NC0059439_Regional Office Physical File Scan Up To 10/2/2020

Facilitv information
NPDES permit #:
NG0059439
Facility name:
Sapphire Lakes WWTP # 2
WWTP class:
I Biological (STSF)
WWTP type:
0.0049 MGD wastewater treatment system with:
(no septic tank on -site) 1000 gallon dosing tank
with siphon bell; distribution manifold; 5' x 30'
surface san alter with 9 laterals of 4-inch
diameter drilled pvc and %-inch diameter vertical
vents; tablet chlorinator; 1000 gallon chlorine
contact chamber; tablet dechlorinator; and
concrete step cascade.
Annual Average Flow:
The discharge is from 8 homes. There is usually
no discharge, unless it rains.
Collection System:
Consists of the gravity sewer collection of gray
water from the individual septic tanks of 8 homes,
serving 12 non -permanent residents, located on
the Fairway Villas.
Development:
Sapphire Lakes has 1450 acres and is a private,
second home community with golfing, tennis and
swimming pool. There is a total of 1000 acres
with 590 lots, 84 multi-family/villa units, 8 guest
quarters, and an 80 seat clubhouse. WWTP # 1
treats the wastewater from these connections.
Sludge Management:
Commercial hauler to the City of Brevard's
WWTP.
WWTP location:
1600 US Hwy 64; Sapphire, NC 28774;
Near Roundtop Mountain
Responsible official:
Aubrey Deaver (owner as of Dec `06)
A&D Water Service, Inc.;
PO Box 1407; Pisgah Forest, NC 28768
Phone numbers
828-884-9772 Aubrey Deaver; A& D Water Service, Inc.
828-884-8632 " - fax (Ruth Whitmire)
828-507-9853 cell " - cell
828-891-7779 Gary Norton @ HVL Water Plant (works day shift)
(h) 128 Maple Hill Rd Penrose NC 28766-9711
We V-" 5edo

ea
5annhire
THE PINNACLE
RACQUET CLUB VILLAS
RIVER PARK VILLAS
COTTAGES AT NO.9
COTTAGES AT NO.2
21C
I-,
450 B 62 f
46B g n
6B .73A k5B 56B 61B 6e
1.05A a5A 35A S7B doA
54B.. +a3A 6OB 678:
e B. POCKY 5967
4B 3 o :BA 686
IxA/ B 3B 520 519 meA 6
98
COMMERCIAL AREA
HILLTOP AT NO. 5
a3A e54
37C'
La
— up
r VELOP
THE MASTER LAND USE PLAN
iMutel rand Use flans are eynamld delta,, which em r Ilhy modif d.ndi
altered dddny the eeyeral yell ied— to build a community, a, Ne COmIIIIy'I
response 1.
I) Changing re0ullemenl5 0l poremment epencies and lirwcial inslitulbns.
2) The chanpinq needs 01 residents and recreational visitors:
3) =Ulion of Ile It- of the In of c0mmunity planning and dar,lopment,
new re amn studies and lecn,oiogical mne.xim,I:
�) Clang nth Ilnandal cpndltipns making pith, aileotions desirable to maintain
the e00nomic health of the company's community demlopmenl prooln.
While lots edition of the master land Use Plan Is Ihus a temporary design and not
- Imae,' as Wet of the leg.: dacumenls and conlnetural cammi—rh, of the
Company, it serves u.01 neat revised II the Campany's guidelines to location of
cads, types 0t dwelling unit. w si,ghi f—ly lots d onddminlums.
le-6 it and other --do, Iyeteme, drainage planning, m reatlonal
laclllh— location, ulllitles design, and open space.11... two, Current c—thh,
i.hwI t l thus he syllem ht .Ilycarried out in accordance with mil plan. However.
it should he u,der,t0od that the developer in no way is uhllgaled to.lad or com
p111e impmvemenu or amenities 0umently id -hued as "future-% The Company
reserves the dghl le male anal plan change..
Sapphire Lakes. Inc. P.O. Boa<13D Sapphire. N.C. 28774 (704) 966-920n
REVISED 9110/96

NOaZN 0 Soo 1000 GUEST QUARTERS
FUTURE DEVELOPMENT —
SCALE IN FEET
Luther E. Smith And Associates, P.A. DAVIDC..HUNTLEYc&ASSOCIATES
LAND PLANNING • LANDSCAPE ARCHITECTURE LAND SURVEYING

ve"U_051(1�
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Ciolleen H. Sullins, Director
- � fi S;i�'fi8r "Sim om "-+.�y1Y1SlOn .o�,Wat��:�s4.a�i
a is ,m
<4auu« aT✓.,ra^.v.'y:�sr�a.�ea,� wca .c ,vtt�f . f sa i->-. L Y�' .
September 27, 2007
Mr. Aubrey L. Deaver
A & D Water Service, Inc.
P. O. Box 1407
Pisgah Forest, NC 28768
Subject: Issuance of NPDES Permit NCO059439
Sapphire Lakes WWTP #2
Transylvania County
Dear Mr. Deaver:
i
7n;.Rpm..itifl:.�4W1,:T�Fdf.+�ittFA.41wL.1a T�35.1R..42�: .,,.i�iB
Division personnel have reviewed and approved your application for renewal of the subject ,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 the Memorandum of Agreement between North Carolina and the
U.S. Environmental Protection Agency dated May 9, 1994 (or as subsequently amended).
This final permit includes no substantial changes from the draft permit sent to you on August 1, 2007. However,
its terms include the following change from those found in your current permit:
• The permit includes a new daily maximum effluent limit for total residual chlorine (TRC). The limit shall
become effective on May 1, 2009 (eighteen months following the effective date of the permit), but monitoring
for TRC should continue as required under both the current and the renewed permits.
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 Quality or permits required by the Division
of Land Resources, the Coastal Area Management Act or any other Federal or Local governmental permit that
may be required..
If you have any questions concerning this permit, please contact Bob Sledge at telephone number (919) 733-
5083, extension 547.
Sincerely,
�1�r
een H. Sullins
cc: Central Files
Unit
NoorthCarolina
Naturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone]
Internet: www.ncwaterquality.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/100% Post Consumer Paper
Customer Service
1-877-623-6748

Permit NCO059439
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
1U91.7TIYi
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions 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, the
A & D Water Service, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Sapphire Lakes WWTP #2'
Off US Highway 64 at Sapphire
Near Round Top Mountain
Transylvania County
to receiving waters designated as James Creek in the Savannah River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts
I, II, III and IV hereof.
This permit shall become effective November 1, 2007.
This permit and authorization to discharge shall expire at midnight on August 31, 2012.
Signed this day September 27, 2007.
!% oleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0059439
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the
permit conditions, requirements, terms, and provisions included herein.
A & D Water Service, Inc® is hereby authorized to:
Continue to operate an existing 0.0049 MGD wastewater treatment system with the following
components:
♦ Holding tanks
♦ Surface sand filter
♦ Chlorination
The facility is located near Round Top Mountain at Sapphire Lakes Utility Company Plant #2 off
US Highway 64 at Sapphire in Transylvania County.
2. Discharge from said treatment works at the location specified on the attached map into James
Creek, classified C waters in the Savannah River Basin.

Latitude: 35°06'33" Stream Class: C
Longitude:82°58'35" Subbasin:031302
Quad # G7SW
Receiving Stream: James Creek
Facility a�
Location: ;
NC0059439-Sapphire Lakes Utility Co. Plant #2
Trans lvania CountV

Permit NCO059439
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL
During the period beginning on the effective date of this permit and lasting until expiration, the
Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored
by the Permittee as specified below:
„ CHARACTERISTICS
LIMITS
,
EQUIREMENT
MONITORING RS
r
n_
Monthly
Average"
Daily
s Maximum ,
Measurement
Frequency,
r
Sample Type
�
Sample Location
Flow
0.0049 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20°C) .
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
Total Suspended Residue
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
NHs as N
Monthly
Grab
Effluent
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
2/Month
Grab
Effluent
Total Residual Chlorinel
28 pg/L
2/Week
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent
pH2
2/Month
Grab
Effluent
Footnotes:
1. The total residual chlorine limit will become applicable May 1, 2009 (eighteen months following
the effective date of the permit).
2. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

