat moss). I should have some time freed
up next week to stop by and show you where it's located. I finally getting a chance to breathe and sorry for not be able to
help you out earlier.
I'm glad to see the report from Chris and everything is in excellent condition. Hopefully, that will help you out going
forward.
Let me know when you are going to be there and we can make arrangements to hookup.
Thanks,
Richard
----- Original Message-----
From: Steve.Averyg_dart.biz
To: shorizonQBellsouth vet
Sent: Tuesday, June 26, 2012 10:00 PM
Subject: Puraflo System (Post) Inspection
Hi Richard, -
Chris Keiger was out and checked the Puraflo system. I attached his letter he wrote for me to give prospective buyers.
We couldn't find where the septic tank was to even check the effluent filter. Do you remember where in relation to the
rest of the system the septic tank is?
We will be up to the house again next week for a few days around the 4th.
Hope all is well. We just moved yesterday into a temporary house as our Sarasota house closing is this Friday.
Thanks.
Steve.
1

uoetv/aosvv wdofay idol
uvo/dausy aztanD snoiwv dof jasunoo Douatuv
89I I-Z89 (ZOZ) fo sa/vis pal!UA aq2 fo aodawtuoi fo
9£OOZ 'D'u `uol2uigsLm daquuvyD asianD snacwddoflasunoo
OOv a;?nS L££b-£9b (ZOZ)
•Ak•N `anuaAV Inoi;oauuoD I0I I Z900Z 'D'Q `uol2u1gseAk
NOIIVIDosSV 'A1'N `3aa.BS H S 191
Modau,LNol NvDIN9wv -daiM'JD NOIIVDI.Ll-1 NgF[WVHD'S'fl
aaaxxvp S LF[aHS NHHCIV-1 AxSioHHZ'd NaA9LS
aoAop NvwaHHS .H uuoZ uxodaawoD H cvx
I
9SOZ/8Z/£0 :Pa1!d a;ea Z :a6ed 908SbbES500 :luawnood ZLSSb-SL :GSPD

Steve Avery
From: Steve Avery
Sent: Saturday, July 07,2012 10:06 AM
To: [e-mail]
Cc: [e-mail]
Subject: Puraflo System (Post)Inspection
Hi Sue,
Below is a letter from Chris Keiger in response to his visit to our house. I thought it could be of some use for you to give
to prospective buyers to explain the system and put them at ease that the system is working fine. Chris said there are alot
of these systems up in this area due to the soil content and mountainous terrain. He was very helpful and informative,
should you ever need anyone to inspect other properties.
Thanks,
Steve.
-----Forwarded by Steve Avery/rRS/MAS/DCC on 07/072012 09:52 AM-----
From: "Chris Keiger"<chris@smarlwalersolutionsmet>
To: <[e-mail]>
Cc: <[e-mail]>
Date: 06/25/2012 01:08 PM
Subject: RE: Puraflo System(Post)Inspection
Steve,
I have attached a letter summarizing my inspection and the findings on June 14"2012.
Best Regards,
Chris K. Keiger, PG
Smartwater Solutions Group
RainStore-USA
5710-K High Point Road#269
Greensboro, NC 27407
ChrisQa smartwatersolutions net
www.smartvvatersolutions.net
and/or www.rainstme-usa.com
[phone]
I

II
aulanD Ialmd dof lasunoj
uzoa•sllanolue90q@n Ie,�4ex•Iean
0095-L£9 (ZOZ)
b000Z 'D'Q `uol2uigseAk
•M•N `laaa;s gluaaygg,L SSS
dTI sfl s-IManoz NVDOH
-IVA vx xvwnx IVEIX
Iu lux re�unx ION/s/
9SOZ/8Z/EO :PaI!d ale0 b :a0ed 908TbbES900 auawnaod ZLLSb-ST :GSLO

Mr.Steve Avery
June 25,2012....
From: [e-mail] [mailto:[e-mail]]
Sent: Friday,June 22, 2012 2:17 PM
To: Chris Keiger
Subject: Puraflo System(Post) Inspection
Hi Chris,
I hope your trip back from Sapphire went well. Thank you again for coming out and inspecting the Puraflo
system.
Could you please write up your thoughts about the state of our Pmaflo system. I know you thought the peat
media was in great shape, and the floats were just out of whack since they were not set correctly upon
installation,but I know any of this in your words brings much more credibility to the system than I could ever
do. What I am looking to do is give this letter to our real estate broker, to pass on to interested buyers.
Thanks Chris,
Steve Avery
[phone]
z

I
NOI,LVIOOSSV WNOdag,LNQl NdOINawv
llaxsel slaagS uaznu-I
a31i0p uumzagS -H
NaiNao NOLLvoI Ll-1 Naawvlda S'Il
/NSloga7 •d uanalS
ppo,I,pxo}.Iamoa OWN
NOIdOv'Ivoa-1 Nod
Na.LN9a ,SNgNn.LnvdnNVW
x1lom •g upul'I
d'I'I SR SrlanO-1 NvooH UOTILI00SSV mao3a-I IJOI uuauaW
aaxngoS •,l•p IalueO uolzauIV Jo salulS
n17 31opopaz3 pollujl ag„o aozammoD jo aagmuga
IL,C,u}I auuzng IuaN szaanloujnutVV jo u0r,uio0SSV IuuOl,uN
Iasunoa s,aagana lazugv anpanp aaawh
:smollo3 su q luamaiddns puu suoszad polsaaalul jo
aluoglino ,sjuulladdv-sluupugjo(j Idopu piwV Imp soggiao oslu pzooaz;o lasunoo
paufiszapun oqy •Iusnoaa ao uolluogllunbsip olgissod alunizea ,Cum lino slgl jo
so2pn[oq,lug,zapxo uI opum an suopuluosaadaa asogy •asuo sig,3o amoolno aq,
uI Isaaalul uu aeaq I'Z'8Z 3ing3o aoua,uOS glan03 ag, ui paglzosap se salll,u0 puu
suoszad polsg Suimollo3 agl lugl saggaao pa000ijo Iasunoa pouSiszapun oqy
•pnya '•aul 'saialsnpuI4MIJ.1 x unue,eug 'Ia.[" sapnlSWIM12 `ZLIU-51 *ON
SNOSHAJ GRISHTIU.LNI AO HJVJI3LLTI2[3
9TOZ/SZ/EO :Pal!d OILG E :@Bud 908T4b£T900 :Iuownoo(] ZLTTb-SL :OSLO

Chris Keiger,PG
Smart Water Solutions Group of NC
5710 High Point Road,Suite K 4269
Greensboro,NC 27407
[phone]
[e-mail]
June 25,2012
Mr. Steve Avery
83 Carefree Circle
Sapphire,NC
Dear Steve,
The purpose of this letter is to summarize the inspection activities and findings from my visit to the
subject property at 83 Carefree Circle in Sapphire,NC on June 14,2012. 1 arrived at the site at 2:30 PM,
met with you,and conducted an inspection and made minor adjustments to the Puraflo System. I also
spent some time explaining to you how this simple one-pass filtration system works. I left the site at 5:30
PM being satisfied that the system was functioning properly.
Initially, I conducted a check on the control panel at the side of the house,the float switches and the pump
in the pump tank to make sure they were set and working properly. I found that the control panel,float
switches and pump were wired properly and in good working order. But once we opened the pump tank
it was discovered that the floats in the pump tank were not set correctly and were causing a false alarm
condition. It is apparent that the floats were not set properly when installed but it was a relatively simple
problem to fix. I found that the low float and high float were too close together which was not allowing
the controller to signal the pump to come on long enough to pump septic effluent to the peat modules
without also engaging the alarm. As a result,every time the water level would reach a certain level in the
tank the pump would come on but it was also triggering the alarm,simultaneously. In order to resolve
this problem the floats were adjusted further apart to allow the timer to come on every two hours,as
specified,and prevent the alarm from coming on unless a malfunction or unusually high water level
occurs in the tank. The floats are now set correctly and the controller should function properly.
While I was onsite I inspected the peat fiber media in the Puraflo modules.The peat media was found to
be in excellent condition.As a matter of fact,the peat media appeared as if it had barely been used and I
would expect it to last between 10—15 years or longer depending on future water usage habits and future
occupancy at the residence.The system is designed for 480 gallons per day which is based on four
bedrooms with two occupants per bedroom(8 full time occupants).
I also inspected the UV chamber and light.It was unclear ifthe UV lamp bulb was working because the
inspection was performed during the day and I was unable to see if light was being emitted. It may one
that only emits light if it senses water passing. The UV light is also a very simple treatment mechanism
allowing the treated effluent to pass through the light waves in a small pipe chamber for additional
disinfection. The UV lamp was easy to access and should be easy to replace, if necessary. It should be
inspected in the late afternoon or at night(while water is running through it) in order to see if it is
emitting light. 1 should also be wiped clean every time it is inspected.The life of this type of UV light
bulb is typically 2-years. It is recommended to turn off this light for extended absences.

Al
JDNVI'IdIAIOD dO g.IVOIJI.LXHD
ADIAXUS dO d.LVOIdILWaD
0£........................................................................................................NOISII'I0NO0
bZ.................................saOrogD kIOJl Jaag S,;uawuxano•J Iezapad aqy
'RupOi;gaa and zooploug V suodO moiag uoiscoaQ aqy •g
a2va
panulauoO—S, NHINOO 30 TIOV,L
91OZ/SZ/EO :Paid a1e4 9 :86Pd 908TbbETS00 :luownao4 ZLTTb-ST :aseO

Mr. Steve Avery
June 25,2012
Page 2
At the septic tank location it was observed that there needs to be an access riser or at minimum an access
to the manway so that routine maintenance can be performed on the effluent filter and sludge levels in the
tank can be checked. Risers are available in pre-cast or polyethylene ensuring water tightness and
preventing unauthorized or accidental entry. Sludge build-up in the septic tank should be routinely
inspected and pumped if needed.This type of system and all septic systems may need pumping about
every 6- 10 years, however, depending on the degree of anaerobic breakdown septic systems often
function much longer without ever being pumped out.The sludge level in the septic tank can be
monitored during routine inspections by use of a clear cylinder device with a check valve called sludge
Judge.The effluent filter in the septic tank requires very little maintenance and can be easily cleaned by
the use of a garden hose; spraying off sludge and other particles back into the tank during inspection. A
water tight access riser is also recommended to be installed at the pump tank. This would allow easier
access to the pump and float switches for routine inspections as well as further reducing the possibility of
surface runoff infiltration into the tank which could cause false alarm conditions.Without good access to
the septic and pump tanks)it will make routine inspections more difficult and time consuming resulting
in higher labor costs.
As a reminder,an annual inspection is recommended by SWSG and Anua(formerly Bord Na Mona),the
manufacturer of the Puraflo System. Also, it is likely that an annual inspection was specified in the
engineering design plan in order to get the NCDWQ to approve the system for installation as a surface
discharge site in North Carolina. This type of permit does not involve the county because it was approved
by the state of division of water quality(NCD WQ),therefore,enforcement of any inspection
requirements are less likely.
Everything else associated with this system appeared to be in excellent condition and in good working
order.
I provided you with a Manufacturer's Operation and Maintenance Manual which has details about this
relatively simple system and how it works. 1 hope this will be of use to you or the future owner(s).The
permit manual should also be kept with important papers associated with the property.
If you have any further questions or if I can be of further assistance,please don't hesitate contacting me at
the number or e-mail listed above,
Sincerely,
Chris Keiger, PG
SmartWater Solutions Group of NC
Greensboro,NC

II1
ZZ......................................................................................sa[lieuad VOd
misseyq oovd [I[IS ivW,Cagd `soouvanssV lu9u[uaano0
aA[lel[zoglnV gl[pA uang `asnvaag�SI[.moosu[
Xlolv[n0ag ,sassau[sng suodaa0 mo[ag uoisioa(l oqd• •V
IZ................................................................................................S gSSgNISflg
?IMUO QNV SUg2Ifl.LOVdflWW 1I0d A.LNIV.LZIdONR
,kXO.LV'IRO32I.LSVA Sg.LV32IO AkO'Igg NOISIOgQ alll 'II
£[.............................................................VOd oq.L aapufl ,dua[npnvxd„
z0 .,aslvd„ ,i[Ou[moug ag IouueO suge[O SA[u[aZ
`oauvgdmoO „ua3[oxqun„ s,snid-Zg oqy powiguoO
,C[aA[IeI[zoglnV seg IuauzuaaAOO ivzapa3 aqy asneoag •g
OI..............................................................luopooaad s,lanoO siq L Z
L.......................................osodznd puv `,Gols[H L`lxo s,VOd aq.L .1
L................................................................. amagoS V gonS oL [v[aaluw
ag IsnW Sluau[alelS aS[ed.CuV puV`IuauzuzanOO
ivaapa3 oily word luauzKvd zod su v[O „Iua[npnvzd„
10 "aslgd„ ,CiBu[MOUN Xlu0 slosmi VOd ail L 'V
9............................................................................................. LN� Oo
MI WOXd UONVI'MWOD 10 SaDNV2MSSV
gALLV.LRIOHLflV `SShcIdXg NgAd SHIM ITIN QNV.LOV
SWIV IO 9S'IVd alu S NO.LSIQ AkOggg NOISIOgO BILL 'I
9.............................................................................................................yNgIRf102IV
b.................................................................................
dNd1AIf102IV d0 RIVYIIY�f1S
i...................................................................................LS g?I'3 LNI 30.LNgNig.LV•LS
A.....................................................................................Sd1.LmoluflV d0 j-lwl
I""..... """"""""""""""""""""'SNOSXF[d (lJlS9UlLNI 30 3.LVOIJUNdRO
I •
I abed
S,LNa,LNOO 30 3'IgVL
9TOZ/SZ/60 :PaIld alea S :a6ed 9O9TVbETSOO :luawnoot) ZLTTb-SL :asv0

