NCG550576_Regional Office Physical File Scan Up To 6/4/2020

AMA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality .
Michael F. Easley,Governor -uV1111 G ROSs Jl ecretaryV. Q� k 'E�Director!
4
February 23 2007 j
t�I FED 2 8 2007
Virginia Hollifield -
737 Deer Park Lake Drive -' '-"'
Spruce Pine, NC 28777 wnrr H �ni [ :-(: r>'h
I
Subject: Renewal of cov6xgge,/„GggexOl,pecm4lVC_G550990. ",r
Certificate vof Coverage NCG550576
Mitchell County
Dear Permittee:
In response to your renewal application received on February 19, 2007,the Division is reissuing the
subject Certificate of Coverage (CoC)to discharge under NCG550000. This action is a renewal of an
existing [expired] CoC. This permit 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.
This CoC is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the CoC. Please note: NCG550000 will expire on July 31-,
2007. Given the short time between this renewal and the expiration date,the Division has also added your
name to the list of facilities to be covered under the renewed version of NCG550000. You do NOT need to
file an additional application. A copy of the new permit will be sent to you after July 31,2007.
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 this permit,please contact Charles H.Weaver,Jr.at telephone number 919 733-5083,
extension 511.
,Sincerely,
�eNAlan W.Klimek, P.E.
cc: Centre]Fil
S Sle
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 - NQ_ptliCarolina
Phone: [phone]/FAX 919 73M719/Internet:h2o.enrstate.nc.us
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550576
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, as amended,
Virginia Hollifield
is hereby authorized to operate a wastewater treatment facility for the discharge of treated
domestic wastewater [< 1000 gallons per day] from a facility located at:
2163 Jackson Town Road f
Spruce Pine
Mitchell County
to receiving waters designated as Rose Creek in subbasin 40306 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 February 23, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 23, 2007.
("'Alan W. Klimek, P.E., Director j
Division of Water Quality
By Authority of the Environmental Management Commission
l

of North Carolina F)
.oartment of Environment, =°^
Health ari Natural`Resources 09
Divisionof Environmental Management
James.6. Hunt, Jr., Governor �
Jonathan B. Howes, Secretary p E H N f p 1
A. Preston Howard, Jr., P.E., Director
September 30,1993
THERESE BEAUCHAMP
BEAUCHAMP RESIDENCE (THERESE)
BEAR DEAN MOUNTAIN ROAD
SPRUCEPINE NC 28777 Subject: BEAUCHAMP RESIDENCE (THERESE)
Certificate of Coverage NCG550576
General Permit NCG550000
Formerly NPDES Permit NC0080217
Mitchell County
Dear Permittee:
The Division of Environmental Management has recently evaluated all existing individual permits for potential
coverage under general permits currently issued by the Division. 15A N.C.A.C.2H.0127 allows the Division to
evaluate groups of permits having similar discharge activities for coverage under general permits and issue
coverage where the Division finds control of the discharges more appropriate in this manner. The Division has
determined that the subject discharge qualifies for such coverage. Therefore,the Division is hereby issuing the
subject Certificate of Coverage under the state-NPDES general permit no.NCG550000 which shall void NPDES
Permit NC0080217. This Certificate of Coverage is issued pursuant to the requirements of North Carolina and the
US Environmental Protection Agency Memorandum of Agreement dated December 6,1983 and as subsequently
amended.
If any parts,measurement frequencies or sampling requirements contained in this general permit are unacceptable to
you,you have the right to submit an individual permit application,associated processing fee and letter requesting
coverage under an individual permit. Unless such demand is made,this decision shall be final and binding. Please
take notice this Certificate of Coverage is not transferable. Part II,EA.addresses the requirements to be followed
in case of change of ownership or control of this discharge.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action,including those as may be required by this Division,such as the
construction of additional or replacement wastewater treatment or disposal facilities. Construction of any
wastewater treatment facilities will require issuance of an Authorization to Construct from this Division.
Failure to abide by the requirements contained in this Certificate of Coverage and respective general permit may
subject the Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina General Statute 193-215.6A to 193-215.6C. Please note that the general permit does require
monitoring in accordance with federal law. The monitoring data is not required to be submitted to the Division
unless specifically requested,however, the pemtittee is required to maintain all records for a period of at least
three (3) years.
Post Office Box 29535,Raleigh,North Carolina 27626-0335 Telephone[phone] FAX[phone] -
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Page 2
THERESE BEAUCHAMP
BEAUCHAMP RESIDENCE (THERESE)
Certificate of Coverage No. NCG550576
The issuance of this Certificate of Coverage is an administrative action initiated by the Division of
Environmental Management and therefore,no fees are due at this time. In accordance with current rules,there
are no annual administrative and compliance monitoring fees for coverage under general permits. The only fee
you will be responsible for is a renewal fee at the time of renewal. The current permit expires July 31,1997.
This coverage will remain valid through the duration of the attached general permit. The Division will be
responsible for the reissuance of the general permit and at such time,you will be notified of the procedures to
follow to continue coverage under the reissued permit. Unless you fail to follow the procedures for continued
coverage,you will continue to be permitted to discharge in accordance with the attached general permit.
The issuance of this Certificate of Coverage does not preclude the Permittee from complying with any and all
statutes,rules,regulations,or ordinances which may be required by the Division of Environmental Management
or permits required by the Division of Land Resources,the Coastal Area Management Act or any Federal or -
Local other governmental permit that may be required.
If you have any questions or need additional information regarding this matter, please contact either the
Asheville Regional Office,Water Quality Section at telephone number 709/ 251-6208,or a review engineer in
the NPDES Group in the Central Office at telephone number 919/733-5083.
A.Preston Howar .,P.E.
cc: Asheville Regional Office
Central Files

1
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT,HEALTH,AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No.NCG550576
TO DISCHARGE TREATED DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND
SIMILIAR WASTEWATERS UNDER THE
NATIONAL POLLUNTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1,other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission,and the
Federal Water Pollution Control Act, as amended,
BEAUCHAMP RESIDENCE (THERESE)
is hereby authorized to discharge treated domestic wastewater from a facility located at
BEAUCHAMP RESIDENCE (THERESE)
Mitchell County
to receiving waters designated as the ROSE CREEK/FRENCH BROAD RIVER BASIN
in accordance with the effluent limitations, monitoring requirements,and other conditions set forth in Parts I,11,
III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective November 1, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day,September 30, 1993.
A.Preston Howar ,Jr.,P.E.,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

.� Sl��':7 a"sc`i117 et'ctian
DEC z 19l';
,Asheville Regionnl Off'rae
State of North Carolina ,Asheville, North OarDinxi
Department of Environment,Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street•Raleigh,North Carolina 27611
James G.Martin,Governor George T.Everett,Ph.D
William W.Cobey,Jr.,Secretary Direcmr
December 10, 1991
i
Therese Beauchamp
Bear Dean Mountain Rd.
Spruce Pine, NC 28777
Subject: NPDES Permit No. NC0080217
Therese Beauchamp Residence
Mitchell County
Dear Ms.Beauchamp:
In accordance with your application for discharge permit received on February 15, 1991, we
are forwarding herewith the subject state - NPDES permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement
between North Carolina and the US Environmental Protection agency dated December 6, 1983.
If any parts,measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within
thirty (30) days following receipt of this letter. This request must be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the
Office of Administrative Hearings, Post Office Drawer 27447, Raleigh, North Carolina 27611
-7447. Unless such demand is made,this decision shall be final and binding.
Please take notice this permit is not transferable. Part II,B.2. addresses the requirements to
be followed in case of change in ownership or control of this discharge.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Environmental Management or permits required by the Division of
Land Resources,Coastal Area Management Act or any other Federal or Local governmental permit
that may be required.
If you have any questions concerning this permit, please contact Mr. Mack Wiggins at
telephone number 919/733-5083.
Sincerely,
Original Signed By
Donald Safrit for
George T.Everett
cc: Mr.Jim Patrick,EPA
Asheville Regional Office
Pollution Prevewion Pays
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone]
An Equal Opportenity Aff nnative Action Employer

Permit No. NCO080217
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH,AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1,
other lawful standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission,and the Federal Water Pollution Control Act,as amended, '
Ms.Therese Beauchamp
is hereby authorized to discharge wastewater from a facility located at
Therese Beauchamp Residence
on NCSR 1126
southeast of Spruce Pine
Mitchell County
to receiving waters designated as Rose Creek in the French Broad River Basin
in accordance with effluent limitations,monitoring requirements,and other conditions set forth in
Parts I, II,and III hereof.
This permit shall become effective December 10, 1991
This permit and the authorization to discharge shall expire at midnight on November 30, 1996
Signed this day December 10, 1991
original Signed By
Donald Safrit for
George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0080217
SUPPLEMENT TO PERMIT COVER SHEET
Ms.Therese Beauchamp
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility, and
i 2. Make an outlet into Rose Creek,and
3. After receiving an Authorization to Construct from the Division of Environmental
Management,construct and operate a 0.00024 MOD wastewater treatment facility located
at Therese Beauchamp Residence,on NCSR 1126, southeast of Spruce Pine,Mitchell
County (See Part III of this Permit),and
4. Discharge from said treatment works at the location specified on the attached map into
Rose Creek which is classified class WS-III-Trout waters in the French Broad River
Basin.
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C
PART I
"Act" used herein means the Federal Water Pollution Control Act, As
Amended.
"DEM" used herein means the Division of Environmental Management of
the Department of Natural Resources and Community Development.
'$MC" used herein means the North Carolina Environmental Management
Commission.
Definitions
a. The monthly average, other than for fecal coliform bacteria, is
the arithmetic mean of all the composite samples collected in a
one-month period. The monthly average for fecal coliform bacteria
is the geometric mean of samples collected in a one-month period.
b. The weekly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected during a
one-week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one-week period.
C. Flow, Ml/day (MGD) : The flow limit expressed in this permit is the
24-hour average flow, averaged monthly. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month.
d. Arithmetic Mean: The arithmetic mean of any set of values is the
summation of the individual values divided by the number of indi-
vidual values.
e. Geometric Mean: The geometric mean of any set of values is the Nth
root of the product of the individual values where N is equal to the
number of individual values. The geometric mean is equivalent to
the antilog of the arithmetic mean of the logarithms of the indi-
vidual values. For purposes of calculating the geometric mean,
values of zero (0) shall be considered to be one (1).

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

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

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

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

Y _...., r—
North Carolina Department of Environmental Quality l _
Pat McCrory Donald R.van der Vaart
Governor Secretary
October 23,2015
- ._- Virginia-Hollifield___..
737 Deer Park Lake Road
Spruce Pine,NC 28777
SUBJECT: Compliance Evaluation Inspection
2163 Jacksontown Road.
Permit No: NCG550576
Mitchell County
Dear Mrs. Hollifield:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection
conducted October 21, 2015... The facility .was found to be in compliance with permit
NCG550576:
Refer to the enclosed inspection report for additional observations and.comments. If you have
any questions,please call me at 828-296-4500.
Sincerely,
/ i Andrew I
i
Environmental Specialist '
Enclosure - -
i
cc: MSC 1617-Central Files-Basement
WQ Asheville Files J
G:\WR\WQ\N4itchell\Wastewater\General\NCG55 SFR\NCG550576\NCG550576 CEI 10-15.doc i1
2090 U.S.Hwy,70,Swannanoa,North Carolina 28778 9
Phone:82M96400I Internet www.ncdenr.gov
An baud Oppaavniryl Afirtnxtive Adon Emfter—Made In pan by rbgbed paper i
i

Untled areas Ereimnmenlel ProleGlan Agenty . FF �A.pbrovedEPA M riington,D.C:2eG6o N .20400057
Water Compliance Inspection Report vale;pire;e-3148
Section A National Data System Coding.(I.e.;PCS).
Transaction Code NPDES ytlmo/day Inspection Type Inspector Fac Type
1 lei I 2 Ix 1 3 I NC0550576 111 12 151,012, 17 181n.1 . 181.c1 201 1 ,8
211 1 1 1 1 1 1 1 1 1 11 1 1 1 1 � 1 1 1 1 1- 1 1 1 1 .1-1 1 1 1 I 1 1 1 1 1 1-1 1 1 1 1
Inspection Work Days Facts,Self Momtoring Evaluation Rating 81 CIA --67 L.........j
70 1 71 1 72 LnJ 73 -I 7-4 R7ea5eLrvep—L-_—L_—L—L_ 80
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW also Include Entrymme)Date Permit Efteci Date
POTW name and NPDES pehnit Numbed 10:20AM 15110121 13/08101
2163 Jackson Town Road
2163 Jackson Town Rd� Exit TlimoDate Fermat Explra6on Date
Spnuce Pine NO 28777 10AMM 1511021 18107/31
Names)of0hute Represente6ve(spl'Ides(s)IPhone and Fax Numbers) Other Facility Data
111
Name,Address of Responsible OfficieninelPhone and Fax Number
Contacted
Virginia Hollifield737 Deer Park Lake Rd Spruce Pine NO 28777111
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit operations&Maintenance 0 Facility Site Review EBIuenURecelving Waters -
i
Section D:Summary of Finding/Comments(Attach atltlilional sheets of nenalhre and checklists as necessary)
i
I
(See attachment summary) j
I
I
Names)and Slgnature(s)M lnspeclor(s) Agenow0likesuPhone and Fax Numbers Date
Andrew W Moore ARO W011828-286-46841 I
/D/Z3//�— - i
Signature of Manage�menl.D/A�11Reviewer AgemylOmca/Phone and Fax Numbers /ny Date
EPA Form 3560.3(Rev 984)Previous edtlons are coaches. yI
I
P
Page# 1 ,
1
l
1

n �
NPDES yrnrolday Inspection Type (Cant.) 1
31 NCG550578 ill 12 1511a/21 17 1S,l,.l
Section n Summary of FindinglCommente(Attach addltlohall sshheets of narrative and checkllsts as necessary)
On October 21,2015 Andrew Moore of the Asheville Regional Office conducted acompliance
evaluation inspection of the subject:facility. Mrs. Hollifield was not present at the time of the inspection,
but was contacted via phone and notified prior to the Inspection. Mr. Hughes,the current resident and
son-in-law of the permittee,was present during they inspection. No septic tank pumping records were
available at the time of the inspection.The septic tank should be pumped and records of the pumping
retained. Mr. Hughes was unaware of the location of the septic tank.A map depicting the proposed Ili
construction of the,system Is enclosed to aid in locating the septic tank.
Both the chlorination tubes and de-chlorination tubes had a significant amount of degraded tablet solids
present.Tablet solids were observed in the receiving stream.The tablets are meant to dissolve in the
treated wastewater,.The tablet chlorination and de-chlorination tubes and chambers should be cleaned
out and new tablets installed.
Access to the effluent pipe is not being maintained.The permittee should clearthe vegetation and 9
maintain access to the effluent pipe. 9
{
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3
Page# - 2

