NCG551016_Regional Office Historical File 1999 to 2017

ROY COOPER
Governor
MICHAEL S. REGAIN
Secretary
S. JAY ZIMMERMAN
Director
July 3, 2017
Jeff Brevard
485 Triple Creek Road
Hendersonville, NC 28791
SUBJECT: Compliance Evaluation Inspection
485 Triple Creek Road
Permit No: NCG551016
Henderson County
Dear Mr. Brevard:
On June 30, 2017, Mikal Willmer and I conducted a Compliance Evaluation Inspection (CEI) of
the Single Family Residence (SFR) wastewater treatment system located at 485 Triple Creek
Road. The property and the system were well maintained and appeared to be in compliance with
NPDES Permit No. NCG551016.
Please refer to the enclosed inspection report for additional observations and recommendations. If
you have any questions, please feel free to contact ride at 828-296-4500 or by email at
[e-mail].
Sincerely,
Tim Heim, P.E.
Environmental Engineer
Asheville Regional Office
Enclosure: Inspection Report
cQ... MSC 1617 Central Files
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G:\WR\WQ\Henderson\Wastewater\General\NCG55 SFR\1016 Jeff Brevard\CEI Letter 6-30-2017.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 expires8-31-98 .
Section A: National Data System.Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type
Inspector FacType
1 IN 1 2 15 I 3 I NCG551016 111 12 17/06/30 17 18ICj
19I G'I 20I
211111111111111111111111111111.11111111111111
r6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating 131 QA -----Reserved
67
70 lI J I 71 Lj 72 IL N G 731 I 174 751 1 1 1 1 I L80
_I 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 17/06/30
13/08/01
485 Triple Creek Dr
485 Triple Creek Dr
Exit Time/Date
Permit Expiration Date
Hendersonville NC 28739
03:30PM 17/06/30
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
Jeff Brevard,485 Triple Creek Dr Hendersonvlle NC 28791//828-696-3020/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Operations & Maintenance 0 Facility Site Review Effluent/Receiving Waters
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 y� ARO WQ//828-296-4665/
Mikal Willmer ARO WQ//828-296-4686/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
Date
a
EPA Form 3560-v 9-94) Previous editions are obsolete.
Page#

NPDES
yr/mo/day
31 NCG551016 I11 12 17/06/30 17
Inspection Type
18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Tim Heim and Mika[ Willmer of the Asheville Regional Office performed a Compliance Evaluation
Inspection on June 30, 2017. The facility appeared well maintained and operated at the time of the
inspection. No negative impact to the receiving stream was observed. The property owner displayed a
good working knowledge of the system and its upkeep.
It is recommended that the owner pump the septic tank approximately every 3-5 years to optimally
maintain the sand filters.
Page#

Permit: NCG551016 Owner - Facility: 455 Triple Creek Dr
Inspection Date: 06/30/2017 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ M ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Sand Filters (Low rate)
Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational?
❑
❑
❑
Is the distribution box level and watertight?
❑
❑
❑
0
Is sand filter free of ponding?
M
❑
❑
❑
Is the sand filter effluent re -circulated at a valid ratio?
❑
❑
❑
0
# Is the sand filter surface free of algae or excessive vegetation?
0
❑
❑
❑
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
❑
❑
❑
Comment:
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
0
❑
❑
❑
Are the tablets the proper size and type?
0
❑
❑
❑
Number of tubes in use?
2
Is the level of chlorine residual acceptable?
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
M
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
Comment:
Page# 3

Permit: NCG551016
,n Date: 06130/2016
Owner - Facility: ' 485 Triple Creek Dr
Inspection Type: Compliance Evaluation
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Sand Filters (Low rate)
(If pumps are used) Is an audible and visible alarm Present and operational?
Is the distribution box level and watertight?
Is sand filter free of ponding?
Is the sand filter effluent re -circulated at a valid ratio?
# Is the sand filter surface free of algae or excessive vegetation?
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
Comment:
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Comment:
Yes No' NA NE
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
Yes No NA NE
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
Yes No NA NE
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
Page# 3

United States Environmental Protection Agency
Form Approved.
Washington, D.C. 20460
OMB No. 2040-0057
VPA
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS).
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 1 3 I NCG551016 111 121 16/06/30 I17 18 L C I 19 L � j 20 LJ
211 I I I 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 f6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA --- Reserved--- —
67 70 71 itI I l72 ,, 73I I 174 751 I I I I I I I80
LJ 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 16/06/30
13/08/01
485 Triple Creek Dr
485 Triple Creek Dr
Exit Time/Date
Permit Expiration Date
Hendersonville NC 28739
03:30PM 16/06/30
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
Jeff Brevard,485 Triple Creek Dr Hendersonvlle NC 28791//828-696-3020/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Operations & Maintenance 0 Facility Site Review Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
L,�at3 �r5
.yam IL✓ (wJG
/y,,
GYa
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers? Date
Timothy H Heim ARO WQ//828-2964665/
Mikal Willmar ARO WQ//828-296-4686/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
31 NCG551016 I� 12 16/06/30 17 18 1 C 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as nec
Page#

State of North Carolina
Department of Environment,
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
March 25, 1999
Mr. G. Thomas Jones III, P.E.
William G. Lapsley & Associates, P.A.
PO Box 546
Hendersonville, North Carolina 28793
X
49
Subject: NPDES General Permit Application
Application Number NCG551016
S & N Properties, Inc. (Lot 29)
Henderson County
Dear Mr. Jones:
This is to acknowledge receipt of the following documents on March 22, 1999:
X Completed Notice of Intent (Application Form),
Engineering Proposal (for proposed control facilities),
Request for permit renewal
X Application processing fee of $50.00.
Engineering Economics Alternatives Analysis,
X Engineering Plans and Specifications
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
X Other: County health department denial of ground absorption.
The items checked below are needed before review can begin:
Completed Notice of Intent (Application Form),
Engineering proposal (see attachment),
Application Processing Fee of $,
Delegation of Authority (see attached),
Biocide Sheet (see attached),
Engineering Economics Alternatives Analysis,
Engineering Plans and Specifications
Local Government Signoff,
Source Reduction and Recycling,
_ Interbasin Transfer,
Other:
P.O. Box 29535, Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
Telephone [phone] FAX [phone]
50% recycled/ 10% post -:consumer paper

ie 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 Mack Wiggins (919/733-5083) Ext. 542 of our Permits
Unit for review. You will be advised of any comments, recommendations, questions or other
information necessary for the review of the application.
I am, by copy of this letter, requesting that our Regional Office Supervisor prepare a staff report
and recommendations regarding this discharge. If you have any questions regarding this
application, please contact the review person listed above.
Sincerely,
M k Wiggins
St rmwater and G neral Permits Unit
cc: '"ul►le egiQ an I O" Rfi e
Fe mit Application File

Zy.
William G. Lapsley . & . Associates, P.A..
Consulting Engineers and Land. Planners
1635. Asheville Highway
Post Office Box.546:
Hendersonville, North Carolina 28793
828-697-7334 FAX [phone]

r
�� • ; Division of Water Quality / Water Quality Section
r
National Pollutant Discharge Elimination System
NCDENR
No�G^°u—°EM�V^Or NCG550000
EWROMMCNT mo NaUnN 9Ou R[wC"
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG500000: Single Family Domestic Units and/or facilities discharging less than 1000 gallons per
day of domestic wastewater and similar point source discharges
(Please print or type)
1) Region contact (Please note: This application will be returned if you have not met with a
representative from the appropriate regional office):
Please list the NCDENR Regional Office representative(s) with whom you have met:
Name: Komi Dk&V'LS Date: I.`r re4* ,
2) Mailing address' of owner/operator:
Owner Name _ S e, N , I rtc,
Street Address 1500 C.frroor cf'p CC_e e%( l.%4,4E.
City "E-N ne-4-S0 NywX-S. State KJQ ZIP Code 267 39
Telephone No. (Home) 16 6 (996 -- 202-7 (Work) s.4Me.
' Address to which all permit correspondence will be mailed
3) Location of facility producing discharge:
Street Address 'fRtin V� G2F-GvC Ste, C30+v IS w�, I.aT ' 29
City
County
Telephone No.
Ir IGNor.2-soState NC— ZIP Code Z 6739
N F.rJ Orr.2SoeJ ..
4) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road
numbers, and distance and direction from a roadway intersection).
NG I QI , APP20Y. 2 tMs, 'F4UtA oN t-F_F'T
5) This�/NPDES permit application applies to which of the following
CK New or Proposed (system not constructed)
❑ Existing (system constructed); If previously permitted by local or county health department,
please provide the permit number and issue date
❑ Modification; please. describe the nature of the modification:
6) Description of Discharge:
a) Amount of wastewater to be discharged:
Number of bedrooms 3 x 120 gallons per bedroom =
3 fo O gallons per day to be permitted
Page 1 of 3
SWU-216-010199 <.

