NCG551295_File - Historical_20200527

PAT MCCRORY
NC.
DONALD R. VAN DER VAART
S11"' "
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Oi,alai
September 30, 2016
Mr.Gregory A.Marler
PO Box 489
Dillsboro,NC 28725
Subject: General Permit NCG550000
425 Hall Town Road
Certificate of Coverage NCG551295
Jackson County
Dear Permittee:
The Division has received and approved your request to transfer ownership of the subject Certificate
of Coverage (CoC) under General Permit NCG550000. As a result,the Division hereby reissues NCG551295.
This CoC is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
October 15, 2007 for 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 thlit permitted facility.
Regional Office staff will assist you in docum nting the transfer of this CDC.
This permit does not affect the legal requirements to obtain any other State,Federal, or Local
governmental permit that may be required. If you have any questions concerning the requirements of the
General Permit,please contact Brianna Young of the NPDES staff[919-807-6388 or
[e-mail]].
Asi-yezo.
, merman,P.G.
Director, Division of Water Resources
cc: Asheville Regional Office
NPDES File olvi[[F wE[VaC 5
OCT 10 2016
Witel 01 IJIIV Pt pional Operations
State of North Carolina Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617 '
919 807 630D 919-807-6389 FAX
https://deq.Dc.gov/about/divisims/water-resources/water-resources-permits/wastewater-branch/npdes-wastewateo-p=i(s

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551295
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,
Gregory A. Marler
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
425 Hall Town Road
Sylva
Jackson County
to receiving waters designated as Savannah Creek, a class C-Trout stream in subbasin 04-04-02 of
the Little Tennesee River Basin in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage takes effect September 30, 2016.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day September 30, 2016.
C � riNJ
for S y Zimmerman, P.G. -
nector, Division of Water Resources
By Authority of the Environmental Management Commission

North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
May 8, 2015
Mr. Greg Marley
P.O. Box 489
Dillsboro,NC 28725
SUBJECT: Compliance Evaluation Inspection
425 Hall Town Road
Permit No: NCG551295
Jackson County
Dear Mr.Marley:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the
inspection conducted at your 425 Hall Town Road on May 4, 2015..The facility was found to be
in compliance with permit NCG551295 for Single Family Residence (SFR) wastewater
discharge permits. -
Please complete the included Ownership Change Form and return it as indicated so we
may update our records to reflect you as the Permittee.
Refer to the enclosed inspection report and Technical Bulletin for General Permits for
SFRs for additional information.
If you have any questions,please call me at 828-296-4500.
Sincerely,
Timothy Heim,P.E.
Environmental Engineer _
Enclosure
-cc: MSC 1617-Central Files-Basement
WQ Asheville Files
G:\WR\WQ\Jackson\Wastewater\General\NCG55 SFR\SFR's NCG55\NCG551295\NCG551295 CEI 5-15.doc
i
2090 U.S Hwy.70,Swannenoa,North Carolina 28778
Phone:828�29845001 Internet:wwwocdenr.gw
An Equal Oppftl ly 1Affi.01ehh.n Empbyer—MM.In pat Ey ieayclad paper

United States Envimnmanlel Prolecgon Aaenry Form Appmved.
EPA Washington,D.D.20450 OMB No.2040-0057
Water Compliance Inspection Report Approal expired 9a15s
Section A:National Data System Coding(i.e.,:PCs)
Transaction Code NPDES yr/molday Inspection Type Inspector Fee Type
1 IN 1 2 15 I 3 1 NG0661296 Ill 12 15/05/04 17 is L1. 191 s I 20i
211t1 1 1 11 1 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1-1 1 1 1 1 1 1 1 1 11 1 1 .1 1. 1 1 1 1 . P6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 j CIA --------------Reservi------------ -
671 I 70.1 171 1 L L
72 l „ i 731 174 751 I 1 _I 1 1 I80
L� LJ Section B:Facility Data ' I
Name and Location of Facility lnspeoted(For Industrial Users dischaming to PO-rW also include Entry Time/Oate Permit Effective Date
POTVJnameand NPDES oer it Number) 03,13PM 15/06/04 07/08/01
425 Hall Town Road 425 Hall Town Rd Tlm-
ats/Date Permit Expiation Date
SYlve NC 28779 03:40PM 15/05/04 12107/31
Name(s)of Onsite Represendative(s)Ritles(s)/Phone and Fax Numbers) Other Facility Data
///
Name,Address of Responsible 0lfidaVfitlWPhone and Fax Number
Contacted
Rebecca A Hinton,176 Leo Bowls Ln Hardinsburg KY 4014364701/1
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated) -
� Permit M Operations&Maintenance 0 Records/Reports Facility Site Review
Effluent Receiving Waters -
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Narrado and Slgnature(s)of Inspectors) Agency/ORce/Phone and Fax Numbers Data
Timothy H Haim ARO WJ0//828-296-413e5/
Signet nagement O A Reviewer Agency/Office/Phone and Fax Numbers D@le�
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page#

NPDES yr/mortlay Inspection Type (Cont.) 1
3 NCGsslzas I11 12 reros/oa 17 18 LJ
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Mr. Marler was not aware of the SFR permit when he purchased the property, but he is knowledgeable
about the wastewater system and has been operating and maintaining it. The system appears to be
operating correctly and no impact to the.receiving stream was observed.
Dechlorination tablets must be used for the system to operate properly.
The septic tank should 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. Records of the septic tank.
pumping events should be kept for future compliance inspections.
Paged 2

Parrett NCG551295 Owner Fecllity: 42511ell Town Road
Inspection Date:05/0412015 Inspection Type: Compliance Evaluation
Operations&Maintenance Yes No NA 'NE -
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS,MCRT,Settleable.. ❑ ❑ M ❑
Solids, pH, DO,Sludge Judge,and other that are applicable?
Comment:
.Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ 0 ❑
application?
Is the facility as described in the permit? 0 ❑ ❑ ❑
If Are there any special conditions for the permit? ❑ 0 ❑ ❑
Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? 0 ❑. ❑ ❑
Comment:
Septic Tank Yes No NA NE
(If pumps are used) Is an audible and visual.alarm operational?- ❑ ❑ M ❑
Is septic tank pumped on a schedule? - r ❑ ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ M ❑
Are high and low water alarms operating properly? ❑ ❑ M ❑ '
Comment:
Sand Filters(Low rate) Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational? ❑ ❑ M ❑
Is the distribution box level and watertight? - ❑ ❑ ❑ 0
Is sand fifer free of ponding? 0 ❑ ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ 0 ❑
#Is the sand filler surface free of algae or excessive vegetation? ❑ ❑ 0 ❑
If Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ 0 ❑ -
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? 0 ❑ ❑ ❑ '..
Are the tablets the proper size and type? 0 ❑ ❑ ❑
Number of tubes in use? 2
Page# 3

Permit NGG551295 owner Facility: 425HOTown Road
Inspection Date: 05104/2015 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth,or sludge buildup? M ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑ 0
Comment: - -
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? ❑ ❑ M ❑
Is storage appropriate for cylinders? ❑ ❑ M ❑
#Is de-chlorination substance stored away from chlorine containers? ❑ ❑ E ❑
Comment:
Are the tablets the proper size and type? ❑ ❑ ❑
l
Are tablet de-chlorinators operational? ❑ M ❑ ❑ l
I
Number of tubes in use? 2
Comment: Repair end caps on the de-chlor tubes and use de-clor tablets as indicated on the Permit
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 properly? ❑ ❑ M ❑
Comment:
Page# 4

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory,Governor John E.Skvarla III,Secretary
I. Please enter the CoC number for which the change is requested.
Certificate of Coverage
s l a S
IL Please provide the following for the requesLV change(revised permit). -
a. bequest for change is a result of. 6 Change in ownership of the residence/property
❑ Name change of the facility or owner
If other please explain:
b. Permit will be issued to(company.
name,if applicable):
c. Person legally responsible for permit:
First W Last
Title
Permit Holder Mailing Address
City State Zip
Phone E-mail Address '...
d. Facility name(discharge):
e.. Facility address:
. Address
. - City State Zip
f. Facility contact person:
First MI Last
Phone E-mail Address
III. Permit contact information(if different from the person legally responsible for the permit)
Permit contact:
_. ._ _. First MI -- Lest ..
a
Title
j
J
Mailing Address
City. State Zip
Phone E-mail Address
Will this permitted facility continue to discharge the same volume and type of wastewater as
prior to this ownership or name change?
❑- Yes
❑ No(please explain)
Revised 212009 1

NCG550000 OWNERSHIP CHANGE FOi,
Page 2 of L
VI Required Items:.THIS APPLICATION WILL.BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership.change
requests.
❑ Legal documentation of the transfer of ownership(such as relevant pages of a contract deed,
or a bill of sale)is required:for an ownership change request. Articles of incorporation are. �.
not sufficient for an ownership change.
.................................................. ......... ........................
The certifications below must be completed and signed by the new applicant in the case of an ownership
change request.
APPLICANT CERTIFICATION
L—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 is not included,this application package will be
,. returned as incomplete,
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
NC.DENR/DWR/NPDES
1617 Mail Service Center _
Raleigh,North Carolina 27699-1617
1 ICI
j
.. 1.
7
t
1
1
Revised 7/2000 7

