NCG550516_Regional Office Physical File Scan Up To 6/1/2020

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550516
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,
Rose T. Gates
is hereby authorized to discharge domestic wastewater [360 GPD] from a facility located at
607 Squirrel Creek Road
Newland
Avery County
to receiving waters designated as Squirrel Creek in subbasin 04-03-06 of the French Broad
River Basin in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective August 1, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 27, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

AMA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross,Jr.,Secretary
Coleen H.Sullins, Director
July 27,2007
Rose T. Gates
P.O. Box 341
Crossnore,NO 28616
Subject: Renewal of coverage/General Permit NCG550000
607 Squirrel Creek Road
Certificate of Coverage NCG550516
Avery County
Dear Permitter:
In accordance with your renewal application [received on January 26,20071,the Division is renewing
Certificate of Coverage(CoC)NCG550516 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 i.
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 may sale or transfer of the Permitted facility.
Regional Office staff will assist you in documentine the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources,Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit,please contact Toys
Fields t919 733-5083,extension 551 or tova Fields@ncmai]net] or Susan Wilson [919 733-5083,extension 510
or [e-mail]].
Sincerely, _
for Coleen H. Sullins ��
i
re: Central Files ItJ�� 21107
1�
Asheville Regional Office/Surface Water Protection i
NPDES file l
1617 Mail Service Center,Raleigh,Noah Carolina 27699.1617 nL�'
512 Noah Salisbury Street,Raleigh,Noah Carolina 27604 NoOL e.Li1Carofina
Phone: [phone]/FAX [phone] Internet:www.ncwaterquality.org J�/�Vatu ����
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I

AM
NCDENR �� JAN r 6 tom
North Carolina Department of Environment a d1, atur LF�esources
....—-- Division of Water Duality wn ou yµ
c iol
Michael F. Easley,Governor As�;r Wtlllam�14i,4S6 c�F I�@Cfet N i
Alan W Klimek,P E;Dirac or
January 9, 2007 - --,e
Rose Gates
P.O. Box 341
Crossnore, NC 28616
Subject: Renewal Notice/General Permit NOG550000
Certificate of Coverage NCG550516
Avery County
Dear Permittee:
You are receiving this notice because you currently own a property covered under the subject
General Permit for the discharge of domestic wastewater. NCG550000 will expire on July 31, 2007.
Federal (40 CFR 122.41) and North Carolina(15A NCAC 2H.0105(e))regulations require
that permit renewal applications be filed at least 180 days prior to expiration of the current permit.
To satisfy this requirement, the Division must receive a renewal request postmarked no later than
February 1. 2007.
The Certificate of Coverage (CoC) specific to your property was last issued on August 1, 2002.
The Division needs information from you to determine if coverage under NCG550000 is still
necessary.
➢ If your property still has a wastewater system like the ones described in the enclosed
Technical Bulletin, you must renew the subject CoC. Complete the enclosed form and
submit it to the address on the form.
➢ If you are not sure what type of system your property has, contact Larry Frost in the NC
DENR Asheville Regional Office at. That person for other staff members] can help you
determine if you should renew your CoC.
➢ If you know that your property no longer discharges wastewater, contact me at the
address or phone number listed below to request rescission of the CoC.
➢ This information request does not certain to the Annual Fee of$50.00 billed
separately by the Division's Budget Office. No money is required for this
procedure. The Annual Fee is like the fee you annually pay the DMV for the sticker on
your vehicle's license plate. Renewal of your CoC is like the renewal of your Driver's
License [ca. every five years].
➢ If you have already mailed a renewal request,you may disregard this notice.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
512 Noah Salisbury Street,Raleigh,North Carolina 27604 N°O ehCarolina
Phone: [phone],extension 511/FAX [phone]/[e-mail]!!!l,J
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NCG550516 renewal notice
January 9,2007
The attached application form shows the information the Division has on file for your
property. Please verify that the provided information is correct, or make corrections on the form.
Complete the additional questions, then sign and date the form.
The completed form should be submitted to the address listed below the signature block.
If you have any questions concerning this matter, please contact me at the telephone number
or e-mail address listed below. (If it is difficult to reach me, please be aware that your facility is one
of over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your attention to this matter.
Sincerely,
Charles
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
Asheville Regional Office/Larry Frost
NPDES file

