NC0089559_Regional Office Physical File Scan Up To 9/24/2020

State of North Carolina
HVater Reaources Department of Environmental Quality
RN'J190NHRNl/.f. OluCl fY
Division of Water Resources
EDMR REGISTRATION FORM
PartA. PERMIT/FACILITY INFORMATION
1. NPDES Permit Number: N I CIO 10 1 VI I I .S 1511 I
2. Owner/Organization Name: Rr��� �}4 b.ey 40AV;j;P • h C ,
3. Facility Name: Waveli WvT f
4. Facility's Physical Address: `�IS� l�,a(�e Ng `sue lid.
City: 9tgw,La/ State: NC Zip Code: �F 71 YL
Part B. OWNER USER INFORMATION
1. Responsible Official's Name: W41lete ,cle-Sol Title: J ,Y-ec
(Owner orduly authorized representative)
2. Mailing Address: 215 )7+' e I�� ►+� )�o%
City: fjv-,✓QL4 State: /VC. Zip Code:
3. Telephone Number:_ $?-fs- 8'b% 3ff4
4. Email Address: kAk11grA f&o
S. User ID (Assigned by NCDWR eDMR Administrator):
PartC. USER ACCOUNT INFORMATION
1. Facility Administrator Permission
The Facility Administrator user permission can be assigned at the time of registration by the NCDWR
eDMR Administrator. If someone other than the Owner will be responsible for managing facility users
within eDMR and you would like the Division to set up the permission at the time of registration, then
please provide the user details for the individual who will need the Facility Administrator user permission,
Note: If this person will be responsible for submitting eDMR reports, then you will also need to request
Submitter permission for this user.
In addition to the user details, please specify the permit number(s) to which the user will be associated. If
additional space is needed, please make additional copies of the Facility Administrator User Details and
complete as needed.
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NC eDMR Registration Form (Revision 4.1)

Water Pollution Control System Operator Designation Form
MIPCSOCC
NCAC 15A 843 .0201
Permittee Owner/Officer Name:._%_
Mailing Addretis: rL 5__ i-ict
ZY
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City:t�._V_C'....... Zip:�71 2 Phone tf:
Email address:
Signature: T_ '�!` � •�_�..�_ _ �_._ l�iltt : � ��
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Facility
.Nanlc: Permit #: 'yC-0i
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County: _f . ............
.................................................................................................................
SUBN111T A SEPARATE FORM FOR EACI-I TYPE SYSTEM!
Facility Tyne/Grade (CHECK ONLY ONE):
Bio[ogica. Collection Physical/Chemical Surface Irrigation Land Application
Operator in Responsible Charge (ORE') %% g
Pr111C 1"tlil Natnc. ___.'�_,: ��.�r.'_...� � �� — .�— �✓
Certificate Type / Grack 1 nl r C _ Work Phone i=:
qy3 Z-02-
Dale:-
-I certify that 1 a ,rcc to my de,ig tion • . the Operator in Responsible Charge for the facility noted. I untlerstand and will abide by the rules
and regulations peru(iuing to Ill resp( Isibilities ol'the ORC asset Corth in 15A NCAC 080.0204 itnd ftiling to do so can result in Disciplinary
Actions by the %\cater Pollatiun Cor;lrul SpateI Opera(orti Certification Conmtission." .............
.Back -Up Operatot• ' possible Charge (BU ORE) ® /�
Print Full Name: , er/'lat� f�'—�!'��"? Email:�_g..1_G_.+.�!►ia3 N�i'1. Oicfs
Certiti.alle TyPry',
Nu r: 14/ /o���o Work Phone il: 'ilfv.2 t
Signattn'e: Date: 7"1ecrlilYthi a�ce w lilc.ignation as a Back-up Operator in Reslxmsible Charge Ibr (lie RtCilily notrd. 1 understand and will abide by the
rule. an(I rc,ulatiun. prrtainin to tlx respuusibilitics of (hc RLJ ORC as set Ibrlh in 15.E NCAC uXG .020.5 and Iailin`� to do so can result in
Disciplinary :Actions by the \\ -J;cr 11ua11ti(nr C onlrol System Operators Cerliiicalioll Conuniasion.'
.'.
Alai/, fax or cnr(rrl lh( \\'PCtiO(,V. 1618 ;Mail Service nter, vice Cull lzaleigh, N. C 27699-1018Fax: [phone]
ol_ iiyilltrlln: 1✓113sil crrtatltilin<i;.nccicnr.ca�
Mail orf«x a ro 1 a to the tsheville
21190 1:� I lw%- 70
Fayetteville
225 Green St
;Mooresville
010 F Cemer Ave
Raleigh
3800 Barrett Dr
«hp ropri«le 12u iulrul f�f/ic c:
tiewumw :na 2*07,,x
Suite 714
Suilo 301
Raleigh 27609
hex: 828,299.7043
1=ayelteville 28301-5043
\Mooresville 28115
Fax: [phone]
Phone:[phone]
Fa x: 1) 10.4 80.0707
Fax:704,663.6040
Phone:[phone]
Phone:910.433.330i)
Phone:[phone]
Washington
Wilotington
Winsron-Sale m
9.13 \\ ashirieton Sol Mall
127 Cni-dinui Dr
450 ter. !lanes i4all Rd
\t a;hingt(m .'sti')
\Nilmiugton 28405-2845
winsron-Salem 2710')
Fax: [phone]
Fax:[phone]
Iax:330.776.9797
Phone: [phone]
Phone: 910.796.721;
Phone: [phone]
Revised 05-2015

IBLE OFFICIAL AUTHORIZATION
The Responsible Official, as identified in accordance with Part II, Section B.11 of the Standard Conditions for.
NPDES Permits and 40 CFR 122.22, is the appropriate individual with the authority to sign applications or reports
for the Owner/Organization.
I, ��aljtrc t�ln�ivso+ (printed name), have the authority to make this request for
O & e 1+qv+ti 1'4 (Owner/Organization Name).
REGISTRATION CERTIFICATION
For the permit(s) associated with the Owner identified above, I request permission to submit DMR data using the
NCDWR eDMR system.
I understand that electronic submittal of the DMR does not fully satisfy US EPA's electronic signature
requirements and as a result, I understand I will be required to print, sign, and submit hardcopies (one signed
original and a copy) of the eDMR to NCDWR under the same reporting requirements as paper -based DMRs as
specified in Part ll, Condition D (2) of the NPDES Permit.
I agree to protect the security of my user ID and password from compromise and shalftake all necessary steps to
prevent its loss, disclosure, modification, or unauthorized use.
/tea [t l JU�i'�� s"&4 Voi
Owner/Res o ib O ' ial Name (type or print) Official TAle (type or print)
1
Owner Res sib! fficial Signature Date
North Carolina General Statute § 143-215.6E provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report,
plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who
knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who
falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission Implementing this Article, shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000), 18 U.S.C. Section 1001 provides a
punishment by a fine or imprisonment not more than 5 years, or both, for a similar offense.
NC eDMR Registration Form (Revision 4.1)

2. Submitter Permission
Provide the users, in addition to the Owner, who will need Submitter permission. The Submitter user
permission can only be assigned by the NCDWR eDMR Administrator. The Owner specified above will be
given full eDMR permissions including Submitter permission.
In addition to the user details, please specify the permit(s) to which each user will be associated for eDMR
submittal. Should additional space be needed for users and/or permits, please make additional copies of
this page and complete as needed.
NOTE. • The Owner will be responsible for creating al! facility users except those with Submitter permissions.
In addition to the Owner and Submitter user groups, there are four user types identified by user
permission level. Facility Administrator, Certifier, Data Entry and view Only.
The Owner and Facility Administrator will have the ability to create and manage facility users. The
Facility User Management Guide, located on the eDMR User Documentation web page, provides the
appropriate procedures for facility user management.
s
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NC eDMR Registration Form (Revision 4.1)

*17
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
RIDGE HAVEN WWTP
NPDES Permit Number NCO089559
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring reports, and other information relating to the operations at
the subject facility as required by all applicable federal, state, and local environmental agencies
specifically with the requirements for signatory authority as specified in 15A NCAC 2B.0506.
Individual #1 Individual #2 (if applicable)
-M.
MIN" r n��� �- �
Paul D. Johnson Jr.
-David
R. Short
_ME
Orc
:.
Back-Up'ORC
=a?"
1000 Wilds Ridge Rd. Brevard Nc
fi
215 Ridge Haven Rd. Bx evard, Nc
28712
28712
lra `'ICsµW
pain [e-mail]
david@ridgehaveni ;.org
'
828 884 - 7811
=
m�,`
828 862 - 3916
sobi??lihne
828 - 273 - 3573
�1
828 - 910 - 0271
If you have any questions regarding this letter, please feel free to contact me at
[e-mail] or 828-862-3916.
Sincerely,
.�/�:�'� dam`%v •
Wallace Anderson
Director - Ridge Haven Inc.
215 Ridge Haven Rd.
Wal [e-mail]
828-862-3916
cc: Select a region Regional Office, Water Quality Permitting Section

Water Resources
ENVIRONMENTAL QUALITY
March 14, 2016
Mr. Wallace Anderson, Executive Director
Ridge Haven Inc.
2.15 Ridge Haven Road
Brevard, North Carolina 28712
Division o. V 1!er Resources
VAR 17 20M
Water OLIafity Regional Operations
Dear Mr. Anderson: I Asheville Regional Office
Secrelmy
S. JAY ZIMMERMAN
:ct: Issuance of New NPDES Permit
it No. NCO089559
Haven WWTP
ylvania County
itv Class II
Division personnel have reviewed and approved your application for the subject new NPDES
permit. Accordingly, we are forwarding the attached NPDES discharge'permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215.1 and
Memorandum of Agreement between North Carolina and the U.S. Environmental Protection
Agency dated October 15, 2007 (or as subsequently amended).
Director
Through further review, several changes were made to the draft permit sent to you on
January 13, 2016: 1
• With the confirmation from the permittee, the treatment facility name has been modified to
"Ridge Haven WWTP";
• Electronic Discharge Monitoring Report (eDMR) requirements have been updated. Three
main revisions include: 1) Electronic reporting of DMR data is required effective December
21, 2016; 2) Electronic reporting requirements of compliance monitoring data and reports
have been added; 3) A section has been added on how to request an electronic reporting .
waiver. Footnote #1 under Section A. (1.) was revised to state "No later than 264 days from
the effective date of this permit, begin submitting discharge monitoring reports electronically
using NC DWR's eDMR application system" and Special Condition A. (2.) was updated to
reflect the eDMR reporting deadline of December 21, 2016.
As identified previously, the draft permit contains ,the following significant proposed
limitations, monitoring and reporting requirements:
• The requirement to begin reporting discharge monitoring data electronically no later than 264
days from the effective date of the permit using the NC DWR's Electronic Discharge
Monitoring Report (eDMR) internet application has been included in this NPDES permit. [See
Special Condition A.(2.)]
For information on eDMR, registering for eDMR and obtaining an eDMR user account, please
visit the following web page: http://portal'.ncdenr.org/web/wq/admin/bog/ipu/edmr.
State of North Carolina I Environmental Quality I Water Resources
1617 Mail service Center I Raleigh, North Carolina 27699-1617
919 707 9000

Page 2 of 2
•
0
For information on EPA's proposed NPDES Electronic Reporting Rule, please visit the
following web site: hM2://www2 epa gov/compliance/proposed-npdes-electronic reporting
rule.
Ridge Haven Inc. can submit monthly Discharge Monitoring Reports by mail until the 264
days expire. Blank Discharge Monitoring Reports can be found on the NC DEQ website at
http://poltal.nedenr. ora/web/wq/swp/ps/npdes/forms.
• The proposed discharge has numeric and/or narrative limitations on flow, BOD5, Total
suspended solids (TSS), pH, fecal coliform, total residual chlorine, and floating solids/visible
foam. Monitoring requirements include continuous monitoring for flow; weekly monitoring
for temperature, BODs, TSS, pH, fecal coliform; twice per week monitoring for total residual
chlorine; twice per month monitoring for ammonia -nitrogen, and quarterly. monitoring for total
nitrogen and total phosphorus. ?{
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 (6714 Mail Service Center, Raleigh, North Carolina 27699-
6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division
may require modification or revocation and reissuance of the permit. This permit does not affect
the legal requirements to obtain other permits which may be required by the Division of Water
Resources or any other Federal, State, or Local government permits that may be required.
If you have questions concerning this permit, please contact Yang Song by e-mail
([e-mail]) or phone at [phone].
Sincerely,
eZ
tAAi e G.
r, Division of Water Resources
Enclosure: NPDES Permit NC0089559
cc: NPDES Unit
Central Files
low
MW2/ shev lle Rc io ail 0f 17p-/ atier Quality Promo >a n
e-copy:. David Odom, P.E., Consulting Engineer

9
• Permit NCO089559
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
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,
Ridge Haven, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Ridge Haven WWTP
215 Ridge Haven Road
Brevard, NC
Transylvania County
to receiving waters designated as Toxaway Creek in the Savannah River Basin in accordance with
effluent limitations, monitoring requirements, and other applicable conditions set forth in Parts I, II, III,
and IV hereof.
The permit shall become effective ............................... April,1, 2016.
This permit and the authorization to discharge shall expire at midnight on March 31, 2021.
Signed this day .............................................. Marsh 14, 2016.
01"'L a_
)"]A--Vjr
S yy Zimmerm ,
ector; Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 5

• • Permit NCO089559
SUPPLEMENT TO PERMIT COVER SHEET
[New Permit]
Ridge Haven, Inc.
is hereby authorized to:
1. Begin operating a 16,210 GPD, 100% domestic wastewater treatment plant consisting of the
following treatment components:
♦ Influent pump station
♦ Screening system
♦ Extended Aeration
♦ Clarifier
♦ Return sludge system
♦ . Sludge digestion system
♦ Effluent disinfection and chlorine removal system
♦ Post aeration
This facility is to be located at the Ridge Haven Camp, 215 Ridge Haven Road, Brevard, NC; and
2. After receiving an Authorization to Construct from the Division, construct and operate a wastewater
treatment facility with a design capacity of 0.0163 MGD,
3. Discharge from said treatment works via proposed Outfall 001, as located on the attached map, into
the Toxaway Creek, classified C; Trout waters in the Savannah River Basin.
Page 2 of 5

•
Part I
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
Permit NCO089559
a. During the period beginning with the submission of an approved engineer's certification of completion of
construction and lasting until permit expiration, the Permittee is authorized to discharge treated domestic
wastewater from Outfall 001. Such discharges shall be limited and monitoredi by the Permittee as
specified below:
EFFLUENT;
CHARACTERISTICS
LIMITATIONS--,
MONITORI_NG REQUIREMENTS
Monthly
Average.,
Daily
Maximum- .
Measurement
„Frequency
Sample Type .
Sample"
Flow (MGD)
0.0163
Continuous
Recording
Influent or
Effluent
Temperature (°C)
Weekly
Grab
_
Effluent
BOD, 5-day (20 °C)
30 mg/L
45 mg/L
Weekly
Composite
Effluent
Total Suspended Solids
30 mg/L
45 mg/L
Weekly
Composite
Effluent
pH
Not less than 6.0 S.U. nor
greater than 9.0 S.U.
Weekly
Grab
Effluent
NH3 as N (mg/L)
2/Month
Composite
Effluent
Fecal Coliform (geometric mean)
200/100 mL
400/100mL
Weekly
Grab
Effluent
Total Residual Chlorine 2
28 µg/L
2/Week
Grab
Effluent
Footnotes:
1. No later than 264 days from the effective date of this permit, begin submitting discharge monitoring reports
electronically using NC DWR's eDMR application system. See Special Condition A.(2.).
2. The Division shall consider all effluent TRC values reported below 50 ug/L to be incompliance with the
permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina
certified laboratory (including field certified), even if these values fall below 50 ug/L.
b. There shall be no discharge of floating solids or visible foam in other than trace amounts.
r.
Part I, Page 3 of 5

u
•
Permit NCO089559
A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[G.S. 143-215.1(b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and program reports
and specify that, if a state does not establish a system to receive such submittals, then permittees must submit
monitoring data and reports electronically to the Environmental Protection Agency (EPA). The final NPDES
Electronic Reporting Rule was adopted and became effective on December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part 11 of this permit
(Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Reporting
Records Retention
Monitoring Reports
1. ReportinLy Requirements [Supersedes Section D. (2.) and Section E. (5) (a)1
Effective December 21, 2016, the permittee shall report discharge monitoring data electronically using the
NC DWR's Electronic Discharge Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted
electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and
submit DMRs electronically using the internet. Until such time that the state's eDMR application is
compliant with EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be
required to submit all discharge monitoring data to the state electronically using eDMR and will be required
to complete the eDMR submission by printing, signing, and submitting one signed original and a copy of the
computer printed eDMR to the following address:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being
physically located in an area where less than 10 percent of the households have broadband access, then a
temporary waiver from the NPDES electronic reporting requirements may be granted and discharge
monitoring data may be submitted on paper DMR forms (MR 1, 1. 1, 2, 3) or alternative forms approved by
the Director. Duplicate signed copies shall be submitted to the mailing address above. See "How to Request
a Waiver from Electronic Reporting" section below.
Regardless of the submission method, the first DMR is due on the last day of the month following the
issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
Starting on December 21, 2020, the permittee must electronically report the following compliance monitoring
data and reports, when applicable:
Sewer Overflow/Bypass Event Reports;
Pretreatment Program Annual Reports; and
Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to Request a Waiver
from Electronic Reporting" section below).
Part I, Page 4 of 5

•
2. How to Request a Waiver from Electronic ReuortinLy
•
Permit NCO089559
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an electronic
reporting waiver, a permittee must first submit an electronic reporting waiver request to the Division.
Requests for temporary electronic reporting waivers must be submitted in writing to the Division for written
approval at least sixty (60) days prior to the date the facility would be required under this permit to begin
submitting monitoring data and reports. The duration of a temporary waiver shall not exceed 5 years and
shall thereupon expire. At such time, monitoring data and reports shall be submitted electronically to the
Division unless the permittee re -applies for and is granted a new temporary electronic reporting waiver by the
Division. Approved electronic reporting waivers are not transferrable. Only permittees with anapproved
reporting waiver request may submit monitoring data and reports on paper to the Division for the period that
the approved reporting waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found on the
following web page:
http://poital.nedenr.or web/wq/admin/boglipu/edmr
3. Si2natory Requirements [Supplements Section B. (11.) (b) and Supersedes Section B (11) (d)1
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II, Section
B. (11.)(a) or by a duly authorized representative of that person as described in Part II, Section B. (11.)(b). A
person, and not a position, must be delegated signatory authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user account and
login credentials to access the eDMR system. For more information on North Carolina's eDMR system,
registering for eDMR and obtaining an eDMR user account, please visit the following web page:
http://portal.nedenr.org/web/wq/admin/bog/ipu/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the
following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE
ACCEPTED:
U certify, under penalty of law, that 'this document and all attachments were prepared under nzy direction or
supervision in accordance with a system designed to assure that qualifiedpersonnelproperly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of
my knowledge and belief, true, accurate, and complete. I am aware that there are significantpenalties for
submittingfalse information, including the possibility offines and imprisonment for knowing violations. "
4. Records Retention [Supplements Section D. (6.)]
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These
records or copies shall be maintained for a period of at least 3 years from the date of the report. This period
may be extended by request of the Director at any time [40 CFR 122.411.
Part I, Page 5 of 5

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i',`�. Cop�ynghls©2015 JaUo all eog�ap c try �c'Gb¢�d'��•E� HERiE,ID L? r es 1
Latitude: 35'05' 57.09" Sub -Basin: 03-13-02 -
Facility
Lo9n 1 ude:-82'51'42.97" 8-Di rtHUC: 03060101 Location
-
Not to Scale --
Permitted Flow: 16,210 GPD Stream Class: C-Trout
Ridge Haven Inc.
Receiving Stream: Toxaway Creek, Savannah River Basin Ridge Haven Camp WWTP
North NC0089559

