NCG551239_Regional Office Physical File Scan Up To 6/10/2020

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E.Skvarla III
Governor Secretary
November 20, 2014 .
Mr. Charles H. Horne
P.O. Box 197
Micaville, NC 28755
Subject: Rescission of Certificate of Coverage
NCG551239
4161 U.S. Hwy 19E
Yancey County
Dear Mr. Horne:
Division staff has confirmed that the subject Certificate of Coverage (CoC)
is no longer required. Therefore, in accordance with your request, NPDES
COC NCG551239 is rescinded, effective immediately.
If in the future you wish to discharge wastewater to the State' s
surface waters, it must first apply for and receive a new NPDES
permit.
If you have any questions concerning this matter, please contact Charles H.
Weaver at (919) 807-6391 or via e-mail [[e-mail]] .
Sin erel y,
or
/fv 1. yF''. i�-�_..
Thomas A. Reeder, Director
Division of Water Resources
cc: Asheville Regional Office / Linda Wiggs R :1'I\J1
HIDES Unit ONisian aiWNor Ros'aum»
Teresa Revis / Budget
NOV 2 6 2014
Water oua11t Sagronat operations
Re Tonal onioa�
1617 Mail Service Center,Raleigh,North Carolina 27699417 512 North Salisbury Street,Raleigh,North Carolina 27604
Phone: [phone] FAX 919 801/Internet:w .ncwaterquahty.org
An Equal Opportunity/Affirmative Action Employer—50%Recycletlll%Post Consumer Paper

�im)
CCDENR IT''l ,r a.
North Carolina Department of Environment and Natural Resources
Pat McCrory John E.Skvarla, III
Governor Secretary
November 10, 2014
Mr. Charles Horne
PO Box 197
Micaville, NC 28755
SUBJECT: Compliance Evaluation Inspection
4161 Highway 19E
Permit No: NCG551239
Yancey County
Dear Mr. Horne:
On November 4, 2014, 1 attempted to conduct a compliance inspection of the
subject facility. As I am sure you are aware, the building and wastewater system have
been removed from the site, presumably due to the Highway 19E widening project. In
order to rescind your permit, please send a letter, signed by you, requesting recession
of your permit and stating the reasons for the request to the following address:
Division of Water Resources
WQ Permitting Section-NPDES
Attn: Charles Weaver
1617 Mail Service Center
Raleigh, NC 27699-1617.
Note that a letter requesting recession of your permit, signed by you, must be
received at the above address in order to rescind your permit. If no letter is received,
you will continue to receive annual bills for the referenced system. If you have any
questions, please call me at 828-296-4500.'
Sincerely,A
Andrew Moore
Environmental Senior Technician
Enclosure
cc: MSC 1617-Central Files-Basement
WQ Asheville Files
Water Quality Regional Operators—Asheville Regional Once
2090 U.S.Highway 70,Swannanoa,North calcine 28778
Phone:[phone] FAX:[phone]
Internet:htip:l/portal.nWencorgAveblwq _
An Equal Opportunity\ARimative Action Employer

Untletl 8lafes EnWfonmmull Pr iiWl Agency _ Form Approved.
EPA W ohinglog O,C.20480 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8.31-98
Section A:National Data System Coding tLe„PCs)
Transaction Code NPDES Yarns/day Inepection Type Inspector Fec Type
1 Iu I 2 Is I 3 NCO551239 111 12 14/11/04 17. 18.In1 19 t F t 201 I
21111111 111111111111111111111111111111111111 �s
Inspection Work Days Faulty Self-Meaibring Evaluation Rating Bi CA -----Reserved-
67I� 70L J 71 I 72 LxJ 73 I 174 75 I BO
Section B:Facility Data
Name and Location of Focily Inspected(For Industrial Users dlschaming M Pi also Include Entry TlmWDate Permit Effective Date
POTW name and NPDES Permit Number) 02:OOPM 14/11/04 13108101
4161 East Hwy 19-E
4161 Hwy 19. Exit TlmeMars Permit Expiration Date
MIceAlleNC 28755 02:15FM 14/11104 WOW
Names)of One to Repreaantative(s)aftlaos)1Phone and Fax Numbens) Other Facility Data
fill
Name,Address of Responsible Ofllclal?ItlelPhone and Fax Number
Connected
Chance Hom,PO Box 197 Miwville NC 287550197II828-875-06121
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Operations B Maintenance Facility Site Review
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(.)and Signature(.)of Impector(s) Agency/ONcatPhone and Fax Numbers Data
Andrew W Moore ARO WOl/0202964641
At
61,y
va
Signature 0 Mana.ementO Rev wer AgenbyCHIMPhone and Fax Numbers Data (�
EPA Form 3560-3(Rev 9-94)Previous editions ere obsolete..
Page# 1

NPDE8 ydmolday Inspection Type 1 �\
31 NCG551238 _ .I11 . 12 14/11/d4 17 _ _. 18.Ir1. . .
Section D:Summary of Finding/Comments(Attach additional sheets of nenative and checklists as necessary)
The building and wastewater infrastructure have been removed from the site as pert of the 1 DE
widening project. It is not anticipated that another structure will be built on the site.The permiltee
should request in writing that the permit be rescinded.
i
I
Pagatt 2

Parmlk NCG551230 gWner.FeelSty 4161 East H,t l O-E
Inspection Date: 11/0412014 Inspectlon Type: Compliance Evaluation
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? ❑ 0 ❑ ❑ '
Is access to the plant site restricted to the general public? - ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ❑ ❑ ❑
Comment: The facility no longer exists.The building and wastewater system infrastructure have been
removed from the site as part of the 19E widening oroiect in Yancey County.
Operations&Maintenance - Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ 0 ❑
Does the facility analyze process control parameters,for ex:MLSS,MCRT,Settleable ❑ ❑ 0 ❑
Solids,pH,DO,Sludge Judge,and other that are applicable?
Comment:
Page# 3

MA
NCDENR y
II i)CI 1 9 2009
North Carolina Department of Environmentiano Natural Resources
I
V IN
Division of Water Quality f
Beverly Eaves Perdue,Governor Coleen H.Sullins, Director Dee Freeman, Secretary
October 6,2009
Charles Horne
P.O. Box 197
Micaville,NO 28755-0197
Subject: Renewal of coverage/General Permit NOG550000
4161 East Highway 19-E
Certificate of Coverage NCG551239
Yancey County
Dear Permittee:
In accordance with your renewal application [received on October 5,20091,the Division is renewing
Certificate of Coverage (CoC)NCG551239 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 October 15,2007 [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 fac'1'ty.
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 Charles
Weaver of the NPDES staff[919 807-6391 or [e-mail]].
Si cerely,
oleen H. Sullins
cc: Central Files
Asheville Regional Office/Surface Water Protection
NPDES file
1617 Mall Seryice Center,Raleigh,North Carolina 27699-1617 NO...1.n 512 North Salisbury Street,Raleigh,Noah Carolina 27699 n Utl,�lTO11118
Phone: [phone] FAX [phone]/Internet:www.ncwetemusllty.org An Equal Opportunity/Affirmative Action Employer-50%RecycleN �htu"aolY
lO%Post Consumer Paper LL L.

