NCG551533_Regional Office Historical File 20200527

IMENR
North Carolina Department of Environment and Natural Resources
Division of Water Qualitt
Beverly Eaves Perdue Coleen H. Sullins 6�EPe tt
r ir+ x1 • �a I v vnary rt
Governor Director y , r7ecr2� ij
2C
February 24,2011f `� D 5
Joe ward G' ' L-ATEUAL
— 2 2011
Wilmot Baptist Church
2017 Thomas Valley Road s
Whittier,North Carolina 28789 ITY SECTIONAEGIONAL OFFICE
Subject: Certificate�u ik�xag@:tf'. ON.C`'G551513
Authoriza(ionit)C'onstraot-(Atoc +) �^ %-�^ •�^^°'
Wilmot Baptist Church W WTP,Class I
2017 Thomas Valley Road
Whittier,North Carolina 28789
Under General Permit NCG550000
Jackson County
Dear Mr.Ward:
The Division of Water Quality(the Division or DWQ)has reviewed your application for discharge and
hereby approves the installation of a new recirculating sand-filter treatment for domestic wastewater;
discharge not to exceed 1,000 gpd. .
The Division understands that connecting to the closest available private or public sewer treatment facility
could cost$483,500,deemed prohibitively expensive by your authorized consultant,CEtech Associates,
PA. We further understand from site-evaluation reports that there is insufficient repair area,and that
onsite soils are otherwise unsuitable for a septic system(REF: letter from Jackson County Department of
Public Health,August 7, 2009).We therefore concur that the proposed treatment system is a viable
discharge alternative.
Please note that,as holder of this Certificate of Coverage(COC),you must maintain and operate this
treatment system so as to meet all State and Federal surface water-quality standards.You must provide
and keep records of its operation and maintenance,or enter into a maintenance contract to provide these
records and maintenance services[see Authorization to Construct].
General Permit Coverage. In accordance with your application for discharge,the Division is
forwarding herewith the subject COC 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
. ..&� ._
October 13, 2007(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
• A copy of the approved drawings, signed February 16,2011
• Authorization to Construct(AtoC)Permit
• Engineer's Certification form(to be completed and returned to DWQ).
N.C.Division of Water Quality NPDES Unit Phone:[phone]
1617 Mail service Center,Raleigh,NC 27699-1617 fax:[phone]
'•^Internet h2o.ennstateneas DENR Customer service Center:1800623-7748 -

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.
This CoC is not transferable except after notice to the Division of Water Quality. The Division
may require modification or revocation and reissuance of the CoC. This permit does not affect
the legal requirements to obtain other permits which may be required by 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(A to C). In accordance with your application for sanitary sewer
discharge from Wilmot Baptist Church, the Division hereby authorizes new the construction of:
• septic tank (3000 gallons)
• recirculation tank,(1,850 gallons)
• recirculating sand filter(1,000 gpd)
• Ultraviolet(UV)disinfection(double-bulb: 6 gpm)with alarm
• Control panel and effluent sample port
• other appendages, fencing, and appurtenant piping ��,
• outfall erosion control(rip-rap ditch liner)
This system discharges treated domestic sanitary wastewater only(not to exceed 1,000 gpd)to
Nations Creek [segment 2-79-47],a Class C waterbody within subbasin 04-04-02 of the Little
Tennessee River Basin.
Operation and Maintenance. Please note that the Permittee is responsible to meet all surface
water-quality standards by maintaining and operating this treatment system including records.
Responsibilities under this CoC include proper inspection and maintenance of the Ultraviolet
(UV)Disinfection Unit and its alarm features(Drawing C-3)in accord with manufacture-
recommended protocols, including cleaning and/or replacing UV bulbs.DWQ concurs with your
consultant's recommendation that you should contract for these services with a manufacture's-
Certified Operator. The Permittee shall document all maintenance activities.Maintenance
records shall be kept onsite, available for DWQ inspection,for the life of the treatment facility.
Sand specifications and sand-filter details specified on the Drawings(C-2) are hereby approved.
All elbow piping shall conform to the long-sweeping type. All cleanouts must be housed in meter
boxes below grade. This treatment system shall be located at least 10 feet away from the
dwelling, at least 50 feet from the property line, and at least 100 feet from-any water-supply well
either on-or off-site. The system shall also be located and constructed above any applicable 100-
year flood line. -
The Permittee or responsible Engineer shall notify DWQ's Raleigh Regional Office(919-791-
4200) a minimum of forty-eight(48) hours in advance of operating the installed facilities. This
will serve to provide DWQ an opportunity to inspect facilities as built.Such notification to the
regional office supervisor shall be made during normal office hours from 8:00 a.m. until 5:00
p.m. Monday through Friday, excluding State holidays.
,

' Upon completing construction and prior to operating this permitted facility, a North
Carolina-registered engineer shall sign and submit to DWQ the attached Engineer's Certification
form 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.
Compliance with the above shall include a leakage test performed on the septic tank [existing],
the pump tank [existing] and the dosing tank [new] to insure that any exfiltration occurs at a rate
not to exceed twenty(20)gallons per twenty-four(24)hour per 1,000 gallons of tank capacity..
The Engineer's Certification shall serve as proof of compliance with this condition. Mail the
completed Engineer's Certification to:
DENR/DWQ/NPDES Program
1617 Mail Service Center
Raleigh,NC 27699-1617
The Permittee shall maintain a copy of the approved plans and specifications on site for the life
of the treatment facility.
This AtoC permit is issued in accordance with Part III, Paragraph of NPDES General Permit
NCG550000, and is subject to revocation unless wastewater treatment facilities are constructed
in accordance with the conditions and limitations specified in this General Permit. In the event
that the facilities fail to perform satisfactorily, including creating nuisance conditions,the
Permittee shall take immediate corrective action as may be required by this Division,such as the
construction of additional or replacement wastewater treatment(s)or disposal facilities. Failure to
abide by the requirements of this A to C permit may subject the Pennittee to an enforcement
action by the Division of Water Quality in accordance with North Carolina General Statute 143-
215.6A to 143-215.6C.
NPDES Permit Contact. If you have any questions concerning the requirements of this
Certificate of Coverage or Authorization to Construct permit,please contact Joe Corporon at
telephone number 919-807-6403 or email [e-mail].
e'reelly,
FWniFq
... Colecn.H...Sullins Awe,_..
Attachments: Engineer's Certification form
cc: Central Files ,
NPDES General Permit Files
CEtech Associates,P/A,sun Larry A. Lackey,Jr.,P.E.,462 West Palmer Street,Franklin,NC 28734

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE - NCG551513
Under GENERAL PERMIT NCG550000
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission,and the Federal Water Pollution Control Act,as amended,
Wilmot Baptist Church F
is hereby authorized to construct and operate a wastewater treatment facility consisting of a septic tank,
recirculating recirculating sand filter,UV disinfection unit,associated appurtenant piping,pumps and _
control panel,and an erosion-protected outfall;to treat domestic wastewater and discharge from a facility
located at
2017 Thomas Valley Road, Whittier, NC 28789
Jackson County
receiving waters designated as Nations Creels[stream segment 2-79-47]within the Little Tennessee River
Basin in accordance with the effluent limitations, monitoring requirements,and other conditions set forth
in Parts I,H,III and IV of General Permit NCG550000 as attached.
This certificate of coverage shall become effective February 24, 2011.
This Certificate of Coverage shall rcmain in offect,foc,the duration of the General Pannit. ,
Signed this day February 24, 2011
II
Colee '. Sullins,Director
Divi on of Water Quality
By Authority of the Environmental Management Commission

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Wilmot Baptist Church WWTP FacilL0C0te� w ±' & ;ki v ,j
2017 Thomas Valley Road Whittier, NC 28789 Location a
S[ f C iJ/USCFO J-- FSNE/Whinier NC ,,
North"Latitude! N in o]•N tiJ. C I8'4y"w NPDES Permit NCG00551513 -
RueeivineSM1eam. Nations Creek{2-]9-4]] Stream Class, C I
Drai ec6ns Little Tennessee River Basin Sub-Basin: LTN-02 + I Jackson Coi

GZteah Associates, P.A.
c ee� r &4.a4'f.
Municipal ♦ Industrial ♦ Commercial ♦ Residential
CONSULTING ENGINEERS:
WATER 8 WASTEWATER • STRUCTURAL • GEOTECHNICAL • TRANSPORTATION
WATER RESOURCES & STORMWATER • LAND PLANNING 8 DEVELOPMENT
CONSTRUCTION MANAGEMENT & ADMINISTRATION • BUILDING DESIGN
462 W Palmer Street Franklin,North Carolina 28734 Tel.: [phone]
Wilmont Baptist Church
Jackson County, NC
NPDES Permit Application and Attachments
❑ Letter to Request General Permit and ATC
❑ Owner Letter of Authorization for Engineer to be Representative
❑ NOI NCG550000 Permit Application
❑ DER Evaluation from Joe Lynn Regional Office NCDENR
❑ Jackson County Department of Public Health Letter
❑ Soil Scientist Evaluation/Report
❑ USGS Quad Map w/ Site Location
❑ Engineering Cost Analysis/Evaluation of Alternative
❑ Local Government Review Form
❑ Treatment Equipment Disclosure
❑ USGS 7Q10 Evaluation Report
❑ Fee for $60.00
M Cgp�Q,
ESi>®.. $
Larry A. Lacke'y�,�r .)'4L,�,y"F "t""
NC PE#23963

