NCG551277_Regional Office Historical File 2004 to 2015

United States Environmental Protection Agency
Form Approved. .
EPA Washington, D.C.20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires B-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type
Inspector Fac Type
1 IN 2 15 1 3 I NCG551277 I11 12 15/07/02 17
18 L,j
19 L G fi 20I I
211111 I I I I I III l 1I I I I I I I I I I I I I I I
I I I I I
III I I I I I f6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA
Reserved------
67
70 LJ 71 I 72 NJ
73 I 75I I I I I I
80
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)
10:OOAM 15/07/02
13/08/01
123 North Greenwood Forest
123 N Greenwood Forest
Exit Time/Date
Permit Expiration Date
Etowah NC 28729
10:15AM 15/07/02
18/07/31
Name(s) of Onsite Representative(s)fritles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Officialfritle/Phone and Fax Number
Contacted
Marie Cors,123 N Greenwood Forest Etowah NC 28729///
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Other
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary) -3(;1 -
Name(s) and Signature(s) of Inspector(s) tubers
Date
Beverly Price 6-4500,
z5"'� P"'
8 /1 z Z,
Signature o M agement 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 NCG551277 I1 12 15/07/02 17 1$ JCJ
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
This system has not been constructed. Per Ms. Cors, the in -ground system is still in use.
Page#

PV
Permit: NCG551277
Inspection Date: 07/02/2015
Other
Comment:
Owner - Facility: 123 North Greenwood Forest
Inspection Type: Compliance Evaluation
Yes No NA NE
Page#

6�A -f-e_-e c4 //0 131#1-5-
lnspection Dale:. W.I. f 57 Start Time: . ID! 00 End Time; 10,3'15-
SINGLE FAMILY WASTEWAIMP, SYSTEM CHECKLIST
Permittee: rV)4k4.e tr 0.1 Permit. Address, E-mail-
Phone:SID - 0308- Cell!Phorle:( County,:.
Ype-511 t.'
Y!14 IN11
Yes.
No
Apply
IRVept
1. Is the current resident in the home the Permittee*7
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2. If not does the resident rept,frorn the permittee?
F-1
El
El
0
3. Change-of0metship form needed? ,(mail the form wdh the inspection kettec).
F-1
F
7
El
0
4, ld-there a inspection and r6aintendrice agreement With si-contractor?
The septic tank and filters should be checked annuall}+ and purl needed -
Is all wastewater from the home connected to the septic tank?
Does, the perM,itteelresid.elit I know where the septi6tank, is located? Q. 'EJ E 1 0,
0
-tic lank pumped in the last 5 years?
Has the.sep n pumped
It yes to #8 date, if know If PrOcfj describe
Ooes the septic tank have ;art EFFLUENT FILTER or $ANIfARY -r? (circle One),
If Yes to filter when was the filter cleaned? By Whom?
MD. FILTER -I TREATM ENTPODS YES �
No If no Ordceed to the hext'sectiod.
cdessible sand fiftersuffaces'shait be raked'and leveled every six months, and any vegetotive,grav4h: shall be removed manually.
:
0-El 0
El.
2. Is system something other than a sandfilter?
3. if yes, what kind! (examples - PeafjeWl 0, Othetor braridhame, etc.
0 FT El
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4- Does thepermittee know where the sandfilter is located?
0 El
E-1
5.' I)oes the sanddt"er require maintenance?
lf.maintenanCe is: ie6Uired -ei4,tatn in the comment section...
)ISINFECTION I IJV YES,
If no proceed to the noxt,section'.
h6,ugraviblet tWt`sbill be checked Weekly. The lanips and sleeves should be cleaned or'reOlaced as needed to ensure proper, disinfection.,
Ej
El El
M0
6. IS UV working?
EJ 0
7'. Has- the UV Unit been serviced and bulbs cleaned'?
DISINFECTION ITABLETS 'YES NO
If no proceed to the next se ion.
�the tablet chlorinator,unitshall b& checked weekly to ensure continuous and proper operation.
'Q
El
I 9.:Does the,permittee have, the correct chlorine tablets?(If norle, ma'rk'N6)
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Ell
20, Does the. Permittee know, the location of the chlorinator?
El
ET
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F-11
cfilodneiablets,observed in the chlorinator?
.21.Were
22. fire tablets contacting water? If possible poke them to deteiTnine.
Q
F
DE�MLOW(Ijlscharge_only) YES El 'NOL Ej,
It no proceed1o, the next sedtloh.
.t h6A.ectil'orinator unit shag, be'checked4eekly to ensure continuous and proper operation.,
Ll
El,
:
Q.
23. boes, the w perm know here the dechlor is?
,pe-
E71
ET
T-1
E-1
24'. "Does � the pprmittee have-th.6 correct dechlof tablets?
25. Were. dechlor tablets observed� in the dechlbrinatio'n chamber?
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132.&8 - t , aablets contacting -water? . It' possib , 1p , poke them to determine.
'C]f
F-1

Doesn't Did'N,
Yes Na Apply Invesi
IMP TANK Ylls
if n o proceed,to the, neit section.
pump.-arid.alarm syt8ms shall be inspected monthly. (non -discharge).
Is th6 pump working?
ED
T-1
F-1
Are the audible and visual: high water alarms operational?
0
EJ El
M
Does the permiftee know how to• chack the pump & high Water alarm!
❑El
-Last functional test PUMP AUDIBLE &VISUAL
DISCHARGE ONLY YES LJ NO ' El -"-- _o'
,A, visual review of Itie outfall location shall be executed tWr-e' If no proceed to therlext secti6n,
. - 4 each year (one at the time of to ensure no visible,solids.or evidence ofa malfunction
31. Does the P6(mfttee knowwhere the outfall is located?
❑
0
32_ Were you able to, locate the ouffall?
El
F-1
33, Is the, end of the discharge pipe visible and'accessiblO
❑
E:J
F-1
M. Is outlet discharging?
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El
El
F❑1,
35. Is right of way -maintained arbuhc[the discharge point?
F-1
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36. Any Lab Results ' available?
Ej
37. Is there evidence of solids around the discharge point?
DRIP'or SPRAY YESU Na E]
Knoproceed toth next n.
rh6jr,rigqtion system shall(be inispecled monthly fo.ensure the system of leaks and equipment is operating as designed;
38. Is the system DRIP or IRRIGATION {circle one)? If irrigation number of.sprinkler ,heads ,
39" Are the buffers adequate?
40. Is, the ,site free of pending and runoff?,
D
El
0
ti. Does the application equipment appear to be working -properly?
El
ED
El'
El
42. Is there a minimum two wire fence surrounding entire 'Irrigationarea?
ra
F-1
Are-the,treatment units: locked and or secured?
Has resident had any sewage problems*? It yes explain in the comment section.
DOES, thesystem, matdh-the permit description? Kno explain,in,the comment Section,
is, the system compliant?
As the systerp failing?' ffyes, take .pictures if possible,
if system is fairing, any sign of children oranimals contacting sevAraqe?
it) Sent :#:-_ NOV Sent
nt
V 's Gh Cif e- C,(/7 lei­
- I I /_1 I - 4- 1 - I'li - -1 -
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"U. All z",

