Loading...
HomeMy WebLinkAboutNCG551166_Regional Office Historical File 2001 to 2010(09� 'i. � Ism-Y��.- --� -r1.4. o_FJ o �1 � n R �nf �- _mac � �� �_ . .:., y;.-u::Fa:l iCYAi.. Rti .'i:•v �..�ur.e.. NCDENR BAN 1 6 2007 I LJ North Carolina Department of Environment and Division of Water Quality Michael F. Easley, Governor January 9, 2007 Jessey Baldwin 111 Belvue Ln East Flat Rock, NC 28726 sral Resources WATER C'UAUTY SECTQN p•`Williahi=':G�..Ross;=;1r:.,��ecreta Alan W. Klimek, P.E., Director Subject: Renewal Notice / General Permit NCG550000 Certificate of Coverage NCG551166 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 August 1, 2002. The Division needs information from you to determine if coverage under NCG550000 is still necessary. ➢ If your property still has a wastewater system like the ones described in the enclosed Technical Bulletin, you must renew the subject CoC. Complete the enclosed form and submit it to the address on the form. ➢ If you are not sure what type of system your property has, contact Keith Haynes in the NC DENR Asheville Regional Office at. That person [or other staff members] can help you determine if you should.renew your CoC. ➢ If you know that your property no longer discharges wastewater, contact me at the address or phone number listed below to request rescission of the CoC. ➢ This information request does not mertain to the Annual Fee of 850.00 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 DXW 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 One 512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCarohna Phone: 919 733-5083, extension 511 /FAX 919 733-0719 / charles.weaver@ ncmail.net / An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Natutrally NCG551166 renewal notice January 9, 2007 i. The attached application form shows the information the Division has on file for your property. Please verify that the provided information is correct, or make corrections on the form. Complete the additional questions, then sign and date the form. The completed form should be submitted to the address listed below the signature block. If you have any questions concerning this matter, please contact me at the telephone number or e-mail address listed below. (If it is difficult to reach me, please be aware that your facility is one of over 1100 that I am contacting regarding the renewal of NCG550000.) Thanks for your attention to this matter. Sincerely, Charles H. Weaver, Jr. NPDES Unit cc: - Central Files ,�kaevialQe �;e�.�rn;a1 +�,1�txce / s�ith �a�r�a NPDES file PROPERTY RECORD CARD Page 1 of 1 Henderson County PropertV Record Card PAGE 1/1 DATE 09/07/2006 OWNERSHIP PID NEIGHBORHOOD SALES INFORMAfi6`N 9936980 508 STONE CREEK �t "t7EllENUE DATE W- DEED BOOK CARPENTER ROGER PIN CYCLE STATUS STAMPS TRANSFERREDI AND PAGE CARPENTER SUSAN 10-0612-10-„ 311 KUDZY LOOP A ACTIVE 12.00 02/09/04 1171/328 *9936SM14 55 t t WAYNESVILLE NC 28785 ift ,I,... ZONING LAND USE VERIFIED SALE DATE VALIDITY _- �. e OU 100 SALE CODE PROPERTY ADDRESS TAX DISTRICT ACCOUNT EJLDG # 5000 07/16/01 X PHYSICAL SITUS UNKNOWN I EYVILLE 300447 NULL VISITATION DATA FIRE _ PROPERTY DESCRIPTION CLASS DOC ACRES APFt. ACRES DATE_ ID SJURCE VISIT CODE #04 STONEY CREEK R1 0.43 0 43 08/14/02 i RF g ESTIMATE RV LACED INFORMATION BUILDING INFORMATION SECS 1 ! 2 3 4 5 SECTION A. 13 C D E F G �H_l .,: TYPE 36 TYPE J ACRE 0.43 SOFT SdFf STORIES t I I : BUILDING SKETCngll PaPagej RATE 18500 WALL ' SOIL YEAR I LIS4� E E AGE ADJ a CDU AMOUNT DEFERRED r $0 00 GRADE NA until Jan MARKET VALUE t NA until Jan. 2007 MKT F 2007 OUTBUILDINGS PHYSy �LDf�:d, ETFEU-NCT TYPE T A �,� USE 13SMT F j . t SIZE . ,. ATTIC A i GRADE ATTIC F r YEAR 'BEDROC3MSrj I FCiLL � HALF t GENERAL RE iARKS ? HEATIs Ca € WILL NOT PERK/OWNER F OPNy y .. . , 8 .,...._ F STACK TALC VALUE SUMMARY ... .. DISCLAIMER AC _ _ T _ :.;.�ve�n naa.,�.x,-.--..vr..>,�. ate.<..,,csse.,.c,o...see...v..�.,,,...,•.....rn�..r�„rn„>.,m�:-.-<..«._...ca c. :;... ,,:a, .. mz�z:.•..s gg �Ga�T MARKER lNLe €l I#&E TOTAL BUILDING VALUE � LAND � NA until Jan. NA until Jan. NA until Jan. 2007 2007 2007 Current property values are not available from this property record card. Please contact NA until Jan. 2007 BUILDINGS NA until Jan. NA until Jan. NA until Jan. the Assessor's Office to obtain a current tax value. The information on this site is w•.,w 2007 2007 2007 current as of January 25, 2005. This information is collected for inventory of property found BUILDING REMARKSTOTAL MARKET NA until Jan NA until Jan. � NA until Jan within this juristiction,and is compiled from recorded deeds,plats, and other public records and VALUE 2007 2007 2007 data. Users of this information are hereby notified that the aforementioned sources should be, : "� TC3TAL AMCSUNT NA until Jan. consulted for verification of the information