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PAT MCCRORY
A
Governor
i""D`AALD R. VAN DER VAART
"
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 30, 2016
Larry Black
1981 Everett Rd.
Pisgah Forest,NC 28768,
SUBJECT: Compliance Evaluation Inspection
Single Family Residence Permit:
1981 Everett Rd.
Permit No: NCG550542
Transylvania County,NC
Dear Mr. Black:
On December 13, 2016, Tim Heim and I conducted a Compliance Evaluation Inspection(CEI) of
the. Single Family Residence (SFR) wastewater system located at 1981 Everett Rd. The property
and system were well maintained and appeared to be in compliance with NPDES Permit No
NCG550542.
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 828-296-4686 or by email at
[e-mail].
Sincerely,
Mikal Willmer
Environmental Specialist
Asheville Regional Office
Enclosure:Inspection Report
Name/Ownership Change Form
cc: MSC 1617-Central Files
WQ Asheville Files
G:\WR\WQ\Transylvania\Wastewater\General\NCG55 SFR\SFR's NCG55\NCG550542-Black\lnspect.December 13,2016\CEI
Letter 12-13-2016.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

United States Environmental Protection Agency
Form Approved.
EPA
Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval 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 1
2 LJ 3 NCG550542 11 12 16/12/13 17 18 1 Cl 19 1 o I . 20LJ
211111 I I IL I I I III I I I I I I I I I I I I I I I I I I I I I I II I I l f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -- ---Reserved---- ------ I
67 701 f 71 Lj 72 LJ 1 �, 1 73 L_LJ74 751 1 1 I 1 1 U80 LJ Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 10:10AM 16/12/13 13/08/01
1981 Everett Road
1981 Everett Rd Exit Time/Date Permit Expiration Date
Pisgah Forest NC 28768 10:40AM 16/12/13 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
Larry B Black,1981 Everett Rd Pisgah Forest NC 28768//770-434-3392/
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
s Permit Operations&Maintenance ® Self-Monitoring Program . Facility Site Review
Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See, attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Timothy H Heim ARO WQH828-296-4665/
Mika] Willmar ,� ARO WQH828-296-4686/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
ia `� • l
Ef A Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.)
31 NCG550542 I1 12 16/12/13 17 1$ I c I \
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Inspectors, Mikal Willnler and Tim Heim with the Asheville Regional Office conducted a Compliance
Evaluation Inspection (CEI)of the Single Family Residence(SFR)wastewater treatment system
located at 1981 Everett Rd on December 13, 2016.The permittee, Larry Black,was present and
assisted in the inspection.
The property and the system appeared to be well maintained. Mr. Black has the septic system serviced
and checked annually as required by.permit. The system receives little flow as only two people
currently reside at the home. The permittee stated he doesn't believe he has ever seen the septic tank
fill up to the point of discharge since purchasing the property in 2003.
Mr. Black was aware of the general location of all the treatment units, however, inspectors could not.
visually locate the effluent pipe.Tim Heim provided the permittee with dye tabs to help locate the
effluent pipe. Mr. Black said he would attempt to locate the pipe and let us know if he can find it.
Page# 2

Permit: NCG550542 Owner-Facility: 1981 Everett Road
Inspection Date: 1 211 3/2 0 1 6 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 ❑ ❑ 0 ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: Property surrounding treatment units is well maintained. This system conists of'a pump
tank, septic tank,two sand filter trenches and discharge pipe.
Permit Yes No NA NE
(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? ❑ ❑ 0 ❑
#Are there any special conditions for the permit? ❑ ❑ s ❑
Is access to the plant site restricted to the general public? ❑ ❑ M ❑
Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑
Comment: Fees are,paid to date
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ ❑
Is septic tank pumped on a schedule? ❑ ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ ❑
-Are high and low water alarms operating:properly? :, ❑ ❑ ❑
Comment: Mr. Black has the septic system serviced annually. It was last checked this summer by AAA
Septic. The tank did not need to be pumped during the last maintenance visit. Mr. and Mrs.
Black are the only two residents.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ■ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ■ ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment: We were able to locate a vent pipe near the discharge location. Could not visually locate the
effluent pipe. Mr. Black had a general idea of the location. Inspector, Tim Heim provided the
owner with dye tabs to help him locate the effluent pipe.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ 0 ❑
Is sample collected below all treatment units? ❑ ❑ M ❑
Is proper volume collected? ❑ ❑ M ❑
Page# 3

Permit: NCG550542 Owner-Facility: 1961 Everett Road
Inspection Date: 12/13/2016 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
Is the tubing clean? ❑ ❑ ® ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ❑ ❑
representative)?
Comment: There are currently only two people residing at this home.The septic-tank is checked
annually and had very little wastewater present. Inspectors asked Mr. Black to ocassionall ry
monitor the effluent location for discharge.This system has the original sand filter trenches
which often allow water to absorb into the surrounding ground.
r
Page# 4

PAT MCCRORY
N
' (3overnor
DONA.LD R. VAN DER VAART
w Se ere[ary
Water.Resources
S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY - Director -
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00 / / / / or NCG5 / / / /
1. Facility Name:
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
C. Other(please explain):
2. New owner's name (name to be put on permit):
3. New owner's or signing official's name and title:
(Person legally responsible for permit)
(Title)
4. Mailing address: City:
State: Zip Code: Phone: ( )
E-mail address:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
http://portal.ncdenr.org/web/wq

Applicant's Certification:
I, , attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this application are not completed and that
if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature: Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ/ DWR/ NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 1212015

Inspection Date: / 1-t 3 -\�o Start Time: I G(U End Time:
SINGLE FAMILY WASTEWATER SYSTEM CHECKLIST
1/5/2015
Permittee: \_ ccA. R\�c�V\ Permit: r C G sS er,s 4Z
Address: 1 a 5-\ E-mail- U 1 sco 800v-J-con,
Phone:( S2S- )��-_ �t�,�r� Cell Phone:(-41n ) 49 c)- County:
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 1:1 r 1-10
2. If not does the resident rent from the permittee? - ❑ ❑ ❑ ❑
3. Change of Ownership form needed? (mail the form with the inspection letter) ❑ ❑ ❑ ❑
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? El El ❑ El
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? ❑ ❑ ❑ ❑
13. If yes, what kind? (examples- Peat, Textile, Other or brand name-Advantex, etc.)
14. Does the permittee know where the filter is located? ❑ ❑ ❑ ❑
15. Does the filter require maintenance? ❑ ❑ ❑ ❑
If maintenace is required explain in the comment section,
DISINFECTION/UV YES El NO ER 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 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) ❑ ❑ ❑ ❑
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. ❑ ❑ ❑ ❑
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? ❑ ❑ ❑ ❑
25. Were dechlor tablets observed in the dechlorination chamber? ❑ 0 ❑ ❑

Doesn't Did Not
Yes No Apply Investigate
26. Are tablets contacting water? If possible poke them to determine. El El ❑
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? ❑ ❑ ❑ ❑
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 solids or evidence of a malfunction.
31. Does the permittee know where the outfall is located? ❑ ❑ ❑ ❑
32. Were you able to locate the outfall? ❑ ❑ ❑
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? ❑ ❑ ❑ ❑
DRIP or SPRAY YES El 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? ❑ ❑ ❑ El
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. ❑ ❑ ED ❑
46. Is the system compliant? El ❑ El ❑
47. Is the system failing? If yes,take pictures if possible. ❑ ❑ ❑ ❑
48. If system is failing, any sign of children or animals contacting sewage? ❑ ❑ ❑ ❑
NOD Sent#: - - - NOV Sent#: - - -
Comments: Photos Taken? YES ❑ NO ❑
Qj
A G. l 1 5 1(nfc--"c

WDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild;P.E. Dee Freeman
Governor Director Secretary
August 27, 2012
Larry B Black
1981 Everett Rd
Pisgah Forest NC 28768
SUBJECT: Compliance Evaluation Inspection*
1981 Everett Road
Permit No: NCG550542
Transylvania County
Dear Mr. Black:
Enclosed please find a copy of the Compliance Evaluation Inspection conducted on
August 22, 2012. The facility was found to be in Compliance with permit NCG550542.
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 ext.4657.
Sincerely,
Kevin H Barnett,
Environmental Specialist
Enclosure
cc: Central Files
Asheville Files
S:\SWP\Transylvania\Wastewater\General\NCG55 SFR\SFR's NCG55\Black\NCG550542.CEI.2012.doc
SURFACE WATER PROTECTION—ASHEVILLE REGIONAL OFFICE
Location:2090 U.S.Highway 70,Swannanoa,NC 28778 NOne
orthCarolina
Phone:[phone]\FAX:[phone]
Internet:www.ncwateraualitv.org �gtur'rj��j�

