NC0073741_Regional Office Physical File Scan Up To 12/2/2020

: Ro;Y.1✓OOPER;
--- rCnv�rRat.
MICHAEL S. RIEGAN
Sermtary
WtterResoorces S. JAY ZIMMERMAN
EtVVIF€6iihif=P17AL��10,L1:ITY - D1PCC40F
April 20, 2017 I DiV'S'O Watt!
Mr. Aubrey L Deaver I APR 2 5 2017
In
A&D Water Service c
117 Kira Ln Water �Regliootnall
Hendersonville, NC 28739-1407Lperations
AsOnce
Subject: Payment Acknowledgement
Mountain Valley WWTP
Permit NCO073741
Case No. LV-201.7-0105
County Henderson
Dear Mr. Deaver:
This letter is to acknowledge receipt of payment in the amount of $216.62 received from you on
04/19/2017. This payment satisfies in full the above civil assessment (s) levied against the subject facility,
and this case has been closed. Payment of this penalty in no way precludes future. action by this Division for
additional violations of the applicable Statues, Regulations, or Permits.
If you have any questions, please contact Wren Thedford at 919-807-6397.
Sincerely,
Wren Thedford
cc: Central Files
NPDES
A shi�lWRregialffice
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

Certified Mail # 7015 1520 0003 5463 2725
Return Receipt Requested
February 6, 2017
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 28768
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2017-LV-0093
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
Dear Permittee:
Kreview.of the.August 2016 Discharge. Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample
Location Parameter
Limit Reported
Date Value Value Type of Violation
001 Effluent Coliform, Fecal MF, MFC Broth, 8/18/2016 400 600 Daily Maximum Exceeded
44.5 C (31616)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
Your facility was required to begin reporting'your Discharge Monitoring Reports electronically by December 21, .
2016, using the EDMR system: .
It is noted that as of today this facility has not been registered for EDMR. Please call Janet Cantwell at this office
for information on .registering your facility for EDMR. .
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville 'Rdgion6l
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
4&-c- r' Q-S he AMA g[ox%[ Off cep , n .arc-ement,Fi:le
NPDES Compliance/Enforcement Unit - Enforcement File
Vincent Edwards/ ORC
G:\WR\WQ\Henderson\Wastewater\Minors\Mountain Valley 73741\NOV-2017-LV-0093.rtf

1
>i��rt�rl�esv�r°c�s -
�FiURACl�NExE'fAL'�tiy%SL69`ht .
Certified Mail # 7012 1010 0002 1965 6263
Return Receipt Requested
June 13, 2016
Aubrey L Deaver
A&D Water Service Inc
117 Kira Ln
Hendersonville, NC 28739-1407
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0327
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
Dear Permittee:
' ,.;�rs�rrrffP
�NALT$ �Ai `1?ER VAA3i.
�liFet�aF
A review of the February 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the
violation(s) indicated below:
Limit Exceedance Violation(s):
Sample
Limit Reported
Location Parameter
Date Value Value Type of Violation
001 Effluent Solids, Total Suspended -
2/23/2016 45 48 Daily Maximum Exceeded
Concentration (CO530)
001 Effluent Solids, Total Suspended -
2/29/2016 30 31.5 Monthly Average Exceeded
Concentration (CO530)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
Please refer to the latest letter titled "Electronic Reporting Requirements" dated March 31, 2016, concerning
registering to use the Division's new a-DMR system for the completion and electronic submittal of monthly
Discharge Monitoring Reports (DMRs).
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
`(�j 828-296-4500

--- -- -.. .. "- T.,.
ff
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: INQS Asheuille_RegionaL:OfFce=Enfor_cem�enn FHe�
NPDES Compliance/Enforcement Unit - Enforcement File
Tom Kilpatrick/ ORC
G:\WR\WQ\Henderson\Wastewater\Minors\Mountain Valley 73741\NOV-2016-LV-0327.rtf

y
:
riff
January 14, 2016
Aubrey L Deaver
A&D Water Service Inc
117 Kira Ln
Hendersonville, NC 28739-1407
4
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LM-0006
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
Dear Permittee:
A review of the September 2015 Discharge Monitoring Report (DMR) for the subject facility revealed the
violation(s) indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day (20 Deg. C) - 9/1/2015 45 70 Daily Maximum Exceeded
Concentration (C0310.)
Monitorina Violation(s):
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent Flow, in conduit or thru treatment 9/30/2015 Continuous Frequency Violation
plant (50050)
5
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

E:]
00
Remedial actions, if not -already implemented, should be taken to correct any noted problems. The Division
may y
of Water Resources ma pursue enforcement actions for this and an additional violations.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: �WQSE—KsheVille=Regional;Qffic ,. — - f rcement.,FilQ-
NPDES Compliance/Enforcement Unit - Enforcement File
Tom Kilpatrick/ ORC
G:1WR\WQ\Henderson\Wastewater\Minors\Mountain Valley 73741\NOV-2016-LM-0006.rtf

North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
October 13, 2015
Mr. Aubrey L. Deaver
A & D Water Service, Inc.
P.O Box 1407
Pisgah Forest, NC 28768
Subject: Issuance ofNPDES Permit NCO073 741
Mountain Valley WWTP
Henderson County
Class WW-2
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 August 12, 2015:
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 any other Federal, State, or Local governmental permit that may be required. I u have any
questions concerning this permit, please contact-Sonia.Gre �y—at_te ephone number (919) 807-RECEIVED EIVED
9 CEIVED Division of Water Resources
Division of Water Resources
NOV � 5 2015
NOV 2 4 2015
11
1617 MaiLSerrvic&Cvw/-&r, Raleigf-, N04HI o� .' / ' a}BZ'�1�T7�5�12 N As evilie e io IQfiice
Ra.l,eigh., ' 27�D4 v .—t
Plti&- - q1q 807-6300 / FAX q1q 807-648q / kffr,-,Ilpot tat pvztp�.o-rg/web-/wq,
A-Equa.1, Aa-Eai-E jetr - SO% R"ctX,&/10% Poyf-Co-v�Pa. f-r

