NCG550305_Regional Office Historical File 1984 to 2017

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July 11, 2017
Robert J. Pommersheim
4 Hunters Lane
Hendersonville, NC 28791
SUBJECT: Compliance Evaluation Inspection
4 Hunters Lane
Permit No: NCG550305
Henderson County, NC
Dear Mr. Pommersheim:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
On July 6, 2017, I conducted a Compliance Evaluation Inspection (CEI) of the Single Family
Residence (SFR) wastewater treatment system located at 4 Hunters Lane. The property and the
system were well maintained and appeared to be in compliance with NPDES Permit No.
NCG550305.
Please refer to the enclosed inspection report for additional observations and recommendations. If
you have any questions, please feel free to contact me at 828-296-4500 or by email at
tim.heim@,nedenr.gov.
Sincerely,
Tim Heim, P.E.
Environmental Engineer
Asheville Regional Office
Enclosure: Inspection Report
cc: MSC 1617-Central Files
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G:\WR\WQ\Henderson\Wastewater\General\NCG55 SFR\0305 Robert J Pommersheim\CEI Letter 6-23-2017.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C.20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 6-31-96
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type
Inspector Fac Type
1 IN I 2 15 I 3 l NCG550305 I11 121. 17/07/06 17 18 I C I
19 I G I 20 LJ
211111 I I I I I I II I I I I I I I I I I I I I I I I I I I I I I
I II I I I I I t66
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA -----Reserved
671
70 L 71 I I 72 I �, I 73 I I 174 751 I I I I I I I80
l_J I I I
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
03:OOPM 17/07/06
13/08/01
4 Hunters Lane
4 Hunters Ln
Exit Time/Date
Permit Expiration Date
Hendersonville NC 28791
03:OOPM 17/07/06
18/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Robert J Pommersheim,4 Hunters Ln Hendersonvile NC 28791///
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
® Effluent/Receiving Waters ® Other
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date
Timothy H Heim ARO WQ//828-296-4665/
__
6 /�
to
Signature oisMamagement Q A Reviewer Agency/Office/Phone and Fax Numbers
r'
Date
EPA Form 560-37(lTev-6-94) Previous editions are obsolete.
Page#

NPDES yr/molday _ Inspection Type 1
31 NCG550305' I11 12 17/07/06 17 18 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Tim Heim of the Asheville Regional Office performed a Compliance Evaluation Inspection on July 6,
2017. The facility appeared well maintained at the time of the inspection, however the individual system
components were not able to be located. No negative impact to the receiving stream was observed.
The owner should locate and uncover the effluent discharge pipe for future inspections.
11
Page#

North Carolina Department of Environment and Natural Resources
Pat McCrory, Governor
September 5, 2014
Robert J. Pommersheim
Robert Joseph Pommersheim Living Trust
4 Hunter's Lane
Hendersonville, NC 28791-1663
John E. Skvarla III, Secretary
Subject: Ownership Modification / General Permit NCG550000
4 Hunter's Lane
Certificate of Coverage NCG550305
Henderson County
Dear Permittee:
On August 26, 2014, the Division received your request to modify the existing Certificate of Coverage
(CoC) for the subject facility. The Division has approved your request, and hereby reissues the subject CoC
under General Permit NCG550000. This CoC is issued pursuant to the requirements of North Carolina
General Statue 143-215.1 and the Memorandum of Agreement between North Carolina and the US
Environmental Protection agency dated October 15, 2007 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain any other State, Federal, or Local
governmental permit that may be required. If you have any questions concerning the requirements of the
General Permit, please contact Charles Weaver of the NPDES staff [919 807-6391 or
[e-mail]]. 1---1
S' cerely,
for Thomas A. Reeder --
cc: 5�r__. eonal ©ffice
PDES�f - e
SEP 9 2014
Water
1.617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, North
Phone: [phone] FAX [phone] / Internet: www.n6waterquality.org
An Equal Opportunity/Affirmative Action Employer-501/6 Recycled/101/o Post Consumer Paper

j
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550305
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Robert J. Pommersheim
Robert Joseph Pommersheim Living Trust
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility. located at
4 Hunter's Lane
Hendersonville
Henderson County
to receiving waters designated as an unnamed tributary to Shaw Creek, a class WS-IV stream in
subbasin 04-03-02 of the French Broad River Basin in accordance with the effluent limitations,
monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage takes effect September 5, 2014.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day September 5, 2014
)mmission

FACILITY
COUNTY
MAILING ADDRESS
HUNTER'S CROSSING, LOT 73
HENDERSON
CLASS
Responsible Facility
Official Representative
Telephone No.
Where Located
NPDES Pe mit No. NC 6,71
M. State 0 Federal
Date Issued
Expiration Dade
Stream: Name
Class
7Ql 0
Sub -basin
Cert. Number
Class
Other Permit No.
Date issued
Operator

ppp
of North Carolina
Pepartment of Environment,
Health. and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
F. A. ZAMBORSKY
ZAMBORSKY (RESIDENCE), F. A.
4 HUNTERS LANE
HENDERSONVILLE NC 28739
Dear Permittee:
September 30,1993
Subject: ZAMBORSKY (RESIDENCE), F. A.
Certificate of Coverage NCG550305
General Permit NCG550000
Formerly NPDES Permit NC0060186
Henderson County
The Division of Environmental Management has recently evaluated all existing individual permits for potential
coverage under general permits currently issued by the Division. 15A N.C.A.C. 2H .0127 allows the Division to
evaluate groups of permits having similar discharge activities for coverage under general permits and issue
coverage where the Division finds control of the discharges more appropriate in this manner. The Division has
determined that the subject discharge qualifies for such coverage. Therefore, the Division is hereby issuing the
subject Certificate of Coverage under the state-NPDES general permit no. NCG550000 which shall void NPDES
Permit NC0060186. This Certificate of Coverage is issued pursuant to the requirements of North Carolina and the
US Environmental Protection Agency Memorandum of Agreement dated December 6,1983 and as subsequently
amended.
If any parts, measurement frequencies or sampling requirements contained in this general permit are unacceptable to
you, you have the right to submit an individual permit application, associated processing fee and letter requesting
coverage under an individual permit. Unless such demand is made, this decision shall be final and binding. Please
take notice this Certificate of Coverage is not transferable. Part II, EA. addresses the requirements to be followed
in case of change of ownership or control of this discharge.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division, such as the
construction of additional or replacement wastewater treatment or disposal facilities. Construction of any
wastewater treatment facilities will require issuance of an Authorization to Construct from this Division.
Failure to abide by the requirements contained in this Certificate of Coverage and respective general permit may
subject the Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C. Please note that the general permit does require
monitoring in accordance with federal law. The monitoring data is not required to be submitted to the Division
unless specifically requested, however, the permittee is required to maintain all records for a period of at least
three (3) years.
Post Office Box 29535, Raleigh, North Carolina 27626-6535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled -10% post -consumer paper

PPPPPPP'
Page: 2
F. A. ZAMBORSKY
ZAMBORSKY (RESIDENCE), F. A.
Certificate of Coverage No. NCG550305
The issuance of this Certificate of Coverage is an administrative action initiated by the Division of
Environmental Management and therefore, no fees are due at this time. In accordance with current rules, there
are no annual administrative and compliance monitoring fees for coverage under general permits. The only fee
you will be responsible for is a renewal fee at the time of renewal. The current permit expires July 31,1997.
This coverage will remain valid through the duration of the attached general permit. The Division will be
responsible for the reissuance of the general permit and at such time, you will be notified of the procedures to
follow to continue coverage under the reissued permit. Unless you fail to follow the procedures for continued
coverage, you will continue to be permitted to discharge in accordance with the attached general permit.
The issuance of this Certificate of Coverage does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances which may be required by the Division of Environmental Management
or permits required by the Division of Land Resources, the Coastal Area Management Act or any Federal or
Local other governmental permit that may be required.
If you have any questions or need additional information regarding this matter, please contact either the
Asheville Regional Office, Water Quality Section at telephone number 704/ 251-6208, or a review engineer in
the NPDES Group in the Central Office at telephone number 919/733-5083.
S' erely,
A. Preston Howar , P.E.
cc: Asheville Regional Office
Central Files

PPPPPPP'
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT; HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG550305
TO DISCHARGE TREATED DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND
SIMILIAR WASTEWATERS UNDER THE
NATIONAL POLLUNTANY' DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General. Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
ZAMBORSKY (RESIDENCE), F. A.
is hereby authorized to discharge treated domestic wastewater from a facility located at
ZAMBORSKY (RESIDENCE), F. A.
Henderson County
to receiving waters designated as the UT SHAW CREEK/FRENCH BROAD RIVER BSN in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II,
III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective November 1, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day, September 30, 1993.
A. Preston Howard, Jr., P.E.,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

�- ■ Dept. Dee . i, .v V
Winst0i1-0,^"^l
State of North Carolina Regional Wixe
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor
William W. Cobe�; Jr., Secretary
Mr. F. A. Zamborsky
4 Hunters Lane
Hendersonville, NC 28739
Dear Mr. Zamborsky:
May 1, 1989
Subject: Permit No. NCO060186
F. A. Zamborsky Residence
Henderson County
R. Paul Wilms
Director
In accordance with your application for discharge permit received on January
17, 1989, we are forwarding herewith the subject State - NPDES permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215.1 and
the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in
this permit are unacceptable to you, you may request a waiver or modification pursuant
to Regulation 15 NCAC 2B .0508(b) by written request to the Director identifying the
specific issues to be contended. Unless such request is made within 30 days following
receipt of this permit, this permit shall be final and binding. Should your request
be denied, you will have the right to request an adjudicatory hearing.
Please take notice that this permit is not transferable. Part II, D.3.
addresses the requirements to be followed in case of change in ownership or control of
this discharge.
This permit does not affect the legal requirements to obtain other permits
which may be required by the Division of Environmental Management or permits required
by the Division of Land Resources, Coastal Area Management Act or any other Federal or
Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Mr. Mack
Wiggins at telephone number 919/733-5083.
C1 i' iM'97iryou By
ARTHUR MOU8ERRY
? r-paul Wilms
R EC E IV
cc: Mr. Jim Patrick, EPA 1,1AY 8 -- '� 0
,Asheville reuiona! Office
Pollution Prevention Pays Asheville, North Cam na.
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]

Permit No. NCO060186
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
Mr. F. A. Zamborsky
is hereby authorized to discharge wastewater from a facility located at
F. A. Zamborsky Residence
4 Hunters Lane
west of Hendersonville
Henderson County
to receiving waters designated as an unnamed tributary to Shaw Creek in the French
Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, and III hereof.
This permit shall become effective .tune 1, 1989.
This permit and the authorization to discharge shall expire at midnight on
April 30, 1994.
Signed this day May 1, 1989.
gikea slurmd Jay
AR7HUR lVOUBERRY
For.
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0060186
SUPPLEMENT TO PERMIT COVER SHEET
Mr. F. A. Zamborsky
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of a
septic tank, subsurface sand filter followed by effluent chlorination
located at the F. A. Zamborsky Residence, on 4 Hunters Lane, west of
Hendersonville in Henderson County (See Part III of this Permit), and
2. Discharge from said treatment works at the location specified on the
attached map into an unnamed tributary to Shaw Creek which is classified
Class "C" waters in the French Broad River Basin.

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PART 1
f
"Act" used herein means the Federal Water Pollution Control Act, As
Amended. i
"DEM" used herein means the Division; of Environmental Management of
the Department of Natural Resources and Community Development.
"EMC" used herein means the North Carolina Environmental Management
Commission.
Definitions
a. The monthly average, other thanforfecal coliform bacteria, is
the arithmetic mean of all the composite samples collected in a
one -month period. The monthly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -month period.
b. The weekly average, other than for fecal coliform bacteria, is the.
arithmetic mean of all the composite samples collected during a
one -week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -week period.
c. Flow, Ma/day (MGD): The flow limit expressed in this permit is the
24-hour average flow, averaged monthly. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month.
d. Arithmetic Mean: The arithmetic mean of any set of.values is the
summation of the individual values divided by the number of indi-
vidual values.
e. Geometric Mean: The geometric mean of any set of values is the Nth
root of the product of the individual values where N is equal to the
number of individual values. The geometric mean is equivalent to
the antilog of -the arithmetic mean of the logarithms of the indi-
vidual values.- For purposes of, calculating the geometric mean,
values of zero (0) shall be considered to be one (1).

PART 11
A. MANAGEMENT REQUIREMENTS
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms
and conditions of this permit. The discharge of any pollutant
identified in this permit more frequently than or at a level in
excess of that authorized shall constitute a violation of the
permit. Any anticipated facility expansions, production increases,
or process modifications which will result in new, different, or
increased discharges of pollutants must be reported by submission
of a new NPDES application or, if such changes will not violate the
effluent limitations specified in this permit, by notice to the DEM
of such changes. Following such notice, the permit may be modified
to specify and limit any pollutants not previously limited.
2. Facilities Operation
The permittee shall at all times maintain in good working order and
operate as efficiently as possible all treatment or control facili-
ties or systems installed or used by the permittee to achieve con-
pliance with the terms and conditions of this permit.
3. Adverse Impact
The permittee shall take all reasonable steps to minimize any adverse
impact to navigable waters resulting from noncompliance with any
effluent limitations specified in this permit, including such accel-
erated or additional monitoring as necessary to determine the nature
and impact of the noncomplying discharge.
4. Bypassing
Any diversion from or bypass of facilities necessary to maintain com-
pliance with the terms and conditions of this permit is prohibited,
except (i) where unavoidable to prevent loss of life or severe
property damage, of (ii) where excessive storm drainage or runoff
would damage any facilities necessary for compliance with the
effluent limitations and prohibitions of this permit. The permittee
shall promptly notify the Water Quality Section of DEM in writing of
each such diversion or bypass.
5. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the
course of treatment or control of wastewaters shall be disposed of in
a manner such as to prevent any pollutant from such material from
entering waters of the State or navigable waters of the United
States.