��; 14
Inspection Date:.SL / IS StartTime: �$�3 EndTimeIS �O
1/92gi5
SINGLE MILYWASTF.WATERSYS E.. ,CHE KLIS lil`95
r� \
Permittee: G�5 M�rlec- �fJeaJN�rnPI) Permit: Pb65�-re
ra%(a.�v�s� ni,s
Address: us— a E-m'aiI- 9
Phone.('W )-21,G - 7 $til I Cell-Phone;(_,— County_�.lC[ _.
t� The Nasifree is reaponaibja fo{than raeipnendmefitananca ofthe entire wastewater ireatMentand disposal system.
1 � " C" - Uoaar Ulu Net
Po f o k� 0,45�oio '?VToO Yes No A ply lovestigata
1 Is the current resident in the home the Permidee? EJ M U Li
2,If not does the resident rent from the permihee? O 131/ El
El
3. Change of Ownership form needed?(mall the form with the inspection letter) F-1 0 0
4 Is there a Inspection and maintenance agreement with a contractor? ❑', E El 0'
S.If to#4 who is the contractor?
SEPTIC TANK The septictank and fitters should be checked annually and.psmpedlUeane+l as ne dad.❑ El8 Is.all wastewater from the home connected to the septic tank? 11
T Does the permittealresident know where the septic tank is iocated2 0: © EJ
8.:Has the septle tank been pumped In the last 5ryears? 0 2 EJ 0
8 If yesto#8 date,If known_,_,_ If pro0f,describe.
10.Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one),
11. If Yes to filter when was the filtercleaned7- By whom?
o s SAND FILTER!TREATMENT p YES NO If no proceed to the next aectflam
poce6slus sand filtaraurfacas sheliba raked and leveled avvy alx montha and anyvegeFahv-growth sbeilbe removed menu y.
12.Is system something other,than a sandfiper7 ❑ Q..
13.If yes,what kind?(examples-Peat Textile,Other or brand'name-Advantex.etc)
14.Does the permittee know where the sandfilteris located?
15.Does the sandli ter rat utre maintenance?
If.1Yi8inhe0aaCe 18 raA41rep axple0jp the YRmmetlt aea1100�_
DISINFECTION 1 UV YES El NO re no proceed to the-:fieM seotfoo.
The ul"Volet unit shall be checked weekly.The lamps and cleaves should be casired arrepiaced as needed t�q eensure properdisinrO n.
IC.Is UV working?
17.Has the UV Unit been serviced and bulbs cleaned? EJ 0. El El
1a,111ho completes3he weakly check for the UV? Non-DIsF.Prge) _
DISINFECTION!TABLETS YES W NO If up proceed to the nerd section..
The tablet cblaHoetor unit shall be checked weekly to eneUm continuum and Proper operation.
19. Dees the permittee have the correct chlorine tablets?(if none,mark NO) [0/ EJ El 0
20. Does the Permittee know the location of the chlorinator? Q El Q.
21,Were chlorine tablets observed in the chlorinator? C-1 ❑ 171/
22.:Are tablets contacting water?11 possible poke'them to d ermine.. d El EJ
DECHLOR(Discharge only) YES NO El If no proceed to the next section
The dechlodnalor ban shall he checked weekly to ensure mnanuausantl proper opemtlen. ❑
23.Does the permitfee know where the dechlor is? El ElF-1
24, Does the permittee have the correct dechlor tablets? EJ ❑ El
25 Ware dechlor tablets observed',in the dechlorination chamber? 0 6/ 0 C7
26, Are tablets contacting water?If possible poke them to determine. Q El L�

Doesn't Did Not
Yes No Appl Investigate.
PUMP"TANK YES No If no proceed to the next section.
All pump and aiarm&yrarM shop be inspected monthly.(nan>dscharge)
27..is the pump working? ❑ ❑ 0 El
28..Are the audible and visual high water alarms.operations)? ❑ ❑ ❑ El
2g Does the permittee know how to chcok the pump&high water alarm? ❑ ❑ ❑ 0
30. Last functional test, PUMP AUDIB &VISUAL
DISCHARGE ONLY YES NO
!f no proceed to the next sec€ion.
vlaeal rCXievr of the outfall location shall be eXecutadlvAce.Bach year(ono at the hole of eelnpligg to ensure nOVl lble incident evidence at a4lao ton.
31. Dogs the permittee know where the outfali is located? 1W-1
32 Were you able to locate the outfall? y ❑-,
U Is the end of the discharge pipe visible and accessible? d EJ ❑
34. Is outlet discharging? ❑ ❑ ❑'
45 Is right ofwaymaintained around the discharge point? ❑ ❑ ❑'
36.Any Lab Results avahable? ❑ ❑'.
37.Is there evidence of solids around the discharge point? ❑ ❑ ❑.
DRIP or SPRAY YES M NO E2 if no proceed to the next section..
he1,19stloq system shall be inspected montnly to ensum the system is,free ofleaks and equponom is oparanngas designed,
318. Isthesystem DRIP or IRRIGATION(cirdla cne)Y if irrigation number of sprinkler heads.
39,A[a the,Puffers adequate? ❑ ❑ ❑ ❑.
40. Is the site free of-potlding and runoff? 0 ❑ 0
El
0. Does the application equipment appear to be working properly? ❑ ❑ ❑'
4Z Is there a minimum two Whe fence surrounds nti ore irrigation area? ❑ El ❑ ❑
GENERAL
43.Are the treatment units locked and or secured? 0 ❑ r El El
44. Has resident had any,sewage problems? if yea explain In the commam ceoupn � ❑ I
45.Does the system match the permitdescription?Ifno"plain in the wmmentseea El El
El
46.is the system compliant? L'�f ❑ ❑ 0
47,Is the system failing? If yea,letcepinuresif posslbh, /
El F1
48.If aystem Is failing,any sign of children or animals contactin El 0 g:sewage? El
Nt7D. ont7fx NOV Sent yk —
Com ".ents; Photos Token? YES LJ NO
G
o ot� aA c 5Z3S
INSPECTOR[ �` SIGNATURE:

� Michael F.Easley,Governor
State of North Caroline
O G I ,I
y William G.Ross,Jr.,Secretary
SEP Q 3 2005 � i—� apartment of Environment and Natural Resources
p Y I I Alan W.Klimek,P.E.,Director
Division of Water Quality
September 20,2005 - rs r t F y 1 ?
�I7 h L,
�)
I
Rebecca A.Hinton
L SEP 2 2 2005
425 Hall Town Road r
Sylva,North Carolina 28779 I i 1 . -a
r n'1I " n� l ii-lN
Subject: Application Acknowledgement
General Permit Coverage
COC# NCG551295
Jackson County
Dear Ms.Hinton;
The Division of Water Quality received your application for coverage under General Permit
NCG550000. The application has been assigned to Toys,Fields with the NPDES unit.We are
reviewing your application and will contact you if additional information is needed to process your
application. By copy of this letter,we are also requesting a Staff Report from the Asheville Regional
Office. If you have any questions concerning your application,please contact me at telephone
number 919-733-5083,extension 551 (e-mail: [e-mail]).
Sincerely,
1�Tp�a-Fields
Western Permitting Program
cc: Asheville Regional Office,Surface Water Protection(with application package)
NPDES General Permit File
North Carolina Division of Water Quality [phone]
1617 Mall Service Center FAX[phone]
Raleigh,North Carolina 27699-1617 On the lntemet at http://h2o.enr.smte.ncus/

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(� WAT.C,. - Michael F.Easley;Governor
O�0 OG State of Nonh Carolina
yy William G.Ross,Jn,Secretary
� r Department of EnWronment and Natural Resources
7
Y Alan W.Klimek,P.E.,Director
Division of Water Quality
May 5,2005
Rebecca A.Hinton
425 Hall Town Road
Sylva,North Carolina 28779 -
Subject: Return#2226
General Permit Application NCG551295
Rebecca A.Hinton Property
Jackson County
Dear Mrs.Hinton:
In accordance with Division policy,we hereby return the subject general permit application
package.After a preliminary review by NPDFS Unit staff,we have determined that the package is
incomplete or inadequate in the following respects:
➢ Authorization to Construct(ATC). The application package did not include an ATC
request. As stated in the permit application,to acquire an ATC an applicant must
submit a request letter as well as three sets of plans and specifications for the proposed
.
treatment system. As also stated in the June 14,2004letter from Kevin Barnett in the
Asheville Regional Office,"any submitted application must include a wastewater design
system,which will adequately handle the proposed waste to be generated from the
planned residence".The second to last paragraph of that letter goes on to describe some
minimum design criteria and requirements. Any future application for a new project.....
should include an ATC request.
If you have any questions regarding this matter,please contact Toys Fields,at(919)733-5083,
extension 551,or by e-mail at toyadields®ncmail.net. We will retain the$50 application fee and
apply it towards any future submittal. Please include a copy of this letter with any future
application.
Sincere] �J
elds
cc: NPDES General Permit File
North Carolina Division of Water Quality [phone] WCDEN
1617 Mail Service Center FAX[phone] Customereervaa
Raleloh,North Carolina 27699.1617 On the Internet at htb://h2u.enr.atahanc.us/ i M623-7148