Sincerely,
S. Jay Zimmerman, P. <irector
Division of Water Resources
cc: Central Fi es
Asheualle R.egio�na 1~� Qe
NPDES Unit

Permit NC0073741
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
fil 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
Mountain Valley Subdivision WWTP
NCSR 1171
Etowah
Henderson County
to receiving waters designated as the French Broad River in the French Broad 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 December 1, 2015.
This permit and authorization to discharge shall expire at midnight on November 30, 2020.
Signed this day October 13, 2015.
S�Zimmerman, P.G., Directors `
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

Permit NC0073741
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 Services, Inc. is hereby authorized to:
1. continue to operate an existing 0.024 MGD extended -aeration wastewater treatment plant (WWTP) to treat
100 % domestic wastes, consisting of:
• aeration basin
• clarifier
• sludge holding basin
• chlorine -contact chamber with tablet chlorination
• dechlorinator (tablet)
• effluent flow meter
• sludge -holding basin
located east of Etowah at Mountain Valley Subdivision, off NCSR 1171, iri Henderson County, and
2. after applying for and receiving an Authorization to Construct permit from the Division of Water Quality's
Construction Grants and Loans (CG&L), construct additional facilities to increase plant capacity up to 0.040
MGD, and after submitting to the Division an Engineer's Certification Form,
3. discharge from said treatment works, at the location specified on the attached map, into the French Broad
River [stream segment 6-(47.5)], a waterbody currently classified WS-IV, B within subbasin 04-03-02 of the
French Broad River Basin.
Page 2 of 6

Permit NCO073741
A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
During the period beginning on the effective date of this permit and lasting until expiration or expansion
above 0.024 MGD, the Permittee is authorized to discharge from Outfall 001. Such discharges shall be
limited and monitored 1 by the Permittee as specified below:
EFFLUENT
LIMITS
MQNITQRING'
REQUIREMENTS
MonthlyDail
y
Measurem
ent
Sample
Sample
CHARACTERISTICS
[Parameter Codes]
Average
Maximum
Frequency _
Type
_ _ _
Location
Flow
[50050
0.020 MGD
Continuous
Recording
Influent
or Effluent
day (20°C)
[C0310]
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
pH
Not < 6.0 nor > 9.0 standard
00400]
units
Weekly
y
Grab
Effluent
Fecal (geometric mean)
[31616�oliform
200/100 ml
4001100 ml
Weekly
Grab
Effluent
Temperature (°C)
Weekly y
Grab
Effluent
Total Solids
[C05 0]spended
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
Total Residual Chlorine
[50060]
28 pg/L 2
2/Week
Grab
Effluent
NH3 as N
[C0610]
2/Month
Composite
Effluent
Footnotes:
1. No later than 270 days from the effective date of this permit, the permittee shall begin submitting discharge monitoring
reports electronically using the Division's eDMR system [see A. (2)].
2. Total Residual Chlorine (TRC) monitoring is required only if chlorine is used by the facility for primary or
backup disinfection. Because of difficulty quantifying TRC in a wastewater matrix, the Division will consider
all North Carolina -certified test -method values reported below 50µg/L to be compliant with this permit.
However, the Permittee shall continue to submit all values reported above the test -method minimum detection
limit, even if these levels fall below 50µg/L, and use these actual values when calculating averages, if any.
The Permittee shall discharge no floating solids or foam visible in other than trace amounts
Page 3 of 6

Permit NC0073741
A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
During the period beginning upon expansion above 0.024 MGD and lasting until expiration, the
Permittee is authorized to discharge fiom Outfall 001. Such discharges shall be limited and monitored 1
by the Permittee as specified below:
LIMITS
MONITORING
EFFLUENT
-REQUIREMENTS___
CHARACTERISTICS
[Parameter Codes]
Monthly
Daily
Measurem
ent
Sample
Sample
Average
Maximum
Freyuericy
Type
Location
Flow
[50050]
0.040 MGD
Continuous
Recording
Influent
or Effluent
BOD, 5-day (20°C)
[C0310]
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
pH
[00400]
Not < 6.0 nor > 9.0 standard units
Weekly
Grab
Effluent
Fecal Coliform (geometric mean)
[31616]
200/100 ml
400/100 ml
Weekly
Grab
Effluent
Temperature (°C)
[00010]
Weekly
Grab
Effluent
Total Suspended Solids
[C0530]
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
Total Residual Chlorine 2
28 1
2/Week
Grab
Effluent
[50060]
µg/L
NH3 as N
[C0610]
2/Month
Composite
P
Effluent
Footnotes:
1. No later than 270 days from the effective date of this permit, the permittee shall begin submitting discharge
monitoring reports electronically using the Division's eDMR system [see A. (2)].
2. Total Residual Chlorine (TRC) monitoring is required only if chlorine is used by the facility for primary or backup
disinfection. Because of difficulty quantifying TRC in a wastewater matrix, the Division will consider all North
Carolina -certified test -method values reported below 50µg/L to be compliant with this permit. However, the
Permittee shall continue to submit all values reported above the test -method minimum detection limit, even if these
levels fall below 50µg/L, and use these actual values when calculating averages, if any.
The Permittee shall discharge no floating solids or foam visible in other than trace amounts
Page 4 of 6