PART II
6. Power Failures
In order'to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. Provide an alternative power source sufficient to operate
the wastewater control facilities;
or, if such alternative power source is not in existence,
b. Halt, reduce, or otherwise control production and/or all dis-
charges from wastewater control facilities upon the reduction,
loss, or failure of the primary source of power to said waste-
water control facilities.
B. RESPONSIBILITIES
1. Right of Entry
The permittee shall allow the Director of the Division of Environ-
mental Management, the Regional Administrator, and/or their author-
ized representatives, upon the presentations of credentials:
a. To enter upon the permittee's premises where an effluent
source is located or in which any records are required to
be kept under the terms and conditions of this permit; and
b. At reasonable times to have access to and copy any records
required to be kept under the terms and conditions of this
permit; to inspect any monitoring equipment or monitoring
method required in this permit; and to sample any discharge
of pollutants.
2. Transfer of Ownership or Control
This permit is not transferable. In the event of any.change in con-
trol or ownership of facilities from which the authorized discharge
emanates or is contemplated, the permittee shall notify the prospec-
tive owner or controller by letter of the existence of this permit
and of the need to obtain a permit in the name of the prospective
owner. A copy of the letter shall be forwarded to the Division of
Environmental Management.
3. Permit Modification
After notice and opportunity for a hearing pursuant to NCGS 143-215.1
(b)(2) and NCGS 143-215.1(e).respectively, this permit may be modi-
fied, suspended, or revoked in.whole or in part during its term for
cause including, but not limited to, the following:

PART II
a. Violation of any terms or conditions of this permit;
b. Obtaining this permit by misrepresentation or failure to
disclose fully all relevant facts; or
c. A change in any condition that requires either a temporary
or permanent reduction or elimination of the authorized
discharge.
4. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II,
A-4) and "Power Failures (Part II, A-6), nothing in this permit
shall be construed to relieve the permittee from civil or criminal
penalties for noncompliance pursuant to NCGS 143-215.6 or Section
309 of the Federal Act, 33 USC 1319.
5. Property Rights
The issuance of this permit does not convey any property rights in
either real or personal property, or any exclusive privileges, nor
does it authorize any injury to private property or any invasion of
personal rights, nor any infringement of Federal, State, or local
laws or regulations.
6. Severability
The provisions of this permit are severable, and if any provision of
this permit, or the application of any provision of this permit to
any circumstance, is held invalid, the application of such provision
to other circumstances, and the remainder of this permit shall not
be affected thereby.
7. Expiration of Permit
Permittee is not authorized to discharge after the expiration date.
In order to receive authorization to discharge beyond the expiration
date, the permittee shall submit such information, forms, and fees
as are required by the agency authorized to issue permits no later
than 180 days prior to the expiration date. Any discharge without
a permit after the expiration will subject the permittee to enforce-
ment procedures as provided in NCGS 143-215.6 and 33 USC 1251 et seq..

PART III
A. PREVIOUS PERMITS
All previous State water quality permits issued to this facility,
whether for construction or operation, or discharge, are hereby
revoked by issuance of this: permit. The conditions, requirements,
terms, and provisions of this permit authorizing discharge under the
National Pollutant Discharge Elimination System govern discharges
from this facility.
B. CONSTRUCTION
No construction of wastewater treatment facilities or additions thereto
shall be begun until Final Plans and Specifications have been submitted
to the Division of Environmental Management and written approval and
Authorization to Construct have been issued. If no objections to Final
Plans and Specifications have been made by the DEM after 30 days follow-
ing receipt of the plans or issuance of this permit, whichever is latter,
the plans may be considered approved and construction authorized.
C. SPECIAL CONDITIONS
1. The Permittee shall be responsible for the following items -regard-
ing the maintenance of the treatment system:
a. Septic tanks shall be maintained at all times to prevent
seepage of sewage or effluents to the surface of the groi,nd.
b. Septic tanks need routine maintenance and should be checked
at least yearly to determine if solids need to be removed
or other maintenance performed.
c. Contents removed from septic tanks shall be discharged into
an approved sewer system, buried or plowed under at an
approved location within 24 hours, or otherwise disposed of
at a location and in a manner approved by the State or local
agency.
2. The permittee shall properly connect to an operational publicly -
owned wastewater collection system within 180 days of its availability
to the site.

D. In the event that violations of the fecal coliform requirements of the North
Carolina water quality standards occur as a result of this discharge,
disinfection will immediately be required and the permit amended to establish a
coliform effluent limitation.

North Carolina Department of Natural
Resources &Community Development
James B. Hunt, Jr., Governor James A. Summers, Secretary
Om'.D. 0. Thompson, Jr.
1830 Asheville Highway
Hendersonville, NC 28739
Dear Mr. Thompson:
DIVISION OF
ENVIRONMENTAL
MANAGEMENT
Robert F. Helms
Director
Telephone [phone]
RECEIVED
ED
September 27, 1984 Water Quality Division
OCT 1 1984
Western Regional Office',
Asheville, North Carolina
Subject: Permit No. NCO060186
Thompson Property - Lot 73
Henderson County
In accordance with your application for discharge permit received on
August 16, 1984, we are forwarding herewith the subject State - NPDES permit.
This permit is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and
the U. S. Environmental Protection Agency dated December 6, 1983.
If any parts, requirements, or limitations contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing before a
hearing officer upon written demand to the Director within 30 days following
receipt of this permit, identifying the specific issues to be contended.
Unless such demand is made, this permit shall be final and binding.
Please take notice that this permit is not transferable. Part II, B.2.
addresses the requirements to be followed in case of change in ownership or
control of this discharge.
This permit does not affect the legal requirement to obtain other permits
which may be required by the Division of Environmental Management. If you have
any-ques:tions concerning this permit, please contact Ms. Helen S. Fowler, at
telephone number 919/733-5083.
Sincerely yours,
Original Signed BY
ESTALL
FORREST R.
FOR
Robert F. Helms
cc: Mr. Jim Patrick, EPA
Ashi�l�Y,e fiona�lp?"sristar
°. O. Box 27687 Raleigh, N. C. 27611-7687
.,An 9quai cacortunity Affirrnarive Action E.mplover

Permit No. NC 0060186
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
P E R M I T
To Discharge Wastewater Under the NATIONAL
POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
The Thompson Company
is hereby authorized to discharge wastewater from a facility located at
Hunter's Crossing
Lot #73
Henderson County
to receiving waters designated an unnamed tributary to Shaw Creek in the French
Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, and.III hereof.
This permit shall become effective September 27, 1984
This permit and the authorization to discharge shall expire at midnight
.on August 31, 1989
Signed this day of September 27,. 1984 -
Original Signed By
FORREST R. WESTALL
FOR
Robert F. Helms, Director
Division of Environmental Management
By Authority of the Environmental
Management Commission
M1 & Ii

SUPPLEMENT TO PERMIT COVER SHEET
The Thompson Company
is hereby authorized to:
Permit No. NCO060186
1. Enter into a contract for construction of a wastewater treatment
facility, and
2. Make an outlet into an unnamed tributary to Shaw Creek, and
3. After receiving an Authorization to Construct from the Division
of Environmental Management, construct and operate a wastewater
treatment facility to serve the proposed residence to be located
at Hunter's Crossing on Lot #73 (See Part III, condition No. C.
of this permit) , aid
4. Discharge from said treatment works into an unnamed tributary to
Shaw Creek which is classified. Class "C"'waters.

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PPrCce,B
From: Weaver, Charles
Sent: Monday, August 18, 2014 11:19 AM
To: Davidson, Landon; Price, Bev
Cc: Cranford, Chuck; Hennessy, John; [e-mail]
Subject: RE: NCG550305 / Henderson County
I discussed this situation with John this morning. Here's the Division's position:
NCG550305 is a valid Certificate of Coverage (CoC) that covers the property in question. Nothing related to this CoC
prevents the sale of the property as -is.
The annual fee should be paid by the owner of the property. Given that the annual fee covers the next 12 months,
(September 2014 —August 2015) it seems likely that the new owner should pay the fee, as they [not Mr. Pommersheim]
will be operating the system during that time period.
The property owner should contact the Henderson County Health Department (HCHD).
If the HCHD has a record that the property was denied a septic tank permit, the CoC should be maintained.
If no such denial exists, the property owner should request such a permit. If the HCHD is willing to permit the existing
system, the CoC can be rescinded. If the HCHD will not permit the system, NCG550305 must be maintained.
If you want further discussion on this matter, contact John Hennessy at 919-807-6307 or via e-mail
[john.hen [e-mail]].
CHW
From: Davidson, Landon
Sent: Friday, August 15, 2014 1:47 PM
To: Price, Bev; Weaver, Charles
Subject: RE: NCG550305 / Henderson County
If we rescind, then just what type of wastewater system does he have? Does the county have a permit for a septic
system for this home? A comment on the timeframe, honestly there are due diligence questions that arise when selling
a home.... wastewater management system is a primary question. I understand and we'll assist with expediting anything
we can but there is burden on the owner/seller to secure/address these topics prior to the week of the sale.
G. Landon Davidson, P.G.
NCDENR - Division of Water Resources
Water Quality Regional Operations Section
Regional Supervisor - Asheville Regional Office
2090 U.S. Hwy. 70
Swannanoa, N.C. 28778
ph.: 828-296-4500
fax: [phone]
email: [e-mail]
website: www.ncwaterguality.org
Notice: Per Executive Order No. 150, all emails sent to and from this account are subject to the North Carolina Public Records Law
and may be disclosed to third parties.
From: Price, Bev
Sent: Friday, August 15, 2014 10:18 AM
To: Weaver, Charles; Cranford, Chuck; Davidson, Landon

Cc: Hennessy, John
Subject: RE: NCG550305 / Henderson County
Charles,
I was in the middle of composing an e-mail to you asking the very same questions. I only started assisting with SFR
inspections this year. I do not know what the normal procedure is for this type of situation. I spoke with the
perspective new buyer just yesterday and she has concerns about the system.
In 2007 you sent a letter to Mr. J.A. Pommersheim about the renewal of this permit. Basically the letter requested
information to determine if the CoC was still needed. Bullet #3 of that letter reads ... If you know that your property no
longer discharges wastewater, contact me at the address or phone number listed below to request rescission of the
CoC. Based on that question it seems the central office does or can rescind permits where there is no discharge. I don't
know if this is the way to go but it seems to be an option given that it was in the letter. I could not find a discharge pipe
when I was there. As you point out, prior inspectors could not find a discharge either.
I don't know if the system was ever installed let alone installed correctly. Any guidance you or John can provide will be
helpful.
Thanks,
Bev
Bev Price - [e-mail]
DENR - Division of Water Resources
Water Quality Regional Operations Section
Asheville Regional Office
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.
From: Weaver, Charles
Sent: Friday, August 15, 2014 9:53 AM
To: Price, Bev; Cranford, Chuck
Cc: Hennessy, John; bobCfbobpomm.com
Subject: NCG550305 / Henderson County
The current owner is Mr. Bob Pommersheim. He inherited the house from his father, J.A. Pommersheim. The house is
going to be sold next week.
Due to a problem in BIMS, no annual fee invoices were sent from 2005-2014. Upon receiving this year's invoice, Mr.
Pommersheim called to find out why he was receiving it. The house is on city water but still uses a septic system for
wastewater disposal.
The site was originally permitted in 1984. Mr. Pommersheim confirmed that 1984 was the year the house was
constructed. Thus it was permitted by DENR only over the past 30 years — it was designed to be a discharging system.

owever, every site inspection aone by the ARO has been unable to find the outfall line. Either it was never installed, or
it was covered by vegetation/soil in the intervening years. The system appears to work properly, but no evidence of an
outfall or discharge exists.
Given the lack of a discharge, could we rescind this CoC?
If we rescind it, would Mr. Pommersheim [or more likely the new owner] be required to obtain a permit from Henderson
County?
I recommend rescinding the CoC, but I don't wish to cause problems for Mr. Pommersheim or the future owner of the
home. How should we proceed?
NOTE: time is short. The house will be sold next week. The annual fee payment [if we do not rescind] is due by
September 6cn
Thanks,
CHW

a __
Price, Bev
From:
Weaver, Charles
Sent:
Thursday, May 01, 2014 7:41 AM
To:
Price, Bev
Cc:
Corporon, Joe
Subject:
RE: NCG550305
The former Mr. Pommersheim never received a bill because BIMS was set to "No Fee" for this Certificate of
Coverage. The previous owner (Zamborsky) was gone and the billing was unresolved.
The new owner will be billed $60/year. He should submit the Name & Ownership change form as soon as he can.
CHW
From: Price, Bev
Sent: Wednesday, April 30, 2014 3:1S PM
To: Corporon, Joe
Cc: Weaver, Charles
Subject: RE: SFR ?Ts
Hey Guys,
I'm following up on this permit as I did an inspection on 4/16 and would like to go ahead and enter in BIMS. Just not
sure how to proceed in reference to the permit fee. I would like to let Mr. Pommersheim know what will be required
going forward (which is, I think that he will have to pay).
Thanks for any input.
Bev
Bev Price - [e-mail]
DENR - Division of Water Resources
Water Quality Regional Operations Section
Asheville Regional Office
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.
From: Corporon, Joe
Sent: Tuesday, April 22, 2014 1:49 PM
To: Price, Bev
Cc: Weaver, Charles
Subject: RE: SFR ??'s
Thanks, Bev —We'll check it out.

Respectfully,
Joe R. Corporon, L.G. ROC
Compliance and Expedited Permitting
Division of Water Resources
NCDE.,NR/ NPDES Program / Water Quality Permitting Section
919-807-6394; FAX [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Price, Bev
Sent: Tuesday, April 22, 2014 1:48 PM
To: Corporon, Joe
Cc: Weaver, Charles; Wiggs, Linda
Subject: SFR ?Ts
Joe,
Here is the information that we discussed this morning.
Permit No.NCG550305
Renewal per BIMS: 8/1/2013
Billing per BIMS: fee waived 2004; no entries since 2004
Last inspection 2006: indicated that they could not find the discharge pipe
Inspection 4/2014: 1 could not find the pipe either
This system was issued to J.A. Pommersheim but his son (RobertJ. ) now owns it. I will send an Change of Ownership
request Form.
I figured out the reference to the" system no longer discharging" in the 9/7/07 Renewal Notice. So, I guess the question
is, why is the fee waived in BIMS? And, once he sends in the change Form, we will require him to locate the discharge
pipe before we reissue the COC in his name?
Thanks for your help.
Bev
Bev Price - [e-mail]
DENR - Division of Water Resources
Water Quality Regional Operations Section
Asheville Regional Office
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.

