NCG551654_Regional Office Historical File 1986 to 2017

40-,;
3a
TV79

P.T. Greco
co
220 S. Main St.. P. 0. Box 1776. Hendersonville. NC 28739
704/692-0583
Date January 22, 1988
To Mr. Gary. Tweed Subject Transfer of Permit
Dept. of Nat,.,ral �Iesources & Community Development #NC0069116, NPDES
..........Division of Environmental Management Lot #20, Timbercreek Subdiv.
Water Quality Section Hendersonville, N.C.
Box 370 -
Asheville, N.C. 28802-0370
Dear Mr. Tweed:
Enclosed are copies of the documents we sent today to Arthur Mouberry in Raleigh
........... regarding the. 1ran.sf er....of the above referenced. Perms t to, Mr.., a. nld Mrs Henry
as you requested.
..................... ... . . . ........... .. . .. .. ... .. .................. .. .. .......... ......... .... .... .. ............. . ..
You explained to me today by telephone that the transfer processing should require
........ .......... abo.ut two weeks and that our ti.mi..n.g for aubmi-tti-ng-these documents was appropriate........
in anticipation of a closing date on the sale to the Stolte's of March 1, 1988.
.......... I ... .............. I ........ ... -.11 -- - ..... ...... .. .. -.1.1'.....- ........ .. . .. ... I . ... . .. ... ......... . .........................
Please let us know at once if there are any problems or delays in order that we
may sat.i..s.fy any o.ther.....necessary ... step.s..An.... the... process ... ... .... ... .... ...... .. .... ... .... - ......... .... .. . .. ......... . ...... ..........
We .very much apprec izte...your... c.o.operati-on-dur.i.n 9--the i.n.i..ti.a.l.....app.l.i.cati..o.n...p.r.oces.s.
and again during the transfer procedures.
........ - 11 . .............. .. I -- ............... I ... ...... . ..... .... .. - . ......... ....... ........................... ....... ...................... -
.......... . ..
... ...
. ...... .... i A N 25 I'M,
Ashevill-
. ... . . ......
F-1 Please reply No reply necessary SIGNED
Beverley Lombardi
FORM 180-2 Available from 1� Inc., Groton, Mam 01471. To order PHONE TOLL FREE 1, 800-225-6380

F
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^—Divisior
Itr r I AU
I 1Natei �t.ia
L _P—
� ef'ti�.��-ai li2sources i
G212017
Ji!Y Rcoionel o ,,rations.
June 29, 2017
Randall Elley
119 Camellia Way
Hendersonville, NC 28739
SUBJECT: Compliance Evaluation Inspection
119 Camellia Way _
Permit No:
Henderson County, NC (4'
Dear Mr. Elley:
ROY COOPER
Governor
MICHAEL S. REGAN
. Secretary
S. JAY ZIMMERMAN
Director
On June 21, 2017, Mikal Willmer and I conducted a Compliance Evaluation Inspection (CEI) of
the Single Family Residence (SFR) wastewater treatment system located at 119 Camellia Way.
The properly and the system were well maintained and appeared to be in compliance with NPDES
Permit No. NCG550433.
Please refer to the enclosed inspection report for additional observations and recommendations. I
have also attached a Name/Ownership Change Form should you wish to sell the property in the
future. If you have any questions, please feel free to contact me at 828-296-4500 or by email at
[e-mail].
Sincerely,
Tim Heim, P.E.
Environmental Engineer
Asheville Regional Office
Enclosure: Inspection Report
Name/Ow nrhi Change Form
c" c' MSC 1^6`17TFn al7-Files.-
.ille�>riles
G:\WR\WQ\Henderson\Wastewater\General\NCG55 SFR\1654 Elley\CEI Letter 6-23-2017.doex
A
Division c1 L ; i
-
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500
AUG 21 ?n17

F
United Slates Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
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 IN I 2 15 I 3 f NCG550433 I11 12 17/06/23 17 18 i � i
19 i G i 20Lj
211 Il1 1 1u1 1 1 1 1 11 l 1 I 1 1 1 1 1 1 1 I I I 1 .1 1 1 1 1 1 1 1
1 11 1 I 1 1 1. �6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ----------- --Reserved---------
67 70 71 I Il72 ,, 73 I I I 174 751 I I I I I I I80
LJ I I
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
03:15PM 17/06/23
13/11/01
119 Camellia Way
119 Camellia Way
Exit Time/Date
Permit Expiration Date
Hendersonville NC 26739
08:30PM 17/06/23
18/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Randall Elley,1914 Trellis Ln Hendersonville NC 28739///
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date
Timothy H Heim ARO WQ//828-296-4665/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
Date
�o
1 —
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type 1
3I , NCG550433 I1 12 17/06/23 17 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Tim Heim and Mal Vlfillmer of the Asheville Regional Office performed a Compliance Evaluation
Inspection on June 21, 2017. The facility appeared well maintained and operated at the time.of the
inspection. No negative impact to the receiving stream was observed.
Page# 2

J Permit: NCG550433 owner -Facility: 119 Camellia Way
Inspection Date: 06/23/2017 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping?0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ N ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit,
(If the present permit expires in 6 months or less). Has the permittee submitted a new
application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment:
Yes No NA NE
❑ ❑ ■ ❑
® ❑ ❑ ❑
❑ ■ ❑ ❑
0. ❑ ❑ ❑
■ ❑ ❑ ❑
Page# 3

ROY COOPER
Governor
MICHAEL S. REGAN
Secretar},
S. JAY ZIMMERMAN
Director
June 29, 2017
Randall Elley
119 Camellia Way
Hendersonville, NC 28739
SUBJECT: Compliance Evaluation Inspection
119 Camellia Way
Permit No: NCG550433
Henderson County, NC
Dear Mr. Elley:
On June 21, 2017, Mikal Willmer and I conducted a Compliance Evaluation Inspection (CEI) of
the Single Family Residence (SFR) wastewater treatment system located at 119 Camellia Way.
The property and the system were well maintained and appeared to be in compliance with NPDES
Permit No. NCG550433.
Please refer to the enclosed inspection report for additional observations and recommendations. I
have also attached a Name/Ownership Change Form should you wish to sell the property in the
future. If you have any questions, please feel free to contact me at 828-296-4500 or by email at
[e-mail].
Sincerely,
Tim Heim, P.E.
Environmental Engineer
Asheville Regional Office
Enclosure: Inspection Report
Name/Ownership Change Form
cc: MSC 1617-Central Files
W-VJQWs5e-V 1'lc-Filesar1l
G:\WR\WQ\Henderson\Wastewater\General\NCG55 SFR\1654 Elley\CEI Letter 6-23-2017.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

United States Environmental Protection Agency
Form Approved.
Washington, D.C. 20460
EP///�� `1 , ,
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 IN I 2 I5 I 3 I NCG550433 111 12 1i/66/23 17
18. i � j 19 i G i 201
211111 I I 1 1 1 111 1 1 1 1 1 1 1 1 1 1 1 I I I I I I
I I I I I I II I I I I I f6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA
----Reserved--
67
70L—I 1 I 71 I liJ ' 72 N
l-
731 I 174 751 III 1 1 1 I80.
I I I
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
03:15PM 17/06/23
13/11/01
119 Camellia Way
119 Camellia Way
Exit Time/Date
Permit Expiration Date
Hendersonville NC 28739
03:30PM 17/06/23
18/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Officiallritle/Phone and Fax Number
Contacted
Randall Elley,1914 Trellis Ln Hendersonville NC 28739///
No
Section. C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date
Timothy H Heim ARO WQ!l828-296-4665/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
Date
zz
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES
yr/mo/day
31 NCG550433 I11 12 17/06/23 17
Inspection Type
18 Icl
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Tim Heim and Mikal Willmer of the Asheville Regional Office performed a Compliance Evaluation
Inspection on June 21, 2017. The facility appeared well maintained and operated at the time of the
inspection. No negative impact to the receiving stream was observed.
Page#

Permit: NCG550433 Owner - Facility: 119 Camellia Way
Inspection Date: 06/23/2017 Inspection Type: compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ M ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit,
(If the present permit expires in 6 months or less). Has the permittee submitted a new
application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment:
Yes No NA NE
❑ ❑ ■ ❑
® ❑ ❑ ❑
❑ M ❑ ❑
0. ❑ ❑ ❑
■ ❑ ❑ ❑
Page# 3

Inspection Date: 61 a I r 1`7 Start Time: � � � P� End Time: �3� �7
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
11512015 J ��
Permittee: G l
Permit:
i
a/�7 �S ��33
Address: ��°1 �`' �C. 0-V E-mail-
Phone:( - Cell Phone:(_) -
County:
1 r .1 W
The Permittee is responsible for the operation and maintenance of the entire wastewater treatment and disposal system.
Doesn't
Did Not
Yes
No
Apply
Investigate
1. Is the current resident in the home the Permittee?
❑
El
2. If not does the resident rent from the permittee?
❑
❑
❑
❑
3. Change of Ownership form needed? (mail the form with the inspection letter)
❑
0
❑
❑
4. Is there a inspection and maintenance agreement with a contractor?
❑
❑
❑
5. If yes to #4 who is the contractor?
SEPTIC TANK The septic tank and filters should be checked annually and pumped/cleaned as needed.
6. Is all wastewater from the home connected to the septic tank?
❑
❑
❑
❑
7. Does the permittee/resident know where the septic tank is. located?
�.
❑
❑
8. Has the septic tank been pumped in the last 5 years?
❑
❑
❑
❑
9. If yes to #8 date, if known If proof, describe
10. Does the septic tank have an EFFLUENT FILTER or SANITARY T? (circle one)
11. If Yes to filter when was the filter cleaned? By whom?
SAND FILTER / TREATMENT PODS YES NO
If no proceed to the next section.
Accessible sand filter surfaces shall be raked and leveled every six months and any vegetative growth shall be removed manually.
12. Is system something other than a sand filter?
❑
El
❑
❑
13. If yes, what kind? (examples - Peat, Textile, Other, or brand name - Advantex, etc.)
14. Does the permittee know where the filter is located?
El
El
❑
❑
15. Does the filter require maintenance?
❑
El
❑
❑
If maintenace is required explain in the comment section.
DISINFECTION / UV YES NO
If no proceed to the next section.
The ultraviolet unit shall be checked weekly. The lamps and sleeves should be cleaned or replaced as needed to ensure proper disinfection.
❑ ❑ ❑
16. Is UV working?
❑
17. Has the UV Unit been serviced and bulbs cleaned?
❑
❑
❑
❑
18. Who completes the weekly check for the UV?( Non -Discharge)
DISINFECTION / TABLETS YES NO El
If no proceed to the next section.
The tablet chlorinator unit shall be checked weekly to ensure continuous and proper operation.
19. Does the permittee have the correct chlorine tablets?(If none, mark No)
El
El
El
El
20. Does the Permittee know the location of the chlorinator?
❑
❑
❑
❑
21. Were chlorine tablets observed in the chlorinator?
❑
❑
❑
❑
22. Are tablets contacting water? If possible poke them to determine.
❑
1:1❑
❑
DECHLOR (Discharge only) YES NO
If no proceed to the next section.
The dechlorinator unit shall be checked weekly to ensure continuous and proper operation.
23. Does the permittee know where the dechlor is?
❑
❑
❑
❑
24. Does the permittee have the correct dechlor tablets?
❑
El❑
25. Were dechlor tablets observed in the dechlorination chamber?
❑
26. Are tablets contacting water? If possible poke them to determine.
❑
❑

Doesn't
Did Not
Yes
No -
Apply
Investigate
PUMP TANK YES ❑ NO ❑
If no proceed to the next section.
All pump and alarm sytems shall be inspected monthly. (non -discharge)
27. Is the pump working?
❑
❑
❑
❑
28. Are the audible and visual high water alarms operational?
❑
❑
❑
❑
29. Does the. permittee know how to check the pump & high water alarm?
❑
❑
El
❑
30. Last functional test?
DISCHARGE ONLY YES NO ❑
If no proceed to the next section.
A visual review of the outfall location shall be executed twice each year (one at the time of sampling to ensure no visible
31. Does the permittee know where the outfall is located? Eg/
32. Were you able to locate the outfall?
solids or evidence of a malfunction.
❑ ❑ ❑
❑ 0 ❑
33. Is the end of the discharge pipe visible? If not, explain why.
❑
❑
34. Is outlet discharging?
35. Is right of way maintained around the discharge point?
❑
❑
❑
❑
❑
36. Any Lab Results available?
37. Is there evidence of solids around the discharge point?
❑
❑
❑
u
❑
❑
❑
❑
DRIP or SPRAY YES ❑ NO
If no proceed to the next section.
The irrigation system shall be inspected monthly to ensure the system is free 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 ponding and runoff?
❑
❑
❑
❑
41. Does the application equipment appear to be working properly?
❑
❑
❑
❑
42. Is there a minimum two wire fence surrounding entire irrigation area?
❑
❑
❑
❑
GENERAL
43. Are the treatment units locked and or secured?
❑
❑
❑
❑
44. Has resident had any sewage problems? If yes explain in the comment section.
45. Does the system match the permit description? If no explain in the comment section.
46. Is the system compliant?
47. Is the system failing? If yes, take pictures if possible.
48. If system is failing, any sign of children or animals contacting sewage?
El
1:9/
L/
❑
❑
`='
❑
❑
&d
0
El
❑
❑
❑
Lq/
❑
❑
❑
0
NOD Sent #: - - - NOV Sent #:
-
- -
Comments: Photos Taken?
YEAS)
❑
NO
❑
9 �ti I L
_
1I, zI V CT CZ /,i� f/" ,,
v
INSPECTOR: SIGNATURE:

^^�
��A®
NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 12, 2014
Randall Elley
1914 Trellis Ln
Hendersonville NC 28739
SUBJECT: Compliance Evaluation Inspection
119 Camellia Way
Permit No: NCG550433
Henderson County
Dear Mr. Elley:
4 'T
John E. Skvarla, III
Secretary
Enclosed please find a copy of the Compliance Evaluation Inspection from the inspection conducted on May
15, 2014. The Compliance Evaluation Inspection was conducted by Ed Williams_ of the Asheville Regional
Office. The facility was found to be in compliance with permit NCG550433.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions, please call me at 828/296-4500 .
Sincerely,
ry
Ed Williams
Enc.
cc: ,
MSC 1617-Central Files -Basement
Tsh v}1'1i31e`s
Water Quality Regional Operations —Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone:[phone] FAX:[phone]
Internet: http://portal.ncdenr.orgiweb/wgAvs
An Equal Opportunity 1 Affirmative Action Employer
G:1WR1WQ1Henderson\Wastewater GenerallNCG55 SFR10433 Ellylelly 0433 cei 2014.docx