FOR AGPNCYUSRONLV
Dale ReWved
V�f WA
Division of Water Quality/Water Quality Section
Ceitlerare of
NCDENR National Pollutant Discharge Elimination System ca u r air
NCG550000
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
representativett,,
from the appropriate regional office): Kevir,:&rne,+1 SQtd-6 �eat) 'U yk.
Please Ifatthe NCDENR Re,Qionel OfSce representafive(s)with whom you have met: �/l
Name: ��t'C P �/ .Y7 L' Ke: Y' Date: .�U tL- y✓
2) Mailing address of owneNopermor. 77�
Owner Name: �O�E'GC A A �c1N TO1J
Street Address:
City: s Y ya State: N C ZIP Code: 77
Telephone No: (Home) VIA8 S8( -342.7 j !l 3917 —/Y46,
3) Location of facility producing discharge:
Contact Person(If different than above): _ .SA-,ZAP- AS /:$DUE
Street Address:
City: State: e:
County: _ ZIP Cod
Telephone No: Fax
4) Permit Contact(complete this section.If permit contact Is different from facility contact)
Contact Person:
Street Address:
City' State:County: _ ZIP Cade:
_Telephone No:- . Faz - ...
5) Physical location information:
A copy of an USGS quad map or county map with the facility clearly located on the map IS
REQUIRED to be submitted with this applicaton.
Please provide a narrative description of how to get to the facility (use str .names, state mad
n mbers,and distance direction from a roadway intersech'an). O 2 Mt 18S SoU-1-{� on
i11w� ,, d4l -F'fpvn D 1 SbORD4QC, inters 2AI l an1a
IAO-A -TOLOn Rood Coh-Frn J'e, A-/ra roi le bfw-kihs
4-0 Prapez+j on le-G+ — 1,jt1,te mailbox wrl-h 14-I474rG
on k'Con-t.
swu-216u80102 Page 1 of

NCG550000 N.0.1.
6) This NPDES permit application applies to which of the following:
)f 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:
Numbar of bedmoms --Z x 120 gallons per bedroom= 2,qD gallons per dayto be permitted
b) Type of facility producing waste(please check one):
0 Pdmaryresidence ❑ Vacationlsecend home
❑ Other:
7) Please check the components that comprise the wastewater treatment system:
Septic tank ❑ Dosing lank
Primary sand fitter 0 Secondary sand filter ❑ Recirculating sand fiter(s)
fi4 Chlodnation A Dechiorination ❑ Otherform of disinfection:
❑ Post Aeration(specify type):
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. 9,P 4WjkbL,-
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. 3 elf- Rep.&fe* - PMM
c) Investigate Land Application such as spray irrigation or drip irrigation.SOU+ r1 e,,, SO'-
9) Receivingwaters: SCI&XC10,IInc-
a) What is the name of the body or bodies of water(creek,stream,river,lake,etc.)that the facility
wastewaterdischarges end up in? 1gja% SCiU0.,.,,, 1 8=01V
b) Stream Classification(WS-IV,C,NSW,eta,if known): e —DTP'
10)The application must include the following or It will be returned:
a) For Certificates of Coverim :
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). LAID 99I5TfAy6 :5�947Vc)
Page 2 of 4
swua1s-0e0102

NCG550000 N.O.I.
Mew or proposed facilities must also include.
Letter from the county health department evaluating the proposed site for all types of ground
absorption systems.
❑ 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
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(orfirm)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 fine),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 finn),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. Su;91e "F2m; l y_ nvf Sobfni+l ina by en9ineele
12)Certification:
1 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: RebeGCP, A. 1.4W-rotJ
Title:
AXtPt'=) JJ � 2 O
(SIgmiture of Applicano ( to Sfg�'ned)
North Carolina General Statute 143-215.6 b(1)provides that:
Any Pereon who knowin9ty makes any false anvemed,,re uasenia0on,or ceNflceffoo in any applhw m,record,report,
plan or other document Ned or required M be maindairred order Argue 21 or regule0nne M the Envimnmecial
Management commission ImplemerNng that Arflue,or who felsi0es,fampera whh or low d rgly renders LraccureM any
recordNg ormordhukg devW ar meMod required M ba a snued or maimeked under AdMa 21 or regukgons of Me
Em/mnmente/ManegemaMCommieobnbnpkmangng ftmc e,shobeguayofe misdemeermrpunlshable by a rme
not to exceed$10,000.orby Imprisonment not to exceed sk months,or by both.(18 U.S.C.SeeOon 1001 provrdes a
puNshmentbye fine&not—Men$11R000orimpdaonment not more Men 5yams,orboth,fore Weillaragense.)
$wU-zteae0102 Page 3 of 4

NCG550000 N.O.I.
Notice of Intent must be accompanied by a check or money orderfor$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 4 of 4
SWU-21sasoto2

COMMUNITY SERVICE CENTER•538 SCOTTS CREEK ROAD.SUITE.too • SYLVA.NC 98779 TEL [phone] • FAX:$28-586.3493 -
PAUL46.CMDEN - - - - - -
DIRECTOR
r }
October 29,2004 a k -
APK
Ms.Rebecca Hinton - - -
- - - 125 Hall Town Road u r Arta„
Sylva,NC 28779
Re:Application for improvement permit for Rebecca Hinton property site 125 Hall Town
' -Road, Health Department file 14048462t,PIN#7630-23-3896.
. Dear Ms.Hinton:
- The Jackson County Department of Public Health,Environmental Health Division on August 9,2004 evaluated the above-referenced property at the site designated on the
plat/site plan that accompanied your improvement permit application. According to your
application the site is to serve a 2 bedroom residence with a design.wastewater flowof -
.. 240 gallons per day The evaluation was done in accordance with the laws and rules -
governing wastewater systems in North Carolina GeneralStatute 130A-333 including
related statutes and Title 15A,-Subchapter 18A, of the North Carolina Administrative
Code,.Rule..1900 and related Hiles.
Based on the criteria set out in Title 15A,Subchapter 18A, of the North Carolina -
Administrative Code, Rules .1940 through .1948,the evaluation indicated that the site is
UNSUITABLE for a ground absorption sewage system. -Therefore, your request for an
_ improvement permit is DENIED. A copy of the site evaluation is enclosed. The site is -
unsuitable based on the following: - - -
_ Unsuitable soil topography and/or landscape.position(Rule.1940)
— Unsuitable soil characteristics(structure or clay mineralogy)(Rule.1941)
_X Unsuitable soil wetness condition(Rule.1942) -
X_Unsuitable soil depth(Rule.1943)
Presence ofrestrictive horizon(Rule.1944) - - - - -
Insufficient space for septic system and repair area(Rule .1945) - -
- Unsuitable formeeting required setbacks.(Rule.1950)_ - -
Other(Rule.1946)
These severe soil or site limitations could cause premature system failure,leading to
the discharge of untreated sewage on the ground surface, into surface waters, directly to - -
groundwater or inside your structure. -

rage/or s
The site evaluation included consideration of possible site modifications, and
modified,innovative or alternative systems. However,the Health Department has
determined that none of the above options will overcome the severe conditions on this site.
A possible option might be a system designed to dispose of sewage to another area of
suitable soil or off-site to additional property.
For the reasons set out above, the property is currently classified UNSUITABLE,
and no improvement permit shall be issued for this site in accordancewith Rule.1948(c).
_ However, the site classified as UNSUITABLE may be classified as
PROVISIONALLY SUITABLE if written documentation is provided that meets the
requirements of Rule.1948(d). You hired a consultant, Southeast Soil Science,Inc.to assist
you in the development of a plan under which your site could be reclassified as
PROVISIONALLY SUITABLE. According to the report prepared by John B. Allison,
Consulting Soil Scientist with Southeast Soil Science,Inc.,there is no land-based option for
wastewater treatment on this lot.
As a result, you have exhausted the informal appeals process. You have a right to a
formal appeal of this decision. To pursue a formal appeal, you must file a petition for a
contested case hearing with the Office of Administrative Hearings, 6714 Mail Center,
Raleigh, N.C. 27699-6714. To get a copy of a petition form, you may write the Office of
Administrative Hearings or call the office at(919) 733-0926 or from the OAH web site at
w oah.statew.uslform.hmn . The petition for a contested case hearing must be filed in
accordance with the provision of North Carolina General Statutes 130A-24 and 150B-23
and all other applicable provisions of Chapter 150B. N.C. General Statute 130A-335 (g)
provides that your hearing would be held in the county where your property is located.
Please note: If you wish to pursue a formal appeal, you must file the petition form
with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS
_.. - LETTER The date of this letter is October29, 2004. Meeting the-30 day deadline is -- - --
critical to your right to a formal appeal. Beginning a formal appeal within 30 days will not
interfere with any informal review that you might request. Do not wait for the outcome of
any informal review if you wish to file a formal appeal.
If you file a petition for a contested case hearing with the Office of Administrative
Hearings, you are required by law (N.C. General Statute 150E-23) to send a copy of your
petition to the North Carolina Department of Environment and Natural Resources. Send the
copy to: Office of General Counsel, N.C. Department of Environment and Natural
Resources, 1601 Mail Service Center, Raleigh, N.C. 27699-1601. Do NOT send the copy
of the petition to your local health department. Sending a copy of your petition to the local
health department will NOT satisfy the legal requirement in N.C. General Statute 150B-23
that you send a copy to the Office of General Counsel,NCDENR

