NCG551618_Regional Office Physical File Scan Up To 6/2/2020

DWR
Asheville Regional Office
2090 US HWY 70
Memo To File Swannanoa, NC 28778
To: Tipton HIIIBmdshaw Fire Dept
Author. Linda Wiggs ,
Data April 17,2015
Re: Church on the hill
There were concerns that the cM1�mh on the hill may be tied into the WWTP at the school. John Silver
with Mitchell Co Health Dept. contacted me today by phone to inform me that a dye test had been
conducted and the church does not discharge to the WWTP but to the creek.
He was approached about the church being used as office space and investigated accordingly. He
stated if the church is to be used for office space the adjacent land may be used for a conventional
system.
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory,Governor Thomas A.Reeder,Director John E. Skvarla III,Secretary
March 13, 2014
Bradshaw Fire Department and Rescue,Inc.
P.O. Box 39
Green Mountain, NO 28740-7709
Subject: Transfer of coverage/General Permit NCG550000
Bradshaw Fire and Rescue W WTP
Certificate of Coverage NCG551618
Mitchell County
Dear Permittee:
On February 24, 2014, The Division received your request to change from coverage under individual
NPDES permit NCO066729 to a Certificate of Coverage (CoC)under General Permit 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 October 15, 2007 [or
as subsequently amended].
Issuance of this CoC automatically rescinds NCO066729. Your annual fee is now $60.00
per year. 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 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
[e-mail]].
S'' rely,
al'�,
for Thomas A.Reeder RECEIVED
:ASnev[1le
WResourcc: �AshevilleRegionalOfficeAR 2 8NPDES file 2014
Watal Re I Re tonal Office
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 512 North Salisbury Street,Raleigh,North Carolina 27604
Phone: 91980M300/FAX [phone]/Internet.www.ncwaterquallty.org
An Equal Opportunity/Affirmative Action Employer-50%Recycled110%Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551618
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,
Bradshaw Fire Department and Rescue, Inc.
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
Bradshaw Fire and Rescue WWTP
Green Mountain
Mitchell County
to receiving waters designated as Raccoon Creek, a class C-Trout stream in subbasin 04-03-06 of
the French Broad River Basin in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts 1, II, III and IV hereof.
This certificate of coverage is effective March 13, 2014.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day March 13, 2014
/ G
for;ision
A.Reeder, Director
i. of Water Resources
By Authority of the Environmental Management Commission
d
I
,
I
I'

r AGENCYUSEONLY
W-WDivision of Water Resources D..Recuved
[ _g National Pdlulerd Discharge Elimtnegon System(NPDES) Y. Mamh Dry
E N R Application for Coverage Under General P'ermlt
NCG550000 cwuaearearemre age
N C G 5 5
Single Family Residences and/orfaciliaes discharging aeckx Aawmt
<1000gallons perday ofdommtic wastewater
. AsOV.dTn
NOTICE OF INTENT
[RegWmdby 15A NCAC 02H 0127(dll;(term defiuition see 15A NCAC 02H 0103(1911
(Please print or type)
1. Regional Office contact(Please note: This application will be returned if you have not met with a
representative from the appropriate regional office.):
Please list(heNCDENR Regional Office represmWve(s)with whom you have met:
Namme): LINDA Wlgyt Date: I=eL i7 2o14
2. Mailing address of owner/operator: (address to which all correspondence should be mailed)
ownmName .Part:An lame Fir& [le-f: 4 Rescue Inc.