United States Environmental Protection Agency Form Approved.
EPA Washington, D.C.20460 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 �N 2 15 1 3 I NCG550433 I11 12 14/05/15 17 18 I C I 19 I s I 20H
211 _1 J 1 11I_1 1 1 1 1 11 1 1 I I I 1 1 I 1 1 1 1 1 I I I I I I I I I I 11 I I I I I f6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA — — —Reserved-
67 70 � I 71 I I 72 I N I 73 I � I74 75 80
l� il Section B:FacilityData u lJJ
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
119 Camellia Way
119 Camellia Way
Hendersonville NC 28739
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Name, Address of Responsible Official/Title/Phone and Fax Number
Randall Elley,1914 Trellis Ln Hendersonville NC 28739///
Contacted
No
Entry Time/Date Permit Effective Date
10:45AM 14/05/15 13/11/01
Exit Time/Date I Permit Expiration Date
11:05AM 14/05/15 18/07/31
Other Facility Data
I Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit N Operations & Maintenance
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Edw d M fi�71ult�'
ARO GW///
V
L--�.
Signature of Management Q A Reviewer
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Agency/Office/Phone and Fax Numbers Date
Page# 1

NPDES yr/mo/day Inspection Type
31 NCG550433 I� 12 14/05/15 17 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The facility appears to be well maintained and in good order. No discharge was observed. The septic
tank should be pumped every 3-5 years to ensure proper operation.
Page#

Permit: NCG550433 Owner - Facility: 119 Camellia Way
ion Date: 05/15/2014 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No Na Ne
Is the plant generally clean with acceptable housekeeping? ® El ❑
El
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable El 11 M ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit
Yes
No Na Ne
El
El
0
El
(If the present permit expires in 6 months or less). Has the permittee submitted a new
application?
El
Is the facility as described in the permit?
0
El
# Are there any special conditions for the permit?
❑
❑
M
Is access to the plant site restricted to the general public?
®
❑
El
❑
Is the inspector granted access to all areas for inspection?
Comment:
Septic Tank
Yes
No Na Ne
❑
❑
■
(If pumps are used) Is an audible and visual alarm operational?
El
El
El
0
Is septic tank pumped on a schedule?
■
Are pumps or syphons operating properly?
❑
❑
i
El
Are high and low water alarms operating properly?
Comment:
Sand Filters (Low rate)
Yes
No Na Ne
El
❑
M
(If pumps are used) Is an audible and visible alarm Present and operational?
M
El
El
El
Is the distribution box level and watertight?
❑
El
M
El
Is sand filter free of ponding?
El
1-1
El
M
Is the sand filter effluent re -circulated at a valid ratio?
# Is the sand filter surface free of algae or excessive vegetation?
❑
11
[1
M
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
Comment:
Disinfection -Tablet Yes No Na Ne
Are tablet chlorinators operational? ® El ❑
Are the tablets the proper size and type? ® ❑ ❑
2
Number of tubes in use?
Page#
3

Permit: NCG550433
Owner - Facility: 119 Camellia Way
Inspection Date: 05/15/2014
Inspection Type: Compliance Evaluation
Disinfection -Tablet
Yes
No Na Ne
El
N
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Comment:

V,
Bevel-1-
IT f
o a is :ii 1-1 cpa f n-lel'7 , of -[ a I`,
DIVIS1a1 o water Q-to'-!i-cy 4
liar 'c1''CI, ...
1Ji�eCtaY i.
CINDY AND PATRICK JAEGER
.914 TRELLIS LANE
HENDERSON`EIILLE NC 28739
Dear Mir. and Ms. Jaeger:
APR .27 2012
cret= r`
y WATER QUALITY SECTION
ASHEVIL! E RFGION.AL OFFICE
April. 27, 2012 a n
Subject: NPDES Permit Modification- Name and/or Ownership Change
119 Camellia Way
Certificate of Coverage NCG550433
Henderson County
Division personnel have reviewed and approved your request for ownership change of the subject certificate of
coverage. This permit modification documents the change of ownership of the above referenced facility.
Please find enclosed the revised certificate of coverage. All other terms and conditions contained in the original
certificate remain unchanged and in full effect. This modification is issued under the requirements of North
Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions concerning this permit modification, please contact the Point Source Branch at (919)
807-6304.
zx;5t1-"
ild, P.E.
cc: Point Source Branch File NCG550433
Ashe5i7l'le Regi- ce, Surface Water Protection
1617 iliiail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbunr St. Raleigh, North Carolina 27604 �i10
Phone: [phone]FAX: [phone] I$ o thiCu^lin
Internet %ki,,nti,.nc.vtateiquali�r.org P
err -
An Equal Ocportunity N .4ffinnative .fiction Employer l �

V, I
STA 1 L OF NORTH CA—ROLINA
DE I TMENT OF ENVIRONMENT AND TNTATURAL RESOURCES
DIVISION OF VTATER QU.&LI'
GENERAL PE , R IViLT % �cCG5 n0000
( ERTIFHCATE OIL COVERAGE L AGE NCG550433
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR, CHARACTERISTICS UNDER THE
NATgQ1�AL POLLUTANT DRS CELARGE E ►1�INAHINATHON 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,
Cindy and Patrick Za ege r
is hereby authorized to discharge domestic wastewater [450. GPD] from a facility located at
119 Camellia Way
Hendersonville
Henderson County
to receiving waters designated as an unnamed tributary to Finley 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 ITT hereof.
This certificate of coverage shall become effective April 27, 2012.
This Certificate of Coverage shall expire on July 31, 2012.
Signed this day April 27, 2012.
for CCI r s Wakild, P.E., Director
=sion of Water Quality
By Authority of the Environmental Management Commission

\O�pF.��.TFgQG
� r
J
«L�
Beverly Eaves Perdue, Governor
Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C 1 10; 1 QI I I 1 15 10
II. Permit status pljE to status change.
a. Permit issued to (company name):
b. Person legally responsible for permit: Hel C, rs0 n
Firsut MI Last
nvoer
Title
og cla I'V% e-�� i (1,
p� Permit Holder Mailing Address
City State Zip
Phone Fax
c. Facility name (discharge): 151 n(--,ea,,
d. Facility address: 0a Mgj' h W
Address
City State Zip
a 'g
e. Facility contact person: a �� �"'A r%� /) ,t
First / Mt / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: Change in ownership of the facility
K
Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
M
Title
Permit Holder Mailing Address
City State Zip
Phone t E-mail Address
d. Facility name (discharge): ,
e. Facility address: Y OL-1
/Address
City Stag Zip
f. Facility contact person: 1�� Cy,l �, ,;
First MI Last
(9A()_09'-qd_1d CjVV3K'O3
Phone E-mail Address
Revised 112009

F �NAT� Michael F. Easley, Governor
RQ William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
- Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION
September 7, 2006 F
E
Mr. Gary. Peterson
119 Camellia Way
Hendersonville, North Carolina 28739
SUBJECT: Compliance Evaluation Inspection
Peterson Residence
Permit No: NCG550433
Henderson County
Dear Mr. Peterson:
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 NCG550433.
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,
ronmental Engineer
Enclosure
cc: NPDES Unit
Central Files
,dAslaevilte_FJaes
NorthCarolina
Natrrral
2090.U.S. Highway 70, Swannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency
Washington, D.C. 20460
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 1 SI 31 NCG550433 111 121 06/09/06 117
LJ
18I CI 191 SI 201 I
!—I
Remarks
21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA
---------- —------ --Reserved------------------
67 I 169 70I II 711 I 72 I N I
73 I I 174 75I 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)
Peterson Gary- Residence
12:15 PM 06/09/06
02/08/01
Exit Time/Date
Permit Expiration Date
119 Camellia Way
Hendersonville NC 28739
12:30 Phi 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 OfficiallTitle/Phone and Fax Number
Garyy C Peterson,119 Camellia Way Hendersonville NC Contacted
28739//828-692-6535/8286926535 Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Operations & Maintenance ® Facility Site Review
Section D: Summary of Finding/Comments Attach additional sheets of narrative
and checklists as necessary)
(See attachment summary)
-Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Larry Frost ARO WQ//828-296-4500 Ext.4658/
Keith Haynes ARO WQ//828-296-4500/
1W
it'- - - - 0 G'
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Roger C Edwards �P�C.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 NCG550433 I11
12I 06/09/06 117 18ICI
) dpou/ * 2
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The system appeared to be well maintained and operating properly.
This system consists of a septic tank, sand filter, 2 tube chlorinator, chlorine contact chamber and discharge
pipe.
It is important to have your septic tank pumped every 3 to 5 years, this will protect your sand filter from
being plugged up or damaged by solids.
You should keep an eye on the surface of your sand filter, should you detect pooling or puddling of
wastewater then your sand filter or associated piping may be plugged and in need of repair.
You should always keep chlorine tablets in your chlorinator to disinfect your wastewater. Make sure the
bottom most tablet is in contact with the wastewater.
The chlorine contact chamber should always be kept clean, to ensure disinfection is complete.
Keep your discharge pipe free from obstructions and debry, if it should become plugged it may bypass other
processes.
Page # 2

Permit: NCG550433 Owner - Facility: Peterson Gary- Residence
Inspection Date: 09/06/2006 Inspection Type: Compliance Evaluation
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
■
n
n
n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge ❑
n
❑
■
Judge, and other that are applicable?
Comment:
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
®❑
❑
n
Are the tablets the proper size and type?
■
n
n
n
Number of tubes in use?
2
Is the level of chlorine residual acceptable?
n
n
n
■
Is the contact chamber free of growth, or sludge buildup?
■
n
n
n
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
■
Comment: There was no flow at the time of the inspection.
Page # 3

e��
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
August 15, 2007
Gary C. Peterson
119 Camellia Way
Hendersonville, NC 28739
Subject: Renewal of coverage / General Permit NCG550000
119 Camellia Way
Certificate of Coverage NCG550433
Henderson County
Dear Permittee:
In accordance with your renewal application [received on February 1, 20071, the Division is renewing
Certificate of Coverage (CoC) NCG550433 to discharge under NCG550000. This CoC is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you• in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Toya
Fields [919 733-5083, extension 551 or [e-mail] or Susan Wilson [919 733-5083, extension 510
or [e-mail]].
cc: Central Files
NPDES file
Sincerely,
for Coleen H. Sullins
I
D
i
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
AU G 2 2 2007
WATER QUALITY SECT'-
,N- 6fthC-drolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550433
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,
Gary C. Peterson
is hereby authorized to discharge domestic wastewater [450 GPD] from a facility located at
119 Camellia Way
Hendersonville
Henderson County
to receiving waters designated as an unnamed tributary to Finley 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 15, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 15, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

d
NCDENR;
North Carolina Department of Environment a
Division of Water Quality
Michael F. Easley, Governor
JA N 1 6 2007 '
{
i Natural -Resources
WATER CUALITY SECTION
ASt- i-VILLWilliam-.GARUs;;dr , Se,
Alan W. Klimek, P.E., I
Yi.' 4C•,Ss'"`"!•}NP43�.`Srn.`,�k7Gt=✓i;:.'vr<c?u;n>'.aa.::,a:.a +vWxza��:',ylxcgi yxak:x
January 9, 2007
Gary Peterson
119 Camellia Way
Hendersonville, NC 28739
Subject: Renewal Notice / General Permit NCG550000
Certificate of Coverage NCG550433
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.
9 If your property still has a wastewater system like the ones described in the enclosed
Technical Bulletin, you must renew the subject CoC. Complete the enclosed form and
submit it to the address on the form.
9 If you are not sure what type of system your property has, contact Keith Haynes in the
NC DENR Asheville Regional Office at. That person [or other staff members] can help
you determine if you should renew your CoC.
9 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.
9 This information request does not certain to the Annual Fee of 850.00 billed
separately by the Division's DudLyet Office. No monev is required for this
procedure. The Annual Fee is like the fee you annually pay the DAW for the sticker on
your vehicle's license plate. Renewal of your CoC is like the renewal of your Driver's
License [ca. every five years].
If you have already mailed a renewal request, you may disregard this notice.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone], extension 511 / FAX [phone] / [e-mail]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
O
NorthCarolina
Naturally

NCG550433 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
NPDES file

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
GARY C PETERSON
PETERSON GARY- RESIDENCE
119 CAMELLIA WAY
HENDERSONVILLE, NC 28739
Dear Permittee:
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 26, 2002_'
d
,1UL 3 1 2002
Subject: Reissue - NPDES Wastewater Discharge Permit
Peterson Gary- Residence
COC Number NCG550433
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 [phone], 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 [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director
11 /26/01
GARY C PETERSON
PETERSON GARY- RESIDENCE
119 CAMELLIA WAY
HENDERSONVILLE, NC 28739
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
OF { -, 2001
Subject: NPDES Wastewater Permit Coverage Renewal
Peterson Gary- Residence
COC Number NCG550433
Henderson County
Dear Permittee:
Your residence or facility is currently covered for wastewater discharge under General Permit NCG550000. This
permit expires on July 31, 2002. Division of Water Quality (DWQ) staff is in the process of rewriting this permit
with a scheduled reissue in the summer of 2002. Once the permit is reissued, your residence or facility would be
eligible for continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the DWQ for renewal of
your permit coverage. To make this renewal process easier, we are informing you in advance that your permit will
be expiring. Enclosed you will find a general permit coverage renewal application form. This will serve as
your application for renewal of your permit coverage. The application must be completed and returned with the
required information by February 01, 2002 in order to assure continued coverage under the general permit. There is
no renewal fee associated with this process.
Failure to request renewal within this time period may result in a civil assessment of at least $250.00. Larger
penalties may be assessed depending on the delinquency of the request. Discharge of wastewater from your
residence or facility without coverage under a valid wastewater NPDES permit would constitute a violation of
NCGS 143-215.1 and could result in assessments of civil penalties of up to $10,000 per day.
If the subject wastewater discharge to waters of the state has been terminated, please complete the enclosed
rescission request form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
If you have any questions regarding the permit coverage renewal procedures please contact the Asheville Regional
Office at 828-251-6208 or Mack Wiggins of the Central Office Stormwater Unit at [phone], ext. 542
Sincerely,
. ��''✓t���..t-�/ lam' -`vim' G4
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
Gary C. Peterson
119 Camellia Way
Hendersonville, NC 28739
Dear Permittee:
E:)EHNFi
July 21,1997
Subject: Certificate of Coverage No. NCG550433
Renewal of General Permit
Peterson, Gary - Residence
Henderson County
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31, 2002. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated December 6,1983. If any
parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have
the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, the Division of Land Resources, Coastal Area Management Act or any other Federal or Local
governmental permit that may be required.
If you have any questions concerning this permit, please contact the NPDES Group at the address below.
cc: Central Files
Asheville_Regional O__;ffice�
NPDES Group
Facility Assessment Unit
Sincerely,
(111�
A. Preston
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX [phone] ' b&e
An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer paper
N
nt?jate.Ac.us$,,

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550433
TO DISCHARGE DOMESTIC WASTEWATERFROM SINGLE FAMILY RESIDENCES
AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
Gary C. Peterson
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility
located at
Al.".
Peterson, Gary -Residence
19 Camelia Way
Hendersonville
Henderson County
to receiving waters designated as subbasin 40302 in the French Broad River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective August 1, 1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21, 1997.
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