Associates, P.A.
Municipal 1 Industrial ♦ Commercial ♦ Residential
CONSULTING ENGINEERS:
WATER & WASTEWATER • STRUCTURAL • GEOTECHNICAL TRANSPORTATION
WATER RESOURCES & STORMWATER • LAND PLANNING & DEVELOPMENT
CONSTRUCTION MANAGEMENT & ADMINISTRATION • BUILDING DESIGN
462 W Palmer Sheet Franklin,North Carolina 28734 Tel.:[phone]
May 9,2010
North Carolina Department of Environment and Natural Resources
NPDES Permitting Program
Division of Water Quality
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
RE: Request General Permit and Authorization to Construct
NOI NCG550000
Wilmot Baptist Church
To Whom It May Concern:
This letter is to request a general permit and Authorization to Construct(ATC) for a wastewater
treatment system under the NOI NCG 550000. The requested discharge amount is 995 gallons
per day with the receiving water being Nations Creek. The site has been evaluated by Jackson
County as well as a Soils Scientist(documents enclosed). Joe Lynn of the NCDENR regional
office has also visited the site on 8/3/09 and his report is also attached.
Included herein is the appropriate documentation along with the fee of$60.00.
I am the engineer as well as the authorized representative as per the attached Letter of
Authorization. Please feel free to contact me at(828) 524-9185 if you have any questions.
Sincerely, //h�
V t
Larry A.Lackey,Jr.,P.E.
cc.: File

Owner Letter of Authorization
I hereby designate and authorize the Engineer of Record, Larry A. Lackey, Jr. . PE ,
of CEtech Associates, PA to act on my behalf, or on behalf of Wilmot Baptist Church, as
the agent regarding the wastewater treatment system plans and permitting related to the
NOUNPDES Application to the North Carolina Department of Environment and Natural
Resources,Division of Water Quality.
Typed/Printed Name of Owner
Johnny Ray Davis,Pastor
Signa e caner:
Date: S--//-/d
Joe Buchanan,Member
Signa oF0
Data: S -//—/U

10RA0ENCYUSEONLY
nee Received
t e� ea Iy Division of Water Quality/Water Quality Section Year Monty
ewEe.m°re°.er.e
NCDENR National Pollutant Discharge Elimination System eheekff keQua
a�
NOTICE OF INTENT-NCG550000 J xr �'A" ed.
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:
Joe Lynn Date: 8/3/2009
2) Mailing address of ownerloperator:
Owner Name Wilmot Baptist Church c/o Joe Buchanan
Street Address PO Box 948
City Whittier State NC ZIP Code 28789
Telephone No. (Home) ( 828 )497-6282(Wark) ( 828 ) 508-0231
'Address to which all permit correspondence will be mailed
3) Location of facility producing discharge:
Street Address 2017 Thomas Valley Road
City Whittier State NC ZIP Code 28789
County Jackson
Telephone No. ( 828) 586-4139
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).
From Asheville take Hwy 40 to exit 27 to US 23; to Hwy US 74 W;-
go 7 . 9 miles to left onto Thomas Valley Road; church is at intersection
5) This NPDES permit applica(ttiiVon applies to which of the following:
ZI Note: systeM stem
oretan constructed
ing church which will be rebuilt
❑ Existing (system fully constructed); If previously permitted by local or county health department�,��rf�
please provide the permit number and issu 0 tK-'c I0Tr 11 V 12 D
❑ Modification(existing system with proposed changes); please describe the E
modification: ° 72010
FIY(QUA
BRANCH
6) Description of Discharge:
a) Amount of wastewater to be discharged:
Number of bedrooms x 120 gallons per bedroom= gallons per day to be permitted.
Church 199 seats ® 5 gpd/seat = 995 gpd -
Page 1 of 3 07/07

NCG660000 N.O.I.
b) Type of facility producing waste(please check one):
❑ Primary residence ❑ Vacation/second home
E$ Other: Church
7) Please check the components that comprise the wastewater treatment system:
El'Septic tank ❑ Dosing tank [3 Recirculating sand filter(s)
❑ Primary sand filter ❑ Secondary sand filter [$Other form of disinfection Ultra Violet
❑Chlorination ❑ Dechlorination ❑ Post Aeration(specify type)
8) Receiving waters:
a)What is the name of the body or bodies of water(creek, stream, river, lake, etc.)that the facility
wastewater discharges end up in? Nations Creek
b)Stream Classification(If known): C
9) Application Requirements:
Applications for new/proposed facilities(unbuilt) should include the following:
[3cAn original letter and two(2)copies requesting a general permit and Authorization to Construct(ATC).
[$A signed and completed original and two copies of this Notice of Intent application.
aA check or money order for the permit fee of$60.00 made payable to NCDENR.
Q Letter from the county health department evaluating the proposed site for all types of ground
absorption and innovative non-discharge systems. Document the repair potential of the failed system.
3An evaluation of the possibility of connecting to a regional sewer system (approximate distance&cost
to connect).
[3cA 7Q10 Flow estimate at the proposed wastewater discharge point from the US Geological Survey
(919-571-4000)
[$Three sets of plans and specifications of proposed treatment system. Please note that a Professional
Engineer(P.E.)will be required to certify all new systems. '
[ The following setbacks must be met for all new facilities (15A NCAC 02T .0506(b)).
o Any private or public water supply source-100 it
o Surface Waters-50 it
g Any habitable residence under separate ownership or not to be maintained as part of
project site- 100 ft
o Any property line-50 it
o Any well with exception of monitoring wells- 100 ft
Applications for existing (permitted or unpermitted)facilities requiring modifications should
include the following:
❑An original letter and two(2)copies requesting a general permit(If the system is unpermifted)
and/or an Authorization to Construct(ATC).
❑A signed and completed original and two copies of this Notice of Intent Application.
❑A check or money order for the permit fee of$60.00 made payable to NCDENR(not required for
currently permitted systems).
❑Three sets of plans and specifications of the proposed treatment system. Please note that a
Professional Engineer(P.E.)will be required to certify all modifications other than the addition of
chlorination/dechlorination.
❑Invoice showing the septic tank has been pumped and serviced within the last 12 months(only
when existing septic tank will be used)
Page 2 of 3 7107

NCG660000 N.O.I.
Applications for existing(unpermittecil facilities with no proposed modifications should Include
the following:
❑An original letter and two(2)copies requesting a general permit.
❑A signed and completed original and two copies of this Notice of Intent Application.
❑A check or money order for the permit fee of$60.00 made payable to NCDENR.
❑ Invoice showing the septic tank has been pumped and serviced within the last 12 months
10) Additional Application Requirements:
a) if a consulting engineer is submitting this application:
*Please Include documentation from the applicant showing that the engineer(or firm)has been
designated an authorized representative of the applicant.
*Final plans for the treatment system must be signed and sealed by a North Carolina registered
Professional Engineer and stamped-"Final Design-Not released for construction".
[$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.
11) 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: Larry A. Lackey, Jr. , PE
Title: President Cetech Associates, PA authorized representative for
Wilmot B at Churc
(Signature of Applicant) (Date Signed)
North Carolina General Statute 143-216.6 b(0 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 $25,000, 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 $25.000 or imprisonment not more
than 5 years, or both,for a similar offense.)
Mail package to:
NPDES Permitting Program
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Phone: [phone]
The submission of this document does not guarantee the issuance of an NPDES permit
Page 3 of 3 7/07

Division of Environmental Health sire°m"°a""""
�^^ Beverly Eevm Pertlue,Govem°r
;i Terry L. Pierce, Director
Oepartrnnf°IEnvlmnmententl
On-site Water Protection Section Dee Freemen,Saretery
Di&."nr
Ulm"eme"ul Flath Ted Lyon, Chief
August 4, 2009
Mr. Charles Stephens
Jackson County Health Department
538 Scotts Creek Road
Sylva,NC 28779
M. Stephens,
The Wilmont Baptist Church site is UNSUITABLE for a ground absorption wastewater treatment and disposal
system under current laws and rules 15NCAC 1 SA.1900. No wastewater(septic tank) system can be permitted
on this site.
As a licensed soil scientist in North Carolina(#1089)I do not think the site is acceptable for a surface spray or
drip, seatbacks cannot be meet.
This report lists the findings, conclusions and recommendations for the property. If you have any questions or
if I can be of assistance, contact me at(336)462-0355, E-mail at ioe lynn(a?ncdenr.gov, or 6768 George
Hildebran School Road, Hickory,NC 28602.
Sincerely,
Joe Lynn
Regional Soil Specialist
1642 Mail Service center I Raleigh,North Carolina 27699.1642 �e C2T0 llla
Phone [phone]/Fax[phone]w ,C /
http:/Awm.deh.enr.state.ne.us/osw _new/newt//indox.htm bKr2