■
NSF
CLASS 1
NSF/ANSI 40
OWNER'S MANUAL
Bord na Mona Environmental Products US Inc.
P.O. Box 77457, Greensboro, NC 27417
W: 800 787 2356 Fax [phone]
w—nm-us.com
Rev. Date 011107
0

Contents Page
1.0 CLASSIFICATION STATEMENT 3
2.0 GENERAL DESCRIPTION OF SYSTEM 3
3.0 INTRODUCING SUBSTANCES TO THE SYSTEM 4
4.0 HOMEOWNERS DO'S and DO NOT'S 5
5.0 OPERATION AND MAINTENACE 8
5.1 Septic Tank 8
5.2 Pump Alarm 8
5.3 Electrical Control Panel 8
5.4 Puraflo®Modules 7
6.0 VACATION, SEASONAL AND INTERMITTENT USE 8
7.0 HOMEOWNER TROUBLESHOOTING CHECKLIST 9
8.0 EMERGENCY CONTACT DETAILS 10
8.1 Manufacturer Contact Details 10
8.2 Service Provider Contact Details 10
9.0 LIMITED WARRANTY 11
10.0 RECORD OF SYSTEM 12
1

1.0 CLASSIFICATION STATEMENT
The Puraflo®Peat Bioflter System for wastewater treatment has been tested, certified and listed
by NSF International as meeting the requirements of ANSI I NSF Standard 40, Class 1.
2.0 GENERAL DESCRIPTION OF SYSTEM
The Puraflo® Peat Biofilter Is an advanced secondary treatment system that purifies septic tank
effluent to an extremely high degree before final disposal.
A typical Puraflo®Peat Biofilter system consists of.
1. A septic tank fitted with an effluent fitter on the outlet pipe.
2. A dosing tank and effluent pump or siphon to accommodate dosing of the septic tank
effluent onto the peat fibre media.
3. Blofllter modules where advanced treatment occurs due to the physical, chemical and
microbial processes that are optimized in the peat fibre media.
4. The site specific final effluent disposal system.
The filtered septic tank effluent is collected under gravity in the pump/siphon tank.A time dosing
system is activated by a programmable timer, which pumps the effluent through a flow splitting
inlet manifold located at the base of the treatment modules. An orifice plate is located inside the
top of each inlet manifold which allows the flows to be split equally and fed simultaneously to
each biofilter module. The inlet manifold is connected to the base of the biofilter and is fed
upwards to a rectangular distribution grid located S inches below the top of each module. The
effluent percolates laterally and vertically through the depth of the peat fibre treatment media and
emerges as a clear Innocuous liquid from the base of the system, for collection or dispersal.
Due to the high quality of the peat biofilter effluent, the siting and sizing requirements for final
effluent disposal are typically less stringent than for conventional systems or systems that do not
provide the same degree of treatment.
The Puraflo is a modular system with each module rated for 150 gpd maximum. The range and
rated capacity of the system is therefore a multiple of the standard unit based on up to 150 gpd
maximum per module.
Pu-nil:lo'D Pell! l lf)llhex
_ Biofilter Modules
bedroom)
Septic Tank Pump Tank

3.0 INTRODUCING SUBSTANCES TO THE SYSTEM
The Puraflo® Peat Biofllter is designed for the treatment of domestic strength wastewater from
residences or other waste flows with similar wastewater strength characteristics. While the
PurafloO Past Biofilter will process most waste produced by the average household, In order to
prevent malfunctions, and to ensure optimum performance of the system,the following guidelines
should be followed.:
DO
• Conserve water to reduce the amount of wastewater that must be treated and disposed
• Repair any leaking faucets and toilets(very important)
DO NOT
• Overload the system by introducing wastewater flows greater than the design Now
• Flush excessive amounts of grease,oil or fat into your septic system
• Dump excessive amounts of disinfectants, cleaners or detergents (normal amounts will not
harm the system)
• Allow storm water into your septic system (storm water drains should not be connected to the
septic tank and landscaping should dived storm water away from the modules)
• Use additives (septic lank additives should not be introduced into the septic tank for grease
reduction,stimulation of biological activity or other purposes)
• Dispose of large quantities of organic material through a garbage grinder as this may
organically overload the system and cause more frequent pumping of the septic tank
• Flush cigarettes, tea bags, sanitary napkins, tampons, diapers, condoms and other non-
biodegradable products capable of blocking pipes or filters into your system
• Dump solvents, oils, paints, thinners, pesticides or poisons down the drain which can disrupt
the treatment process and contaminate the groundwater
• Dispose of water softener waste directly Into the septic system (where practical design a
separate disposal system or balance flows into the septic system)
3

4.0 HOMEOWNERS DO'S and DO NOT'S
To ensure optimum performance of the Puraflo®Peat Biofilter system, the following Do's and Do
Not's should be followed:
4
DO
• Maintain a stabilized!grassed landscaped area around the modules in order to prevent Boll
erosion (plants and suitable shrubs can also be used to enhance the appearance of the
system)
• Keep ant nests and other pests out of the treatment modules by dosing externally with
suitable insecticides and pest controls as necessary
• Divert down spouts and other surface water away from the system and drainfield
• Keep your septic tank cover accessible for tank inspections and pumping
• Have your septic tank pumped regularly and checked for leaks and cracks
• Have the effluent filter cleaned annually
• Test the pump alarm occasionally (as applicable) by briefly activating the test switch on the
alarm
• In the event of the alarm sounding after electrical storms or power failure, check if the
electrical circuit-breakers tripped off by first turning them off and then turning them back an
again
• Call your Authorized Service Provider when you have problems
0
DO NOT
• Dig in your drainfield or build anything permanent over it
• Plant anything over your drainfield except grass
• Drive over your drainfield or compact the soil In any way
• Attempt any homeowner maintenance to the septic tank, pump tank, electrical controls or
treatment modules — do not remove caps or covers as potentially hazardous
gases and waste matter are contained in the treatment tanks which may result
in death or bodily injury.
• Place heavy objects on or drive across your treatment system
• Bury or cover the modules with soil as the Puraflo® treatment is an aerobic process that
requires free passage of air through the module lids
4

5.0 OPERATION AND MAINTENANCE
The Puraflo® peat biofilter is a passive biological treatment system and as such there are no
mechanical parts with the exception of the pump and controls which dose the treatment modules.
To assure the efficient operation of the Pureflo®system, It is Important that the septic tank is well
maintained and sludge carryover is avoided. The measures recommended for a standard septic
tank treatment system also apply to the Puraflo® system which works on the same basic
principles. To ensure optimum performance of the Puraflo®system, the following practices are
recommended:
5.1 Septic Tank
A well maintained septic tank is essential for most onsite treatment systems as the septic tank
provides the first treatment step in wastewater purification. During a tank retention time of a day
or more, the heavier wastewater solids settle to the bottom forming a sludge layer while the
lighter solids, greases and oils float to the top to form a scum layer. The anaerobic conditions
created in the septic tank by the scum layer allow anaerobic and facultative micro-organisms to
break down(feed on)and reduce the sludge and scum volume. In this manner approximately 40
percent of sludge and scum volume can be reduced; however,the remaining solids accumulate in
the tank and must he pumped out on a regular basis.
The septic tank should be inspected annually and desludged in accordance with State and EPA
guidelines. Depending on use, a typical home will produce sufficient sludge requiring the tank to
be clesludged during a two to three year period. The Importance of desludging can not be over-
emphasized since the Purafio®system is designed to treat effluent from a wall functioning septic
tank where a significant portion of insoluble solids have been allowed to settle out. The effluent
filler installed with the Puraflo® system should be cleaned annually or at the time of system
inspection. The inspection/ desludging should be carried out by a certified septic pumper and
should not be attempted by the homeowner.
A filter is installed on the septic tank outlet pipe to prevent the carryover of solids to the treatment
system. If septic tank maintenance recommendations and practices are not followed and in
particular, if large objects are disposed Into the septic tank, the filter will clog causing wastewater
to backup into the house.
5.2 Pump Alarm
The pump alarm should be checked on a regular basis by briefly pushing the test switch on the
alarm. This activates the audio alarm buzzer and visual alarm light for a short period before It
reverts to its automatic position.
Refer to the Homeowner Troubleshooting Checklist in the event that the control panel alarm is
activated.
5.3 Electrical Control Panel
In the event of an electrical storm or power failure, the circuil-breaker switches on the electrical
lines feeding the PurafioO pump and alarm should be checked to see if they tripped to the "off'
position. If a circuit breaker switch is tripped, the power supply to the alarm/pump should be
restored by resetting the breaker. If the Puraflo® system still fails to operate, please call the
Authorized Service Provider or Bord na Mona.
5

5.4 Puraflo®Modules
No heavy objects should be placed on top of the system modules as Imposed loads can
adversely effect the distribution and hence the performance of the system. The modules can be
camouflaged with plants and small root ball type shrubs placed no closer than 2 feet from the
modules, however, no soil or other obstruction should be placed within four inches from the top of
the module where air Is naturally circulated through the system.
It is essential that the treated effluent is allowed to drain freely from the modules and that the final
disposal system is kept in good condition. Failure of the final disposal system may cause backing
up of effluent in the Puraflo®modules which could damage the treatment capability of the system
and the peat fibre.The Authorized Service Provider should be notified if there are any Indications
of ponding on the final disposal system and either standing water in or overflow from the modules
or sampling chamber.
DISTRIBUTION GRID
STADLILIZER BAR S� VENT HOLES-
--DISTRIBUTION ORIFICE
a _
INLET
DRAIN HOLE OUTLET- STONE--
PEATFIBREMEDIA-
PURAFLO MODULE FLOW DIAGRAM
6

6.0 VACATION, SEASONAL AND INTERMITTENT USE
The Pumllo® treatment system will function normally when used for vacation, seasonal or
Intermittent applications.
During normal operation of the Puraflo® Peat Biofilter a stable ecosystem exists in the peat media
consisting of a diverse population of microorganisms and also higher life forms. During a period of
reduced wastewater flow to the Pureflo® blofiller the microbial population correspondingly decreases
in the media. The degree of'feeding'of the system dictates to a certain degree the microbial numbers
In the media, however, the system will continue to treat the wastewater. The reason for this can be
explained as follows:-
Upon complete cessation of wastewater supply to the bed a number of changes occur to the resident
microbial population. Many types of bacteria and fungi will form spores during periods of nutrient
depletion. These spores will remain dormant until a fresh supply of wastewater is added to the
biofilter. Other non-sporing microorganisms will remain in a dormant inactive state until fresh nutrients
are provided. Some microorganisms and higher life forms will persist in the peat media feeding on the
residual biomass present,thus turning over the microbial population In the peat.
Upon start up, when wastewater is once again supplied to the system, the dormant microorganisms
and spores quickly resuscitate and become metabolically active. Additional beneficial bacteria will be
provided by the wastewater Itself. The Pumflo®Peat Biofilter very quickly reactivates to become fully
efficient.
7

9.0 EMERGENCY CONTACT DETAILS
In the unlikely event that you experience a problem with your Puraflo® Peet Biofilter system or If
service is required, you should contact your Authorized Service Provider. The contact details for your
Authorized Service Provider can be found on the Service Data Label that is attached to the control
panel. You should reference the serial number of the Puraflo®Peat Router found on the System Data
Label attached to the Pureflo® modules when you contact the Authorized Service Provider or
manufacturer,
9.1 Manufacturer Contact Details
Name Bard_Box 77457 na Mona E_nw
Address ronmental Products US Inc
FP O -
---
Greensboro-
Norfh Carolina 27417
Office No. 336 547 9338
_Toll Free No_. _ 1 800-PURAFLO
Fax No. 336 547 8669
-- —
- ---
Email Address info bnm us com
__ebsiteAddress WL bnm us,com
9.2 Authorized Service Provider Contact Details
f Address ---- - --
. Offic_a No.
Mobile No
Fax No
Email Address - -
9