NPDES Permit Standard Conditions
Page 1 of 16
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.
3 Week
Samples are collected three times per week on three separate calendar days. ;
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act, 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.
B ass
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 Quarter
One of the following distinct periods: Januarythrough 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 he 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
(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at
a constant time interval. This method may only be used in situations where effluent flow rates vary
less than 15 percent. The grab samples shall be taken at intervals of no greater than 20 minutes apart
during any 24-hour period and must be of equal size and of no less than 100 milliliters. Use of this method
requires prior approval by the Director.
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NPDES Permit Standard Conditions
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In accordance with (4) above, influent grab samples shall not be collected more than once per hour.
Effluent grab samples shall not be collected more than once per hour except at wastewater treatment systems
having a detention time of greater than 24 hours. In such cases, effluent grab samples may be collected at
intervals evenly spaced over the 24-hour period that are equal in number of hours to the detention time of the
system in number of days. However, the interval between effluent grab samples may not exceed six hours nor
the number of samples less than four 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. The "daily discharge" concentration comprises the mean
concentration for a 24-hour sampling period as either a composite sample concentration or the arithmetic mean of all
grab samples collected during that period. (40 CFR 122.2)
Daft Maximum
The highest "daily discharge" for conventional and other non -toxicant parameters. NOTE: Permittees may not
submit a "daily average" calculation [for determining compliance with permit limits] for toxicants. See the relevant
Federal effluent guidelines] for the appropriate calculation interval.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. The Division expects that 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).
DWO or "the Division"
The Division of Water Quality, Department of Environment and Natural Resources.
EMC
The North Carolina Environmental Management Commission.
Facility Closure
The cessation of wastewater treatment at a permitted facility, or the cessation of all activities that require coverage
under the NPDES. 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 = L
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).
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the Clean Water Act
Instantaneous flow measurement
A measure of flow taken at the time of sampling, when both the sample and flow will be representative of the total
discharge.
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NPDES Permit Standard Conditions
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Monthly Average (concentration limitl
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
coliform, the geometric mean of such discharges.
Permit Issuing_Authori_,ty
The Director of the Division of Water Quality.
Quarterly Average (concentration limitl
The average of all samples taken over a calendar quarter.
Severe propertydamage
Substawial 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 Clean Water Act
U set
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 designedtreatment facilities, inadequate treatment ' facilities, lack of preventive
maintenance, or careless orimproper operation.
Weekly Average (concentration hmitl
The arithmetic mean of all "daily discharges" of a pollutant measured during _the calendar week. In the case of fecal
coliform, the geometric mean of such discharges.
Section B. General Conditions
L Duty to Comply
The Permittee must comply with all conditions of this permit Any permit noncompliance constitutes a violation
of the Clean Water Act 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
Clean Water Act for toxic pollutants and with standards for sewage sludge use or disposal established under
section 405(d) of the Clean Water Act 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 Clean Water Act provides that any person who violates section 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 $25,000 per day for each violation. [40 CFR 122A1 (a)
(2)]
c. The Clean Water Act 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.
imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a
negligent violation, a person shall be subject to criminal penalties of not more than $50,000 per day of
violation, or by imprisonment of not more than 2 years, or both. [40 CFR 122.41 (a) (2)]
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NPDES Permit Standard Conditions
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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.
[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)(iu) 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, 3082 318 or 403 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 $10,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed
$25,000. Penalties for Class II violations are not to exceed $10,000 per day for each day during which the
violation continues, with the maximum amount of any Class II penalty not to exceed $125,000. [40 CFR
122.41 (a) (3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to rninirnie or prevent any discharge or sludge use or disposal in
violation of this permit which has 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 II. C. 4), "Upsets" (Part II. C. 5) and "Power
Failures" (Part H. 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
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.
7. Severability
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The provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit 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 150B-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 Pemzittee 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.
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. Sig2at= Reg&ements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified
.[40 CPR 122.41 (k)].
a. All permit applications shall be signed as follows:
(i) 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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NPDES Permit Standard Conditions
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c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate
because a different individual or position has responsibility for the overall operation of the facility, a new
authorization 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]:
01 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 property 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 (0].
13. Permit Modification, Revocation and Resssuance, 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 2H .0100; and North Carolina General Statute 143-215.1 et A
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 2H.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
Upon classification of the permitted facility by the Certification Commission, the Permittee shall employ a
certified water pollution control treatment system operator in responsible charge (ORC) of the water pollution
control treatment system. Such operator must hold a certification of the grade equivalent to or greater than the
classification assigned to the water pollution control treatment system by the Certification Commission. The
Permittee must also employ one or more certified Back-up ORCs who possess a currently valid. certificate of the
type of the system. Backup ORCs must possess a grade equal to (or no more than one grade less than) the grade
of the system [15A NCAC 8G.0201].
The ORC of each Class I facility must:
➢ Visit the facility at least weekly
➢ Comply with all other conditions of 15A NCAC 8G.0204.
The ORC of each Class II, III and IV facility must:
➢ Visit the facility 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 8G.0204.
Once the facility is classified, the Permittee shall submit a letter to the Certification Commission designating the
operator in responsible charge:
a. Within 60 calendar days prior to wastewater being introduced into a new system
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b. Within 120 calendar days of
➢ Receiving notification of a change in the classification of the system requiring the designation of a
' new ORC and back-up ORC
➢ A vacancy in the position of ORC or back-up ORC.
2. Proper Operation and Maintenance
The Permittee shall at all times provide the operation and maintenance resources necessary to operate the existing
facilities at optimum efficiency. 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)].
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. BBypassing_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
H. 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 Pernittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
(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.
0) of this section.
5. !!Users
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
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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: A 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. B. 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.
6. 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. The Permittee
shall comply with all existing Federal regulations governing the disposal of sewage sludge. Upon promulgation of
40 CFR Part 503, any permit issued by the Permit Issuing Authority for the utilization/disposal of sludge may be,
reopened and modified, or revoked and reissued, to incorporate applicable requirements at 40 CFR 503. The
Permittee shall comply with applicable 40 CFR 503 Standards for the Use and Disposal of Sewage Sludge (when
promulgated) within the time provided in the regulation, even if the permit is not modified to incorporate the
requirement 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 2H.O124 —
Reliability) 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
1. Representative Sampling
Samples collected and measurements taken, as required herein, shall be characteristic of the volume and nature of
the permitted discharge. Samples collected at a frequency less than daily shall be taken on a day and time that is
characteristic of the discharge over the entire 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 122.41 (j)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarised for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 4 2, 3) or alternative forms 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:
NC DENR / Division of Water Quality / Water Quality Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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3. 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
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 Federal Water Pollution Control Act (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.
5. Penalties for Tampering
The Clean Water Act 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 pears 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 Permittee'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].
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;
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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 upon the Pernittee'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
P
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 Clean Water Act, any substances or parameters at any location [40 CFR 122.4101
Section E Reporting Requirements
L 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
additions to the permitted facility [40 CFR 122.41 (I)].
soon as possible of any planned physical alterations or
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).
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 except after notice to the Director. The Director may require
modification or revocation and reissuance of the permit to document the change of ownership. Any such action
may incorporate other requirements as may be necessary under the Clean Water Act [40 CFR 122.41 (I) (3)].
5. Monitoring Reports
Monitoring 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, the results of such
monitoring shall be included in the calculation and reporting of the data submitted on the DMR.
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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 rase -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours 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 PartII. 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 0) (7)]. i
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 0) (8)].
9. Noncompliance Notification
The Pernuttee 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 ins' a by-pass directly to receiving
waters 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.
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 143-2151 (b)(2) or in Section 309 of the Federal Act
11. Penalties for Falsification of Reports
The Clean Water Act 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
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not more than $25,000 per ;violation, or by imprisonment for not more than two years per violation, or by both
(40 CFR 122.41).
12. Annual Performance Reports
Permittees who own or operate facilities that collect or treat municipal or domestic waste 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.
PART III
OTHER REQUIREMENTS
Section A. Construction
The Permittee shall not commence construction of wastewater treatment facilities, nor add to the plant's treatment
capacity, nor change the treatment proces(es) utilized at the treatment plant unless the Division has issued an
Authorization to Construct (AtC) permit 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 Monito jW
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 000 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";
0) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter 0 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Evaluation of Wastewater Discharge Alternatives
The Permittee shall evaluate all wastewater disposal alternatives and pursue the most environmentally sound
alternative of the reasonably cost effective alternatives. If the facility is in substantial non-compliance with the terns
and conditions of the NPDES permit or governing rules, regulations or laws, the Permittee shall submit a report in
such form and detail as required by the Division evaluating these alternatives and a plan of action within 60 days of
notification by the Division.
Section E. 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
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adverse impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit
continue at the permitted facility.
PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Publicly Owned Treatment Works (POTWs)
All POTWs must provide adequate notice to the Director of the following
1. Any new introduction of pollutants into the POTW from an indirect discharger which would be subject to
section 301 or 3D6 of CWA if it were directly discharging those pollutants; and
2. 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
3. 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 of the change on the quantity or quality
of effluent to be discharged from the POTW.
Section B. Municipal Control of Pollutants from Industrial Users
Effluent limitations are listed in Part I of this permit Other pollutants attributable to inputs, from
industries using the municipal system 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. Under no circumstances shall the Permittee allow introduction of the following wastes in the waste
treatment system:
a. 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;
b. Pollutants which will 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;'
C. Solid or viscous pollutants in amounts which will cause obstruction to the flow in the POTW
resulting in Interference;
d. 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;
e. 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 400C
(104°F) unless the Division, upon request of the POTW, approves alternate temperature limits;
f. Petroleum oil, nonbiodegradable cutting oil, or products of mineral oil origin in amounts that will
cause interference or pass through;
g. 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;
h. Any trucked or hauled pollutants, except at discharge points designated by the POTW.
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 discharges sending influent to the permitted system to meet
Federal Pretreatment Standards promulgated in response to Section 307(b) of the Act Prior to accepting
wastewater from any significant industrial user, the Permittee shall either develop and submit to the
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Division a Pretreatment Program for approval per 15A NCAC 2H .0907(a) or modify an existing
Pretreatment Program per 15A NCAC 2H .0907(b).
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 Clean Water Act and implementing
regulations or by the requirements of the approved State pretreatment program, as appropriate.
Section C. Pretreatment Programs
Under authority of sections 307(b) and (c) and 402(b)(8) of the Clean Water Act and implementing regulations 40
CFR Part 403, North Carolina General Statute 143-215.3 (14) and implementing regulations 15A NCAC 2H
.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
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the Clean
Water Act, the Federal Pretreatment Regulations 40 CFR Part 403, the State Pretreatment . Regulations 15A
NCAC 2H .0900, and the legal authorities, policies, procedures, and financial provisions contained in its
pretreatment program submission and Division approved modifications there of. Such operation shall include
but is not limited to the implementation of the following conditions and requirements:
1. Sewer Use Ordinance (SUO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program.
2. Industrial Waste Survey W� Sl
The Permittee shall update its Industrial Waste Survey (IWS) to include all users of the sewer collection
system at least once every five years.
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 Part II, Section D, and Section E.S.).
4. Headworks Analysis aMA-) and Local Limits
The Permittee shall obtain Division approval of a Headworks Analysis (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 (Le., 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 2H .0909,
specific Local Limits to implement the prohibitions listed in 40 CFR 403.5(a) and (b) and 15A NCAC 2H
.0909.
5. Industrial User Pretreatment PermitsIUP) & Allocation Tables
In 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 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 surnmari es the results
of the Headworks Analysis (HWA) and the limits from all Industrial User Pretreatment Permits (AJP).
Permitted IUP loadings for each parameter cannot `exceed the treatment capacity of the POTW as
determined by the HWA.
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6. Authorization to Construct (&Q
The Permittee shall ensure that an Authorization . to Construct permit (AtC) 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 TN) limitations.
7. POTW Inspection & Monitoring of their SIUs
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. The Permittee must:
a. Inspect all Significant Industrial Users (SIUs) at least once per calendar year, and
b. Sample all Significant Industrial Users (SIUs) at least twice per calendar year for all permit -
limited pollutants, once during the period from January 1 through June 30 and once during the
period from July 1 through December 31, except for organic compounds which shall be sampled
once per calendar year, .
8. SIU Self Monitoring and 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 2H .0908.
9. Enforcement Response Plan =
The Permittee shall enforce and obtain appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of the Clean Water Act (40 CPR 405 et. seq.), prohibitive
discharge standards as set forth in 40 CFR 403.5 and 15A NCAC 2H .0909, and specific local limitations.
All enforcement actions shall be consistent with the Enforcement Response Plan TM) approved by the
Division.
10. Pretreatment Annual Reports (PAR
The Permittee shallreport to the Division in accordance with 15A NCAC 2H .0908. In lieu of submitting
annual reports, Modified Pretreatment. Programs developed under 15A NCAC 2H .0904 (b) may be
required to meet with Division personnel periodically to discuss enforcement of pretreatment requirements
and other pretreatment implementation issues.
For all other active pretreatment programs, the Permittee shall submit two copies of a Pretreatment Annual
Report (PAR) describing its pretreatment activities over the previous twelve months to the Division at the
following address:
NC DENR / DWQ / Pretreatment Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
These reports shall be submitted according to a schedule established by the Director and shall contain the
following.
a.) Narrative
A brief discussion of reasons for, status of, and actions taken for all Significant Industrial
Users (SIUs) in Significant Non -Compliance (SNC);
b.) Pretreatment Program Summ= (PPS)
A pretreatment program summary (PPS) on specific forms approved by the Division;
c.) Significant Non -Compliance Roort (SNCR�
The nature of the violations and the actions taken or proposed to correct the violations on
specific forms approved by the Division;
d.) Industrial Data Summary Forms O SF)
VeWon 811/2006

NPDES Permit Standard Conditions
Page 16 of 16
Monitoring data from samples collected by both the POTW and the Significant Industrial
User (SIU). These analytical results must be reported on Industrial Data Summary Forms
(IDSF) or other specific format approved by the Division;
e.) Other Information
Copies of the POTW's allocation table, new or modified enforcement compliance schedules,
public notice of SIUs in SNC, 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 Significant Industrial Users (SIUs) that were in Significant
Non -Compliance (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
12. Record KeWin�
The Perrnittee shall retain for a *+ inimum 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.
13. Funding and Financial Report
The Permittee shall maintain adequate funding and staffing levels to accomplish. the objectives of its
approved pretreatment program.
14. Modification to Pretreatment ProWMs
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 15 NCAC 2H .0114 and
15A NCAC 2H .0907.
Version IV12006

a'eueflt-
F `NATF
O�0 9QG Michael F. Easley, Governor
y William G. Ross Jr., Secretary
> r North Carolina Department of Environment and Natural Resources
,flan
e-c ✓c -.
W.`Kliiriek; P.& Direct6r
'Di of Water Quality
p � � " AP April 2 3 2007
120, 2007
Aubrey Deaver [? WA T ER QUALITY SECTION
A&D Water Service, Inc. ASHEVILLE REGIOf','AL OFFICE
P.O. Box 1407 - --
Pisgah Forest, NC 28768
Subject: Receipt of permit renewal application
NPDES Permit NCO059439
Sapphire Lakes WWTP #2
Transylvania County
Dear Mr. Deaver:
The NPDES Unit received your permit renewal application on April 20, 2007. A member of the NPDES Unit will
review your application. They will contact you if additional information is required to complete your permit renewal. You
should expect to receive a draft permit approximately 30-45 days before your existing permit expires. The requirements in
your existing permit will remain in effect until the permit is renewed (or the Division takes other action).
If you have any additional questions concerning renewal of the subject permit, please contact me at [phone],
extension 363 or 350.
Sincerely,
0 0 . b4'��
Carolyn Bryan
Point Source Branch
cc: CENTRAL FILES
lie egional •:ffic� /tSusfac 'h;ate� Protection
NPDES Unit
"oRhCaro ina
dvatun"ly
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 2769971617 Phone [phone] Customer Service
Intemet: h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