Permlc NCG5505M Cvmer-Faollity; 21ee Jackson Town Road
Inspection Oats: IW21/2015. Inspecllun Type: Compliance Evaluation
Operations&.Maintenance - Yes No NA NE -
Is the plant generally clean with acceptable housekeeping? ❑ ❑.
Does the facility analyze process control parameters for ex:MLSS MCRT,Settleable _ _.. ❑ ❑ ❑_ M,
Solids,pH, DO Sludge Judge,and other that are applicable?
Comment
Permit Yes No NA NE
(If the present permit expires In 8 months or less). Has the permittee submitted a new ❑ ❑ ❑
application?
Is the facility as described in the permit? -❑ ❑
#Are there any special conditions for the permit? ❑ 0 ❑ ❑
Is access to the plant site restricted to the general public? ❑ ❑ ❑
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? - ❑-❑ 0 ❑'
Is septic tank pumped on a schedule?
❑ 0 ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ 0 ❑
Are high and low water alarms operating.properly? ❑ ❑ 0 ❑
I
Comment: The septic tank should be Pumped out every five years or when the solids level is found Lo-
be more than 113 of the liquid depth In any compartment whichever is greater. Records of
the septic tank pumping events should be kept for future compliance inspections
Disinfection-Tablet Yes No NA NE E
Are tablet chlorinators operational? 0 ❑ ❑ ❑
Are the tablets the proper size and type? 0 ❑ ❑ ❑
Number oftubes in use? 2
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth,or sludge buildup? ❑ ❑ . ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑
Comment: There was a significant amount of chlorine tablet buildup in the tablet chlorinators The tablet
chlorinators should be cleaned out and fresh tablets installed
De-chlorination Yes No NA NE
Type of system? Tablet
Page# 3

Permit: NCG650576 Owner-FeoilltY: 2163 Jackson Town Road
Inspection Date: 1012112015 Inapeotion Type: Compliance Evaluation —
De-chlorination. Yes No NA IN
Is the feed ratio proportional to chlorine amount(I to 1)? ❑ ❑ 0 ❑
_ Is storage appropriate for cylinders? ❑ ❑ ❑ '
#Is de-chlorination substance stored away from chlorine containers? ❑ ❑ 0 ❑
Comment:
Are the tablets the proper size and type? 0 �❑ ❑
Are tablet de-chlorinators operational? M ❑ ❑ ❑.
Number oftubes in use? 2
Comment There was a significant amount of de-chlorination tablet buildup in the tablet de-chlorinators.
The tablet de-chlorinators should be cleaned out and fresh tablets Installed..
Effluent PIDe Yes No NA NE Ili
Is right of way to the outfall properly maintained? ❑ ❑ ❑ �.
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? ❑ ❑ ❑
Comment The right-of-way to the effluent Aloe was not maintained The permittee should clear the
brush and weeds and maintain access to the effluent pipe Tablet solids were observed in
the receiving waters The tablet chlorinators and de-chlorinators should be cleaned out and
fresh tablets installed Solid residuals from the tablets should not be Present In the receiving
waters. j
li
i
i
it
1
i
i
I
i
Page# 4
3

io
89 - k a 4
% { � � y E`✓a .�,.gyp S
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l SMa��
APT/e �r4V4 o p
y
Pn'�Of�OSED
S/�E PLrl✓ NoTE' �c/a7Toc7G�
QwN�R; ea
T.y7E2E.SE• ,SEf/GC�l,.�lA./P '�= I

Inspection Date: It 0 21 1 Start TimeE -r)1LQ End Tirms;
SINGLE FAMILY WASTEWATER:SYSTEWCHECKLIST
Imms
Peirmitteev NolltF old Permit:: ac{r-ss 0576
Address: 2-163 icsc�so,-tar,-�, f9eud E-malt-
Phone:( ) Celt,Phone:(_ uCounty:
The perjdinee isles onaitiiedorthe opecatien and mafmm�ance of the enbr¢wastewat¢rtrtatmentand cis dear slam.
:Downt Did Notr
Yes No Apply Invasti gate
1 Is the current resident in the home the Permifiee? Li LL< L1 Li
I—�
2.If not does the resident rent from the permittee?",,,, k. F Q1 ib taw ❑ ,k, n El 0
3.change'of.Ownership form needed?(mall;ihe form with Its nspe6tion letter). v El El El
4. Is there a inspection and maintenance agreement with a oontractol2 F1 E]
6 It yes to.#4 who is the contractor?
sEPTICTANK The septic tank and lease should he snubbed annually and pmnpedldannedasneeded.
8 Is all wastewater from the home connected''V the septic tank? ❑ n
7.Does the perniittee/mundentknowwhera thesepfic tank is located? EJ Ee 0
8: Has the setictank been pumped in the lasts years? heft c 1—r i 11 1 1 b F ❑. ER 0 EJ
9. If yes to#8 data,it Known If proof,describe l ` ` - /n',. h/d t�
10, Does the septic tank have anEFFLUENT FILTER or SANITARYT7 (alteration)
11, If Yes to filter When was the filter cleaned? By whom '
SAND FILTER I TREATMENT FEE YES. NO if no proceed tothe next section.
Aconvoliv send filarsarfeces shall be raked and li se cal every six months:and any'aegetetkre growth shalt be removed manually.
12 Is system something other than a sandfilter? E, 0 0 ❑'
13. If yes;what kind?(examples-Peat Textlle, Other or brand name Advantek,etc.)
14. Does the permittee know where the sandfilter is located? ❑ El ❑ ❑'
15,Does the sandfilter require maintenance?.
urea ntefmhdels focused maeounne the comment semen
DISINFECTION I UV YES © NO Cq7 I6noproceedtotherteXtseceon.
The ultrevblat matsbail he crooked weekly,The lamps and shaves shoals be cleaned or replaced as needed ensure Li molar disinfection. .
16.Is UV working?
17,:Has the UV Unit been serviced and bulbs cleaned? ❑ 71 a
1a.Who cgmplatee the weekly check for the V VT NornLiiscn e)
DIStNFECTIOMITABLETS YES Nb If no proceed to the next section,
The txbietcherriacm pn t shall be"checked weekly to ensure cordiumma and proper creation.
19.Does the;res"Idee have the correct chlorine tablets?(If none,mark No)
20. Does the Permittee know the location of the chlorinator? E^e
21..Were chlofne tablets observed in the chlorinator? l[9 0.
22,Are tablets contactor water4 if possible pa thelntodke mrine. ED 0 n
DEOHLOR(Discharge only) YES NO If no proceed to the next section.
The dechlodnetorealtehall be checked weekly to ensure contmuousand pmpee coercive El23,,Does the poolknow where the dechlor Is?
E3 El
24.Does thepermittes have the correct dechlor tablets? B" 1:1 Q
26.lWere dechlor tablets observed in the dechlorinationchamber.) �^d/� n
El
26.Are tablets contactor wateO If possible poke them to determine n
. El 0 EJ

Doesn't Did Not
Yes No Lppix investigate
PUMP TNNK YES No If no proceedirto the next section.
Ail pump am at.rm sylems shall be Inspected monthly.ham-dischuntim)
V. [a the pump working? El C1 L1 El
28.Am the audible and visual high water alarms operational? 0 El El
29 Does the pqrmineeknow how to check the m4nio&high water alarm? El 0
30. Last functional fest, PUMP....=,._ AUDIBLE&VISUAL
DISCHARGE ONLY YES NO
It no Po ceed totho,nextsection.
A,i.uw,.Ii.ofthe outtAid location shall be executed hake each year tons at the QMA of sampling to ensupen 0 visible solids evidence of 2 muslunalkin.
31 Does the permiftel,know where the puller relocated? E] ER' El El
W 32. ere you able to locate the outfall? 4"El El b
$S,,Is the end of the discharge pupeEbi and--6"1ayyaI? 0 El C1 El
34,,(a outlet discharging? G3' El 0M
S.Is right of way maintemarderoundflne discharge point? 0. E"/ El 0
36.Any Lab Results available? EJ � 0 D
37. is them evidence of solids arounclFbe,discharge point? Ac'�146J-1- � El 0 171
DRIP or SPRAY YES U No. If no Proceed to the Ilex."
ext"oecaon.
The unbutton system shaft be Inspected monthly to ounue,Me sysbam is-Wee of looks end equtpment is optearingas desumed.
38. 1sthesysteun DRIP or IRRIGATION(circle one)? If Irrigation number of sprinkler heads.
39.Are the'lauffers a0equate? 0 El 0, El
40.Is the site free of poring and rurfor El El 0 El
41, Does the application equipment appear to be working properly? El 0 El' El
4?g Is them a minimum two wire fence surrounding entire Irflaafton area? El ID, Cl Cl
GENERAL
4$.Are the treatment units locked and or secured? Q� ET-' EJ
44.Has resident had any sewage problems? If yes xpl.l.In the connua.Mkoll.n. El E L---r ICI 0
45.Does the system match the permit description?If no explafa 1.the oonam.mt...At". Fp� El 0 El li
46.Is the system compliant? D�0 0 0
417. Is the system failing? If yes,take efolumstfluunantle. 0
48,If system 14 falling, imysiRn of children orareirmis conne3ing sewage? 0 EJ El
NOR Sergtt�� - XQV Sent
Gornmen1h YES NO W
6f4
INSPECTOR.: SIGNATURE;

O� FtjJATF�QG i'1 ('1 Michael.Ross ley,Governor
�^\NA } William el Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
7rAlan W.Klimek,P.E.Director
✓why Division of Water Quality
p Calls
o
sheville Regional Office
SURFACE WATER PROTECTIQ Et
February 12, 2007
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7006 2150 0005 2459 6448
Ms. Virginia Hollifield
737 Deer Park Lake Road
Spruce Pine NC 28777
Subject: NOTICE OF VIOLATION
NOV-2007-PC-0089
Compliance Evaluation Inspection
Hollifield Virginia Property
2163 Jackson Town Road
Permit No. NCG550576
Mitchell County
Dear Ms. Hollifield:
Enclosed please find a copyof the Inspection Report from the inspection conducted February
6, 2007. Mr. Larry Frost and Mr. Keith Haynes of the Asheville Regional Office conducted the
Compliance Evaluation Inspection. The treatment facility was found to be in violation of Permit
NCG550576 for the following:
Inspection Area Compliance Issue
Permit Joperating with an expired permit
Please refer to the enclosed Inspection Report for any additional observation and comments.
To prevent further regulatory action, carefully review these violations and deficiencies and
respond in writing to this office within fifteen (15) working days of receipt of this letter. You should
address the causes of noncompliance and all actions taken to prevent the recurrence of similar
situations. If you should have"any questions, please do not hesitate to contact Mr. Frost at 828/296-
4500.
Sincerely,
lcrrq,ea
Roger C. Edwards, Regional Supervisor
Surface Water Protection
Attachments
cc: NPDES Unit
Central Files
O\ 2090❑.S.Highway 70,Swannanaa,N.C.28778 1'elephnne:828/296-4500 FAX [phone] Customer Service:877/623-6748 t�`1hCarolina
(\V1 r�aturn!!�

United States Eavlranmentel'Intender Agency
EPA Washington,D C 20460 Form 2IV(di OMBNOP ]
pprvl
Water Compliance inspection Report oa expires8-3 1-98
Section A: National Data System Coding(i.e.,PCS)
Transaction Code NPDES yorr o/day Inspection Type Inspector Fac Type
1 tLjj 2 U 31 NCWIYX.516 111 121 01/o2/06 117 18LJ 19U, 20LJ
Remarks LI LJ
21111111111111111IIIIII111111111111111111111111116
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 CA -----------------------Renewed-------------------
6111 ______169 70U 71U nu ]3U I74 751 L I III lag
Section B: Facility Data J
Name and Location of Faclllly Inspected(Far Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
IT,,It itl.erd vtt1 i no-- nm;.
extra vm 0//02/06 9il(9101
Tics, 7126 Exit TlmelDate Permit Expiration Date
SP=tttte Pine xis 28'179 01:15 PM 07/02/06 02/G7/.31
Namn(s)of Onalte Representative(spTitles(splPhons and Fax Number(s) Other Facility Data
Name,Address of Responsible OPodalRitle/Phone and Fax Number
Vic in,a 140.1.Iaft..e1d�Rt 1 nox 52 SiOtBct¢tl
3 prvca Line e,�c 2Sl]9 /"/119-965—'1690 Ye
Section C: Areas Evaluated During Inspection(Check only those areas evaluated
Permit E Operations&Maintenance 0 Facility Site Review
Section D: Summary of Flndln /Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Nome(s)and Slgnalum(s)oflnspector(s) Agency/Office/Phone and Fax Numbers Date
na=zy :-uet'. Ae Al Wtu//828-296-1500 Nxtr1556/ z/te
I<eiCt; naYnOe /2j�/ Apo Wq//328-296-450a/
Signature of Management QA Reviewer Agency/Office/Phone and Fax Numbers Date
4
Rogez c Gdwavtle APO Wli//828-256-4500/
EPA Form 3560-3(Rev 9-94)Previous entitlements obsolete.
Page# 1