contained in this report. DEFERRED 2007 TOTAL TAX NA until Jana j NA until Jan. < NA until Jan.. VALUE 2007 2007 $ 2007 http://www.hendersoncountync.org/Output/j spBuildingSketch.j sp?Bldg=1 &PID=993 6980 9/7/2006 USE NCDENR Noam CMoum D MMrmENT m EMnaon m /wo NMML RmouRc[A Division of Water Quality / Water Quality Section National Pollutant Discharge Elimination System NCG550000 NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under General Permit NCG550000: Single Family Domestic Units and/or facilities discharging less than 1000 gallons per day of domestic wastewater and similar point source discharges (Please print or type) 1) Region contact (Please note: This application will be returned if you have not met with a representative from the appropriate regional office): Please list the NCDENR Regional Office representative(s) with whom you have met: Name: Date: 2) Mailing address' of owner/operator: Owner Name De c�V ,n Street Address l C '—� City _F&4--k Ir_,y_ Telephone No. (Home) =& qO * Address to which all permit correspondence will be mailed 3) Location of facility producing discharge: Street Address jiO f 3 1 q j -�t City County Telephone No. 92Y 6 1206 4) Physical location information: State _� ZIP Code (Work) ._ State AI.C__ ZIP Code a�­2 % Please provide a narrative description of how to get to the facility (use street names, state road numbers, and sta ince and direction from a ro dway intersection). �� /-�N �25OIVO / -,/ 0 L45 f A 5A.✓&'z1 ('"P L I-)z jL ) /?-i i y. /1"i o, I (a -YL2— —12 5) This NPDES permit application applies to which of the following : 9 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: L� Number of bedrooms -2 x 120 gallons per bedroom = .60 gallons per day to be permitted Page 1 of 3 S W U-216-062199 PPCFG550 00 N.O.I. 11) Additional Application Requirements: a) If this application is being submitted by a consulting engineer (or engineering firm), include documentation from the applicant showing that the engineer (Or firm) submitting the application has been designated an authorized Representative of the applicant. b) If this application is being submitted by a consulting engineer (or engineering firm), final plans for the treatment system must be signed and sealed by a North Carolina registered Professional Engineer and stamped - "Final Design - Not released for construction". c) If this application is being submitted by a consulting engineer (or engineering firm), final specifications for all major treatment components must be signed and sealed by a North Carolina registered Professional Engineer and shall include a narrative description of the treatment system to be constructed. 12) Certification: I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true,.complete, and accurate. Printed Name of Person Signing: Jv-r a� (Signature of Applicant) (Date Signed) North Carolina General Statute 143-215.6 b (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document filed or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.) Notice of Intent must be accompanied by a check or money order for $50.00 made payable to: NCDENR Mail three (3) copies of the entire package to: Stormwater and General Permits Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee the issuance of an NPDES permit Page 3 of 3 S W U-216-062199 PPCGF550000 N.O.I. b) Type of facility producing waste (please check one): Pf Primary residence ❑ Vacation/second home ❑ Other: 7) Please check the components that comprise the wastewater treatment system: Rf Septic tank ❑ Dosing tank 9. Primary sand filter Jr Secondary sand filter ❑ Recirculating sand filter(s) Chlorination M"Dechlorination ❑ Other form of disinfection: K,Post Aeration (specify type) CIW- Cr4"b&_" 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. r�ka7� 3v c�ra�GtY 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?s-��Y ls�K b) Stream Classification (if known): 10) The application must include the following or it will be returned: : . a) For Certificates of Coverage: ❑ An original letter and two (2) copies requesting a general permit. ❑ A signed and completed original and two (2) copies of this document. ❑ A check or money order for the permit fee of $50.00 made payable to NCDENR. ❑ Invoice showing that the septic tank has been pumped and serviced within the last 2 years (for existing facilities only). New or proposed facilities must also include: ❑ Letter from the county health department evaluating the proposed site for all types of ground absorption systems. ❑ Evaluation of connection to a re Tonal sewers stem (approximate distance & cost to connect). to ��r c-� . J o H'97���Cfw.9- A""ave-0 �[� rc:, _ ,QcV• b) For an Authorization to Construct (ATC) only: rVIZ6,C5, — gtr"- ❑ A letter requesting an ATC ❑ Three sets of plans and specifications of proposed treatment