INTRODUCTION
COUNTY: Jackson
OWNER/APPLICANT: Wilmont Baptist Church
LOCATION: off US 74
TYPE OF FACILITY: church
DESIGN UNIT: 750 gpd
WATER SUPPLY: on-site well
EVALUATED BY: Joe Lynn assisted by staff, using pits
DATE OF EVALUATION: 8-3-2009
OTHERS PRESENT: Charles, Russell, and David church members
SITE INFORMATION
AREA/USE: about''/1 acres/existing church buildings
TOPOGRAPHY: 0 to 5 percent slope
LANDSCAPE POSITION: linear& foot slopes
SITE LIMITATIONS: stream, existing buildings, parking lot,well, cut, fill .
SOUL INFORMATION
TEXTURE: surface: fill
subsurface: clay loam, silty clay loam
STRUCTURE: blocky
CLAY MINERALOGY: slightly expansive clay
DEPTH to rock or parent material 19 inches; saprolite N/A
WETNESS: chromas of two or less at 10 to 22 inches
RESTRICTIVE HORIZONS: none
AVAILABLE SPACE: none
CONCLUSIONS
This site is unsuitable for the installation of a conventional wastewater system(septic tank)Rule.1955 due to:
1. Soil Wetness ,
Colors of chroma 2 or less
2. Rule .1943 Insufficient Soil Depth
Soil Depths less than 36 inches
3.Rule .1945 Insufficient Available Space
Not enough area for the initial wastewater system and a repair.
The site is Unsuitable under Rule .1956 Modifications to Septic Systems:
1. Shallow conventional system-NO.
2. Large Diameter Pipe system-NO
3. Prefabricated Porous Block Panel system-NO
4. Drainage will not be sufficient to reclassify the site to Provisionally Suitable.
5. The saprolite is not applicable.
The site is Unsuitable under Rule .1957 Alternative Sewage Systems:
1. Low Pressure Pipe system-NO
2. Fill system-NO � ,pn
xxxx Mail Service Center, Raleigh, North Carolina 27699-x N0; KaiOl�na
Phone (919)x*rmoo:/Fax(919)xxx-xx�oc A ..F.,«.+1 „

3. Aerobic Treatment system-NO
The site is Unsuitable under Rule .1969 Experimental and Innovative Systems, Components, or Devices:
1. Chamber system-NO
2. Polystyrene system-NO
3. Subsurface Drip system-NO
4. Pretreatment system-NO
RECOMMENDATIONS
The owner has the following options that might allow the property to be used as desired:
1. The applicant may purchase Provisionally Suitable property to place the wastewater system on.
2. The applicant may obtain an easement on a Provisionally Suitable property to place the wastewater system
on.
3. The Division of Water Quality in Asheville,NC at(828)296-4500 may be contacted about securing a
discharge permit. The applicant is strongly advised to contact someone with knowledge of discharge
systems to evaluate the site before contacting this office.
On
)o=Mail Service Center, Raleigh, North Carolina 27699-xx N "Carolina
Phone (919))=-x)=I Fax(919)p -)o= A���" �w���„

COMMUNITY SERVICB CENTER • 538 SCOTTS CREEK ROAD. SUITE 100 • SYLVA. NC 28779
TEL:[phone] • PAX:828-586-3493
PAULA G.CARDEN
DIRECTOR
August 7,2009
Re: Application for improvement permit for Wilmont Baptist Church property off Thomas
Valley Road, Whittier,North Carolina PIN 7612-58-0922 Health Department file No. J69864L.
Dear Mr. Ward,
The Jackson County Department of Public Health, Environmental Health Division on
August 7,2009 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 church with a design wastewater flow of 750 gallons per day. The evaluation
was done in accordance with the laws and rules governing wastewater systems in North Carolina
General Statute 13OA-333 including related statutes and Title 15A, Subchapter 18A, of the North
Carolina Administrative Code,Rule. 1900 and related rules.
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)
_Unsuitable soil wetness condition(Rule .1942)
✓Unsuitable soil depth(Rule .1943)
T Presence of restrictive horizon(Rule .1944)
✓Insufficient space for septic system and repair area(Rule .1945)
_Unsuitable for meeting 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 ground
water or inside your structure.

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 accordance with 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).
A copy of this rule is enclosed. You may hire a consultant to assist you if you wish to try to
develop a plan under which your site could be reclassified as PROVISIONALLY SUITABLE.
You have a right to an informal review of this decision. You may request an informal
review by the soil scientist or environmental health supervisor at the local health department.
You may also request an informal review by the N.C. Department of Environment and Natural
Resources regional soil specialist. A request for informal review must be made in writing to the
local health department.
You also 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 [phone] or from the OAH web site
at http://www.ncoah.com/forms.shtml. 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 August 7, 2009. 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 150B-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. -

You may call or write the local health department if you need any additional information
or assistance.
Sincerely,
Russell C. J ins, RS
Jackson County
Encl.: (Enclose copy of site evaluation)
(Copy of Rule .1948)

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MMMAIN SUlTLS TNC 8734 9 t M
_�Ledford Drive Franklin,NC z8734
Email: [e-mail] Website: w .momnainso8s.com
Office/Fax: [phone] Cell: (828)4z1-31i9
ON-SITE SOIL AND SITE EVALUATION
Wilmont Baptist Church
Jackson County, North Carolina
Prepared For:
Wftont Baptist Church
Prepared by:
MOUNTAW SOBS,7NC
P. J" �l
C�_tVp�P.{C '
Timothy P.Harlan,LSS
February 9,2009

MM TAIN SOILS INCOIzr
71 Ledford Drive Franklin,NC 28734
Email: mommunsmis@verizonnet Website: w nernnmeram8s.cam
Office/Fax. (828)s24-5962 Ceti: [phone]
INTRODUCTION
The following Soils Evaluation was completed for Wilmom Baptist Church,2017
Thomas Valley Road,Whittier,NC in Jackson County to determine the potential of a
1.88 acre parcel adjacent to the church to utilize an onsite subsurface septic system for
199 seats(995 gallons per day)• The property was evaluated in accordance with North
Carolina statutes for waste disposal Systems("Laws and Rules for Sewage Treatment and
Disposal Systems",(amended June 2006))as part of the planning process to evaluate
areas of soil wqh potential for subsurface wastewater treatment and disposal.
PRIMARY INVESTIGATOR'S CREDENTIALS
Timothy P.Harlan: N.C.Licensed Soil Scientist(Certification# 1200)
SITE HISTORY AND PHYSICAL CHARACTERISTICS
The subject property is located off of Thomas Valley Road in Jackson County. Site -
vegetation consists of grass cover. Nations Creek encompassed the far boundary of the
site(away from the road).
METHODOLOGY
The site was investigated on July 1,2008 by making observations of the landscape(slope,
drainage patterns,past use,etc,)as well as soil properties(depth,texture,structure,
seasonal wetness,restrictive horizons,etc.)with hand in borings to a depth?50
inches when possible. Seven soil borings were made with a hand auger throughout the
area and the area was extensively probed Each auger boring was labeled in the field
with flagging tape. A description of each boring is attached
FINDINGS
The soils present at the site are limited by a relatively shallow depth to the seasonal high
water table(borings 1,2,5 and 7)and the presence of"unsuitable"cut and fill material
on the side furthest from the existing church(borings 3,4 and 6). Please note that
according to.1957(bxl)(F)fill material needs to consist of Group I soils to be considered
usable. The fill material at the site is not able to meet this classifieatioga;,
The potentially usable soil borings(1,2,5 and 7)contain a seasonal high water table
between 24 to 29 inches. A long-term acceptance rate(LTAR)based on soil
morphological properties have been assigned to these soils at a 0.55 gallons per square
1

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Office/F= [phone] Cell: [phone]
foot per day rate(for a conventional system)and a 025 gallon per square foot per day
rate for an aerobic drip irrigation system. Please note that the soil depths encountered
with respect to seasonal high water tables limit the available system type(s)to aerobic
drip irrigation.Provided the flow rate of 995 gallons per day and soil loading rate of 025
gallons per square foot per day for aerobic drip irrigation,19W linear feet of drip tubing
is required for the initial system(at 2 foot centers)as well as 100%repair space. It has
been determined that there is insufficient space for both an initial and repair system(s)
(even with reducing setbacks to the existing creek by highly treating the effiueat).
An available option for this site may be to direct discharge into the surrounding stream
(NPDES discharge permit). This option would need to be pursued through the NC
Division of Water Quality.
CONCLUSION
The findings presented herein represent Mountain Soils Inc professional opinion based
on our site and soils evaluation and knowledge of the current laws and regulations
governing on-site wastewater systems in North Carolina(Section.1900 of the North
Carolina Administrative Code). We appreciate the opportunity to provide you with our
professional services and hope that you will contact us ifyou have any questions or if we
can be of further assistance.
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2017 Thomas Valley Road Whittier, NC 28789

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The EAA must include a Summary Cost Table, which summarizes present worth costs developed for all
technologically feasible wastewater alternatives. The summary should include a breakdown of capital costs and
recurring costs. In some situations, the Division may require the applicant to refine cost estimates for some
alternatives, or possibly collect actual soil data to better characterize the land application alternative. Ultimately,
the final determination on cost effectiveness is made by the Division with consideration of monetary casts as well
as potential environmental impacts.
-Attachment A. Local Government Review Form
General Statute Overview: North Carolina General Statute 143-215.1 (c)(6) allows input from local governments in the
issuance of NPDES Permits for non-municipal domestic wastewater treatment facilities. Specifically, the Environmental
Management Commission (EMC) may not act on an application for a new non-municipal domestic wastewater discharge
facility until it has received a written statement from each city and county government having jurisdiction over any part of the
lands on which the proposed facility and its appurtenances are to be located. The written statement shall document whether
the city or county has a zoning or subdivision ordinance in effect and(if such an ordinance is in effect)whether the proposed
facility is consistent with the ordinance. The EMC shall not approve a permit application for any facility which a city or
county has determined to be inconsistent with zoning or subdivision ordinances unless the approval of such application is
determined to have statewide significance and is in the best interest of the State.
Instructions to the Applicant: Prior to submitting an application for a NPDES Permit for a proposed facility,the applicant
shall request that both the nearby city and county government complete this four. The applicant must:
• Submit a copy of the permit application(with a written request for this form to be completed)to the clerk of the city
and the county by certified mail,return receipt requested.
• If either(or both)local government(s)fail(s)to mail the completed four,as evidenced by the postmark on the certified
mail card(s),within 15 days after receiving and signing for the certified mat, the applicant may submit the application
to the NPDES Unit.
• As evidence to the Commission that the local government(s) failed to respond within 15 days, the applicant shall
submit a copy of the certified mail card along with a notarized letter stating that the local government(s) failed to
respond within the 15-day period.
Instructions to the Local Government: The nearby city and/or county government which may have or has jurisdiction over
any part of the land on which the proposed facility or its appurtenances are to be located is required to complete and ream
this form to the applicant within 15 days of receipt. The form must be signed and notarized.
Name of local government "' o+ G/�S 0 A/
(QWcourty)
Does the city/county,have jurisdiction over any part of the land on which the proposed facility and its appurtenances are to be
located? Yes K No[ ] If no,please sign this form,have it notarized,and return it to the applicant.
Does the city/county have in effect a zoning or subdivision ordinance? Yes[V No[ ]
If there is a zoning or subdivision ordinance in effect,is the plan for the proposed facility consistent with the ordinance? Yes
[
Date I �t ' Signatue---��C^ J!, ^r}V
(C'l agar/County Manager)
State of County of
On this 1 a day
of� of O,personally appeared before me,the said
name PJJNC.' . �..• �QS\' 1�.).lit��l. tome kno�m and knowh tome to be the person described in
and who executed the foregoing document and he(or she)acknowledged that he(4 shckcxccuted the same and being duly
sworn by me,made oath that the statements in the foregoing document are true. -- _
My Commission expires I• 31 -J$ .(Signature of Notary Publi
e ary Public(O ¢ial Seat)
EAA Guidance Document Version: June 23,2005
Page 8 of8