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG551239
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,
Charles Horne
is hereby authorized to discharge domestic wastewater [240 GPD] from a facility located at
4161 East Highway 19-E
Burnsville
Yancey County
to receiving waters designated as an unnamed tributary to the South Toe River, a class C-Trout
stream in subbasin 04-03-06 of the French Broad River Basin in accordance with the effluent
limitations,monitoring requirements, and other conditions set forth in Parts I, II, III and IV
hereof.
This certificate of coverage shall become effective October 6, 2009.
This Certificate of Coverage shall expire on July 31, 2012.
Signed this day October 6, 2009
&-a
for H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission _
j

L
LE CC ! Y
NCDENR
North Carolina Department of Environment and Natural Resources
Division of water Quality
Beverly Eaves Perdue Coleen H.Sullins Dee Freeman
Governor Director Secretary
October 5, 2009
Charlie Horn
PO Box 197
Micaville NC 28755
SUBJECT: Compliance Evaluation Inspection
4161 Hwy 19 East
Permit No: NCG551239
Yancey County
Dear Mr. Horn:
Enclosed please find a copy of the Compliance Evaluation Inspection conducted
on October 1. 2009 by Jeff Menzel of the Asheville Regional Office. The facility was
found to be in Compliance with permit NCG551239. The current permit has expired.
Please submit a permit renewal request.
Please refer to the enclosed inspection report for additional observations and
comments. If you or your staff have any questions, please call me at 828-296-4500.
Sincerely,
Jeff Menzel
Environmental Specialist
cc: Central Files
Asheville Files
6 SURFACE WATER PROTECTION—ASHEVILLE REGIONAL OFFICE
Location:2090 U.S.Highway 70,Swannanoa,INC 28778 NOlne CaiO�l�a
Phone: [phone]\FAK 828299-7043\Customer Service:1-877-623-6748 n/ `
Internet:www.ncwatemualuyora G:\WPOATA\DEMWO\Yancey\SFR's NCG55 atum. y

United Steles Environmental Protection Agency Form Apprevetl.
EPA Washington,D.0 20460 OMB No.20400057
Water Compliance Inspection Report Approval expires 6-31-98
Section A: National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/molday Inspection Type Inspector Fee Type
i UN 2 ICI 31 NCG551239 111 121 09/10/01 19 191 C� 191c1 2UI
IJ /J Remarks t.� LJ lJ
21111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 CA -----—-----—-------------Rise erved—---—------------
61 I69 70JJ 71ty 72J 73L 14 75 I I 80
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also Include Entry Tlme/Oate Permit Effective Date
POTW name and NPDES permit Number)
4161 Hwy 19 East 11:00 AM 09/10/01 03/12/05
4161 Hwy 19e Exit Time/Date Permit Expiration Date
Micaville NC 28955 11:30 AM 09/10/01 07/07/31
Names)of Onslte Representative(s)/litles(s)IPhone and Fax Number(s) Other Facility Date
Name,Address of Responsible Dglcidl/rltle/Phone and Fax Number
Charlie Horn,PO BOX 190 Mi caville NC 28955//828-695-0612/ Contacted
No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit N Operations&Maintenance 0 Facility Site Review N Effluent/Receiving Waters
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Names)and SignaaWr�epls)of lnspector(s Agency/ORcelPhone and Fax Numbers Date 4�
Jeff Menzel"--01 ` AAO WQ//82B-296-4500/ /p//.•yQ/
Signature of Management O A Reviewer Agency/OfficelPhone and Fax Numbers Date -
Roger C Edwards / ARC wQ//928-296-4500/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page IS 1

NPOES-- - -- - - yr/mo/day - - Inspection Type
3I NCG551239 '11 12 09/10/01 1
19 t91_I
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The facility is being well maintained. The owner is required to submit a permit renewal request.
i
'I
1
Page p 2

Permit: NCG551239 Owner.Facility: 4161 Hwy ig East
Inspection Date: 10/01/2009 Inspection Type: Compliance Evaluation
Operations& Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ 0 0 0
Does the facility analyze process control parameters,for ex', MLSS,MCRT, Settleable Solids,pH, DO,Sludge ■
Judge,and other that are applicable?
Comment: The facility is being well maintained.
Permit Yea No NA NE
(if the present permit expires in 6 months or less). Has the permittee submitted anew application? 0 E 0 0
Is the facility as described in the permit? ■ 0 0 0
#Are there any special conditions for the permit? ❑ ■ 0 ❑
Is access to the plant site restricted to the general public? ❑ 0 ■ 0
Is the inspector granted access to all areas for inspection? ■ 0 0 0
Comment: The current permit has lapsed and needs to be renewed. Mr. Horn was
given a permit renewal form at the time of inspection.
Page# 3

Michael F.Easley,Governor
hq William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
Alan W.Klimek,P E Director
Division of Water Quality
T
Asheville Regional Office
SURFACE WATER PROTECTION ¢ ^
February 14, 2007 �" . . . .:.
Charlie Horn
PO Box 197
Micaville NC 28755
SUBJECT: Compliance Evaluation Inspection
Charlie Horn SFR Crabtree Creek
Permit No: NCG551239
Yancey County
Dear Mr. Horn:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for
the inspection conducted on February 6, 2007. Larry Frost and I of the Asheville
Regional Office conducted the Compliance Evaluation Inspection. The facility was found
to be in Compliance with permit NCG551239.
Please refer to the enclosed inspection report and technical bulletin for additional
observations and comments. If you have any questions, please do not hesitate to call me
at 828-296-4500.
Sincer'ply,
Keith Hayn�
Environmental Specialist
Enclosure
cc: Central Files
Asheville Files - --
N"oy�`n Carolina
watura!!y
2090 U.S.Highway 70,Swannanca,NC 28778 Telephone:[phone] Fax:[phone] Customer Service 1 877 623-6748

United States environmental Protection Agenry Fann Approved
EPA Washingtoq o.0 20460 OMB Na.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/ma/day Inspection Type Inspector Fee Type
1 INI 2 I_I 31 NCC551239 I11 121 07'02/06 111 18I CI 19=I 20IJ 1
Remarks J -
21111111111111111111111111111111111111111111111115
Inspection Work Days Facility Self-Monitoring Evaluation Rating 31 CA --------------...--...Reserved...- ----------
6➢I 169 701LJ y I
71I I. 721 NJ ]sll I 174 75 I I 1 I 180
Section B: FacilityData J
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)
Charlie Horn - SFR 10:00 %A 01/02/06 03/12/05
4161 Staee Hwy 19e Exit Time/Date Permit Expiration Date
Micavill. NC 28]55 10:15 -AM 07/02/06 0^/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible OfficialRltle/Phoneand Fax Number
Charlie Horn,PO Box 197 Micaville me 28,55//828-605-0612/ Contented
We
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit 0 Operations&Maintenance E Facility Site Review E Effluent/Receiving Waters
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Names)and Signatures)of lnspectorts) Agency/OBim/Phone and Fax Numbers Data
Larry Fr0at ARO SQ//828-296-4500 Ext.4658/ Z11rze' .
Aeith Haynes ARO wQ//828-296-4500/
'/Y/Y•1/Y•�`�1 a•l�r•a�
Signature of Management Q A Reviewer AgencylOflice/Phone and Fax Numbers Data
Roger C Edwards1RO ARQ wQ//828-296-4500/ x /4 b7
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

i
NPDES yerno/day Inspection Type
3I NCC55-,229 I11 12I l 0]/02/06 I17 -... is C1
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Since the business was closed for the winter, proper operation of the system could not be determined. It is
recommended that the owners review the attached technical bulletin regarding proper operation and
maintenance of subsurface sandfilters.
II
1
I
Page# 2