Price, Bev
From: Price, Bev
Sent: Monday, May 19, 2014 10:51 AM
To: '[e-mail]'
Subject: SFR Renewal application
V
Here is web site address. Call if you have any questions.
http://Portal.ncdenr.org/web/wq/swp/ps/npdes/generaIpermits
Scroll down to NCG550000 Single Family Residence — Renewal Applications- (Word or PDF)
Sorry for the confusion.
Regards, -
Bev
Bev Price - [e-mail]
DENR - Division of Water Resources
Water Quality Regional Operations Section
Asheville Regional Office
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.

A �4-*j
NCDENR
North,Carolina. Department of Environment. and Natural Resources, .
Pat McCrory
Governor
Robert J. Pommersheim
4 Hunters Lane
Hendersonville, NC 28791
Dear Mr. Pommersheim:
John E. Skvarla, III
Secretary
May 12, 2014
SUBJECT: April 16, 2014
Compliance Evaluation Inspection
Robert J. Pommersheim
Single Family Residence Wastewater
System
Permit No: NCG550305
Henderson County
Enclosed please find a copy of the Compliance Evaluation Inspection Form from
the inspection conducted on April 16, 2014. The facility appeared to be in compliance
with permit NCG550305.
Please complete and submit the enclosed Name/Ownership Change Form as
soon as possible.
Please refer to the enclosed inspection report (Summary of Findings Page 2)
for additional observations and comments. If you or your staff have any questions,
please call me at [phone].
Sincerely,Q'z--c,
Beverly ce
Environmental Specialist
Enclosure
cc: MSC 1617- Central Files - Basement
G:\WR\WQ\Henderson\Wastewater\General\NCG55 SFR\0305 Robert J Pommersheim\NCG550305 SFR CEI 2014
Robert Pommersheim.doc
Water Quality Regional Operations —Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: 828-296A500 FAX: [phone]
Internet: http://portal.ncdenr.org/webfwq
An Equal Opportunity 1 Affirmative Action Employer

PKNCDENR
North Carolina Department&nvironment and Natural Resources
Pat McCrory, Governor
John E. Skvarla, III, Secretary
I. Please enter the permit number for which the change is requested.
Primary Related Permit (or) Certificate of Coverage
N I C 5 5 10 10 10 1 0. 5
H. P mit status Prior to status change.
a.�rmit issued to (company name):
b.� Person legally responsible for permit:
c. Facility name (dis harge):
d. . Facility address:
s
e.- -Facility contact person:
III. Please provide the following fog'
a. Request for change is a result
If other please explain:
b. Permit issued to (company
c. Person legally responsible
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
h
First MI Last
Title
Permit Holder Mailing Address
City State Zip
Phone Fax
Address
City State Zip
First / MI / Last Phone
requested change (revised permit).
❑ . Change in ownership of the facility
❑ Name change of the facility or owner
First MI Last
Title
Permit Holder Mailing Address
City State Zip
Phone E-mail Address
Address
City State Zip
First MI Last
( )
E-mail Address
Revised 512012
Phone

PERMIT NAME/OWNERSHIP i ,NGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: _. ........ ....... . . . _ .. _ .... _ _ _ .. _ . _ ._ .
First MI Last
Title
Mailing Address
City State Zip
( )
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
❑ Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the. transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, , attest that this application for a name/ownership change has
been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required
parts of this application are not completed and that if all required supporting information is not included,
this application package will be returned as incomplete.
Signature
APPLICANT CERTIFICATION
Date
I, , attest that this application for a name/ownership change has
been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required
parts of this application are not completed and that if all required supporting information is not included,
this application package will be returned as incomplete.
Signature
Date
PLEASE SEND TBE COMPLETE APPLICATION PACKAGE TO:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 5/2014

Pr71=r_)A
United States Environmental Protection Agency
Form Approved.
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3 V 46G550305 ' 1 14/04/16 7 8, C� ^
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
There were no chlorination or dechlorination tubes found at the site. The discharge pipe was not located at
the site. The system appears to consist of a septic tank and sand filter.
Robert J. Pommersheim owns the system. A Name/Ownership Change Form should be submitted for this
facility.
Page # 2

ppppr
Permit: NCG550305 Owner - Facility: 4 Hunters Lane
. - -.- -- • -.Inspection Date;- .0-4/.1.6/2014. Inspection Type: Compliance Evaluation
Other
Comment:
Yes No NA NE
Page # 3

NCG550000 Sincgir. Family Residence General I v.mit Ins
pection Report
DWQ Inspector: Rg\! Pv-ie P Inspection date: /
Ro 6i,4 J I p�
Permittee- -4� ��iwn���I��i�Yl Inspection time: 3
Permit Number: NCG550 =, 0-IS' County:efy►®oV'
Location address- � Hwn fel- S Lane,, Heyi4er5on 1 die, NC, A V U
Mailing address (if different)-
f,A_�-,ia��skY
Contact person(s)• podgy ry-� O,Y-S Q k w-x gq,l o 6Sas
15%-e-A 13 / t / 13Permitexpires: 7131 bole Annual fees paid: T�'-2_ WOUvE� Olcp� �l S
F.
nature of
Date(s) of samplina by homeowner:
Age of system I
��mS SAS
-7 /-'I J 13
Samplinq results- BOD- TSS �-AS�- �"��`���`` also
Total Residual Chlorine: Fecal Coliform: .
Certified Lab / Contractor
Tablet chlorinator present- Number of tubes in use:
Name of receiving stream- Stream classification:
Tablet dechlorinator present- Number of tubes in use:
Cascade aerator present- Discharge pipe located:
Date samples taken by DWQ- No BOD results:
TSS
iform
4 ^d 4 /,

Sampling Tips ,
A typical annual sampling event, by a contractor, will probably cost — $150 per year.
That cost includes:
A trip charge to and from the single family residence and laboratory analyzing the samples.
Proper collection, preservation and analysis by a NC Certified Laboratory for:
BOD (Biochemical Oxygen Demand) — your daily maximum limit is 45 mgA,
TSS (Total Suspended Solids) - your daily maximum limit is 45 mg/I,
Fecal Coliform - your daily maximum limit is 400 colonies/100 ml,
Field analysis of TRC (Total Residual Chlorine) performed on -site (within 15.minutes), with
low level monitoring equipment which measures ug/I (micrograms per liter). Your TRC
limit is 17 ug/I. A mailed copy of the sample analysis report and laboratory quality
control information.
(Keep the laboratory results for 3 years and show them to thei DWQ inspector.)
In order to keen costs to a minimum:
Make sure that the discharge pipe can be accessed. Keep the area clear of debris and
vegetation. Make sure that the pipe itself and the cascade aerator does not have algae,
vegetation, or debris obstructing the discharge to the creek.
Make sure that the system discharges. If it doesn't discharge, then determine why and
remedy. At the time of sampling, it may be necessary to make the system discharge by
using water doing laundry or dishes or bathing. If you are not at home and there is no
discharge when the sampling event is scheduled to take place, another trip charge will
be added, until a sample can be collected.
Make sure that the system has a sufficient supply of chlorine tablets to disinfect the
wastewater. This will be reflected in the fecal coliform laboratory results. If the
wastewater is not properly disinfected, the system will be considered non -compliant and
will result in a Notice of Violation.
Make sure that the system has a_ sufficient.supply of dechlorination tablets. This will be
reflected in the Total Residual Chlorine (TRC) results. The TRC limit is 17 ug/l
(micrograms per liter). The results will be reported to the lowest detection limit that the
field equipment is annually certified for. For example: 17 ug(.I may be reported as < 20
ug/I. Due to the sensitive and unstable nature of this test, any result that is measured
and less than 51 ug/I will be considered compliant with permit limits.

Pisgah Forest, NC to Hunters Ln. I lendersonv! Ile, NC 28791 - Goo -le Maps
Page I of I
Directions to Hunters Ln, Hendersonville, NC
'o
28791
0
14.3 mi — about 2Q rains
Pisgah Forest, NC
1. Head southeast on Ecusi-.i Rd/Vanderbilt Rd loward Old 64
2.
Turn left onto'Old 64-
About 2 mins
3.
Continue onto Old Hender-3onville H,,,,;'I,
About 5 mins
4.
Turn left.onto Crab"o reek 'Id
64 5.
Turn right onto US-64 E
About 12 ruins
6.
Turn 16ft onto Hunters i, Ln
Destination will:be on tree i :v
About 53 secs:,
Hunters Ln, Hendersonville, NC 287'i
go 95 ft
total 95 ft
go 1.0:mi
total 1.0 mi
go 3.1 mi
total 4.2 mi
go 262 ft
tota 14.2 mi
go 10.0 M!
total 14.2 mi
go 190 ft
total 14,3 mi
These directions are for planning purpoz-,. (,::tI-,II. You lm. i!'d tl ,i!uction projeu�s, traffic, weather, or other events may cause
conditions to differ from; the map results, �,,,ou should; ycl,lf F, accordingly. YOU must obey all signs or notices regarding your
route.
Map data 02014 Google
-irddo
ur -6ur —ro--ut�2 :�i j.--0-0 . . . ... . .... f nab _le.com and click "Report a problem" at the bottom left.
L0+ --W- 13
https://maps.google.com/maps'?I'-(IcCsourc,c---, �,1(s,,Piscy,,ili+,,.()i-est+NC&daddr--Hunt... 4/15/2014

NCDENK
North Carolina Department of Environme,'nt
Division of Water Quality
Michael F. Easley, Governor
J.A. Pommersheim
4 Hunters Ln
Hendersonville, NC 28791
Dear Permittee:
C E � V
JAN 16207
0
Id atural Resour�es I
WATER Q
ASt-IEVILLE
Jr.,
AfairVB=llif�i�`k P—E-!, Dir�Qctor
.t : y n:tr.c.�.xrasi?a*z'.a��ritnr. ,s;�.:xfi�.,.o�,vrvav�y.x ��a. �•7i.2:en5�. �:S!za.:'i r..•Na �.
January 9, 2007`:,_l.a...—...
Subject: Renewal Notice / General Permit NCG550000
Certificate of Coverage NCG550305
Henderson County
You are receiving this notice because you currently own a property covered under the subject
General Permit for the discharge of domestic wastewater. NCG550000 will expire on July 31, 2007.
Federal (40 CFR 122.41) and North Carolina (15A NCAC 2H.0105(e)) regulations require
that permit renewal applications be filed at least 180 days prior to expiration of the current permit.
To satisfy this requirement, the Division must receive a renewal request postmarked no later than
February 1, 2007.
The Certificate of Coverage (CoC) specific to your property was last issued on December 20,
2004. The Division needs information from you to determine if coverage under NCG550000 is still
necessary.
9 If your property still has a wastewater system like the ones described in the enclosed
Technical Bulletin, you must renew the subject CoC. Complete the enclosed form and
submit it to the address on the form.
9 If you are not sure what type of system your property has, contact Keith Haynes in the
NC DENR Asheville Regional Office at. That person [or other staff members] can help
you determine if you should renew your CoC.
If you know that your property no longer discharges wastewater, contact me at the
address or phone number listed below to request rescission of the CoC.
This information request does not pertain to the Annual Fee of 950.00 billed
separately by the Division's DudLret Office. No monev is required for this
procedure. The Annual Fee is like the fee you annually pay the DMV for the sticker on
your vehicle's license plate. Renewal of your CoC is like the renewal of your Driver's
License [ca. every five years].
9 If you have already mailed a renewal request, you may disregard this notice.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone], extension 511 / FAX [phone] / [e-mail]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
ne
NorthCarolina
Naturally

NCG550305 renewal notice
January 9, 2007
The attached application form shows the information the Division has on file for your
property. Please verify that the provided information is correct, or make corrections on the form.
Complete the additional questions, then sign and date the form.
The completed form should be submitted to the address listed below the signature block.
If you have any questions concerning this matter, please contact me at the telephone number
or e-mail address listed below. (If it is difficult to reach me, please be aware that your facility is one
of over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your attention to this matter.
Sincerely,
Vt4V
""/
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
Ashe' Ile RiE"all UaIv� .
NPDES file

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
August 6, 2007
Joseph A. Pommersheim
4 Hunters Lane
Hendersonville, NC 28791
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
Subject: Renewal of coverage / General Permit NCG550000
4 Hunters Lane
Certificate of Coverage NCG550305
Henderson County
Dear Permittee:
In accordance with your renewal application [received on January 22, 20071, the Division is renewing
Certificate of Coverage (CoC) NCG550305 to discharge under NCG550000. This CoC is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Toya
Fields [919 733-5083, extension 551 or [e-mail] or Susan Wilson [919 733-5083, extension 510
or [e-mail].
Sincerely,
for Coleen H. Sullins,- c
cc: Central Files
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org
AUG - $ 2007 � J
ASHEVILLE REGIONIAL OFFICE
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550305
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Joseph A. Pommersheim
is hereby authorized to discharge domestic wastewater [360 GPD] from a facility located at
4 Hunters Lane
Hendersonville
Henderson County
to receiving waters designated as an unnamed tributary to Shaw Creek in subbasin 04-03-02 of the
French Broad River Basin in accordance with the effluent limitations, monitoring requirements,
and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective August 6, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 6, 2007.
r-
' r ' for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
•� i
S
•s
W:

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Depart...__. of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION
August 17, 2006
Mr. Joe Pommersheim
4 Hunters Lane
Hendersonville, North Carolina 28791
SUBJECT: Compliance Evaluation Inspection
Pommersheim-Residence
Permit No: NCG550305
Henderson County
Dear Mr. Pommersheim:
Enclosed please find a copy of the Compliance Evaluation Inspection form from
the inspection conducted on August 14, 2006. Mr. Keith Haynes and I of the Asheville
Regional Office conducted the Compliance Evaluation Inspection. The facility was found
to be in Compliance with permit NCG550305.
Please refer to the enclosed inspection report for additional observations and
comments. If you any questions, please call me at 828-296-4500.
Sincerely,
Lar F ost
E vironmental Engineer
Enclosure
cc: NPDES Unit
Central Files
= shev�� le�File�
Nne
or hCarolina
Nlltlfridll
2090 U.S. Highway 70, Swannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1 877 623-6748

ppr-ppppp�
United States Environmental Protection Agency
Form Approved,
Washington, D.C. 20460
EPA
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NJ 2 J 31 NCG550305 ill 121 06/08/14 117
18IN 19I s1 20I II
Remarks
211111111111111IIIIIIIIIIIIIII11111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA
---- ------------------- -- Reserved ---------------------
67I 169 701 I 711 I 72 N I
73I —1I—I 174 75[ I I I I I I 180
I
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Pommersheim-Residence
12:15 PM 06/08/14
04/12/20
Exit Time/Date
Permit Expiration Date
4 Hunters Ln Hwy
Hendersonville NC 28791
12:30 PM 06/08/14
07/07/31
Name(s) of Onsite Rep resentaLive (s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
J A Pommersheim,4 Hunters Ln Hendersonville NC 28791//828-891-6525/
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Facility Site Review
Section D: Summary of Find in /Comments Attach additional sheets of narrative
and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspectors) Agency/Office/Phone and Fax Numbers
Larry Frost ARO WQ//828-296-4500 Ext.4658/
%Date
g/ Z 106
Keith Haynes ARO WQ//828-296-4500/
j� 1
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date��99
Roger C Edwards ARO wQ//828-296-4500/
� / 1/0 6
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES
3I NCG550305 I11
yr/mo/day
12I 06/08/14 I17
Inspection Type
18ICI
2
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The facility appears to be well maintained and operating properly. The septic tank has recently been
pumped and there is no evidence of surfacing wastewater.
The discharge pipe could not be found, the pipe should be located on the streambank, marked and kept
clean.
This system appears to consist of septic tank, primary sand filter, no chlorination and discharge pipe.
Page # 2

ppppppp,
I.
0 V E
NCDENR DECRIM Li
2 � �004
North Carolina Department of Environment and Natural Res �%UALITY SECTION
Division of Water Quality ASHEVILLE REGIONAL OFFICE
Michael F. Easley, Governor
Joe A. Pommersheim
4 Hunters Lane
Hendersonville, North Carolina 28791
Dear Mr. Pommersheim:
William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
December 20, 2004
Subject: Renewal of coverage / General Permit NCG550000
Pommersheim residence
Certificate of Coverage NCG550305
Henderson County
In accordance with your application for renewal of the subject Certificate of Coverage [received on December 17,
2004], the Division is forwarding herewith Certificate of Coverage NCG550305 to discharge under NCG550000. This
permit is issued pursuant to the requirements of North Carolina General Statue 143-215 .1 and the Memorandum of
Agreement between North Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently
amended].
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 pen -nit application. Unless such
demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the Division. The
Division may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal
or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Charles H. Weaver, Jr. at telephone number 919
733-5083, extension 511.
Sincerely,
/ .
Alan W. Klimek /", PE.J C.
cc: :Central Files P
Asheville Regional Office_
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
NorihCarohna
Naturally

PPPPPPP'
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550302
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations
promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution
Control Act, as amended,
J. A. Pommersheim
is hereby authorized to operate a 360 GPD wastewater treatment facility that consists of a septic tank, sandfilter,
and associated appurtenances with the discharge of treated wastewater from the
Pommersheim Residence
4 Hunters Lane
Hendersonville
Henderson County
to receiving waters designated as an unnamed tributary to Shaw Creek in the French Broad River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, Ill
and IV hereof.
This certificate of coverage shall become effective December 20, 2004.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 20, 2004.
!Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Who Is Covered Under This Permit?
This permit covers discharges of treated domestic
wastewater from single family residences at flows not to
exceed 1000 gallons per day. Other types of facilities
discharging less than 1000 gallons per day of treated
domestic wastewater may be covered under this permit
with the approval of the Division.
Changes in Reissued General Permit
The previous General Permit expired July 31, 2002. The
permit has been reissued for an additional five years. The
new permit contains no significant changes from the
previous version_ There were changes made to the Notice
of Intent (NOI) which must be filed to obtain coverage
under this permit. The changes to the NOI were for
clarification and to request additional information.
Key Permit Requirements
Annual sampling of the effluent from the system is
required. The parameters to be sampled can be found
in Part I, Section A. A North Carolina certified
laboratory should be contacted to perform the
analytical monitoring. A list of certified laboratories
can be obtained by calling the Division.
All samples should be collected before the effluent
joins or is diluted by any other wastestream, body of
water or substance. (Part II, Section D:1)
The permittee shall give notice to the Division of any
planned physical alterations or additions to the
system that could significantly increase the quantity
of pollutants discharged or introduce new pollutants
to the discharge. These alterations include any types
of residence/facility expansions. (Part II, Section
E:3)
Submission of monitoring reports is not required. All
monitoring information must be retained on site for a
period of 3 years. (Part II, Section E:1)
Minimum Treatment System Requirements
System requirements for existing (previously
constructed) systems are a septic tank, sand filter and
disinfection apparatus. System requirements for a new
(not yet constructed) system are a septic tank, primary
and secondary (or recirculating) sand filters, disinfection
and post -aeration apparatus.
Operation and Maintenance
In order to protect water quality and to ensure proper
operation of domestic wastewater systems, the following
measures should be taken:
• Check the septic tank every year to see if solids
should be removed.
• Have the septic tank pumped out every three to five
years. Contact a local septic service/repair
company.
• Inspect disinfection and dechlorination equipment
(if applicable) every week to confirm proper
operation.
• If a chlorinator is installed, replace chlorine tablets
whenever necessary. Chlorine tablets must be
maintained in the chlorinator at all times.
Tips for Maintaining Your Wastewater Svstem
The septic tank is usually a watertight concrete box buried
in the ground outside the house. Wastewaters from the
house, including the toilets, shower, bathtub, washing
machine and dishwasher flow into the tank. Heavier solid
materials settle to the bottom and the liquid flows out of
the septic tank onto a sandfilter and through a disinfection
unit. Both the septic tank and sandfilter must be properly
maintained for the system to work correctly. Some tips
for maintaining your wastewater system are:
• Do not put too much water into the septic system.
Try to conserve water wherever possible.
• Do not add materials such as chemicals, sanitary
napkins, or other foreign objects.
• Restrict the use of your garbage disposal.
• Do not pour grease or cooking oils down the drain.
• Have the solids pumped out of the septic tank every
3-5 years.
• Keep automobiles and heavy equipment off of the
septic tank, sandfilter and disinfection unit.
• Do not plant trees or bushes near the septic tank or on
top of the sandfilter or disinfection unit.
Chlorine Tablets
All treatment systems must have a chlorinator. It is
important that there is an adequate supply of chlorine
tablets in the chlorinator to ensure proper operation.
There will usually be a white PVC pipe sticking up from
the chlorination unit where the tablets should be inserted.
Tablets may sometimes be obtained from plumbing

r
NCDENR
North Carolina Department of Environment and Natural Resources
Michael F. Easley, Governor
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
J.A. Pommersheim
4 Hunters Lane
Hendersonville, North Carolina
Dear Mr. Pommersheim:
Division of Water Quality
November 19, 2004
28791
William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
Subject: Renewal notice / General Permit NCG550000
Certificate of Coverage NCG550305
Henderson County
You are receiving this notice because you currently own [or reside in] a residence previously
covered under the subject General Permit for the discharge of domestic wastewater. The Certificate
of Coverage specific to your residence has expired.
The Division needs information from you to determine if coverage under NCG550000 is still necessary.
➢ If your home still has a wastewater system like the ones described in the enclosed Technical
Bulletin, you should renew the subject permit. Complete the enclosed form and submit it to the
address on the form, with a copy of the property deed showing the date you took ownership of the
home.
➢ If you are not sure what type of system your home uses, contact Roy Davis in the NC DENR Asheville
Regional Office at [phone]. He can help you determine if you should renew coverage under
the General Permit.
➢ If you know that your home no longer discharges wastewater to a waterbody, contact me at the
address or phone number listed below to request rescission of the permit.
If you have any questions concerning this matter, please contact me at the telephone number
or e-mail address listed below.
Sincerely,
Charles H. Weaver, Jr. D
Point Source Branch
cc: Central Files
,Asheville Regional Office / Roy Davis
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone], extension 511 / FAX [phone] / charles.weaver@ ncmai1.net
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
NOV 2 4 20
WATER QUALITY`SEC^I�ON
ne
NorthCarohna
;Vaturally

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State of North Carolince
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
I 1 /26/01
F A ZAMBORSKY
POMMERS HEIM-RESIDENCE
4 HUNTERS LN
HENDERSONVILLE, NC 28791
1 � •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DEC I 0 2001
Subject: NPDES Wastewater-Pdi`ii it'Covera&6KRenewal�
Pommersheim-residence
COC Number NCG550305
Henderson County
Dear Permittee:
Your residence or facility is currently covered for wastewater discharge under General Permit NCG550000. This
permit expires on July 31, 2002. Division of Water Quality (DWQ) staff is in the process of rewriting this permit
with a scheduled reissue in the summer of 2002. Once the permit is reissued, your residence or facility would be
eligible for continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the DWQ for renewal of
your permit coverage. To make this renewal process easier, we are informing you in advance that your permit will
be expiring. Enclosed you will find a general permit coverage renewal application form. This will serve as
your application for renewal of your permit coverage. The application must be completed and returned with the
required information by February 01, 2002 in order to assure continued coverage under the general permit. There is
no renewal fee associated with this process.
Failure to request renewal within this time period may result in a civil assessment of at least $250.00. Larger
penalties may be assessed depending on the delinquency of the request. Discharge of wastewater from your
residence or facility without coverage under a valid wastewater NPDES permit would constitute a violation of
.NCGS 143-215.1 and could result in assessments of civil penalties of up to $10,000 per day.
If the subject wastewater discharge to waters of the state has been terminated, please complete the enclosed
rescission request form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
If you have any questions regarding the permit coverage renewal procedures please contact the Asheville Regional
Office at 828-251-6208 or Mack Wiggins of the Central Office Stormwater Unit at [phone], ext. 542
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Single -Family Discharge Inspection Report
Permittee do� PO M rr\ e e_s H a7N rN Inspector © e 5
Permit #' County H ►= " V EIS to nt
Location Address 4 1-4 l-Nv i E im .3 �Ya N _ Date Inspected o I 10 0
L"hl---7-1L-- Bv1-!VIk-2,80°% C Self -Monitoring Records _ Yes XNo
Contact Person /OA Po n-N rn, 4 %!5 H a-r Chlorinator Present _ Yes X No
Phone #A lg� g— 891 - 6 5-. g
Did Home Owner know of System XYes _ No
Age of System
i98- -
Last Repaired N OEvE'A
Septic Tank Last Pumped
Chlorine Tablets Yes \ No
Cascade Aeration _ Yes X No
Discharge Pipe Found _ Yes )< No
Sample Taken — Yes X No
General Observations/Stream .Conditions/Inspection Summary:
2/7/00

State of North Carolin.
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
May 1,
Mr. J. A. Pommersheim
Pommersheim residence
4 Hunters Lane
Hendersonville, North Carolina 28791
4�
NCDENR
0199�l � 11
Subject: PermitlVrodiff&&ion-Name and
Ownership Ch g
6- Pommersheim Residence
Permit No. NCG550305
(formerly Zambrosky, F.A.-Residence)
Henderson County
Dear Mr. Pommersheim:
In accordance with your request received January 25, 1999, the Division is forwarding the subject
permit. The changes in this permit are only with regard to a name and an ownership. All other terms and
conditions in the original permit remain unchanged and in full effect. This permit modification is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the U. S. Environmental Protection Agency dated December 6,
1983.
This permit does not affect the legal requirement 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 government permit that may be required.
The Division of Water Quality received your request for a Name/Ownership Change for the
subject facility on January 25, 1999. Your request package included a check for $100.00 to cover the
minor modification fee. Recent legislative changes have resulted in changes to the permit fee structure
for all of the permits handled by the Division of Water Quality. Under the new fee structure there is no
fee required for minor modifications to a permit. Therefore, we are returning your check in the amount
of $100.00.
If you have any questions concerning this permit, please contact Ms. Vanessa Wiggins at telephone
number [phone], extension 520.
Sincerely,
ORIGINAL SIGNSD 8V
WIWAMA 0. APL �.�
Kerr T. Stevens
cc: Central Files
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG550305
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
J. A. Pommersheim
is hereby authorized to operate a wastewater treatment facility that consists of a septic tank, sand filter and
associated appurtenances with the discharge of treated wastewater from a facility located at the
Pommersheim Residence
4 Hunters Lane
Hendersonville, North Carolina
Henderson County
to receiving waters designated as subbasin 40302 in the French Broad River Baisn
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG550000.
This Certificate of Coverage shall become effective May 5, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 5, 1999.
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water.Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
F. A. Zamborsky
4 Hunters Lane
Hendersonville, NC 28791
Dear Permittee:
ALT.WMAI
�EHNF�
July 21, 1997
Subject: Certificate of Coverage No. NCG55.0305
Renewal of General Permit _n_y3 t(('`
Zamborsky, F.A Residence= '�—S`.,.�
Henderson County -- � -
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31, 2002. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated December 6, 1983. If any
parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have
the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, the Division of Land Resources, Coastal Area Management Act or any other Federal or Local
governmental permit that may be required.
If you have any questions concerning this permit, please contact the NPDES Group at the address below.
Sincerely,
cc: Central Files A. Preston Howard,
A`sheville_Regional_Office- J
NPDES Group
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX [phone] p&[e-mail]
An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer paper