system (see Permit Application Checklist and Design Criteria for Single Family Discharge) ❑ Invoice showing that the septic tank has been pumped and serviced (for existing septic tanks). Note: There is no fee when requesting an Authorization to Construct Page 2 of 3 SWU-216-062199 A' State of North Carolina I `r Department of Environment and Natural R sourced --- Division of Water Quality PERMIT NAME/OWNERSHIP CHANG ; F RM t7 Any changes made to this form will result in the applicati n beinWriaturued(SECTION (THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN O ASHEVILLE REGIONAL OFFICE ' For more information, visit our web site at: h2o.ennstatemc.us/ndpal/ I. REQUIRED ITEMS 1. Submit one original of the completed and appropriately executed Permit Name/Ownership Change Form. For a change of ownership, the certification must be signed by both the current permitholder and the new applicant. For a name change only, the certification must be signed by the applicant. 2. Provide legal documentation of the transfer of ownership (such as a contract, deed, article of incorporation, etc.) for ownership changes. A copy of the Association Bylaws and Declarations should be submitted for a change of ownership to a Homeowner's Association. 3. Submit a properly executed Operation and Maintenance Agreement for all Single Family Spray/Drip Irrigation permits requesting a change of ownership. II. CURRENT PERMIT INFORMATION � ' )N—A� 1. Permit number: _ _, 0 L ,' n \) C 2. Pen -nit holder's name: c") t� -S S c r-1 1 J r4 3. Permit's signing official's name and title: legally responsible for permit) (title) 4. Mailing address: 10 R O Y 4-1--o City: ,L G �� State: Zip: oZ CS 7 3V Telephone number: ( ) 6 1? 6 C]U ! Facsimile number:.(_) III. NEW OWNER/NAME INFORMATION This request for a permit change is a result of: a. Change in ownership of property/company b. Name change only c. Other (please explain): FORM: PNOCF 06/00 Page 1 of 2 2. New owner's name (name to be used in permit): �� C� k1j,=1 ,,3... _New owner's or signing official's name and title: (Person le lly responsible for permit) (title) 4. Mailing address: ?// zV c Z U A 0 O City: 1 ,3 AV & 6-3 0/ e. C F- State: & L' Zip: Z19 71 � Telephone number: ( &7,8 ) IKM -,4060 Facsimile number: ( IV. CERTIFICATION 1. Cur -rent Permittee's, ertification: attest that this application for name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned as incomplete. I understand I will continue to be responsible for comp iance with the current permit u til ew permit is isstoo), _ 1(( Signature: , d tJ Date: 2. Applicant's Certification: I, j!l 61F2 eAX PE'J7_�FO- , attest that this application for name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are ~~?t.cOrploted and that if all required supportLng inf _" nalcion and attachments are not ":nclraded, this applicatiou package w Signature: THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY NON -DISCHARGE PERMITTING UNIT By U.S. Postal Service: 1617 MAIL SERVICE CENTER 512 NORTH SALISBURY STREET, SUITE 1219 RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604 TELEPHONE NUMBER: (919) 733-5083 FORM: PNOCF 06/00 Page 2 of 2 State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross Jr., Secretary Alan W. Klimek, P.E., Director JESSEY BALDWIN JESSEY BALDWIN RT 1 BOX 40 EBBY MANOR LN FLAT ROCK, NC 28731 Dear Permittee: - ritA NCDENR NORTH CAROLINA DEPARTMENT OF. ENVIRONMENT AND NATORALrRESOURCES 'i July 26, 2002 f JUL t 2002 Subject: Reissue - NPDES Wastewater Discharge Permit Jessey Baldwin COC Number NCG551166 Henderson County In response to your renewal application for continued coverage under general permit NCG550000, the Division of Water Quality (DWQ) is forwarding herewith the reissued wastewater general permit Certificate of Coverage (COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated May 9, 1994 (or as subsquently amended). The following information is included with your permit package: * A copy of the Certificate of Coverage for your treatment facility * A copy of General Wastewater Discharge Permit NCG550000 * A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG550000 Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or decree. ` Please note that effective January 1, 1999 the fees for all permits issued by DWQ were changed. This changed the fee for your wastewater general permit coverage from a $240 fee paid once every five years to a yearly fee of $50. If you have not already been billed this year for the yearly fee, you will receive a bill later this year. If you have any questions regarding this permit package please contact Mack Wiggins of the Central Office Stormwater and General Permits Unit at (919) 733-5083, ext. 542 Sincerely, for Alan W. Klimek, P.E. cc: Central Files Stormwater & General Permits Unit Files Asheville