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
anine Approval expires 8-31-98
f Section A: National Data System Coding(i.e.,PCS)
t
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
r 1 I N I 2 151 31 NCG550542 111 121 12/08/22 117 18I C I 19I S I J
20I
Remarks
2111111111 IIIIIIII IIII IlliIIII I I I I I I I I I I I I IIII1116
I
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ---------------------------Reserved----------------------
67I 169 70 71 L N I 72 L N I 73 I 174 751 I I I I I I 180
t- Section B: Facility Data �— uJ
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)
1981 Everett Road 09:30 AM 12/08/22 07/08/17
1981 Everett Rd Exit Time/Date Permit Expiration Date
Pisgah Forest NC 28768 09:45 AM 12/08/22 12/07/31
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
Larry B Black,1981 Everett Rd Pisgah Forest NC 28768//770-434-3392/ ContactedNo
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Operations&Maintenance 0 Facility Site Review 0 Effluent/Receiving Waters
Section D: Summary of Find in /Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Kevin H Barnett ARO WQH828-296-4500 Ext.4657/
Signature of M ageme A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

d
i
NPDES yr/mo/day Inspection Type 1
3I NCG550542 111 12, 12/08/22 117
18I d
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Not discharging at time of inspection.
Diverter box clear of solids.
No observed issues.
Page# 2

Permit: NCG550542 Owner-Facility: 1981 Everett Road
Inspection Date: 08/22/2012 Inspection Type: Compliance Evaluation
Operations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ D Q
Does the facility analyze process control parameters,for ex: MLSS, MCRT,Settleable Solids, pH, DO,Sludge Q Q Q ■
Judge,and other that are applicable?
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ ❑ ❑ 0
Are the receiving water free of foam other than trace amounts and other debris? ■ 0 0 Q
If effluent (diffuser pipes are required) are they operating properly? Q ❑ ■ 0
Comment:
Page# 3

Ktti
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 17,2007
Larry B. Black
1981 Everett Road
Pisgah Forest,NC 28768
Subject: Renewal of coverage/General Permit NCG550000
1981 Everett Road
Certificate of Coverage NCG550542
Transylvania County
Dear Permittee:
In accordance with your renewal application [received on January 22, 20071,the Division is renewing
Certificate of Coverage(CoC)NCG550542 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].
Sincerely,
Zoe
/ (p/J �JrrwµiW�Fr6tlMMgryW►,�y,'wr
/v' (N�� '�'lu'w�,p�,,,trtmrrwakuMlYitw.e�
for Coleen H. Sullins rD p�
cc: Central Files
-� -- - - _
I sheville R_e_ onal Office/:_Surfs_ce_Water Protecto AUG 2 4 'NPDES file 2007
WATER QUALITY SECTION
el
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604
Phone: [phone]/FAX [phone]/Internet:www.ncwaterquality.org Aaharally
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550542
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,
Larry B. Black
is hereby authorized to discharge domestic wastewater [360 GPD] from a facility located at
1981 Everett Road
Pisgah Forest
Transylvania County
to receiving waters designated as the French Broad River 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 17, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 17, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

F: arrxu+faA..{✓kvn3iTJN+�hI^✓.`?lRn.<,v r.n,.w.e.n•Y rau;wIDYs.`.0 YP'1 Ui! .-"
NC�ENR E Ij ' JAN 7 6 2007 1.4
North Carolina Department of Environment and Nat ral Resources
i
Division of Water Qualit t' WATER czu UTY SECTION
Michael F. Easley, Governor Y,. A`i� yMllIi , r Floss;Jr.;ESe tart'
Alan W. Klimek, P.E., Directo(
January 9, 2007
Larry Black
726 Everett Rd
Pisgah Forest, NC 28768
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG550542
Transylvania County
Dear Permittee:
You are receiving this notice because you currently own a propertycovered 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 June 2, 2003.
The Division needs information from you to determine if coverage under NCG550000 is still
necessary.
➢ If your property still has a wastewater system like the ones described in the enclosed
Technical Bulletin, you must renew the subject CoC. Complete the enclosed form and
submit it to the address on the form.
➢ If you are not sure what type of system your property has, contact Keith Haynes in the
NC DENR Asheville Regional Office at. That person [or other staff members] can help
you determine if you should renew your CoC.
➢ If you know that your property no longer discharges wastewater,contact me at the
address or phone number listed below to request rescission of the CoC.
➢ This information request does not pertain to the Annual Fee of$50.00 billed
separately by the Division's Budget Office. No money is reguired for this
procedure. The Annual Fee is like the fee you annually pay the DMV for the sticker on
your vehicle's license plate. Renewal of your CoC is like the renewal of your Driver's
License [ca. every five years].
➢ If you have already mailed a renewal request, you may disregard this notice.
1617 Mail Service Center,Raleigh,North Carolina 27699.1617 One 1
512 North Salisbury Street,Raleigh,North Carolina 27604 NOT thCaroli a
Phone: [phone],extension 511/FAX [phone]/charles.weaver@ ncmail.net AgNpullyAn Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper

F9 Michael F. Easley,Governor
William G. Ross Jr.,Secretary
pG North Carolina Department of Environment and Natural Resources
LAX 11 r Alan W.Klimek,P.E. Director
Division of Water Quality
vill Re nal Dffi
SURFACE WATER PROTECTION w ,
November 13, 2006
Mr. Larry Black
726 Everett Road
Pisgah Forest, North Carolina 28768
SUBJECT: Compliance Evaluation
Black Residence
Permit No: NCG550542
Transylvania County
Dear Mr. Black:
Enclosed please find a copy of the Compliance Evaluation Inspection form from
the inspection conducted on November 1, 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 NCG550542.
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, �.
L y Frost
nvironmental Engineer
Enclosure
cc: NPDES Unit
Central Files
Asheville Files
NorthCarolina
Naturally
2090 U.S. Highway 70,Swannanoa, NC 28778 Telephone:[phone] Fax: [phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency
Ep/� Washington,D.C.20460 Form Approved.
f_A 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 LI 31 NCG550542 111 121 06/11/01 117 18I cI 191 SI 20II
Remarks
21I 1 1 1 1 1 1 1 I I I I L I I I I I I I I I I I I I [ 1 1 16
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 UN
----------------------Reserved----------------------
671 169 70I I 711 I 72 N I 73I I � 74 761 I I I I I I 180
Section B: Facility Data i—! i�_l
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)
Larry BBlack - SFR
01:00 PM 06/11/01 03/06/02
726 Everett Rd Exit Time/Date Permit Expiration Date
Pisgah Forest NC 28768 01:30 PM 06/11/01 07/07/31
Name(s)of Onsite Re presentative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Larry B B1ack,726 Everett Rd Pisgah Forest NC 28768//770-934-3392/Contacted
Yes
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Facility Site Review
Section D: Summary of 1 inU111Y1C Oiiniieiits'Attac h additiGiidi sheets of narrative aiiu ciieckiists as necessary)
(See attachment summary)
Name(s)and Signature(s))oof Inspector(s) Agency/Office/Phone and Fax Numbers Date
Larry Frost '$!'f ARO WQ//828-296-4500 Ext.4658/
Keith Haynes ARO WQ//828-296-4500/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Roger C Edwards `j► - - ARO WQ//828-296-4500/ IC 4 Zoe,_
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
3I NCG550542 I,11,,.. 12I 0 I17 18ICI
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
This residence is located at 726 Everett Road in Pisgah Forest.
There was no sign of surfacing wastewater on the property and the discharge pipe was not found.
It is recommended that you have your septic tank pumped every 3 to 5 years, to protect your sand filter. You
should also locate your discharge pipe and protect it from damage and blockage.
Please remember your annual monitoring, which is, required by your permit.
Page# 2

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State of North Carolina
Department of Environment 4 • .
and Natural Resources
Division of Water Quality
Michael F. Easley, Govemor
William G. Ross Jr., Secretary NCDENR
Alan W. Klimek, P.E., Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
June 4, 2003
Mr. Larry Black JUN r(�iJ,
3469 Cedar Valley Court
Smyrna, Georgia 28768
I
Subject: NPDES Permit Modification Name/Ownership Change
Permit NCG550542
Larry Black-SFR
(Formerly Samuel Glen)
TS sylvania County
Dear Mr. Black:
In accordance with your request received March 11, 2003,the Division is forwarding the subject permit
modification. This modification documents the change in name/ownership at the subject facility. All other terms
and conditions in the original permit remain unchanged and in full effect. This permit modification is issued
under 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 modification
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 a written petition conforming to Chapter 150B of the
North Carolina General Statutes,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.
This permit does not affect the legal requirement 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 government permit that may be required. If you have any questions concerning this permit, please contact
Valery Stephens at the telephone number or address listed below.
Sincerely,
Ian W. Klimek, P.E.
cc: Central Files
Asheville Regional Office,Water Quality Section
NPDES Unit
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 919 733-5083,extension 520 (fax)919 733-0719
VISIT US ON THE INTERNET @ httpJ/h2o.enr.state.nc.us1 [e-mail]

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG550542
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIU[ILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELEVIINATION 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,
Larry Black
is hereby authorized to construct and operate a wastewater treatment facility that consists of an existing septic tank,
existing pump tank,dual sandfilter tanks,chlorinator,chlorine contact tank,rip rap aeration and associated
appurtenances with the discharge of treated wastewater from a facility located at
726 Everett Road
Pisgah Forest
Transylvania County
to receiving waters designated as French Broad River,Class C, in the French Broad River Basin in accordance
with the effluent limitations,monitoring requirements,and other conditions set forth in Parts I,II,111 and IV
hereof.
This certificate of coverage shall become effective June 4,2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 4,2003.
Alan W.Klimek,P.E.,Director
Division of Water Quality
By Authority of the Environmental Management Commission

