HomeMy WebLinkAboutNCG551155_Regional Office Historical File 2001 to 2012N
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water G omploqncp InspertmonApproval
expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 15 I 31 NCG551155 111 121 12/11/30 117 181 C I 19I S I 20III
Remarks
211III I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved ----------------------
67I 169 701 I 711 I 721 N I 73I I 174 751 I I I I I I 180
W
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)
Willow Springs Drive /Lot 6
11:00 AM 12/11/30
07/08/01
Exit Time/Date
Permit Expiration Date
Willow Springs Dr Lot # 6
Etowah NC 28729
11:20 AM 12/11/30
12/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Elwood A Style,PO Box 1836 Etowah NC 28729/Owner/828-697-8580/ No
Section C: Areas Evaluated During Inspection (Check only 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 Inspector(s) Agency/Office/Phone and Fax Numbers Date
Kathy Jimison ARO WQ//828-296-4500/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
1-0 t
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1
NPDES yr/mo/day Inspection Type 1
3I NCG551155 I11 12I 12/11/30 117 98I CI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Lot 6 on Willow Springs Rd is vacant.
An inspection letter has not been sent due to lack of construction.
Page # 2
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A
NCDENR
North. Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
July 27, 2007
Elwood A. Style
136 Willow Springs Drive
Hendersonville, NC 28739
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
Subject: .Renewal of coverage / General Permit NCG550000
Willow Springs Drive / Lot 6
Certificate of Coverage NCG551155
Henderson County
Dear Permittee:
In accordance with your renewal application [received on January 22, 20071, the Division is renewing
Certificate of Coverage (CoC) NCG551155 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 Toya
Fields [919 733-5083, extension 551 or to_ya.fields@ncmail.net] or Susan Wilson [919 733-5083, extension 510
or susan.a.wilson@ncmail.netl.
cc: Central Files
NPDES file
Sincerely,
for Coleen H. Sullinsr�'��
J U L 3 1 2007
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: 919 733-5083 / FAX 919 733-0719 / Internet: www.ncwaterquality.org
WATEMW..ALITY SECTION
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY .
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551155
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,
Elwood A. Style
is hereby authorized to discharge domestic wastewater [<1000 GPD] from a facility located
at
Willow Springs Drive / Lot 6
Etowah
Henderson County
to receiving waters designated as Sentell Creek in subbasin 04-03-02 of the French Broad
River Basin in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage 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
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, P.E., Director
ELWOOD A STYLE
LOT # 6
P O BOX 1836
ETOWAH, NC 28729
Dear Permittee:
A
••
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL_ RESOURCES
July 26, 2002
�IVL I 25�f
J%
Subject: Reissue - NPDES Wastewater Discharge Permit
Lot # 6
COC Number NCG551155
Henderson County
In response to your renewal application for continued coverage under general permit NCG550000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued wastewater general permit Certificate of Coverage
(COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency,
dated May 9, 1994 (or as subsquently amended).
The following information is included with your permit package:
* A copy of the Certificate of Coverage for your treatment facility
* A copy of General Wastewater Discharge Permit NCG550000
* A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG550000
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or
decree.
Please note that effective January 1, 1999 the fees for all permits issued by DWQ were changed. This changed the
fee for your wastewater general permit coverage from a $240 fee paid once every five years to a yearly fee of $50.
If you have not already been billed this year for the yearly fee, you will receive a bill later this year.