_;TATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000_ _
CERTIFICATE OF COVERAGE NO. NCG550305
TO DISCHARGE DOMESTIC WASTEWATERFROM SINGLE FAMILY RESIDENCES
. AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
F. A. Zamborsky
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility
located at
Zamborsky, F.A. - Residence
4 Hunters Lane Highway
Hendersonville
Henderson County
to receiving waters designated as subbasin 40302 in the French Broad River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective August 1, 1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21, 1997.
6eA. Preston Howard,Jr., P.E., Director
f Division of Water Quality
By Authority of the Environmental
Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr.,•Governor.
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
I.
II.
4 'j�L
ML
HIliF1
WATER QUALITY SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
CURRENT PERMIT INFORMATION:
Permit Number: N CG 5 S/ O )�Ia/ O / /
1. Permit holder's name:
2. Permit's signing official's name and title:
(Person legally responsible for permit)
3. Mailing address: City:.
State: Zip Code:
NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
.�La. Change in ownership of property/company
b. Name change only
c. Other (please explain):.
(Title)
Phone:
2. New owner's name (name to be put on permit): rlyn F^,,)
3. New owner's or signing official's name and title:
errs/so�on pally responsible for permit)
V U-5 n e f- O � j\p !vA 'C_.
(Title)
4. Mailing address: Y r tC✓1 ler` S �n to_ City: a e-.--, Sz�� V o Ile.
State: 1 �G C Zip Code: 3 Phone: (5Z R����

PERMIT NAME /OWNERSHIP -CHANGE FORM
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER QUALI-r
UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBIAITTA
REQUIRED ITEMS:
1. This completed application
2. Processing fee of $100.00 (Checks to be made payable to NC DEHNR)
3. Legal documentation of the transfer of ownership (such as a contract, deed, articles of
incorporation)
Certificatiort must be completed and sign°d by both il,e current permit holder and the
new applicant in the case of change of ownership. For name change only, complete and
sign the application certification.
Current Permittee's Certification:
I attest that this application for
name/ownership change has been reviewed and is accurate and complete to the best of
my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information and attachments are not
included, this application package will be returned as incomplete.
Signature:
Applicant's Certification:
Date:
I, S �p� t"o,.y, n-z��--5(n�c n-i attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of
my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting in ation and attachments -are not
included, thi appZr�of ag .will be retu ed as incomplete.
i Date:__ q�
Signature;'`.
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL. SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEHNR, Division of Water Quality
Water Quality Section, NPDES Group
jW y AI-ake- _ P. 0. Box 29535
Be-o n 14-t— Raleigh, North Carolina 27626-0535

'State of Noah Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality .
James B. Hunt, Jr.,•Governor.
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
WATER QUALITY SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION: :. ..
Permit Number: NCGS S/ O
1. Permit holder's name:
2. Permit's signing official's name and title:
cn le�.11y��,=Lslemit)
�/ / / (Title)
3. Mailing,aid/dreuss: city ,c,n
State: /y1,L Zip Code: �k 7 9� Phone: (%A .,G/ 3'
II. NEW OWNERINA yLE INFORMATION:
1. This request for a name change is a result of:
, La. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. New owners name (name to be put on permit):
3. New owner's or signing official's name and title: �.
( ersbn pally responsible for permit)
1� O u_5V) er-
(Title)
4. Mailirig address: ! r ��i'1 ��l` �"'`'`Z e— City: ^ '� r' �D/1y. Ile.
Phone: (
State: f , C , Zip Code: )

PERMIT NAME I OWNERSHIP £HANGS FORM
Y THE
THISUNLESS ALL OF THE APPL CABLEGE LITEMS LIS L NOT BE ED BELOW ACCEPTED BC
rVISION OF WATER QUAD
UNL OWARE INCLUDED WITH THE SUBMIT
REQUIRED ITEMS:
1. This completed application
2. Processing fee of $100.00 (Checks to be made payable to NC DEHNR)
3. Legal'documentation of the transfer of ownership (such as a contract, deed, articles of
incorporation)
Certification must be completed and sib .2d by both tl,e current permit holder and the
new applicant in the case of change of ownership. For name change only, complete and
sib the application certification.
Current Permittee's Certification:
f�aA, y attest that this application for
name/ownership change has been reviewed and -is accurate and complete to the best of
my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information and attachments are not
included, this appl' action package will be returned as incomplete.
14
Date: Z
Signature•
C�
Applicant's Certification:
,-y, flylle- r- 5 G1 �i ►�-1 attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of
my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information -and attachments are not
included, this application package will be returned as incomplete.
Date:_
Signature:
THE COMPLETED APPLICATION PACKAGE, iNCLUDNG ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEHNR, Division of Water Quality
nr Water Quality Section, NPDES Group
n �1` � _ P. 0. Box 29535
Raleigh, North Carolina 27626-0535

TI!

a
CL 0 z

�1
_ ,`
-l�l--- �% J_---

��j � 'a uoy d
,�._
......y___�: x

State of North Cai na
)epartment of Environment,
-lealth and Natural Resources
)ivision of Environmental_Management
lames B. Hunt, Jr., Governor
lonathan B. Howes, Secretary
k. Preston Howard, Jr., P.E., Director
F A Zamborsky.
4 Hunters Lane
Hendersonville NC 28739
Dear Mr. Zamborsky:
A&14
�m
E3EHNFIto
November 29, 1993
DES
.Subject: Certified Operator Requirements
Single Family Treatment Systems
NPDES Permit No. NCG550305
Henderson County
During February of this year, public hearings were held on proposed changes to modify the
operator certification rules. The proposed rules included a requirement that single-family
discharge systems would be classified wastewater treatment facilities, which would require
an annual inspection by a certified operator. The intent of the rule was to insure that the
systems are being properly operated and maintained.
During the public comment period, a significant amount of comments, statements and
additional information was submitted. As a result, the Water Pollution Control System
Operators Certification Commission amended the proposed rules. The rule, as adopted and
effective July 1, 1993, now requires single-family discharging systems to be classified
only if they are permitted after July 1, 1993 or if upon inspection by the Division of
Environmental Management (DEM) it is found that the system is not being adequately
operated and maintained. Systems can be inspected by DEM during routine compliance
inspections, permit renewals, or complaint investigations. Once a system is classified, it
will be required to have at a. minimum, an annual inspection by.a certified operator.
It is. important to remember that the NPDES permit is part of a Federal program
administered by the State of North Carolina and that violations of the permit are enforceable
by Federal and State laws. Although your system will not be required to have a certified
operator at this time, proper operation and maintenance is needed for the system to function
satisfactorily. In as much as each system must be individually designed and sited, special
maintenance requirements may apply to a specific installation. The attached maintenance
schedule should however be applicable to most systems. The frequencies suggested are
considered to be the minimum necessary. More frequent attention may be needed for a
specific system and may be required by conditions of the permit.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper,

ertified Operator Requirements
CG550305
age 2
i addition to being required by your permit, proper maintenance of your treatment system
extremely important to the long term serviceability of your wastewater treatment system.
proper maintenance is ;not given to. the system, it will fail and will result in major
rcpenses for repairs.
We would strongly encourage you to take the necessary action to insure that your system is
operating properly. If we can be of any assistance to you or if you have any questions or
comments, please call Dwight Lancaster of our staff at [phone].
Si7erely,
c n
cc: Asheville Regional Office - Water Quality
Facilities Assessment,Unit
Central Files

JUL 2 o ism
July 19, 1993
F. A. ZAMBORSKY
ZAMBORSKY (RESIDENCE), F. A.
4 HUNTERS LANE
HENDERSONVILLE, NC 28739
Subject: NPDES PERMIT NO. NC0060186
HENDERSON COUNTY
Dear Permittee:
The subject permit issued on 5/01/89 expires on 4/30/94. North
Carolina General Statute (NCGS) 143-215.1(c) requires that an
application for permit renewal be filed at least 180 days prior to the
expiration date. As of the date of this letter, the Division of
Environmental Management had not received an application for renewal.
If operation of a discharge or waste treatment facility is to occur
after the permit's expiration date, or if continuation of the permit is
desired, it must not be allowed to expire. A renewal request must be
submitted no later than 180 days prior to the permit's expiration date.
Operation of the waste treatment works or continuation of a discharge
after the expiration date would constitute a violation of NCGS 143-215.1
and could result in assessment of civil penalties of up to $10,000 per
day. If continuation of the permit is desired, failure to request
renewal at least 180 days prior to expiration will result in a civil
assessment of at least $250.00; larger penalties may be assessed
depending upon the delinquency of the request.
A renewal application shall consist of the following information:
1. A letter requesting the renewal.
2. The completed application form (copy attached), signed and
submitted in triplicate, referenced in Title 15 of North Carolina
Administrative Code (15A NCAC) Subchapter 2H .0105(a).
3. A processing fee (see attached schedule) in accordance with 15A
NCAC 2H .0105(b). The application processing fee is based on the
design or permitted flow, whichever is appropriate, listed in the
first categories of facilities.
4. Primary industries listed in Appendix A of Title 40 of the
Code of Federal Regulations, Part 122 shall also submit a
priority pollutant analysis in accordance with Part 122.21.

5. Facilities which have not been constructed within the last
permit cycle and are therefore, considered "new" facilities,
shall also submit an Engineering Alternatives Analysis,
referenced in 15A NCAC Subchapter 2H .0103 and Subchapter
2B .0201(c).
6. If the facility covered by this permit contains some type of
treatment works, a narrative description of the sludge management
plan must be submitted with the application for the renewal.
In addition to penalities referenced above, a permit renewal
request received after the expiration date will be considered as
a new application and will require the higher application fee.
15A NCAC 2H .0105(b)(2) requires payment of an annual
Administrative and Compliance Monitoring fee for most permitted
facilities. You will be billed separately for that fee (if
applicable), after your permit is approved.
The letter requesting renewal, the completed Permit application,
and appropriate fee should be sent to:
Permits and Engineering Unit
Division of Environmental Management
Post Office Box 29535
Raleigh, North Carolina 27626-0535
The check should be made payable to the North Carolina Department of
Environment, Health, and Natural Resources which may be abbreviated as
DEHNR.
If there are questions or a need for additional information
regarding the permit renewal procedure, please contact me or any
individual in the NPDES Group at telephone number [phone].
Sincerely,
Original Signed By
Coleen H. Sullins
Coleen Sullins, P.E.
Supervisor, NPDES Permits Group
cc: Asheville Regional Office
Permits and Engineering Unit
Central Files

State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
October 16, 1991
Mr. F. A. Zamborsky
4 Hunter's Lane
Hendersonville, North Carolina 28739
Subject: Compliance Evaluation Inspection
Status: In Compliance
NPDES Permit Number NCO060186
-nderson County
Dear Zamborsky:
A Compliance Evaluation Inspec on was conducted September 26,
1991, of the septic tank/subsurface sandfilter trench serving your
residence. Since the facility grounds and the receiving stream
indicated no problems, the wastewater treatment facility appears to be
operating properly, and is, therefore, considered to be in compliance
with its NPDES Permit.
If, in the future, the residence is sold, please inform the new
owners that they will need to apply for a new permit as NPDES Permits
are not transferable.
If you should have any questions, please feel free to contact me
at 7047251-6208.
Sincerely y 1r_s,
Kerry S. Becker
Environmental Technician
KSB
Enclosure
xc: Dan Ahern, EPA
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 • Telephone [phone]
An Equal Opportunity Affirmative Action Employer

ed States Environmental Protection Agency _
Washington, D. C. 20460
Form Approved
0-0003
OMB No.204res7-3
�"®ERA' NPDES Com„„liance Inspection Report
F�' p P
Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code , p NPDES jj�� yr/mo/day II /l Inspection Type Inspector Fac Type
I I i 14,1 el V 16 11 1 12� Q �� 17 1 ✓� 19� 2t�
1 V ZU A46 t) l� 7111 owl f� 1
Remarks
66
Reserved Facility Evaluation Rating 81 CIA ------------------ Reserved -----------------
6t_LLJ 69 70j 71u 72u 7J_LJ74 7d I I I I I 180
Section B: Facility Data
NName nand Location of Facility Inspected
/ N • 71,w &7 �C'S� Q��f LC t�
Entry Time
/F &D ❑ AM PM
Permit Effective Date
` / — p
S ,c'
Exit Time/Date
Permit Expiration Date
� 74 1�r C
n; , �: 222
-
Name(s) of On -Site Repres ntative(s)
Title(s)
Phone No(s)
Name, Address of/Responsible Official
Atl
Title
�/}
Phone No.
l -7m" � � l — c�
71 Q
Co cted
Yes ❑ No
Section C: Areas Evaluated During Inspection
(S = Satisfactory, M = Marginal, U = Unsatisfactory, N = Not Evaluated)
Permit
Records/Reports
Facility Site Review
Flow Measurement
Laboratory
Effluent/Receiving Waters
Pretreatment
Compliance Schedules
Self -Monitoring Program
5'
Operations & Maintenance
Sludge Disposal
Other:
9
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
-�
� S
Name(s) and Sigrlature(s) of Inspector(s)
Agency/Office/Telephone
Date
//
7 i — Z S/ 2 C1
F �'
Signat of Reviewer
Agency/Office
Date
A'77
1 D /S4
Regulatory Office Use On
Action Taken
Date
C plia a Status
❑
N compliance
i Com liance