TREATMENT EQUIPMENT DISCLOSURE
Property Physical Address: 2017 Yl-IOM,g51/A1L�j',Q�. yi/J/ir//L .,(,fi 2},"76?
Legal Descripfion:/PIN:
State of North Carolina,County of 'SACC 50N
The Owner owns or controls the property upon which a ground absorption sewage treatment system(hereinafter"system")is
installed,such system being designated a Type V,Treatment Standard II,system under the Rules for Sanitary Sewage
Collection,Treatment and Disposal found at 15A N.C.administrative Code IRA.1900.
The Environmental Management Commission adopts rules governing the operation and maintenance of innovative
wastewater systems approved and permitted under Subsection(a)of Section 130A-343 of the General Statutes of North
Carolina to protect the public health and environment. The implementing code, 15A N.C.Administrative Code I8A.1961,
requires a contract to be executed between the system owner and a management entity prior to the issuance of an Operation
Permit for the Treatment System and shall be in effect for as long as the system is in use. The AdvanTex®Treatment
System Dealer,the management entity for the system,requires that the Inspection and Maintenance Agreement be in place
for as long as the AdvanTex®Treatment System equipment is in operation,
An Inspection and Maintenance Agreement for the system and associated equipment must be in place for the first three years
of operation in order to maintain the manufacturer's warranty on the equipment. Discontinuance of the Inspection and
Maintenance Agreement places the system and equipment out of service,which places the equipment in noncompliance with
any and all expressed or implied warranty agreements. The Inspection and Maintenance Agreement shall be for a period of
no less than thirty-six months and be renewed every thirty-six months. Inspection and maintenance of the system must be
performed by a service provider trained and Authorized by the AdvanTex®Treatment System Equipment Dealer,AQWA,
Inc.,to service the equipment. The Equipment Dealer will provide for inspection and maintenance services and may offer
the Owner a list of Authorized Service Providers from which to choose. The Inspection and Maintenance Agreement shall
have a minimum of one inspection visit per year,but shall include all necessary visits to meet conditions or requirements of
the State of North Carolina.
Discontinuance of the Inspection and Maintenance Agreement places the system and equipment out of service,which places
the equipment in noncompliance with any and all expressed or implied warranty agreements. If the system is placed out of
service,the local Health Department may he notified and an Out of Service Notification recorded by the Equipment Dealer
or Authorized Service Provider. The Equipment Dealer and Authorized Service Provider shall have the authority to record
an Out of Service Notification on the property deed,remove this document from the property deed when the equipment is
removed from the property,place the system out of service for non-payment of fees or denial of reasonable access to the
system for the purpose of inspection and maintenance by the Authorized Service Provider,and release any system
information to mortgage,title and insurance companies,or regulatory agencies.
The system is equipped for 24 hour performance monitoring. The system includes a telemetry control panel requiring
permanent connection to home phone service for reporting system performance to the manufacturer via 800 number service.
Telephone service must be established prior to issuance of the Operations Permit and discontinuance of telephone
service/access places the system and equipment out of service.
This document will be filed by the property owner with the deed of the property upon installation of the equipment. This
agreement is biwignawm
soequent owners as long as the equipment is in operation and shall be disclosed at property
transfers by th
Vr ,O ,.� "Q`r
Printed Name Date
Signature Printed Name Date
Notary: az-tz Naa ) a 'r+4,Z- ")Avis J-tt•l 0
Signature Printed Name Date
Commission Expires SEAL

..Mail - [e-mail] Page 1 of 9
[e-mail] AccountOptions... Language
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Go Back I Prev I Next 1 Reply I Reply All I Forward I Delete I Move To IMIP
Message: 55 of 269 Printable Version
From: John C Weaver <[e-mail]> Save Address I Headers
To: <[e-mail]>
CC: Curtis Weaver <[e-mail]>,Jeanne C Robbins <[e-mail]:
D Pinnix <[e-mail]>, James C Finnerty <[e-mail]>
Date: Tue, 1 Jun 2010 16:30:49 -0400
Subject: Low-flow characteristics for Nations Creek at Wilmot...Re: Initial
USGSresponse...Re: Request for 7Q10
2- USGI
salenap for O ft ff tt vt!
U.S. Geological Survey North Carolina Water Science Center
3916 Sunset Ridge Road
Raleigh, North Carolina 27607
Date: May 28, 2010
To: Mr. Larry Lackey, PE
CEtech Associates, PA
462 West Palmer Street
Franklin, NC 28734
Dear Mr. Lackey,
In response to your inquiry about low-flow characteristics (7Q10, 30Q:
Nations Creek above Secondary Road 1397 at Wilmot (station id
. .. 11 1 1 1 ...1n1ns0l Cnnn_nnt__nn_G o____[CI onC/c_.._n "_ __: Fnolinin

.a Mail - [e-mail] Page 2 of 9
0351059250, drainage area 2.07 sgmi) in Jackson County, the followin
information is provided:
A check of the low-flow files here at the USGS North Carolina Water Sc
Center does not indicate a previous determination of low-flow characte
for your point of interest at the location provided via your email dated
10, 2010. No USGS records of discharge are known to exist for your p
of interest or other locations in the Nations Creek basin.
Where no or insufficient data is available for a low-flow analysis, a
determination of low-flow characteristics is based on assessment of lov
yields (expressed as flow per square mile drainage area, or cfsm) at nE
locations where such statistics have previously been determined. The
flow characteristics that are provided have been computed by correlate
the runoff characteristics of a nearby stream in vicinity of the request
Please note the flow estimates do not account for the presence of any
diversions or regulation, present or future, which may occur upstream
request site.
Previously published low-flow information for streams in your z
of interest...
For streams in Jackson County, the most recently published low-flow
information is a statewide report completed in the early 1990's. It is L
Water-Supply Paper 2403, 'Low-flow characteristics of streams in Nord
Carolina" (Giese and Mason, 1993). An online version of the report is
available through http://pubs.er.usgs.gov/usgspubs/wsp/wsp2403 . l
report provides the low-flow characteristics (based on data through 19
via regional relations and at-site values for sites with drainage basins
between 1 and 400 sgmi and not considered or known to be affected b
regulation and/or diversions.
If you access the report, please note the online report files are provide
the ".DJVU" format and require a particular Lizardtech plug-in, also avi
through a link displayed on the page. Or you can click an adjacent IinN
will allow you to view the report as a group of images without the neec
plug-in.

Page 3 of 9
.dad Mail - [e-mail]
Several pieces of information to consider...
(1) A drainage area of 2.07 sgmi was determined for your point of inte
on Nations Creek above Secondary Road 1397 (Thomas Valley Road) a
Wilmot.
(2) In Table 1 of the above referenced report, there are four partial-re(
sites in northwestern Jackson County and southeastern Swain County 1
vicinity of your point of interest for which low-flow discharge estimates
provided. Expressing these estimates as low-flow yields (again, flow p
square mile of drainage area, or cfsm) provides some indication of the
ranges that could potentially be applicable to your point of interest. Tf
7Q10 low-flow yield range is from about 0.23 to 0.58 cfsm (with an av
of about 0.42 cfsm). The 30Q2 low-flow yle range is r m about 0.4;
about 0.99 cfsm (with an average of about 0.72 cfsm).
(3) The regional low-flow relations presented in the above referenced r
for this hydrologic area (HA9) results in 7Q10 and 30Q2 low-flow estirr
with yield values of about 0.39 cfsm and 0.86 cfsm, respectively. Both
7Q10 and 30Q2 yields are within the above ranges reported for these t
statistics.
(4) Mean annual runoff for streams in this area is mapped in the above
referenced report as being 2.5 cfsm.
(5) Considering the above information, please be aware of the followin
The data provided in the above referenced report are based on period.
record ending in advance of the drought conditions that have occurred
publication of the report. In some North Carolina basins, the low-flow
conditions observed during the recent droughts (1998-2002, 2007-09)
resulted in lower low-flow statistics. No formal statewide investigation
been completed to document the changes in low-flow statistics since tf
droughts. However, where updated analyses have been completed for
selected stations, the changes in pre-drought versus updated 7Q10
discharges have shown varying percentage changes of decline.
For instance, at the nearby long-term gaging station on Oconaluftee Ri
Birdtown in Swain County (station id 03512000, drainage area 184 sqr
records since July 1945), the 7Q10 declined about 6 percent between t