State of North Carolin�-)
Department of Environment �0
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary
Alan W. Klimek, P.E., Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RE50URCE5
July 26,2002
ROSE T GATES
GATES ROSE T-RESIDENCE
P O BOX 341
CROSSNORE, NC 28616
Subject: Reissue-NPDES Wastewater Discharge Permit
Gates Rose T-Residence
CDC Number NCG550516
Avery County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG550000,the Division of
Water Quality(DWQ)is forwarding herewith the reissued wastewater general permit Certificate of Coverage
(COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S.Environmental Protection Agency,
dated May 9, 1994(or as subsquently amended).
The following information is included with your permit package:
* A copy of the Certificate of Coverage for your treatment facility
* A copy of General Wastewater Discharge Permit NCG550000
" A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG550000
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal,state,or local law rule,standard,ordinance,order,judgment,or
decree.
Please note that effective January 1, 1999 the fees for all permits issued by DWQ were changed. This changed the
fee for your wastewater general permit coverage from a$240 Fee paid once every five years to a yearly fee of$50.
If you have not already been billed this year for the yearly fee,you will receive a bill later this year.
If you have any questions regarding this permit package please contact Mack Wiggins of the Central Office
Stammerer and General Permits Unit at(919)733-5083,ext.542
Sincerely, �1
for Alan W.Klimek,P.E.
cc: Central Files
Stormwater&General Permits Unit Files
Asheville Regional Office
1617 Mail service Center, Raleigh, North Carolina 27699�1617 Telephone [phone] FAX [phone]
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State of North Caroling
Department of Environment ,, •
and Natural Resources 4,'
Division of Water Quality �
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
11/26/01
ROSE T GATES Of'("
GATES ROSE T-RESIDENCE
P O BOX 341
CROSSNORE, NC 28616
Subject: NPDES Wastewater Permit Coverage Renewal
Gates Rose T-Residence
CDC Number NCG550516
Avery 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 completer)and returned with the
required information by February 01,2002 in order to assure continued coverage under the general permit.There is
no renewal foe 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(919)733-5083,ext.542
Sincerely,
Bradley Bennett,Supervisor
Stormwater and General Permits Unit
cc: Central Piles
Stormwater and General Pennies Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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j1STATE OF NORTH CAROLINA, �+
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO NCG550000
CERTIFICATE OF COVERAGE NO. NCG550516 I
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,
Rose T. Gates
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
Gates,Rose T.-Residence
607 Squirrel Creek Road
Newland
Avery County
to receiving waters designated as subbasin 40306 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 June 11,1998.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day June 11,1998.
,a' XA. Preston Howard,Jr., P.E., Director
I Division of Water Quality
By Authority of the Environmental Management Commission

�� � U✓ 'State of North Carolina I
Department of Environment
and Natural Resources '� • �/
Division of Water Quality _ r
James B. Hunt, Jr., Governor NC DENR
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director IJ7}ne 11, 1998
II I'i I
Rose T.Gates
P.O.Box 341 JUN 1 2 1998 [dl
Crossnore,NC 28616 p 6
If li�1((""/ I1110
Subject: Certificate of Coverage Nb NC�5�0�16'pi
Renewal of General Permit -
Gates,Rose T.-Residence ,
Avery County
Dear Permittee:
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. I'
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 Unit at the address below.
Sincerely,
cc; Central Piles
A.Preston Howard,Jr.,P.E.
'
Asheville Regional Office
NPDES Unit
Compliance Enforcement Unit
P.O.Box 29535,Raleigh,North Carolina 27626-0535 [phone] FAX[phone] p&e0dem.ehnr.state.nc.us
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State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor �� k
Jonathan.B. Howes, Secretary p E H N �A. Preston Howard, Jr., P.E., Director
September 30,1993
ROSET.GATES
ROSE T.GATES
P.O. BOX 341
CROSSNORE NC 28657 Subject: ROSE T.GATES
Certificate of Coverage NCG550516
General Permit NCG550000
Formerly NPDES Permit NC0076872
Avery County
Dear Permittee:
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 NC0076872. 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
Pemdttee 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 Pennittee 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) yearn.
Post Office Box 29535,Raleigh,North Carolina 27626-0535 Telephone[phone] FAX[phone]
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Page 2
ROSE T.GATES
ROSE.T.GATES
Certificate of Coverage No. NCG550516
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
we 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 Pemuttee 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

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG550D00
CERTIFICATE OF COVERAGE No.NCG550516
TO DISCHARGE TREATED DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND
SIMILIAR WASTEWATERS UNDER THE
NATIONAL POLLUNTANT 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,
ROSE T.GATES
is hereby authorized to discharge treated domestic wastewater from a facility located at
ROSE T.GATES
Avery County
to receiving waters designated as the SQUIRREL CREEK/FRENCH BROAD RVR BASN
in accordance with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,II,
III and IV of General Permit No. NCG350000 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 Howar ,Jr.,P.E.,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

,w SEAR -
t 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
August 1, 1989
William W. Cobey, Jr., Secretary Director
Ms. Rose I . Gates
P.O. Box 341
Crossnore, NC 28657
Subject: Permit No. NC0076872
Rose T. Gates Residence
Avery County
Dear Ms. Gates:
In accordance with your application for discharge permit received on May 10,
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.
Sincerely,
ORRMNAL SIGNED BY
DESMS R. RAMSEY
R. IfO1. Wilms Walor Quall'ty Sertirm
cc: Mr. Jim Patrick, EPA rI
Asheville Regional Office /�lll' �� - 1989
pnlmHun poo.roio„nun Ashnvllln Rail uo�l 0(fce
.Asheville, North Carolina
'� ly P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone 919-733 M15