Iuu dtity call or tv& the local health depatHii6t it you hedd ady hdtGtibdal
information or assistance.
Z
ely,s L. Step ens, .S.
Environmental Health Supervisor

APPLE REALTY,LLC
998s HWY.aaf sourH
sYLVA. NC 28779
PN0Nc: (S2a)-556-3460
PHONE:(Soo)-7e6-277S
October 21,2004
....... .... .
-. Ra:-...:.Septic system for Rebecca Hinton ._ _., — .... . .... .
__. _..
To whom it may concern,
We were unable to obtain any property or permission to use the surrounding properties forthe purpose of
a septic system for Ms.Hinton property located on Hall Town Rd. '
We inquired with the Phillips,the Morgans,and the Halls.
If you have arty other questions concerning this matter please don't hesitate to give me a call.
very hyly yours,
r l
t0m))erty Camara
Realtor-Associate
(828)E06-2880 cell -
(828)-586.3450 office

Tuckaseigee Water&Sewer Authority
Serving Jackson County
1246 Wes[Main Street
Syiva,NC 28779
Ph.[phone]
Fax[phone]
APR 2 !3
June 14, 2004
14ERANuS AND j lGi;l;!S"tEft DF INCH
To Whom It May Concern:
Re: Rebecca Hinton Sewer Service for Hall Town Road,Sylva N.C.
Tuckaseigee Water& Sewer Authority does not provide sewer service to the Hall Town
Road area;the closest service is approximately four miles from Hall Town Road.
If you have any question please call our office at the number listed above.
Sincerely,
�71L'NU.vl.G`
--Sammie Cogdill "
Customer Service Representative

NPDES Submittal Requirements and Design Criteria
for New Single Family Discharges
(for single pass sand filters)
In addition to the-design-requirements found in the regulations-
I the following.criteria must be.met
I. Certificate of Coveraae(COC)and Authorhotton to QpM1jIuct(ATO Submittal Reauirements
For a COC/ATC package to be considered complete it shall Include:
a) letter requesting Certificate of coverage and an Authorization to Construct.
b) Initial General permit application fee of 550.00.No AtoC fees.:.
c) Completed original COC Application with two copies.
d) Thee sets of plans and specifications of proposed treatment system (See Port Iq.
e)_ :Existing septic tank to be used must be pumped and serviced. Copy of service receipt must be
submitted with application submittal
It. Plan Submittal Reauiremenis
To be considered complete each set of Plans shall:
a) Include a scaled SRe Man showing the following:
1) Property boundaries,residence,system layout and the point of dlschorge.K_ l 4 _ ,1-7
2) Mark the distance from the closest treatment component to:
--
a) the property line.
b) the dwelling or residence.
c) any existing or proposed wells on the site.c
_ d) - any wells on adjacentproperties.
e) any lake,steam,canal, marsh,reservoir or drainageways.
3) Meet all buffer requirements of 21-1.0219 which(for subsurface systems)Include.
a) any Class I or 11Impounded reservoir used-asa source of drinking water 100 feet
b) any other lake,stream,canal,marsh.or coastal waters(exceptclass:SA&SB) 50 feet
c) . anybullding foundation or upslopsrdratnage systems 10 feet
d) any downslope drainage system(drains or surface water diversions) 25 feet
e) any basement at swimming pool _. 15 feet
t) any property line- 10 feet
g) any potable well and adjacent property wells 100 feet
h) any top of slope embankments ... 15feet
b) Include a Detail of each major treatment component(septic tank,distribution box,sand fitters
chlorinator,chlorine contact and rip rap or cascade aeration). Show the following:: _
1) ' scaled plan and seatlonol views of each component. -
2) size, capacity,and material of construction of each component - -
3) Inlet and outlet elevatons of the septic tanic distribution box,sand filters and disinfection
units or refatiVe elevations. -- -
c) Include SpeciBcatfons for each manufactured or off-the-shelf unit Q.e. the tablet chlorinator.
.precast Unite)..
III. Wagewater Treatment%st m Des{gn Criter9a
a) System Design Flout
System design flow must be based on a minimum 120 gallons per day(GPD)per bedroom: The
minimum design will be 240 GPD and not greater than 10D0 GPD.

' b) Distribution Box
Distribution box must be shown in detail and insure equal distribution of wastewater Into parallel
sand filters or dlstribulion lines. DWQ recommends the adlustable cap type.
c) Septic Tank(septic tanks shall be designed in accordance with 18A NCAC.1952&.1954)
1) The septic tank shall be sized to provide a minimum of 1 day detention time at design flow.
2) Minimum capacity of a 1000 gallons Is required.
3) The recommended size lot=r homes with garbage disposals is 1250 gallons.
4) Soll cover over all access ways(ianks,etc.)shall not exceed-3 Inches..: -
5) The tank shall be baled to ensure no short circuifing of the flow.
d) Single Pass Sand filters
Sand fitters must have an application flow rate not to exceed:
1) Hydraulic Loading SubsufaceprimarysondBHer. . 1.15gpd/ft2
Subsurface secondary sandfilter 2.30 gpd/ftz
Surface sand fitters 3A gpd/ tz -
2) Filter media shall meet the following specifications:
a) Effective size 0.35-0.50 mm
b) Uniformity Coefficient less than.3.0
_.- c) Dtrstcontenf, _.. - less than 0.5%
3) Plan and section views of sandfilter must be shown to scale In.the design with length(s)
and width(s)designated on the plans.
4) Clean washed gravel and clean washed crushed rock must be_useds in sandfilters.
5) Goo-cloth must separate the top soil cover from the filter gravel and crushed stone.
e) Disinfection .. . .
Easy access to the unit must be provided for periodic inspection and maintenance.
1) Chlorination
a) Tablet chlorinator must be provided and shownin detail with proper she designated.
b) Chlorine contact tank must be baffled and:have at.least 30 minutes detention time.
Plans of the contact tank mustcbe submitted to show sectlon views with dimensions.
:2) Other methods of disinfection(such as ultraviolet disinfection)
- -Plans and specifications must cleorty.show,operation, maintenance, repair procedures,
she%etc. Include manufacturer's specifications.
t) Dechlorinaon•(Required If using chlorination and discharging to trout class waters)
Tablet type with proper she designed to ensure contact with all of the flow.
g). . post Aeratton - _
Cascade aeration can be achieved by effluent flowing over•rip rap.
h) Pipes andilnes
1) The slope of the pipe connecting the house to theseptic tank shall be equal to of greater than M but not more than 5%.
= 2) The discharge pipe must be covered to a minimum depth of 18Inches.
3) Row from the receiving stream back Into the system shall be prevented.
4) Distribution lines and filtrate collection lines In sandBBers must not be less than 3 Inches in
diameter, 4 Inches In diameter (4 Inch PVC schedule 40) IS recommended (smaller If
Pressure dosed).
5) Filter distribution lines shall have a dope of<M Underdrain lines stall have a slope of 0 to
6) Filters must be vented to the surface from the undeidroin line for additional aeration and
snaking.

7) The fitters shall be lined with an impermeable membrane which will be a minimum ofAV 3d
mil in thickness.
A Miscellaneous
1) The wastewater treatment system must be constructed and installed in a manner to be
protected from a 100 year flood.
2) Standby power is required when both a and b apply:
- a) homes which may generate wastewater during a power outage, and
b) homes where power Is required for disinfection.

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1. SEPTIC TANK TO BE CONSTRUCTED ON CONCRETE
(MINIMUM 2500 PSI ) RETNFORrED IN ALL DIRECTIONS
WITH 3/B INCH ¢ BARS 17.- TMr6 O.C. OR APPROVED
EQUAL. ALL INTERIOR -.SURFACES TO BE COATED. WITH
WATERTIGHT SEALANT.
. 2. BAFFLE CONSTRUCTED OF BRICK OR CONCRETE
(REINFORCED AS DESCRIBED AROVE) WITH HOLES
PROVIDED SIMILAIR TO TFFOSF. SROWN.
3 . SEPTIC TANK SHALL BE FF.ACEn ON- UNDISTURBED EARTH
BASE OR COMPACTED SUTTART.F PTTd. MATERIAL TO 90%
STD PROCTOR

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FILTER SAND' ' FILTER SAND
.y SPECIFICATIONS
0.35-0.50 mm
STONe--E/' .BOAR EFFECTIVE SIZE
~� <3.0 UNIFORMITY
.. COEFICIENT -
v,.,IFORrn GRADe <0.5rDUST CONTENT
S lYrVA LINES
1. DISTRIBUTION LINES. SHALL RF PFPFORATED ,(FLEXIBLE) PVC '
PLACED SUCH THAT THE DISCHARrF FROM THE LINE EXITS THE
SIDEWALL. THE END OF FAVFT nf:TRTBUTION LINE SHALL BE -
PLUGGED OR CAPPED.
2. FILTRATE COLLECTION LINES SHALL BE HARDWALL PVC WITH
PREDRILLED 1/2 HOLES LOr_ATF.n IN THE TOP HALF OF THIS
COLLECTION LINE.
3. DISTRIBUTION LINES AND FICPRKPF COLLECTION LINES SHALL
BE 4-INCH DIAMETER.
4. GRADE BOARD IS NOT REgUIRFII IF TRENCH (FILTER) I5
CONSTRUCTED AT 3-INCH PER 11ln FT GRADE.

