NCG550701_Regional Office Physical File Scan Up To 6/11/2020

PAT MCCRORY
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DONAID R. VANVANDER V-4ARTRT
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Water Resources
x.moxnmeu awon S. JAY Z[h1MEAMAN
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Certified Mail # 7012 1010 0002 1965 7260
Return Receipt Requested
July 11, 2016
Thomas Cline
120 Cresent Dr.
Marion, NC 28752
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-PC-0272
Permit No. NCG550701
NAPA Store #459-Sawmill Hollow Road @U.S. Highway 19-E
Yancey County
Dear Permittee:
The North Carolina Division of Water Resources conducted an inspection of the Napa store at Sawmill Hollow Road
@ U.S. Highway 19-E on May 24, 2016. This inspection was conducted to verify that the facility is operating in
compliance with the conditions and limitations specified in NPDE$ WW Permit No. NCG550701. A summary of
the findings and comments noted during the inspection is provided in the enclosed copy of the inspection
report.
The Compliance Evaluation inspection was conducted by Division of Water Resources staff from the Asheville
Regional Office. The fallowing deficiencies) were noted during the inspection:
.Inspection Area Description of Deficiency
Septic Tank The septic tank shall be pumped out as required by Permit Condition (Operation and
Maintenance) #3 on Page 4 of 16.
Disinfection-Tablet The tablets should be the proper type of tablets. Follow the Permit Condition (Operation and
Maintenance) #1 on Page 4 of 16.
SntedNorh Caroline Environmema[Quelin Wamr Resources
2090 C.S.70 Hishlay,Sla .v oe]C 18778
828 1,96 4500

.. [phone] [phone] [phone]
CART, MR
319 OLD MARS HILL Hm.
WEAVERVI0.E, NC 28787
1-800-556-8590 NO.
DATE: L �' � %�� z_//1
CUSTOMER'S NAME: 7 Z
ADDRESS:) aO ( yts vi t pr
YYIa�, On NG as��52
PHONE
JOB SITE:
CONTRACTORS NAME: ! 0., cy/ C_. J /0 rr'
J06 DESCRIPTION PRICE
CLEANING SEPTIC TANK
LABOR I
INSTALL ACCESS COMPONENTS \
DNS: 9 % T
BAFFLE WALL? YES ❑NO -
CLEANED BOTH SIDES OF BAFFLE WALL? YES CINA
TRAP CONDITION: GOOD POOR NO TRAP NA
FILTER: YES NO
DRAIN FIELD CONDITION: C-0EO-QCLOGGEOQ SAT @ GED CONDI➢ON
TOTAL J i
COMMENTS:

AI IORWECO, INC . PACKING SLIP
P.O. BOX 410 Shipper No: 71289
220 REPUBLIC STREET Date: 07/20/16
NORWALK, OH 44857
Page: 1
IIII I III I IIIII III I IIIII IIIII III IIII
B USA BLUE BOOK S SNT INVESTMENTS LLC
UTILITY SUPPLY OF AMERICA 120 CRESCENT DR
PO BOX 9005 H MARION, NC 28752
L GURNEE, IL 60031-9005 1
L USA P
ATTN: PURCHASING ATTN:TOM CLINE
Sales Order No: 180680 Purchase Order. 713176
Order Date: 07/19/16 Ship Via: UPS GROUND
Cust Code: USA FOB: ORIGIN
Freight Terms: EPA Salesperson: 56
City This Qty Actually
Line Part Number Description UM Shipment Shipped
1 CH000105 25 LB. BIO-SANITIZER, UPS PL 1.00
Claims for shortages or defective materials or non-conformity to specifications, Filled By:
which would be revealed by prompt inspection, must he made in writing to us
immediately and, in any event, within 5 days after you receive the materials so
that any such claim can be investigated promptly. Refer to Norweco's Terms Verified By.
and Conditions of Sale.

i
lJtXl,.`✓ IUeBook CuBitomer# 1041109
PACKING LIST SALES ORDER# 726573
earn, -6 om.zew ww msabluebook.c0 1 of 1
IT
Er CAL-ebaeMGUa NCPRbbbcrs. 03 0 FAX: [phone] PAGE
TOLL FREE: 1-800-548-1234 DATE 07/18/16
F.E.I.N.: 36-3645787
INTERNATIONAL DIRECT: [phone]
S B
1
H ENT INVESTMENTS LLC � SNT INVESTMENTS LLC
P ATTN: TOM CLINE L
120 CRESCENT DR
120 CRESCENT DR MARION , NC 28752
T MARION, NC 28752 T
O USA USA O
CUSTOMER P O.# ORDER DATE SLP. TERMS W/H FREIGHT SHIP VIA
ASAP ox
CC 1 07/18/16 07/21/16 CCL VISA 49 FXD/PPD UPS -
-
USASTOCK# DESCRIPTION ORDERED SHIPPED eacnoeoes U/M PAGE LOG. �.
50424 (HM) Bic Sanitizes Tabs 2-5/8" 1 DIREC9 1 EA 14AS IRECT
Calcium Hypochlorite 25Lb Pail
PACKING SLIP. This is NOT a purchase order. PACKI G SLIE ONLY
III
Thank you for your order. Christina Clay
Picked by: Checked by: Packed by: III
�I

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�H atauA�nr s, YaYlzti roigg'141A14
Certified Mail # 7012 1010 0002 1965 7260
Return Receipt Reauested
July 11, 2016
Thomas Cline
120 Cresent Dr.
Marion, NC 28752
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-PC-0272
Permit No. NCG550701
NAPA Store #459-Sawmill Hollow Road @ U.S. Highway 19-E
Yancey County
Dear Permittee:
The North Carolina Division of Water Resources conducted an inspection of the Napa store at Sawmill Hollow Road
@ U.S. Highway 19-E on May 24, 2016. This inspection was conducted to verify that the facility is operating in
compliance with the conditions and limitations specified in NPOES WW Permit No. NCG550701. A summary of
the findings and comments noted during the inspection is provided in the enclosed copy of the inspection
report.
The Compliance Evaluation inspection was conducted by Division of Water Resources staff from the Asheville
.Regional Office. The following deficiencies) were noted during the inspection:
Inspection Area Description of Deficiency
Septic Tank The septic tank shall be pumped out as required by Permit Condition (Operation and
Maintenance) #3 on Page 4 of 16.
Disinfection-Tablet The tablets should be the proper type of tablets. Follow the Permit Condition (Operation and
Maintenance) #1 on Page 4 of 16.
State ofNorth Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swa aranoa,NC 28778
828-296-4500

Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. Please respond to this Notice within 30 days in writing to address: 2090 Hwy 70, Swannanoa,
NC 28778 or via email: linda.wiggs6bricdenr.aov. To prevent further action, carefully review these deficiencies
and address the causes of non-compliance to prevent the recurrence of similar situations.
If you should have any questions, please do not hesitate to contact Linda Wiggs with the Water Quality
Regional Operations Section in the Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office -
Division of Water Resources, NCDEQ
ATTACHMENTS: Inspection Report
Tablet Description
Cc: WQS Asheville Regional Office
NPDES Compliance/Enforcement Unit
G:\WR\WQ\Yancey\Wastewater\General\NCG55 SFR\NAPA NCG550701\NOD-2016-pc-0272.resena.aoa
i
i
h

United elates Environmental Prmemun Agency Form Approves.
EPA W89M1In9t0.,D.0 201 0 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 yrlmolday Inspection Type Inspect., Fee Type
1 1u l 2 1. 1 3 I NCO550701 I11 12 tarot 17 181�1 191 s I 201 I t8 2111111111111111111111111111111111111111IIII I6
In....[,cn Work Days Facility Self-Monitoring Evaluation Rating B1 CA -------------Amer eb---------
67I 70 LJ I I 71 ili I 72 I Lnl I 73I I tI74 75I I I I I I I I80
�J Section B:FaclityyD Data J I I
Name and Location cf Facility Inspected(For Industrial Users discharging 0 POTW,also include Entry Ton./Date Permit Effective Date
POTW name end NPDES Pamit Number) 02'.0DPM 16/05/24 13/08/01
Sawmill Hollow Road @ U.S.Highway 19-E
Sawmill Hollow Rd US 19e Exit Timel0ate Permit ExpVation Date
Burnsville NC 28714 03AIOPM 16/05/24 18/07/31
Named)of Crisis Representstiveddrritles(s)IPhona and Fax Nonni Other Facility Data
1/1
Name,Address of Responsible OFciploce/PhoOe and Fax Number
Thomas Clinel2D Cheroot Dr BumsNlle INC 28714/1828-852-60B Contacted
Yes
Section C:All Evaluated During Inspection(Check only those areas evaluated)
Permit 0 Operations 8 Maintenance M Records/Reports Facility Site Review
EfguentlReceiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(.)and Signalure(s)of line,de.r(s) Agency/OBies/Phone antl Fax Numbers Cate
Linda S Vail q /' ARO WOI1828-295-0590 Ex146531
Signature of Managgment O A Reviewer Agenry/ORIvelPhuns antl Fax Numbers Date
R EPA Form 3560-3(/eevv 99-94)Previous editi0ns are.bsotete.
Page# 1

NPoes ynmaday Inspection Type - (Cont.) 1
31 NCG550701 I11 12 18105124 17 1S u
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Met onsite with previous owner Paula Peterson and current owner Thomas Cline.
Septic Tank:
Ms. Peterson was original owner when the system was installed. She stated she never saw the
system discharge and was told it never would. She had not ever had the septic tank pumped. The
inspector explained to Mr. Cline the permit requirements and proper maintenance needs for pumping
out the septic tank.The septic tank shall be pumped out as required by Permit Condition (Operation
and Maintenance)#3 on Page 4 of 1B.
Disinfection:
The tablet chlorinator cover was observed; however,the cover could not be removed during the l
inspection for proper evaluation.The tablet chlorinator shall be accessed and proper tablets placed in
the tubes. It is important that pool chlorine tablets NOT be used in this system. Ms. Peterson stated h—
she understood the proper tablets to be used. Mr,Cline needs to make sure the tablets are the proper
type of tablets and follow the Permit Condition (Operation and Maintenance)#1 on Page 4 of 16.
The chlorine contact chamber appeared to be slacked manholes; the wooden baffle was offset and the
bottom was covered in dirt and completely dry. It is unclear if there is a solid bottom or if the manholes
are just stacked manhole shells(no invert or shelf).
Effluent Pipe:
The effluent pipe was removed during the DOT HWY 19 widening project.The inspector contacted
DOT Resident Engineer(Randy McKinney) and requested he reinstall the effluent pipe.A new while
PVC effluent pipe was installed and is visible in the rip rap in front of the Napa store.
t
Page# 2
I

Permit: NCG550701 owner-Facility: Sawmill Hollow Road U.S.HIBhway 18-E
Inspection Deb: 05/24/2016 Inspection Type: Compllanca Evaluation
Operations& Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, III Settleable ❑ ❑ 0 ❑
Solids,pH, DO,Sludge Judge,and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permitme submitted a new ❑ ❑ ❑
application?
Is the facility as described in the permit? M ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ❑ M ❑
Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? M ❑ ❑ ❑
Comment:
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ ❑
Is septic tank pumped on a schedule? ❑ M ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ 0 ❑
Are high and low water alarms operating properly? ❑ ❑ 0 ❑
Comment: The septic tank shall be pumped out as required by Permit Condition (Operation and
Maintenance)#3 on Page 4 of 16
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ 0 ❑ ❑
Are the tablets the proper size and type? ❑ ❑ ❑
Number of tubes in use?
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth,or sludge buildup? ❑ 0 ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑ M
Comment: Mr. Cline needs to make sure the tablets are the proper type of tablets and follow the Permit
Condition(Operation and Maintenance)#1 on Page 4 of 16
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ M ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑
Page# 3