Street Address PI Ix R� (29 P' yp Roos} Y2d
City Greem M" nt}pinl State Id ZD gA74o
Telephone 4(H) —926-4,9A-ROQA Telephone#(W)
CelUMobite# 92.s-us-I (73 Email
3. Location of facility producing discharge: (Iffaci/hy is not yet constructed,give street address or lot#)
Street Address 42Jlii Nc. NL gyp iRT
City _ _i3Akervzvil le State t.1C ZIP U70s;
County Mi-"&I1
Telephone# - P29- tcRA-IODA CeWMohile# eae"112B- 11'73
4. Physical location information:
Please provide a narrative description ofhow to get to the facility(use sheet names,state road numbers,and distance
and direction I'son oadwgy intersection), From &kercvdIP •lukr 2.'3dp.h1 4( t'htFec<ccI-lMt n-F'
IA'TTurra It�f �u+re..-� ;�} ro.$ r C 'Qif{
5. This NPDES permit application applies to which of the following: 6rroGra.{ Sorg ,
❑ New[termdeftlimseelSANCACO2Ii 0103(15))orProposed(Systemnutconetnaeted)
1( Ed.dug[fermdefinitwnsee15ANCACO2H0103(11 ;Ifpreviovalypentdaedby
dopmemmk please provide the permit number D£NR NC 1�rmi� NC601A.72cl
and issue data i5&ge rintE 'a�i �2o11
0 Modification;please describe the nature of the modtticatian:

NCG550000 New Applicant
6. Description of Discharge: [Required by 15A NCAC 0211 0105(c)(111
a) Amourtofawtowatertobedischarged:
Number of bedrooms x 120 gallons per bedroom=
gallons par day to be permitted
b) Type of facility producing waste(please check one):
❑ Primary residence ❑ Vacation/secondhome
®/ Other: Fire S[AfioW aln,d n.a {-}r S+A['T, 1-5rgA 1.laar v,tJ 15AiJ fAgn�T ot1aF(e,)
/ter
7. Please check the components that comprise the wastewater treatment system:
[Required by 15A NCAC 02H.0105(00
Idgeptic took Dosing tank
Primary sand filter ❑ Secondary sand filter ❑ Recirculating sand filu (s)
vChimhution B(Dechlorinatiort ❑Otter form of disinfection:
❑Post Aeration(spec6 type) W41, P",,oc
S. For new or proposed systems a*-Please address the feasibility of alternatives to discharging for the
following options in the cover letter for this application:
111valuation required by O.S. 6143-215.1(b)(5)(a)and 15A NCAC 02H 0105(c)(211
a) Connection to a Regional or Municipal Sewer Collection System.
b) Letter from local or county health department describing the suitability ormm-suitability of the arm for all types of
wastewater ground adsorption and innovative non-discharge systems.Document the repair potential of the failed
system
c) Lend Application such as spray irrigation or drip irrigation.
9. Receiving waters: (Required by 15A NCAC 02H 0105(c)(1)]
a) What is the name of the body or bodies ofwater(creek,stream,river,lake,etc.)that the facility wastewater
discharges and up in? RAccem Crpek jn .4u 6bAa 6'rl o4-02--06 y( 7=rexr(. Raj Rlawr epsln
Cure-errlly C—}rocff wAt-e rs /rs isyc�ro[oq C eUv i'} 41(oCfO(n$
b) Smeam Classification(ifknawn): nP -te,c FrsNc[.. Rr.,wd Ryer fdAsr.Y�
10. The application must include the following or it will be returned,as allowed by 15A NCAC 02H 0107(b):
a) For Certificates of Coverage:
E( An original letter and two(1)copy requesting coverage under NCO550000.
If A signed and completed original and one copy of this Notice of latent Application.
Or A check or money order for the permit fee of$60.00[per G.S.4143-215.3(a)(ibli made payable toNCDENR.
01' invoice showing that the septic tank has been pumped and serviced within the last 12 months(only when
existing service tank will be used).

NCG550000 New Appllcane
New or proposed facilities must also in elude:
❑ Letter from the county health departmeat evaluating the proposed site for all types of ground absorption and
innovative non-discharge systems.Document the repro potential of the failed system.
❑ Evaluation of connection to a regional sewer system(approximate distance&cost to couneet).