F NATF
O�� �Qt✓ Michael F.Easley, Governor
William G.Ross,Jr.,Secretary
r— North Carolina Department of Environment and Natural Resources
Alan W.Klimek,P.E.,Director
Division of Water Quality
Asheville Regional Office
WATER QUALITY SECTION
March 12, 2003
Transylvania Co. Building Inspections Dept.
28 East Main St.
Brevard, North Carolina 28712
Subject: Approved Wastewater
Disposal System For Larry
Black Residence
Permit #NCG550542
Transylvania County
To Whom It May Concern:
The residence currently purchased by Mr. Larry Black is permitted for wastewater disposal by
the Division of Water Quality under Permit#NCG550542. The facility is operating well and has
posed no environmental or health concerns. The permit allows a wastewater flow limit of 360
gallons/day. Currently Mr. Black's residence, based upon the number of actual bedrooms, is
utilizing 240 gallons/day. The proposed addition will not exceed the limit of the wastewater
permit. The Division has no difficulty with the issuance of a building permit for the addition.
If you have any questions, please contact me at 828-251-6208, ext. 258.
Sincer y,
G
Kerry S. Becker
Environmental Technician

State of North Carolina
Department of Environment •
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Gregory J. Thorpe, Ph.D., Acting Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
4/23/2002
CERTIFIED MAIL
MAY
RETURN RECEIPT REQUESTED
ATTN: SAMUEL GLEN
GLEN,SAMUEL-RESIDENCE
726 EVERETT RD
PISGAH FOREST, NC 28768
Subject: NOTICE OF VIOLATION
FAILURE TO SUBMrr''RENEWAL APPLICATION
GLEN, SAMUEL- RESIDENCE
NCG550000
COC NUMBER NCG550542
TRANSYLVANIA COUNTY
Dear Permittee:
This letter is tn inform you that,a r of the date..of this letter,the Division of Water Quality has not received a
renewal request for the subject permit certificate of coverage. This is a violation of NCGS §143.215.1.(c)(1)which
states"All applications shall be filed with the commission at least 180 days in advance of the date on which it is
desired to commence the discharge of wastes or the date on whic.b an existing permit expires,as the.case rn4y..be".
Any permittee that has not requested renewal at least 180 days prior to expirati or.or permittee that does not have a
permit after the expiration and has not requested renewal at least 180 days prior to expiration,will be subjected to
enforcement procedures as provided in NCGS §143-215.6 and 33 USC 1251 et.seq.
In order to prevent continued,escalated action,including the assessment of civil penalties you must submit a
completed permit coverage renewal application to the attention of the"Stormwater and General Permits Unit" at
the letterhead address within ten(10)days of your receipt of this letter(renewal application enclosed).
If the subject discharge has been terminated,please complete the enclosed rescission request form. Mailing
instructions are listed on the bottom of the rescission request form. You will be notified when the rescission
process has been completed.
Thank you for your prompt attention to this situation. If you have any questions regarding this matter,please
contact Mack Wiggins of the central office Stormwater and General Permits Unit at 919-733-5083,ext.542.
Sincerely,
for Gregory J.Thorpe,Ph.D.
Acting Director,Division of Water Quality
cc: Stormwater and General Permits Unit Files
Central 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 • 0
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary NCDENR
Gregory J. Thorpe, Ph.D., Acting Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANp NATURAL RESOURCES
I•
11/26/01
SAMUEL GLEN
GLEN SAMUEL-RESIDENCE
726 EVERETT RD
PISGAH FOREST, NC 28768
Subject: NPDES Wastewater Permit Coverage Renewal
Glen Samuel-Residence
COC Number NCG550542
Transylvania 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(919)733-5083,ext. 542
Sincerely,
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
`1

State'o %0,Ga ._..1na
04."% IT
,..}.-Zepartment of Environment, WAA
Health and Natural Resources `
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
i4
November 29,.1993
Samuel Glen
719 Hart Road
Pisgah Forest NC 28768
Subject: Certified Operator Requirements
Single Family Treatment Systems
NPDES Permit No. NCG550542
Transylvania County
Dear Mr. Glen:
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.
�x 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
NCG550542
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(919)733-0026.
�erelZ,
Cin Finanlie
isor.
raining and cation Unit
cc: Asheville Regional Office-Water Quality
Facilities Assessment Unit
Central Files

4
• � 1a� nv�` : �y
V
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
October 16, 1991
Mr. Sam Glen
710 Hart Road
Pisgah Forest, North Carolina 28768
Subject: Compliance Evaluation Inspection
Status : In Compliance
NPDES Permit Number NCO078301
Transylvania County
Dear Mr. Glen:
A Compliance Evaluation Inspection was conducted September 26,
1991, of the septic tank/subsurface sandfilter trench serving your
residence. Since the facility grounds and the receiving stream
indicated no problems, the wastewater treatment facility appears to be
operating properly, and is, therefore, considered to be in compliance
with its NPDES Permit.
If, in the future, the residence is sold, please inform the new
owners that they will need to apply for a new permit as NPDES Permits
are not transferable.
If you should have any questions, please feel free to contact me
at 704-251-6208.
Sincerely y�,
Kerry S. Becker
Environmental Technician
KSB
Enclosure
xc: Dan Ahern, EPA
\ Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 •Telephone [phone]
\ An Equal Opportunity Affirmative Action Employer

I
to States nvironmental rotection Agency / Form Approved
1C&E�9 Washington,D.C.20460
PA.,., N PDES Compliance Inspection Report OMB No. 2040-0003Approval Expires 7-31-85
Section A: National Data System Coding
Trans ctionCodde y J NPDES /� yr/mo/day Inspection Type Inspector Fac Type
1 .� l
I 7 12L7 I(ID 1117 14(r- 191l!� J i I 2
Remarks
( IIIIIIIIIIIIIIIIIIIIIII11111111111111111111111
Reserved Facility Evaluation Rating 61 QA ----- Reserved----------------- 66
6A 1 1 69 7�3 71u 72u 73__LJ 74 75L 1 I IILj 80
Section B:Facility Data
.Name and �,Locatio of Facil� ❑' Inspected Entry Time AM PM Permit Effective Date
1 0
Exit Time/Date Permit Expiration Date
C. /� - 3- 3 _ s'
Name(s)of O Site Representative( Title(s) Phone No(s)
Name,Address of Responsible Official Title
-S/4171 4!� 4-1
7/? �(—� // Phone No. Contacted
/ °
J S FiZfl, 7` C �' 7 0 - 7 — 3 5 S S� ❑ Yes E No r
Section C:Areas Evaluated During Inspection
(S=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated)
Permit N Flow Measurement Pretreatment Operations&Maintenance
5 Records/Reports h/ Laboratory Compliance Schedules S Sludge Disposal
Facility Site Review Effluent/Receiving Waters Self-Monitoring Program Other:
Section D: Summary of Findings/Comments(Attach additional sheets if necesseryJ
144 *��Vt�I S </,GG c d r r/tit�S S7iuc:y a. i�t �� t. �C�c��✓u1 p V(e-lgl
11 ( /C DUE' !O C cC Y c� ' V GL G (� S i Q� i Cat 7/ - cri'-J N 07�^•- 7d7.r✓t�r c��C���Z'�
(o, �j / Y 7�
a
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0
Name(s)and Sig tature(s f Inspector(s) Agency/Office/Telephone Date
i
tZReI76 - ZsJ - (o " l ��l
S' f Reviewer Agency/Office Date
az P'�5m /7 lf—Z
\ Regulatory Office Use my
\ Action Taken Date Complian a Status
�. EJ) Norrcompliance
/Com liana

State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
October 16, 1991
Mr. Charles Ayers
80 Kelly Lane
Pisgah Forest, North Carolina 28768
Subject: Compliance Evaluation Inspection
Status : In Compliance
NPDES Permit Number NCO071579
T. nsylvania County
Dear Mr. Ayers:
A Compliance Evaluation Inspection was conducted September 26,
1991, of the septic tank/subsurface sandfilter trench serving your
residence. Since the facility grounds and the receiving stream
indicated no problems, the wastewater treatment facility appears to be
operating properly, and is, therefore, considered to be in compliance
with its NPDES Permit.
If, in the future, the residence is sold, please inform the new
owners that they will need to apply for a new permit as NPDES Permits
are not transferable.
If you should have any questions, please feel free to contact me
at 7047251-6208.
Sincerely yot s, /
erry ). Becker
Environmental Technician
KSB
Enclosure
xc: Dan Ahern, EPA
Interchange Building, 59 WoodHn Place, Asheville, N.C. 28801 •Telephone [phone]
An Equal Opportunity Affirmative Action Employer