Permit: NCG550701 dvmer-Facility: sawmill Hollow Roads U.S.Hlghwaylp-E
Inspection dale: 0 5/2412 01 6 Inspectiontype: Carreenw Evaluegon
Effluent Pipe Yes No NA NE
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment: Since the inspection DOT has installed anew while PVC effluent pipe which is visible in the
rip rap in front of the Napa store.
i
Pagen 4

i ;GaWWretit
` sr{
firm
�N���,�"�um��ir+ s SAY'LtSH'hr�lE�:1w�fN
Certified Mail # 7012 1010 0002 1965 7109
Return Receipt Requested
June 24, 2016
Thomas Cline
Napa #459
120 Cresent Dr
a rnsyillc>,.NC 26n4
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-PC-0272 _
Permit No. NCG550701
NAPA Store-Sawmill Hollow Road @ U.S. Highway 19-E
Yancey County
Dear Permittee:
The North Carolina Division of Water Resources conducted an inspection of the Napa store at Sawmill Hollow Road
@ U.S. Highway 19-E on May 24, 2016. This inspection was conducted to verify that the facility is operating in
compliance with the conditions and limitations specified in NPDES WW Permit No. NCG550701. A summary of
the findings and comments noted during the inspection are provided in the enclosed copy of the inspection
report.
The Compliance Evaluation inspection was conducted by Division of Water Resources staff from the Asheville
Regional Office. The following deficiency(s) was noted during the inspection:
Inspection Area Description of Deficiency
Septic Tank The septic tank shall be pumped out as required by Permit Condition (Operation and
Maintenance) #3 on Page 4 of 16.
Disinfection-Tablet The tablets should be the proper type of tablets. Follow the Permit Condition (Operation and
Maintenance) 91 on Page 4 of 16.
StateofNorth Carolina I Environmental Qualityl Water Resources
2090 U.S.70 Highway,Sxrennanoa,NC 28778
828-296-4500

y
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the\.
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law. To prevent further action, carefully review these deficiencies and address the causes of
non-compliance to prevent the recurrence of similar situations.
If you should have any questions, please do not hesitate to contact Linda Wiggs with the Water Quality
Regional Operations Section in the Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS: Inspection Report
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit- Enforcement File
G:\WR\WQ\Yancey\Wastewater\General\NCG55 SFR\NAPA NCG550701\N0D-2016-pc-0272.doCX
Ili

uoitea slates envimnmenal Pretedian Agency Form Approved.
EPA Wa9Mn9teq Di 20CW OMB No.2040-0057
Water Compliance Inspection Report Approval expires8-31-98.
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/tlay Inspection Type Inspector Fec Typa
1 1„ 1 21, 1 3 I NCG550701 I11 12 19/05/24 17 1a L,j 19 Lsj 20t I
21111111IIIIIIIIIIIIII1111I IIIIII IIIIIII III I f6
Inspection Work Days Facility Self-MonitaMO Evaluation Rating B1 pA --------------Referral
67 I� 70L 71 Lj 72 L„J 73 t t 74 75L L_L L_L_L J a0
Section B:Facility Data
Name and Local of Fatally Impacted(For Industrial Uses discbarying to POTW,also include Entry TimalDam Permit Effective Date
POTW name and NPDES permit Numbep
02:OOPM 16/05124 13I08I01
Sawmill Hollow Road Q U,S,Highway,19-E
Sawmill Hollow Rd US 19e. Exit Time/Dete Permit Expiration Date
BurnsNlle NC 28714 03.00PM 16/05124 18/07131
Names)of Onsits Rapresenlative(s)ITitles(s)IPhone and Fax Number(s) Other Facillry Data
Name,Address of Responsible Of icial?itle/Phone and Fax Number
Thomas Cline,120 Gresent Dr Burnsville NC 2971411028-652-6085/ Contactual -
Yea
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit N Operations&Maintenancc N Records/Reports Facility Site Review
EfguenUReceiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Si9n(alt�ura(s)of lnspectei Agency/OFce/Phone and Fax Numbers Date
LindaS Wgga�lf/V ARC WO//820-2964500 Ext.4053/
Signature of Manaag7emen10 viewer Agency/ORcelPhone and Fax Numbers Data
C
EPA Form 3560-3(Rev 9-94)Previcus editions are obsolete.
Page# 1

' y
NPDES yrlmp/day Inspection Type (Cont.) 1
31 NGG550701 I11 12 18I05124 17 18 u
Section 0:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Met onsite with previous owner Paula Peterson and current owner Thomas Cline.
Septic Tank:
Ms. Peterson was original owner when the system was installed. She stated she never saw the
system discharge and was told it never would. She had not ever had the septic tank pumped.The
inspector explained to Mr.Cline the permit requirements and proper maintenance needs for pumping
out the septic tank.The septic tank shall be pumped out as required by Permit Condition(Operation
and Maintenance)#3 on Page 4 of 16.
Disinfection: _
The tablet chlorinator cover was observed; however,the cover could not be removed during the
inspection for proper evaluation.The tablet chlorinator shall be accessed and proper tablets placed in
the tubes. It is important that pool chlorine tablets NOT be used in this system. Ms. Peterson stated
she understood the proper tablets to be used. Mr. Cline needs to make sure the tablets are the proper
type of tablets and follow the Permit Condition (Operation and Maintenance)#1 on Page 4 of 16.
The chlorine contact chamber appeared to be stacked manholes; the wooden baffle was offset and the
bottom was covered in dirt and completely dry. It is unclear if there is a solid bottom or if the manholes
are just stacked manhole shells(no invert or shelf).
Effluent Pipe:
The effluent pipe was removed during the DOT HWY 19 widening project.The inspector contacted
DOT Resident Engineer(Randy McKinney)and requested he reinstall the effluent pipe.A new white
PVC effluent pipe was installed and is visible in the rip rap in front of the Napa store.
I
Page# - 2

