WQ0024046_Complete File - Historical_20190226

CERTIFIED MAIL
RETURN RECEIPT REQUESTED
STEPHEN L. NEAS — REGISTERED AGENT
GLORY RIDGE, INC.
106 WOODBOURNE ROAD
RALEIGH, NORTH CAROLINA 27410-5536
Dear Mr. Neas:
October 28, 2004
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
NOV - 2 2004
i
Subject: Return of Permit Application Package
Application Number WQ0024046
Camp Glory Ridge
Wastewater Treatment and Surface
Irrigation System
Madison County
This letter is in reference to your permit application received on June 4, 2004 for the construction and
operation of the subject wastewater collection, treatment and/or disposal facilities. In a letter dated
September 22, 2004, Nathaniel Thornburg of the Land Application Unit asked you to provide additional
information (copy of letter attached). As of today, this information has not been received, therefore, the
Division of Water Quality must return your application as incomplete in accordance with North Carolina
General Statute § 143-215.1.
Please be advised that construction and/or operation of wastewater collection, treatment, and/or disposal
facilities without a valid permit is a violation of North Carolina General Statute § 143-215.1 and may
subject the owner/operator to appropriate enforcement actions in accordance with North Carolina General
Statute § 143-215.6A-6C. Civil penalties of up to $25,000 per day per violation may be assessed for
failure to secure a permit required by North Carolina General Statute § 143-215. 1.
When you have obtained the requested information that is needed to make your application package
complete, you may submit a new application package and appropriate permit processing fee.
If you have any questions or comments concerning this matter, please contact Nathaniel Thornburg at
[phone].
Sincere Since
ere,
. limek, P.E.
cc: Bev Price — Asheville Regional Office, Aquifer Protection Section
Qu Qi — Asheville Regional Office, Aquifer Protection Section
Doug Haggett, PE — Haggett Engineering Associates, Inc.
Permit Application File WQ0024046
LAU Files - Returns
NonrthCarolina
Natma!!y
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636
Internet: http://h2o.enr.state.nc.us 2728 Capital Boulevard Raleigh, NC 27604
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/l0% Post Consumer Paper
Phone [phone] Customer Service
Fax [phone]
Fax [phone]

0

Michael F. Easley, Governor
William G. Ross Jr., Secretary
rNorth Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Q < Division of Water Quality
September 22, 2004 6 }
SEP 2 8 2004
STEPHEN L. NEAS REGISTERED AGENT
GLORY RIDGE, INC.--: —
GFs,L1NpVf;7FR St�ii��
106 WOODBOURNE ROADA` riE�/iLLt Rt uIOPJA!
RALEIGH, NORTH CAROLINA 27410-5536
Subject: Application No. WQ0024046
Additional Information Request
Wastewater Treatment and Surface
Irrigation System
Madison County
Dear Mr. Neas:
The Land Application Permitting & Compliance Unit and the Asheville Aquifer Protection Section have
completed their review of the subject permit application package. Additional information is required
before we may finish our review. Please address the following items no later than October 22, 2004.
Please be aware that you are responsible for meeting all requirementsset forth in North Carolina rules and
regulations. Any oversights that occurred in the review of the subject application package are still the
responsibility of the applicant. In addition, any omissions made in responding to the above items may
result in future requests for additional information.
Please reference the subject application number when providing the requested information, Five (5)
copies of all revised and/or additional documentation should be signed, sealed, dated, and submitted to
the address below. Please note that failure to provide this additional information on or before the above
requested date may result in your application being returned as incomplete.
If you have any questions regarding this request, please do not hesitate to contact me at [phone].
Thank you for your cooperation.
Sincerely,
.7•
Nathaniel D. Thornburg
Environmental Engineer II
cc: Doug Haggett, PE — Haggett Engineering Associates, Inc.
Bev Price — Asheville Regional Office, Aquifer Protection Section
Qu Qi — Asheville Regional Office, Aquifer Protection Section
Permit Application File WQ0024046
Noe Carolina
Nturallb
North Carolina Division of Water Quality 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: h2o.enr.state.nc.us 2728 Capital Boulevard Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper

Mr. Stephen Neas
September 22, 2004
Page 2 of 4 �\
1. Provide calculations determining the crush pressure resistance of the fiberglass tank housing the
Earthtek Envirofilter.
2. Per application instruction A, if the Applicant is a corporation or company, it must be registered with
the North Carolina Secretary of State. Review of the corporation database shows that Glory Ridge,
Inc. does not exist. However, two similar names were found, Glory Ridge and Glory Ridge
Enterprises, LLC. Please amend the application and supporting documents to reflect the proper name
of the Camp Glory Ridge owner.
3. The submitted property ownership documentation is insufficient. The Division prefers that a copy of
the deed accompanied by a plat map of the site be submitted. Please ensure that the submitted
documentation shows that the applicant owns the land because the Division can only issue this permit
to the Property Owner.
4. At what frequency will a septage hauler be used? Will the Permittee or hauler be responsible for
removing solids from the Envirofilter?
5. Per Regulation 15A NCAC 2H .0206(b) (1), only a principal executive officer of at least the level of
vice president or his duly authorized representative may sign a Non -Discharge permit application.
Please modify the submitted application or provide a letter designating Mr. Neas as a duly authorized
representative.
6. Provide detail of the connection tee between the flushing line and the influent line upstream of the
septic tanks.
7. What is the length of force main from the pump tank to the irrigation zones?
S. The Division was unable to locate the required Agronomist Evaluation. Please use the Division
Policy found at htlp://h2o.enr.state.nc.us/ndpu/sprMol.html#AR and Application Instruction L. In
addition provide calculations demonstrating that the designed wetted area and nutrient uptake is large
enough to accommodate the effluent nutrient concentration (i.e., prove that the wetted area is not
nutrient limited).
9. The Division requires a recent soil fertility analysis (done within the past one year) to be submitted
with the application package. If one has not been recently done, it will be a condition in the permit
requiring that one is submitted before operation begins.
10. Per Regulation 15A NCAC 2H .0205(d)(7)(A) and Application InstructionN, "a topographic map
showing the entire site including all structures, application areas, buffers, property lines, wells,
drainage features, and surface waters within 500 feet of the facilities and application areas" shall be
submitted.
11. Modify the plans to include the elevation of the highest emitter, as well as it's distance from the
irrigation pumps.
12. Amend the plans and specifications to include pressure testing requirements for the force mains. In
addition, amend the specifications to include leakage testing requirements for all tanks.
13. Submit buoyancy calculations for the recirculating envirofilter, and ensure that they have been signed,
sealed and dated by a licensed North Carolina Professional Engineer.
14. Provide a map of the site with the compliance and review boundaries (15A NCAC 2L .0106(d)). The
compliance boundary is located either 250 feet from the irrigation site or 50 feet in from the property