Regional Office 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-0719 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper 3131 Z Michael F. Easley Governor William G. Ross, Jr., Secretary Department of Environment and Natural Resources Gregory J. Thorpe, Ph.D Acting Director Division of Water Quality November 6, 2001 Subject: Application No. NCG551166 Baldwin Residence Henderson County Dear Mr. & Mrs. Baldwin: This is to acknowledge receipt of the following documents on November 5, 2001: X Completed Notice of Intent (Application form), Engineering Proposal (for proposed control facilities), Request for certificate of coverage X Application processing fee of $50.00. Engineering Economics Alternatives Analysis, X Engineering Plans and Specifications Local Government Signoff, Source Reduction and Recycling, Interbasin Transfer, X Other: Henderson county site evaluation for 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 $00.00, Delegation of Authority (see attached), Biocide Sheet (see attached), Engineering Economics Alternatives Analysis, Engineering Plans and Specifications Local Government Signoff, Source Reduction and Recycling, _ Interbasin Transfer, Other: If the application is not made complete within thirty (30) days, it will be returned to you and may be resubmitted when complete. NCDENR Customer Service 1 800 623-7748 Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015 Michael F. Easley Governor William G. Ross, Jr., Secretary Department of Environment and Natural Resources Gregory J. Thorpe, Ph.D Acting Director Division of Water Quality This application has been assigned to Mack Wiggins (9191733-5083) 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 ck Wiggins Stormwater and General Permits Unit cc: Asheville Regional Office Permit Application File AMR Customer Service Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015 1 800 623-7748 OF wATF�4 p � CERTIFIED MAIL RETURN RECEIPT REQUESTED Jessey Baldwin 111 BELVUE LN East Flat Rock NC 28726 Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Enviromnent and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality 3/18/2004 7aw`r SUBJECT: NOTICE OF VIOLATION AND REVOCATION FOR NON PAYMENT PERMIT NUMBER NCG551166 Jessey Baldwin - SFR . Henderson COUNTY Dear Permittee: Payment of the required annual administering and compliance monitoring fee of $50.00 for this year has not been received for the subject permit. This fee is required by Title 15 North Carolina Administrative Code 21-1.0105, under the authority of North Carolina General Statutes 143-215.3(a)(1), (1 a) and (1b). Because this fee was not fully paid within 30 days after being billed, this letter initiates action to revoke the subject permit, pursuant to 15 ncac 2H.0105(b) (2) (k) (4), and G.S. 143-215.1 (b) (3). Effective 60 days from receipt of this notice, subject permit is hereby revoked unless the required Annual Administering and Compliance Monitoring Fee is received within that time. Discharges without a permit are subject to the enforcement authority of the Division of Water Quality. Your payment should be sent to: N.C. Department of Environment and Natural Resources Division of Water Quality Budget Office 1617 Mail Service Center Raleigh, NC 27699-1617 If you are dissatisfied with this decision, you have the right to request an administrative hearing within Thirty (30) days following recipt of this notice, identifying the specific issues to be contended. This 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, Post Office Drawer 27447, Raleigh, North Carolina, 27611-7447. Unless such request for hearing is made or payments received, revocation shall be final and binding. If you have any questions, please contact: Mr. , Water Quality Regional Supervisor, . cc: Supevisor, Water Quality Permits and Engineering Unit Regional Office County Health Department 1� Sincere) , J Alan W. Klimek, P.E. RD C E D FMAR 3 1 2004 WATER QUALITY SECTION . _ucvn 1 F aFr,InNA1 OFFICE 1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone 919-733-5083 FAX 919-733-9919 An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer paper Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources �� 3/18/2004 CERTIFIED MAIL RETURN RECEIPT REQUESTED Jessey Baldwin 111 BELVUE LN East Flat Rock NC 28726 SUBJECT: NOTICE OF VIOLATION AND REVOCATION FOR NON PAYMENT PERMIT NUMBER NCG551166 Jessey Baldwin - SFR Henderson COUNTY Dear Permittee: Alan W. Klimek, P.E. Director Division of Water Quality Payment of the required annual administering and compliance monitoring fee of $50.00 for this year has not been received for the subject permit. This fee is required by Title 15 North Carolina Administrative Code 2H.0105, under the authority of North Carolina General Statutes 143-215.3(a)(1), (1 a) and (1 b). Because this fee was