/ r
r
Permit: NCG550701 Owner-Facility: Sawmill Hollow Road@ U.S.Highweyta-E
Inspection Dab: 05124/2016 Inspection Type: Compliance Evaluation
j, 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:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new 0 ❑ ❑ ❑
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? 0 ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑
Comment:
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ 0 ❑
Is septic tank pumped on a schedule? ❑ M ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ 0 ❑
Are high and low water alarms operating properly? ❑ ❑ 0 ❑
Comment: The septic tank shall be Pumped out as required by Permit Condition (Operation and
Maintenance)#3 on Page 4 of 16.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ M ❑ ❑
Are the tablets the proper size and type? ❑ 0 ❑ ❑
Number of tubes in use?
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth,or sludge buildup? ❑ 0 ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑ IN
Comment: Mr. Cline needs to make sure the tablets are the proper type of tablets and follow the Permit
Condition(Operation and Maintenance)#1 on Pace 4 of 16
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 ❑ ❑ ❑
Page# 3

Permit NGG550701 Owner-Facility; Sawmill Hollow Rom@ U.S.Highway 19E
Inspection Deal 05/24/2016 Inapecllon Type: Oomplenc r Evaluation
Effluent Pipe Yes No NA NE
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment: Since the inspection DOT has installed anew white PVC effluent pigs which is visible in the
rip rap in front of the Naga store.
i
i
i
Page# 4

United steles Fnvimnmenlel Protection Agenry Form Approved.
EPA Washington,DC 2045) ONE No 2040-0057
Water Compliance Inspection Report Appro.alexpiressat-93
Section A:National Data System Coding(Le.,FOR)
Transaction Code NPDES yr/me/day Inspection Type Inspector Fed Type
1 I„ j 2I. I 3 I NCG550701 I11 121 16/05/23 17 18[21 19 sI 201 ]211111 I I I I I I II I I I I I III I I I I I I I I I I I I I I I II I I I I I I Ig
6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 CA --------Risseved-------
671 I 701 71 it I 72 i a, 731II 174 75I I I I I I I80
L I LJ Section B:Facility Data
LJ I
Name and Location of Facility Inspected(For Industrial Users discharging to PONY also include Entry Time/Date Permit Effective Date
POND name and WERE Permit Numbed
02:OOPM 18105123 13198101
Sawmill Hollow Road @ U,S.Highway 18-E
Sawmill Hollow Rd US 18e Exit Time/Date Permit Expiration Data
Burnsville NC 28714 03'.00PM 16/05/23 1W07131
Hall of Onsite Represantative(s)/Fdles(s)/Phone and Fax Numbar(s) Other Facility Data
///
Name,Address of Responsible Offlciel/TitlelPhone and Fax Number
Thomas Cline,120 Cresent Dr Burnsville NC 26714//828-552-9085/ Contacted
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit 0 Operations 8 Maintenance 0 Records/Reports Facility Site Review
EflluenVReceiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Nanni and Stgnatudi of lnspecteds) AgencylORice/Phone antl Fax Numbers Data
Linda S Wggs ARC WO//828-2984500 at 45531
Signature of Management O A Reviewer Agency/Office/Phone and Fax Numbers Data
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPOES ytlari Inspection Type 1
31 NCG550701 I11 12 te/0523 17 13 ICI
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
'60 _ a
i
o�
Page# 2

Permit: NCG550701 Omer-Facility: Sawmill Hallow [e-mail] 19-E
Inspection Data: 05/23/2016 Impaction 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 ❑ ❑ 110
Solids, li DO, Sludge Judge, and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permutes submitted anew ❑ ❑ ❑ ❑
application?
Is the facility as described in the permit? ❑ ❑ ❑ ❑
#Are there any special conditions forthe permit? ❑ ❑ ❑ ❑
Is access to the plant site restricted to the general public? ❑ ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ❑ ❑ ❑ ❑
Comment:
Record Keepino /"Al Yes No NA NE
Are records kept and maintained as required by the permit? � ❑ ❑ ❑ ❑
Is all required information readily available,complete and current? _f,., ❑ ❑
Are all records maintained for 3 years(lab. reg. required 5 years)? "q'//��", `� ❑ ❑ ❑ ❑
Are analyfi al results consistent with data-ported on DMRs? f� �'� ❑ ❑ ❑ ❑
Is the chain-of- stody complete? ❑ ❑ ❑ ❑
Dates, times antl Ica\lion of sampling ❑
Name of individual So ming the sampling ❑
Results of analysis and call b lion ❑
Dates of analysis ❑
Name of person performing analyses ❑
Transponder!COCs ❑
Are DMRS complete:do they include all permi are tern? ❑ ❑ ❑ ❑
Has the facility submitted its annual c lights reportto u mi DWQ? ❑ ❑ ❑ ❑
(If the facility is=on 5 MGD ilted flow)Do they operate 24/7 with a certified operator ❑ ❑ ❑ ❑
on each shift?
Is the ORC visitation g available and current? ❑ ❑ ❑ ❑
Is the ORC ce ad at grade equal to or higher than the facility classification? ❑ ❑ ❑ ❑
Is the bay up operator certified at one grade less or greater than the facility classification? ❑ ❑ ❑ ❑
Is a copy of the current NPDES permit available on site? ❑ ❑ ❑ ❑
Page# 3

Permit NCG550701 Owner-Feclllry: Sawmill Hollow RoadQUS.HIOhwayl&E
Inspection Date: 05123/2016 Inspection Type: compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous years Annual Report on file for review? ❑ ❑ ❑ ❑
Comment:
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? El El El ElIs septic tank pumped on a schedule? El El El El
Are pumps or syphons operating properly? ❑ ❑ ❑ ❑
Are high and low water alarms operating properly? {�,nr/.,+ ❑ El El El
Comment: I „o �L � ,,Af� Ap - 4 .
Disinfection-Tablet tut Yes No NA NE
Are tablet chlorinators operational? /1 n El El El ElAre the tablets the proper size and type? (�bf / / ❑ ❑ ❑ ❑
Number of tubes in use? /-y �� �r-/�/�J//J,1—,1�),L.g4
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup? q ' ./. ^`Jf""r ❑
Is there chlorine residual prior to de-chlorination? ) �p� ���D�/ ,( P ❑ p
C'V�/J ipn i /t/U (i/�OG+.t�fJv(9r' <A.LB--L�A.✓)'\
Comment:
Effluent Pipe x�Yes No NA NE
Is right of way to the outfall properly maintained? /^��rY_`fJ l��J U El ❑ El
Are the receiving water free of foam other than trace amounts and debris? < /y❑, ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating propery? ) - / ,l /y� ❑ ❑ ❑
Comment:
Page# 4