A & D Water Service, Inc.
P.O. Box 1407 Pisgah Forest, NC 28768 828-884-9772 Fax [phone]
April 18, 2007
Mrs. Carolyn Bryant
NC DENR/DWQ/Point Source Brach
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Renewal NPDES Applications: NCO059439 & NCO059421
Dear Mrs. Bryant,
Enclosed please find renewal NPDES Applications for NCO059439 & NC0059421.
Sludge is disposed of by a sludge pumper at an approved sludge handling facility.
If you have any questions, please call me at 828-884-9772.
Sincerely,
Aubrey L. Deaver

s
NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. Department of Environment and Natural Resources
.:'Division of. Water Quality / NPDES Unit. -
1617 Mail Service Center, Raleigh, NC .27699-1617
NPDES Permit C00�
Please print or type.
1. Contact Information:
Owner Name A&D Water.. Service, Inc..
Facility Name Sapphire Takes WTVTP #2
Mailing Address P.O. Box 1407
City Pisgah Forest i
State / Zip Code
1N('. 2.8768
Telephone Number (8 2 8) 8 84 - 9 7 7 2
Fax Number (828). 884-8632
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road Off US Hwy 64 at Sapphire near
City Round Top Mountain
State /Zip Code Sapphire, NC 28774
County Translyvania - County';
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name
.A&D Water Service, Inc
Mailing Address P.O. Box 1407
City Pisgah Forest
State / Zip Code
Telephone Number
Fax Number
NC 287'68
( 828) 884-9772
( 828) 8847-8632
1 of 3
Form-D 4/05

- 'APDES APPLICATION = FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):`
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential ® Number of Homes 8
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.): Standard Domestic Wastes From Hpmas
Population served: 12
S. Type of collection system
❑ Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:. .
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ® Yes ❑ No
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
James Creek, -classified C waters in -the Savannan River Basin
S. Frequency of Discharge: ❑ Continuous Intermittent
If intermittent:
Days per week discharge occurs: varies Duration: 10 mins .
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet ofpaper. 0.0049 MGD WWT System with holding tanks, surface
sand filters & chlorination.
2of3
Form-D 4/05

NPDES APPLICATION FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .0049MGD
Annual Average _daily flow 0 & MGD (for the previous 3 years)
Maximum daily. flow 0.-00010 MGD (for the previous 3 years) One occurrance in 3 yrs .
11. Is this facility located on Indian country?
.❑ Yes ® No
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature. and pH shall be grab samples, for all other
parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum
and monthly average. If only one analysis is reported, report as daily maximum.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (SODS)
4.4
4.4
Mg/1
Fecal Coliform
59
59
# of colonies
Total Suspended Solids
<. 2 .0
2 .0
Mg/1
Temperature (Summer)
13.2
13.2
o c
Temperature (Winter)
pH
6.5 1
6.5
su
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCO 0 5 9 4 3 9 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
Permit Number
I certify that I am familiar with the information contained in the . application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Aubrey L. Deaver President
Printed game of Person --Signing Title
of Applicant
04/18/.07
Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of ,the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowly renders inaccurate any recording or monitoring device or method required
to be operated or maintained under Article 21 or regulations of the Environmental Management Commission -implementing that Article; shall be guilty of a
misdemeanor punishable by a fine not to exceed $25,000, or -by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a
punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Form-D 4/05

OC PRIORITY PROJECT: I No x
IF YES, SOC NUMBER
TO: PERMITS AND ENGINEERING UNIT
WATER QUALITY SECTION
ATTENTION: Dana Bolden
DATE: May 18, 1994
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Transylvania
PERMIT NUMBER NCO059439
PART I - GENERAL INFORMATION
1.
2.
3.
Facility and Address: Sapphire Lakes Utility Co., Inc.
1529 Horseshoe Drive
Columbia, South Carolina 29224
Date of Investigation: March 4, 1994
Report Prepared By: Kerry S. Becker
4. Persons Contacted and Telephone Number: Wayne Bryson
704-884-7512'
5. Directions to Site: The facility is located adjacent to James
Creek south of U.S. Hwy 64 approx. 1.5 miles west. of Bohaynee Rd. (Hti�;T.
281 S.).
6. Discharge Point(s), List for all discharge points:
Latitude: 350 06' 33" Longitude: 820 58' 35"
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. 185-SW U.S.G.S. Quad Name Reid, N.C.
7. Site size and expansion area consistent wih application?
x Yes No If No, explain:
Page 1.

N
00
8. Topography (relationship to flood plain included): Rolling
9.
Location of nearest
dwelling:
>100
ft..
10.
Receiving stream or
affected
surface
waters: James Creek
a. Classification: C
b. River Basin and Subbasin No.: SAV 03-13-02
C. Describe receiving stream features and pertinent downstream
uses: James Creek is a swift moving, rocky; bottom stream
that drains mountainous terrain. The area is primarily
rural, sparsely populated with seasonal homes. The creek
joins the Horsepasture River approximately 1/2 mile below the
Sapphire Lakes plant #2 discharge point.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted 0.0050 MGD (Ultimate
Design Capacity)
b. What is the current permitted capacity of the Wastewater
Treatment facility? 0.0050 MGD
C. Actual treatment capacity of the current facility (current
design capacity 0.0050 MGD
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two years:
None issued.
e. Please provide a description of existing or substantially
constructed wastewater treatment facilities: The existing
facility consists of septic tanks, distribution box, surface
sand filter, and effluent chlorination.
f. Please provide a description of proposed wastewater treatment
facilities: None proposed.
g. Possible toxic impacts to surface waters: Chlorine
2. Residuals handling and utilization/disposal scheme: Commercial
septic tank cleaning firm.
3. Treatment plant classification (attach completed rating sheet):
Class I
4.. SIC Codes(s): 4952
Page 2

*•
Wastewater.Code(s) of actual wastewater, not particular facilities
i.e., non -contact cooling water discharge from a metal plating
company would be 14, not 56.
Primary 06 Secondary
Main Treatment Unit Code: 440-7
PART III - OTHER PERTINENT INFORMATION
1. Alternative Analysis Evaluation: Has the facility evaluated all
of the non -discharge options available. Please provide regional
perspective for each option evaluated.
Spray Irrigation: Buffer distances, land size not available.
Connection to Regional Sewer System: No regional sewer is located
within proximity.
Subsurface: Land size not available; soils may not be suitable
Other disposal options:
PART IV - EVALUATION AND RECOMMENDATIONS
The facility has maintained compliance with permit limits for the
past year. The Asheville Regional Office recommends renewal of
the NPDES permit for the Sapphire Lakes Plant #2."
i
Signature f Report,Preparer
Yi�(ter Quality Regional Supervisor
_�_ 19-4,IC4 /1_'
Date
Page 3

Staff Review an Evaluation
NPDES Wastewater Permit
FACILITY INFORMATION
Facility Sapphire Lakes Utility Co., Inc. -Plant II
NPDES No. NC0059439
Design Flow (MGD) 0.0049
Facility Class I
STREAM CHARACTERISTICS
Stream Name
James Creek
Stream Class
C
Sub -basin
031302
Drainage Area (mil)
0.41
S7Q10 (cfs)
0.6
W7Q10 (cfs)
0.4
30Q2 (cfs)
0.7
IWC (%)
1.27
rProposed Changes Parameters Affected Basis for than e(s)
note
Compliance Schedule: none
Special Condition(s): none
Permits & Engineering Comments:
This is a permit renewal for a sand filter system. No problems were noted in the last renewal. Facility
appears to be in compliance with pe . 't limits. P&E recommends renewal.
Prepared bye Xi
w
Regional Office Evaluation and Recommendations:

NPDES WASTE LOAD ALLOCATION
PERMIT NO.: NCO05q439
Facility Status: PROPOSE
(circle one)
Permit Status: MOOFiCATMN Uwp'ERMrrrED NEW
(circle one)
MaJor llliuo;�_
Pipe No: 00�
Design ,Capacity (MGD): 0• 0 9??
Domestic M of Flow): /02
Industrial (% of Flow):
Comments:
RECEIVING STREAM:
L
Class: Sub-,ilej ;rcocr�e�{Y ojt30Z
Sub -Basin:
Reference USGS Quad: -7 SA _(please attach)
County:
Regional Office: ®i Fa Me. Ra Wa WI WS
(circle one)
rzlz , Date: z fo 9
Requested By:
Prepared By: Date: S l Y 4
Reviewed BY: —Date: s��8
Modeler
Date Rec.
Drainage Area (m?) O•KlD Avg. Streamflow (cfs): 1.�0
7Q10 (cfs) 0-6 Winter 7Q10 (cfs) 0.LI 30Q2 (cfs), 020
Toxicity Limits: IWC _— (circle one) Acute / Chronic
Instream Monitoring:)
VED
Parameters
n 21,t, c, lion
Upstream _�_[
Downstream
Location
C' A
Location
,Asshe��ille ,['I�rtti ffilce
Car6na
Effluent
Characteristics
Summer
Winter
BODE (mg/1)
30
NHf N (mg/1)
N1Z
D.O. (mg/0
I�1
TSS (mg/1)
30
F. Col. -(/100ml)
ZOO
pH (SU)
6
'f fin,
\.l A
Aa4
Lf� �(re 9 a !e a r 1;n
Y�f cfYc�� iU�
f dR, uC
C.
Comments:

f
�.f (A-47
Request No.: 5237
_---------------- WASTELOAD ALLOCATION APPROVAL FORM -------------------
Facility Name:
SAPPHIRE LAKE UTILITY COMPANY DEV.
NO. 2
NPDES No.:-NCOO59439
Type_ of Waste:
DOMESTIC
Status:
EXISTING
RecezStream
JAMES CREEK
Wi....rl t�f '?t -.4.N., d-e_
,:. C1"ass2`eation:.:,
Subbasin:
031302.
Drainage
area:
0.410
sq mi
County:
TRANSYLVANIA
Summer
701O:
0.60
cfs
Regional Office:
ASHEVILLE
Winter
7Q1O:
0.40
cfs
Requestor:
LULA HARRIS
Average
flow:
1.60
cfs
Date of Request:
4/26/B9
3OQ2-
0.70
cfs
,Quad:
G7SW
-------------------- RECOMMENDED EFFLUENT
LIMITS-------------------------
Wasteflow (mgd): 0.0049
BODS
(mg/1):
30
.NH3N
(mg/1):
NR
DO
mg/1):
NR
TSS
�mg/l):
30
Fecal coliform (#/IOOml):
200
phi
( su) :
6-9
Toxicity Testing Req.:
(Existing Limits)
----^--------------=--------- MONITORING -------------------------
Upstream (Y/N): N Location:
Downstream (Y/N): N Location:
----------------------------- COMMENTS ---------------------------
FECAL COLIFORM LIMIT WAS KEPT AT 200 PER CONVERSATION BETWEEN FORREST
WESTALL AND'STEVE ZOUFALY (MAY 2, 1989).
----------------------------=--------------------------------------
� C e _
Recommended by:. / � r.J=-� ---- , , - SL
Date4Q----
Reviewed by
Wech Support Supervisor: _ _ ___ __ _-____ Date':
Regional S or: _ - __- �__--_ Date: fir}
Water Qualtv Section
Permits &.Engineering: Date: ------------
RETURN TO TECHNICAL SERVICES BY: � _� _ MAY 5 - 1089
kheville Regional Offic,

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) 1Z
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
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 tii;te 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 eatrrective actions being taken and a tinie-table for
improvements to be made as required by Part 111.E.6 of the NPDES perinit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or sunei-yision
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,"
Permittee (Please print or type)
Signature of Permittee" x Gate
(Required unless submitted electronically)
P.O. Box 1407 Pisgah Forest, N.C. 28708 528-'q84-9772 ;,,L;, ,;, � ,,5/31;2022
Permittee Address Plume Nulnher e-mail address 'Permit I:.pir,urut
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
PARAMETER COOTS
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by ;ailing the NPDES Unit at (919) M-6300 or by visiting-
http:;/portal.ncderr.orghveb/wq/st>Yp/psi npde'appfc;rins,
Use only units of measurement designated in the reporting, facility's NPDES pennit for reporting data.
No Flow/Discharge From Site: ':heck this box. if no discharge occurs and, fts a :•welt. there are no data aP he
entered for all of the parameters on the DMR ibr the entire monitoring period.
xr ORC On Site?: ORC must vi:>it facility and document visitation orfacility a., regtiii*ed per i5A NCAC 8(:.0?04.
xkie Signature of Permittee, lrsi fined by other than the ermiuce, then: the dele.a• --r . ,. _ b I ration of the si�.l.c.;�ry atn;ulritN mist be on
file with the state per 15A NCAC 2B .0506(b)(2)(Ci).