.cad Mail [e-mail] Page 4 of 9
1998 and 2009 climatic years.
Note: The climatic year is the standard annual period used for low-flow
analyses at continuous-record gaging stations. It runs from April 1 thr
March 31 and is designated by the year in which the period begins. Fo
example, the 2009 climatic year is from April 1, 2009, through March
2010.
Putting together the above pieces of information...
Applying the above low-flow yields (in item #1) to a drainage area of
sqmi results in 7Q10 flow estimates ranging from 0.48 to 1.2 cfs (aver
about 0.87 cfs). Similarly, 30Q2 flow estimates range from about 1.0
cfs (average about 1.5 cfs). Applying the yield for mean annual runoff
#4) to the drainage area results in an estimated average discharge of
5 cfs.
A charge of $250.00 for accessing and processing information has bee[
assessed to partially offset these costs. An electronic invoice covering
processing costs for these data is attached to this email as a .PDF file.
Instructions for sending your payment are shown on the invoice.
This information is considered preliminary and subject to revision pend
further analysis as further data were to become available, and is made
available through our cooperative program of water-resources investig
with the North Carolina Department of Environment and Natural Resou
Hope this information is helpful. If you have any questions regarding t
information, please contact me at the phone number listed below.
Thank you.
Curtis Weaver
J. Curtis Weaver, Hydrologist, PE
USGS North Carolina Water Science Center
3916 Sunset Ridge Road

gxl
NICEW
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H.Sullins
Beverly Eaves Perdue Director Dee Freeman
Governor Secretary
October 6,2010
Larry A.Lackey,Jr.,P.E.
CEtech Associates P.A.
462 West Palmer Street
Franklin,North Carolina 28734
Subject: Request for Revised Application
RE Certificate of Coverage NCG551513
Under General Permit NCG550000
Wilmot Baptist Church
2017 Thomas Valley Road
Jackson County
Dear Mr. Lackey:
The Division of Water Quality(the Division)has reviewed your application for Certificate of Coverage
discharge under the subject permit. Your Advantex(AX-20)treatment system is not permittable under the
current general permit.
Please be advised that your client has two(2)options:
1. for Advantex treatment-withdraw this application;submit individual permit Short Form D and
additional fees(see NPDES website); if approved your permit will expire/renew in July 2012 when the
Division must renew General Permit NCG550000 and will apply to include Advantex treatment
technology,or
2. under subject application NCG55 -withdraw the current plans and specs not permittable,and submit a
recirculating sand-filter system,or equivalent approved technology.
I have attached example documents(Permit/Authorization to Construct)to illustrate likely compliance
monitoring and documentation requirements. Please discussEthese options with your client. If you have
questions,please contact me by e-mail [joe.corporon@nc n .gov], call me at(919) 807-6394.
Si r y
bd R, turn 'on,L. h,..:,
NPDES Pr gram y!
Attachments: Example Permit/Authorization to Cglistruct f
cc: NPDES General Permit Files
Asheville Regional Office/Surface Water Protection Section,Arm Keith Haynes/(e-copy]
Wilmot Baptist Church,sun Joe Buchanan,PO Box 948 Whittier,NC 28789
1617 Mail service Center,Raleigh,Notlh Camlina 27699.1617
Loca0on'.612 N.sallabil St Raleigh,No*Carolina 27604 One
Phone.[phone] FAX:[phone] Cualomer service:1-877U23 6748 NOrthCarOfltla
Internet:wwrv.ncwalerquasnouAg Natal Equal OppMnnlry\ANrmelNe Am DoctoriDoctor

NCDE R t��
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 28,2010
LARRY A LACKEY JR PE
CETECH ASSOCIATES PA
462 W PALMER STREET
FRANKLIN NC 28734
Subject: Acknowledgement of New Permit Application
Permit#: NCG551513
Facility: Wilmot Baptist Church
Jackson County
Dear Mr. Lackey:
The Division of Water Quality NPDES acknowledges receipt of your permit application,with payment and supporting
materials on September 27,2010.This application package has been assigned the number listed above and will be reviewed
by Joe Corporon. By copy of this letter,we are also requesting a Staff Report from the Asheville Regional Office.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary.To ensure
the maximum efficiency in processing permit applications,the Division requests your assistance in providing a timely and
complete response to any additional information requests.
Please note at this time,processing permit applications can take as long as 60-90 days after receipt of a complete application.
To check on the status of an application,please visit http://h2o eur state no us/bims/Repons/rei)ortsPennits htinl.
If you have any questions;please contact Joe Corporon at 919-807-6394,or via e-mail [e-mail]. If the
reviewer is unavailable,you may leave a message,and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT.
Sincerely,
Dina Sprinkle
Point Source Branch SEP 3 Z�tl]
cc: Asheville Regional Office, Surface Water Protection Section �tr sa Al 6eC7IC N
Central Files n r v i.,t� c19 +nL c1FFicc
Permit Application File NCG551513 --
Joe Buchanan,Member,Wilmot Baptist Church,PO Box 948,Whittier,NQ,28789 .,
1617 Mall Samuel Center,Raleigh,Noah Carolina 27699-1617
Location 512 N.Salisbury St.Raleigh,Noah Carolina 27604 One
Phone:919b07-6300 t FAX:s19807-64921 customer samlee:1-e77s23-6748 NorthCarolina
IniEqual www.ncwaterqua live rg Naturally
An Equal eppotlunily\Aillrmalive Action Employer

GEt agh Associates, P.A.
Municipal ♦ Industrial ♦ Commercial ♦ Residential
CONSULTING ENGINEERS:
WATER & WASTEWATER • STRUCTURAL • GEOTECHNICAL TRANSPORTATION
WATER RESOURCES & STORMWATER • LAND PLANNING & DEVELOPMENT
CONSTRUCTION MANAGEMENT & ADMINISTRATION • BUILDING DESIGN
462 W Palmer Street Franklin,North Carolina 28734 Tel.:[phone]
Wilmout Baptist Church
Jackson County, NC
NPDES Permit Application and Attachments
❑ Letter to Request General Permit and ATC
❑ Owner Letter of Authorization for Engineer to be Representative
❑ NOI NCG550000 Permit Application
❑ DEH Evaluation from Joe Lynn Regional Office NCDENR
❑ Jackson County Department of Public Health Letter
❑ Soil Scientist Evaluation/Report
❑ USGS Quad Map w/ Site Location
❑ Engineering Cost Analysis/Evaluation of Alternative
❑ Local Government Review Form
❑ Treatment Equipment Disclosure
❑ USGS 7Q10 Evaluation Report
❑ Fee for $60.00
s s o°�
cLn 3 0 2010
Ag
VJ 1TLIl(lUAI li!51'(TION
p�„ n �,_v trnF IONn�aulcr _
Larry A. LackEgi,Ir/,t�,F��',
NC PE#23963

Associates, P.A.
Municipal ♦ Industrial ♦ Commercial ♦ Residential
CONSULTING ENGINEERS:
WATER 8 WASTEWATER • STRUCTURAL • GEOTECHNICAL TRANSPORTATION
WATER RESOURCES & STORMWATER • LAND PLANNING & DEVELOPMENT
CONSTRUCTION MANAGEMENT & ADMINISTRATION • BUILDING DESIGN
462 W Palmer Street Franklin,North Carolina 28734 Tel.: [phone]
May 9, 2010
North Carolina Department of Environment and Natural Resources
NPDES Permitting Program
Division of Water Quality
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
RE: Request General Permit and Authorization to Construct
NOI NCG550000
Wilmot Baptist Church
To Whom It May Concern:
This letter is to.request a general permit and Authorization to Construct(ATC) for a wastewater
treatment system under the NOI NCG 550000. The requested discharge amount is 995 gallons
per day with the receiving water being Nations Creek. The site has been evaluated by Jackson
County as well as a Soils Scientist(documents enclosed). Joe Lynn of the NCDENR regional
office has also visited the site on 8/3/09 and his report is also attached.
Included herein is the appropriate documentation along with the fee of$60.00.
I am the engineer as well as the authorized representative as per the attached Letter of
Authorization. Please feel free to contact me at(828) 524-9185 if you have any questions.
Sincerely,
/n, i
I
Larry A. Lackey, Jr.,P.E.
cc.: File

Owner Letter of Authorization
I hereby designate and authorize the Engineer of Record, Larry A. Lackey, Jr. , PE ,
of CEtech Associates, PA to act on my behalf, or on behalf of Wilmot Baptist Church, as
the agent regarding the wastewater treatment system plans and permitting related to the
NOI/NPDES Application to the North Carolina Department of Environment and Natural
Resources,Division of Water Quality.
Typed/Printed Name of Owner
Johnny Ray Davis,Pastor
Signs a vmer:
Date:
Joe Buchanan,Member
Signa of0
r✓ -..".1-®-- Date: S`-//-/U