State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
October 6, 1989
Mr. F. A. Zamborsky
4 Hunter's Lane
Hendersonville, North Carolina 287.39
Subject: Compliance Evaluation Inspection
Status: In Compliance
F. A. Zamborsky Residence
NPDES Permit Number NCO060186
Henderson County
f
Dear Mr. Zamborsky:
A Compliance Evaluation Inspection was conducted September 28,
1989, of the septic tank/subsurface sandfilter trench serving the
residence at 4 Hunter's Lane. The facility grounds and the receiving
stream indicated no. problems. The wastewater treatment facility
appears to 'be operating satisfactorily and is considered to be in
compliance with its NPDES Permit.
i
If, in the future, the residence -is sold, please inform the new
owners that they will need to -apply for a new permit. NPDES'Permits
are not transferable.
If you have any questions, please contact either Mr. Gary Tweed or
me at 704/251-6208..
Sincerely yours
Kerry S. Becker
Environmental Technician
Enclosure
xc: Dan Ahern, EPA
Gary T. Tweed
o Q
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28901 0 Telephone [phone]

United States Environmental Protection Agency Form Approved
ryry, /+ Washington, D. C. 20460
PA !��`gOf`PDr-;S Compliance Inspection hep ort OMB No.2040-0003
!' Y @' Approval Expires 7-31-85
Section A: National Data System Coding
rTran.�,tion Code NPDES yr/mo/day Inspection Type Inspector Fac Type
�_5i �I�IvI L11kjo1/ 11 1�I 141pl18!17 ,� ,�s� 2d
Remarks
Illlliillllllllllllllllllllllillllllllllilliill
66
Reserved Facility Evaluation Rating BI ------------------ Reserved --------------
6U7��---
69 70V`j 71A 720 73W 74 75 I I 1180
Section B:.Facility Date
Name and Location of F ility Inspected Entry Time ❑ AM PM Permit Effective Date
,f
n / Exit Time/Date �j Permit Expiration Date
�54sf;% /GSo2� -` oCP.t S0►. 4 . / ✓ r C / 4-fzo i .tJ
Name(s) of On -Site Rep esentative(s) I Title(s) P one No(s)
Name, Address of Responsible Official Title
��. F, , zr 6�S,�y ozcr 6:�
Phone No. Contacted o
O o2P73 ! 7� — C 7 r d ❑ Yes 0 No
Section C: Areas Evaluated During Inspection
(S = Satisfactory, M = Marginal, U = Unsatisfactory, N = Not Evaluated)
Permit Flow Measurement Pretreatment Operations & Maintenance
Records/Reports Laboratory. Compliance Schedules If-51
Sludge Disposal
Facility Site Review Effluent/Receiving Waters Self -Monitoring Program Other:
Section D: Summary of Finddiings/Comments (Attecch, additional sheets if necessary) /
(t l�G
N0T - 9
Name(s) and
of
) of Inspector(s)
Agency/Office/Telephone
Use Only
Action Taken
EPA Form 35SO-3 (Rev. 3-55) Previous editions are obsolete. _
Date
Date
Compliance Status f
�oncomplian'6e
_Compliance ^�- ;

7�
Date February 21, 1989
NPDES STAFF REPORT AND RECOMMENDATIONS
County_Henderson
NPDES Permit No. NC0060186
PART I - GENERAL INFORMATION
1'. Facility and Address: F. A. Zamborsky Residence
4 Hunter's Lane
Hendersonville North Carolina 28739
2. Date of Ipvestigation: September 19, 1988
3. Report Prepared By: Kerry Becker
4. Persons Contacted and Telephone Number: Mr. F. A. Zamborsky
5. iDirections to Site: From the intersection of U.S. Hwy 64 and NCSR
�,8.6.0 (Hunter's Lane). west of Hendersonville, travel north to 4
Hunter's Lane.
6. Discharge Point - Latitude: 350 1914711 r
Longitude: 820 30,451,
Attached a USGS Map Extract and indicate treatment plant site and
discharge point on map. q
J
USGS Quad No.F8SE or USGS Quad Name —Horseshoe, N.C.
7. Size (land available for expansion and upgrading): 1/4 acre
8. Topography (relationship to flood plain included): Flat
9. Location of nearest dwelling: 100'
10. Receiving stream or affected surface waters: UT to Shaw Creek
a. Classifications: C
b. River Basin and Subbasin No.04-03-02
C. Describe receiving stream features and pertinent downstream
uses: Wildlife propagation

PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% % Domestic
Industrial
a. Volume of Wastewater: .0003 MGD
b. Types and quantities of industrial wastewater:
c. Prevalent toxic constituents in wastewater:
d. Pretreatment Program (POTWs only)
in development approved
,should be requir-ed not needed
2: Production rates (industrial discharges only) in pounds
a. highest,. -month in the last 12 months
b. highest year in llIast'5 years
_ I
3. Description of industrial process (for industries only) and
applicable CFR Part ar!jid Subpart:
1
4. Type of treatment (specify whether proposed or existingl: -The'
existing facility consists of a septic tank/subsurface sand filter
followed by effluent chlorination.
5. Sludge handling and disposal scheme: 'SludgeodiEsposal is by a
licensed commercial siaptic tank cleaning firm.
6. Treatment plant classification:
7. SIC Code(s) 4952
Wastewater Code(s) 04

PART III - OTHER PERTINENT INFORMATION
1. Is this facility being_ constructed.with Construction Grants Funds
(municipals only)?
2. Special monitoring requests:
3. Additional effluent limits requests:
4.-'--Other-:_
PART IV EVALUATION AND RECOMMENDATIONS The Asheville
Regional Office recommends that NPDES Permit NC0060186 be reissued
to Mr. F. A. Zamborsky.
U (P.
S.gn ;tu of Report Preparer
AVOW F, ®rI4
a'ter Quality Reg:onal'Supervisor

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PUBLIC NOTICE
STATE OF NORTH CAROLINA
Water Quality Section
MAR 16 1.989
Asheville Regional Office
Asheville, Norlh Carolina
ENVIRONMENTAL MANAGEMENT COMMISSION
POST OFFICE BOX 27687
RALEIGH, NORTH CAROLINA 27611-7687
NOTIFICATION OF INTENT TO ISSUE A STATE NPDES PERMIT
Public notice of intent to issue a State NPDES permit to the following:
}� 1. NPDES No. NC0060186. Mr. F. A. Zamborsky, 4 Hunters Lane, Hendersonville, N.C.
28739 has applied for a permit renewal for a facility located at the F. A. Zamborsky
Residence, 4 Hunters Lane, Hendersonville, N.C. 28739, west of Hendersonville in
Henderson County. The facility discharges 0.00036 MGD of treated domestic
wastewater, from one outfall into an unnamed tributary to Shaw Creek, a Class "C"
stream in the French Broad River Basin.
On. the basis of preliminary staff review and application of Article 21 of Chapter 143,
General Statutes of North Carolina, Public Law 92-500 and other lawful standards and
regulations, the North Carolina. Environmental Management Commission proposes to issue
a permit to discharge to the persons listed above effective May 1, 1989, and subject
to special. conditions.
Persons wishing to comment upon or object to the proposed determinations are invited
to submit same in writing to the above address no later than April 16, 1989. All
comments received prior to that date will be considered in the formulation of final
determinations regarding the proposed permit. A publ.ic'meeting may be held where the
Director of the Division of Environmental Management finds a significant degree of
public interest in a proposed permit.
A copy of the draft permit is available by writing or calling the Division of
Environmental Management, Archdale Building, Raleigh, N.C. 919/733-5083, or the
Asheville Regional. Office, 59 Woodfin Place, Interchange Building, Asheville, North
Carolina. 28801 [phone].
The application and other information may be inspected at these locations during
normal office hours. Copies of the information on file are available upon request and
payment of the costs of reproduction. All such comments or requests regarding a
proposed permit should make reference to the NPDES permit number listed above.
Date 16, l 5
R. Paul Wilms, Director
Division of Environmental Management

Permit No. NC0060186
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVrRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL'POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
Mr. F. A. Zamborsky
is hereby authorized to discharge wastewater from a facility located at
F. A. Zamborsky Residence
4 Hunters Lane
west of Hendersonville
Henderson County
to receiving waters designated as an unnamed tributary to Shaw Creek in the French
Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I. II, and III hereof.
This permit shall become effective
This permit and the authorization to discharge shall expire at midnight on
Signed this day
A
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0060186
SUPPLEMENT TO PERMIT COVER SHEET
Mr. F. A. Zamborsky
is hereby authorized to: ,
1. Continue to operate an existing wastewater treatment system consisting of a
septic tank, subsurface sand filter followed by effluent chlorination
located at the F. A. Zamborsky Residence, on 4 Hunters Lane, west of
Hendersonville in Henderson County (See Part III of this Permit), and
2. Discharge from said' treatment works at the location specified' on the
attached map into an unnamed tributary to Shaw Creek which is classified
Class "C" waters in the French Broad River Basin.

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Pn7I' the event that violations of the fecal coliform requirements of the North
Carolina water quality standards occur as a result of this discharge,
disinfection will immediately be required and the permit amended to establish a
coliform effluent limitation.

�7
(
:q
✓^StATf q;-
�l,R ty Win HaF�,
�,6>
State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
James G. Martin, Governor David R. Spain
William W. Corey, Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
February 7, 1989
Mr. F. A. Zamborsky
4 Hunter's Lane
Hendersonville, North Carolina 28739
Subject: Copy of NPDES Permit NC0060186
Thompson Property - Lot 73
Henderson County
Dear Mr. Zamborsky:
Enclosed is a copy of NPDES Permit issued to Mr. D. O. Thompson
for Hunter's Lot #73. Unfortunately, our files do not contain a copy
of the blueprint showing the location of the septic tank and sand
filter beds. According to the information contained in the Hunter's
Lot #73 file, Laughter and Austin, P. A. was the engineering firm that
designed the system. They may have copies of the blueprints in their
files. Their address is:
Laughter and Austin, P. A.
131 4th Avenue East
Hendersonville, North Carolina 28739
Phone: [phone]
The Henderson County Health Department said that Hunter's Lot 473
had been turned down for a conventional septic tank system because of
high groundwater. The regulations in the N. C. Administrative Code
require a minimum separation distance of one foot between the bottom of
nitrification trench and the groundwater table. In the case of Lot
#73, the groundwater was within a foot of the surface, and, thus, was
not acceptable.
If you have any questions concerning this information, please give
me a call at 704/251-6208, extension 258.
Enclosure
Sincerely yours,
Ms. Kerry S. Becker
Environmental Technician
Interchange Building, 59 Woodfin Place, P.G. Box 370, Asheville, N.C. 28802-0370 a Telephone [phone]

State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
James G. Martin, Governor David R. Spain
S. Thomas Rhodes, Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
September 26, 1988
Mr. F. A. Zamborsky
4 Hunters Lane
Hendersonville, North Carolina 28739
Subject: Compliance Evaluation Inspection.
Status: In Compliance
F. A. Zamborsky Residence
NPDES Permit Number NCO060186
Henderson County
Dear Mr. Zamborsky:
A Compliance Inspection was conducted September 19, 1988, of the
septic tank/subsurface sand filter serving your residence. At the
time of the inspection, the facility was not discharging, but based
upon my observations of the grounds and receiving stream it appeared
to be performing as designed.
If you have any questions, please contact either Mr. Gary Tweed
or me at 704/251-6208,.extension 243 or 258 respectively.
Sincerely yours,
�r r
Kerry S. Becker
Environmental Technician
KSB:ls
Enclosures
xc: Dan Ahern, EPA
Gary Tweed
Interchange Building, 59 Woodfin Place, P.O. Box 370, Asheville, N.C. 28802-0370 0 Telephone [phone]

United tates Envikonmental Protection Agency
A Washington, D. C. 20460
.r
Form Approved
OMB No. 2040-0003
\®E.PA NPDES Compliance. Inspection Report
Approval Expires?-3T-86
Section A:. National Data System Coding
Trans ction Code.. NPDES yr/mo/day Inspection Type Inspector Fac Type
I(i 1011 iif l u ��l3 lye 191 17. , 19L I
2u I �L 016 „ , 8� 2d
Remarks
iII.IIIIIIII1-11111111I-II111111►Illlllllllllll1166
Reserved Facility Evaluation Rating BI QA ------------------ Reserved -----------------
6t__L_Lj 69 70 71[,&y 72u � 73�74 7d I I I I I l 80
Section B: Facility Data
Name and Location of FaciliY Inspected
� l41
Entry_Time
❑ AM f� PM
Permit Effective Date
F. - 2.4m' Lief t s ,-
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-low. a
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Permit Expiration Date
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Title
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IS = Satisfactory, M = Marginal, U = Unsatisfactory, N = Not Evaluated)
Permit.
Records/Reports
Facility Site Review
Flow Measurement
Laboratory
Effluent/Receiving Waters
AJj
Pretreatment
Compliance Schedules
Self -Monitoring Program
S
Operations & Maintenance
Sludge Disposal
Other:
,$'
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Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
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Date
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Agency/Office
Date
Regulatory Office Use Only
f
Action Taken
Date
Compliance tatus
❑^ Noncompliance
Compliance

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:13907

State of North Carolina
Department of Natural Resources and Community
Division of Environmental Management
RECE WED
Water Quality Section
JAN 2 3 1989
Asheville Recion I Of! ce
,Asheville, North Carolina
Development
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor
S. Thomas Rhodes, Secretary
Dear f;
This is to acknowledge receipt
I_.- Application
Engineering
? Request for
Application
Other
R. Paul Wilms
Director
Subject: NPDES Permit Application
NPDES Permit No. NCOO
County
of the following documents on , ;;f, ,,rr
Form,
Proposal (for proposed control facilities�)',
permit renewal,
ProcessingFee of { �';;• ''
Y
7
The items checked below are needed before review can begin:
Application form _ (Copy enclosed),
Engineering Proposal See Attachment),
_ Application Processing Fee of $ ,.
Other
If the application is not made complete within thirty 30 days, it will
be returned to you and may be resubmitted when complete.
This application has been assigned to
(919/733-5083) of our Permits Unit for review. You will.,. -be advised of
any comments recommendations, questions ,or other information necessary
for the review of the application.
I am, by copy of this letter, requesting that our Regional Office
Supervisor prepare a staff report and recommendations regarding this
discharge. If you have any questions regarding this application, please
contact the review person listed above.
Since rely,
AP l`Arihur Mouberry, P.E.
/`�r Supervisor, Permits and Engineering
cc:r
> Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