❑ Provide a 7Q10 flow estimate at the proposed wastewater discharge point from the US Geological Survey(919-
571-4000)
b) For w Authorization to Construct(ATC)only: (Note: There is g_o fge for an ATC)
❑ A labor requesting an ATC
❑ Three area of plans and specifications(required by 15A NCAC 0211.01381 of proposed treatment system(see
Permit Application Checklist and Design Criteria for Single Family Discharge)
❑ Invoice showing that the septic was has been pumped and serviced within the last 12 months (only when
existing septic tank will be used).
Additional Application Requirements:
a) If this application is being submitted by a consulting engineer(or engineering firm),include
documentation from the applicant showing that the engineer(or film)submitting the application has
been designated an authorized Representative of the applicant,per 15A NCAC 02H.0138(b)(1).
b) If this application is being submitted by a consulting engineer(or engineering firm),find plans for the
treatment system must be signed and sealed by a North Carolina registered Professional Engineer and
stamped-"Final Design-Not released for construction;"per 15A NCAC 02H.0139.
c) if this application is being submitted by a consulting engineer(or engineering firm),final specifications
for all major treatment components most be signed and sealed by a North Carolina registered
Professional Engine and shall include a narrative description of the treatment system to be
constructed;per 15A NCAC 02H.0139.

NCG550000 New Applicant
CERTIFICATION
I certify that I sm familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true,complete,and accurate.
Printed Name afPeesun Signing:. SfGp is wa! f(,r A15
Title: Cth:CF 8vAdSh ,.1 VaLFjrel- 1-4Clie I1i<
(Please review 15A NCAC 02H.0106fe1 tbrauthorind signing officials)
(Sfgno ,6 g(ApplicanJ) (Dote Signed)
Narth Carullm General Statute 6143-215.6E provide,that:
Any person who knowingly makes any false statement miamenteflon,or certification In any application, record, report, plan, or
nti other document filed or required lo to maintained under this Article or a rule Implementing One Adlclo;or who knowingly makes a
false showman of a materiel fad In a rolamsang proceeding or comested case under this Adlde;mwfio falsifias,tampon Will,or
unending
knowingly renders Inaccurate any or monitoring device or method required to be operated or maintained under Nis Article
or mies of Me Commission Implemengng this Article, shall be guilty of a Close 2 misdemeanor Minh may include a fine rot to
exceed ton thousand dollam($10,00D). to U.S.C.Section 1001 provides a punishment by s fine or impdeonmsd not mom than 6
yeah,or bath,for a slmllaroffense.
Notice of Intent must be accompanied by a check or money order for SHM[per G.S.I 143-215.3(a)(lb1]
made payable to:
NCDENR
Mall the completed original,check and one copy of the entire package to:
NC DENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Note: The submission of this document does not guarantee the issuance of so NPDES permit

Book 543 Page 191
APPROVRECORDED IN TAX HE MITCHELL CO BE IIIIII II II�II IIIIIII I�I II„
RECORDED IN THE ASSESSOR
BE
REGISTER OF DEE FFI 2013002787
DATE It-.2o 13
MITCHELL CO,NO FEE$26,00
Mitchell County
NO TAXABLE CONSIDERATION
. ., o
11-242013 01:34:14 PM
Date °v. 20 ao la rc,T Y rove
o.PIN BK: RE 643
Taxes PAID thrU.SXP-i 2b,13 PG: 191-193
Excise Tax EXEMPT Return after meendin tad
TrF MsplDfi P/o 0834-00-38-8009 Prepaled0/ Elizabeth L. Holmes
P.O. Box 613
Elizabeth L. Holmee Spruce Pine, NC 28"1
Attorney at Law
I
BRIEF DESCRIPTION FOR INDEX 41 BRADSHAW TOWNSHIP
STATE OF NORTH CAROLINA DATE GENERAL
COUNTY CF MITCHELL November 18, 2013 WARRANTY DEED
Mitchell County Board of Education Bradshaw Volunteer Fire and Rescue, Inc.,
72 Ledger School Road A North Carolina Non-Profit Corporation
Bakereville, NO 28705 P.O. Box 39
Green Mountain, N.C. 28740
._...____.. ..............._.__ ._•__...................._. ..... .................