FORAOENCYUSEONLY
Dale Received
I Day.
� A Division of Water Quality/Water Quality Section �i� Mean
c=wiomorco.ea e
NCDENR National Pollutant Discharge Elimination System 8 Y cheeea Aa,aam
S 06
w" '" .b NOTICE OF INTENT-NCG550000
EemiAvi e aio
or o
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG560000: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:
Joe Lynn Date: 8/3/2009
2) Mailing address of owner/operator:
Owner Name Wilmot Baptist Church c/o Joe Buchanan
Street Address PO Box 948
City Whittier State NC ZIP Code 28789
Telephone No. (Home) ( 828 )4 9 7-62 82(Work) ( 828 ) 508-0231
'Address to which all permit correspondence will be mailed
3) Location of facility producing discharge:
Street Address 2017 Thomas Valley Road
City Whittier State NC ZIP Code 28789
County Jackson
Telephone No. ( 828) 586-4139
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).
From Asheville take Hwy 40 to exit 27 to US 23; to Hwy US 74 W;
0 7.9 miles to left onto Thomas Valle Road; church is at intersection
5) This NPDES permit applica�ttii�on applies to which of the following:
Note Prosystetd lies Toratan constructed) church which will be rebuilt
❑ Existing(system fully constructed); If previously permitted by local or county health department,
please provide the permit number and issue date
❑ Modification(existing system with proposed changes); please describe the nature of the
modification:
6) Description of Discharge: �SEP �7 2010
a) Amount of wastewater to be discharged:
Number of bedrooms x120 gallons per bedroom= ga b1351ryer&SVRd1641Nr it d.
Church 199 seats o 5 gpd/seat = 995 gpd
POIN I"SOURC66 t9RANNCH
Page 1 of 3 07/07

NCG650000 N.O.I.
b) Type of facility producing waste(please check one):
❑ Primary residence ❑ Vacation/second home
Other: Church
7) Please check the components that comprise the wastewater treatment system:
[Septic tank ❑ Dosing tank DRecirculating sand fiter(s)
❑ Primary sand filter ❑Secondary sand filter ❑tOther form of disinfection Ultra Violet
❑ Chlorination ❑ Dechlorination ❑Post Aeration (specify type)
8) 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? Nations Creek
b)Stream Classification (if known): C
9) Application Requirements:
Applications for new/proposed facilities (unbuilt)should include the following:
UAn original letter and two(2)copies requesting a general permit and Authorization to Construct(ATC).
ESA signed and completed original and two copies of this Notice of Intent application.
aA check or money order for the permit fee of$60.00 made payable to NCDENR.
[3 Letter from the county health department evaluating the proposed site for all types of ground
absorption and Innovative non-discharge systems. Document the repair potential of the failed system.
[3 An evaluation of the possibility of connecting to a regional sewer system (approximate distance&cost
to connect).
[3cA 7010 flow estimate at the proposed wastewater discharge point from the US Geological Survey
(919-571-4000)
[Three sets of plans and specifications of proposed treatment system. Please note that a Professional
Engineer(P.E.)will be required to certify all new systems.
[ The following setbacks must be met for all new facilities(I SA NCAC 02T.0506(b)).
o Any private or public water supply source-100 ft
o Surface Waters-50 It
o Any habitable residence under separate ownership or not to be maintained as part of
project site-100 it
o Any property line-50ft
o Any well with exception of monitoring wells- 100 ft
Applications for existing!permitted or unpermitted)facilities requiring modifications should
include the following:
❑An original letter and two(2)copies requesting a general permit(If the system is unpermitted)
and/or an Authorization to Construct(ATC).
❑A signed and completed original and two copies of this Notice of Intent Application,
❑A check or money order for the permit fee of$60.00 made payable to NCDENR(not required for
currently permitted systems).
❑Three sets of plans and specifications of the proposed treatment system. Please note that a
Professional Engineer(P,E.)will be required to certify all modifications other than the addition of
chlorination/dechlorination.
❑ Invoice showing the septic tank has been pumped and serviced within the last 12 months(only
When existing septic tank will be used)
Page 2 of 3 7/07

NCG550000 N.O.I.
Applications for existing funnermitted)facilities with no Proposed modifications should Include
the followina:
❑An original letter and two(2)copies requesting a general permit.
❑A signed and completed original and two copies of this Notice of Intent Application.
❑A check or money order for the permit fee of$60.00 made payable to NCDENR.
❑Invoice showing the septic tank has been pumped and serviced within the last 12 months
10) Additional Application Requirements:
a) If a consulting engineer is submitting this application:
[3 Please include documentation from the applicant showing that the engineer(or firm)has been
designated an authorized representative of the applicant.
3 Final plans for the treatment system must be signed and sealed by a North Carolina registered
Professional Engineer and stamped-"Final Design-Not released for construction".
[$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.
11) 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.
Panted Name of Person Signing: Larry A. Lackey, Jr. , PE
Title: President Cetech Associates, PA authorized representative for
Wilmot B st Churc
// A®
(Signature of Applicant) (Date Signed)
North Carolina General Statute 143-216.6 b(1)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 $25,000, 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 $26,000 or imprisonment not more
than 5 years,or both,for a similar offense.)
Mall package to:
NPDES Permitting Program
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Phone: [phone]
The submission of this document does not guarantee the Issuance of an NPDES permit
Page 3 of 3 7107

Division of Environmental Health Beverrly Eve.
EveNwOCarpaPerdue,Doovemor
4 Terry L. Pierce, Director
�;��;�. DepeM�enf o/EnvlronmantarM
NeNml Reaouttas
On-site Water Protection Section Doe Immen,Secretery
oinisien or
Envlreemmrol9ealm Ted Lyon, Chief
August 4,2009
Mr. Charles Stephens
Jackson County Health Department
538 Scotts Creek Road
Sylva,NC 28779
M. Stephens,
The Wilmont Baptist Church site is UNSUITABLE for a ground absorption wastewater treatment and disposal
system under current laws and rules 15NCAC 18A.1900. No wastewater(septic tank) system can be permitted
on this site.
As a licensed soil scientist in North Carolina(#1089)I do not think the site is acceptable for a surface spray or
drip, seatbacks cannot be meet.
This report lists the findings, conclusions and recommendations for the property. If you have any questions or
if I can be of assistance, contact meat(336)462-0355, E-mail at 'oe.l rnn a,nedem.gov, or 6768 George
Hildebran School Road,Hickory, NC 28602.
Sincerely,
Joe Lynn
Regional Soil Specialist
1642 Mail Service Center I Raleigh, North Carolina 27699-1642 _Ano CaI'O)1R3
Phone [phone]/Fax[phone] 4cfthCarolm
http:tAvww.deh.enr.state.nc.ustosww_now/newl//index.htm Na

INTRODUCTION
COUNTY: Jackson
OWNER/APPLICANT: Wilmont Baptist Church
LOCATION: off US 74
TYPE OF FACILITY: church
DESIGN UNIT: 750 gpd
WATER SUPPLY: on-site well
EVALUATED BY: Joe Lynn assisted by staff, using pits
DATE OF EVALUATION: 8-3-2009
OTHERS PRESENT: Charles,Russell, and David church members
SITE INFORMATION
AREA/USE: about''/z acres/existing church buildings
TOPOGRAPHY: 0 to 5 percent slope
LANDSCAPE POSITION: linear&foot slopes
SITE LIMITATIONS: stream, existing buildings,parking lot,well, cut, fill .
SOIL INFORMATION
TEXTURE: surface: fill
subsurface: clay loam, silty clay loam
STRUCTURE: blocky
CLAY MINERALOGY: slightly expansive clay
DEPTH to rock or parent material 19 inches; saprolite N/A
WETNESS: chromas of two or less at 10 to 22 inches
RESTRICTIVE HORIZONS: none
AVAILABLE SPACE: none
CONCLUSIONS
This site is unsuitable for the installation of a conventional wastewater system(septic tank)Rule .1955 due to:
I. Soil Wetness
Colors of chroma 2 or less
2. Rule .1943 Insufficient Soil Depth
Soil Depths less than 36 inches
3. Rule .1945 Insufficient Available Space Not enough area for the initial wastewater system and a repair.
The site is Unsuitable under Rule ,1956 Modifications to Septic Systems:
1. Shallow conventional system-NO.
2. Large Diameter Pipe system-NO
3. Prefabricated Porous Block Panel system-NO
4. Drainage will not be sufficient to reclassify the site to Provisionally Suitable.
5. The saprolite is not applicable.
The site is Unsuitable under Rule .1957 Alternative Sewage Systems:
1. Low Pressure Pipe system-NO
2. Fill system-NO � �n
woa Mail Service Center, Raleigh, North Carolina 27699-xxxx N6�L•�.Ot;„a
Phone(919)wo;-wcoc/Fax(919)x -woos �'J�"'ti,w„/4,`,

h-
3. Aerobic Treatment system-NO
The site is Unsuitable under Rule .1969 Experimental and Innovative Systems, Components, or Devices:
1. Chamber system-NO
2. Polystyrene system-NO
3. Subsurface Drip system-NO
4. Pretreatment system-NO
RECOMMENDATIONS
The owner has the following options that might allow the property to be used as desired:
1. The applicant may purchase Provisionally Suitable property to place the wastewater system on.
2. The applicant may obtain an easement on a Provisionally Suitable property to place the wastewater system
on.
3. The Division of Water Quality in Asheville,NC at(828)296-4500 may be contacted about securing a
discharge permit. The applicant is strongly advised to contact someone with knowledge of discharge
systems to evaluate the site before contacting this office.
boot Mail Service Center, Raleigh, North Carolina 27699-boot One
NOTfhL'8I'OI1Tla
Phone (919)�ooc-boot/Fax(919)ba-)o= 71�7 hCarohn

qaJ_ � t�, � „ I,,�r 9j9'U e, e,5GJ&
COMMUNITY SERVICE CENTER • 538 SCOTTS CREEK ROAD,SUITE too • SYLVA,NC 28779
TEL:[phone] • FAX:[phone]
PAULA G.CARDEN
DIRECTOR
August 7, 2009
Re: Application for improvement permit for Wilmont Baptist Church property off Thomas
Valley Road, Whittier,North Carolina PIN 7612-58-0922 Health Department file No. J69864L.
Dear Mr. Ward,
The Jackson County Department of Public Health, Environmental Health Division on
August 7,2009 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 church with a design wastewater flow of 750 gallons per day.The evaluation
was done in accordance with the laws and rules governing wastewater systems in North Carolina
General Statute 13OA-333 including related statutes and Title 15A, Subchapter 18A, of the North
Carolina Administrative Code,Rule. 1900 and related rules.
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)
_Unsuitable soil wetness condition(Rule.1942)
_✓Unsuitable soil depth(Rule.1943)
Presence of restrictive horizon(Rule .1944)
✓Insufficient space for septic system and repair area(Rule .1945)
_Unsuitable for meeting 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 ground
water or inside your structure.