.. .ed States Environmental Proleciion Agency Form Approved
Washington,D.C.20460
'COE NPDES Compliance Inspection Report OMB No.204
p P Approval Expiresres 7-3 7-31-85
Section A: National Data System Coding
Transa lion Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 �I0-10161171/ [s I� 191 „ ,2 1� IGJ 9b� 117 1 r✓ 2
Remarks
21 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIILI
Reserved Facility Evaluation Rating BI CIA ------ ------Reserved----------------- 66
6A_L_U 69 70U 71u 72u 7j__LJ 74 75 I I 1 I ( 180
Section 6: Facility Data
Name and Location of Facility Inspected Entry Time ❑ AM LPM Permit Effective Date
4 Ae%/yI/_/07V
Exit Time/Date Permit xpiration Date
Name(s)of On-Site Representative(s) Title(s) Phone No(s)
ame, dress of Responsible Official Title
S.g711 c X5 d ✓^,— Phone No. Contacted 0 °
7 d 7 - ;2/7 '- 3 7 ? 7 L��yYes❑ No
Section C:Areas Evaluated During Inspection
(S=Satisfactory,M=Marginal,U=Unsatisfactory,N=Not Evaluated)
Permit h/ Flow Measurement Pretreatment Operations&Maintenance
5 Records/Reports N Laboratory Compliance Schedules S Sludge Disposal
Facility Site Review Effluent/Receiving Waters ,J Self-Monitoring Program Other:
Section D:Summary of Findings/Comments(Attach additional sheets i/necessary)
FA S -e
1
+0.C 1. T/ W,,c c---•—,,0 S i A J t c r.c, O✓3 ( ..
Name(s)and Signature( I Inspector(s) Agency/Office/Telephone Date
lee, - 5
Si of Review r Agency/Office Date
1L /6 9st-tus
Regulatory Office Use y
Action Taken Date C plia ce
❑ Npncompliance
0m liance

ROBERT L. WHITMAN
CONSULTING ENGINEER
Rte.#2,Box 498-A
Brevard,NC 28712
[phone]
March 22, 1991
Mr. Sam Glen
Everett Farm Road
Pisgah Forest, NC 28768
Re: Certification of Sanitary
System Completion
Dear Sam:
Upon final inspection of referenced system by me and
State Waste Water Engineer, Gary Tweed, I hereby certify that
system is complete and satisfactory. t
Very truly yours,
RLW/w Robert L. Whitman
Copy: Gary Tweed
re C
tktllity g�ctl0n � c , i
MAC 2 1n91
evilie Regional Of
Mh
As�evillc,North Carotma

7o ,
o�
< GL zv
' 4^-�,

d� o REC, E ED
Water Qoality S0ctiN
•- �• JUrf 00
State of North Carolina Asheville Rf,,Jon':fl Office
Department of Environment,Health and Natural Resources Asheville, North Carolilla
Division of Environmental Management
512 North Salisbury Street• Raleigh,North Carolina 27611
James G.Martin, Governor George T.Everett,Ph.D.
William W. Cobey,Jr., Secretary Director
June 18, 1990
Samuel Glen
719 Hart Road
Pisgah Forest, NC 28768
Subject: Permit No. NCO078301
Authorization to Construct
Single Family Discharge
Wastewater Treatment Facility
Transylvania County
Dear Mr. Glen:
A letter of request for an Authorization to Construct was received May 1, 1990 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 360 GPD Single Family
Discharge Facility consisting of a 1200 gallon septic tank, two (2) parallel sand filters and all
appurtenance for this system with discharge of treated wastewater into French Broad River.
This Authorization to Construct is issued in accordance with Part III paragraph B of
NPDES Permit No. NCO078301 issued April 30, 1990, and shall be subject to revocation unless
the wastewater treatment facilities are constructed in accordance with the conditions and limitations
specified in Permit No. NC0078301.
The sludge generated from these treatment facilities must be disposed of in accordance with
G.S. 143-215.1 and in a manner approved by the North Carolina Division of Environmental
Management.
In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions,the Permittee shall take immediate corrective action,including those as may be
required by this Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Asheville Regional Office, phone no. 704/251-6208, shall be notified at least
forty-eight (48) hours in advance of operation of the installed facilities so that an in-place
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Pollution Prevention Pays
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
\��`N" An Equal Opportunity Affirmative Action Employer

A copy of the approved plans and specifications shall be maintained on file by the Permittee
for the life of the facility.
The sand media of the two (2) sand filters must comply with the Division's sand
specifications.
A leakage test shall be performed on the septic tank and dosing tank to insure that any
exfiltration occurs at a rate which does not exceed twenty (20) gallons per twenty-four(24) hour
per 1,000 gallons of tank capacity.
Failure to abide by the requirements contained in this Authorization to Construct may
subject the Permittee to an enforcement action by the Division of Environmental Management in
accordance with North Carolina General Statute 143-215.6.
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal)which have jurisdiction.
One (1) set of approved plans and specifications is being forwarded to you. If you have
any questions or need additional information,please contact Lindsay L. Mize, telephone number
919n33-5083.
S cerely,
George T.Evere
cc: Transylvania County Health Dep nt
Asheville Regional Office
Training and Certification Unit

r ,
+=��1•�-L� Cd. �X'
U
RECEIVED
Water Quality Section
J U N 14 1090
,Asheville Regional,Office
Asheville, North Card P,a

ds 0 �
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street m Raleigh,North Carolina 27611
James G. Martin, Governor George T. Everett,Ph.D.
William W. Cobey,Jr., Secretary Director
June 4, 1990
Samuel Glen
719 Hart Road
Pisgah Forest, NC 28768
Subject: AC0078301
Additional Information
Authorization to Construct
Single Family Discharge
Transylvania County
Mr. Glen:
The Permits and Engineering Unit has completed a preliminary engineering review of the
subject application.
The following items must be addressed before we can complete our review:
1) For the Sand Filters The Division Requires 1.15 Gallon Per Day Per Foot
Squared. The Sand Filters Need to be Redesigned.
2) Profile view of the distribution box that feeds the sand filters.
3) Longitude and latitude of discharge point placed on plans.
4) Copy of Transylvania Health Dept.Denial letter.
Refer to the subject permit application number when providing the requested information.
Also,please note that failure to provide this additional information on or before August 4, 1990 will
subject your application to being returned as incomplete in accordance with 15 NCAC 2H .0208.
If you have any questions on this matter,please call me at 919/733-5083.
,Sincerely,
Environmental Engineer
cc:Asheville Regional Office 17- CEI V ED
Water Quality Sectirxl
Permit File AC0078301
Pollution Prevention Pays
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone] J V N b — 1990
An Equal Opportunity Affirmative Action Employer
Asheville Regional4Office
,Asheville, North Carolina

c
3 � �V s ���J
S6�a�
��� �

cd
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann R Orr
William W. Cobey, Jr., Secretary Regional Manager
Division of Environmental Management
Water Quality Section
June 7, 1990
MEMORANDUM
To: Lindsey L. Mize _ -
Permits and Engineering/
Through: Forrest R. Westall �Z�� �•��/
Regional Water Quality Supervisor
From: Gary T. Tweed, P.E.
Environmental Engineer
Subject: Staff Report and Recommendations
AC0078301
Glenn Residence
Transylvania County
This office is in receipt of the June 4, 1990 plans review
letter sent to Mr. Sam Glenn on subject project. The following
comments are offered in order of items addressed:
1. The sand filters are designed based on 1. 15 GPD/Square
Foot. There are two 3 ' x 52 ' filters totaling 312 square feet.
With 360 GPD design this equates to 360\312 = 1 . 15 . No
adjustment to the design is needed.
2. Distribution boxes are precast items and a profile serves no
purpose. The profiles of the filter and septic tank are
provided and sufficient for a complete review.
3. Latitude and Longitude are in staff report and are as
follows:
Latitude 35 DEG. 15 MIN. 40 SEC.
Longitude 82 DEG. 38 MIN. 45 SEC.
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 • Telephone [phone]
An Equal Opportunity Affirmative Action Employer

i
i
AC0078301
Glenn Residence
Page Two
June 7, 1990
It is not necessary for these to be shown on plans and would not
warrant revision just for this item.
4. The Health Department denial was required as part of the
NPDES Permit application and was submitted. A copy from our
files is enclosed.
It appears that with this information the Division should be
able to issue the authorization to construct. We were under the
impression that the authorization had been completed when the
project was being reviewed by John Seymour. This is a very
simple project and design is more than sufficient for approval.
It is recommended that the Authorization to Construct be issued
as soon as possible.
GTT
cc: Sam Glenn