'Granter" "Grant.."
When rererence herein is made to the GRANTOR an&or the GRANTEE,the AngUSIAI ll include the plena(theneutersheil
moude the masculine as well es the Orchuae.
W IT N E S S E T H
FOR VALUABLE CONSIDERATION RECEIVED,Amelpt of which is hereby acknowledged,the GRANTOR hereby has bargained sold and
conveyed in fee simple Bala the GRANTEE all that certain lot arpalcel attend the Cry of NIA _Bradahaw_Townshlp of
_ Itchell County more particularly described as follows:
SEE ATTACHED EXHIBIT A INCORPORATED HEREIN BY REFERENCE FOR A COMPLETE LEGAL DESCRIPTION.
Q� .p
jFFR 'A 4"+; dvAit' r�6A"iaTy
NT3CURCE BRANCH
HOLMES&HOLM",ATTORNEYS AT LAW, 167 LOCUST STREET,P.O.BOX 61 S,SPRUCE PINE,NC 28777

Book 543 Page 192
TO HAVE AND TO HOLD this really and all privileges and apputlemnces thereto belonging unto the GRANTEE Its heirs,successors andlor
assigns in fee simple.
And the GRANTOR covenants with Me GRANTEE Net GRANTOR is seized of the premises in lea Simple,has Me right to monkey the same In lee
simple,that the title is marketable and free and clear of all encumbrances,and that GRANTOR will forever warrant and defend the Nle against the
lawful claims of all persons whomsoever,other Nan the following exceptions:
Any Restrictions, Appurtenances, Easements (including, but not limited to general
services and utility easements) and Rights of Way as they may appear of record.
GRANTIR'§ ""RESLNCE" OISCLOc_DRE
H II " � 1linll le
so the t tl Ib tl h I-d thert. Itl rH;
u — F1 o�tha Grontorrpursuanl to N C Gem Slat §105.317 2.
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing on Me DATE first above wdRen
�MIIITCHELL gCODUNTY BOARD OF EDUCATION
Be.. . —^f✓`cr'kc' (Seal)
$am Blevini Chairman of the Board
Altesl', :? • v (Seal)
Richard A.Spurlin perhant,8c tary to the Board
TATE OF North Care lima Mitchell COUNTY
I,a Notary Public,certify Nat Sam Blevins,personally appeared before me this day and acknowledged that
VVU he is Chairman of the Board of Mitchell County Board of Educator AND Richard A.Spurting personally
appeared before me this day and acknowledged that he is Superintendent and Secretary tithe Board of
Mitchell County Board of Education the GRANTOR herein and that by authority duly given and as the act of
aT2 this entity both&in Blevins and Richard A Spurfng Signed the foregoing Instrument in its name and on Ile
r behalfasits aMamddeed, Witness my hand and Official Seal on this Date shown.