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Single n. h
4� Family Y ge Inspection Report kVV
Permittee: Kevin's Country Carpets .Inspector: Wanda- /ill
�� q Frazier
Permit #: MCG550701 County: Yancey
Location: Saw Mill Road @ Hwy 19E; Date .Inspected: 3-15-00
east of Burnsville, NC Self-monitoring records: no
Contacted:. Charles Peterson Chlorinator present : yea
Telephone : [phone] Chlorine tablets: no
Homeowner know about system: .yes Cascade aeration: , yes
System age: installed in fall of 1994 Discharge pipe found: yes
Last repaired: never been repaired Dischargingi no
Septic tank pumped: never been pumped Sample taken: no
General observations, stream conditions and inspection summary:
This is a 240 gpd domestic wastewater treatment system consisting of 1500
gallon septic tank, dual subsurface sand filters. (210 ft2 .primary &. 108 £t2
secondary) , tablet chlorinator, chlorine contact chamber and aeration .
cascade. The discharge enters an unnamed tributary- to Little Crabtree
Creek in the French Broad River Basin. The drainage area of the site is
0 .33 .square miles with an estimated (summer) 7Q10 flow of . 0.10 c€s (1991
USGS report) . The stream is now class "C-Trout"; therefore dechlorination
should be required upon the next permit renewal.
I met with the store owner, Mr. Charles Peterson and we dug out the
chlorinator lid and inspected the tablet chlorinator. water was present,
however there were no tablets in the dispenser. The aeration cascade had
been caved in by a small mud slide on the embankment near the corrugated
stream pipe.. There was no discharge during the time of the inspection,
therefore no samples were taken. The stream appeared clear with no
evidence of negative impact from the discharge.
The store operates 6 days a week with 4 employees which use one bathroom
with a commode and small hand-washing sink. Mr. Peterson said that he
would dig out the cascade and place chlorine tablets in the dispenser.
We discussed dechlorination as a future probability.
The owner maintained a file of all records and correspondence regarding the
SFR as well as photographs which documented the initial installation..

State of North Carolina A
' Department of Environment, ;eA
Health and Natural Resources
Division of Environmental Management r1 Ca
James B. Hunt, Jr., Governor F
Jonathan B. Howes, Secretary
A Preston Howard,Jr., P.E., Director
Lune 27, 1994
I
Charles&Paula A. Peterson -
PO Box 712
Burnsville,NC.28714
Subject: General Permit NCG550000 -
Cert.of Coverage NCG550701 I.
Kevin's Carpets
Yancey County
Dear Charles&Paula Peterson:
In accordance with your application for an NPDES discharge permit received May 16, 1994 by the
Division,we are herewith forwarding the subject Certificate of Coverage under the state-NPDES general
permit for Kevin's Carpets. Authorization is hereby granted for the construction and operation of 240
GPD wastewater treatment system consisting of the following minimum criteria,a 1500 gallon septic tank,
210 squarefoot primary sandfiilter with a loading rate of not more than 1.15 GPD/squarefoot, 108
squarefoot secondary sandfilter with a loading rate of not more than 2.3 GPD/squarefoot, tablet
chlorinator, chlorine contact tank and cascade aeration with a discharge of treated wastewater into an
unnamed tributary to Little Crabtree Creek. Certification of treatment design shall be provided prior to
initiation of construction to the Winston-Salem Regional Office 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 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, Ek addresses the requirements to be
followed incase of change of ownership or control of this discharge,
The Authorization to Construct is issued in accordance with Part:111, 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]'imitations specified in Permit No.NCG55MM.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions,the Permittee shall lake 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 7041251-6208, 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.
An Equal Opportunity Affirmative Action Employer 60%recycled/10%post-consumer paper
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone] FAX [phone]

Upon completion of construction and prior to operation of this permitted facility, a certification
must be received from a professional engineer 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 Permits and Engineering Unit,P.O. Box
29535, Raleigh,NC 27626-0535.
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 sandfrlter 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 twenty4our(24)hour per 1,000 gallons of
tank capacity. The engineers certification will serve m proof of compliance with this condition,
Failure to abide by the requirements contained in this Authorization to Construct may subject the
Pernuttee to an enforcement action by the Division of Environmental Management 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 Environmental
Management or permits required by the Division of Land Resources,the Coastal Area Management Act or
any Federal or Local other governmental permit that may be required.
If you have any questions or need additional information,please contact Mack.Wiggins,. telephone
number 919/733-5083.
Sincerely,
Original Signed By
David A. Goodrich
A. Preston Howard,.Jr., P.E.
cc: Yancey County Health Department
Asheville Regional Office,Water Quality
Training and Certification Unit
Donald L. Kelly,Consulting Engineer

- I
STATE OF NORTH CAROLINA
DEPARTMENTOF ENVIRONMENT,HEALTH,
OF ENVIRONMENTAL M E AN GEIMENf ROURCFS
DIVISION
M ATEOF f'OVERA�F Ol
FRS Ay p>.RMIT NO NCC3�`2'>—
ENC
t
ES AND OTfIE'
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAM UNDER THE
- DISCHARGES WITH SIMILIAR CHARACTERISTICS
y. [F Ei,IMI �m7nN ;LSTFM
NATION er pn7 t iITANT DISCHAGeneral R
t in compliance
tions ce with
tg tee and adopted Noah
Carolina by the North Carol m Environmental Management Cote 141-215.1, other mmies on M
Federal Water Pollution Control Act,as amended.
Charles and Paula Peterson
of a
is hereby authorized to continue otm tmsewndaz a dfmll wastewater hiorinatorr, chlannet`contact stank andsass�
distribution boz, primary
appurtenances with the discharge of treated wastewater from efutility located at the
- Kelvins Carpels
northwest of US Highway
C 19 F&NCSR 1328
Yancey
to receiving waters designated as an unnamed tributary to Little Crabtree Creek in he French Broad River Be �-
in
accordsoce With the effluent limitations,monitoring requirements,and other conditions set forth in Part
and IVhereof,
This cestificateof coverage shall become effective June 27,1994
r- remain in effect for the duration of the General permit'
This Certificate of Coverage shall
C '
I Signed this day June 27,1994
C
c_ 1
C Original Signed BY
David A. Goodrich
_ CJ
A.Preston Howard,Jr..BE„Director
Division of Environmental Management
By Authority of the Environmental Management Commission