TRANSYLVANIA COUNTY HEALTH DEPARTMENT
Sewage Disposal System Improvements Permit and Certificate of Completion Sewage Treatment
and Disposal Rules(Article 11 of Chapter 130A of the General Statutes of North Carolina)
June •29, •1989
Date: Receipt No.: a g
Owner/Agent: Sam .Glen - Phone No.:.(404) •9.45-6404
Address: .3971 Magnnl is L R ane ,ifnr�, GA -3051 R 7
Location of Property: Old .Hwy.• :64 to .Everette Farm Rd .on left-.before Jim Cope•(tan house)
(formerly Chapin property):
(no basement)
Subdivision: Lot Number: Section: Plat of Property: YES CINo❑
Type of Facility: HOUSE MOBILE HOME❑ BUSINESS❑
Number of Bedrooms: 2 Number of Bathrooms: - 2 Estimated Sewage Flow: •940 gpd
Type of Water Supply: Individual—DRILLED WELD SPRING❑; Public/Community❑
Lot Size: 5 acres Easements, ight-of-Ways,a c.
Signature/Authorized Agent: Date: 2�
Col a- ?/I1/0� _
UNSvllAtUtr .Solc.5 CCr,ecv,p
&A5V✓'t& Fl t h l{
MOIT{-ES G I t'
7 At
NEW SYSTEM❑ REPAIR❑ Building Contractor:
Size of Tank: Distribution Box: System Installed by:
No. of Lines: Width: Linear Ft.: This is to certih,?hat system is installed according to Rules and Regulations
but is not a guarantee that it will function satisfactorily for any given period
Square Ft.: Maximum Trench Depth: of time.
Application Rate:
I understand and agree to install the septic tank system as specified on this By Date
Improvements Permit.Permit is void if any changes are made without con-
sent of the Health Department Representative and/or if any false informa- EXISTING SYSTEM: ADDITION❑ REMODELING❑
tion is supplied in making Improvements Permit.
System functioning properly at time of inspection and is approved for
proposed additions/renovations.
Slgna turelAuthorized Agent Date
By Date
By Date
Color Codes: Health Dept.-Green;Owner-White;Contractor-Canary;Improvements Permit-Pink;Inspections Dept.-Gold

i
r
STATE OF NORTH CAROLINA
EASEMENT
COUNTY OF TRANSYLVANIA
THIS INDENTURE, made by and between Thomas F. Walsh, Jr. ,
widower, as Grantor, and Sam Glen and wife, Bianca Glen, as
Grantees;
WITNESSETH:
I
THAT WHEREAS, Grantor is the owner in fee simple of a tract
of property containing 21 . 97 acres more or less and described in
a Deed recorded at Deed Book 265, Page 330, Transylvania County
Registry;
AND WHEREAS, the Grantees are the owners of a tract of land
containing 5 acres more or less which is described in a Deed
recorded at Deed Book 314 , Page 138 , Transylvania County
Registry;
AND WHEREAS, the two tracts share a common boundary
approximately 1, 157 feet in length;
AND WHEREAS, the Grantees are desirous of installing a drain
line immediately to the west of their common boundary with
Grantor which will extend along the Grantor's line to the French
Broad River, and the Grantor is willing to convey an easement for
said drainline;
NOW, THEREFORE, in consideration of the sum of $10 . 00 and
other good and valuable considerations passing from Grantees to
Grantor, receipt of which is hereby acknowledged, the Grantor
hereby gives, grants, and conveys an easement five feet in, width,
on either side of the following described center line, and as an
appurtenance to the tract owned by Grantees :
BEGINNING at an unmarked point, said unmarked point being
located North 03 deg. 17 min. 20 sec . West 51 . 35 feet from an
existing iron pipe set in a ditch, the dividing line between the
property of Walsh and the property of Glen, said iron pin further )
being located North 26 deg. 01 min. 14 sec . East 688 . 32 feet from
an existing nail, corner of the Walsh tract, located in the
PAUI.A. y-st-I H.il� center line of Everett Road, and running thence roughly parallel
A18S.Bod.Sw with the ditch marking the boundary between Walsh, Glen, and Cope
2.0.Broi0% North 37 deg. 11 min. 26 sec . East 231 . 18 feet to a stake; North
P'"'B"x'"`� 04 deg. 29 min. 33 sec . East 240 . 01. feet to a stake; North 08
mom,.,°, 40 1I (log . 37 m.l n . 46 tsuc: . I;tats1. 2.19 . 88 1 uot. t.ca to ot.tako; isricl Nor. t:ti 1.2
""'""'"�" de 56 min. 42 sec . West 250 . 99 feet to a g • point in the center of
the French Broad River, said point being located North 54 deg. 51
min. 55 sec . West 50 . 90 feet from an existing iron pin on the
bank of the French Broad River, corner of Walsh and Cope.
I

I
TO HAVE AND TO HOLD THE AFORESAID INTEREST, subject to the
fee retained by the Grantor, to his only use and behoof forever;
provided however, that the Grantees shall install and maintain
said drainline at their own expense and shall neither cause nor
suffer to be caused any disturbance of or diminution of the value
of the land retained by Grantor, and further provided as follows :
1 . That Grantor reserves the right for himself and his
heirs to tap on the drain line for his own septic system;
2 . That the line shall be buried at least three ( 3) linear
feet beneath the surface of the earth at all points along its
length;
3 . That with respect to the elevation of its southern
terminus, the line will be installed on a grade of no less than
one-half ( 1/2) of one ( 1) percent, or a six ( 6 ) inch drop in
elevation for every one hundred ( 100) feet of length, in order to
maintain a steady flow of effluent to the outfall point at the
French Broad River; and
4 . That the Grantees insure bompliance will all federal,
state, and local regulations applicable to this type of septic
system.
IN WITNESS WHEREOF the Grantor has hereunto set his hand and
seal this the 13th day of December, 1989 .
(Seal)
Thomas F. Walsh, Jr.
STATE OF MASSACHUSETTS
COUNTY OF Worcester
i
I Charles H. Miller, II , a Notary Public of the County
and State aforesaid, certify that THOMAS F. WALSH, JR. ,
personally appeared before me this day and acknowledged the
execution of the foregoing instrument . Witness by hand and
official stamp or seal, this 13th day of December, 1989 .
PAUL R.WELCH,III
2188.Bnwd til.
P.O.Box 1056 Notary Public
Rmard,N.C.28712
My Comm.issi.on PxDi.re>>,, :
71N/NIIA W\1
i
CHARLES H. MILLER II
NOTARY PUBLIC
MY COMMISSION EXPIRES I
MAY 11, 1990
I
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NORTH CAROLINA DEPAR`IM�NT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUM11FR
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR
AGENCY
USE DATE REC1.1VlP
to be filed only by services, wholesale and retail trade.and other commercial establishments including vessels
YEAR Mo. DAY
Do not attempt to complete this form without reading the accompanying instructions
Please,print or type
1. Name, address, and telephone number of facility producing discharge
A. Name SAMUEL GLEN
B. Street addressVERETT ROAD
PIS60 FORST N.C.
C. City D. State
County
TRANSYLVANI A F. 28768
E. IIP
G. Telephone No. 704 877-3955
Area
Code
2. SIC
(Leave bleak)
RESIDENCE
3. Number of employees
4. Nature of business
5: (a) Check here if discharge occurs all yearly. or
(b) Check the month(s) .discharge occurs:
1.a January 2.0 Febru
k, ary 3.a Karch
N� 4.o Agri l S.d May
6.o June 7.O July 8.o August 9,o Septewber 10.o October
1 I.o November 12.0 December
(4) Hpw many days per week:
i.O1. 2.,02-3 3,04-6 4.)b6-1
6. Types of waste water discharged to surface.waters only (check as applicable)
Flow, gallons per operating day Volum treated before
discharging (percent)
1 0 000 N
Discharge per > 0.1.999 1000-4999 5000-5999 10 000- $0, one . 30- -
operating day • 65 95"
49,999 or onore 29.9 64.9 94.9 100
(1) (2) (3) (4) (5) (6) (1) (8) (9) (10)
A. Sanitary, daily X
average 360
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.f.entified in item6, either treated or un- ,_
fire:ted,-are discharged to places other than surface waters, check below
as applicable;
Waste water is discharged to: 0.1.999 1000-4999 SM-9999 10.000-49,999 $0,000 or more
(1) (2) (3) (4) �5)
A. MunIc.ipdI :rwt-r ,ystem
11, Illile� irwln�t we l l
C. Septic tank
U. Evaporation Lagoon or pond
E. Other, specify:
H. Number of separate discharge points:
A.01 B.0 2-3 C.ci 4-5 D,o 6 or more
9. Nance of receiving water or waters FRENCH BROAD RIPER
10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances added as a result of your operations,
activities, or processes: enmonis, Cyanide, aluminum, beryllium, cadmium,
chromium, copper, lead, mercur , nickel, selenium, xlnc, phenols, oil and
{ grease, and chlorine (residual.
1 A.a yes 131 no
t°-certify that I am familiar with the information contained in the application and
i that to the best of my knowledge and belief such information is 'true, coMlete,`and
accurate,
SAMUEL GLEN
( Printed Name of Person Signing
{, OWNER
Title
D�. Application S nod
Si nature of Applicant
Xbrth Carolina General Statute 143--215.6(b) (2 Pro.vides that: Any person who knwingly makes
{ Y lae-statement representation, or certification its any application,'record, report, plan,
Idler etoctment files or required to be maintained under Article 21 or regulations of the
-,zj t rtYl:; utal 'Management: Commission mplgm0n1;tng that Article, or who falsifies, tampers w t`r;
F?_y 'renders inaccurate any-recorrding or rionitoritLg pvice or method required to be
.° :rated or maintained under Article 2.J:.ot• reguiatoaa of the Environmental Inagstoent'Cotis;.i o!
a, �,� enting that Article, a misdemeanor punishable by a -fine not to exceed
�10* Or)rl, or by imprisonm nt•.tiot to exceed six months, or by both. (18 L',S.C. Section 1001 pr.or:__
:clr:a. 4nnent'by a fine'of"nnt more than $10,000 or impriaoament not more than 5 years, or bot'r.,
i % i` a. sznilar offense.)