p e� ONidsl Suture Gi Nogmytj
t lr,-robe S_6 Printed for typed)Name of Noferp
Date, It l (3
Myc mml slon expires:
JI �
ELIZABETH L.HOLMES,ATTORNEY AT LAW, 167 LOCUST STREET,P.O.BOX 615,SPRUCE PINE,NC 28777

Book 543 Page 193
EXHIBIT A
BEGINNING on a set railroad spike in the edge of the paved surface of N.C.Highway 197,said
spike being S 670 49'09"E 198.30 feet from an existing iron pin in the line of United Methodist
Church(See Book of Mortgages 61 at Page 129,Mitchell County Registry);thence,from the
BEGINNING,N 270 32' 16"E 451,91 feet to a set iron pin;thence,N 710 38'58"W 200.00
feet to a set iron pin in the line with Stephen Pate(See Deed Book 241 at Page 625,Mitchell
County Registry);thence,N 27o 32' 16"E 62.00 feet to a set iron pin in a fenceline;thence,N
10o 18'58"E 316.96 feel to a set iron pin;thence,N 000 34'32"E 146.96 feet to a set iron pin;
thence,N 020 27'23"E 254.29 feet to a set iron pin;thence,N 200 03' 00"W 130.07 feet to a
set iron pin;thence,N I10 53'40"W 86.94 feet to a set iron pin;thence,N 060 02'47"W
186.66 feet to an existing iron pin;thence,N 470 35' 55"W 103.19 feet to an existing iron pin;
thence,N 3 V 25'09"E 47.63 feet to a set iron pin in the line with Roger Whitson(See Deed
Book 155 at Page 207,Mitchell County Registry);thence,S 590 46'30"E 421.15 feet to a set
iron pin;thence,S 58o 03' 51"E 596.80 feet to an existing iron pin,a common corner with
Whitson and Recia Taylor(See Deed Book 258 at Page 245,Mitchell Cowry Registry);thence,
S 56o IT 48"E 91.82 feet to an existing iron pin;thence,S 560 17'48"E 129.35 feet to a set
railroad spike;thence,running with the western margin of Griffith Road(NCSR k 1312)the
following courses and distances:S 450 06'59"W 50.52 feet to a computed point,S 420 14' 12"
W 76.19 feet to a computed point,S 34o 57' 18"W 39.84 feet to a computed point,8 270 19'
28"W 73.56 feet to a computed point,S 190 29'28"W 92.03 feet to a computed polar,S 250
20' 57"W 40.62 feet to a computed point,S 290 18' 15"W 65.62 feet to a computed point,S
230 18' 17"W 43.44 feet to a computed point,S 130 52'00"W 67.52 feet to a computed point,
S I I0 00'31"W 60.47 feet to a computed point,S 20o 26'02"W 38.55 feel to a computed
point,S 270 16'09"W 18.23 feet to a set railroad spike;thence,leaving the margin of Griffith
Road,N 740 02'44"W 61.92 feet to a double maple near a gazebo;thence,N 88o 30'43"W
1.92 feet to a set iron pin;thence,N 880 30'44"W 26.74 feet to a maple cluster;thence,S 180
16' 16"W 61.38 feet to an existing iron pin;thence,S 080 14' 16"W 65.82 feet to an existing
iron pin;thence,S 090 33'44"E 54.35 feet to a set railroad spike in the margin of Griffith Road;
thence,running with the western margin of Griffith Road the following courses and distances:S
130 31' 17"W 23.89 to a computed paint,S 070 17' 50"W 87.71 feet to a computed paint,S 130
34' 18"W 61.19 feet to a computed point,S 190 33' 56"W 48.39 feet to a computed point,S
23"29' 13"W 102.61 feet to a computed point,S 150 24' 02"W 24.79 feel to a computed point,
S 040 16'02"W 31.02 feet to a computed point,S 00'27'08"W 116.87 feet to a computed
point,S 06°48' 05"W 41.58 feet to a computed point in the northern margin of N.C.Highway
197;thence,with the northern margin of N.C.Highway 197 the following courses and distances:
N 500 22' 16"W 39.60 feet to a computed point,N 600 25' 38"W 174.25 feet to a computed
point,N 650 47' 10"W 98.07 feet to a computed point,N 770 41'49"W 71.21 feet to a
computed point,N 850 2 P 05"W 147.23 feet to a computed point,N 84'06' 12"W 24.20 feet
to a computed point,N 800 03'45"W 24.91 feet to the point of BEGINNING,containing 23.88
acres,more or less,as shown on a plat of survey drawn by John E.Keen,PLS L�2991 dated
October 30,2001 and labeled Map File No.01-244A.