Permit. NCG551239 Owner-Facility: Charlie Hour-SFR
Inspection Date: 02106a007 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permitted submitted a new application? n ■ n 0
Is the facility as described in the permit? ■ 0 ❑ D
#Are there any special conditions for the permit? 0 0 ■ 0
Is access to the plant site restricted to the general public? ■ 0 0 0
Is the inspector granted access to all areas for inspection? ■ 0 0 0
Comment: If the owner has not submitted a permit renewal request, this should be
done immediately.,
Orations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ■ 0 ❑
Does the facility analyze process control parameters,for ex:MLSS, MCRT,Settleable Solids,pH, DO,Sludge ❑ 0 ■ ❑
Judge,and other that are applicable?
Comment: The sand filter appeared to be very close to the surface of the ground as
there was sand on top of the ground.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? 0 ■ 0 0
Are the tablets the proper size and type? ❑ ❑ N
Number of tubes in use? 0
Is the level of chlorine residual acceptable? - ❑ 0 0
Is the contact chamber free of growth,or sludge buildup? 0 0 0
Is there chlorine residual prior to de-chlorination? 0 ■ n n
Comment: The business was closed and is scheduled to reopen in Apd12007, thus
there were no tablets in the chlorinator.
Effluent Pipe Yes No NA NE
Is right ofway to the outfall properly maintained? 0 ■ 0 0 -
Are the receiving water free of foam other than trace amounts and other debris? ■ ❑ ❑ 0
If effluent (diffuser pipes are required) are they operating properly? 0 0
Comment: The effluent pipe was not found. It is recommended that the pipe be
located and the surrounding area be kept free of weeds and other debris.
Page# 3

i
NCDENAWLA c1ASI-iFJLVIarqi
R IIMary r s 2117North Carolina Department of Environment anH Nl ResourcesDivision of Water Quality FlMichael F. Easley, Governor ec 0ecret ry
Alan W:FClime , '.'f•--8' or
January 9, 2007
Charlie Horn M.,.ua...,,., .,,,,._. .,.y._....,...... ...,.,..�..,.
P.O. Box 197
Micaville, NO 28755
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG551239
Yancey County
Dear Permittee:
You are receiving this notice because you currently own a property covered under the subject
General Permit for the discharge of domestic wastewater. NCG550000 will expire on.July 31, 2007.
Federal (40 CFR 122.41) and North Carolina (15A NCAC 2H.0105(e)) regulations require
that permit renewal applications be filed at least 180 days prior to expiration of the current permit.
To satisfy this requirement, the Division must receive a renewal request postmarked no later than
February 1,2007.
The Certificate of Coverage (CoC) specific to your property was last issued on December 5,
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
NO 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
sevauvately by the Division's Budget Office. No money is required for this
urocedure. 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
512 North Salisbury Street,Raleigh,North Carolina 27604 No1e hCarolina
Phone: [phone],extension 511/FAX [phone]/charles.weaverOncmail.net atura!!y
An Equal Opportunity/Affirmative Action Employer-50%Recycledi 0%Post Consumer Paper

NCG551239 renewal notice
January 9,2007
The attached application form shows the information the Division has on file for your
property. Please verify that the provided information is correct, or make corrections on the form.
Complete the additional questions, then sign and date the form.
., The completed form should be submitted to the address listed below the signature block.
If you have any questions concerning this matter, please contact me at the telephone number
or e-mail address listed below. (If it is difficult to reach me, please be aware that your facility is one
of over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your attention to this matter.
I/
Siinnlcce''rre`/lUy.,
( �
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
(,Asheville Regional Office/Keith Hayne§
NPDES file

'A FRQ Michael F.Easley
Governor
William G.floss Jc,Secretary
> 4 r y Department of Environment and Natural Resources
O apxs� Alan W.Klimek, P r.Director
Quality
w�,,,. Division of Water Quality
December 5, 2003
Mr. Charles H. Horne
PO Box 197
Micaville, NC 28755
Subject: General Permit No. NCG550000
Cert. of Coverage NCG551239
Charles H. Horne Property
Yancey County
Dear Mr. Horne:
In accordance with your application for an NPDES discharge permit received August 19, 2003 by the Division, we
have issued the Certificate of Coverage under the state-NPDES general permit for Charles H. Horne. Authorization is
hereby granted by this letter for the construction of a 240 GPD wastewater treatment system consisting of new 1000
gallon septic tank, distribution box, 216 square toot (6'X 31 primary sandfilter with a loading rate of not more than 1.15
GPD/square foot, 108 square foot (6' X 18') secondary sandfilter with a loading rate of not more than 2.30 GPD/square
foot, chlorinator, chlorine contact, dechlorination, dechlormation contact, rip rap cascade aeration with a discharge of
treated wastewater into an unnamed tributary to South Toe River, classified C-Trout waters in the French Broad River
Basin All elbow piping must be of the long sweeping type. All cleanouts are to be housed in meter boxes below the
surface. The system must also be constructed and located above a 100 year flood. Sandfilters must be completely lined
with a minimum 30 mil polyethylene liner.
If any parts, measurement frequencies or sampling requirements contained in this general permit are
unacceptable to you, you have the right to submit an individual permit application and letter requesting coverage under an
individual permit. Unless such demand is made, this decision shall be final and binding. Please take notice this permit is
not transferable. Part II, EA. addresses the requirements to be followed in case of change of ownership or control of this
discharge.
The Authorization to Construct is issued in accordance with Part III, Paragraph 2 of NPDES Permit No.
NCG550000, and shall be subject to revocation unless the wastewater treatment facilities are constructed in accordance
with the conditions and limitations specified in Permit No. NCG550000.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division, such as the
construction of additional or replacement wastewater treatment or disposal facilities.
The Asheville Regional Office, telephone number 828/251-6208, shall be notified at least forty-eight (48) hours in
advance of operation of the installed facilities so that an in-place inspection can be made. Such notification to the regional
supervisor shall be made during the normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday,
excluding State Holidays.
Upon completion of construction and prior to operation of this permitted facility, a certification must be received
certifying that the permitted facility has been installed in accordance with the NPDES Permit, the Certificate of Coverage,
this Authorization to Construct and the approved plans and specifications. Mail the Certification to the Stormwater and
General Permits Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.
11 Wit - it 1,
l DEG [ o 2003
Ni,ULNd Z p�
\ Customer Sawiw Division of Water Quality1617 Mail Service Center Relei s a�(] f{7 I L Tf Sp p 33701k
1 800623-7749 ,w a3� Nmmf610'11_�'� l'/ .,,.,...-i