January 5, 1990
Mr. Gary, T. Tweed, P .E.
N.C . Dept, of Environment, Health, & Natural Resources
Division of Environmental Management
59 Woodfin Place
Asheville, N. C . 28801
Dear.. Mr. Tweed:
I `respectfully request authorizat:i6n to construct an NPDES
system for Single Family Residence..
The site was denied a permit from the Transylvania County
Health Department for any type of ground absorption system.
A copy of the Disapproval is attached with the application.
The following documents are attached:
10 Permit Application
2 . Fee/Check - $120.00
3 . Plans and Specifications
4 . 'Pransylvania'Countiy Health Dept.-Denial
5 . Easement from Thomas F. Walsh, Jr.
6 . . Easement Survey
Please give this permit application your expeditious
attention.
{
Samuel Glen-
719 Hart Road
Pisgah Forest, N . C . 28768
Attachments 704/877-3955

TRANSYLVANIA COUNTY HEALTH DEPARTMENT
Sewage Disposal System Improvements Permit and Certificate of Completion Sewage Treatment
and Disposal Rules(Article 11 of Chapter 130A of the General Statutes of North Carolina)
June •29, •1989 Date: Receipt No.: c�
Sam .Glen (404) •9.45-6404
Owner/Agent:ner/Agent:
Phone No.. (� �l
Address: 1971 Magnal i a T ane Rnfnrrl, GA '1051 R 7 7
Location of Property: 01d .Hwy.• :64 to .Everette Farm Rd .on left-.before Jim Cope'(tan house)
(formerly Chapin property).
(no basement)
Subdivision: Lot Number: Section: Plat of Property: YES CXNO❑
Type of Facility: HOUSE$] MOBILE HOME❑ BUSINESS❑
Number of Bedrooms: 2 Number of Bathrooms:_ Estimated Sewage Flow: •?40 gpd
Type of Water Supply: Individual—DRILLED WELD SPRING❑; Public/Community O
Lot Size: 5 acres Easements, fight-of-Ways,a c.
Signature/Authorized Agent: Date:
tor
uNSvilAtUtr Sau.5 (CTuw,p T1L� )
k
M07TI gS L I Z
F
LOr l7f s/F 'av6I>
'�
NEW SYSTEM❑ REPAIR❑ Buildingg Contrgctor:
Size of Tank: Distribution Box: System Installed by:
No. of Lines: Width: Linear Ft.: This is to certify+.hat system is installed according to Rules and Regulations
but Is not a guarantee that it will function satisfactorily for any given period
Square Ft.: Maximum Trench Depth: of time.
Application Rate:
understand and agree to install the septic tank system as specified on this By Date
Improvements Permit.Permit is void it any changes are made without con-
sent of the Health Department Representative and/or if any false informa- EXISTING SYSTEM: ADDITION El REMODELING❑
tion is supplied in making Improvements Permit.
System functioning properly at time of inspection and is approved for
proposed additions/renovations.
D -,
Slgnature/Authorized Agent Date
6y Date
°By Date
Color Codes: Health Dept.-Green;Owner-White;Contractor-Canary;Improvements Permit-Pink;Inspections Dept.-Gold

._,
� d..+5G11Fo � \
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
1,
January 5, 1990
Mr. Sam Glen
719 Hart Road
Pisgah Forest, N.C. 28768
Subject: NPDES Permit Application
No. NCO078301
Proposed Residence
Transylvania County
Dear Mr. Glen:
Receipt of the following documents is hereby acknowledged:
_x_ Application Form
_x_ Engineering Proposal (for proposed control facilities)
Request for Permit Modification
_x_ Permit Processing Fee $120 . 00
Other
This application has been forwarded to the Permits and Engineer-
ing Unit in the Raleigh Office for review and preparation of a draft
permit. You will be advised of any comments, recommendations,
questions, or other information necessary for the review of the
application.
If you have any questions regarding this application, please
contact the Permits and Engineering Unit, Water Quality Section, Post
Office Box 27687 , Raleigh, North Carolina 27611 .
Sincerel ,
v '
Gary T Tweed, P.E.
Environmental Engineer
Division of Environmental Management
xc: Roy M. Davis
Permits and Engineering
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 • Telephone [phone]
An Equal Opportunity Affirmative Action Employer

SAMUEL GLEN .1 0 4
719 HART RD.
PISGAH FOREST, NC 28768 66-7349
19 � 2531
PAY TO THE
ORDER OF C/ Vo / /�' /1 O
OLLARS
r
Blue Ridge GOLDEN CHECKING
Savings Bank, ,..
Brevard,NC 2871Z--/'
MEMO

Dateianuary 5 , 1990
NPDES STAFF REPORT AND RECOMMENDATIONS
County Transylvania
Permit No. NCO078301
PART I - GENERAL INFORMATION
1. Facility and Address: Sam Glen Residence
719 Hart Road
Pisgah Forest, North Carolina 28768
2. Date of Investigation: September 27, 1989
3 . Report Prepared By: Gary T. Tweed, P.E.
4. Persons Contacted and Telephone Number: Mr. Sam Glen
704/877-3955
5. Directions to Site: The site is located off Everette Farm Road
in the Little River Community of Transylvania County.
6. Discharge Point - Latitude: 350 15140"
Longitude: 820 38145"
Attached a USGS Map Extract and indicate treatment plant site and
discharge point on map.
USGS Quad No. or USGS Quad Pisgah Forest
7. Size (land available for expansion and upgrading) : 5 acres
8. Topography (relationship to flood plain included) : Flat
9. Location of nearest dwelling: Greater than 500 feet
10 . Receiving stream or affected surface waters: French Broad River
a. Classifications: C
b. River Basin and Subbasin No. 04-03-02
C. Describe receiving stream features and pertinent downstream
uses: Rural runoff, very large river system.

f i
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% % Domestic
% Industrial
a. Volume of Wastewater: . 00036 MGD
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
a. highest month in the last 12 months
b. highest year in last 5 years
3 . Description of industrial process ( for industries only) and
applicable CFR Part and Subpart:
4. Type of treatment (specify whether proposed or existing) : The
proposed facility consists of a septic tank/subsurface sand
filter with long effluent line to the French Broad River.
5. Sludge handling and disposal scheme: Sludge disposal is by a
licensed commercial septic tank cleaning firm.
6. Treatment plant classification: N/A
7. SIC Code(s) 4952
Wastewater Code(s) 04

( i
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants Funds
(municipals only) ?
2. Special monitoring requests:
3 . Additional effluent limits requests:
4 . Other:
PART IV - EVALUATION AND RECOMMENDATIONS
Mr. Sam Glen has made application for a NPDES permit for a proposed
residence located along the French Broad River in Transylvania
County. Due to the high water table the site was denied a
conventional system permit by the Transylvania County Health
Department. An easement to the river was obtained such that a
discharging application could be submitted. It is recommended that
this project be submitted to public notice.
l �
Sign tur f Report Preparer
d'v( 1
tm , .h
Water Quality Regional Supervisor

NPDES SFR WASTELOAD ALLOCATION
Date : I- 5 -90
Facility Name : S 4M � �¢1C.� P e r m i t
R e c e i v i n g S t r e am : ("Q�c+�+L� �Zo�r� v>`!Z C I a s s : Sub-B a s i n
County : `�sY'-"�"� "4 Regional Office -
Reference USGS Quad : -pSC,a-% 6-0;2-Z5 Existing : Proposed :
Elevation : ZG� �QO Drainage Area : Z Zfg/ SoP A^.,
Hydrologic Group Design Temperature : Z7-
Slope : /V/X Comments :
z7• �.� Z`7l '50 �!.
�rrrG. few 930 �.=s
RECOMMENDED EFFLUENT LIMITS
Wastef low ( gpd ) : 3&0 Gt�-�
BOD5 Cmg
NH3-"d (mg ! i ) :
D . O . (mg / I ) : —
pH ( SU ) : _
Fecal Coli C / 100ml ) :
T S S (mg / ! ) : 3a M&/L
RECOMMENDED BY : Date :
APPROVED BY : %I
Regional Engineer :_ Date :
Regional Supervisor :_ Date : _
ROUTE to Techn ! ca , Supscrt Croup anu Permits & Engineering Unit
( En c•. e cc:r y f ! S :,Q- , ;? n,; I >r' c. a .. a n r
e r+or cr. at ion o discharger )