7-A A
..AA
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 2046o
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 NCG551277 111 121 06/08/14 117 181 CI 191 SI 20I II
Remarks
21I111IIIIIIII IIIIIIIIIIIIIIIIIIIIIIII IIII11111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------------------ ------ Reserved ----------- ----------
67 I 169 701 I 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)
Marie Cors-Residence
10:15 AM 06/08/14
04/12/01
Exit Time/Date
Permit Expiration Date
123 N Greenwood Forest
Etowah NC 28729
10:30 AM 06/08/14
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
Marie Cors,123 N Greenwood Forest Etowah NC 28729///
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Facility Site Review
Section D: Summary of Find in/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Larry Frost ARO WQ//828-296-4500 Ext.4658//�/�
Keith Haynes 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

ppppppp,
NPDES
NCG551277
yr/mo/day Inspection Type
11 12I 06/08/14 I17 18 J
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
This facility has not yet been built. The permit, to the best we can tell, was issued to Ms. Cors as a repair for
her septic system should it fail.
Page # 2

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Swannanoa, NC 28778
to
123 N Greenwood Forest Dr
Etowah, NC 28729-9770
. Swannanoa INC
�1.
s
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a
123 N Greenwood ForestL Dr
o5i
O 2vOI Rand M?cNy & CmnVa:sy G) 2009 NAIvTEQ
Find it in the 2007 Road Atlas
Swannanoa, NC Etowah, NC
• page 74, grid section • page 74, grid section
L-6, Western North M-5, Western North
Carolina map Carolina map
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E.-1 F-1
Estimated Total Driving
Time:
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S';:ep Directions
1 You are at Swannanoa,NC.
Estimated Total Driving
Distance:
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2 Go SE on Unknown Street for 60 feet
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water .Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
July 27, 2007
Marie Cors
123 North Greenwood Forest
Etowah, NC 28729
Subject: Renewal of coverage / General Permit NCG550000
123 North Greenwood Forest
Certificate of .Coverage NCG551277
Henderson County
Dear Permittee:
In accordance with your renewal application [received on January 25, 20071, the Division is renewing
Certificate of Coverage (CoC) NCG55i277 to discharge under NCG550000. This CoC is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 for as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Toya
Fields [919 733-5083, extension 551 or [e-mail]] or Susan Wilson [919 733-5083, extension 510
or [e-mail].
Sincerely, ,
+tom
/j��//,f�j///.s7-�-/ .' /��/7J�/ (/�lnlj`/j//�`% F'_u+- .;i+.-i::,; A _-,;rl.iu•?, .0 . ix...%, �,. uL4.a++3.;_ ,r
for Coleen H. Sullins
I
cc: Central File, U L 3 2007
s NPDES file
VVATER QUALITY SECTION r
ASHEVILLE REGIONAL OFFICE
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 d bap*_`i0l
1
512 North Salisbury Street, Raleigh, North Carolina 27604i`.:-::.. NOh�O1111a
Phone: [phone] /FAX [phone] /Internet: www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper Aatutrally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551277
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,
Marie Cors
is hereby authorized to discharge domestic wastewater [360 GPD] from a facility located at
123 North Greenwood Forest
.-Etowah
Henderson County
to receiving waters designated as Gash Creek in subbasin 04-03-02 of the French Broad
River Basin in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective August 1, 2007.
This Certificate of Coverage shall remain in effect, for the duration of the General Permit.
Signed this day July 27, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

NCDENR
North Carolina. Department of Environment and Natuawe
Division of Water Quality "}
Michael F. Easley, Governor il' m R sr.,( a
. JAI,ek=P D e ` r .
i
January 9, 2007 JAN . 1 6 2007
i
Marie Cors
123 N Greenwood Forest WATER QUALITY SECTION i
.Etowah, NC . 28729 4 ASI iEVILLE RFGICNA.I._OFFICE
4 _
yyy,y. �ma.�..bm.PrJ:rRL:a71. ,y-
Subject: Renewal Notice / MlI era (erm1 �TCG550000
Certificate of Coverage NCG551277
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 November 29,
2004. 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 reauest does not pertain to the Annual Fee of $50.00 billed
separately by the Division's Budget Office. No money is required for this
procedure. The Annual Fee is like the fee you annually pay the DMV for the sticker on
your vehicle's license plate. 'Renewal of your. CoC is like the renewal of your Driver's.
License [ca. every five years].
➢ If you have already mailed a renewal request, you may disregard this notice.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 'One
512 North Salisbury Street, Raleigh, North Carolina 27604 NOrthCarollna
Phone: [phone], extension 511 / FAX [phone] / [e-mail]
Natmally
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10%a Post Consumer Paper

NCG551277 renewal notice
January 9, 2007
The attached application form shows the information the Division has on file for your
property. Please verify that the provided information is correct, or make corrections on the form.
Complete the additional questions, then sign and date the form.
The completed form should be submitted to the address listed below the signature block.
If you -have any questions concerning this matter, please contact me at the telephone number
or e-mail address listed below. (If it is difficult to reach me, please be aware that your facility is one
of over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your attention to this matter.
Sincerely,
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
syMYk, ,g�on1! ri"zc eilk:,n_
NPDES file