10.0 LIMITED WARRANTY
Bord no Mona Environmental Products U.S. Inc.(herinager called BnMEP Inc.)warrants each Purago peat fibre
wastewater treatment system to function properly and to be free from defects In material and workmanship for a
period of two (2) years from the date of sale to the original documented retail consumer, BnMEP Inc. sole
obligation under this warranty is as follows: BnMEP Inc.shall fulfill this warranty by repairing or exchanging any
component part, ROB Factory,that shows evidence of defects,provided the said component pan has been paid
for, warrantee has notified BnMEP Inc. of the defect complained of and the component Is returned through the
Authorized Service Provider,transportation prepaid. This warranty does not cover any costs to ship the defective
parts to the factory, nor any labor costs and/or other costs to remove or replace defective pans. There is no
Informal dispute settlement available under this LIMITED WARRANTY.
BnMEP Inc.warrants the satisfactory operation of the Purafioe peal fibre wastewater treatment system provided
the treatment system is Installed and operated in accordance with the design,treatment parameters and BnMEP
Inc.recommendations.
This LIMITED WARRANTY applies only to the treatment process pads supplied by BnMEP Inc. and does not
Include any portion of the residential plumbing, drainage, disposal system, or installation of the systems. In no
event shall BnMEP Inc. be responsible for delay or damages of any kind or character resulting from, or caused
directly or indirectly by, defective components or materials manufactured by others or to any failure due to
accidental or malicious damage, plant abuse, fair wear and tear or frost or storm damage,or use or Installation
contrary to zoning,regulation,or other legal mandate or ordinance.
Liability does not extend to over damage,failure repairs and replacements due to third party causes Including
uncedlfiad Installation or incorrect or non regulatory compliant system design or as a result of connection to the a
failed dispersal field or If the system Is not used In accordance with the instructions for use contained In the owner
manual.
Recommendations for special applications will be based on the best available expertise of BnMEP Inc. and
published industry Information.Such recommendations do not constitute a warranty of satisfactory performance.
This LIMITED WARRANTY extends to the original retail customer of the product. As herein, "original retell
customer is defined as the purchaser who first has the plant Installed or in the teen of a system designed for non-
permanent installation, the purchaser who first uses the system. It Is the purchaseYs, or any sub-vendors
obligation to make known to any other the terms and conditions of this warranty.
This warranty Is a LIMITED WARRANTY and no claim of any nature shall be made against BnMEP Inc. unless
and until the original retell customer, or his legal representative, notifies BnMEP Inc, in writing of the defect
complained of and delivers the product and/or defective pad($),freight Prepaid,to BnMEP Inc.or an authorized
service station.
BnMEP Inc. reserves the right to revise, change, or modify the construction and/or design of the Puregoe
wastewater treatment systems, or any component part or parts thereof,without Incurring any obligation to make
such changes or modifications In equipment previously sold. BnMEP Inc. also reserves the right, in making
replacements of component parts under this warranty,to famish a component which,In its judgment is equivalent
to the part replaced.
To the extent that,the LIMITED WARRANTY statements herein are Inconsistent with the locality where the
Purchaser uses the Purago Wastewater Treatment System, the warranty shall be deemed to be modified
consistent with such local law. Under such local law,certain limitations may not apply. For example,Some stales
In the United Slates and some Jurisdictions outside the United States may (1) preclude the disclaimers and
limitations of these warranties from limiting the rights of a consumer (Ip otherwise restrict the ability of a
manufacturer to make such disclaimers or to impose such limitations;or(III)grant the consumer additional legal
rights, specify the duration of implied warranties which a manufacturer cannot disclaim,or prohibit limitations on
how long an implied warranty lasts.
In no event and under no legal theory, Including without limitation, tort, contract, or strict product liability, shall
BnMEP Inc.or any of Its Suppliers be liable to the other parry for any indirect,special,Incidental,or consequential
damages of any kind,Including without limitation damages for loss of godwill,or any kind of commercial damage,
even if the other party has advised Bri Inc.of the possibility of such damages.
10

RECORD OF SYSTEM
Owner Name&System Location Phone
SOeet City Stale Zip Code
No.of Modules Serial#'s(on module)
Pump(.)model# Ploat(s)model# Startup date
Design flow Pump design specification(gpm) Tank(s)Size(s)
Panel Make&Type Pump tank timer settings Dispersal method
Dealar name/Phone Engineer name/phone Installer name/phone
Service provider name/phone Regulatory Authority PCrrrdt#(if applicable)
Notice of Transfer
Fundemigned.hereby declare that I have acquired the property located at
Name
ChyState Zlp Code
I have taken cognizance of die warranty provided by Bord na Mona for the Pumflo® Peat Bio£dter for
wastewater treatment. 1 wish to avail myself of this warranty for the remaining period of its coverage; I accept
all of its clauses,undertakings and conditions;I have had the opportunity to examine the Pumflo Peat Biofilter
and declare myself satisfied with it at the time of the transfer.
I request that Bord na Mona take note of the change of ownership.
Signature Date
)1

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIII
INVOICE e 2 0 1 4 P R 0 1 0 3 9 8 +
Annual Permit Fee Open
This annual fee Is required by the North Carolina Administrative Code. It covers the administrative costs associated with
your permit.It fs required of any person holding a permit for any time during the annual fee period,regardless of the facility's
operating status.Failure to pay the fee by the due date will subject the permit to revocation,Operating without a valid
permit Is a violation and Is subject to a$10,000 per day fine. If the permit is revoked and you later decide a permit Is
needed,you must reapply,with the understanding the permit request may be denied duo to changes In environmental,
regulatory,or modeling conditions.
Invoice Number: 2014PR010308 Annual Fee PariCd: 2014-12-01 to 2015-1130
Permit Number: NCG551100 Invoice Date: 11/0012014
Jackson County
Golf Club Estates/Lot 15 Due Data: 12/06/2014
Leslia D.Talbot Annual Fee: $60.00
6340 Watemtest Way Unit 401
Lakewood Ranch,FL 34202 5217
Notes
1. You may pay althor by cheekimoney orderQ by electronic payment.
2. If payment Is by checklmoney order,please remit payment to:
NCDENR-Dlvlslon of Water Resoumea
Attn: AnlmalAnschargo/Non-DNoharge all V
1617 Mall Service Center
Raleigh,NC 27690.1017
3. If payment Iselectronic,see hllplagdal.ncdenromivwbAwmot-toalMteoavm ntforaddlllonalcents. See
hllna/nonal.nedenr.am/webMmteoavmem to pay eleelranlcul . OnlveCheak transactions are allowed at this time. Creditwrd l l
transactions are lud eccepmtl.
4. Please include your Permit Wormer and Invoice Number an all Correspondence,
6. A$25.00 processing fee will be charged for returned checks In accordance with North Carolina General Statute 26.3.512.
S. Non-Payment of this fee by the payment due dale wilt Initiate the permit revocation process.
1. Should you have any quasliens regarding this Invoice,please conlactthe Annual Adminieledng and Compliance Fee
Coordinator of 919-8W-6310.
(Return This Portion With Check)
IIIII IIIII IIIII IIIII IIIII II IIIII III I IIII IIIII IIIII IIIII IIIII IIII IIII
ANNUAL PERMIT INVOICE
Open
Invoice Number: 2014PR010398 Annual Fee Period: 2014-12-01 to 2015.1130
Permit Number: NCG561100
Jackson County Invoice Data: 11/0/2014
Golf Club Estates/Lot 16 Due Data: 12/6/2014
Annual Fee: $80.00
Leslie D.Talbot
6340 Walemnest Way Unit 401
Lakewood Ranch,FL 34202-5217 Check Number:

SmartWater Solutions Group OfNCA Division ofKolgereavhonmanialLLc Invoice for Services
Consulting Services Quotation No. Verbal Approval
5710-K High Point Road 0269 Done:Jun-11-12
Greesboro,NC 27407 prepared by: Chris Keiger
Tel:[phone] Cell:336-918-5438 Fax:[phone] Revision No 0
Prepared For: Job Reference:
Mr. Steve Avery Pura0o System Inspection
83 Carefree Circle &Troubleshooting
Sapphire,NC
FL Home Tel:[phone]
Cell:[phone]
Home Tel:[phone]
0-1rail:steve.2ver adart.biz
QUANTI DESCRIPTION OF ITEM OR ACTIVITY FLAT FEE AMOUNT
1.0 Puraflo System Inspection-Flat Fee $50D.00 $500.00
Includes travel to/from site; Inspection and adjustment of controls&
condition of peat Ober media-up to 3-hours on the subject site.
$86.00 $0.00
$85.0D $0.00
$85.00 $0.00
Thank you forusing SWSG of North Carolina SUBTOTAL $500.00
$0.00
$0.00
$0.00
$0.00
gooMake and remit to, TOTAL DUE $600.00
KEIGER ENVIRONMENTAL,LLC
6710-K High Point Road 9260
Greensboro,NC 27407
V
If you have anyquesUons about finis Invoice,please call 336-297-9028 or 336-918 5436-Dote Printed 6/1312012

_\!! § !(
. Pox z 7 | q §
� ) ;} \ vo e
E@ !| -
(
k (D
_
!R , } |/ /} j }�
FF \ | ! C ! !
! « ! J \ !
\ \ / 111
. a cl '} «
\ }
\ \ ( § \ / }
! - ,
§ IA

OL
//L��� CL M
4) N
O m
cc
LLI
V m N
H
2
ZA
t Cl) VI '20 .
• `
0
N
E
N
�SmartWater
Solutions Group
5710-K High Point Road#269 4OU-SUO14nJOBJ841a p\ '
Greensboro, NC 27407 nees.5ee¢d J¢I¢61-A.
¢uolle5pranu[ol6oloaemp1lH71n15o1oa5 a841111,
�ap¢mwm18 a BuHsan+eH+mamulei! -iej¢ .
lausuoll 1 ewSosP4] •9£VS'8S6'888 :Ilol
9Z06'L6Z'9££ :xej , 9£bS-916'9££ :a119oW
LObLZ A '010peuaal9
69Z#Peoe lulo ON A-011S
Od 'JOGION 'N SIA43
dnoaq suognlog
aa3aM�a�S
f' wZ
2: V J
p f3
0 (6
to 0
1- w 5w
®
In a o w w
ow
U ti 1
a 0 2 f .h .."
Oe�M #,. x4•
-� U LL $ y I �"•��m.
w
J Q

I
J ROY COOPER
f"" , Governw
MICHAEL S.REGAN
Sacretory
W S.JAY ZIMMERMAN
Water Resoarces
Director
Flnvironnnenlal Quality
January 30, 2017
Leslie D. Talbot
6340 Watercrest Way, Unit 401
Lakewood Ranch, FL 34202
SUBJECT: Compliance Evaluation Inspection
83 Carefree Circle
Sapphire,NC 28774
Dear Ms. Talbot:
I am contacting you with regards to the NPDES Wastewater Permit that is held for your property
at 83 Carefree Circle in Jackson County,NC. The permit number for your wastewater system is
NCG551100. I need to conduct an inspection of this facility to determine if it is in compliance
with the state permit. Please contact me so that we may set up an inspection and discuss your
wastewater system. You can call my office phone at 828-296-4658 or email me at
[e-mail].
Thankyou,
/
Daniel J. Boss -
Environmental Specialist
Asheville Regional Office
cc: MSC 1617-Central Files-Basement
Asheville Files
K:;' Nottttng Compares--,
State of North Carolina I EnvimnmenW Quality Water Resources
2090 U.S.nighwoy 70,Svrannsnoe,NaM Csrohne 28778
828-296-4500

I
ROY COOPER
Garernnr
MICHAEL S.REGAN
Secretary
S.JAY ZIMMERMAN
Water Resources DB•wmr
➢nviromnental Quality
March 16, 2017
Leslie D. Talbot
434 S Washington Blvd
Sarasota,FL 34236
SUBJECT: Compliance Evaluation Inspection
83 Carefree Circle
Sapphire,NC 28774
Dear Ms. Talbot:
I am contacting you with regards to the NPDES Wastewater Permit that is held for your property
at 83 Carefree Circle in Jackson County,NC. The permit number for your wastewater system is
NCG551100. I need to conduct an inspection of this facility to determine if it is in compliance
with the state permit. Please contact me so that we may set up an inspection and discuss your
wastewater system. You can call my office phone at 828-296-4658 or email me at
[e-mail].
Thank
you,
a /; -2-
Daniel J. Boss
Environmental Specialist
Asheville Regional Office
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQvackson\WmwwatedGenerMl CG55 SFRNCG551100,Ehert\Letter to New Owner,Talbot.docx
<, "^Nothan0 Compares"n....
Su,W ofolorth Cwvlim l EuvironmenW Quality l Water Rcsoureea
2090 U.S.Highway 70,Swannanoe,North Catalina 28778
828-296-4500

Applicant' ertification:
I, _I/,- , attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this application are not completed and that
if all required supporting information and attachments are not included, this application
package will be returned as inc plete. 7
Signature: Date: w � 7 a 0�/
THE COMPLETED APPLICAT CKAZiE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, HOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ/ DWR/ NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 1212015

PAT MCCRORY
DONALD R. VAN DER VAAR.T
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTA,O aAll I Y DpeCmr
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00/ / / / / /or NCG5 5"/ // 1/ d/ 0
1. Facility Name:
II. NEW OWNER/NAME INFORMATION:
1.. This request fora name change is a result of:
X/ a. Change in ownership of property/company
b. Name change only
c. Other(please explain):
2. New owner's name(name to be put o permit):
'Fscr� aor �7�vc- icy
� 3. New owner's or signing official's name and title:
(Person Is y responsible for permit)
/�-. - (TIiittle)
4. Mailing address: $3. (. f'Ff,�,nr L-✓'wC24. ,%ty: Jy6/rfr✓.lr-er
N State: C Zip Code: 8'7 Phone: ( 1,,x) 7" —3y68
E-mail address: S 9t/E`"z @ 4 PJ T Z
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State ofNar[h Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
http://portal.nedenr.org/web/wq

F WgrF v - MichaelF Easley
4/ i / Governor
V William G.Ross,Jr,Secretary
r NCDENR
North Carolina Department of Environment andNatural Resources
rNanW Klimek,P:E:,Director
pinryi (on 4€Y✓aterQuality
April 5,2006, APR 1 2005
JonF.Ebert - lr,i iui.i
5270 Tamarind Ridge Drive ^ "`
Naples,FL 34119
Subject: General Permit No.NCG550000
Authorization to Construct Permit
NCG551100
Jon F.Ebert Property
Jackson County
Dear Mr. Ebert:
In accordance with your application for Authorization to Construct, the Division is authorizing
the construction of a wastewater treatment system consisting of a 1000 gallon septic tank, 1000
gallon pump tank, 2 x 2 Bord Na Mona Peat Biofilter System, 15-20 gallon water stabilization
basin, Salcor 3G water ultraviolet disinfection unit, and sample chamber and rip rap aeration
with a discharge of treated wastewater into an unnamed tributary to Horse Pasture River,
classified C-Tr waters in the Savannah River Basin. All elbow piping must be of the long
sweeping type. All cleanouts are to be housed in meter boxes below the surface. This system
must be at least 10 feet from the dwelling and property lines and at least 100 feet from water
supply wells on and off the site. The system must also be constructed and located above a 100
year flood.
This Authorization to Construct permit is issued in accordance with Part 1H, Paragraph 2 of
NPDES Permit No. NCG550000, and shall be subject to revocation unless the wastewater
treatment facilities are constructed in accordance with the conditions and limitations specified in
Permit No. NCG550000. hi the event that the facilities fail to perform satisfactorily, including
the creation of nuisance conditions, the Permittee shall take immediate corrective action,
including those as may be required by this Division, such as the construction of additional or
replacement*wastewater treatment or disposal facilities. Failure to abide by the requirements
contained in this Authorization to Construct may subject the Pernittee to an enforcement action
by the Division of Water Quality in accordance with North Carolina General Statute 143-215.6A
to 143-215.6C.
The Asheville Regional office, telephone number 828/296-4500, shall be notified at least forty-
eight (48) hours in advance of operation of the installed facilities so that an in-place inspection
can be made. Such notification to the regional supervisor shall be made during the normal office
hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.
N.C.Divislon of Water Quality I NPDES Unit Phone:[phone]
1617 Mail Service Center,Raleigh,NC 27699-1617 fax:[phone]
Internet:h2o.enrstatem.us DENR Customer Service Center:1800623-7748