EXCEPTED from the above described lands,those certain tracts of land as shown as Tracts I
and 2 on a plat of survey by Marvin J.Nueley,PLS L-4413,dated October 24,2013 and labeled
Job No. 13-145 and recorded in Plat Book 3 at Page 318,Mitchell County Registry.
AND BEING a portion of the some lands conveyed to Greater by deeds recorded in Book 111,
Page 373 and Book 104,Page 461,both of Mitchell County Registry.
THIS CONVEYANCE is subject to that certain lease agreement as evidenced by Memorandum
of Lease recorded in Deed Book 502 at Page 230,Mitchell County Registry.

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A.Reeder John E.Skvada, III
Governor Director Secretary
March 24,2014
Richie Crowder
Mitchell County Board of Education
72 Ledger School Rd
Bakersville NC 28705
Steve Adkins
Bradshaw Fire Department _
PO Box 39
Green Mountain,NC 28740
SUBJECT: Compliance Evaluation Inspection
Tipton Hill Elementary School W WTP
Permit No:NCO066729
Mitchell County
Dear Messrs Crowder and Adkins:
On February 17, 2014, I conducted a Compliance Evaluation Inspection of the Tipton Hill School Wastewater
Treatment Plant (WWTP). Both of you were present for the inspection and we discussed areas that needed
attention. I have received photo documentation indicating the areas in need of attention have been taken care
of,therefore the facility is considered in compliance with permit NC0066729.
This property will no longer be used as a school; it will be used by the Bradshaw Fire Department and will not
discharge more than 1,000 gallons of wastewater per day. A General Permit(NCG550000)has been applied for
and issued(NCG551618).Ay
Please refer to the enclosed inspection report for observations and comments. If you or your staff have any
questions,please call me at 828-296-4500.
Sincerely,
Linda Wiggs
Environmental Senior Specialist
Asheville Regional Office
Enc.Inspection Report
cc: Central Files
Asheville Files
G:\WR\WQWtchell\WutewWrWinon\Tipton Hill 66729 also sea NCG55\CEI.Feb20l4.doc
Water Quality Regional Operators-Asheville Regional Office
2090 U.S.Hil;hway70,Swennancs,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet h8p://porlaloodencorglwebAvq
An Equal oppmumi oAlfirmatve Acton Employer

Dnaed Slates ErWronmental Protadon Agency Form Approved.
EPA Washingtan,D.C.204W OMB No.2040-0057
Approval expires 8-31-98
Section A: National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fee Type
1 L 2 J 31 NCO066729 1/ 121 114102 117 17 18J 19LJ1 20
211 1 1 1111111 1 1 1 111111 1 11Re7
rks 1
16
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 0,4 --------Reserved---------
67L_____j69 70u 71U 72u 73W 74 751 I I I I I I I80
Section B: Facility Date
Name and Location of Facility Insyected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit umber)
Bradshaw Fire&Rescue WWTP —PrgviocslY fiiPfon Nill Scv,aeL 11:30AM 14/02/17 11/03/01
4256 NC Hwy 197 Exit Time/Date Permit Expiration Date
Green Mountain NO 287407709 12:00 PM 14/02/17 16/02/29
Name(s)of Onske Representative(s)Rtles(s)/Phone and Fax Numbers) Other Facility Data
///
Name,Address of Responsible OffiGal/TiBa/Phane and Fax Number
Contacted
Rlchie Crowder,72 Ledger School Rd Bek9mvllle NC 2 8 705//828-76 6-2 2 20/8 2 8 76 62 221 yes
Section C: Areas Evaluated During Inspection Check only those areas evaluated
Permit E Operations&Maintenance 0 Facility Site Review 0 EPouent(Receiving Waters
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Names)and Stgnature(s)of Inspector(s) /Agency/OBice/Phone and Fax Numbers Date
Linda S Wiggs se I7' ARO WQ9828-296-4500 Ex1.4653/
Signature of Management Q A Reviewer ErE Agency/Office/Phone and Fax Numbers Dale
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDEe ydmcMay Inspection Type (cont.) 1
31 NCO066729 111 121 14/02/17 117 is c
Section 0: Summary of Finding/Comments(Attach additional sheetsof narrative and checklists as necessary)
Present during the inspection were Steve Adkins with the Bradshaw Fire Department and Richie Crowder
with Mitchell County Schools.