Permit: NCG550578 Owner-reality: Hot field Vlrginla-Res
Inspection Date: 02/OM007 Inspection TYPO: Compllance Evaluation
Operations&Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? E 0 0 0
Does the facility analyze process control parameters,for ex:MLSS,MCRT,Settleable Solids,pH, DO,Sludge 0 0 0 ❑
Judge,and other that are applicable?
Comment: Could not reach discharge pipe due to briars. Please cut weeds.
Permit yea No NA NE
(If the present permit expires in 6 months or less). Has the pennitfee submitted anew application? ❑ ■ 0 ❑
Is the facility as described in the permit? 0 0 0 0
#Are there any special conditions for the permit? ❑ 0 M 0
Is access to the plant site restricted to the general public? 0 0 M 0
Is the inspector granted access to all areas for Inspection? 0 0 ■ ❑
Comment: Permit expired in 2002 and is required to continue to operate system.
Soptie Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ 0 m 0
Is septic tank pumped on a schedule? 0 0 0 M
Are pumps or syphons operating properly? ❑ 0 ■ ❑
Are high and low water alarms operating properly? ❑ 0 ■ ❑
Comment: It is reccomended that the septic tank be pumped every 3 to 5 years, See
attached technical bulletin.
Sand Rllters.(Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational? ❑ 0 ■ Cl
Is the distribution box level and watertight? ❑ 0 0 ■
Is sand filter free of pending? 0 0 ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ 0 ■ ❑
#Is the sand filter surface free of algae or excessive vegetation? ❑ 0 ■ ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ 0 ■ ❑
Comment:
Disinfection-Tablet Yee No NA NE
Are tablet chlorinators operational? ■ 0 00
Are the tablets the proper size and type? ■ 0 0 ❑
Number of tubes in use? 2
Is the level of chlorine residual acceptable? ■ 0 0 ❑
Page# 3

Parrott: NOG550576 Owner-Facility: Hollifleld Vlrginia�Res
Inspection Date: 0210612007 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Is the contact chamber free of growth,or sludge buildup? ❑ 0 0 ■
Is there chlorine residual prior to de-chlorination? ❑ ❑
Comment: Syystem was not discharging at the time of the inspection.The chlorination
tubes need to be cleaned out and fresh chlorine tablets installed.
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? 0 0 0 ■
Is storage appropriate for cylinders? Cl 0 ■ ❑
#Is de-chlorination substance stored away from chlorine containers? ❑ 0 ■ ❑
Comment:
Are the tablets the proper size and type? ■ 0 0 ❑
Are tablet de-chlorinators operational? ■ 0 0 0
Number of tubes in use? 2
Comment: Dechlorination tubes need to be cleaned and fresh tablets installed.
i
r
Page# 4

State of North Carolina
Department of Environment,
AHealth and Natural Resources • �/
Division of Water Quality
James B. Hunt, Jr., Governor p FEE N F�
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., DirectoYily July 21, 1997
Virginia Holllfield
Route 1,Box 52 �99r
Spruce Pine,NC 28777
Subject: Certificate of Coverage No. NCG550576
Renewal of General Permit
Hollifield, Virginia - Res.
Mitchell County
Dear Permittee:
In accordance with your application for renewal of the subject Certificate of Coverage,the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31, 2002. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of
Agreement between North Carolina and the U.S.Environmental Protection Agency dated December 6,1983. If any
parts,measurement frequencies or sampling requirements contained in this permit are unacceptable to you,you have
the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality,the Division of Land Resources,Coastal Area Management Act or any other Federal or Local
governmental permit that may be required.
If you have any questions concerning this permit,please contact the NPDES Group at the address below.
Sincerely,
�'✓ A.Preston Howard,
cc Central Files a_
Asheville Regional Office
NPDES Group
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX[phone] p&e®dem.ehnr.state.nc.us
An Equal Opportunity Affirmative Action Employer 50%recycled 110%post-consumer paper

I/-) STATE OF NORTH CAROLIO
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550576
TO DISCHARGE DOMESTIC WASTEWATERFROM SINGLE FAMILY RESIDENCES
AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
hi 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,
Virginia Hollifield
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility
located at
Hollifield, Virginia - Res.
N.CS.R.1126
Spruce Pine
Mitchell County
to receiving waters designated as subbasin 40306 in the French Broad River Basin
in accordance with the effluent limitations,monitoring requirements, and other conditions set forth
in Parts I, II, III and IV of General Permit No.NCG550000 as attached.
This certificate of coverage shall become effective August 1, 1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21, 1997.
Ja ,4.. Preston Howard,Jr., P.E., Director
a_ Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina "-)
Department of Environment, �
Health and Natural Resources &4
Division of Water Quality r/
��� L
James B. Hunt, Jr., Governor p E H N
Wayne McDevitt, Secretary n, ';
A. Preston Howard, Jr., P.E., Director _� July 21, 1997
Virginia Holli£ield
Route 1,Box 52 vt +pi
Spruce Pine,NC 28777 ,,,..... - %
Subject: Certificate of Coverage No. NCG550576
Renewal of General Permit
- Hollifield, Virginia - Res.
Mitchell County
Dear Permittee:
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31, 2002. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of
Agreement between North Carolina and the U.S.Environmental Protection Agency dated December 6, 1983. If any
parts,measurement frequencies or sampling requirements contained in this permit are unacceptable to you,you have
the right to request m individual permit by submitting an individual permit application. Unless such demand is
made, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, the Division of Land Resources,Coastal Area Management Act or any other Federal or Local
governmental permit that may be required.
If you have any questions concerning this permit,please contact the NPDES Group at the address below.
- Sincerely,
�'Y A.Preston Howard,Jx.,P.E.
cc Central Files 6
Asheville Regional Office
NPDES Group
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX[phone] p&e®dem.ehnr.state.nc.us
An Equal Opportunity Affirmative Action Employer 50%recycled /10%post-consumer paper

"�TATE OF NORTH CAROLINA(—)
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO.NCG550000
CERTIFICATE OF COVERAGE NO. NCG550576
TO DISCHARGE DOMESTIC WASTEWATERFROM SINGLE FAMILY RESIDENCES �.
AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act,as amended,
Virginia Hollifield
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility �-
located at
Hollifield, Virginia - Res.
N.CS.R.1126
Spruce Pine
Mitchell County
to receiving waters designated as subbasin 40306 in the French Broad River Basin
in accordance with the effluent limitations,monitoring requirements,and other conditions set forth
in Parts I, II, III and IV of General Permit No. NCG550000 as attached.
I
i
This certificate of coverage shall become effective August 1, 1997. ',
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21, 1997.
Preston Howard, Jr., P.E., Director
B - Division of Water Quality
By Authority of the Environmental Management Commission

Single-Family Discharge—Inspection Repo t
Permittee Inspector M ,te/ /2- p�vg t
Permit # A/C r S;S y County fhd c.,k,
Location Address &CsR //21 Date Inspected ; 2S}� d )b
B&-O& ,mow N-1-1. jj+a°L Self-Monitoring Records _ Yes �No
Contact Person Chlorinator Present Yes _ No
Phone # & 71, S -""�6 ja Chlorine Tablets Yes _ No
Did Nome Owner know of System vYes _ No Cascade Aeration Yes --,No/
Paw"{ rS " /z /a/qJ /,.. Y, T4G TS �e.S
Age of System -f c. ZD 7 Discharge Pipe Found .-Yes _ No
Last Repaired XaA Sample Taken _ Yes � o
Septic Tank Last Pumped,Y�_r.i�l, as /o,) qs
General Observations/Stream Conditions/Inspection Summary:
1 Z.e.�
IWA4� ./�i��a[[od4A- eLs.we
�N.A1+.. [!I2A+t.. rB�D Ref 2 ✓+•�2a 6 6a,(a W .
2/7/00

State of North Caroling
Department of Environment • e
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 DEPARTMENT OF
ENVIRONMENT ANn NArURAL RESOURCES
11/26/01
VIRGINIA HOLLIFIELD
HOLLIFIELD VIRGINIA-RES
ROUTE BOX 52
SPRUCE PINE, NC 28777
Subject: NPDES Wastewater Permit Coverage Renewal
Hollifield Virginia-Res
COC Number NCG550576
Mitchell County
Dear Pernmace-
Your residence or facility is currently covered for wastewater discharge under General Permit NCG550000. This
permit expires on July 31,2002, Division of Water Quality (DWQ)staff is in the process of rewriting this permit
with a scheduled reissue in the summer of 2002. Once the permit is reissued,your residence or facility would be
eligible for continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit,you must apply to the DWQ for renewal of
your permit coverage. To make this renewal process easier,we are informing you in advance that your permit will
be expiring. Enclosed you will find a general permit coverage renewal application form. This will serve as
your application for renewal of your permit coverage. The application must be completed and returned with the
required information by February 01,2002 in order to assure continued coverage under the general permit.There is
no renewal fee associated with this process.
Failure to request renewal within this time period may result in a civil assessment of at least$250.00. Larger
penalties may be assessed depending on the delinquency of the request. Discharge of wastewater from your
residence or facility without coverage under a valid wastewater NPDES permit would constitute a violation of
NCGS 143-215.1 and could result in assessments of civil penalties of up to$10,000 per day.
If the subject wastewater discharge to waters of the state has been terminated,please complete the enclosed
rescission request form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
If you have any questions regarding the permit coverage renewal procedures please contact the Asheville Regional
Office at 828-251-6208 or Mack Wiggins of the Central Office Stormwater Unit at(919)733-5083,ext.542
Sincerely,
Bradley Bennett,Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Penn its Unit Files
Asheville Regional Office
1617 Mail service Center, Raleigh, North Carolina 27699-1 61 7 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper

North Carolina r�
artment of Environment,
aalth and Natural Resources {�•
Division of Water Quality
James B. Hunt, Jr., Governor [D E H
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director February 7, 1997
MS. VIRGINIA HOLLIFIELD
ROUTE 1, BOX 52 i
SPRUCE PINE, NC 28777
Subject: Rengwal of NPDES Permit No.NCG5505 7L
/NFFt Wl. County
Dear Permittee:
The subject permit expires on July 31,1997. North Carolina General Statute 143.215.1(c) requires that an application for
permit renewal be filed in a timely manner. If continuation of the permit is desired,please submit the following..::,
information within 30 days of receipt of this letter.
1. A letter requesting the renewal
2. The completed invoice form(copy attached).
3. A processing fee of$240. The check should be made payable to the North Carolina Department of Environment,
Health, and Natural Resources which may be abbreviated as NCDEHNR.
Failure to request renewal within this time period may result in a civil assessment of at least$250.00. Luger penalties
may be assessed depending upon the delinquency of the request.
If operation of a discharge or waste treatment facility is to occur after the expiration date of the permit,or if
continuation of the permit is desired,it must not be allowed to expire. Operation of the waste treatment works or
continuation of a discharge after the expiration date would constitute a violation of NCGS 143-215.1 and could result in
assessment of civil penalties of up to$10,000 per day.
If there are questions regarding the permit renewal procedure,please contact Bill Anderson of the Asheville Regional
Office at telephone number(704)251-6208.
Respectfully, -
David A. Goodrich,Supervisor
NPDES Group
cc: Central Files
✓Asheville Regional Office,Bill Anderson

February 7,1997
INVOICE FOR RENEWAL OF
NPDES PERMTT
Check here if you do NOT wish to renew this permit.
Please return this page along with a letter documenting your reasons
for not requesting renewal to:
Mr. Charles H. Weaver,Jr.
Division of Water Quality/WQ Section
NPDFS Gmun
Post Office Box 29535
Raleigh, North Carolina 27626-0535
ET'Check here if you wish to renew this permit.
Please verify the following information and revise any incorrect entries:
Mali vo-Ad_d. e_„ - . .. .
VIRGINIA HOLLIFIELD RESIDENCE No revision required.
FORMERLY THERESE BEAUCHAMP RESIDENCI
ROUTE 1, BOX 52 ® Revision required. (Please specify below.)
SPRUCE PINE, NO 28777
Phone number: 7o 9—7G,$= 74 cj a I? A A` �iNA'v9R�
Fax number:
e-mail address:
Facility o aH
No revision required.
MS. VIRGINIA HOLLIFIELD
ROUTE 1, BOX 52 Revision required. (Please specify below.)
SPRUCE PINE, NC 28777
Please return this page with your letter requesting renewal,and $240 fee (payable to NCDEHNR) to:
Mr. Charles H. Weaver,Jr.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0335
Signature of applicant or authorized representative
Date

�j
February 19, 1993
THERESE BEAUCHAMP
BEAUCHAMP, THERESE-SFR
BEAR DEAN MT. RD.
SPRUCE PINE, NO 28777
SUBJECT: CERTIFICATE. OF COMPLETION
PERMIT NO. 0080217AC
BEAUCHAMP, THERESE-SFR
MITCHELL COUNTY
Dear Permittee:
On January 03, 1992 the Division of Environmental Management issued you
the subject permit. One of the conditions of the subject permit read as
follows:
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 requirements of this permit and the approved plans and
specifications. Mail certification to the Permits and Engineering Unit,
P.O. Box 29535, Raleigh, N.C. , 27626-0535.
To date, our records show that no certification has been received for the
subject permit. If the permitted facility has been constructed and placed into
operation please submit the required certification immediately. Operation of
the treatment system prior to submission of the required certification is in
violation of your permit and is subject to enforcement action. If you have any
questions, please contact your consulting engineer for this project, . If the
facility has not been constructed, please contact the Asheville Regional Office
at [phone], so that they can update their records.
FM 1993
M NAfCR pDAIITY SECTIO
\.,.... -;�.NI VII. E REGIONAL FF ICE

/ Thank you for your prompt attention to this matter.
Sincerely,
Original Signed BY
Angela Y.Griffin for
Carolyn McCaskill, Supervisor
State Engineering Review Group
cc: File
Asheville Regional Office