Upon completion of constmction and prior to operation of this permitted facility,an Engineer's
Certification must be received certifying that the permitted facility has been installed in
accordance with the NPDES Permit, the Certificate of Coverage, this Authorization to Construct
and the approved plans and specifications. A leakage test shall be performed on the septic tank
and dosing tank to insure that any exfiltration occurs at a rate which does not exceed twenty(20)
gallons per twenty-four (24) hour per 1,000 gallons of tank capacity. The Engineer's
Certification will serve as proof of compliance with this condition. Mail the completed
Engineer's Certification to the NPDES Unit, 1617 Mail Service Center, Raleigh, NC 27699-
1617.
A copy of the approved plans and specifications shall be maintained on file by the Pemnittee for
the life of the facility.
NPDES Permit Contact. If you have any questions concerning the requirements of this permit,
please contact Sergei Chemikov at telephone number 919/733-5083,extension 594.
Sincerely, �
Alan W. Klimek,P.E.
cc: Central Files
_ NPDES General Permit Files
1 Jackson County Health Department

SOC PRIORITY PROJECT: Yes No X
IF YES, SOC NUMBER
TO: PERMITS AND ENGINEERING UNIT
WATER QUALITY SECTION
ATTENTION: Mack Wiggins
DATE: 11/6/00
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Jackson
PERMIT NUMBER NCG551100
PART I - GENERAL INFORMATION
1. Facility and Address: Lou Blanc Single Family Residence
Mailing: P. 0. Box 2081
Cashiers, North Carolina 28717
2 . Date of Investigation: September 6, 2000
3 . Report Prepared By: Kerry Becker
4 . Persons Contacted and Telephone Number: Lou Blanc
828-743-2476
5 . Directions to Site: From U.S. 64W ® Sapphire Valley Resorts, turn
left onto Cherokee Trail traveling around the golf course to left on
Laurel Creek Lane and then left onto Carefree Circle. Residence is
located on lot 15 F.
6. Discharge Point(s) , List for all discharge points:
Latitude: 35E 06 ' 44 . 57" Longitude: 83E 03 ' 7. 09"
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. 176-SE U.S.G.S. Quad Name Cashiers
7. Site size and expansion area consistent with application?
x Yes No If No, explain:
-1-

8. Topography (relationship to flood plain included) : Level, adjacent
to stream
9 . Location of nearest dwelling: 150 '
10 . Receiving stream or affected surface waters : Intake Branch
a. Classification: C Trout
b. River Basin and Subbasin No. : SAV
C. Describe receiving stream features and pertinent downstream
uses: Habitat for the propagation and maintenance of aquatic
life
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted 0 . 000480 MGD (Ultimate
Design Capacity)
b. Please provide a description of proposed wastewater treatment
facilities: The facility will consist of a 1000 gallon septic
tank, 1850 gallon dosing tank followed by two recirculating
sand filters 6 ' x 8 ' each for a total of 96 sq. ft . The flow
will be recycled 3 :1 via a flow divider tee . Discharged
effluent will be chlorinated and then dechlorinated prior to
entering Intake Branch.
C. Possible toxic impacts to surface waters: Chlorine, ammonia
2 . Residuals handling and utilization/disposal scheme: Licensed septage
hauler with final disposal to a municipal system.
3 . Treatment plant classification (attach completed rating sheet) : I
4. SIC Codes (s) : 4952
5. Wastewater Code (s)
Primary 04 Secondary
Main Treatment Unit Code:452-7
2

eFILE
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A.Reeder John E.Skvada,III
Governor Director Secretary
August 2, 2013
Jon F Ebert
5270 Tamarind Ridge Dr
Naples FL 34119
SUBJECT: Compliance Evaluation Inspection
Golf Club Estates / Lot 15
Permit No: NCG561100
Jackson County
Dear Mr. Ebert:
Enclosed please find a copy of the Compliance Evaluation Inspection conducted
on July 16, 2013. Currently this house is listed for sale. A name/ownership form should
be completed and submitted to NCDENR when the property sells. A blank form will be
included with this inspection report. The facility looked to be well maintained. No
violations of permit requirements or applicable regulations were observed during this
inspection.
Please refer to the enclosed inspection report for additional observations and
comments. If you or your staff have any questions, please call me at 828-296-4500.
Sincerelyy
Jeff Menz/
Environmental Specialist
Enclosure
cc: Central Files
Asheville Files
SURFACE WATER PROTECTION-ASHEVILLE REGIONAL OFFICE
Location:2090 U.S.Highway 70,Swannanoa,NC 28778 NofthCafolina
Phone:[phone]TAX 828299-7043 �a l,�//�
Internet:www.ncwateroualitv.ora l
S:\SWPUacksonlWastewater\GenemiNCG55 SFR\SFR's NCG55\NCG551100 CEI 2013.doc

United Slates Environmental Protacllon A9enry =App..[
oved.
EPA Water Compliance Ingpipctinn Bepart WesM1ing aq D.C.2Wao OF
040-0057
xpires 8-31-98
Section A: National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/melday Inspection Type Inspector Fac Type
1 Lit 2 15I 31 NCG551100 111 121 13/07/16 117 18Ir1 19U 20I I
IJ LJ Remarks LJ LJ LJ
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self-Manitoring Evaluation Rating 131 CA ---------------Reserved--------------
671 169 70L1 71 u 721 N 1 73 W 74 751 I I I I I I 1 80
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
Golf Club Estates/Lot 15 01:00 PM 13/07/16 12/08/01
Golf Club Estates Lot 15 Exit Time/Date Permit Expiration Date
Sapphire NC 28774 01:20 PM 13/07/16 13/07/31
Name(s)of Onsite Representative(s)Ritles(syPhane and Fax Numbers) Other Facility Data
Name,Address of Responsible Ofgciallritle/Phone and Fax Number
Contacted
Jan F Eber1,5270 Tamarind Ridge Dr Naples FL 34119N No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Facility Site Review E Effluent/Receiving Waters
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and SlgneW_re(ss))of Inspector(s) Agency/OffcelPhone and Fax Numbers Data
Jeff Menzel r•f/U/ ARO WQ//828-296-4500/ g17 6
Signature of Management Q A Revievrer Agency/Office/Phone and Fax Numbers Data
s2 IR0543
EPA Form 3660-3(Rev 9-94)Previous editions are obsolete.
Page# 1

1
i
NPDES yr/mo/day Inspection Type
31 NCG551100 I11 12I 13/07/16 I17 19I^I
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
This facility was discharging at the time of inspection. Currently this house is listed for sale.A
name/ownership form should be completed and submitted to NCDENR when the property sells.A blank
form will be included with this inspection report. The facility looked to be well maintained. No violations of
permit requirements or applicable regulations were observed during this inspection.
Page# 2

Permit: NCG551100 Owner-Facility: Golf Club Estates/Lot 15
Inspection Date: 07/16/2013 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Is right of way to the ouffall properly maintained? ■ 0 0 0
Are the receiving water free of foam other than trace amounts and other debris? ■ 0 0 ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ 0 ■ ❑
Comment:
Page# 3

united states Environmental Prolecllon Agency Form Approved
EPA Washington,D.C.ao4so OMB No.2040-0061
Water Compliance Inspection Report Approval expires8-31-98
Section A: National Data System Coding(i.e., PCs)
Transaction Code NPDES yr/molday Inspection Type Inspector Fee Type
1 Ivl 2 US31 NCG551100 11 121 06/05/20 ,] 181 r1 ,91 c1 20U
IJ Remarks J J
2111111111111111111111111111111111111111111111111th
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -----------------------Reserve d---------—--------
6'!1 69 701 1 Tt l I 721 N 731 I I 74 75L I I I I I 180
Section B: Facility Data IJ L1J
Name and Location of Faculty Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Data
POTW name and NPDES permit Number)
Jon F. Ebert - SFR 10:00 AM 06/05/20 02/08/01
Lot 15£ Golf Club Estates Exit Tlme/Date Permit Expiration Date
Sapphire NC 28774 10:15 AE 06/05/20 07/07/31
Names)of Onsite Representative(s)/fitleaspPhone and Fax Number(s) Other Facility Data
Name,Address of Responsible OffciaPTitle/Phone and Fax Number
Son F Eb,t,5240 Tamarind Ridge Dr Naples FL 34119/// Contacted
No
Section C: Areas Evaluated During Inspection(Check on ly those areas evaluated)
Facility Site Review
Section D: Summary of Find In /Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspectar(s) ency/Office/Phone and Fax Numbers Dale
Larry Frost ARO wp//028-296-4500 ex1.9656/
Signature of Management O A Reviewer Agency/Ofgce/Phone and Fax Numbers Dale
EPA Form 3580-3(Rev 9-94)Previous editions are obsolete.
Page 9 1

NPDES yr/molday Inspection Type 2
1 NCG551100 111 12, 06/05/20 1] tau
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Facility is as yet to be constructed. Home is under construction.
Page# 2

PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or
are any public monies involved. (municipals only) ? N/A
2 . Special monitoring or limitations (including toxicity) requests:
No
3 . Important SOC, JOC, or Compliance Schedule dates: (Please indicate)
i
Date
Submission of Plans and Specifications
Begin Construction
Complete Construction
4 . Alternative Analysis Evaluation: Has the facility evaluated all of
the non-discharge options available. Please provide regional
perspective for each option evaluated.
Spray Irrigation: Insufficient land area
Connection to Regional Sewer System: Inacessible
Subsurface: Soils unsuitable
Other disposal options:
5 . Other Special Items:
i
PART IV - EVALUATION AND RECOMMENDATIONS
The Asheville Regional Office recommends issuance of Permit Number
NCG551100 .
Signature of Report Preparer
Water Quality Regional Supervisor
Date
3

NCDENR
JAN 1 6 2007
North Carolina Department of Environmentsan Nal ural Resources
Division of Water Qualit� I r f
Michael F. Easley,Governor r of William G. Ross fir;Se retary
-- .
Alan W. Klimek,P.E., - Ifactor
January 9, 2007 $` .,.,._+.............y..,......,....,....,_....,,».,..,,.,,..,.,a„
James Christy
5556 Belboo Place
Sarasota, FL 34238
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG551100
Jackson County
Dear Permittee:
You are receiving this notice because you currently own a property covered under the subject
General Permit for the discharge of domestic wastewater. NCG550000 will expire on July 31, 2007.
Federal.(40 CFR 122.41) and North Carolina (15A NCAC 2H.0105(e))regulations require
that permit renewal applications be filed at least 180 days prior to expiration of the current permit.
To satisfy this requirement, the Division must receive a renewal request postmarked no later than
February 1. 2007.
The Certificate of Coverage (CoC) specific to your property was last issued on August 1, 2002.
The Division needs information from you to determine if coverage under NCG550000 is still
necessary.
➢ If your property still has a wastewater system like the ones described in the enclosed
Technical Bulletin,you must renew the subject CoC. Complete the enclosed form and
submit it to the address on the form.
➢ If you are not sure what type of system your property has, contact Keith Haynes in the
NC DENR Asheville Regional Office at. That person [or other staff members] can help
you determine if you should renew your CoC.
➢ If you know that your property no longer discharges wastewater, contact me at the
address or phone number listed below to request rescission of the CoC.
➢ This information request does not pertain to the Annual Fee of$50.00 billed
separately by the Division's Budget Office No money is required for this
urocedure. The Annual Fee is like the fee you annually pay the DMV for the sticker on
your vehicle's license plate. Renewal of your CoC is like the renewal of your Driver's
License [ca. every five years].
➢ If you have already mailed a renewal request,you may disregard this notice.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 e
tt}'' 1 512 North Salisbury Street,Raleigh,North Carolina 27604 Noc� }�h1 CarOhna
Phone: [phone],extension 511/FAX [phone]/ch&[e-mail] .YA"
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper 111777/�yyatuNally

NCG551100 renewal notice
January 9,2007
The attached application form shows the information the Division has on file for your
property. Please verify that the provided information is correct, or make corrections on the form.
Complete the additional questions, then sign and date the form.
The completed farm should be submitted to the address listed below the signature block.
If you have any questions concerning this matter, please contact me at the telephone number
or e-mail address listed below. (If it is difficult to reach me, please be aware that your facility is one
of over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your attention to this matter.
Sincerely,
Charles H. Weaver, Jr.
NPDES Unit
cc. Central Files
Asheville Regional Office/Keith Haynes'
NPDES file
1
I
i