iES Permit Standard Conditions
Page 1 of 18
PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples shall be
representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days. These samples shall be representative of
the wastewater discharged during the sample period.
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act (CWA), as amended, 33 USC 1251, et.
seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system, which is
not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 mL in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period. The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time interval
between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically. Composite
samples may be obtained by the.following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour period
of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection, or
(3) Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point. Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer, and the
preset gallon interval between sample collection fixed at no greater than 1/24 of the expected total daily flow at
the treatment system, or
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(4) Constant time/constant volume: a series of grab samples of equal volume collected over a
constant time interval. Use of this method requires prior approval by the Director. This met
used in situations where effluent flow rates vary less than 15 percent. The following restrictions also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
➢ Influent samples shall not be collected more than once per hour.
➢ Permittees with wastewater treatment systems whose detention time < 24 hours shall collect effluent grab
samples at intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect effluent
grab samples at least every six hours; there must be a minimum of four samples during a 24-hour sampling
period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is calculated as
the total mass of the pollutant discharged over the day. For pollutants expressed in other units of measurement, the
"daily discharge" is calculated as the average measurement of the pollutant over the day. (40 CFR 122.2; see also
"Composite Sample," above.)
Daily Maximum
The highest "daily discharge" during the calendar month.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. Sampling shall be conducted on weekdays except where holidays or other disruptions of normal operations
prevent weekday sampling. If sampling is required for all seven days of the week for any permit parameter(s), that
requirement will be so noted on the Effluent Limitations'and Monitoring Page(s).
DWR or "the Division"
The Division of Water Resources, Department of Environment and Natural Resources.
Effluent
Wastewater discharged following all treatment processes from a water pollution control facility or other point source
whether treated or untreated.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit. Completion of facility closure will allow this
permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]") shall be considered = 1.
Grab Sample
Individual samples of at least 100 mL collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually. Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
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ance
-signated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance. To the extent practical, instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the samples and flow are representative of the discharge
during that sampling period.
Monthly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Resources.
Quarterly Average (concentration limit)
The arithmetic mean of all samples taken over a calendar quarter.
Severe propelly damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable, or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the CWA.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply_
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action; for permit termination, revocation and reissuance, or
modification; or denial of a permit renewal application [40 CFR 122.41 ].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal, even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402, or any
requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8) of the Act, is
subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1319(d) and 40 CFR
122.41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of
the Act, or any condition or limitation implementing any of such sections in a permit issued under section 402
of the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3) or
402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
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imprisonment of not more than 1 year, or both. In the case of a second or subsequent convi
violation, a person shall be subject to criminal penalties of not more than $50,000 per day c
imprisonment of not more than 2 years, or both. [33 USC 1319(c)(1) and 40 CFR 122.41(a)�z)j
d. Any person who knowingly violates such sections, or such conditions or limitations is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In the
case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both.
[33 USC 1319(c)(2) and 40 CFR 122.41(a)(2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act, and
who knows at that time that he thereby places another person in imminent danger of death or serious bodily
injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not more than
15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment violation, a
person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than 30 years, or
both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon conviction of violating
the imminent danger provision, be subject to a fine of not more than $1,000,000 and can be fined up to
$2,000,000 for second or subsequent convictions. [40 CFR 122.41(a)(2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such sections
in a permit issued under section 402 of this Act. Administrative penalties for Class I violations are not to
exceed $16,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed
$37,500. Penalties for Class II violations are not to exceed $16,000 per day for each day during which the
violation continues, with the maximum amount of any Class II penalty not to exceed $177,500. [33 USC
1319(g)(2) and 40 CFR 122.41(a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment [40
CFR 122.41(d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on 'Bypassing" (Part ILCA), "Upsets" (Part II.C.5) and "Power Failures"
(Part II.C.7), nothing in this permit shall be construed to relieve the Permittee from any responsibilities, liabilities,
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act, 33 USC
1319. Furthermore, the Permittee is responsible for consequential damages, such as fish kills, even though the
responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
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 [40 CFR 122.41(g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
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as of this permit are severable. If any provision of this permit, or the application of any provision of
tilts perrmt to any circumstances, is held invalid, the application of such provision to other circumstances, and the
remainder of this permit, shall not be affected thereby [NCGS 15013-23].
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying, revoking and reissuing, or
terminating this permit or to determine compliance with this permit. The Permittee shall also furnish to the Permit
Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41(h)].
9. Duty to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit, the
Permittee must apply for and obtain a new permit [40 CFR 122.41(b)].
10. Expiration of Permit
The Permittee is not authorized to discharge after the expiration date. In order to receive automatic 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 unless permission for a
later date has been granted by the Director. (The Director shall not grant permission for applications to be
submitted later than the expiration date of the existing permit.) [40 CFR 122.21(d)] Any Permittee that has not
requested renewal at least 180 days prior to expiration, or any Permittee that does not have a permit after the
expiration and has not requested renewal at least 180 days prior to expiration, will subject the Permittee to
enforcement procedures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
11. Si ng atory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified [40
CFR 122.41(k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in charge
of a principal business function, or any other person who performs similar policy or decision making
functions for the corporation, or (b) the manager of one or more manufacturing, production, or operating
facilities, provided, the manager is authorized to make management decisions which govern the operation
of the regulated facility including having the explicit or implicit duty of making major capital investment
recommendations, and initiating and directing other comprehensive measures to assure long term
environmental compliance with environmental laws and regulations; the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate information for permit
application requirements; and where authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a. above or by a duly authorized representative of that person. A
person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the overall operation
of the regulated facility or activity, such as the position of plant manager, operator of a well or well field,
superintendent, a position of equivalent responsibility, or an individual or position having overall
responsibility for environmental matters for the company. (A duly authorized representative may thus be
either a named individual or any individual occupying a named position.); and
(3) The written authorization is submitted,to the Permit _Issuing Authority [40 CFR 122.22]
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Changes to authorization: If an authorization under paragraph (b) of this section is no long(
a different individual or position has responsibility for the overall operation of the facility,
satisfying the requirements of paragraph (b) of this section must be submitted to the Director prior to or
together with any reports, information, or applications to be signed by an authorized representative [40 CFR
122.22]
d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the following
certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations. "
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned changes
or anticipated noncompliance does not stay any permit condition [40 CFR 122.41(f)].
13. Permit Modification, Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the permit,
revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina
Administrative Code, Subchapter 02H .0100; and North Carolina General Statute 143.215.1 et. al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 02H .0105(b)(2)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
Owners of classified water pollution control systems must designate operators, certified by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), of the appropriate type and grade for the
system, and, for each classification must [T15A NCAC 08G .0201]:
a. designate one Operator In Responsible Charge (ORC) who possesses a valid certificate of the type and grade at
least equivalent to the type and grade of the system;
b. designate one or more Back-up Operator(s) in Responsible Charge (Back-up ORCs) who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system, with the
exception of no backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year; and
c. submit a signed completed "Water Pollution Control System Operator Designation Form" to the Commission
(or to the local health department for owners of subsurface systems) countersigned by the designated certified
operators, designating the Operator in Responsible Charge (ORC) and the Back-up Operator in Responsible
Charge (Back-up ORC):
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system; or
(2) within 120 calendar days following:
➢ receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge (ORC) and Back-up Operator in Responsible Charge (Back-up ORC)
of the proper type and grade; or
➢ a vacancy in the position of Operator in Responsible Charge (ORC) or Back-up Operator in
Responsible Charge (Back-up ORC).
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iin seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or designating
ast one of the responsibilities.
The ORC of each Class I facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 08G .0204.
The ORC of each Class II, III and IV facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least five days per week, excluding holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 08G .0204.
2. Proper Operation and Maintenance
The Permittee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances) which are installed or used by the Permittee to achieve compliance with the conditions
of this permit. Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures. This provision requires the Permittee to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit [40 CFR 122.41(e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and maintenance
of the facility, and all documentation required thereof, whether acting as a contract operator [subcontractor] or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41(c)].
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41(m)(2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41(m)(3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior notice,
if possible at least ten days before the date of the bypass; including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II.E.6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
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(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects, if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
5. Upsets
a. Effect of an upset [40 CFR 122.41(n)(2)]: An upset constitutes an affirmative defense to an action brought for
noncompliance with such technology based permit effluent limitations if the requirements of paragraph b. of
this condition are met. No determination made during administrative review of claims that noncompliance was
caused by upset, and before an action for noncompliance, is final administrative action subject to judicial
review.
b. Conditions necessary for a demonstration of upset: Any Permittee who wishes to establish the affirmative
defense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or other relevant
evidence that:
(1) An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Permittee submitted notice of the upset as required in Part II.E.6.(b) of this permit.
(4) The Permittee complied with any remedial measures required under Part II.13.2. of this permit.
c. Burden of proof [40 CFR 122.41(n)(4)]: The Permittee seeking to establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States except as permitted
by the Commission. The Pennittee shall comply with all applicable state and Federal regulations governing the
disposal of sewage sludge, including 40 CFR 503, Standards for the Use and Disposal of Sewage Sludge; 40 CFR
Part 258, Criteria For Municipal Solid Waste Landfills; and 15A NCAC Subchapter 2T, Waste Not Discharged To
Surface Waters. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 02H .0124) to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by means
of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
Representative Sampling
Samples collected and measurements taken, as required herein, shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents. All samples shall be taken at the monitoring points specified in this
permit and, unless otherwise specified, before the effluent joins or is diluted by any other wastestream, body of
water, or substance. Monitoring points shall not be changed without notification to and the approval of the Permit
Issuing Authority [40 CFR 122.410)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1. 1, 2, 3) or alternative fonns approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the case of a new
facility, on the last day of the month following the commencement of discharge. Duplicate signed copies of these,
and all other reports required herein, shall be submitted to the following address:
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NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs, or pump hour meters as specified in Part I of
this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division. Permittees should contact the Division's
Laboratory Certification Section (919 733-3908 or http://portal.nedenr.org/web/wq/lab/cert) for information
regarding laboratory certifications.
Facilities whose personnel are conducting testing of field -certified parameters only must hold the appropriate field
parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to NCGS
143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and to regulations published pursuant to Section
304(g), 33 USC 1314, of the CWA (as amended), and 40 CFR 136; or in the case of sludge use or disposal,
approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless other test procedures have been
specified in this permit [40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum detection
and reporting levels that are below the permit discharge requirements and all data generated must be reported down
to the minimum detection or lower reporting level of the procedure. If no approved methods are determined
capable of achieving minimum detection and reporting levels below permit discharge requirements, then the most
sensitive (method with the lowest possible detection and reporting level) approved method must be used.
Penalties for Tampering
The CWA provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any monitoring
device or method required to be maintained under this permit shall, upon conviction, be punished by a fine of not
more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. If a
conviction of a person is for a violation committed after a first conviction of such person under this paragraph,
punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more than 4 years,
or both [40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Pemuttee's sewage sludge use
and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40 CFR
503), the Permittee shall retain records of all monitoring information, including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
➢ copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40 CFR
122.41].
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7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record the
following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor acting as
a representative of the Director), upon the presentation of credentials and other documents as may be required by
law, to;
a. Enter, at reasonable times, upon the Permittee's premises where a regulated facility or activity is located or
conducted, or where records must be kept under the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this permit;
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices,
or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41(i)].
Section E Reporting 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.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility [40 CFR 122.41(1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29(b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor to
notification requirements under 40 CFR 122.42(a)(1); or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices, and
such alteration, addition or change may justify the application of permit conditions that are different from or
absent in the existing permit, including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41(1)(2)].
4. Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CFR 122.61. The Director may condition approval in accordance with NCGS 143-215.1, in
particular NCGS 143-215. 1 (b)(4)b.2., and may require modification or revocation and reissuance of the permit, or
a minor modification, to identify the new permittee and incorporate such other requirements as may be necessary
under the CWA [40 CFR 122.41(1)(3), 122.61] or state statute.
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results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41(1)(4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II.D.2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by this permit using test procedures
approved under 40 CFR Part 136 and at a sampling location specified in this permit or other appropriate
instrument governing the discharge, the results of such monitoring shall be included in the calculation and
reporting of the data submitted on the DMR.
6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances. The written submission
shall contain a description of the noncompliance, and its cause; the period of noncompliance, including exact
dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to
continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance [40
CFR 122.41(1)(6)].
b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hour's may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II.E.5 and 6. of this permit at the
time monitoring reports are submitted. The reports shall contain the information listed in Part II.E.6. of this permit
[40 CFR 122.41(1)(7)].
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or submitted
incorrect information in a permit application or in any report to the Director, it shall promptly submit such facts or
information [40 CFR 122.41(1)(8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible, but in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility; or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass without treatment of all
or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence. Also see reporting requirements for municipalities in Part IV.C.2.c. of this permit.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215. 1 (b)(2) or in Section 309 of the Federal Act.
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11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certification in
any record or other document submitted or required to be maintained under this permit, including monitoring
reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of not more than
$25,000 per violation, or by imprisonment for not more than two years per violation, or by both [40 CFR 122.411.
12. Annual Performance Reports
Permittees who own or operate facilities that primarily collect or treat municipal or domestic wastewater and have
an average annual flow greater than 200,000 gallons per day shall provide an annual report to the Permit Issuing
Authority and to the users/customers served by the Permittee (NCGS 143-215.1C). The report shall summarize the
performance of the collection or treatment system, as well as the extent to which the facility was compliant with
applicable Federal or State laws, regulations and rules pertaining to water quality. The report shall be provided no
later than sixty days after the end of the calendar or fiscal year, depending upon which annual period is used for
evaluation.
The report shall be sent to:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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PART III
OTHER REQUIREMENTS
Section A. Construction
a. The Permittee shall not commence construction of wastewater treatment facilities, nor add to the plant's treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless (1) the Division has issued an
Authorization to Construct (AtC) permit or (2) the Permittee is exempted from such AtC permit requirements
under Item b. of this Section.
b. In accordance with NCGS 143-215.1(a5) [SL 2011-394], no permit shall be required to enter into a contract for the
construction, installation, or alteration of any treatment work or disposal system or to construct, install, or alter any
treatment works or disposal system within the State when the system's or work's principle function is to conduct,
treat, equalize, neutralize, stabilize, recycle, or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above, the permit issued for the
discharge may be modified if required by federal regulation.
c. Issuance of an AtC will not occur until Final Plans and Specifications for the proposed construction have been
submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall, upon written notice from the Director, conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent basis, of
any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the following
"notification levels";
(1) One hundred micrograms per liter (100 µg/L);
(2) Two hundred micrograms per liter (200 µg/L) for acrolein and acrylonitrile; five hundred micrograms per liter
(500 µg/L) for 2,4-dinitrophenol and for 2-methyl-4,6-dinitrophenol; and one milligram per liter (1 mg/L) for
antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or infrequent
basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels';
(1) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter (1 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
by this permit. The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
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PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the defmitions in Part II of this pen -nit, the following definitions apply to municipal facilities:
Indirect Discharge or Industrial User
Any non -domestic source that discharges wastewater containing pollutants into a POTW regulated under section
307(b), (c) or (d) of the CWA. [40 CFR 403.3 (i) and 0) and 15A NCAC 02H .0903(b)(11)]
Interference
Inhibition or disruption of the POTW treatment processes; operations; or its sludge process, use, or disposal which
causes or contributes to a violation of any requirement of the Permittee's (or any satellite POTW's if different from the
Permittee) NPDES, collection system, or non -discharge permit or prevents sewage sludge use or disposal in
compliance with specified applicable State and Federal statutes, regulations, or permits. [15A NCAC 02H
.0903(b)(14)]
Pass Through
A discharge which exits the POTW into waters of the State in quantities or concentrations which, alone or with
discharges from other sources, causes a violation, including an increase in the magnitude or duration of a violation, of
the Permittee's (or any satellite POTW's, if different from the Permittee) NPDES, collection system, or non -discharge
permit. [15A NCAC 02H .0903(b)(23)]
Publicly Owned Treatment Works (POTW)
A treatment works as defined by Section 212 of the CWA, which is owned by a State or local government organization.
This definition includes any devices and systems used in the storage, treatment, recycling and reclamation of municipal
sewage or industrial wastes of a liquid nature. It also includes the collection system, as defined in 15A NCAC 2T
.0402, only if it conveys wastewater to a POTW treatment plant. The term also means the local government
organization, or municipality, as defined in section 502(4) of the CWA, which has jurisdiction over indirect discharges
to and the discharges from such a treatment works. In this context, the organization may be the owner of the POTW
treatment plant or the owner of the collection system into which an indirect discharger discharges. This second type of
POTW may be referred to as a "satellite POTW organization." [15A NCAC 02H .0903(b)(26)]
"Significant Industrial User" or "SIU"
An Industrial User that discharges wastewater into a publicly owned treatment works and that [15A NCAC 02H
.0903(b)(33)1:
1. Discharges an average of 25,000 gallons per day or more of process wastewater to the POTW (excluding sanitary,
noncontact cooling and boiler blowdown wastewaters); or
2. Contributes process wastewater which snakes up five percent or more of the NPDES or non -discharge permitted
flow limit or organic capacity of the POTW treatment plant. In this context, organic capacity refers to BOD, TSS
and ammonia; or
3. Is subject to categorical standards under 40 CFR Part 403.6 and 40 CFR'Parts 405-471; or
4. Is designated as such by the Permittee on the basis that the Industrial User has a reasonable potential for adversely
affecting the POTW's operation or for violating any pretreatment standard or requirement, or the POTW's effluent
limitations and conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options;
5. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraphs 1 or 2 of this definition above has no reasonable potential for adversely affecting the
POTW's operation or for violating any pretreatment standard or requirement, the POTW's effluent limitations and
conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options, and thus is not a
Significant Industrial User (SIU); or
6. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraph 3 of this defmition above meets the requirements of 40 CFR Part 403.3(v)(2) and thus is a
non -significant categorical Industrial User.
Section B. Publicly Owned Treatment Works (POTWs)
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t provide adequate notice to the Director of the following [40 CFR 122.42(b)]:
roduction of pollutants into the POTW from an indirect discharger, regardless of the means of
transport, which would be subject to section 301 or 306 of CWA if it were directly discharging those pollutants;
and
Any substantial change in the volume or character of pollutants being introduced by an indirect discharger as
influent to that POTW at the time of issuance of the permit.
For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of effluent
introduced into the POTW, and (2) any anticipated impact that may result from the change of the quantity or
quality of effluent to be discharged from the POTW.
Section C. Municipal Control of Pollutants from Industrial Users.
1. Effluent limitations are listed in Part I of this permit. Other pollutants attributable to inputs from Industrial Users
discharging to the POTW may be present in the Permittee's discharge. At such time as sufficient information
becomes available to establish limitations for such pollutants, this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water quality
standards.
2. Prohibited Discharges
a. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibition against the
introduction of pollutants or discharges into the waste treatment system or waste collection system which
cause or contribute to Pass Through or Interference as defined in 15A NCAC 02H .0900 and 40 CFR 403. [40
CFR 403.5(a)(1)]
b. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibitions against the
introduction of the following wastes in the waste treatment or waste collection system [40 CFR 403.5(b)]:
(1) Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees Centigrade
using the test methods specified in 40 CFR 261.21;
(2) Pollutants which cause corrosive structural damage to the POTW, but in no case discharges with pH lower
than 5.0, unless the works is specifically designed to accommodate such discharges;
(3) Solid or viscous pollutants in amounts which cause obstruction to the flow in the POTW resulting in
Interference;
(4) Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flow rate
and/or pollutant concentration which will cause Interference with the POTW;
(5) Heat in amounts which will inhibit biological activity in the POTW resulting in Interference, but in no
case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C (104°F)
unless the Division, upon request of the POTW, approves alternate temperature limits;
(6) Petroleum oil, non -biodegradable cutting oil, or products of mineral oil origin in amounts that will cause
Interference or Pass Through;
(7) Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a quantity that
may cause acute worker health and safety problems; or
(8) Any trucked or hauled pollutants, except at discharge points designated by the POTW.
c. The Permittee shall investigate the source of all discharges into the POTW, including slug loads and other
unusual discharges, which have the potential to adversely impact the Permittee's Pretreatment Program and/or
the operation of the POTW.
The Permittee shall report such discharges into the POTW to the Director or the appropriate Regional Office.
Any information shall be provided orally within 24 hours from the time the Permittee became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the Permittee becomes
aware of the circumstances. The written submission shall contain a description of the discharge; the
investigation into possible sources; the period of the discharge, including exact dates and times; if the
discharge has not ceased, the anticipated time it is expected to continue; and steps taken or planned to reduce,
eliminate, and prevent reoccurrence of the noncompliance,
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3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the Permittee to
supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to ensure compliance by
the Permittee with all applicable effluent limitations. Such actions by the Permittee may be necessary regarding
some or all of the industries discharging to the municipal system.
4. The Permittee shall require any Industrial User (IU) discharging to the POTW to meet Federal Pretreatment
Standards developed under Section 307(b) of the Act as amended (which includes categorical standards and
specific local limits, best management practices and narrative requirements). Prior to accepting wastewater from
any Significant Industrial User (SIU), the Permittee shall either develop and submit to the Division a new
Pretreatment Program or, as necessary, a modification of an existing Pretreatment Program, for approval as
required under section D below as well as 15A NCAC 02H .0907(a) and (b). [40 CFR 122.440)(2)]
5. This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved POTW
Pretreatment Program or to include a compliance schedule for the development of a POTW Pretreatment Program
as required under Section 402 (b)(8) of the CWA and implementing regulations or by the requirements of the
approved State pretreatment program, as appropriate.
Section D. Pretreatment Programs
Under authority of sections 307 (b) and (c) and 402(b)(8) of the CWA and implementing regulations 40 CFR 403,
North Carolina General Statute 143-215.3(14) and implementing regulations 15A NCAC 02H .0900, and in accordance
with the approved pretreatment program, all provisions and regulations contained and referenced in the pretreatment
program submittal are an enforceable part of this permit. [40 CFR 122.440)(2)]
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the CWA, 40
CFR 403, 15A NCAC 02H .0900, and the legal authorities, policies, procedures, and financial provisions contained in
its pretreatment program submission and Division approved modifications thereof. Such operation shall include but is
not limited to the implementation of the following conditions and requirements. Terms not defined in Part II or Part IV
of this permit are as defined in 15A NCAC 02H .0903 and 40 CFR 403.3.
1. Sewer Use Ordinance (SUO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program. [15A
NCAC 02H .0903(b)(32), .0905 and .0906(b)(1); 40 CFR 403.8(f)(1) and 403.9(b)(1) and (2)]
2. Industrial Waste Survey (IWS)
The Permittee shall implement an IWS consisting of the survey of users of the POTW collection system or
treatment plant, as required by 40 CFR 403.8(f)(2)(i-iii) and 15A NCAC 02H .0905 [also 40 CFR 122.440)(1)],
including identification of all Industrial Users that may have an impact on the POTW and the character and amount
of pollutants contributed to the POTW by these Industrial Users and identification of those Industrial Users
meeting the definition of SIU. Where the Permittee accepts wastewater from one or more satellite POTWs, the
IWS for the Permittee shall address all satellite POTW services areas, unless the pretreatment program in those
satellite service areas is administered by a separate Permittee with an approved Pretreatment Program. The
Permittee shall submit a summary of its IWS activities to the Division at least once every five years, and as
required by the Division. The IWS submission shall include a summary of any investigations conducted under
paragraph C.2.c. of this Part. [I5A NCAC 02H .0903(b)(13), .0905 and .0906(b)(2); 40 CFR 403.8(f)(2) and 403.9]
3. Monitoring Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific data to
be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of specific pretreatment
local limits. Effluent data from the Plan shall be reported on the DMRs (as required by Parts II.D and II.E.5.). [15A
NCAC 02H .0903(b)(16), .0906(b)(3) and .0905]
4. Headworks Analysis (HWA) and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years, and as required by the
Division. Within 180 days of the effective date of this permit (or any subsequent permit modification) the
Permittee shall submit to the Division a written technical evaluation of the need to revise local limits (i.e., an
updated HWA or documentation of why one is not needed) [40 CFR 122.44]. The Permittee shall develop, in
accordance with 40 CFR 403.5(c) and 15A NCAC 02H .0909, specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5(a) and (b) and 15A NCAC 02H .0909. Pursuant to 40 CFR 403.5, local limits are
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Pretreatment. Standards as defined by 40 CFR 403.3(1). [15A NCAC 02H .0903(b)(10), .0905, and
5. Industrial User Pretreatment Permits (IUP) & Allocation Tables
hi accordance with NCGS 143-215.1, the Permittee shall issue to all Significant Industrial Users, permits for
operation of pretreatment equipment and discharge to the Permittee's collection system or treatment works. These
permits shall contain limitations, sampling ,protocols,, reporting requirements, appropriate standard. and special
conditions, and compliance schedules as necessary for the installation of treatment and control technologies to
assure that their wastewater discharge will meet all applicable pretreatment standards and requirements. The
Permittee shall maintain a current Allocation Table (AT) which summarizes the results of the I4WA and the limits
from all IUPs. Permitted IUP loadings' for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA. [15A NCAC 02H .0906(b)(6), .0909, .0916, and .0917; 40 CFR 403.5, 403.8(f)(1)(iii);
NCGS 143-215.67(a)]
6. Authorization to Construct (AtQ
The Permittee shall ensure that an Authorization to Construct permit (AtQ is issued to all applicable Industrial
Users for the construction or modification of any pretreatment facility. Prior to the issuance: of an AtC, the
proposed pretreatment facility and treatment process must be evaluated for its capacity to comply with all
Industrial User Pretreatment Permit (lUP) limitations. [15A NCAC 02H .0906(b)(7) and .0905; NCGS 143-
215.1(a)(8)
7. POTW Inspection & Monitoring of their .IUs
The Permittee shall conduct inspection, surveillance, and monitoring activities as described in its Division
approved pretreatment program in order to determine, independent of information supplied by Industrial Users,
compliance with applicable pretreatment standards. [15A NCAC 02H .0908(e); 40 CFR 403.8(f)(2)(v)] The
Permittee must:
a. Inspect all Significant Industrial Users (SIUs) at least once per calendar year;
b. Sample all Significant Industrial Users (SIUs) at least once per calendar year for all. SIU permit -limited
parameters including flow except as allowed under 15A NCAC .0908(e); and
c. At least once per year, document an evaluation of any non -significant categorical Industrial User for
compliance with, the requirements in 40 CFR 403.3(v)(2), and either continue or revoke the designation as non-
significant.,
8. IU Self Monitoringand nd Reporting
The Permittee, shall require all Industrial Users to comply with the applicable monitoring and reporting
requirements outlined in the Division -approved pretreatment program., the industry's pretreatment permit, or in 15A
NCAC 0211.0908. [15A NCAC 0211.0906(b)(5) and .0905; 40 CFR 403.8(f)(1)(v) and (2)(iii); 40 CFR
122.440)(2) and 40 CFR 403.12]
9. Enforcement Response Plan (ERP)
The: Permittee shall enforce and obtain appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of -the CWA (40 CFR 405 et. seq.), prohibitive discharge standards
as set forth in 40 CFR 403.5 and 15A NCAC 02H .0909, specific local limitations, and other pretreatment
requirements. All remedies, enforcement actions and other, shall be consistent with the Enforcement Response
Plan (ERP) approved by the Division. [15A NCAC 02H .0903(b)(7); .0906(b)(8) and .0905; 40 CFR 403.8(f)(5)]
10. Pretreatment Annual Reports (PAR)
The Permittee shall report to the Division in accordance with 15A NCAC 02H .0908. In lieu of submitting annual
reports, .Modified Pretreatment Programs developed under 15A NCAC 02H _0904 (b) may be required to submit a
partial annual report or to meetvith Division personnel periodically to discuss enforcement of pretreatment
requirements and other pretreatment implementation issues.
For all other active pretreatment programs, the Perrinittee shall submit two copies of a Pretreatment Annual Report
(PAR) describing its pretreatment activities .over the previous calendar year to the Division at the following
address: 1.
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,NPDES Permit
NC DENR / Division of Water Resources / Water Quality Permitting Section
Pretreatment, Emergency Response, and Collection Systems (PERCS) Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
These reports shall be submitted by March 1 of each year and shall contain the following:
a. Narrative
A narrative summary detailing actions taken, or proposed, by the Permittee to correct significant non-
compliance and to ensure compliance with pretreatment requirements;
b. Pretreatment Program Summary (PPS)
A pretreatment program summary (PPS) on forms or in a format provided by the Division;
c. Significant. Non -Compliance Report (SNCR)
A list of Industrial Users (IUs) in significant noncompliance (SNC) with pretreatment requirements, and the
nature of the violations on forms or in a fonnat provided by the Division;
d. Industrial Data Summary Forms (IDSF)
Monitoring data ,from samples collected by both the POTW and the Significant Industrial Users (SIUs). These,
analytical results must be reported on Industrial Data Summary Forms (IDSF) or on other forms or in a format
provided by the Division;
e. Other Information
Copies of the POTW's allocation table; new or modified enforcement compliance schedules, public notice of
IUs in SNC, a.summary of data or other information related to significant noncompliance determinations for
IUs that are not considered SIUs, and any other information, upon request, which in the opinion of the Director
is needed to determine compliance with the pretreatment implementation requirements of this permit;
11. Public Notice.
The Permittee shall publish annually a list of Industrial Users (!Us) that were in significant noncompliance (SNC)
as defined in the Permittee's Division -approved Sewer Use Ordinance with applicable pretreatment requirements
and standards during the previous twelve month period. This list shall be published within four months of the
applicable twelve-month. period. [15A NCAC 02H .0903(b)(34), .0908(b)(5) and .0905 and 40 CFR.
403.8(f)(2)(viii)]
12. Record Keeping
The Permittee shall retain for a minimum of three years records of monitoring activities and results, along with
support information including general records, water quality records, and records of industrial impact on. the
POTW and shall retain all other Pretreatment Program records as required by 15A NCAC 02H .0908(f). [15A
NCAC 02H .0908(f); 40 CFR 403.12(o)]
13. Pretreatment Program Resources
The Permittee shall maintain adequate funding and qualified personnel to accomplish the objectives of its approved
pretreatment program. and retain a written description of those current levels of inspection. [I5A NCAC 02H
.0906(b)(9) and (I0) and .0905; 40 CFR 403.8(f)(3), 403.9(b)(3)]
14. Modification to Pretreatment. Programs
Modifications to the approved pretreatment program including but not limited to local limits modifications, POTW
monitoring of their Significant Industrial Users (SIUs), and Monitoring Plan modifications, shall be considered a
permit modification and shall be governed by 40 CFR 403.18, 15 NCAC 02H .0114 and 15A NCAC 02H .0907.
Version 1110912011.1