NCG550000 N.O.I.
b) Type of facility producing waste (please check one):
IV Primary residence ❑ Vacation/second home
❑ Other:
7) Please check the components that comprise the wastewater treatment system:
d Septic tank ❑ Dosing tank
C(Primary sand filter G"Secondary sand filter
l' Chlorination ❑ Dechlodnation
12 Post Aeration (specify type) R%P RVAn
❑ Recirculating sand filter(s)
❑ Other form of disinfection:
Cat S cAr o e_ A Efa A'Tg2
8) For new or proposed systems only - Please address the feasibility of alternatives to
discharging for the following options in the cover letter for this application:
a) Connection to a Regional Sewer Collection System.
b) Letter from local or county health department describing the suitability or non -suitability of the site
for all types of wastewater ground adsorption systems.
c). Investigate Land Application such as spray irrigation or drip irrigation.
9) Receiving waters:
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges end up in?
b) Stream Classification (if known):' M I GA'' Fao N O cReEu- w S '.
10) The application must include the following or it will be returned:
a) For Certificates of Coverage:
E( An original letter and two (2) copies requesting a general permit.
5d A signed and completed original and two (2) copies of this document.
d A check or money order for the permit fee of $50.00 made payable to NCDENR.
► IA ❑ Invoice showing that the septic tank has been pumped and serviced within the last 2 years
(for existing facilities only). -
New or proposed facilities must also include:
10/Letter from the county health department evaluating the proposed site for all types .of
ground absorption systems.
Evaluation of connection to a regional sewer system (approximate distance & cost to connect).
b) For an Authorization to Construct (ATC) only:
A letter requesting an ATC
Three sets of plans and specifications of proposed treatment system (see Permit
Application Checklist and Design Criteria for Single Family Discharge)
N IA ❑ Invoice showing that the septic tank has been pumped and serviced (for existing septic
tanks).
Note: There is no fee when requesting an Authorization to Construct
Page 2 of 3
svw-216-01 of ss

G550000 N.O.I.
Additional Application Requirements:
a)
b)
c)
If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the applicant showing that the engineer (Or firm) submitting the application
has been designated an authorized Representative of the applicant.
If this application is being submitted by a consulting engineer (or engineering firm), final plans for
the treatment system must be signed and sealed by a North Carolina registered Professional
Engineer and stamped - "Final Design - Not released for construction".
If this application is being submitted by a consulting engineer (or engineering firm), final
specifications for all major treatment components must be signed and sealed by a North Carolina
registered Professional Engineer and shall include a narrative description of the treatment system
to be constructed.
12) Certification:
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: NoyZ:Tot•1 SEGAI.
Title: SEGR-7T�CL`(, S F- rJ j�i�PE2-r�rv5 t �sG
(Signature of Applican
North Carolina General Statute 143-216.6 b (i) provides that:
(Date Signed)
Any person who knowingly makes any false statement, representation, or certification in any
application, record, report, plan or other document filed or required to be maintained under Article
21 or regulations of the Environmental Management Commission implementing that Article, or
who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or
method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a
misdemeanor punishable by a fine not to exceed $10,000, or by imprisonment not to exceed six
months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than
$10,000 or imprisonment not more than 5 years, or both, for a similar offense.)
Notice of Intent must be accompanied by a check or money order for $50.00 made payable to:
NCDENR
Mail three (3) copies of the entire package to:
Division of Water Quality
Stormwater and General Permits Unit
Post Office Box 29535
Raleigh, North Carolina 27626-0535
Note
The submission of this document does not guarantee the issuance of fn NPDES permit
Page 3 of 3
SWU-216-010199

S & N Properties, Inc.
500 Crooked Creek Lane
Hendersonville, NC 28739
March 10, 1999
NC DENR / Division of Water Quality
Stormwater and General Permits Unit
P.O. Box 29535
Raleigh, NC 27626-0535
Re: Lot #29, Triple Creek Subdivision
Authorization to Construct
Sand Filter Wastewater Treatment System
Henderson County
Dear Sirs:
This is to advise you that I am requesting and Authorization to Construct the sand filter wastewater
treatment system designed by William G. Lapsley & Associates, P.A., for the above referenced
project. This authorization is being requested in conjunction with the Application for Coverage
under NCG550000.
Please feel free to contact Mr. G. Thomas Jones III, P.E. at [phone] should you have any
questions.
Sincerely,
Norton Segal, Sec etary
S & N Properties, Inc.

DERSON COUNTY HEALTH DEPARTMENT
PTIC TANK SYSTEM IMPROVEMENTS PERMIT
692.4228 NY _ 2 8 0 4 8 '.
ABuilding
orization to Construct Permit is required before any excavation on the lot can
Permit Application will only be given with an Authorization to Construct
it. Permit subjecttorevocation if site plan or intended use change. WI #
)caner
N Pf� �•f ; e S Date I I F\IB 9 9 PIN #
❑
of Devel2—Popment Approved
e. ((CCQ�
oca ' C �� T� C : p 1� Ct'QEK D t ; � 2 Disapproved
Max. Trench Bottom Depth__
Max. Trench Width
louse Mobile Home ❑ Water Supply - ❑ Community ❑ Individual
tt City ❑ Shared
)they N f Lot Size 1 e -21 c Sloe °
lo. Employees % A Bedr oms LTAR _1
resign Flow GPD Diagram: Show property lines, buildings, location,
setbacks, well, driveways, streams, bodies of
)wner's Signature water, and mag tic h.
VALI NVNGSNOT
AS DE CRIBED ABOVE Issued By: �
TO SCALE ErVAronmental Health Specialist
LO+ I`7 ��SvR�;i�4QG -c) O"JQ�:C
a A- u O '" — S � n .5�� w��� e c-
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012)

V1
NCDENR G 7�� 1 6 2007
North Carolina Department of Environment and !Nat ral � asources ----� }
Division of Water Quality + WATER QUALITY SECTION'.
I' ASHENPLLE REGIOPAL CFI -ICE
Michael F. Easley,, Governor !. Vlltflism-G-Ross, Jr., Secretary
,.�.e�►>��lN�:�(Girneic,;1?:E:T Director ..
January 9, 2007
Norton Segal
500 Crooked Creek Ln
Hendersonville, NC 28739
Subject: Renewal Notice / General Permit NCG550000
Certificate of Coverage NCG551016
Henderson 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 May 3, 2002
The Division. needs information from you to determine if coverage under.NCG550000.is still
necessary..
➢ If your property still has a wastewater system like the ones described in the enclosed
Technical Bulletin, you must renew the subject CoC. Complete the enclosed form and
submit it to the address on the form.
➢ If.you are not sure what type of system your property has, contact Keith Haynes in the
NC DENR Asheville Regional Office at. That person [or other staff members] can help
you determine if you should renew your CoC.
If you know that your property no longer discharges wastewater, contact me at the
address or phone number listed below to request rescission of the CoC.
➢ This information request does not pertain to the Annual Fee of $50.00 billed
separately ythe Division's Budget Office. No money is required for this
procedure. The Annual Fee is like the fee you annually,pay'the DM.V 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 Ile
512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCarolina
Phone- 919 733-5083, extension 511 / FAX [phone] / [e-mail] Natumlly
An Equal Opportunity/Affirmative Action Employer.— 50% Recycled/10% Post Consumer Paper

Water Resources
ENVIRONMENTAL QUALITY
February 24, 2017
Jeff Brevard
485 Triple Creek Rd
Hendersonville, NC. 28791
ROY COOPER
Goremor
MICHAEL S. REGAN
sec•r•ernrr•
S. JAY ZIMMERMAN
Director
Subject: General Permit NCG550000
Certificate of Coverage' NCG551016
485 Triple Creek Road
Henderson County
Dear Permittee:
The Division recently audited files for facilities covered by the subject General Permit. During the
review, it was noted no updated Certificate of Coverage (CoC) had been provided to you. As a result, the
Division hereby reissues NCG551016. 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.
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
charles.weaver@ncdenr. gov] .
�.
cc: Ashes�Ile,iegxnal �9ce
NPDES file
Sincerely,
for S. Jay Z' erman, P.G.
Director, Division of Water Resources
RECEIVED
Division of Water Resources
MAR 1 4 2017
Water Oualiity Regional Opem tons
Asheville Regional Office
State of North Carolina I Environmental Quality I Water Resources ,
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.ne.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-pemuts