not fully paid within 30 days after being billed, this letter initiates action to revoke the subject permit, pursuant to 15 ncac 2H.0105(b) (2) (k) (4), and G.S. 143-215.1 (b) (3). Effective 60 days from receipt of this notice, subject permit is hereby revoked unless the required Annual Administering and Compliance Monitoring Fee is received within that time. Discharges without a permit are subject to the enforcement authority of the Division of Water Quality. Your payment should be sent to: N.C. Department of Environment and Natural Resources Division of Water Quality Budget Office 1617 Mail Service Center Raleigh, NC 27699-1617 If you are dissatisfied with this decision, you have the right to request an administrative hearing within Thirty (30) days following recipt of this notice, identifying the specific issues to be contended. This 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, Post Office Drawer 27447, Raleigh, North Carolina, 27611-7447. Unless such request for hearing is made or payments received, revocation shall be final and binding. If you have any questions, please contact: Mr. , Water Quality Regional Supervisor, . cc: Supevisor, Water Quality Permits and Engineering Unit Regional Office County Health Department Sincere) ', Z� Alan W. Klimek, P.E. 2004 -31 ASHEVILLE i?�= 1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone 919-733-5083 FAX 919-733-9919 An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer paper November 30, 2001 Mr. & Mrs. Jessey Baldwin Rt. 1, Box 40 Ebby Manor lane Flat Rock, NC 28731 Subject: Dear Mr. & Mrs.Baldwin: 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 i{I DEC 102001 (,�I General Permit-NCG5500001611 Cert. of Coveragd-NCG5519:&"'- Authorization to Construct Jessey & Lynn Baldwin Residence Lot 3 & 4 Stoney Creek Henderson County In accordance with your application for an NPDES discharge permit received November 5, 2001 by the Division, we have issued the Certificate of Coverage under the state-NPDES general permit for Jessey & Lynn Baldwin. Authorization is hereby granted by this letter for the construction of a 360 GPD wastewater treatment system consisting of a septic tank with a minimum capacity of 1000 gallons, adjustable cap distribution box, 318 square foot (6'X53') primary sandfilter, with a loading rate of not more than 1.15 GPD/square foot, 162 square foot (6'X 27') secondary sandfilter with a loading rate of not more than 2.30 GPD/square foot, chlorinator, chlorine contact tank, dechlorination unit and cascade aeration with a discharge of treated wastewater into Reedypatch Creek classified C-Trout waters in the 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 beat 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 828/251-6208, 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. VC DENR Customer Service 1 800 623-7748 Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015 o�o� \NAr�RQ� f acility. 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 A copy of the approved plans and specifications shall be maintained on file by the Permittee for the life of the 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 143-215.6C. The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules, regulations, or ordinances which may be required by the Division of Water Quality or permits required by the Division of Land Resources, the Coastal Area Management Act or any Federal or Local other governmental permit that may be required. If you have any questions or need additional information, please contact Mack Wiggins, telephone number 919/733-5083. cc: Central Files WA—shev`ilie Regional_Offfiee;-Water:Qualit.y_ ,,: Roosevelt Childress, EPA Point Source Compliance Enforcement Unit Henderson County Health Department Gregory J. Thorpe, Ph.D RrM Customer Service 1 800 623-7748 Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY CERTIFICATE OF COVERAGE GENERAL PERMIT NO. NCG551166 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, Jessey & Lynn Baldwin is hereby authorized to operate and construct a wastewater treatment facility that consists of a septic tank, distribution box, primary sandfilter, secondary sandfilter, chlorinator, chlorine contact tank, dechlorination unit, cascade aeration and associated appurtenances with the discharge of treated wastewater from a facility located at the Baldwin Residence Lot 3 & 4 Stoney. Creek northeast of Edneyville Henderson County to receiving waters designated as Reedypatch Creek in the 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 November 30, 2001 This Certificate of Coverage shall remain iri effect for the duration of the General Permit. Signed this day November 30, 2001 Gregory J. Thorpe, Ph.D, Acting Director Division of Water Quality By Authority of the Environmental Management Commission , '_.