P IT STATUS: Active
Ridge Haven WWTP
_ ___MT VERSION: 1.0
CLASS: WW-2
ORC: Paul David Johnson
ORC HAS CHANGED: No
COUNTY: Transylvania
ORC CERT NUMBER: 993262
VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
a
e"
d
IF
a
.e
8"O
URecorder
2
50050
00010
00400
50060
C0610
C0530
31616
00300
Continuous
Weekly
Weekly
2 X week
EWeekly
2 X month
Weekly
Weekly
Grab
Grab
Grab
Composite
Composite
Grab
Calculated
FLOW
TEMP-C
pH
CHLORM
BOD - Cone
NH3-N-Cone
TSS - Cone
FCOLI BR
DO
2400 clock
Hra
2400 dock
Fln
Y/B/N
mgd
deg c
su
ug/I
mgR
mgfl
mgR
#/100m1
mg/I
1
1015
0.25
B
0.001094
2
1305
0.25
B
0.000062
3
700
17
2105
0.25
B
0.000001
4
700
7
625
0.5
B
0.000001
> 67
15
510
5
1525
0.25
Y
0.000066
2.5
8.1
<20
8.6
6
915
10.25
Y
0
<20
7
NOFLOW
8
NOFLOW
9
NOFLOW
10
NOFLOW
11
NOFLOW
12
NOFLOW
13
NOFLOW
14
NOFLOW
15
1800
0.25
Y
0.002363
16
11340
10.25
B
1
0.000448
17
955
0.25
B
0
1s
1725
0.25
Y
0.000001
<20
43
8.9
13
104
-
19
1700
0.25
Y
0.000001
3.8
7.5
< 20
1
20
NOFLOW
21
NOFLOW
22
NOFLOW
23
NOFLOW
24
NOFLOW
25
NOFLOW
26
NOFLOW
27
NOFLOW
28
0
0
N
0.000003
29
1
1930
10.25
1 B
0.000031
30
915
0.25
1 B
0.001795
31
1
930
0.25
1 B
1
0.000001
8.4
2.2
8
< 1
Monthly Average Limit:
0.0163
30
30
200
Monthly Average:
0.00039
3.15
0
39.466667
5.55
12
37.572305
4.8
Daily Mnimum:
0.002363
3.8
8.1
0
67
�22
15
510
8.6
Daily Minimum:
0
2.5
7.5
0
8.4
8
0
1
** ** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday

NPDES PERMIT NO.: NCO089559
FACILITY NAME: Ridge Haven WWTP
OWNER NAME: Ridge Haven Inc
GRADE: WW-2
eDMR PERIOD: 01-2018 (January 2018)
COMPLIANCE STATUS: Non -Compliant
PERMIT VERSION: 1.0
CLASS: WW-2
ORC: Paul David Johnson
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
_ .:RMIT STATUS: Active
COUNTY: Transylvania
ORC CERT NUMBER: 993262
STATUS: Processed
SUBMISSION DATE: 02/26/2018
02/26/2011
ORC/Certifier Signature: Paul David Johnson Jr E-Mail:[e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
02/26/2018
Permittee/Submitter Signature:*** Paul David Johnson Jr E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 215 Ridge Haven Rd Brevard NC 28712 Permit Expiration Date: 03/31/2021
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the,information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME: Environmental Testing Solutions
CERTIFIED LAB #: 500
PERSON(s) COLLECTING SAMPLES: Paul D Johnson
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Pennittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

9 1680 0000 7515 6333
jested
May 24, 2018
Wallace Anderson
Ridge Haven Inc
215 Ridge Haven Rd
Brevard, NC 28712
SUBJECT: NOTICE OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Numbers: NOV-2018-MV-0095
NOV-2018-LV-0361
NOV-2018-LV-0362
Permit No. NC0089559
Ridge Haven WWTP
Transylvania County
Dear Permittee:
A review of the Octob&,2011
indicated below:
Monitoring Violation(s): N
Sample
Location Parameter
001 Effluent
001 Effluent
RUY' "COOPER
•� ... c � waxy..-T C� .. ,„. pw q �i
L�APEPPER
Irat��rmt`.i?rr�tnr
Discharge Monitoring Repo MR) for the subject facility revealed the violation(s)
F-2018-MV-
Monitoring
Date Frequency Type of Violation
Chlori ,Total Residual (50
mperature, Water Deg.
Centigrade (00010)
10/28/2017 2 X week Frequency Violation
10/28/2017 Weekly Frequency Violation
A review of+t-e',�anscharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below.
Limit Exceedance Violation(s): NOV-2018-LV-0361
Sample
Limit Reported
Location Parameter Date
Value Value Type of Violation
001 Effluent BOD, 5-Day (20 Deg. C) - 1/4/2018
45 67 Daily Maximum Exceeded
Concentration (C0310)
001 Effluent Coliform, Fecal MF, MFC Broth, 1/4/2018
400 510 Daily Maximum Exceeded
44.5 C (31616)
001 Effluent BOD, 5-Day (20 Deg. C) - 1/31/2018 30 39.47 Monthly Average Exceeded
Concentration (C0310)
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

A review of the March 2018 Discharge Monitoring Report (DMR) for the su ct facility revealed the viol
indicated below:
Limit Exceedance Violatio s): NOV-2018-LV-0362
��\
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Chlorine, Total ResidNI/ 3/22/2018 28 50 Daily Maximum Exceeded
(50060)
001 Effluent Coliform, 5Fpe6l MF, MFC Bro , 3/28/2018 400 600 Daily Maximum Exceeded
44.5 C 1616)
A Notice of Viol atin/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES WW Permit. Pursuant to G.S. 143-215.6A, a civil penalty of
not more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or
fails to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall .compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Monitoring
Report(s). You will then be notified of any civil penalties that may be assessed regarding the violations. If no
response is received in this Office within the 10-day period, a civil penalty assessment may be
prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder: Pursuant to Permit Condition 6 in Section E, the Permittee, is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
EC: DWQ Laserfiche
G:1WR\WQ\Tran5yivania\VJastewater\Minors\Camp Up Haven NC0089559\20130524_N00089559_NOVN0I2018LV0361_0362_MV0095.rtf

C: Ridge Haven WWTP
Ridge Haven Inc
Comments:
ry we had one day Jan 4th that exceeded our
-.. MIT VERSION: 1.0
CLASS: WW-2
ORC: Paul David Johnson
ORC HAS CHANGED: No
VERSION: 1.0
limit for BOD and Fecal
the tank. We also have implemented using a stock tank heater to prevent the tank from freezing solid again.
1 JIT STATUS: Active
COUNTY: Transylvania
ORC CERT NUMBER: 993262
STATUS: Processed
To remedy this situation we have pumped out

ROY COOPER
1 Governor
MICHAEL S. REGAN
Secretary
S. JAY. ZIMMERIVIAN
Director
Resources
ENTAL QUALITY
August 29, 2017
Wallace Anderson, Executive Director
Camp Ridge Haven
215 Ridge Haven Road
Brevard NC 28712
SUBJECT: Compliance Evaluation Inspection
Camp Ridge Haven WWTP
Permit No: NCO089559
Transylvania County
Dear Mr. Anderson:
On August 23, 2017, 1 conducted a Compliance Evaluation Inspection of the newly operational Camp
Ridge Haven WWTP. Based on records reviewed, on -site review of system components and interviews
with staff, the facility was determined to be in compliance with permit NC0089559.
Your assistance during the inspection, along with David Short and.Paul Johnson was greatly appreciated.
If there are questions or additional information is needed regarding system operation, maintenance, or
permit questions, please feel free to contact me at 828-296-4500.
Please refer to the enclosed inspection report for additional observations and comments.
Sincerely,
Tim Heim, P.E.
Environmental Engineer
Enc.
cc: MSC 1617-Central Files -Basement
Asheville Files
G:\WR\WQ\Transylvania\Wastewater\Minors\Camp Ridge Haven NC0089559\Inspections\CEI letter 8-23-2017.doe
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. Highway 70 Swannanoa, NC 28778
828 296 4500

United States Environmental Protection AgencyForm
Approved.
Washington, D.C. 20460
OMB No. 2040-0057
VPA
Water Compliance Inspection Report
approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day .. Inspection Type
Inspector Fac Type
1 IN ' 2 15 I 3 I NC0089559 I11 12 1T/08/23 17 18 I c I
19•I s I 201
211 11 1 1 1 1 1 1 1 11-I I I I I I I I I I I I 1 I I I I I I 1 1 1
1 11 1 1 1 1 j 1�6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating 81 QA ----------R&served--
---
671
70I I 71 tyI I 72 I N I 73I I I74 751 I I I I I I I80
u L_I L_l-1
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
10:30AM 17/08/23
16/04/01
Ridge Haven WWiP
215 Ridge Haven Rd
Exit Time/Date
Permit Expiration Date
Brevard NC 28712
12:OOPM 17/08/23
21/03/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
David R ShorVORC/828-862-3916/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Wallace Anderson,215 Ridge Haven Rd Brevard NC
28712//828-862-3916/8288846988 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit. Flow Measurement Operations & Maintenance Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date
Timothy H Heim ARO WQ//828-2964665/
Sigg tum;f Management Q A Reviewer Agency/Office/Phone and Fax Numbers
( . i
Date
Ice- 5z—
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day . Inspection Type (Cont.)
31 NCO089559 I11 12 17/08/23 17 18 ICI
Section D: Summary of Finding/Comments (Attach additionalsheetsof narrative and checklists as necessary)
Tim Heim of the Asheville Regional Office performed a Compliance Evaluation Inspection on August
23rd, 2017. David Short (ORC), Paul Johnson (ORC), Wayne Watkins (Engineer's Rep) and Wallace
Anderson (Camp Director) (ORC) assisted with the inspection and facility review. The facility was
newly operational at -the time of the inspection and appeared well maintained and operated, and in.
compliance with Permit NCO089559.
The following observations were made about upgrades the facility may consider adding:
-The plant alarms are difficult to see from the main road, consider a telemetry alert system for
maintenance staff.
-Some of the cleanouts associated with the discharge piping are located in areas where they could be
damaged by landscaping equipment. Consider relocating these at or below grade.
Page#

Permit: NCO089559
Inspection Date: 08/23/2017
Owner -Facility: Ridge Haven WWTP
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS,,MCRT, Settleable ❑ ❑ ❑ M
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: The facility and all its components are brand new and only started operation 2 weeks ago.
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new
application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: Complete construction of security fence (in progress at time of inspection)
Bar Screens
Type of bar screen
a.Manual
b.Mechanical
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment: The bar screen has wide slot openings (approximately IT The ORC may consider
retrofitting with smaller openings if this leads to operational issues.
Secondary Clarifier.
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Is the drive unit operational?
Yes No NA NE
❑ ❑ ® ❑
® ❑ ❑ ❑
❑ M ❑ ❑
❑ ❑ ❑
Yes No NA NE
❑ ❑ ❑
❑ ❑ ❑
■ ❑ ❑ ❑
❑ ❑ ❑
Yes No NA NE
❑ ❑ ❑
■ ❑ ❑ ❑
■ ❑ ❑ ❑
❑ .❑ ❑
■ ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
❑ ❑ E'❑
Page# 3

Permit: NCO089559 Owner - Facility: Ridge Haven WV11rP
1
Inspection Date: 08/23/2017 Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes No NA NE
Is the return rate acceptable (low turbulence)?
®
❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
❑
❑
❑
Is the sludge blanket level acceptable? (Approximately %4 of the sidewall depth)
❑
❑
❑
Comment:
Aeration Basins
Yes No NA NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
® ❑
❑
❑
Are surface aerators and mixers operational?
❑ ❑
®
❑
Are the diffusers operational?
0 ❑
❑
❑
Is the foam the proper color for the treatment process?
® ❑
❑
❑
Does the foam cover less than 25% of the basin's surface?
E ❑
❑
❑
Is the DO level acceptable?
❑ ❑
❑
■
Is the DO level acceptable?(1.0 to 3.0 mg/1)
❑ ❑
❑
Comment:
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
®
❑
❑
❑
Are the tablets the proper size and type?
®
❑
❑
❑
Number of tubes in use?
1
Is the level of chlorine residual acceptable?
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
0
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
Comment:
Standby Power
Yes No NA NE
Is automatically activated standby power available?
®
❑
❑
❑
Is the generator tested by interrupting primary power source?
E
❑
❑
❑
Is the generator tested under load?
®
❑
❑
❑
Was generator tested & operational during the inspection?
❑
❑
,❑
E
Do the generator(s) have adequate capacity to operate the entire wastewater site?
0
❑
❑
❑
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
❑
❑
❑
■
Page# 4

Permit: NC0089559
Inspection Date: 08/23/2017
Standby -Power
Is the generator fuel level monitored?
Owner -Facility: Ridge HavenWWTP
Inspection Type: Compliance Evaluation
Comment: The generator is fueled by anon site propane tank with multi -day capacity_
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) 'are they operating properly?
Comment: Continue to maintain the effluent pipe area for easy observation.
Yes No NA NE
■ ❑ ❑ ❑
Yes No NA NE
M ❑ ❑ ❑
■ ❑ ❑ ❑
❑ ❑ ® ❑
Page# 5

TEE:
ATE:
FAST TRACK SEWWEk ENGINEERING CERTIFIC4TION
RIDGE HAVEN, INC.
WQ0038475
RIDGE HAVEN COLLECTION SYSTEM
May 25, 2016
ject shall not be considered complete nor allowed to operate in accordance with Condition 7 of
nit until the Division has received this Certification and all required supporting documentation.
it should be submitted in a manner that documents the Division's receipt. Send the required
documentation to the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completich
of this. Certification shall be considered a violation of the permit acid shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
IPERMITTEE'S CERTiFICAT(ON
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereo,
wlel4fc "SO ex1r. A -
raa..- 7-2—,70
Printed Name, Title %- Signature Date
EMGINEER'S CERTIF➢CAT1014
as a dul registered Professional Engineer in the State of North Carolina,
having been authorized to observe (periodically, ❑ weekly, [1 full time) the construction of the
Ridge Haven. Collection System and location as referenced above for the above Permittee hereby state
that, to the best of my abilities, due care and diligence was used in the observation of the construction
such that the construction was observed to be built within substantial compliance of this permit; 1SA
NCAC 02T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted
February 12,1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of
Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
0 Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
7%b A 7
Division of Waier Resources
JUL 2 8 2017.
NC DWR — Water Quality Regional Operations Section 2090 US Hwy 70 Swannanoa, f C 28 �1 er C�uatihr Regional Operatloi
Asheville Regional Office Phone, (828)-296-4500 FAX: [phone] Asheville sec O":re

­7�-�,o
Ridge Haven, Inc.
Ridge Haven WWTP
Authorization to Construct No. 089559A01
Issued September 12, 2016
RECEIVEDINCDEOIDWR
Engineer's Certification
AUG ' 1:2017
vvater Q $tiora
lax
Perrnitt�n9ec
I, PcLy i k �o� , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Ridge Haven Wastewater -
Treatment Plant, located in Pender County, hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the following construction:
Installation of one (1) manual bar screen rated for 0.0407 MGD; a 3,675-gallon flow
equalization basin with fine bubble diffusers, two (2)12 GPM flow equalization basin
pumps and one (1) 30 CFM flow equalization basin blower; a flow splitter box; two
(2) 7,595-gallon aeration basins with fine bubble diffusers; two (2) 37.5 W secondary
clarifiers; two (2) 5.2 fO rapid sand tertiary fitters, two (2) 78 GPM filter backwash
pumps and one (1) 30 CFM tertiary filter blower; one (1) 781-gallon post aeration
basin; an 820 gallon mud well with two (2) 12 GPM mud well pumps; two (2) UV
disinfection units each with one bank (2 lamps per bank); an aerated 6,540 gallon
aerobic digester; two (2) 125 CFM blowers to serve the aeration basins, clarifier air
lift and aerobic digester; in conformity with the project plans, specifications, and
other supporting data subsequently filed and approved by the Department of
Environmental Quality.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance, intent and in conformity with all applicable regulations and statutes and
the project plans, specifications, and other supporting documentation comprising the
Authorization to Construct Permit Application package.
Signature U � Registration No. a 11-30
Date 7 /2L /1-1.
Mail this Certification to:
Division or Maier Resources
AUG ® 7 2017
Wate- n_ i" v Rsgicna! Operations
Attn: Ron Berry
Complex Permitting Unit
DEQ/DWR/Water Quality Programs
1617 Mail Service Center
Raleigh, NC 27699-1617
7/5blt 7

Cantwell, Janet
From: Wallace Anderson <[e-mail]>
Sent: Wednesday, July 26, 2017 2:56 PM
To: Cantwell, Janet
Subject: FW: EDMR registration for Ridge Haven Inc NC0089559
Attachments: ORC designation EDMR registration.pdf, Signatory designation.pdf
Hi Janet,
Thanks again for helping an Anderson out well "beyond the call of duty."
Attached are the paper that we filed. Please let. me know any changes that I need to make. I assume that I will need to
refile this paperwork to have me as the Facility Admin? I will be glad to do so.
Wallace
1

August 23, 2016
NCDEQ/DWR
1617 Mail Service Center
Raleigh, NC 27669-1617
Attention: Mr. Ron Berry
Re: Ridge Haven WWTP
Permit No. NCO089559
Transylvania County
Authorization to Construct (ATC)
Dear Mr. Barry,
Enclosed is a complete Authorization to Construct (ATC) Application package including one (1) set of
drawings and specifications and an electronic file for Authorization to Construct for the Ridge Haven
WWTP located in Transylvania County.
Please note that this plant is being relocated from Hampstead, North Carolina located in Pender County
and previously permitted under WQ0032115 Hampstead Town Center Wastewater Treatment and
Surface Irrigation System.
This submittal package includes the items as noted on the enclosed Authorization to Construct (ATC)
Application Form.
Should you have any questions or need additional information, please contact David Odom at 828-247-
4495.
Sincerely,
David Odom
152 East Main Street • Forest City • NC • 28043
(828) 247- 4495 • Fax [phone]
Division of Water Resource9
SEP i 2016
Water OuaYity Reglonal Operations
Ashcvilie Regional Office
F

State of North Carolina
` Department of Environmental Quality
Division of Water Resources
Water Resources
ENVIRONMENTAL QUALITY . APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
14)
SECTION 1: INSTRUCTIONS AND INFORMATION
A. The Division of Water Resources will accept this application package for review only if all of the items are provided and the
application is complete. Failure to submit all of the required items will result in the application package being returned as incomplete
p.er'15A NCAC 02T .0105(b).
B. Plans and specifications must be prepared in accordance with 15 NCAC 02H. 0100, 15A NCAC 02T, North Carolina General Statute
133-3, North Carolina General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES
Wastewater Treatment Facilities.
C. The plans and specifications submitted must represent a completed final design that is ready to advertise for bid.
D. Any content changes made to this Form ATC-12-14 shall result in the application package being returned.
E. The Applicant shall submit ONE ORIGINAL and ONE DIGITAL COPY (CD) of the application, all supporting documentation and
attachments. All information must be submitted bound or in a 3-ring binder, with a Section tab for each Section, except the
Engineering Plans.
F. Check the boxes below to indicate that the information is provided and the requirements are met.
G. If attachments are necessary for clarity or due to space limitations, such attachments are considered part of the application
package and must be numbered to correspond to the item referenced.
H. For any project that requires review under the State Environmental Policy Act (SEPA), an Authorization to Construct cannot be
issued prior to the completion of a State Clearinghouse advertisement period for a FONSI, EIS, etc. unless the project qualifies for
a Determination of Minor Construction Activity.
A. For more information, visit the Division of Water Resources web site at: http://portal.ncdenr.org/web/wq/swp/ps/npdes.
t j. In addition to this Authorization to Construct, the Applicant should be aware that other permits may be required from other Sections
of the Division of Water Resources (for example: reclaimed water facilities permits; Class A or B biosolids residuals permit).
SECTION 2: APPLICANT INFORMATION AND PROJECT DESCRIPTION
A. APPLICANT
Applicant's name
RIDGE HAVEN INC.
Signature authority's name per 15A NCAC 02T .0106(b)
WALLACE ANDERSON
Signature authority's title
EXECUTIVE DIRECTOR
Complete mailing address
215 RIDGE HAVEN ROAD, BREVARD, NC 28712
Telephone number
Email address
WALLACE@ RIDGE HAVE N.ORG
PROFESSIONAL ENGINEER
Professional Engineer's name
DAVID ODOM
iDhlslo of Wawr Resourwq
Professional Engineer's title
r
North Carolina Professional Engineer's License No.
21130
Firm name
ODOM ENGINEERING, PLLC
Water CluafftvRegional
Firm License number
P-0880 Asheylife Regional Office
Complete mailing address
152 EAST MAIN STREET, FOREST CITY, NC 28043
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 1