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551016
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,
Jeff Brevard
is hereby authorized to discharge <1060 gallons per` day of domestic wastewater from a
facility located at
485 Triple Creek Road
Hendersonville
Henderson County
to receiving`waters designated as ' Mill Pond Creek, a class WS-IV stream in subbase 04-03-02 of
the French Broad River Basin in accordance witl the effluent limitations, monitoring
requirements, and other conditions set, forth in. Parts. I, II, and III; hereof.
This certificate of coverage takes effect February 24, 2017.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day February 24, 2017
. ,• `FG P. k ..X
for S. Jay Zimmerman, P.
i Director, Division of Water Resources
By Authority of the Environmental Management Commission
r
i t
d �

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder
Governor Director
December 4, 2013
Jeff Brevard
485 Triple Creek Road
Hendersonville, NC 28791
SUBJECT: Compliance Evaluation Inspection
Triple Creek Subdivision Lot 29
Permit No: NCG551016
Henderson County
Dear Mr. Brevard:
John E. Skvarla, III
Secretary
Enclosed please find a copy of the inspection report conducted on November 7, 2013. The Compliance
Evaluation Inspection was conducted by Jeff Menzel and Bev Price of the Asheville Regional Office.
The inspectors could not find the outfall pipe. It is recommended that the outfall pipe be located and the area
around the outfall be kept clear of brush and debris. The disinfection tablets should be checked regularly and
replaced when necessary. The facility appears to be well maintained.
No violations of permit requirements or applicable regulations were observed during this inspection.
Please refer to the enclosed inspection report for additional observations and comments
permit will also be included with this inspection report.
If you have any question please call me at 828-296-4500.
Sincerely,
Jeff Menzel
Environmental Specialist
cc:
Central Files
�Ashevi-le=Files-
Water Quality Regional Operations — Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://por al.ncdenr.org/web/wq/ws
An Equal Opportunity l Affirmative Action Employer
G:IWQISWP1Henderson\Wastewater\General\NCG55 SFR11016 Brevard.doc
A copy of the general

United States Environmental Protection Agency _
-Form-Approved:
E PA Washington, D.C. 20460
OMB No. 2040-0057
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 N I 2 15I 31 NCG551016 _ 1,11 121 13/1:1/07 I .17. 18I CI 191S I 20III
Remarks
211111111111111111 IIII IIII IIII 11111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA----------------- Reserved-------
67I 169 701 I 711 I 721 N I 73I I 174 751 I I I I I I 180
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)
Triple Creek Subdivision Lot 29
01:00 PM 13/11/07
13/08/01
Exit Time/Date
Permit Expiration Date
Triple Creek Subdivision Lot 28
Hendersonville NC 28739
02:00 PM 13/11/07
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
Conta
to
Contacted
Jeff Brevard,PO Box 565 Mountain Home NC 28758///
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Operations & Maintenance Facility Site Review Effluent/Receiving Waters
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Ins ector(s) Agency/Office/Phone and Fax Numbers Date
Jeff Menzel ARO WQ//828-296-4500/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type 1
3 NCG551016 I11 12I 13/11/07 117 18I CI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The inspectors could not find the outfall pipe. It is recommended that the outfall pipe be located and the
area around the outfall be kept clear of brush and debris. The disinfection tablets should be checked
regularly and replaced when necessary. The facility appears to be well maintained. No violations of permit
requirements or applicable regulations were observed during this inspection. A copy of the general permit
will also be included with this inspection report.
Page # 2

it:-NOG551016— --------------Owner=Facility:--Triple-Creek-Su6diGision
11/07/2013 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑ ❑ ■
Judge, and other that are applicable?
Comment:
Disinfection -Tablet Yes No NA NE
Are tablet chlorinators operational?
■
0
fl
0
Are the tablets the proper size and type?
■
❑
0
❑
Number of tubes in use?
2
Is the level of chlorine residual acceptable?
❑
fl
I]
■
Is the contact chamber free of growth, or sludge buildup?
■
0
❑
n
Is there chlorine residual prior to de -chlorination?
❑
Q
0
■.
Comment: Replace chlorine tablets on an as needed basis.
Page # 3

General Permit NCG550000
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
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, this permit is hereby issued to all owners or operators, hereafter
permittees, which are covered by this permit as evidenced by receipt of a Certificate
of Coverage by the Environmental Management Commission to allow the discharge of
treated domestic wastewater in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective August 1, 2013.
This permit shall expire at midnight on July 31, 2018.
Thomas A. Reeder, P.E., Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 1 of 16 Pages

General Permit NCG550000
PART
MONITORING, CONTROLS, AND LIMITATIONS FOR PERMITTED DISCHARGES
A. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Applicability of Coverage
This permit authorizes discharges (pursuant to the conditions described in this permit) to all waters
of the state unless otherwise excluded in this section: Discharges to the following waters are
excluded from permit coverage and will require an individual permit to discharge:
Waters classified as WSI (Water Supply I)
Waters classified as HQW (High Quality Waters, excluding WS II)
Waters classified as SA
Waters classified as ORW (Outstanding Resource Waters)
Waters located in the Randleman Lake Watershed
Applicable to. Treatment Systems:
1) Single Pass Filter Systems discharging less than 1000 gallons per day (applicable to existing
facilities only)
2) Multi -Phase Filter Systems (Primary & Secondary Single Pass, Recirculating Sand Filters as well
as other alternative technologies that provide treatment equivalent to, or greater than,
recirculating sand filters) discharging less than 1000 gallons per day
Treatment system requirements for existing systems (built prior to August 1, 2007) systems:
Septic Tank
e Sand or media filter component (Single Pass Filter Systems, Multi -Phase Filter Systems)
o Disinfection. (All facilities adding chlorination after the August 1, 2007 will also be required to
add dechlorination. If a system had chlorination before August 1, 2007, then the addition of
decMorination is not required)
Treatment system requirements for new and existing systems (built after August 1, 2007):
s Septic tank (with riser)
o Filter media
e Recirculating pump tank(s) per approved design (Multi -Phase Filter Systems only)
• Primary & Secondary Single Pass Filter Systems (Multi -Phase Filter Systems only)
® Filter media component per approved design
e Disinfection unit (Chlorination/dechlorination, or equivalent means of disinfection),
o Effluent pipe/outfall with aeration/erosion control (rip rap)
For purposes of this permit, failed or failing systems that require replacement will be subject to
requirements for new systems built after August 1, 2007.
For purposes of this permit, systems that were constructed prior to August 1, 2007 that did not have
a valid permit shall be required to get a valid permit. They will not be required to replace or
upgrade systems installed prior to August 1, 2007 unless they are failing and require replacement.
Page 2 of 16 Pages

General Permit NCG550000
During the period beginning on August 1, 2013 and lasting until expiration, the Permittee is
authorized to discharge domestic wastewater from outfall 001. Such discharges shall be limited and
monitored by the Permittee as specified below:
°I AIR.A WTER
LIMITS
MONITORING REQUIREMENTS
Monthly
Daily
Measuremeni
Sample
Sa...Rple
Average
Maximum
Frequency
Type
Locations
Flow [50050]
Annually
Estimate
Effluent
BOD, 5-Day, 20°C3[003101
30.0 mg/l
45.0 mg/1
Annually
Grab
Effluent
Total Suspended Solids
30.0 mg/l
45.0 mg/l
Annually
Grab
Effluent
[00530]
Fecal Coliform
200/100 ml
400/100 ml
Annually
Grab
Effluent
Geometric mean 31616
Total Residual Chlorine
[50060]
Annually
Grab
Effluent
Enterococci3°5
-Annually
Grab
Effluent
1. Effluent is defined as wastewater leaving the treatment system, prior to discharge into a creek or
other water body.
2. The wastewater discharge flow from this facility may not in any case exceed 1000 gallons per
day.
3. A North Carolina certified laboratory must perform the wastewater analysis.
4. Receiving stream chlorine levels are not to exceed 17 µg/L. The sample shall be taken from the
effluent pipe, prior to discharge into a creek or other waterbody.
5. Applicable for discharges to SB and SC waters only. In SB and,SC waters, the requirement for a
fecal coliform sample is not required.
There shall be no discharge of floating solids or foam visible in other than trace amounts.
Page 3 of 16 Pages