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ROAD CLASSIFICATION
,0 _._5000 --6000 - ---'000 FEET_--
t=== Heavy duty Poor motor road
k LnMEIEF `ILL— Medium duty Wagon and leer)trac
FEET f�CKFrtTUCKY ...VA Light duly Foot trail
RVAL CONIOURS 7 `r 1` l; S Ruule 0 State Route
ATUM OF 1929 TENNESSEE h C r. developed eas. oNiy through roads are classil,,
� : _ /
a•
MISS ALA` .. GA'�S C SRM C�►_E�/
1CCURACY STANDARDS O ,1DFAri(;LE �terSI- tL{L� PISGAH FORES
RESTON, VIRGINIA 22092 �eoO
TENN. 37401 OR KNOXVILLE, TENN. 37902 N3515 W823/.')
'BOLS IS AVAILABLE ON REQUEST
1965
PHOTOREVISED
AMS M54 I SW-1,',LRI1

State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey,Jr., Secretary Regional Manager
Division of Environmental Management
Water Quality Section
May 14, 1990
Mr. Jeff Portman
Century 21
P.O. Box 1638
Brevard, N.C. 28712
Subject: NPDES Permit No. NCO078301
Sam Glenn Residence
Transylvania County
Dear Mr. Portman:
Subject permit was issued effective April 30, 1990. With
this permit Mr. Glenn should be able to obtain local building
permits. Should there be any questions, please advise.
Sincerely yours,
Gary T. Tweed, P.E.
Environmental Engineer
N.C. DEM
GTT
\\, Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 •Telephone [phone]
w
An Equal Opportunity Affirmative Action Employer

a."'srArF o- I
State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey,Jr., Secretary Regional Manager
Division of Environmental Management
Water Quality Section -
May 15, 1990
MEMORANDUM
To: John Seymour
Permits and Engineering
Through: Forrest R. Westal
Regional Water Qua ervisor
From: Gary T. Tweed, P.E. �'•
Environmental Engineer
Subject: Staff Report and Recommendations
AC0078301
Glenn Residence
Transylvania County
Plans and specifications for subject project have been
reviewed and found acceptable. It is recommended that an
Authorization to Construct be issued as soon as possible. This
project has been severely frustrating for the applicant and it
would be greatly appreciated to be processed quickly. Should
there be any questions, please contact this office.
GTT
cc: Sam Glenn
Interchange Building, 59 WoodFin Place, Asheville, N.C.28801 •Telephone [phone]
v An Equal Opportunity Affirmative Action Employer

MAY fo.ln
ti ��t1�7,PP fill i i��i ' r �!i:•'ji
\/
,Asfiovi!{,'
State of North Carolina ,,lslieviIlc, North Gai,olina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina.27611
James G. Martin, Governor George T. Everett, Ph.D.
William W. Cobey,Jr., Secretary Date: 19 Director
SUBJECT: Application No. W,Q
f
Dear
The Divisions Permits and Engineering Unit acknowledges receipt of your permit application and supporting
materials on , 19 . This application has been assigned the number shown above.Please
refer to this number when making inquiries on this project.
i
Your project has been .assigned to for a detailed engineering
review. A technical acknowledgement will be forthcoming. If this acknowledgement is not received within thirty(30)
days, please contact the engineer listed above.'
Be aware that the Divisions regional office, copied below,must provide recommendations from the Regional Super-
isor or a Procedure Four Evaluation for this project, prior to final action by the Division.
you have any questions, please call the review engineer listed above at [phone].
Sincerely r
i
Donald Safrit, P.E.
Supervisor, Permits and Engineering
CC: Regional Supervisor
F
4
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

der
PUBLIC NOTICE r
STATE OF NORTH CAROLINA '1 jQjl
ENVIRONMENTAL MANAGEMENT COMMISSION
POST OFFICE BOX 27687 Ash evili ion�,i Office
RALEIGH, NORTH CAROLINA 27611-7687 Asheville, Plcrtii Carolina
NOTIFICATION OF INTENT TO ISSUE A STATE NPDES PERMIT
On the basis of thorough staff review and application of Article 21 of Chapter 143, General Statutes of
North Carolina,Public Law 92-500 and other lawful standards and regulations, the North Carolina
Environmental Management Commission proposes to issue a permit to discharge to the persons listed
below effective 4/30/90 and subject to special conditions.
Persons wishing to comment upon or object to the proposed determinations are invited to submit same in
writing to the above address no later than 4/15/90 . All comments received prior to that date will be
considered in the formulation of final determinations regarding the proposed permit. A public meeting may
be held where the Director of the Division of Environmental Management finds a significant degree of
public interest in a proposed permit.
A copy of the draft permit is available by writing or calling the Division of Environmental Management,
P.O. Box 27687, Raleigh, North Carolina 27611-7687, [phone].
The application and other information may be inspected at these locations during normal office hours.
Copies of the information on file are available upon request and payment of the costs of reproduction.
All such comments or requests regarding a proposed permit should make reference to the NPDES permit
number listed below.
Date
George T.Everett,Director
Division of Environmental Management
Public notice of intent to issue a State NPDES permit to the following:
1. NPDES No. NC0061930. Mark Laurel Association, PO Box 1275, Highlands, NC 28741 has
applied for a permit renewal for a facility located at Mountain Laurel Subdivision, off NC Highway 106,
west of Highlands, Macon County. The facility discharges 0.042 MGD of treated domestic wastewater
from one outfall into East Fork Overflow Creek, a Class C-Trout ORW stream in the Savannah River
Basin which has a 7Q10 flow of 0 cfs and a 30Q2 flow of 0 cfs.
2. NPDES No. NC0078301. Mr. Samuel Glen, 719 Hart Road, Pisgah Forest, NC 28768 has applied
for a new permit for a facility located at Samuel Glen Residence,off Everette Farm Road,Little River
Community,Transylvania County. The facility proposes to discharge 0.00036 MGD of treated domestic
wastewater from one outfall into the French Broad River, a Class C stream in the French Broad River
Basin.

Permit No. NCO078301
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. Samuel Glen
is hereby authorized to discharge wastewater from a facility located at
Samuel Glen Residence
off Everette Farm Road
Little River Community
Transylvania County
to receiving waters designated as French Broad River 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 -0/10/'j v
This permit and the authorization to discharge shall expire at midnight on September 30, 1995
Signed this day
xrlrurlulli
F [&
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

;i
Permit No. NC0078301
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Samuel Glen
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility, and
2. Make an outlet into French Broad River, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management, construct and operate a 0.00036 MGD wastewater treatment facility located
at Samuel Glen Residence, off Everette Farm Road, Little River Community,
Transylvania County (See Part III of this Permit), and
4. Discharge from said treatment works at the location specified on the attached map into
French Broad River which is classified class C waters in the French Broad River Basin.

% 0. MG1Uflt8
Fa tt —Ga15
V.
Charles i '� ./ tir Q I % �I�°j - / ''� _ ;'Fod ers_ta t %i
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HE%•JERSO'•.-LLE 14 Ml.
Pr,—ID CLA- IFICATION
'I• Hea n;,, Poor molar roar
r. a'
f..I l VA l
IATUM OF 1929 1, roads a,e ri.
�4
RI.STON, VIRGI'r 22092 PISGAH FOR
1, TI:NN. 37401 0` NOXVIL.LE, 1ENN. 11:'_; fd3`,I`.; 'W8t )3
.'•]hilt', IS :tJ REQUEST
1965
PHOTOREVIS[
IS ;•15,1 I SW-S�

A. ().EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL Permit No. NCO078301
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 Discharge Limitations Monitoring Requirements
Units (specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Frequency Type Locution
Flow 360 CPD
BOD, 5 day, 200C 30.0 mg/1 45.0 mg/1
Total Suspended Residue 30.0 mg/I 45.0 mg/I
NH3 asN
Temperature
The pH shall not be less that 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 III Permit No. NCO078301
D. In the event that violations of the
fecal coliform requirements of the
North Carolina water quality standards occur as a result of this discharge,
disinfection will immediately be required and the permit amended to establish
a coliform effluent limitation.

l
. Wafer Quality, Seci,r;n
`N 19 t`�
,Asheville, Rim ors ;l O'fice
State of North Carolina Asheville, North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
1/16/90
James G.Martin,Govemor R. Paul Wilms
William W.eobey,Jr.,Secretary Director
Mr. Samuel Glen
719 Hart Road Subject : NPDES Permit Application
Pisgah Forest, NC 28768 NPDES Permit No.NC0078301
Samuel Glen Residence
Dear Mr. Glen : Transylvania County
This is to acknowledge receipt of the following documents on January 16, 1990:
Application Form
Engineering Proposal (for proposed control facilities) ,
Request for permit renewal,
Application Processing Fee of $120.00,
Other County health dept. certificate addressing site denial. Easement.,
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)
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 Mack Wiggins
(919/733-5083) of our Permits Unit for review. You will e advised ot 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.
Si�c e/rely,
M. Ov
CC• Asheville Regional Office Dale ash, P� .
PODudon Prevention Pays
P.O.Box 27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