If you have any questions regarding this permit package please contact Bill Mills of the Central Office Stormwater
and General Permits Unit at (919) 733-5083, ext. 548
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-0719
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
INA
NCDENR
North Carolina Department of Environment-,and,NatWr-al.-Resources- ,,
.Sillvn'�/f+.KWl3r!�.;Ji19�f332•.il5r,':.i'::I:.ev.: ;.....•.rta..�:.: •:ta:.:c�[ >.u'1th:l:...rnty.�•, 4
Division of Water Quality
Michael F. Easley, Governor 1A lilliaM-G.Ross, Jr., Secretary
�lar glitk P°E- , Director
t
January 9, 2007
JA N 1 6 2007
Elwood Style ! i
136 Willow Springs Dr i I
Hendersonville, NC 28739
Subject:
Dear Permittee:
f WATER QUALITY SECTION
ASHFVILLF R ;!C .•'; i_ =10F
Renew .l N�otire.�eiae l-e,rLnitNCG550000
Certificate of Coverage NCG551155
Henderson County
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 reauest does not xnertain to the Annual Fee of $50.00 billed
seanarately by the Division's BudL-et Office. No money is required for this
procedure. The Annual Fee is like the fee you annually pay the DAW for the sticker on
your vehicle's license plate. Renewal of your CoC is like the renewal of your Driver's
License [ca. every..five years].
➢ If you have already mailed a renewal request, you may disregard this notice.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: 919 733-5083, extension 511 / FAX 919 733-0719 / charles.weaver@ncmail.net
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
NorthCarohna
Naturally
NCG551155 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,
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
NPDES file
Ate►
W090009ft
MCDENR
PIONIN C.AM MM M~T"K1 f 0/
Ew.v -W mo "wvA. FUMOLNW-M
Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NCG550000
0
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General
NCG550000: Single Family Domestic Units and/or facilities discharging less than 1000 ge
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:
Name:. �L !�!o ��'D S�Date:
2) Mailing address of owner/operator:
Owner Name ZL1-id 0 7 Srr�
Street Address 1? o 61,
City �TD4& 14 State ZIP Code Z
Telephone No. (Home) EZAL G F 7 - E FTO (Work) - S f
Address to which all permit correspondence will be mailed
3) Location of facility producing discharge:
Street Address
City
County
Telephone No.
��"Oc�l6Yt/ State _IVrCi' ZIP Code ?,f 7 2 9
8`zS- c, 9 % - L-A) -
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). �o�F TU' C-J#w I/hi" 2(>- '&-.
;� ?L2riau 3/G�l�c.cc�,J �cl �yt�stty� /SfGf.;�dnl����coc✓'sTrtivw�t/��ide �� 7"
5) ThisNPDDES permit application applies to which of the following:
P' 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:
Number of bedrooms 13 x 120 gallons per bedroom = 20D gallons per day to be permitted
Page 1 of 3
SW U-216-062199
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:
Title: a W ij C�it
of Applicant)
�l4o03, A s7Y4E
North Carolina General Statute 143-215.6 b (i) provides that:
OG-/emu
(Date Signed)
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
NCG550000 N.O.I.
b) Type of facility producing waste (please check one):
A Primary residence ❑ Vacation/second home
❑ Other:
7) Please check the components that comprise the wastewater treatment system:
® Septic tank RD Dosing tank
io Primary sand filter 09 Secondary sand filter ❑ Recirculating sand filter(s)
11 Chlorination W Dechlorination ❑ Other form of disinfection:
ip Post Aeration (specify type) C 4-9 c' 7D 2ZZ?t<-4rL.>
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. Ml-e r A69-4c4c.
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. ye=s
c) Investigate Land Application such as spray irrigation or drip irrigation. h-Eo
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 in?
b) Stream Classification (if known):
10) The application must include the following or it will be returned:
a) For Certificates of Coverage:
❑ 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:
01 Letter from the county health department evaluating the proposed site for all types of ground
absorption systems.
® Evaluation of connectign to a reqional 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
SWU-216-062199
0� W AT �RQ Michael F. Easley
(� Governor
rWilliam G. Ross, Jr., Secretary
> y Department of Environment and Natural Resources
o
• Kerr T. Stevens
Division of Water Quality
August 1, 2001
Mr. Elwood A. Style
PO Box 1836
Etowah, NC 28729
Subject: Application No. NCG551155
Elwood Style Residence
Henderson County
Dear Mr. Style:
This is to acknowledge receipt of the following documents on July 17, 2001:
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 evaluation of the site for ground absorption.