Permit No. NCO076872
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,
Ms. Rose T. Gates
is hereby authorized to discharge wastewater from a facility located at
Rose T. Gates Residence
on Squirrel Creek Road
Hughes Community
Avery County
to receiving waters designated as Squirrel 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 August 1, 1989.
This permit and the authorization to discharge shall expire at midnight on July 31.,
1994.
Signed this day of August 1, 1989.
ORONAL SIGNED BY
DENNNS R. RAMSEY
FOR
R. Paul. Wilms, Director
Division of Environmental. Management
By Authority of the Environmental Management Commission

Permit No. NG0076872
SUPPLEMENT TO PERMIT COVER SHEET
Ms. Rose T. Gates
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility,
and
2. Make an outlet into Squirrel Creek, and
3. After receiving an Authorization to Construct from the Division of
Environmental Management, construct and operate a 0.00036 MGD wastewater
treatment facility located on Squirrel Creek Road, Hughes Community, Avery
County (See Part III of this Permt), _and
4. Discharge from said treatment works at the location specified on the
attached map into Squirrel Creek which is classified Class °C-Trout"
waters in the French Broad River Basin.

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PART I
"Act" used herein means the Federal Water Pollution Control Act, As
Amended.
"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 than for fecal 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, M-1/day (MGD) : Tile 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 ofthe 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 com-
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, or (if) 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 I1
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 'Bower 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 ground.
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. -

Permit No. NC0076872
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. Rose T. Gates
is hereby authorized to discharge wastewater from a facility located at
Rose T. Gates Residence
on Squirrel Creek Road
Hughes Community
Avery County
to receiving waters designated as Squirrel 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 of RAFT
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0076872
SUPPLEMENT TO PERMIT COVER SHEET
Ms. Rose T. Gates
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility,
and
2. Make an outlet into Squirrel Creek, and
3. After receiving an Authorization to Construct from the Division of
Environmental Management, construct and operate a 0.00036 MGD wastewater
treatment facility located on Squirrel Creek Road, Hughes Community, Avery
County (See Part III of this Permit), and
4. Discharge from said treatment works at the location specified on the
Attached map into Squirrel Creek which is classified Class "C-Trout"
waters in the French Broad River Basin.

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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 emended to establish a
coliform effluent limitation.

ROY COOPER
Gavw nnr
MIC14AEL S. REGAN
5'aareI' ,
Water Resources S.JAY ZIMMERMAN
runt anal Quality IJtraclor
January 26, 2017
Rose T Gates
PO Box 341
Crossnore,NC 28616
SUBJECT: Compliance Evaluation Inspection
607 Squirrel Creek Road
Permit No: NC0550516
Avery County
Dear Ms. Gates:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection
conducted on 1/13/2017. The facility was found to be in compliance with permit NCG550516,
with the understanding that the effluent pipe will be truncated or elevated out of the water and then
monitored for any discharge. Please call or email me when this action has been taken. -
Please refer to the enclosed inspection report for additional observations and comments. If you
have any questions,please call me at 828-296-4658.
Sincerely,
Daniel J Boss
Environmental Specialist
Asheville Regional Office
Email: [e-mail]
Enclosed: Inspection Report
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Avery\Wastewater\GeneralNCG55 Single Family Residences\550516 Gates\Compliance letter CEI 1.13.2017.docx
-7.--^Nothtng Compares"',,
State ot'Notth Carolina I Environmental Quality I Water Resources
2090❑.S.ftm} ey 70,Swantraim,North Carolina 28778
828-296-45M

OniWt Stabs EnvimnmeIts Pittman.Apency Form Approved,
EPA Weshingtm,O.G thi OMB No.2040 0057
Water Compliance Inspection Report Approval expires 8.31-08
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yrlmolday Inspection Type Inspector F..Type
1 iN i 2 15 i 3 I NCG550516 11 12 14101 17 18 Ll 19( s l 201 I 211 11111 I I 11111 I I I I I I 11111 11111111111111 I I I 1 g6
Inspection Work Days Factty Self-MIssionnp Evaluation Rating B1 CIA -------Reserved---------
67 70 I I 71 L I 72 ( al � 731 174 75I I I I I80
I_I Section B:Facility Data
LJ t1 t
Name and Location of Fadlity Inspected(For Industrial Users discharging to POTW,also hands Entry Time/Gate Permit Effective Date
POTW name and NPDES permit Numbarl 0355PM 14105123 13108/01
607 Squirrel Creek Road
607 Squirrel Creek Rd ExIt TImelDate Permit Expiration Date
04:15PM 14105123 18/07131
Newlantl NC 28657
Name(e)of Onsite Representative(affinfes(s)IPhone and Fax Number(.) Other Facility Data
Ill
Name,Address of Responsible Official?itlelPbone and Fax Number
Contacted
Rose T Gatei Box 341 Crossnom NC 2861611828-733-1602/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Facility Site Review
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(.)and Signature(.)of lnspectel Agen,10ffi./Phone and Fax Number. Date
Edward M Wilson. DIVISIon a Water Ouslitylll
Signature of Management O A Reviewer AgenrylOfrlcarPhone and Fax Numbers Date
EPA Form 3580-3(Rev 9-64)Previous editions are obsolete.
Page# 1