QE N1AfER
F.�. Michael .GOVL
rWilliam G.Ross Jc,Secrete.
>_ ti Department of Environment and Natural Resources
d,"�
aaa�c..4:rLrss' Alan DW,Klimek ivision of P.E..Director
4 4L+ Water Quality
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 sandilters must comply with the Division's sand specifications. The engineer's certification
will be evidence that this certification has been met.
-, A leakage test shall be performed on the septic tank and dosing tank to insure that any exfiltration occurs at a rate
which does not exceed twenty (20) gallons per twenty-four (24) hour per 1,000 gallons of tank capacity. The engineer's
certification will serve as proof of compliance with this condition.
Failure to abide by the requirements contained in this Authorization to Construct may subject the Permittee to an
enforcement action by the Division of Water Quality in accordance with North Carolina General Statute 143-215.6A to
143-215.6C.
The issuance of this permit does not preclude the Permittee from complying with any and all statutes, rules,
regulations, or ordinances which may be required by the Division of Water Quality or permits required by the Division of
Land Resources, the Coastal Area Management Act or any Federal or Local other governmental permit that may be
required.
If you have any questions or need additional information, please contact Mack Wiggins, telephone number
919/733-5083.
§1%4A'' SIGNED BY
:i VVILLIAM G, MILLS
Alan W. Klimek, P.E.
cc: Central Files
Asheville Regional Office, Water Quality
Roosevelt Childress, EPA
Point Source Compliance Enforcement Unit
Yancey County Health Department
l
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I
Aim
Customer service Division of Water Quality 1617 1 Service Center Raleigh,NC 27699-1617 [phone]

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE
GENERAL PERMIT NO. NCG551239
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act,es amended,
Charles11.Horne
is hereby authorized to operate and construct a wastewater treatment facility that consists of, septic tank,distribution
box, primary sandfilter, distribution box, secondary sandfilter, chlorinator, chlorine contact, dechlorinator,
dechlorination contact, rip rap cascade aeration and associated appurtenances with the discharge of treated
wastewater from a facility located at the
Charles I Horne Property
4161 State Highway 19E
Micavillc
Yancey County
to receiving waters designated as an unnamed tributary to South Toe River in the French Broad River Basin
in accordance with the effluent limitations,monitoring requirements, and other conditions set forth in Parts I, 11, III
and IV hereof.
This certificate of coverage shall become effective December 5,2.003
'this Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 5,2003
ORIGINAL SIGNED BY
WILLIAM O. MILLS
Alan W. Klimek,P.H.,Director
Division of Water Quality
By Amhoi ity of the Environmental Management Commission

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DAVID D. SMITH and COMPANY 46 Haywood St., Suite 201A
Civil Engineering Consultants Asheville, INC 28801
LETTER OF TRANSMITTAL
Date: November 21, 2003 Project: Sand Filter Design/Ct)arlie Horne
Project No: 158803
Mr. Bradley Bennett
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attn: Mr. Mack Wiggins
We transmit:
(X) herewith ( ) under separate cover
( )in accordance with your request
Foryour:
(X) approval ( )distribution to parties
( ) information ( ) review&comment
( ) record (X) use
The following:
(X) Drawings ( )Shop Drawings Prints
( ) Samples ( )Specifications
( ) Change Order ( ) Literature
Copies: Date: Description:
3 prints 11/18/03 Sheet C-1; Plan/Profile and Sheet C-2; Details
Remarks: HDPE Liner has been changed from a 10 Mil.thickness to a 30 Mil. thickness.
Please call if you have any questions.
By: David D.Smith, P.E. rWATER
C: Ms Wanda Frazier—NCDENR Asheville OfFge w/1 set prints � DMr. Charlie Horne w/ 1 set prints 2 4 2FGIOMAL00FfICf;
Phone: [phone] Fax: [phone]

Michael F Easley
Governor
■ �{°�r William G.Rasa,Jr.,Secretary
Department of Environment and Natural Resources
Alan W.Klimek. P.E.
Y _ Director
-� Division of Water Quality
August 22, 2003
Mr Charles H. Horn
PO Box 197
Micaville, NC 28755
Subject: Application No. NCG551239
Charles H.Horn Property
Yancey County
Dear Mr. Horne:
This is to acknowledge receipt of the following documents on August 19, 2003:
X Completed Notice of Intent (Application form),
Engineering Proposal (for proposed control facilities),
Request for certificate of coverage. '"
X Application processing fee of $50.00.
Wastewater Disposal Alternatives, �f AUG 1 t, P003
X Specifications of system. t
Local Government Signoff, �,r ppjf
Source Reduction and Recycling, ` h i11 f rG
Interbasin Transfer,
X Other:. County health department letter denying the site for ground absorption
systems.Topograhic map showing discharge location. A to C request.
The items checked below are needed before review can begin:
Completed Notice of Intent(Application Form),
Engineering proposal (see attachment),
Application Processing Fee of$00.00,
Delegation of Authority(see attached),
Biocide Sheet (see attached).
Engineering Economics Alternatives Analysis,
Engineering Plans and Specifications
Local Government Signoff,
Source Reduction and Recycling.,
Interbasin Transfer,
Other:
If the application is not made complete within thirty (30) days, it will be returned to you and may be resubmitted when
complete.
�kA
NCULN'4
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 [phone]
1 800 623-7748
' \1
U

Michael F.Easley
•,fQG Governor
1 Y William G.Ross,Jr.,Secretary
r Department of Environment and Natural Resources
J - y P.E.Alan W.l llmek.
Ms �r Director
- -t Division of Water Duality
This application has been assigned to Mack Wiggins (919/733-5083) Ext. 542 of our Permits Unit for review. You will be
advised of any comments, recommendations, questions or other information necessary for the review of the application.
I am, by copy of this letter, requesting that our Regional Office Supervisor prepare a staff report and recommendations
regarding this discharge. If you have any questions regarding this application, please contact the review person listed
above.
Sincerely,
2k�
Wiggins
Stormwater and General Permits Unit
cc: Asheville Regional Office
Permit Application File
Q�n
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh,NC 2]699-161] (919)]33-]016
1 800 623-7746

DAVID D. SMITH and COMPANY
Civil Engineering Consultants
46 Haywood Street, Suite 201-A
Asheville, NC 28801
July 24, 2003
Mr. Bradley Bennett
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center -
Raleigh,North Carolina 27699-1617
RE: Horne Sandfilter Request for Coverage
General Discharge Permit NCG550000
Request for Authorization to Construct
4161 State Highway 19E, Micaville, Yancy County
Dear Mr. Bennett:
This is to request that a sandfilter treated wastewater discharge be permitted under General
Permit NCG550000 for Charlie Home, and an Authorization to Construct be issued for the
sandfilter described on the enclosed design documents.
We have visited and reviewed the site, investigated the possibility of on site ground
absorption systems, as well as alternate systems, such as drip or spray irrigation and
considered the feasibility of connecting to a regional sewer collection system with the
following results:
1.. On site ground absorption—This site was denied an onsite ground absorption
system permit by Toe River Health District. Please see the enclosed letter.
2. Alternate Systems—The site is too small and too close to adjacent features
(such as the creek, the highway and residential structures and wells)to allow
the installation of any alternate system.
3. Connection to a Regional System—The nearest regional sewage system access
is 4.1 miles west of the site on Highway 19E.Not only would this require more
than four miles of pipe, but also multiple pump stations. Further,NCDOT will
not allow a private sewer line to be installed parallel and within the public right
of way. Beyond this no public entity would be willing to assume ownership of
such a sewer line and the obtaining of easements from all of the affected private
landowners to keep the line out of NCDOT right of way is not a practical
possibility.
Telephone: [phone] Fax: [phone]