EFFLUENT
NPDES PERMITNO. NCO059439 DISCHARGE NO. Oo / MONTH -Wa X YEAR Z o
FACILITY NAME Sapphire Lakes 2 CLASS_— COUNTY Transylvania
CERTIFIED LABORATORY (1) Environmental Testing Solutions
(list additional laboratories on the backsidelpage 2 ofthis form)
OPERATORINRESPONSIBLE CHARGE (ORC) Gary Norton GRADE ff CERTIECATIONNO. 21853
PERSON(S) COLLECTING SAMPLES Gary Norton / Richard McCrary ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED ® NO FLONV / DISCHARGE FRONT SITE
Mail ORIGINAL and ONE COPY to:
ATIMCENTRALFILF.S
DIVISION OFWATERRESOURCES
1617i1'IAILSERVICECF.N ER
RALEIGM NC 27699-1617
BY THIS SIGNATURE, I CERTIFY THATUM REPORTIS
ACCURATEAND COIDIPIETE TOTHE BESTOFMY KNONLEDGE.
6-2z-/
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DWR Form MR-1 (08/05)
Vu i1N[T

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
X
All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant
' lJt
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
A&D WATER SERVICES, INC
Permittee (Please print or type)
v
Signature of Permittee*** I
(Required unless submitted electronically)
PO BOX 1407, PISGAH FOREST, NC 28768 8928-884-9537 admaint(ftitcom.net 2022
Permittee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Certification No.
Certified Laboratory (3) , Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the
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 f6r all `of the parameters on the DMR for the entire monitoring period.
xx ORC On Site?: -ORC-'inust visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
x*x Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
rlle wim me stare Der 1JA iNUAL; 215

EFFLUENT
NPDES PERMIT NO NCO059439 DISCHARGE NO. 001 MONTH JUNE YEAR 2019
FACILITY NAME SAPPHIRE LAKES 2 i CLASS 1 COUNTY TRANSYLVANIA
CERTIFIED LABORATORY (1) . E T S CERTIFICATION NO (2) NC600
(list additional laboratories on the backsidelpage 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) William Wesley Royal GRADE 3 CERTIFICATION NO. 13471
PERSON(S) COLLECTING SAMPLES Wes Royal ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED X
NO FLOW /DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
(SIGNATURE OF I T R IN RESPONSIB CHARGE)
BY THIS SIGNATURE,' CERTIFY THAT THIS REPOR S_
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
7/222019
DATE
—
' •
1
1 /
MonthlyLimit
DWQ Form MR-1 (11/04 )
J

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
0
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
0
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
A&D WATER SERVICES, INC
Permittee (Please print or type)
Signature of Permittee*** I
(Required unless submitted electronically)
PO BOX 1407, PISGAH FOREST, NC 28768 admaint(ftitcornmet 2022
Permittee Address Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
x 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 the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
***Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).

EFFLUENT 1
NPDES PERMIT NO NCO059439 DISCHARGE NO. 001 MONTH JULY YEAR 2019
FACILITY NAME SAPPHIRE LAKES 2 CLASS 1 COUNTY TRANSYLVANIA
CERTIFIED LABORATORY (I) E T S CERTIFICATION NO (2) NC600
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) William Wesley Royal GRADE 3 CERTIFICATION NO. 13471
PERSON(S) COLLECTING SAMPLES Wes Royal 0 ONE 828-884-9537
CHECK BOX IF ORC HAS CHANGED
NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FH.ESZ�I�K78/26/2019
DIVISION OF WATER QUALITY (SIGNATUREkOF OPERATOR IN RESPONSIBLE CHARGE) \ DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. jk
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EFFLUENT
NPDES PERMIT NO NCO059439 DISCHARGE NO. 001 MONTH SEPT YEAR 2019
FACILITY NAME SAPPHIRE LAKES 2 CLASS 1 COUNTY TRANSYLVANIA
CERTIFIED LABORATORY (1) E T S CERTIFICATION NO (2) NC600
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) William Wesley Royal GRADE 3 CERTIFICATION NO. 13471
PERSON(S) COLLECTING SAMPLES Wes Royal ORS ONE 828-884-9537
CHECK BOX IF ORC HAS CHANGED J
NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and.ONE COPY to:�/ ATTN: CENTRAL FILES 10J23J2019
DIVISION OF WATER QUALITY (SIGNATURE OROPERATOMNIRPSPONSIBLE CHARGE) -----DATE
1617 MAH, SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
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Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
X
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
0
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
A&D WATER SERVICES, INC
Permittee (Please print or type)
Permittee*** Date
(Required unless submitted electronically)
PO BOX 1407, PISGAH FOREST, NC 28768 8928-884-9537 admaint@citcornmet 2022
Permittee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Certification No.
Certified Laboratory (3)•: Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone]"or by visiting the
Use only units of measuremenf designated in the reporting facility's NPDES permit for reporting data.
x 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 DN M for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*xx Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state Der 15A NUAC 2B A506

EFFLUENT
NPDES PERMIT NO NCO059439 DISCHARGE NO. 001 MONTH OCTOBER YEAR 2019
FACILITY NAME SAPPHIRE LAKES 2 CLASS 1 COUNTY TRANSYLVANIA
CERTIFIED LABORATORY (1) E T S CERTIFICATION NO (2) NC600
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) William Wesley Royal GRADE 3 CERTIFICATION NO. 13471
PERSON(S) COLLECTING SAMPLES Wes Royal OR HONE 828-884-9537
CHECK BOX IF ORC HAS CHANGED
NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to: JZ
ATM: CENTRAL FILES 11/152019
DIVISION OF WATER QUALITY (SIGNATURE O OPERATOR IN KFSPONSIBLE C ) DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS -
RALEIGH NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
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Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Co�X
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
I
The permittee' shall report to the Director or the appropriate Regional Office any noncompliance that potentially
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
— - - A&D WATER SERVICES, INC
Permittee (Please pr' t or type)
Jz&
Signature dfPermittee*** Date
(Required unless submitted electronically)
PO BOX 1407, PISGAH FOREST, NC 28768 8928-884-9537 admaint(ftitcom.net 2022
Permittee Address Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the
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 the entire monitoring period.
xx ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
xx Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 1SA NUAU 215

EFFLUENT
NPDES PERMIT NO NCO059439 DISCHARGE NO. 001 MONTH NOVEMBER YEAR 2019
FACILITY NAME SAPPHIRE LAKES 2 CLASS 1 COUNTY TRANSYLVANIA
CERTIFIED LABORATORY (1) E T S CERTIFICATION NO (2)
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) William Wesley Royal GRADE 3 u
PERSON(S) COLLECTING SAMPLES Wes Royal ORC PHC
CHECK BOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY (SIGNATURE OF OPERAT SP SE3LE CHARGE)
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH. NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
NC600
ICATION NO. 13471
1 828-884-9537
/ DISCHARGE FROM SITE
12/26/2019
DATE
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Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
-
X
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
A&D WATER SERVICES, INC
Permittee (Please print or type)
(Required unless submitted electronically)
PO BOX 1407, PISGAH FOREST, NC 28768 8928-884-9537 admaint@citcornmet 2022
Permittee Address Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at (9.19)­733=5083 or by visiting the
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 the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
the with the state per 1SA NCAC Z13

EFFLUENT
NPDES PERMIT NO NCO059439
FACILITY NAME SAPPHIRE LAKES 2
CERTIFIED LABORATORY (1) E T S
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) William
PERSON(S) COLLECTING SAMPLES Wei
CHECK BOX IF ORC HAS CHANGED
DISCHARGE NO. 001
CLASS
CERTIFICATION NO (2)
MONTH DECEMBER YEAR 2019
1 COUNTY TRANSYLVANIA
NC600
GRADE 3 CERTIFICATION NO. 13471
ORC PHONE [phone]
Mail ORIGINAL and ONE COPY to: 1 /
ATM: CENTRAL I MES
DIVISION OF WATER QUALITY (SIGNAWkE OF OPERATOR IN VSPONSIBLE CHARGE)
1617
RAL MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THA S REPORT IS
RALEIGA NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
NO FLOW / DISCHARGE FROM SITE rXX
1/30/2020
DATE
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,\,�Q SECTION
INFORPIIP:TION PROCESSING UNIT

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Co�X
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
- - A&D•WATER SERVICES, INC
Permittee (Please printgr type)
(Required unless submitted electronically)
PO BOX 1407, PISGAH FOREST, NC 28768 8928-884-9537 [e-mail] 2022
Permittee Address - Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the
Use only units of measurement designatedin 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 the entire monitoring period.
x* ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee:' Ifsigned by other than the permittee, then the delegation of the signatory authority must be on
file with the'state per I5A NCAC 2B .0506(b)(2)(D).

EFFLUENT
NPDES PERMIT NO NCO059439 DISCHARGE NO. 001 MONTH JANUARY YEAR 2020
FACILITY NAME SAPPHIRE LAKES 2 CLASS 1 COUNTY TRANSYLVANIA
CERTIFIED LABORATORY (1) E T S CERTIFICATION NO (2) NC600
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) William Wesley Royal GRADE 3 CERTIFICATION NO. 13471
PERSON(S) COLLECTING SAMPLES Wes Royal RC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED
NO FLOW /DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:440�z(ATTN: CENTRAL FILES 2/2712020
DIVISION OF WATER QUALITY (SIGNATURE OF OPERATOR IN RESPONSIBL DATE
LMAIISERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
EIGH. NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
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MAR 4 2020 MAR 0 c, 2020

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Co�X
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
0
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
A&D WATER SERVICES. INC
Permittee (Please print or
3/25/2020
Signature ofPermittee*** Date
(Required unless submitted ele tropically)
PO BOX 1407, PISGAH FOREST, NC 28768 8928-884-9537 [e-mail] 2022
Permittee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Certification No.
Certified Laboratory (3) Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5) ,r ' •."; ; Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
x 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 the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 213 .0506(b)(2)(D).

EFFLUENT `
NPDES PERMIT NO NCO059439 DISCHARGE NO. 001 MONTH FEBRUARY YEAR 2020
FACILITY NAME SAPPHIRE LAKES 2 CLASS 1 COUNTY TRANSYLVANIA
CERTIFIED LABORATORY (1) E T S CERTIFICATION NO (2) NC600
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) William Wesley Royal GRADE 3 CERTIFICATION NO. 13471
PERSON(S) COLLECTING SAMPLES Wes Royal O"ONE 828-884-9537
CRECK BOX IF ORC HAS CHANGED J
NO FLOW /DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES /-(3/25/2020
DIVISION OF WATER QUALITY - (SIGNATURE OP -OPERATOR INRESPONSIBLE C - DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
II IKIT,
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DWO Form MR-1 (11104 )
APR 0 6 2020
pWP, SECTION
II"�EORP9,4TION PROCESR►AIr_ I Lrr r

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
0
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
0
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
A&D WATER SERVICES, INC
Permittee (Please print or type)
Signature of Permittee*** Date
(Required unless submitted electronically)
PO BOX 1407, PISGAH FOREST, NC 28768 8928-884-9537 admaint(cDcitcom.net 2022
Permittee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Certification No.
Certified Laboratory (3) Certification No.
Certified Laboratory (4) ` : ` Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 733-5.083 or by visiting the
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 the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
x** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
tale with the state per 15A NC;AU 2B .U.)U6(b

EFFLUENT
NPDES PERMIT NO NCO059439 DISCHARGE NO. 001 MONTH MARCH YEAR 2020
FACILITY NAME SAPPHIRE LAKES 2 CLASS 1 COUNTY TRANSYLVANIA
CERTIFIED LABORATORY (1) E T S CERTIFICATION NO (2) NC600
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) William Wesley Royal GRADE 3 CERTIFICATION NO. 13471
PERSON(S) COLLECTING SAMPLES Wes Royal ORC NE 828-884-9537
CHECK BOX IF ORC HAS CHANGED
NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES 4/28/2020
DMSION OF WATER QUALITY (SIGNATURE OF UERAMR IN RESPONSIBLE C GE) DATE
1617 MAH. SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLE GE.
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DWO Form MR-1 (11104 )
MAY 18 2020
DWR SECTION
INFORMATION PROCESSING UNIT