,phen Neas `` I
;tuber 22, 2004
,ge 3 of 4
line if required. The review boundary is half the distance from the compliance boundary to the
wetted area.
15. Amend the plan cover page to include the seal, signature and date from a licensed North Carolina
Professional Engineer.
16. Will the flow from the kitchen have pretreatment using a grease trap? The Division is concerned
about solids build-up in the new septic tank and due to the fact that the existing subsurface system is
failing.
17. The application states that the wetted area is 12,495 f 2, however, the plans and calculations state that
the area is 12,560 fe. Please correct this discrepancy.
18. Does the proposed project have an automatic shut off device for wet weather events, such as a rain
sensor? If not, how will irrigation during wet weather events be prevented? If so, please amend the
plans to include the location and detail of the device.
19. The application, calculations and plans incorrectly state that the emitter flow is 0.53 gallons per
minute. Amend these items to state that the emitter flow is 0.53 gallons per hour.
20. Review of the envirofilter profile indicates that the two (2) pumps are used for two different purposes:
one to dose the media and one to discharge to the tablet chlorinator. Please note that Regulation 15A
NCAC .02190)(2) requires dual pumps. The current configuration does not meet duality.
21. Clarify whether or not the return flush tank has dual pumps and provide the length of force main back
to the treatment headworks.
22. The soil scientist report indicates that the facility will only be operational during the summer months
(June, July and August). If so, will the treatment and irrigation system be allowed to go fallow, or
will proper maintenance occur?
23. Will the existing subsurface septic tank be tied into the Non -Discharge system? If so, is there an
effluent filter? The Division assumes that the failing subsurface field will no longer be used. Is this
correct?
24. What is the location of existing of the subsurface field? Why are the soils failing for this system? Is
the failure flow related or due to wastewater effluent characteristics?
25. The instantaneous loading rate (ILR) indicated in the permit was not provided by the Soil Scientist.
Please have the soil scientist provide a recommended ILR based upon soil characteristics and
topography.
26. Although the water balance indicates that no cumulative storage will occur, the Division is
uncomfortable with the design of approximately 1 days worth of storage. At a minimum, the
Division feels that at least five (5) days worth of storage between the pump off float and in the invert
elevation is needed. The Division encourages at least this amount of storage to handle peak flows
that will occur during the summer months, and to provide adequate storage in the event of wet
weather events. If the engineer so desires, the storage could possibly be designed around the longest
recorded rain event in the area, in an effort to prevent irrigation during wet weather events, or
overflows.

Mr. Stephen Neas \
September 22, 2004
Page 4 of 4
27. Per Application Instruction O, submit the hydraulic and pollutant loading calculations for each \
treatment unit. The effluent concentrations are needed to verify that nutrient loading will not limit the
site, as well as contaminants becoming a factor in groundwater movement.
28. The soil scientist report makes no reference to the seasonal high water table (SHWT) beneath the
proposed irrigation site. The application states that the SHWT is less than 5 feet, however, the soils
evaluation states there was auger refusal between 18 and 36 inches and that very moist conditions
were encountered between 21 and 27 inches. Please have the soil scientist provide_ the seasonal high
water table elevation, and affix his soil science seal.
29. What is the 100 year flood plain elevation for this site?
30. The Division requires that a minimum of 30 minutes worth of chlorine contact time is acquired.
Although the storage tank is after the chlorine contact chamber, there is no guarantee that all
wastewater will receive 30 minutes of contact time due to short circuiting. Please modify the chlorine
contact basin(s) such that sufficient time is realized.

MEMORANDUM
July 30, 2004
TO: Nathaniel Thornburg
Non -Discharge Unit
Raleigh Central Office
THROUGH: Landon Davidson, Aquifer Protection Section Regio e"?esor
Asheville Regional Office
FROM: QuQi,�,
Asheville Regiona Office
SUBJECT: Permit Application Review
Camp Glory Ridge — Surface Irrigation System
WQ0024046
Madison County, North Carolina
I have reviewed the subject permit application and visited site. Issuance of the permit is
recommended with the general condition that groundwater monitoring as deemed necessary may be
required. If you have any questions about the site, please do not hesitate to call me at [phone].
11

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APPLI
Date: June 28, 2004
To: ® Forrest'Westa 1, ARO-WQS "
❑
Paul Rawls, FRO-WQS
❑
Rex Gleason, MRO-WQS
❑
Ken Schuster, RRO-WQS
❑
Jim Mulligan, WaRO-WQS
❑
Rick Shiver, WiRO-WQS
❑
Steve Mauney, WSRO-WQS
t f t
�I
T�W REQUEST F
WAT""a CAW .I SECTION
r ll�a v R AL OFFICE
® Debra Watts,
Copies Sent to CO-GWS: 2
Copies Sent to RO-WQS: 0
❑ Distribute 0 Copies to RO-GWS
From: Nathaniel Thornburg, Non -Discharge Permitting Unit
Telephone: [phone] ext. 533 Fax:
E-Mail: [e-mail]
A. Permit Number: W00024046
B. Owner: Glory Ridge, Inc.
C. Facility/Operation: Camp Glory Ridge
® Proposed ❑ Existing ® Fac
D. Application
� C C
WATER OLIALITY SECTION
1. Permit Type: ❑ CS (O&M) ® Surface Irrigation ❑ Reuse ❑ H-R Infiltration
❑ Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ® New ❑ Major Mod. ❑ Minor Mod. ❑ Renewal ❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
For RO-WQS: .
® Return a Completed Form NDARR. ❑ Attach Attachment B for Certification by the NDPU.
❑ Issue an Attachment B Certification from the RO*.
Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-WQS and RO-GWS representatives in order to prepare a complete
Attachment B for certification. Refer to the RPP SOP for additional detail.
For CO-GWS:
® Return a Memorandum with Permit Condition Recommendations.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Non -Discharge Permitting Unit contact person listed above.
RO-WQS Reviewer: �VDate: 7'
CO-GWS Reviewer: Date:' `
FORM: NDARR 09/02 Page 1 of 1

NON -DISCHARGE REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
Date: 7/26/04
To: Non -Discharge Permitting Unit
NDPU Reviewer:
Regional Login No:
GENERAL INFORMATION
1. This application is (cheek an that apply): New ❑ Renewal
County: Madison
Permittee: Glory Ridge, Inc.
Application No.: W00024046
qu 1V11llU1 1V1UUMUMIL)I1 " 1Vlaj%Jl 1V1UU1 tUa L1U11
® Surface Irrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included as appropriate ❑ 503 regulated ❑ 503 exempt
❑ Distribution of Residuals ❑ Surface Disposal
2. Was a site visit conducted in order to prepare this report? ® Yes or. ❑ No. .
a. Date of site visit: 7/19/04
b. Person contacted and contact information: Steve Neas
c. Site visit conducted by: Bev Price & Qu Qi
d. Inspection Report Attached: ® Yes or ❑ No.
3. Is the following information entered into theBIMS record for this application correct?
® Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current
application.
For Treatment Facilities:
a. Location:
b. Driving Directions: From Asheville take Hwy 19/23 N to Hwy 25/70 (Exit 19A) toward
Marshall. From Hw_y 25/70 turn left onto Sandy Bottom Road (SR 1150). From Sandy Bottom
Road turn left onto Goldsmith Circle (PVT Rd. gravel). Follow Goldsmith Circle until it dead
ends.
c. USGS Quadrangle Map name and number: Spring Creek 89J
d. Latitude: 35' 51' 04" Longitude: 826 45' 04"
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
For Disposal Sites: SEE -ABD%'�-1
(If multiple sites either indicate which sites the information applies to, copy and paste a new section
into the document for each site, or attach additional pages for each site)
a. Location(s):
b. Driving Directions:
FORM: NDSRR 03/02 1

NON -DISCHARGE REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
NEWAND MAJOR MODIFICATIONAPPLICATIONS (this section not needed for renewals or
minor modifications skip to next section)
DESCRIPTION OF WASTE(S) AND FACILITIES
1. Please attach completed rating sheet. Facility Classification: Grade I Biological with Surface Drip
Irrigation
2. Are the new treatment facilities adequate for the type of waste and disposal system?
N Yes ❑ No ❑ N/A. If no, please explain:
3. Are the new site conditions (soils, topography, etc) consistent with what was reported by the soil
scientist and/or Professional Engineer? N Yes ❑ No ❑ N/A. If no, please explain:
4. Is the proposed residuals management plan for the adequate and/or acceptable to the Division.
N Yes ❑ No ❑ N/A. If no, please explain:
5. Are the proposed application rates for new sites (hydraulic or nutrient) acceptable?
N Yes {J No ❑ N/A. If no, please explain:
6. Are the new treatment facilities or any new disposal sites located in a 100-year floodplain?
❑ Yes N No ❑ N/A. If yes, please attach a map showing areas of 100-year floodplain and please
explain and recommend any mitigative measures/special conditions in Part IV:
7. Are there any buffer conflicts (new treatment facilities or new disposal sites)? El Yes or N No. If
yes, please attach a map showing conflict areas or attach any new maps you have received from the
applicant to be incorporated into the permit:
FORM: NDSRR 03/02 2