FACILITY
C 0 L1 T Y
MP.-ILING ADDRESS
CLASS
Responsible
Official Rep resenta-t ve 'perator
Telephone No.
Where Located
NPDE_:7, Pe r-gi t tqG -j C,
ED State 0 Federal
Date issued
'xPiraticn Date
5. t re a r-,,: Nam
Class
Sub -basin
­L• e­
ssued
Cert. Number
ass

North Carolina Department of Environment and Natural Resources
Pat McCrory, Governor
February 23, 2015
Randall Elley
1914 Rellis Ln
Hendersonville, NC 28739
Donald R. van der Vaart, Secretary
Subject: General Permit NCG550000
119 Camellia Way
Certificate of Coverage NCG551654
Henderson County
Dear Permittee:
The Division received instructions from the U.S. EPA to replace your former Certificate of Coverage
(CoC) with a new CoC. This change is required to resolve record -keeping issues within the EPXs new data
system. Therefore, the Division hereby issues NCG551654 under General Permit NCG550000. This CoC
replaces NCG550433, your former CoC. It is issued pursuant to the requirements of North Carolina General
Statue 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection agency dated October 15, 2007 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 assistyou in document'ina the transfer of this CoC.
This permit does not affect the legal requirements to obtain any other State, Federal, or Local
governmental permit that may be required. If you have any questions concerning the requirements of the
General Permit, please contact Charles Weaver of the NPDES staff [919 807-6391 or
charles.weaver@ncdenr. gov].
4S.
ely,
fZimmerman, ing Director
Division of Water Resources
cc: Asbeviille Region ffic
ES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, N
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org
Division o� 'rt' icr resources
MAR 1 1 2015
Car ra 27604
Later Quali;.v Regional Operations
Asheville F? gion:zi Gi;i
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551654
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, the
Randall Elley
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
119 Camellia Way
Hendersonville
Henderson County
to receiving waters designated as an unnamed tributary to Fnley Creek, a class B stream in
subbasin 04-03-02 of the French Broad River Basin in accordance with the effluent limitations,
monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage takes effect February 23, 2015.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day February 23, 2015
for
Division of Water Resources 61 �-
By Authority of the Environmental Management Commission

State of North Carolina ,
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
GARY C. PETERSON
PETERSON(RESIDENCE)GARY C.
119 CAMELLIA WAY
HENDERSONVILLE NC 28739
Dear Permittee:
September 30,1993
Subject: PETERSON(RESIDENCE)GARY C.
Certificate of Coverage NCG550433
General Permit NCG550000
Formerly NPDES Permit NCO069116
Henderson County
The Division of Environmental Management has recently evaluated all existing individual permits for potential
coverage under general permits currently issued by the Division. 15A N.C.A.C. 2H .0127 allows the Division to
evaluate groups of permits having similar discharge activities for coverage under general permits and issue
coverage where the Division finds control of the discharges more appropriate in this manner. The Division has
determined that the subject discharge qualifies for such coverage. Therefore, the Division is hereby issuing the
subject Certificate of Coverage under the state-NPDES general permit no. NCG550000 which shall void NPDES
Permit NC0069116. ' This Certificate of Coverage is issued pursuant to the requirements of North Carolina and the
US Environmental Protection Agency Memorandum of Agreement dated December 6,1983 and as subsequently
amended.
If any parts, measurement frequencies or sampling requirements contained in this general permit are unacceptable to
you, you have the right to submit an individual permit application, associated processing fee and letter requesting
coverage under an individual permit. Unless such demand is made, this decision shall be final and binding. Please
take notice this Certificate of Coverage is not transferable. Part II, E.4. addresses the requirements to be followed
in case of change of ownership or control of this discharge.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division, such as the
construction of additional or replacement wastewater treatment or disposal facilities. Construction of any
wastewater treatment facilities will require issuance of an Authorization to Construct from this Division.
Failure to abide by the requirements contained in this Certificate of Coverage and respective general permit may
subject the Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C. Please note that the general permit does require
monitoring in accordance with federal law. The monitoring data is not required to be submitted to the Division
unless specifically requested, however, the permittee is required to maintain all records for a period of at least
three (3) years.
Post Office Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled -10% post -consumer paper

rGPaSe,2
A
RY C., PETERSON
PETERSON(RESIDENCE)GARY C.
Certificate of Coverage No. NCG550433
The issuance of this Certificate of Coverage is an administrative action initiated by the Division of
Environmental Management and therefore, no fees are due at this time. In accordance with current rules, there
are no annual administrative and compliance monitoring fees for coverage under general permits. The only fee
you will be responsible for is a renewal fee at the time of renewal. The current permit expires July 31, 1997.
This coverage will remain valid through the duration of the attached general permit. The Division will be
responsible for the reissuance of the general permit and at such time, you will be notified of the procedures to
follow to continue coverage under the reissued permit. Unless you fail to follow the procedures for continued
coverage, you will continue to be permitted to discharge in accordance with the attached general permit.
The issuance of this Certificate of Coverage does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances which may be required by the Division of Environmental Management
or permits required by the Division of Land Resources, the Coastal Area Management Act or any Federal or
Local other governmental permit that may be required.
If you have any questions or need additional information regarding this matter, please contact either the
Asheville Regional Office, Water Quality Section at telephone number 704/ 251-6208, or a review engineer in
the NPDES Group in the Central Office at telephone number 919/733-5083.
S' erely,
4ton Howar , P.E
�A.
cc: Asheville Regional Office
Central Files

J
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG550433
TO DISCHARGE TREATED DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND
SIMILIAR WASTEWATERS UNDER THE
NATIONAL POLLUNTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
PETERSON(RESIDENCE)GARY C.
is hereby authorized to discharge treated domestic wastewater from a facility located at
PETERSON(RESIDENCE)GARY C.
Henderson County
to receiving waters designated as the UT FINLEY CREEK/FRENCH BROAD RVR BSN
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II,
III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective November 1, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day, September 30,1993.
A. Preston Howard, Jr., P.E.,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

iO"
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Gary C. Peterson
119 Camelia Way
Hendersonville, NC 28739
Dear Mr. & Mrs. Peterson:
A4
- - EJ
E:)EHNR
ytiy,
F[JUN2 41993June 18, 1993�:T" SECTi ;i,i
S F
Subject: NPDES No. NCO069116
Mr. & Mrs. Gary C. Peterson
formerly issued to
Mr. & Mrs. Henry Stolte
Henderson County
In accordance with your request received February 16, 1993, we are forwarding herewith
the subject permit now issued to Mr. & Mrs. Gary C. Peterson. The only changes in this permit
are in name and ownership as well as update the permit to current DEM regulations. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1
and the Memorandum of Agreement between North Carolina and the U. S. Environmental
Protection Agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this
permit are unacceptable to you, you have the right to an adjudicatory hearing upon written
request within thirty (30) days following receipt of this letter. This request must be in the
form of a written petition, conforming to Chapter 150E 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 demand is made, this decision shall be final and binding.
Please take notice that this permit is not transferable. Part II, B. 2. addresses the
requirements to be followed in case of change in ownership or control of this discharge.
This permit does not affect the legal requirement to obtain other permits which may be
required by the Division of Environmental Management 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
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
�\d

If you have any questions concerning this permit, please contact Mr. Mack Wiggins at
telephone number 919/733-5083.
Sincerely,
Original Signed By
Colleen H. Sullins
A. Preston Howard, Jr., P.E.
cc: Mr. Jim Patrick EPA
egior�alOffic�"
Compliance
Central Files
Kim Brantley

Per— No. NCO069116
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER 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,
Mr. & Mrs. Gary C. Peterson
is hereby authorized to discharge wastewater from a facility located at
Peterson Residence
119 Camellia Way
south of Laurel Park
Henderson County
to receiving waters designated as an unnamed tributary to Finley Creek in the French Broad River
Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, and III hereof.
This permit shall become effective June 18, 1993
This permit and the authorization to discharge shall expire at midnight on September 30, 1995
Signed this day June 18, 1993
Original Si
gned
C01een H. Su! ney
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0069116
SUPPLEMENT TO PERMIT COVER SHEET
Mr. & Mrs. Gary C. Peterson
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of a septic tank and
subsurface sand filter trench followed by effluent chlorination located at Peterson Residence,
119 Camellia Way, south of Laurel Park, Henderson County (See Part III of this Permit), and
2. Discharge from said treatment works at the location specified on the attached map into an
unnamed tributary to Finley Creek which is classified Class B waters in the French Broad River
Basin.

• ° 172 \f�Q} I � o r,-N � /-. •• 1 1-0
\
71
>.,
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2200 . \ • 391
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LW
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IV
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390
r
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tib
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FB 184 \ � �� O � �__ � 11 —

A. (). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL Permit No. NCO069116
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge from
outfall(s) serial number 001. Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics
Flow
BOD, 5 day, 200C
Total Suspended Residue
NH3 as N
Fecal Coliform (geometric mean)
Total Residual Chlorine
Temperature
Discharge Limitations
Units (specify)
Monthly AM Weekly Avg.
450 GPD
30.0 mg/I 45.0 mg/I
30.0 mg/I 45.0 mg/I
200.0 /100 ml 400.0 /100 ml
Monitoring Requirements
Measurement Sample *Sample
Frequen" Tyne Location
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous disinfection of the effluent.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

PART I
"Act" used herein means the Federal dater Pollution Control Act, As
Amended.
"DEM" used herein means the Division of Environmental Management of
the Department of Natural Resources and Community Development.
"ERV used herein means the North Carolina Environmental Management
Commission.
Definitions
a. The monthly average. other than for fecal coliform bacteria, is
the arithmetic mean of all the composite samples collected in a
one -month period. The monthly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -month period.
b. The weekly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected during a
one -week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -week period.
c. Flow, M3/day (MGD): The flow limit expressed in this permit is the
24-hour average flow, averaged monthly.. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month.
d. Arithmetic Mean: The arithmetic mean of any set of values is the
summation of the individual values divided by the number of indi-
vidual values.
e. Geometric Mean: The geometric mean of any set of values is the Nth
root of the product of the individual values where N is equal to the
number of individual values. The geometric mean is equivalent to
the antilog of the arithmetic mean of the logarithms of the indi-
vidual values. For purposes of calculating the geometric mean,
values of zero (0) shall be considered to be one (1).

I
PART II
b. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. Provide an alternative power source sufficient to operate
the wastewater control facilities;
or, if such alternative power source is not in existence,
b. Halt, reduce, or otherwise control production and/or all dis-
charges from wastewater control facilities upon the reduction,
loss, or failure of the primary source of power to said waste-
water control facilities.
B. RESPONSIBILITIES
1. Right of Entry
The permittee shall al3ow the Director of the Division of Environ-
mental Management, the Regional Administrator, and/or their author-
ized representatives, upon the presentations of credentials:
a. To enter upon the permittee's premises where an effluent
source is located or in which any records are required to
be kept under the terms and conditions of this permit; and
b. At reasonable times to have access to and copy any records
required to be kept under the terms and conditions of this
permit; to inspect any monitoring equipment or monitoring
method required in this permit; and to sample any discharge
of pollutants.
2. Transfer of Ownership or Control
This permit is not transferable. In the event of any change in con-
trol or ownership of facilities from which the authorized discharge
emanates or is contemplated, the permittee shall notify the prospec-
tive owner or controller by letter of the existence of this permit
and of the need to obtain a permit in the name of the prospective
owner. A copy of the letter shall be forwarded to the Division of
Environmental Management.
3. Permit Modification
After notice and opportunity for a hearing pursuant to NCGS 143-215.1
(b)(2) and NCGS 143-215.1(e) respectively, this permit may be modi-
fied, suspended, or revoked in whole or in part during its term for
cause including, but not limited to, the following:

PART III
A. PREVIOUS PERMITS
All previous State water quality permits issued to this facility,
whether for construction or operation. or discharge, are hereby
revoked by issuance of this permit. The conditions, requirements,
terms, and provisions of this permit authorizing discharge under the
National Pollutant Discharge Elimination System govern discharges
from this facility. .
B. CONSTRUCTION
No construction of wastewater treatment facilities or additions thereto
shall be begun until Final Plans and Specifications have been submitted
to the Division of Environmental Management and written approval and
Authorization to Construct have been issued. If no objections to Final
Plans and Specifications have been made by the DEM after 30 days follow-
ing receipt of the plans or issuance of this permit, whichever is latter,
the plans may be considered approved and construction authorized.
C. SPECIAL CONDITIONS
1. The Permittee shall be responsible for the following items regard-
ing the maintenance of the treatment system:
a. Septic tanks shall be maintained at all times to prevent
seepage of sewage or effluents to the surface of the ground.
b. Septic tanks need routine maintenance and should be checked
at least yearly to determine if solids need to be removed
or other maintenance performed.
c. Contents removed from septic tanks shall be discharged into,
an approved sewer system, buried or plowed under at an
approved location within 24 hours, or otherwise disposed of
at a location and in a manner approved by the State or local
agency.
2. The permittee shall properly connect to an operational publicly -
owned wastewater collection system within 180 days of its availability
to the site.
D. Disposal Alternatives
The Permittee shall continually evaluate all wastewater disposal alternatives and pursue
the most environmentally sound alternative of the reasonably cost effective
alternatives. If the facility is in substantial non-compliance with the terms and
conditions of the NPDES permit or governing rules, regulations, or laws, the
permittee shall submit a report in such form and detail as required by the Division
evaluating these alternatives and a plan of action within sixty (60) days of notification
by the Division.