The items checked below are needed before review can begin:
Completed Notice of Intent (Application Form),
Engineering proposal (see attachment),
Application Processing Fee of $00.00,
— 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:
AUG
3 2001
If the application is not made complete within thirty (30) days, it will be returned to you and may be resubmitted when
complete.
?(
Z4;- '
UJService Center
Raleigh, NC 27699-1617 (919) 733-7015
United States Environmental Protection Agency
EPA Washington, D.C. 20460
Form Approved.
OMB No. 2040-0057
Water Compliance inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 u 2 U 31 NCG551155 111 121 05/09/20 117 18 U 19 U 20 U
Remarks
21 11 1 1 I I I I I I I I l i l t I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 166
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA ---- ------- ------- ------ Reserved ---- ------ ------- ---
67 I 169 70 U 71 U 72 U 73 W 74 751 I I I. I I I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
Lot # 6 10:20 AM 05/09/20 02/08/01
Willow springs Dr Lot # 6 Exit Time/Date Permit Expiration Date
Etowah NC 28729 10:24 AM 05/09/20 07/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Elwood A Style,PO Box 1836 Etowah NC 26729/Owner/828-697-8580/ Contacted
_
No
Section C: Areas Evaluated During Inspection (Check only 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 Inspector(s) Agency/Office/Phone and Fax Numbers Date
Larry Frost ARO WQ//828-296-4500 Ext.4658/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
NPDES yr/mo/day Inspection Type
3I NCG551155 111 12, 05/09/20 117 18L21
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The lot is now on Willow Springs Road, in the Willow Springs Subdivision, o££ of Evans Road.
The lot is vacant, no construction at this time.
1
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
This application has been assigned to Mack Wiggins (919J733-5083) 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,
d�nack Wiggins
Stormwater and General Permits Unit
cc: AshevilleRegional Office
Permit Application File
MA 9 AUG - 3 2001
it
MEN
Customer Service
1 800 623-7748
Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015
�0 Division of Water Quality / Water Quality Section
NCDENR National Pollutant Discharge Elimination System
MOMM GRo " DMARTMEW Of
, E mmrN." Ha,nK H"°ac" NCG550000
Check M
to
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:
Name: _ y_ ice; -o( _ Date: - /8Y'- I* /
2) Mailing address of owner/operator:
Owner Name Z1-zVJo�> .4. SrYc.
Street Address io pox /d'36
City A'c, ZY7z y State VC- ZIP Code 2 7Z
Telephone No. (Home) ZY 6-Y7 — k-rdd (Work) .S atE
Address to which all permit correspondence will be mailed
3) Location of facility producing discharge:
Street Address Z67— -;!t6
City State /U-C-- ZIP Code 2P7L
County
Telephone No. 69 7-� rC0
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). G--1407'"77 Cu/gA�111ws
j2.d 'j1V12T %l/,IR/ o L`%V/'N5 X2 % C�1 aa.i wlc cwJ s'Pfca,*-t 'Mr UV 40, Is, VV
5) This NPDES permit application applies to which of the following:
®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:
Number of bedrooms N— x 120 gallons per bedroom = 260 - gallons per day to be permitted
Page 1 of 3
SWU-216-062199
NCG550000 N.0.1.
b) Type o cility producing waste (please check one):
rimary residence ❑ Vacation/second home
❑ Other:
7) Please check the components that comprise the wastewater treatment system:
I a Septic tank V�-Dosing tank
R. Primary sand filter Secondary sand filter ❑ Recirculating sand filter(s)
.Chlorination Dechlorination ❑ Other form of disinfection:
Post Aeration (specify type) als
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. I-eb
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 in?
b) Stream Classification (if known): r--GJi^c•c' c� f;3f�i9 ft-,�
10) The application must include the following or it will be returned:
a) For Certificates of Coverage:
❑ 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.