Water Resources
1� ENVIRONMENTAL QUALITY
14)
State of North Carolina
Depal Mient of Environmental Quality
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
Telephone number 828-247-4495
Email address [e-mail]
C. NPDES PERMIT
NPDES Permit number
NCO089559
Current Permitted flow (MGD) — include permit
0.0163
flow phases if applicable
D. PROJECT DESCRIPTION
Provide a brief description of the project: WWTP WITH DESIGN FLOW OF 16, 300 GALLONS PER DAY DOMESTIC WASTE. THE
AERATION AND CLARIFIER CHAMBERS SHALL BE OF A QUALIFIED DESIGN. CLARIFIERS SHALL BE THE GRAVITY HOPPER CLARIFIER
TYPE THE PROPOSED PACKAGE WASTEWATER TREATMENT SYSTEM SHALL INCLUDE NECESSARY TANK VESSELS, INTERNAL
PIPING VALVING WEIRS BAFFLES AND ALL ITEMS OF EQUIPMENT AS LISTED. SECONDARY TREATMENT SYSTEM SHALL BE
SINGLE FLOW EQUALATION SYSTEM FLOW PROPORTIONING CHAMBER FLOW SPUTTER, DUAL AERATION CHAMBERS, DUAL
GRAVITY HOPPER TYPE CLARIFIERS AND SUDGE HOLDING CHAMBER. IN ADDITION, SHALL INCLUDE ONE RAPID SAND TERTIARY
FILTER SYSTEM. THIS SYSTEM SHALL INCLUDE DUAL FILTER CELLS, MUD WELL CHAMBER CLEAR WELL CHAMBER, AND UV
DISINFECTION SYSTEM OF DUALIZED TYPE.
SECTION 3: APPLICATION ITEMS REQUIRED FOR SUBMITTAL FOR ALL PROJECTS
A. Cover Letter
® The letter must include a request for the Authorization to Construct; the facility NPDES Number; a brief project description
that indicates whether the project is a new facility, facility modification, treatment process modification, or facility expansion;
the construction timeline; and a list of all items and attachments included in the application package.
❑ If any of the requirements of 15 NCAC 02H. 0100, 15A NCAC 02T, North Carolina General Statute 133-3, North Carolina
General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES Wastewater Treatment
Facilities are not met by the proposed design, the letter must include an itemized list of the requirements that are not met.
B. NPDES Permit
® Submit Part I of the Final NPDES permit for this facility that includes Part A (Effluent Limitations and Monitoring Requirements)
for the monthly average flow limit that corresponds to the work that is requested for this project.
C. Special Order by Consent
❑ If the facility is subject to any Special Orders by Consent (SOC), submit the applicable SOC.
® Not Applicable.
D. Finding of No Significant Impact or Record of Decision
❑ Submit a copy of the Finding of No Significant Impactor Record of Decision for this project.
❑ Provide a brief description of any of the mitigating factors or activities included in the approved Environmental Document
that impact any aspect of design of this project, if not specified in the Finding of No Significant Impact or Record of Decision.
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 2

State of North Carolina
Depar-Lment of Environmental Quality
Division of Water Resources
Water Resources
ENVIRONMENTAL QUALITY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
14)
® Not Applicable.
E. Engineering Plans
® Per 15A NCAC 02T .0504(c)(1), submit one set of detailed plans that have been signed, sealed and dated by a North Carolina
Licensed Professional Engineer.
® Per 21 NCAC 56 .1103(a)(6), the name, address and License number of the Licensee's firm shall be included on each sheet of
the engineering drawings.
® Plans must be labeled as follows: FINAL DRAWING — FOR REVIEW PURPOSES ONLY— NOT RELEASED FOR CONSTRUCTION.
® 15A NCAC 02H .0124 requires multiple (dual at a minimum) components such as pumps, chemical feed systems, aeration
equipment and disinfection equipment. Is this requirement met by the design? ® Yes or ❑ No. If no, provide an
explanation:
Plans shall include:
® Plans for all applicable disciplines needed for bidding and construction of the proposed project (check as appropriate):
® Civil ❑ Not Applicable
® Process Mechanical ❑ Not Applicable
® Structural ❑ Not Applicable
® Electrical ❑ Not Applicable
❑ Instrumentation/Controls ❑ Not Applicable
❑ Architectural ❑ Not Applicable
❑ Building Mechanical ❑ Not Applicable
❑ Building Plumbing ❑ Not Applicable
® Plan and profile views and associated details of all modified treatment units including piping, valves, and equipment (pumps,
blowers, mixers, diffusers, etc.)
® Are any modifications proposed that impact the hydraulic profile of the treatment facility? ❑ Yes or ® No. If yes, provide
a hydraulic profile drawing on one sheet that includes all impacted upstream and downstream units. The profile shall include
the top of wall elevations of each impacted treatment unit and the water surface elevations within each impacted treatment
unit for two flow conditions: (1) the NPDES permitted flow with all trains in service and (2) the peak hourly flow with one
treatment train removed from service.
® Are any modifications proposed that impact the process flow diagram or process flow schematic of the treatment facility?
❑ Yes or ® No. If yes, provide the process flow diagram or process flow schematic showing all modified flow paths including
aeration, recycle/return, wasting, and chemical feed, with the location of all monitoring and control instruments noted.
F. ® Engineering Specifications
® Per 15A NCAC 02T .0504(c)(2), submit one set of specifications that have been signed, sealed and dated by a North Carolina
Licensed Professional Engineer.
® Specifications must be labeled as follows: FINAL SPECIFICATIONS — FOR REVIEW PURPOSES ONLY — NOT RELEASED FOR
CONSTRUCTION.
Specifications shall include:
❑ Specifications for all applicable disciplines needed for bidding and construction of the proposed project (check as
appropriate):
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 3

State of North Carolina
Depal L11i,ent of Environmental Quality
Division of Water Resources
Water Resources
" ENVIRONMENTAL QUALITY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
`!4)
®
Civil
® Not Applicable
®
Process Mechanical
❑ Not Applicable
®
Structural
❑ Not Applicable
®
Electrical
❑ Not Applicable
❑
Instrumentation/Controls
® Not Applicable
❑
Architectural
® Not Applicable
❑
Building Mechanical
® Not Applicable
❑
Building Plumbing
® Not Applicable
® Detailed specifications for all treatment units and processes including piping, valves, equipment (pumps, blowers, mixers,
diffusers, etc.), and instrumentation.
® Means of ensuring quality and integrity of the finished product including leakage testing requirements for structures and
pipelines, and performance testing requirements for equipment.
❑ Bid Form for publically bid projects.
G. Construction Sequence Plan
® Construction Sequence Plan such that construction activities will not result in overflows or bypasses to waters of the State.
The Plan must not imply that the Contractor is responsible for operation of treatment facilities. List the location of the
Construction Sequence Plan as in the Engineering Plans or in the Engineering Specifications or in both: _
H. Engineering Calculations
® Per 15A NCAC 02T .0504(c)(3), submit one set of engineering calculations that have been signed, sealed and dated by a North
Carolina Licensed Professional Engineer; the seal, signature and date shall be placed on the cover sheet of the calculations.
For new or expanding facilities and for treatment process modifications that are included in Section 4.C, the calculations shall
include at a minimum:
® Demonstration of how peak hour design flow was determined with a justification of the selected peaking factor.
® Influent pollutant loading demonstrating how the design influent characteristics in Section 4.13.2 of this form were
determined.
® Pollutant loading for each treatment unit demonstrating how the design effluent concentrations in Section 4.13.2 of this form
were determined.
® Hydraulic loading for each treatment unit.
® Sizing criteria for each treatment unit and associated equipment (blowers, mixers, pumps, etc.)
® Total dynamic head (TDH) calculations and system curve analysis for each pump specified that is included in Section 4.C.6.
❑ Buoyancy calculations for all below grade structures.
® Supporting documentation that the specified auxiliary power source is capable of powering all essential treatment units..
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 4

Water Resources
ENVIRONMENTAL QUALITY
-14)
I. Permits
J.
State of North Carolina
Department of Environmental Quality
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
❑ Provide the following information for each permit and/or certification required for this project:
Permit/Certification
Not
Applicable
Date
Submitted
Date
Approved
Permit/
Certification
Number
If Not Issued Provide
Status and Expected
Issuance Date
Dam Safety
x
Soil Erosion and Sediment Control
03/30/16
04/22/16
NCG01000
USCOE / Section 404 Permit
x
Water Quality Certification (401)
x
USCOE / Section 10
x
Stormwater Management Plan
x
CAMA
x
NCDOT Encroachment Agreement
07/25/16
08/03/16
201688018
Railroad Encroachment Agreement
x
Other:FTSA
05/09/16
05/25/16
WQ0038475
Residuals Management Plan
® For all new facilities, expanding facilities, or modifications that result in a change to sludge production and/or sludge
processes, provide a Residuals Management Plan meeting the requirements of 15A NCAC 02T .0504(i) and .0508; the Plan
must include:
® A detailed explanation as to how the generated residuals (including trash, sediment and grit) will be collected, handled,
processed, stored, treated, and disposed.
❑ An evaluation of the treatment facility's residuals storage requirements based upon the maximum anticipated residuals
production rate and ability to remove residuals.
❑ A permit for residuals utilization or a written commitment to the Applicant from a Permittee of a Department approved
residuals disposal/utilizationprogram that has adequate permitted capacity to accept the residuals or has submitted a
residuals/utilization program application.
❑ If oil, grease, grit or screenings removal and collection is a designated unit process, a detailed explanation as to how the
oil/grease will be collected, handled, processed, stored and disposed.
❑ Not Applicable.
SECTION 4: PROJECT INFORMATION
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 5

Water Resources
Nh ENVIRONMENTAL QUALITY
14)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
A. WASTEWATER TREATMENT PLANT FLOW INFORMATION — COMPLETE FOR NEW OR EXPANDING FACILITIES
1. Provide the following flow information:
Plant Flows
Existing Plant Design
0.0163 MGD
Current NPDES Permit Limit
0.0163 MGD
Current Annual Average
(past 12 months)
N/A MGD
For Past 12 Months:
Start Date: month/yr
End Date: month/yr
For Past 24 Months:
Start Date: month/yr
End Date: month/yr
Maximum Month
N/A MGD
N/A MGD
Maximum Day
N/A MGD
N/A MGD
Peak Hour
N/A
N/A
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 6

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Water Resources
ENVIRONMENTAL QUALITY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
14)
B. WASTEWATER TREATMENT FACILITY DESIGN INFORMATION —COMPLETE FOR NEW OR EXPANDING FACILITIES AND
FOR TREATMENT PROCESS MODIFICATIONS
1. Have all of the requirements of 15 NCAC 02H. 0100, 15A NCAC 02T, North Carolina General Statute 133-3, North Carolina
General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES Wastewater Treatment
Facilities been met by the proposed design and specifications? ® Yes or ❑ No. If no, provide justification as to why the
requirements are not met, consistent with 15A NCAC 02T .0105(n):
2. Provide the design influent and effluent characteristics that are used as the basis for the project design, and the NPDES
permit limits for the following parameters:
Project Basis of Design
Design Influent
Design Influent
Influent
Concentration
Load
Concentration -
(Must be
(Must be
Current Annual
supported by
supported by
Design Effluent
Average (past
Engineering
Engineering
Concentration and/or
NPDES Permit Limits
12 months) if
Calculations
Calculations
Load
(monthly average)
Parameter
Available
[Section 3.H])
[Section 3.H])
mg/L Summer
mg/L Summer
Ammonia Nitrogen
mg/L
mg/L
lb/day
'(NH3-N)
mg/L Winter
mg/L Winter
Biochemical
<30 mg/LSummer
30 mg/LSummer
Oxygen Demand
mg/L
250 mg/L
34 lb/day
(BODs)
<30 mg/L Winter
30 mg/L Winter
Fecal Coliform
<200 per 100 mL
<200 per 100 mL
Nitrate + Nitrite
Nitrogen (NOs-N +
mg/L
mg/L
N Oz-N )
Total Kjeldahl
mg/L
�-
Nitrogen
mg/L
mg/L
Total Nitrogen
lb/year
lb/year
mg/L
mg/L
Total Phosphorus
mg/L
mg/L
lb/day
lb/year
lb/year
Total Suspended mg/L 250 mg/L 34 Ib/day I <30 mg/L I 30 mg/L
Solids (TSS)
3. Based on the "Project Basis of Design" parameters listed above, will the proposed design allow the treatment facility to
meet the NPDES Permit Limits listed above? ® Yes or ❑ No. If no, describe how and why the Permit Limits will not be
met:
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 7

State of North Carolina
` Department of Environmental Quality
Division of Water Resources
�Noter Resources
ENVIRONMENTAL QUALITY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
14)
4. Per 15A NCAC 02T .0505(i), by-pass and overflow lines are prohibited. Is this condition met by the design? ® Yes or ❑ No
If no, describe the treatment units bypassed, why this is necessary, and where the bypass discharges:
5. Per 15A NCAC 02T .0505(k), multiple pumps shall be provided wherever pumps are used. Is this condition met by the
design? ® Yes or ❑ No. If no, provide an explanation:
6. Per 15A NCAC 02T .0505(I), power reliability shall be provided consisting of automatically activated standby power supply
onsite capable of powering all essential treatment units under design conditions, or dual power supply shall be provided
per 15A NCAC 02H. 0124(2)(a). Is this condition met by the design? ® Yes or ❑ No. If no, provide (as an attachment
to this Application) written approval from the Director that the facility:
➢ Has a private water supply that automatically shuts off during power failures and does not contain elevated water
storage tanks, and
➢ Has sufficient storage capacity that no potential for overflow exists, and
➢ Can tolerate septic wastewater due to prolonged detention.
7. Per 15A NCAC 02T .0505(ob a minimum of 30 days of residual storage shall be provided. Is this condition met by the
design? ® Yes or ❑ No. If no, explain the alternative design criteria proposed for this project in accordance 15A NCAC
02T .105(n):
8. Per 15A NCAC 02T .0505(a), the public shall be prohibited from access to the wastewater treatment facilities. Explain how
the design complies with this requirement: FENCED SITE WITH RESTRICTED ACCESS
9. Is the treatment facility located within the 100-year flood plain? ❑ Yes or ® No. If yes, describe how the facility is
protected from the 100-year flood:
C. WASTEWATER TREATMENT UNIT AND MECHANICAL EQUIPMENT INFORMATION —COMPLETE FOR NEW OR
EXPANDING FACILITIES AND FOR MODIFIED TREATMENT UNITS
1. PRELIMINARY AND PRIMARY TREATMENT (i.e., physical removal operations and flow equalization):
No. of
Plan Sheet
Specification
Calculations
Treatment Unit
Units
Type
Size per Unit
Reference
Reference
Provided?
(Yes or No)
"SPACING
0.04075 MGD at peak hourly
I
7
5
E
NO
Manual Bar Screen
1
.5
flow
.
Mechanical Bar
N/A
N/A
MGD at peak hourly flow
N/A
N/A
Screen
Grit Removal
N/A
N/A
MGD at peak hourly flow
N/A
N/A
Flow Equalization
1
--
3.675 gallons
7-8
4-7
NO
Primary Clarifier
N/A
Circular
ft diameter; ft side
N/A
N/A
N/A
water depth,
Primary Clarifier
N/A
Rectangular
square feet;
water depth ft side
N/A
N/A
N A
Other
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 8

State of North Carolina
Department of Environmental Quality
! Division of Water Resources
Water Resources
ENVIRONMENTAL QUALITY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
14)
2. SECONDARY TREATMENT (BIOLOGICAL REACTORS AND CLARIFIERS) (i.e., biological and chemical processes to remove
organics and nutrients)
3
Calculations
Treatment Unit
No. of
Type
Size per Unit
Plan Sheet
Specification
Provided?
Units
Reference
Reference
(Yes or No)
Aerobic Zones/
2
RECTANGULAR
7,595 gallons
7-9
7-10
YES
Tanks
Anoxic Zones/
N/A
N/A
gallons
N/A
N/A
Tanks
Anaerobic
N/A
N/A
gallons
N/A
N/A
Zones/Tanks
Sequencing Batch
N/A
--
gallons
N/A
N/A
Reactor (SBR)
Membrane
N/A
--
gallons
N/A
N/A
Bioreactor (MBR)
Secondary Clarifier
N/A
Circular
ft diameter; ft
side water depth
N/A
N/A
Secondary Clarifier
2
Rectangular
37.5 square feet; 10.5 ft side
7 9
8
YES
water depth
Other
TERTIARY TREATMENT
Treatment Unit
No. of
Type
Size per Unit
Plan Sheet
Specification
Calculations
Provided?
Units
Reference
Reference
(Yes or No)
Tertiary Clarifier
N/A
Circular
ft diameter; ft
side water depth
N/A
N/A
NO
Tertiary Clarifier
N/A
Rectangular
square feet; ft
side water depth
N/A
N/A
NO
Tertiary Filter
2
RAPID SAND
5.2 square feet
7-9
11-14
NO
Tertiary Membrane
N/A
N/A
square feet
N/A
N/A
N/A
Filtration
Post -Treatment
N/A
_
gallons
N/A
N/A
N/A
Flow Equalization
Post -Aeration
1
RECTANGULAR
781 gallons
7-9
14
NO
Other
4. DISINFECTION
No. of
Plan Sheet
Specification
Calculations
Treatment Unit
Units
Type
Size per Unit
Reference
Reference
Provided?
(Yes or No)
16300 gal/day per bank at
NO
Ultraviolet Light
2
(Parallel; in
peak hourly flow; 1 number of
7-9
15-16
series)
banks; 2 number of
lamps/bank
(Gas;
gallons of contact
Chlorination
tablet; liquid)
tank/unit
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 9

Water Resources
1 ENVIRONMENTAL QUALITY
}
'14)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
Dechlorination
(Gas;
gallons of contact
tablet; liquid)
tank/unit
S. RESIDUALS TREATMENT
Treatment Unit
No. of
Type
Size per Unit
Plan Sheet
Specification
Calculations
Provided?
Units
Reference
Reference
(Yes or No)
Gravity Thickening
N/A
N/A
square feet; ft side
N/A
N/A
�J
Tank
water depth
Mechanical
Thickening/
N/A
N/A
dry lb/hour
N/A
N/A
Dewatering
Aerobic Digestion
gallons
7-8
10-11
YES
Anaerobic
N/A
N/A
gallons
N/A
N/A
Digestion
Composting
N/A
N/A
dry lb/hour
N/A
N/A
Drying
N/A
N/A
dry lb/hour
N/A
N/A
Other
6. PUMP SYSTEMS (include influent, intermediate, effluent, major recycles, waste sludge, thickened waste sludge and plant
drain DumDs)
Capacity of
No. of
plan Sheet
Specification
Location
pumps
Purpose
,Type
each pump
Reference
Reference
GPM
TDH
PUMP FROM EQ
GOULDS 38878F
FLOW EQUALIZATION
2
TANK TO AERATION
12
15
7-8
7
HP
TANK
TERTIARY FILTER
2
FILTER BACKWASH
1.5HP 460V, 60HZ,3PA
78
15
7-9
12
PUMP FROM
MYERS 1/2 HP, 460V
TERTIARY FILTER
2
MUDWELL TO EQ
60HZ, 3PA
12
15
7-9
13
BASIN
7. MIXERS
Location
No. of
Mixers
Purpose
Type
Power of
each Mixer
(Hp)
plan Sheet
Reference
Specification
Reference
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 10

Water Resources
ENVIRONMENTAL DUALITY
'14)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 11

Water Resources
ENVIRONMENTAL QUALITY
14)
8. BLOWERS
State of North Carolina
Department of Environmental Quality
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12- ,
No. of
Capacity of
Plan Sheet
Specification
Location
Blowers
purpose
Type
each Blower
Reference
Reference
(CFM)
FLOW EQUALIZATION
1
EQUALIZATION
TEII-30-1122
30@5PSI
7-8
5-6
TANK
AERATION TANK,
AERATION BASIN
2
CLARIFIER AIR LIFT,
URAI-33
125@5PSI
7-8-9
8-9
AEROBIC DIGESTOR
TERTIARY FILTER
1
TERTIARY FILTER
TEII-30-R22
30@5PSI
7-9
13
CELLS
9. ODOR CONTROI
Location
No. of
Units
Purpose
Type
Plan Sheet
Reference
Specification
Reference
D. SETBACKS —COMPLETE FOR NEW WASTEWATER TREATMENT STRUCTURES
1. The minimum distance for each setback parameter to the wastewater treatment/storage units per 15A NCAC 02T .0506(b)
are as follows:
Minimum Distance
Is Minimum Distance
Required from Nearest
Requirement met by the
"No",
Setback Parameter
Treatment/Storage
Design? If identify
Unit
Setback Waivers in Item D.2
Below
Any habitable residence or place of assembly under separate
100 ft
® Yes
❑ No
ownership or not to be maintained as part of the project site
Any private or public water supply source
100 ft
® Yes
❑ No
Surface waters (streams — intermittent and perennial, perennial
50 ft
® Yes
❑ No
waterbodies, and wetlands)
Any well with exception of monitoring wells
100 ft
® Yes
❑ No
Any property line
50 ft
® Yes
❑ No
2. Have any setback waivers been obtained per 15A NCAC 02T .0506(d)? ❑ Yes or ® No.. If yes, have these waivers been
written, notarized and signed by all parties involved and recorded with the County Register of Deeds? ❑ Yes or ❑ No. If
no, provide an explanation:
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 12

Water Resources
j ENVIRONMENTAL QUALITY
14)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 13

State of North Carolina
;; Ira
Department of Environmental Quality
Division of Water Resources
Water Resources
") ENVIRONMENTAL QUALITY APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
14)
SECTION 5: APPLICATION CERTIFICATION BY PROFESSIONAL ENGINEER
Professional Engineer's Certification per 15A NCAC 02T .0105:
I, David Odom, P.E. attest that this application package for an Authorization to Construct
(Typed Name of Professional Engineer)
for the Ridge Haven Inc., Ridge Haven Sewer Project
(Facility and Project Name)
was prepared under my direct supervisory control and to the best of my knowledge is accurate, complete and consistent
with the information supplied in the engineering plans, specifications, calculations, and all other supporting
documentation for this project. I further attest that to the best of my knowledge the proposed design has been
prepared in accordance with all applicable regulations and statutes, 15 NCAC 02H. 0100, 15A NCAC 02T, North Carolina
General Statute 133-3, North Carolina General Statute 143-215.1, and Division of Water Resources Minimum Design
Criteria for NPDES Wastewater Treatment Facilities, and this Authorization to Construct Permit Application, except as
provided for and explained in Section 4.6.1 of this Application. I understand that the Division of Water Resources'
issuance of the Authorization to Construct Permit may be based solely upon this Certification and that the Division may
waive the technical review of the plans, specifications, calculations and other supporting documentation provided in this
Application package. I further understand that the application package may be subject to a future audit by the Division.
Although certain portions of this submittal package may have been prepared, signed and sealed by other professionals
licensed in North Carolina, inclusion of these materials under my signature and seal signifies that I have reviewed the
materials and have determined that the materials are consistent with the project design.
understand that in accordance with 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 with written signature placed over or adjacent to the seal and dated:
^�}e4ee®o U o'eje�e
"CIIAA
V-1
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 13

State of North Carolina
Department of Environmental Quality
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-
14)
SECTION 6: APPLICATION CERTIFICATION BY APPLICANT
Applicant's Certification per 15A NCAC 02T.0106(b): -
I, Wallace Anderson, Executive Director, Ridge Haven Inc., attest that this application package for an Authorization to
Construct
(Typed Name of Signature Authority and Title)
for the Ridge Haven Inc, Ridge Haven Sewer Proiect
(Facility and Project Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. 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. I further certify that in
accordance with 15A NCAC 02T .0120(b), the Applicant or any affiliate has not been convicted of environmental crimes,
has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all
appeals have been abandoned or exhausted, are compliant with any active compliance schedule, and does not have any
overdue annual fees.
I understand that the Division of Water Resources' issuance of the Authorization to Construct Permit may be based
solely upon acceptance of the Licensed Professional Engineer's Certification contained in Section 5, and that the Division
may waive the technical review of the plans; specifications, calculations and other supporting documentation provided
in this application package. I further understand that the application package may be subject to a future audit.
I understand that in accordance with 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 excee Z1,00, as well as civil penalties up to $25,000 per violation.
Signature: 44e1*4 Date: %-ZF
THE COMPLETED APPLICATION AND SUPPORTING INFORMATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OVWATER RESOURCES/NPDES
By U.S. Postal Service By Courier/Special Delivery:
1617 MAIL SERVICE. CENTER 512 N. SALISBURY STREET, 9TH FLOOR
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 14

Water Resources
ENVIRONMENTAL QUALITY
September 12, 2016
Mr. Wallace Anderson, Executive Director
Ridge Haven, Inc.
215 Ridge Haven Road
Brevard, North Carolina 28712
Dear Mr. Anderson:
PAT MCCRORY
Corernor
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
SUBJECT: Authorization to Construct
A to C No. 089559A01
Ridge Haven, Inc.
Ridge Haven WWTP
Direcrrn"
A letter of request for an Authorization to Construct was received August 29, 2016, by the
Division of Water Resources (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 modifications to the existing 0.0163 MGD Ridge Haven VWVTP, with discharge
of treated wastewater into the Toxaway Creek in the Savannah River Basin. -
This authorization results in no increase in design or permitted capacity and is awarded for
the construction of the following specific modifications:
Installation of one (1) manual bar screen rated for 0.0407 MGD; a 3,675-gallon flow
equalization basin with fine bubble diffusers, two (2) 12 GPM flow equalization basin
pumps and one (1) 30 CFM flow equalization basin blower; a flow splitter box; two (2)
7,595-gallon aeration basins with fine bubble diffusers; two (2) 37.5 ft2 secondary
clarifiers; two (2) 5.2 ft2 rapid sand tertiary filters, two (2) 78 GPM filter backwash
pumps and one (1) 30 CFM tertiary filter blower; one (1) 781-gallon post aeration basin;
an 820 gallon mud well with two (2) 12 GPM mud well pumps; two (2) UV disinfection
units each with one bank (2 lamps per bank);. an aerated 6,540 gallon aerobic digester;
two (2) 125 CFM blowers to serve the aeration basins, clarifier air lift and aerobic
digester; in conformity with the project plans, specifications, and other supporting data
subsequently filed and approved by the Department of Environmental Quality.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NCO089559 issued April 1, 2016, and shall be subject to revocation unless the
wastewater treatment facilities are constructed in accordance with the conditions and limitations
specified in Permit No. NC0089559.
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 Division.
State of North Carolina I Environmental Quality I Water Resources
1617 Mail service Center I Raleigh, North Carolina 27699-1617
Location: 512 N_ Salisbury St, Raleigh, North Carolina 27604, Archdale Building 9th Floor
Phone: [phone] / Fax: [phone]

Mr. Wallace Andersbn, Ei tive Director
September 12, 2016
Page 2 of 3
In the event that the facilities fail to perform satisfactorily, including the -creation of
nuisance conditions, the Perminee shall take immediate corrective action, including those as may
be required by the Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Asheville Regional Office, telephone number 82&296-4500, shall be notified at least
forty-eight (48) hours in advance of operation of the installed facilities so that an on -site inspection
can be made. Such notification to the regional supervisor shall be made during the normal .office
hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.
Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the permitted facility
has been installed in accordance with the NPDES Permit, this Authorization to Construct and the
approved plans and specifications. Mail the Certification to: Division of Water Resources, WQ
Permitting Section — NPDES, 1617 Mail Service Center, Raleigh, NC 27699-1617.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities. The operator must hold a certificate of the type and grade at least
equivalent to or greater than the classification assigned to the wastewater treatment facilities by
the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class II, III and IV facility at least daily, excluding
weekends and holidays, must properly manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of T15A:8G.0202.
A copy of the approved plans and specifications shall be maintained on file by the Permittee
for the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall
continue to properly maintain and operate the existing wastewater treatment facilities at all times,
and in such a manner, as necessary to comply with the effluent limits specified in the NPDES
Permit.
You are reminded that it is mandatory for the project to be constructed in accordance with
the North Carolina Sedimentation Pollution Control Act, and when applicable, the North Carolina
Dam Safety Act. In addition, the specifications must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
applicable permits from the State.