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SOUTHEAST SOM SCIENCE, grace
JOHN B. ALLISON,President
NORTH CAROLINA LICENSED - CePlifred Soil Scientist Since 1981ARPACS and NSCSS CERTIFIED
A.}�I
SEPTIC SVM ENI,EVALOATIONS&MANAGEMENT•\VISI'IAND DP.UNEATION • DIOSOLOIS APPLICATION NMNAGEMENT•TMINMG&EDUCATION
L6 SkVRMMRH CkE�V:
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\ FTLL FILL ��
\ HouSE �
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REBECCA HINTON
HALLTOWN ROAD PROPERTY
JACKSON COUNTY,NC FI L_L,
Scale: P-50' Pn,/
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533 CMEPIIEE MOU TALN ROAD•CA.WON NC 29716•PNONE 828.608-7080 =1.E2E-648-3033

4yt t ; SOUTHEAST SOIL SCIENCE, Inc.
JOHN B.ALLISON,President
�,, *�-e, b • NORTH CAROLINA LICENSED Ce-r1PdSoftSdeminSiace 1981
ARPACS and NSCSS CERTIFIED
8EP➢'1CSYSfFM6VAWA'BONS&MANAC6M8M'•WEPLAND D6IJNEA'1'10N•6105OLalapPPWGTU1N hNNACPAfBNT•'1RAD�UVG&6OUGTION
September 21,2004
Ms.Rebecca Hinton
P.O.Box 521
Dillsboro,NC 28725
Dear Ms.Hinton,
On August 26,2004 Walker B.Ferguson of Southeast Soil Science,Inc.conducted a detailed
soils investigation of a 1.090 acre had on Hall Town Road in Jackson County,NC. The purpose
of the soil study was to determine soil and site suitability for a 3 bedroom septic system. 9 hand
auger borings were examined Complete soil profile descriptions are enclosed for each boring.
A map is also enclosed showing the house site,creeks,and the locations of the borings.
Field.work was conducted as follows: a 3 inch hand auger,a 60-inch soil probe,and a
sharpshooter shovel were used to examine the soil;Munrell Soil Color Charts, 1998 revised
edition,were used to measure soil color,and a Suunto M-5SK clinometer was used to measure
slope.
Recommendations are based on,but not limited to,observations made and data collected on
topography,landscape position,parent material,underlying geology,and soil characteristics.
Soil characteristics include,but are not limited to,depth to a seasonal high water table(SHWT),
depth to a restrictive horizon,total soil depth,soil honzonatica,soil structure,soil color,clay
mineralogy,bulk density,consistence,plasticity,stone content,and percent sand,silt,clay,and
mica. They follow the guidelines set forth in the North Carolina Laws and Ruled for Sewage
Treatment and Disposal Systems,laws amended effective December 19,2001,and rules
amended effective May 1,2004. Grading which occurs subsequent to this fieldwork renders the
soil investigation in the graded area null and void.
3 symbols on the map are defined as follows:
I. —•— Perennial stream,a drainageway with continuous water flow.
2. PP Powerpole.
3• Q Boring location flagged with green wire flu the
8s on ProPettY•
533 CFAs &MoaNc"N RD"•CANreN NC 23716•PRONE 826449.7080 •FAx US-64"033

7
DISCUSSION
1. The majority of the lot is fill dirt and is unsuitable for drainfields(see mop). The site
investigation assumed pretreatment and a 35 foot setback from surfitce,water.
2. Borings 1,2,3,4,6,7,and 9 are roundtable for conventional septic systems.
3. Borings 5 and 8 are Provisionally Suitable(PS)for a 10-inch Large Diameter Pipe(LDP)
drainfield. However,there is not enough PS soil in that area to support a primary and
repair drainfield.
4. Borings 1,4,5,7, 8,and 9 we PS for a subsurface drip irrigation septic system.
However,there is not enough PS soil in that area to support a primary and repair
drainfield.
5. Based on this soil study,there is an land-based option for wastewater treatment on this
lot
Thank you for this opportunity to provide you with soils data and interpretation. Please call me,
if you have questions about this report.
S01L.6
Sincerely, B.A11t
V � �^ v 7p �wsurea y i'`
John B.Allison
Consulting Soil Scientist
1066
OFNORTH C
References:.
1. National itesterana Conservation Service,National Soil Survey Center. 1998. FiddBoakforDanadbing and
SamplingSolix Untied States DepatmentafAgriculturte. LoneoloNebrmska.
2. North CaroltinaAwritalfteal Research Service. 1992. RedaxonarphicFeantawforldent6ftAquic
Conditions North Caroluat State UniversayTedanical Bulletin 301. 33pages
3. North Carolina Department of linviraranent,He"and Natural Resources,Division Health,
On-Site Wastewater Section. 1996. on-Site Wastewater Managmmd.-Guido Manual F.0.13=276117'
Raleigh,NC,276117687.
4. North Carefixt Deparrocat of Environment,Health,and Natural Resources,Division ofEavanamordal Health,
On-Site Wastewater Section. 1998. Laws andRu1wfbr&mge Yknaftent andD1z;gux;alS)wae,* PO.Bdx
27687,Raleigh,NC,27611-7687.
5. Soil Survey SUM Soil Coustuvatian,Service. 1993. SoilSomayManuaf. United States Deparnnentof
Agriculture Handbook No.18 United States DTmtnmtofAgdaWfive,WuhWgtonD.0

Southeast Soil Science, Inc.
533 Crabtree Mountain Road
Canton,NC 28716
[phone]
PROJECT. Rebecca Hinton DATE: August 26,2004
Hall Town Road property
Jackson Coun NC CLAY MINERALOGY: Slightly expansive
BORING NUMBER: 7 SOIL DEPTH: >32 inches
SOIL GROUP: 2 RESTRICTIVE HORIZON: >32 Inches
PERCENT SLOPE: 3 SEASONAL HIGH WATER TABLE: 22 Inches
LANDSCAPE POSITION: Flood lain TYPE OF WATER TABLE: Apparent
TOPOGRAPHY: Uniform CLASSIFICATION: Unsuitable
PARENT MATERIAL: Alluvium RECLASSIFIED: WA
NOTES:
t.MOIST COLOR FIELD ESTIMATES
HORIZON DEPTH MATRIX MOTTLES TEXTURE STRUCTURE CLAY •CONV.
(inches) (%) LTAR
Al 0-5 7.5 YR 2.5/3 — Sandy loam Blocky — 0.8
A2 5-22 7.5 YR 3/3 — Sandy loam Blocky — 0.8
A3 22.32 10 YR 3/1 2.5 YR 3/6 Sandy loam Blocky — 0.8
5 YR 4/6
Baring
terminated due to
SHWT
MCS'=Multi-colored saprolite 'CONV.LTAR=Conventional Long Term Acceptance Rate
RLWB+=Restrictive layer—Weathered bedrock in gallons per square foot par day
SOIL SCIENTIST:Walker B. Ferguson 0200D Southeast Sol samce.him NCRev19ede4000
Checked byJohn e.Allison

Southeast Soil Science, Inc.
533 Crabtree Mountain Road
Canton,NC 28716
[phone]
PROJECT: Rebecca Hinton DATE: August 26,2004
Hall Town Road property
Jackson Courdy,NC CLAYMINERALOGY: Slightlyexpansive
BORING NUMBER: 2 SOIL DEPTH: >13 Inches
SOIL GROUP: 2 RESTRICTIVE HORIZON: >13 inches
PERCENT SLOPE: 6 SEASONAL HIGH WATER TABLE: 3 inches
LANDSCAPE POSITION: Flood lain TYPE OF WATER TABLE: Apparent
TOPOGRAPHY: Uniform CLASSIFICATION: Unsuitable
PARENT MATERIAL: Alluvium RECLASSIFIED: N/A
NOTES:
�— FIELD ESTIMATES
MOIST COLOR
HORIZON DEPTH MATRIX MOTTLES TEXTURE STRUCTURE CLAY 'CONV.
(inches) (%) LTAR
Fill dirt 6-0 — — — — — —
Al 03 7.5 YR 313 — Sandy loam Blocky — 0.8
A2 3-13 7.5 YR 4/1 2.5 YR 316 Sandy loam Blocky — —
5YR518
Boring
terminated due to
SHWT
MCS'=Muifi-colored saprolits 'CONY.LTAR=Conventional Long Tenn Acceptanoe,Rate
RLWB+=Restrictive layer—Weathered bedrock in gallons par square foot per day
SOIL SCIENTIST:Walker B. Ferguson 02000 Soalhmst Sal Saama,Inc. NC RwAsed 512000
Checked by Jahn S.Allson