® 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
SWU-216-062199
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:
Title: O LJ"JctZ ,
(Signature of Applicant) 1 ` (Date Signed)
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
HENDERSON COUNTY DEPARTMENT OF PUBLIC HEALTH
AUTHORIZATION TO CONSTRUCT->l SRJUIT
FOR OPERATIONS PERMIT Call 692.4228 Between 7 am - 8 am
Owner STORK PN STYLE, .INC.
Date 11-04-00
Building Contractor c/o ?30B HUGGINS
Lot No. Development WILLOW SPRINGS
Location 6 4W T/ a CMIMINGS RD T/ R BIG WILLOW CONTIlME
EVANS T/L S/D -�, ��� oat 5YAST &Eg roF-E
House ® Mobile Home ❑ Other
No. Employees
No. Bedrooms s Design Flow GPD .
Lot Size LTAR
Basement: Yes ❑ . No 15� Basement Plumbing: Yes ❑ No ❑
Water Supply - ❑ Community ❑ Individual
❑ City 0 Shared
Permit valid for 5 years from date of issuance.
Repairs to be completed.Wi{hie�. 0 days.
Owner's Signature
VALID ONLY F9 SE AS DESCRIBED ABOVE
DRAWING NOT TO SCALE
N"? - 36793
DISAPPROVAL
WI No. P. E
PINNo.����"�����'���
New Construction FLI Repair ❑
Pre -Existing Tank ❑ Addition ❑.
System Type N/A
Tank Size N/A Stone Depth
Drainfield N/A Sq. Ft.
Max. Trench Bottom Depth —IF ENGINEERED PLANS ARE REQUIRED,
THEY MUST BE SUBMITTED, APPROVED BY
THE DEPT. AND INSTALLED WITHIN 5
YEARS FROM �T,H�E,,�riDATE OF THIS PERMIT.
Issued By: 14""" � • A." IRt
Environmen a F�ealth Specialists)-
LOT DISAPPROVED DUE TO LACK OF AVAILABLE SPACE (.1.945) RESULTING FROM
SHALLOW SOIL, DEPTHS (.1943) TO SOIL WETNESS CONDTTIONS (.1942). DROUGHT
CONDITIONS ARE EXISTING, FREE STANDING WATER FOMND 1.N YAJORIVY OF TEST PITS.
(310,01.11A. I OF 11 WAS FOUND IN *'i_.!A,74RITY PITS LESS THAN 561.
OPTION 1 - ACQUIRE PROPERTY WITH SUFFICIENT SOIL & SPACE FOR A SUBSURFACE
DISPOS19, a TREA.TVIENT SYSTEM., THIS COULD INCL,UDE .A PU_V, ENGINEER, EASEMENT,
1ZECOMLINATION, ANT}/OR PURCHASE..
OPTION 2 -• CONTACT THE DIVISION OF TWA 'Est QUALITY IN ASHEVILLE AT 2.316208
FOR A POSSIBLE SKND FILTER DISCHARGE SYSTEA.
. IF OPTION 1 ' T5 CHOSEN, CONTACT HCLPH PRIOR TO OBTAINIENG EASEM NT OR
PURCHASE.
kraid Neskles
120 Resort Street — Hendersonville, NC 28792 Phone (828) 693.7493 — Fax (828) 693-7493
Subject: Sand filter discharge systems for lot 6 Willow Springs off Evans Road.
To: Stormwater and General permits Unit:
I am requesting and have designed a sand filter system for sewage disposal on the above subject lot.
There were no other feasibile options available. No main sewer line is anywhere within the vicinity. The soil
conditions would not accept any type of convential type of discharge.
Yours respecffylly,
Gerald Haskins s�•NWNW
lost *,I
o0,� I N CAno ''•.
�o�.•®FFSS10 •.•. 9 �•.
a SEAL.