7) r''r
NPDES yrlmolday Inspectio�n�Type 1
31 NCe55051e I11 12 11105M 17 18 LLJ
Section D:Summary of Finding/Comments(Attach additional sheets of merrative and checklists as necessary)
No discharge pipe was located. No receiving streams near property.
Page# 2

n
Permit NCG550516 Ovmer Feclllb: 607 tiquinrelCreak Roetl
Inspection Date: 0 512 312 01 4 Inspection Type: Compliance Evaluation
Yes No NA NE
Page# 3

F W TFA �'} /"� Michael F.Easley,Governor
OHO 9pG / Y William G.Ross Jr,Secretary
North Cararra Department of Envlronnnenl and Natural Resources
�tl 2y Alan W.Klimek,P.E.Director
> _s,y Division of Water Quality
O Y Asheville Regional Office
SURFACE WATER PROTECTION
February 15, 2007 $[{}? „'"
Rose T Gates
PO Box 341
Crossnore NC 28616
SUBJECT: Compliance Evaluation Inspection
Gates Rose T- Residence
Permit No: NCG550516
Avery County
Dear Ms. Gates:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for
the inspection conducted on February 13, 2007. Larry Frost and I of the Asheville
Regional Office conducted the Compliance Evaluation Inspection. The facility was found
to be in Compliance with permit NCG550516.
Please refer to the enclosed inspection report and technical bulletin for additional
observations and comments. If you have any questions, please do not hesitate to contact
me at 828-296-4500.
Sincerely,
Keith Hay
Environmental Specialist
Enclosure
cc: Central Files
Asheville Files
N
MI`hCMSyazolina
2090 U.S.Highway 70,Swannanoa,NC 28778 Telephone:[phone] Fax:[phone] Customer Service 1 877 623-6748

United Sotes EnvlmnmeMal Protection Agency FF -waang .Dc.2o4soEPA 2roDv4edrOM
o57WaterCompliance Inspection Report expires8.3 1-9a
Section A: National Data System Coding(i.e.,PCS)
Transaction Code BRIDES ydroubday Inspecllon Type Inspector Par Type
1 1 j 2 I .� 31 NCG550536 ill 121 0?/O2/13 11 181 rl t61 S1 201 1
J L Remarks L
21111111111111111111111111111111111111111111111115
Inspection Work Days Facility Self-Monitoring Evaluation Rating 81 CA ------------Reserved------------------
671 1 69 701 J li
711 ty 1 721_j /31LLJ I l 74 75 1 1 1 1 1 1 1 80
� Section B: Facility Data J
Name and Location of Facility Inspected(Far Industrial Users dlscharging to PONY,also Include Entry-Fra le Permit Effective Dale
POTW name and NPDES permit Number)
Gates Rose T- Residence 10:3o tits 01/a2/13 oz/o9/ol
609 squirrel creek Rd Exit Tlme/Date Permit Expiration Date
Newland NC 2e657 10:45 AN 07/02/13 01/07/31
Names)of Chalks Represenlativehy Fitles(s)/Phone and Fax Numbers) Other Facility Data
Name,Address of Responsible Official/title/Phone and Fax Number
Rose T Gates,PO Box 341 Crosanore NC 20616//028-733 1602/ GonbCledo N
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit E Facility Site Review E Effluent/Receiving Waters
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Names)and Signatures)of lospector(s) Agency/Office ne and Fax Numbers Data
Laxly Frost } ARO WO//020-296-4500 Ext.AG58/ Z- /�yO 7
Keith Ray> g ARO WO//828-296-4500/
Signature/YoofffjJ(Management
/Q A Reviewer Agency/Office/Phone and Fax Numbers /t Dat (
Racer C Edwards ARC 140//828-296-4500/ Z' 1,5O 7
EPA Form 3560.3(Rev 9-94)Previous edlllons are obsolete.
Page# 1

NPDES yrlmalday Inspection Type 1
3 NCG550516 I11 12I 00/n2/13 117 18 CI
SectionD: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
No problems were noted with the subsurface sand filter. The owner should read the suggestions on the
attached technical bulletin. Also the effluent pipe should be located.
Page# 2

permit: NCG560516 - Owner-Facility: Gates Rose T-Residence
Inspection Date: 02/13/2007 Inspection Type: Compliance Evaluation
_Permit Yes No NA.NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? ■ 0 0 ❑
Is the facility as described in the permit? ■ ❑ 0 71
#Are there any special conditions for the permit? 0 0 ■ ❑
Is access to the plant site restricted to the general public? 0 0 0 0
Is the inspector granted access to all areas for inspection? Is ❑ 0 0
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? Is 0 00
Are the receiving water free of foam other than trace amounts and other debris? ■ ❑ ❑ ❑
Ifeffluent (dlffuserpipes are required) are they operating properly? 0 0 ■ 0
Comment: Due to past flooding the effluent pipe has probably covered with silt. The
owner should try to locate the pipe and keep the surrounding area clear of weeds and
debris.
Page# 3