State of North Carolina
Department of Environment; Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor
William W. Cobey, Jr., Secretary
September 16, 1991
Henry F. Stolte
119 Camellia Way
Hendersonville, NC 28739
George T. Everett, Ph.D
Director
Subject: Permit No. NCO069116
Henry Stolte Residence.
Henderson County
Dear Mr. Stolte:
In accordance with your application for discharge permit received on May 8, 1991, we are
forwarding herewith the subject state - NPDES permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement
between North Carolina and the US Environmental Protection agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within
thirty (30) days following receipt of this letter. 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 demand is made, this decision shall be final and binding.
Please take notice this permit is not transferable. Part H, B.2. addresses the requirements to
be followed in case of change in ownership or control of this discharge.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Environmental Management or permits required by the Division of
Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit
that may be required.
If you have any questions concerning this permit, please contact Mr. Mack Wiggins at
telephone number 919/733-5083.
Sincerely,
Original sigped by
Dale Overcash for R E C F-i V E l
George T. Everett Vrter Quality 3'a lifts
cc: Mr. Jim Patrick, EPA
s ev�Ile'�RreT�tonal[Office S F P 18 1991
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]geYllle Region(O"trF
An Equal Opportunity Affirmative Action Employer Asbeville, North Carolirm
3

Permit No. NCO069116
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER 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,
Mr. & Mrs. Henry Stolte
is hereby authorized to discharge wastewater from a facility located at
Henry Stolte Residence
119 Camellia Way
south of Laurel Park
Henderson County
to receiving waters designated as an unnamed tributary to Finley Creek in the French Broad River
Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, and III hereof.
This permit shall become effective November 1, 1991
This permit and the authorization to discharge shall expire at midnight on September 30, 1995
Signed this day September 16, 1991
original signed by
®ale CNercash i0r
George T. Everett, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0069116
SUPPLEMENT TO PERMIT COVER SHEET
Mr. & Mrs. Henry Stolte
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of a septic tank,
subsurface sand filter trench followed by effluent chlorination located at Henry Stolte Residence,
119 Camellia Way, south of Laurel Park, Henderson County (See Part III of this Permit), and
2. Discharge from said treatment works at the location specified on the attached map into an
unnamed tributary to Finley Creek which is classified Class B waters in the French Broad River -
Basin.
F +`
�'l�Y

i
sc.
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A.'(). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL Permit No. NCO069116
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge from
outfall(s) serial number 001. Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics
Flow
BOD, 5 day, 200C
Total Suspended Residue
NH3asN
Fecal Coliform (geometric mean)
Total Residual Chlorine
Temperature
Discharge Limitations
Units (specify)
Monthly Avg. Weekly Avg.
450 C1'D
30.0 mg/I
30.0 mg/1
200.0 /100 ml
45.0 mg/I
45.0 mg/I
400.0 /100 ml
Monitoring Requirements
Measurement Sample *Sample
Frequency Type Location
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous disinfection of the effluent.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
11

4 .•. r
t�
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor February 5, 1988 R. Paul Wilms
S. Thomas Rhodes, Secretary CERTIFIED MAIL Director
RETURN RECEIPT REQUESTED
Mr. & Mrs. Henry F. Stolte
1728 Sycamore Avenue
Merrick, New York 11566
SUBJECT: NPDES No. NC0069116
Mr. & Mrs. Henry F. Stolte
formerly issued to Town & County Homes, Inc.
Henderson County
Dear Mr. & Mrs. Stolte:
In accordance with your request received January 25, 1988, we are forwarding
herewith the subject Permit now issued to Mr. & Mrs Henry F. Stolte. The only
changes in this Permit are in name and ownership. This permit is issued pursuant to
the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated
December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this
permit are unacceptable to you, you may request a waiver or modification pursuant to
Regulation 15 NCAC 2B .0508(b) by written request to the Director identifying the
specific issues to be contended. Unless such request is made within 30 days
following receipt of this permit, this permit shall be final and binding. Should
your request be denied, you will have the right to request an adjudicatory hearing.
Please take notice that this permit is not transferable. Part II, B.2.
addresses the requirements to be followed in case of change in ownership or control
of this discharge.
This permit does not affect the legal requirement to obtain other permits which
may be required by the Division of Environmental Management 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.
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Page Two
If you have any questions concerning this permit, please contact Mr. Dale
Overcash telephone number 919/733-5083.
Sincerely,
OR:GNAL SIGNED BY
ARTHUR MOUBERRY
FOR R. Paul Wilms
cc: Mr. Jim Patrick, EPA
DO/sl

Permit No. NC0069116
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
Mr. & Mrs. Henry F. Stolte
is hereby authorized to discharge wastewater from a facility located at
Mr. & Mrs. Henry F. Stolte Residence
Lot #20, Camellia Way
Timber Creek Subdivision
Henderson County
to receiving waters designated as an unnamed tributary to Finley Creek in the French
Broad River Basin
in accordance with effluent limitations, monitoring .requirements, and other
conditions set forth in Parts I. II, and III hereof.
This permit shall become effective February 5, 1988
This permit and the authorization to discharge shall expire at midnight on January
31, 1992.
Signed this day February 5, 1988.
h+�iee�
E Q2
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

P -F
F - Fr'
SUPPLEMENT TO PERMIT COVER SHEET
Mr. & Mrs. Henry F. Stolte
is hereby authorized to:
NC0069116
1. Enter into a contract for construction of a wastewater treatment facility, and
2. Make an outlet into an unnamed tributary to Finley Creek, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management, construct and operate a 450 GPD wastewater treatment facility located
.on Camellia Way, Lot #20, Timber Creek Subdivision in Henderson County, (See Part
III of this Permit), and
4. Discharge from said treatment works into an unnamed tributary to Finley Creek
which is classified Class "B" waters in the French Broad River Basin.

A. ( ). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final
During the period beginning on the effective date of the �g P g� g permit and lasting until expiration, the
Permittee is authorized to discharge from outfall(s) serial.number(s) 001. Such discharges shall be limited
and monitored by the Permi.ttee as specified below:
Effluent Characteristics Discharge
Limitations
Monitoring
Requirements
lbs/day
Other Units (Specify)
Measurement
Sample *Sample
Monthly Avg. Weekly Avg
Monthly Avg. Weekly Avg.
Frequency
Tempe Location
Flow
BOD, SDay, 20 Degrees C
Total Suspended Residue
NH3 as N
Fecal Coliform (geometric mean)
Residual Chlorine'
Temperature
450 GPD
30.0 mg/l 45.0 mg/1
30.0 mg/l 45.0 mg/1
200.0/100 ml. 400.0/100 ml.
The chlorinator shall be inspected weekly to insure there is an ample supply of chlorine tablets for continuous
disinfection of the effluent.
The pH shall not be less than 6.0 standard units nor greater than 9..0 standard units.
There shall be no discharge of floating solids or visible foam`-iu other than trace amounts..
M3
NC0069116

State of North Cai ..,,,ia
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E.; Director
November 29, 1993
Gary C 'Peterson
119 Camellia Way
Hendersonville NC 28739
l DEC
tv�XIER UUT SECTION �I
Subject: Certified Operator Requirements
Single Family Treatment Systems
NPDES Permit No. NCG550433
Henderson County'
Dear Mr. Peterson:
During February of this year, public hearings were held on proposed changes to modify the
operator certification rules. The proposed rules included a requirement that single-family
discharge systems would be classified wastewater treatment facilities, which would require
an annual inspection by a certified operator. The intent of the rule was to insure that the
systems are being properly operated and maintained.
During the public comment period, a significant amount of comments, statements and
additional information was submitted. As a result, the Water Pollution Control System
Operators Certification Commission amended the proposed rules. The rule, as adopted and
effective July 1, 1993, now requires single-family discharging systems to be classified
only if they are permitted after July 1, 1993 or if upon inspection by the Division of
Environmental Management (DEM) it is found that the system is not being adequately
operated and maintained. Systems can be inspected by DEM during routine compliance
inspections, permit renewals, or complaint investigations. Once a system is classified, it
will be required to have at a minimum, an annual inspection by a certified operator.
It is important to remember that the NPDES permit is part of a Federal program
administered by the'State of North Carolina and that violations of the permit are enforceable
by Federal and State laws. Although your system will not be required to have a certified
operator at this time, proper operation and maintenance is needed for the system to function
satisfactorily. In as much as each system must be individually designed and sited, special
maintenance requirements may apply to a specific installation. The attached maintenance
schedule should however be applicable to most systems. The frequencies suggested are,
considered to be the minimum necessary. More frequent attention may be needed for a
specific system and may be required by conditions of the permit:
P.O. Box 29535., Raleigh,.North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certified Operator Requirements
NCG550433
Page 2
In addition to being required by your permit, proper maintenance of your treatment system
is extremely important to the long term serviceability of your wastewater treatment system.
If proper maintenance is not given to the system, it will fail and will result in major
expenses for repairs,
We would strongly encourage you to take the necessary action to insure that your system is
operating properly. If we can be of any assistance to you or if you have any questions or
comments, please call Dwight Lancaster of our staff at [phone].
rely,6Cindyiimn,
-
Sg and Ce Unit
cc: Asheville Regional Office - Water Quality
Facilities Assessment Unit
Central Files

6 Mc STATE q,�
O
State of North Carolina
Department of Environment, Health, and Natural Resources
512 North Salisbury Street • Raleigh, North Carolina 27604
James B. Hunt, Jr., Governor Jonathan R Howes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
January 12, 1993
Mr. Gary Peterson
Post Office Box 28
Hendersonville, North Carolina 28793
Subject: Name Change
Permit Number NCO069116
Henderson County
Dear Mr. Peterson:
As requested, I am sending this letter to aid you in the name
change process for NPDES.Permits. These permits are -not transferable,.
as I mentioned to you on January 8, 1993, therefore, upon closure of
the house you will need to send the following to secure the permit in
your name:
1. A letter requesting the name change, include in this letter
the permit number and the correct address.
2. A copy of the Deed of Ownership.
3. A check. for $50.00 made payable to the N. C. Department of
Environment, Health, and Natural Resources, this can be
abbreviated (DEHNR).
Mail the above mentioned documents to the following address:
Mr. Mack Wiggins
DEHNR-DEM-WQ
Permits and Engineering Unit
Post Office Box 29535
Raleigh, N. C. 27626-0535
Upon inspecting the system, it appeared to be in compliance with
the permit. In regard to your concerns about flooding and this
Agencies policy in dealing with permittees and their problem systems.
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] Fax H 919-733-0513
An Equal Opportunity Affirmative Action Emolover

993
Naturally whenever you live alongside a river there is always the
chance for unusually high rainfall and therefore flooding. Yet, as
mentioned, flooding is less frequently seen at headwaters. If high
water were to some how, temporarily overload your system you will not
be considered out of compliance with your permit, high waters are
circumstances beyond your control. It is advised that if a situation
of heavy rainfall occurs, you should conserve water in order not to
overload the system, but you seemed to already have a good
understanding of the common sense care of these systems, they are very
much like conventional septic systems. The Asheville Regional Office
Water Quality Section is set up to assist permit holders with their
systems. If you have problems or questions, this office is here to
assist you. If during an inspection a problem is noticed it will be
brought to your attention and this section will advise you of options
to correct the problem. It is only when you blatantly neglect your
responsibilities with regard to DEHNR Rules and Regulations governing
the proper maintenance and operation of the system that proper
enforcement action is taken. Subsurface sandfilter septic systems
rarely fail when properly used.
If I can be of further assistance do not hesitate to call me at
704-251-6208.
Sincerely,
r"
Linda Sue Wig s
Environmental Technician

I /
�,. STATf'w
State of North Carolina
Department of Environment, Health, and Natural Resources
512. North Salisbury Street • Raleigh, North Carolina 27604
James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
April 12 , 1993
MEMORANDUM
TO: Mack Wiggins
THROUGH: Forrest Westal1
FROM: Linda Sue Wiggs /
SUBJECT: Name change for NCO065331 and NCO069116
Mr. Foster (NCO065331) and Mr. Peterson (NCO069116) are requesting the
mentioned permits to be placed in their names. Both of these systems
are working fine and are in compliance with the NPDES permits.
Therefore, ARO recommends the name change.
Interchange Building, 59 Wrx>d(in Place. Asheville. N.C. 28801 • Telephone [phone]
An Equal Opportunity Affirmative Action Fmplover

1S �, i F'
MAR 2 4 1993 ' :' 4
State of North Carolina ;; d"`""'�"E
ikSk�lEVlk.te RE
Department of Environment, Health and NaturarResources
Division of Environmental Management
512 North Salisbury Street • Raleigh; North Carolina 27604
James B. Hunt, Jr., Governor
March 19, 1993
Jonathan B. Howes, Secretary.
Gary C. Peterson Subject: NPDES Permit Application
119 Camellia Way NPDES Permit No.NC0069116
Hendersonville, NC 28739
Peterson Residence
t
Dear Mr. Peterson Henderson County
This is to acknowledge receipt of the following documents on February 16, 1993:
Application Form
Engineering Proposal (for proposed control facilities),
Request for permit renewal,
Application Processing Fee of $,5-;:!OG
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
Other ,
The items checked below are needed.before review can begin:
Application Form ,
Engineering proposal (see attachment),
Application Processing Fee of.
Delegation of Authority (see attached)
Biocide Sheet (see attached)
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
Other
Regional Offices
Asheville Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 919/486-1541 - 704/663-1699 9191571-4700 919/946-6481 919/395-3900 919/896-7007
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0.535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

If the application is not made complete within thirty (30) days, it will be
returned to you and may be resubmitted when complete.
This application has been assigned to Mack Wiggins
(919/733-5083) of our Permits Unitifor review. You w:Lli be ad;Hsed 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 applications,
please contact the review person listed above. .
S'ncerely,
Co een H. Sullin
CC: Asheville Regional Office P.E.

Gary C..Peterson
PO Box 28
Hendersonville NC 28793 ��- "906 Cleo
.February 3, 1993 - �D"��� V ,
Mr. Mack Wiggins
DEHNR-DEM-WQ
Permits and Engineering Unit
PO Box 29535
Raleigh -NC 27626-0535
Re: Name Change
Permit Number NC0069116 -�
Henderson County
Dear Mr. Wiggins, '
I respectfully request a change of name to the subject permit as
follows:
Gary C. Peterson
119 Camelia Way
Hendersonville NC 28739
704-692-6535
I have enclosed a copy of the deed of ownership for the property.
Also enclosed is a check in the amount of $50.00 as a fee for this
transaction.
Thank you for your attention to this matter.
Sincerely,
Gary C Peterson
cc: Linda Sue Wiggs
Ashville Regional Office

State of North Carolina
Department. of Environment, Health, and Natural Resource
512 North Salisbury Street • Raleigh, North Carolina 27604
James B. Hunt, Jr., Governor
Jonathan R Howes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
February 9, 1993
Mr. Gary Peterson
PO Box 28
Hendersonville, NC 28793
Subject: Facility Inspection
tatus: In Compliance
ermit Number NCOO69116
Henderson County
Dear Mr. Peterson:
A compliance inspection was conducted January 8, 1993, of the septic
tank/subsurface sand filter serving your residence. At the time of the
inspection the house was vacant and the system was not discharging
effluent, ypt the grounds. and receiving stream appeared to be
unaffected by the system.
If you have any questions don't hesitate to call (704)-251-6208.
Sincerely,
/ Z,
Li e Wi
Environmental Technician
Interchange Building, 59 WoodHn Place, Asheville, N.C. 28801 9 Telephone [phone]

u wales tn,ronmenlal vrolecvonNgency Form Approved
Washington. D. C. 20460
OMB No. 2040-0003
NPDES Compliance Inspection Report Approval Expires7-31-85
Section A: National Data System Coding
coon Code !I NPnDES yr/mo/day Inspection Type In ector Fac Type
1 �dY�GOlQI-I �„ , Q 17 ,l , 2CVJ
Remarks
Reserved Facility Evaluation Rating BI OA------------------- Reserved ----------------- 66
6t_ 1169 7d,_:g 71Wj 72M 7kj_j 74 74 1 1 1. - l 1 180
Section B: Facility Data
lame and LocationofFacility Inspected
1-v rl ry 5 0 j 4ea C a 0.c y P e,�� �s�r, ��1 � �A�
Entry Time I.�! AM ❑ PM
Permit Effectiv Date
i l 9 Ca v\-\ q, I I 1 V,/
0
Exit Time/Date
Permit xpira io Date
' I� �.
l a : o �3
6
lame(s) of On -Site Representative(s)
Title(s)
Phone No(s)
lame, Address of Responsible Official
6-c\_I p411-5oYl
Title
oYv44
Phone No.
% 0 6 % �3
�Cytftacted
L� Yes ❑ No `
1 l c( C 0-o') C I lot wAy
e n� �-S or �� l Le.. N L 2113
Section C: Areas Evaluated During Inspection
(S = Satisfactory, M = Marginal, U = Unsatisfactory, N = Not Evaluated)
Permit
Measurement
Pretreatment
S
Operations & Maintenance
.Records/Reports
:XFlow
aboratory
Compliance Schedules
Sludge Disposal
Facility Site Reviewffluent/Receiving
Waters
Self -Monitoring Program
Other:
Section D: Summary of Findings/Comments (Attach additional sheets iJnecessary)
Av
96
J
Vame(s) and Sig ature(s) of Ins ctor(s)•.
Agency/Office/Telephone
.
Date
jeU
•
r
Signature of Reviewer
Agency/Office
tv-o
Dat
�
C -JIDF+ 0
Compliance Status
oncompliance
Regulatory Office Use Only
fiction Taken
Date
compliance