Wallace Anderson, Execu
;tuber 12, 2016
3of3
Director
Failure to- abide by the requirements contained in this Authorization to- Construct- may- -
au�p' the Permittee to an enforcement action by the Division 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.
If you have any questions or need additional information, please contact Ron Berry at
telephone number [phone].
Sincerely,
L S. Jay Zimmerman
Director, Division of Water Resources
Attachment
cc: David Odom, P.E., Odom Engineering, 152 East Main St., Forest City, NC 28043
Wp.WR/AsielleRegiorialQfF, Water Quality Programs
Ron Berry
Michelle McKay, E.I.
Central Files
NPDES File

Ridge Haven, Inc.
Ridge Haven WWTP
Authorization to Construct No. 089559A01
Issued September 12, 2016
Engineer's Certification
I, , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Ridge Haven Wastewater
Treatment Plant, located in Pender County, hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the following construction:
Installation of one (1) manual bar screen rated for 0.0407 MGD; a 3,675-gallon flow.
equalization basin with fine bubble diffusers, two (2) 12 GPM flow equalization basin
pumps and one (1) 30 CFM flow equalization basin blower; a flow splitter box; two
(2) 7,595-gallon aeration basins with fine bubble diffusers; two (2) 37.5 fO secondary
clarifiers; two (2) 5.2 ft2 rapid sand tertiary filters, two (2) 78 GPM filter backwash
pumps and one (1) 30 CFM tertiary filter blower; one (1) 781-gallon post aeration
basin; an 820 gallon mud well with two (2)12 GPM mud well pumps; two (2) UV
disinfection units each with one bank (2 lamps per bank); an aerated 6,540' gallon
aerobic digester; two (2) 125 CFM blowers to serve the aeration basins, clarifier air
lift and aerobic digester; in conformity with the project plans, specifications, and
other supporting data subsequently filed and approved by the Department of
Environmental Quality.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance, intent and in conformity with all applicable regulations and statutes and
the project plans, specifications, and other supporting documentation comprising the
Authorization to Construct Permit Application package.
Signature
Date
Registration No.
Mail this Certification to: Attn: Ron Berry
Complex Permitting Unit
DEQ/DWR/Water Quality Programs
1617 Mail Service Center
Raleigh, NC 27699-1617

RECEIVED/DENR/DWR
MAY 2 2 2015
Water Quality
Permitting Section
d qt
Preliminary Engineering Report
For Wastewater Treatment Alternatives
AT
Rid a Haven Camp and Conference Center
Rosman, North Carolina
Pow—
cs1l�c�e A-4 i1
David S. Shaw, PE
1/31/2015
EAL
' sae !
��.�G•••FyGtNt •'�?��
. David S. Shaw, PE
20 Buena Vista Ave
Greenville, SC 29607

ENGINEERING REPORT
t'I
Project Planning
I
A. Location
B. Environmental Resources Present
C. Population Trends
D. Community Engagement
Existing Facilities
A. Location Map
B. History
C. Condition of Existing Facilities
D. Financial Status of any Existing Facilities
Need for the Project
A. Health, Sanitation and Security
B. Aging infrastructure
C. Reasonable Growth
Alternatives Considered
A. Description
B. Design Criteria
C. Map
D. Environmental Impacts
E. Land Requirements
F. Potential Construction Problems
G. Sustainability Considerations
H. Cost Estimates
Proposed Project (Recommend Alternative)
A. Preliminary Project Design
B. Project Schedule
C. Permit Requirements
D. Sustainability Considerations
E. Total Project Cost Estimate
Conclusions and Recommendadons

3. Building Locations
4. Partial Portion of USGS NC Eastatoe Gap Quad
Appendices
A. Map of the Project Site
B. Simplified Flow Diagram

ENGINEERING REPORT
Project Planning
Location
Ridge Haven is a summer Camp and Retreat that is located off the intersection of Frozen Creek Road and
Old Toxaway Road in Transylvania County, North Carolina. The main camp site occupies the southeast
third of lot 9375. The estimated area developed by the camp is 125 acres. The lot comprises 703 acres
that are primarily wood with steep slope hills. Two tributaries to Toxaway Creek have their head waters
in the property. Figure 1 shows the general location of the property and the streams.
Environmental Resources Present
Figure 2 shows the contour map. Elevation at the southern end of the developed property is at
approximately 1950. This slopes up along the access road till it reaches an elevation of 2230 feet on the
North site of the developed property. This rise of 280 feet is not unusual for this hilly area of
Transylvania County.
Most of the area is underlain by bedrock and the area is covered with second growth trees. The soil
maps indicate that the surficial soil is Ashe-Edneville complex and has a depth of up to 30 inches.
Underlying this is sapolite (weathered bedrock).
Mean rainfall for the area is around 74 inches per year and with the shallow soil cover run off from rain
events is quick and there is little retention is the soil layer. Stream rise during rain events is rapid and
the return to normal flow levels is almost as fast. The shallow soil cover has little "sponge" effect to
attenuate rainfall.
This is particularly true for the "artificial rainfall" induced by a spray or drip irrigation system.
Population Trends
The camp has had increases in attendance since it was first constructed in the 1980's. However there
has been little growth since then until the last few years. Last year the facility that was designed to feed
200 was feeding up to 500 campers, staff and guests.
The response from the Camp community has been good and it is anticipated that additional cabins and
facilities will be needed next year. This camp serves as a local retreat that is close by, but at the same
time is isolated for the day to day cares and responsibilities. As such, the use of these facilities is
growing. Unlike a "summer" camp, Ridge Haven has a Camp or Retreat every month of the year, in
addition to the regular summer weeks of camp.
Community Engagement
Since this facility is not self-supporting, there are on occasion fund raising efforts to support capital
improvements. The response to the current fund drive for the proposed treatment system and
expansion of the camp facilities has been very good. Even without definitive plans the camp has raised
almost all the funds needed for the wastewater treatment project. The director believes that as plans

PAGE 5
the church community will provide the entire support necessary to complete the construction
There has been considerable involvement of the local Health Department and the local regional office of
DENR. During the previous year, the camp and the local authorities worked together to keep the camp
within the operating parameters of the onsite septic system. This was accomplished through the use of
one time use utensils.
Existing Facilities
Location Map
Figure 1 as previously referred to in the Project Planning section, provides the location of the facility in
Transylvania County. Figure 3 shows the layout of the area with the various living quarters and dining
hall. Currently all the units are on septic systems and leach fields. The location of the existing septic
tanks and leach fields are generally next to the building, however in 2006 new, remote fields were
installed for the Shephards Hall and Robeson facilities. These facilities for Shephards Hall were
designed for 200 campers/ 3 meals a day.
History
A majority of the housing units were constructed in the 1980s. They were installed with Septic Tanks
and leach fields. Since they were used primarily during the summer seasons, there was a considerable
rest period for the leach fields. As such, no major failures were reported.
The summer of 2014 presented an extremely full schedule, such that approximately 500 people were
being fed at the dining hall that had been designed to feed 200. Since the septic system was designed
on water flow for 200, the State required that that to stay within the permit limits the quantity of water
used feeding the 500 must be less than 3000 gallons per day. This was further backed up by the
installation of a water meter to confirm the quantity of water entering the Shephards Hall building. As a
result, paper plates and disposable utensils were used to keep the water use down.
Condition of Existing Facilities
The Financial Status of any Existing Facilities is solid, campers are applying in record numbers and the
support of the church and local community has been strong. A fund raising campaign has been started
and funds have been contributed and promised that will fund this expansion program. The Camp is
currently debt free. In addition the Camp hasa' letter of credit in the amount of $200,000, with no
balance against it.
The move from a passive treatment system with subsurface disposal to an active treatment system with
monitored discharges will be a major change in current operations. There has been much discussion
with the Wilds Camp just up the road about the operations required for this change. The Wilds has been
very helpful to discuss all the activities required and have offered help in the start up process.

Inwuc nrwruv
ENGINEERING REPORT
Need for the Project ,
Health, Sanitation and Security
I The current goal is to provide a facility at the camp that is able to serve a variety of healthful foods, with
the highest level of sanitation so that the campers and staff are able to enjoy the camping experience
without the concerns food and water borne illness. This ability to serve is being hampered by the lack of
cleaning water due to the limitations of the disposal system. To that end the project will allow the
freedom to use dishes and utensils freely for a variety of foods. These utensils can be washed, sterilized
and reused. The end result is lower costs for paper goods, lower disposal costs and quantities, thus
improving the camps financial position and decrease the waste load from the camp.
Aging infrastructure
The current septic system for the dining hall was constructed in 2006 and 2007. The anticipated life is at
least 10 years with good maintenance. The issue is the number of campers has greatly exceeded the
capacity of the system. There were new systems installed to service the Averett and Robeson halls as
well as the Shepherd's Hall Cafeteria However there are other septic systems that are original to the
camp structure that they service. These systems have survived due to the extended rest periods they
receive between camp seasons. However, when these systems finally fail they will be added to the load
on the proposed treatment system.
Reasonable Growth
When the septic systems were designed we used a growth rate of 35 % over the life. That as it turns out
was not sufficient, as the growth rate as measured by people eating has grown from 147 in 2005 to over
500 in 2014. This extraordinary growth came as a result of using the existing facilities more effective
and by a continuing demand from additional campers.
Based on the current facilities, the camp is at about maximum capacity, however there is current plans
to expand the facilities once the issues with the dining room have been solved. Therefore we have
estimated an ultimate increase of 250 campers for a total to be fed at the dining hall of 750 campers per
day.
Alternatives Considered
Description
The first consideration is to increase the size of the septic system. For a septic system to serve 750
campers for dining only at 15 gallons each the design flow would be 11,250 gallons per day. This is at
the upper limit of large quantity septic systems. The camp has been told that such a system would not
be permitted in the mountainous region of western North Carolina. No further effort was made on this
option. This was communicated from Mr. Jim Boyer of the local office of Transylvania County Health
Department. Mr. Boyer has said that he will send a letter documenting this by the first week in June.
The second consideration is the use of a facultative lagoon system. This would involved the use of a
lined lagoon without any means of mechanical aeration. it would received screened sewage and be
allowed to be held in the pond for about 30 days. The discharge from the pond would be disinfected

PAGE %
Fe
e disinfection chemical (usually chlorine) would also have to be removed prior to discharge into a
am. Given the significant surface area required for this type of storage. A facultative lagoon is
shallow usually 3 feet deep. With the 11,250 gallons per day and 30 day holding time, the pond would
be around 20,000 square feet of surface area. Disadvantages of this type of treatment are odors during
the spring and fall "turn over" and the resultant vectors from the pond. In addition during the summer
algae blooms would produce violations of the discharge permit. Finally is the difficulty of finding
suitable terrain in the mountainous area of the camp site.
The third option is the use of a pre -packaged treatment system. The system would be a steel tank with
built in baffles to separate process areas. These systems use air blowers to provide oxygen to treat the
waste and to provide pumping capacity via air lift pumps. These systems consist of a screening unit,
followed by a equalization tank if required, then an aeration tank followed by a clarifier then a
disinfection unit (usually a tablet chlorinator) followed by a chlorine removal system. This unit (without
the equalization tank is normally mounted on a single steel tank. This tank can be either partially buried
in the ground or fully exposed, depending on topography. The best part is that these tank systems can
be delivered on a tractor trailer type truck. The come all pre -wired and pre -plumbed. The footprint of
these units is 8-10 feet wide by up to 40 feet long and 8-10 feet high. Overall the unit will take up less
than 500 square feet of surface area.
Environmental Impacts
The environment impacts with all systems is primarily during construction. During this time there is a
considerable amount of noise from large earth moving equipment, and delivery of materials and
equipment. In addition there are large sections of vegetation that is removed to excavate for trenches
and provide a flat area for the treatment system or excavation for a buried system. During these times
erosion and dust are the primary pollutants.
After construction the disposal of the sludge and plant effluent are the primary issues with impacts. A
third operating issue of disinfecting chemicals are greatly minimized by the use of a tablet chlorinator.
Some systems use an Ultraviolet disinfection system, however for this operation we are recommending
the use of a chlorine based system that will provide a direct means of measurement of concentration
and hence its effectiveness. The Sludge disposal can be accomplished by discharging to a publicly
owned treatment works (POTW) for a fee similar to septage disposal, disposed of on -site as a beneficial
nutrient, or dewatered and disposed of in a landfill. The effluent from a treatment facility is usually
disposed on in a stream after treatment. Other options of subsurface disposal and land application. All
of these options require careful evaluation and permitting through the State. With disposal. into the
stream the quality of the effluent is critical so as not to degrade the stream from Trout Status.
Land Requirements
The land requirements have been discussed underthe options class. Again Ridge Haven has a large tract
of land, but the usefulness and accessibility is in question. Secondly, with the strong probability of
increasing the size of the treatment plant as current septic systems fail, there will be a need for
additional land adjacent to the treatment facility

ENGINEERING REPORT
Potential Construction Problems
The biggest challenge to construction is the mountainous terrain and the ever present subsurface rock.
Surficial soils and trees are easy to move with modern equipment. Steep slopes and rock would slow
the construction process and increase the construction costs. A subsurface investigation of the proposed
route of the force mains and the locations of treatment facilities would further define the routes and
locations of faculties.
Cost Estimates -
There are costs to each of the alternatives that are common and some that are unique to each
treatment scheme. We have provided a cost estimate for the Recommended Project only.
Proposed Project (Recommend Alternafive)
Preliminary Project Design
The system will be rated to handle 750 campers and staff using a daily rate of 15 gallons per capita per
day (GPCPD). This quantity is based on an Institutional quantity of 5 gallons per day per meal, and 3
meals per day. In addition the flow from the meeting room of 150 people at a rate of 5 GPCPD. The
total daily flow being 12,000 gallons. Using a peaking factor of 2 the design flow for the treatment
system is 24,000 gallons per day. The in uent is considered domestic waste with a nominal BOD of 240
mg/I. An oil and grease trap will be installed on the kitchen sewer to collect grease prior to entering the
collection system.
The anticipated discharge will be into Toxaway Creek and that the treated effluent standard discharge
limit of 20 mg/I of BOD and 20 mg/I TSS will be acceptable. It is further assumed that the minimum
concentration of dissolved oxygen will be 6 mg/I and that the effluent will be aerated prior to discharge
to the receiving stream. The location of the discharge is shown on Figure 4. The receiving point on
Toxaway Creek is North 35-05.820, W 82-51.549.
The treatment plant will be an activated sludge, extended aeration system that will be pre -fabricated
and pre plumbed off site and shipped to -the site with minimal effort required to install and make
operational. The system will consist of a screening system, aeration system, clarifier and return sludge
system as well as a sludge digestion system, effluent disinfection and chlorine removal system. A
continuous flow monitoring system will be installed in line and provide for sampling in an intermittent
basis. It is assumed that the influent to the treatment plant will be conveyed by gravity sewer and that
the effluent will be conveyed by pump station and force main.
Ultimate design of the system would account for the entire camp to be on the treatment plant and all
the septic systems would be abandoned. The ultimate load for treatment would be 750 campers at 60
GPCPD or an average flow of 45,000 gallons per day. The anticipated in -place capacity to treat this
sewage would be 90,000 gallons per day, including an equalization tank to modify the peak flows.
Project Schedule
The anticipated schedule for this project is as follows:
PER submittal to State Week 0

PAGE 9
State Review and Approval of PER Week 6 thru 8
Site survey and subsurface investigation ( Concurrent with State Review of PER)
Produce construction Plans and Specs Week 8 thru 20
Submit plans and Specs for Permit to Construct Week 20 thru 28
Construct Plant, and obtain permit to Operate Week 28 thru 60
Permit Requirements
The permitting requirements include: approval of PER, Obtaining waste load allocation for stream
discharge and preliminary NPDES permit limits, Permit to Construct, Permit to Operate. All these
permits will be issued by the State of North Carolina. In addition, there will be building and
construction permits issued by the County of Transylvania. In addition, the services of a qualified
operator will have to be obtained before operations can begin.
Total Project Cost Estimate
The following is an estimate of the Capital Budget required to complete this project:
Engineering, Design and Inspection Services + Survey $ 16 000
Treatment Plant 120,000
Sewer system, pump sta%tion, force main and aeration facility 154,000
TOTAL 290,000
Contingency (20%) 60,000
Total Project Estimate $350,000
The following is an estimate of the Operational Budget required to operate the treatment plant on and
annual basis:
Water Discharge Fee
$ 650
Power
S 980
Chemicals
$ 1540
Sludge Haul and Dispose
$ 6540
Staff & Administration
$12,750
Maintenance & Replacement
3500
Total Annual Budget $26,000

ENGINEERING REPORT
Conn . islons and R,ecommendations
This is a major step of faith by the Camp to embark on this size of a project. The alternative though is to
severely limit the number of campers that will be allowed to enjoy the camping experience. A well run
treatment system will open up the current dining facility and allow large groups to be at the camp
without the concerns of water usage or expense of disposable dishes.
It would be advantageous to have a strong working relationship with the Wilds Camp just down the
road. They operate several trains of extended aeration systems and would provide invaluable insight
into operating and maintaining these systems.
The next step is to obtain the design parameters for the system from the state and approval of this PER.
During this time a concerted effort to obtain the necessary funds should be in full operation. Finally
obtain the services of qualified contractors to install the system.

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APPENDICES

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500

APPENDIX B
SIMPLIFIED FLOW DIAGRAM
Extended Aeration
Treatment System U
Influent Pump
Station
Post -Aeration
System
VExaway Creek

-��4 ea �-9 9/- -05e
0 1 bz

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Ceerelary
S. JAY ZIMMERMAN
Uir, clor
May 25, 2016
utive Director
Ridge:Haven, Inc.
215 Ridge Haven Road
Brevard, NC, 28712
Subject: Permit No. WQ0038475
Ridge Haven, Inc.
Ridge Haven Collection System
Wastewater Collection System Extension Permit
Transylvania County
Dear Mr. Anderson:
In accordance with your application received May 12, 2016, we are forwarding herewith Permit No.
WQ0038475 dated May 25, 2016, to the Ridge Haven, Inc. (Permittee) for the construction and
operation upon certification of the subject wastewater collection system extension. This permit shall be
effective from thedate of issuance until rescinded, and shall be subject to the conditions and limitations
as specified therein. This cover letter shall be considered a part of this permit and is therefore
incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as -constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right
to request an adjudicatory hearing upon written request within 30 days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150E of North Carolina
General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh,
NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
State of North Carolina / Environmental Quality / Water Resources
2090 U.S. Hwy. 70, Swannanoa, N.C. 28778
828-296-4500

Ridge Haven, Inc.
Permit No. WQ0038475
If you need additional information concerning this matter, please contact Tim Heim
via e-mail at [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: David Odom, P.E. — Odom Engineering (electronic copy)
�ARq`�ffce_Fi es
Water Resources Central Files
PERCS (electronic copy)
\\Wp3dnfp06.eads.ncads.net\data\WR\WQ\Transylvania\Collection Systems\Gravity sewers\WQ0038475 Ridge Haven Collection System.docx
Page 2 of 9

yyt.�w
`•i
q1
Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Ridge Haven, Inc.
Transylvania County
for the construction and operation of approximately 3,930 linear feet of 6-inch gravity sewer to serve
one 750-seat dining hall and one 150-seat dining hall as part of the Ridge Haven Collection System
project, and the discharge of 12,000 gallons per day of collected domestic wastewater into the Proposed
Ridge Haven WWTP existing sewerage system, pursuant to the application received May 12, 2016 and in
conformity with :15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February
12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting data subsequently
filed and approved by the Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
G..Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Permit Number: WQ0038475
Permit Issued: May 25, 2016
Page 3 of 9

SUPPLEMENT TO PERMIT COVER SHEE'
Ridge Haven, Inc. is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater
The sewage and wastewater collected by this system shall be treated in the Pr
WWTP Wastewater Treatment Facility in accordance with Draft Permit Number NC(
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T, the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
1. SPECIAL CONDITIONS
1. No wastewater flow shall be made tributary to the subject sanitary sewer system until the Proposed
Ridge Haven WWTP Wastewater Treatment Facility is constructed, operational, and the engineer's
certification has been received by the Division. [15A NCAC 02T .0116]
2. The abandonment of any existing wastewater facilities including septic systems being replaced by
new sewer infrastructure shall be done in accordance with the applicable agency having compliance
oversight on such facilities. [15A NCAC 02T.0105(c)(6)]
II. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system -wide collection system permit for the
Page 4 of 9

FFi and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)]:
The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.
e. High -priority sewer lines shall be inspected at least once per every six -months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North
Carolina General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
Page 5 of 9

a. Any process unit failure, due to known or unknown reasons, that renders thel
incapable of adequate wastewater transport, such as mechanical or electrical failu
pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the `
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five days
following first knowledge of the occurrence. This report must outline the actions taken or proposed
to be taken to ensure that the problem does not recur. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.1C(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
Page 6 of 9

Ehanges to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested
modifications or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After -construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification & activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §143-215.6A
through §143-215.6C, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board. [15A
NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. In the event that the wastewater collection 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
facilities. [15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe -required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 9