DAVID D. SMITH and COMPANY _
Civil Engineering Consultants
46 Haywood Street, Suite 201-A
Asheville, NC 28801
Mr. Bradley Bennett
July 24, 2003
Pagetwo
Accordingly, we propose a sand filter for this site constructed to treat a design flow of 240
gpd comprised of the following components:
1. Building Drain Pipe: 4" PVC @ 1%slope.
2. Septic tank: 1000 gal precast baffled concrete tank with access risers and
effluent filter as manufactured by Aacme Septic Tank or approved equal.
3. Small precast concrete distribution box with flow equalizing devices and vented
to the atmosphere.
4. Primary Sand Filter: 6'x36' sand and gravel meeting the size and uniformity
requirement lined with 10 mil HDPE liner.
5. Secondary Sand Filter: 6'xl8' sand and gravel filter similar to the primary
filter.
6. Chlorination: Tablet type chlorinator as manufactured by Sairmil (model 200)
or approved equal.
7. Chlorine Contact: Outlet piping enlarged to 6"PVC to provide 30 minute
contact time.
8. Dechlorination: Tablet type dechlorination as manufactured by Sanuril or
approved equal.
9. Dechlorination Contact: Piping enlarged similar as for chlorine contact.
10. Discharge Aeration: Piprap cascade aeration.
Your review and approval of this proposed system is appreciated. Should you have any
questions or require additional information,please call.
Very truly yours,
David D. Smith and Company
®/2
t
D adiQ"D:,, rt?l;�P.E.
DDS/jsa
Enclosures
Telephone: [phone] Fax: [phone]

FOR AGENCY USE ONLY
Dale R,M-d
Year M.mh Do
61/ Division of Water Quality/Water Quality Section C«emeare ofCwera e
NCDENRNational Pollutant Discharge Elimination System Cheek x Amount
c..co.+w.rve xeuau aewuwces Pelmtt ASS ned to
NCG550000
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG550000: Single Family Domestic Units and/or facilities discharging less than 1000 gallons per
day of domestic wastewater and similar point source discharges
(Please print or type)
1) Region contact(Please note: This application will be returned if you have not met with a
representative from the appropriate regional office):
Please list the NCDENt�( R�e�� �Reg Office representative(s)with whom you have met:
Name: _ LLE-L__—________ Date: _�t,t, 2003
2) Mailing address of owner/operator:
Owner Name: &A .IQ - _
Street Address: D--161 ��_---__—_--_— —_--__
City: W'oA e ___--- State: �L ZIPCode: �QjZSS
Telephone No: (Home)_ (Work) YlZf1• 7O .(J�
3) Location of facility producing discharge:
Contact Person(if different than a ve):
Street Address: ��� � _J-1Se"— ---_— ——
City: ZIP Code: ]
County: T-'--1--____--- --__—_— - --_
Telephone No: __ Fax
4) Permit Contact(complete this section if permit contact is different from facility contact)
Contact Person:Street Address: _—�—
City: _ _________--- State: ____ ZIP Code: ___
County:
Telephone No: _________ Fax
5) Physical location information:
A copy of an USGS quad map or county map with the facility clearly located on the map IS
REQUIRED to be submitted with this application.
Please provide a narrative description of how to get to the facility ( as street names, at e road
n�yymbers, and distance and dir ction from a roadway intersection).
ixi 'wa l�e( ILl t� �+iann l�Y1.0 aLt iVI
on bte-Ir"71. A++ r 51I ng, 64,01Ef l �L S+ pas+ -w opev� tv+- oN ld a4tt
6icle -I-�s+ �its .pv/LSzphz .
Page 1 of 4
SWO-216-080102

NCG550000 N.O.I.
6) This NPDES permit application applies to which of the following :
X New or Proposed(system not constructed)
❑ Existing(system constructed); If previously permitted by local or county health department,
please provide the permit number----- and issue date
❑ Modification; please describe the nature of the modification:
6) Description of Discharge:
a) Amount of wastewater to be discharged:
Number of bedrooms _ Z x 120 gallons per bedroom= 7,A„n gallons per day to be permitted
b) Type of facility producing waste(please check one):
❑ Primary residence ❑ Vacation/second home
G> -Other.
7) Please check the components that comprise the wastewater treatment system:
15"Septic tank ❑ Dosing tank
EKPrimary sand filter C9 Secondary sand filter ❑ Recirculating sand filter($)
IYChlorination 19 echlorination��� �Q'`Other form of disinfection: .
[PrPost Aeration(specify type): ""'t'-�""'e—A —_-
8) For new or proposed systems only Please address the feasibility of alternatives to
discharging for the following options in the cover letter for this application:
a) Connection to a Regional Sewer Collection System.
b) Letter from local or county health department describing the suitability or non-suitability of the site
for all types of wastewater ground adsorption systems.
c) Investigate Land Application such as spray irrigation or drip Irrigation.
9) Receiving waters:
a) What is the name of the body or bodies of water creek,stream, river,lake,etc.)that the facility
wastewater discharges end up in? e��*---C�- ��---
b) Stream Classification(WS-IV,C, NSW,etc.,if known): �/-"_C3- _---
10) The application must include the following or it will be returned:
a) For Certificates of Coverage:
❑ An original letter and two(2)copies requesting a general permit.
❑. A signed and completed original and two(2)copies of this document.
❑ A check or money order for the permit fee of$50.00 made payable to NCDENR.
❑ Invoice showing that the septic lank has been pumped and serviced within the last 2 years
(for existing facilities only).
Page 2 of 4
SWU-216-080102

NGG550000 N.O.I.
New or proposed facilities must also include:
❑ Letter from the County health department evaluating the proposed site for all types of ground
absorption systems.
❑ Evaluation of connection to a regional sewer system(approximate distance&cost to connect).
b) For an Authorization to Construct(ATC)only:
❑ A letter requesting an ATC
❑ Three sets of plans and specifications of proposed treatment system(see Permit Application
Checklist and Design Criteria for Single Family Discharge)
❑ Invoice showing that the septic tank has been pumped and serviced (for existing septic
tanks).
Note: There Is no is when requesting an Authorization to Construct
11) Additional Application Requirements:
a) If this application is being submitted by a Consulting engineer(or engineering firm), include
documentation from the applicant showing that the engineer(or firm)submitting the application
has been designated an authorized Representative of the applicant.
b) If this application is being submitted by a consulting engineer(or engineering firm),final plans for
the treatment system must be signed and sealed by a North Carolina registered Professional
Engineer and stamped-"Final Design-Not released for construction".
c) If this application is being submitted by a consulting engineer(or engineering firm),final
specifications for all major treatment components must be signed and sealed by a North Carolina
registered Professional Engineer and shall include a narrative description of the treatment system
to be constructed.
12) Certification:
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief uch Information is true,complete,
and accurate.
Printed No of P on Sign! —_—
Title: —'jJ`//� -----
(Signature fA li ant)
North Carolina General Statute 143.215.6 b(I)provides that:
Any person who knowingly makes any false statement,representation,or codifica0on In any application,record,report,
plan or other document filed or required to be maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article,or who falsifies, tampers with or knowingly renders Inaccurate any
recording or monitoring device or method required W be operated or maintained under Article 21 or,regulations of the
Environmental Management Commission Implementing that Article,shall be guilty ofa misdemeanorpunishabla by a fine
not to exceed$10,000, or by imprisonment not to exceed six months,or by both. (18 U.S.C. Section 1001 provides a
punishment by a fine ofnot more than$10,000 or imprisonment not more than 5years,or both,fora similar offense.)
Page 3 of 4
SWU.216-080102