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7
...................................................................................................................................................................................................................................
Turn right onto Patton Cove Rd
0.3 miles
8
...................................................................................................................................................................................................................................
Turn right on ramp to I-40 W
0.2 miles
9
.............................................................................................................................................................................................................................
Continue on I-40 W
12.7 miles
10
...................................................................................................................................................................................................................................
Bear left on ramp to I-26 E (US-74 E)
.
0.6 miles
11
..................................................................................................................................................................................................................................
Continue on I-26 E (US-74 E)
.
8.8 miles
12
..................................................................................................................................................................................................................................
Exit onto off -ramp at exit 40 to NC-280 (Airport Rd)
.
0.3 miles
1:3
..................................................................................................................................................................................................................................
Bear right onto NC-280 (Airport Rd)
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1.4 miles
14
...................................................................................................................................................................................................................................
Continue onto NC-280 W
.
5.6 miles
15
..................................................................................................................................................................................................................................
Bear left onto Ray Hill Rd
0.6 miles
16
...................................................................................................................................................................................................................................
Bear right onto Turnpike Rd
.
1.2 miles
17
...................................................................................................................................................................................................................................
Continue onto Turnpike Rd W
0.4 miles
18
....................................................................................................................................................................................................................................
Bear left onto Holly Springs Rd
1.2 miles
19
..................................................................................................................................................................................................................................
Turn right onto Etowah Brickyard Rd
0.3 miles
20
Turn left onto Greenwood Forest Dr
.
0.3 miles
..................................................................................................................................................................................................................................
2.1.
..................................................................................................................................................................................................................................
You are at 123 N Greenwood Forest Dr,Etowah,NC
.
.
Destination: 123 N Greenwood Forest Dr
Etowah, NC 28729-9770
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IV
ATE9
NCDENR
Mrs. Marie Cors
123 N Greenwood Forest
Etowah, North Carolina 28729
Dear Mrs. Cors:
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 Water Quality
November 29, 2004
Subject: General Permit No. NCG550000
Certificate of Coverage NCG551277
Marie Cors Property
Henderson County
General Permit Coverage. In accordance with your application for discharge, the Division is forwarding herewith
the subject Certificate of Coverage to discharge under the subject state-NPDES general. permit. This permit is
issued pursuant to the requirements of North Carolina General Statue 143-215 .1 and the Memorandum of
Agreement between North Carolina and the US Environmental Protection agency dated May 9, 1994 (or as
subsequently amended).
The following information is included with your permit package:
■ A copy of the Certificate of Coverage for your treatment facility
■ A copy of General Wastewater Discharge. Permit NCG550000
■ A copy of a Technical Bulletin forGeneral Wastewater Discharge Permit NCG550000
■ EngineeYQ Cei i cation to' -be completed and returned.
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 of Water
Quality. The Division of Water. Quality may require modification or revocation and reissuance of the certificate of
coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Water Quality or permits required by the. Division of Land Resources, Coastal Area Management Act or
any other Federal or Local governmental permit that may be required.
Authorization to Construct Permit. In accordance with your application for discharge, the Division is also
authorizing the construction of a 360 GPD wastewater treatment system consisting of a 1000 gallon septic tank,
pump tank with a 35 gpm grinder pump, 1 'A inch schedule 40 pvc force main, distribution box, two sand filters,
one 40" deep x 6' wide x 53" long, the second 40" deep x 6' wide x 27" long, tablet chlorinator, chlorine contact
tank, and cascade aerator with a discharge of treated wastewater into Gash Creek, classified C 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.
N. C. Division of Water Quality / NPDES Unit Phone: [phone]
1617 Mail Service Center, Raleigh, NC 27699-1617 fax: [phone]
Internet: h2o.enr.state.nc.us DENR Customer Service
EO��
D EC - 9 2004
W4Wente�I REGIONAL OFFICE CE

This Authorization to Construct permit 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. 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 Asheville Regional Office, telephone number (828) 2964500, 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, an Engineer's 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. 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. Mail the completed Engineer's Certification to
the NPDES Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
A copy of the approved plans and specifications shall be maintained on file by the Permittee for the life of the
facility.
NPDES Permit Contact. If you have. any questions concerning the requirements of this permit, please contact
Teresa Rodriguez at telephone number 919/733-5083, extension 553.
Sincerely,
ORIGINAL SIGNED- BY
Mark McIntire
Alan W. Klimek, P.E.
cc: Central Files
NPDES General Permit Files
(Asheville Regional Office,`__ Qualityi�
Henderson County Health Department

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE NCG551255
GENERAL PERMIT NO.' NCG550000
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,
Marie Cors
is hereby authorized to construct and operate a wastewater treatment facility consisting of a septic tank, pump tank, two sand
filters in series, chlorinator, chlorine contact tank, cascade aeration, and associated appurtenances, and with the discharge of
treated wastewater from a facility located at the
Marie Cors Property
123 N Greenwood Forest
Etowah
Henderson County
to receiving waters designated as. Gash 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 of General Permit NCG550000 as attached.
This certificate of coverage shall become effective November 29, 2004
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 29, 2004
ORIGINAL SIGNED 8Y
Mark McIntire
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

NCG551277
Marie Cors Property
Gash Creek

ppr
SOC PRIORITY PROJECT: Yes No:X
IF YES, SOC NUMBER
TO: NPDES UNIT
SURFACE WATER PROTECTION UNIT
ATTENTION:TERESA RODRIQUEZ
DATE:NOVEMBER 4, 2004
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY:HENDERSON
PERMIT NUMBER COC#NCG551277
PART I - GENERAL INFORMATION
1. Facility and Address: MS. MARIE CORS
Mailing: 123N GREENWOOD FOREST
ETOWAH, NORTH CAROLINA 28729
2. Date of Investigation: JANUARY 5, 2004
3. Report Prepared By: ROY M. DAVIS
4. Persons -Contacted and Telephone Number: MARIE CORS
1-828-890-0308
5. Directions to Site: PROCEED WEST THROUGH ETOWAH ON U.S. HIGHWAY 64,
TURN RIGHT ONTO NORTH GREENWOOD FOREST DRIVE. 123 NORTH GREENWOOD
FOREST DRIVE IS ON THE RIGHT JUST BEFORE BRICKYARD ROAD.
6. Discharge Point(s), List for all discharge points:
Latitude:35°19'19.26" N Longitude:82036123.2811 W
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. U.S.G.S. Quad Name: HORSE SHOE, N.C.
7. Site size and expansion area consistent with application?
X Yes No If No, explain:
-1-

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8. Topography (relationship to flood plain included):FLAT
9. Location of nearest dwelling: ON SAME LOT
10. Receiving stream or affected surface waters: GASH CREEK
a. Classification: C
b. River Basin and Subbasin No.: FRENCH BROAD,04-03-03
C. Describe receiving stream features and pertinent downstream
uses: SMALL STREAM FLOWING THROUGH GOLF -COURSE AND THENCE
THROUGH SEMI RURAL AREA.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted:0.00036 MGD (Ultimate
Design Capacity)
b. What is the current permitted capacity of the Wastewater
Treatment facility? NA
C. Actual treatment capacity of the current facility (current
design capacity: NA
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two years:
NA
e. Please provide a description of existing or substantially
constructed wastewater treatment facilities: EXISTING SEPTIC
TANK MAY BE UTILIZED.
f. Please provide a description of proposed wastewater treatment
facilities: SEPTIC TANK, DOSING TANK, PRIMARY AND SECONDARY
SUBSURFACE SAND FILTERS, POST CHLORINATION, DECHLORINATION AND
CASCADE REAERATION.
g. Possible toxic impacts to surface waters: NONE
h. Pretreatment Program (POTWs only): NA
in development approved
should be required not needed
-2-

OV
2. Residuals handling and utilization/disposal scheme: OCCASIONAL
PUMPING OF SEPTIC TANK BY A COMMERCIAL SEPTIC TANK PUMPER.
a. If residuals are being land applied, please specify DWQ Permit
Number: NA
Residuals Contractor
Telephone Number
b. Residuals stabilization: PSRP PFRP OTHER
C. Landfill:
d. Other disposal/utilization scheme (Specify):
3. Treatment plant classification (attach completed rating sheet): NA
4. SIC Codes(s):
Primary Secondary
Main Treatment Unit Code:
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or
are any public monies involved. (municipals only)? NO
2. Special monitoring or limitations (including toxicity) requests:NONE
3. Important SOC, JOC, or Compliance Schedule dates: (Please indicate):
NONE
Date
Submission of Plans and Specifications
Begin Construction
Complete Construction
4. Alternative Analysis Evaluation: Has the facility evaluated all of
the non -discharge options available. Please provide regional
-3-