Gary C. Peterson
PO Box 28
Hendersonville NC 28793
February 3, 1993
Mr. Mack Wiggins
DEHNR-DEM-WQ
Permits and Engineering Unit
PO Box 29535
Raleigh NC 27626-0535
Re: Name Change
Permit Number NC0069116
Henderson County
Dear Mr. Wiggins,
I respectfully request a change of name to the subject permit as
follows:
Gary C. Peterson
119 Camelia Way
Hendersonville NC 28739
704-692-6535
I have enclosed a copy of the deed of ownership for the property.
Also enclosed is a check in the amount of $50.00 as a fee for this
transaction.
Thank you for your attention to this matter.
Sincerely,
Gary . Peterson
c: Linda Sue Wiggs
Ashville Regional Office

�3�0.9r
PREPARED BY: THERON E. MULLINAX,
ATTORNEY AT LAW
HENDERSONVILLE, NC
STATE OF NORTH CAROLINA
COUNTY OF HENDERSON
y �43 ''
28739
EXECUTOR'S SPECIAL WARRANTY DEED
THIS DEED, made this o25 day of Z-o,nhcr , 1993, by and
between NORMAN TENGSTROM, Executor of the Estat of HELEN STOLTE,
JAMES PATTERSON, as sole heir and beneficiary of the Estate of
Helen Stolte, and BRENDA PATTERSON, as spouse of James Patterson,
hereinafter called Grantors, and GARY C. PETERSON and wife, LINDA
W. PETERSON, 119 Camelia Way, Hendersonville, North Carolina
28739, hereinafter called Grantees.
W I T N E S S E T H:
WHEREAS, Henry F. Stolte died on August 30, 1991, and the Last
Will and Testament of Henry F. Stolte has been duly probated and
is recorded in the Office of the Clerk of Court of Henderson
County, North Carolina, Estate File Number 91-E-569, and the below -
described real property passed to Helen Stolte by survivorship; and
WHEREAS, Helen Stolte died on October 14, 1992, and the Last
Will and Testament of Helen Stolte has been duly probated and is
recorded in the office of the Clerk of Court of Henderson County,
North Carolina, Estate File Number 92-E-660, and the above -named
Executor has qualified as Executor of the Estate; and
WHEREAS, Item VII .of the Will. incorporates North Carolina
General Statutes Section 32-27, which gives the Executor power to
sell real property; and
WHEREAS, it has been determined by the Executor and the sole
beneficiary of the Estate of Helen Stolte that it is in the best
interest of the Estate to sell the real property described below;
NOW, THEREFORE, Grantors, for and in consideration of the sum
of Ten Dollars ($10.00) and other good and valuable considerations
to them paid by Grantees, do give, grant, bargain, sell and convey
unto Grantees, their heirs and/or successors and assigns, in fee
simple, the following described property located in Hendersonville
Township, Henderson County, North Carolina:
BEING all of Lot 20 of TIMBER CREEK as shown on a plat
thereof recorded in Plat Cabinet A, at Slide 44-A, in the
Office of the Register of Deeds for Henderson County,
North Carolina, reference to which is hereby made.
SUBJECT TO restrictive covenants of record.
This conveyance is made SUBJECT TO easements, rights of way
and restrictive covenants of record, if any, and to ad valorem
taxes for the current year.
The above described property was acquired by Henry F. Stolte
and wife, Helen T. Stolte by deed recorded in Deed Book 715 at Page
107, Henderson County Registry.
TO HAVE AND TO HOLD the above described premises, with all
appurtenances thereunto belonging unto Grantees, their heirs and/or
successors or assigns in fee simple.
And Grantors covenant with Grantees that Grantors have done
nothing to impair such title as Grantors received and Grantors will

Qi44
warrant`and defend the title against the lawful claims of all
persons claiming by, under or through Grantors (except for the
exceptions stated above). and no further.
IN WITNESS WHEREOF, Grantors have hereunto set their hands and
seals, the day and year first above written.
(SEAL)
NORMAN TENG TROM
Executor. -of the Estate of
HELEN STOLTE
(SEAL)
E PATTERS N
(SEAL)
;RENOA PATTERSON
r4 of l 619
STATE OF
00
LL ( U- (�--
COUNTY OF/�
Public in for
I, L°Fl7cf 2:zi.v V.
/��Zpm-liur✓, a Notary and
the above County and State,
do hereby certify that Norman Tenstrom,
Executor of the Estate of Helen Stolte, personally appeared before
me this day and acknowledged the due execution by him of the
foregoing instrument.
this the day
;.WITNESS my hand and
seal, ,((-A of
/.
MV-,coiii?iiission exp�11 es:
•`• �C`1NO7Ay{Y OF FLORI6
PUfiLI .STATE
/IJ�y�M1AICC�1^(FXPIRF9•h7AR 76.1993.
NO ARY PUBLIC /Milo%S�
• C-RCbDW TNRU VOTARY-PU5LIC UNORRWRINK5,
IDENTIFICATION PROVIDED KZ .; vc'.L=c � t•�', <<
(S)HE DI ZPjq��0 AKE AN OATH
' •SEAL STAMP
STATE OF
COUNTY OF klAk P
I, Awl,", , a Notary Public in and for
the above County and State, do hereby certify that JAMES PATTERSON
and wife, BRENDA PATTERSON personally appeared before me this day
and acknowledged the due execution by them of the foregoing
instrument.
WITNESS my hand and seal, this the day of
1993.
My commission expires: LYE ccr-
OTARY PUBLIC
(NOTARY SEAL/STAMP)
r ...
,'rJl l....••...

CIS
N044�'}}t (Nctarie Public) to be correct. This
instrument presen*,cd for regisira.:j� a,pn;: recorded in this office
this j_day of 19-93 atJ , in Soo R /Page6—��
/µ
gister of Deeds ( ) (Deput

I
<24-
OV,

T. PERMITS AND ENGliinZRING UNIT
WATER QUALITY SECTION
DATE: July 10, 1991
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Henderson
PERMIT NUMBER NC0069116
PART I - GENERAL INFORMATION
1. Facility and Address: Henry Stolte Residence
119 Camellia Way
Hendersonville, North Carolina
FA�9a�-t, q2 —� 7�1
2. Date of Investigation:
3. Report Prepared By: Kerry S. Becker
4. Persons Contacted and Telephone Number:
5. Directions to Site: The property is located at 119 Camellia Way in
Timber Creek Subdivision off of Finley Road west of
Hendersonville, NC.
6. Discharge Point(s), List for all discharge points:
Latitude: 35 deck. 17 min. 50 sec.
Longitude: 82 deg. 30 min. 10 sec.
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. F8 SE U.S.G.S. Quad Name Horseshoe, NC
7. Size (land available for expansion and upgrading): N/A
8. Topography (relationship to flood plain included): flat, adjacent
to stream
c
91. Location of nearest dwelling: N/A

10. Receiving stream or affected surface waters: UT to Finley Creek
a. Classification: B
b. River Basin and Subbasin No.: FBR 04-03-02
C. Describe receiving stream features and pertinent downstream
uses: The UT provides habitat for the propagation and
maintenance of wildlife and is part of a series of
tributaries to Osceola Lake which is used for primary
recreation.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100 % Domestic -.
Industrial
a. Volume of Wastewater: 0.00045 MGD (Design Capacity)
b. Types and quantities of industrial wastewater:
C. Prevalent toxic constituents in wastewater:
d. Pretreatment Program (POTWs only):
in development approved
should be required not needed
2. Production rates (industrial discharges only) in pounds per day:
a. Highest month in the past 12 months: lbs/day
b. Highest year in the past 5 years: lbs/day
3. Description of industrial process (for industries only) and
applicable CFR Part and Subpart:
4. Type of treatment (specify whether proposed or existing): The
existing facility consist of a 450 gallon septic tank/subsurface
sand filter trench followed by effluent chlorination.
5. Sludge handling and disposal scheme: Licensed commercial septic
tank cleaning firm.
6. Treatment plant classification: Less than 5 points; no rating
(include rating sheet, if appropriate). N/A
7. SIC Codes(s): 4952
Wastewater Code(s): Primary 04 Secondary

IV.
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant funds
(municipals only)?
2. Special monitoring requests:
3. Additional effluent limits requests:
4. Other:
PART IV - EVALUATION AND RECOMMENDATIONS
The Asheville Regional Office recommends renewal of NPDES Permit
#NCO069116.
s
Signature Report Preparer
ater Q ali y Regional Supervisor
4)
Da

a 'b ff,
%ajnl
1�4
Oi
":Ar"
z:V M24
?M
77t
C. un C: L. z
H-L
X-7-77-
7 J
1L �3
N
...... .. ..

f'h
�RA�o RECEIVED
Waier Quality Stdion
J U N 2 8 1991
State of North Carolina
Department of Environment, Health, and Natural Resource.4sheville Regional 04
Division of Environmental Management - ,Asheville, North Carolina
512 North Salisbury Street a Raleigh, North Carolina 27611
James G. Martin, Govemor
William W. Cobey, Jr., Secretary
June 26, 1991
Mr. & Mrs. Henry Stolte
119 Camellia way
Hendersonville, NC 28739
Dear Mr. & Mrs. Stolte
George T. Everett, Ph.D.
Director
Subject: NPDES Permit Application
NPDES Permit No.NC0069116
Henry Stolte Residence
Henderson County
This is to acknowledge receipt of the following documents on June 26, 1G91:
q Application Form
■
The
.Engineering Proposal (for proposed control facilities),
.Request for permit renewal,
. Application Processing Fee of $120.00,
.Engineering Economics Alternatives Analysis,
,Local Government Signoff,
,Source Reduction and Recycling,
.Interbasin Transfer,
.Other ,
items checked below are needed before review can begin:
Application Form ,
Engineering proposal (see attachment),
Application Processing Fee of
Delegation of Authority (see attached)
Biocide Sheet (see attached)
Engineering Economics Alternatives Analysis,
Local Government Signoff,
Source Reduction and Recycling,
Interbasin Transfer,
Other
PoBudon Prevendon Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
A- r-...,i n.. .{ ,. ;ti, em..,, +;- A,+;-- rmnln.,nr

lication is not made complete within thirty (30) days, it will be
o you and may be resubmitted when complete.
This application has been assigned to Mack Wiggins
(919/733-5083) of our Permits Unit for review. You will e 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 applications,
please contact the review person listed above.
Sincerely,
M.IDa1e Over h, P.E.
CC: Asheville Regional Office

1 j
rORFHAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNI.TY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICAT.I,9N FOR PERMIT TO DISCHARGE - SHORT FORM G FOR
AGENCY
USE
to be filed otily by services. wholesale and retail trade,
and other commercial establishments including vessels
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
APPLIrAiION NUMBER
1010
/
DATE RE(. IVED
/I
d I S'
I O
YEAR Mo. DAY
1. Name, address, and telephone number of facility producing discharge
A. Name A('S-fy G -re
B. Street address OW C 4
C. City £ 0. State C -
'E. County s�OFF -� Q F. 21P
G. Te-lephone No.
Area `}
Code
2. SIC
(Leave blank)
3. Number of employees
4. Nature of business
5. (a) Check here if discharge ocuUrs all year k. or
(b) Check the month(s) discharge occurs:
1. o January 2. 0 February 3. O Norch 4.0 April
6.0 June 7.0July 8.0August 9.o September
11. 13 November 12. 0 Decafber
(c) How many days per week:
'1. 01 2.0'2-3 3.0 4-5. 4.X'6-7
5. 0 Nay
10. o October
6- Tvees of waste water discharoed to surface waters only (check as applicable)
�1'
F1 • Mgrl1= r �»raRlno day
-'- -
Volume treated before
d!scra!,i� (wrcent)
Discharge per
operating day
0.1-999
1000-49"
S000-4999
10.000-
50.000
on
None
0. 1-
29.9
30-
64.9
65-
94.9
95-
100
49.1199
or more
(1)
(2)
(3)
(4)
_(5)
(6)
(7)
(8)
(9)
(10)
A. Sanitary. daily
I
J(
,
average
x
B. Cooling water, etc..
daily average
C. Other discharge(s)q
daily average;
Specify
D. Maximum per operat-
ing day for combined
discharge (all types)

1. If any of the types of w■a,, identified in item 6. either treated w_ -
treated. are discharged to places other than surface waters, check below
as applicable.
Waste water is discharged to:
0.1-999
(1)
1000-49"
(2)
5000-9999
(3)
10.000-49."g
l41
$0.000 or more
(s)
A. Municipal tewwrr system
11. 11111M•r111-111111d well
C. Septic- tank'%
x
U. Evaporation lagoon or pond
E. Other, specify:
B. Number of separate discharge points:
A. �1 S. 02-3
C.O 4-5
9. Name of receiving water or waters
13_ e 6 or more
10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances id9A as a result of your operations,
activities. or processes: awwonia, cyani . aaluminum. beryllium. Cadmium.
chromium, copper, lead, smercu . nickel, selenium, =10c, phenols, oil aed
grease. and chlorine (residual).
A. 0 yes BKno
i certify that I in familiar with the information contained in the application and
that to the best of my knowledge and belief such information is trU0, mOwglete, and
accurate-
H. STOLTE
L� 119 CAMELLIA WAY
Printed Nave of Person Signi, g _ HENDERSONVILLE. NC 28739
Ti It
"
�Y
Date Application signed
lgnature of Applicant .
North Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly makes
any false statement representat on, or cartifIcation in any applicatton,'record, report, plan
or other document files or required to be maintained under Article 21 or regulations of the
Environmental vaLmagement Commissi,oa implemm) thug that Articla, or who falsifies, tampers with
ur knowly renders inaccurate any recording or monitoring mpvice or method required to be
operated or maintained under AT;;tale U.-oir. regulations .of the Environmental Management Commis:
implementing that Atticle, sha11`be.-%uUtv----gf s misdemeanor punishable by a -fine not to exceew
$10,000, or by imprisonm*nt'not to exceed six months, or by both. (18 U.S.C. Section 1001 pro,
a punishment by a fine of"hot more than $10,000 or isrprisorment not more than S years, or butt
&or a similar offense.)