Southeast Soil Science, Inc.
533 Crabtree Mountain Road
Canton, NC 28716
[phone]
PROJECT: Rebecca Hinton DATE: August 26,2004
Half Town Road property
Jackson County,NC CLAY MINERALOGY, Slightly expansive
BORING NUMBER: 3 SOIL DEPTH: >22 inches
SOIL GROUP: 2 RESTRICTIVE HORIZON: >22 inches
PERCENT SLOPE: 5 SEASONAL HIGH WATER TABLE: 12 inches
LANDSCAPE POSITION: Flood lain TYPE OF WATER TABLE: Apparent
TOPOGRAPHY: Uniform CLASSIFICATION: Unsuitable
PARENT MATERIAL: Alluvium RECLASSIFIED: WA
NOTES:
FIELD ESTIMATES
MOIST COLOR
HORIZON DEPTH MATRIX MOTTLES TEXTURE STRUCTURE CLAY 'CONV.
(inches) N LTAR
Fill din 118-0
Al 0-12 7.5 YR 413 — Sandy loam Blocky — 0.8
2.5 YR 416
A2 12-22 2.5 Y 411 5 YR 418 Sandy loam Blocky — —
5 YR 314
Boring
terminated due to
SHWT
MCS'=Multi-colored saprolhe •CONV.LTAR=Conventional Long Term Acceptance Rate
RLWB+=RwbicOve layer—Weathered bedrock in gallons per square foot per day
SOIL SCIENTIST.Walker S.Ferguson 02000 Sotdh a tSoil Sdence,Inc. NC Rehsed 6/Yeeo
Checked by John S.Allison

Southeast Soil Science, Inc.
533 Crabtree Mountain Road
Canton,NC 28716
[phone]
PROJECT: Rebecca Hinton DATE: Au ust26.2004
Hail Town Road property -
Jackson County,NC CLAY MINERALOGY: SlighUy expansive
BORING NUMBER: 4 SOIL DEPTH: >30 inches
SOIL GROUP: 2 RESTRICTIVE HORIZON: >32 inches
PERCENT SLOPE: 5 SEASONAL HIGH WATER TABLE: 20 Inches
LANDSCAPE POSITION: Flood lain TYPE OF WATER TABLE: Apparent
TOPOGRAPHY: Uniform CLASSIFICATION: Unsuitable
PARENT MATERIAL: Alluvium RECLASSIFIED: WA
NOTES:
FIELD ESTIMATES
- MOIST COLOR
HORIZON DEPTH MATRIX MOTTLES TEXTURE STRUCTURE CLAY 'CONV.
(inches) (ek) LTAR
Al 0-20 7.5 YR 3/3 — Sandy loam Blocky — 0.8
A2 20-30 7.5 YR 411 2.5 YR 4/6
7.5 YR 3/1 Sandy loam Blocky - — —
Bodng
terminated due to
SHWT
MCS'=Mulg-colored saprolite "CONV.LTAR=Convenaonal Long Term Acceptance Rate
RLWB+=Restdc0ve layer—Weathered bedrock in gallons per square foot per day
SOIL SCIENTIST:Walker B.Ferguson ®loos ScuWeeeesnnscien Inn NCRwim,16120o0
Checked by John B.Allison

Southeast Soil Science, Inc.
533 Crabtree Mountain Road
Canton, NC 28716
[phone]
PROJECT: Rebecca Hinton DATE: August 26,2004
Hall Town Road property
Jackson Count ,NC CLAY MINERALOGY: Sl!qhtly expansive
BORING NUMBER: 5 SOIL DEPTH: >42 inches
SOIL GROUP: 2 RESTRICTIVE HORIZON: >42 inches
PERCENT SLOPE: 4 SEASONAL HIGH WATER TABLE: 32 inches
LANDSCAPE POSITION: Flood lain TYPE OF WATER TABLE: Apparent
TOPOGRAPHY: Uniform CLASSIFICATION: Unsuitable
PARENT MATERIAL: Alluvium RECLASSIFIED: Provisionally suitable
NOTES: 1.PwAslonally,suitable using 10.inch La 18 inches=trench depth a Diameter 1 inch=slope correction soil depth
12 Inches=regulated soil depth
Pie septic system with trench depth and trench width of 18 inches. + 0 inches=regulated sa0rollte death
2.BC 1 horizon contains lenses of coarse sand. 31 inches total depth needed
MOIST COLOR FIELD ESTIMATES
HORIZON DEPTH MATRIX MOTTLES TEXTURE STRUCTURE CLAY *CONV.
(inches) (s/o) LTAR
At 0-18 7.5 YR 3/3 — Sandy loam Blocky — 0.8
A2 18-24 10 YR 3/2 — Sandy loam Blocky - — 0.8
BC1 24-32 10 YR 4/2 — Sandy loam Blocky — 0.6
BC2 32-42 10 YR 4/2 6 YR 4/6 7.5 YR 5/6 Sand loam Block —
2,5YR4/6 7.SYR4/1 y y —
Boring
terminated due
to SHWT
MCS*=Multi-colored saprolite *CONV.LTAR=Conventional Long Tenn Acceptance Rate
RLWB+=Restrictive layer—Weathered bedrock in gallons per square foot per day
SOIL SCIENTIST:Walker B. Ferguson 02000 SoudleastSoil Science.Inc. NC Revised W000
Checked by John B.Allison

Southeast Soil Science, Inc.
533 Crabtree Mountain Road
Canton,NC 28716
[phone]
PROJECT: Rebecca Hinton DATE: August 26,2004
Hall Town Road property
Jackson County,NC CLAY MINERALOGY: SI(ghtlyepansive
BORING NUMBER: 6 SOIL DEPTH: >10 inches
SOIL GROUP: 2 RESTRICTIVE HORIZON: >10 inches
PERCENT SLOPE: 4 SEASONAL HIGH WATER TABLE: 0 inches
LANDSCAPE POSITION: Flood lain TYPE OF WATER TABLE: Apparent
TOPOGRAPHY: Uniform CLASSIFICATION: Unsuitable
PARENT MATERIAL: Alluvium RECLASSIFIED: N/A
NOTES:
�-- FIELD ESTIMATES
MOIST COLOR
HORIZON DEPTH MATRIX MOTTLES TEXTURE STRUCTURE CLAY 'CONV.
(Inches) (*A) LTAR
Fill dirt 24-0 — — — — — —
2.5 Y411
A 0-10 7.5 YR 313 7.5 YR 514 Sandy loam Blocky - — —
5 YR 416
Boring
terminated due to
SHWT
MCS•=Multl-colored saprolits 'CONY.LTAR=Conventional Long Tenn Acceptance Rate
RLWB+=Restrictive layer—Weathered bedrock in gallons per square foot per day
SOIL SCIENTIST:Walker B.Ferguson ®zoso sovtheeetswsaenee.Imo. NCRevised612000
Checked by John R.Allison

Southeast Soil Science, Inc.
533 Crabtree Mountain Road
Canton,NC 28716
[phone]
PROJECT: Rebecca Hinton DATE: Au ust26 2004
Hall Town Road property
Jackson County,NC CLAY MINERALOGY: SlIghtly,expensive
BORING NUMBER: 7 SOIL DEPTH: >35 inches
SOIL GROUP: 2 RESTRICTIVE HORIZON: >35 inches
PERCENT SLOPE: 6 SEASONAL HIGH WATER TABLE: 25 inches
LANDSCAPE POSITION: Flood lain TYPE OF WATER TABLE: Apparent
TOPOGRAPHY: Uniform CLASSIFICATION: Unsuitable
PARENT MATERIAL: Alluvium RECLASSIFIED: N/A
NOTES:
1. BC1 horizon contains lenses of coarse sand.
�— FIELD ESTIMATES
MOIST COLOR
HORIZON DEPTH MATRIX MOTTLES TEXTURE STRUCTURE CLAY I •CONV.
(inches) (0/o) LTAR
Al 0-16 7.5 YR 3/3 — Sandy loam Blocky — 0.8
A2 16-20 10 YR 312 — Loam Blocky - — 0.8
BC1 20-25 7.5 YR 4/3 — Sandy loam Blocky — 0.6
BC2 2535 7.5 YR 4/3 5 YR 4/8 Sandy loam Blocky — —
7.5 YR 6/2
Boring
_ terminated due to
SHWT
MCS'"=Mu10-colored saproiRe *CONV.LTAR=Convendonal Long Term Acceptance Rate
RLW B+=Restrictive layer—Weathered bedrock In gallons per square foot per day
SOIL SCIENTIST:Walker B. Ferguson 02000swmeadSoflfti .inm NCR@wwd5r2000