.1 J
NO,CZTi CI. ROLINA DEPARTMENT OF EWIRUZIEN'T', HFAT,TH, AND NATURAL RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUNbf9
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM 0 FOR /V e- 4 o 191,3 o 1
AGENCY
USE DATE RECH VID
to be filed only by services, wholesale and retail trade, G? 0 D t 9
and other conn�ercial establishments including vessels YEAR HO, DAY
O'k.mo 104
,$a o o a
0 not attempt to complete-this form without reading the accompanying instructions
Please print or type WD
n
1. Name, address, and telephone number of facility producing discharge
A. Name . SAMUEL GLEN
VERETT ROAD
B. Street address A ORESTN.C.
G. City D. State
TRANSYLVANI A F. ZIP 28768
E. County
G. Telephone No. 704 877-3955
Area
Code
2. SIC
(Leave blank) - JAN 2 1990
RESIDENCE
31 Number of employees PC WITS c, F;,l ii\! ! In+i=
4. Nature of business
5. (a)..Check here if discharge occurs all yearn], or
(b) Check the month(s) dischoir9e occurs:
N/A 1,o January 2,D February 3,13 March 4.(7 April 5.a May
6,o June 7.a July 8.o August 9,o Septevber 10.o October
I1.0 November 12.o December
(c) How many days per week;
1.01 2.0 2-3 3.0 4-5. 4.)b 6-7
6, Types of waste water discharged to surface waters only (check as applicable)
volume treated before
Flow, gallons per operating day discharging (percent)
Discharge per 0,1-999 1000-4999 5000-"99 10,000- 50.000 None 0,1 3"L) (�
95-
operating day 49,999 or more 29.9 64 100
11) (2) t3) (4) (5) (6) (7) (B (10)
A. Sanitary, daily X
average 360
B. Cooling water, etc.,
daily average
C. Other discharge(s),
{ daily average;
Specify
D.
Maximum per operat-
ing day for combined
discharge (all types)

i
any of the types of wasl._,identified in� stein 6, either treated or1 ,
2reated,. are discharged to places other than surface waters, check below as applicable.
Waste water is discharged to: 0.1-999 1000-4999 5000-9999 10,000-49,999 50,000 or more
(1) (2) (3) (4) (5)
A. Munlci.pol ,rwvr c.ysteni
N, Ifmli r!Irnun�l wr
C. ,clot f. tank
U. Evaporation Iagoon. or pond
E. Other, specify:
8;. Number of separate discharge points:
A.01 B.a 2-3 C.c3 4-5 D.a 6 or more
9. Name of receiving water or waters FRENCH BROAD RIVER
10. Does 'your discharge contain or is it possible for your discharge to contain
one or more of. thib following substances added as a result of your operations,
activities', or processes: ammonia, cyanide, aluminum. beryllium., cadmium,
chromiure,;copper, lead, mercur , nickel, selenium. zinc, phenols, oil and
grease, and chlorine (residual ,
A.ayes BA n0
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.
SAMUEL GLEN
Printed, Name of Person Signing
OWNER
Title
D Application gned
,-a� �
Sfig �..
nature of Applicant
North Carolina General Statute, 143-215'.6(b) (2) provides that: Any person who knowingly makes
ary false statement representation, or certification in any applicat;.on, 'record, report, plan,
,r ather:,document files or required to be maintained under Article 21 or regulations of the
�n,ri.rowneatal :'Management Commission implemoni;tng that Article, or who falsifies, tampers with,
..,r k;-r1w.1y. renders inaccurate any. recording or monitoriU dpvice or method required: to be
.:,perated or. maintained under krt;Lale 21-.-oi7• regulations .of the Environmental. Management Cot.=As s i or
jMi:lement1bg that Article, s.hal.l-be.�y , tv of a misdemeanor punishable by�za fine not to exceed
or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 pr017..
, punj.shment by a fine of"Aot more than $10,000 or imprisonment not pore than 5 years, or bot'r.,
cur a sinildr. offense.)

I
uL
IV
(Ov
J
I
VE D
JAN 1
} PERMITS 8,FiNGINEFf IK,

MEO 0 . 0
DATE: • ��!
TO: 7bo^j sp�-r-ZI T SUBJECT:
/Y C 00783a/
A ,
422 0 1- 5-, I 5 ter-
G2
North Carolina Department of Natural
Resources &Community Development

Cl
Aef North Carolina
vepartment of Environment,
Health and Natural Resources 4 • •
Division of Environmental Management
Jaynes B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howa;&,trb Era#[ X@ ,A
AND
comrmruNrTy DvQor, 0
goB
OCT 8 1 1993 September 30,1993
UIVISIOII OF ItIVIOOPIUVITAI �fAPIAGEMEfIj� HAS
LLE RRIONAL OFFICE
SAMUEL GLEN 00RESVI
GLEN RESIDENCE,SAMUELfiy1: .
719 HART ROAD
PISGAH FOREST NC 28768 Subject: GLEN RESIDENCE,SAMUEL
Certificate of Coverage NCG550542
General Permit NCG550000
Formerly NPDES Permit NCO078301
TransylvaniaCounty
Dear Permittee:
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 NC0078301. 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 reggpsting
coverage under an individual permit. Unless such demand is made,this decision shall be final and binding`rtr lease
take notice this Certificate of Coverage is not transferable. Part II, EA. addresses the requirements to be fofl$wed
in case of change of ownership or control of this discharge. i -<
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, f e
Permittee shall take immediate corrective action, including those as may be required by this DivisiogjuV. s the
construction of additional or replacement wastewater treatment or disposal facilities. Construction of-iny
wastewater treatment facilities will require issuance of an Authorization to Construct from this Division.
u>
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

Page,2;
SAMUEL GLEN
GLEN{RESIDENCE,SAMUEL
Certificate of Coverage No. NCG550542
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.
aremo 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.
Tliis�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.
Iftyou 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,
"A.Preston Howar ,P.E.
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Central Files
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT HEALTH AND NATURAL
S.C. DEPT- OF IqATURAL DIVISION OF ENVIRONMENTAL MANAGEMENT " " wvr- �
RF. OURCF9 AND
COMMUNITY DEVELOPMENT a %993
OCT 1 ,111993 S�p2
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No.NCG550542
DIVISION OF ENVIRONMENTAL MANAGEMENT
MOORESVILLE REGIORAL OFFICE
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,
GLEN RESIDENCE,SAMUEL
is hereby authorized to discharge treated domestic.wastewater from a facility located at
GLEN RESIDENCE,SAMUEL
TransylvaniaCounty
to receiving waters designated as the FRENCH BROAD RIVER/FRENCH BR RIV BAS
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.
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A.Preston Howar ,Jr.,P.E.,Director
Division of Environmental Management
By Authority of the Environmental Management Commission
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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 George T. Everett, Ph.D.
William W. Cobey, Jr., Secretary Apr i 7_ 3 0, 19 9 0 Director
Mr. Samuel Glen
719 Hart Road
Pisgah Forest, N.C. 28768
Subject: Permit No. NCO078301
Mr. Samuel Glen
1'ransy Ivan ia County
Dear Mr. Glenn:
In accordance with your application for discharge permit received on January
12, 1990, 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 11666, Raleigh, North Carolina 27604. 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 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 signed by
bale Overcash for RECEIVED
George T. Everr tt Water Quality Sectim
cc: Mr. Jim Patrick, EPA MAY � - 1990
Asheville Regional Office
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] Asheville Regional-Office
,Asheville, Borth Carolina
An Equal Opportunity Affirmative Action Employer

Permit i4o. NCO078301
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. Samuel Glen
is hereby authorized to discharge wastewater from a facility located at
Samuel Glen Residence
off Everette Farm Road
Little River Community
Transylvania County
to receiving waters designated as French Broad River 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 April 30, 1990
This permit and the authorization to discharge shall expire at midnight on March 31, 1995
Signed this day April 30, 1990
Drlginral signed by
Dale 4vercash fdr
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0078301
SUPPLEMENT TO PERMIT COVER SHEET
Mr. Samuel Glen
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility, and
2. Make an outlet into French Broad River, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management,construct and operate a 0.00036 MGD wastewater treatment facility located
at Samuel Glen Residence,off Everette Farm Road, Little River Community,
Transylvania County (See Part III of this Permit), and
4. Discharge from said treatment works at the location specified on the attached map into
French Broad River which is classified class C waters in the French Broad River Basin.

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A. ( ).EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL Permit No. NCO078301
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 Discharge Limitations Monitoring Requirements
Units (specify] Measurement Sample *Samale
Monthly AM Weekly Avg., Frequency location
Flow 360 GPD
BOD, 5 day, 200C 30.0 mg/1 45.0 mg/1
Total Suspended Residue 30.0 mg/1 45.0 mg/1
NH3 asN
Temperature
The pH shall not be less that 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 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.
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, Mi/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 11
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-
e.rated 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.

PART II
6. 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 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 II .
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.

Part III Permit No. NCO07601
D. In the event that violations of the fecal coliform requirements of the
North Carolina water quality standards occur. as a result of this discharge,
disinfection will immediately be required and the permit amended to establish
a coliform effluent limitation.