FAST TRACK SEWER ENGINEERING CERTIFICATION
FrRIDGE HAVEN, INC.
#: WQ0038475
ECT- RIDGE HAVEN COLLECTION SYSTEM
E DATE: May 25, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation to the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature Date
ENGINEERS CERTIFICATION
I, . as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
Ridge Haven Collection System and location as referenced above for the above Permittee hereby state
that, to the best of my abilities, due care and diligence was used in the observation of the construction
such that the construction was observed to be built within substantial compliance of this permit; 15A
NCAC 02T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted
February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast -Track Permitting of
Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC DWR — Water Quality Regional Operations Section 2090 US Hwy 70 Swannanoa, NC 28778
Asheville Regional Office Phone: [phone] FAX: [phone]

5)1
Wision of Water Quality IL
r
Fast Track Application (FTA 12-12) for Sewer Systems- ReVIOWChecklist
Project 'R,DC 14
Name. tJAVe..A C6 I - Date: .
�) � r- Preliminary Review #
Project Number :y,W—Q 0 0 3 8 4 7 Final Review Date: S-As,
Reviewer,- kn
V �a �-�.--,�la>�
Project is located in a County currently covered by the &,'-0 —Ysm
Application and supporting documentation submitted in duplicate?
One Original and One Copy
Correa application fee submitted? G.S. 143215,515
Ensure That a check for $480 is submitted and made out
Application package is complete
Current application version (FTA 12-12) G-1 4-
Briefproject narrative (per Section A of FTA
Certification of Public Convenience and Neces rovided
(if applicable)
Operational Agreements, signed an dated
(if applicable)
Flow Tracking / Acceptance F signed ted
Flow Tracking / Acceptance
(ifapplicabli)•
Site Map. and Streedit L (per Se F-of,
Stream Classiffic CAS 03- ignecdL,
(must C. PE)
PE Certificatio 3 plicationd, seal ed by
Applicant C is signe dated (or letter is provided)
Permit
2fe's— []No
- J�s ONo
V: � es L IN' 0
:[]Yes CW0
Elyes []No
NVYes
[]No-�OV
QYes
[]Yes
E]No
[]No
ess
Yr
[]No
[]No
es
[]No
Does the require a pe the a
E34S []No
See by Regul I$'K 02T.0303) for projects deemed permitted
Is the project e * I the Fast T ogram?
&4es El 'No
Project not permitte the fast program
Requires an En ental sment per 15A NCAC 01C.0408
STEP systems, vacuum systems, etc.)
Is an alternative s o sure sewers,,
Is funded through th me Finance Section
lf-thei applicant is a private entity (private utility),
[]Yes &&o -
Applicant has been designated as a public utility by the NC Utilities Commission
Has submitted a Certificate of Public Convenience and Necessity (CPCN)
or Letter from the Public Staff of the NC Utilities Commission (contact Central Office)
If the applicant is a private entity (Developer)
[]Yes 040
Has submitted an executed Operational Agreement (DEV 06-13)
If the applicant is a Homeowner's or Property Owner's Association:.
[]Yes Vko
Has submitted an executed Operational Agreement (HOA06-13)
and, Copy of the Articles of Incorporation, Declarations and By-laws
1

Wastewater Flow Information
Has the wastewater flow volume been calculated correctly (section B.9 of FTA 12-12)? 5eves ❑No
Flow is calculated per 15A NCAC 02T.0114
or
If daily design flow is not based on regulations ensure that the applicant has an approved flow reduction of
daily design flow rate on file with the Division.
or
If other than 2T.0114, values must be supported with flow data per 15A NCAC 021.0114(f)
(Contact Central Office) �qec'VCi( clot
Has submitted Flow Tracking/Acceptance Fo (FT E 06-13) & 1 Q 0' � � ❑Yes Imo
Proper certification per 15A NCAC .0106 (b) V & � E o11-'�� 7 [, } ' s ❑No
Form is dated within one year of receipt of application package es [-]No
Is FTSE Planning Assessment Addendum Required? ' ❑Yes [No
Required only for projects where available pump station capacity is < 0.
Contact Central Office if needed
Additional forms (FTSE 06-13) required? �/�(" Oyes 40
Required only if the owner of downstream sewer different then owner of W WTF
Design Information
Has a Stream Classification form been submitted (WSCAS 03-12) : dT- Dyes ®No
Required if any portion of project is within 100 feet of any surface water or wetlands
If no, verify separation on submitted USGS. Topographic Map `
Note, 15A NCAC 02T .0305 (fl contains minimum separations required for sewer
A variance is required if minimum separations cannot be avoided j
Has been signed, sealed, and dated by an N.C. PE IX s ❑No
Is Project designis in accordance with see section B. 3 off A -12 Yes ❑No
15A CAC 02T ( �' U
Gravity Sewer Minimum Design Criteria (latest version)
Minimum Design Criteria for Permitting of Pump Stations and Force Mains (latest version)
If no, a variance approval is required per the requirements of 15A NCAC 02T.0105(b)
Applicant must submit TWO copies of the plans, specifications, and calculations
Contacf the Central Office to discuss the variance request to determine a course of action. Variance approvals
are issued from the central office. If approved, the variance should be incorporated into the final permit
Project contains high priority lines (15A NCAC 02T .0402(2)) Dyes W>10
Contact the Central Office
Application Certification Has a N.C. PE stamped, signed, and dated the application? H�es
❑No
PE with active license in North Carolina? ❑No
Check the NCBELS to ensure Engineer is currently registered to practice
NCBELS License Lookup
Applicant (Owner/Permittee) signature meets requirement of 15A NCAC .0106(b)? 104s DT'J°
If not, is a delegation letter provided, delegating authority? �4 Ves
0N
s o
If the owner is a corporation, is the corporation registered in N.C.? ❑No
N.C. Secretary of State (Corporation Search)
2

14
Odom
Engineering
PLLC
May 9, 2016
Asheville Regional Office
Water Quality Section
2090 US Highway 70
Swannanoa, North Carolina, 28778
Division of Water Resources
MAY 1 2 2016
I;
Water Mafity Regional Operations
Ashevi{ie F�iortl
Subject: Fast Track Sewer System Extension Application
Transylvania County — Ridge Haven Collection System
Dear WQS Supervisor,
We are submitting a Fast Track Sewer System Extension Application -for Ridge Haven Inc., located in Transylvania
County. This letter will include the following items:
• Application — One original and one copy
• Check for application fee
• Attachment A: Business documentation — Articles of Incorporation (2 copies)
• Attachment B: Site Map — USGS Topographic Map (2 copies)
If you have any questions or need additional information, please contact me at 828-247-4495 or
[e-mail].
Sincerely,
Skysja Adams
152 East Main Street • Forest City • NC • 28043
(828) 247- 4495 m Fax [phone]

9P0-66-
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
0,6ivislon of WaterResourcesFTA 04-16 & SUPPORTING DOCUMENTATION
QF41U
QO a5�
Application Number: _ (to be completed by DWR)
30 4-1'f
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: Ridge Haven Inc. (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State/County ❑ Municipal ❑ Other
3. Signature authority's name: Wallace Anderson per 15A NCAC 02T .010 5(b)
Title: Executive Director { SCENE®
Z15, r Division of water Resources I!'
4. Applicant's mailing address: 445 Ridge Haven Rd.
City: Brevard State: NC Zip: 28712- M AY 1 2 2016
5. Applicant's contact information:
Phone number: (877),862-3916 .Email Address: N/A Water Cluality Regional Operations
Asheville Regional Office_y _
II. PROJECT INFORMATION: n'
1. Project name: Ridge Haven Collection System L �`6°1 SSA
ed a Permit Existing Permit/Project
2. Application/Project status: Proposed (New ) ❑ g �
If a modification, provide the existing permit number: WQ00 and issued date:
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Transylvania
4. Approximate Coordinates (Decimal Degrees): Latitude: 35.054969' Longitude:-82.5134390
5. Parcel ID (if applicable): 8541569375001
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: David Odom License Number: 21130
Firm: Odom Engineering
Mailing address: 152 E. Main St.
City: Forest City State: NC Zip: 28043-
Phone number: 828 247-4495 Email Address: [e-mail]
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Ridge Haven Wastewater Treatment Plant Permit Number: Pending
Owner Name: Ridge Haven Inc.
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ
System Wide Collection System Permit Number(s) (if applicable): WQCS.
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a. Developer's Operational Agreement (FORM: DEV) been attached?
❑ Yes ENO ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: HOA) been attached?
❑ Yes ❑No ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
® Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash
❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment)
5. Nature of wastewater: 100 % Domestic/Commercial % Commercial
_ % Industrial (See 15A NCAC 02T .0103(20))
4Is there a Pretreatment Program in effect? ❑ Yes ❑ No
6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f) ❑ Yes ® No
)> If Yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 02T.01140
Daily Design Flow 1,b
No. of Units
. Flow
Institutions, dining halls (3 meals/day)
15 gal/PCPD
750
11,250 GPD
Institutions, dining halls
5 gal/PCPD
150
750 GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
12,000 GPD
a See 15A NCAC 02T .0114(b)_(d),(e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 12,000 GPD (per 15A NCAC 02T .0114)
);> Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

ITY SEWER DESIGNCRITERIA(If Applicable) - 02T .0305 & MDC (Gravity Sewers):
Summarize gravity sewer to be permitted:
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
Section III contains information related.to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not "allowed and a violation of the MDC
VIIL PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: 0Longitude:- °
3. Design flow of the pump station: millions gallons per day- (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH) ,
5: Summarize the force main to be permitted (for this Pump Station):
6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1):
Standby power source orpump with automatic activation and telemetry - 15A NCAC 02T 0305(h)(l)(B)_
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T '0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage:
FORM: FTA 04-16 Page 3 of 5

& SEPARATIONS — (02B .0200 & 15A NCAC 02T.0305(f)):
the project comply with all separations found in 15A NCAC 02T.0305(f) & (g)
15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems:
® Yes ❑ No
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02T.0305(g) contains alternatives where separations in 02T.0305(t) cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpaae
If noncompliance with 02T.0305(f) or (g), see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes ❑ No
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with all setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes [—]No
➢ This would include Trout Buffered Streams per 15A NCAC 213.0202
4. Does the project comply with an individual 404 Permit or any 401 Certifications? ® Yes ❑ No
➢ Wetland -related permits shall be requested, obtained, and adhered to for projects that impact wetlands or surface waters
➢ Information can be obtained from the 401 & Buffer Permitting Branch
5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)?
® Yes [—]No
Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
❑ Yes ® No
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and inspections
documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16
Page 4 of 5

-4-64
v 1-._ L
Division of Water Resources
FED lii a i Fiji MAY 1 2 2016
ARTICLES OF INCORPORATION
OF I Water Qualih, Regional Operations
RIDGE HAVEN, INC.
The undersigned, being of the age of eighteen (18) year:: or
more, does hereby make and acknowledge these Articles of Inct?rpo-
ration for the purpose of forming a non-profit corporation under
and by virtue of the laws of the state of North Carolina.
I
NAME
The name of the corporation is RIDGE HAVEN, INC.
II
DURATION
The period of duration of the corporation is perpetual.
III
PURPOSES
The purposes for which the corporation is organized are
(a) To own and operate a conference center for
the Presbyterian Church in America, Inc.
(b) To operate exclusively for religious,
charitable, scientific, testing for public
safety, literary, or educational purposes
within the meaning of Section 501(c)(3) of The
Internal Revenue Code of 1954, or corresponding
provisions of any subsequent federal tax laws.
IV
MEMBERS
The corporation shall have no members.
V
DIRECTORS
The directors of the corporation shall be elected by th=�t
Presbyterian Church in America in the manner and for the terns
provided in the By-laws.
I

i
VI
EARNINGS
No part of the net earnings of the corporation shall in -ire to
i
the benefit of any officer or director of the corporation; azd <:
s
upon dissolution of the corporation, the assets thereof shalt, r
after all of its liabilities and obligations have been discharged
or adequate provision made therefor, be distributed to any associa-
tion or associations organized for the purposes similar to tiose
set Forth in Article III he2zalnabove, all as more particularLy
provided in the By-laws of the corporation.
VII
REGISTERED OFFICE
The address of the initial registered office of the cor.�ora- `
tion in the state of North Carolina is on Frozen Creek Road (State
Road 1139), Eastatoe Township, Transylvania County, North Carolina,
f
Post Office Box 565, Rosman, North Carolina, 28772; and the lame
S
of its initial registered agent at such address is Gordon K. Reed.;
i
VIII
INITIAL DIRECTORS
The number of directors constituting the initial board •')f
directors shall be nine (9); and the names and addresses of =he
persons who are to serve as the initial directors are:
NAME ADDRESS
George Gulley 505 Storm Avenue
Brookhaven, Mississippi 39601
Alex Kellerman 333 Parkview Drive
St. Albans, West Virginia 24201
Kenneth Keyes Post Office Box 40
Highlands, North Carolina 28741
Douglas Patton RFD #10
Greenville, South Carolina 29607
t
Wayne Rogers Swannanoa Presbyterian Church
Rockdale Avenue
Swannanoa, North Carolina 28776
Page 2

Rhett Sanders Route 2, Box 41
Chester, South Carolina 29706
Paul Settle 3 Ivy Train
Greenville, South Carolina 29605
Pat Williams 500 East Boulevard
Suite 202
Montgomery, Alabama 36109
Charles Wolfe 440 Stone Edge Road
Macon, Georgia 31204
Ix
INCORPORATOR
The name and address of the incorporator are HAZEL E. Mc
The Legal Building, 1 North Gaston Street, Post Office Box 919,
Brevard, Transylvania County, North Carolina, 28712.
IN WITNESS WHEREOF, I have hereunto set my hand this the 12th
day of January, 1979.
Haz6l E. McCormick, Incorporator
STATE OF NORTH CAROLINA,
COUNTY OF TRANSYLVANIA.
I, BERTHA JEAN LANCE, a Notary Public in and for said Ccunty
and State, do hereby certify that HAZEL E. McCORMICK personally
appeared before me this 12th day of January, 1979, and acknowl-
edged the due execution of the foregoing Articles of Incorpozation:.
WITNESS my Notarial Seal.
Bertha Jean L ce, Notary Public
My Commission expires: April 11, 1980.
i
Page 3

m NC Eastatoe Gap Quad. (2013)

PAT MCCRORY
Tr "ice Governor
L'=5''" DONALD R. VAN DER VAART
WaterResources
ENVIRONMENTAL QUALITY
November 29, 2016
Wallace Anderson, Executive Director
Ridge Haven Camp
215 Ridge Haven Road
Brevard, NC, 28712
Subject: Permit No. WQ0038881
Ridge Haven Camp
Ridge Haven Camp Pump and Haul
Domestic Wastewater Pump & Haul Permit
Transylvania County
Dear Mr. Anderson:
Secretary
S. JAY ZIMMERMAN
Director
In accordance with your application received November 9, 2016, we are forwarding herewith Permit No.
WQ0038881, dated November 29, 2016, to Ridge Haven Camp for the time -limited operation of a
domestic wastewater pump and haul operation..This permit shall be effective from November 29, 2016,
will expire on May 29, 2017, and shall be subject to the conditions and limitations as specified therein.
This cover letter and supplement shall be considered a part of this permit and are therefore incorporated
therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 1.1: The Permittee or its representative shall inspect the permitted pump and haul facilities at
least daily to prevent malfunctions and deterioration, operator errors, and discharges
that may cause or lead to the release of wastes to the environment, a threat to human
health, or a nuisance condition.
Condition ll.1: An accurate record of the pump and haul activities must be maintained by the Permittee,
indicating; Date and time wastewater is removed from the facility; Name of contract
hauler; Name of facility receiving wastewater; & Volume of wastewater removed.
Condition 11.14: This permit shall expire May 29, 2017. Should the pump and haul activities stop prior to
the date of expiration, send written notification to the Asheville Regional Office, Water
Quality Section notifying them that the permit is no longer required and detailing the final
disposal solution.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150E of North Carolina General
State of North Carolina I Environmental Quality I Water Resources
1617 Mail service Center I Raleigh, North Carolina 27699-1611
919 807 6300

Ridge Haven Camp
Permit No. WQ0038881
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleii
27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Tim Heim at [phone] or
via e-mail at [e-mail].
Sincerely,
for S. Jay Zimmerman, P.G.
Director, Division of Water Resources
by G. Landon Davidson, Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: David W. Odom, P.E. — Odom Engineering (electronic copy)
Emory G. Owen, ORC Brevard WWTP
(Z�:Regona_J Office Files
Water Resources Central Files: Attention Diane Rodman
Page 2 of 7

Water Resources
ENVIRONMENTAL QUALITY
DOMESTIC WASTEWATER PUMP & HAUL PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Ridge Haven Camp
for the construction and operation of a domestic wastewater pump and haul operation to serve the camp
dining hall septic system, consisting of two 4,000 gallon septic tanks with an estimated total storage
capacity of 8,000 gallons. The facility from which pumping will occur shall include a minimum 24 hours
storage with on -site audible and visual high water alarms. The anticipated flow for this pump and haul
operation is expected to be 2,800 gallons per day of domestic wastewater, pursuant to the application
received November 9,. 2016, and in conformity with 15A NCAC 02T and other supporting .data
subsequently filed and approved by the Department of Environmental Quality and considered part of
this permit.
This permit shall be effective from November 29, 2016, will expire on May.29, 2017, and shall be subject
to the conditions and limitations as specified therein.
for S. Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0038881
Permit Issued: November 29, 2016
Page 3 of 7

SUPPLEMENT TO PERMIT COVER SHEET
Ridge Haven Camp is hereby authorized to:
Construct and operate the aforementioned domestic wastewater pump and haul operation. The
wastewater collected by this system shall be pumped and hauled to Brevard Wastewater Treatment
Facility (Permit No. NC0060534) for final treatment.
It shall be the Permittee's. responsibility to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the Licensing board.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
1. The Permittee or its representative shall inspect the permitted pump and haul facilities at least daily
to prevent malfunctions and deterioration, operator errors, and discharges that may cause or lead to
the release of wastes to the environment, a threat to human health, or a nuisance condition. The
Permittee shall maintain an inspection log or summary including at least -
a. Date and time of inspection;
b. Observations made;
c. Any maintenance, repairs, or corrective actions taken by the Permittee.
The-Permittee shall maintain -this log of inspections for as long as the pump and haul activities are
being conducted and shall be made available to the Division or other permitting authority, upon
request. Records shall be submitted quarterly to the Supervisor of the Water Quality Regional
Operations of the Asheville Regional Office. The records must be submitted within 30 days of the end
of each quarter (quarters end on the last day of March, June, September, and December). [15A
NCAC 02T .0204(d)]
2. This permit shall become voidable unless the agreement between RIDGE HAVEN CAMP, ALL ABOUT
PLUMBING AND SEPTIC, and BREVARD WWTP for the collection, transportation, and final treatment
of wastewater is in full force and effect. [15A NCAC 02T.0204(b)]
II. STANDARD CONDITIONS
1. An accurate record of the pump and haul activities must be maintained by the Permittee, indicating:
a. Date and time wastewater is removed from the facility;
b. Name of contract hauler;
c. Name of facility receiving wastewater;
d. Volume of wastewater removed.
Page 4 of 7

Permittee shall maintain this log for as long as the pump and haul activities are being conducted
J shall be made available to the Division or other permitting authority, upon request. Records shall
submitted quarterly to the Supervisor of the Water Quality Regional Operations of the Asheville
;ional Office. The records must be submitted within 30 days of the end of each quarter (quarters
end on the last day of March, June, September, and December). [15A NCAC 02T .0108]
2. This permit shall not be transferable. In the event there is a desire for the facilities to change
ownership, or there is a name change of the Permittee, a formal permit request shall be submitted to
the Division accompanied by an application fee, documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved. [15A NCAC 02T .0104; G.S. 143-215.1(d3)]
3. The Permittee shall provide for the installation and maintenance of an audible and visual high-water
alarm on all storage and pumping facilities associated with this pump and haul operation. [15A NCAC
02T .0204(c)]
4. This permit shall become voidable unless the subject pump and haul activities are carried out in
accordance with the conditions of this permit; 15A NCAC 2T; and other supporting materials unless
specifically mentioned herein. [15A NCAC 02T.0110]
5. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. No type, kind or quantity of wastewater other than the
pumped and hauled wastewater from the facility shall be included in these pump and haul activities.
[15A NCAC 02T .0110]
6. The wastewater collection facilities shall be properly maintained and operated at all times. Adequate
inspection, maintenance, and cleaning shall be provided by the permittee to insure proper operation
of the subject facilities. [15A NCAC 02T .0403]
7. The Permittee shall report by telephone to a Water Resources staff member at the Asheville Regional
Water Resources Section, telephone number 828-296-4500, as soon as possible, but in no case more
than 24 hour, following the occurrence or first knowledge of the occurrence of either of the following:
a. If the flow volume estimated above is exceeded by any amount on any day; or
b. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater storage, such as failures of tanks, piping, pumps, aerators,
compressors etc.; or
c. Any failure of a pumping station, sewer line, etc., resulting in a spill or by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or
facility; or
d. Any SSO and/or spill over 1,000 gallons; or
e. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
Page 5 of 7

I]
ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division appi
form) can also be completed to show that the SSO was beyond control. [G.S. 143-215.1C(a1)]
Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 02T; and i
supporting materials may subject the Permittee to an enforcement action by the Division, in
accordance with North Carolina General Statutes §143-215.6A through §143-215.6C, construction of
additional or replacement wastewater collection facilities, and/or referral of the North Carolina -
licensed Professional Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T .0108(b-
c)]
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall cease operation of all pump and haul activities
and shall take immediate corrective action, including those as may be required by this Division, such
as the construction of additional or replacement facilities. [15A NCAC 02T .0110; 15A NCAC 02T
.0108(b)]
10. Any duly authorized officer, employee, or representative of the Division of Water Resources may,
upon presentation of credentials, enter and inspect any property, premises, or place on or related to
the pump and haul collection facilities at any reasonable time for the purpose of determining
compliance with the Division's approval; may inspect or copy any records that must be maintained
under the terms and conditions of this permit; and may obtain samples. [15A NCAC 02T .0110]
11. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
12. Operation of this permit is based on acceptance of the certification attached to this permit, completed
by the Permittee and a North Carolina licensed Professional Engineer. Note that a completed
certification is only required for activities that met the definition of the Practice of Engineering in
accordance with G.S. 89C-3. In some instances this certification may not be required.
13. A copy this permit, and approved plans and specifications (if applicable) shall be maintained on file by
the Permittee for the life of the project. [15A NCAC 02T .0104]
14. This permit shall expire May 29, 2017. Should the pump and haul activities stop prior to the date of
expiration send written notification to the Asheville Regional Office, Water Quality Section notifying
them of that the permit is no longer required and detailing the final disposal solution. [15A NCAC 02T
.0105(j), 15A NCAC 02T.0204(a)]
Page 6 of 7

DOMESTIC WASTEWATER PUMP & HAUL ENGINEERING CERTIFICATION
This certification shall be completed and submitted to the appropriate regional office for activities that
result in the Practice of Engineering in accordance with G.S. 89C-3. In some instances this certification
may not be required.
PERMITTEE: RIDGE HAVEN CAMP
PERMIT #: WQ0038881
PROJECT: RIDGE HAVEN CAMP PUMP & HAUL
ISSUE DATE: November 29, 2016
This project shall not be considered complete nor allowed to operate until the Division has received this
Certification. It should be submitted in a manner that documents the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Section at the address at the bottom.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the pump and haul system permitted herein or portions thereof.
Printed Name, Title Signature Date
ENGINEERS CERTIFICATION
I, - as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the Ridge
Haven Camp and location as referenced above for the above Permittee hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to be built within substantial compliance of this permit; 15A NCAC 2T and
other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC Division of Water Resources — Water Quality Section 2090 US Hwy 70, Swannanoa, NC
Asheville Reeinnal nffire Phnna• (R?R)-?9F-dSnn FAX (R7R1-�q4-7ndR