NON -DISCHARGE REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
RENEWAL AND MODIFICATIONAPPLICATIONS (use previous section for new or major
modification systems)
DESCRIPTION OF WASTE(S) AND FACILITIES A A-
1. Are there an appropriately certified ORCs for the facilities? ❑ Yes or ❑ No.
Operator in Charge: Certificate #:
Back- Operator in Charge: - Certificate #:
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage,
effluent storage, etc) of the treatment facilities adequate for the type of waste and disposal system?
❑ Yes or ❑ No. If no, please explain:
3. Are the site conditions (soils, topography, etc) maintained appropriately and adequately assimilating
the waste? ❑ Yes or ❑ No. If no, please explain:
4. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
❑ Yes or ❑ No. If no, please explain:
5. Are the existing application rates (hydraulic or nutrient) still acceptable? ❑ Yes or ❑ No. If no,
please explain:
6. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or ❑ No. If yes, please
attach a map showing conflict areas or attach any new maps you have received from the applicant to
be incorporated into the permit:
7. Is the type and/or volume of waste(s) as written in the existing permit correct? ❑ Yes or ❑ No. If
no, please explain: _
8. Is the description of the facilities as written in the existing permit correct? ❑ Yes or ❑ No. If no,
please explain:
9. Has a review of all self monitoring data been conducted? ❑ Yes or ❑ No. Please summarize any
findings resulting from this review:
10. Check all that apply: ❑ No compliance issues; ❑ Notice(s) of violation within the last permit cycle;
❑ Current enforcement action(s) ❑ Currently under SOC; ❑ Currently under JOC; ❑ Currently
under moratorium. If any items checked, please explain and attach any documents that may help
clarify answer/comments (such as NOV, NOD etc):
11. Have all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with?
❑ Yes or ❑ No. If no, please explain: _
12. Are there any issues related to compliance/enforcement that should be resolved before issuing this
permit? ❑ Yes or ❑ No, If yes, please explain:
FORM: NDSRR 03/02 3

NON -DISCHARGE REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
E VAL UA TION AND RECOMMENDATIONS
l . Provide any additional narrative regarding your review of the application.:
2. List any items that you would like NDPU to obtain through an additional information request. Make
sure that you provide a reason for each item:
Item Reason
3. List specific Permit conditions that you recommend to be removed from the permit when issued.
Make sure that you provide a reason for each condition:
Condition Reason
4. List specific special conditions or compliance schedules that you recommend to be included in the
permit when issued. Make sure that you provide a reason for each special condition:
Condition Reason
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review of draft permit by regional office; ® Issue; ❑ Deny. If deny, please state
reasons:
6. Signature of report preparer:
Signature of WQS regional si
Date: % -t'1, - O Al
FORM: NDSRR 03/02 4

NON -DISCHARGE REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
A site visit was conducted by myself and Qu Qi of the Asheville Regional Office on July 19, 2004.
The facility apparently only operates during the months of June, July and August. The system should
have an adequate biological population prior to startup The site appears adequate for the proposed
drip irrigation system The access road was well maintained but rather narrow. The entrance road
should be maintained to allow access of septage trucks to pump the septic/media tanks.
FORM: NDSRR 03/02

VVAT�Michael F. Easley, Governor
�(j G William G. Ross Jr., Secretary
rjj p North Carolina Department of Environment and Natural Resources
> Alan W. Klimek, P.E., Director
Coleen H. Sullins, Deputy Director
Division of Water Quality
June 24, 2004
Stephen L. Neas, Registered Agent
Glory Ridge, Inc.
106 Woodbourne Road
Greensboro, NC 27410-5536
Subject: Acknowledgement of Application No. WQ0024046
Camp Glory Ridge
Surface Irrigation System
Madison County
Dear Mr. Neas:
The Non -Discharge Permitting Unit of the Division of Water Quality (Division) acknowledges receipt of
your permit application and supporting materials on June 4, 2004. This application package has been
assigned the number listed above and will be reviewed by Nathaniel Thornburg.
The reviewer will perform a detailed review and contact you with a request for additional information if
necessary. To ensure the maximum efficiency in processing permit applications, the Division requests
your assistance in providing a timely and complete response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to
final action by the Division. Please also note at this time, processing permit applications can take as long
as 60 - 90 days after receipt of a complete application.
If you have any questions, please contact Nathaniel Thornburg at 919-733-5083, extension 533, or via e-
mail at [e-mail]. If the reviewer is unavailable, you may leave a message, and
they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS
PROJECT.
Sincerely,
Kim H. &sonZP.E.
Supervisor
Douglas N. Haggett, Haggett Engineering Assoc., Inc.
Permit Application File WQ0024046
Non -Discharge Permitting Unit Internet http:Hh2o.enr.state.nc.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 - Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

L;UHY
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
SURFACE IRRIGATION SYSTEMS
(THIS FORM MA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
<THIS ONLINE APPLICATION CAN BE FILLED OUT USING
THE TAB KEY TO MOVE THROUGH THE FIELDS>
Application Number: (to be completed by DWQ)
I. GENERAL INFORMATION: (� ft (�
1. Applicant's name (Owner of the facility, See Instruction A) '` ""6`' 4" �°';" P'1" +°v'^" �'C l t�
2. Complete mailing address of applicant: 106 Woodbourne Road JUL „ ) 2004
City: Raleigh State: North Carolina Zip: 27410-5536
Telephone number: ( 336) 294-1946 Facsimile number: ( 336 ) 856-7160 wAR©�gtt ACTION
Email Address: SNeasPecslimited.com
3. Facility name (name of the subdivision, shopping center, etc.): Camp Glory Ridge
4. Complete address of the physical location of the facility if different from mailing address of applicant:
Goldsmith Circle Road
City: Marshall State: North Carolina Zip: 28753
5. County where project is located: Madison
6. Name and complete address of engineering or consulting firm (if applicable): Haggett tt Engineering
Associates, Inc. , 5307 South College Road
City: Wilmington State: North Carolina Zip: 28412
Telephone number: ( 910 ) 397-0808 Facsimile number: ( 910 ) 397-0812
Email Address: heainc(a,earthlink.net
7. Name and affiliation of contact person who can answer questions about project:- Steve Neas, Registered
Agent
Email Address: SNeas ,ecslimited.com
H. PERMIT INFORMATION:
1. Project is: ® New; ❑ Modification; ❑ Renewal without modification
Note: Renewals without modifications should fill out sections I & II only, and sign the applicant's signature on the last
page of the application.
2. Fee submitted: $ 400.00 (See Instruction C.)
3. If this application is being submitted for renewal or modification to an existing permit, provide:
existing permit number N/A and the issuance date
4. Financial resources for this project include: ❑ public funds, ® private funds
5. Project disturbs more than one acre?: ❑ Yes; ® No.
If Yes, provide date when an erosion and sedimentation control plan was submitted to the Division of Land
Resources or local delegated program for approval:
FORM: SIA 09-02 Page 5