� •��-�\' I L_. :�--- - '� �t e1 ,;' '� ;!T \ -/, %' 1\}�`t r r/ r 1 \ I 1 ��!r. + �,�^ -%'� � ,\ ?L��I r \ - '/�•� � `` � . I { + C J`.. r � � � _�Jj � n !., . � - \�y jam;::/l�///�r%.;� l&-� .j'I�i / ;(/•(/'/,',r (// t+, I 1/ ?a�� ;-�\ �\a t, �ti{ :�} r O. \ �,:.� -� :- �• \ ;'/�i ',`\ 1 rt r% I l( j Zta r /`-_: �� /r ti' hilt i) t 1 � /' , / . � i"/-��,. •' ^\�`'� �i''��;, ` I � \ i i ' �� \ vL � I j �r'r i/ , 1 i r.-. cl` t/ � . � � ..•I� / ,' f n /, ` _` Jam`` ' +�. -.;� y'� - `� . �=J� �j �%� .1�`\ � (/��'l�.J%i � � �r � 1 j \ � (' 1 ) i is\ ��s') �� ,'-�! t ! :. I-1 847 • i ttttf j'.• w ./� , r 1� `_:/ !' !r �S' 1 ` ��*1 _. �`��. a \` / 8 ��/%�r�_ •Li r. /tlt`� r..rJ. 11 s /n 't�� ../ .r '/ // � •. !_ �, -�� � _ \ • j r /ifrr 1e /1 f }���_' `t�\ ��.I _ `;t, i?j,r � ? ; � 3M1 1� ` /,//` - �, `i �_ _� . ! `L�""_ � /,_J � \-�-�� _�/ �/ 1 f j , % •� �%�J'—_-" oo \ �'� l ,.a . '�" \ �`�`,�p �e .,� i- `I r � \, \•\ `•/`� %�L// � 1 .J ^�+ V�� r '�,I;�� -a "(/`,` �\�\_/i;Y Llr"Lr--� N' __ ` l \\\ \ i _ \ Seb t'\; t.._-` - a �� ` _.' f� n �� ,� �✓ l / 200 � f }(f �!�/ `` �_ `sue_ f �' %1 1 Ci � r ti el r _ a�e \ �•��•: J ` 1 / r��\`�- � � = t ; ( ,�`� �`\ � J � }} (' ` j'r f 7 !�{ t'J ,\ ,t� �-=1 11 ,t. (' �` � �1 f/ p�: •� M, ~L13 26`Yzo .+j��> . ��v-1 1 1 I \ r/ , \.�,.� i_7•t_% 8r4�i. 4 10 y��ille� a Bit LHT 1850 I 2246--- �, f , ��r t ! ; ' �• l'` 1,1�\ `` }��� `_ ., - �r f , /', �, -�L�1 ! +r{• , r �` �..f . POI L�LOO OUt' J ^:"`-t„ !C � �T�s! ''fy,�fj,f,J�; � /(//� /ll ���� � / \ •� sj,� �/ T `4i/ :�.. �M. �¢: �Y �� If ,- ��`�'-sJ �. BM%�fiT ••�864,� ' Jr��//// f%i/_/..'�.\ i � -- � J / � i o .q� ��; �i N - .i' Z� 0�� -4 +�itwr(r! `'J�. __�� ! -.. -t �_� ~`•���'!(S`-ti�i' 1�i �1 o(r t.�, Ze rl ` \./' _y; Ow ✓I .%� `'HT 186�; Copyright (C) 1997, Maptech, Inc. it ° u n � _ 8�(Y Cj X J -' ; am \\ n o - p 2 O � R 26 o •— �, N \ / E me Ile ' V M LHT 1850 / 7 j In \ it �° 220 48 A J n C a S C ;8 4 p •� a 22q _ R n T 1851 M • I ° o _ " HT 86 ..M L 1865. q 2710 'e •. a State of North Carolina Department of Environment and Natural Resources Asheville Regional Office Michael F. Easley, Governor William G. Ross, Jr., Secretary Gregory J. Thorpe, Ph.D., Acting Director Division of Water Quality WATER QUALITY SECTION November 15, 2001 MEMORANDUM TO: Mack Wiggins 4 FROM: Roy Davis SUBJECT: Application Number NCG551166 Baldwin Residence Sewerage System Henderson County • • NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES On February 15, 2001, KI visited the property in the Edneyville Community proposed by Jesse and Lynn Baldwin for the construction of a private residence. Due to site limitations the Baldwins need permission to construct a discharging sewerage system. The proposed receiving stream is Reedypatch Creek in the Broad River Basin. Reedypatch bears a Class C-Trout classification. At the proposed point of discharge Reedypatch has more than sufficient drainage area to accept the proposed treated wastewater discharge. Attached is a copy of a portion of the Bat Cave quadrangle marked to show the location of the Baldwin property. The location of the proposed discharge is: Longitude: 82 degrees 19 minutes 6.91 seconds West Latitude: 35 degrees 24 minutes 34.32 seconds North It is my recommendation that, following your review and presumed approval of the submitted sewerage system plans, that a Certificate of - Coverage be issued to the Baldwins for the proposed system. Please do not hesitate for one minute to call if we need to discuss this project. Enclosure 551166SR.01 59 Woodfin Place, Asheville North Carolina 28801 Telephone 828-251-6208 FAX 828-251-6452 An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper Gerald Naskins 120 Resort Street — Hendersonville, NC 28792 Phone (828) 693-7493 — Fax (828) 693.7493 Subject: Request for NPDES general permit NCG550000 N.O.I. for Jesse Baldwin on property Platt number 9089 in Henderson County, N.C. To: Division of Water Quality: I am requesting a permit based on submitted engineering plans for Jesse Baldwin located on 64E, lot 2 and 3 as shown on the plans. The attached turndown by Henderson County Department of Public Health is included. In addition Roy Davis has reviewed the situation and has concurred with the necessity of a sand filter discharge system for the property. The closest city of county system is 15 miles away and at an elevation change of 300 of more feet higher than the property in question. Attaching to a sewer system is not feasible. There is no land for an alternative system available. Yours respectfully, i+l CARD �,® J Q T. • .a SEAL. 5548 ' to H Henderson County Parcel Report Tax Owner: WOLCOTT, WALTER J Tax Owner Account: 143873 Current Owner: WOLCOTT, WALTER J Current Owner Account: 143873 Mailing Address: 6306 N WOODLYNNE AVE TAMPA, FL, 33614 Print Date: 02/14/01 Tax Codes: G01 F03 PID: 99-36979 PIN: 10-0612-10-2008-55 District: 03 Map Sheet: 0612.00 Subdivision: Subdivision Plat: Zoning A/327A STONEY CREEK NO Deed Book & Page: 877/732 Appraised Acreage Calculated Acreage Property Description: #03 STONE CREEK Date Recorded: 09/07/95 Revenue Stamps: 100.00 Stamp Sale Price: 50,000 Personal Property Mobile Home: NO Tax Value Current Value Land Value: 500 Land Value: 500 Building Value: 0 Building Value: 0 Total: 500 Total: 500 Land Use Deferment: 0 Land Use Deferment: 0 Elderly Exemption: Elderly Exemption: Total Tax Value: 500 Total Current Value: 500 Tax Bill Number 1. OOA9936979 2. 