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REi FAVE'D
water Quality Ssotion
DEC 2 3 1991
._.•
Asheville Regional Offipe
Asheville, North CaleNnn
State of North Carolina
Department of Environment,Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street•Raleigh,North Carolina 27611
George T.Everett,PhD
James G.Marlin,Governor Director
William W.Cobey,Jr.,Secretary
December 10, 1991
I
Therese Beauchamp
Bear Dean Mountain Rd.
Spruce Pine,NC 28777 - Subject: NPDES Permit No, NCO080217
Therese Beauchamp Residence
Mitchell County
Dear Ms.Beauchamp:
In accordance with your application for discharge permit received on February 15, 1991, we
requiremursuant to the
ents of Northth the Carolina General Stect state -atuttee 143 215 1 and t This he Memoranduermit is m of Agreement
between North Carolina and the US Environmental Pmtecfion agency dated December 6, 1983.
If any parts,measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to.an adjudicatory hearing upon written request within
of
thirty (30) days following receipt of this letter. This request must be rn the form le d with the
a written
petition, conforming to Chapter 150B of the North Carolina General Statutes, anC roliina 27611
Office of Administrative Hearings, post Office Drawer 27447, Raleigh,
7447. Unless such demand is made, this decision shall be final and binding.
Please take notice this permit is not transferable. Part E,B.2. addresses the requirements to
be followed in case of change in ownership or control of this discharge.
obtain
ther
which
be
This permit does not affect the of Environmental al Management ouirements or permits required biysthe Division of
required by the Division
Land Resources, Coastal Area Management Actor any other Federal or Local governmental permit I'
that may be required.
If you have any questions concerning this permit, please contact Mr. Mack Wiggins at
telephone number 9191733-5083.
rely,
r
Ev re - ✓
cc: Mr. Jim Patrick,EPA
µ�
Asheville Regional office
Pollution Prevenlian Pays
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone]
An Equal Opp°riunity Afr— tive Action Employer
II .
i
I

l� Permit,)NC0090217
STATE OF NORTH CAROLINA
DEPARTMENTD VI ON OF ENVIRONMENT,
ENVIRONM RESOURCES
ENVIRONMENTAL
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
nnntnt PnIIt�TANTDIcruegrFFIIMINATION_ LAM
In compliance with the provision of North Carolina General Statute 143-215.11
other lawful stanards and reguation'Management codtmniss on, andl
lthe Federal Waterr P llut onpControl Act,thelas amended a Environmental '
Ms.Therese Beauchamp
is hereby authorized to discharge wastewater from a facility located at
Therese Beauchamp Residence
on NCSR 1126
southeast of Spruce Pine
Mitchell County
g
to receiving waters designated as Rose Creek in the French Broad River Basin
in accordance with effluent limitations,monitoring requirements, and other conditions set forth in
parts I,II, and III hereof.
This permit shall become effective December 10, 1991
This permit and the authorization to discharge shall expire at midnight on November 30, 1996
Signed this day December 10, 1991
L George T.Everett, hector ement
Division of Envirhe ntal M g
By Authority of the Envir nmental Management Commission
i

Permit No. NC0080217
SUPPLEMENT TO PERMIT COVER SHEET
j Ms. Therese Beauchamp
is hereby authorized to:
1. Enter into a contract for.construction of a wastewater treatment facility, and
2. Make an outlet into Rose Creek, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management,construct and operate a 0.00024 MGD wastewater treatment facility located
at Therese Beauchamp Residence,on NCSR 1126, southeast of Spruce Pine,Mitchell
County (See Part III of this Permit),and
4. Discharge from said treatment works at the location specified on the attached map into
Rose Creek which is classified class WS-III-Trout waters in the French Broad River
Basin.

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

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t1S4evi f mii � Of9iu%t
State of North Carolina sAshe!�i Pie, 14arth Celolhve
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street• Raleigh,North Carolina 27611
James G.Martin,Governor George T.Everett,Ph.D
William W.Cobey,Jr.,Secretary Director
January 3, 1992
Ms.Therese Beauchamp
Bear Dean Mountain Road
Spruce Pine, North Carolina 28777
Subject: Permit No. NCO080217
Authorization to Construct
Beauchamp SFR
Wastewater Treatment Facility
Mitchell County
Dear Ms. Beauchamp:
A letter of request for an Authorization to Construct was received October 4, 1991 by the Division
and final plans and specifications for the subject project have been reviewed and found to be satisfactory.
Authorization is hereby granted for the construction of a 240 gpd wastewater treatment facility consisting
of a 1,000 gallon septic tank, a 225 ft2 sand filter, a tablet type chlorinator, a 75 gallon chlorine contact
tank, a tablet type dechlorination unit, and an curtail line with discharge of treated wastewater into Rose
Creek classified WS-III waters.
This Authorization to Construct is issued in accordance with Part III paragraph B of NPDES
Permit No. NCO080217 issued December 10, 1991 and shall be subject to revocation unless the
wastewater treatment facilities are constructed in accordance with the conditions and limitations specified in
Permit No. NC0080217.
The sludge generated from these treatment facilities must be disposed of in accordance with G.S.
143-215.1 and in a manner approved by the North Carolina Division of Environmental Management.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action,including those as may be required by this
Division, such as the construction of additional or replacement wastewater treatment or disposal facilities.
Regional Offices
Asheville Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 919/486-1541 704/663.1699 919/733.2314 919/946-6481 919/395-3900 919/896-7007
Pollution Prevention Pays
P.O.Box 29535,Raleigh,North Carolina 27626-0535 Telephone [phone]
A
� � �(��/ An Equal Opportunity Affirmative Action Employer
WJ�/v "

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The Asheville Regional Office, phone no. [phone], 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.
The subject wastewater treatment and disposal facilities shall be connected to an operational
publicly owned wastewater collection system within 180 days of its availability to the subject facilities,if
the subject wastewater treatment or disposal facilities are in noncompliance with the terms and conditions
of the NPDES permit,the Authorization to Construct,or the governing statutes or regulations. Prior to the
initiation of these connection activities,appropriate approval must be received from this Division.
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 sand filter must comply with the Division's sand specifications.
A leakage test shall be performed on the septic tank and dosing tank to insure that any exfiltration
occurs at a rate which does not exceed twenty(20)gallons per twenty-four(24)hour per 1,000 gallons of
tank capacity.
Failure to abide by the requirements contained in this Authorization to Construct may subject the
Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C.
The issuance of this Authorization to Construct does not preclude the Permittee from complying
with any and all statutes,rules, regulations, or ordinances which may be imposed by other government
agencies (local, state,and federal)which have jurisdiction.
One (1) set of approved plans and specifications is being forwarded to you. If you have any
questions or need additional information,please contact Mark Hawes,telephone number 919/733-5083.
Si cerely,
eorge T.Ev re
cc: Mitchell County Health Department
Asheville Regional Office

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NON NPDES FACILITY AND PERMIT DATA
UPDATE OPTION TRXID 5OU KEY AC0080217
PERSONAL DATA FACILITY APPLYING FOR PERMIT APP/PERMIT FEE-$ .00 REGION
FACILITY NAME> BEAUCHAMP, THERESE-SFR 9 COUNTY> MITCHELL O1
ADDRESS: MAILING (REQUIRED) ENGINEER:
STREET: BEAR DEAN MT. RD. STREET:
CITY: SPRUCE PINE ST NC ZIP 28777 CITY: ST ZIP 0
TELEPHONE 704 688 4613 TELEPHONE:
STATE CONTACT> HAWES FACILITY CONTACT THERESE BEAUCHAMP
TYPE OF PROJECT> AUTHORIZATION TO CONSTRUCT LAT: LONG:
DATE APP RCVD 10/04/91 N=NEW,M-MODIFICATION,R=REISSUE) N
DATE ACKNOWLEDGED 10/07/91 DATE REVIEWED / / RETURN DATE
REG COMM REQS 10/14/91 DATE DENIED / / NPDES #-
REG COMM RCVD / / DATE RETURNED / / TRIB Q .0000 MGD
ADD INFO REQS / / OT AG COM REDS / / TRIB DATE-
ADD INFO RCVD / / OT AG COX RCVD
END STAT APP P O1/02/92 DATE ISSUED / / DATE EXPIRE
FEE CODE( 0 ) 1=(>1MGD) ,2=(>IOKGD) ,3=(>IKGD) ,4=(<IKGD+SF) ,5=(S>300A) ,6=(S<=300A.) ,
7=(SENDEL) ,8=(SEDEL) ,9=(CLREC) ,O=(NO FEE) DISC CODES 04 ASN/CHG PRMT
ENG CERT DATE / / LAST NOV DATE / / CONBILL( )
COMMENTS: 240 GPD
MESSAGE: *** DATA MODIFIED SUCCESSFULLY ***
O; -��e''ST Vie�11Ti4-t__
�l rGpf�E f���`per !moo Covrwneut F n h� o� �h F Y
E0 v E
Water Qurl q Scctiati
Off 15 1991
A � �irt�evilt�, 3Su?ih EarDlig9

l ) i )
aM�t
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street•Raleigh,North Carolina 27604
James G.Martin,Governor George T.Everett,Ph.D.
William W. Cobey,Jr.,Secretary Director
October 7, 1991
MS THERESE BEAUCHAMP
BEAR DEAN MOUNTAIN ROAD
SPRUCE PINE, NORTH CAROLINA 28777
Subject: Application No. AC0080217
Beauchamp SFR
Authorization To Construct
Mitchell County
Dear MS BEAUCHAMP:
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on October 4, 1991. This application has been assigned the number shown above.
Please refer to this number when making inquiries on this project.
Your project has been assigned to Mark Hawes for a detailed engineering review. A technical
acknowledgement will be forthcoming. If this acknowledgement is not received within thirty(30)
days,please contact the engineer listed above.
Be aware that the Division's regional office,copied below,must provide recommendations from the
Regional Supervisor or a Procedure Pour Evaluation for this project,prior to final action by the
Division.
If you have any questions,please contact Mark Hawes at(919)733-5083.
S�ijncerely,
c p IYona7d Sa 't,
Supervisor ermits and Engineering Unit
cc: Asheville Regional Office IIIJJJ
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Cmolina 27626-0535 Telephone [phone]
An Equal Opportunity Af nnative Action Employer

Local Government Review
Requirements for the Issuance of New
Nonmunicipal Domestic Wastewater Discharge Permits
General Statute Overview
On October 1, 1989. an amendment to North Carolina General Statute 148-215.1, denoted as 149-215.1
(c) (6), became effective. The amendment allows input from local governments in the issuance of NPDES
Permits for nonmuniclpal domestic wastewater treatment facilities. The new language requires that the
Commission (Environmental Management Commission) shall not act on an application for a new
nonmunicipal domestic wastewater discharge facility until it has received a written statement from each
city and county government having jurisdiction over any part of the lands on which the proposed facility
and its appurtenances are to be located .The written statement shall state whether the city or county has
in effect a zoning or subdivision ordinance and, if such an ordinance is in effect, whether the proposed
facility is consistent with the ordinance. The Commision shall not approve a permit application for any
facility which a city or county has determined to be Inconsistent with its zoning or subdivision ordinance
unless it determines that the approval of such application has statewide significance and is in the best
interest of the State.
Instructions to the Applicant
Prior to submitting an application for a NPDES Permit for a proposed project, the applicant shall request
that both the nearby city and county government complete this form.The applicant must submit a copy
of the draft permit application and shall make a written request for this form to be completed to the clerk
of the city and county by certified mail, return receipt requested.If a(or both)local government(s)fafl(s)
to mall the completed form, as evidenced by the postmark on the certified mail card(s), within 15 days
after receiving and signing for the certified mall, the applicant may submit the application for a discharge
permit.As evidence to the Commission that the local government(s) failed to respond within 15 days, the
applicant shall submit a copy of the certified mall card along with a notarized letter stating that the local
government(s) failed to respond within the 15 day period.
Instructions to the Local Government
The nearby city or county government which may have or has jurisdiction over any part of the lands on
which the proposed facility or its appurtenances are to be located is required to complete and return this
form to the applicant within 15 days of receipt. The form must be signed and notarized.
Name of local government _ 411 !C
(City/County<)
Does the city/county have jurisdiction over anyyp�art of the lands on which the proposed facility and Its
appurtenances are to be located? Yes ❑"No (J if no, please sign this form, have it notarized, and
return it to the applicant.
Does the city/county have in effect a zoning or subdivision ordinance? Yes ❑ No
If there is a zoning or subdivision ordinance In effect,is the plan for the proposed facility consistent with
the ordinance? Yes ❑ No ❑ & f} /
Date %{ Signature
(City ft-n-ager/Countynanager)
State of North Carolina , County of Mitchell
On this 16th day of January 1991 , personnally appeered before me,
the said name Keith S . Holtsclaw to me known and known to me to be
the person described in and who executed the foregoing document and he (or she) acknowledged that he
(or she) executed the same and being duly sworn by me, made oath that the star cuts in the fc, goIng
document are true. /
MyCommislon expires Sept . 25 , 19 9 2 (Signature of Notary Public)
iN0- UN1C(OfflClal Seal)

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NcCRLL ,BROTHERS , INC . TEL_ .) 704-399-1506 Nov �1',90 15 :35 No .003' R 04i07
vQ EES Corporation .
C� Efournewood Drive
A Subsidiary Of ELTECH System,Corporation
L EES Tablet Feeder E- sugaar Land, Taxes 77478
Model
rgnpp�� Telephone: N3)274.8440
Model 200 Telex:798459
FAX:[phone]
i
The Simple, Reliable Way to s^'
Disinfect Wastewater
The EES Model 200 Tablet Feeder Is a complete, one-
Place system for highly reliable disinfection of affluent
In property operating individual home aerobic treatment
plants having a design capacity of 1b00 GIRD or less.
The tablet leader Is used in conjunction with SANURIL
tablets, a disinfecting agent that provides a chemically
stable source of chlodne for wastewater disinfection.
The EES Tablet Feeder IS suitable for assembly Into
new treatment systems, Also, It can be Installed in
existing treatment facilities where wastewater
chlorination Is being added or to replace troublesome,
unreliable or complicated chlorination systems.
Superior Performance
at a Lower Cost
Hotter Performance—The entire wastewater flow FEED TjE
Passes through the tablet leader where thorough —
mixing of chlorine and wastewater take place. This
means Moro effective bacterloldal action and less
bacteria regrowth.
Low Initial Cost—In addition to low investment in the
EES Tablet Feeder, savings are compounded because
no PUMPS, mixing tanks or costly control devices ere
required a$ with most other chlorination systems.
Simple, Low-Coat Installation— One-piece tablet TOP COVER
fsndor Construction requires only piping. No electrical wEAThE
Power, wiring or bypasses required. CA
Lowoe Operating Costs —Tablet Feeder operates for
as long as 3 to 4 months on a single charge depending
on the plant flow. No time-consuming premixing of
chemicals. Recharging SANURIL tablets is quick and
easy No casts for electrical power or auxiliary power.
klalntensnce•Froo Oparatlen— No tanks, pumps, ilia
cylinders, external control devices or other moving parts
to break down. System Is nonmochanlcal and rust and
corrosion proof.
HOUSING