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6. Project includes any stream or wetland impacts?: ❑ Yes; ® No.
If Yes, provide date when Nationwide 12 or 404 permit, and corresponding 401 certification, was approved
or submitted for approval: Submitted: Approved:
7. Provide buffers used to maintain compliance with any applicable river basin rules in 15A NCAC 2B .0200
(e.g., Neuse River basin buffer rules, etc.): NIA
8. If project is in a Coastal Area as defined per 15A NCAC 2H .0400, list the measures that are being taken to
ensure compliance with this rule: N/A
M. INFORMATION ON WASTEWATER:
1. Please provide a brief description specifying the origin of the wastewater (school, subdivision, hospital,
municipality, shopping center, industry, apartments, condominiums, etc.): Church Came
2. Volume of wastewater flow for this project: 1,200 gallons per day
3. Explanation of how wastewater flow was determined (15A NCAC 2H .0219(1)): 20 campers & staff x 60
gpd per camper = 1,200 apd
4. Nature of wastewater: ® 100% Domestic Waste (residential, commercial, etc)
❑ 100% Industrial; ❑ 100% Animal Waste
❑ Municipal waste (town, city, etc)
If municipal, is there a Pretreatment Program in effect? ❑ Yes; ❑ No.
IV. GENERAL PROJECT INFORMATION:
1. Brief project description: Surface Drip Irrigation (SDI) system with pre-treatment for Church Camp.
2. System is: ❑ spray irrigation; ® drip irrigation*.
3. Does the project conform to all buffers as required in 15A NCAC 2H .02190)(5)? ® Yes; ❑ No.
*Please note that buffers for drip irrigation are those identified as "other surface disposal systems".
If No, please explain how the proposed buffers will provide equal or better protection of the Waters of the
State with no increased potential for health concerns or nuisance conditions, or provide a buffer waiver in
accordance with current Division policy, available on the NDPU web site:
4. The treatment facilities and wetted areas must be secured to prevent unauthorized entry. Details or
notations of restricted access measures should be shown on submitted plans. Briefly describe the measures
being taken (15A NCAC 2H .02190)(7)): SDI Fields will be fenced to prefent entry.
5. a. 100-year flood elevation: feet mean sea level. Source:
(Complete even if project is not within the 100 year flood area)
b. Are any treatment units or wetted areas located within the 100-year flood plain?: ❑ Yes; ® No.
c. If Yes, briefly describe which units/areas and the measures being taken to protect against flooding.
6. Method to provide system reliability (see instruction P): Potable water for the camp is supplied by an
onsite water well. If power to the site is disrupted, wastewater_ will not be generated.
7. a. Type of disinfection:Chlorination b tablets
blets
b. If chlorine, specify detention time provided: 15 minutes. Please indicate in what part of the wastewater
system chlorine contact time occurs (i.e. chlorine contact chamber): chlorine contact chamber
c. If UV, provide manufacturer's details within application package and specify the number of
lamps _
FORM: SIA 09-02 Page 6

8. Measures taken to provide thirty (30) days of residuals holding (15A NCAC 2H .02190)(9)): solids will be
acculmulated in the septic tank. The tank is sized in accordance with 15A NCAC 18A .1952 & .1954.
V. DESIGN INFORMATION (For septic tanks & sand filters)
1. If applicable, provide the location of each design element in the specifications and/or engineering plans:
Treatment Units
list each separately)
How
Many
Provided
Dimensions
L x W x H
ft
Volume
Gallons
Surface
Loading
Rate
GPD/fez
Page Number in the
Plans & Specifications
Plans Secs
Septic Tanks
Must conform to
criteria in T15A 18A
.1952-.1954
1
10.5x5x6
2,000
C-2
Primary Sand Filters
Secondary Sand Filters
*N UTh: if a treatment system other than sand biters is to be used for secondary treatment, please submit a
separate page with specific details of sizing and treatment ability and provide manufacturer's documentation
for support.
2. Have effluent filters been provided for septic tank? ® Yes ❑ No.
DESIGN INFORMATION (For Earthen Impoundments)
1. Provide the number of earthen impoundments in the system: 0
2. Are any impoundments designed to receive adjacent surface runoff? ❑ Yes ❑ No
If Yes, please specify which impoundment: and the drainage area: ft2.
3. Are impoundment(s) designed to include a discharge point (pipe, emergency spillway, etc)? ❑ Yes ❑ No
4. Provide the design measures proposed for impoundment liner protection from wind drive wave action:
5. Provide date when notification of intent to construct a dam was submitted to the Division of Land
Resources (15A NCAC 2K .0200):
Notification Submitted on:
❑ Permit Issued on: ❑ Permit Unnecessary per the Division of Land Resources
FORM: SIA 09-02 Page 7

If applicable, provide the location of each design element in the specifications and/or engineering plans:
Design Element (Primary Impoundment)
Page Number in the
Plans &
Specifications
Plans Secs
Purpose of Impoundment ❑ Treatment ❑ Storage
Liner ❑ Synthetic ❑ Clay ❑None*
Proper installation and testing of liner
Inside Berm Surface Dimensions of Impoundment LxWxHVIK.feet
Bottom Dimensions of oundment LxWxH
feet
Embanlanent side slope
Mean Seasonal High Water Table Depth
(depth below grade)**
feet
Finish grade elevation of impoundment
feet
Depth from bottom of impoundment to top of embanlanent
feet
Total Volume of Impoundment
ft
Design Freeboard 2 feet minimum
feet
Depth of minimum liquid level (top of treatment zone or
permanent liquid level
feet
Depth of sludge storage area provided
feet
Effective treatment or storage volumeprovided***
ft
Effective treatment or storage time provided
days
Design Influent BOD loading
Lbs BOD/acre/day
at average operating level
*NOTE: Please refer to 15A NCAC 2H .0219(f) for liner requirements.
**NOTE: The liner shall be protected from impacts of the seasonal high water table as necessary.
***NOTE: The Division requires that treatment volume not be considered part of storage volume. The storage
volume should be calculated between the top of the treatment zone/sludge zone, or permanent liquid level (as
indicated by outlet pipe) and maximum allowable liquid level in the impoundment.
DESIGN INFORMATION (For Mechanical Treatment Systems)
1. Type of mechanical treatment system (activated sludge, fixed film, suspended growth, etc): Earthtek
EnviroFilter patented recirculating media filter. 1.200 gpd EnviroFilter proposed
FORM: SIA 09-02 Page 8

2.
If applicable, provide the location of each design element in the specifications and/or engineering plans:
Treatment Units
list each separately)
How
Many
Provided
Dimensions
L x W x H ft(Gallons)-Plans
Volume
Page Number in the
Plans &
Specifications
I Secs
Flow Equalization Basins
Pumps
Blowers
Capacity (GPM):
Type: Capacity (CFM) each:
Grit Removal Chamber
Bar Screens
Spacing
Manually cleaned ❑Mechanically cleaned
Flow Splitter Boxes
Overflows to equalization basin provided? ❑ Yes ❑ No
Influent Flow Measuring Device
Location: None Proposed
Type:
Aeration Basins
Pumps
Blowers
Detention Time at design flow (hrs):
Sludge Retention Time (days):
Capacity (GPM):
Type: Capacity (CFM)each:
Clarifiers
Waste Sludge Pumps
Return Sludge Pumps
Capacity (GPM):
Capacity (GPM):
Surface Loading Rate (GPD/ftz):
Weir Length (ft):
Weir Loading Rate (GPD/ft):
Sludge Holding
Basins/Thickening
Pumps
Blowers
Holding Time (days):
% solids of Final Sludge
Capacity (GPM):
Type: Capacity (CFM)each: -
Tertiary Filters
Media Specifications
Loading Rate (GPM/ftZ):
Clearwell
Pumps
Capacity (GPM):
Mudwell
Pumps
Capacity (GPM):
Chlorine Contact Basin
Pumps
1
150
C4
0
Capacity GPM): 75 gpm
Effluent Flow Measuring Device
Location: Dose Tank Effluent Lines for SDI Fields 1 and 2
Type: PD Flow Meter
Auxiliary Power Source
❑ Permanent ❑ Portable
Capable of powering all essential units? ❑ Yes ❑ No
FORM: SIA 09-02 Page 9