PV
perspective for each option evaluated. HOME IS SERVED BY A FAILING
DRAIN FIELD. NO ONSITE REPAIR IS POSSIBLE. CONNECTION TO A PUBLIC
SEWER IS FINANCIALLY PROHIBITIVE. THE DISCHARGE OPTION IS THE ONLY
REASONABLE SOLLUTION TO PROVIDING AN ADEQUATE SEWER SYSTEM FOR THIS
PROPERTY.
Spray Irrigation:
Connection to Regional Sewer System:
Subsurface:
Other disposal options:
5.Other Special Items:NONE
PART IV - EVALUATION AND RECOMMENDATIONS: IT IS RECOMMENDED
THAT FOLLOWING NORMAL REVIEW AND A FINDING THAT THE PLANS MEET
EMC REQUIREMENTS; THAT A CERTIFICATE OF COVERAGE FOR THE
CONSTRUCTION AND OPERATION OF THE PROPOSED SYSTEM BE ISSUED TO
MS. CORS.
Q
Signature o Report Preparer
Water Quality Regional Supervisor
Date
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Laughter, Austin and Associates, P.A.
Engineering e Planning ® Land Surveying
131 FOURTH AVENUE EAST
HENDERSONVILLE, NORTH CAROLINA 28792
Jon H. Laughter
Donald J. Austin
Thomas P. Welbourn
James D. Chambless, Sr.
March 8, 2004
Mr. Mac Wiggins
NCDENR
Water Quality Section
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Discharge Permit — Marie Cors
Dear Mr. Wiggins:
[phone]
Fax [phone]
WATS 1-800-858-LAND
Enclosed please find copies of drawings and checklist for discharge permits for a sand filter wastewater
disposal system for an existing single-family dwelling located at the intersection of Brickyard Road, S.R.
1323 and North Greenwood Forest Drive near Etowah in Henderson County, North Carolina. This is to
replace an existing, malfunctioning drainfield system.
This submission is for your review and approval.
Thank you for your consideration.
Sincerely,
Qrgd2�
Jon Laughter, P.E.

ATC Single Family Residences (non -recirculating filters)
In-house Checklist
GENERAL INFORMATION (circle. a or b):
a.
New Site (propose discharge) ?
[]no
1. Is 30Q2 > 0 cfs? []yes
2. Is 7-Q10 > 0 cfs? If not then, 5/2 limits. [►]9es
[]no
3. Are.septic tank, dual sand filters in.series, and disinfection provided? [dies
[]no
..4. Is this discharge into waters classified as ORW, NSW, HQW, WS-I or WS-II? []yes
[:Kb
(If yes and proposed, discharge will not be permitted. No dischargers are allowed in WS4
waters.)
b.
Existing Site (previously or not previously permitted) ?
1. Are septic tank, sand filters, chlorinator and contact tank provided? [4es
[]no
SITE PLAN
1.
Is the map shown to scale?
2.
Does the map show: building or house
property lines �!
wells
receiving stream ✓
discharge point
north arrow
vicinity map.
f
distance to building foundations
3.
Does the plan show: distance to property lines ✓
distance to wells �.-
system components and sizes
100 year flood contour t
4.
Does the system maintain a 100 ft setback from all water supply wells both on and off site?
yes
yes
5.
Does the system maintain a 1Oft setback from all property lines, dwellings, basements?1
6.
Are elevations addressed for each component? Yes
NPDES DESIGN FLOW
1. NPDES Design Flow2 =120 gpd/bdrm x , 3 bdrms = 36,' gpd
(minimum design must be for 240 gpd/residence)
2. Design flow for dischargers other than single families, reference 2H 0.219 Minimum Design
Requirements.
3. Discharge must be less than 1000 gpd to be eligible for coverage under General Permit3. 6k
SEPTIC TANK (Recommend minimum 1000 gal capacity)
Detention Time (meet one of the following):
Nominal detention time:
' NCPH On -site Wastewater Management Guidance Manual
from NC DEM NOI for NCG550000
3from NCG55WW
SFR ATC Checklis 10/19i00
(REC. 1 day minimum)'

1 OD d [gal] tank size - 3&0 [gpd], NPDES design flow =; 2.78 days
Actual minimum detention time: (REC. 0.5 day minimum)2
/000 [gal] tank'size (1 - 0.3) [gpd] NPDES flow rate x (3))3= 110days
7-5
PIPING
1. Slope from house to Septic Tank: (REC. 2% to 5%)4,
2. Is buried piping located in an area susceptible to vehicular traffic?
3. Is there a provision to protect pipe from large vehicular loads (recommend ductile iron)? No
4. Are cleanouts and long sweep elbows provided for easy maintainance?
5. Are cleanouts housed inside meter boxes below the surface?
DISTRIBUTION BOX (If applicable)
1. Is a detail of the box provided_ (recommend the adjustible cap type)? 14 JA
2. Is there a way to divert flow from one line to the other? A11A
3, Is there a way to ensure equal flow to each line? N f A
SUBSURFACE SAND FILTERS
1. Media Specifications (DWO Standards): Effective size:- 0.35-0.5 mm
Uniformity coefficient: < 3.0
Dust coefficient: < 0.5%
2. Bed Sizes: Primary filter @ Z 7 ft X 6, ft. each = 16,Z sf
Secondary filter @ ft X ft. each = sf
Depth of sand: t• 5 ft (TYP. 1.5 to 3 ft.)5
3. Application Rates (dual or recirc. filters are required for new systems):
Dual Filters:
Primary Filter: gpd/sf (Use < 1.15 gpd/sf)6
Secondary Filter: gpd/sf• • (Use < 2.3 gpd/sf)7
4. Intermittent Filter: gpd/sf (REC. 0.4 to 1. gpd/sf)8
�O
5. Is a #mil (or thicker) liner provided for sandfilter09
6. Is washed gravel and crushed stone addressed for sandfilters? J&s
7. Is geo-cloth being provided to prevent top soil infiltration into gravel and the sand media? yE5
1EPA On -site WWT & Disposal pg 10
?MetcaH & Eddy example page 1061
3per EPA/625/R-90005 pg 45 use Peaking Factor of 3
41HS Tucson Area Off Tech. Provisions
5EPA/6251R-921005 p71; NEHA On -Site rec. 24"
6NC,DEM NOI for NCG550000; 1.2 from AZ DEQ bul. #12 p76; 1.0 to 1.5 fm EPA/625/R-92/005 p 71
ANC DEM NOI for NCG550000
$Metcalf & Eddy, Wastewater Engineering p106.6
9from NC DEM NOI for NCG550000 p 2
SFR ATC Checklis 10/190