General Permit NCG550000
Permit Conditions
(Operation & Maintenance)
1) The tablet chlorinator and dechlorinator [if applicable] shall be inspected weekly to ensure
there. is an adequate supply of tablets for continuous & proper operation. The dechlorinator
unit shall be labeled "dechlorination only".
2) Treatment systems shall be maintained at all times to prevent seepage of sewage to the surface
of the ground.
3) Septic tanks and secondary tank (recirculating/pump tanks) shall be inspected at least yearly to
determine if solids must be removed or if other maintenance is necessary. Septic tanks shall be
pumped out every five years or when the solids level is found to be more than 1 /3 of the liquid
depth in any compartment, whichever is greater. All tanks should be emptied of their contents
whenever any of the tanks meet this requirement. Effluent filters shall be inspected at least
once a year, cleaned and reinstalled or replaced, Contents removed from septic tanks shall be
disposed at a location and in a manner compliant with all local and state regulations.
4) All system components, including but not necessarily limited to, septic tanks, surface sand
filters, other filter components, pump/recirculation tanks, controls and alarms, disinfection
units, dechlorination apparatus, and the outfalls shall be maintained at all times and in good
operating order.
5) All monitoring data shall be retained onsite for a minimum of five years and available for
inspection. The permittee shall notify the Division upon receipt of a sampling or monitoring
report indicating noncompliance with the permit.
6) A visual review of the outfall location shall be executed twice each year (one at the time of
sampling) to ensure that no visible solids or other obvious evidence of system malfunctioning
is observed. Any visible signs of a malfunctioning system shall be documented and steps taken
to correct .the problem.
Transfer Coverage from Other Permits
7) Upon issuance of this general permit, all existing and acting certificates of coverage issued in
conjunction with the NCG5700000 permits will be eligible for coverage under this permit.
8) Upon issuance of this general permit, all existing and active individual permits issued since
June of 2010 for discharge of domestic wastewater from single family residences and other
100% domestic discharges with similar characteristics will be eligible for coverage under this
permit.
This permit does not affect the legal requirements to obtain other permits that may be required by the
North Carolina Department of Natural Resources, or any other federal or local governmental permit.
Page 4 of 16 Pages

I
i
r
y
Mr. Norton Segal
S & N Properties, Inc.
500 Crooked Creek Lane
Hendersonville, NC 27320
Dear Mr. Segal:
n
Michael F. Easley
Governor
William G. Ross Jr., Secretary
Department of Environment and Natural Resources
Greg J. Thorpe, Ph.D, Acting Director
Division of Water Quality
May 3, 2002i�;'�
MAY 2 8 2002
Subject: General Permit NCG550000
Cert. of Coverage NCG551016
Authorization to Construct
Triple Creek Subdivision, Lot# 29
Henderson County
In accordance with your application for an NPDES discharge permit received March 22, 1999 by the Division, we
have issued the Certificate of Coverage and Authorization to Construct under the state-NPDES general permit for S & N
Properties, Inc. in accordance with the agreement reaches in the attached CONSENT AGREEMENT AND SETTLEMENT
and ADDENDUM TO THE RESTRICTIVE COVENANTS FOR TRIPLE CREEK SUBDIVISION. Authorization is hereby
granted by this letter for the construction of a 360 .GPD wastewater treatment system consisting of a septic tank with a
minimum capacity of 1250 gallons, distribution box, two 160 square foot (5'X32') primary sandfilters, with a loading rate of
not more than 1.15 GPD/square foot for each primary sandfilter, 160 square foot (5'X 32') secondary sandfilter with a
loading rate of not more than 2.30 GPD/square foot, chlorination unit, 1200 gallon pump tank, 1200 gallon emergency
storage tank and rip rap cascade aeration with a discharge of treated wastewater into Mill Pond Creek classified WS-IV
waters in the French Broad River Basin: All•elbow piping must be of the long sweeping type. All cleanouts are to be
housed in meter boxes below the surface. This system must be at least 10 feet from the dwelling and property lines and
at least 100 feet from water supply wells on and off the site. The system must also be constructed and located above a
100 year flood. Sandfilters must be lined with a minimum 30 mil polyethylene liner.
If any parts, measurement frequencies or sampling requirements contained in this general permit are
unacceptable to you, you have the right to submit an individual permit application and letter requesting coverage under an
individual permit. Unless such demand is made, this decision shall be final and binding. Please take notice this permit is
not transferable. Part 11, EA. addresses the requirements to be followed in case of change of ownership or control of this
discharge.
The Authorization to Construct is issued in accordance with Part III, Paragraph 2 of NPDES Permit No.
NCG550000, and shall be subject to revocation unless the wastewater treatment facilities are constructed in accordance
with the conditions and limitations specified in Permit No. NCG550000.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division, such as the _
construction of additional or replacement wastewater treatment or disposal facilities.
The Asheville Regional Office, telephone number 910/251-6208, shall be notified at least forty-eight (48) hours in
advance of operation of the installed facilities so that an in -place inspection can be made. Such notification to the regional
supervisor shall be made during the normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday,
excluding State Holidays.
Upon completion of construction and prior to operation of this permitted facility, a certification must be received
certifying that the permitted facility has been installed in accordance with the NPDES Permit, the Certificate of Coverage,
this Authorization to Construct and the approved plans and specifications. Mail the Certification to the Stormwater and
General Permits Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
OW
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
1 800 623-7748

A TFRQ
G
v
r
0
Michael F.
Gove
William G. Ross Jr., Secreta
Department of Environment and Natural Resources
Greg J. Thorpe, Ph.D, Acting Director
Division of Water Quality
A copy of the approved plans and specifications shall be maintained on file by the Permittee for the life of the
facility.
The sand media of the sandfilters must comply with the Division's sand specifications. The engineer's certification
will be evidence that this certification has been met. .
A leakage test shall be performed on the septic tank and dosing tank to insure that any exfiltration occurs at a rate
which does not exceed twenty (20) gallons per twenty-four (24) hour per 1,000 gallons of tank capacity. The engineer's
certification will serve as proof of compliance with this condition.
Failure to abide by the requirements contained in this Authorization to Construct may subject the Permittee to an
enforcement action by the Division of Water Quality in accordance with North Carolina General Statute 143-215.6A to
1 43-215.6C.
The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, .
regulations, or ordinances which may be required by the Division of Water. Quality or permits required by the Division of
Land Resources, the Coastal Area Management Act or any Federal or Local other governmental permit that may be
.required.
If you have any questions or need additional information, please contact Mack Wiggins, telephone number
919/733-5083.
Sincerely,
e Gregory J. Thorpe, Ph.D
cc: Central Files
Asheville Regional Office, Water Quality
Roosevelt Childress, EPA
Point Source Compliance Enforcement Unit
Henderson County Health Department
G. Thomas Jones III, P.E.-William G.Lapsley & Associates, P. A.
WDENR
Customer Service
1 800 623-7748
Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]

r ,
1
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE
GENERAL PERMIT NO. NCG551016
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,
S & N Properties, Inc.
is hereby authorized to operate and construct a wastewater treatment facility that consists of a septic tank,
distribution box, two primary sandfilters, secondary sandfilter, chlorination unit, pump tank, emergency storage tank,
rip rap cascade aeration and associated appurtenances with the discharge of treated wastewater from a facility located
at the
Triple Creek Subdivision
Lot # 29
northwest of Henderson
Henderson County
to receiving waters designated as Mill Pond Creek in the French Broad River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV hereof.
This certificate of coverage shall become effective May 3, 2002
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 3, 2002
� ►�1NA�. 6�6 'E rat
Gregory J. Thorpe, Ph.D, Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission

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ppppppp-
Beverly Eaves Perdue
Governor
ID
NCDENR
FF r`
North Carolina Department of Environment and Natural R,
Division of Water Quality
Coleen H. Sullins
Director
December 30, 2009
CERTIFIED MAIL 7009-1680-0002-2464-5596 RETURN RECEIPT REQUESTED
NORTON SEGAL
JEFF BREVARD
500 CROOKED CREEK LANE LOT 29
HENDERSONVILLE, NC 28739
Dear Permitee(s):
EV
N - 4 2010
VVATER QUALITY S-
ASHEVILLE REGIONAL O
SUBJECT: FINAL NOTICE - Delinquent Annual Fee
NPDES Permit NCG551016 (2007, 2008)
Henderson County
This letter is being sent out to facilities that have not yet paid their Annual Compliance Monitoring Fee. This fee requirement is
documented in your current permit in Part Il. B. 14. Your total annual fees owed, for the permitted facility referenced above, is $110.00.
Copies of each invoice for the permitted facility previously sent by the Division's Budget Office are attached.
Failure to pay the annual fee is grounds for revocation of your permit, as documented in part ll. B. 13 and II. B. 14. This matter must be
promptly resolved. You will not receive any additional late payment fee request correspondence.
This letter serves as final notice that the Division will refer the fee noted above to the North Carolina Attorney General's Office for
collection through the courts unless payment is received by January 30, 2010. Additional actions to revoke your operating permits
will be initiated as well as referral for collection.
Make checks payable to NC DENR; include the permit numbers and invoice numbers on the check. Send the fee payment to:
Mrs. Fran McPherson
Annual Administering and Compliance Fee Coordinator (919-807-6321)
1617 Mail Service Center
Raleigh, NC 27699-1617
(919-807-6321)
If you have evidence that the fee has already been paid, please contact me at 919-807-6387 or bob.querra(a-)ncdenr.gov.
Sincerely,
Bob Guerra, Western NPDES Unit
Enclosure: Invoice # 2007PR006018 and 2008PR005916
cc: Central Files
NPDES File
i' Roger Edwards, Asheville Regional Office, Surface Water Protection
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] \ FAX: [phone] \ Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity i Affirmative Action Employer
ne
NorthCarolina
;Vgturallff

PPP
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
2 0 0 7 P R 0 0 6 0 1 8
INVOICE
Annual Permit Fee Overdue
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your
permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facility's operating
status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation
and is subject to a $10,000 per day fine. if the permit is revoked and you later decide a permit is needed, you must reapply, with the
understanding the permit request may be denied due to changes in environmental, regulatory, or modeling conditions.
Permit Number: NCG551016
Henderson County
Triple Creek Subdivision Lot 29
Norton Segal
Jeff Brevard
500 Crooked Creek Ln
Hendersonville, NC 28739
Annual Fee Period: 2007-05-01 to 2008-04-30
Invoice Date:.06/19/07
Due Date: 07/19/07
Annual Fee: $50.00
Notes:
1. A $25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3-512.
2. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
3. Remit payment to:
NCDENR - Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
4. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee Coordinator at
919-807-6321.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Permit Number: NCG551016
Henderson County
Triple Creek Subdivision Lot 29
Norton Segal
Jeff Brevard
500 Crooked Creek Ln
Hendersonville, NC 28739
Overdue
Annual Fee Period: 2007-05-01 to 2008-04-30
Invoice Date: 06/19/07
Due Date: 07/19/07
Annual Fee: $50.00
Check Number:

PP
7NnH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
2 0 0 8 P P, 0 0 5 9 1 6
INVOICE
Annual Permit Fee Overdue
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your
permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facility's operating
status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation
and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is needed, you must reapply, with the
understanding the permit request may be denied due to changes in environmental, regulatory, or modeling conditions.
Permit Number: NCG551016
Henderson County
Triple Creek Subdivision Lot 29
Norton Segal
Jeff Brevard
500 Crooked Creek Ln
Hendersonville, NC 28739
Annual Fee Period: 2008-05-01 to 2009-04-30
Invoice Date: 06/18/08
Due Date: 07/18/08
Annual Fee: $60.00
Notes:
1. A $25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3-512.
2. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
3. Remit payment to:
NCDENR - Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
4. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee Coordinator at
919-807-6321.
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Permit Number: NCG551016
Henderson County
Triple Creek Subdivision Lot 29
Norton Segal
Jeff Brevard
500 Crooked Creek Ln
Hendersonville, NC 28739
IIIIIIIIPI�IIIIIdII�All�l�lllllllll9
Overdue
Annual Fee Period: 2008-05-01 to 2009-04-30
Invoice Date: 06/18/08
Due Date: 07/18/08
Annual Fee: $60.00
Check Number:

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 NI . 2 15I 31 NCG551016 111 121 06/08/28 117 181 CI 191 SI 20I II
Remarks
21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved ----------------------
67I 169 701 I 711 I 721 NJ 73IWI 174 751 I I I 11 I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Jeff Brevard - SFR
05:20 PM 06/08/28
02/05/03
Exit Time/Date
Permit Expiration Date
Triple Creek Subdivision Lot 28
Hendersonville NC 28739
05:30 PM 06/08/28
07/07/31
Name(s) of Onsite Representative (s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jeff Brevard,PO Box 565 Mountain Home NC 28758///
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(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Larry Frost ARO WQ//828-296-4500 Ext.4658/ 4 ��
Signature of Management Q A Reviewer Agency/Office/Phone and Fax.Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCG551016 I11 12I 06/08/28 18
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
This facility has yet to be built.
Page # 2

July 25, 2006
Jeff Brevard
P.O. Box 565
Mountain Home, NC 28758
Dear Mr. Brevard:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director,
— Division of-W-ater Quality
j
J u L 2 0 2006
i
WATER QUALITY SECTION
ASHEVILLE FEG10HAL OFFICE
Subject: NPDES General Permit NCG550000
Certificate of Coverage NCG551016
Jeff Brevard-SFR
Formerly S&N Properties, Inc.
Henderson County
Division personnel have reviewed and approved your request to transfer coverage under the General Permit,
received on July 11, 2006.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of
North Carolina General Statutes 143-215.1 and the Memorandum of Almeement between North Carotin. and the U.S.
Environmental Protection Agency.
If you have any questions, please contact the NPDES Permitting Unit at (919) 7 33-5083, e-,tension 363 or 350.
Sincerely,
. 'e, C56
Alan W. Klimek, P.E.
cc: DWQ Central Files
NAshe�Tille Regional Of&ce;, Water Qual__ty Section _ -
NPDES Unit File
No�thCaroli.na
—rrOrifPCeroltna DlVlSlon of Wcief uali777 1v1an-SdrvicCCenr6----7 "Raleigli, NC 27699=1-617 Phone (96I5—Customer Service
Internet h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
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 NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG551016
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHRACTERISTICS 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,
JEFF BREVARD
is hereby authorized to operate and construct a wastewater treatment facility which includes a septic tank,
distribution box, two primary sandfilters, secondary sandfilter, chlorination unit, pump tank, emergency storage tank,
rip rap cascade aeration and associated appurtenances with the discharge of treated domestic wastewater from a
facility located at the
JEFF BREVARD — RESIDENCE
LOT #29
NORTHWEST OF HENDERSON
HENDERSON COUNTY
to receiving waters designated as Mill Pond Creek in the French Broad River Basin in accordance with tho 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 July 25, 2006.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 25, 2006.
ftyAlan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

United States Environmental Protection Agency
EPA Washington, D.C. 20460
Form Approved.
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31=98
Section A: National Data System .Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 u 2 U 31 NCG551016 111 121 05/09/20 117 18 LJ 19 LJ 20H,
Remarks
211 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I I I I 1 11 Jill 1 1 166
Inspection Work Days Facility Self -Monitoring Evaluation Rating. B1 QA ----------------------Reserved --- ------------- --
67 I 169 70 U 71 U 72 U 73 W 74 751 I I I 11 Li
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)
S & N Properties Inc - Lot 29 SFR'
11:00 AM 05/09/20
02/05/03
Exit Time/Date
Permit Expiration Date
Triple creek subdivision Lot 28
Hendersonville NC 28739.
11:07 AM 05/09/20
07/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Norton Segal,500 Crooked Creek Ln Hendersonville NC Contacted
28739/Secretary/828-697-7334/ 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(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Larry Frost ARO WQ//828-296-4500 Ext.4658/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.

NPDES yr/mo/day Inspection Type
3I NCG551016 111 12, 05/09/20 117 181 C i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The lot has not been cleared for a home.