f
tate of North Carolina
epartment of Environment
and Natural Resources 4 • •
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director /� >
May 22, 1998
Mrs. Rose T. Gates
P.O. Box 341 - vOFpM 6
Crossnore, North Carolina 28657 "a(C(,•R f
Subject: NPDES Permit Renewal ,
Certificate of Coverage NCG550516 -
a Gates residence
Avery County
Dear Mrs. Gates:,
The subject permit expired on July 31, 1997. To date, the Division has not received notice that you wish to renew
(or rescind) the subject permit. If continuation of the permit is desired, please submit the following information
by June 5, 1998:
1. A letter requesting the renewal.
2. Current address information for the facility (give the specific site address, including zip code)
3. A description of the main use of the facility (primary residence, vacation/second home or business)
4. A fee of$240.00, payable by check to NC DENR.
Failure to request renewal or rescission by June 5, 1996 may result in a civil assessment of at least$250.00.
Larger penalties may be assessed depending upon the delinquency of the request. Wastewater discharge at any
facility without an NPDES permit may be considered a violation of NCGS 143-215.1. Violations of NCGS 143-215.1
could result in assessment of civil penalties of up to $10,000 per day if the subject permit is not renewed.
If you wish to rescind this permit, contact Mr. Robert Farmer of the Division's Compliance Group at(919) 733-
5083, extension 531. If there are questions regarding the permit renewal procedure, please contact Mike Parker
of the Asheville Regioral Office at telephone number(828) 251-6208.
Sincerely,
Charles H. Weaver,Jr.
�
NPDES Unit
cc: Central Files
Mike Parker, Asheville Regional Office _
NPDES Unit
Point Source Compliance Enforcement Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone[phone] FAX[phone]
An Equal Opportunity Affirmative Action Employer [e-mail]

State of North Carolina
Department of Environment,
IVA
Health and Natural Resources A •
Division of Environmental Management
James B. Hunt, Jr., Governor k
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
November 29, 1993 ,C
Rose T Gates
P. 0. Box 341 •I'= J' ticns
Crossnore NC 28657
Subject: Certified Operator Requirements
Single Family Treatment Systems
NPDES Permit No. NCG550516
Avery County
Dear Ms. Gates: -
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 Comrtiission 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. hi 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

Certified Operator Requirements
NCG550516
Page 2
In addition to being required by your permit,proper maintenance of your treatment system
is extremely important to.the long term serviceability of your wastewater treatment system.
If proper maintenance is not given to the system, it will fail and will result in major
expenses 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(919)733-0026.
S' rely,
Cindy roan, pe 'sor
Tr ' g and an,,Unit
cc: Asheville Regional Office-Water Quality
Facilities Assessment Unit
Central Files

United tates n entel rorection Agency Form Approved
A Waahi,,1c D.C.20460 OMB No.2040-0003
.^EPA NPDES Compliance Inspection Report Approval Expires 7-31-85
Section A:National Data System Coding
Trans ction Code NPDES yr/mo/day Inspection Type Inspector Fee Type
�roelulol7 (
l�191 �1 ++ 1a319101812j!]l17 1 J. sLJ 2dz
flemarks
III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIct
Reserved Facility Evaluation Rating BI DAt ------------------Reserved----------------
Bt_L_L BB 7d_j 7(..� 72�_j 7k_Lj 74 74 Bo
Section B:Facility Data IAA
Name and Location o�f Facili Inspected Entry Time❑ AM EL PM Permit Effective Date
/IOSF 7, l4W'r:CS �CC$ ,�EU 't-f, g
Ezi[Time/Date Pernyt Expiration Date
is 8 6d'z
Name(s)of On-Site Representative(s) Title(s) Phomb Nola)
Name,Address of Responsible Official Title
Phone No. Contacted
El yes❑ No
Section C:Areas Evaluated During Inspection
IS=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated)
Permit Flow Measurement Pretreatment operations&Maintenance
Records/Reports Laboratory Compliance Schedules Sludge Disposal
Facility Site Review Effluent/Receiving Waters R Self-Monitoring Program Other:
Section D:Summeryof Findings/Comments
/(Attach additional sheets ifnecessary) �J
� N J /✓5T7/4'l(21d QlNN6')L. S.7 6'/`
Re!'udCC(i/Nf
Name(s)and§igRature(s)of Inspector($) Agency/Office/Telephone Date
tIA661 176 -
Signature of Reviewer Agency/Office Data
Regulatory Office Use Only
Action Taken Date Compliance Status
❑ Noncompliance
❑ Compliance