VI. DESIGN INFORMATION FOR IRRIGATION SYSTEM
1. If applicable, provide the location of each design element in the specifications and/or engineering plans:
Page Number in the
Plans &
Design Element
Specifications
Plans Secs
Dimensions of Irrigation Pump Tank LxWxH
10.5x5x6 feet
C-2
Total Available Volume of Irrigation Pump Tank
2,000 gallons
C-2
Dosing Volume of Irrigation Pump Tank
1,898 gallons
4f-2
Capacity of pumps
15GPM
C-2
at 30 TDH
High Water Alarms
Audible Alarm
Visual Alarm
r
Equipment to prevent irrigation during rain events if
irrigation controls are automatic
2. List any equipment (note sheet number of the plans or page number in the specifications) not specifically
mentioned above (pump hoist, odor control equipment, etc.):
3. Minimum depth to mean seasonal high water table within irrigation fields per Soil Scientist's Evaluation:
>5 feet below ground surface.
4. Loading rates recommended by the Soil Scientist Evaluation:
Soil Area
Fields/Zones
Loading Rate
Loading Rate
Loading
If Seasonal, list
within Soil Area
Inches/Hour
Inches/Year
Recommended
months
1
Fields 1 & 2
2
65
® Annual
_ap2ropriate
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
5. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? ® Yes ❑ No
If No, explain:
6. Size of wetted irrigation area: 12,495 square feet; or acres.
DRIP IRRIGATION SYSTEMS:
7. Provide the location of each design element in the specifications and/or engineering plans:
Design Element
Page Number in the Plans & Specifications
Plans Secs
Number of Emitters
3,140
C-1
Design Wetted Area of Emitters
12,495 ftz
C-1
Distance Between Drip Lines
2 feet
C-1
Distance Between Drip Emitters
2 feet
C-1
Flow per emitter
0.53 GPM
C-1
at:
7-60 psi
C-1
Elevation of Highest Emitter
1,700 feet
C-1
FORM: SIA 09-02 Page 10

SPRAY IRRIGATION SYSTEMS:
8. Number of operational zones within irrigation system:
9. Provide the location of each design element in the specifications and/or engineering plans. It may be
necessary to provide additional tables for separate irrigation zones and/or separate nozzle types within
zones if there are significant differences. Please see Instruction N and Instruction O to ensure all
information is provided as required.
Design Element
Page Number in the Plans & Specifications
Plans Secs
Zone
Number of Nozzles
Total Design Wetted Area of Nozzles
ft2
Flow per Nozzle
GPM
at:
psi
Elevation of Highest Nozzle
feet
FORM: SIA 09-02 Page 11

Professional Engineer's Certification:
I, Douglas N. Haggett, attest that this application for Camp Glory Ridge has been reviewed by me and is accurate,
complete and consistent with the information supplied in the engineering plans, calculations, and all other supporting
documentation to the best of my knowledge. I further attest that to the best of my knowledge the proposed design
has been prepared in accordance with this application package and its instructions as well as all applicable
regulations and statutes. Although certain portions of this submittal package may have been developed by other
professionals, inclusion of these materials under my signature and seal signifies that I have reviewed this material
and have judged it to be consistent with the proposed design. Note: In accordance with NC General Statutes 143-
215.6A and 143-215.68, any person who knowingly makes any false statement, representation, or certification in any
application package shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well
as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification (signing authority must be in compliance with 15A NCAC 2H .0206(b), see Instruction A):
I, Stephen L. Neas, Registered Agent (signing authority name and title) attest that this application for Camp Glory
Ridge (facility name) has been reviewed by me and is accurate and complete to the best of my knowledge. I
understand that any discharge of wastewater from this non -discharge system to surface waters or the land will result
in an immediate enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I
will make no claim against the Division of Water Quality should a condition of this permit be violated. I also
understand that if all required parts of this application package are not completed and that if all required supporting
information and attachments are not included, this application package will be returned to me as incomplete. Note:
In accordance with NC General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor which
may include a fing not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: $/7/
7
i
FORM: SIA 09-02 Page 12

NON -DISCHARGE REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
Date: County: madi5oln
To: Non -Discharge Permitting Unit Permittee:�®��
NDPU Reviewer: Application No.: WQOO 'N ®ylp
Regional Login No: ?
GENERAL INFORMATION
1. This application is (check an that apply): M New ❑ Renewal
n Minor Modification n Maior Modification
Surfacef[rrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included as appropriate ❑ 503 regulated ❑ 503 exempt
❑ Distribution of Residuals ❑ Surface Disposal
2. Was a site visit conducted in order to prepare this report? Yes or ❑ No.
a. Date of site visit:
b: "GI c JCS/- 2
C. d /
d.
3. Is t Cct.
ect on the current
apl A'�I`k fir, lkz_ F j
Fo j1'Y ?
a.
b - ' rt fA
e. D��� cipal wastewater):
cow.w.tiY
Foi C �2
`ham CIL C^ tste a new section
into ---'
a.�
b.
C.
d. . ,aL1LUUG: Longitude:W&A4VJ- (Div
(L l S
r a
FORM: NDSRR 03/02 vy .�i i

NON -DISCHARGE REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
NEWAND MAJOR MODIFICATIONAPPLICATIONS (this section not needed for renewals or
minor modifications, skip to next section) /
DESCRIPTION OF WASTES) AND FACILITIES Alrju i
1. Please attach completed rating sheet. Facility Classification:
2. Are the new treatment facilities adNuate_for the type of waste and disposal system?
3
M Yes ❑ No ❑ N/A. If no, please explain:
Are the new site conditions (soils, topogra y, etc) consistent with what was reported by the soil
scientist and/or Professional Engineer? Yes ❑ No ❑ N/A. If no, please explain: � o�,4 Q
Is the proposed residuals management plan for the adequate and/or acceptable to the Division.
V sion. �
g P 4 P
Yes ❑ No ❑ N/A. If no, please explain:
Are the proposed application rates for new sites (hydraulic or nutrient) acceptable?
[Yes ❑ No ❑ N/A. If no, please explain:
r��4LO
le_-' WA - �-
Are the new treatment facilities or any new disposal sites located in a 100-year floodplain?
❑ YesNo ❑ N/A. If yes, please attach a map showing areas of 100-year floodplain and please
explain and recommend any mitigative measures/special conditions in Part IV:
Are there any buffer conflicts (new treatment facilities or new disposal sites)? ❑ Yes or ❑ No. If
yes, please attach a map showing conflict areas or attach any new maps you have received from the
applicant to be incorporated into the permit:
� I d f -e,
FORM: NDSRR 03/02
2