NCG550000 N.O.I.
Notice of Intent must be accompanied by a check or money order for$50.00 made payable to:
NCDENR
Mail three(3)copies of the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit
Page 4 of 4
SWU-216-080102

Wednesday,July 23,2003 9:28 PM Charles Horne(407)699-0277 p.03
Charles H. Horne & Margaret A. Home
P.O. Box 197 Micaville, NC 28755
ph [phone]
fax [phone]
David D. Smith and Company July 18,2003
David D. Smith,PE.
46 Haywood Street, Suite 201A
Asheville,NC 28801
Re:Horne—Sand Filter Yancey County,NC.
Dear Mr. Smith,
This letter serves as confirmation that the David D. Smith and Company, civil
engineering firm,represents Charles and Margaret Home in all appropriate matters
relevant to the state application for the above referenced sand filter discharge system,
State HWY 19E Yancey County NC.
(Charles H.Home Margaret A.Home

Wednesday,July 23,2003 928 PM Charles Horne(407)699-0277 P.02
J r1L-10-2083 BT :37 PH FIIIFOBD 907 696 2166 P. O]
TOE RIVER HEALTH DISTRICT
lbomm E.Singleton.Interim Neaim D.semr
519 Grmn+rod ROW•Pau Of t.NO.9%
Spruce Pin..NC 35T/1
Tele9nane(701)763-2239 Fnl ODH 763•9082
E MROXWENTAL HEALTH SECTION
Dear Margaret A. Horne
This letter is in reference to your property lonated at E+
Aa on-site evaluation of your property wan made on M-Ili-01 and 03-05-03 by
to determine the suitability for a Bound absorption sewage Supervisor
disposal system. and Health
Director.
Upon field eyaminstian of sell characteristics. it is the
dateralnatiuv of this department that your property in unsuitable
for an "pretend eeptie aystm due to the reaeon(s) apselfiad
below.
1. Topography sad land position.
.1941 (b) (U 2. Soil eharneteristica (norpbo)agy).
3. Soil wetuens.
.1943 (b) 4. Soil depth_
S. Restrictive horizons.
144S (a) (b) 6. krsilsble space., _
T. Other.
possible modifications or alternatives for obtaining proper
eeeege disposal ivnludee
1_ Obtain additional property can easement to "Jaeeat
property.
2. Application through The Division of Rnvirnsmental
11mageseat for a sand-filter 4Lecbsrgt into a nearby
stream.
According to Title 10. Chapter 10A, Section .1965. oar decision
In not the rival word and you do henna the right to we appeal
in accordance with O.S. 150E and 10 RCAC 13.
If this arfice can be or further assistance to YOU. pleaaa
real free to all at (T04) 602-3003.
sincerely. _ � n
7 / L ILIAC,
HRvirnnmentel Realth Specialist
OTNHROFF M .
A.ee Co.Nine 13.Pwm.OilNoer te. Mlendl N.Xaae D*aaunl l"w Cw Ym]Ce.Neae hpMaery V329 WqN�6ete1
Poerma.e9.7ss 1215 OlanW Ib SWWAv.w
WWea,NC 2e45T aaa..1)1..NC 2(M] B...In.1NC2vle eurv..i%,NCM19
Hrsa[epra eea(IM)71)tM) 1kYa tsPlaenr(71a155an1) !]b)6126115 Nwn POMllr]ll7
Nuns Cwr ll(a)7]]-I]N) Mnne Care lld)e51•N)1 [AP11MI552.19]

Jul , 17. 2003 7.54AM No .8926 P. 2
TOE RIVER HEALTH DISTRICT .
Thames B,Singleton,pntaim Health Dlmetm
961 Greenwood Road-Port Olam Box 98
SpNee Pim,NC 29777
T OO=028)765.2239 P62(828)70-9082
July 14,2003
Dear Mr. smith:
The nearest access to City sewage for Mr.Charles HorWs lot located on 19E and
Wyatt Town Road intersection is 4.1 miles West ofthat location
Michael Wilson
A w`��r /e'¢—
Environmental Health Specialist
cob
_ m+TPROFFM
Avery Co. PdlO (Nome Cm sawnes CA.Hash Depopnant l He Cue Ym Y M Wth Depvhovott YenaY Co.Hone Cue
BehodRad Ia SWWAY 529W=H Beat
*Maad.NC 28637 Bdondl[�NC28765 Bo V le,NC28714 Bm 4)*,NC2S714
Had t t)q m m(&M 73MW1 Haldr Dep XU=t(OM 6562371 (8206826118. Ha Qn(828)6Sb7825
Hon C.(M)731155a Hoerrc.(628)6tW3421 CAP(628)43Y7967

r ..,Ey e ram' - \ �A 816 �+� �S/`y r� -�'�• �i
f� � �
Name:MICAVILLE Location: 035'54'34.1" N 082° 12'46.9" W
Date:7/23/103 Caption:Charlie Horne Sand Filter
Scale: 1 inch equals 2000 feet Yancey County
7-23-03
Copynght(C)1997,MapvM,lnp -

DAVID D. SMITH and COMPANY 46 Haywood St., Suite 201A
Civil Engineering Consultants Asheville, NC 28801
LETTER OF TRANSMITTAL
Date: August 19, 2003 Project: Charlie Horne Sand Filter
Project No: 158803
NCDENR P_�"' _
59 Woodfin Place ' p'
Asheville, North Carolina 28801 � '""�—.!��,w
Attn: Wanda Frazier 1 AUG p yyr„ '(/j
We transmit: AsWErt UALI 'r-
( X) herewith ( ) under separate covery tQ 1 N �rF 1. N
( ) in accordance with your request
For your:
( )approval ( )distribution to parties
(X) information ( ) review&comment
( ) record ( ) use
The following:
( ) Drawings ( ) Shop Drawings Prints
( )Samples ( ) Specifications
( )Change Order ( ) Literature
Copies: Date: Description:
1
7/22/03 Blueprints of Sand Filter Design—Drawings C-1 and C-2
Remarks: Please call if you have any questions.
By: Judy S.Aycock
Phone: [phone] Fax: [phone]