r)
INSTRUCTIONS
Section A: National Data System Coding (i.e., P.CS)
Column I :Transaction Code: Use N,C,or D for New,Change,or Delete.All inspections will be new
unless there is an error in the data entered.
Columns 3-11 : NPDES Permit No. Enter the facility's NPDES permit number. (Use the Remarks
columns to record the State permit number, if neces'saryj
Columns 12-17: Inspection Date. Insert the date entry was made into the facility. Use the
year/month/day format (e.g., 82/06/30 = June 30, 1982).
Column 18:_Inspection Type. Use one of the codes listed below to describe the type of inspection:
A — Performance Audit E — Corps of Engrs Inspection S — Compliance Sampling
B — Biomonitoring L— Enforcement Case Support X —Toxic Sampling
C — ComplianceEvaluation P— Pretreatment
D — Diagnostic R — Reconnaissance Inspection
Column 19: Inspector Code. Use one of the codes listed below to describe the lead agency in the
inspection.
C — Contractor or Other Inspectors (Specify in N — NEIC Inspectors
Remarks columns) R — EPA Regional Inspector
E — Corps of Engineers S State Inspector
-
J — Joint EPA/State Inspectors—EPA lead T—Joint State/EPA Inspectors—State lead
Column 20: Facility Type. Use one of the codes below to describe the facility.
1 — Municipal. Publicly Owned Treatment Works(POTWs) with 1972 Standard Industrial Code
(SIC) 4952.
2 — Industrial. Other than municipal, agricultural, and Federal facilities.
3 —Agricultural. Facilities classified with 1972 SIC 0111 to 0971.
4 — Federal. Facilities identified as Federal by the EPA Regional Office.
Columns 21-66: Remarks.These columns are reserved for remarks atthe discretion of the Region.
Column 70: Facility Evaluation Rating. Use information gathered during the inspection(regardless
of inspection type)to evaluate the qualityof the facility self-monitoring program. Grade the program
using a scale of 1 to 5 with a score of 5 being usedforvery reliable self-monitoring programs,3 being
satisfactory, and 1 being used for very unreliable programs.
Column 7-1 : Biomonitoring-Information.-Enter-D-for-static testing-Enter Ffor-flowthroughtesting. ---- i
Enter N for no biomonitoring.
Column 72: Quality Assurance Data Inspection, Enter Q if the inspection was conducted as
followup on quality assurance sample results. Enter N otherwise..
Columns 73-80: These columns are reserved for regionally defined information.
Section B: Facility Data ',
This section is self-explanatory.
Section C: Areas Evaluated During Inspection
Indicate findings IS, M, U, or N) in the appropriate box. Use Section D and additional sheets as ,
necessary. Support the findings,as necessary,in a brief narrative report. Use the headings given on
the report form (e.g., Permit, Records/Reports) when discussing the areas evaluated during the
inspection.The heading marked"Other" may include activities such as SPCC, BMP's,and multime-
dia concerns.
Section D: Summary of Findings/Comments
Briefly summarize the inspection findings. This summary should abstract the pertinent inspection
findings, not replace the narrative report. Reference a list of attachments, such as completed
checklists taken from the NPDES Compliance Inspection Manuals and pretreatment guidance
documents, including effluent data when sampling has been done. Use extra sheets as necessary.

Date 26 May 1989
NPDES STAFF REPORT. AND RECOMMENDATIONS
County Avery
NPDES Permit No. NC0076872
PART I - GENERAL INFORMATION
1•, Fagxl tx ,apd,Akf£,'�reae� Rasa. T., cy'StO,g, ¢.FIj ..
. .0. Box 34f'
Crossnore, NC 28657
2. Date of Investigation: 4 May 1989
3 . Report Prepared By:. Peter T. Nathanson
4. Persons Contacted and Telephone. Number: Rose T. Gates
Owner
704/733-9705 (w)
5. Directions to Site: From the Crossnore Post Office travel 3
miles on NCSR 1143 to stop sign. Turn left on NCSR 1138
(Squirrel Creek Rd) . House is third on left past NCSR 1119
(first road on left) .
6. Discharge Point - Latitude: 36D 03M 295
Longitude: 81D 57M 525
Attached a USGS Map Extract and indicate treatment plant site and
discharge point on map.
USGS Quad No.215-SW or USGS Quad Name-Newland, NC
7. Size (land available for expansion and upgrading) : < 1 acre
8. Topography (relationship to flood plain included) : flat,
may be subject to flooding
9. Location of nearest dwelling: < 100 yards
10. Receiving stream or affected surface waters: Squirrel Creek
a. Classifications: C-Trout
b. River Basin and Subbasin No. : French Broad, 04-03-06
C. Describe receiving stream features and pertinent downstream
uses: fish & wildlife propagation
agriculture
secondary recreation
low rural density
'U

PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1 . Type of wastewater: 100 % Domestic
% Industrial
a. Volume of Wastewater: 0.000360 MCD
b. Types and quantities of industrial wastewater: None
C. Prevalent toxic constituents in wastewater: None
d. Pretreatment Program (POTWs only) N/A
in development approved
should be required not needed
2. Production rates (industrial discharges only) in pounds N/A
a, highest month in the last 12 months
b, highest year in last 5 years
3 . Description of industrial process (for industries only) and
applicable CFR Part and Subpart: N/A
4. Type of treatment (specify whether proposed or existing) :
Proposed subsurface sand filter consisting of a 1000 gallon
septic tank, distribution box & 360 sq ft of filter bed.
5 . Sludge handling and disposal ,scheme: None specified
6. Treatment plant classification: I
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)? No
2 . Special monitoring requests: No
3 . Additional effluent limits requests: No
4. Other:
PART IV EVALUATION AND RECOMMENDATIONS
Permittee is planning to purchase a VA home without any existing
wastewater disposal system. High water table precludes use of
conventional setic system.
SFR Wasteload Allocation attached.
Recommend permit be� issued.
Signatiire of Report Preparer
Ater Quality Regional Supervisor