0,414,
(a.o .em
CAROLINA DEF OF. NATURAL RESOURCES AND.. COMA TY' 'DEVELOPMENT WIRONM
ENTAL MANAULPIENT TCOMMISSION X_ D
ATIONAL POLLUTANT -DISCHARGE ELIMINATION SYSTEM
APPLICATION'' FOR`- PERMIT -TO AISCNARGE" -� SHORT. FORM 0 FOR
_ AGENCY
- . .-•.. m.._.. :, . .. .. .... .. _ USE
To be filed;o►fly,by. services, wholesale -and retail trade.
and other commercial establishments including vessels
._, DAY
YEAR:,,:. r:MO �
Do not attempt ,to. complete this form 'wi.thout" reading -the- accompanying instructions -
Please
print or type
.. _ ....
1.' Name. address, and telephone number of facility producing discharge
A•. Name M R F. Z.4,viC�nr.ice '
B...Street.address 'U....:_ _...
C . City
� Q� s � % e_ ------.
/ 0. State'
E. Country„ = �ilGe2So,.� F. ZIP_ 73 9,
G. Telephone No..�_ 7 �l
Area
Code
--. .APPL LCAT ION- NIIMI(E R
DATE RECEIVkD
g
oil
1 s'.
2. S1C Cj h
(Leave blank) I
3. Number of employees 3 ec�v oo�� c�, , c
4. Nature of business—_5�_�.Zn,.�v
5. (a) Check here if discharge occurs all yearlb or
(b) Check the month(s)•discharge occurs:
I. a January 2. O February 3.0 Merch 1,4.0 Apri 1 5. a May
6, o June 7.•O July ` 8. a August 9.0 Sflpteeaber _._ .10.13 October
I I.0 November 12. o December
(c) How many days per week: /
1.01 2. o 2-3 3.0.4-5, 4..0 6-7.
6, Types of waste water discharged to surface waters only (check as aoplicable)
Flow, gallons per operating day
Volume treated before
discharging (percent)
Discharge per -
operating day'
0,1-999
1000.4999
5000•S999
10.000-
50.000
lone
0..1-.
30-
65-
95-
49,999
or'mDre
29.9
64.9
94.9
100 .
(1")
(2.).-..
`3)
-(4)
(5)
(6) ,
(7)
(8)
(9)
(10)
A. Sanitary, daily
average
8.. Cooling water. etc.,
daily average
C. Other discharge(s).
,
daily average;
Spec i fy '
D, Maximum per operat-
ing day for..combined
discharge (all types)

7, if any of the types of-wasl lentified in "item 6. either treated -or i___
treated. are discharged to piaces other than surface waters. check bel"ow
_ as applicable-. .
Waste_Nater is discharged to:
.0,1-999
1000-49"
5000-9999
(3)
10.000-49.999
(4)
50,000 or more
(5)
A. Mun i c i pd l sewer• Sys tons
II. lilt t•r•yr•nunrl well
r.. Septic tank
D. Evaporation lagoon or pond
-4
E. Other. speci;y:.........
8. Number of separate discharge points:
A. b4' B. 02-3 C.a 4-5 D.0 6 or more
9. Name of receiving water or waters
__.10.-Does.yaur-•discharge conta-in or is it possible fo�-yourAischarge to contain'
one or moreof the following substances jdtd asja result of your operations,
activities,,a processes: ammonia,..cyanide,-aluminum. beryllium. cadmium,
chromium. copper, lead, mercur . nickel, seleniva;, zinc, phenols,'oil and
grease. and chlorine (residual. J.
A.(yes 0.0 no
1 certify that I am familiar with the information contained in the appl.icatton and
that to the best -of my knowledge and belief such information is true, complete, and
accurate.
Printed Name of Person Signing
D' .�e,2
Title
Date Application.Signed
Signature of Applica
?worth Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly.makes
any false statement representation, or certification in any applicat�onv*iecord,•report, plan,,
or other document files or required to be maintained under Article 21 or regdlations.of One
Emrironaeatal *inagement Commission implemoattag that Article, 'or who falsifies, tampers with,
or knowly renders inaccurate any-recotding or noaitoriag 4
pvice or method 'required to be
operated or maintained under A):tiale 21:-oc regulatioeia•of. the Environmental Management Cods:?
implementing that ' Article, shali`b�.ti�. tv of a misdemeanor punishable• by a -fine not to exceed
$10,000, or by"imprisonmont•not to exceed six months, or by both. (18 tT.S.C. Section 1001 prov-
a punishment by a fine of"Aot more than S10,000 or impriso:msent not more than 5 years, or both,
fur a similar offense.)

e c STATE o A A P14.` s ��
" S 04
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street ! Raleigh, North Carolina 27611
James G. Martin, Governor R. Paul Wilms
S. Thomas Rhodes, Secretary Director
F. A. ZAMBORSKY
ZAMBORSKY (RESIDENCE),
4 HUNTERS LANE
HENDERSONVILLE NC
Dear F. A. ZAMBORSKY
December 29, 1988
28739
Subject: NPDES Permit No. NCO060186
HENDERSON
Our files indicate that the subject permit for a wastewater discharge to the
surface water expires on 890831. GS 143-215.1(c) requires that an application for
renewal must be filed 180 days prior to the expiration date. We have not received an
application for renewal from you as of this date.
A renewal application shall consist of a letter requesting renewal along with the
appropriate completed and signed application form, submitted in triplicate, referenced
in Title 15 of the North Carolina Administrative Code, Subchapter 2H, .0105. Primary
industries listed in Appendix A of Title 40 of the Code of Federal Regulations, Part
122 (40 CFR Part 122), shall submit a priority pollutant analysis that is performed in
accordance with 40 CFR Part 122.21. A processing fee must be submitted with the
application. Please find attached a copy of the 15 NCAC 2B .0105(b) regulations. The
processing fee for your facility is based on the design or permitted flow, whichever
is appropriate, listed in the first five categories of facilities. No facility is
allowed to submit a fee for the general permits listed in the fee schedule at this
time since EPA has not approved our general permit. Also the Environmental Management
Commission adopted rules on August 1,1988, requiring the payment of an annual fee for
most permitted facilities (See Attached). You will be billed separately for that fee
(if applicable), after your permit is approved.
This matter should be given prompt attention in that continued discharge after
the permit's expiration, without the filing of a complete and timely application for
renewal, constitutes discharge without a permit and is a violation of GS 143-215.1(a)
and the Federal Clean Water Act of 1977. The application for renewal should be
submitted to:
Permits and Engineering Unit
Division of Environmental Management C EziV E D
P. 0. Box 27687 Water Quality Section
Raleigh, North Carolina 27611 7687
JAN 5 = 1989
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] Asheville Regional Off'ce
An Equal Opportunity Affirmative Action Employer Asheville, North Carolina

For further information, please contact me at 919 733-7011i.
Sincerely,
Ori,ginjl Signed By
IUI. Bale Overc:aa,
M. Dale Overcash, P.E.
Supervisor, NPDES Permits Group
cc: AST%E' 1 T'r;=iJ'. 0._. e
Central Files

— ----_ —
-- _ — — -- -- -- — —_ —_--� — n
1 me
-
r
sNV
sVo W-VZ
L
-?l

pppppw
'.j u� A
State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
James G. Martin, Governor David R. Spain
S. Thomas Rhodes, Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
January 4, 1988
Mr. F. A. Zamborsky
4 Hunter's Lane
Hendersonville, North Carolina 28739
Subject: Applications For Renewal of
NPDES Permit NCO060186
Henderson Co.
Dear Mr. Zamborsky:
1
Enclosed are the 3 applications needed for the'renewal of your
permit. Please review them and sign if there are no questions. I
have also enclosed for your signature the letter requesting renewal.
A check for $60.00,made out to the Department of Natural Resources and
Community Development and a copy of your homeowner's deed should be
included with the letter sent to Mr. Mouberry.
If you should have any questions, -please feel free to contact me
at 704-251-6208, extension 258.
KSB
Sincerely yours,
ti f/
•1 L � ... T41 .
1
Kerry S. Becker
Environmental Technician
Incercha-.z Ruddu,,- 28802-0,70 • i;Irrhnne � � -2c1 -o=J9

January 4, 1988
Mr. Arthur Mouberry
Permits.and Engineering
P.O. Box 27687
Raleigh, North Carolina 27611
Subject: N.P.D.E.S. Permit NC0060186
Renewal Request
Henderson County
i
Dear Mr. Mouberry:
I am the current owner of the residence located at 4 Hunter's
Lane, Hendersonville, North Carolina previously owned. by Mr. D. 0.
Thompson. The N.P.D.E.S. permit for the septic tank/ sand filter
trench is still listed in Mr. Thompson's name and is due to expire.
August 31,'1989. Please reissue the permit in my name. Enclosed are
the required applications and fees and a copy of my homeowner's deed.
Sincerely yours,
Mr. F. A. Zamborsky

FACILITY NAME
TYPE OF WASTE
COUNTY
REGIONAL OFFICE
RECEIVING STREAM
7010 ; CFS
DRAINAGE AREA
411Pf i I. r
RE <UEST NO. �IuUz
WASTELOAD ALLOCATION APPROYAL FORM
THOMPSON PROPERTY —LOT 7:3
i DOMESTIC
% HENDERSON
ASHEYILLE REQUESTOR : HELEN FOWLER
UT TO SHAW CREEK SUBBASIN 040302
W 010 .2 CFS 300 ; .3 CFS
k .72 SQ.MI. STREAM CLASS FC
RECOMMENDED EFFLUENT LIMITS
WASTEFLOW (S)
(MGD)
:
.00036
BOD-5
('KG L)
30
NH3—N
(MG/L )
L.O.
(MO!L)
PH
(SU)
t
6-9
FECAL COLIFORM
(J100ML)4
TSS
(MGM
e
30
D.O. CONSTRUCTION CO. s PERMIT
NUMBER NCO056 0907 TO BE BUILT
APPROXT.MATELY -600' UPSTREAM.
DISCHARGE OF .00036 MOD.
FACILITY IS t PROPOSED ( EXISTING ( ) NEW ( r
LIMITS ARE : REVISION ( ) CONFIRMATION ( ) OF THOSE PREYTOUSLY ISSUED
I EYIEWED AND RECOMMENDED BY;
MODELER
SUPERYISORYMODELING GROUP
REGIONAL SUFERYTSOR",,
PERMITS MANAGER
WAN —DATE
-- -_ ----DATE 1_ ..
—DATEF
«......._ _......... _......_._...... __ .i�ATE 8 J

FFP
- Date forwarded 8/24/84
to Raleigh:
STAFF REPORT AND RECOMMENDATIONS
PART I - INSPECTION! OF FACILITY
1. Place Visited: Hunter's Crossing - Lot 73
Henderson County, N.C.
2. Date Visited: April 19, 1984
3• BY: Gary T. Tweed, P.E.
4. Persons Contacted: D. 0. Thompson, Jr.
5. Directions to Site: Hunter's Crossing is located North of U.S.
Highway 64 near NCSR 1450 in Henderson County.
6. Latitude and Longitude of the Discharge:
Latitude 350 19' 47"
Longitude 820 30' 45"
7. Size: Less than one acre
8. Topography: Flat
9. Location of Nearest Dwelling:
Greater than 100 feet
10. Receiving Stream: U.T. to Shaw Creek
( a) Class i fi cati on : C
(b) Sub -basin: 04-03-02
(c) Attach map indicating location of discharge point.
PART II - DESCRIPTION OF DISCHARGE
1. Type of Wastewater:
Domestic

ppppppr,
2. Volume of Discharge:
-2-
300 GPD - Single family 2-brd residence
3. Production Rates and Major Processes. ( If industrial, guidelines
are based on production.)
N/A
4. Description 'of Treatment Facility:
Septic tank subsurface sand filter effluent disinfection
5. Sample Locations:
U-
N/ A
D
I
E -
6. 4-Digit SIC Code: 9999
PART III - OTHER PERTINENT INFORIMATION:
The Henderson County Health Department has denied Lot 73 Hunter's
Crossing for a septic tank ground absorption system. It is proposed to
construct a sand filter system. This was done on Lot 13 in the sub-
division upstream of Lot 73. Attached is the wasteload allocation for Lot 13.