DISTRIBUTION & COLLECTION LINES
1. Distribution lines: Size: in. (3 to 6 in. perforated P.V.C)l
Slope. ©, 37 % (TYP.< 2%)2
2. U.nderdrain� lines: Size. in. (3 to 6 in. perforated P.V.C)3
Slope: % (REC. 0 to 1 %)4
3. Are pipes embedded in gravel or crushed rock? V 5
4. Are filter distribution lines plugged or capped? yes
5. Are. filter collection lines vented (for aeratiori and snaking) to the surface.
SYSTEM HEAD
1. Gravity System (If applicable):
Is there sufficient head from septic tank to discharge point to promote flow? (TYP. > 3.25 ft)5
2. If there is more than one bed, are elevations given and are they correct to ensure proper flow?
CHLORINE CONTACT CHAMBER (If applicable)
1. Size: NJA gallons.
2. Detention time: min. T = WQ x 24 hr. x 60 min. (TYP. 30 min. minimum)6
3. Is tank designed to disrupt short circuiting? (baffling should be provided)
POINT OF DISCHARGE
1. Stream classification: N le- . If WS classified, has DEH been notified?
2. Is the stream classified as a Trout Stream jr) supplemental classification7WO
If- chlorinated, does system include dechlorination? 14o
Is' demonstrated alternate method of disinfection provided? N o
DEFINITIONS
Open Sand Filters. (single pass):
Primary or. secondary effluent is distributed_ once, over an exposed, open sand bed. Removable covers
are typically used. Wastewater may be applied by gravity flow through distribution lines, periodic surface
flooding or spray distribution. Treatment by entrapment, sorption and assimilation takes place as the
wastewater percolates through the sand bed: Collection is made by underdrain lines imbedded in gravel
.which convey the'.filtrate to disinfection treatment and final discharge: Collection lines may be vented to
.the top of the sand bed to allow for aeration.
Buried (subsurface) Sand Filters
Similar to open sand filters except the sand -filter is constructed below grade and covered with backfill.
Wastewater is applied by gravity flow through perforated distribution lines installed on top of the filter
bed. Distribution and collection lines may be vented to the surface to allow for aeration of the sand bed.
lgravity lines, NERA On Site; 1 to 2 in. pressure lines, Metcalf & Eddy, WW Eng. p1066;
2AZ DEQ bul. #12 p76
3Metcalf & Eddy, Wastewater Engineering p1066
4Metcalf & Eddy, Wastewater Engineering pi D66
5EPA/625/R-921005 - p 70
sfrom NC DEM checklist
7fr from NCG550000
SFR ATC Checkfis 101191DO

Recirculating Sand Filters
Recirculating filters are open filters which employ recirculation of filtrate. The filtrate is returned to a
recirculation tank and is mixed with septic tank effluent (typically at a 3:1 or 5:1 ratio, filtrate.:septic tank
effluent) after which the mix is applied to the sand bed. Sand beds are sized based upon t6e.,amount of
septic tank effluent. After each dose a portion of the filtrate is. diverted for further treatment and
disposal. Dosing applications require a pressurized distribution line.
Intermittent Sand Filters
These filters have wastewater applied to the sand beds intermittently. Filters are most efficient under
aerobic conditions and typically sand beds need to be rejuvenated. This requires an open cover type
arrangement which allows for access to the sand bed. Dosing applications require a pressurized
distribution line or surface flooding. The dosing is achieved through pumping or siphoning.
Rapid Sand (gravity) Filters
Rapid sand filters employ a large hydraulic head (9 to12 foot difference between filter bed liquid and
clear well) which drives the water through the filter quickly (hence the name). As filter pores clog
backwashing with filtrate. is required to expand the sand bed and dislodge particles.
Slow Sand (gravity) Filters
Slow sand filters are similar to rapid sand filters except they employ a smaller hydraulic head (0.2 to 4.0
foot difference between filter bed liquid and clear well) which' drives the water through the filter much
more slowly. As a result, loading rates are much lower than the rapid sand filters. The filter can be
cleaned by removing a few inches of sand.
SFR ATC Checklis 10119RO

Michael F. Easley
Governor
©AA William G. Ross, Jr., Secretary
NCDENR North Carolina Department of Environment and Natural Resources
October 22, 2004
Ms. Marie Cors
123N Greenwood Forest
Etowah, North Carolina 28729
Subject
Dear Ms. Cors:
Alan W. Klimek, P.E., Director
Division of Water Quality
Application Acknowledgement
General Permit Coverage
COC# NCG551277
The Division of Water Quality received your application for coverage under General Permit
NCG550000. The application has been assigned to Teresa Rodriguez with the NPDES unit. We
are reviewing your application and will contact you if additional information is needed to process
your application. We are also requesting a Staff Report from the Asheville Regional Office. If
you have any questions concerning your application, please contact me at telephone number 919-
733-5083, extension 553 (e-mail: [e-mail]).
cc: NPDES General Permit Files
lAshevi11e-Regional=Office; Watei--Qualit-y—,
N. C. Division of Water Quality I NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Internet: h2o.enr.state.nc.us
Sincerely,
Teresa Rodriguez
NPDES Unit
X
OCT 2 6 2004
WATER QUALITY SECTION
Phone: [phone]
fax: [phone]
DENR Customer Service Center: 1 800 623-7748

Gerald Haskins
120 Resort Street — Hendersonville, NC 28792 Phone [phone] — Fax [phone]
Subject: Request for NPDES general permit NCG550000 N.O.I. for Marie Cors on property
Platt number 9529 in Henderson County, N.C.
To: Division of Water Quality:
I am requesting a permit based on submittted engineering plans for Marie Cors located on
64W, Tax reference 00-9520-41-5722-55 with a house, as shown on the plans. The attached turn
°down by Henderson County Department of Public Health is included along with an estimate of the
cost to H/U to Etowah Sewer. In addition Roy Davis has reviewed the situation and has
concurred with the necessity of a sand filter discharge system for the property.
Yours respectfully, /y
ALI) :
Gerald Haskins
J.y CARP ®'®,
s s 07�AL i •
MM' 5548CO
q
e
t�areratiN�ti

Date Received
Division of Water Quality / Water Quality Section Year Month Da
Certificate of Coverage
:; National Pollutant Discharge
Dische Elimination System N C G
,N CD EN R Check ount
NCG550000
Ir mewNgwr Am "Nv.6 lenawas Permit Asai ed to
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG500000: Single Famlly ,RgMestic Units and/or facilities discharging less than 1000 gallons per
day of domestic wastawater and similar point source discharges
(Please print or type)
1) Reglon contact (Please. pot@: This application will be returned If you have not met with a
representative from the appropriate regional office):
Please li t the NCDENR. Regional Office representative(s) with whom you have met:
Date: F;_ / 7 --e5
2) Mailing address' of pwmer/operator:
Owner Name- cng.Q,
Street Address / �/Z� •IPsr✓r�t�
City a ;?� �/ ► /' State IV, G ZIP Code '
Telephone No. (Home) (Work)
' Address to which all permit correspondence will be mailed
3) Location of facll4 producing discharge:
Street Address /'� k! C' tk�ch"
City �� '" ��•C State s�C ZIP Code
County L
Telephone
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).�� .1`�"yiL1 ry
5) This NPDES permit application applies to which of the following
�.; New or Proposed (system not constructed)
❑ Existing (system constructed); If previously permitted by local or county health department,
please prgvide 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, x 120 gallons per bedroom =
Page 1 of 3
SWU-216-010199
,?(2LQ '-gallons per day to be permitted

b) Type of facility producing waste (please check one):
IQ Primary residence ❑ Vacation/second home
❑ Other.
7) Please check the components that comprise the wastewater treatment system:
JM Septic tank Dosing tank
S, Primary sand filter Secondary sand filter ❑ Recirculating sand filter(s)
f ffi Chlorination Dechlorination ❑ Other form of disinfection:
Q"ost Aeration (specify type)
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. Q�� a ,Mo­" P--00-e—
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): Jgflt 3?� (5 >��
10) The application must include the following or It will be returned: 1 ewe-2.55�2 _ 5
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:
2101--Letter from the county health department evaluating the proposed site for all types of
/'ground absorption systems.
a 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)
El 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-216-010199