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NPDES SFR WASTELOAD ALLOCATION
(nf Date : 25 M-Al 61
Facility Name : R°k+ C"al.I4tS"dewey Permit : Atit-i 6-#?-
Receiving Stream jµ Class Sub-Basin 0 •O •o
,�'� 4?"*�dyA2�'kasv!AAA; -�,V>[x41n'R�cav�rfYz�^1�/k- tY %h* ✓rv.�+-w.;aw..l�as"�' ,
County : AyjMt Regional Office :. /YS�s�evt: �A,P,...
Reference USGS Ouad :N4AAO'10ArC_NCi GttSWExl st i ng : _ Proposed :
Elevation : 3800 / M51�- 0rq'Z �(f Z
Drainage Area
r� o
hydrologic Group : B Design Temperature :
Slope : Comments :
I
RECOMMENDED
0 ENDED EFFLUENT LIMITS II
Wasteflow ( gpd ) : 360
BOD5 (mg/ 1 ) : _ —
Nh3-N (mg/ 1 ) :
D . O . (ni
Ph ( SU) :
Fecal Coll 1 / 100m1 ) :
TSS (mg
RECOMMENDED BY : 5, 77A
/QAM_. _i_
Date : Ar�16t
APPROVED BY
n ,jam'
Regional Ea -i nee r G Date :. J
Regional Suparvisor : Date:
ROUTE to Technicel Support Group and Permits S Engineering Unit
(cnClor� e USvS : opn;:r a phi 111 mop ano mrlhy location of dI ,Charger )

V (i [ii:11
' State of North Carolina evlir;
Rng iuna Off i
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I Department of Natural Resources and Community Develop dY�IE�. Norei garalfu�'
I Division of Environmental Management
512 North Salisbu Street •�rRaleigh, North Carolina 27611 JI
James G. Martin, Governor "' /t'� J l� lr'�.'� R. Paul Wilms
�llliam W Cobey,Jr., Secretary Director
li /W),Co
1 (;` s f 'r' VO ' A/
Subject: NPDES Permit Application
1 NPDES Permit ,No. NC00 a Z
i
County
Dear
This is to acknowledge receipt of the following documents
-- - Application Form,
Engineering Proposal (for proposed . control facilities) ,
Request for permit renewal,
-- Application Processing Fee of
OtherLfif:
The items checked below are needed befo'te review can begin: /
Application form (Copy enclosed) ,
Engineering Proposal See Attachment) ,
Application Processing Fee of $
Other
1
If the application is not made complete within thirty 30 days , it will
be returned to you and may be resubmitted when complete.
JThis application has been assigned to
1 (919/733-5083) of our Permits Unit fox re iew. You will9ie-"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 .
1-
�' - P$io erely,
JJJJ^^^^
i
A4thur. Nouberry, P.E.
Supervisor, Permits and Engineering
lPollution Prevention Pays
P.O. Box 27687,, Raleigh, North Carolina 2701-7687 Telephone [phone]
An Equal Opportunity A(firmame Action Employer

NORTH CAROLINA DEPT. 01 ATURAL & ECONOMIC RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NOMBER
APPLICATION FOR PERMIT TO DISCHARGE — SHORT FORM D FOR r
AGENCY
USE DATE RECEIVED
To be filed only by services, wholesale and retail trade,
And other camrrcial establishments including vessels
YEAR m p/ �D1AY,/
Ch . w, .J d a7`
Do not attempt to complete this form without reading the accompanying instructions d la 6,a zi
Please print or type ' S'—//— Ff°/
1. Name, address. and teleph a number of facility producing discharge
A. Nano
B. Street dd D L3 0 X 9 1
C. city 0. RO s s No RF_ D. State Nole?aif AO/) J/!
E, County A vz--k/ I. ZIP
G. Telephone No.
Area Code �33 --)'05 H/
2. sic ® MIiY :1 U 1'�139
(Leave blank) PERM)1g $ Ef'!CINEENIiVG
3. Number of employees
4. Nature of business N A /
5. (a) check here if.discharge occurs all yeav, or
(b) Check the mpnth(s) discharge occurs:
l.o January 2.0 February 3.0 March 4.o April 5.0 May
6.0 June 7.a July 8,0 August 9.0 September 10.0 October
11.o November 12.0 December -
(c) Now many days per week:
1.01 2.02-3 3.04-5 4V9/6-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
disch"ing (percent)
Discharge Per
operating day 0.1-999 10DO-4999 5000-9999 10,000- 50.000 None 0.1- 30- 65- 95.
49,999 or more 29.9 64.9 94.9 ITO
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A. Snnitary, daily 360
average
B, Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify
D. Max4mim per operat-
ing day for combined
discharge (ail types)