Water Pollution Control System Opera'®>z- Designation Form
WPCSOCC
NCAC(155An8,.GA201
Permittee Owner/Officer Name:. � Zz /,AV)
Mailing Address: v �A5��
City: f %�jtC% States," (— Zip:'- Phone
Email address:r�'}
Signat q
Date:
.............................................................
.Facility Name: �`/� Permit#: 41600S`7 `���
6
SUBMIT A SEPARATE FORM FOR EACH TYPE SYSTEM!
Facility Type/Gradet
Biological WWTP Surface Irrigation
.Physical/Chemical Land Application
Collection System
...................................................................................
Operator in Responsible Charge (ORC),
Print Pull Name: _ C�2r s� eyrrr�'s /1/ai 7a
Certificate Type /Grade./Number: 1 f's 3 Work Phone #': S' $2 8 ), SS3- p 90
Signature: Date: S -2f —1e-1-
"I'certify that I agree to my deli anon as the Operator irr Responsible Charge for the facility noted. I understand and will abide by the rules
and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC. 08G .0204 and failing, to.do so can result in Disciplinary
Actions 'by'the Watei-Pollntion Control System Operators Certification Commission"
..............................................................................................................................................
Back -Up Operator in Responsible Charge (Bt ORC)
'PrintFull Name:®,s�,� 4 _ ,:C),/1,6
.>
Certificate Type / .Grade / Number:. Work Phone
`I certify that I agree to my designation as: a Back-up Operator in,Responsible Charge for the facilitynoted. I understand and will abide by the
rules, and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC`08G .0205 and failing -to do so_ eau'result in
Disciplinary Actions by Water Pollution ControlSystem Operators Certification Commission."
.. ..................................... . .
Mail, fax or email Me WPCSOCC 1618 Mail Service Center, Raleigh, NC 27699-1618 Fax:, 919.8®7.6492
original to: 4-r. N cei adhtialir cd�i
Mail or fax a copy M the
Asheville
Fayetteville
Mooresville
appropriate Regional Office:,
2090 US Hwy 70
225 Green St
610'E Center Ave
Swannanoa 28778
Suite 7I4
Suite.301
Fax: [phone]
Fayetteville.28301-5045
Mooresville 281.15.
Phone: [phone]
Fax: '910'486.0707
Fax: [phone]
'Phone:[phone]
Phone:[phone]
Washington
Wilmington
Winston-Salem
943 Washington Sq Mall
127 Cardinal -Dr
5.85 Waughtown :St
Washington27889
Wahhington 28405-2845
Winston-Salem 27107
Fax:[phone]
Fax:[phone]
F" 336.771.4631
Phone:.[phone]
Phone:[phone]
Phone:336.71IS606
Raleigh
3800 Barrett Dr
Raleigh 27669
Fax: [phone]
Phone:[phone]
Revised 02-2013

VA
North Carolina Department of Environment and
Pat McCrory
Governor
June 30, 2014
Audrey Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest NC 28768
Natural Resources
John E. Skvarla, III
Secretary
SUBJECT: Compliance Evaluation Inspection
Sapphire Lakes WWTP #2
Permit No: NCO059439
Transylvania County
Dear Mr. Deaver:
On May 28, 2014, I conducted a compliance evaluation inspection on the Sapphire Lakes WWTP #2. I would
like to thank you for your assistance in this inspection. The facility was found to be in compliance with permit
NC0059439.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions, please call me at: 296-4500.
Sincerely,
Katherine H Jimison
Chemistry Technician III
Asheville Regional Office
Enclosure
cc 17-Central Files -Basement
Ashevil`leF'fes�
Water Quality Regional Operations — Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://portal.ncdenr.org/web/wq
An Equal Opportunity 1 Affirmative Action Employer
G:IWRIWQ1TransylvanialWastewateAMinorslSapphire Lakes WWTP #2 59439\59439 CEI 2014.doc
I A-

United States Environmental Protection Agency
FFE
Form Approved.
Washington, D.C.20460
OMB No. 2040-0057
` Water Compliance Inspection Report
Approval expires B-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 1 3 I NCO059439 I11 12 14/05/28 17
18 L C( 19 Li 201 I
21I_I11 I I I I I I II I I 1 I I I I I I I I I I I I I I
I I I I I I II I I I I I f6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA
---------- --Reserved-----------
671
70 [,J 71 J72 L
73 I 74 7.51 I I I I I
80
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)
12:05PM 14/05/28
12/09/01
Sapphire Lakes Plant WWfP #2
1600 US Hwy 64 W
Exit Time/Date
Permit Expiration Date
Sapphire NC 28774
12:30PM 14/05/28
17/08/31
Name(s) of Onsite Representative(s)rritles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Audrey Deaver,PO Box 1407 Pisgah Forest NC 28768//882-884-9772/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
® Permit ® Operations & Maintenance ® Facility Site Review
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
Kathy Jimison ARO WQ//828-296-4500/
% Z ^`�
/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
j Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
31 NCO059439 �11 12 14/05/28 17 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as neudssaj
Mr. Aubrey Deaver assisted in this inspection.
Some sections of the lattice fencing are gone. The fencing needs to be repaired or replaced to prevent
access by unauthorized personnel.
The facility appears to be operated and maintained well.
Page#

Permit: NCO059439
j. !r±ction Date: 05/28/2014
Owner -Facility; Sapphire Lakes Plant WWTP #2
Inspection Type: Compliance Evaluation
Operations & Wkintenance
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
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?
Yes No NA NE
11 ❑ ❑ ❑
❑ ❑ ® ❑
Yes No NA NE
❑ ❑ ® ❑
BE ❑ ❑ ❑
❑ ® ❑ ❑
❑ ® ❑ ❑
®❑ ❑ ❑
Comment: Some sections of the lattice fencing are gone. The fencing should be repaired and or
replaced to prevent access by unauthorized personnel.
Sand Filters (Low rate)
Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational?
❑
❑
®
❑
Is the distribution box level and watertight?
❑
❑
®
❑
Is sand filter free of ponding?
M
❑
❑
❑
Is the sand filter effluent re -circulated at a valid ratio?
❑
❑
®
❑
# Is the sand filter surface free of algae or excessive vegetation?
®
❑
❑
❑
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 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?
2
Is the level of chlorine residual acceptable?
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
®
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
Comment: There was no flow at the time of this inspection.
De -chlorination Yes No NA NE
Page# 3
I

Permit: NCO059439
Inspection Date: 05/28/2014
Owner - Facility: Sapphire Lakes Plant WWTP #2 `
Insoection Tvoe: Compliance Evaluation
De -chlorination
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Comment:
Are the tablets the proper size and type?
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment: A stepped aerator is used for dechlorination.
Yes No NA NE
Other
❑
❑
W
❑
❑
❑
®
❑
❑
❑
®
❑
❑
❑
®
❑
❑
❑
®
❑
Page# 4

WaterResources
ENVIRONMENTAL QUALITY
Patty Carland
A&D Water Service Inc
117 Kira Ln
Hendersonville, NC 28739
Division ai 4�i,cr Resources
SEP 1 2 2017
Water Quality Regional Operations
Asheville Regional Office ____-�
September 11, 2017
Subject: Permit Renewal
Application No. NCO059439
Sapphire Lakes Plant WWTP #2
Transylvania County
Dear Applicant:
ROY COOPER
Cowernar
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
The Water Quality Permitting Section acknowledges the March 31, 2017 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.
The permit writer will contact you if additional information is required to complete your permit renewal. Please respond
in a timely manner to requests for additional information necessary to allow a complete review of the application and
renewal of the permit.
Information regarding the status of your.renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deg. nc.gov/permits-regulations/permit-quidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sinccennr��ely J
ow
Wren Thedfor
Administrative Assistant
Water Quality Permitting Section
cc: Central Files 111A00 iC)'
ec: WQPS .Laserfiche File w/application
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

NPDES APPLICATION - FORM D
ately-owned treatment systems treating 1009/o domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
"DES Permit C0059439
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
,field to the next. To check the boxes, click your mouse on top of the box OtherUASe, please print or type.
I. Contact Information:
Owner Mame
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
A & D Water Service, Inc.
Sapphire Lakes WWTP #2
P.O. Box 1407
Pisgah Forest
N.C. 28768
[phone]
[phone]
[e-mail]
2. Location of facility producing discharge:
--_-Check-here-if-same-address-as-above n--------_...- .------.._._..--�- --- --.-----�-_.
Street Address or State Road Off US 64 at Sapphire Lakes Subdivision
City
State / Zip Code
County
Sapphire
N. C. 28774
Transylvania
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name A & D Water Service, Inc.
Mailing Address
P. O. Box 1407
City
Pisgah Forest
State / Zip Code
N. C. 28768
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
Division of "'ater Resources
1 of3 SEP 1 2 2017
Form-D 11/12
Water OUality Regional Operations
'i'vipe Renio-1 Office

NPDES APPLICATION - FORM D
tely-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
i of wastewater:
Facility Generating Wastewater(check all that applyr
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
X
Number of Homes g
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, -etc.):
Residential Condos
Number of persons served: 16
5. Type of collection system
X Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification numbers) 001
Is the out fall equipped with a diffuser? X Yes ❑ No
7. Name of receiving stream(s) (NEW anplicarnts• provide a map shouting the exact location of each
outfallf:
James Creek
8. Frequency of Discharge: X Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration•
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet o f paper.
Septic tank sank filter, chlorination, dechlorination and step aeration
2of3
Form-D 11112

NPDES APPLICATION - FORM D
Itely-owned treatment systems treating 100'/o domestic wastewaters <1.0 MGD
rmation:
Treatment Plant Design flow 0.005 MGD
Annual Average daily flow 0.000 MGD (for the previous 3 years)
Maximum daily flow 0.000 MGD (for the previous 3 years)
1 L Is this facility located on Indian country?
❑ Yes X No
12. Effluent Data
11f W &EPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all otherparameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS• Provide the highest single reading
the past 36 months or ammeters currentl in our erm� Mark Maximum) and Monthly
� g Average over
Parameter Icy Monthly Units of
Maximum Avery a Measurement
Bio h
c emical O$ygen Demand (BODs)
N/A
N/A /
mg/1
Fecal Coliform
N/A
N/A
/ 100 ml
Total Suspended Solids
N/A
N/A
Temperature (Summer)
N/A
N/A
m g/1
Temperature (Winter)
N/A
N/A
C
pH
N/A
N/A
C
su
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping in g (MPRSA)
NPDES NCO059439 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Aubrey Deaver President
Fruited name of Person Sigru Title
Signature
Applicant
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management'
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article. shall tx- glftty of a misdemeanor punishable by a fine not to exceed $25,W0, or by Imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3of3
Form-0 11/12

Water Resources
ENVIRONMENTAL OUALITY
Mr. Aubrey Deaver, President
A&D Water Services, Inc.
PO Box 1407
Pisgah Forest, NC 28768
Dear Mr. Deaver:
March 27, 2017
ROY COOPER
Governor
MICHAEL S. REGAN
Secretory
S. JAY ZIMMERMAN
Director
OWI�
APR�5n
Water Quality Re
Subject: Permit Renewal I rn 9Q R S io a p cl
Application No. NCO059439 e
Sapphine Lake WWTP #2-
Transylvania County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on March 27, 2017. The primary reviewer for this renewal
application is Sarah Phillips.
The primary reviewer will review your application, and she will contact you if additional
information is required to complete your permit renewal. Per G.S. 150B-3 your current permit
does not expire until permit decision on the application is made. Continuation of the current permit
is contingent on timely and sufficient application for renewal of the current permit.
Please respond in a timely manner to requests for additional information necessary to
complete the permit application. If you have any additional questions concerning renewal of the
subject permit, please contact Sarah Phillips at 919-807-6479 or [e-mail].
Sincerely,
?A" %`ie*vd
Wren Thedford
Wastewater Branch
cc: Central Files
ZDES
=X' egional A lice
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300
RECEIVED
Division of Water Resources
APR 1 2 2017
Water Quality Regional opematiorls
Asheville Regional Office