Southeast Soil Science, Inc.
533 Crabtree Mountain Road
Canton,NC 28716
[phone]
PROJECT: Rebecca Hinton DATE: August 26 2004
Hall Town Road property
Jackson County,NC CLAY MINERALOGY, Slightly expansive
BORING NUMBER: 8 SOIL DEPTH: 45 inches to weathered bedrock
SOIL GROUP: 2 RESTRICTIVE HORIZON: 45 inches to>50%rock fragments
PERCENT SLOPE: 4 SEASONAL HIGH WATER TABLE: 43 inches
LANDSCAPE POSITION: Flood lain TYPE OF WATER TABLE: Apparent
TOPOGRAPHY: Uniform CLASSIFICATION: Provislonail suitable
PARENT MATERIAL: Alluvium RECLASSIFIED: NIA
NOTES:1.Free water in boring at 43 inches. 18 inches=trench depth
1 inch=slope correction soil depth
2.Provisionell suitable using 10.irrch a Diameter Pi 12 inches=regulated soil depth
_+ 0 inches=regulated saprolite depth
trench is m with trench de Ut and width of 18 inches. 31 inches total depth needed
3.BC horizon contains lenses of mama send.
�--, FIELD ESTIMATES
MOIST COLOR
HORIZON DEPTH MATRIX MOTTLES TEXTURE STRUCTURE CLAY I 'CONV.
(Inches) (%) LTAR
Al 0-18 7.5 YR 313 — Sandy loam Blocky — 0.8
A2 18-33 7.5 YR 3/2 — Sandy loam Blocky — 0.8
BC1 33-43 10 YR 4/2 — Sandy loam Blocky — 0.6
BC2 43-45 10 YR 412 — Sandy loam Blocky — —
Resbictwe layer
45 >50%
rock fragments
MCS'=Multi-calored saprolite •CONV.LTAR=Conventional Long Term Acceptance Rate
RLWB+=Restrictive layer—Weathered bedrock in gallons par squarefoot per day
SOIL SCIENTIST:Walker B.Ferguson ®loop Bwthwst5WISdwwe,Ire. NC Rewsed 5n0o0
Checked by John a.Nfieon

l
F,nm=.
— Lir\!L. Au-usi 2� 2004
1
TUWI:ROnu prCpeA'ZY
I
daCkenn(pent (ti(: Ihi ilV IDfii�R01 fIGJ 5lightlyexpeneive
l —
BOP...... 2 �fviL CnSr�rs .ee�nciis�
SOIL GRGiiF-: 2 iRESTRiCTiVE HORIZON: >32 inches
PERCENT SLOPE: 4 (SEASONAL HIGH WATER TABLE: >32 Inches
LANDSCAPE POSITION: Flood fain TYPE OF WATER TABLE: Apparent
TOPOGRAPH'r: Uniform CLASSIFICATION: Unsuitable
PARENT MATERIAL: Alluvium RECLASSIFIED: N/A
FIELD ESTIMATES
MOIST COLOR
HORIZON DEPTH MATRIX ' MOTTLES I TEXTURE STRUCTURE CLAY 'CONV.
(inches) M LTAR
Al 0-26 7.5 YR 313 — Sandy loam Blocky — 0.8
A2 26-36 7.5 YR 4I1 5 YR 314 5 YR 4/8 Sandy loam Blocky - — —
Boring
terminated due to
SHWT
MCS'=Multi-colored saprolite -CONV.LTAR=Comrentionsl Long Tom Acmptence Rabe
RLWB+=Restrictive layer—Weathered bedrock in gallons per square foot per day
SOIL SCIENTIST:Walker B. Ferguson 0200osoadlee SIASde lee. NCRsvlsed5rAW

O� WAIF[ Michael F. Easley,Governor
'I"p State of North Carolina
William G. Ross,Ju,SecreCary
V1 � � L / 1 0 Department of Environment and Natural Resources
Alan W.Klimek,P.E., Director
Dlvisicn of Water Quality
October 12,2005
Rebecca A.Hinton ( 7 O . .
425 Hall Town Road
Sylva,North Carolina 28779
I
Subject:General Permit No.NCG550000
Certificate of Coverage NCG551295
Rebecca A.Hinton Property
Jackson County
Dear Mrs.Hinton:
General Permit Coverage. In accordance with your application for discharge,the Division is forwarding
herewith the subject Certificate of Coverage to discharge under the subject state-NPDES general permit.
This permit 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).
The following information is included with your permit package:
• A copy of the Certificate of Coverage for your treatment facility
• A copy of General Wastewater Discharge Permit NCG550000 -
• A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG550000 _... _.
• Engineer's Certification to be completed and returned.
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 of
Water Quality. The Division of Water Quality may require modification or revocation and reissuance of
the certificate of coverage. This permit does not affect the legal requirements to obtain other permits
which may be required by the Division of Water Quality or permits required by the Division of Land
Resources,Coastal Area Management Act or any other Federal or Local governmental permit that may be
required.
Authorization to Construct Permit. In accordance with your application for discharge,the Division is
also authorizing the construction of a 240 GPD wastewater treatment system consisting of a septic tank,
primary sand filter,secondary sand filter,chlorination,and dechlorination with a discharge of treated
wastewater into Big Savannah Creek,classified C;Tr waters in the Little Tennessee River Basin. All
elbow piping must be of the long sweeping type. All elements 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.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Telephone[phone] FAX[phone] Wc"hCaroI'
512 N.Selishury5treet Raleigh,North Carolina 276N On the Internet at hea//h2o.enr.state.nous/ a!;W
An Equal Opportun lyJAHlrmetive Action Employer

This Authorization to Construct permit is issued in accordance with Part III,Paragraph 2 of NPDES
Permit No.NCG550000,and shall be subject to revocation unless the wastewater treatment facilities are
constructed in accordance with the conditions and limitations specified in Permit No.NCG550000. In the
event that the facilities fail to perform satisfactorily,including the creation of nuisance conditions,the
Permittee shall take immediate corrective action,including those as may be required by this Division,
such as the construction of additional or replacement wastewater treatment or disposal facilities. 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 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.
Upon completion of construction 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 Pennitee for the life of
the facility.
NPDES Permit Contact. If you have any questions concerning the requirements of this permit,please
contact Toya Fields at telephone number(919)733-5083,extension 551.
Sincerely,aV
toAlan W.Klimek,P.E.
cc: Central Files
NPDES General Permit Files
Asheville Regional Office,Surface Water Protection
Jackson County Health Department
2

NCG551295
Engineer's Certification
I, as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe(periodically,weekly,full time)the construction of the following
domestic wastewater treatment system project:
Project Name Location
For the 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 specifications.
Signature
Registration No.
Date
3

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE NCG551295
GENERAL PERMIT NO. NCG550000
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER li
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE 4:
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,
Rebecca A. Hinton j
is hereby authorized to construct and operate a wastewater treatment facility consisting of a septic tank,
primary sand filter,secondary sand filter,chlorination,dechlormation,and associated appurtenances,
and with the discharge of treated wastewater from a facility located at the
Rebecca A. Hinton Property h
425 Hall Town Road
Sylva
Jackson County
to receiving waters designated as Big Savannah Creek in the Little Tennessee River Basin in accordance with the
effluent limitations,monitoring requirements,and other conditions set forth in Parts I,II,RI and IV of General
Permit NCG550000 as attached.
This certificate of coverage shall become effective October 13,2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 13,2005.
Al Klimek,Klimek,P.E.,Director
/ Di Sion of Water Quality
By Authority of the Environmental Management Commission
4

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Road McNally - Get Directions Page 2 of 3
8 Continue onto US-74 W 0.6 miles
, ...............................................................................................11....................................... .............................. ,................I...................
9 Bear right on ramp to US-19 S (US-23 So US-74 W, Great Smoky 0.2 miles
Mountains Expwy)
.........................................................................................................—...... ...... —1............I...................................... ...........
10 Continue onto US-19 S (US-23 S, US-74 W, Great Smoky Mountains 2.5 miles
Expwy)
—.1-1......I.......................—1—..............,............. .................-.... .............—...—........... ................
11 Continue onto US-23 S (US-74 W, Great Smoky Mountains Expwy) 9.5 miles
...........................................I...... .......I........... ...........I...........................................................I......................I..,......................
12 Continue onto US-23 S (US-74 W) 12.7 miles
................I..........................................................................................................................................................................................
13 Bear right on ramp to US-23 S (US-441 S) 0.2 miles
.......................................... ..........................................................................................................................................................................
14 Continue onto US-23 S (US-441 S) 3.6 miles
.................I........................................................................................................................................................................................
15 Turn left onto Hall Town Rd 0.5 miles
...I....,............ ..........................................................I.......................-.1.......... ............................................................................
is You are at 425 Hall Town Rd,Sylva,NC
................................................................................................................................................................... .............
Destination: 425 Hall Town Rd
Sylva, NC 28779-7411
N
SR 13 a'
.5 lie
a 425 Hall Tom Rd-,,
1600 ft
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551295
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,
Rebecca A. Hinton
is hereby authorized to discharge domestic wastewater [<1000 GPD] from a facility located
at
425 Hall Town Road
Sylva
Jackson County
to receiving waters designated as Savannah Creek in subbasin 04-04-02 of the Little
Tennessee River Basin in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective August 1, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 27, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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 F
Rebecca A.Hinton
425 Hall Town Road
Sylva,NC 28779
Subject: Renewal of coverage/General Permit NCC550000
425 Hall Town Road
Certificate of Coverage NCG551295
Jackson County
Dear Permittee:
In accordance with your renewal application [received on January 29,2007],the Division is renewing
Certificate of Coverage(CoC)NCG551295 to discharge under NCG550000. This CoC is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended].
If any parts,measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you,you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made,the certificate of coverage shall be final and binding. '
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources,Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit,please contact Toys,
Fields [919 733-5083,extension 551 or tova [e-mail] or Susan Wilson [919 733-5083,extension 510
or susan a wilson@ncmail netl.
Sincerely,
9
for Coleen H. Sullins
cc: Central Files
Asheville Regional Office 7 Surface Water Protection I JUL 3 1 2UU1
NPDES file.
WA C CU Ill 9Ec91n,1 I
i s JII a HI1 on N.
y
1617 Ivell service Center,Raleigh,North Carolina 27699-1617 n 0 .»�aTO llHa
Y1.m4; w
512 North Salsbury Street,Raleigh,North Carolina 27604 _ "..W..�..NOTtI1
Phone: [phone]/FAX [phone]/Internet:w .ncraaterquality.org lNaturalk�
An Equal 0ppohunity/Affirmative Action Employer—50%RecycleNlO%Post Consumer Paper i