AMA
NCDENR l FED ] ] zoos
North Carolina Department of Environment and atu rR# urcesc Z1
Division of Water Quality ns_icvlt t ,r f c rmwl r icE
Michael F. Easley, Governor ' William G. Ross Jr,8a;staiy
Aian W Klimek P.E.,Director '
February 8, 2007
Jon F. Ebert
5270 Tamarind Ridge Drive
Naples, FL 34119
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG551100
Jackson County
Dear Sir or Madam:
You are receiving this notice because you currently own property covered under the subject
General Permit for the discharge of domestic wastewater. . Your ownership of the property [at Lot
15 Golf Club Estates, Sapphire, Jackson County] was documented via your Coul tax data(and
searchable internet map).
NCG550000 will expire on July 31, 2007. The Certificate of Coverage(CoC) specific to your
property was last issued on August 1, 2002. The Division needs information from you to
determine if coverage under NCG550000 is still necessary.
➢ If your property still has a wastewater system like the ones described in the enclosed
Technical Bulletin,you must renew the subject CoC. Complete the enclosed form and
submit it to the address on the form.
➢ If you are not sure what type of system your property has, contact Keith Haynes in the
NC DENR Asheville Regional Office at [phone]. That person for other staff
members] can help you determine if you should renew your CoC.
➢ If you know that your property no longer discharges wastewater, contact me at the
address or phone number listed below to request rescission of the CoC.
➢. If you have already mailed a renewal request, you may disregard this notice.
The attached application form shows theinformation the Division has on file for your
property. Please verify that the provided information is correct, or make corrections on the form.
Complete the additional questions, then sign and date the form. The completed form
should be submitted to me at the address listed on the back of the form.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
512 North Salisbury Street,Raleigh,North Carolina 27604 ne N h#C)�aproJ1/l,�I�a
Phone: [phone],extension 511/FAX [phone]/charlesmeaver®ncmail.net aturah
An Equal Opportunity/Affirmative Action Employer—50%RecycleNl0%Post Consumer Paper

NCG551100 renewal notice
January 23,2007
Federal (40.CFR 122.41) and North Carolina (15A NCAC 2H.0105(e))regulations require
1 that permit renewal applications be filed at least 180 days prior to expiration of the current
permit. To satisfy this requirement, the Division must receive a renewal request postmarked no
i
later than Februarv..19, 2007.
If you have any questions concerning this matter, please contact me at the telephone
number or e-mail address listed below. (If it is difficult to reach me, please be aware that your
facility is one of over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your attention to this matter.
�14
Siinceereelly, V y�n'
Charles H. Weaver,Jr.
NPDES Unit
ce: Central Hiles
Asheville Regional Office/Keith Wayne
NPDES file
I
I

FOR AGENCY USE ONLY
Dam R'm.md
_' Yevr Mon,h Dv
`�! Division of Water Quality/Water Quality Section
cemE<om of cow., e
NCDENR National Pollutant Discharge Elimination System nmo ni
NCG550000 P na,inedro
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG550000: Single Family Domestic Units and/or facilities discharging less than 1000 gallons per
day of domestic wastewater and similar point source discharges
(Please print or type)
1) Region contact(Please note:This application will be returned If you have not met with a
representative from the appropriate regional office):
Please list the NCDENR Regional Office representative(s) with whom you have met:
Ew Name: ; S. EWCKe(Z- Date: 59pr 2000
2) Mailing address of owner/operator:
Owner Name 1-D4-Ts E. SLAW C
Street Address o BOK .ZO 81
City 5 E 5 State NC_ ZIPCode 287/7
Telephone No. (Home) s 75�3-2 Lf7 (Work)
"Address to which all permit correspondence will be mailed
3) Location of facility producing discharge:
Street Address LoT l4r15 GOLF C&US ESMT,55 hilly 1r)
City C�}5 E25_ - _ state_ ZIPCode Z8717
County C 161
Telephone No. 7tf3 — 2 4 76
4) Physical location Information:
Please provide a narrative description of how to get to the facility(use street names, state road
numbers, and distance and direction from a roadway intersection). U$ 6`F EA37' OF CASlatlf=�
2rsKr �r sAvr�axE uaccu6rrtzanfcF o c alZa. U-GXI .1FT ON CAREF2�E GCRCrEc,
5) This NPDES permit ion o which the
New or Proposed (system not constructed)
❑ Existing (system constructed); If previously permitted by local or county health department,
please provide the permit number and issue date
❑ Modification; please describe the nature of the modification:
6) Description of Discharge:
a) Amount of wastewater to be discharged: u
Number of bedrooms � x 120 gallons per bedroom= `/ o gallons per day to be permitted
Page 1 of 3
SWU-216-052199

NCG550000 N.O.I.
b) Type of facility producing waste (please check one):
Primary residence ❑ Vacation/second home
❑ Other:
7) Please check the components that comprise the wastewater treatment system:
04 Septic tank it Dosing tank
❑ Primary sand filter ❑ Secondary sand filter 51� Recirculating sand filter(s)
'% Chlorination 1% Dechlorinatlon ❑ Other form of disinfection:
DO Post Aeration (specify type) CA SGk DE
8) For new or proposed systems only-Please address the feasibility of alternatives to
discharging for the following options in the cover letter for this application:
a) Connection to a Regional Sewer Collection System.
b) Letter from local or county health department describing the suitability or non-suitability of the site
for all types of wastewater ground adsorption systems.
c) Investigate Land Application such as spray irrigation or drip Irrigation.
9) Receiving waters:
a) What is the name of the body or bodies of water(creek,stream, river, lake, etc.)that the facility
wastewater discharges end up in7=NTAKE ISFAMW(TUIll fNRY mP HOPSERWIti R/o Rrvm)
b) Stream Classification (if known): C" Tib e
10) The application must include the following or it will be returned:
a) For Certificates of Coverage:
)d An original letter and two (2) copies requesting a general permit.
A signed and completed original and two (2) copies of this document.
A check or money order for the permit fee of$50.00 made payable to NCDENR.
❑ Invoice showing that the septic tank has been pumped and serviced within the last 2 years
(for existing facilities only).
New or proposed facilities must also include:
Letter from the county health department evaluating the proposed site for all types of ground
absorption systems.
[iQ Evaluation of connection to a regional sewer system (approximate distance &cost to connect).
b) For an Authorization to Construct(ATC)only:
A letter requesting an ATC
Three sets of plans and specifications of proposed treatment system (see Permit Application
Checklist and Design Criteria for Single Family Discharge)
❑ Invoice showing that the septic tank has been pumped and serviced (for existing septic
tanks).
Note: There is no fee when requesting an Authorization to Construct
Page 2 of 3
SW U-21 a-0621 s9

NCG550000 N.O.I.
11) Additional Application Requirements:
a) If this application is being submitted by a consulting engineer(or engineering firm), include
documentation from the applicant showing that the engineer(Or firm) submitting the application
has been designated an authorized Representative of the applicant.
b) If this application Is being submitted by a consulting engineer(or engineering firm),final plans for
the treatment system must be signed and sealed by a North Carolina registered Professional
Engineer and stamped -"Final Design- Not released for construction".
c) If this application is being submitted by a consulting engineer(or engineering firm),final
specifications for all major treatment components must be signed and sealed by a North Carolina
registered Professional Engineer and shall include a narrative description of the treatment system
to be constructed.
12) Certification:
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true,complete, and accurate.
Printed Name of Person Signing: 40 US5 E. 64AOC
Title:
(Sign ure of Applicant) ( ate Si ned)
North Carolina General Statute 143.215.6 b(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any
application, record, report, plan or other document filed or required to be maintained under Article
21 or regulations of the Environmental Management Commission implementing that Article, or
who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or
method required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $10,000, or by imprisonment not to exceed six months, or by both. (18
U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment
not more than 5 years, or both,for a similar offense.)
Notice of Intent must be accompanied by a check or money order for$50.00 made payable to:
NCDENR
Mail three(3) copies of the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit
Page 3 of 3
SWU-216-062199

AMA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley,Governor William G. Ross,Jr.,Secretary
Coleen H.Sullins, Director
July 27,2007
Jon F. Ebert
5270 Tamarind Ridge Drive
Naples,FL 34119
Subject: Renewal of coverage/General Permit NCG550000
Golf Club Estates/Lot 15
Certificate of Coverage NCG551100
Jackson County
Dear Permittee:
In accordance with your renewal application [received on February 16,20071,the Division is renewing
Certificate of Coverage(CoC)NCG551100 to discharge under NCG550000. This CoC is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended].
If any parts,measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you,you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made,the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Asheville Regional Office prior to any sale or transfer of the permitted fac"litY
Regional Office staff will assist You in documenting the transfer of this CoC
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources,Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit,please contact Toys
Fields [919 733-5083,extension 551 or [e-mail] or Susan Wilson [919 733-5083, extension 510
or [e-mail].
Sincerely,
for Coleco.H. SullmS
cc: Central Files
Asheville Regional Office Si/ ace Water Protection 1 1 /
NPDES file t I I ill 2007
1617 Mail Sendce Center,Raleigh,North Carolina 27699-1617 { i r11 U1awe,Lu O7 512 North Salisbury Street,Raleigh,North Carolina 27604 �n
""` '�a(' 11T1&'J
Phone: 91973MOB3/FAX [phone]/Internet:www.ncwatsrquality,org s' "1Y
An Equal Oppoaunity/Affirmative Action Employer-50%RecycleNi0%Post Consumer Paper
NodmullY

STATE OF NORTH CARD LINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
{
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551100
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100%DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
jIn 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,
Jon F. Ebert
is hereby authorized to discharge domestic wastewater [480 GPD] from a facility located at
Golf Club Estates/Lot 15
Sapphire
Jackson County
it to receiving waters designated as an unnamed tributary to Horsepasture River (Lupton
Lake, Sapphire Lake) in subbasin 03-13-02 of the Savannah River Basin in accordance with
the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
II, III and IV hereof.
This certificate of coverage shall become effective August 1, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
I
Signed this day July 27, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

�UFWATFgp , MaloslF.Easlay,Covunm
�� 7 William n.Rowe Jr.,sourdr,y
yr— Noah Carulme Depatlmmt oFEnvimnmeat arts Natural Romarnee
i
O Alen W.RIm P.S.Duality
Diviaiw a of Wetw Quality
February 4,2005
Jon F.Ebert
5270 Tarnatind Ridge Dr.
Naples,FL. 34119
Subject NPDES General Permit NCG550000
Certificate of Coverage NCG551100
Jon F. Ebert-Residence
Formerly JamesChristy-Residence
Jackson County
Dear Mr.Ebem
Division personnel have reviewed and approved your request to transfer coverage under the General Permit,
received on July 26,2004.
Please find enclosed the revised Certificate of Coverage. The teens and conditions contained in the General
Permit remain unchanged and in full effect This revised Certificate of Coverage is issued under the requirements of
North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions,please contact the NPDES Permitting Unit at(919)733-5083,extension 363.
Sincerely,
Alan . Klim ,P.E.
cc: DWQ Central FR.
Aaheoille Regional Office,Watu Quality Section
NPDES Unit File
IIILIhJII\Jll FEB - 1 200� �IUIJI
..�
WATER QUALITY SECTION
ASH[VII,IP P[?CIOPIAL OFFICE
g'7h ire
1WI�/
North Carolina Diviurm of Water Quality 1617 Mail survive Ceetar Raleigh,NC27699-1617 Phooe(919)733-7015 Quromrrswvim
Inlemel: h2o.mratelnnc.w 512 N.saliemvy St Raleigh,NO 27W4 FAX [phone] 1-977623,6749

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
1 DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
,CERTIFICATE OF COVERAGE No.NCG551100
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
(NATIONAL POLLUTANT DISCHARGE ELUIIINATION 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 Envimnmemal Management Commission,and the
Federal Water Pollution Control Act,as amended,
JON F. EBERT
is hereby authorized to operate a domestic wastewater treatment facility which includes a septic tank,chlorinator,
holding tank and associated appurtenances with the discharge of treated domestic wastewater from a facility
located at
JON F.EBERT-RESIDENCE
LOT 15F GOLF CLUB ESTATES
SAPPHIRE
JACKSON COUNTY
to receiving waters designated as a or to the Horse Pasture River,a class C Tr water,in the SavaunahRiver Basin
in accordance with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,H,
III,and N of General Permit No.NCG550000 as attached.
This certificate of coverage shall become effective February 4,2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 4,2005.
Alan W.Klimek,P.E. Director
Division of water Quality
By Authority of the Environmental Management Commission

United States Environmental Prans ion Agency Form Approved.
EPA Washington,DC 20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires8-31-98
Section A'. National Data System Coding fide., PCS)
Transaction Code FREES yr/mo/day Inspection Type Inspector Fee Type
1 1 �J J 2 151 31 NCG551100 11 121
oe/11/30 17 181�J LrI 19-1 20I
Remarks J
z11111111I Jill lllllllllllllllllllllllllllllll ( Ili6
Inspection Work Days Facility Self-Monitoring Evaluation Rating E1 Q�Au� ----------I----I-----------Reservent-------------------
6' I69 70LI 71111 72 LJ 73L1J '4 15I 80
Section B: Facility Dale
Name and Location of Facility Inspected(For Industrial Users discharging to PDTW,also include Only Time/Date Permit Effective Data
POTW name and NPDES permit Number)
Jon F. Ebert - SFA 11:15 AM 06/1113D 02/OB/01
Lot 15f Golf Club Estates Exit Time/Date Pemlit Expiration Date
Sapphire NC 28719 11:30 AM 06/11/30 07/07/31
Names)of Onsite Represenlative(s)ITitles(s)/Phone and Fax Numbers) Other Facility Data
Name,Address of Responsible Offcialgrille/Phone and Fax Number
Jon F Ebert,5270 Tamarind Ridge Ds Naples FL 34119/// ConlaCl¢tl
No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Facility Site Review
Section D: Summary of Find gr /Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment Summary)
Namefs)and Signatures)of Inspectors) q� Agency/OBice/Phone and Fax Numbers Data
Laxzy Frost ARC Wp//B28-296-4500 Ext.465B/ Z-/s/t�-
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/molday Inspection Type 2
3I NCG551100 11 121
06/11/30 117 1Bl _1
Section D: Summary of Finding/Comments(Attach additional sheetsof narrative and checklists as necessary)
The home is under construction, the wastewater system has not been constructed.
Page# 2