�� V�JATFfi,Q Michael F. Easley, Governor
�p William G. Ross Jr., Secretary
cn North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
June 8, 2004 ._ c
X
CERTIFIED MAIL — RETURN RECEIPT REQUESTED m v
STEPHEN L. NEAS, REGISTERED AGENT r
GLORY RIDGE, INC. m 0
106 WOODBOURNE ROAD m
RALEIGH, NC 27410-5536 z
Subject: Return of Application Fee - Check for Incorrect Amount, Requesting Replacem m
Camp Glory Ridge Permit Application — Z
Surface Irrigation System
Madison County
Dear Mr. Neas:
Please find enclosed your check in the amount of $400 received with the above referenced permit
application on June 4th, 2004. The correct application fee for this permit is $675. Please replace this check
with a new one for the appropriate amount and send it to the attention of Sylvia Parks, so that the
Division can proceed with the review of your application. If you have any question regarding this letter,
please feel free to contact the Non -Discharge Permitting Unit at 919-733-5083, extension 574.
PLEASE REFER TO THE PROJECT NAME AND DATE SUBMITTED WHEN INQUIRING ON ANY
MATTERS IN QUESTION.
Sincerely,
Kim H. Colson, P.E.
Supervisor
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
DENR Customer Service Center
An Equal Opportunity Action Employer
Internet http://h2o.enr.state.nc.us/ndpu
Telephone [phone] Fax [phone]
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p
�
�°r� x5. 0r
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
WATERSHED CLASSIFICATION ATTACHMENT
Any changes made to this form will result in the application being returned.
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
INSTRUCTIONS:
To determine the classification of the watershed(s) in which the subject project will be located, you are required to
submit this form, with Items 1 through 8 completed, to the appropriate Division of Water Quality Regional Office
Water Quality Supervisor (see Page 2 of 2) prior to submittal of the application for review. At a minimum, you must
include an 8.5" by I V copy of the portion of a 7.5-minute USGS Topographic Map that shows the surface waters
immediately downslope of the project. You must identify the location of the project and the closest downslope
surface waters (waters for which you are requesting the classification) on the submitted map copy. If the facility is
located in the Neuse River Basin, also include a copy of the soil survey map for the project location. The
corresponding non -discharge application may not be submitted until this form is completed by the appropriate
regional office and included with the submittal.
1. Applicant's name (name of the municipality, corporation, individual, etc.): Glory Ridge, Inc.
2. Name and complete address of applicant: G1o1v Ridge, Inc.
106 Woodbourne Road
City: Greensboro State: NC Zip: 27410-5534
Telephone number: ( 336 ) 294-1946 Facsimile number: ( 336 ) 856-7160
3. Project name (name of the subdivision, facility or establishment, etc.): CM Glory Ridge
4. County where project is located: Madison
5. Name(s) of closest surface waters: French Broad River
6. River basin(s) in which the project is located: French Broad
7. Topographic map name and date: Marshall (NC), 1990 f35082-G61
8. North Carolina Professional Engineer's seal, signature, and date:
.,, SE AL
TO: REGIONAL OFFICE WATER QUALITY SUPERVISOR Z44R���ai
Please provide me with the classification(s) of the surface waters, watershed(s), and appropriate raver asin(s) where
these activities will occur, as identified on the attached map segment:
Name(s) of surface waters and river basin(s): French Broad River 6454.5)
Classification(s) (as established by the EMC): B
Proposed classification(s), if applicable: N/A
River basin buffer rules, if applicable: -Ala
Signature of regional office personnel: �_ Date:
FORM: WSCA 10/99 Page 1 of 2

Haggett Engineering Associates, Inc.
5307 South College Road
Wilmington, North Carolina 28412
Phone No.: [phone]
Fax No.: [phone]
Transmittal
TO:
SUBJECT:
DATE:
Forrest Westall
Watershed Classification
December 9, 2003
NCDENR
Attachment
Water Quality Section
59 Woodfin Place
Asheville, NC 28801-2482
FROM:
PROJECT NAME:
PROJECT NUMBER:
Doug Haggett
Camp Glory Ridge
03-1014
Route 4, Box 29
Marshall, NC 28753
We are sending the following via: ® U.S. Mail
❑ Shop Drawings ❑ Prints ❑ Plans
❑ Copy of Letter ❑ Change Order ❑ Submittal
® Other: WSCA
❑ Priority ❑ Courier
❑ Samples
❑ Specifications
COPIES
DESCRIPTION
1
Original WSCA Form
1
Topographic Location Map
1
DWQ Stream Classification (page 28)
These are transmitted for the purpose checked below:
® For Approval
❑ Copies for Approval
❑ Submit
❑ Returned for Corrections
❑ For Review and Comment
❑ Other:
Remarks:
❑ Approved as Submitted
❑ For Your Use
❑ Copies for Distribution
❑ Return Corrected Prints
❑ Prints Returned After Loan to Us
❑ Resubmit
❑ Approved as Noted
❑ As Requested
Please complete the WSCA and return to our office. We are working with the Camp to permit a
new surface drip system. Thanks for your assistance.
2
Signed: 1Z
� F a$
H DEC I 1 2003

DIVISION OF WATER QUALITY REGIONAL OFFICES
Asheville Regional Office
WQ Supervisor
59 Woodfin Place
Asheville, NC 28801
Phone: [phone]
Fax: [phone]
Avery
Macon
Buncombe
Madison
Burke
McDowell
Caldwell
Mitchell
Cherokee
Polk
Clay
Rutherford
Graham
Swain
Haywood
Transylvania
Henderson
Yancey
Jackson
Raleigh Regional Office
WQ Supervisor
3800 Barrett Drive, Suite 101
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Chatham
Nash
Durham
Northampton
Edgecombe
Orange
Franklin
Person
Granville
Vance
Halifax
Wake
Johnston
Warren
Lee
Wilson
Winston-Salem Regional Office
WQ Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
Phone: [phone]
Fax: [phone]
Alamance Rockingham
Alleghany Randolph
Ashe
Stokes
Caswell
Surry
Davidson
Watauga
Davie
Wilkes
Forsyth
Yadkin
Guilford
Fayetteville Regional Office
WQ Supervisor
Wachovia Building, Suite 714
Fayetteville, NC 28301
Phone: [phone]
Fax: [phone]
Mooresville Regional Office
WQ Supervisor
919 North Main Street
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
Anson
Moore
Alexander
Lincoln
Bladen
Robeson
Cabarrus
Mecklenburg
Cumberland
Richmond
Catawba
Rowan
Harnett
Sampson
Cleveland
Stanly
Hoke
Scotland
Gaston
Union
Montgomery
Iredell
Washington Regional Office
WQ Supervisor
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
Beaufort Jones
Bertie
Lenoir
Camden
Martin
Chowan
Pamlico
Craven
Pasquotank
Currituck
Perquimans
Dare
Pitt
Gates
Tyrell
Greene
Washington
Hertford
Wayne
Hyde
Wilmington Regional Office
WQ Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]
Fax: [phone]
Brunswick New Hanover
Carteret Onslow
Columbus Pender
Duplin
FORM: WSCA 10/99 Page 2 of 2

NC DENR - DIVISON OF WATER QUALITY
.0304 FRENCH BROAD RIVER BASIN
Classification
2B .0300
Name of Stream
Description
Class
Date
Index No.
South Fork Mills
From the upstream side of
WS-II Tr HQW
08/03/92
6-54-3-(17.5)
River
mouth of Queen Creek to
Mills River
Queen Creek
From source to South Fork
WS-II Tr HQW
08/03/92
6-54-3-18
Mills River
Pounding Mill
From source to Queen Creek
WS-II Tr HQW
08/03/92
6-54-3-18-1
Branch
Pierce Lake
Silver Lake
Foster Creek
Mills River
Mills River
Brandy Branch
Mills River
FRENCH BROAD RIVER
Mud Creek
Dry Branch
Little Cove Creek
Little Mud Creek
(Kanuga Lake, Wolf
Lake)
Lake McCrady
Greer Creek (Lake
Falls)
Murray Creek
Capps Branch
Shepherd Creek (Osceola
Lake)
Entire lake and connecting
WS-II Tr HQW
08/03/92
6-54-3-18-2
stream to Queen Creek
Entire lake and connecting
WS-II Tr HQW
08/03/92
6-54-3-19
stream to South Fork Mills
River
From source to Mills River
WS-II Tr HQW
08/03/92
6-54-4
From a point 0.5 mile
WS-II Tr
08/03/92
6-54-(4.5)
upstream of N.C. Hwy. 191 to
HQW CA
City of Hendersonville water
supply intake located 0.1
mile downstream of N.C. Hwy.
191
From City of
WS-III
04/01/96
6-54-(5)
Hendersonville water
supply intake to a point 0.7
mile upstream of mouth of
Mills River
From source to Mills River
WS-III
04/01/96
6-54-6
From a point 0.7 mile
WS-III CA
04/01/96
6-54-(6.5)
upstream of mouth of Mills
River to French Broad River
From Mills River to North
B
08/01/02
6-(54.5)
Carolina -Tennessee State
Line
From source to French
C
04/01/96
6-55
Broad River
From source to Mud Creek
C
03/01/77
6-55-2
From source to Mud Creek
C
03/01/77
6-55-3
From source to Mud Creek
B
04/01/58
6-55-4
Entire lake and connecting B
stream to Little Mud Creek
From source to Mud Creek B
From source to Greer Creek C
From source to Murray Creek C
From source to Mud Creek C
28
04/01/58 6-55-4-1
04/01/58 6-55-5
09/01/74 6-55-5-1
09/01/74 6-55-5-1-1
07/01/73 6-55-6