Mc CRLL' RROTHERS , INC . TEL No .70.4-399-1506 .Nov 21 ,90 15 :35 No 93 P 0Si07'�
overcMbdnedon — Overchlorination Is due to OTHER APPLICATIONS
excessive consumption of disinfectant. The
chlorine residual may he reduced by removing one In addition to wastewater chlorination. the EES
feed tube, or using toed tube spacers (Refer to Model 200 tablet leader can also be used for
this section found on page 6), dechlorination and the chlorination of drinking
water, For dechlorination, the Model 200 Is used in
Plugging — Under most conditions of flow, there is conjunction with the EES D-CHLOR" tablets,
sufficient shearing action by the water to keep the These tablets are a sodium sulfite based formula.
slots In the feed tubes from becoming obstructed. tion having compatible dimensions for use In the
If the slots become obstructed, they may be EES Model 200 tablet feeder,
cleared as described under MAINTENANCE or by removing the feed tubes from the unit and, used
drinking water chlorination, the Model 200 Is
In conjunction with the EES AQUAWARD®
clearing the obstructing materials by hand,
chlorinating tablets. Thu AQUAWARD labials are a
HANDLING AND STORAGE calcium hypochlorlle based formulation also
having dimensions compatible for use In the EES
SANURIL Is an oxidizing agent, it should be Model 200 tablet feeder. This system is ideal for
stored In a cool, dry area away from oxidizable open channel now operation and/or remote Install.
material such as rags, paper, kerosene or other ations where other methods of disinfection are not
combustible materials. Do not Inhale container praclieal or economical.
vapors. After use, recluse container to protect For additional information and literature on the
remaining material. In case of fire, apply liberal D-CHLOR and AQUAWARD Systems, please
quantities of water, contact the Sales Department,
APPENDIX —,oPo NIUOF'G. 200
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Permit No. NCO080217
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE LIMINATION 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,
Ms. Therese Beauchamp
is hereby authorized to discharge wastewater from a facility located at
Therese Beauchamp Residence
on NCSR 1126
southeast of Spruce Pine
t' Mitchell County
to receiving waters designated as Rose Creek in the French Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, and III hereof.
This permit shall become effective
This permit and the authorization to discharge shall expire at midnight on December 31, 1996
Signed this day
AFC'
I'.
i
P George T.Everett,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0080217
SUPPLEMENT TO PERMIT COVER SHEET
Ms. Therese Beauchamp
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility, and
2. Make an outlet into Rose Creek, and
3. After receiving an Authorization to Construct from the Division of Environmental
Management,construct and operate a 0.00024 MGD wastewater treatment facility located
at Therese Beauchamp Residence,on NCSR 1126, southeast of Spruce Pine,Mitchell
County (See Part III of this Permit),and
4. Discharge from said treatment works at the location specified on the attached map into
Rose Creek which is classified class WS-III-Trout waters in the French Broad River
Basin.
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TO: PERMITS AND ENGINEE EF RING UNIT
WATER QUALITY SECTION
DATE: Mitchell
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Mitchell
PERMIT NUMBER NC0080217
PART I - GENERAL INFORMATION
1. Facility and Address: T`ierese Beauchamp Residence
Bear Den Mtn. Road
Spruce Pine, North Carolina 28777
2 . Date of Investigation: April 25, 1991
3 . Report Prepared By: Michael R. Parker
4. Persons Contacted and Telephone Number: Andre' Beauchamp
704/688-4613
5. Directions to Site: From the intersection of North Carolina
Secondary Roads 1128 and 1126, travel south on NCSR 1126 0. 5
mile. The site is located on the right side of NCSR 1126.
6. Discharge Point(s) , List for all discharge points:
Latitude: 35 53 ' 2r "
Longitude: 81. 59111 ,,
Attach a USGS map extract and ind�,7ate treatment facility site and
discharge point on map.
U. S.G. S. Quad No. . D11NW U. S. G. S . Quad Name Linville Falls,NC
7. Size (land available for expansion and upgrading) : 1/8 acre
8. Topography (relationship to flood plain included) : Area is not
subject to flooding.
9. Location of nearest dwell .ng: Approximately 200 feet.

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10. Receiving stream or affected surface waters: Rose Creek
a. Classification: WS-III trout
b. River Basin and Subbasin No. . FBR 06
C. Describe receiving stream features and pertinent downstream
uses: wading, fishing and fish and wildlife propagation.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% Domestic
% Industrial
a. Volume of Wastewater: 0.00024 MGD (Design Capacity)
b. Types and quantities of industrial wastewater:
C. Prevalent toxic constituents in wastewater: chlorine
d. Pretreatment Program (POTWs only) :.
in development approved
should be required not needed
2 . Production rates (industrial discharges only) in pounds per day:
a. Highest month ,in the past 12 months: lbs/day
b. Highest year in the past 5 years: lbs/day
3 . Description of industrial process (for industries only) and
applicable CFR Part and Subpart:
4. Type of treatment„(specify whether proposed or existing) : It is
proposed to install a 1000 gallon precast septic tank a sand
filter (5 ' X 45".) .. 225 sq. ft. and effluent disinfection by tablet
chlorinator.
5. Sludge handling and disposal scheme: S]udge will be disposed of
by a commerical septic tank cleaning firm.
6. Treatment plant classification: Less than 5 points; no rating
(include rating sheet., if appropriate) . NA
7. SIC Codes(s) : 4952
Wastewater Code(s) : Primary 04 Secondary

PART III - OTHER PERTINENT INFORMATION
1 . Is this facility being constructed with Construction Grant funds
(municipals only)? na
2 . Special monitoring requests: n.a
3 . Additional effluent limits requests: na
4. Other:
PART IV - EVALUATION AND RECOMMENDATIONS-Therese Beauchamp has
made application for a permit to discharge domestic wastewater from a
single family house trailer to Rose Creek a tributary of the North Toe
River. Both Rose Creek and the North Toe River are classified as
WS-III trout for use as a public water supply by the Town of Spruce
Pine. The proposed discharge site is approximately 3 . 5 river miles
from the proposed intake point for the Town. of Spruce Pine .
A wasteload allocation has been completed and is attached to this
report.
It is recommended that the permit ba issued subject to no objection by
the public or Water Supply Branch.
Signature of R/epro/ram//)Prepsrer
�ter Quality Regional Supervisor
Date

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;y NPDES
WASTELOAD ALLOCATION
Date : Mob /991
` F a c^i t it y Nam a T� t-<-• 8uwc44!:10 j& JAW-'P e r m i It :.91(f,00
Receiving St r(earn:�^<a GM1+-a�`E-' _ Cl a s s :M/5-�+n�" SJub-Sas iin P- 0 `
County : rn•r�` Regional Office : rtT�v14e—
Reference USGS Ouad :L.v✓r Aa, FA V L• Existing : Proposed :
Elevation : Drainage Area : /•OrS�4.e.r •
Hydrologic Group : Design Temperature :
Slope : A—Mv . 7�r�sf. S/,- Comments :
p-KAP
>740 D- Zft# /ooFpM
g7.2p O ..Zwsi . -ZOOFOM
r26Xd o.3fit; . yanFp�h
AUK clrY o /Vf<F�vo
RECOMMENDED EFFLUENT LIMITS
Wastefiow ( gpd) : 12-y-L9
SODS (mg/ I ) :
NH3-N (mg/ I ) :
D . O . (mg/ 1 ) : — -
pH (SU) : b.o-9•!7
Fecal Colt ( / 100m1 ) : �-VD
TSS (mg/ 1 ) :
RECOMMENDED SY : �W Da It e :�`�/���1
APPROVED BY :
Regional Engineer : Data :
Regiona'I Supervisor : 'IP Da it e : .. ._
ROUTE to Technical Support Group and Permits a Engineering Unit
( Enclose copy of USGS topographical map showing location of discharger )

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1
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G.Martin,Governor George T.Everett,Ph.D.
William W.Cobey,Jr.,secretary Director
4/12/91
Ms. Therese Beauchamp
Bear Den Mtn. Road Subject : NPDES Permit Application
Spruse Pine, NC 28777 NPDES Permit NO .NC0080217
Therese Beauchamp Residence
Dear Ms. Beauchamp < - Mitchell .Count%
This is to acknowledge receipt of the following documents on April 12, 1991:
Application Form
Engineering Proposal (for proposed control facilities) ,
Request for permit renewal,
Application Processing Fee of 0240.00,
Other Local government review. ,
The items checked below are needed before review can begin :
_ Application Form
_ Engineering proposal (see attachment) ,
Application Processing Fee of
Delegation of Authority (see attached)
_ Biocide Sheet (see attached)
Other Need to submit an PEA Need_�g(�tgx,�ypnL$,hgQQlinty hCaltla dag$ ri nv�n_a
You, site for around ab5-4.CpLiou-
If the application is not made complete within thirty (30) days, it will be
returned to you and may be .resubmitted when complete .
This application has been assigned to Mack Wiggins
(919/733-5083) of our Permits Onit for review. You will e advised of any
comments recommendations, questions cr other inform,--Lion 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 regardinq this applications,
please contact the review person listed above .
F'incere' y, ,
w! [a a Ovrs�� f? F ( tF�''ii1ED
CC : Asheville Regional Office l4 rm'r Qtlelily section
OR I
Pollution Prevention Pays
P.O.Box 27687.Raleigh,North Carolina 2 7 611-76 8 7 Telephone [phone] Asheville Regional Otfice
An Equal Oppornmr,Affirmative Aceon Employer Asheville, North Carolina

N. C: DEPARTMENT OF ENVIRONMENT, HEALTH & NATURAL RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
RAPE I(:AIION NIINIIFR
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FDA
AGENCY C- O 0 O
jav
USE DATE RECEIVED `
.. to be herc0 only by services,s wholesale and retail trade,
and other cammrclel establishments including vessels 11 / ,S— i.
YEAR., Mo. DAY
;fM
Do not attempt to complete this form without reading the accompanying instructions r
Please print or type
1.- Name, address, and telephone number of facility P Y producing discharge
A. Name EkESE 4995444C.11AMP
On
B. Street address a -=4.2 DEN A477V. .V�• N•C.s.
C, city SPA4eW .0114E 0. State` NC.
E. County M1TG-01-O - F. tip RJ777
G. Telephone No. _ 61pe—
Area
Code
2. SIC
(leave blank)
3. Number of employees �/Q•
A. Nature of business __ SING/E fQN/L✓ jffeslOENLB I 4
'ram-ten.: a
5. (a) Check here If discharge occurs all year O, or
(b) Check the month(s) discharge occurs:(W4)
1,0January 2.0 February 3.0 Nsrch 4.0 Ill S.o Nay
6.0 June 7.0 July 0.0 August 9.0 September 10.O October �I �
I I.0 November 12.0 December
(c) How many days Per week: `"16: ,
1.01 2.0 2-3 3.0 A-5 a.X6-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day 9oluwe treated before
discharging (percent)
Discharge per
operating day 0.1-999 1000-1999 SO00-9999 10,000- 50.000 None 0.1- 30- 65- 95-
19,999 or More 29.9 6A.9 9A.9 100
(1) (2) (3) (A) (5) (6) (7) (8) (9) (10)
A. Sanitary, daily
average
0. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify
i
D. Maximum per combat-
log day for combined
discharge (all types) i
i

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MciC'RLL :BROTHERS , IIJC . TEL IIvo . r04-399-1506 NOV - 90 15 :35 No . 003 P .04 ,07
�yt?n EES Corporation
C� A Subsidiary Of ELTECR Systems Corporation
L EES Tablet Feeder EaEm Sugar land, Texas 777478
rq/'gyp
Telephone:[phone]
Model 200 Telex:79W9
FAX:[phone]
Data
The Simple, Reliable Way to
Disinfect Wastewater
The EES Model 200 Tablet Feeder Is a complete, one-
place system for highly reliable disinfection of effluent -'-
In properly operating individual home aerobic treatment
plants having a design capacity of 1,600 ORD or less.
The tablet feeder Is used in conjunction with SANURIL
tablets, a disinfecting agent that Provides a chemically _.
stable source of chlorine for wastewater disinfection.
The EES Tablet Feeder is suitable for assembly Into
sew treatment systems. Also, It can be installed in
existing treatment fooilhiss where wastewater
chlorination Is being added or to replace troublesome,
unrdliable or Complicated chlorination systems.
Superior Performance
at a Lower Cost
schist Performance—The entire wastewater flow FEED TUBES
through the tablet feeder where thorough — +
mixing of ohlorine and waslewalor take place. This
means Mora eBOClive bactericidal action and less
bacteria regrowth.
Low Initial Cost —In addition 10 low Investment in the
EES Tablet Feeder, savings are Compounded because
no pumper mixing tanks or costly control devices are
required es with most other Chlorination systems.
Simple, Low-Coat Installation—One-piece tablet TOP COVER
feeder Construction requires Only piping. No electrical wEATNERPROOF
Power, wiring or bypasses required. CAP$
Lower Operating Costa—Tablet Feeder operates for
as long as 3 to 4 monlhe on a single Charge depending
on the plant flow. NO time-consuming pro-mixing of
chemicals. Recharging SANURIL tablets is quick and
easy. No costs for electrical power or auxiliary power,
M®Inteflance•Free Operation— No tanks, pumps,
`j cylinders, external control devices or other moving parts
to break down. System Is nonmuchanical and rust and
corrosion proof.
HOUSING