0
rtatef
North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Norton Segal
S & N Properties, Inc.
500 Crooked Creek Lane
Hendersonville, North Carolina 28739
Dear Mr. Segal:
A&14
r�
D E N R
February 22, 2000
Subject: Denial of NPDES Permit
S & N Properties, Inc.
NPDES Permit Application No.
NCG551016, NCG551017, NCG551018
Lots 5, 28 & 29 Triple Creek Subdivision
Henderson County
Your Notice of Intent forms for General NPDES Permit coverage under NCG550000 were received on
March 22, 1999. These applications were for discharge of treated domestic wastewater into Mill Pond Creek
from each of three proposed wastewater treatment facilities (Lot #5, Lot #28, Lot #29) located at Triple
Creek Subdivision, northeast of Brightwater, off NC Highway 191. Our Asheville Regional Office has
performed a site investigation and the Division has completed its review of the applications.
Mill Pond Creek at your proposed point of discharge is classified as class WS-IV waters. Class WS-IV
waters have a designated best usage as drinking water supplies and thus any discharges to these waters must
have the concurrence of the Division of Environmental Health (G.S. 143-215.1 (a2)). The Division of
Environmental Health's review has cited concerns with these systems and the location of these discharges in
close proximity to the downstream water supply intake and indicated that they do not concur with the
issuance of the Permits. Therefore, your request for. certificates of coverage for Lot 5, Lot 28 and Lot 29, is
hereby denied.
If this decision is unacceptable to you, you have the right to an adjudicatory hearing upon written request
within thirty (30) days receipt of this letter. The request must be in the form of a written petition, conforming
to chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings,
6714 Mail Service Center, Raleigh, North Carolina 27699-6714.
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]

Pr
If you should have any questions on this matter, please contact Mr. Mack Wiggins of my staff at
telephone number [phone], ext. 542.
Sincerely,
Kerr T. Stevens
cc: Esfieville Regional Office_
Stormwater and General Permits Unit
Central Files
William G. Lapsley, P.E.
Division of Health Services -Water Supply Section

i ecnnicai Services brancn w U La
Public Water Supply Section
HaroldSaylor
Regional Engineer
Asheville Regional Office
July 6, 1999
NPDES Permits Upstream of Asheville Buncombe
Henderson Water Authority Water Supply Intake
Division of Water Quality is proposing to issue 3 NPDES permits for sand
filters at individual lots (not sold yet) about 2 miles upstream above the new ABHWA
intake on the French Broad River. There was very little information about the
proposed discharges/treatment system in the package sent to us.
The Asheville Regional Office field staff of Division of Water Quality
'A recommended that the permits be issued. The ARO field staff of Public Water Supply
14 Section recommended that they not be issued. Below are our concerns:
1. These discharges are close enough to the intake to impact the water
quality if systems malfunction.
2. Sand filters often clog from solids loadings and channel out through the
media, discharging untreated waste.
3. Two of the three systems require pumping of treated effluent before
discharge. There is no back-up power supply.
4. Field investigation indicates that the systems may be located in a flood
INTERCHANGE BUILDING, 59 WOODFIN PLACE, ASHEVILLE, NORTH CAROLINA 28801
PHONE [phone] FAX [phone]

5. There are no substantial operation and maintenance requirements. The
::. t effluent is required to be tested once per year, and the owner keeps the
results, i.e. he is not required to submit them to anyone.
6. DWQ' inspects only at each 5-year NPDES renewal date. -
We feel like this is a risky -proposal which sets a precedent for this intake. An
individual sand filter system ;with no substantial operation and maintenance requirements
2 miles upstream of a major water supply intake is not a good practice. It also is not
necessary. Three lots of about 30 in this development were not suitable for subsurface
disposal systems. Central sewer is about one mile away. Good development planning
should have precluded the need 'for installing discharging individual sewage disposal
systems at this location.
We would appreciate your comments and guidance.
HSrp
c: . Jessica Miles
n

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
Mr. G. Thomas Jones III, P.E.
William G. Lapsley & Associates, P.A.
PO Box 546
Hendersonville, North Carolina 28793
Dear Mr. Jones:
A�j 21
D E N R
LLA
May 18, 1999 du j, MAY 19 1999 ®r ,
Subject: General Permit No. NCG550000
Cert. of Coverage NCG551016
Lot # 29, Triple Creek Subdivision
Henderson County
The Stormwater and General Permits Unit have reviewed the plans for S & N Properties, Inc. lot
# 29 Triple Creek Subdivision. Before we can proceed further the following items must be addressed.
1. The plans need to show that the septic tank is at a minimum of 10 feet from the dwelling.
2. Plan must show cleanout between the dwelling and septic tank, between the primary and
secondary sandfilters and anywhere between the chlorine contact chamber and discharge
point.
3. The plans must address that all piping elbows will be of the long sweeping type.
4. The plans must address that adjustable caps will be installled on the distribution box for equal
distribution of flow to the two primary sandfilters.
5. The plans must address that all cleanouts will be housed below surface in meter boxes level
to surface.
6. The plans must show that filter distribution lines will be capped or plugged at the ends.
7. The plans must show that all sandfilters are vented to the surface from the collection lines for
aeration and snaking.
8. Filters must shows that distribution lines will be at a slope of <2% and collection lines at a
slope of 0 to 1 %.
9. It should also be mentioned on the plans that this lot will be served by city water.
Three sets of revised plans for this project should be submitted to this office.
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]

If you have any questions concerning this permit, please contact Mack Wiggins at telephone
number 919/733-5083, extension 542.
Sincerely,
Mack K. Wiggins, Jr.
Stormwater and General Permits Unit
cc: Central Files
Asheville Regional Office, Water Quality
Stormwater and General Permits Unit

, V) A,(VS
William G. Lapsley & Associates, P.A.
Consulting Engineers and Land Planners
A
1635 Asheville Highway
Post Office Box 546
Hendersonville, North Carolina 28793
828-697-7334 • FAX [phone]
May 19, 1999
William G..Lapsley, P.E.
William R. Buie, P.E.
G. Thomas Jones III, P.E.

Please let me know if you have any questions or need any additional information.

May 13,1999
MEMORANDUM
From: Mack Wiggins
Subject: Review of the discharge location for the following:
S & N Properties, Inc
Triple Creek Subdivision
Lot # 29
''"' .-•'S
Henderson County
NCG551016
Please indicate below your agency's position or viewpoint on the facility listed above.
Attached is the staff report for the facility. We cannot issue the permit without your
concurrence. Please return this form at your earliest convience.
RESPONSE:
This agency has reviewed the draft permit and determined that the proposed
discharge will not be sufficiently close to any existing or know proposed
public water supply intake so as to create an adverse effect on water quality.
We concur with the issuance of this permit provided the facility is operated
and maintained properly, the stated effluent limits are met prior to discharge,
and the discharge does not contravene the designated water quality standards.
Concurs with issuance of the above permit, provided the following conditions
are met:
Opposes the issuance of the above permit, based on reasons stated below, or
attached:
3W
Signed ��/CO Date:
` -1/ ; � � "t� V

f
� NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
ASHEVILLE REGIONAL OFFICE
WATER QUALITY SECTION
April 15, 1999
MEMORANDUM
TO: Mack Wiggins
FROM: Roy Davis���
SUBJECT: Individual Residence Sewage Treatment Systems
Triple Creek Subdivision
S&N Properties, Inc,
Application Number NCG551016 (Lot 29)
Application Number NCG551017 (Lot 28)
Application Number NCG551018 (Lot 5)
Henderson County.
You asked that I provide you with the location of the three
subject proposed treated wastewater discharges in terms of
latitude and longitude. Those locations areas follows:
Longitude Latitude
Lot 29 82030' 2911 W 350 21' 1711 N
Lot 28 820 30' 2911 W 350 21' 1711 N
Lot 5 820 30' 3611 W 350 21' 2211 N
I have inspected the sites and observed nothing -which is not
accurately shown on the construction drawings. Thanks for
your help with this project. I should add that all three:
discharges are located in sub -basin 04-03-02.
TRIPLECR.M99
INTERCHANGE BUILDING, $9 WOODFIN PLACE, ASHEVILLE, NC 28801-2414
PHONE [phone] FAX 828-2S1-64S2
AN EQUAL OPPORTUNITY /AFFIRMATIVE ACTION EMPLOYER - SO% RECYCLED/10% POST -CONSUMER PAPER