3. 4. 5. 6. Tax Bill Information Principle Interest Levy Paid we W. Total Due 111111YO ***NOTE *** INFORMATION SHOWN IS OF DATE OF REPORT. This information is collected for the inventory of property found within this jurisdiction, and is compiled from recorded deeds, plats and other public records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information contained in this report. The County assumes no legal responsibility for the information contained in this report. o $ 00 • a0 / l � ov °N g>;ug Ri e � 1 11 A i ..�1 -- '�` • C�- - �I `J ` N �\ � O tl ill °'� � � � Sc BM 2400 •� ri c a m / (!1 N _ R 26 _• � 11 % IPPP U!1 - it ,I j O • o 1 N - tE IIe Ile ' LHT 1850 •n, .;• ® 248 A J r M is /^ ° 2200 C » ° 22E6 0 4f U • n T•1851 G M HT 86 � 2710 ''4 D [// I N 1d10,000 FEET 378 20' 1379 1 1380 (Cliffield Wn. 202 SSE) 4554 1V SE 4 �® CDEN North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary May 7, 2010 CERTIFIED MAIL 7007-0710-0000-5376-6405 RETURN RECEIPT REQUESTED DAVID GODINEZ 37 GRIZZLY BEAR TRAIL HENDERSONVILLE, NC 28792 SUBJECT: -FINAL NOTICE - Delinquent Annual Fee NPDES Permit NCG551166 (2006, 2007, 2008 & 2009) Dear Mr. Godinez: 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 II. B. 14. Your total annual fees owed, for the permitted facility referenced above, is $230.00. Copies of the invoices 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 II. 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 March 24, 2010. Additional actions to revoke your operating permits will be initiated, as well as referral for collection. The Division of Water Quality will also notify your Local health Department to informing them that you are in non-compliance with your state issued permit. 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.guerra(o�ncdenr.gov. Sincerely, �_dKt Bob Guerra, Western NPDES Unit Enclosure: Invoice # 2006PR012991, 2007PR013045, 2008PRO12532 & 2009PR011658 cc: CentraTiles NPDES File R'Rg rem s, 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: 919-807-63871 FAX: 919-807-64951 Customer Service:1-877-623-6748 Internet: www.ncwaterquality.org Fn! MAY 1 0 2010 , I WATER QUALITY SECTION ,HEM;ILLE REQ_0htAL OFFICE An Equal Opportunity 1 Affirmative Action Employer Beverly Eaves Perdue Governor V E NC®ENR lr I t North Carolina Department of Environment and Natural US r JAN - 4 2010 Division of Water Quality r Coleen H. Sullins e=F--re- v 1NATER QUP,L)T . EF% i .f an Director } ASHEVILLE REGIOIJAiS@pgtY- December 30, 2009 CERTIFIED MAIL 7009-1680-0002-2464-5640 RETURN RECEIPT REQUESTED JESSEY BALDWIN 111 BELVUE LANE EAST FLAT ROCK, NC 28726 SUBJECT: FINAL NOTICE - Detinquent Annual Fee NPDES Permit NCG551166 (2007, 2008) Henderson County Dear Mr. Baldwin: 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 II. B. 14. Your total annual fees owed, for the permitted facility referenced above, is $120.00. 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 II. 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.guerra cDncdenr.gov. Sincerely, Bob Guerra, Western NPDES Unit Enclosure: Invoice # 2007PRO13045 and 2008PRO12532 cc: Central Files VDES File Roger•_Edwa cis'�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: 919-807-63871 FAX: 919-807-64951 Customer Service:1-877-623-6748 Internet: www.ncwaterquality.org An Equal Opportunity 1 Affirmative Action Employer ne NorthCarolina Naturallff r NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 2 0 0 7 P R 0 1 3 0 4 5 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: NCG551166 Henderson County 37 Grizzly Bear Trail Jessey Baldwin 111 Belvue Ln East Flat Rock, NC 28726 Annual Fee Period: 2007-11-01 to 2008-10-31 Invoice Date: 12/17/07 Due Date: 01/16/08 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: NCG551166 Henderson County 37 Grizzly Bear Trail ImI��IInI�W��Vll�l���r Overdue Annual Fee Period: 2007-11-01.to 2008-10-31 Invoice Date: 12/17/07 Due Date: 01/16/08 Annual Fee: $60.00 Jessey Baldwin 111 Belvue Ln Check Number: East Flat Rock, NC 28726 NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL- RESOURCES 2 0 0 8 P R 0 1 2 5 3 2 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: NCG551166 Henderson County 37 Grizzly Bear Trail Jessey Baldwin I