Permit NC0073741
A (3.) ENGINEERING ALTERNATIVES ANALYSIS (EAA)
[15A NCAC 02H .0105]
Prior to constructing additional facilities, the Permittee shall submit a letter justifying the need for
additional flow. The Permittee shall also prepare an Engineering Alternatives Analysis (EAA) to
evaluate surface discharge alternatives, in compliance with the Division's guidance document for
EAA's, to include the feasibility of a non -discharge system on adjacent property.
A. (4) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[G. S. 143-215.1(b)]
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and specify,
that, if a state does not establish a system to receive such submittals, then permittees must submit DMRs
electronically to the Environmental Protection Agency (EPA). The Division anticipates that these regulations
will be adopted and is beginning implementation.
NOTE: This special condition supplements or supersedes the following sections within Part II of this permit
(Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting [Supersedes Section D. (2.) and Section E. (5) (a)1
Beginning no later than 270 days from the effective date of this permit, the permiee shall begin reporting
discharge monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report
(eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted
electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and
submit DMRs electronically using the internet. Until such time that the state's eDMR application is
compliant with EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be
required to submit all discharge monitoring data to the state electronically using eDMR and will be required
to complete the eDMR submission by printing, signing, and submitting one signed original and a copy of the
computer -printed eDMR to the following address:
NC DENR / Division of Water Resources / Information Processing Unit
ATTENTION: Central Files / eDMR-
1617 Mail Service Center
Raleigh, NC 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being
physically located in an area where less than 10 percent of the households have broadband access, then a
temporary waiver from the NPDES electronic reporting requirements may be granted and discharge
monitoring data may be submitted on paper DMR forms (MR 1, 1. 1, 2, 3) or alternative forms approved by
the Director. Duplicate signed copies shall be submitted to the mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be submitted in
writing to the Division for written approval at least sixty (60) days prior to the date the facility would be
required under this permit to begin using eDMR. Temporary waivers shall be valid for twelve (12) months
Page 5 of 6

Permit NC0073741
and shall thereupon expire. At such time, DMRs shall be submitted electronically to the Division unless the
permittee re -applies for and is granted a new temporary waiver by the Division.
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
http://poi-tal.ncdeiir.org/web/wq/admin[bog/­ipu/edmr
Regardless of the submission method, the first DMR is due on the last day of the month following the
issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
2. Signatory Requirements [Supplements Section B. (11.) (b) and supersedes Section B. (11.) (d)]
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part H,
Section B. (I 1.)(a) or by a duly authorized representative of that person as described in Part 11,
Section B. (11.)(b). A person, and not a position, must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit the
following web page:
http://poi-tal.nedenr.org/web/wq/admin/bog/ipu/edm
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the
following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE
ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on nay 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 imprisonmentfor knowing violations. "
3. Records Retention [Supplements Section D. (6.)]
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These
records or copies shall be maintained for a period of at least 3 years from the date of the report. This period
may be extended by request of the Director at any time [40 CFR 122.41].
Page 6 of 6

[/
41
61
Horse 8h�aa—aen-d-,_
_—
/
�-•-_ ..
US Hwy64
I�� U 126
1
8
�.
�, � � ~mil ' • %�y
� �.� •j l 3 \ • 11
«•,
y
A�7
French
Broad River
res ' ®•p/rJ
1205
A & D Water Service, Inc,
Mountain Valley Subdivision WWTP
State Grid / USGS Ouad: F 8 SE / Horse Shoe, NC Stream Class: WS-IV, B
Latitude: 35' 18' 55" N Longitude: 82' 34' 43" W
Receiving Stream: French Broad River[sgmt 6-(47.5)]; Sub -Basin: 04-03-02
Drainage Basin: French Broad River Basin HUC: 06010105
Approximate
Subdivision Boundary
Outfall 001
(flows north)
Facility r,177-7
Location
(not to scale)
NorthNPDES Permit NCO073741
Henderson County

NPDES 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
colifor -4 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 1110912011.1

NPDES Permit Standard Conditions
Page 2 of 18
(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).
DWR or "the Division"
The Division of Water Resources, Department of Environment and Natural Resources.
Effluent
Wastewater discharged following all treatment processes from a water pollution control facility or other point source
whether treated or untreated.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facilijy 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).
Version 1110912011.1

NPDES Permit Standard Conditions
Page 3 of 18
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance. To the extent practical, instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the samples and flow are representative of the discharge
during that sampling period.
Monthly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Permit Issuing Authority_
The Director of the Division of Water Resources.
Quarterly Average (concentration limit)
The arithmetic mean of all samples taken over a calendar quarter.
Severe propelly damage;
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable, or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the CWA.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply_
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action; for permit termination, revocation and reissuance, or
modification; or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal, even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402, or any
requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8) of the Act, is
subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1319(d) and 40 CFR
122.41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of
the Act, or any condition or limitation implementing any of such sections in a permit issued under section 402
of the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3) or
402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
Version 1110912011.1

NPDES Permit Standard Conditiong
Page 4 of 18
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. [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 II violations are not to exceed $16,000 per day for each day during which the
violation continues, with the maximum amount of any Class II penalty not to exceed $177,500. [33 USC
1319(g)(2) and 40 CFR 122.41(a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment [40
CFR 122.41(d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on 'Bypassing" (Part H.C.4), "Upsets" (Part II.C.5) and 'Power Failures"
(Part II.C.7), nothing in this permit shall be construed to relieve the Permittee from any responsibilities, liabilities,
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act, 33 USC
1319. Furthermore, the Permittee is responsible for consequential damages, such as fish kills, even though the
responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
21.5.75 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.
Version 1110912011.1

NPDES Permit Standard Conditions
Page 5 of 18
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 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 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]
Version 1110912011.1

NPDES Permit Standard Conditions
Page 6 of 18
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 122.221. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
7 certifi� under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person orpersons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations. "
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned changes
or anticipated noncompliance does not stay any permit condition [40 CFR 122.41(f)].
13. Permit Modification, Revocation and Reissuance, or Tennination
The issuance of this pen -nit 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).
Version 1110912011.1