5548
�A IL AN'0%� ��•
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
11/26/01
ELWOOD A STYLE
LOT # 6
P O BOX 1836
ETOWAH, NC 28729
1•�
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
BEE I 2001 A I.
r
Subject: NPDES Wastewater Permit Coverage Renewal
Lot # 6
COC Number NCG551155
Henderson County
Dear Permittee:
Your residence or facility is currently covered for wastewater discharge under General Permit NCG550000. This
permit expires on July 31, 2002. Division of Water Quality (DWQ) staff is in the process of rewriting this permit
with a scheduled reissue in the summer of 2002. Once the permit is reissued, your residence or facility would be
eligible for continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the DWQ for renewal of
your permit coverage. To make this renewal process easier, we are informing you in advance that your permit will
be expiring. Enclosed you will find a general permit coverage renewal application form. This will serve as
your application for renewal of your permit coverage. The application must be completed and returned with the
required information by February 01, 2002 in order to assure continued coverage under the general permit. There is
no renewal fee associated with this process.
Failure to request renewal within this time period may result in a civil assessment of at least $250.00. Larger
penalties may be assessed depending on the delinquency of the request. Discharge of wastewater from your
residence or facility without coverage under a valid wastewater NPDES permit would constitute a violation of
NCGS 143-215.1 and could result in assessments of civil penalties of up to $10,000 per day.
If the subject wastewater discharge to waters of the state has been terminated, please complete the enclosed
rescission request form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
If you have any questions regarding the permit coverage renewal procedures please contact the Regional Office at
or Bill Mills of the Central Office Stormwater Unit at (919) 733-5083, ext. 548
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
Michael F. Easley
Governor
g' William G. Ross Jr., Secretary
y Department of Environment and Natural Resources
Greg J. Thorpe, Ph.D, Acting Director
Division of Water Quality
September 7, 2001
Mr. Elwood A. Style
PO Box 1836
Etowah, NC 28729
'idti it ! �E� 14 2�01
Subject: General Permit NCG550000
Cert. of Coverage NCG551155
Authorization to Construct
Elwood A. Style Property, Lot # 6
Henderson County
Dear Mr. Style:
In accordance with your application for an -NPDES discharge permit received July 17, 2001 by the Division, we
have issued the Certificate of Coverage under the state-NPDES general permit for Elwood A. Style. Authorization is
hereby granted by this letter for the construction of a 360 GPD wastewater treatment system consisting of a septic tank
with a minimum capacity of 1000 gallons, adjustable cap distribution box, 318 square foot (6'X53') primary sandfilter, with
a loading rate of not more than 1.15 GPD/square foot, 162 square foot (6'X 27') secondary sandfilter with a loading rate of
not more than 2.30 GPD/square foot, chlorinator, chlorine contact.tank, dechlorinator, and cascade aeration with a
discharge of treated wastewater into Sentell Creek classified C-trout waters in the French Broad 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. Sandfilters must be lined with a minimum
30 mil polyethylene liner.
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.
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 919/571-4700, 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 NPDES 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.
IN
Customer Service
1 800 623-7748
Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015
OF WA
S
Michael
William G. Ross Jr.,
Department of Environment and Natural I
Greg J. Thorpe, Ph.D, Acting Directo2
Division of Water Quality
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
1 43-215.6C.
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.
If you have any questions or need additional information, please contact Mack Wiggins, telephone number
919/733-5083.
cc: CentT al Eiles
eville.Regional Office, Water Quality
Roosevelt Childress, EPA
Point Source Compliance Enforcement Unit
Henderson County Health Department
Gregory J. Thorpe, Ph.D
rh
Customer Service
1 800 623-7748
Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE
GENERAL PERMIT NO. NCG551155
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,
Elwood A. Style
is hereby authorized to - operate and construct a wastewater treatment facility that consists of a septic tank,
distribution box, primary sandfilter, secondary sandfilter, chlorinator, chlorine contact tank, dechlorination, cascade
aeration and associated appurtenances with the discharge of treated wastewater from a facility located at the
Elwood A. Style Property, Lot #6
southeast of Etowah
Henderson County
to receiving waters designated as Sentell Creek in the French Broad River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV hereof.