Bradshaw Volunteer Fire and Rescue, Inc. is now the owner of the school property. It is a small Fire
Department, so there will be limited flow to the wastewater system.(<1,000 gallons per day GPD). They may
host a couple of community events during the year, but still expect the flow to be <1,000 GPD.Therefore,
they have applied for coverage under the General Permit NCG550000,which has been issued
(NCG551618).
The facility has not been in use for a couple of years so during the inspection there were some maintenance
needs pointed out to Mr.Adkins and Mr. Crowder. The maintenance needs included vegetation growth in
the sand bed and chlorine chamber,a crack in the 2nd lateral, the tablet cylinders'broken bottom and the
effluent pipe was buried in sediment. I also pointed out an eroding streambank that should be repaired.
Photo documentation was received via email 3/11/2014 from Richie Crowder verifying these maintenance.
needs had been addressed.
The inspector discussed the importance of operation and maintenance with the new owner;such as the
pumps and alarms(checking floats), keeping vegetation from growing in the sandbeds, and making sure
chemicals are used correctly so they don't cause a problem in the receiving stream. It was also suggested
the chemicals be stored inside. The effluent pipe is at a culvert and the junction of two streams.This is
naturally a depositional area for a stream,so checking on the effluent pipe will be an ongoing maintenance
need to keep it from being covered up. Finally there was some streambank erosion at the corner of the
security fence. If this erosion is not repaired it could get worse and compromise the fence.
I'I
_I Question Abbreviations:
NA= Not Applicable
NE= Not Evaluated
i
I
Page# 2

Permit: NCO066729 Owner-Facility: Bradshaw Fire a Rescue WWrP.
Inspection Date: 02/17/2014 Inspection Type: Compliance Evaluation
Operations&Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0011 ❑
Does the facility analyze process control parameters,for ex:MLSS,MCRT.,Settleable Solids,pH,DO,Sludge 0 0 ■ 0
Judge,and other that are applicable? -
Comment: The system has not been in operation for over a year. It has recently been
sold.There is vegetation that needs to be removed throughout the treament units.
See summary for update.
Permlt Yes NoNA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? ❑ 0 ■ ❑
Is the facility as described in the permit? ■ 0 0 ❑
#Are there any special conditions for the permit? ❑ 0 ■ ❑
Is access to the plant site restricted to the general public? ■ 0 0 ❑
Is the Inspector granted access to all areas for Inspection? ■ 0 0 0
Comment: There is a new owner,the local fire department. This sytem will not
discharge more than 1,000 gallons per day,therefore the new owners are requesting
coverage under the NCG56OOOO general permit.
See summary.
Grease Removal Yes No NA NE
#Is automatic grease removal present? 00 ■ ❑
Is grease removal operating properly? ❑ 0 ■ ❑
Comment: There are no grease traps. The school used to freeze their grease and
discard appropriately.This same practice is suggested for new owners.
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? 000 0
Is septic tank pumped on a schedule? ■ 0 0 ❑
Are pumps or syphons operating properly? ■ 0 0 ❑
Are high and low water alarms operating properly? ■ 0 0 0
Comment: There is no visual alarm on this system. The audio alarm works, it is in the
building.