NPDES Permit Standard Conditions
Page 7 of 18
(3) within seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or designating
at least one of the responsibilities.
The ORC of each Class I facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 08G .0204.
The ORC of each Class II, III and IV facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least five days per week, excluding holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 08G .0204.
2. Proper Operation and Maintenance
The Permittee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances) which are installed or used by the Permittee to achieve compliance with the conditions
of this permit. Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures. This provision requires the Permittee to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit [40 CFR 122.41(e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and maintenance
of the facility, and all documentation required thereof, whether acting as a contract operator [subcontractor] or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41(c)].
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41(m)(2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41(m)(3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior notice,
if possible at least ten days before the date of the bypass; including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II.E.6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
Version 1110912011.1

NPDES Permit Standard Conditions
Page 8of18
(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 15A NCAC 02H .0124) to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by means
of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitorin2 and Records
Representative Sampling
Samples collected and measurements taken, as required herein, shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents. All samples shall be taken at the monitoring points specified in this
permit and, unless otherwise specified, before the effluent joins or is diluted by any other wastestream, body of
water, or substance. Monitoring points shall not be changed without notification to and the approval of the Permit
Issuing Authority [40 CFR 122.41(j)].
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:
Version 1110912011.1

NPDES Permit Standard Conditions
Page 9of18
NC DENR / Division of Water Resources / Water Quality Permitting 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].
Version 1110912011.1

NPDES Permit Standard Conditions^
Page 10 of 18
7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record the
following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor acting as
a representative of the Director), upon the presentation of credentials and other documents as may be required by
law, to;
a. Enter, at reasonable times, upon the Permittee's premises where a regulated facility or activity is located or
conducted, or where records must be kept under the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this permit;
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices,
or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41(i)].
Section E Reporting Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge of
any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall constitute
a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility [40 CFR 122.41(1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29(b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor to
notification requirements under 40 CFR 122.42(a)(1); or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices, and
such alteration, addition or change may justify the application of permit conditions that are different from or
absent in the existing permit, including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41(1)(2)].
4. Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CFR 122.61. The Director may condition approval in accordance with NCGS 143-215.1, in
particular NCGS 143-215.1(b)(4)b.2., and may require modification or revocation and reissuance of the permit, or
a minor modification, to identify the new permittee and incorporate such other requirements as may be necessary
under the CWA [40 CFR 122.41(1)(3), 122.61] or state statute.
Version 1110912011.1

NPDES Permit Standard Conditions
Page 11 of 18
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. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215. 1 (b)(2) or in Section 309 of the Federal Act.
Version 1110912011.1

NPDES Permit Standard Conditions'
Page 12 of 18
11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certification in
any record or other document submitted or required to be maintained under this permit, including monitoring
reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of not more than
$25,000 per violation, or by imprisonment for not more than two years per violation, or by both [40 CFR 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that primarily collect or treat municipal or domestic wastewater and have
an average annual flow greater than 200,000 gallons per day shall provide an annual report to the Permit Issuing
Authority and to the users/customers served by the Permittee (NCGS 143-215.1C). The report shall summarize the
performance of the collection or treatment system, as well as the extent to which the facility was compliant with
applicable Federal or State laws, regulations and rules pertaining to water quality. The report shall be provided no
later than sixty days after the end of the calendar or fiscal year, depending upon which annual period is used for
evaluation.
The report shall be sent to:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 1110912011.1

NPDES Permit Standard Conditions
Page 13 of 18
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.
Version 1110912011.1

NPDES Permit Standard Conditions'
Page 14 of 18
PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the definitions in Part I1 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)]
TntPrfen-mr,P
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)
Version 1110912011.1

NPDES Permit Standard Conditions
Page 15 of 18
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,
Version 1110912011.1

NPDES Permit Standard Conditions`
Page 16 of 18
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 403.91
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.S.). [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
Version 1110912011.1

NPDES Permit Standard Conditions
Page 17 of 18
enforceable Pretreatment Standards as defined by 40 CFR 403.3(1). [15A NCAC. 02'H .0903(b)(10), .0905, and
.0906(b)(4)]
5. Industrial User Pretreatment Permits (IUP) & Allocation Tables
In accordance with NCGS 143-2.15.1, 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 HW A and the limits
fro in all IUDs. Permitted ]UP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA. [15A NCAC 02H .0906(b)(6), .0909, .0916; and .0917; 40 CFR 403.5, 403.8(f)(1)(iii)
NCGS 143-215.67(a)]
6. Authorization to Construct (AtC)
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 .0-905; NCGS 143-
215.1(a)(8)]
7. POTW Inspection & Monitoring
tonn. of their Ws,
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.
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. [15:A NCAC 021-1.0906(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 3.07(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_9(f)(5)]
10., Pretreatment Annual Reports (PAR)
The Permittee shall report to the Division in accordance with 1.5A 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:
Version 1110912011.1

NPDES Permit Standard Conditions' r
Page 18 of 18
NC' DENR P Division of Water Resources 1 Water Quality Permitting Section
Pretreatment, Emergency Response, and Collection Systems (PERCS) Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
These reports shall be submitted by March 1 of each year and shall containthe 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
natureof 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 (lUs) 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 Permiittee 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. IS, 15 NCAC 02H .0114 and 15A NCAC 02H .0907.
Version 1'110912011.1

Price, Bev
From: Gregory, Sonia
Sent: Wednesday, September 02, 2015 4:33 PM
To: Price, Bev
Subject: Re: Permit Renewal NC0073741 Mountain Valley WWTP
Bev,
Thanks.
Sonia Gregory
Compliance and Expedited Unit, Environmental Specialist
Mailing Address: 1617 Mail Service Center, Raleigh, NC 27699-1617
Phone: [phone]
sonia.gregory(a-),ncdenr.gov
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Price, Bev
Sent: Wednesday, September 2, 2015 3:28 PM
To: Gregory, Sonia
Cc: Heim, Tim
Subject: Permit Renewal NC0073741 Mountain Valley WWTP
Sonia,
I did not see any significant compliance issues with this permit. I did notice that you made a note about compliance
concerns on the Fact Sheet. The last compliance inspection was done in April 2013, the facility was compliant.
The Sludge holding basin is listed twice under the permit component description. This permit may be renewed. Call me
if you have any questions.
Thanks,
Bev
Bev Price - [e-mail]
DENR - Division of Water Resources
Water Quality Regional Operations Section
Asheville Regional Office
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.