State of North Carollna
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street 0 Raleigh, North Carolina 27611
James G. Martin, Governor
William W. Cobey, Jr., Secretary
April 19, 1991
HENRY F. STOLTE
MR & MRS HENRY F. STOLTE--RES
1728 SYLVA MORE AVENUE
MERRICK, NY 11566
George T. Everett, Ph.D.
Director
Subject: NPDES PERMIT NO. NCO069116
HENDERSON COUNTY
Dear Permittee:
The subject permit issued on 2/05/88 expires on 1/31/92. North Carolina
General Statute (NCGS) 143-215.1(c) requires that an application for permit renewal
be filed at least 180 days prior to the expiration date. As of the date of this
letter, the Division of Environmental Management had not. recei-ved an application for
renewal.
If operation of a discharge or waste treatment facility is to occur after the
permit's expiration date, or if continuation of the permit is desired, it must not be
allowed to expire. A renewal request must be submitted no later than 180 days prior
to the permit's expiration date. Operation of the waste treatment works or
continuation of a discharge after the expiration date would constitute a violation of
NCGS 143-215.1 and could result in assessment of c.v:i_l penalties of up to $10,000 per
day. If continuation of the permit is desi..reci, failure to request renewal at least
180 days prior to expiration will result i.n_a civil assessment of at least $300.00;
larger penalties may be assessed depending upon the delinquency of the request.
A renewal application shall consist of a letter regi.iesti_ng permit renewal along
with the appropriate completed and signed application form (copy attached), submitted
in triplicate, referenced in Title 15 of the North Cnrotlnn Administrative Code (15
NCAC) Subchapter 2H .0105(a). Primary industries Listed :in Appendix A of Title 40 of
the Code of Federal Regulations, Part 122 shal.:l. also stibm.t a priority pollutant
analysis in accordance with Part 122.21. A process:ing fee must be submitted with the
application. In addition to penalties referenced above, <n permit renewal request
received after the expiration date will be considered as n new application and,w.111
require the higher application fee.
_ , E �' m�
t!±' � �• Coe'il��
i_•
VNI
PoNutlon Pmwnfion Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Eaual Opportunity Affirmative Action Employer

a copy of the fee schedule from 15 NCAC 2B.0105(b). The application
based on the design or permitted flow, whichever is appropriate,
listea.in the tirst five categories of facilities. Presently, no facility is allowed
to submit a fee for the general permits listed in the schedule since the Environmental
Protection Agency has not approved the State of North Carolina's general permit. If
the facility covered by this permit contains some type of treatment works, a narrative
description of the sludge management plan must be submitted with the application for
renewal.
The Environmental Management Commission adopted revised rules on October 1, 1990
(attached), requiring the payment of an annual fee for most permitted facilities. You
will be billed separately for that fee (if applicable), after your permit is -approved.
The letter requesting renewal, the completed Permit application, and appropriate
fee should be sent to:
Permits and Engineering Unit
Division of Environmental Management
Post Office Box 27687
Raleigh, North Carolina. 2761.1-7687
The check should be made payable to the North Carolina Department of Environment,
Health, and Natural Resources which may be abbreviated as DEHNR.
If there are questions or a need for additional information regarding the permit
renewal procedure, please contact me at telephone number [phone].
Sincer'
, ,
M. Dale Overcash, P.E.
Supervisor, NPDES Permits Group
A la'evxlle Regional=�Offi-ee'
Permits an E gineeri g Unit
Central Files

A
United 'tates Environmental Protection Agency
Washington, D. C. 20460
Form Approved
OMB N 0003
\"e E PA N PD ES
Com liance Inspection Report
p p P
l Expires7-3
Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code NPDES
1AeIlal/ I°/`I/I/�1r�11
yr/mo/day Inspection Type Inspector
II I?J� 17 , All 1 1-1
Fac Type
2d�-
,�j 2A
1i
111-IIIIIIIIIIIIIIIIII111111111111111111111111�6I6
Remarks
Reserved Facility Evaluation Rating
6� 1 69 70u
BI QA ------------------ Reserved -----------------
71101 72u 73W 74 7� I I 1 1 1 180
Section B: Facility Data
Inspected
Na1me and Location of Facility Ins
Entry
Y ❑ AM � PM ETime
Permit Effective Date
Exit Time/Date
Permit Expiration Date
Name(s) of On -Site Representative(s)
Title(s)
Phone No(s)
Name, Address of Responsible Official
Title
e7u -
—No.
Contacted
//7 C. l tl+(i{r Gl
Phone 70t(
❑
r� Yes No
Section C: Areas Evaluated During Inspection
(S = Satisfactory,
M = Marginal, U = Unsatisfactory, N = Not Evaluated)
r
Permit
Records Reports
Facility Site Review
,
Flow Measurement
Laboratory
Effluent/Receiving WatersSelf-Monitoring
Pretreatment
Compliance Schedules
Program
Operations & Maintenance
Sludge Disposal
Other:
5
jU
T
S
S
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
s ; c ' f� -S Al ✓ i1
Name(s) and Sighature(s) ofjlnspector(s)
Agency/Office/Telephone
i
Date
I
Signature of Reviewer
Agency/Office
Date
�Eiegulatory Offiice Use Only
^�
Action Taken
Date
Compliance Status
❑�j Noncompliance
L'-`sl Compliance
EPA Form 3 60-3 (Rev.s3-85) Previous editions are obsolete.

INSTRUCTIONS
Section A: National Data System Coding (i.e., P.CS)
Column 1: Transaction Code: Use N, C, or D for New, Change, or Delete. Ali inspections will be new
unless there is an error in the data entered.
Columns 3-11: NPDES Permit No. Enter the facility's NPDES permit number. (Use the Remarks
columns to record the State permit number, if necessary.)
Columns 12-17: Inspection Date. Insert the date entry was made into the facility. Use the
year/month/day format (e.g., 82/06/30 = June 30, 1982).
Column 18: Inspection Type. Use one of the codes listed below to describe the type of inspection:
A — Performance Audit E — Corps of Engrs Inspection S — Compliance Sampling
B — Biomonitoring L — Enforcement Case Support X — Toxic Sampling
C — Compliance Evaluation P — Pretreatment
D — Diagnostic R — Reconnaissance Inspection
Column 19: Inspector Code. Use one of the codes listed below to describe the lead agency in the
inspection.
C — Contractor or Other Inspectors (Specify in
Remarks columns)
E — Corps of Engineers
J — Joint EPA/State Inspectors —EPA lead,
N — NEIC Inspectors
R — EPA Regional Inspector
S State Inspector
T —Joint State/EPA Inspectors —State lead
Column 20: Facility Type. Use one of the codes below to describe the facility.
1 — Municipal. Publicly Owned Treatment Works (POTWs) with 1972 Standard Industrial Code
(SIC) 4952.
2 — Industrial. Other than municipal, agricultural, and Federal facilities.
3 —Agricultural. Facilities classified with 1972 SIC 0111 to 0971.
4 — Federal. Facilities identified as Federal by the EPA Regional Office.
Columns 21-66: Remarks. These columns are reserved for remarks at the discretion of the Region.
Column 70: Facility Evaluation Rating. Use information gathered during the inspection (regardless
of inspection type) to evaluatethe quality of the facility self -monitoring program. Gradethe program
using a scale of 1 to 5 with a score of 5 being used for very reliable self -monitoring programs, 3 being
satisfactory, and 1 being used for very unreliable programs.
Column 71: Biomonitoring Information. Enter D for static testing. Enter F for flow through testing.
Enter N for no biomonitoring.
Column 72: Quality Assurance Data Inspection. Enter Q if the inspection was conducted as
followup on quality assurance sample results. Enter N otherwise.
Columns 73-80: These columns are reserved for regionally defined information.
Section B: Facility Data
This section is self-explanatory.
Section C: Areas Evaluated During Inspection
Indicate findings (S, M, U, or N) in the appropriate box. Use Section D and additional sheets as
necessary. Support the findings, as necessary, in a brief narrative report. Use the headings given on
the report form (e.g., Permit, Records/Reports) when discussing the areas evaluated during the
inspection. The heading marked "Other" may include activities such as SPCC, BMP's, and multime-
dia concerns.
Section D: Summary of Findings/Comments
Briefly summarize the inspection findings. This summary should abstract the pertinent inspection
findings, not replace the narrative report. Reference a list of attachments, such as completed
checklists taken from the NPDES Compliance Inspection Manuals and pretreatment guidance
documents, including effluent data when sampling has been done. Use extra sheets as necessary.
EPA Form 3560-3 (Rev. 3-85) Reseerse

State of North Carolina
Department of Natural -Resources and Community Development
Asheville Regional Office
James G. Martin, Governor David R. Spain
S. Thomas Rhodes, Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
September 26, 1988
Mr. Henry Stolte
119 Camellia Way
Hendersonville North Carolina 28739
Subject: Compliance Evaluation Inspection
Status: In Compliance
Henry Stolte Residence
NPDES Permit Number N00069116
Henderson County
Dear Mr. Stolte: ^' L,
A Compliance Inspection was conducted September 19, 1988, of the
septic tank/subsurface sand filter serving your residence. At the
time of the inspection, the facility was not discharging, but based
upon my observations of the grounds and receiving stream it appeared
to be performing as designed.
If you have any questions, please contact either Mr. Gary Tweed or
me at 704/251-6208, extension 243 or 258 respectively.
Sincerely yours,
G•
Kerry S. Becker
Environmental Technician
KSB:ls
Enclosures
xc: Dan Ahern, EPA
Gary Tweed
Interchange Building, 59 Woodfin Place, P.O. Box 370, Asheville, N.C. 28802-0370 • Telephone [phone]

'
United tates Environmental ProtectionAgency
Washington, D. C. 20460
Form Approved�`"
t
t{
VNE P 1 : NPDES Compliance Inspection, Report
P p
OMB No.2040-0003
.ection,
Approval Expires 7-31-85
Section A: National Data System Coding
Trans ction Code J NODES yr/mo/day Inspection -Type Inspector Fac Type
1l 51 JN1&Io101.1 al/1/-IG111
I�81w111/19117 1>e-i- 1�5
2a�
II1'III�1111`1111��1.11.1
Remarks
1.111I111II11111111111111�1
Reserved Facility Evaluation Rating
'
BI �A ----------•--•----Reserved-----------------
' 66
6t�L J69 _ 70LJ
71M 72u 73L 74 75l 1 1 1 1 1 180
Section B: Facility Data
Name and Location Facility Inspected
1 Ae
Entry Time ❑ AM ® PM
Permit Effective Date
;P
Exit Time/Date
Permit Expiration Date
Name(s) of On -Site Rep esentative(s)
Title(s)
Phone No(s)
NAme, Address ofResponsibleOfficial
Title
e/jcl. Slp l74 - . - ..
_
Phone No.
Contacted
//f ewmel%/i4 tim/ . -
70 Y_ 9�•—
Yes❑No
Section C: Areas Evaluated During Inspection
(S = Satisfactory, M = Marginal, U = Unsatisfactory, N = Not Evaluated)
Permit
Records/Reports
Facility Site Review
N
Flow. Measurement
Laboratory
Effluent/Receiving Waters
A)
Pre Itreatment
compliance Schedules
Self -Monitoring Program
Operations & Maintenance-
Sludge Disposal
Other:
/�/-
pa
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
I.
i
r
Name(s) and Sioatu e(s) o pector(s)
Agency/Office/Telephone
Date
AA
AM 0 o eZS/— <P Q
Si nature of Reviewer
Agency/Office
Date
VIC
Regulatory Office Use Only
Action Taken
Date
Compliance Status
n iance
Noncompliance
f -
m
® Compliance

FPPW
State of North Carolina
Department of Natural Resources and Community
PECEIVED
I
VJ<,'ter Q!Mlity Section
FEB 2 - 1988
Ashevil!e Regional office
shefille, !North Carolina
Development
I
Division of Environmental Management
512 North Salisbury Street 0 Raleigh, North Carolina 27611
James G. Martin, Governor
R. Paul Wilms
S,Thomas, Rhodes, Secretary
Director
Subject: NPDES
'Permit
Application
NPDES
Permit
No. NCO 0
County
Dear
This is to acknowledge receipt of the following documents
Application Form,
Engineering Proposal (for proposed control facilities),
Request for permit renewal,
Application Proce,ssin g Fee of
Other
The items checked below are needed before review can begin:
Application form (Copy enclosed),
Engineering Proposal 7See Attachment),
Application Processing Fee of $
Other
If the application is not made complete within thirty (30) days, it will
be returned to you and may be resubmitted when complete.
This application has been assigned to
(919/733-5083) of our Permits Unit for review. You wily=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,
'Arthur Mouberry, P.E.
Supervisor, Permits and Engineering
CC.
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Y,
(r'ORTH CAROLINA DEPT. OF NATURAL & ECONOMIC RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D 11PPLl�ATION Nt 1, 1
AGENCY C � ' `' �-
to be filed only b USE DATE RECEIVED
y services, wholesale and retell trade,
and other commercial establishments including vessels - ,�i ?i '_ I
J
TEAR mo, DAY
Do not attempt to complete this form without reading the accompanying instructions
Please print or type rL 16 O u 0
I. Name, address, and telephone number of facility producing discharge ? C O;jV,`rl Uy�
A. Home Mr. and Mrs. Henry F. Stolte
S. Street address 119 Camel i a Way
C. City Hendersonville, D. State NC
1. county Henderson F. 11P 28739
, G. Telephone No. 704 692-0583
Area
Code
2. SEC
(Leave blank)
3. Number of employees n / a
ht:�•e �t LuS;neSS n/ a
5. (a) Cnec: Here 1t discharge occurs all vear %. or
(p) Cr-cc' .the month(S) discharge Occurs:
1. 0 January 2. O February 3. 0 March 4.0 April 5.0 Mav
6.0 June 7.0Jul y 8.0 August 9.0 September 10.0 October
11. 0 November 12.0 December
(c) hov, many days per week:
1.01 2.0 2-3 3.0 4-5 4 mo A-7
e
r
JAN 4 ..I988•
o- 'ypeS of waste water discharged to surface waters only (check as applicable)
& ENGIN E.l.-f-:!P,G
Discharge per
Flow, gallons
per operating day.
dlSfharging'(perCent)
Volume
treated
before
1000-4999
5000-9999
10,000-
49,999
50,000
or ,tire
None
?994.9
0-7)(1
65-
4S-
100
operating day 0.1-999
(1)
(2)
(i)
(4)
(S)
(6)'
((9)
(10)
�. �,initary, dai-ly
.
dv�raoe x
I
1
6. Cnoiing ..,Ater, etc_,
dd,ly average
C. Dtt,er dlscharge(s),
e;
da11y averagHEH7T
D. ral,mum per operat-
,r,c dry for conbined
dSc fin rge (all 'typeS)