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Topographic Location Map

N. C. DEPARTMENT OF ENVIRONMENT AND
n,4 STATE NATURAL RESOURCES
DIVISION OF WATER QUALITY
A� WATER QUALITY SECTION
o
ASHEVILLE REGIONAL OFFICE
'llfta111"b 59 WOODFIN PLACE
a
ASHEVILLE, NORTH CAROLINA 28801
PHONE: [phone] FAX: [phone]
TO:
FAX #:
FROM:
DATE:
# OF PAGES INCLUDING THIS COVER:
MESSAGE: If questions, please call 828/251-6208.
t

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
SURFACE IRRIGATION SYSTEMS
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
<THIS ONLINE APPLICATION CAN BE FILLED OUT USING
THE TAB KEY TO MOVE THROUGH THE FIELDS>
Application Number:
I. GENERAL INFORMATION:
C
(to be completed by DWQ)
� �1191irP�Ydi@'I I j `ll''941P9 ^,Ila °' 9rl'.
1. Applicants name (Owner of the facility, See Instruction A.): t
2. Complete mailing address of applicant: 106 Woodbourne Road
City: Raleigh State: North Carolina Zip: 27410-5536
Telephone number: ( 336) 294-1946 Facsimile number:( 336) 856-7160
Email Address: SNeasna,ecslimited.com
3. Facility name (name of the subdivision, shopping center, etc.): Camp Glory Ridge
4. Complete address of the physical location of the facility if different from mailing address of applicant:
Goldsmith Circle Road
City: Marshall State: North Carolina Zip: 28753
5. County where project is located: Madison
6. Name and complete address of engineering or consulting firm (if applicable): Haggett Engineerin,�
Associates, Inc. , 5307 South College Road
City: Wilrnington State: North Carolina Zip: 28412
Telephone number: ( 910 ) 397-0808 Facsimile number: ( 910 ) 397-0812
Email Address: heainc(a)earthlink.net
7. Name and affiliation of contact person who can answer questions about project: Steve Neas, Registered
Agent
Email Address: SNeasOecslimited.com
H. PERMIT INFORMATION:
1. Project is: ® New; ❑ Modification; ❑ Renewal without modification - - -
Note: Renewals without modifications should fill out sections I & II only, and sign the applicant's signature on the last
page of the application.
2. Fee submitted: $ 400.00 (See Instruction C.)
3. If this application is being submitted for renewal or modification to an existing permit, provide:
existing permit number N/A and the issuance date
4. Financial resources for this project include: ❑ public funds, ® private funds
5. Project disturbs more than one acre?: ❑ Yes; ® No.
If Yes, provide date when an erosion and sedimentation control plan was submitted to the Division of Land
Resources or local delegated program for approval:
FORM: SIA 09-02 Page 5

6. Project includes any stream or wetland impacts?: ❑ Yes; ® No.
If Yes, provide date when Nationwide 12 or 404 permit, and corresponding 401 certification, was approved
or submitted for approval: Submitted: Approved:
7. Provide buffers used to maintain compliance with any applicable river basin rules in 15A NCAC 2B .0200
(e.g., Neuse River basin buffer rules, etc.): N/A
8. If project is in a Coastal Area as defined per 15A NCAC 2H .0400, list the measures that are being taken to
ensure compliance with this rule: N/A
M. INFORMATION ON WASTEWATER:
1. Please provide a brief description specifying the origin of the wastewater (school, subdivision, hospital,
municipality, shopping center, industry, apartments, condominiums, etc.): Church Came
2. Volume of wastewater flow for this project: 1,200 gallons per day
3. Explanation of how wastewater flow was determined (15A NCAC 2H .0219(1)): 20 campers & staff x 60
"d per camper = 1,200gpd
4. Nature of wastewater: ® 100% Domestic Waste (residential, commercial, etc)
❑ 100% Industrial; ❑ 100% Animal Waste
❑ Municipal waste (town, city, etc)
If municipal, is there a Pretreatment Program in effect? ❑ Yes; ❑ No.
IV. GENERAL PROJECT INFORMATION:
1. Brief project description: Surface Drip Irrigation (SDI) system with pre-treatment for Church Camp
2. System is: ❑ spray irrigation; ® drip irrigation*.
3. Does the project conform to all buffers as required in 15A NCAC 2H .02190)(5)? ® Yes; ❑ No.
*Please note that buffers for drip irrigation are those identified as "other surface disposal systems".
If No, please explain how the proposed buffers will provide equal or better protection of the Waters of the
State with no increased potential for health concerns or nuisance conditions, or provide a buffer waiver in
accordance with current Division policy, available on the NDPU web site:
4. The treatment facilities and wetted areas must be secured to prevent unauthorized entry. Details or
notations of restricted access measures should be shown on submitted plans. Briefly describe the measures
being taken (15A NCAC 2H .02190)(7)): SDI Fields will be fenced to prefent entry
5. a. 100-year flood elevation: feet mean sea level. Source:
(Complete even if project is not within the 100 year flood area)
b. Are any treatment units or wetted areas located within the 100-year flood plain?: ❑ Yes; ® No.
c. If Yes, briefly describe which units/areas and the measures being taken to protect against flooding.
6. Method to provide system reliability (see instruction P): Potable water for the camp is supplied by an
onsite water well. If power to the site is disrupted, wastewater will not be generated
7. a. Type of disinfection:Chlorination by tablets
b. If chlorine, specify detention time provided: 15 minutes. Please indicate in what part of the wastewater
system chlorine contact time occurs (i.e. chlorine contact chamber): chlorine contact chamber
c. If UV, provide manufacturer's details within application package and specify the number of
lamps _
FORM: SIA 09-02 Page 6

8. Measures taken to provide thirty (30) days of residuals holding (15A NCAC 2H .02196)(9)): solids will be
accuhnulated in the septic tank. The tank is sized in accordance with 15A NCAC 18A 1952 & 1954
V. DESIGN INFORMATION (For septic tanks & sand filters)
1. If applicable, provide the location of each design element in the specifications and/or engineering plans:
Treatment Units
list each separately)
How
Many
Provided
Dimensions
L x W x H
(ft)
Volume
(Gallons
Surface
Loading
Rate
GPD/ft2
Page Number in the
Plans & Specifications
Plans Secs
Septic Tanks
Must confonn to
criteria in T15A 18A
.1952-.1954
1
10.5x5x6
2,000
C-2
Primary Sand Filters
Secondary Sand Filters
1`1 V -. 11 a ucauuc- 0Y0W111vutci u,au bduu tutcrs is w oe usea ror seconaarytreatment, please submit a
separate page with specific details of sizing and treatment ability and provide manufacturer's documentation
for support.
2. Have effluent filters been provided for septic tank? ® Yes ❑ No.
DESIGN INFORMATION (For Earthen Impoundments)
1. Provide the number of earthen impoundments in the system: 0
2. Are any impoundments designed to receive adjacent surface runoff? ❑ Yes ❑ No
If Yes, please specify which impoundment: and the drainage area: ft.
3. Are impoundment(s) designed to include a discharge point (pipe, emergency spillway, etc)? ❑ Yes ❑ No
4. Provide the design measures proposed for impoundment liner protection from wind drive wave action:
5. Provide date when notification of intent to construct a dam was submitted to the Division of Land
Resources (15A NCAC 2K .0200):
Notification Submitted on:
❑ Permit Issued on: ❑ Permit Unnecessary per the Division of Land Resources
FORM: SIA 09-02 Page 7