Price, Bev
From: Price, Bev
Sent: Wednesday, September 02, 2015 3:29 PM
To: Gregory, Sonia
Cc: Heim, Tim
Subject: Permit Renewal NC0073741 Mountain Valley WWTP
Sonia,
I did not see any significant compliance issues with this permit. I did notice that you made a note about compliance
concerns on the Fact Sheet. The last compliance inspection was done in April 2013, the facility was compliant.
The Sludge holding basin is listed twice underthe permit component description. This permit may be renewed. Call me
if you have any questions.
Thanks,
Bev
Bev Price - [e-mail]
DENR - Division of Water Resources
Water Quality Regional Operations Section
Asheville Regional Office
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.

4--4
FACT SHr r T FOR &PEDITED PERMI -t AENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Sonia Gregory 8/7/2015
Permit Number
NCO073741
Facility Name
Mountain Valley WWTP
Basin Name/Sub-basin number
04-03-02
Receiving Stream
French Broad River 6-(47.5)
Stream Classification in Permit
WS-IV, B
Does permit need Daily Max NH3 limits?
Yes
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
For whatparameter?
No
Any obvious compliance concerns?
Yes. See attached.
Any permit modifications since lastpermit?
None.
New expiration date
12/31/2020
Comments on Draft Permit
➢ Added eDMR requirements
➢ Added citations
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that the receiving stream
is listed as an impaired waterbody on the North Carolina 303(d) Impaired Waters List.
Addressing impaired waters is a high priority with the Division, and instream data will
continue to be evaluated. If there is noncompliance with permitted effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".
• TRC language for Compliance Level for Cover Letters/Effluent Sheet Footnote:
"The facility shall report all effluent TRC values reported by a NC certified laboratory
including field certified. However, effluent values < 50 µg/L will be treated as zero for
compliance purposes."
This page has been printed on scrap paper to save money and reduce our
program's environmental impact. Disregard any content on the back of
this page.

Permit NC0050075
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.
Veolia Water North America is hereby authorized to:
1. continue to operate an existing 0.024 MGD extended -aeration wastewater treatment plant (WWTP) to treat
100 % domestic wastes, consisting of:
• aeration basin
• clarifier '✓
• sludge holding basin &­'
• chlorine -contact chamber with tablet chlorination
• dechlorinator (tablet) ✓
• effluent flow meter p,
• sludge -holding basin
located east of Etowah at Mountain Valley Subdivision, off NCSR 1171, in Henderson County, and
2. after applying for and receiving an Authorization to Construct permit from the Division of Water Quality's
Construction Grants and Loans (CG&L), construct additional facilities to increase plant capacity up to 0.040
MGD, and after submitting to the Division an Engineer's Certification Form,
3. discharge from said treatment works, at the location specified on the attached map, into the French Broad
River [stream segment 6-(47.5)], a waterbody currently classified WS-IV, B within subbasin 04-03-02 of the
French Broad River Basin.
Page 2 of 7

Permit NCO050075
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
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
Mountain Valley Subdivision WWTP
NCSR 1171
Etowah
Henderson County
to receiving waters designated as the French Broad River in the French Broad 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 )2015.
This permit and authorization to discharge shall expire at midnight on November 30, 2020.
Signed this day , 2015.
S. Jay Zimmerman, P.G., Director
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 7

Permit NC0050075
A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
During the period beginning on the effective date of this permit and lasting until expiration or expansion
above 0.024 MGD, the Permittee is authorized to discharge from Outfall 001. Such discharges shall be
limited and monitored 1 by the Permittee as specified below:
EFFLUENT . ` : °
LIMITS°,
__ ,.
MONITORING REQUIREMENTS
Monthly
„_ Daily ,r
Measurement
. Sample"?
Sample d
` CHARACTERISTIdS
`[Parameter Codes]'
=° ;overage
° ° Maxlmum ` `
Frequency �
Type ° '
Location
Flow
50050
0.020 MGD
Continuous
Recording
Influent
or Effluent
BOD, 5-day (20°C)
C0310
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
pH
00400
Not < 6.0 nor > 9.0 standard units
Weekly
Grab
Effluent
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
31616
Temperature (°C)
Weekly
Grab
Effluent
00010
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
C0530
Total Residual Chlorine
28 pg/L 2
21Week
Grab
Effluent
50060
NH3as N
[C0610]
2/1VIonth
Composite
Effluent
Footnotes:
1. No later than 270 days from the effective date of this permit, the permittee shall begin submitting discharge monitoring
reports electronically using the Division's eDMR system [see A. (2)].
2. Total Residual Chlorine (TRC) monitoring is required only if chlorine is used by the facility for primary or
backup disinfection. Because of difficulty quantifying TRC in a wastewater matrix, the Division will consider
all North Carolina -certified test -method values reported below 50µg/L to be compliant with this permit.
However, the Permittee shall continue to submit all values reported above the test -method minimum detection
limit, even if these levels fall below 50µg/L, and use these actual values when calculating averages, if any.
The Permittee shall discharge no floating solids or foam visible in other than trace amounts
Page 3 of 7