A
CEDE
JAMES B. HUNT JR.
GOVERNOR
MEMORANDUM
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
ASHEVILLE REGIONAL OFFICE
WATER QUALITY SECTION
April 6, 1999
TO: Mack Wiggins / V-
WAYNE MCDEVITT _ / SECRETARYTHROUGH: Forrest;WestalI�41
FROM: Roy Davis
r SUBJECT: Individual Residence Sewage Treatment Systems
A..PRESTONHowAR� 7R ,� Triple Creek Subdivision
P.E., DIRECTOR z �
S&N Properties, Inc,
Application Number NCG55101G (Lo
Application Number NCG551017 (Lot 28)
Application Number NCG551018 (Lot 5)
�h Henderson County
F
On February 18, 1999 I inspected lots number 5, 28 and 29'in
ry Triple Creek Subdivision in Henderson County for purposes of
determining suitability for. installation of three different
Y septic tank -subsurface sand filter sewage treatment systems.
I.determined that Mill Pond Creek (Class WS-IV)_which is
r; tributary to the French Broad River has sufficient drainage
area and therefore flow to accept the proposed treated
wastewater discharges. You may need to know that Rugby
Middle School and West Henderson High School both discharge
treated wastewater to Mill Pond .Creek.
All three of the subject lots have been turned down by the
` Henderson County Health Department for conventional septic
tank -drain fields. Public sewer is in -the order of one mile
sM away and therefore is not reasonably available. It is my
= recommendation that Certificates of Coverage be issued for
these three projects presuming, of course, that you find the
application packages, including construction plans,
acceptable. The permits, if issued should contain the
requirement that the Division will be notified of change of
ownership of any of these lots. Attached is a portion of
the Horse Shoe Quadrangle showing the location of the
proposed discharges. Please do not hesitate to call me at
828-251-6208 should you need to discuss these projects.
Enclosure
TRIPLECR
INTERCHANGE BUILDING, 59 WOODFIN PLACE, ASHEVILLE, NC 28801-2414
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/101% POST -CONSUMER PAPER

y HORSE SHOE QUADRANGLE
NORTH CAROLINA
7.5 MINUTE SERIES (TOPOGRAPHIC) 193—SE
ASHEVILLE i9 M/.
359 MILLS RIVER i.9 M!.-32'30'360 361 950 o00 FEET 362 7
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Z9.
William G. Lapsley & Associates, P.A.
Consulting Engineers and Land Planners
1635 Asheville Highway
Post Office Box 546
Hendersonville, North Carolina 28793
828-697-7334 • FAX [phone]
William G: Lapsley, P.E.
March 11, 1999 D William R. Buie, PE.
-° G. Thomas. Jones III, P E..
MAR 1 2 1999

National Pollutant Discharge Elimination System
Application for Coverage under NCG550000
igle Family Domestic Units discharging less than 1000 gallons per day
A. Please list the DEHNR Regional Office representative(s) with whom you have met:
Name: _ Ro`( S Date: z/ Zy I g9
Please note: This application will be returned if you have not met with a representative from the Region.
B. Name, Address, location, and telephone number of facility requesting Permit.
1. Owner's Name:
2. Mailing Address:
a. Street;
b. City;
c. State /Zip;
d. County;
3. Telephone Numbers;
4. Location. (Attach site map)
a. Street Address;
b. City/Zip;
c. County;
S S6 N , o►.3G.
5O0 c 4xr-F_ C VvA,-jc_..
VAoUZSo,-&vVLff.
t.c. /
1-1 r 4
Home: (qL,&) & 41, - Zo27
Work (. ) -13A—C-
rrz►pc.E cQ.ef_V__ SKa. &_oT 4k- 29
µtniyE2,s:aHv«-�•� / za-t39
H Ens bLQSae%t
C. Application type (check appropriate selection):
1. ✓ Not constructed.
2. Constructed;
If previously permitted by local or county health department, please provide permit
number and issue date
3. Modification;
(Describe the nature of the modification):
D. Amount of wastewater discharged:
Number of bedrooms 3 x 12o gallons = 3 loO gallons per day to be permitted
E. Type of facility producing waste (please check one):
1. Primary residence
2. Vacation/second home
3. Other, explain
F. Check the appropriate type of treatment components being used to treat the wastewater:
✓ Septic tank
_ Dosing tank
Primary sand filter
Secondary sand filter
Recirculating sand filter(s)
✓ Chlorination
Dechlorination
Other form of disinfection (specify)
Post Aeration (specify type) VL% P fZAP CATc-Abe- Aua,k-%_ c
Other (describe, be specific)

G. For new or proposed systems only:
Please address the feasibility of alternatives to discharging for the following options in the cover k
for this application:
Connection to a Regional Sewer Collection System.
2. Letter from local or county health department describing the suitability 6r non -suitability of the
site for other types of wastewater disposal such as a leach field.
3. Investigate Land Application such as spray irrigation or drip irrigation:
H. The application must include the following or it will be returned:
For all Certificates of Coverage:
Yes or No
[r E3 An original;letter and two (2) copies requesting a general permit.
1K [3 A signed and completed original and i vo (2) copies of this document.
A check or money order for the pelt f ee of $240.00 made out to DEHNR
tjjA Invoice showing that the septic tank has been pumped within the last 5 years (for existing
facilities on}y),
New or proposed facilities must also include:- .
0 Letter from the county health department evaluadiig the proposed site for ground
absorption.
Ef 0 Evaluation of connection to a regional sewer system (approximate distance & cost to
connect).
For An Authorization to Construct (AT0:
15 A letter requesting an ATC
N ►A 13 0 A fee of $100.00 (if applying for an ATC only) .
d C3 Three sets of plans and specifications of proposed treatment system (see Permit Application
Checklist and Design Criteria for Single Family Discharge)
Mail entire package to:
NC DENR / DIVISION OF WATER QUALITY
Stormwater and General Permits Unit
Post Office Box 29535
Raleigh, North Carolina 2762"535
I. 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 SiAt,
Signature of Applicant Date Signed t
NORTH CAROLm GENERAL STATUTE 143-215.6 (B) (2) mviDEs 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 knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of dw Environmental
Management Commission implementing that Article, shalt be guilty of a misdemeanor punishable by'a fine not to exceed
$10,000, or by imprisonment not to exceed six months, or by both (18 U.S.C. Section 1001 provides a punishment by a fine of
not more than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.)
a ccs.:�Xy;o AppEnitian 91W8

S & N Properties, Inc.
500 Crooked Creek Lane
Hendersonville, NC 28739
March 10, 1999
NC DENR I Division of Water Quality
Stormwater and General Permits Unit
P.O. Box 29535
Raleigh, NC 27626-0535
Re: Lot #29, Triple Creek Subdivision
Authorization to Construct
Sand Filter Wastewater Treatment System
Henderson County
Dear Sirs:
This is to advise you that I am requesting and Authorization to Construct the sand filter wastewater
treatment system designed by William G. Lapsley & Associates, P.A., for the above referenced
project. This authorization is being requested in conjunction with the Application for Coverage
under NCG550000.
Please feel free to contact Mr. G. Thomas Jones III, P.E. at [phone] should you have any
questions.
Sincerely,
Norton Segal, Sec etary
S & N Properties, Inc.

FNDERSON COUNTY HEALTH DEPARTMENT
EPTIC TANK SYSTEM IMPROVEMENTS PERMIT
692.4228
Authorization to Construct Permit is required before any excavation on the lot can
e
A Building Permit Application will only be given with an Authorization to Construct
. Permit subjectrrto revocation if site plan or intended use change.
Dwner N P e. A; e 5 Date! FQ- b 9 9
.ot oZ Development Q Cce4 K
.oca C 1 9 1 T/ L— D r; ,; e
louse Mobile Home ❑
)ther CJ
Jo. Employees Bedr oms 3
)esign Flow GPD /
)wner's Signature
VALI NSDN'G
U$E AS DE CRIBED ABOVE
NOT TO SCALE
S9
NY _28048
WI #
PIN #
Approved ❑
Disapproved a
Max. Trench Bottom Depth_ x
Max. Trench Width
Water Supply - ❑ Community ❑ Individual
t Z- City ❑ Shared
Lot Size / 0 21 (."r e Slope _ %
LTAR -------
Diagram: Show property lines, buildings, location,
setbacks, well, driveways, streams, bodies of
water, and mag tic h.
Issued By:
ErAironmental Health Specialist
'fo(1 Co Q '. Z
dV.P_ Ida
J
e, c— '1 5
p P
CL,J
LOD�.��
So•-�ca
T : ��c-
A�S�e"--