NPDES APPLICATION - FORM D
caned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit C0059439
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name A & D Water Service, Inc.
Facility Name Sapphire Lakes WWTP #2
Mailing Address P.O. Box 1407
R&EIV DWR
Eta �tl
City Pisgah Forest
R 2 7 2017
State /Zip Code N.C. 28768
!"Maz Quality
Telephone Number [phone]
P'e iftingSereti011
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road Off US 64 at Sapphire Lakes Subdivision
City Sapphire
State / Zip Code N. C. 28774
County Transylvania
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name A & D Water Service, Inc.
Mailing Address
P. O. Box 1407
City
Pisgah Forest
State / Zip Code
N. C. 28768
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
1 of 3 Form-D 11/12

NPDES APPLICATION - FORM D
owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.005 MGD
Annual Average daily flow 0.000 MGD (for the previous 3 years)
Maximum daily flow 0.000 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes X No
12. Effluent Data
NEW APPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average over
the past 36 months for parameters currently in your permit. Mark other parameters 'NIA".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (SODS)
N/A
N/A
mg/l
Fecal Coliform
N/A
N/A
/ 100 ml
Total Suspended Solids
N/A
N/A
mg/1
Temperature (Summer)
N/A
N/A
C
Temperature (Winter)
N/A
N/A
C
pH
N/A
N/A
su
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NCO059439
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Aubrey Deaver President
Printed name of Person Sianin-e Title
Signature of Applicant
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3of3
Form-D 11/12

NPDES APPLICATION - FORM D
caned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
X
Number of Homes 8
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Residential Condos
Number of persons served: 16
5. Type of collection system
X Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? X Yes ❑ No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
James Creek
8. Frequency of Discharge: X Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration: _
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
Septic tank sank filter, chlorination, dechlorination and step aeration
2of3
Form-D 11/12

NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Aubrey Deaver
A & D Water Service, Inc.
P. O. Box 1407
Pisgah Forest, NC 28768
Division of Water Quality
Charles Wakild, P.E. Dee Freeman
Director Secretary
August 15, 2012
Subject: Issuance of NPDES Permit NCO05943 9
A & D Water Service, Inc. - Sapphire Lakes WWTP #2
Transylvania County
Dear Mr. Deaver:
Division personnel have reviewed and approved your application for renewal of the subject 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 the Memorandum of Agreement between North Carolina and the
U.S. Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
This final permit includes no significant changes from the draft permit sent to you on June 13, 2012.
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 Quality or permits required. by the Division
of Land Resources, the Coastal Area Management Act or any other Federal or Local governmental permit that
may be required.
If you have any questions concerning this permit, please contact Bob Sledge at telephone number (919) 807-
6398, or via e-mail at bob.sledge@ncdenr.g6v.
lam. ..__..... _ e..''.�" •r .. 'Y.... .. ..
rQ
Takild, P.E.
SE 1 1 2
cc: Central Files__
Asheville .Regional Office/Surface Water Protection_Section?
NPDES File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh; North Carolina 27604
Phone: [phone] \ FAX: [phone]
Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer
IT
At�c.J1LLne
.
NorthCarolina
Nq%wICif

Permit NC0059439
STATE OF NORTH CAROLINA
,PARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions 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,
A & D Water Service, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Sapphire Lakes WWTP #2
Off US Highway 64 at Sapphire
Near Round Top Mountain
Transylvania County
to receiving waters designated as James Creek in the Savannah River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts
I, II, III and IV hereof.
This permit shall become effective September 1, 2012.
This permit and authorization to discharge shall expire at midnight on August 31, 2017.
Signed this day August 15, 2012.
2es Wakild, P.E., Director
-Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued tOAMS facility, whether for operation or discharge are huiuoy
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the
permit conditions, requirements, terms, and provisions included herein.
A & D Water Service, Inc.
is hereby authorized to:
1. Continue to operate an existing 0.0049 MGD wastewater treatment system with the following
components:
♦ 1000 gallon dosing tank with siphon bell
♦ Distribution manifold
♦ 25' x 30' Surface sand filter
♦ Tablet chlorination
♦ Chlorine contact chamber
♦ Tablet dechlorination
♦ Cascade aeration
The facility is located near Round Top Mountain at Sapphire Lakes Utility Company Plant #2 off
US Highway 64 at Sapphire in Transylvania County.
2. Discharge from said treatment works at the location specified on the attached map into James
Creek, classified C+ waters in the Savannah River Basin.

Pentit NC0059439
MR-
/l
VVIXv
M- Point
_ r Itb\
lit, d
�:Ij
\j
�, �f,,,; ' f f " �`� , 1 '
T ;4
d
(�
3 l /� .t� � �� l/ /� ! `/i\.-.� � ���,✓J f� �--� �� r �: _f \\�.��_J � ��f) �{� L `l!'/' ~--J ti
+ {/ 0
A&D Water Service, Inc.t-
Sapphire Lakes WWTP #2
Facility'`t
Latitude: 35106'33" Stream Class: C
Location . 54
Longitude:82°58'35" Subbasin:031302
Quad # G7SW
Receiving Stream: James Creek
NPDES Permit NCO059439
Trans Ivania Count

Permit NC
A. (L) EFFLUENT LIMITATIONS AND' MONITORING REQUIREMENTS - FINAI
During the period beginning on the effective date of this permit and lasting until expiration, the
Permittee is authorized to discharge from outfa11001. Such discharges shall be limited and mo.111LUI%,u
by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Parameter Code
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample Type
Sample Location
Flow 50050
0.0049 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20°C) C0310
30.0 mg/L
45.0 ing/L
2/Month
Grab
Effluent
Total Suspended Solids C0530
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
NHs as N C0610
Monthly
Grab
Effluent
Fecal Coliform 31616
(geometric mean
200/100 ml
400/100 ml
2/Month
Grab
Effluent
Total Residual Chlorines 50060
28 Ng/L
2/Week
Grab
Effluent
Temperature (°C) 00010
Weekly
Grab
Effluent
pH2 O0400
2/Month
Grab
Effluent
Footnotes:
1. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance
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
n/L.
2. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall .be no discharge of floating solids or visible foam in other than trace amounts.

)ES 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
Version 1110912011

NPDES Permit Standard C4,
Page
(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at a
constant time interval. Use of this method requires prior approval by the Director. This method may only be
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).
DWQ or "the Division"
The Division of Water Quality, 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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ubstance
,e designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
s 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 Quality.
Quarterly Average (concentration limit)
The arithmetic mean of all samples taken over a calendar quarter.
Severe property 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 122.411.
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 conviction fc
violation, a person shall be subject to criminal penalties of not more than $50,000 per day of violal
imprisonment of not more than 2 years, or both. [33 USC 1319(c)(1) and 40 CFR 122.41(a)(2)]
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 11 violations are not to exceed $16,000 per day for each day during which the
violation continues, with the maximum amount of any Class Il 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 H.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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7. Severability
The provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit 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. Signatory 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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c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate because
a different individual or position has responsibility for the overall operation of the facility, a new authorization
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
122.221
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 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 significant penalties for
submitting false information, including the possibility offnes 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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within seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or designating
at least one of the responsibilities.
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.B.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 Permittee 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 I5A 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
1. 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 forms 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 Quality / Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
3. 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.ncdenr.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 Permittee'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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Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall
following information [40 CFR 122.411:
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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5. Monitoring Reports
Monitoring 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 hours 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. Availabilijy 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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Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certii
any record or other document submitted or required to be maintained under this permit, including mon
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 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that collect or treat municipal or domestic waste 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 Quality [Surface Water Protection 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 definitions in Part II of this permit, 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. 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 makes 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 definition 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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All POTWs must provide adequate notice to the Director of the following [40 CFR 122.42(b)]:
1. Any new introduction 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
2. 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.
3. 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. [15A 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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Etble Pretreatment Standards as defined by 40 CFR 403.3(1). [15A NCAC 02H .0903(b)(10), .0905, and
)(4)]'
uiuuD�11al User Pretreatment Permits (IUP) &Allocation Tables
In 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 HWA 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)]
Authorization to Construct (AtQ
The Permittee shall ensure that an Authorization to Construct permit (AtC) 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 (IUP) 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 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 02H .0908. [15A NCAC 02H .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 meet with Division personnel periodically to discuss enforcement of pretreatment
requirements and other pretreatment implementation issues.
For all other active pretreatment programs, the Permittee 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:
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NC DENR / Division of Water Quality / Surface Water Protection 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 format 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 (IUs) 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. [15A NCAC 02H
.0906(b)(9) and (10) 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 11/09/2011

A=rl
101ina Department of Environme #� -av t . e�
Division of Water UillIfT Ln is
Charles Wakild, P.E:- Dee Freeman
Director APR 1 7 2012 ' I ;Secretary
F -L
WATER QUALITY SECTION 1
A ril16 2010'
p ' AShtEVIL_LE RE :ION,4� L OFFICE
AUBREY DEAVER
PRESIDENT
A&D WATER SERVICE, INC
PO BOX 1407
PISGAH FOREST NC 28768
Subject: Receipt of permit renewal application
NPDES Permit NCO059430
Sapphire Lakes Plant #2
Transylvania County
Dear Mr. Deaver:
The NPDES Unit received your permit renewal application on April 12, 2012. A member of the. NPDES
Unit will review your application. They will contact you if additional information is required to complete your
permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing permit
expires.
If you have any additional questions concerning renewal of the subject permit, please contact Bob Sledge at
[phone].
Sincerely,
Dina Sprinkle
Point Source Branch
cc: CENTRAL FILES
shevll' e�ReQaonal Os;ffic"'e. /�'S:ursface WatervProtec � ozx
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www:ncwaterquality.org
An Equal Opportunity t Affirmative Action Employer
Nne
orthCarolina
;Vatllralll� f .
4�,

NPDES APPLICATION - FORM D
Fprop7vately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NFDES Permat w C0069439
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
A & D Water Service, Inc.
Facility Name
Sapphire Lakes Plant #2
Mailing Address
P O Box 1407
City
Pisgah Forest
State / Zip Code
N C / 28768
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road Off US Highway 64 at Sapphire Lakes near Round Mtn
City Sapphire
State / Zip Code N C / 28774
County Transylvania
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name A & D Water Service, Inc
Mailing Address P O Box 1407
City Pisgah Forest
State / Zip Code N C / 28768 0
Telephone Number [phone] r D r
Fax Number [phone] APR 12 2012
1 of 3 Form-D 05/08

W, NPDES APPLICATION - FORM D
privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD .
4. 'Description of wastewater:
Facility Generat�Wastewater(check all that applyr
Industrial
❑
Number of Employees
Commercial
❑
_
Number of Employees _
Residential
X
Number of Homes 8
School
❑
Number of Students/Staff
Other
❑
_
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Subdivison (condominiums)
Population served: 12
5. Type of collection system
X Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? X Yes ❑ No
7. Name of receiving stream(s) (Provide a map shouting the exact location of each outfall).
James Creek
S. Frequency of Discharge: ❑ Continuous X Intermittent
If intermittent:
Days per week discharge occurs: Varies Duration: 10 mins.
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
Surface sand filters with chlorination
2of3
Farm-D 05108

pppp, NPDES APPLICATION - FORM D
privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.0049 MGD
Annual Average daily flow 0.0000 MGD (for the previous 3 years)
Maximum daily flow 0.0000 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes X No
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other
parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum
and monthly average. If only one analysis is reported, report as daily maximum.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODs)
N/A
N/A
mg/L
Fecal Coliform
N/A
N/A
col/ 100 ml
Total Suspended Solids
N/A
N/A
mg/L
Temperature (Summer)
N/A
N/A
deg C
Temperature (Winter)
N/A
N/A
deg C
pH
N/A
N/A
S.U.
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Printed nanik of
Applicant
Title
Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Form-D 05/08