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11CChLL B'R07HERS , INC . TEL No .704-399-1506 Nov 2. 90 15 :35 No .003 P .05%07
Ovemhlodnadon — Overchlorination Is due to OTHER APPLICATIONS
excessive consumption of disinfectant. The In addition to wastewater chlorination, the EES
chlorine residual may be reduced by removing one Model 200 tablet feeder Can also be used for
teed tube, or using feed tube spacers (Refer to dechlorination and the chlorination of drinking this section found on page 6). water, For deohlorination. the Model 200 le used In
Plugging — Under most conditions of flow, there is conjunction with the EES D-CHLOR" tablets.
sufficient shearing action by the water to keep the These tablets are a sodium sulfite based formula.
slots In the feed tubes from becoming obstructed. tion having compatible dimensions for use In the
If the slots become obstructed, they may be EES Model 200 tablet feeder.
cleared as described under MAINTENANCE or by
removing the feed tubes from the unit and For drinking water chlorination, the Model 200 Is
clearing the obstructing materials by hand. used In conjunction with the EES AQUAWARD®
chlorinating tablets. The AQUAWARD tablets are a
HANDLING AND STORAGE calcium hypochlorlte based formulation also
having dimensions compatible for use In the EES
SANURIL is an oxidizing agent, It should be Model 20D tablet feeder. This system is Ideal for
stored In a cool, dry area away from oxidizable open channel flow operation and/or remote Install•
material such as rags, paper, kerosene or other ations where other methods of disinfection are not
combustible materials. Do not Inhale container Practical or economical
vapors. After use, reclose container to protect For additional information and literature on the
remaining material. In case of fire, apply liberal D•CHLOR and AQUAWARD Systems, please
quantities of water. contact the Sales Department,
APPENDIX A —lox MOO EL Zo
Slt IX
PSIS
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N/iN. 3o- M/NUTS

Local Government Review
Requirements for the Issutance of New
Nonmunicipai Domestic Wastewater Discharge Permits
General Statute Overvlew
On October 1, 1959, an amendment to North Carolina General Statute 143-215.1, denoted es 143-215.1
(c) (6), became effective. The amendment allows input from local governments In the Issuance of NPDES
Permits for nonmunicipal domestic wastewater treatment facilities.The new language requires that the
Commission (Environmental Management Commission) shall not act on an application for a new
nonmunleipal domestic wastewater discharge facility until It has received a written statement from each
city and county government having jurisdiction over any part of the lands on which the proposed facility
and its appurtenances are to be located.The written statement shall state whether the cltyor county has
In effect a zoning or subdivision ordinance and, if such an ordinance Is In effect, whether the proposed
facility is consistent with the ordinance. The Commisfon shall not approve a permit application for any
facility which a city or county has determined to be inconsistent with Its zoning or subdivision ordinance
unless It determines that the approval of such application has statewide significance and is in the best
interest of the State.
Instructions to the Applicant
Prior to submitting an application for a NPDES Permit for a proposed project, the applicant shall request
that both the nearby city and county government complete this form.The applicant must submit a copy
of the draft permit application and shall make a written request for this form to be completed to the clerk
of the city and county by certified mail, return receipt requested.if a(or both)local goverament(s)fau(s)
to mail the completed form, as evidenced by the postmark on the certified mail card(s), within 15 days
after receiving and signing for the certified mail, the applicant may submit the application for a discharge
permit.As evidence to the Commission that the local government(s)failed to respond within 15 days, the
applicant shall submit a copy of the certified mail card along with a notarized letter stating that the local
government(s) failed to respond within the 15 day period.
Instructions to the Local Government
The nearby city or county government which may have or has jurisdiction over any part of the lands on
which the proposed facility or its appurtenances are to be located is required to complete and return this
form to the applicant within 15 days of receipt. The form must be signed and notarized.
Name of local government /74 11[�e/�
(City/County)
Does the city/county have jurisdiction over any part of the lands on which the proposed facility and its
appurtenances are to be located?Yes ❑�ko ❑ If no,please sign this farm. have It notarized, and
return it to the applicant.
Does the city/county have In effect a zoning or subdivision ordinance? Yes No 0
If there is a zoning or subdivision ordinance in effect,is the plan for the proposed facility consistent with
the ordinance? Yes ❑ No ❑ 14,16 J
Date 4L %d Signature
(City Manager/CountyManager)
State of North Carol ina , County of Mitchell
On this 1 6th _ day of January , 199 L, persounally appeared before me,
the said name Keith S. Holtsclaw to me known and known to me to be
the person described In and who executed the foregoing document and he (or she)acknowledged that he
(or she) executed the same and being duly sworn by me, made oath that the stet ents in the fone'go/ing
document are true. /
MyCpmmislon expires Sept. 25 , , 1992 (Signature of NotaryPubLLc)
No uollc(Offlolal Seal)

ENGINEERING ECONOMIC ANALYSIS
WASTEWATER TREATMENT OPTIONS
Proposed Discharges
General Information "
1 . Residence of Therese Beauchamp- Site location is Mitchell
County on Bear Dan Mountain Road which is indicated on site
location map. This report has been prepared by Andre Beauchamp
on behalf of Mrs. Therese Beauchamp . Prepayer' s address is
P. O. Box 666 , Bakersville , N. C. 28705. Phone-(704) 688-4613.
2. A detailed description with diagrams has been submitted for the
proposed discharge system.
3. The proposed discharge system is for a residential , single
family dwelling for 100 percent domestic waste.
4. The discharge is intended for 100 percent use, after installation
completion.
Evaluation
1 . It has been determined not possible for connection to existing
city sewer system since the closest point of connection is
approximately three miles away. The city of Spruce Pine
indicated no future plans to extend services to this area or
site for the next five plus years. This information was obtained
From Sheila Speight at the city water dept. of Spruce Pine .
2 . Subsurface Disposal
This site was determined not to be suitable for ground absorption
systems by the Toe River Health District , Bakersville, N . C. 28705
A copy of this determination is being provided, along with this
EEA summary .
The permittee does not own, nor can she obtain, adjacent lands
suitable for a ground absorption systems(
3. Spray Irrigation
This type system is not economically feasible for a .7g acre
lot with a single residence on the site. There simply is not
enough useable land available for this type systemU As stated
above, no land adjacent to this site is owned or is available
for purchase by the permittee.
4 . Proposed Discharge
Details and drawings have been submitted for a surface water
discharge system4
(next page)

(2)
The receiving stream will be Rose Creek approximately 50 Feet
from location of dwelling . Rose Creek borders this site at the
rear property line and therefore no third party easements will
be necessary.
The cost estimate of this proposed system is between $2, 800
and $3, 000, the price quoted by Burleson Plumbing of Spruce
Pine , N. C.
S . Weighing all other possibilities for waste water disposal
systems , I feel that a surface water discharge system� as
described and detailed, to be the most coat efficient and
environmentally sound, providing safe and efficient waste
water discharge for this site .

TOE RIVER HEALTH DISTRICT
AVERY.MITCHELL•YANCEY COUNTIES
PLEASE isPLYTCI 1=4 School St,
HEADQUARTERS BakerSville, NC 23705 OTHER OFFICES
SPRUCE NNE,N.C. Bakanvllla,N.C.
H.C.AWrWpa Rumnll6,N.C.
aver N"knd.N.C.
i
-Fherese Beauchamp
PO Box 666
Bakersville, NC 28705
Dear tds. Beauchamp:
This letter is in reference to your property located 6q.t7XAl,Pr_n- Mountain Rd.
An on site evaluation of your property was made on
to determine the suitability for a ground absorption sewage disposal
system.
Upon field examination of soil characteristics it is the determination
of this department that your property is unsuitable for an approved
septic system due to the reason or reasons specified below:
1. Topography and land. position.
_X 2. Soil characteristics (morphology).
3. Soil wetness.
4. Soil depth.
Z 5. Restrictive horizons.
6. Available space.
T. Other
Possible modifications or alternatives for obtaining proper sewage
disposal include:
1. Obtain additional property or easement to adjacent property. .
2. Application through the Division of Environmental Management
for a sand-filter discharge into a nearby stream.
According to Title 10 Chapter 10A Section .1965 our decision is not the
final word and you have the right to an appeal in accordance with
C.S. 150B and 10 NCAC 1B. -
If this office can be any further assistance to you, please feel free
to call at GOS-2183 or 688-2371
Sincerely, /J

ENGINEERING ECONOMIC ANALYSIS
WASTEWATER TREATMENT OPTIONS
Proposed ❑ischarges
General Information
1 . Residence of Therese Beauchamp- Site location is Mitchell
County an Bear ❑en Mountain Road which is indicated on site
location map . This report has been prepared by Andre Beauchamp
on behalf of Mrs . Therese Beauchamp . Prepayer ' s address is
P. 0. Box 666, Bakersville , N. C. 28705. Phone-(704) 688-4613.
2. A detailed description with diagrams has been submitted for the
proposed discharge system.
3. The proposed discharge system is for a residential, single
Family dwelling for 100 percent domestic waste .
4. The discharge is intended for 100 percent use , after installation
completion.
Evaluation
1 . It has been determined not possible for connection to existing
city sewer system since the closest point of connection is
approximately three miles away. The city of Spruce Pine
indicated no future plans to extend services to this area or
site for the next five plus years . This information was obtained
from Sheila Speight at the city water dept. of Spruce Pine .
2. Subsurface Disposal
This site was determined not to be suitable for ground absorption
systems by the Tao River Health ❑istrict , Bakersville , N. C. 28705
A copy of this determination is being provided, along with this
EEA summary.
The permittea does not own , nor can she obtain, adjacent lands
suitable for a ground absorption systamt
3. Spray Irrigation
This type system is not economically feasible for a .7� acre
lot with a single residence an the site. There simply is not
enough useable land available for this type system(] As stated
above, no land adjacent to this site is owned or is available
for purchase by the parmittee.
4. Proposed ❑ischarge
Details and drawings have been submitted for a surface water
discharge system':
(next page)

(2)
The receiving stream will be Rose Creek approximately 50 feet
from location of dwelling. Rose Creek borders this site at the
rear property line and therefore no third party easements will
be necessary.
The cost estimate of this proposed system is between $2 ,800
and $3,000, the price quoted by Burleson Plumbing of Spruce
Pine , N. C.
5. Weighing all other possibilities for waste water disposal
systems , I feel that a surface water discharge system as
described and detailed to be the most cost efficient and
environmentally sound , providing safe and efficient waste
water discharge for this site.

TOE RIVER HEALTH DISTRICT
AVERY•MITCHELL•YANCEY COUNTIES
YLEASE REYLYTO 124 5,Chool 5t, -
HEADQUARTERS Bakersville, NC 28705 OTHER OFFICES
SPRUCE PINE.N.C. RakmdUo.N.C.
H.C.AW,Wp SwervRb.N.C.
p`wl. Newland.N.C.
i
—Fherese Beauchamp
PO Box 666
Bakersville, NC 28705
Dear MS. Beauchamp:
This letter is in reference to your property located Btip:r;�x:ps'.p.MOuntain Rd.
An on site evaluation of your property was made on
to determine the suitability for a ground absorption sewage d?sposal
system.
Upon field examination of soil characteristics it is the determination
of this department that your property is unsuitable for an approved
septic system due to the reason or reasons specified below:
'4 1. Topography and land. position.
I 2. Soil characteristics (morphology).
3• Soil wetness.
_ 4. Soil depth.
5• Restrictive horizons.
6. Available space.
7. Other
Possible modifications or alternatives for obtaining proper sewage
disposal include:
1. Obtain additional property or easement to adjacent property.
2. Application through the Division of Environmental Management
for a sand-filter discharge into a nearby stream.
According to Title 10 Chapter l0A Section .1965 our decision is not the
final word and you have the right to an appeal in accordance with
C.S. 150E and 10 BCAC 1B.
If this office can be any further assistance to you, please feel free
to call at 680-21113 or 688-2371
Sincerely, p
,�' �,� /ft s.

Ir-
- - ENGINEERING ECONOMIC ANALYSIS - -
WASTEWATER TREATMENT OPTIONS
Proposed Discharges
General Information
1 . Residence of Theresa Beauchamp- Site location is Mitchell
County on Bear Den Mountain Road which is indicated an site
location map . This report has been prepared by Andre Beauchamp
on behalf of Mrs. Therese Beauchamp . Prepayer' s address is
P. ❑ . Box 666, Bakarsville, N. C. 28705. Phone-(704) 688-4613 .
2. A detailed description with diagrams has been submitted for the
proposed discharge system.
3 . The proposed discharge system is for a residential , single
family dwelling for 100 percent domestic waste.
4. The discharge is intended for 100 percent use, after installation
completion.
Evaluation
1 . It has been determined not possible for connection to existing
city sewer system since the closest paint of connection is
approximately three miles away. The city of Spruce Pine
indicated no future plans to extend services to this area or
site for the next five plus years. This information was obtained
From Sheila Speight at the city water dept. of Spruce Pine .
2. Subsurface Disposal
This site was determined not to be suitable for ground absorption
systems by the Toe River Health District , Bekersville , N. C. 28705
A copy of this determination is being provided , along with this
EEA summary.
The parmittee does not own, nor can she obtain, adjacent lands
suitable for a ground absorption system,
3. Spray Irrigation
This type system is not economically feasible for a .7� acre
lot with a single residence on the site . There simply is not
enough useable land available for this type systemll As stated
above , no land adjacent to this site is owned or is available
For purchase by the parmittee.
4. Proposed Discharge
Details and drawings have been submitted for a surface water
discharge system':
(next page)

(2) .
The receiving stream will be Rose Creek approximately 5❑ feet
from location of dwelling . Rose Creek borders this site at the
rear property line and therefore no third party easements will
be necessary .
The cost estimate of this proposed system is between $2,800
and $3, 000, the price quoted by Burleson Plumbing of Spruce
Pine, N. C.
S . Weighing all other possibilities for waste water disposal
systems , I feel that a surface water discharge system as
described and detailed to be the most coat efficient and
environmentally sound, providing safe and efficient waste
water discharge For this site .