PPPPFP -3-
.PART IV - RE COMWN DATI ONS
It is recommended that the permit be -issued.
M

pr-
pp
G✓
_
REQUEST NO. 1 596JJ
WASTELOAD ALLOCATION
APPROVAL
FORM
FACILITY NAME
D.Q. CONSTRUCTION CO.
TYPE OF WASTE
DOMESTIC
COUNTY
HENDERSON
REGIONAL OFFICE i
ASHEVILLE
REQUESTOR
:
LAVE ADKINS
RECEIVING STREAM i
UT SHAW CREEK
SUBBASIN
04•-03-02
7010 0 CFS
W7Q10 i CFS
30Q2
CFS
DRAINAGE AREA
'1 SO.MI.
STREAM CLASS
;C
RECOMMENDED EFFLUENT LIMITS
WASTEFLOW(S)
(MGD)
:
.00036
BOD— ;
(MG/L)
30
NH3—N
(MG/L)
D.O.
(MG/L)
6
PH
(SU)
6-8.5
FECAL COLIFORM
(/100ML)i
1000
TSS
(MG/L)
1
30
FACILITY IS I PROPOSED ( ) EXISTING ( ) NEW ( )
LIMITS ARE : REVISION! ( ) CONFIRMATION ( ) OF THOSE PREVIOUSLY ISSUED
REVIEWED AND RECOMMENDED BY:
MODELER
SUPERVISOR&ODELING GROUP
REGIONAL SUPERVISOR
PERMITS MANAGER
g -- --- -------------DATF a ----------
i; if z"L 4 10 D A T E l-20550h
I
4

DIVISION OF
d srnr 1 ENVIRONMENTAL
(North Carolina Department of Natural MANAGEMENT
F. elm
= Resources &Community Development Robert Director
.� James B. Hunt, Jr., Governor James A. Summers, Secretary P T 77
1s
August 17, 1984 Water Quality Division
( / Mr. D.O. Thompson, Jr. AUG a 1 1984
13 Foxhorn Court
Hendersonville, NC 28739 YJestern Regional Office
Asheville, North Carolina
Subject: Application for NPDES Permit
No. NCO060186
The Thompson Co . - Tot-71
Henderson County
Dear Mr. Thompson
Receipt of the following documents is hereby acknowledged:
X Application Form
X Engineering Proposal (for proposed
Request for permit renewal
Other
control facilities)
If any of the items listed below are checked, the application received is
incomplete and the indicated item(s) must be received before review can begin:
Application
Engineering
Other
Form (copies enclosed)
Proposal (See (b) 1-5 on attached)
If the application is not made complete within thirty (30) days, it will be
returned to you and may be resubmitted when complete.
This application has been assigned to
Ms. Helen S. Fowler
(919/733-5083) of our Permits Unit for review and preparation of a draft permit.
Once the permit is drafted, public notice must be issues for forty-five (45) days
prior to final action on the issuance or denial of the permit. You will be advised
of any comments, recommendations, questions or other i.nformation necessary, for the
review of the application.
I am, by copy of this letter, requesting -that our Regional Office Supervisor
C p r e p a r e a'al f p t nd:"�ecomnendat(oris; regarding this .discharge.. -._if .you have
any questlo'ns regarding this application, please contact the review person. listed
above.
Sincerely yours,
��
William C. Mills, Supervisor
Permits and Engineering Unit
cc: h ,�, .1 e itcnaai Super$v I sor
ow er
P. O. Box 27687 Raleigh, N. C. 27611-7687
An Equal Opportunity Affirmative Action Employer

"Mo
N
RTH CAROLINA DEPT. ,,, NATURAL & ECONOMIC RESOURCES
VIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR
AGENCY
To be filed only by services, who Nsale and retail trade, USE
and other commercial establishment;; including vessels
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
1. Name, address, and telephone nunber of facility producing discharge
A. Name / f / o� )Of0� 0-O, — O1
B. Street address _ lf,?o A- d,cv,,//c /V/q),-._,
C . City 11E.11 oCError v�'� E
E. County %/&�?c eryo/I
G. Telephone No. _ r70 cf C9,7 G 7W
Area
Code
2. SIC
(Leave blank)
3. Number of employees
4. Nature of business
APPLICATION NUMBER
,61
rAi
DATE RECEIVED
Water Quality Division
AUG 9-1 1984
Western Regional Office
ackpvillt_ North Carolina
D. State (•
F. ZIP :2-?'7J9
5. (a) Check here if discharge occurs all year ❑ , or
(b) Check the month(s) discharge occurs:
1. ❑ January 2.0 February' 3.0 March 4.0 Apri 1 5.0 May
6, o June 7, o July 8.0 August 9.0 September 10, o October
11, o November. • 12. ❑_December
(c) How many days per week:
1.01 2.0 2-3 3.0 4-5 4.0 6-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day
Volume treated before
discharging (percent)
Discharge per
operating day
.0.1-999
1000-4999
5000-9999
10,000-
50,000
None
0.1-
30-
65-
95-
49,999
or more
29.9
64.9
94.9
100
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
A. Sanitary, daily
average
B. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify
D. Maximum per operat-
ing day for combined
discharge (all types)

7. If, any of the types of waste � '-tified in item 6, either treated or un-
treated, are discharged to pl, other than surface waters, check below
as applicable.
Waste water is discharged to:
0.1-999
(1)
1000-4999
(Z)
5000-9999
(3)
10,000-49,999
(4)
50,000 or more
(5)
A. Municipal ;ewer system
H. Milh-ryrvound wr H
C. Se,.itic tank
D. Evaporation lagoon or pond
E. Other, specify:
8. Number of separate discharge points:
A_ 131 B. ❑ 2-3 C. ❑ 4-5 D. ❑ 6 or more
9. Name of receiving water or waters
10. Goes your discharge contain or is it possible for your discharge to contain
one or more of the following substances added as a result of your operations,
aictivities, or processes: ammonia, cyanide, aluminum, beryllium, cadmium,
chromium, copper, lead, mercur nickel, selenium, zinc, phenols, oil and
grease, and chlorine (residual.
A. a yes B. ® no
I certify that I am familiar with the information contained in the application and
that to the best of my knowledge and belief such information is true, complete, and
accurate.
Printed Name of Person Signing
�L.i /.'�L �� L
Title
J/3/,,L
Date Application Signed
Signature of Applica t
North Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly makes
any false statement representation, or certification in any, application, record, report, plan,
or other document files or required to be maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, or who falsifies, tampers with,
or knowly 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 guiltq of a misdemeanor punishable by a fine not to exceed
$10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provide;
a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both,
for a similar offense.)

1830 Asheville Highway • Hendersonville, North Carolina 28739 • [phone]
August 14, 1984
North Carolina Department of
Natural Resources
Water Quality Section
Dear Sirs:
We wish to do whatever is necessary to expedite this request for a
discharge permit for Lot 73, Hunter's Crossing. We have contracted
to finish a home for a customer by November 15 on this lot. Please
let me know how I can help in any way.
Very truly yours,
D.O. Thompson, Jr.
President
DOTjr/jm

• 5L`GLE F .L i• RESIDENCr'. 1vW 1: :�L�,t _ _ C •r.
i. -Wastewater design_ flow based on 50 gallons per da%- (C-PD) times the number
( ? ) of bedrocros in proposed house.
ez�:ample: one (1) be.. Dom house = 150 GPD
two (2) bedroom house = 300 GPD
three (3 bedroom house = 450 GPD
2 \PDES permit effluent limits based on specified design flow and particular
discharge point into specified stream segment will determine the wastewater
treatment facility units required.
example: dissolved ox:gen (D.O.) > 5.0 ppm = post aeration (ex. cascade)
fecal coliform (F.C.) 1,000/100 1 = chlorine con-
tact tank with tablet chlorinator
biological oxygen demand (BOD) < 15ppm = no permit (see note)
> 15ppm = dual sand filters
30 ppm in series or re-
circulating sand
filters
Cane fil—r
note: minimum treatment required is septic tank with sand filter
3. Minimum influent sewer size is 6-inch diameter installed at minimum slope of
1.0%. Recommend using this size pipe throughout the facilities made of poly-
vinyl chloride. Plans should show pipe size, slope, and lengths throughout
the e system.
4. Minimum septic tank hydraulic capacity must be equal to or greater than daily
design flow of :IPDES permit. dote that if precast concrete septic tanks are
e standard precast sizes are
utilized, then this would be taken care of sinc
700,1,000, and 1,200 gallon capacity.
example: a 1,200 gallon tank for a three (3) bedroom house
would allow for 48' hours of retention time plus
adequate sludge storage.
note: standard design requires a baffled. septic tank
5. For systems employing a filter bed instead of a trench and therefore, pro-
viding more than one (1) distribution pipe, a distribution box must be pro-
vided. For boxes containing more than two (2) distribution ports, a baffle
must be provided. Distribution boxes shall be limited to no more than five
(5) distribution ports. Precast distribution boxes may be utilized.
6. Sand filters shall not exceed the following design flow loading rates:
primary subsurface filter trench or bed = 1.15 GPD/S.F.
r ifn of is= 2.3 GPD/S.F.
secondary = 3.4 GPD/S.�.
:;tan,-arc!csrface filter bed
recircul7ating surface filter bed = 5.0 GPD/S.F. at
min. recycle ratio of 3 to l
note: - all sand filters media specs: 3.305 uniformiittyeive size
coeft
0.5% dust content
all sand filter media must be analyzed from source and site samples
submitted to the Di:izicn of Environmental '.Management.
7, :Minimum chlorine contact tank volume equal to or greater than 3.0 minutes of
NTPDES daily flowrate. Contact tank must be baffled.
Cont'd.

8. `Minimum cascade aerator "fall" eaual to 5 steps each 6-inches high,
15-inches wide, and 1 foot long.'
--.9. "Influent and effluent pipe should be covered by at least.18-inches of
backf ill.
- 10. All -facilities must be located a minimum of 100 feet. -from a potable
' water supply well and 10 feet from the property line and house.
-11. Septic tank must be pumped once a year and the filters must be rehabili-
tated as needed but should be inspected no less than once every three
years of operation.
(Mote: for dischargers determined to require an.effluent quality of BOD < 15 ppm,
additional treatment beyond that described here is required. No new permit
will be issued for septic tank/sand filter type -treatment below this limit,
unless the project is a repair of failing system.
9 -i®

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RECEIVED
Water Qu iityvision Di
North Carolina Department of Natural
Resources & Community Developm `6 if' I'll
James B. Hunt, Jr., Governor James A. SummersW, SWta4gional OffiC.
Asheville, North Carolina
n DIVISION OF ENVIRONMENTAL MANAGEMENT
PROJECT:
s- , _:r ,;xrr• t3� �sG_.1 $`..�a,��`�'�`, t,~u '"`ass "/ ,,�; ' "..:.. .r' _ .. I sr r
Dear
We acknowledge receipt of the following documents: 19
permit application - sAPN
engineering plans
specifications
other �'l., r x - .1, �l .h i .,:' }c'� ,�.., .i. i ; �, 1 ,_, •� • 1 ,. t ,
Your has been assigned to project g y ;; `- �� �=� -` <}-?I'z for a detailed ` � • •'
engineering review. All project documents will be reviewed with respect to the
proposed wastewater facilities. This review will not commit this Division to
approving any expansion of these treatment facilities or increase of flowrate in
the future.
Prior to the issuance of the permit, you will be advised of the recommendations
and comments of this Division. You will also be informed of any matter which needs
to be resolved.
Our reviews are scheduled based on receipt date of complete informations. The
items checked below are needed before your project can be reviewed.
permit application (copies enclosed) S . `' r; " k. 1,'' a>
engineering plans (signed and sealed by N.C.P.E.)r,,
specifications (signed and sealed by N.C.P.E.) - i `r''
�11 other additional information detailed"%, on. attaehmen-t
;,
The above checked information is needed by ,. �,: c,,; ., If not received,
your application package will be returned as incomplete. Please bye aware that the
Division's Regional Office must provide ]iHf+.iMEW@ prom
6� the ReMy
Su vo"rr aProcedure=Four=Evaluation for this project, prior to final
actionhe D vision.
If you have any questions, please call the review engineer at this telephone number
919/733-5083.
L _ Sincerely,
. u f - 1. rij4 1 � 4' c t. .� � S•,
cc: -
P. 0. Box 27687 Raleigh; N. C. 27611-7687
HDC/meb An Equal Opportunity Affirmative Action Employer

r ,�!-'.rlt� .ii.��� -•�1C r�_,•�r..� cc t�''1�I�;�'._� D- `t^r=
F r C!vI ^r—I nnL -n;n ar�t ns-L-•!,t._rnc'c•�! rl •rrvr % {� J r-_ J IJ
NAT IONAHL POLLU 1 AN APPLICATION FOR PERM T TO DISCNARaE — Sc10MI FORD' D-
To be filed only by service.s, wholesale and retail trade,
and other commercial establishments including vessels
AGENCY ��� ll
USE DATE RECEIVED
YEAR Mo. DAY
Do not attempt to complete this form without reading the accompanying ins`_ructions
Please print or type
i. Name, acaress, anC telexnone numoer or facility producing discharge
Name
B. Street address Fir r
C. city rp�e tt 11^0'r?%��% "
E. County
G. Telephone No. 7 L
Area
Code
6. Types of waste water discharged to surface waters only (check as applicable)
D. State
r . ZIP
Flow, gallons per operating day
Volume treated before
discharging (percent)
Discharge per
operating day
0.1-999
1000-4999
5000-9999
10,000-
50,000
None
0.1-
30-
65-
95-
49,999
or more
29.9
64.9
94.9
100
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
A. Sanitary, daily
Z d�
average
B. Cooling water, etc..
daily average
C. Other discharge(s),
daily average;
Specify
D. Maximum per operat-
ing day for combined
discharge (all types)

Fe types oe
f waSt2 11 `)eC `n Item �, either tratea or un-
are dis:ner•-eG ,ther than surface waters. _her:: pe10w
icaCl2_
Waste water is discharged to:
0.1-999
(1)
1000-4999
(2)
5000-9999
(3)
10,000-49,999
(4)
50,000 or more
(5)
A. Munici�ial ,y•,tcnl
�• =
I
i.• Ilnclrn�t'rutlH wr•I I
I
I
�. Sepl.i(. tank
I
_. Evaporation lagoon or pond
i
E. Other, specify:
I
z
B. Number of separate discharge ooints:
A. 41 B. D 2-3 C.0 4-5 D. ❑ 6 or more
9. Name of receiving water or waters
-\10. Does your discharge contain or is it possible for your discharge to contain
:one or more of the following substances add .as a result of your operations,
-activities,=or processes: .ammonia ,cyanide, aluminum, beryllium; cadmium, T .
chrani�m., copper.., --lead, mercury'. nickel. selenium, zinc, phenols., oil and -
-. ) _
---grease,-and-chlorine.(res.idual =:.
I certify that .I am familiar with the information contained in the application -and
-that to the best of my knowledge and belief -such .information`is true.,`;complete, and
accurate.
Printed Name of Person Signing
Ti tle
AU s . / 3
Date Application Signed _
Signature of Applicant
orth Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly makes
cation, record, report, plan,
ny false statement representation, or certification in any appli
r other document files or required to be maintained under Article 21 or regulations of the
avironmental Management Commission imolersenting that Article, or who falsifies, tampers with,
r knowly renders inaccurate any recording or moao fd� c�yir�ffitentalegM naegP,�Rt Cos:aissia:
be
Aerated or maintained under Article 21 or regulations
mplementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed
(18 II.S.C. Section 1001 provide
10,000, or by imprisonment not to exceed six months, or by both.
punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both,
or a similar offense.)