U
e; op�ii�aLir
Waste water is discharged to:
0.1_999
1000-4999
5000-9999
10.000-49.994
50.000 or more
(1)
(2)
(3)
(4)
(5)
A. Munitlllal-.('wl•r VIACM
II IIIII•I'II'1 IIll /i Mr•
C. Septic tank
D. Evaporation lagoon or pond
E. Other. specify:
unnamed
tributary
o
Finley Cre
k in the FreInch
Broad River
Basin
8, Humber of separate discharge points:
A.91 B. 02- 3 C.t• a.1, D.-! F, or mr rtt.
9. Name of receiving water or waters unnamed tributary to Finley Creek in the French Broad
River Basin
10. Does your discharge contain or is wit possible for your discharge to contain
one or more of the following substances added as a result of your operations.
activities. or processes: ameonia, cyanide, aluminum. beryllium. cadmium.
chromium. copper. lead. mercur , nickel, selenium, zinc, phenols. oil and
grease. and chlorine (residual.
A. g yes . S. 0 no,
I certify that I am familiar with the information contained in the application and
that to the best of my knowledge and belief such information is true. complete. and
accurate.
Henry F. Stolte
Printed Name of Person Signing
Homeowner
Carolina General Statute 143-215.6 (b) 12) provides that: Any person who knowingly makes
=alse statement representation, or certification in any application, record, report, plan,;,
::her document files or required to be maintained under Article 21 or regulations of the
onmental Management Commission implementing that Article, or who falsifies, tamvers with„
-20wly renders inaccurate any recording or monitoring device or method required to be
aged or maintained under Article 21 or regulations of the Environmental Management Comniss.�ar,
cmenting that Article., shall be guilty of a misdemeanor punishable by a fine not to exceet
..no0, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 10.01 proPes
-.:^.ishment by a fine of not more than S10,000 or imprisonment not rlore than 5 years, or boat:,,
a sinilar offense.)

ra
R E u C9 E D
wi er ouality Section
F F B 20 1987
State of North Carolina Asheville Regional Office
Asheville, North Carolina
�epartment of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor R. Paul Wilms
S. Thomas Rhodes, Secretary February 12, 1987 Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Philip T. Green, Jr.
Town and Country Homes, Incorporated
Lot #20, Camellia Way
Hendersonville, North Carolina 28739
SUBJECT: Permit No. NC0069116
Town and Country Homes, Incorporated I-vTZib
Henderson County
Dear Mr. Green:
In accordance with your application for discharge permit received on December
12, 1986, we are forwarding herewith the subject State NPDES Permit. This permit
is issued pursuant to the requirements.of North Carolina General Statute 143-215.1
and the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency dated December 6, 1983-.
If any parts, measurement frequencies or sampling requirements contained in
this permit are unacceptable to you, you may request a waiver or modification pursuant
to Regulation 15 NCAC 2B .0508(b) by written request to the Director identifying
the specific issues to be contended. Unless such request is made within 30 days
following receipt of this permit, this permit shall be final and binding. Should your
request be denied, you will have the right to request an adjudicatory hearing.
Please take notice that this permit is not transferable. Part II, B.2. addresses
the requirements to be followed in case of change in ownership or control of this
discharge.
This permit does not affect the legal requirement to obtain other permits which
may be required by the Division of Environmental Management 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.
Continued ...
Pollution Prevention Pays
�p P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Page 2
Mr. Philip T. Green, Jr.
Town and Country Homes, Incorporated
If you have any questions concerning this permit, please contact Mr. Dale
Overcash, at telephone number 919/733-5083.
Si ceel..
ORIGINAL '1r.6N`I1 uY
ARTHUR MOUBEIRRY
FOR R. Paul Wilms
cc: Mr. Jim Patrick, EPA
DO /gwt

Permit No. NCO069116
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES 6 COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
P E R M I T
-- _ To Discharge Wastewater Under the NATIONAL
POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1,
other lawful. standards, and regulations promulgated and adopted by the North
Carolina Environmental Management Commission, and the Federal Water Pollution
Control Act, as amended,
TOWN AND COUNTRY HOMES, INCORPORATED
is hereby authorized to discharge wastewater from a facility located at
Town and Country Homes, Incorporated
Lot #20, Camellia -Way
Timber Creek Subdivision
Henderson County
to- receiving waters designated as an unnamed tributary to Finley Creek in the
French Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions
set forth in Part I, II, and III hereof.
s This permit shall become effective February 12, 1987.
This permit and the authorization to discharge shall expire at midnight on
January 31, 1992.
Signed this day of February 12, 1987.
ORIGINAL SIGNED BY
ARTHUR MOL)BERRY
FOR
R. PAUL WILMS, DIRECTOR
DIVISION OF ENVIRONMENTAL MANAGEMENT
BY AUTHORITY OF THE ENVIRONMENTAL
MANAGEMENT COMMISSION
M1 & 11-

Permit No. NC0069116
SUPPLEMENT TO PERMIT COVER SHEET
Town and Country Homes, Incorporated
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility, and
2. Make an outlet into. an unnamed tributary to Finley Creek, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management, construct and operate a 450 GPD wastewater treatment facility
located on CamelliaWay, Lot #20, Timber Creek Subdivision in Henderson
County, (See Part III of this Permit), and
4. Discharge from said treatment works into an unnamed tributary to Finley
Creek which is classified Class "B" waters in the French Broad River Basin.

0
A. (1). EFRUM LIMITATIONS AND MONITORING REQUIREMENTS Final '
During the period beginning on the effective date of the permiInd lasting Until expiration,
the permittee is authorized to discharge from outfall (s) serial number(s) 001
Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics Discharge Limitations Monitoring iieouiremepits
Kqjday lbs da Other -Units (Specify Measurement le 6.
Monthly vg.Weekly -Avg. Mont y e . • _ GU-811
Flow
BOD,5Day,200C
Total Suspended Residue
NR3asN
Fecal Coliform (geometric mean)
Residual Chlorine
Temperature
450 GPD
30. 0 'mg /1 45. 0 mg /I
30. 0 'mg /1 45. 0 mg /1
200.0/100 mi. 400.0/100 mi.
The chlorinator shall be inspected weekly to insure there is an ample supply of chlorine tablets for
continuous disinfection of the effluent.
w;
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units•;
There shall be no discharge of floating solids 0 visible foam in other than trace aunts.

•
Y
PART I
"Act" used herein means the Federal Water Pollution Control Act, As
Amended.
"DEM" used herein means the Division of Environmental Management of
the Department of Natural Resources and Community Development.
"EMC" used herein means the North Carolina Environmental Management
Commission.
Definitinna
a. The monthly average, other than for fecal coliform bacteria, is
the arithmetic mean of all the composite samples collected in a
one -month period. The monthly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -month period.
b. The weekly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected during a
one -week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -week period.
c. Flow, M3/day (MGD): The flow limit expressed in this permit is the
24-hour average flow, averaged monthly. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month. .
d. Arithmetic Mean: The arithmetic mean of any set of values is the
summation of the individual values divided by the number of indi-
vidual values.
e. ;Geometric Mean: The geometric mean of any set of values is the Nth
root of the product of the individual values where N is equal to the
number of individual values. The geometric mean is equivalent to
the antilog of the arithmetic mean of the logarithms of the indi-
vidual values. For purposes of calculating the geometric mean,
values of zero (0) shall be considered to be one (1).

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

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

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

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

April 2, 1987
Mr. Arthur Mouberry
State of North Carolina
Dept. of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury St.
Raleigh, N.C. 27611
Dear Mr. Mouberry:
The purpose of this letter is to request authorization to
construct under NPDES Permit #NC0069116 for Lot #20 on
Camellia Way in Timber Creek Subdivision, Hendersonville,
North Carolina:
Enclosed are the drawings for site plan, septic tank, sand
filter trenches and chlorination unit.
I would appreciate hearing from you as soon as possible.
Youjk truly,
Philip T. Green, Jr.
President
PTGjr:rbg
enc.
P.T. Green Construction Company, Inc. '`
Town and Cobntry Homes, Inc.
220 South Main 'D Post Office Box 1776 S Hendersonville, North Carolina 28793 0 704l692-0583
1 irAncA A7'1')7

000-6052
P. T. GREEN CONSTRUCTION COMPANY, INC.
NCNB NATIONAL BANK OF NORTH CAROLING 66-55/531 1
3�I w
HENDERSONVILLE. N.0
�� CHECK NO CHECK DATE
VENDOR NO.

CHECK AhAOUNT
-$30 00. '
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1.) I`.. '..� a...�, till
P. T GREEN CONSTRUCTION COMPANY, INC.
PAY State of North Carolina
TO THEORDER OF )f -

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'�r a
State of North Carolina
Der arts-nent of Natural Resources and Community Development
As1?eville Regional Office
James G.. Mar6n, Governor S. Thomas Rhodes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
December 4, 1987
e
Mr. Philip T. Green
Town and Country Homes, Inc.
Post Office Box 1776
Hendersonville, North Carolina 28793
Subject: Construction Inspection
Wastewater Treatment Facility
Lot 20 Timber Creek Subdivision
NPDES Permit Number NCO069116
Henderson County
Dear Mr. Green:
Subject inspection was conducted December 3, 1987, to review the
septic tank subsurface sand filtration system being installed on Lot
20. The installation appears to be proceeding well and Mr. Bill Allman
fills that he will be able to adequately complete the installation,
Mr. Allman stated that he thought the property had been sold. If
so the new owner should complete and submit the enclosed application
with a letter requesting that the permit be transferred. Permit
processing fees were increased to $100.00 effective October 1, 1987. A
check for $100.00 made payable to N. C. Department of Natural Resources
and Community Development should accompany the application. This
permit will remain in effect through January 31, 1992. Six months
prior to expiration the permittee should request renewal by making
application for renewal including appropriate fees. The Division will
notify the permit holder prior to expiration that the permit should be
renewed.
Should you have any questions, please contact me at 704/251-6208.
GT'-" . w s;
Sincerely yours,
Gary r.o Tweed, P.E.
Environmental Engineer
ter ha^or &ulcling, ? %<+od i pt Ce f?•' _-70, Asheville, N.C. 890-0370 0 T lephone
. >3-

Washington. D. C. 20460 j " ''
�� �rs�A��s��� W�ae�c��,A�.• ... .9� I OMB No. 2Q4O-0003
1PPA
Approval Expires ?-31-85
Section A: National Data Systern Coding
Tra�ngsa tion �Co�de �y� NPDES yr/mlo�/day Inspection Type Inspector Fac Type
1a�v� 'S-i 3L(4 11 1 C4?J/ !- 117 <
-1 I 1 Z - 1 4=2 2
Remarks
tII-II-11L11.11111IIIfILII!ILIIII11111111iiIIIII,.
66
Reserved Facility Evaluation Rating f31 QA ------------------Reserved--------------
6A 1 1 69 7(tj 711 j 72LJ 73LL j 74 7� 1 I 1 1 I I SO
Section 9: Facility Data
Name and Location /o Facility Inspected
a
/,,d�,.�lz C✓dG'srr A
Entry Time AM ❑ PM
�i '
Permit Effective Date
��f/ 12
e' A�
Exit Time/Date
Per it Expiration D to
ame(s) o n- itePepresentative(s)
Titles)
Phone No(s)
/ der y e7Ar i.^�' �`�..°'
�
✓a/e ��,c� �v�..
amA ress of Responsible Official
Title
Phone No.
"7�7" ��
Contacted
❑Yes !� No
Section C: Areas Evaluated During Impaction
(S = Satisfactory. M = Marginal, U = Unsatisfactory. N = Not Evaluated)
Permit
Fiow Measurement
Pretreatment
Operations t§ Maintenance
Records/Reports
Laboratory
Compliance Schedules
Sludge Disposal
,,�/
Facility Site Review
Effluent/Receiving Waters
Self -'Monitoring Program
Other:
Section D: Summary of Findings/Cornments (Attach additional sheets it necessary)
r'rd
.ram odd��g"��k A
Names) and, ig't'rture(s) of InsDectep(s3
Agency/ Office/Telephone 7,00
Date
I
Si n turp ofi Reviewer /
Al
, �,.`*:/ ..' Yl a.`' i fps i,..�`' ,�L*.• ::..
Et
I figenrylOffice
°s% 5,.-�x+�+: ✓ . C 1:9-OK zrs
Date
�+
F;¢,g�tlaEcr•,O4`s"ice °Js«� Only
Action Taken Date
Com liance Status
Noncompliance

State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
James G. Martin, Governor S. Thomas Rhodes, Secretary :.
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
February 4, 1988
WI • X -0all] i 71
TO: Arthur Mouberry, Supervisor
Permits and Engineering Section
THROUGH: Roy M. Davis, Regional Supervisor 'wV
Division of Environmental Management
Forrest: R'. Westall
Regional Water Quality Supervis r
FROM: Gary T. Tweed P.E., Environme al E it
Water Quality Section
SUBJECT: Staff Report and Recommendations
Permit Number NCO069116
Transfer to Mr. and Mrs. Henry F. Stolte
Henderson County
Subject application requesting transfer of NPDES
Permit Number NCO069116 has been reviewed. It is recom-
mended that NPDES Permit Number NCO069116 be transferred
to the Stoltes as requested.
Should additional information be needed, please advise.
GTT:ls
Interchange Building, 59 Woodfin Place, P.O. Box 370, Asheville, N.C. 28802-0370 0 Telephone [phone]
An Equal Opporunity Affirmative Action Emplover

January 22, 1988
North Carolina Division of Environmental Management
P.O. Box 27687
Raleigh, North Carolina 27611
Re: PERMIT NO. NC0069116, NPDES
Lot #20, Timbercreek Subdivision
Attn: Mr. Arthur 111ouberl-y
Dear Mr. Mouberry:
Enclosed please find the following documents regarding our request
to transfer the above referenced permit to Mr. and Mrs. Henry F. Stolte:
1. Letter from Mr. and Mrs. Henry F. Stolte requesting transfer
of permit from Town and Country Homes to themselves;
2. Two copies of "Application for Permit to Discharge -Short Form D"
signed by Mr. Stolte.
3. Check in the amount of $100.00 to the N.C. Division of
Environmental Management which is the required permit processing
fee.
We appreciate your cooperation in accomplishing this transfer and trust
you will advise us if there are any questions. Will you please provide us with
copies of the transfer forms at the same time they are sent to Mr. Stolte.
PTGjr:bl
Enclosures
/cc: Mr. Gary Tweed, P.E.
Asheville, N.C.
rDp
Tly,
Ar
Green, Jr.
Presiden Town and Country Homes, Inc.
v
P.T. Green Construction Company, Inc.
Town and Country Homes, Inc. Asheville Regional Office
220 South Main e Post Office Box 1776 • Hendersonville, North Carolina 28793 • 7041&9`'T-d§83 North Carolina
License #7327