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 accordance with 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).
A copy of this rule is enclosed. You may hire a consultant to assist you if you wish to try to
develop a plan under which your site could be reclassified as PROVISIONALLY SUITABLE.
You have a right to an informal review of this decision. You may request an informal
review by the soil scientist or environmental health supervisor at the local health department.
You may also request an informal review by the N.C. Department of Environment and Natural
Resources regional soil specialist. A request for informal review must be made in writing to the
local health department.
You also 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 http://www.ncoah.coin/fonns.shtml. The petition for a contested case hearing must be filed in
accordance with the provision of North Carolina General Statutes 130A-24 and 15OB-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 August 7,2009. 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 15013-23)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, 1.601
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.

You may call or write the local health department if you need any additional information
or assistance.
Sincerely,
Russell C. J ins,RS
Jackson County
Encl.: (Enclose copy of site evaluation)
(Copy of Rule .1948)

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1�OUN__T1_�IN .SiOII S TNt''ORF'OR�1,�Ii"
7i Ledford Drive Franklin,NC 28734
Email: [e-mail] Webaite: w .momtainsmis.com
Office/Faz: [phone] Cell: (828)4u-3149
ON-SITE SOIL AND SITE EVALUATION
Wilmont Baptist Church
Jackson County, North Carolina
Prepared For:
Wilmont Baptist Church
Prepared by:
MOUNTAINSOILS,INC.
C,+ .
P I
Z
-9t-0 1200
�NC7RTHC
Timothy P.Harlan,LSS
February 9,2009

MOUNTAIN SQ&S.9 IN QRATED
. 7,Iedford Drive Franklin,NC 29784 _
Email: [e-mail] Webeite: w .mouuta)neoils.cum
office/Fax: [phone] Cell: [phone]
INTRODUCTION
The following Soils Evaluation was completed for Wilmont Baptist Church,2017
Thomas Valley Road,Whittier,NC in Jackson County to determine the potential of a
1.88 acre parcel adjacent to the church to utilize an onsite subsurface septic system for
199 seats(995 gallons per day). The properly was evaluated in accordance with North
Carolina statutes for waste disposal Systems("Laws and Rules for Sewage Treatment and
Disposal Systems",(amended June 2006))as part of the planning process to evaluate
areas of soil with potential for subsurface wastewater treatment and disposal.
PRIMARY INVESTIGATOR'S CREDENTIALS
Timothy P.Harlan: N.C.Licensed Soil Scientist(Certification# 1200)
SITE HISTORY AND PHYSICAL CHARACPERWITCS
The subject property is located off of Thomas Valley Road in Jackson County. Site
vegetation consists of grass cover. Nations Creek encompassed the far boundary of the
site(away from the road).
METHODOLOGY
The site was investigated on July 1,2008 by making observations of the landscape(slope,
drainage patterns,past use,eta)as well as soil properties(depth,texture,strncare,
seasonal wetness,restrictive horizons,ern.)with hand anger borings to a depth>50
inches when possible. Seven soil borings were made with a hand auger throughout the
area and the area was extensively probed. Each anger boring was labeled in the field with flagging tape. A description of each boring is attached
FINDINGS
The soils present at the site are limited by a relatively shallow depth to the seasonal high
water table(borings 1,2,5 and 7)and the presence of"unsuitable"cut and fill material
on the side fnrthestifrom the existing church(borings 3,4 and 6). Please note that
according to.1957(bxl)(F)fill material needs to consist of Group I soila;to be considered
usable. The fill material at the site is not able to meet this classification),
The potentially usable soil borings(1,2,5 and 7)contain a seasonal high water table
between 24 to 29 inches. A long-term acceptance rate(LTAR)based on soil
morphological properties have been assigned to these soils at a 0.55 gallons per square
I

Mourn Soils Ilvcax9QR"TE
' '_'_..____.. _- 71 l.Cdfordrh(ve Fteakliq NC 2a784
Email: ,,=tai mfs@veriWeuiet Website: w .moimta(aso8s.wm
Offlce/Fas: [phone] Cell: (828)42r-3t49
foot per day rate(for a conventional system)and a 0.25 gallon per square foot Per day
rate for an aerobic drip irrigation system• Please note that the soil depths encountered
with respect to seasonal high water tables limit the available system type(s)to aerobic
drip irrigation.Provided the flow rate of 995 gallons per day and soil loading rate of 0.25
gallons per square foot per day for aerobic drip irrigation, 1,990 linear feet of drip tubing
is required for the initial system(at 2 foot centers)as well as 100%repair space. It has
been determined that there is iosaffieieat apace for both an initial and repair system(s)
(even with reducing setbacks to the existing creek by highly treating the effluent).
An available option for this site may be to direct discharge into the surrounding stream
(NPDES discharge Permit). This option would need to be pursued through the NC
Division of Water Quality.
CONCLUSION
The findings presented herein represent Mountain soils hic.professional opinion based
on our site and soils;evaluation and knowledge of the current laws and regulations
governing on-site wastewater systems in North Carolina(Section.1900 ofthe North '
CamlinatAdministrative Code). We appreciate the opportunity to provide you with our
professional services and hope that you will contact us if you have any questions or if we
can be of fiether assistance.
SOIL
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1100
NORM
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Wilmot Baptist Church
2017 Thomas Valley Road Whittier, NC 28789

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The EAA must include a Summary Cost Table, which summarizes present worth costs developed for all
technologically feasible wastewater alternatives. The summary should include a breakdown of capital costs and
recurring costs. In some situations, the Division may require the applicant to refine cost estimates for some
alternatives, or possibly collect actual soil data to better characterize the land application alternative. Ultimately,
the final determination on cost effectiveness is made by the Division with consideration of monetary costs as well
as potential environmental impacts.
=Attachment A. Local Government Review Form
General Statute overview: North Carolina General Statute 143-215,1 (c)(6) allows input from local governments in the
issuance of NPDES Permits for non-municipal domestic wastewater treatment facilities. Specifically, the Environmental
Management Commission (EMC) may not act on an application for a new non-municipal domestic wastewater discharge
facility until it has received a written statement from each city and county government having jurisdiction over any part of the
lands on which the proposed facility and its appurtenances me to be located. The written statement shall document whether
the city or county has a zoning or subdivision ordinance in effect and(if such an ordinance is in effect)whether the proposed
facility is consistent with the ordinance. The EMC shall not approve a permit application for any facility which a city or
county has determined to be inconsistent with zoning or subdivision ordinances unless the approval of such application is
determined to have statewide significance and is in the best interest of the State.
Instructions to the Applicant: Prior to submitting an application for a NPDES Permit for a proposed facility,the applicant
shall request that both the nearby city and county government complete this form The applicant=at:
• Submit a copy of the permit application(with a written request for this form to be completed)to the clerk of the city
and the county by certified mail,return receipt requested.
• If either(or both)local government(s)fail(s)to mail the completed form,as evidenced by the postmark on the certified
mail card(s),within 15 days after receiving and signing for the certified mail,the applicant may submit the application
to the NPDES Unit.
• As evidence to the Commission that the local government(s) failed to respond within 15 days, the applicant shall
submit a copy of the certified mail card along with a notarized letter stating that the local government(s) failed to
respond within the 15-day period.
Instructions to the Local Government: The nearby city and/or county government which may have or has jurisdiction over
any part of the land on which the proposed facility or its appurtenances are to be located is required to complete and retain
this form to the applicant within 15 days of receipt. The form must be signed and notarized.
Name of local government "' or} Ir S o A..-,
(6ily/County)
Does the city/county have jurisdiction over any part of the land on which the proposed facility and its appurtenances are to be
located?. Yes K No[ ] If no,please sign this fomy have it notarized,and`return it to the applicant.
Does the city/county have in effect a zoning or subdivision ordinance? Yes WJ/No[ ]
If there is a zoning or subdivision ordinance in effect,is the plan for the proposed facility consistent with the ordinance? Yes f
Date S A 110 Signature
(CAVU0 r/County Manager)
State of County of tJ
On this l a day of aOl O,personallg'appeared before me,the said
name PJJN2.�n �..• W¢s�cnc>a¢�.Al.�K. to me kno' mcl known.to'me to be the person described in
and who executed the foregoing document and he(or she)acknowledged that he(ui she)nexecute_d the same and being duly
swam by me,made oath that the statements in the foregoing document are tme.
My Commission expires-9 1 3 1 .(Signature of Notary Publi
e ary Public(o icial Seal)
EAA Guidance Document Version: June 13,2005
Page 8af8