Past-IV FaX Note 7671 AAes"
r. DAVID D. SMIS To Prom Was Id St., Suite 201A
Civil Engineering co.m°P c° TO PU- leville, NC 28801
Ph°ne Phmen
Fe pRe 4-
Date:July 28,2003 Project: Sand Filter Design/Chadic Horn
Project No: 158803
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attn: Mr. Bradley Bennett
We transmit
( X)herewith ( )under separate cover
( ) in accordance with your request
Foryour.
(X)approval ( )distribution to parties
( )information ( ) review&comment
( )record (X) use
The following:
O Drawings ( )Shop Drawings Prints
( )Samples ( )Specifications
( ) Change Order ( ) Literature
Copies: Date: Description:
1 4/24/03 Original—Home Sandfilter Request for Coverage,General Discharge Permit
NCG650000, Request for Authorization to Construct
3 4/24/08 Copies—Home Sandfilter Request for Coverage, General Discharge Permit
NCG550000, Request for Authorization to Construct
1 7/18/03 Permit Application Fee
3 Design Construction Documents.
Remarks: Please call If you have any questions.
By: David D.Smith,P.E.
JUL 3 0 2003
Cc: Charlie Horn D
Phone: [phone] Aw l 8
( ) 8 � Fax. [phone]a0
WADER OOALIIy sECfli
E RE81 NALOFFICE
LO 'd i Ci 9[ an7 6L66CE1616:XRA A}jlen0 ae}epi ;o A10

DAVID D. SMITH and COMPANY
Civil Engineering Consultants @
— — 46 Haywood Street,Suite 201-A— — —
Asheville, NC 28801
July 24,2003
II, Mr.Bradley Bennett
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
R13: Horne Sandfilter Request for Coverage
General Discharge PemdtNCG550000
Request for Authorization to Construct
4161 State Highway 19E, Micaville,Yancy County
Dear Mr.Bennett:
This is to request that a sandfilter treated wastewater discharge be permitted under General
Permit NCG550000 for Charlie Home,and an Authorization to Construct be issued for the
sandfilter described on the enclosed design documents.
We have visited and reviewed the site,investigated the possibility of on site ground
absorption systems,as well as alternate systems, such as drip or spray irrigation and
considered the feasibility of connecting to a regional sewer collection system with the
following results:
L. On site ground absorption—This site,was denied an onsite ground absorption
system permit by Tee River Health District.Please see the enclosed letter.
2. Alternate Systems—The site is too small and too close to adjacent features
(such as the creek,the highway and residential structures and wells)to allow
the installation of any alternate system.
3. Connection to a Regional System—The nearest regional sewage system access
is 4.1 miles west of the site on Highway 1913-Not only would this'require more
than four miles of pipe,but also multiple pump stations.Further,NCDOT will
not allow a private sewer line to be installed parallel and within the public right
of way.Beyond this no public entity would be willing to assume ownership of
such a sewer line and the obtaining of easements from all of the affected private
landowners to keep the line out of NCDOT right of way is not a practical
possibility.
n
�, 1 NM1 41?'tu
Telephone [phone]:Fa5!'(528i)255,014(1
N 'd 6Z:84 E00Z sl Bnv SLUNtE6:xej A111enp as1eM 10 Ala

DAVID D. SMITH and COMPANY
Civil Engineering Consultants
46 Haywood Street, Suite 201-A
Asheville, NC 28801
Mr. Bradley Bennett
July 24,2003
Pagetwo
Accordingly,we propose a sand filter for this site constructed to treat a design flow o£240
gpd comprised of the following components:
1. Building Drain Pipe:4" PVC @ 1%slope.
2. Septic tank: 1000 gal precast baffled concrete tank with access risers and
effluent filter as manufactured by Aacme Septic Tank or approved equal.
3. Small precast concrete distribution box with flow equalizing devices and vented
to the atmosphere-
4. Primary Sand Filter: 6'x36' sand and gravel meeting the size and uniformity
requirement lined with 10 mil HDPE liner.
5. Secondary Sand Filter: 6'xlg' sand and gravel filter similar to the primary
filter.
6. Chlorination:Tablet type chlorinator as manufactured by Sanuril (model 200)
or approved equal.
7. Chlorine Contact: Outlet piping enlarged to 6"PVC to provide 30 minute
contact time.
8. Dechlorination:Tablet type dechlorination as manufactured by Sanuril or
approved equal.
9. Dechlorination Contact:Piping enlarged similar as for chlorine contact.
10. Discharge Aeration:ldipmp cascade aeration.
Your review and approval of this proposed system is appreciated. Should you have any
questions or require additional information,please call.
.Very truly yours,
David D.Smith and Company
h
����'�FfSSlObGQ°4F
,Q FyyyCINF.���+:
Daufd�h,��mudl;'P.E.
DDS/jsa
Enclosures
Telephone:(828)254,4448 Fax: [phone]
6O 'd OC:6l COOZ sL snv 6166CU616:xe1 Aillen0 aateM }O Ala