Division of Water Quality J
.� °ast Track Application FTA 12.12 for Sewer S stems— Revie `Cher! t ``
pp ) Y
:..:
Pr Project Nae: d �c µ C'pn j� Ci•
aj �_ _ _ _ _ 4 Freliminary Review Date: .
Project Number : - — IfVQ003888=1=�]final Review Date: t i 11 �
(�
Reviewer; 1 ► �.. 1 -- 3$S� 1
I j fb
Application Pre Review
Project is located in a County currently covered by the regional office
No
Application and supporting documentation submitted in duplicate?
es No
One Original and One Copy .
Correct application. fee submitted? G.S.143-215 3D
es L No
Ensure that a check for 1480 is submitted and made out
.
Application package is complete
Current application version (FTA 1 /G.) .
e []No
Briefproject narrative (per Section A ofFTA>; ' .
Certification of Public Convenience and Neces rovided
[]Yes- []No
(if applicable)
Operational Agreements, signed an dated �^
Yes []No'
(if applicable) -
Flow Tracking / Acceptance Form - 3), signed ted
[]Yes []No
Flow Tracking / Acceptance Plannin s 'Addend
(]Yes []No
(if applicable)
Site Map. and Street Le .Map (per Se F of 2)
.es []No
Stream Classific SCAS 03- igned; d date
[]Yes []No
(mustlZ' a .C. PE)
PE Certificatio' lication ed, seal -dby-
Kess []No
Applicant Ce ' is signe dated (or' 'on letter is provided)
,
lames []No
Permit Info
i
ew it 1VModif
Does the require ape the as
[]No
See ' ' g byRegul 15A ` 02T.0303) for projects deemed permitted
Is the project eligt _ the Fast T ogram? �
es
i� PSI
[]Yes. []No
Project not permitte the fast program
Requires an En ental saient per 15A NCAC 01 C .0408
Is an alterative s sure sewers, STEP systems, vacuum systems, etc.)
Is funded through th ctine Finance Section
.If the -applicant is a private entity (private utility) '
[]Yes []No.
Applicant has been designated as a public utility by the NC Utilities Commission
Has submitted'a Certificate of Public Convenience and Necessity (CPCN)
or Letter from the Public Staff of the NC Utilities Commission (contact Central Offic )
If the -applicant is a private entity (Developer)
[]Yes []No
Has submitted an executed Operational Agreement (DEV 06-13)
If the applicant is a Homeowner's or Property Owner's Association:.
[]Yes -[]No
Has submitted an executed Operational Agreement (HOA 06-13)
and, Copy of the Articles of Incorporation, Declarations and By-laws
. l

Wastewater Flow Information
Has the wastewater flow volume been calculated correctly (section B.9 of FTA 12-12)? ❑Yes ❑Ne
Flow is calculated per 15A NCAC 02T.0114
or
If daily design flow is not based on regulations ensure that the applicant has an approved flow reduction of
daily design flow rate on file with the Division.
or
If other than 2T.0114, values must be. supported with flow data per 15A NCAC 02T.0114(f)
(Contact. Central Office)
Has submitted Flow Tracking/Acceptance Fo (FTSE 06-13) ❑Yes ❑No
Proper certification per 15A NCAC .0106 ❑Yes ❑No
Form is dated within one year of rece of application package ❑Yes []No
Is FTSE Planning As/-13)
endum Required? []Yes' ❑No
Required onlyhere available pump station capacity is <0. :
Contact Centrded
Additional forms (FTuired? ❑Yes ❑No
Required onlyf downstreamsewer different then owner of W WTF
Design Information
Has a Stream Classification form been submitted (WSCAS 0 2) : %V /-r❑Yes
Required if any portion of project is within'l00 f of any surface water or wetlands
If no, verify separation on submitted USGS. Topographi ap ;
Note, 15A NCAC 02T .0305 (fl contains minimum sepazat
A: variance is required if minimum separafo- ns ca3i 't be ai
Has been signed, sealed, and dated by an N.C:)?E `
required for sewer
■ •
❑Yes ❑No
Is Project design is in accordance with (se section B.13 of FTA 12-12) ❑Yes ❑No
15A NCAC 02T .
Gravi Sewer Minimum De NaCriteria (latest version)
Minimum Design Criteria for Permittingof f Pump Stations and Force Mains (latest v sion)
If no, a variance approval is required per the requirements of'15A NCAC 02T.0105(b)
Applicant must submit TWO copies of the plans, specifications, and calculations -
Contact the Central Office to discuss the variance request to determine a course of action. V . 'ance approvals
are issued from the central office. If approved, the variance should be incorporated into the al permit
Project contains high priority lines (15A NCAC 02T .0402(2)) ❑Yes ❑No
Contact the Central Office
Application Certification
Has a N.C. PE stamped, signed, and dated the application? []Yes ❑No
PE with active license in North Carolina? ❑Yes ❑No
Check the NCBELS to ensure Engineer is currently registered to practice
NCBELS License Lookup
Applicant (Owner/Perm ttee) signature meets requirement of 15A NCAC .010602)? 1 ❑Yes ❑No
If not, is a delegation letter provided, delegating authority? ❑Yes ❑No
If the owner is a corporation, is the corporation registered in N.C.? ❑Yes ❑No
N.C. Secretary of State (Corporation Search)
N

rces
RECEIVED
Divlaion of waver Aesoun� �_,..
•l tate of North Carolina
NOV - 9 2016 bt airt e"H&MInvironmental Quality
Division of Water Resources
er Qual ReAMdjSA&PAT •0 00 — WASTEWATER PUMP AND HAUL SYSTEMS
'f�jjj"Sf QR FO P&H 01-16 & SUPPORTING DOCUMENTATION
Documents shall be prepared in accordance with 15A NCAC 02T .0100.15A NCAC 02T .0200, and Division policies. Failure to submit
all required items will necessitate additional processing and review time. For more information, visit the Wastewater Branch's
website or contact the Regional Office serving your county.
General —This permit application applies to all pump and haul activities of wastewater under the authority of the Division on Water
Resources. Permit coverage is required for the system producing the wastewater. This permit does not apply to the transport of
animal waste from an animal waste management systems, not the transport of wastewater residuals or biosolids.
NOTE: Pump and haul permits are not acceptable long term domestic wastewater treatment alternatives and shall only be issued
in cases of environmental emergencies, nuisance conditions, health problems, or for unavoidable delays in construction of system
previously permitted by the Division.
The Applicant shall submit one original and one copy of the application and supporting documentation.
A. Pre -submittal Contact & Cover Letter
® Contact the appropriate Regional Office prior to submittal ;-
❑ Submit a cover letter explaining the circumstances associated with this pump and_ haul permit request
B. Application Fee (Domestic Wastewater Only)
® Submit a check made payable to: North Carolina Department of Environmental Quality (NCDEQ)
➢ The appropriate application fee is: $810.00 for flows < 10,000 GPD and $1,310.00 for flows > 10,000 GPD
F
C. Wastewater Pump and Haul (FORM: P&H 01-16) Application:
® Submit the completed and appropriately executed. Wastewater Pump and Haul (FORM: P&H 01-16) application. Any
unauthorized content changes to this form shall result in the application package being returned. If necessary for clarity or
due to space restrictions, attachments to the application may 'be _made, as long as the attachments are numbered to
correspond to the section and item to which they refer
D. Receiving Facility Letter:
® Submit a letter from the owner/authority of,the receiving wastewater treatment facility, as required by 15A NCAC 02T .0204
(b), stating that the pumped and hauled wastewater will be.accepted and specifying the volume and type of wastewater that
will be accepted. The letter, should be signed'by-an authorized signing official in accordance with 15A NCAC 02T .0106(b)
E. Contract Hauler,Letter:
® Submit a letter from the hauler -stating their capability and willingness to perform the pump and haul activity
® Letter shall include: Owner/Company Name, Contact Information, & Hauling Volume of Vehicle(s)
F. Certifications:
® The Applicant's Certification on Page 4 of the application shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A
NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from a
person who meets the criteria in 15A NCAC 02T .0106(b)
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer (if required)
G. Plans and Specifications (Required for activities that result in the Practice of Engineering per G.S. 89C-3):
® Submit two sets of plans and specifications (signed, sealed and dated by a N.C. Licensed Professional Engineer)
® Plans must include:
➢ A general location map
➢ Diagram of the components associated with the pump and haul activity (drains, piping, tanks, pumps, etc)
➢ Tank Details that indicate high water alarm
➢ Other items as required
INSTRUCTIONS FOR APPLICATION P&H 01-16
Page 1 of 5

Industrial Pump and Haul Activities
'15A NCAC 02T .0203(A)(2). Industrial pump and haul activities are deemed permitted provided the following criteria is met:
➢ The facility notifies the appropriate Division regional office in writing advising of the type of operation, type and quantity of
wastewater generated, location, and the receiving wastewater treatment facility. A letter from the facility accepting the
wastewater (type and quantity) specifically agreeing to accept wastewater from the applicant shall be included.
➢ The wastewater does not contain any human waste.
➢ The waste is collected and discharged into a sewer or treatment system designed and permitted to accept the type of
wastewater being pumped and hauled.
➢ The pump and haul activity is not to alleviate a failing wastewater system.
➢ The Division regional office concurs in writing that the activity meets the criteria in this Rule.
CONTACT THE REGIONAL OFFICE PRIOR TO INITIATING ANY INDUSTRIAL PUMP AND HAUL ACTIVITES. SUBMITTAL OF THIS
APPLICATION/DOCUMENTS AND WRITTEN APPROVAL IS STILL REQUIRED FOR INDUSTRIAL PUMP AND HAUL ACTIVITIES
THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE
APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Operations
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain; Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Operations
Fayetteville, North Carolina 28301
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Operations
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan, .
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Operations
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Operations
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Operations
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
(336)-776-9800
INSTRUCTIONS FOR APPLICATION P&H 01-16 Page 2 of 5

tMATION:
!ntative from regional office (Pre -submittal)?: ® Yes ❑ No
Regional Office): Tim Heim
u. ArrLILAN i iNrUKiwHTION:
1. Applicant's name (Municipality, Individual, Corporation, etc): Wallace Anderson
2. Applicant type: ❑ Municipal ❑ State ❑ Privately -Owned Public Utility
❑ County ® Other: Ridge Haven Camp,
3. Origin of Wastewater:
❑ Residential Subdivision ❑ Retail (Stores, Shopping Centers)
❑ Apartments/Condominiums ® Institution
❑ Mobile Home Park ❑ Hospital
❑ School ❑ Church
❑ Restaurant ❑ Nursing Home
❑ Office ❑-Other (specify)
4. Signature authority's name: Wallace Anderson per 15A NCAC 02T .0106(b)
Title: Executive Director
5. Applicant's mailing address: 215 Ridge Haven Rd.
City: Brevard State: NC Zip: 28712-
6. Applicant's contact information:
Phone number: 877) 862-3916 Email: wa[lace@ridgeha en or
III. CONTACT/CONSULTANT INFORMATION:
1. Contact name: David W. Odom, PE
Title/Affiliation: Professional Engineer
2. Contact's information:
Phone number: [phone]
IV. RECEIVING FACILITY INFORMATION:
�V�C,�0:03888�1
31R v8 I
Domestic: 100
Commercial:
Industrial:
Other:
oMRE
sion
NOV - 9 2016
Quality Regional Operations
she Mfe R40icnal Office
Email: davidodomAodomengineering.com
If more than 1 facility has agreed to accept the wastewater, please list all the owners, facility names, and permit
numbers as a separate attachment)
1. Owner: J 1
2. Facility name: T2Leg
3. Facility permit number: AM` 01; 3pf
4.WWTF permit number: N�Lt V'
5. WWTF contact namez_-_pYL�, 6
Title/Affiliation: zreN" NN\A D�C
6. WWTF contact information:
Phone number: ( ) � Email: ft bW-\fO' A
APPLICATION P&H 01-16
Page 3 of 5

INFORMATION:
1. Location of Project (physical address): 215 Ridge Haven Rd., Brevard, NC 28712
Approximate Coordinates (Decimal Degrees): Latitude: 35.05490 Longitude:-82.5134o
2. Duration of Pump and Haul Request (Six Months Typical): 3-4 Months ✓
3. Has a prior permit been issued? ® New ❑ Prior Pump & Haul Permit
Permit No.: /
4. Permanent Method of Wastewater Disposal: Package plant (Permitted)
S. Date Permanent Disposal will be available: Feb.'17
6. Have permits / approvals for permanent disposal been obtained?
❑ Yes ® No Permit Number: NCO089559
7. Is there a Pretreatment Program in effect? ❑ Yes ® No
8. Describe any pretreatment prior to pumping and hauling:
9. Volume of Wastewater Generated: 2,800 Gallons per Day
10. Explain how the wastewater flow was determined: ❑ 15A NCAC 02T .0114 or ® Representative Data
If representative data, describe: Dining halls permitted for 2,800 GPD by County Health Department
11. Describe Tank / Container wastewater will be pumped from (attach description if necessary):
Two 4,000 gallon septic tanks which flow into each other. '1508 SG l
12. Is Tank / Container in place or will it be installed (attach description if necessary):
Tank is currently installed.
13. What type of high water alarm does the container have (and/or):
® Audible and Visual"" ❑ Telemetry (Auto Dialer / SCADA)
VI. CERTIFICATION:
1. Applicant's Certification: (Signature of Signing Official and Project Name)
(,Wallace Anderson, Executive Director , attest that this application for Ridge Haven. Inc. has been reviewed by me and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed
and that if all required supporting documentation and attachments are not included, this application package is subject to
being returned as incomplete. I understand that issuance of a permit will require pump and haul facilities or activities to be
inspected at least daily by me or a designated representative. Note: In accordance with North Carolina General Statutes 143-
215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any
application 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.
la. =�&,z A J� , /)- I— &
Signing Official Signature Date
ENGINEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL.
ACTIVITIES SHALL BE INSPECTED AT LEAST DAILY BY THE PERMITTEE OR IT'S REPRESENTATIVE PER 15A NCAC 02T .0204(d).
APPLICATION P&H 0 1- 16 Page 4 of 5

'S CERTFICATION IS REQUIRED FOR ACTIVITIES THAT RESULT IN THE PRACTICE OF ENGINEERING PER G.S. 89C-3.
DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL. IF CERTIFICATION BY AND ENGINEER IS REQUIRED,
THIS PAGE IS NOT NECESSARY.
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
I, DAVID W. ODOM, PE ,attest that this application for Ridge Haven, Inc. has been reviewed by me and is accurate, complete
and consistent with the information 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 all the applicable regulations. Although other professionals may have developed certain portions of this submittal
package, 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 143-215.66, any
person who knowingly makes any false statement, representation, or certification in any application 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.
DAVID W. ODOM, PE
Professional Engineer Name
ODOM ENGINEERING, PLLC
Engineering Firm
152EMAIN ST
Mailing Address
2d. FOREST CITY 12e. NC 12f. 28043 1
City I State I Zip
828-247-4495
Telephone
828-247-4498
Facsimile
[e-mail]
`e��SnntAA,��
��.
Plittt«,`
NC PE Seal, Signature & Date
APPLICATION P&H 01-16 Page 5 of 5

CITY a/' B.IZEVA I2_D
Emory G.. Owen, WWTP ORC
828-883-8461
November 3, 2016
To whom it may concern,
The Brevard Waste Water Treatment Plant will accept domestic waste water from
the Ridge Haven Camp and Conference Center. Our busine.. s hours are 8:00 am — 4:00 pm
Monday — Friday, and a volume of no more than 10,000 ballons of domestic waste water
per day will be accepted. If you have any questions feel free to contact me at# 883-8461, or
by e-mail at [e-mail].
Sincerely,
94
E7rG.Owen
Brevard WWTP ORC
RECEIVED
Division of Water Resources
NOV - 9 (�116
.+t. 4npional Operations
l::,,):oral Office

a
i of Water Resources
Attn: Ms. Bev Price
2090 US 70 Highway
Swannanoa, NC 28778
PROJECT: Ridge Haven Sewer Project
Contract to Pump & Haul
Transylvania County, NC
Dear Ms. Price:
This letter is to serve as part of the requirement of the pump &' haul permit to provide a letter
stating All About Plumbing & Septic NCS 01303 will be contracted by Ridge Haven, Inc.
It is estimated the 4,000 allon tank will be pumped once a month or as needed per the owner.
A routine schedule shall be established.
If you have any questions or comments, please do not hesitate to call us at:
All About Plumbing & Septic
90 Old Shoals Rd Unit 103
Arden, NC 28704
828-778-2423
Sincerely,
Russell Wilson
General Manager- Septic Division

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WaterResources
ENVIRONMENTAL QUALITY
May 19,2017
Wallace Anderson, Executive Director
Ridge Haven Camp
215 Ridge Haven Road.
Brevard,-NC, 28712
PAT MCCRORY
Governor
Subject: Permit No. WQ0039218
Ridge Haven Camp
Ridge Haven Camp Pump and Haul
Domestic Wastewater Pump & Haul Permit 2
Transylvania County
Dear Mr. Anderson:
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
In accordance with your application received May 12, 2017, we are forwarding herewith Permit No.
WQ0039218, dated May 12, 2017, to Ridge Haven Camp for the time -limited operation of a domestic
wastewater pump and haul operation. This permit shall be effective from May 29, 2017, will expire on
November 29, 2017, and shall be subject to the conditions and limitations as specified therein. This cover
letter and supplement shall be considered a part of this permit and are therefore incorporated therein by
reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 1.1: The Permittee or its representative shall inspect the permitted pump and haul facilities at
least daily to prevent malfunctions and deterioration, operator errors, and discharges
that may cause or lead to the release of wastes to the environment, a threat to human
health, or a nuisance condition.
Condition ll.1: An accurate record of the pump and haul activities must be maintained by the Permittee,
indicating; Date and time wastewater is removed from the facility; Name of contract
hauler; Name of facility receiving wastewater; & Volume of wastewater removed.
Condition 11.14: This permit shall expire November 29, 2017. Should the pump and haul activities stop
prior to the date of expiration, send written notification to the Asheville Regional Office,
Water Quality Section notifying them that the permit is no longer required and detailing
the final disposal solution.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150E of North Carolina General
State of North Carolina I Environmental Quality I Water Resources
1617 Mail service Center I Raleigh, North Carolina 27699-1611
919 807 6300

Ridge Haven Camp
Permit No. WQ0039218
Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Rale
27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this matter, please contact Tim Heim at [phone] or
via e-mail at [e-mail].
Sincerely,
for S. Jay Zimmerman, P.G.
Director, Division of Water Resources
by G. Landon Davidson, Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: David W. Odom, P.E. — Odom Engineering (electronic copy)
Emory G. Owen, ORC Brevard WWTP
K7'Na1WA i c -1' el NM
Water Resources Central Files: Attention Diane Rodman
G:\WR\WQ\Transylvania\Wastewater\Pump And Haul\Camp Ridge Haven\WQ0039218 Ridge Haven Camp P&H 2.Docx
Page 2 of 7

„
Water Resources
ENVIRONMENTAL QUALITY
DOMESTIC WASTEWATER PUMP & HAUL PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations, permission is hereby granted to the
Ridge Haven Camp
for the construction and operation of a domestic wastewater pump and haul operation to serve the camp
bath house (72 campers), consisting of a tank with an estimated total storage capacity of 8,000 gallons.
The facility from which pumping will occur shall include a minimum 24 hours storage with on -site audible
and visual high water alarms. The anticipated flow for this pump and haul operation is expected to be
720 gallons per day of domestic wastewater, pursuant to the application received May 12, 2017, and in
conformity with 15A NCAC 02T and other supporting data subsequently filed and approved by the
Department of Environmental Quality and considered a part of this permit. -
This permit shall be effective from May 29, 2017, will expire on November 29, 2017, and shall be subject
to the conditions and limitations as specified therein.
for S. Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0039218
Permit Issued: May 19, 2017
Page 3 of 7

SUPPLEMENT TO PERMIT..COVER SHEET
Ridge Haven Camp is hereby authorized to:
Construct and operate the aforementioned domestic wastewater pump and haul operation. The
wastewater collected by this system shall be pumped and hauled to Brevard Wastewater Treatment
Facility (Permit No. NC0060534) for final treatment.
It shall be the Permittee's responsibility to ensure that the as -constructed project meets the appropriate
design criteria and rules. Failure to comply may result in penalties in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, construction of additional or replacement facilities,
and/or referral of the North Carolina -licensed Professional Engineer to the licensing board.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
1. The Permittee or its representative shall inspect the permitted pump and haul facilities at least daily
to prevent malfunctions and deterioration, operator errors, and discharges that may cause or lead to
the release of wastes to the environment, a threat to human health, or a nuisance condition. The
Permittee shall maintain an inspection log or summary including at least:
a. Date and time of inspection;
b. Observations made;
c. Any maintenance, repairs, or corrective actions taken by the Permittee.
The Permittee shall maintain this log of inspections for as long as the pump and haul activities are
being conducted and shall be made available to the Division or other permitting authority, upon
request. Records shall be submitted quarterly to the Supervisor of the Water Quality Regional
Operations of the Asheville Regional Office. The records must be submitted within 30 days of the end
of each quarter (quarters end on the last day of March, June, September, and December). [15A
NCAC 02T .0204(d)]
2. This permit shall become voidable unless the agreement between RIDGE HAVEN CAMP, ALL ABOUT
PLUMBING AND SEPTIC, and BREVARD WWTTP for the collection, transportation, and final treatment
of wastewater is in full force and effect. [15A NCAC 02T.0204(b)]
II. STANDARD CONDITIONS
1. An accurate record of the pump and haul activities must be maintained by the Permittee, indicating:
a. Date and time wastewater is removed from the facility;
b. Name of contract hauler;
c. Name of facility receiving wastewater;
d. Volume of wastewater removed.
Page 4 of 7

The Permittee shall maintain this log for as long as the pump and haul activities are being conducted
and shall be made available to the Division or other, permitting authority, upon request. Records shall
be submitted quarterly to the Supervisor of the Water Quality Regional Operations of the Asheville
Regional Office. The records must be submitted within 30 days of the end of each quarter (quarters
end on the last day of March, June, September, and December). [15A NCAC 02T .0108] .
2. This permit shall not be transferable. In the event there is a desire for the facilities to change
ownership, or there is a name change of the Permittee, a formal permit request shall be submitted to
the Division accompanied by an application fee, documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of this request shall be considered on its
merits and may or may not be approved. [15A NCAC 02T .0104; G.S. 143-215.1(d3)]
3. The Permittee shall provide for the installation and maintenance of an audible and visual high-water
alarm on all storage and pumping facilities associated with this pump and haul operation. [15A NCAC
02T .0204(c)]
4. This permit shall become voidable unless the subject pump and haul activities are carried out in
accordance with the conditions of this permit; 15A NCAC 2T; and other supporting materials unless
specifically mentioned herein. [15A NCAC 02T.01101
5. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. No type, kind or quantity of wastewater other than the
pumped and hauled wastewater from the facility shall be included in these pump and haul activities.
[15A NCAC 02T .0110]
6. The wastewater collection facilities shall be properly maintained and operated at all times. Adequate
inspection, maintenance, and cleaning shall be provided by the permittee to insure proper operation
of the subject facilities. [15A NCAC 02T .0403]
7. The Permittee shall report by telephone to a Water Resources staff member at the Asheville Regional
Water Resources Section, telephone number 828-296-4500, as soon as possible, but in no case more
than 24 hour, following the occurrence or first knowledge of the occurrence of either of the following:
a. If the flow volume estimated above is exceeded by any amount on any day; or
b. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater storage, such as failures of tanks, piping, pumps, aerators,
compressors etc.; or
c. Any failure of a pumping station, sewer line, etc., resulting in a spill or by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or
facility; or.
d. Any SSO and/or spill over 1,000 gallons; or
e. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the initial
verbal report. Overflows and spills occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall'file a spill report by completing and submitting
Part I of Form CS-SSO (or the most current Division approved form) within five days following first
knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to
Page 5 of 7

ensure that the problem does not recur. Part II of Form CS-SSO (or the most current Division approved
form) can also be completed to show that the SSO was beyond control. [G.S. 143-215.1C(a1)]
8. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 02T; and other
supporting materials may subject the Permittee to an enforcement action by the Division, in
accordance with North Carolina General Statutes §143-215.6A through §143-215.6C, construction of
additional or replacement wastewater collection facilities, and/or referral of the North Carolina -
licensed Professional Engineer to the licensing board. [15A NCAC 02T .0104; 15A NCAC 02T .0108(b-
c)]
9. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall cease operation of all pump and haul activities
and shall take immediate corrective action, including those as may be required by this Division, such
as the construction of additional or replacement facilities. 115A NCAC 02T .0110; 15A NCAC 02T
.0108(b)]
10. Any duly authorized officer, employee, or representative of the Division of Water Resources may,
upon presentation of credentials, enter and inspect any property, premises, or place on or related to
the pump and haul collection facilities at any reasonable time for the purpose of determining
compliance with the Division's approval; may inspect or copy any records that must be maintained
under the terms and conditions of this permit; and may obtain samples. [15A NCAC 02T .0110]
11. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
12. Operation of this permit is based on acceptance of the certification attached to this permit, completed
by the Permittee and a North Carolina licensed Professional Engineer. Note that a completed
certification is only required for activities that met the definition of the Practice of Engineering in
accordance with G.S. 89C-3. In some instances this certification may not be required.
13. A copy this permit, and approved plans and specifications (if applicable) shall be maintained on file by
the Permittee for the life of the project. [15A NCAC 02T .0104]
14. This permit shall expire November 29, 2017. Should the pump and haul activities stop prior to the
date of expiration send written notification to the Asheville Regional Office, Water Quality Section
notifying them of that the permit is no longer required and detailing the final disposal solution. [15A
NCAC 02T .0105(j), 15A NCAC 02T.0204(a)]
Page 6 of 7