State of North Carolina
Department of Environment
and Natural Resources — —
Division of Water Quality
James B. Hunt, Jr., Governor NCDENR
Bill Holman, Secretary NORTH CAROLINA DEPARTMENT OF
Kerr T. Stevens, Director ENVIRONMENT AND NATURAL RESOURCES
October 30, 2000 r,,,
Mr. Louis E. Blanc
PO Box 2081
Cashiers, NC 28717
Subject: Application No. NCG551100
Louis E. Blanc, Lot# 15F
Jackson County
Dear Mr. Blanc:
This is to acknowledge receipt of the following documents on October 24, 2000:
X Completed Notice of Intent (Application form),
_ Engineering Proposal (for proposed control facilities),
_ Request for certificate of coverage
X Application processing fee of $50.00.
_ Engineering Economics Alternatives Analysis,,
X Engineering Plans and Specifications
Local Government Signoff,
Source Reduction and Recycling,
_ Interbasin Transfer,
X Other: County health department letter denying the site for ground absorption.
Copy of design calculations.
The items checked below are needed before review can begin:
Completed Notice of Intent(Application Form),
Engineering proposal (see attachment),
Application Processing Fee of$,
Delegation of Authority (see attached),
Biocide Sheet (see attached),
Engineering Economics Alternatives Analysis,
Engineering Plans and Specifications
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
Other:
If the application is not made complete within thirty (30) days, it will be returned to you and may
be resubmitted when complete.
1 1617 Mail service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/ 10%post-consumer paper

This application has been assigned to Mack Wiggins (919/733-5083) Ext. 542 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.
Sincerely,
M'�W iggG/
Stormwater and General Permits Unit
cc: Asheville Regional Office
Permit Application File

03/07/2000 09:55 7034717144 RPC PAGE 04
FROM : 3ACKSON COUNTY ENVIRONMIENTRL PHONE NO. : 0205051207 Mar. 06 2000 03:35pM P3
JACKSON COUNTY OqPARTMMENT OF PUBLIC HEALTH
y
uGICNC6 MLIM0eq OATF YIN 13390bL IMPROVEMENT FERMIr 11. 19.94 73Bt—b0—G899 t
F T: p Eh:
SOHLBERS DOROTHEA SOHLBUR0, DORUTHEAZSOHLBERGT RUDOLPH T
C/O LINDA SOHLBERG29999 MA C/O LINDA SOHLBERS29999 MAMITOU BEACH
BRINBRTOO& IS WA 4$1/1�0 BAINBRIDGE IS WA
nerxoxe: 743— 006 l: 9B;i�d
Ripgnmoxs
3
CGTIOWOIIIltR1ONG:
GOLF CLUB EST. . . . .LOT, O 15—F
ac RECUT. 810NANR50f OWN"0RAU1NOR=AfiMT '
as A97B
Tx. xR CxRA I aba.w t N .Red, mwnam a hnR a- N ably a..MaeM.
SLUPE •,TEXTURE •S SFL STRUCTURE r .S� DERTH' 'LI' .6tiae.-
IN_DRAIN EX. DRAIN� _ L'I-AR OVERALL. Z4.5. .
REItlARKSt �
_.._ _
i— _, 1_ 1c
• 41,
OWNER/INSTALLER REOPOINSIBLE FOR COMPLIANCE WITH ALL APPLXCABLE S"fATE RULES...'...
DATE 7 "41! ENV HEALTH -
+mm.ssmnonw

J3/07/2000 09:55 7034717144 RPC PAGE 05
FROM JACKMN CMHTY ENUIRONMENTFL PHONE N7. : 8205H61207 Ma, 06 2000 03:3GPM P4
67PARTMEN'OF EWIRONMNT,REALTH,AND NATUPAL XESOURM -
DIVISION OFENVDtONMENTALHEALTH SAsr qt
ON-SII'E WASTEWATER SECTION P mOryID0.�"
SOIL/SITE EVAL'U'A'TION ;,
tt 1 {{ `for ON-SITE WASTEWATER SYSTEM
DWNFR:_.. l..I.Jnda.. SDV\ 17 —APPLICA710N
ApDRESS• DATE EVALIlATT:b: 3 .p
PROPOSED FACII.1 PROPOSED DESIGN IT.OW(,I9g9); AOPERTYSI2E;
LOCATION tlF 9(TE: � PROPERTY RECORDW:
WA'TElt SUPPLY: QPrlvaa Po61te QWell QSPring ❑Othac
EVALUAITON METNtlD: ,;FbAuger Horing Q Ptt (]Cut
TYPE OF WASTEWATBR �Sew1 c, CI Induagial Pmcns ❑Mised ,
o. > Pa +a SOLL MORPHOLOGY b+ r ,1 ry "
A.'�?d-T.r �.
�.;, ,. LAND.. HOR4 . . . . :: �: •: :; ., _
. s 2943
P0sP1'70W DEPTH . ` OIL .
SLOPE% (I.Y.) $�OCURE CONSISTENCE/ W COLOR
/ ' I ". SAPRO R=m '!:CEAgq--:.
`(TUBE MINERALOGY COLOR 'DEPTIi CLASS HO1tIZ ••g LTAR
I -i-2.°j° p'zN Mt • V r�� tI 1 1
gLT l !
3�I tvvi ,5 g.A z�f1 Qrl
iolei 9 . 55 5w TDO I a
1';F,ile� vatA 9,0 N t
(2 . I I vvw) 5 ' �✓ Md56i 02.51 1
3 \ 1` " 5w f
etss`i' IVIA MA JJ2�aqI
DETCAIPDDN a'R7AI.SYSTEM AEPAat SY57EM ' OTHERFACTOAS(.1996):
Avatlayte Sps9t(:1911) EITB CLASSIFICA770N(.19
Syrtrm Type(a) EVALUATED BY: CNo of+9t Nfx �a
—' p7g/S)PAHSEIrT:
Siu LTAR �? \
q . UVl0.

W K
DICKSON
En .Plnn a'.SuvveYme / to
a �„ne..oe.mml e<n
Lou 84AAjc OAF) t, /o/e o
S►UUD afg 4aT /SF
2EV-J,2 FLOW .
If WmborNs <—a 120 6PD/B�D�cvt1 = �{8o GPp
:opr c- 7AAJK
USE / 000 CAtwAJ -0EN AMMOU&P P17FC457-
/000/*80 = 2.08 PAYS DFTnNDw 7zJ1
7e-greAJ FA09.2
EFF[uFjvT aMTER SS �EcbMM D To YEDttCE
L 0 417zx"
FTLTE2S
• USE P-ECxiZC4LATTAJG SgNA F.SLTFIZ .P
• 7-PY DwAL F.IGTE(Z'S t{S-M& 7X DALi,
UV 72 `t6 rAUKS.
TANK -VJIXP,E NAAJ M7M&N�coNS 6 x S
#00 FY Z
x1 = g6 ,�7.2
LOAD-Too RATE _ �_
USE pock) RrODETZ TEES To ACIAX1{E
34 R5q-rC:tA4AT-T°N W rro
U'sE 2IV � SAND De-Prii

® WK 004C71. lfo
DICKSON
to
(oH BC/}A7C VWC
SAUDJ�GTC�T 6or fsr
Pump DOVV 6 TAM,< 4 PNM P
• OP6ePT2= PUMP o,u OGC ZYWFM jO
• 145E PREcA r PNMP 7-AN,e To P2orLID6
2 y #Oai2 S ` OVEZ664UCY-s IO R'46j�'-. -TN
G.LEK ®F 5TAPD-BY POW6Z
• 7RY 1�o sEs /DAr
V°G .�DcSE _ 1�8016 = 90 emaous
5Er DO 17?J6 7=Af E MMN, 3 3 >'7rC .
12•S
Tee,, GPM PNMP W/ �/z`sotz
H4404TN6 e4PnCrrY
• ITZE Z2rscy1pg�F P_rrE Fop 2 rpP5
50cour2 VE40cxry
0:Sf r!!TPE < Al
2 e l0 6PM -9p 2.OFP5 ."_ or
MAX. juoQMrtc s ►trre l ID = 118 , q-
7 4V 5 Fr
ALW. po(?N.4(. s rATst y4AD = 1�QB,6 - W-?. 1 D
= 5. so
AIJG . 5'T. r.Tc HEAD _ 4, ` B Fr

JOB NO. _O__ �_(_ 7/_' Y~
FJi9���ceR SHEET NO. 3 /J
PIAn pDICKSONp—_
$UN2HW5 DATE IO D y _.
J09 NAME _- 4d � 4 AAJC .- -___- COMP1ffEUBY -���'
SUBJECT -gAuD Fst TJ= 10T� 15 Ar ________
CHECKED NY
S'ZZE /Y1ffti FocD -T70 t To
/11 kTJL)TAr/j t1AkT9z7F-,fj g T Erx-)
G�TEI?AGs @ /i�1A-�• 5% � USA 3"
t�rZE 4,47-iE kl OCT To Xf&-4 nAPi
,g,rrt()F O d F'1' To $ f'7 t/Erb n To
p(Zo m-F EUE N s i�£t3uT�'o,v
Trey q A - 1/i ," LzuA . No c Es PlFIz
4A-TEORc.
©Rt'r�cE
C�gLGcl �RT,E pf�ESG£ ��A�
U51N6 ORrFTGE ��F2MGtri w/CD=0. 6
PI( xlP 5Ys7F,W? c02PUE Flo w
MAV6 N�['1 :" _ o TON F07-
7, Its 5. s 9, , �-T 4. T �. 0
1 5 2,6.E-F' 1, 62 11,7 � S' 10.9
20 * S 1 2.8o /4.8 22.q 13;4
�o , 5rit
.041

Zfl /o
aos71. Yo
o •
T
A m
�y
3 imlA pli WIW Sump/E(Iluenl pump _ _ >• _col App lm6vdE(Nveplp'in _
(u cod,, SW/SDN525 Io44GPM(28Vn) Cnpvrilies SW/SDNS331. OGPM13.OVs)
Neods $W/$DNS25 1324(1()3m) _ Needs SW/SD/VS33-ID 26 f117.9 m1
_
- — - Elonncnl SW80NS37 115V 1a l0AfIA,60H¢EleMain, SW/SD/V525 1/4 Ie 0.0� EN,bONz
Motor SW/SDN525 155 HIP0R shaded polepole w/Iharmnl uvedood M¢lor SW/SDN533- I/3 HP spacing gala w/thermal
IS50 RPM avarlovd I550 RPM
Mm mum Remmmnndnd SDNS25=12"1304.8mm1 Minimum Re.atvmended SO/VS33 12"(304.3mm)
Sumo OlnT,,r SW25=10'(457 mm) Smnp Diameter SV133 18(457 mm)
Ivtin.tic t'yonulor SW wide angle finalAutomnua Dpecmton SW=1(dat ql Nuimileh
(anco lvvailuhlel SO dA NYAb Diaphragm pressure swhhes (manuol ovailabli) SU=Oophrngm pr are uwiloh
VS=veriml NaatSmith c(. 26 VS=Vaginal flout sviah __ •
YS Smglecard Materials of Ccnstrulmn e¢red(aslimn nod engin ihermoplonic
__.
IAm osal(auslra0ian (ast!ran and engin¢ered thaa.pizo, _ I pabr h loslirvo lnx
Impeller lhermapluslic yarlex _ _ � Disohur¢Size 1�I/T I/2"NPI(381mm) _
_Olsrhorae5iza I1/2'NUFFO .Imm) _ - _ SDld,hondlir�y . .1/2" 1120 mm)
Solids handling 1/2 02.0 mm) �- Powes cord 10� JTW.(20'oplional)
pa,,"'A 30 S11W,12O'oplian ll Supe inr Fenlmes • Cmhort/(¢mmie mecM1animl seal
Sit no kotutos • Corhair/(emmic muchaviml seal - - • Oil lillud union /pulamoliuesel
• Oil filled motor w/outommiaesvl hennnl avad'al thormol uvodood
• Uses single m•.v boll Saying mnmmOicn • Uvs single cow hall hendug mnslrudion
• Mggyback plug u.0 6le IDr....maim name'ad • Piggyback plug avallahle far easy
replacement maim""''and replacemenl
D
31
VS33
i,.
3 10 r t^ t .
SD25,
ou,
{ ty
D- D
Capacity U.S.0.PM.0 10 20 30 40 50
tilers/Second 0 1 2
• . 0
•
�T3 Ip,
3
v"Mwx rI nxglt M.
9 t^"0