'Ali
1
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
SURFACE WATER PROTECTION SECTION
September 10, 2010
Mr. Aubrey L. Deaver
A&D Water Service, Inc.
PO Box 1407
Pisgah Forest, NC 28768-1407
Dee Freeman
Secretary
SUBJECT: Compliance Evaluation Inspection
Sapphire Lakes Plant WWTP #2
Permit No: NCO059439
Transylvania County
Dear Mr. Deaver:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the
inspection conducted on August 24, 2010. The facility was found to be in compliance with permit
NC0059439.
Please refer to the enclosed inspection report for additional observations and comments.
If you or your staff should have any questions, please call me at 828-296-4662.
Sincerely,
Wanda P. Frazier
Environmental .Specialist
Enclosure
cc: Central Files
S:\SWP\ ransy vania a r1 M r� Sap dire Lakes WWTP #2 59439\CE1.8-24-10.doc
SURFACE WATER PROTECTION — ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778 NonrthCarolina
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748 ;Vatutllallff
Internet: www.ncwaterauality.org .1� :/

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 15I 31 NCO059439 111 121 10/08/24 117 181 CI 191 SI 20I I
L.
Remarks
211 I I I I I I I I I I I I I I I I I I 1 1 I I I I I I I I I I I I I I I I I I I I I I I I 116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved-----
67I 1. 0 169 701 31 71 IJ 721 NJ 73I I 174 751 I I I I I Li
W
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)
Sapphire Lakes Plant WWTP #2
11:10 AM 10/08/24
07/11/01
Exit Time/Date
Permit Expiration Date
1600 vs Hwy 64 W
Sapphire NC 28774
11.25 AM 10/08/24
12/06/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Gary Dennis Norton/ORC/828-891-7779/
Name, Address of Responsible Officiairritle/Phone and Fax Number
Aubreyy L Deaver,PO Box 1407 Pisgah Forest NC Contacted
287681407//628-884-9772/8288848632 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance 0 Records/Reports Facility ,Site Review
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
Wanda P Frazier ARO WQ//828-296-4500 Ext.4662/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO059439 I11 12I 10/08/24 I17 18H
(cont.)
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
FACILITY DESCRIPTION:
The Sapphire Lakes WWTP # 2 is a class I Biological (sand filter) system rated as a 0.0049 MGD
wastewater treatment system with: (no septic tank on -site) 1000 gallon dosing tank with siphon
bell; distribution manifold; 25' x 30' surface sand filter with 9 laterals of 4-inch diameter
drilled pvc and 3/-inch diameter vertical vents; tablet chlorinator; 1000 gallon chlorine contact
chamber; tablet dechlorinator; and concrete step cascade.
Annual Average Flow: There is usually no discharge, unless it rains.
Collection System: Consists of the gravity sewer collection of gray water from the individual septic
tanks of 8 homes, serving 12 non -permanent residents, located on the Fairway Villas.
Development: Sapphire Lakes has 1450 acres and is a private, second home community with golfing,
tennis and swimming pool. There is a total of 1000 acres with 590 lots, 84 multi-family/villa
units, 8 guest quarters, and an 80 seat clubhouse. WWTP # 1 treats the wastewater from these
connections.
Sludge Management: Commercial hauler to the City of Brevard's WWTP.
PERMIT / INSPECTION / LOG:
A review of the files indicates that the last compliance evaluation inspection was conducted on
2-14-2007 by Wanda Frazier.
The permit expires on 7-31-2013. Please request a permit renewal 6 months prior to expiration.
A renewal notice will be mailed as a reminder. -
OPERATIONS AND MAINTENANCE / EFFLUENT / SUMMARY:
Mr. Aubrey Deaver and MR. Mike Walker assisted in the inspection. It appears that this facility
is being properly operated and maintained.
There was no discharge at the time of the inspection. Due to seasonal residents and the small
volume wastewater, a discharge usually does not occur, unless there is a rain event.
SYSTEM PERFORMANCE ANNUAL REPORT:
The 2009 System Performance Annual Report was received by the Division on 2-15-2010.
Page # 2

Permit: NCO059439 Owner - Facility: Sapphire Lakes Plant WVVTP #2
Inspection Date: 08/24/2010 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? 0 ❑ ■ ❑
Is the facility as described in the permit? ■ ❑ n
n
# Are there any special conditions for the permit? n
❑
■
-
-
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment:
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
■
n
n
n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids,
pH, DO, Sludge n
n
■
n
Judge, and other that are applicable?
Comment: Sand filter system.
Sand Filters (Low rate)
Yes
No
NA
NE
(If pumps are used) Is an audible and visible alarm Present and operational?
n
n
■
n
Is the distribution box level and watertight?
n
n
■
n
Is sand filter free of ponding?
■
n
n
n
Is the sand filter effluent re -circulated at a valid ratio?
n
n
■
n
# Is the sand filter surface free of algae or excessive vegetation?
■
n
❑
n
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
n
n
■
n
Comment:
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
■
0
El
0
Are the tablets the proper size and type?
■
n
n
n
Number of tubes in use?
2
Is the level of chlorine residual acceptable?
❑
n
❑
■
Is the contact chamber free of growth, or sludge buildup?
■
n
n
n
Is there chlorine residual prior to de -chlorination?
n
n
n
■
Comment:
De -chlorination
Yes
No
NA
NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
n
n
■
n
Page # 3

Permit: NC0059439 Owner - Facility: Sapphire Lakes Plant WWTP #2
Inspection Date: 08/24/2010 Inspection Type: Compliance Evaluation
De -chlorination
Yes
No
NA
NE
Is storage appropriate for cylinders?
n
n
■
n
# Is de -chlorination substance stored away from chlorine containers?
n
n
■
n
Comment:
Are the tablets the proper size and type?
■
n
n
n
Are tablet de -chlorinators operational?
■
n
n
n
Number of tubes in use?
1
Comment:
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
■
n
n
n
Are the receiving water free of foam other than trace amounts and other debris?
■
n
n
n
If effluent (diffuser pipes are required) are they operating properly?
n
n
■
n
Comment:
Page # 4

j6► m u vvater bervice, inc.
P. O. Box 1407 Pisgah Forest, NC 28768 Phone [phone] fax [phone]
{
NOTICE
Annual Performance Report
Wastewater Treatment Svstemsil-
j FEB 17 2010 I: i
WATER QUALITY SECTION f
ASNEVILLE REGiCi AL OFFICE
On July 20, 1999, the North Carolina General Assembly ratified House Bill 1160, the Clean Water Act of
1999, which placed significant new reporting requirements on those entities that own or operate
wastewater treatment and collection systems. Specific items included:
1. A Spill Response Plan
2. Sewer Collection System Operation & Maintenance Plan
3. Annual Performance Report
These new requirements became effective October 1, 1999. This law was established to provide a
mechanism for public oversight (and hopefully, to instill public confidence) in owners and operators of
wastewater treatment systems and in their efforts to protect the waters of the state.
We are pleased to announce that the Annual Performance Report for your wastewater treatment and sewer
line collection system is now available for review.
A copy of the report is available to interested persons by contacting the office at [phone].
A&D Water Services, Inc. is pleased to be a part of this on -going environmental protection effort.
Sincerely,
Aubrey
OME
D
FEB 152010
QU-AU Y
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P. O. Box 1407 Pisgah Forest, NC 28768 Phone [phone] Fax [phone]
Annual Wastewater Treatment System Performance Report
for
Sapphire Lakes Wastewater Treatment System
for the Operating Period
January thru December - 2009
Preface
On July 20, 1999, the North Carolina General Assembly ratified House Bill 1160, the Clean Water Act of
1999, which placed significant new reporting requirements on those entities that own or operate
wastewater treatment and collection systems. Specific items included:
1. A Spill Response Plan
2. Sewer Collection System Operation & Maintenance Plan
3. Annual Performance Report
These new requirements became effective October 1, 1999.
This report is designed to meet the minimum requirements for the Annual Performance Report established
by the North Carolina Department of Environment and Natural Resources (DENR) as set forth in their
guidance document dated October 19, 1999.
This law was established to provide a mechanism for public oversight (and hopefully, to instill public
confidence) in owners and operators of wastewater treatment systems and in their efforts to ;protect the
waters of the state.

L' General Information
Facility/System Name:
Responsible Entity:
Person(s) in Charge/Contact:
Applicable Permits:
Sapphire Lakes WWTP
Transylvania County
A&D Water Services, Inc.
Aubrey Deaver - Owner
Gary Norton - Operator -in -Responsible Charge (ORC)
NPDES # NCO059421
Description of Treatment Process, Collection System and Facilities Served:
Treatment Process - The system operates two (2) treatment facilities:
The larger treatment facility (NPDES # NCO059421) is.a typical extended aeration process
capable of treating 25,000 gallons per day (gpd) with tablet chlorine disinfection. The
treated effluent is discharged into the Idorsepasture River, classified Class C waters, in the
Savannah River Basin.
The smaller treatment facility (NPDES # NC0059439) is a typical surface sand filter
capable of treating 4,900 gallons per day (gpd) with tablet chlorine disinfection. The
treated effluent is discharged into James Creek, classified Class C waters, in the Savannah
River Basin.
Collection System - The main collection system is a standard gravity design with 8-inch
diameter pipe and pre -cast manholes. The system has one duplex lift station with small
diameter force main in service. The system has a Spill Response Plan and an Operation and
Maintenance Plan for the collection system.
Facilities Served - The larger facility serves most of the developed area. The sand filter unit
serves a portion of Fairway Villas only.
II. WWTP Performance
The WWTP received Notices of Violation for failure to provide continuous monitoring in February
and March. The situation was `operator reporting' error and easily corrected.
We take pride in our efforts to protect the local environment and the quality of the waters in our
streams.
M. Notification
A letter advising of the availability of this report will be mailed to each resident. A copy of this
report is available to interested persons in the offices of:
A&D Water Services, Inc.
P.O. Box 1407
Pisgah Forest, NC 28768
2

or by contacting th:..�fice at 828-884-9772.
As required, three copies of this report is being provided to NC DENR
Readers who have questions or desire detailed information are invited to contact Aubrey Deaver at
our offices.
V. Certification
I certify that under penalty of law that this report is complete and accurate to the best of my
knowledge.
Aubrey Deaver, Owner Date
This report prepared by:
Tom Kilpatrick
P.O. Box 679
Etowah, NC 28729
Phone: [phone]
February 7, 2010
Filename: CADocuments and Settings\DEAVER\Desktop\Tom's Documents%apphire LakeslAPR Sapphire Lakes'09.wpd
3

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P. O. Box 1407 Pisgah Forest, NC 28768 Phone [phone] Fax [phone]
Annual Wastewater Treatment System Performance Report
for
Sapphire Lakes Wastewater Treatment System
for the Operating Period
January thru December - 200$ `;?"
;l
I Y
Preface
On July 20, 1999, the North Carolina General Assembly ratified House Bill 1160, the Clean Water Act of
1999, which placed significant new reporting requirements on those entities that own or operate
wastewater treatment and collection systems. Specific items included:
1. A Spill Response Plan
2. Sewer Collection System Operation & Maintenance Plan
3. Annual Performance Report
These new requirements became effective October 1, 1999.
This report is designed to meet the minimum requirements for the Annual Performance Report established
by the North Carolina Department of Environment and Natural Resources (DENR) as set forth in their
guidance document dated October 19, 1999.
This law was established to provide a mechanism for public oversight (and hopefully, to instill public
confidence) in owners and operators of wastewater treatment systems and in their efforts to protect the
waters of the state.
C
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MAY 2 9 2009
®FINK - '`✓/%R QUALITY
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I. General Information
Facility/System Name:
Responsible Entity:
Person(s) in Charge/Contact:
Applicable Permits:
Sa ire-Lakes-W-WTP
Transylvania County
A&D Water Services, Inc.
Aubrey Deaver - Owner
Wesley Royal - Operator -in -Responsible Charge (ORC)
NPDES # NC0059421
NPDES,00 4�395
Description of Treatment Process, Collection System and Facilities Served:
Treatment Process - The system operates two (2) treatment facilities:
The larger treatment facility (NPDES # NC0059421) is a typical extended aeration process
capable of treating 25,000 gallons per day (gpd) with tablet chlorine disinfection. The
treated effluent is discharged into the Horsepasture River, classified Class C waters, in the
Savannah River Basin.
The smaller treatment facility (NPDES # NC0059439) is a typical surface sand filter
capable of treating 4,900 gallons per day (gpd) with tablet chlorine disinfection. The
treated effluent is discharged into James Creek, classified Class C waters, in the Savannah
River Basin.
Collection System - The main collection system is a standard gravity design with 8-inch
diameter pipe and pre -cast manholes. The system has one duplex lift station with small
diameter force main in service. The system has a Spill Response Plan and an Operation and
Maintenance Plan for the collection system.
Facilities Served - The larger facility serves most of the developed area. The sand filter unit
serves a portion of Fairway Villas only.
H. WWTP Performance
The WWTP was in compliance with all NPDES permit parameters for the period.
We take pride in our efforts to protect the local environment and the quality of the waters in our
streams.
III. Notification
A letter advising of the availability of this report will be mailed to each resident. A copy of this
report is available to interested persons in the offices of:
A&D Water Services, Inc.
P.O. Box 1407
Pisgah Forest, NC 28768
or by contacting the office at 828-884-9772.