DOMESTIC WASTEWATER PUMP & HAUL ENGINEERING CERTIFICATION
This certification shall be completed and submitted to the appropriate regional office for activities that
result in the Practice of Engineering in accordance with G.S. 89C-3.. In some instances this, certification
may not be required.
PERMITTEE: RIDGE HAVEN CAMP
PERMIT #: WQ0039218
PROJECT: RIDGE HAVEN CAMP PUMP & HAUL
ISSUE DATE: May 19, 2017
This project shall not be considered complete nor allowed to operate until the Division has received this
Certification. It should be submitted in a manner that documents the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Section at the address at the bottom.
PERMITTEE'S CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the pump and haul system permitted herein or portions thereof.
Printed Name, Title
Signature
ENGINEERS CERTIFICATION
Date
I, , as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the Ridge
Haven Camp and location as referenced above for the above Permittee hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the construction such that the
construction was observed to .be built within substantial compliance of this permit; 15A NCAC 2T and
other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC Division of Water Resources — Water Quality Section 2090 US Hwy 70, Swannanoa, NC
Asheville ReEinnal Offire Phnno- IR?RV_?QA_ASnn s=Ay. lR,)sn-"QJnA2

5/1
Division of Water Resources 3 L E
Fast Track Application for Sewer Systems— Review Checklist
Project Name: 1 n Ei >r G /4 0A (In Application Number:03921' 8�
� �^ ^Application Completeness Review
Project is located in a County currently covered by the regional office es ❑Nol
Application and supporting documentation submitted in duplicate?
One Original and One Copy
Correct application fee submitted? See G.S. 143-21.5.3D
Ensure that a check for $480 is submitted and made out to NC DEQ.
All new projects and major modifications to existing projects require
includes any changes to permitted flow volumes, changes in pipe dim
t
of the originally permitted length, changes in operating points of a p
Office.
Application package is complete?
Current application version (See website)
Brief project narrative (per Section B of FTA,
Certification of Public Convenience and Nece
(if applicable)
Operational Agreements, signed and dated
(if applicable)r
Flow Tracking Acceptance / ForAlt :fP�� ` gn
Flow Tracking./ Acceptance Plann'>115 U
(if applicable){. "
Site Map and Street Level Map (per Sec F o
PE Certification of at1 o is signed, sled
Applicant CertificadtDtisA qand dated"`„
If any portion of the app```"lion is not''iplete, or is
s.
return of an application is ' nt, the fgwing steps
❑Yes �1�.
es ❑No ❑N/A
placation fee. A major modification
nges in pipe length greater than 10 %
n, etc. If unclear, contact the Central
-
�' bons) Yes o
« Yes ❑No N/AProvided
y's ri
u f,> s>><. ❑No LEA
~a� f
ed and dat ❑Yes [:]No [/A
pt Addendum
1-]Yes ❑No ❑NIA
1fff - .
f,tructions i 214es ❑No
and � N C. PQF �s []No
deleg ip r is prove ed) n Y eS ❑No
be taken:
items have been omitted, and the
o Con�iant (an`�Yanf echo pr, email for very minor completeness- deficiencies.
NYMtfie app: ": and con0_9
t) 48 hoii Ares'
F l. `yarn
urin this completeness review, fill out a checklist that
• e application is fo be incom Iet d g P
pP p :.,.:,;p
ice`"., ies the deficiene"'<�and re e application to the applicant with a co to the consultant. If the
,., h Pp pP copy
app jpn fee has not`eposite V et iin it as well.
Any projects that'`sto be returned 5' "1 be returned prior to accepting the application (i.e., before logging in the
application and depo _ the chec fter a project has been accepted, any information that is found to be
incorrect and/or lackin� t be re .° d via an Additional, Information Request in accordance with 15A NCAC
02T .0107. ``
1

P - � Per formation P �
❑New Permit ❑Permit Modification
If the project is a modification to an existing permit, be sure to enter the application into BIMS as a permit
modification (i.e. "renew/modify application" and not "create new project"). BIMS will pull the previous signing
official and affiliations information. Modify all tabs and enter updated information.
Does the project require a permit for the activity? Q/es ❑No
See Permitting by Regulation (15A NCAC 02T.0303) for projects deemed permitted
If No, return fee and application package
Is the project eligible for the Fast Track Program? ❑Yes [:]No
Projects not permitted through the fast track program: .
➢ Projects that require an environmental assessment in accordance with 15A NCAC 1C .0100; .
➢ Projects that do not meet any part of the minimum design criteria (MDC) document;
➢ Projects that involve a variance from the requirements of 15A NCAC 2T;
➢ Pressure sewer systems utilizing septic tank -effluent pumps (STEPs) or simplex grinder pumps;
➢ STEP or simplex grinder pumps connecting to pressurized systems (e.g. force, mains);
➢ Vacuum sewer systems.
If No, return fee and application package and advise applicant what to do
Information entered into BIMS? (Project details, affiliations, etc) ❑Yes ❑No
Applicant (Owner/Permittee) signature meets requirement of 15A NCAC .0106(b)? []Yes []No
If No, request revised application with an appropriate official, or a letter from an
appropriate official that indicates the person in question is delegated to sign the
application on the applicant's behalf. If a new delegated signing official is listed,
add the person to BIMS
Is the applicant is a public entity (county, city, sanitary district, etc.)? ❑Yes ❑No
If Yes, move to Wastewater Flow Information Section
Is the applicant is 'a private entity and intends to retain ownership (store, church, etc.)? ❑Yes [-]No
If Yes, move to Wastewater Flow Information Section
Is the applicant is a private entity (private utility)?
I❑Yes ❑No
If Yes, Applicant has been designated as a public utility by the NC Utilities Commission
❑Yes ❑No
Has submitted a Certificate of Public Convenience and Necessity (CP.CN)
or Letter from the Public Staff of the NC Utilities Commission (contact Central Office)
The project name on the application and CPCN must match
❑Yes ❑No
Is the applicant is a private entity (Developer) that will be selling units?
❑Yes ❑No
If Yes, Applicant has submitted an executed Operational Agreement (DEV)
❑Yes ❑No
A developer may be responsible for the system for an interim period until the HOA is formed,
at which time a name change / change of ownership form is required to transfer the permit to the
HOA
The operational agreement should be attached to the permit and incorporated into the language ofthe permit.
Is the applicant is a Homeowner's or Property Owner's Association selling units? ❑Yes [-]No
If Yes, Applicant has submitted an executed Operational Agreement (HOA) ❑Yes ❑No
and, Copy of the Articles of Incorporation, Declarations and By-laws ❑Yes ❑No
The operational agreement should be attached to the permit and incorporated into the language of the permit.
2

Wastewater Flow Information
Has submitted Flow Tracking/Acceptance Form (FTSE Form)
❑Yes
[]No ❑N/A
Ensure form is complete with all required information and that the owner
has accepted the entire volume of flow listed
Proper certification per 15A NCAC 02T .0106 (b)
❑Yes
[:]No
Form is dated within one year of receipt of application package
[:]Yes
❑No
Is FTSE Planning Assessment Addendum Required?
❑Yes
❑No ❑N/A
Required only for projects where available pump station capacity is < 0.
(Contact Central Office if needed)
Additional forms (FTSE 06-13) required?
❑Yes
❑No ❑N/A
Required only if the owner of downstream sewer different then owner of WWTF
Receiving WWTF and downstream sewers have adequate capacity
❑Yes
[:]No
Ensure no compliance issues (SSOs or WWTF compliance issues)
Wastewater domestic in nature ❑Yes ❑No
If item B.6 indicates industrial wastewater, notify the regional pretreatment coordinator or
contact the Central. Office to determine if a pretreatment permit is needed or if it is in place and compliant
Has the wastewater flow volume been calculated correctly (section I1.7 of FTA)? ❑Yes ❑No
Flow is calculated per 15A NCAC 02T.0114 .
or
If daily design flow is not based on regulations ensure that the applicant has an approved flow reduction of daily
design flow rate on file with the Division.
or
If other than 2T.0114, values must be supported with flow data per 15A NCAC 02T.0114(fl
(Contact Central Office if this is the case)
Design Information
Adequate information related to sewer lines (Section VII of FTA) ❑Yes ❑No ❑N/A
Note that per the 2T and MDC, there is a minimum 8" for public gravity or
minimum 6" for private gravity
Adequate information related to pump stations (Section VIII of FTA) ❑Yes ❑No ❑N/A
Ensure power reliability option is selected (see 15A NCAC 02T.0305(h))
Has Setbacks & Separations Section been completed? ❑Yes ❑No ❑N/A
Required if any portion of project is within 100 feet of any surface water or wetlands
Note, 15A NCAC 02T .0305 (f) contains minimum separations required for sewer
A variance is required if minimum separationscannot be attained (see below)
Is Project design is in accordance with (see section X of FTA) ❑Yes' ❑No
15A NCAC 02T
Gravity Sewer Minimum Design Criteria (latest version)
Minimum Design Criteria for Permitting of Pump Stations and Force Mains (latest version)
If no, a variance approval is required per the requirements of 15A NCAC 02T.0105(b)
• Applicant must submit TWO copies of the plans, specifications, and calculations
• Contact the Central Office to discuss the variance request to determine a course of action. The central
office will review the variance request, and if approvable, specific language regarding the variance will be
forwarded to the Regional Office reviewer to incorporate into the permit. A copy of the variance letter (or
email correspondence) should be kept with the application file.
Project contains high priority lines (15A NCAC 02T .0402(2)) ❑Yes [--]No
If Yes, insure that the permit contains the necessary condition related to high priority lines
15A NCAC 02T.0403 (a)(5)

Application Certification
Has a N.C. PE stamped, signed,and dated the application? ❑Yes ❑No
PE with active license in North Carolina? ❑Yes ❑No
Check the NCBELS to ensure Engineer is currently registered to practice
NCBELS License Lookup
If the owner is a corporation, is the corporation registered in N.C.? ❑Yes ❑No
N.C. Secretary of State (Corporation Search)
Applicant should be registered to conduct business as a corporation in. NC (Private Owners, Developers, HOAs, etc.)
If No, see return application guidance
Issuing a Permit.
Most current version of the Fast -Track permit shell used? ❑Yes ❑No
Special conditions utilized within permit? ❑Yes . ❑No ❑N/A
High Priority Lines (Aerials)
Variance Language (Approved by the Central Office)
Regional Conditions (i.e-. Stormwater Plans for Coastal Counties)
Construction Only Language ("Dry Lines")
Other instances (contact the central office if required)
If permit modification: ❑Yes ❑No ❑N/A
Include Permit History
Void Previously Issued Permit in language
Permit signed only by those delegated to sign for the Director ❑Yes ❑No
Permit distributed as follows: ❑Yes ❑No
• Original to Permittee
• Copy to Consulting Engineer
• Copy to County Health Department (if applicable)
• Copy to Mecklenburg County Department of Environmental Protections
(Only for projects located in Mecklenburg County)
• Copy to the applicable Building Inspections Authority (if applicable)
• Copy(ies) to the owner of the WWTF and owner of the downstream sewers
(Only if different than the Permittee)
• Copy to Regional Office Files
• Copy to Water Quality Central Files (see Central Files Permit Package below)
• Electronic copy to PERCS unit
Electronic version shall preferably a signed, scanned copy of the permit in pdf format.
If not, the electronic version can be a final version of the permit in word format. Regardless,
the permit should follow the naming convention of WQOOXXXXX - YY.MM.DD.
Electronic copies should be forwarded to the PERCS unit contact on a frequent basis (once a month is fine).
• Signed Operational Agreements should be distributed with the permit (if applicable)
Finalizing BIMS
Permit issued in BIMS? []Yes ❑No
All relevant Event Dates Entered? ❑Yes ❑No
(add info request, add info received, variance granted, variance denied, etc)
Central Files Permit Package
Complete package forwarded to Central Files ❑Yes ❑No
• Finalized Tracking Slip (BIMS Report)
• Copy of signed, issued permit (with operational agreements, if applicable)
• Copy of permit application package (application, supporting documentation, etc.)
• Review comments, calculations, notes, review checklist, etc.
• All other correspondence (email, phone logs, cover sheets, etc.)
All material in the permit package should be stapled together: Plans and specifications should not
be included in the permit package sent to central files.
4

Division of Water Resources
RECEIVED
DMsion of Water Resource!
State of rth Carolina
D%ffrtAa%tWnvjronin ental Quality
Division of Wa er Resources
15A NCAC 02T .0 0 H UL SYSTEMS
INSTRUCTIONS FOR FORM P&H WbfiI& Bid MENTATION
Documents shall be prepared in accordance with 15A NCAC 02T .0100,15A NCAC 02T .0200, and Division policies. Failure to submit
all required items will necessitate additional processing and review time. For more information, visit the Wastewater Branch's
website or contact the Regional Office serving your county.
General — This permit application applies to all pump and haul activities of wastewater under the authority of the Division on Water
Resources. Permit coverage is required for the system producing the wastewater. This permit does not apply to the transport of
animal waste from an animal waste management systems, not the transport of wastewater residuals or biosolids.
NOTE: Pump and haul permits are not acceptable long term domestic wastewater treatment alternatives and shall only be issued
in cases of environmental emergencies, nuisance conditions, health problems, or for unavoidable delays in construction of system
previously permitted by the Division.
The Applicant shall submit one original and one cow of the application and supporting documentation.
A. Pre -submittal Contact & Cover Letter
® Contact the appropriate Regional Office prior to submittal
❑ Submit a cover letter explaining the circumstances associated with this pump and haul permit request
B. Application Fee (Domestic Wastewater Only) k ,
® Submit a check made payable to: North Carolina Departmenf-of Environmental Quality (NCQEQ)
➢ The appropriate application fee is: $810.00 for flows < 10,000.GPR...,and $1,310.00 for flows 540 000 GPD
C. Wastewater Pump and Haul (FORM: P&H 01-16) Application:
® Submit the completed and appropriately executed Wastewater Pump- and Haul (FORM: P&H 01-16) application. Any
unauthorized content changes to this form shall result in the application package being returned. if necessary for clarity or
due to space restrictions, attachments to the application maybe, made, as long as the attachments are numbered to
correspond to the section and -item to which they refer
D. Receiving Facility Letter:
® Submit a letter from the owl %%1,&authorityjofRhe receivingawastewater treatment facility, as required by 15A NCAC 02T.0204
(b), stating that Me. Bumped ffauled katii aier will b ae'cepted and specifying the volume and type of wastewater that
will be accepvM ffRO, I ter should l6e signed beat borize)r( signing official in accordance with 15A NCAC 02T .0106M
E. Contract Hauler, Letter.
® Submit a letter from the hauler stating their capability and willingness to perform the pump and haul activity
® Letter shall i6dude: Owner/Company Name, Cori act Information, & Hauling Volume of Vehicle(s)
F. Certifications:
® The Applicant's Certification on Page 4 of ;the application shall be signed in accordance with 15A NCAC 02T.0106Ib1. Per 15A
NCAC 02T .01061ct an alternate person may be designated as the signing official if a delegation letter is provided from a
person who meets the criteria in 15XNCAC 02T .0106(b)
® The Professional Engineer's Certification on Page 5 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer (if required)
G. Plans and Specifications (Required for activities that result in the Practice of Engineering per G.S. 89C-3):
® Submit two sets of plans and specifications (signed, sealed and dated by a N.C. Licensed Professional Engineer)
® Plans must include:
➢ A general location map
➢ Diagram of the components associated with the pump and haul activity (drains, piping, tanks, pumps, etc)
➢ Tank Details that indicate high water alarm
➢ Other items as required
INSTRUCTIONS FOR APPLICATION P&H 01-16 Pagel of 5

Industrial Pump and Haul Activities
T .0203(A)(21, Industrial pump and haul activities are deemed permitted provided the following criteria is met:
ity notifies the appropriate Division regional office in writing advising of the type of operation, type and quantity of
ter generated, location, and the receiving wastewater treatment facility. A letter from the facility accepting the
wastewater (type and quantity) specifically agreeing to accept wastewater from the applicant shall be included.
➢ The wastewater does not contain any human waste.
➢ The waste is collected and discharged into a sewer or treatment system designed and permitted to accept the type of
wastewater being pumped and hauled.
➢ The pump and haul activity is not to alleviate a failing wastewater system.
➢ The Division regional office concurs in writing that the activity meets the criteria in this Rule.
CONTACT THE REGIONAL OFFICE PRIOR TO INITIATING ANY INDUSTRIAL PUMP AND HAUL ACTIVITES. SUBMITTAL OF THIS
APPLICATION/DOCUMENTS AND WRITTEN APPROVAL IS STILL REQUIRED FOR INDUSTRIAL PUMP AND HAUL ACTIVITIES
THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE
APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Operations
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Operations
Fayetteville, North Carolina 28301
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Operations
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
[phone] Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Operations
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Operations
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Operations
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe, Caswell, Davidson,
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
(336)-776-9800
INSTRUCTIONS FOR APPLICATION P&H 01-16
Page 2 of 5

VQ®��' � OF
BMITTAL INFORMATION: 3 9a 11
1. Contacted representative from regional office (Pre -submittal)?: ® Yes ❑ No
2. Contact name (For Regional Office): Tim Heim
IL APPLICANT INFORMATION:
1. Applicant's name (Municipality, Individual, Corporation, etc): Wallace Anderson
2. Applicant type: ❑ Municipal ❑ State ❑ Privately -Owned Public Utility
❑ County ® Other: Ridge Haven Camp
3. Origin of Wastewater:
❑ Residential Subdivision ❑ Retail (Stores, Shopping Centers) Domestic: 100
❑ Apartments/Condominiums ® Institution Commercial:
❑ Mobile Home Park ❑ Hospital Industrial:
❑ School ❑ Church Other:
❑ Restaurant ❑ Nursing Home
❑ Office ❑ Other (specify)
4. Signature authority's name: Wallace Andei�
Title: Executive Director I rl
5. Applicants mailing address: 215 Ridge Hai
City: Brevard State: NC Zip: 2871i f
6. Applicant's contact information:
Phone number: [phone] g
III. CONTACT/CONSULTANT INFORMATION: g
1. Contact name: David W. Odom, PE I jit)
GL� o
Title/Affiliation: Professional Engineer I
2. Contact's information:
Phone number: [phone] E
IV. RECEIVING FACILITY INFORMATION:
If more than 1 facility has agreed to accept the wastewater, please list all the owners, facility names, and permit
numbers as a separate attachment) (�
1. Owner: 3�
2. Facility name: /
3. Facility permit number:r- 6, CS'
4.WWTF permit number:
5. WWTF contact name:, ] Jdlpoy OL"A'I
Title/Affiliation: OP C
6. WWTF contact information:
Phone number:`'Q`8)?Ni- W Email:
RECEIVED
Division of Water Resources
M AY 12 2017
Water Ouality Regional Operations
Asheville Regional Office
APPLICATION P&H 01-16 Page 3 of 5

ROJECT INFORMATION:
1.1-ocation of Project (physical address): 215.Ridge Haven Rd., Brevard, NC 28712
Approximate Coordinates (Decimal Degrees): Latitude: 35.05490 Longitude:-82.5134o
2. Duration of Pump and Haul Request (Six Months Typical): 3-4 Months
3. Has a prior permit been issued? WNew IS, Prior Pump & Haul Permit
' Permit No.: \.kAj CO3
4. Permanent Method of Wastewater Disposal: Package plant jPermitted)
5. Date Permanent Disposal will be available: Feb.'17
6. Have permits / approvals for permanent disposal been obtained?
Yes ® No Permit Number: _NC0089559
7. Is there a Pretreatment Program in effect? ❑ Yes ® No
8. Describe any pretreatment prior to pumping and hauling:
9. Volume of Wastewater Generated: 720 Gallons per Day
10. Explain how the wastewater flow was determined: ® 15A NCAC 02T .0114 or ❑ Representative Data
If representative data, describe: 72 campers @ 10 GPD per camper for bath house
11. Describe Tank / ContaJ er wastewater will be pumped from (attach description if necessary):
8,000 gallon tank
12. Is Tank / Container in place or will it be installed (attach description if necessary):
Tank is being installed.
13. What type of high water alarm does the container have (and/or):
® Audible and Visual ❑ Telemetry (Auto Dialer / SCADA)
VI. CERTIFICATION:
1. Applicant's Certification: (Signature of Signing Official and Project Name)
[,Wallace Anderson, Executive Director , attest that this application for Ridge Haven, Inc. has been reviewed by me and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed
and that if all required supporting documentation and attachments are not included, this application package is subject to
being returned as incomplete. I understand that issuance of a permit will require pump and haul facilities or activities to be
inspected at least daily by me or a designated representative. Note: In accordance with North Carolina General Statutes 143-
215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any
application 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.
Signing Official Signature Date
ENGINEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL.
ACTIVITIES SHALL BE INSPECTED AT LEAST DAILY BY THE PERMITTEE OR IT'S REPRESENTATIVE PER 15A NCAC 02T .0204Idl.
APPLICATION P&H 01-16 Page 4 of 5

ENGINEER'S CERTFICATION IS REQUIRED FOR ACTIVITIES THAT RESULT IN THE PRACTICE OF ENGINEERING PER G.S. 89C-3.
INEERING DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL. IF CERTIFICATION BY AND ENGINEER IS REQUIRED,
THIS PAGE IS NOT NECESSARY.
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
I, DAVID W. ODOM, PE ,attest that this application for Ridge Haven, Inc. has been reviewed by me and is accurate, complete
and consistent with the information 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 all the applicable regulations. Although other professionals may have developed certain portions of this submittal
package, 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 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.
?a. DAVID W. ODOM, PE
Professional Engineer Name
Engineering Firm
f
169 OAK ST
Mailing Address
FOREST CITY
City
828-247-4495 2h. 828-247-4498
Telephone
Facsimile
le. NC 12f. 28043
State I Zip
'i
[e-mail]
d'ftrtrl;
`ri' !(I. (!7
r3��s
NC PE Seal, Signature & Date
RECEIVED
Division of Water Resources
M AY 1 2 2017
Water Quality Regional Operations
Asheville Regional Office
APPLICATION P&H 01-16 Page 5 of 5

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Engineering
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CITY oj' B REVA RD
Emory G. Owen, WWTP ORC
828-883-8461
November 3, 2016
To whom it may concern,
The Brevard Waste Water Treatment Plant will accept domestic waste water from
the Ridge Haven Camp and Conference Center. Our business hours are 8:00 am — 4:00 pm
Monday — Friday, and a volume of no more than 10,000 gallons of domestic waste water
per day will be accepted. If you have any questions feel free to contact me at# 883-8461, or
by e-mail at [e-mail].
Sincerely, ryf
i s __V. ��
EmorG. Owen
Brevard WWTP ORC

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