7. If any of the types of caste idN ,,
' fied in Item 6, either treated or un-
treated, arc discharges to places othe.r...than.surface waters, check below
. . .
as applicable.
Waste water is discharged to: 0.1-999 10004999 5000-9999 101000d9,999 50,000 or more
(1) ' (2) (3)
A. Municipal %curr system
11. W.1....p'mund wrll
C. Septic tank
0. Evaporation lagoon or pond
E. Other, specify: 360
8, Number of separate discharge points:
AXI' B.02-3 C.0 4-5 D.06 or more
I/
9. Name of receiving water or waters - Nlr�^ - s-
10. Does your discharge contain or is wit possible for your discharge to contain Ali
one or pore of the following substances added as a result of your operations,
activities. or processes:-ammonia,-cyanide,-rluminum, beryllium, cadmium.
chromium, copper, lead, aercur , nickel, selenium, zinc, phenols, oil and
grease.. agd chlorine (residual). /r __ / p. (r+ 11 III-`/,,�^`_`mnt
A yes 8.0 no di' al fes i-C ifil-it (.ITC w j tJa`�t.0✓t„K from cAd` tpA WCa 1
1 certify that 1 am familiar with the information contained in the application and _I
that to the best of of knowledge and belief such information is true, complete, and
accurate.
--Rv 5,r --F.-
Printed Name of Person Signing
Title
Date Application S17: ^ ,
Signature of Applicant
kith Carolina General Statute l6-215.6(b) (2) provides that: Any person who knowingly makes
ny false statement representation, or certi ication in any application, record, report, plan,
r: other document files or required to be maintained under Article 21 or regulations of the
:crironmental Management Commission implementing that Article, or who falsifies, tampers with,
mr knowly renders inaccurate any recording or monitoring device or method required to be
iterated or maintained under Article 21 or regulations of the Environmental Management Commissiau'l
mplementing that Article, shall be guiltv'of a misdemeanor punishable by a fine not to exceed
310,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provide'.-.
l punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both,
Our a similar offense.)

P. O. Box 341
Crossnore, NC 28616
May 15, 1989
Mr. Peter T. Nathanson
Environmental Technician
59 Woodfin Place
Asheville, NC 28801
Dear Mr. Nathanson:
Enclosed is a copy of the letter that I mailed to the Dept.
of Natural Resources in Raleigh, and a copy of the letter
mailed to the VA Office .
I am sure you will let me know as soon as you find out
anything about the permit .
It was a pleasure meeting you, and thanks so much for your -
help.. If there is anything further that I need to do at
this time, please let me know.
Yours very truly,
6� J. -4&&�
Rose T. Gates
RECE9VED
Water Qualily Section
MAY 16 1989
,Asltevilln Roglunal QTfc
Jlslteville, WOriil Carolina

P.O. Box 341
Crossnore, NC 28616
May 5, 1989
Mr. Ross Hale
VA Regional Office
Property Management Unit
251 N. Main Street
Winston Salem, NC 27155
Dear Mr. Hale:
RE: 318/264 PM LH 383461
Squirrel creek Rd .
Newland, NC
This is to request a delay in closing on the above captioned
property, as per .your telephone conversation with Mr. Peter
Nathanson on this date.
Mr. Nathanson has inf Ormed me that he should be able to give
me an answer in approximately three weeks as to the status
of a permit for a septic tank for this house. Therefore, if
you could delay the closing until around the first of June
it would be appreciated very much.
Please understand that" I am not trying. to get out of buying
the house and -I was informed of the problems with the septic
tank, however, I would feel much better knowing that- a permit
can be issued before the closing. .
'I. do not want to wait for the permit to be issued, just the
verification that a permit. will be .issued.
if youhave any questions, please call- me at (704), 733-1602. It .
was my understanding from Mr. Nathanson that you were willing to
postpone the closing, if- 'thisisnot the case please call me.
The date was set . for May 10.
Yours very truly,
• Rose T. Gates .
i

P.o. Box 341
Crossnore, NC 28616
May 6 , 1989
North Carolina Dept. of Natural Resources
Environmental Management Commission
P.O. Box 27687
Raleigh, NC 27611
Dear Sir :
This is to request a permit for a subsurface sand filter
septic system and authorization to construct the same.
I have been in touch with Mr. Peter Nathanson with the
Department of Natural Resources in Asheville, who has
looked at the property.
This is for a three bedroom dwelling house located in
Avery County on Squirrel Creek. The house is presently
owned by the Veterans Admin. However I will be closing
on the house in a few weeks. Therefore, I would appreciate
some information as soon as possible on the status of a
permit. I realize it may take a while to get the actual
permit.
Enclosed is my application form, a letter from the Toe River
Health District, and my check for $120.00. I also understand
that I will need a copy of the plat indicating the placement
of the system, which I will send at a later date.
If you have any questions, or if you need any further information
sent at this time, please call me at (704) 733-1602.
Yours very truly,
6�1, 66Z�D
Rose T. Gates
i
e.