As required, three copies of this report is being provided to NC DENR
Readers who have questions or desire detailed information are invited to contact Aubrey Deaver at
our offices.
V. Certification
I certify that under penalty of law that this report is complete and accurate to the best of my
knowledge.
eaver, Owner Date/
This report prepared by:
Tom Kilpatrick
P.O. Box 679
Etowah, NC 28729
Phone: [phone]
March 16, 2009
Filename: CADocuments and SettingsDEAVEMesktoffom's DocumentslSapphire Lakes\APR Sapphire Lakes'08.wpd

CERTIFIED MAIL 7007 0710 0000 5376 7662
RETURN RECEIPT REQUESTED
A & D Water Service
Mr. Aubrey L. Deaver
PO Box 1407
Pisgah Forest, NC 28768-1407
Dear Mr. Deaver:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
j.
,f•��.�'r� ,:.�.;r'-,�:_`.J..._W_...�..Division•of•�UaterQu3lity...,.y
' —r11'n
October 22, 2008
} OCT 2 3 2008 U/ E
Subject: NOTICE OF VIOLATION - NOV- 2008- LR- 0071
Sapphire Lakes Plant #2 WWTP — NCO059439
Transylvania County
This is to inform you that the Division of Water Quality has not received your monthly monitoring report for
August 2008 after the required reporting date. This is in violation of Part II, Condition D(2) of the NPDES permit,
as well as 15A NCAC 2B .506(a), which requires the submittal of Discharge Monitoring Reports (DMR) no later
than the thirtieth (301h) day following the reporting period. Failure to submit reports as required will subject
the violator to the assessment of a civil penalty of up to $25,000 per violation. You will be considered
noncompliant with the self -monitoring requirements of your NPDES permit until the report has been submitted.
Please submit the April 2008 DMR report within 15 days of receipt of this notice if you have not yet
submitted it. To prevent further action; please submit future monthly reports within.the above -mentioned
timeframe to avoid further enforcement actions. You are also required to notify the Division each time
mailing or phone numbers are changed which relate to your NPDES permit.
The Division must take these steps because timely submittal of discharge monitoring reports is essential
to the efficient operation of our water quality programs. We appreciate your assistance in this matter. If you have
any questions about this letter or Discharge Monitoring Reports, please contact me at 919-807-6387.
Sincerely,
Bob Guerra
Western Region NPDES Unit
cc: ARO -_Surface Water Protection Supervisor
Enforcement file
Central Files
NorthCarolina
Naturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.ncwiterguality.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper

July 24, 2Q.(l7� I I
CERTIFIED MAIL 7002 3150 0003 7052 9561
RETURN RECEIPT REQUESTED
Mr. Aubrey L. Deaver
A & D Water Services, Inc.
P.O. Box 1407
Pisgah Forest, NC 28768
Dear Mr. Deaver:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
U
JUL 2 7 2007
WATER QUALITY S— E� N
r c 3HEVILLE REGICImm OFFI c
--------.i '
Subject: NOTICE OF VIOLATION - NOW 2007- LR- OO
Sapphire Lakes WWTP #2 WWTP NCO059439
Transylvania County
This is to inform you that the Division of Water Quality has not received your monthly monitoring report for July 2007 after
the required reporting date. This is in violation of Part II, Condition D(2) of the NPDES permit, as well as 15A NCAC 2B
.506(a), which requires the submittal of Discharge Monitoring Reports no later than the thirtieth (30") day following the
reporting period. Failure to submit reports as required will subject the violator to the assessment of a civil penalty of up to
$25,000 per violation. You will be considered noncompliant with the self -monitoring requirements of your NPDES permit
until the report has been submitted.
Please submit the July 2007 DMR report within 10 days of receipt of this notice if you have not yet submitted it.
To prevent further action, please submit future monthly reports within the above -mentioned timeframe to avoid
further enforcement actions.
The Division must take these steps because timely submittal of discharge monitoring reports is essential to the efficient
operation of our water quality programs. We appreciate your assistance in this matter. If you have any questions about
this letter or Discharge Monitoring Reports, please contact me at 919-733-5083, extension 539.
Sincerely,
6y"&~
Bob Guerra
Western Region NPDES Unit
cc: rIJW _Asheville Surface Water Protection Supervisor
Central Files
Nose Carolina
Mural!'
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

�WATfi
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
�-
3 Alan W. Klimek, P.E. Director
Division. of Water Quality
`r Asheville Regional Office
SURFACE WATER PROTECTION SECTION.
February 19, 2007 F L
Mr. Aubrey L. Deaver
A&D Water Service Inc.
PO Box 1407
Pisgah Forest, NC 28768
SUBJECT: Compliance Evaluation Inspection
Sapphire Lakes Plant WWTP #2
Permit number NCO059439
Transylvania County
Dear Mr. Deaver:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the
inspection conducted on February 14, 2007, The facility Was found to be in compliance With
permit NC0059439.
Please refer to the enclosed inspection report for additional observations and comments.
If you or your staff have any questions, please call me at 828-296-4500 extension 4662.
Sincerely,
Wanda P. Frazier
Environmental Specialist
Enclosure
cc .C.e.ntral Files
Ag-evifle isles
NorrthCarolina
2090 US Hwy 70, Swannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency
Form Approved.
E n /r, Washington, D.C. 20460
f /`1
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NJ 2 1 51 31 N00059439 111 121 07/02/14 117 18JLJC 191 SI 20I
LJ L-
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 81 QA ------- -------------- ---- Reserved ---------- ---- -----
67I 1.0 169 701 31 711 I 721 NJ 73I I 174 151 I I I I I I 180
L -L-
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)
Sapphire Lakes Plant WWTP #2
01:55 PM 07/02/14
02/12/01
Exit Time/Date
Permit Expiration Date
1600 US Hwy 64 W
Sapphire NC 28774
02:05 PM 07/02/14
07/08/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Aubrey L Deaver, PO Box 1407 Pisgah Forest NC
28768//828-884-9772/8288848632 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance ■ Records/Reports Self -Monitoring Program,
Facility Site Review ® 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
Wanda P Frazier (FARO WQ//828-296-4500 Ext.4662/
�GJ �
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

At
NPDES yr/mo/day Inspection Type 1
3I NCO059439 I11 12I 07/02/19 I17 181_I
Section D: Summary of Finding/Comments (Attach additional) LC
of narrative and checklists as necessary)
A review of the files indicates that the last compliance evaluation inspection was conducted on
11-17-2005 by Jim Reid.
The permit expires on August 31, 2007, please request a permit renewal 6 months prior to expiration.
There was no discharge during the time of the inspection.
Angie McCall & Wesley'Royal, the contract operators, were on -site during the inspection.
This facility appears to be well operated and maintained. The operators are doing a good job.
Page # 2

'r, , '"
Permit: NCO059439
Inspection Date: 02/14/2007
Owner - Facility: Sapphire Lakes Plant WWTP #2
Inspection Type: Compliance Evaluation
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
❑
❑
■
❑
Is the facility as described in the permit?
■
❑
❑
❑
# 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:
Septic Tank
Yes
No
NA
NE
(If pumps are used) Is an audible and visual alarm operational?•
❑
1-1
■
❑
Is septic tank pumped on a schedule?
■
❑
❑
❑
Are pumps or syphons operating properly?
■
11110
Are high and low water alarms operating properly?
❑
El
■
❑
Comment:
Sand Filters (Low rate)
Yes
No
NA
NE
(If pumps are used) Is an audible and visible alarm Present and operational?
❑
❑
■
❑
Is the distribution box level and watertight?
■
❑
Is sand filter free of ponding?
■
❑
❑
❑
Is the sand filter effluent re -circulated at a valid ratio?
Cl
❑
■
❑
# Is the sand filter surface free of algae or excessive vegetation?
■
❑
❑
❑
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 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?
■
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
■
❑
❑
❑
Comment:
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
■
❑
❑
❑
Page # 3

Permit: NCO059439 Owner - Facility: Sapphire Lakes Plant WWTP #2
Inspection Date: 02/14/2007 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑ fl fl
Judge, and other that are applicable?
Comment:
If
Page # 4

O� 1JV.ATF Michael F. Easley, Governor
��-- R ,�1V�IIi�tn.,G,•,Ross Jr., Secretary
\� QG North Carolina Departmen wronmenf end Natuial F�esoU'�Cesxi:
rFan W. Klimet , P.E. Di eDivon q Water (�uafity
'A-he'villeRegion2k0ffice -•
SURFACE WATER PROTECTION
January 4, 2006
Mr. Ken Wheat
Sapphire Lakes Utility Company Inc
PO Box 130
Sapphire NC 28774
SUBJECT: November 17, 2005
Compliance Evaluation Inspection
Sapphire Lakes Utility C pany Inc
Sapphire Lakes WWTP ##2
Permit No: NC0059439
Transylvania County
Dear Mr. Wheat:
Enclosed please find a copy of the Compliance Evaluation Inspection form from.
the inspection conducted on November 17, 2005. The Compliance Evaluation Inspection
was conducted by James R Reid and Starr Silvis of the Asheville Regional Office. The
facility was found to be in Compliance with permit NC0059439.
. Please refer to the enclosed inspection report for additional observations and
comments. If there are questions, please call me at 828-296-4500 Ext.4651.
Sincerely, �7
?Ja�m�esRReid
Enclosure
cc: Robert E. Orr, ORC
Central Files
Asbheville- Files-
N nehCarolina
�atur�rlly
2090 U.S. Highway 70, Swannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1 877 623-6748

United States Environmental Protection Agency
Form Approved..
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 15I 31 td00059439 12I 05/1/l117 19I SI 20III1 ICI
Remarks
21I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Lj6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA -----------------Reserved -------- --------- ---
67I 169 70131 711 I 72 I y I 73 LLJ 74 751 I I I I I I 180
L_t�
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)
Sapphire Lakes P:iVTP #2
02:40 PM 05/11/17
02/12/01
Exit Time/Date
Permit Expiration Date
1600 US Hwy 64 W
Sapphire NC 28774
02:55 PM 05/11/17
07/08/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Robert E. Orr/0RC/828-884-9772/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Darnall W Boyd,PO Box 130 Sapphire NC 28774//828-966-9200/8289664068
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ® Operations & Maintenance E Self -Monitoring Program E Facility Site Review
Section D: Summary of Find in /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
James R Reid ARO wQ//828-296-4500 Ext.4651/ �— �/— 06'
Starr Si' ivis ,� ` ARO `:aQ//828-296-4500/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
e/
f/Da
I l ®IlJ
(.� •�L�ii, 7
` U
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day ;nspection Type
3I `100059439 1
11 12I 05/11/17 I17 181;.I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Filter bed was adequately maintained. The facility did not appear to have discharged in a long period of
time.
Page # 2

Permit: NCO059439 Owner - Facility: Sapphire Lakes VW TP #2
Inspection Date: 11/17/2005 Inspection Type: Compliance Evaluation
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
■
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■
❑
n
n
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA
NE
(if the present permit expires in 6 months or less). Has the permittee submitted a new application?
■
n
n
n
Is the facility as described in the permit?
■
O
n
n
# Are there any special conditions for the permit?
n
■
n
n
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
fl
❑
❑
Comment:
Page # 3