FOR AGENCY USE OMY t
Date KeWad
+ Division of Water Quality 1 Water QpafiTy Section
AcKru�a orco.rr
NCDENRNational Pollutant Discharge Elimination System cl,�« Am r
o
NCG550000 p mgAa .n o
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG5501100:Single Family Domestic Units and/or facilities discharging less than 1000 gallons per
day of Domestic wastewater and similar point source discharges
(Please print or type)
1) Region contact(Please note:This application will he returned if you have not metwith a
representative from the appropriate regional office):
Please list the NCUENkR 9T,egional Office rapmsentative(s)with whom you'have,met
:
Name: �I IraeAAA IIAZ Date: I
toc vU'3
y) Mailing address of ownerfopera 1' i
Owner Name: taoz,[I
Street Address:
City: �w�o� State: .�G ZIPCode: �
Telephone No: (Home) T (R'lC• D(a (Work) ( ��•N�H
:) 3) Location of facility producing discharge:
Contact Person(if different than above).Street Address ( Ids
µa1Ll1F _ State: ZIP Code:
City 71h7$�
County:
Telephone No: Fax
4) Permit Contact(complete this section if permit contact is different from facility contact):
Contact Person:
Street Address
City: Stele: ZIP Code:
County:
Telephone No: _ Fax
5) Physical location information:
A copy of an USGS quad map or county map with the facility clearly IOCated on the map IS
REQUIRED to be submitted with this application.
P18WO provide a narrative description of how to get to the fecal ( as street names, a 0 road
ngmbers,and distance and di coon f m a roadway imarseclion). / 3 ICI ')'d.. " r'01 fe
Irn hvJr�!{i LI n n.ra 4'1 Au-Yl^ �'l Y4f
orLb A+4t a6,JvEv. (lEf �us� p� Iv vpe(n [b+ on rldR
51de -ham+ pits 0VP. phi.
Page 1 of 4
SWU-216U80102
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NC0550000 N.O.I.
6) This NPOES permit application applies to which of the following:
% New or Proposed(system not constructed)
❑ Existing(system constructed);If previously permitted by local or county health department,
please provide the permit number and issue data
❑ Modification; please describe the nature of the modification:
6) Description of Discharge:
a) Amount ofwastewaterto be discharged:
Number of badmoms '- x 120 gallons per bedroom= _2 gallons per dayto be permitted
b) Type of facility producing waste(please check one):
El Primaryraddence ❑ Vacationfsecand home
Gar Other. r" e>C> �e �2 L
7) Please check the components that comprise the wastewater treatment system:
(9'3eplic tank ❑ Dosing tank
O?'Primary sand filter Q'Sacondary send filter ❑ Recirculating sand filter(s)
L>(l`-Chlodnallon M'Gechlorinstlon ❑ Other form ofdisinfection:
(9'Post Aeration(specify type): -
8) For new or proposed systems only:Pleeae address the feasibility of site matives to
discharging for the following options in the cover letter for this application:
a) Connection to a Regional Sower Collection System,
b) LeBerfrom local or county health department describing the suitability or non-suitablllty of the site
for all types of wastewater ground adaary8on systems.
c) Investigate Land Application such as spray Irrigation or drip irrigation.
9) Receiving waters:
a) What is the name of the body or bodies of water(creek,stream,river,lake,etc.)Ut ae hddlity
wsstewaterdischarges end up in? C&akkr G'a ¢ �4
b) Stream ClassifiWitgn(WS-IV,C.NSW,etc.,if known): e 7, �
7g)The application must Include the following or it will be returned:
a) For Cem6 tas of Coverar>•e:
❑ An original letter and two(2)copies requesting a general permit.
❑ A signed and completed original and two(2)copies of this document
❑ A check or money order for the permit fee of$60.00 made payable to NCDENR.
❑ Invoice showing that the septic tank has been pumped and serviced within the last 2 years
(for existing fadlifies only).
Page 2 of A
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NcOS60000 N.O.I.
New orproposed factfittas must also fnclade:
❑ Letter from the county health department evaluating the proposed site for all types of ground
absorption systems.
❑ Evaluation of connection to a regional sewer system(approximate distance&cast to connect).
b) For an Authorizaton to Construct(ATCI only'
❑ A letter requesting an ATC
❑ Three sets of plans and specifications of proposed treatment system(see Permit Application
Checklist and Design Criteria far Single Family Discharge)
❑ Invoice showing that the septic tank has been pumped and serviced(for existing septic
tanks).
Note;. There is no fee when requesting an Authorization to Construct
11)Additional Application Requirements:
a) If this application is being submitted by a consulting engineer(or engineering firm),include
documentation from the applicant showing that the engineer(or firm)submitting the application
has been designated an authorized Representative of the applicant
b) If this application is being submitted by a consulting engineer(or engineering trtn),goal plans for
the treatment system must be signed and sealed by a North Carolina registered Professional
Engineer and stamped-"Final Design•Net released for constrocton".
o) If this application is being submitted by a consulting engineer(or engineering firm),final
speehiications for all mayor treatment components must be signed and sealed by a North Carolina
registered Professional Engineer and shall Include a narrative description of the treatment system
to be constructed.
J 12)Certification:
JJ I certify that I am familiar with the information contained in Ibis application and that to the best of my
knowledge and belief •uch In ermatinn is thus,complete,and accurate-
Printed Nah of P an Sign!
Title:
m�
(Signature fA li ant) ( at SignBtl)
North Carolina General Statute 143.216.6 b(1)provides that:
Any panead who know➢gN makes eery Was statement span a vadve,aresdMeatian in any exileation,rapmd,reast
plan or other document Algid a Method to ba maintained under Adiao 21 or mgumbione of Me ¢m%imnrnenlas
Management Commission imply nwiing that"de.or cone falsifies tampers with or knowmgry renders inaccurate any
moardmg ormonionseg deNca of method mguimd to be operated or maintained under Anda 21 or mildolk na of the
Errvlmnmerdei ManapemenfCommissron imp'smendrg thmArdde,Shall he geidyafa misdames—leagshable by a fine
net to exceed$1n000. or by imprommoa not to exceed six pwntha,arty baM, fro U.S.C.Section 1001 P.,kies a
Punishmentbye her atna momseen$10,000 atmpdscoment notmodi than 5yeare,cream.fora smalaroamset
Page 3 of 4
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NCG650000 N.O.I.
Notice of Intent must be accompanied by a check or money order far$60.00 made payable to:
NCDENR
Mail three(3)copies of the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the Issuance of an NPDES permit
Page 4 of 4
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Wednesday,July 23,2003 9:29 PM Charles Worn.OM 899-0277 P.M
{' Charles H. Horne &c Margaret A. Horne
p.D. Box 197 Micaville, NC 28755
ph [phone]
fax [phone]
David D. Smith and Cumpany July 18,2003
David D:Smith,F.B.
46 Haywood Street, Suite 201A
Asheville,'NC 28901
$e: Home—Sand Filter Yancey County,NC
Dear W. Smith,
This letter serves as confirmation that the David D. Smith and COMP11Y.civil ongineering firm,represents Charles and Margaret Hume in all appropriate matters
relevant to the stare application for the above referenced sand filter discharge system,
stateHWY 19$Yan CenntYNC.
(Charles H. 110= Margaret A.Mine
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Wednesday,July 23,2003 9:28 PM Charles Horne(e07)899-0277 p.02
JVL-16�Z063 0i :3� "M FVLFaRD
9e7 696 2166 P.01
TOE RIVER WEALTH DISTRICT
lbamw E.s ftka o.Imarim Haulm Datoux
Big GwnWMd Rod-%a om-Bo.99
Sp"M .,NC 26171
T.kplaM(r01)7fiYn3r Fur t+ )763-9022
EMROU2arrw7. muLTH mlmiov
pep,7. garmn A. Bore
7ais lattar is Sa refaraace to your property leated
An an-alto erslaatioa of'soar proparts uas eda an e3-ev.Q3- ud 03-65-03 Iq
to datetmiae she ouitahilig7 for a ground ahaorption ara*ge 6uporoieor
dispeaal 6ystee,. and gealth
Director.
Upon field araminstlan of mail eharaoterisetee, it is the
determination of this depaYtamnt tbat saga' peoparty in nuSatelble
for as approved eaptia weton am to the reason(m) 5peeifiad
w3umv.
1. T pograpby amd land peaitior.
ME (b) ia3 2. soil aharacteriabiem OuarphologyL
3. Doii we%&*-*.
.i943 son depth.I
6. Bestrlatixre harisons.
.is4s itl tb3 _ 6. Awailbble spate.
Paveible nadifieatione or muermatlses for obtaiaing prepar
anmege dL%M Pl Sneladax
1. Catlin additional prepertY or ensisent to "J"ant
property. ..
2. Application tbzoaP ems MVIZrao of gntirenaeaial
Ipaoagenent for a egad-filter dlachsree into a neerby
stream.
Aeeordlas to Title 10. mleypter Ina, gentian .1965. ear daeiaian
10 cat t1sa Sisal nord aura you do haw* the rift to am onww%
in aceoraaace with 0.8_ 1903 end 30 Xw is.
if tide otticer can be or rurtber a6sistaoea to you, piame ,
Leal free to coU at (TC4) 6152-3003.
BSceere7S.9al3raamsstal gealtb Bpeeiallet
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Jul •17. 2003 7:64AM No 8926 P• 2
TOE RIMER HEALTH DISTRICT _
861 Gmawood R9ad•t'mtom=H=93
apumt9aq NC 29M
Toloph=9828)763.2239 pp3(628)7M-M2
ruts 14,200E
Dear Mr, SmI&
The neetest access to city sewage for Mr.Chadds Hares lot boated on 19E and
Wyatt Towa Road intetscotion is 4.1 mhos Weat oftbat location
M W � •
Michael Wilson
Environmental Health Specialist
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• . .file �•
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Name:MICAVILLE Location: 035"54'34.1" N 082- 12',t5.a" W
Date:7123/103 Caption:Charlie Home Sand Filter
Scale: 1 inch equals 2000 feat Vancay County
7-23-03
COPYn9ht( )1997.Map",W,
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