Permit NC0050075
A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
During the period beginning upon expansion above 0.024 MGD and lasting until expiration, the
Permittee is authorized to discharge from Outfall 001. Such discharges shall be limited and monitored 1
by the Permittee as specified below:
EFFLUENT
LIMITS'
MONITORING REQUIREMENTS
Monthly
Daily
Measurement
Sample .
Sample m
CHARACTERISTICS ,, , .
[[Parameter Codes)
Average
Maximum
Frequency
Type.
Location
Flow
[50050]
0.040 MGD
Continuous
Recording
Influent
or Effluent
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
[C0310]
pH
[00400]
Not < 6.0 nor > 9.0 standard units
Weekly
Grab
Effluent
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
[316161
Temperature (°C)
Weekly
Grab
Effluent
[00010]
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
[CO530]
Total Residual Chlorine
28 µg/L, 1
2/Week
Grab
Effluent
[50060]
NH3 as N
2/Month
Composite
Effluent
[C0610]
Footnotes:
1. No later than 270 days from the effective date of this permit, the permittee shall begin submitting discharge
monitoring reports electronically using the Division's eDMR system [see A. (2)].
2. Total Residual Chlorine (TRC) monitoring is required only if chlorine is used by the facility for primary or backup
disinfection. Because of difficulty quantifying TRC in a wastewater matrix, the Division will consider all North
Carolina -certified test -method values reported below 50µg/L to be compliant with this permit. However, the
Permittee shall continue to submit all values reported above the test -method minimum detection limit, even if these
levels fall below 50µg/L, and use these actual values when calculating averages, if any.
The Permittee shall discharge no floating solids or foam visible in other than trace amounts
Page 4 of 7

Permit NCO050075
A (3.) ENGINEERING ALTERNATIVES ANALYSIS (EAA)
[15A NCAC 02H .0105]
Prior to constructing additional facilities, the Permittee shall submit a letter justifying the need for
additional flow. The Permittee shall also prepare an Engineering Alternatives Analysis (EAA) to
evaluate surface discharge alternatives, in compliance with the Division's guidance document for
EAA's, to include the feasibility of a non -discharge system on adjacent property.
A. (4) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[G.S. 143-215.1(b)]
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and specify
that, if a state does not establish a system to receive such submittals, then permittees must submit DMRs
electronically to the Environmental Protection Agency (EPA). The Division anticipates that these regulations
will be adopted and is beginning implementation.
NOTE: This special condition supplements or supersedes the following sections within Part II of this permit
(Standard Conditions for NPDES Permits):
• Section B. (11.)
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Signatory Requirements
Reporting
Records Retention
Monitoring Reports
1. Reporting [Supersedes Section D. (2.) and Section E. (5.) (a)]
Beginning no later than 270 days from the effective date of this permit, the permittee shall begin reporting
discharge monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report
(eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted
electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and
submit DMRs electronically using the internet. Until such time that the state's eDMR application is
compliant with EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be
required to submit all discharge monitoring data to the state electronically using eDMR and will be required
to complete the eDMR submission by printing, signing, and submitting one signed original and a copy of the
computer -printed eDMR to the following address:
NC DENR / Division of Water Resources / Information Processing Unit
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, NC 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being
physically located in an area where less than 10 percent of the households have broadband access, then a
temporary waiver from the NPDES electronic reporting requirements may be granted and discharge
monitoring data may be submitted on paper DMR forms (MR 1, 1. 1, 2, 3) or alternative forms approved by
the Director. Duplicate signed copies shall be submitted to the mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be submitted in
writing to the Division for written approval at least sixty (60) days prior to the date the facility would be
required under this permit to begin using eDMR. Temporary waivers shall be valid for twelve (12) months
Page 5 of 7

Permit NC0050075
and shall thereupon expire. At such time, DMRs shall be submitted electronically to the Division unless the
permittee re -applies for and is granted a new temporary waiver by the Division.
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
http://portal. nedenr.ora/web/wq/admin/boglipu/edmr
Regardless of the submission method, the first DMR is due on the last day of the month following the
issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
2. Sianatory Requirements [Supplements Section B. (11.) (b) and supersedes Section B. (11.) (d)]
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part H,
Section B. (11.)(a) or by a duly authorized representative of that person as described in Part II,
Section B. (I 1.)(b). A person, and not a position, must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit the
following web page:
http://portal . ncdenr. orglweb/wq/admin/bog/i pu/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the
following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE
ACCEPTED:
7 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of
my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations. "
3. Records Retention [Supplements Section D. (6.)]
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These
records or copies shall be maintained fora period of at least 3 years from the date of the report. This period
may be extended by request of the Director at any time [40 CFR 122.41].
Page 6 of 7

NC®ENR.
North Carolina Department of Environment and -Natural Resources
Pat McCrory
Governor
Donald R. van der Vaart
April 20, 2015
Mr. Aubrey L. Deaver
A&D Water Service Inc.
P.O. Box 1407
Pisgah Forest, North Carolina 28768-1407
Subject: NOTICE OF DEFICIENCY
NOD-2016-MV-0062
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
Dear Mr. Deaver:
Secretary
A review of Mountain Valley WWTP's monitoring report for November 2014 showed the following
violations:
Parameter
Date
Measuring Frequency
Violation
Flow
11/29/2014
Continuous
Failure to Monitor
Flow
11/30/2014
Continuous
Failure to Monitor
It was also noted that the .Compliance box on the back of the DMR was marked "Compliant" when in
fact it should have been marked "Non -Compliant" with an explanation for the non-compliance. If the above
parameter was left off inadvertently, please send an amended DMR within 10 business days of receipt
of this letter to Raleigh at the address found on the front page of your DMR and also a.copy to this
office.
Remedial actions should be taken to correct this problem. The Division of Water Resources may
pursue enforcement action for this and any additional violations of State law. If you should have any
questions, please do not hesitate to contact Janet Cantwell or me at 828/296-4600.
cJ, W 4 AsheviIR Pile
MSC 1617-Central Files -Basement
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations, NCDENR
Asheville Regional Office
G:\WRIWQ1Henderson\)tVastewaterlMinorstMountain Valley 737,11 NOD-2015-MV-0062.doc
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/ Affirmative Action Employer