MODEL CAPA(IIIFS ID(GPM) XFAGSIO : SOLIDS XANOLING INMOTOR HP BECIRICA(PHASE-VOLTAGE SIT,CORD LENGTH
IIDNI fAPABIIITV OISfHAll
SUMP/ErLUSHT PUMPS
W/0/V25 44 APm IL81p0 2911.I1.3 m1 I/2' hI/2" I/9 MIS 101E
SWBDNS25 44Apm1L81pU 24ft 113 m1 1/2' hI/1 I/4 1 IIf 10 h.
___._
SWRD/VS3J 98 Apm 13.OImf 26It 11.9m1 I/2" 61/2" I/3 1115 10 It.
-:
____._ _—.._ . _.
P33 54APm IJ.41p0 230.0.o ml I/4" 11/9" I/3 I115 BN..
EFFLUENT Pump
A
OSP33 60 son13.B 1psl 25 h.lid ml 1/8" LI/2" Ip MIS EJO lull
OSP33AB 60 Ann Sri 51t1.d 38 ps) 2m1 5/8° Id/2 1/3 1115 ZOh
SH[F25 44 AmP(281pil 291t.11.3 in) I/2' I�I/1 I/—-4 I IIS ZOIt
--_ _.
SHFBi JJ APm 12.1Ips7 9N.111.3 m1 3/9" I-I/1 I/3 :LII5230 IOIt
SHIA 63Apm14I 63h 119Em1 3/4' 2" I/2 I II5,2,230,3 030460515 toll
--- BB gpm lSS iprl 900121.4 m1 3/9° 2` 1 T_200,230;3 230460,515 10h
5Po50 112 gpm pa lot 50I11152m1 3/4° - P 1/2 - 1 IIS,23o;3�200230,960,SIS . 101E
- — _—..._—._ __.. — - . _— _. _. _...
SPO100 190 gpm IB.Bpsl 651E OUGHTm 3/4" 2" I 1 ZID_Y 200,238,460,515 20i
SKX0150 55 gpm 13.5p0 121h 39 m1 3/9" 11/2" hIM 1 230;3 200,MILE,575. ZGN
SEWAGE PUMPS
P SP40 120 Apm ITS list 28 It.IRS rd 11/4' ' .2^ 4110 1 115230 101E
IB.X 1ps1 SP50 140 Apm 28If ml 6 GETS Y Ij2 1115200,230;3200230,460,SIS 10 HIT
-!
SP510 440Apm(OR IN 20I IBSm1 10 - E" 1/2. �1 its 201t }
SKV50 LBO GPM 111.3l1. 20 N.Id.l ml P E". - i/2 1-115230 101E }
SK50 120 ApmIi.51pA. 241E IIJml 2" 2° I/2 t1-115230 10 it.
I
SK60 1300pm I81Ip0 28 ft.185m1 2" 2" 6/10 I 115,200,130;3 200 230 460,515 101E
SKIS 1500Ps19.51ps1. 34 N.1104m1 2° Y 3/4 I200,ZID;3200230960515 201E
__..—
SKI00 I56 Apm 19.B pal . JAN(116 ad 2" T 14E00,230;3 200,330,460,5/5 201E
WARRANTY
Hydroded Pumps Inc warrants to the original porches a,of each Hydnaremo Israel that any part thereof whoh proves,to be memory.in material or
1'workmanship within one year from dote of installation or 19 months tram manufacture date,whlenever comes fast wall be replaced at no'charge with a new
or remanufartbred peal FO 8 factory.Pumh...r shell ateam.
all m ,pare citify and expebse for'rearoval reinstallation and freight.AnyAthems)designated
as,manufactured by the.sh.11 be covered only by IM1e.expense warranty of the manufacturer lhereoT This warranty aloes not apply to damage resulting
from accident,alteration,design misuse orabpse
If the material furnished to the Buyer shall al to conform to this compact or to any of the terms of this wnuen warranty Hydromallc Pumps,Inc shall
replacesuch nonconforming material at the original pant of delivery and shall furnish nstruttlons for is disposition.Any transportation charges nvolved In
,. such disposition shall be for IM1e Buyereaccou0l The Buyers exclusive and sole remedy on accoent oa in raspect of the furnishing of material that does not
conform to this contract or to this Written warranty;shall be to secure replacement thereof as domsatl Hydromallc Pumps Inc shall not in any event be -.
liable for the cost of mo Iabm expended oa any such material or for any Incidental or consequential tlameges to anyone by reason of the fact that such
material does not conform to this contract onto the written warranty. '
ALL IMPLIED.WARRANTIES INCLUDING THE IMPLIED WARRANTY OF MERCHANTABILITY AND THE IMPLIED WARRANTY OF FITNESS FOR A
PARTICULAR PURPOSE,ARE DISCLAIMED TO THE SAME EXTENT AS THE EXPRESS WAPFiANTV CONTAINEQ.HEREIN Some slates do not allow
limitations oa how long an implied warranty tests so the above limitation may not apply to you.'.
MANUFAC TURER EXPRESSLY DISCLAIMS AND EXCLUDES ANY LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES FOR BREACH OF
-ANY EXPRESS OR IMPLIED WARRANTY ARISING IN CONNECTION WITH THIS PRODUCT,INCLUDING WITHOUT LIMITATION:,WHETHER IN FORT.
NEGLIGENCE,STRICT LIABILITY CONTRACT OR OTHERWISE,Same state.s do not allow Frain ns oa how long an lmpled actually lasts an the
.coca lrniralipn may not apply to you,Some states do not allorvlmtalons an he,long an implied arrant,lasts a.the abo.elmtatlon may not apply to
you.This warranty gives you specific legal rights,and you may also have,other rights which vary Item Slate to State.
Nara Hydromallc Pumps line nerves the right to asks assume,to its parents ate their drunficallons and to IN,ablere and ralated Information with . of
q
out notice.Most models are UL Listed anther CSAApproved. -
de
Vc
mgaihm:ray'.
If H YDR®MATIC"
03
Mai I
1840 Saney Road - _ _ S..
Ashland, Ohio 44805 �yntrr
Tel: [phone]
Q
t
r�r

Jos NO. 00671, 4/0
g, n W 6 to
plawq DICKSON HEEi NO,
I' o Su/rv�eHJn DATE _ t0/00
JOB NAMF. __ �e.N'_.._._{�rLjl N C _ __ __ ___ / _ _ _______ COMPUTED BY
SUBJECT _ SAND F..{CT _�.mT—_/S r __._______ CHECKED BY —
�Z ZE C6(Lo iZ�[kcNt o tZ� T t},U K S
Ss 2 E To PFTftTN ro u, Pm MP
7�n s.L� -� 80 63q-LLoNS
P20 uU Des 4� L/ors DZTfX/Zi oN
@ Y60 6PD ADr

A A GM.E —�' 06 l, C
GgJcKET� - li oao P� _
rlFb• Vy 'S&012 �_ s_��a• plCilt�o�.�� Fi�e�y "pj P OAF".) M '
l4.dso b L�
OV tFN gt zfR�t PIPt%
Two c�sr 14 Pam*
T(M �,' arcs t t = a/si*. u4tw, Pr"
t -padK siz>¢ 4 Mfat1S tw�MbuE Iwo Q la sq. m LoNs
I�P�FYINl. M/RW"f TotalbE AT
G4/W-m
WINIIOIE t{ANOt.6 : #3 FWOAR
Approved by
Department of Human Resources
Division of Health Services �amt{Q
Environmental Health Section tv' `�'/ 0•
v N`
Serial No. cam"
Date
�i f a*V A,
-01
till,
r �" e
QiN
VO/ a"

4 LL � 'o / /o
w pc671 ,Y'o
s
R
I - car vE
° °+ �' e• H w a
R7 = p I I
I � \
r1' e40 - N
Its
M I
\ I

Sanuril Wastewater Chlorinator Model 100 _€ 9FTVf4-
t f�76T�. V'o
Sanuri] Wastewater Chlorinator
Q
r,f«
t"
The EES Tablet Feeder Model 100 is a complete one piece chlorination
system designed for disinfecting the total flow of treated wastewater from
any sewage treatment plant with a daily capacity of up to 10,000 gallons and
a peak flow rate of 35 GPM.
The Model 100 Tablet Feeder has no moving parts. It is manufactured of
low linear,medium density, UV stabilized rommolded polyethylene for
durability and resistance to corrosion. Each unit is equipped with two
removable PVC feed tubes in which the charge of SANURIL tablets is
contained. The tubes are inserted down through the removable top cover of
the feeder into the stream of wastewater. The lower end of each tube is
slotted to permit free flow of water through the tubes to assure good contact
between the water and disinfectant tablets. A baffle is installed at the inlet
end and the outlet end is equipped with a fixed one-inch v-notch weir for
proper water velocity and flow.
The entire Model 100 assembly is compact and is easy to handle. Overall it
measures approximately 21 inches long,9 1/2 inches wide and 8 inches
deep. The feed tubes are 24 inches long and with an outside diameter of 3
1/2 inches. Each tube holds 29 Sanuril tablets which measures 2 518
inches in diameter and 13/16 of an inch in thickness.
WATER
OUTLET
E7P
h- Y
http;//www.tipton.org/smuril_100.hhn1 10/13/00

Sanuril Wastewater Chlorinator Model 100
Idf�o
WATER sT is ­Er �,q 0 INLET TABLETAELEiS YVEIR WO/Il�
Superior Performance at a Lower Cost
Better Performance-The entire plant flow passes through the chlorinator
where thorough mixing of wastewater with a controlled amount of chlorine.
takes place.This means more effective bactericidal action and less bacteria
regrowth.
Low Initial Cost-In addition to low investment in the Mini-San
Chlorinator,savings are compounded because no pumps,mixing tanks or
costly control devices are required as with most other chlorination systems
Simple,Low-Cost Installation-One-piece chlorinator construction
requires only inlet piping.No electrical power,wiring,bypasses or other
piping required.
Lower Operating Costs-Chlorinator operates up to 60 days on a single
charge.No time-consuming premixing of chemicals or costly cylinder
handling.Recharging SANURIL 115 tablets is quick and easy,No costs for
electrical power or auxiliary power.
Maintenance-Free Operation-No tanks,pumps,cylinders,external
control devices or other moving parts to break down. System is non-
mechanical and rust and corrosion proof.
i
http://www.tipton.org/sanuril_I00.htmt 10/13/00

October 16, 2000
Stormwater and General Permits Unit
NC Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: NPDES Permit Application for bedroom
Residential Wastewater Treatment System
Lot 15F, Golf Club Estates (Sapphire Valley)
Cashiers, North Carolina
This letter is to inform you that I have designated W.K. Dickson & Co., Inc. of
1419 Patton Avenue, Asheville, North Carolina 28806 as my authorized
representative for this project.
Lou E>Blanc
r
Lou'
cr �Ct2✓l�-
�uwner

P& V Vi'
� t'tr October 19, 2000
Stormwater and General Permits Unit
NC Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Proposed Residential Wastewater
Treatment System
Lot 15F — Golf Club Estates
Louis E. Blanc— Owner
Jackson County, North Carolina
WKD#00671.40
On behalf of Louis E. Blanc, we are requesting both a Certificate of Coverage and an
Authorization to Construct for the above listed residential, discharge-type sewage
treatment system. The system will serve a 4 bedroom or less single family residence.
Please find enclosed the following supporting information with this application:
• A check in the amount of$50.00 for the Certificate of Coverage
• Three completed and signed original copies of the Notice of Intent form
• Original and two copies of a letter from Louis Blanc designating W.K. Dickson & Co.,
Inc. as his authorized representative
• Three copies of the local health department lot evaluation for on-site systems
• Three copies of final plans sealed 10/19/00
• Three copies of final specifications sealed 10/19/00
• Three copies of design calculations
This lot has been rejected by the county health department and regional soils scientist
for all types of ground absorption (on-site) systems. Copies of the health departments
reports are enclosed. The possibility of acquiring easements on adjacent property has
been investigated by the owner without success.
The owner's investigation of the nearest public sewer to this lot indicates that the
closest possible connection point is located approximately 1.1 miles (5,800 feet) away.
We estimate that the extension of a private sewer force main to the existing public

sewer would cost in excess of $150,000, which is several times the cost anticipated for
the system shown on the enclosed plans.
We are requesting that this application be reviewed by the regional office because
timing is of great concern to the Blancs. We have forwarded copies of this entire
application package to Kerry Becker of the Asheville regional office.
Please feel free to call me directly should you have any questions or need additional
information.
Sincerely,
WK Dickson & Co., Inc.
Victor Lofquist, P. .
cc wall attachments: Kerry Becker, NCDWQ/Louis Blanc

1
State of North Carolina
d Department of Environment,
and Natural Resources �0
Division of Water Quality
James B. Hunt, Jr., Governor NCDENR
Bill Holman, Secretary
Kerr T. Stevens, Director NORTH CAROLINA OFFARTMENT OF
ENVIRONMENT AND Ng4URALI RESOURCES -
December 22, 2000
JAN ? i;l
Mr. Louis E.Blanc
PO Box 2081 i
Cashiers, NC 28717
Subject: General Permit NCG550000
Cert. of Coverage NCG551100
Authorization to Construct
Louis E. Blanc Property,Lot 15F
Jackson County
Dear Mr. Blanc:
In accordance with your application for an NPDES discharge permit received October 24, 2000
by the Division, we are herewith forwarding the subject Certificate of Coverage under the state-NPDES
general permit for Louis E. Blanc. Authorization is hereby granted for the construction of a 480 GPD
wastewater treatment system consisting of a 1000 gallon septic tank, pump tank, two recirculating
sandfilters with loading rates of 5.0 GPD/ square foot per sandfilter,chlorination/dechlorination tank and
cascade aeration with a discharge of treated wastewater into an unnamed tributary to Horse Pasture
River classified C-Trout waters in the Savannah River Basin. All elbow piping must be of the long
sweeping type. All clearrouts are to be housed in meter boxes below the surface. This system must be at
least 15 feet from the dwelling and at least 100 feet from water supply wells on and off the site. The
system must also be constructed and located above a 100 year flood.
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 and letter
requesting coverage under an individual permit. Unless such demand is made, this decision shall be
final and binding. Please take notice this permit is not transferable. Part II, EA. addresses the
requirements to be followed in case of change of ownership or control of this discharge.
The Authorization to Construct is issued in accordance with Part III, Paragraph 2 of NPDES
Permit No. NCG550000, and shall be subject to revocation unless the wastewater treatment facilities are
constructed in accordance with the conditions and limitations specified in Permit No. NCG550000.
T
/7 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
an Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer pape

Permit No. NCG551100
Authorization to Construct
Louis E.Blanc,Lot 15F
December 22, 2000
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those as may be required by
this Division, such as the construction of additional or replacement wastewater treatment or disposal
facilities.
The Asheville Regional Office, telephone number 828/251-6208, shall be notified at least forty-
eight (48) hours in advance of operation of the installed facilities so that an in-place inspection can be
made. Such notification to the regional supervisor shall be made during the normal office hours from
8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.
Upon completion of construction and prior to operation of this permitted facility, a certification
must be received certifying that the permitted facility has been installed in accordance with the NPD)ES
Permit, the Certificate of Coverage, this Authorization to Construct and the approved plans and
specifications. Mail the Certification to the Stormwater and General Permits Unit, 1617 Mail Service
Center,Raleigh, NC 27699-1617.
A copy of the approved plans and specifications shall be maintained on file by the Permittee for
the life of the facility.
The sand media of the sandfilters must comply with the Division's sand specifications. The
engineer's certification will be evidence that this certification has been met.
A leakage test shall be performed on the septic tank and dosing tank to insure that any
exfiltration occurs at a rate which does not exceed twenty (20) gallons per twenty-four (24) hour per
1,000 gallons of tank capacity. The engineer's certification will serve as proof of compliance with this
condition. -
Failure to abide by the requirements contained in this Authorization to Construct may subject the
Permittee to an enforcement action by the Division of Water Quality in accordance with North Carolina
General Statute 143-215.6A to 143-215.6C.
The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances which may be required by the Division of Water Quality 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.