6. If applicable, provide the location of each design element in the specifications and/or engineering plans:
Design Element (Primary Impoundment)
Page Number in the
Plans &
Specifications
Plans Specs
Purpose of Impoundment ❑ Treatment ❑ Storage
MA
Liner ❑ Synthetic ❑ Clay QNone*
Proper installation and testing of liner
Inside Berm Surface Dimensions of linpoundinent LxWxH
feet
Bottom Dimensions of Impoundment LxWxH
feet
Embankment side slope
Mean Seasonal High Water Table Depth
(depth below grade)"
feet
Finish grade elevation of impoundment
feet
Depth from bottom of impoundment to top of embankment
feet
Total Volume of Impoundment
ft
Design Freeboard 2 feet minimum
feet
Depth of minimum liquid level (top of treatment zone or
permanent liquid level))
feet
Depth of sludge storage area provided
feet
Effective treatment or storage volumeprovided***
ft
Effective treatment or storage time provided
days
Design Influent BOD loading
Lbs BOD/acre/day
at average operating level
r1G4bc 1cIG1 tV IJti iv l.lit. Zn .VGIYki) IVI liner Iequirements.
**NOTE: The liner shall be protected from impacts of the seasonal high water table as necessary.
***NOTE: The Division requires that treatment volume not be considered part of storage volume. The storage
volume should be calculated between the top of the treatment zone/sludge zone, or permanent liquid level (as
indicated by outlet pipe) and maximum allowable liquid level in the impoundment.
DESIGN INFORMATION (For Mechanical Treatment Systems)
1. Type of mechanical treatment system (activated sludge, fixed film, suspended growth, etc): Earthtek
EnviroFilter patented recirculating media filter. 1,200 gad EnviroFilter proposed
.. E
FORM: SIA 09-02 Page 8

2. If applicable, provide the location of each design element in the specifications and/or engineering plans:
Treatment Units
list each separately)
How
Many
Provided
Dimensions
L z W z H ft
Volume
Gallons
Page Number in the
Plans &
Specifications
Plans Secs
Flow Equalization Basins
Pumps
Blowers
Capacity (GPM):
Type: Capacity (CFM) each:
Grit Removal Chamber
Bar Screens
Spacing
Manually cleaned []Mechanically cleaned
Flow Splitter Boxes
Overflows to equalization basin provided? ❑ Yes ❑ No
Influent Flow Measuring Device
Location: None Proposed
Type:
Aeration Basins
Pumps
Blowers
Detention Time at design flow (hrs):
Sludge Retention Time (days):
Capacity (GPM):
Type: Capacity (CFM)each:
Clarifiers
Waste Sludge Pumps
Return Sludge Pumps
I Capacity (GPM):
Capacity (GPM):
Surface Loading Rate (GPD/ft2):
Weir Length (ft):
Weir Loading Rate (GPD/ft):
Sludge Holding
Basins/Thickening
Pumps
Blowers
Holding Time (days):
% solids of Final Sludge
Capacity (GPM):
Type: Capacity (CFM)each:
Tertiary Filters
Media Specifications
Loading Rate (GPM/ft2):
Clearwell
Pumps
Capacity (GPM): -
Mudwell
Pumps
Capacity (GPM):
Chlorine Contact Basin
Pumps
1
150
C-4
0
Capacity (GPM): 75 gpm
Effluent Flow Measuring Device
Location: Dose Tank Effluent Lines for SDI Fields 1 and 2
Type: PD Flow Meter
Auxiliary Power Source
❑ Permanent ❑ Portable
Capable of powering all essential units? ❑ Yes ❑ No
FORM: SIA 09-02 Page 9

VI. DESIGN INFORMATION FOR IRRIGATION SYSTEM
1. If applicable, provide the location of each design element in the specifications and/or engineering plans:
Design Element
Page Number in the
Plans &
Specifications
Plans Secs
Dimensions of Irrigation Pump Tank LxWxH
10.5x5x6 feet
C-2
Total Available Volume of Irrigation Pump Tank
2,000 gallons
C-2
Dosing Volume of Irrigation Pump Tank
1,898 gallons
C-2
Capacity of pumps
15GPM
at 30 TDH
C-2
High Water Alarms
Audible Alarm
Visual Alarm
Equipment to prevent irrigation during rain events ifErC-2
irrigation controls are automatic
2. List any equipment (note sheet number of the plans or page number in the specifications) not specifically
mentioned above (pump hoist, odor control equipment, etc.):
3. Minimum depth to mean seasonal high water table within irrigation fields per Soil Scientist's Evaluation:
>5 feet below ground surface.
4. Loading rates recommended by the Soil Scientist Evaluation:
Soil Area
Fields/Zones
Loading Rate
Loading Rate
Loading
If Seasonal, list
within Soil Area
Inches/Hour
Inches/Year
Recommended
appropriate months
1
Fields 1 & 2
2
65
® Annual
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
❑ Annual
❑ Seasonal
5. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? ® Yes ❑ No
If No, explain:
6. Size of wetted irrigation area: 12,495 square feet; or acres.
DRIP IRRIGATION SYSTEMS:
7. Provide the location of each design element in the specifications and/or engineering plans:
Design Element
Page Number in the Plans & Specifications
Plans Secs
Number of Emitters
3,140
C-1
Design Wetted Area of Emitters
12,495 ftz
C-1
Distance Between Drip Lines
2 feet
C-1
Distance Between Drip Emitters
2 feet
C-1
Flow per emitter
0.53 GPM
C-1
at:
7-60 psi
C-1
Elevation of Highest Emitter
1,700 feet
C-1
FORM: SIA 09-02 Page 10

SPRAY IRRIGATION SYSTEMS:
8. Number of operational zones within irrigation system:
9. Provide the location of each design element in the specifications and/or engineering plans. It may be
necessary to provide additional tables for separate irrigation zones and/or separate nozzle types within
zones if there are significant differences. Please see Instruction N and Instruction 0 to ensure all
information is provided as required.
Design Element
Page Number in the Plans & Specificatior<s
Plans Secs
Zone
Number of Nozzles
Total Design Wetted Area of Nozzles
Flow per Nozzle
GPM
at:
psi
Elevation of Highest Nozzle
feet
FORM: SIA 09-02 Page 11

Professional Engineer's Certification:
I, Douglas N. Haggett, attest that this application for Camp Glory Ridge has been reviewed by me and is accurate,
complete and consistent with the information supplied in the engineering plans, calculations, and all other supporting
documentation to the best of my knowledge. I further attest that to the best of my knowledge the proposed design
has been prepared in accordance with this application package and its instructions as well as all applicable
regulations and statutes. Although certain portions of this submittal package may have been developed by other
professionals, inclusion of these materials under my signature and seal signifies that I have reviewed this material
and have judged it to be consistent with the proposed design. Note: In accordance with NC General Statutes 143-
215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or certification in any
application package shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well
as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification (signing authority must be in compliance with 15A NCAC 2H .0206(b), see Instruction A):
I, Stephen L. Neas, Registered Agent (signing authority name and title) attest that this application for Camp Glory_
Ridge (facility name) has been reviewed by me and is accurate and complete to the best of my knowledge. I
understand that any discharge of wastewater from this non -discharge system to surface waters or the land will result
in an immediate enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I
will make no claim against the Division of Water Quality should a condition of this permit be violated. I also
understand that if all required parts of this application package are not completed and that if all required supporting
information and attachments are not included, this application package will be returned to me as incomplete. Note:
In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor which
may include a finj not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: g�:� Date:
FORM: SIA 09-02 Page 12

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