_ SOC PRIORITY PROJECT:Yes No X .
IF YES, SOC NUMBER
TO: PERMITS AND ENGINEERING UNIT
WATER QUALITY SECTION
ATTENTION: Mac Wiggins
DATE: June 7, 1994
NPDES STAFF REPORT AND RECOMMENDATION
S
COUNTY Yancey 41
PERMIT NUMBER NG88558?- ,`?�
PART I - GENERAL INFORMATION 4i
1. Facility and Address: Charles and Paula Peterson '"-
Kevins Carpets
Post Office Box 712
Asheville, North Carolina
2. Date of Investigation: May 24, 1994
3. Report Prepared By: Michael R. Parker
4. Persons Contacted and Telephone Number: Don Kelly
704/784-9884
5. Directions to Site: The site is located approximately 200 feet
north west of the intersection of U. S. Highway 19 E and North
Carolina Secondary Road 1328.
6. Discharge Point(s), List for all discharge points:
Latitude: 35054'56" Longitude: 82016110"
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. D9NE U.S.G.S. Quad Name Burnsville, N. C.
7. Site size and expansion area consistent with application?
_X_ Yes No If No, explain:
8. Topography (relationship to flood plain included) :
Site is not in flood plain. "
Page 1 PLOTTED

9. Location of nearest dwelling: 30 feet.
10. Receiving stream or affected surface waters: ut to Little:: i.
Crabtree Creek
a. Classification: C-trout
b. River Basin and Subbasin No. : FBR`' 06.i
C. Describe receiving stream features and pertinent downstream
uses: fish and wildlife propagation, fishing, wading, �.
irrigation .
I
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS _
1. a. Volume of wastewater to be permitted 0. 000240 MGD
b. What is the current permitted capacity of the Wastewater
Treatment facility? NA
C. Actual treatment capacity of the current facility (current
design capacity NA IF
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two years:
e. Please provide a description of existing or substantially
constructed wastewater treatment facilities: NA
f. Please provide a description of proposed wastewater treatment
facilities: The proposed wastewater treatment facilities will
consist of a 1500 gallon septic tank, distribution box, a
primary sand filter (6 feet by 35 feet) , distribution box and
a secondary sand filter (5 feet by 16 feet) , tablet
chlorinator, chlorine contact tank, tablet dechlorinator and -
cascade aerator.
g. Possible toxic impacts to surface waters: NA
h. Pretreatment Program (POTWs only) :
in development approved
should be required not needed
2. Residuals handling and utilization/disposal scheme:
a. If residuals are being land applied, please specify DEM f
Permit Number
Residuals Contractor
Telephone Number I.
b. Residuals stabilization: PSRP PFRP OTHER r
_-Page 2
i

C. Landfill:
d.. Other disposal./utilization scheme (Specify) :
3. Treatment plant . classification (attach completed rating sheet) :
Class I
4. SIC Codes(s) : 5023
Wastewater Code(s) of actual wastewater, not particular facilities
i.e. , non-contact cooling water discharge from a metal plating
company would be 14, not 56.
:Primary 02 Secondary
Main Treatment Unit Code: 46007
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds .
or are any public monies involved. (municipals only)?
NA
2. Special monitoring or limitations (including toxicity) requests:
NA
3. Important SOC, JOC, or. Compliance .Schedule dates:. (Please
indicate) NA -
Date
Submission of Plans and Specifications
Begin Construction
Complete Construction
4. Alternative Analysis Evaluation: Has the facility evaluated all
of the non-discharge options available. Please provide regional
perspective for each option evaluated.
Spray Irrigation: There is not enough area to spray and meet
distance requirements.
Connection to Regional Sewer System: It is too costly. Force main
and pump station would be required.
Subsurface: Local health department has turned down site because
of high groundwater.
Other disposal options:
5. Other Special Items:
Page 3

PART IV - EVALUATION AND RECOMMENDATIONS
Charles . and . Paula Peterson have made application todischarge up
to 240gpd. of domestic wastewater from a commerical building which
will be acarpet shop. No other option is available at this site
which is economically feasible.
A condition should be included in the permit to require. connection
to municipal sewer when available.
The proposed wastewater .treatment facility should be adequate to
protect water quality.
It is recommended that the permit be issued.
Si re of Report Preparer
erQu li Regional Supervisor
Date
Page 4

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NCDEE R
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Colson H.Sullins Dee Freeman
Governor Director Secretary
April 15, 2010
Paula Peterson
Kevin's Country Carpets
PO Box 712
Burnsville NC 28714
SUBJECT: Compliance Evaluation Inspection
Sawmill Hollow Road @ U.S.19-E
Permit No: NCG550701
Yancey County
Dear Mrs. Peterson:
Enclosed please find a copy of the Compliance Evaluation Inspection conducted
on April 1. 2010. The facility appeared to be in Compliance with permit NCG550701. The
owner should insure that the system is in compliance with the permit at all times.
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,
Jeff Menzel
Environmental Specialist
Enclosure
cc: Central Files
Asheville Files
SURFACE WATER PROTECTION-ASHEVILLE REGIONAL OFFICE
Location:2090 U.S.Highway 70,Swannanoa,NC 28778 1VOTrt1CaTO�lna
Phone. [phone]WAX:828 2994o43\Customer Service: 1-877-623-6748 071�7 s
Internet:w ncwateroualityoro S:\SWP\Yancey\WastewateAGeneral\NCG55 SFR\NCG550701 CE1 04 01 2010.dcc aL urQ ZY

EPA a,naawm "' xaae xaa.ma.s„a a
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eww ox ax:�enYRe®XYy WNers
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(See attachment summary)
xema:�ma°b� w'�7l////y�'°n Axxr�pa.weaa.am rs..,.re,
�,an,.dNaaa,aa.mP.nrv,ryx� aammmNm.Pamema Fe N.—
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PermR
mbepreseNpnnlvpeesm6mmpuwkss).Xas N,peemacesuhmmMenexapYlo�ni . 000
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ammere anpspaYY mtlmonimrae"ennm O �. ❑ '
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Izpe M¢perbrgranbGa¢es¢Nallarea¢brbsperyonx . 000
(AmmBn� There lsatenmamund IDedllonne Woes.
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MbMYmI.��.bre.pe,Y,.�aix . e 0 0 0
Mrye bMM¢bep�r¢y.�myp.x . 0 0 ❑
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Cmlmenl To vwre compliance with the permit the miner is required W Cpe2te antl
maintain the ryslem at all Omes.