MR. AND MRS. HENRY F. STOLTE
1728 Sycamore Avenue
Merrick, New York 11566
January 18, 1988
State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
Division of Environmental Management
Water Quality Section
Interchange Building
59 Woodfin Place
P.O. Box 370
Asheville, N.c. 28802-0370
Attn: Gary T. Tweed, P.E.
Environmental Engineer
Dear Mr. Tweed:
I am writing regarding our purchase of a home located on Lot #20,
Camellia Way, Hendersonville, North Carolina, which is authorized for
wastewater discharge under Permit No. NC0069116, NPDES. Said permit
was granted to Town and Country Homes, Incorporated, effective
February 12, 1987.
We hereby request transfer of this permit and have enclosed the
appropriate application and the $100 permit processing fee. Will you
please let us know if further steps are necessary. Thank you for your
assistance in this matter.
Since ely
Henry F. Stolte
HFS:bl
Enclosures

PPPPPPP'
NORTH CARD LINA DEPT, L!' NATURAL &ECONOMIC RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION HINDER
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR TT
AGENCY
USE DATE REC[IVtD
To be filed only by services. wholesale and retail trade.
and other commercial establishments including vessels •.
. YEAR M0, DAY
Do not attempt to complete this fora without reading the accompanying instructions
Please print or type
1. Name. address. and telephone number of facility producinq discharge i
A. Name Mr. and Mrs. Henry F. Stolte
8. street address 119 Camel i a Way
C. city Hendersonville, D. State NC
E. County Henderson f. lip 28739
G. Teltphone No. .704 692-0583.
Area
Code ,
2. SIC � D
(Leave blank) --
3. Number of employees n / a
4 hature of business n / a
S. (a) Check here if discharge occurs all year o(, or
f, .1
(b) Check the month(s) discharge occurs:
1,OJanuary 2,OFebruary 3.0March 4,oApri1 5,0May
6.0 June 7.OJuly B. O August 9.o September 10, o October
11,ONovember 12.ODeceinber
(c) how many days per week: .
1. 01 2, 0 2-3 3.0 4-5 4.IR 6-7
6, Types of waste water discharged to surface waters only (check as applicable)
Flow, -gallons per. operating day
Volume treated before
dischdrging (portent)
Discharge per
operating day
0.1-999
1000-4999
5000-9999
10,000-
50.000
None
0,1-
30-
65-
95-
49,999
or Haire
29.9
64,9
94.9
1nf)
(4)
k, Sanitary. dbily
avrraoe
X
B. Coo 11np water, PLC.,
daily average
C. Other discharge(s).
daily average;
Spec i f3.
D. Maximum per operat-
inu dry for combined
distharor (all types)

ppltcat, le.
Waste water is discharged to:
0.1-999
(1)
1000-4999
(2)
5000.9999
(3) .
10.00049.999
(4)
50,000 or more
1SI
A. Munl0 pal exwer Sy:tem
tl• Illlr tl•YIIIY ulll li wl'I I •
C. Septic tank
D. Evaporation lagoon or pond
E. Other. specify:
unnamed
tributary
Finley Cre
o
k in the Fr
ch Broad Ri
er Basin
8. Number of separate discharge points:
A:I41 B..132-3 C:17 4-S D.a 6 or more
9. Name of receiving water or waters _ unnamed tributary to Finley -Creek in the French Broad
River Basin
10. Does your discharge contain or is wit possible for your discharge to contain
one or more of the following substances added as a result of your operations.
activities, or processes: ammonia, cyanide, aluminum, beryllium, cadmium.
chromium. copper. lead. mercury. nickel, selenium, zinc. phenols. oil and
grease. and chlorin (residual).
A. iq yes 8.0 no
I certify that I am familiar with the information contained in the application and
that to the best of my knowledge and belief such information is true. complete. and
accurate.
Henry F. Stolte
Printed Name of Person Signing "
Homeowner
YI tie
Date Application SI ned
Signature f Applicant
Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly makes
nlse statement representation, or certification in any application, record, report, p1anN
her document files or required to be maintained under Article 21 or regulations of the
onmental Management Commission implementing that Article, or who falsifies, tampers wi,th„,
awly renders inaccurate any recording or monitoring device or method required to be
ted or maintained under Article 21 or regulations of the Environmental Management Comnis•Maa
flenting that Article, shall be guilty of a misdemeanor punishable by a fine not to exeee>
(18 U.S.C. Sect
00, or by imprisonment not to exceed six months, or by both. ion loromves
. or both,
ol
ishment by a fine of not more than slo,000 or imprisonment not pore than 5 years,
similar offense.)

1
."

., C F"
V .�,, to 0 Min
s.
II �i1 b 1Q87
Ashes;ii!e Re oval Office
State of North Carolina Asrev;E e, Norti? Care)ina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street 0 Raleigh, North Carolina 27611
James G. Martin, Governor
S. Thomas Rhodes, Secretary
Mr. Philip T. Green
Town and Country Homes, Inc.
P.O. Box 1776
Hendersonville, N.C. 28793
Dear Mr. Green:
July 8, 1987
R. Paul Wilms
Director
SUBJECT: Permit No. NCO069116
Authorization to Construct
Timber Creek Subdivision,
Lot #20 Wastewater Treatment Facilities
Henderson County
A letter of request for an Authorization to Construct was received April 10, 1987,
by the Division and final plans and specifications for the subject project have been
reviewed and found to be satisfactory. Authorization is hereby granted for the
construction of a 450 GPD wastewater treatment facility consisting of settling and
storage in a baffled septic tank (1000 gallon capacity), 391 square foot subsurface
sand filter with a distribution box, and a tablet -type chlorinator with a
chlorine -contact tank to serve the proposed 3-bedroom residence at Lot #20 in Timber
Creek Subdivision, south of Laurel Park, in Henderson County.
This Authorization to Construct is issued in accordance with Part III paragraph C
of the NPDES Permit No. NC0069116 issued February 12, 1987, and shall be subject to
revocation unless the wastewater treatment facilities are constructed in accordance
with the conditions and limitations specified in Permit No. NC0069116.
The sludge generated from these treatment facilities must be disposed of in
accordance with G.S. 143.215.1 and in a manner approvable by the North Carolina
Division of Environmental Management.
The Asheville Regional Office, telephone number 704/253-3341, shall be notified
in advance of backfilling of the installed system so that an in -place 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.
In event the facilities fail to perform satisfactorily in meeting its NPDES
permit effluent limits, the permittee shall take such immediate corrective action as
may be required by this Division, including the construction of additional wastewater
t eatment and disposal facilities.
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
ko
An Equal Opportunity Affirmative Action Employer

1
.c tank must be pumped once a year and the filters must be rehabilitated
should be inspected no less than once every three years of operation.
The sand media of the sub -surface filter must comply with the Division's sand
specifications and must be analyzed and approved by this Division either by direct
sampling or by acquisition of filter sand from a dealer who is currently certified by
the Division as an acceptable source.
If you have any questions or need additional information, please contact Mr.
Samuel Bridges, telephone number 919/733-5083, extension 182.
Sincerely,
Original Signed By
Arthur Mouberry
For
R. Paul Wilms
cc Henderson County Health Department
Asheville Regional Supervisor'
Mr. Dennis R. Ramsey

KMAMNI NIVId UOOIA Oi WHSNOliV13b) AHM45MO..'..
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PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
C. PREVALENT TOXIC CONSTITUENTS IN WASTEWATER:
N/A
D. PRETREATMENT PROGRAM (POTW'% ONLY) N/A
IN DEVELOPMENT APPROVED
SHOULD BE REQUIRED NOT NEEDED
2. PRODUCTION RATES (INDUSTRIAL DISCHARGES ONLY) IN POUNDS N/A
A. HIGHEST MONTH IN THE LAST 12 MONTHS
B. HIGHEST YEAR IN LAST 5 YEARS
1, DESCRIPTION OF INDUSTRIAL PROCESS (FOR INDUSTRIES ONLY) AND N/A
APPLICABLE CFR PART AND SUBPART:
4. TYPE OF TREATMENT (SPECIFY WHETHER PROPOSED OR EXI%TNG):
IT IS PROPOSED TO CONSTRUCT A 450 GPD SEPTIC TANK SUBSURFACE
SAND FILTER WITH EFFLUENT CHLORINATION.
5. %LUDIE HANDLING AND DISPOSAL SCHEME: BY SEPTIC TANK CLEANING FIRM,
6, TREATMENT PLANT CLASSIFICATION: NOT CLASSIFIED.,

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i
NPDES SFR WASTELOAD ALLOCATION
e Date: /2 --
F a c i I i t y Name: Permit:_
Receiving Stream: Class: Sub -Basin:
County: ice'--✓���zS� / Regional Office ..a/20
Reference USES 0uad: s/ ,��5 ®r Existing:__ Proposed: Z--
Elevation: 024V Drainage Area:. 0S-'�.,p s-7®
Hydrologic Group: 15 Design Temperature: 0�
Slope:
Wastef low+
BOD5
NH3-N
D_0_
pH
Fecal CoIi
TSS
RECOMMENDED BY:
` APPROVED BY:
Regional Engine
Regional Supery
Comments:
i
RECOMMENDED 'EFFLUENT LIMITS
( g p d)
(mg / I)
(mg/I):
(mg /I):
(SU):
(mg/I):
_
ate- e1171-04—
ate:
ate:
ROUTE to Technical Support Group and Permits & Engineering Unit
(Enclose copy of USGS topographical map shoving location -of discharger)

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Lot 20 Timber Creek
•
NCNB NATIONAL.BANK OF fdORTH'CAROLINA
66.55/531
HENDERSONVILLE NC s
2 7"

AflA©UPdT x
'
.. u E S` u 1
j P ,T GREEN CONSTRUCTION COMPANY iIMC
North.Carolina Department 'of'Natural Rqscurces �`�:' s' -�
pqy .''
,r'�'
and Community Development
T HEORDER
OF
II"00'2

NORTH CAROLINA DEPT. 010NATURAL & ECONOMIC RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE --SHORT FORM D FOR
AGENCY
USE
To be filed only by services. wholesale and retail trade.
and other commercial establishments including vessels
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
APPLICATION NUMBER
DATE RECEIVED
YEAR Mo. DAY
1. Name, address. and telephone number of facility producing discharge
A. Nme Town and Country Homes, Inc.
B. Street address _ Lot #20, Camellia Way, Timber Creek Subdivision
C. City Hendersonvi l l e D, State N.C.
E. County- Henderson F. Zle 28739
G. Telephone No. 704 692-0583
Area
Code
2. SIC
(Leave blank)
s
3. Number of employees 30
4. Nature of business _ .Residential and Commercial Construction and Land Development
5. (a) Check here if discharge occurs all yearb. or
(b) Check the month(s) discharge occurs:
1. 0 January 2. 0 February 3. 0 March 4.0 April 5. 0 May
6.0 June 7.0July 8.0August 9,O September 10.a October
11, 0 November. _ 12.0 December
(c) Mow many days"per week:
1.01 2.0 2-3 3.0 4-5 4.6 6-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day
Volumes treated beforedischarging (percent)
Discharge per
operating day
0.1-999
1000-4999
50o0-S'999
10,000-
50,000
None
0.1-
30-
65-
95-
49,999
or more
29.9
64.9
94.9
100
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
A. Sanitary, daily
450
average
B. Cooling water, etc.,
daily average
C. Other discharge(s).
daily average;
Specify
D. Maximum per operat-
ing day for combined
discharge (all types)

7. if any of the types of waste i_ -A fied in item 6.-either treated or un-
treated. are discharged to places other than surface waters, check below
as applicable.
:-Waste-water is discharged to:-
0.1-999
(1)
1000-4999
(2)
5000-9999
(3)
110.00049,999'
(4)
50.000 or sort
(.5)
A.- Mun 1 c i pd l :ewer System •
It. Ililt If- rgr4emd wel l
C. Septic tank-
D. Evaporation lagoon or pond
E. Other. specify:
8. Number of separate discharge points:
A. Ca- B. 02-3 C.O 4-5 D.O 6 or more
9. Name of receiving water or waters -
10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances tPjjj as a result.. of your operations.
activities, or processes: swoonia,-cyanide.—aluminum, beryllium. -cadmium.
chromium. copper, lead. wrcur . nickel. selenium, zinc. phenols. oil and
grease.. and chlorine (residual,
A. 2js 8.0 no
I certify that I am familiar with the information co®.tained in the application and
that to the best of my knowledge and belief such inforuation is true. complete. and
accurate.
Philip-T. Green, Jr.
Printed Name of Person Signing
President
Title
12/3/86
Date Application Si
Signature 0 Applicant
th Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly makes
vv false statement representation, or certi ication in any application, record, report, plan,
other document files or required to be maintained under Article 21 or regulations of the
;�rvironmental Management Commission i=plementiug that Article, or who falsifies, tampers with,
knowly renders iinaccurate any recording or monitoring device or method required to be
berated or maintained under Article 21 or regulations of the Environmental Management Commission
ap.lementing that .Article, shall be guilty of a misdemeanor punishable by a fine not to exceed
m0:,000, or by, imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provide!
=_punishment by a' -fine of not more than $10,000 or imprisonment not riore than 5 years, or both,
mr a similar offense.)

HENDERSON COUNTY HEALTH DEPARTMENT Approved _—__u...._�___.._�_�
x
SEPTIC TANK SYSTEM IMPROVEMENTS Disapproved PERMIT New Construction ❑
Call 692-4228 between 8 - 4:30 P.M. Eli Repairs
P.T. Green Co. Date / }
Owner _ Pre -Existing Tank ❑
Building Contractor —
Location Kanuga t. Wilow to Finley Cove ,Rt. into Timb
Cr. ,rt. on Came I I is to 10 t, on lee
Lot tt 20-- Development ---� irilb2r—Greet
House LX Mobile Home ❑ Other ❑
No. Bedrooms — 3
Basement Plumbing Yes ❑ No
Water Supply — Community ❑ Individual ❑ CitAXI
Lot Size 3/4 acre --
Site Evaluation — Suitable ❑ Provisional ElUnsuitable
Tank -Size Drain Field _ - Sq. Ft.
Stone Depth Inches Applic. Rate —__------
Valid only for use as prescribed above.
Notify department in advance for any changes needed.
Zoning regulations may be in effect in your area, before proceeding
with construction, check witi, Goa „c. ��•-_.. _r­ ,rit Y Zonino Officer
or Inspection Department
< Pe i \vat r 3 years frm date of, issuance.
r Approved for Material
For Conventional Syster,
Permit Number
I N0- 11058
Max. Trench Bottom DepthVo
_--
,itil
Td
A �- 0 % P, Gi l ll
Issued by
Sanitarian

yard
16 1 1
cap I I �a \n/a
y