NCG550000 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 construgtion".
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:
ottana�s�a�
I certify that I am familiar with the information contained in this application and that to the be�Od, �1YCA I? gyp%
knowledge and belief such information is true, complete, and accurate. °�•OS`;.��•""•••OE/ y.
Printed Name of Person Signing: 0 M tm& SEAL
5548
Title: � io _� t�i6C/ G�� L� �� •
3
I&P•
(Signature ofAppligagt ': (Date Signed) �0''®®��rt)saa+a�►�`
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, (14 '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
Nota
The submission of this document does not guarantee the issuance of an NPDES permit
Page 3 of 3
SWU-216-010199 ' ,

'AUG-03-2004 TUE 10:,00 AM DENR RRO FAX N0, 19195714718 P. 02,
WKS Submittal Requirements and Design Criteria
for New Single Family Discharges
(for single pass sand filters)
In addition to the design requirements found in the regulations,
the following criteria must be met
I r-tifirots of Coverage (CO )and Authorization t4 Construcf ude: �tta e
For a COC/ATC package to be considered complete it shall include
a) letter requesting a Certificate of Coverage and an Authorization to Construct.
b) , Initial General pewit applicatlon fee of S50.00. No AMC fees.
0). Completed original Coe Application with two copies.
d) Three sets of plans and specifications of proposed treatment system (See Part U).
e) Existing seplie tank to be used must be pumped and serviced. Copy of service receipt must be
submitted with application submittal.
IL Plan Subrnhol Require ng=
Ta 1ae considered Complete each set of Plans shall:
a) Include a scaled $ife Plan showing the following;
1) Property bounclarles, residence, system layout and the point of discharge.
2) Mark the distance from the closest treatment component to, .
a) the property line.
tb) the dwelling or residence. '
e) any existing or proposed wells on the site.
d) - any wells on adjacent properties.
e) any lake, stream, canal, marsh, reservoir or drainageways.
3) Meet all buffer requirements of 211.0219 which (for subsurface systems) Include'
a) any Class I or 11 impounded reservoir used as a source of drinking water 100 feet
b) any other lake. stream. canal, marsh, or coastal waters (except cbss SA & SB) 50 feet
c) any building foundation or upsiope drainage systems 10 feet
d) any downslope drainage system (drains or surface water diversions) 25 feat
A) any bcwwmnt or swimming pool 15 feet
f) any properly One 10 feet
g) any potable well and adjacent property wells 100 feet
feet
h) any.tpp of slope embankments
b) Include a petan of each major treatment component (septic tank, distribution pox. sand Biers,
chlorinator, chlorine contact and rip rap or cascade aeration). show the fQQotiving:
1) scaled plan and sectional views of each component.
2) size, capacity, and material of construction of each component.
3) Inlet and outlet elevations of the septic tank. distribution box sand filters and disinfection
units or relativeelevations.`
c) Include specifications for each manufactured or off -the -shelf unit Ij,e. the tablet chlorinator.
precast units), ..
III. WaiLewnfar Tiroaftmntsystem Design Criteria
q) am Design Flow
System design flow must be based on a minimum 120 gallons per day (GPD) per bedroom. The
minimum doslgn will be 240 GPD and nvt greater than 1000 GPD.
ATC criteria for SFXS. lW19A

-AUG-03-2004 TUE 10:01'AM DENR RRO
FAX NO. 19195714718 P. 03
b) Distri"on Box
Dsstr "on box must be shown in detail and insure equal distribution of wastewoter_int4 parallel
sand fltersor distribution lines. DW9 recommends the adjustable cap type.
C) SepticTa k_ (septic tanks shall tDo designed in accordance with 18A NCAC .1462 & .1964)
1) The septic tank shalt be sized to provide a minimum of 1 day detention time at desi®n flow.
2) . Minimum capacity of a 1000 gallons Is required.
.3) The recommended size for homes with garbage disposals is 1260 gallons.
4) Soll cover over all access ways (tanks, etc.) shall not exceed 3 Inches-
5)' She tank shall be baffled to ensure no short circuiting of the flow.
d), . Single Pass Sand titers
Sand filters must have can application flow rate not to exceed:
1) Hydraulic, 4oadfng vubsuface primary sandfilter 1.15 gpd/ft2
-Subsurface secondary sandfitter 2.30 gpd/ft2
-Surface sand fitters 3A0 gpd/fP
2). Fitter media shall meet the following specifications;
a) Effective size 0.35-0.51) mm
b) Uniformity Coefficient less than 3,0
c) Dust content less than 0.6%
3) Man and Section views of sandfilter must be shown to scale in the deslgn with lengths)
and width(s) designated on the plans.
4) Clean washed gravel and dean washed crushed rock must be useds In sandtilters.
5) Goo -cloth must separate.the top soil cover from the filter gravel and crushed stone.
6) Disinfection
Easy access to the unit must be provided for periodic inspectlon and maintenance.
1) Chiorinatfon
a) Tablet chlorinator must be provided and shown in detail with proper size designated.
b) Chlorine contract tank must be baffled and have at least 30 mWes detention time.
Plans of the contact tank must be submitted to show section views with dimensions.
2) Other rnsthods of disinfection (such as ultraviolet disinfection)
Plans. and specifications must clearly show operation, maintenance, repairprocedures,
saes, etc,: ktdude manufacturer's specifications.
f) Dechlorinatiorw (Required If using chlorination and discharging to trout ckass waters)
Tablet type,with proper size designed to, ensure contact with all of the flow.
Post Aeratlon
Cascade aeration. can be achieved by effluent flowing over rip rap.
h) pipes and Imes `
1) The slo of the pipe connecting the house to the septic tank shag be equal to or greater
than 2% but not more than 5%.
2) The discharge pipe must be covered to a minimum depth of 18 inches,
3) Flow from the receiving stream back into the system shall be prevented.
4) , Distribution lines and filtrate collection lines in sandfilters must not be less than 3 inches in
diameter, 4 Inches in diameter (4 Inch PVC schedule 40) is reovmmended . (smager if
pressure dosed).
5) Fitter distribution lines shall have a slope of <M Underdrain lines shag have a slope of 0 to
6) Fitters must be vented to the surface from the underdraln line for additional aeration and
snaking.'.
ATC c *#da fb SFRr• 1 tvrW