ATFR Michael F.Easley,Governor
O, William G.Ross Jr.,Secretary
'SQ6 North Carolina Department of Environment and Natural Resources
�d r Alan W.Klimek, P.E.Director
OIL re., rYs, Division of Water Quality
x
f"K� "4 +ce 9r Asheville Regional Once
SURFACE WATER PROTECTION
February 13, 2007 g
td p
Paula Peterson
Kevin's Country Carpets
PO Box 712
Burnsville NC 28714
SUBJECT: Compliance Evaluation Inspection
Kevin's Country Carpets
Permit No: NCG550701
Yancey County
Dear Mrs. Peterson:
Enclosed please find a copy of the Compliance Evaluation Inspection form from
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 NCG550701.
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.
SinM�—
Environmental Specialist
Enclosure
cc: Central Files
,
Asheville Files
NO` Caro'
2090 D.S.Highway 70,Swannanoa,NC 28]]8 Telephone:[phone] Fax:[phone] Customer Service 1877 623-6748 �vakrrai ja

United States Environmental Protection Agency Washington. C.2o9sc roved,EPA 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 Fad Type
1 J 2 L 31 NCcr:60'p1 11 121 0,,,02/06 I17 18 Li. 191e1 20U
Remarks
211111111111111111111111111111111111111111111111l6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 CA --------------------------Reserved----------------_---
6'I I69 '0I II 71U 72UK 73W /4 75LLJ_LJ_L_Lja0
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)
Kevin's Country Ca[pets 10:15 an 62/68/06 02/08/01
Seen ill H01101t Rd OS 15e Exit Time/Date Permit Expiration Date
Burnsville NC 28714
10:30 PN 07/02/1 07/61/61
Nall of Onsito Representative(s)/Titles(s)/Phone and Fax Numbers) Other Facility Data
Name,Address of Responsible Official/fitle/Phone and Fax Number
Paula Petet'eon,PO Box -12 F. i—evi Ile NO 28]19//]04 682-6411/ Contacted
No
Section C Areas Evaluated During Inspection(Check only those areas evaluated)
Permit .Facility Site Review 0 E(Ouenl/Receiving Waters
Section D: Summary of Finding./Commends; Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Names)and Signatures)of Inspector(s) Agency/Office/Phone and Fax Numbers Dle
Larry Rost APO WQ//e2a-296.45c0 ExL965B/ ` �IS A
Aeith Haynes /� y ARO W(Zr/0'_8-296-15001
,///�/ a- t3.07
Signature of Management QA Reviewer Agency/Office/Phone and Fax Numbers Date
Some, C Etlwacda'Re4QA APO WQ//828-296-d500/ � �3 Q -
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete,
Page 9 1

NPDES yrlmolday Inspection Type 1
8� NCO550P01 j11 121 09/-/- 117 18U
Section ID! Summary of FindinglComments(Attach additional sheets of narrative and checklists as necessary)
No specific problems were noted. The owner should be sure to routinely check the chlorine tablets to
assure that tablets are always in the chlorinator and be sure to keep the area around the effluent pipe
cleared.
I'
Page# 2

Permit: NCG550701 Owner-Facility: Kevin's Country Camets
Inspection Date: 02/06/2007 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted anew application? ■ 0 0 0
Is the facility as described in the permit? 0 0 0 0
#Are there any special conditions for the permit? 0 0 ■ 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:
Effluent Pie Yes No NA NE
Is right of way to the oulfall properly maintained? ■ 0 ❑ 0
Are the receiving water free of foam other than trace amounts and other debris? ■ 0 0 ❑
If effluent (diffuser pipes are required) are they operating properly? 0 0 ■ 0
Comment:
Page# 3

NCDENR
North Carolina Department of Environment and Natural Resources
Division of water Quality
Michael F. Easley,Governor William G. Ross,Jr., Secretary
Coll H.Sullins, Director
July 27, 2007
Paula Peterson
Kevin's Country Carpets
P.O. Box 712
Burnsville,NC 28714
Subject: Renewal of coverage/General Permit NCG550000
Sawmill Hollow Road @ U.S. Highway 19-E
Certificate of Coverage NCG550701
Yancey County
Dear Permittee:
In accordance with your renewal application [received on January 18,20071,the Division is renewing
Certificate of Coverage(CoC)NCG550701 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 Re¢ional Office prior to any sale or transfer of the permitted facility.
Reeic nal Office staff will assist you in docrimentine 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 1919 733-5083,extension 551 or tova fields@ncmail netl or Susan Wilson [919 733-5083, extension 510
or [e-mail]].
�Sincerely,
tri, llIj
for Colson H. Sullins
cc Central Files
Nlle Regional Office Surface Water Protection;PDE `
NPDES file
InN. I Isr _
1617 Mail Service Center Raleigh North Carolina 276991617 t
512 North Salisbury Street Raleigh North Carolina 27604 ly Uy'['}7CRj'011lla
Phone [phone]FAX [phone]/Internet w ncwateryualayorg &RhC rofin
An Equal Opportunity/Affirmative Action Employer-50%RecycleNlO%Post Consumer Paper Nig L.