TOE RIVER HEALTH DISTRICT
AVERY•MITCHELL.YANCEY COUNTIES
KEASEREPLYTo 124 School St.
HEADQUARTERS Bakersville, WC 23705 OTHER OFFICES
SHIUCE PINE,N.C. Sakenvllle.N.C.
H.C.AH,Idq - RUMV1119,N.C.
er.U, N"land,N.C.
Therese Beauchamp
PO Box 666
Bakersville, MC 28705
Dear Ms. Beauchamp:
This letter is in reference to your property located aq.r,,LPan Mountain Rd.
An on site evaluation of your property was made on
to determine the suitability for a ground absorption sewage disposal
system.
Upon field examination of soil characteristics it is the determination
of this department that your property is unsuitable for an approved
septic system due to the reason or reasons specified below:
_ 1. Topography and land. position.
2. Soil characteristics (morphology).
,T 3. Soil wetness.
_ 4. Soil depth.
5. Restrictive horizons.
6. Available space.
T. Other p
Possible modifications or alternatives for obtaining proper sewage
disposal include:
1. Obtain additional property or easement to adjacent property.
2. Application through the Division of Environmental Management
for a sand-filter discharge into a nearby stream.
According to Title 10 Chapter 10A Section .1965 our decision is not the
final word and you have the right to an appeal in accordance with
O.S. 150B and 10 NCAC 1B.
If this office can be any further assistance to you, please feel free
to call at 689-21M or 688-2371
Sincerell�yy,,
`f 4"Cu--� RE 5'

n �
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Health
Western Regional Office • Moore III
Black Mountain, North Carolina 28711
[phone]
James G. Martin, Governor Richard K. Rowe
William W. Cobey,Jr., Secretary Division Director
September 4, -1991
TO: Linda Sewall, Deputy Director
Division of Environmental Health
Public Water Supply Section
FROM: Harold Saylor Xssistant Regional Engineer
Division of Environmental Health
Public Water Supply Section
SUBJECT: Proposed NPDES Permit
Beauchamp Residence
Mitchell County
I conducted an investigation of subject NPDES permit on August 22, 1991 and
noted some potential problems. On August 27, 1991 I returned for further
investigation with assistance of Mr. Al Slagle, Soil Scientist from the
Environmental Health Section, and Mr. Tony Crowder and Mr. Charles Canipe,
Sanitarians from the Mitchell County Health Department. The lot in question had
been turned down for a ground disposal wastewater system several months ago. A
mobile home was set up on the lot in April, 1991 according to Mr. Beauchamp.
We noted the following potential problems: (1) The water table ap
pears to
be within a few fees of the round surface which cculdc-use contammatacn of .the
groun water table and Rose Creek with undisinfected wastewater. (2) A pond is
located about 50 feet upgrade from the proposed sand filter location;and a spring
that presently serves an adjacent residence and is proposed to serve the Beauchamp
residence is located in a low area about SO feet laterally. Other residences in
this community obtain their water from springs and wells. (3) Drainage from a
state road runs across the lot in the area of the proposed sand filter. (4) Owners
of the lot located about 100 yards downstream have landscaped along the stream with
a wading pool, etc, indicating that they use the stream for recreation.
We concluded that a sand filter system constructed at this location would have
a high probability of failure and that failure could have a detrimental impact on
Rose Creek and on groundwater in the area. We recommend that the proposed permit
not be issued.
HS/ajb
An Equal Oppo unlu,Affirmative Action Employer

State of North Carolina
Department of Environment,Health,and Natural Resources
Division of Environmental Management
512 North Salisbury Street• Raleigh,North Carolina 27611
James G. Martin,Governor George T.Everett,Ph.D.
William W. Cobey,Jr.,Secretary Director
December 12, 1990
Mr. Therese Beauchamp
2400 New York Avenue
Huntington Station, NY 11746
Subjects NPDES Permit Application
Beauchamp Residence
Mitchell County
Dear Mr. Beauchamp:
On December 11, 1990, the Division of Environmental Management received a NPDES
Permit Application for the subject facility.The application is considered incomplete. Therefore,
the Division of Environmental Management is returning the application.
The returned information must be resubmitted with the following to complete the
application:
1 . A check for $240.00 made payable to the NO Department of EHNR.
2. Engineering Proposal (see attached).
3. Environmental Economics Analysis (see attached).
4. Effective October 1, 1989, the requirements of General Statute 143-215.1 (c)
(6) must be addressed and appropriate documentation from the local government
with the jurisdiction in the area of the site must be submitted as part of the
application (see attachment).
5._Effective October 1, 1989, the requirements of General Statute 143-215.1 (g)
must be addressed as part of the engineering proposal (see attachment).
6. The application and supporting information must be submitted in triplicate.
The Division of Environmental Management will Initlate the permit review process
upon receipt of the above requested information. The receipt of the above Information does not
preclude this Division from requesting addiiional information at a future date.
If you have any questions, please contact me at [phone].
LkaleleracaashL—
Supervisor,Siincerely,
NPDES Permits
cc: Asheville Regional Office.i
Pollution Prevention Pays .
P.O.Be.27687,Raleigh,North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA DEPARTMENT OF NATURAL
RESOURCES AND COMMUNITY DEVELOPMENT
Data 11 7 199D
Remarks:•, r-::..� A7-N
}
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7
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RECEIVED
Water Quality Section
1q90
,Asheville RORiena! Office
Asheville, North Carolina

N. C. DEPARTMENT OF ENVIRONMENT, HEALTH & NATURAL RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION -
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICAI ION NIIHli1A
APPLICATION FOR PERMIT TO DISCHARGE SHORT FORM D Fpp
AGENCY
us[ DATE RECEIVED
To be filed only by services, wholesale and retail trade,
and other commercial establishments including vessels
MEAN MO, DAY
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
1. Name, address, and telephone number of facility producing discharge
A. Name EkESE B64VQ11AA4P
B. Street address 6,54R. 9,9541 A17V 20. N.1.3•R. //wR4
C. City SP.eore PINE 0. state p'Al.C -
E. County M17-e4chrl-t- F. 21P R,977.7
G. Telephone No. 'A* 6ff'r-yG/3
Area
Code
2. SIC
(Leave blank) -
3. Number of employees w14
4. Nature of business -Sml6LE PQHyLV AFS1OEN6E
5. (a) Check here if discharge occurs all yearn, or
(b) Check the mon th(s) all ache ye occurs:c4f.1
1.a January 2.0 Febmary 3.0 March - 4.0 April 5.a Nay.
6.0 June 7.13 July 8.13 August 9.0 September 10.a October
11.0 November 12.a December
(c) How many days per week;
1.01 2.a 2-3 3.04-5
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
discharging treated
before
Discharge per 0.1-99�,000-,,q, 5000-9999 10,000• 50,000 MaM D.1- 30- 66- 195.
01operating day49,999 ormore 299 64.9 94.9 100(3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitary, daily \� X
average
B. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify
0. Maximum per operat.
lag day (or cmnbined
discharge (all types)

7. If any of the types of waste identified in Item 6,. either treated or un-
treated, are discharged to places other than surface waters, check below
as applicable.
Waste water is discharged to: 0.1-999 1000-4999 5000-9999 10,OOD-49,999 50,000 or were
(1) (2) (D) (c) (5)
A. NuMcipal snwcr system. _
II, Ilud.r nlrnund wrl .
C. 5epl.lr tank
U. Evaporation lagoon or pond
C. Other, specify:
8. Nueber-of separate discharge points:
A)A1 B.02-0 C.0 4-5 0.0 6 or more
9. Name of receiving water or waters ROSE C.QBBK
.10. Does your discharge contain or is it possible for your discharge to contain
one nr more of the following substances jAdgj as a result of your operations,
activities, or processes: ammonia, cyanide, aluminum, beryllium, cadmium,
chromium, copper, lead, mercury, nickel, selenium, zinc, phenols, oil and
grease, and chlorine (residual).
A.Oyes B.,t(no
1 certify that 1 am familiar with the information contained in the application and
that to the best of my knowledge and belief such information is true, complete,. and
accurate. -
TNt265E B�aucaaA-fa
Printed Name of Person Signing
OGUN�2
Title
3 d
pate ppl cation Signed
Signature of Applicant
North Carolina General Statute 141-215.6(b) (2) rovides that: Any person who knowingly makes
any false statement representation, or certi cat on n any applicatfon, 'record, report, plan,
or other document files or required to be maintained under Article 21 or regulations of tie
Environmental Management Commisal,on implemanptng that Article, or who falsifies, tampers with,
)r knowly renders inaccurate any recording or monitorigg ¢pvice or method required to be
,perated or maintained under Appfale 217or regulatloeia of the Environmental Management Commiesior
implementing that Article, shaWbe'°gtii3tvs of a misdemeanor punishable by a fine not to exceed
$10,n0n, or by imprisonment not to exceed six months, or by both. (180.S.C. Section 1001prov:._ .
a punishment by a fine of'mot more than $10,000 or imprisonment not none than 5 years, or both,
:car a sinilar offense.)

---- ---
Local Government Review
Requirements for the Issutance of New
Nonmunicipal Domestic Wastewater Discharge Permits
General Statute Overview
On October 1, 1989. an amendment to North Carolina General Statute 145-215.1, denoted as 145-215.1
(c) (6), became effective. The amendment allows input from local governments In the issuance of NPDES
Permits for nonmunicipal domestic wastewater treatment facilities.The new language requires that the
Commission (Environmental Management Commission) shall not act on an application for a new
nonmunicipal domestic wastewater discharge facility until It has received a written statement from each
city and county government having jurisdiction over any part of the lands on which the proposed facility
and Its appurtenances are tobe located.The written statement shall state whether the city or county bas
In effect a zoning or subdivision ordinance and, if such an ordinance is In effect, whether the proposed. -
facility is consistent with the ordinance. The Commislon shall not approve a permit application for any
facility which a city or county has determined to be inconsistent with its zoning or subdivision ordinance
unless it determines that the approval of such application has statewide significance and is in the best
Interest of the State.
Instructions to the Applicant
Prior to submitting an application for a NPDFS Permit for a proposed project, the applicant shall request
that both the nearby city and county government complete this form.The applicant most submit a copy
of the draft permit application and shall make a written request for this form to be completed to the clerk
of the city and county by certified mall, return receipt requested.If a(or both)local governments)fall(s)
to mall the completed form, as evidenced by the postmark on the certified mall card(s), within 15 days
after receiving and signing for the certified mall, the applicant may submit the application for a discharge -,
permit.As evidence to the Commission that the local governments)failed to respond within 15 days, the
applicant shall submit a copy of the certified mail card along with a notarized letter stating that the local
government(s) failed to respond within the 15 day period.
Instructions to the Local Government
The nearby city or county government which may have or has jurisdiction over any part of the lands on
which the proposed facility or Its appurtenances are to be located is required to complete and return this
form to the applicant within 15 days of receipt. The form must be signed and notarized.
Name of local government /n i l G A e 0 �al ,-,/Cou t )
(City/ nty).
Does the city/county have jurisdiction over any part of the lands on which the proposed facility and its
appurtenances are to be located?Yes �No u If no, please sign this form, have It notarized, and
return It to the applicant. .
Does the city/county have In effect a zoning or subdivision ordinance? Yes 0 No 0--
If there Is a zoning or subdivision ordinance In effect,is the plan for the proposed facility consistent with
the ordinance? Yes ❑ No ❑ A,//}
Date 1hG %�' Signature
(city Manager/countyManager)
State of North Carolina , County of Mitchell
On this 1 fit h day of January 1991 , personally appeared before me,
the said name Keith S. Boltsclaw to me known and known to me to be
the person described In and who executed the foregoing document and he (or she) acknowledged that he
(or she) executed the same and being duly sworn by me, made oath that the stet ents In the fo going
document are true. `
My Commislon expires Sept. 25, , l9_ Z (S1gnatureofNotaryPubIIc) !' /
No Ubllc(Official Seal

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HCCRLL BROTHERS , INC . 1"EL No .704-399-1506 Nov 21 .90 15 : 35 1,I0 .003 P .04i07
EES Corporation
ILL+ Tablet
g� ;!�ICC,-`w�n A Subsidiary 01 ELTECM System&Corporation
EES 1. �1blet reader Ea.,.a rL,, C1111 Sugar Land. Texas 777470
Toophori(713)274.8440
Nadel 200 Telex?7854aa
FAX:[phone]
The Simple, Reliable Way to
Disinfect Wastewater
The EES Model 200 Tablet Feeder Is a complete, one.
piece system for highly reliable disinfection of effluent
In properly Operating individual home aer0ble treatment
plants having a design capacity of 1,500 CPO or less.
The table[ leader Is used in willunClion with SANURIL
tablets, a disinfecting agent that provides a chemically
stable source of chlorine for wastewater disinfection.
The EES Tablet Feeder is suitable for assembly Into
now treatment systems. Also, It can be installed in
existing treatment facilities where wastewater
chlorination Is being added or to replace tmublet0me,
unrefiabie or compifcated chlorination systems. -JU
V
Superior Performance
at a Lower Cost
Better Performance—The entire wastewater flow FEED TLGES--
passe8 through the tablet foedar'hare thorough —
mixing of chlorine and wastewater take place. This
means mono edOCtive bactericidal action and lest
bacteria regrowth.
Low Initial Cost— In addition to low Investment in the
ECS Tablet Feeder, savings are compounded because
no pumps, mixing tanks or costly cordrol devices are
required as with most other chlorination systems.
Simple, Low-Cost Installation --One•plece tablet TOP COVER
fonder construction requires only piping. No electrical WEATHERPROOF
power, wiring or bypasses required. CAPS ,�
Lower Operating Costs—Tablet Feeder operates for
as long as 3 10 4 months on a single charge depending
on the plant flow. No time-consuming pre-mixing of
chemicals, Recharging SANURIL tablets Is quick and
oasy. No costa for elecrical power or auxiliary power,
Molntananee•Froo Operation— No tanks, pumps,
cylinders, external conlrol devices or other moving parts
to break down. System Is nonmochanioal amf rust and
corrosion proof. wwwr

M[CRLL BROTHERS , INC . TEL No .704-399-1506 Nov 21 .90 15 :35 No .003 P .05i07
OwmMorfnadon — Overchlorination Is due to OTHER APPLICATIONS
excessive consumption of disinfectant. The addition to wastewater chlorination, the EES
add In
chlorine residual may be reduced by removing one In add 200 tablet feeder can also be used for
trod tuba, or using toed tuba spacers (Rater to dechlorination and the chlorination of drinking
this section found on page 81. water. For deohlorination, the Model 200 Is used In
PArgging — under most conditions of flow, there is conjunction with the EES D-CHLOR^ tablets,
sutiiciant shearing action by the water to keep the These tablets are a sodium sulfite based formula.
slots In the feed tubes from becoming obstructed. lion having compatible dimensions for use in the
II the slots become obstructed, they may be EES Model 200 tablet feedar,
cleared as described under MAINTENANCE or by removing the feed tubes from the unit and for drinking water chlorination, the Modal 200 is clearing the obstructing materials by hand. used In conjunction with the EES AOUAWARD&chlorinating tablets. The AOUAWARD tablets are a
calcium hypochlorite based formulation also
HANDLING AND STORAGE having dimensions compatible for use In the EES
SANURIL Is an oxidizing agent. It should be Modal 200 tablet feeder. This system is Ideal for
stored In a cool, dry area away from oxidizable open channel flow operation and/or remote Install.
material such as rags, paper, kerosene or other ations where other methods of disinfection are not
combustible materials.Do not Inhale container practical or economical.
vapors. After use, recluse container to protect For additional Information and liiterature an the
remaining material. In case of fire, apply liberal D-CHLOR and AOUAWARD Systems, please
quantities of water. contact the Sales Department
APPENDIX —Inoc N/DOE-L 200
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RECEIVED
Water Quality Section
D'i " 3 - 1990
,Asheville Regional Office
,;Asheville, North Carellna