NCG551295 renewal notice
January 9,2007
The attached application form shows the information the Division has on file for your
property. Please verify, that the provided information is correct, or make corrections on the form.
Complete the additional questions, then sign and date the form.
The completed form should be submitted to the address listed below the signature block.
If you have any questions concerning this matter, please contact me at the telephone number
or e-mail address listed below. (If it is difficult to reach me, please be aware that your facility is one
_ of over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your attention to this matter.
Sincerely, y�n'
Charles H. Weaver,Jr.
NPDES Unit
cc: Central Files
;Asheville Regional Office/Keith Haynee
NPDES file

NCDENR
North Carolina Department of Environment and Natural Resources .
Division of Water Quality, -
- - --
Michael F. Easley,Governor William a.�bss JF`,Se'6retary
—Mart W...Klimek,.P E Director
January 9, 2007 r� F �
I � S
I
Rebecca Hinton 1 l� JAN 1 6 2067 I `
III
425 Hall Town Rd
87 Sylva,NO 28779 I wnrer�cxir,i-ITv;scnnN I
A561GVILI-[FIFGIO,b'AI SS,,_i ��^_
Subject: Renewal Ngrtice/General Permi't`Nl%G55b00
Certificate�erage AT�12.�,`�,,,a,,, i
Jackson County - - ---^-- I.
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. I
The Certificate of Coverage (CoC) specific to your property was last issued on October 12,
2005. 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 farm.
➢ If you are not sure what type of system your property has, contact Keith Haynes in the
NO DENR Asheville Regional Office at. That person [or other staff members] can help
you determine if you should renew your CoC.
➢ If you know that your property no longer discharges wastewater, contact me at the
address or phone number listed below to request rescission of the CoC.
➢ This information request does not pertain to the Annual Fee of$50.00 billed
separately by the Division's Budget Office. No money is required for this
procedure. The Annual Fee is like the fee you annually pay the DMV for the sticker on
your vehicle's license plate. Renewal of your CoC is like the renewal of your Driver's
License [ca. every five years].
➢ If you have already mailed a renewal request,you may disregard this notice.
i,
i
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 ne
512 Noah Salisbury Street,Raleigh,North Carolina 27604 �oiihCar011ria
Phone: [phone],extension 511/FA%919 733-0719/charles.weaver®nemail.net Naturally
//�
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper lx/�/at { " li

Michael F.Eastey, G 61'
��Q WIIII cl
G North Carolina Department of Environme uralJl�_as rces
} r Alan k, F� D ctor
y 1 ion at ler
O . x+v Y ,
'l Asheville Regional Office
X54`�
SURFACE WATER PROTECTION
December 20, 2005
Rebecca A Hinton
425 Hall Town Rd
Sylva INC 28779
SUBJECT: Compliance Evaluation Inspection
Hinton Residence SFR
Permit No: NCG551295
Jackson County
Dear Ms. Hinton:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for
the inspection which Larry Frost and I conducted of your single residence sand filter
system on December 14, 2005. The facility was found to be in Compliance with permit
NCG551295.
Please refer to the enclosed inspection report for additional observations and
comments. If you have any questions, please do not hesitate to call me at 296-4500.
Sincerely,
Kei�a nes
Environmental Specialist
Enclosure
cc: Central Files
Asheville Files
N",l{liamlina
2090 U.S.Highway 70,Swannanoa,NO 28778 Telephone:[phone] Fax:[phone] Customer Service 1 S77 623-6748

United Slates Environmental Protection Agency
EPACn Washington,e.e.20460 Form Approved.
OMB No.2040-005]
Water Compliance inspection Report Approval expires 8-31-98
Section A: National Data System Coding(i.e, PCS)
Transaction Code NPDES yorcolday Inspection Type Inspector Fa Type
I_I 2 IJ 31 NC,551295 Ill 121 o5/12/14 1 17 181°I st_°I 20LI
Remarks
z1IlIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlll16
Inspection Work Days Facility Self-Monitoring Evaluation Rating a1 QA ---------------------Reserved
6]I 169 70I Li
711 ]21 aJ 731 W 74 751. 1 1 I 1 I 1 8�
Section B: Facilil Data L
Name and Location of Facility Inspected(For Industrial Users discharging to POND,also Include Entry mirm ate Permit Effective Date
PONY name and NPDES permit Number)
Rebecca A. Hintmt-Re-.hate 10:00 Aid 05/12/14 05/10/12
125 Hall mown Rd Exit TimelDate Permit Expiratlon Date
SYlva NO 28779
10:20 AM 05/12/14 07/r7/31
Names)of Onsite Representative(s)/Titles(spPhone and Fax Numbers) Other Facility Data
Name,Address of Responsible ORCIaI/Title/Phone and Fax Number
F.eberca S H.inton,425 9a11 Toum Rd 5}1-ra NC 117"]9/// Contacted
Ne
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations&Maintenance Facility Site Review Effluent/Receiving Waters
Section D: Summary of Find in /Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signanne(s)of Inspector(s) Agency/OffcelPhone and Fax Numbers Data _
z vvv n,"t ARo Wp//82g-296-4500 Rx1.4658/ / Z�Z O�S
Heith sales, ARO WQ//828-296-4500/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Rn3ea C edwarls WI AHO ta0//H2O-2a6-4500/ �/Q
EPA Farm 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
3� mcG`v`1211 111 12L OS/12/19 117 18L'i
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The subsurface sandfilter had just recently been completed and did not have a residence connected to it at
the time of the inspection.
Page# 2

Permit: NCG551295 Owner Facility: Rebecca A.Hinton-Residence
Inspection Date: 12/1412005 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Is right of way to the outtall properly maintained? ■ ❑ 11 ❑
Are the receiving water free of foam other than trace amounts and other debris? n ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ il ❑
Comment:
Operations& Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 111 ❑ 11 ❑
Does the facility analyze process control parameters, for ex:MLSS, MCRT, Settleable Solids,pH, DO, Sludge ❑ ❑ 0 ❑
Judge,and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted anew application? ❑ ❑ ■
Is the facility as described in the permit? ■ ❑ Cl ❑
#Are there any special conditions for the permit? ❑ ❑
Is access to the plant site restricted to the general public? ❑ ❑
Is the inspector granted access to all areas for inspection? in ❑ ❑ ❑
Comment:
Page# 3

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........................................................_........................................................................_...............................................................................................
Swannanoa, NC 28778
to
425 Hall Town Rd
Sylva, NC 28779-7411
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Find it in the 2006 Road Atlas
Swannanoa, NC Sylva, NC
• page 74,grid section L-6, • page 76, Great Smoky
Western North Carolina map Mountains National Park retail
• page 74,grid section E-1 map
• page 74,grid section L-3,
Western North Carolina map
Estimated Total Driving Time: Estimated Total Driving Distance: Total Number of Steps:
1 hour, 15 minutes 62 miles 16
Step Directions Distance
1 You are at Swannanoa,NC.
...................................................................................:................................................—.....................,.....................................................................
2 Go SW on Riverwood Rd for 0.18 miles 0.2 miles
....................................................................................................................................................................................................I.................I......
.....
3 Turn hard left onto US-70 (Black Mountain Hwy) 0.4 miles
..._...._......................................--.................................---..............,.....................................................................................................................
4 Turn right onto Patton Cove Rd 0.3 miles
...................................................................................................................................................................................................................................
5 Turn right on ramp to I-40 W 0.2 miles
...................................................................................................................................................................................................................................
6 Continue on I-40 W 30.8 miles
.....-.........................................................................:......................................................................................................................................-.......
...
7 Exit onto off-ramp at exit 27 to US-74 W 0.8 miles
htto://www.randmcnally.com/rmc/directions/dirPrintDirections.j sp?ref=dirn&col=color&s StartN=e=&,.. 12/13/2005