State of North ,Carolina
Department of Environment
and Naturaf Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
March 16, 1999
Mr. G. Thomas Jones, III, P.E.
William G. Lapsley & Associates, P.A.
P.O.. Box 546
Hendersonville, North Carolina 28793
Re: Notices of Intent for General NPDES Permits
NCG550000
S & N Properties
Lots 29, 29 and 5, Triple Creek Subdivision
Henderson County
/ 0 •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Dear Mr. Jones: '
This Division of
Water uality received three Notices of Intent from you on March 15, 1999 to be
return those
ces Of Intent to
covered by
N.C. General NPDES Permit NCG550000. This letter is fr the form thatyousubmitted,
you for re -filing. The Notice of Intent form has changed recently 1999 there is
and you will need to complete the revis1 a new fee schedule in
ed form. As of January
Annual Fees. The
' aton fees are being returned with the Notices of Intent. ub•ect o A new p,� eck for $50 each
effect. The application of the new fee
should be submitted with the Noticesof
Intent. will over the first year annual fees. A copy ices of Intent.
$50's submitted with the Notices of I lease
st
ructure is enclosed for your use. Please prepare newve checks
est and
concerning our eomatters, p
Your checks should be 083rewnext 548 or otten for nrOAsheville Regional Office. .
contact me at 919/733
Sincerely,
Cc: Zsheville Regional Office
Attachments -
P.O. Box 29535, Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
William4�1 .Mills, PE
Stormwater and General Permits Unit
Telephone [phone]B3 FAX [phone]
50%recycled/ 10% post -consumer paper

0� W I FR pG Michael F. Easley
\ Governor
rWilliam G. Ross Jr., Secretary
>_ Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D, Acting Director
Division of Water Quality
April 1, 2002
Mr. G. Thomas -Jones III, P.E.
William G. Lapsley & Associates, P.A.
PO Box 546
Hendersonville, NC 28793
APR
4 _
Subject: Application No. NCG55101.7-Lot 28,
NCG551016-Lot 29
S & N Properties, Inc., Triple Creek
Subdivision
Henderson County
Dear Mr. Jones:
The plans for Lot 28 and Lot 29 must address following items before we can complete our review:
1) Each treatment system for Lots 28 and 29, must have incorporated into its design and installation a
storage tank at the pump with at least 5 days effluent storage capacity above the pump -on level.
2) Submit plans for Lot 5.
Refer to the subject permit application number when providing the requested information. Please submit three
copies of all information to my attention at the address below.
If you have any questions please call me at 919/ 733-5083, ext. 542.
cc: Asheville Regional Office
Stormwater and General Permits Unit
Sincerely, t
ack K. Wiggins, Jr.
Stormwater and General Permits Unit
A
NCDEPtR
Customer Service
1 800 623-7748
Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]

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To:
North Carolina Department of Environment and
Natural Resources
DIVISION OF WATER QUALITY
Surface Water Protection °
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, North Carolina 28778
Phone:[phone] Fax:[phone]
From: :7 ?,K s 7
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Number of pages including cover: -s
MESSAGE: If questions, please call 8281296-4500
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I Vol Michael F. Easley
i ✓�� Governor
William G. Ross Jr., Secretary
y Department of Environment and Natural Resources
Greg J. Thorpe, Ph.D, Acting Director
Division of Water Quality
May 3, 2002
Subject: General Permit NCG550000
Cert. of Coverage NCG551016
Authorization to Construct
Triple Creek Subdivision, Lot# 29
Henderson County
Dear Mr. Segal:
In accordance with your application for an NPDES discharge permit received March 22, 1999 by the Division, we
have issued the Certificate of Coverage and Authorization to Construct under the state-NPDES general -permit for ' & N
Properties, Inc. in accordance with the agreement reaches in the attached CONSENT AGREEMENT AND SETTLEMENT
and ADDENDUM TO THE RESTRICTIVE COVENANTS FOR TRIPLE CREEK SUBDIVISION. Authorization is hereby
granted by this letter for the construction of a 360 .GPD wastewater treatment system consisting of a septic tank with a
minimum capacity of 1250 gallons, distribution box, two 160 square foot .(5'X32') primary sandfilters, with a loading rate of
not more than 1.15.GPD/square foot for each primary sandfilter, 160 square foot (5'X 32') secondary sandfilter with a
loading rate of not more than 2.30 GPD/square foot, chlorination unit, 1200 gallon pump tank, 1200 gallon emergency
storage tank and rip rap cascade aeration with a discharge of treated wastewater into Mill Pond Creek classified WS-IV
waters in the French Broad River Basin. = All -elbow piping must be of the long sweeping type. All cleanouts are to be
housed in meter boxes below the surface. This system must be at least 10 feet from the dwelling and property lines and
at least 100 feet from water supply wells on and off the site. The system must also be constructed and located above a
100 year flood. Sandfilters must be lined with a minimum 30 mil polyethylene liner.
If any parts, measurement frequencies or sampling requirements contained in this general permit are
unacceptable to you, you have the right to submit an individual permit application and letter requesting coverage under an
individual permit. Unless such demand is made, this decision shall be final and binding. Please take notice this permit is
not transferable. Part II, EA. addresses the requirements to be followed in case of change of ownership or control of this
discharge.
The Authorization to Construct is issued in accordance with Part III, Paragraph 2 of NPDES Permit No.
NCG550000, and shall be subject to revocation unless the wastewater treatment facilities are constructed in accordance
with the conditions and limitations specified in Permit No. NCG550000.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division, such as the
construction of additional or replacement wastewater treatment or disposal facilities.
The Asheville Regional Office, telephone number 910/251-6208, shall be notified at least forty-eight (48) hours in
advance of operation of the installed facilities so that an in -place inspection can be made. Such notification to the regional
supervisor shall be made during the normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday,
excluding State Holidays.
Upon completion of construction and prior to operation of this permitted facility, a certification must be received
certifying that the permitted facility has been installed in accordance with the NPDES Permit, the Certificate of Coverage,
this Authorization to Construct and the approved plans and specifications. Mail the Certification to the Stormwater and
General Permits Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
ut_t
Customer Service Division of Water Quality. 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
1 800 623-7748

Fg Michael F. Easley
QG Governor
rWilliam G. Ross Jr., Secretary
Department of Environment and. Natural Resources
"C Greg J. Thorpe, Ph.D, Acting Director
aw Division of Water Quality
A copy of the approved plans and specifications shall be maintained on file by the Permittee for the life of the
facility.
The sand media of the sandfilters must comply with the Division's sand specifications. The engineer's certification
will be evidence that this certification has been met. .
A leakage test shall be performed on the septic tank and dosing tank to insure that any exfiltration occurs at a rate
which does not exceed twenty (20) gallons per twenty-four (24) hour per 1,000 gallons of tank capacity. The engineer's
certification will serve as proof of compliance with this condition.
Failure to abide by the requirements contained in this Authorization to Construct may subject the Permittee to an
enforcement action by the Division of Water Quality in accordance with North Carolina General Statute 143-215.6A to
1 43-215.6C.
The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules,
regulations, or ordinances which may be required by the Division of Water Quality or permits required by the Division of
Land Resources, the Coastal Area Management Act or any Federal or Local other governmental permit that may be
required.
If you have any questions or need additional information, please contact Mack Wiggins, telephone number
919/733-5083.
Sincerely,
,h Gregory J. Thorpe, Ph.D
cc: Central Files
Asheville Regional Office, Water Quality
Roosevelt Childress, EPA
Point Source Compliance Enforcement Unit
Henderson County Health Department
G. Thomas Jones III, P.E.-William G.Lapsley & Associates, P. A.
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]

Pr
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE
GENERAL PERMIT NO. NCG551016
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,
S & N Properties, Inc.
is hereby authorized to operate and construct a wastewater treatment facility that consists of a septic tank,
distribution box, two primary sandfilters, secondary sandfilter, chlorination unit, pump tank, emergency storage tank,
rip rap cascade aeration and associated appurtenances with the discharge of treated wastewater from a facility located
at the
Triple Creek Subdivision
"t Lot # 29
northwest of Henderson
Henderson County
to receiving waters designated as Mill Pond Creek in the French Broad River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV hereof.
This certificate of coverage shall become effective May 3, 2002
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 3, 2002
ljgrgF;
Gregory J. Thorpe, Ph.D, Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission

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