AUG-03-2004 TUE 10,:02 AN DENR RRO _ FAX NO. 19195714718 - P. 05
Recirculating Sand Filters
Wastewater Treatment System Checklist
V[ Al
�RbPbSED AC_ TL
1Check for an SOC.N Is this action allowed?
. "
2. Check the permit. Can the proposed system meet the permit limits?
3. Check with the`regional ottice. Do they agree with thhapi no salty discttar9e of consumir>g waste.
PG
4. For New Sitesa If 7Q10 = o cis & 30Q2'= 0 cis.
Tr
5. Check flow. is it in line with our regulations, permit limits, prom scope and actual flow data?
6. Have engineering guloulations been provided?
g•ITI= PLAN ''
o a lines. wells, system components. receiving stream,
1. Does the plan show the building, pr
discharge point, north WOW, and vicinity map
. IQ the facility above the 100 yr. flood elevation?
3. Does the system mairrtialn the following setbacks (in feet)2?
deal nce ir�rrr ( min[mum actual O.K.?
-JWS sources, WS,rerervoirs, lakes � p
C 1" drinking wells adjacent residenoe . 100
10
place of assemply ` 100
SA or SB wgders
other streams, Marsh, as, canals 54
property lines
any building toundatkx*asement 15
blEDES D SIGN "FLOW ir5 t �C�i�/
1.. NPOES Design.Flow patQ,­Establishment Type:
2.• Daily Flow .
gptl/unit x units � 3 b gpd
COMPONENTS
SFPTIC 't'ARK
1. Nominal Size: 9
2, Detention Time (meet one of ;Is following). (REC.1 day mini um)S
Nominal detention tirm: ?� Pp flow rate = ' N days
IgaQ tank sire • 1 N. — I9
(REC. o.5 day minimum)I
Actual minimum. detention time: �� a IcJPdI NPDES flaw rate x
loog -� (WI tank size (1 - 4.3) T . ( days
peak Flow factor)5
[ (note 30% reduction in septic tank vol. for solids accumulation)
ING Amnim Cone 28 -MG
2NC A41in Cade 214=9
3EPA 064W WWT P PISP 6-1 p0.101
AMCigo A gaw wx ou Pow 1051 �i+/Vfi2sAA2 P4 46 uw� Pes�inp Factor q SAP
5y„ t1s EpOY Ptaivn0W w"M61010-R. 102�. po*
. ireririSandrillcrsCilert[Ist Q3liit99 draft

'AUG703-2004 TUE 10,:p3 W DENR RRO
FAX NO. 19195714718
PRESSURS SYSTEMS
1. Daily Application Rates.:. (Use < 5.0 gpolsf)i
„`R�irculating Fitter: filter area
-Is
-.lgA NPDES Flow rate �..— fl
Calc. Total, filter Flaw igPdl=
Recirc ratio: (U3:1 ratiop
sa <<
d NPDES Flow rate x (recirc ratio + 1 } IgPdl
N G 1
Q Ca{c Volume Per Dosing cycle:
tG. - Igpml PUMPcap. x [min.] pump cycle
Calc, �furttlaer,ot Cyrus per day:. .
flter flow +__ IgaVCYcle1 � VQI• per cycle
I9Pdl Total
Cale ,Flooding"depth per dose (if applicable)(REC 2 in. min)3
:
.
- I9allayclej Vol. per cycle = Isfl fitter area (x 1.6r = in
2..;Required Dosing Tank Size: (choose the larger of the following) - Sal
t: NPDE.S pally. Flaw Rate - rDosing frequency [doses/c Y)
o. Volume per dose
' iii, .1 day d$tantlan tulle; '
a : surface flooding (should have spash pads tx gravel)
3.: Dosing Method. (circle a ' or . 4).: spray nozTJeslorifices
TR UTION & OI_ ON LINES
1 Distribution lines
Size: in.
(R1EC. 1 to 2 in.),
nderdrain lines (tYP• i0 feet o.c.): Size: �,—.— in.
(REG. gW B in)� ,
2.. 1J % (REC. 0 to 1 96)
i Slope:..�.�
3. Are. pipes embedded to gravel or, crushed rack (typ
4.. Are ends of 0011100tiorl_ lines plugged. capped
, or vented (for seraton) to the surface? ,
edpipingor is freeze protection provided?
S: Is there a provision to draln expos
6.'; Provisions shg4ld ha made for the adjustment of flow a1 each discharge point or line.
7. 'Are. a{evations''aet to .ensure Proper flow from component to component?
` 8, ;.,Are splash stabs required and installed?
Q. :Provisions sh uld be made for the adjustment of flow at each discharge point or litre.
�,
jtpr 1atMriRt flat NC Pl=M N4i for N00350000� 9 fo 5 ppd��1 kom MBiCAq 8 Ed*. WIN r;% P.1G95
2NC DEM KI fur 3.110 61 ham ► WAK 8 E0&J VMW EM P 1016
3lPA Q� Pa 127
SMI�YGiFiYIRi�.NI GPM � ,�. ;.. 1068.
dgravlyr �+wz NEMA On bar; 1, to Z in presr++re Yam. �aa 8 aim Y• WW P� P
7ma' d A EMY. W#MYW#W 9^8kW6AM P1ow
BMatWt 4 E h yYii' :ter Ec+p O pi ow SIM
n J�wa� FiJft�s CM Mut Q3/Y7J99
' t '
a

AUG-03-2004 TUE 10:02 AN DENR RRO FAX NO, 19195714718 P. 08
PIPING Irc. 21k, to 5°/6j1
1. Slope from establishment to septic R
ic tank: � (
2. slope
plying located in an area susceptible to vehicular traffic and protected?
3. Are cleanouts and long sweep elbows provided for easy maintenance?
4., Is a detail of the cleanout provided?
D11TRIBUT110 (if applicable)
66
1. Is a paten of the box provided? i
2. Is there a way W divert flow one
e line to the
line? tier?
3. Is there. a way to,ensure equal
SYST � ; ..
1. Gravity System (If . eipplioable): 2
Is them sufficient head to promote slow? (TYP. 3 o 5+ nls
2. Pumped System (if applicable):
Are dual Pumps pravided4 and are they easy to change? N v
Are pumps Sized to handle flow & head? t Pv�sP ecQct��
What is the fnathod of pump control? G p�,r7 g qrl-W-40
Is a pump Curvy provided? 1"
slly adjusted +n the field?
. can the amount dosed on each Zoneb@'aa
Is there some measure to prevent pump overheating {ensure positive summon pressure)
anci pressure surges?5 *�&e
be
Have check, valves and manual valves been installed on the disc large side of pumps? I '��``�
Does the system have a high wate�T ? `/ 2V44
SAND Fit -TER BEDS beds -ft x - ----ft 11►_ -
1. iced Sizes: .-
2 . rta.e7nn f!�itnriwb�
111is-r IM Area Onice'Foonmi. Provlsi"
2EPAAd2WR4rUM P 7G
Strom t>Ilet�tt tt EOOY p tti66:
�t►rts ®�e �>�� for 9FRs. , liar � not rowed to twee �,w pnttpa. A� rnoo,rap�a.
SCrurne a0svuev mow MP, *o in" P-SbaY of WTp D We** dONO Vid++es.
6"M Nleb'iW i Fwy P IW;
�Podey 9n NPDZS wmft E>az4n0 SOWS MEMO um. 15.1tIW: I�AJBBf�R �+ P77: NO" Ofr6iIC �� �'
Retire S+tnA Fflfs+s G7trtidist 031 ZM draft