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000 j
CERTIFICATE OF COVERAGE NCG550701
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,
Paula Peterson
Kevin's Country Carpets
is hereby authorized to discharge domestic wastewater [240 GPD] from a facility located at
Sawmill Hollow Road @ U.S. Highway 19-E
Burnsville
Yancey County
to receiving waters designated as an unnamed tributary to Little Crabtree Creek 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 August 1, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit. �.
Signed this day July 27, 2007.
/
for Colleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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from: 28778 to: 35.915556N 82.269444W - Google Maps Page 1 of 1
8 ,,, Start Swannanoa, NC 28778
End
Maps Travel 47.1 mi (about 1 hour 3 mins)
Swannanoa, NC 28778 Overview
Drive 47.1 mi (about 1 hour 3 mins) k'i 6 trill eo .
1. Head west on Bee Tree_ Rd toward Riverwood Rd 374 ft
f 2. Turn left at Riverwood Rd 0.4 mi
3. Slight right at US-70 3.0 mi
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4. Continue on Tunnel Rd 3.4 mi
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_ 5 mins z
5. Take the 1-240 ramp __. 495 ft -
- Start
1' 6. Take the left fork to I.240 W and merge onto I-240 W 3.3 mi
4 mins p a
7. Merge onto US 19 N/US-23 N via the US-19 N/US-23 N/US-70 W 18.2 ml
exit to Weaverville 22 mins I
8. Take the US 19 N exit 9 to Burnsville/SprucePine _ 0.3 mi
9. Turn right at US-19 10.8 mi 1 paw
13 mms
10. Continue on US-19E 7.4 mi
13 mills-,
End _
off
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These directions are for planning purposes only. You may find that construction protects, traffic or �ttlje'"+n �� Vl*' ?1 !
other events may cause road conditions to differ from the map results.
Map data 002007 NAVTEQT.
Map data 02007 NAVTEQTm
http://maps.google.com/maps?f=d&hl=en&saddr-28778&daddy=35.9155 56N+82.269444 W&sll-35.91555... 1/30/2007

Il
NCDW R:�. FWATEfff
North Carolina Department of Environment ndsources
Division of Water Qualityr f, „ uMichael F. Easley,Governor illlanf($� Ross Jr _Secr taryl
Alan W.Klimek, RrlYlrector
c :. .
January 9, 2007
Paula Peterson
P.O. Box 712
Burnsville, NC 28714
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG550701
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 August 1, 2002.
The Division needs information from you to determine if coverage under NCG550000 is still
necessary.
➢ If your property still has a wastewater system like the ones described in the enclosed
Technical Bulletin,you must renew the subject CoC. Complete the enclosed form and
submit it to the address on the form.
➢ If you are not sure what type of system your property has, contact Keith Haynes in the
NC DENR Asheville Regional Office at. That person [or other staff members] can help
you determine if you should renew your CoC.
➢ If you know that your property no longer discharges wastewater, contact me at the
address or phone number listed below to request rescission of the CoC.
➢ This information reauest does not pertain to the Annual Fee of$50.00 billed
separately by the Division's Budget Office. No money is required for this
procedure. The Annual Fee is like the fee you annually pay the DMV for the sticker on
your vehicle's license plate. Renewal of your CoC is like the renewal of your Driver's
License [ca. every five years].
➢ If you have already mailed a renewal request,you may disregard this notice.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 ne
512 North Salisbury Street,Raleigh,North Carolina 27604 �(((llrtt�lCal'olina
Phone: [phone],extension 511/FAX [phone]/charles.weaver®ncmail.net Naturally
7KY L tuNally
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper

NOG550701 renewal notice
January 9,2007
The attached application form shows the information the Division has on file for your
property. Please verify that the provided information is correct; or make corrections on the form.
Complete the additional questions, then sign and date the form.
The completed form should be submitted to the address listed below the signature block.
If you have any questions concerning this matter, please contact me at the telephone number
or e-mail address listed below. (If it is difficult to reach me, please be aware that your facility is one
of over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your attention to this matter.
Sincerely,
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
Asheville Regional Office/Keith Hayneg
NPDES File
I
II
6

State of North Carolina
Department of Environment AILTV4 WA
and Natural Resources r
Division of Water Quality
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary
Alan W. Klimek, P.E., Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES"-- i
\)f
I
July 26,2002
PAULA PETERSON
KEVIN'S COUNTRY CARPETS
P O BOX 712
BURNSVILLE, NC 29714 -
Subject: Reissue-NPDES Wastewater Discharge Permit
Kevin's Country Carpets
COC Number NCG550701
Yancey County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG550000,the Division of
Water Quality(DWQ)is forwarding herewith the reissued wastewater general permit Certificate of Coverage
(COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S.Environmental Protection Agency,
dated May 9, 1994(or as subsquenlly amended).
The following information is included with your permit package:
* A copy of the Certificate of Coverage for your treatment facility
* A copy of General Wastewater Discharge Permit NCG550000
* A copy of a Technical Bulletin for General Wastewater Discharge Permit NCO550000
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal,state,or local law rule,standard,ordinance,order,judgment,or
decree.
Please note that effective January 1, 1999 the fees for all permits issued by DWQ were changed. This changed the
fee for your wastewater general permit coverage from a$240 fee paid once every five years to yearly fee of$50.
If you have not already been billed this year for the yearly fee,you will receive a bill later this year.
If you have any questions regarding this permit package please contact Bill Mills of the Central Office Stormwater
and General Permits Unit at(919)733-5083,ext.549
Sincerely,,/ �L
for Alan W.Klimek,P.E.
cc: Central Files
Stormwater&General Permits Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director NORTH CAROLINA DERARTNENT OF
ENVIRONM,FpNT AND NATURAL RESOURCES
11/26/01
PAULA PETERSON Il...
KEVIN'S COUNTRY CARPETS
P O BOX7l2
BURNSVILLE, NC 28714
Subject: NPDES Wastewater Permit Coverage Renewal
Kevin's Country Carpets
CDC Number NCG550701
Yancey County
Dear Pormittec:
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 per 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 he 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 Bill Mills of the Central Office Stormwater Unit at(919)733-5083,axt.548
Sincerely,
//
[]�L,CLCC�� ljL',2bWt7/1
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

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