Sand Filters(Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational? ■ 1111 ❑
Is the distribution box level and watertight? 000 0
Is sand filter free of ponding? ■ 0 0 ❑
Page# 3

Permit: NCO066729 Owner-Facility: Bradshaw Fire&Rescue WWTP
Inspection Date: 02/17/2014 Inspection Type: Compliance Evaluation
Sand Filters(Low rate) Yes No NA NE
Is the sand filter effluent re-circulated at a valid ratio? 0 0 M 0
If Is the sand filter surface free of algae or excessive vegetation? 0000
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to i) 0000
Comment: This system has not been in operation for over a year, and now has anew
owner. Repairs to the 2nd lateral will have to be made;there is a crack midway up the
line. Also the vegetation that has grown in the filter will have to be removed. As
discussed,vegetation roots can cause a direct pathway for water through the sand. The
water needs to be well dispersed across the sand so it can flow through the largest area
possible for treatment.
See summary for update.
Disinfection-Tablet Yee No NA NE
Are tablet chlorinators operational? 0 0 0 0
Are the tablets the proper size and type? 000 0
Number of tubes in use? 1
Is the level of chlorine residual acceptable? ❑ 0 0 ■
Is the contact chamber free of growth,or sludge buildup? 0 0 0 0
Is there chlorine residual prior to de-chlorination? 0 0 0
Comment: Vegetation also needs to be removed from this unit.The bottom of the
tablet dispenser is broken;this needs to be fixed so tablets do not fall through.
See summary.
'.i De-chlorination Yes No NA NE
Type of system? Tablet
1 Is the feed ratio proportional to chlorine amount(1 to 1)? 0 0 ■ 0
Is storage appropriate for cylinders? 0 0 ■ 0
#Is de-chlorination substance stored away from chlorine containers? 0 0 ■ 0
Comment:
Are the tablets the proper size and type? ■ 0 0 0
Are tablet de-chlorinators operational? ■ 0 0 0
Number of tubes in use? 2
Comment:
Effluent Pipe Yea No NA NE
Is right of way to the ouffall property maintained? 0000
Page# 4

Permit: NCO066729 Owner-Facility: Bradshaw Fire&Rescue WWrP
Inspection Date: 02/17/2014 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Are the receiving water free offoam other than trace amounts and other debris? 0000
If efguent (diffuser pipes are required) are they operating property? 0000
Comment: The effluent pipe is at the junction of two streams and a culvert, which is an
area of a stream that will accumulate sediment buildup. We had to dig to find the
effluent pipe.The effluent pipe needs to remain exposed. Keeping sediment buildup off
of the effluent pipe will be an ongoing maintenance issue. Also there is some bank
erosion by the corner of the fencing around the chlorine/dechlorination units.This
should be repaired to avoid further erosion which could compromise the fence.
Page# 5

A,
8-ERIR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Thomas A.Reeder John E. Skvarla, III
Governor Director Secretary
March 06,2014
Steve Atkins,Chief
Bradshaw Fire Department and Rescue,Inc.
PO Box 39
Green Mountain,NC 28740
Subject: NPDES Permit Modification-Name and/or
Ownership Change n 1^
Permit Number NC0066729 Cq 55510
Tipton Hill School CIA N P
Mitchell County
Dear Mr.Atkins:
Division personnel have reviewed and approved your request to transfer ownership of the subject permit,received
on February 24,2014. This permit modification documents the change of ownership.
Please find enclosed the revised permit. All other terms and conditions contained in the original permit remain
unchanged and in full effect. This permit 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 Wastewater Branch at(919)
807-6304.
S' ere y,
Thomas A.Reeder
cc: Central Files RECEIVEDvehelon of Water Resources
Asheville Office -
NPDSS Unit File -
MAR 1 3 2014
Water Quality Regional Operations
Asheville Re Zonal Office
1617 Mall service Center,Raleigh,North Carolina 27699-1617
Warren:512 N.Salisbury St Raleigh,North Carolina 27604 ne
Phone:[phone] FAX:91HO7.64921 Customer service:l-677-6234748 �,,}.r''y,'Cublina
Internet:aeoe.ncwaterquelity.gr9 /�/ry i+ipir//'/
M Equal Opparenityl Affirmain Milan Employer [[[��� �•r WWaWgr (LD