AUG-03-2004 TUE 10:03 AM DENR RRO FAX N0, 19195714718 P. 08
• DI,SINF�CTICN
For UV • Are dual units provided? 2 p ,=6
Has manufacturers literature bean provided? = /� ' �� o
For Chlorine oontact:, Method of Chlorine application:
Detention time in the Contact Chamber (TWIQ x 24 hr. x 50 min) . rnin
,(30 min. minimum)
If there is a TRC limit, has dechlorination been provided? yL�
j?ISCHARGE
Has the need for energy, dissipating devices or erosion reduction measures (i.e.. riprap) at the point of
discharge been investigated? �v
FREEz PROTIPCTIUN g doll full & r®ssure i s i�
Any pipe & components exposed io air may be subiect to freezing, espe y p P Pe
1. if drain -back valves are proposed
is a detail shown?
Are drains placed to ensure flow to the drain and emptying the pipe?
Are pipes sloped bark towards the drain?
2. If special drain lutes are utilized, ensure they do not pressurize other lines during pumping.
OPE ATION LAMKI'MN C AND REPAIR
Effluent Samples. Can these be easily collected) y�
Are samples cohected sitar all of the treatment processes?
Meters and valves. Have manufacturers literature been provided? V15
Are ranges of operation acceptable? `f
Will they be installed in boxes for easy access?
Bypass lines are not allowed except in extreme circumstan_ ¢es.
Are any by-pass lines proposed?
to what instances will the system by-pass?
Do floor and freeze drain fines return to the dosing tank, recirc tank or sand filter?
Do floor drains have a water trap?
Can tanks be isolated with out threatening treatment? , (Install a manual valve on outsi4 of tank)
Is the facility protected from public :acces;-1/0Are pumps etc. in lockable containers?
Lo ff POWER
In case of lost power, ffn
1.) Does the facility continue 10 produce wast0wS18r7
2.) . *Is auxiliary power supplied?`� How (� is it arivated��
S,) Can effaotive treatment be achieved.
4.) . Can wastewater be stored? For how long?
5.) Is ther. an automatic emergency call up system?
.PPPG o� c3G
jWwc SmdFilters Checklist t)31 IM dmft SDP

ITEMIZED ENGINEER'S ESTIMATE
Project, I GREENWOOD FOREST PROPERTY OWNERS
For. ASSOCIATION OF OWNERS
LAA Job No.: , 04-056
Subject: SANITARY SEWER IMPROVEMENTS
OwnerlDeve loper GREENWOOD FOREST
CONTACT.• MANE Y. CORS, Owner Lot 1, Qyerloo
123 GREENWOOD FOREST NORTH, ETOWAH, NC 287
P-gedBy. LAUGHTER, AUSTIN AND ASSOCIATES, P.A.
Reviewed/Ap roved B . LAUGHTER, AUSTIN AND ASSOCIATES, P.A.
Prices by JON IStart at Manholle, Depth = 13.2 Ft.
C011 MVTS. Extend gravity sewer to Building Units and Lots. Green►~d Forest Drive (870 ),
West Laurel Drive (4659, and Teebox Lane (SR 22 Driveways to repair - 9 Asphalt
NC DOT ENCROACHMENT EASEMENT REQUIRED
ESTIMATE does not include costs of Opact fees ($2,300.00/CONNECTION),
license, pennits fees, etc..
1
8" Dia. PVC SEWER MAIN
LF
1,335
$ 21.00
$ ; 28,035.00
2
4" Dia. Lateral piping
LF
300
$ 12.00
$ 3,600.00
3
4 Ft. Dia.Manhole with Lid
EA
7
$ 1,400.00
$ 9,800.00
4
Aggregate Base,, Course
TONS
400
$ 7.50
$ 3,000.00
5
Boring and 18" DiaSteel Pipe
LF
66
$ 155.00
$ 10,230.00
6
Yard Restoration by Reseeding
SQ YDS
1,500
$ 2.45
$ 3,675.00
7
Trench Rock Excavation
CY
5
$ 85.00
$ 425.00
8
Gravity Sewer DI Clean Outs
UNIT
20
$ 300.00
$ 6,000.00
9
Concrete, .
CY
4
$ 80.00
$ 320.00
10
344 inch .Clean Stone.i
TON
40
$ 10.00
$ 400.00
11
AsphaltDrive and Street Restoration .
Sq Yd
350
$ 10.00
$ 3,500.00
12
Highway Bond
LS
1
$ 1,000.00
$ 1,000.00
13
Tie to existing Manhole d=13.2 Ft
LS
1
$ 1,000.00
$ 1,000.00
14
Application Fee; `''
LS
1
$ 400.00
$ 400.00
15
Engineering
LS
1
$ 5,800.00
$ 5,800.00
ESTIMATE for Proposed San. Sewer Improvements
$ 77,185.00
gravitysewer Etowah Sewer Company
3/29/2004
Copies to Cors 890-0308
Twenty connections = $3,860.00 + $2,300 = $6,160.00
$57.82 per feet of. length.

jLderson County
Department., of
,Public Health
'ENVIRONMENTAL HEALTH SECTION
(828) 6924228
1347 Spartanburg Highway, Hendersonville, NC 28792 (828) 6974523
Email:, sswi[t@hendersoncomonaorg
Thomas D. Bridges, MPH, Director
Seth Swift, R.S. Environmental Health Supervisor
June 23, 2004
4
Ms. Marie Cors
123 N. Greenwood Forest Drive
Etowah, NC 28729
-Dear Ms. Cors,
You recently. contacted our Department to inquire about options to repair your
septic system: You have indicated that the plumbing fixtures drain slowly during times
of wet weather.
A sub-surface'sewage treatment and -disposal system is not recommended as a
repair for.your septic system for the following reasons:
1. Unsuitable soil wetness conditions on your property (.1942).
2. Lack of available space due to stream locations and soil wetness conditions
(.1945).
Possible, options to repair the septic system are:
1'. Connect to the Etowah sewer system.
2. Contact the N.C. Division of Water Quality [phone] to inquire about a
possible discharge type permit.
Please contact me at [phone], extension 309 if you have any questions.
Sincerely,
Curt Cline, R.S.
Environmental Health Specialist
Public Health: EveryWhere, EveryDay, EveryBody.

�R -LSJR�g t/
4 C) S;-)

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