i�
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E. John E, Skvarla, III
Governor Director Secretary
May 7, 2013
Mr. Thomas W. Kilpatrick
Veolia Water North America Operating Services
P.O. Box 679
Etowah, North Carolina 28729-0679
SUBJECT: Compliance Evaluation Inspection
Mountain Valley WWTP
Permit No: NCO073741
Henderson County
Dear Mr. Kilpatrick:
Enclosed please find a copy of the Compliance Evaluation Inspection report from the
inspection conducted on April 12, 2013. The facility was found to be in compliance with permit
NC0073741.
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 828-296-4500 extension4662.
Sincerely,
Wanda P. Frazier
Environmental Specialist
Enclosure
cc: Babbette McKemie, NCUC Public Staff
Central Files
self I� es
S:\SWP\Henderson\Wastewater\Minors\Mountain Valley 73741\CE1.4-12-13.doc
SURFACE WATER PROTECTION - ASHEVILLE REGIONAL OFFICE One
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778 NorthCarolina
Phone: [phone]FAX: [phone] � �����,��L/
Internet: www.ncwaterguailty.org

United States Environmental Protection Agency
Form Approved.
A Washington, D.C. 20460
EPA
f /-�
OMB No. 2040-0057
Water Complinnre Insppnfinn 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 INI 2 15I 31 NC0073741 111 121 13/04/12 117 18ICI 19I S I 20I I
Remarks
21IIIIIIIIIIIIIIIIIIII,IIII IIII IIIIIIIIIIII IIII 11161
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA-------- -----Reserved--------- --
671 1.0 169 70131 711 I 721 NJ 73 L1J 74 751 I I I I I I 180
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)
Mountain Valley WWTP
11:10 AM 13/04/12
11/07/01
Exit Time/Date
Permit Expiration Date
NCSR 1171
Etowah NC 28729
11:40 AM 13/04/12
15/11/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
Thomas W Kilpatrick/ORC/828-890-4810/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Thomas W Kilpatrick,PO Box 679 Etowah NC 287290679//828-890-4810/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ® Operations & Maintenance N 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/
VGL--21 4,12
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 (cont.) 1
3 NC0073741 111 12I 13/04/12 117 18I CI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Facility information
Wastewater Treatment Plant (WWTP):
0.020 MGD Purestream® extended aeration WWTP
(0.040 after A to C issued 9-14-1990 for dual 0.02 MGD plants) consisting of:
(no bar screen);
19,700 gallon aeration basin with dual blowers providing diffused air;
84 sq ft rectangular clarifier with a 7.5 ft weir at each end and skimmer & sludge returns;
5000 gallon aerobic digestor with continuous overflow back into the aeration basin;
tablet chlorinator;
440 gal baffled chlorine contact chamber;
tablet dechlorinator;
V-notch weir with continuous flow measurement;
ISCO 4210 ultrasonic flow meter;
Teledyne ISCO 4700 refrigerated flow proportional composite sampler; and
discharge outfall line (— 50 ft behind the WWTP).
A to C: Issued 9-14-1990
Annual average flow: 0.007 MGD for 2007-2010 (3 year average).
Annual Report: SPAR is not required; < 200,000 gpd
Development: Consists of 64 residential homes (100% domestic). In 1993, some of the homes had their
own septic systems and were not tributary to the WWTP.
Collection System: WQCSD0283
WQ0000399 sewer extension was issued 7-8=1994 for 1349 linear ft of 8-inch pvc gravity lines for
6850 gpd.
The upper section consists of approximately 1359 feet of 8-inch pvc gravity lines with pre -cast
manholes.
There is one lift station located in the upper portion of the subdivision. The wastewater lift
station is located adjacent to the City of Hendersonville's water pumping station and is tied
into their emergency generator. Wastewater is collected at the lift station and pumped thru a
3-inch force main to the WWTP.
The lower section of the collection system consists of approximately 1100 feet of 3-inch
Page # 2

Permit: NCO073741 Owner - Facility: Mountain Valley WWTP
Inspection Date: 04/12/2013 Inspection Type: Compliance Evaluation
A new storage building was installed.
The main line collection system lines were located and marked.
The effluent outfall line right-of-way was cleared of trees and brush.
DWQ approves of these improvements.
Operations and Maintenance / Effluent / Summary:
The flow meter was last calibrated on 7-16-12.
Mr. Tom Kilpatrick, ORC contractor, assisted in the inspection and appears to be operating and
maintaining the facility very well.
The effluent was clear and appeared to be in compliance with permit limits.
System Performance Annual Report (SPAR)
The 2011 System Performance Annual Report was received by the Division on 2-23-12.
Due to recent changes in .the statutes, this facility will no longer be required to submit the
SPAR.
Page # 4

permit: NCO073741
Inspection Date: 04/12/2013
Owner -Facility: Mountain Valley WWTP
Inspection Type: Compliance Evaluation
pressure sewer with no manholes. Gravity taps for 6 homes have been allowed on the force main
section. Some have installed back flow valves.
Sludge Management: Commercial hauler to the City of Hendersonville's WWTP.
WWTP location: Cummings Road (NCSR 1171), east of Etowah
Responsible official: Tom Kilpatrick
Responsible "'s title: Manager and ORC
Mailing address: PO Box 679; Etowah, NC 28729
Phone numbers:
828-890-4810 Tom Kilpatrick & Associates
828-890-4810 " -fax (email: [e-mail])
828-243-1784 " - cell
Operator information
Certified ORC & grade: Tom Kilpatrick — Grade IV WW
Back-up ORC & grade: Vincent Edwards — Grade IV WW
2013 Improvements:
The NC Utilities Commission, Public Staff, held a hearing for May 1, 2013 and notified
customers regarding a request to transfer this system from Culligan Operating Services, Inc. to
A&D Water Service, Inc. and WASCO, LLC c/o Veolia Water North America.
A (70%) rate increase from $35.20 to $59.75 per month is proposed for residential customers, if
approved by the Commission.
Babbette McKemie (919-733-0889) is the contact.
(email: [e-mail]) @ 4326 Mail Service Center; Raleigh, NC 27699-4326
Babbette McKemie visited the site in April 2013 after the following improvements were made.
The WWTP and related equipment were sand -blasted and repainted.
The safety grating was replaced / repaired and painted.
New coarse bubble diffusers and headers were ordered.
Electrical code violations (GFCI) were corrected.
A new ISCO 4700 refrigerated, flow proportional effluent sampler and platform were installed.
The entrance road was paved.
Page # 3