Permit No. NCG551100
Authorization to Construct
Louis E. Blanc,Lot 15F
December 22, 2000
If you have any questions or need additional information, please contact Mack Wiggins,
telephone number gign33-5083.
Sincerely,
ORI'CIP�IL�MGNIr�7�,��
terr T. Stevens.
cc: Central Files
Asheville Regional Office,Water Quality
Roosevelt Childress,EPA
Point Source Compliance Enforcement Unit
Jackson County Health Department
Victor Lofquist,P.E.-WK Dickson

Permit No. NCG551100
Authorization to Construct
Louis E. Blanc,Lot 15F
December 22, 2000
Engineer's Certification
I, as a duty registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly,full time)the construction of the
project, I for the
Project Name Location
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation
of the construction such that the construction was observed to be built within substantial compliance and
intent of the approved plans and spe I cifications.
Signature Registration No.
Date

I
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE
GENERAL PERMIT NO. NCG551100
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with .the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act,as amended,
Louis E.Blanc
is hereby authorized to operate a wastewater treatment facility that consists an septic tank, pump tank, recirculating
sarafilter, chlorination/dechlorination tank, cascade aeration and associated appurtenances with the discharge of
treated wastewater from a Facility located at the
Louis E.Blanc Property -
Lot 15F,Golf Club Estates(Sapphire Valley)
east of Cashiers
Jackson County
to receiving waters designated as an unnamed tributary to Horse Pasture River in the Savannah River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, IL III
and IV hereof.
This certificate of coverage shall become effective December 22,2000
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 22,2000
dRi�BPfA7SiC,�IEJO1"
MIAM G.MILLS
Kerr T.Stevens,Director
Division of Water Quality
By Authority of the Environmental Management Commission

/���✓„� /�r � � ��j � L � � 1 � 43 ���" t\���1y�,j j v" e.�� "�.r
fro ! {-•'�"`�.'ttk, "� � aPbnf , '' ' { � �'
#, tf
ram; J"^;, ;:•` t� ;����_'; .� ; '.
• 1y - � � ��� '4 T �
i�,r is � r,,d• -•
5 _J 14aa
W �
✓ ( �� k
L 4
� � k
t
p
t
1
i
f <t�'
E 1 _�}�.�, " } * •:;lS ,_GAY {ram y���a,_.
V )! t 4s'� ����f f i�� ��� @�,"fh � e" MS" I1� � f � • Z$ ��
COpyngMt(C)1997,MCVkecn.Inc,

UNITED STATES5�` �� �dP°
VESSEE VALLEY AUTHORITY ���' �6 ` S'>"
NORTH C
MAPS AND SURVEYS DIVISION Lv>✓^�.r 1,j0d3` 9;09 Z.5 MIN
oast a ne �^
(Rig Ridge 170-NE) 313 JR��1.w.� L1a 2'30• 'IS
1 ' `l
+e
r
a r
in
/ � � ( %jam 's-' I i f✓� � ' �
� �0,,� r
� 1 \ .. � irl rr �+ 1 '✓ ��i`�� > � 4 ��t1VC � �� / � �b1/1 �\( r
l�`}� �r
1
34611
Copynght(L)107,V apbcch,Inc.

PART III OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or
are any public monies involved. (municipals only) ? N/A
2 . Special monitoring or limitations (including toxicity) requests:
No
3 . Important SOC, SOC, or Compliance Schedule dates: (Please indicate)
Date
Submission of Plans and Specifications
Begin Construction
Complete Construction
4 . Alternative Analysis Evaluation: Has the facility evaluated all of
the non-discharge options available. Please provide regional
perspective for each option evaluated.
Spray Irrigation: Insufficient land area
Connection to Regional Sewer System: Inacessible
Subsurface: Soils unsuitable
- Other disposal options:
5. Other Special Items:
PART IV - EVALUATION AND RECOMMENDATIONS
The Asheville Regional Office recommends issuance of Permit Number
NCG551100 .
f
Signatur of Report Preparer
AP Y e
ter Quality R Regional Supervisor
f
Date

8 . Topography (relationship to flood plain included) : Level, adjacent
to stream
9 . Location of nearest dwelling: 150 '
10 . Receiving stream or affected surface waters : Intake Branch
a. Classification: C Trout
b. River Basin and Subbasin No. : 'SAV
C. Describe receiving stream features and pertinent downstream
uses: Habitat for the propagation and maintenance of aquatic
life
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted 0 . 000480 MGD (Ultimate
Design Capacity)
b. Please provide a description of proposed wastewater treatment
facilities: The facility will consist of a 1000 gallon septic
tank, 1850 gallon dosing .tank followed by two recirculating
sand filters 6 ' x 8 ' each for a total of 96 sq. ft. The flow
will be recycled 3 :1 via a flow divider tee. Discharged
effluent will be chlorinated and then. dechlorinated prior to
entering Intake Branch.
C. Possible toxic impacts to surface waters: Chlorine, ammonia
2 . Residuals handling and utilization/disposal scheme: Licensed septage
hauler with final disposal to a municipal system.
3 . Treatment plant classification (attach completed rating sheet) : I
4 . SIC Codes (s) : 4952
5 . Wastewater Code (s)
Primary 04 Secondary
Main Treatment Unit Code:452-7
PPf

!
TO: PERM:
WATE] U
ATTEI `
DATE �J
NPDES 3 -
III - PART I - GENERAL. INFORMATION -
1. Facility and Address: Lou Blanc Single Family Residence
Mailing: P. 0. Box 2081
Cashiers, North Carolina 28717
2 . Date of Investigation: September 6, 2000
3 . Report Prepared By: Kerry Becker
1 4 . Persons Contacted and Telephone Number: Lou Blanc
828-743-2476
5 . Directions to Site: From U.S. 64W @ Sapphire Valley Resorts, turn
left onto Cherokee Trail traveling around the golf course to left on
Laurel Creek Lane and then left onto Carefree Circle. Residence is
located on lot 15 F.
6. Discharge Point (s) , List for all discharge points:
Latitude: 35' 06 ' 44 . 57" Longitude: 83' 03 ' 7 . 09"
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. 176-SE U.S.G.S. Quad Name Cashiers
7 . Site size and expansion area consistent with application?
x Yes No If No, explain:
TIT

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, Ph.D., Acting Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND N.4rURAL REsouRces
11/26/01
DEC 211,01
LOUIS E BLANC
LOUIS E BLANC
PO BOX 2081
CASHIERS, NC 28717
Subject: NPDES Wastewater Permit Coverage Renewal
Louis E Blanc
CDC Number NCG551 100
Jackson County
Over Permitter:
Your residence or facility is currently covered for wastewater discharge under General Permit NCG550000. This
permit expires on July 3L 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.
to order to assure your continued coverage under the general permit,you must apply to the DWQ for renewal of
your permit coverage. To make this renewal process easier,we are informing you in advance that your permit will
be expiring. Enclosed you will find a general permit coverage renewal application form. This will serve as
your application for renewal of your permit coverage. The application mast 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 or at least$250.00, Larger
penalties may be assessed depending on the delinquency of the request. Discharge of wastewater from your
residence or facility without coverage under a valid wastewater NPDES permit would constitute a violation of
NCGS 143-215.1 and could result in assessments of civil penalties of up to$10,000 per day.
If the subject wastewater discharge to waters of the state has been terminated,please complete the enclosed
rescission request form. Mailing instructions are listed on Ore bottom or the form. You wil I be notified when the
rescission process has been completed.
If you have any questions regarding the permit coverage renewal procedures please contact the Regional Office at
or Bill Mills of the Central Office Stormwater Unit at(919)733-5083,ext. 548
Sincerely,
Bradley Bennett,Supervisor
Stormwamr and General Permits Unit
cc: Central Files
you mwater and General Permits Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper

F�k VV 1<
DI KE3 December 12, 2000
'1"" I
Mr. Mac Wiggins
Stormwater and General Permits Unit
NC Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
' ro
o �r.
o �
Re: Proposed Residential Wastewater
Treatment System
Lot 15F — Golf Club Estates
Louis E. Blanc—Owner
Jackson County, North Carolina
WKD#00671.40
Dear Mr. Wiggins:
Per our telephone conversation, we have revised plans and specifications for the project
listed above. Please enclosed three (3) copies of the following:
• Blueprint of plan sheet 3/4 (Revised 12/12/00)
• Copy of specification page 02660-2 (Revised 12/12/00)
The enclosed documents have been revised to change the filter sand specifications and
to add a vent to the filtrate collection pipes as per your recommendations. Please feel
free to call me directly should you have any questions or need additional information.
Sincerely,
WK Dickson & Co., Inc.
Victor Lofquist, P
cc w/all attachments:-Kerry Becker, NCDWQ%Louis Blanc/James Christy

WK
DICKE30N Eei9 December 12, 2000
wVe Arz�,le[IsSurve9ors
MP:'MaG+Wiggins
Stormwater and General Permits Unit
NC Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Proposed Residential Wastewater (� G
Treatment System --
Lot 15F— Golf Club Estates
LouisE. Blanc— Owner
Jackson County, North Carolina DEC 14 2000
WKD#00671.40 MIR - WATex QUALITY
POINT SOURCE BRA7C11
Dear Mr. Wiggins:
Per our telephone conversation, we have revised plans and specifications for the project
listed above. Please enclosed three (3) copies of the following:
• Blueprint of plan sheet 3/4 (Revised 12/12100)
• Copy of specification page 02660-2 (Revised 12/12100)
The enclosed documents have been revised to change the filter sand specifications and
to add a vent to the filtrate collection pipes as per your recommendations. Please feel
free to call me directly should you have any questions or need additional information.
Sincerely,
WK Olson & Co., Inc.
a0]Ii' 77 ",Oi
Victor Lofquist, P
cc wall attachments: Kerry Becker, NCDWQ/Louis Blanc/James Christy
1419 Patton Avenue 828.251,1610 AIWN GA Raleigh,NC
AShev111e.N0h Camllna FA%828.251.1611 Chadolle,NC Wiln,inglnn.NC
28806 wwm_wkAld.,.mm Hid,,NC C'Wd'a.SC

ASTM Standard C-478 Standard Specification for Precast Reinforced Concrete
Manhole Sections.
ACI Standard 301 Specifications for Structural Concrete in Buildings
ACI Standard 318 Building Code Specifications for Reinforced Concrete
2.2 Recirculating Sand Filter: Shall be as shown on the plans and as follows:
2.2.1 Filter media shall consist of clean filter sand and broken stone or gravel
conforming to the following requirements. Stone and sand samples shall be laboratory
tested and four (4) copies of certified test results shall be furnished to the Engineer for
review and approval prior to ordering materials for use.
2.2.2. Pea Gravel shall be tough, washed clean, 1/4 inch to 3/8 inch broken granite to
the depths and elevations shown on the plans.
2.2.3 Washed Stone or Gravel shall be tough, washed clean, 3/4 inch to 2-112 inch
broken granite to the depths and elevations shown on the plans.
2.2.4 Filter sand shall be within the following limits: Maximum dust content = 0.50%,
maximum uniformity coefficient= 2.5, effective size between 1.0 mm and 3.0 mm.
2.3. Dosing Pumps: Contractor shall furnish and install a submersible type effluent
sewage pump and all required appurtenances as shown on the plans. In addition, the
contractor shall furnish the Owner with one complete spare pump to remain in storage
at the residence for future use. The pump is to be installed in the pump tank complete
with discharge piping, valves, mercury level float switches and control panel, and all
related appurtenances. Pump shall be sealed, submersible, centrifugal type conforming
with the following:
2.3.1. Pump Performance: Each pump must have the necessary characteristics and be
properly selected to perform under the following operating conditions:
22.5 gpm @ 16 ft. TDH
Manufacturer - Hydromatic Pumps Model YS25, 1,550 rpm, 1/4
horsepower, 115 volt, 1 phase, 1-1/2" discharge, 1/2" diameter solids
handling or an equal approved by the Engineer. Pump shall have separate
float switches and control panel as shown on the plans and specified
herein.
2.3.2. Pumps shall be capable of pumping wastes and particulate materials typically
present in residential septic tank effluent up to 1/2 inches in diameter. Pumps shall be
non-overloading capable of operating at shut-off head or run-out without exceeding the
rated horsepower of the pump motor.
02660 - 2
00671.40-Rev. 12/12/00