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S-EP-17-1951 15:16 FROM )WATER Q!LFLITY SFCTIOO TO i AF'o r'01/0'
1.
/r ' q \_'.
state of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Health
P.O. Box 27687 • Raleigh.North Carolina 27611-7687
James G.Martin,GOVemer (919) 733-Z870 Richard K Rowe.Division Director 7
M70
William W.Cobey,Jr..Secretary
September 9, 1991
MEMORANDUM
TO: Dale Overoash, P.E.
NPDES Permits Group Leader
Discharge Permits Unit
Division of Environmental Management
FROM: Linda C. Sewaek
Deputy Director
SUBJECT: NPDES Permit
Permit No. NC 0080217
Beauchamp Residence
Mitchell County
Attached is a copy of a memorandum related to our field investigation of the subject
permit. Please note that although the proposed discharge does not appear to
represent a significant hazard to any downstream water intake, it does appear to
have potential as a threat to groundwater and the health of the neighbors.
Therefore, we recommend against issuing the permit as proposed.
m
If you have any questions, please let me know. y
Attachment
ro
cc: Mr. B. D. Herndon
Post-It'brand fax transmittal memo 7671 ♦or pagoe.
A R
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Fax Fexp
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17. 91 01 : 4L )PM * PHL—ST. MART S ST. —,P01
r
t . RECEIVED
wetb"brsndfgrtrnnamtnalmama7d77 �w1Mr. / ~ sip a i"
forth Carohna
.,a•. ll�,, . ` ) Health, and Natuw,' �I�ALW%
rwWnmental Heath
s — ,v Ind office a Mown In
3•-d p86 Nonh 4m6na 237II
!)d�3361
lWd1k G W, cobry,Jr, &Tnnary Richard K. Raft
Saptember 6, 1991 Dmaon Dirmor
TO: Linda Sewall, Deputy Director
Division of Environmental Health
public pater supply Station
PROMO Harold anylorNsietant Regional Engineer
Division of Environmental Health
public Water Supply Section
BUBJECTO Proposed =So Psrmit
BeAuchamp Residence
Mitchell county
I conducted an investigation of subject Mpors permit on August R1, 1991 end
noted acme Potential problems. On August 27, 1991 1 returned for further
investigation with assistance of Mr, al Slagle, Soil Scientist from the
EnvirOusental Health Section, and ear. Tony Crowder and Mr. charlss canape,
Sanitarian$ from the Mitdhell County Health Department. The ft in question bad
been turned dorm for a ground disposal wastewater system
a
Several months ago. A
mobile home was set tip an the lot in April, 1991 according to Mr. Baauchwp.
notedNo to
be within a few Lfast oOf the gground tsurface b which Could cauuseaContaminatio wter table neOfsthe
groundwater table and Root Creek with undislnfeCted wautewater. (2) A pond is
located about 5o feet upgrade from the proposed dand filter location, and a spring
that presently 9ery6e An Adjacent residence and is proposed to serve the asauehamp residence Se located in a low area about 5o ftet laterally. Other residences in
this camftRmity obtain their water from springs and wells. (3) Drainage from a
tigta road runs across the lot in the area of the proposed sand filter. (q) Owners
Of the 10t located about loo yards downstream have landscaped aSofwJ the stream with
a wading pool, etc, indicating that they use the stream for recreation.
We concluded that a sand filter system constru would have a high probability of failure and that failure could have a datrcted at this locationimental in
Rotissued,
ebe ooknd on groundwater in the area. we reeoweand that the propose ma
at
ark
lwmait
HS/ajh
An Eq l Op n,NNg Ammi Amcor FmploW
TOTAL P.02

srnpo
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W Cobey,Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
October 9, 1991
MEMORANDUM
TO: Dale Overcash, Supervisor
NPDES Group
FROM: Roy M. Davis, Regional Supervisor
Division of Environmental Management
SUBJECT: NPDES Permit Application Number NCO080217
Therese Beauchamp Residence
Mitchell County
On September 30, 1991, Messrs. Forrest Westall, Mike Parker and I met
with Mr. Harold Saylor of the Division of Environmental Health to
discuss the concerns expressed by Mr. Saylor in his September 4, 1991,
memo to Ms. Linda Sewall regarding the proposed Beauchamp residence
wastewater treatment system. In our conversation we presented
information not available to Mr. Saylor at the time of his inspection
of the. site.
That additional information is herewith presented in the same order
that Mr. Saylor expresses his concerns in his September 4, 1991
memorandum:
1) Any high water table will be dealt with by filling the site
and enclosing the subsurface sandfilter in plastic,
2 ) The wastewater treatment system will be kept the regulatory
distance of 50 feet from all springs, ponds and streams,
3 ) The lot will be graded in such a fashion that road drainage
will not adversely affect operation of the proposed subsurface
sand filter, and
Interchange Building, 59 Woodfin Place, Asheville, NC.28soi •Telephone 701
An Equal Opportunity Afflrmanve Action Employer

1 I
Dale Overcash
Memorandum
October 9, 1991
Page Two
4) The receiving stream is not classified for body contact
recreation, however, disinfection can be required and the
relative small size of the discharge in relation to the
receiving stream reduces the potential for bacteriological
impact.
At the conclusion of our conversation, Mr. Saylor said that he is
satisfied with the project and the Division' s intent to issue.
xc: Harold Saylor
Forrest Westall✓
Michael Parker

N. C. DEPARTMENT OF ENVIRONMENT, HEALTH & NATURAL RESOURCES
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLIr.At10N NUMDIR
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR
AGENCY
To be tiled only by services, wholesale and retail trade, USE DATE R(CF:IVin
and other commercial establishments including vessels
YEAR Mo. DAY
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
1.' Name, address, and telephone number of facility producing discharge
A. Name e U 4
B. Street address a OAE LiStl A.IrAl• AD. N.G.S•R le.
C. City SGRLACe PINE D. state /✓C
E. county _ lwmayas6G F. 21P 66777
G. Telephone No. 7oiit Lyi— S/Iay3
Area
Code
2. SIC
(Leave blank)
3. Number of employees N/
i
4. Nature of business -_SWWAL 6*4&)Y RES/OENCE
5. (a) Check here if discharge occurs all yearn, or
(b) Check the month(s) discharge occurs<1&4�
1.o January 2.0 February 3.n Msrch 4.0 April 5.011ry
6.0 June 7.0 July 8.0 August 9.0 September 10.n October
11.n November 12.o December
(c) Mow many days per week: '
1.01 2.02-3 3.04-5 4.K6-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day Volume treated before
discharging (percent)
Discharge per
operating day 0.1-999 1WO-4999 SM-9999 10,000- 50,000 Nona 0.1- 30- 65- 95.
19,999 or more 29.9 64.9 94.9 100
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A. Sanitary, daily
average
8. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average;
Specify
0. Maximum per operat-
ing day for combined
discharge (all types)

Id6.7. 1f any of the types ge wasps aces
in Item fa either te s. check
or can-
areaped, are discharged to Olaces other than surface waters, check below
as applicable.
Waste water is discharged to: OA-999 1000-4999 5000.9999 10.000-49.999 50.000 or more
(1) (2) (3) (a) (5)
A. Munl,iPdl %ewer system
H. 11ed vuruI well
C. Sept lr tank
D. Evaporation lagoon or pond
E. Other, specify:
8. Number of separate discharge points:
A,Al 8.12.3 C.o 4-5 0.06 or more
9. Name of receiving water or waters Rost C.2EEK I'I_
.10. Does your discharge contain or is It possible for your discharge to contain
one or more of the following substances added as a result of your operations,
activities, or processes: ammonia, cyanide. aluminum. beryllium, cadmium,
chromium, copper, lead, mercur , nickel, selenium, tint, phenols,oil and
grease, and chlorine (residual).
Cayes B.Ano
I certify that 1 am familiar with the Information contained in the application and
that to the best of my knowledge and belief such information is true, complete, and
accurate. -
/yyLeR� �3EQUCf/6yy
Printed Nam of Person Signing
O4VA14EP_
? Title
Date Ap ication Signed /]
Signature of Applicant
9orth Carolina General Statute 141-215.6(b) (2) rovides that: Any person who knowingly mak+s
my false statement representation, or certi cat on a any applicatipn, 'record, report, plan,
>r other document files or required to be maintained under Article 21 or regulations of the
3nnironmental Management Commission implementing that Article, or who falsifies, tampers with,
it knoaly renders inaccurate any recording or monitoriag- 4pvice or method required to be
,perated or maintained under Apt4ala 22:'or regulatipea of the Environmental Management Coceaisaion
implementing that Article, shall be'14ui�ty- of a misdemeanor punishable by a -fine not to exceed
310,000, or by imprisonment-not to exceed six months, or by both. (18 O.S.C. Section 1001 prov:.: •.r
i punishment by a fine of'not more than $10,000 or imprisonment not more than 5 years, or both,
-car a similar offense.)

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McCFLL BROTHERS , INC . 1 No .704-399-1506 I`v,. d 2 0 1535 1,10 .003 P .04i07
tyC� EES Corporation
ea..lm A Subsidiary Of ELTECH Systems Corporation
12850 ewood Drive
EES Tablet Feeder ECH Sugar
Land,�Taxes 77478
Tele�I{�tlr ,ry, ry Telephone l(713)274.844D
Ol ldtlel`"200 FAXx(713)240-8762
1
The Simple, Reliable Way to
Disinfect Wastewater
The EES Model 200 Tablet Feeder Is a complete, one-
piece system for highly reliable disinfection of effluent
In properly operating individual home aerobic treatment
plants having a design capacity of 1,500 ODD or lose.
The tablet leader Is used in conjunction with SANURIL
tablets, a disinfecting agent that provides a chemically
stable source of chlorine for wastewater disinfection.
The EES Tablet Feeder is suitable for assembly Into
new treatment systems. Also, It can be installed in
existing treatment faCililies where Wastewater
Chlorination Is being added or to replace troublesome,
r unreliable or complicated chlorination systems.
�J
Superior Performance
at a Lower Cost
Better Performance—The entire wastewater flow FEED TUBES
Passes through the tablet leader where thorough —
mixing of chlorine and wastewater take place.This
means more effective bactericidal action and lags
bacteria regrowth.
Low Initial Cost— In addition 10 low investment in the
EES Tablet Feeder, savings are compounded because
DO pumps, mixing tanks or Costly Control devices are
required es With most other Chlorination systems.
Simple, Low-Coat installation —one-place tablet TOP COVER
leader Construction requires only piping. No electrical WEATHERPROOF
power, Wiring or bypasses required. CAPS
Lower Operating Costs—Tablet Fender operates for
as long as 3 to 4 months on a single Charge depending
on the plant flow. No time-consuming pro-mixing of
chemicals. Recharging SANURIL tablets is quick and
easy. No costs for electrical power or auxiliary Power
Maintenance-Free Operation- No tanks, pumps, NNW&
Cylinders, external control devices or other moving parts
to break down. System Is nonmechanloal and met and
corrosion.proof.
HOUSING

McCRLI_ BROTHERS , INC . TES No .704-399-1506 Nay 21 ,90 15 :35 No .00.3 P .05i07
Owruhlodnadon - Overchlorinalion Is due to OTHER APPLICATIONS
excessive consumption of disinfectant. The In addition to wastewatede4lbrinatlon, the EES
chlorine residual may be reduced by removing one Model 200 tablet feeder can also be used for
thishis t tube, or outdo feed tube spacers (Refer to r4achlorination and the chlorination of drinking
section found on page 6). water. For deohlorinatlon, the Model 200 IS used In
PFugging — Under most conditions of flow, there is conjunction with the€EES D•CHLOR" tablets,
sufficient shearing action by the water to keep the These tablets are a sodium sulfite based formula•
slots-In the feed tubes from becoming obstructed. tlon having compatible dimensions for use in the
If the slots become obstructed, they may be EES Model 200 tablet leader,
cleared as described under MAINTENANCE or by FordYlnking water chlorination, the Modal 200 Is
removing the bead tubes from the unit and used In conjunction with the.;EES AQUAWARDe
clearing the obstructing materials by hand. chlorinating tablets. The AQUAWARD tablets are a
HANDLING AND STORAGE calcium hypochlorite based formulation also
having dimensions compatible for use In the EES
SANURIL is an oxidizing agent, it should be Model 200 tablet feeder. This system is Ideal for
stored In a cool, dry area away from oxidizable open channel flow operation and/or remote Install•
material such as rags, paper, kerosene or other ations where other methods of disinfection are not
combustible materials. Do not Inhale container practical or economical
vapors. After use, recioss container to protect For additional information and literature on the
remaining material. In case of fire, apply liberal �D-CHLOR and AOUAWARD Systems, please
quantities of water, contact the Sales Department.
APPENDIX A —1oz °DEL Zbo
Sld 'e
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MAY 1 5 1991
Asheville Regional Offroe
Asheville, North Carolina

M
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■ e W 0 OMP a lid%.-111,3y [Vdiaslred :'
Prim your name and address an the reveres
ass x 'L
So that we can return the card to you. a weld
M Attach We card to the back of tha maliplece Hi
or on the from If space of
North Caroline ber
Environment and Natural
A'JAA 2090 U.S, H,phwayh, swarmanom,
NCDENR
—VIRGINIA HOLLIFIELD a
PARK
ed i al
737 DEER PAF LAKE ROAD
SPRUCE PINE NC 28777 � 1 7113 Ell.
Can
I L 7�2150 H10115 2459 6448
P8, Form 3$ 1, Febmery 2004 Domestic Return Receipt
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L] Telephoned f� ease return t a call Pi Will call again L] Came In as me
Message: '173 4— . .....
Phone: Tim. By