I I Belvue Ln East Flat Rock, NC 28726 Annual Fee Period: 2008-11-01 to 2009-10-31 Invoice Date: 12/16/08 Due Date: 01/15/09 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: NCG551166 Henderson County 37 Grizzly Bear Trail Jessey Baldwin 111 Belvue Ln East Flat Rock, NC 28726 IInIIfl1�11191�IIIIIIIIVIIflll�nlllnll�llll Overdue Annual Fee Period: 2008-11-01 to 2009-10-31 Invoice Date: 12/16/08 Due Date: 01/15/09 Annual Fee: $60.00 Check Number: Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources SURFACE WATER PROTECTION September 7, 2006 Mr. David Godinez and Ms. Maria Rodriguz 37 Grizzly Bear Trail Hendersonville, North Carolina 28792 Dear Property Owners: Alan W. Klimek, P.E. Director Division of Water Quality Asheville Regional Office .. SUBJECT: Compliance Evaluation Inspection Lots #3 and #4 — Stoney Creek Road Permit No: NCG551166 Henderson County Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on September 6, 2006. Mr. Keith Haynes and I of the Asheville Regional Office conducted the Compliance Evaluation Inspection. The facility was found to be in Compliance with permit NCG551166. Please refer to the enclosed inspection report for additional observations and comments. If you have any questions, please call me at 828-296-4500. Sincerely, Enclosure cc: NPDES Unit Central Files %-Asheville-Files , Nose Carolina �tulv!!y 2090 U.S. Highway 70, Swannanoa, NC 28778 Telephone: (828) 296-4500 Fax: (828) 299-7043 Customer Service 1 877 623-6748 prp—pppr' United States Environmental Protection Agency Washington, D.C. 2046o Form Approved. 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 CI 31 NCc551166 111 121 06/09/06 117 J 181 rl 191 cl 20I !J J Remarks 211 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 16 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA ---- —----- -------------- Reserved ----------- ------- -- 67I 169 70I II 711 I 721 N I 73I I 174 751 I I I I I I 180 w Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) Jessey Baldwin - SFR 01:15 PM 06/09/06 02/08/01 Exit Time/Date Permit Expiration Date Lot 3 4 stoney creek Edneyville NC 28727 01:30 PM 06/09/06 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 Jessey Baldwin,Rt 1 Box 40 Ebby Manor Ln Flat Rock NC Contacted 28731//828-696-7909/8286929611 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�Ins�peecto�r(s) Agency/Office/Phone and Fax Numbers Date Larry ARO Ert.4658/ Frost ��J(/ WQ//828-296-4500 Keith Haynes ARO WQ//828-296-4500/ Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date � —M5- �r e Roger C Edwards ARO WQ//828-296-4500/ EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type 3I NCG551166 I11 12I 06/09/06 I17 18ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) This facility has not been built yet. There are questions on the ownership of the property. Please, fill out the attached permit renewal form with the must up to date ownership information. Attach a copy of the current deed and mail it to the address on the form. This will ensure your continued permit compliance. Page # 2 Henderson County Land Records 1 in = 152.11 feet Parcel Identification Number (PIN): 10-0612-10-2008-55 Parcel Id: 99-36979 Map Sheet: 0612.00 Deed Book and Page: 877/732 Parcel Description: #03 STONE CREEK Parcel Address: US64 ON Printed on 02/14/01 1H15 15 NUT A SURVEY This map is prepared for the inventory of real property found Within this jurisdiction, and is compiled from recorded deeds, plats, and other public records and data. Users of this map are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information contained on this map. The County and mapping company assume no legal responsibility for the information contained on this map. Parcel Print Page Page 1 of 2 Henderson County Parcel Print Page 1 9 ■ 8 1 5 � '17 � 15 3 18 1$ 64 19 .2 ■ ti jf ti f 7 ,t ***WARNING: THIS IS NOT A SURVEY! Date: 9/7/2006 This map is prepared for the inventory of real _ property found within this jurisdiction, and is compiled from recorded deeds, plats, and other public records and data. Users of this map are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information _ s contained on this map. The County and mapping company assume no legal responsibility for the information contained on this map. Rec 1 PIN 0612102144 PID 9936980 Name-1 GODINEZ, DAVID MARTINEZ Name-2 RODRIGUZ, MARIA GUADLUPE Prop_Desc #04 STONEY CREEK Map Sheet 0612.00 Nbr_Bldgs 0 Daterec 10-DEC-04 Book/Page 1208/700 Land —Value NA Until January 2007 Bldg -Value NA Until January 2007 Total —Val NA Until January 2007 Nbad_Desc STONE CREEK Subdivision Stamps 34 Landuse 100 Address 1 37 GRIZZLY BEAR TRL Address 2 #12 Address 3 City HENDERSONVILLE State NC Postal Code 28792 Postal Code Ext Disclaimer 2006 Values NA http://www.hendersoncountyne.org/Output/MapV iewer/pareelprint.htm 9/7/2006