This certificate of coverage shall become effective September 7, 2001
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 7, 2001
Gregory J. Thorpe, Ph.D, Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission
ate of North Carolina
Department. of Environment
and Natural Resources
Asheville Regional Office
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
WATER QUALITY SECTION
August 9, 2001
MEMORANDUM
r
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
TO: Mack Wiggins
FROM: Roy Davis
SUBJECT: Proposed Discharging Systems
Single Family Residences
Lots 5&6
Willow Springs
Applications Number NCG551154 & NCG551155
Henderson County
On November 2, 2000 I inspected property belonging to Woodie Styles in
the Willow Springs development in Henderson County. The two adjacent lots
(lots number 5 & 6) are bottom land backing up to Sentell Creek. Water
was standing in test holes dug to determine suitability of the land for
septic tank -drain field sewerage systems. For the record I will go ahead
and say that both lots were turned down by the Henderson County Health
Department for conventional septic tank -drain field systems because of,'
lack of available space, shallow soil depth and soil wetness.
The, possible receiving stream is Sentell Creek which -bears a Class C-
trout classification and is located in the French Broad River Basin. At
the possible point of treated wastewater discharge the drainage area of
Sentell Creek is in the order of three square miles.
No public sewer is reasonably available to these properties. The
proposed points of discharge are immediately adjacent and are located as
follows:
Latitude: 35 degrees, 16 minutes, 54 seconds North
Longitude: 82 degrees, 32 minutes, 56 seconds West
59 Woodfin Place, Asheville North Carolina 28861 Telephone 828-251-6208 FAX 828-251-6452
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper
Mack Wiggins
Memorandum
August 9, 2001
Pate Two
It is my recommendation that, following plans
the requirements of the North Carolina
Commission are met, certificates of covera
Enclosure
551154SR.01
g
59 Woodrin Place, Asheville North Carolina 28801 Telephone 828-251-6208 FAX 828-251-6452
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper
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3(
Mr. Gerald Haskins
120 Resort Street
Hendersonville, NC 28792
Dear Mr. Haskins:
Michael F. Easley
Governor
William G. Ross Jr., Secretary
Department of Environment and Natural Resources
J. Thorpe, Ph.D
Acting Director
ftpter Quality
August 3 2001
17-q / U •�
u> �
Subject: Application No. NCG551154
Additional Information Request _
Elwood Style Property Lot # 6
Henderson County
The Stormwater and General Permits Unit has completed review of the wastewater treatment facility plans and
specifications .
The plans must address following items before we can complete our review:
1) In reference to item #1 of the sandfilter assembly notes, the slope of the pipe between the house and
septic tank must be 2% to 5%.
2) In reference to item #4 of the sandfilter assembly notes, the secondary sandfilter must have a
loading rate of no more than 2.30 gpd/ft2. We recommend that each filter be increased one
foot (53'X6') and (27'X6'). Loading rates are met, but are very tight.
3) In reference to item #7 of the sandfilter assembly notes, there has been a change. The
complete sandfilter must be lined with a .minimum 30 mil polyethylene liner only. We
recommend the top of the filter covered with a geo cloth to prevent top soil from going into
the filter media. A minimum 30 mil would be fine for the top of the filter also.
4) Sandfilter stone fine gravel must be washed clean before installation.
5) All treatment components must be at least 100 Feet from wells on and off the site.
Refer to the subject permit application number when providing the requested information. Please submit three
copies of the revised plans addressing all information above to my attention at the address below.
If you have any questions please call me at 919/ 733-5083, ext. 542.
Sincerely,
iack K. Wiggins
Stormwater and general permits Unit
CC: Asheville Regional Office
Stormwater File
Elwood Style
NOW
NDEN;R
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh, NO 27699-1617 (919) 733-7015
1 800 623-7748