TREATMENT EQUIPMENT DISCLOSURE
Property Physical Address: Z0077—l4r-,,WXI5✓A14.0g,�>. /Wy177jer,LAr, 'Zk'7&?
Legal Description:/PIN: 1017. _5re -09 s L
State of North Carolina,County of 'SAC45;cy/
The Owner owns or controls the property upon which a ground absorption sewage treatment system(hereinafter"system")is
installed,such system being designated a Type V,Treatment Standard II,system under the Rules for Sanitary Sewage
Collection,Treatment and Disposal found at 15A N.C.administrative Code 18A.1900.
The Environmental Management Commission adopts mles governing the operation and maintenance of innovative
wastewater systems approved and permitted under Subsection(a)of Section 130A-343 of the General Statutes of North
Carolina to protect the public health and environment. The implementing code, 15A N.C.Administrative Cade 18A.1961,
requires a contract to be executed between the system owner and a management entity prior to the issuance of an Operation
Permit for the Treatment System and shall be in effect for as long as the system is in use. The AdvanTex®Treatment
System Dealer,the management entity for the system,requires that the Inspection and Maintenance Agreement be in place
for as long as the AdvanTex®Treatment System equipment is in operation.
An Inspection and Maintenance Agreement for the system and associated equipment must be in place for the first three years
of operation in order to maintain the manufacturer's warranty on the equipment. Discontinuance of the Inspection and
Maintenance Agreement places the system and equipment out of service,which places the equipment in noncompliance with
any and all expressed or implied warranty agreements. The Inspection and Maintenance Agreement shall be for a period of
no less than thirty-six months and be renewed every thirty-six months. Inspection and maintenance of the system must be
performed by a service provider trained and Authorized by the AdvanTex®Treatment System Equipment Dealer,AQWA,
Inc.,to service the equipment. The Equipment Dealer will provide for inspection and maintenance services and may offer
the Owner a list of Authorized Service Providers from which to choose. The Inspection and Maintenance Agreement shall
have a minimum of one inspection visit per year,but shall include all necessary visits to meet conditions or requirements of
the State of North Carolina.
Discontinuance of the Inspection and Maintenance Agreement places the system and equipment out of service,which places
the equipment in noncompliance with any and all expressed or implied warranty agreements. If the system is placed out of
service,the local Health Department may be notified and an Out of Service Notification recorded by the Equipment Dealer
or Authorized Service Provider. The Equipment Dealer and Authorized Service Provider shall have the authority to record
an Out of Service Notification on the property deed,remove this document from the property deed when the equipment is
removed from the property,place the system out of service for non-payment of fees or denial of reasonable access to the
system for the purpose of inspection and maintenance by the Authorized Service Provider,and release any system
information to mortgage,title and insurance companies,or regulatory agencies.
The system is equipped for 24 hour performance monitoring. The system includes a telemetry control panel requiring
permanent connection to home phone service for reporting system performance to the manufacturer via 800 number service.
Telephone service must be established prior to issuance of the Operations Permit and discontinuance of telephone
service/access places the system and equipment out of service.
This document will be filed by the property owner with the deed of the property upon installation of the equipment. This
agreement is bin 'ng upon au Sequent owners as long as the equipment is in operation and shall be disclosed at property
transfers by tidy ner.
Owner(s): J �/ /
ignature Printed Name Date
/�Signature
' Printed Name
a �1 Date
Notary: C-/�(�, r) l rL4- . ✓L1VlS Jr-I'^Irk
l� Signature Printed Name Date
Commission Expires SEAL

Read Mail- [e-mail] Page 1 of 9
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Message: 55 of 269 Printable Version
From: John C Weaver <[e-mail]> Save Address I Headers
To: <allackey@email.d net.net>
CC: Curtis Weaver <[e-mail]>,Jeanne C Robbins <[e-mail];
D Pinnix <[e-mail]>, James C Finnerty <[e-mail]>
Date: Tue, 1 Jun 2010 16:30:49 -0400
Subject: Low-flow characteristics for Nations Creek at Wilmot...Re: Initial
USGSresponse...Re: Request for 7Q10
U.S. Geological Survey North Carolina Water Science Center
3916 Sunset Ridge Road
Raleigh, North Carolina 27607
Date: May 28, 2010
To: Mr. Larry Lackey, PE
CEtech Associates, PA
462 West Palmer Street
Franklin, NC 28734
Dear Mr. Lackey,
In response to your inquiry about low-flow characteristics (7Q10, 30Qe
Nations Creek above Secondary Road 1397 at Wilmot (station id
. .. 11 11 .1.1 rtsnl c/Vll.-Of1L O!. CO ..CC10llClC.......1 'A.. __: 4/90/1M/1

Read Mail- [e-mail] Page 2 of 9
0351059250, drainage area 2.07 sgmi) in Jackson County, the followin
information is provided:
A check of the low-flow files here at the USGS North Carolina Water Sc
Center does not indicate a previous determination of low-flow characte
for your point of interest at the location provided via your email dated
10, 2010. No USGS records of discharge are known to exist for your p
of interest or other locations in the Nations Creek basin.
Where no or insufficient data is available for a low-flow analysis, a
determination of low-flow characteristics is based on assessment of lov
yields (expressed as flow per square mile drainage area, or cfsm) at nE
locations where such statistics have previously been determined. The
flow characteristics that are provided have been computed by correlate
the runoff characteristics of a nearby stream in vicinity of the request s
Please note the flow estimates do not account for the presence of any
diversions or regulation, present or future, which may occur upstream
request site.
Previously published low-flow information for streams in your e
of interest...
For streams in Jackson County, the most recently published low-flow
information is a statewide report completed in the early 1990's. It is L
Water-Supply Paper 2403, 'Low-flow characteristics of streams in Nord
Carolina" (Giese and Mason, 1993). An online version of the report is
available through http://pubs.er.usgs.gov/usgspubs/wsp/wsp2403 . l
report provides the low-flow characteristics (based on data through 19
via regional relations and at-site values for sites with drainage basins
between 1 and 400 sgmi and not considered or known to be affected b
regulation and/or diversions.
If you access the report, please note the online report files are provide
the ".DJVU" format and require a particular Lizardtech plug-in, also avi
through a link displayed on the page. Or you can click an adjacent IinN
will allow you to view the report as a group of images without the neec
plug-in.
._.....0....... .. --r_o-.,.._rr�onae,.....n

Page 3 of 9
Read Mail - [e-mail]
Several pieces of information to consider...
(1) A drainage area of 2.07 sgmi was determined for your point of inte
on Nations Creek above Secondary Road 1397 (Thomas Valley Road) a
Wilmot.
(2) In Table 1 of the above referenced report, there are four partial-re(
sites in northwestern Jackson County and southeastern Swain County i
vicinity of your point of interest for which low flow discharge estimates
provided. Expressing these estimates as low-flow yields (again, flow p
square mile of drainage area, or cfsm) provides some indication of the
ranges that could potentially be applicable to your point of interest. Tf
7Q10 low-flow yield range is from about 0.23 to 0.58 cfsm (with an av
of about 0.42 cfsm). The 30Q2 low-flow yield range is from about 0.4'•
about 0.99 cfsm (with an average of about 0.72 cfsm).
(3) The regional low-flow relations presented in the above referenced r
for this hydrologic area (HA9) results in 7Q10 and 30Q2 low-flow estirr
with yield values of about 0.39 cfsm and 0.86 cfsm, respectively. Both
7Q10 and 30Q2 yields are within the above ranges reported for these t
statistics.
(4) Mean annual runoff for streams in this area is mapped in the above
referenced report as being 2.5 cfsm.
(5) Considering the above information, please be aware of the followin
The data provided in the above referenced report are based on period:
record ending in advance of the drought conditions that have occurred
publication of the report. In some North Carolina basins, the low-flow
conditions observed during the recent droughts (1998-2002, 2007-09)
resulted in lower low-flow statistics. No formal statewide investigation
been completed to document the changes in low-flow statistics since tf
droughts. However, where updated analyses have been completed for
selected stations, the changes in pre-drought versus updated 7Q10
discharges have shown varying percentage changes of decline.
For instance, at the nearby long-term gaging station on Oconaluftee Ri
Birdtown in Swain County (station id 03512000, drainage area 184 sqr
records since July 1945), the 7Q10 declined about 6 percent between t
Fnunnin

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1998 and 2009 climatic years.
Note: The climatic year is the standard annual period used for low-flow
analyses at continuous-record gaging stations. It runs from April 1 thr
March 31 and is designated by the year in which the period begins. Fo
example, the 2009 climatic year is from April 1, 2009, through March
2010.
Putting together the above pieces of information...
Applying the above low-flow yields (in item #1) to a drainage area of e
_ sgmi results in 7Q10 flow estimates ranging from 0.48 to 1.2 cfs (aver
about 0.87 cfs). Similarly, 30Q2 flow estimates range from about 1.0
cfs (average about 1.5 cfs). Applying the yield for mean annual runoff
#4) to the drainage area results in an estimated average discharge of
5 cfs.
A charge of $250.00 for accessing and processing information has bees
assessed to partially offset these costs. An electronic invoice covering
processing costs for these data is attached to this email as a .PDF file.
Instructions for sending your payment are shown on the invoice.
This information is considered preliminary and subject to revision pend
further analysis as further data were to become available, and is made
available through our cooperative program of water-resources investig
with the North Carolina Department of Environment and Natural Resou
Hope this information is helpful. If you have any questions regarding t
information, please contact me at the phone number listed below.
Thank you.
Curtis Weaver
J. Curtis Weaver, Hydrologist, PE
USGS North Carolina Water Science Center
3916 Sunset Ridge Road