Permit: NCO073741 Owner -Facility: Mountain Valley WWTP
Inspection Date: 04/12/2013 Inspection Type: Compliance Evaluation
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?
Yes No NA NE
00IN11
gonnn
n®nn
RN p Q El
Is the inspector granted access to all areas for inspection? ® ❑ fl
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ® 0
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge Im ❑ Q ❑
Judge, and other that are applicable?
Comment:
Aeration Basins Yes No NA NE
Mode of operation
Type of aeration system
Is the basin free of dead spots?
Are surface aerators and mixers operational?
Are the diffusers operational?
Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin's surface?
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/1)
Comment:
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Ext. Air
Diffused
®nnn
nn®n
Nnnn
INnnn
IN ❑0El
ONnnn
Nnnn
Yes No NA NE
Rnnn
nn®n
®nnn
®nnn
®nnn
Nnnn
0 0 0 0
Page # 5

Permit: NC0073741
Inspection Date: 04/12/2013
Owner -Facility: Mountain Valley WWTP
Inspection Type: Compliance Evaluation
Secondary Clarifier
Is the drive unit operational?
Is the return rate acceptable (low turbulence)?
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
Comment:
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Comment:
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:
Yes No NA NE
Yes No NA NE
Yes No NA NE
Page # 6

Project Improvements, Maintenance and Repairs DONE
fSEC..HE N.D. O�.SEWE2S1HUNIT1k8:-IEN €i
WWTP and equipment needs painting; Y
Relocate blowers above flood stage with new housings & control panel; Y
Safety grating needs replacement/repaired/painted as needed; Y
Diffusers & headers need to be replaced; Y
Repair misc. electrical code violations; Y
Eliminate a trip hazard at base of plant (unit tie downs). Y
New flow meter & platform for sampler; Y
Entrance road needs a new gate and the road needs repair and gravel; Y
Install a storage building for chemical storage; Y
Locate, uncover and mark main line valves and air relief valves; Y
Cut trees & brush over effluent line to creek; check outfall and flapper, if installed; Y
........
C+t111JTatl 1Aj Ll*Y,5kl3510lfiIND1G�N3UNT
_.
WWTP and equipment needs painting; Y
Safety grating needs replacement/repaired/painted as needed; Y
Diffusers & headers need to be replaced; Y
Repair misc. electrical code violations; Y
Unit needs a new refrigerated, flow proportional sampler; Y
Entrance road needs final paving; Y
Install a storage building for chemical storage; Y
Locate, uncover and mark manholes; Y
Cut trees & brush over effluent line to creek; Y
BU 1=ALb M Ai3 W �IJE3bIV[S1Q I ASHE C Uf 7Y WATf I YS71 M ..... <:
Well house needs siding, insulation, roofing, door, interior paint, lighting; Y
The lead and copper corrosion control system (approved and ATC now in hand) needs to be installed; Y
A check valve needs to be installed at the well head; Minor electrical repair; Y
Water meters are required and are to be installed (approx. 61 required); Y
The water tank needs external and internal inspection, sanded, painted and repaired as required. Y
Fence repair Y
Three valve boxes need replacement; Y
The system needs mapping; Y
BUFI*, LO MEADOWS SUBI iV18JL7 .... ASHE ca i Tyr S W> .... . M
WWTP SYSTEM - will require an engineering review; Y
System flow scheme has been altered from original design parameters;
WWTP possible needs - subject to engineering review;
Unit needs a flow meter; Y
Diffusers need to be replaced; headers to be rebuilt; Y
Chlorine and dechlor systems need improvements; Y
Repair existing fence as needed; install eight (8) foot drive thru gate to allow service truck access; Y
Install a storage building for chemical & parts storage; Y
COLLECTION SYSTEM
Locate all manholes; some are paved over; raise manholes as needed; Y
Jet Vac cleaning; Y
TV the system; Y
Make repairs as needed; Y
Map the system as required by NCDENR regs; Y

SK`f1%lEW BARK SEfBD111SlOitASTC7{V G4U[VllI1/aTE€ SYSTEM Y
Connect to City water - become a 'Purchase' system Y
Install new lines and meters inside the subdivision Y
Abandon the well(s) Y
:..,
KIfZK a. i�i::SUt VVI.S.fC►i .. U 1G+ M R-,. CY } Y
Connect to City water - become a 'Purchase' system Y
Install new meters Y
Abandon the well
RC7LL;INGACREUBDIUlSCQ BL�E�ICC7MBE GOCiN1' WATER SYSTEN{. ........... Y
Connect to City water - become a 'Purchase' system Y
Install new lines and meters inside the subdivision Y
Abandon the well(s)

STATE OF NORTH CAROLINA FEB 2 0
UTILITIES COMMISSION
RALEIGH
nwQ/sneKce�
DOCKET NO. W-1049, SUB 16 Ashevit►eRe 'onaloffice
DOCKET NO. W-1081, SUB 2
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
In the Matter of
Application by A&D Water Service, Inc., Post Office )
ORDER
Box 1407, Pisgah Forest, North Carolina 28768, and )
SCHEDULING
WASCO, LLC, c/o Veolia Water North America — South, )
HEARING AND
14055 Riveredge Drive,,Suite 240, Tampa, Florida )
REQUIRING .
33637, for Authority to Transfer the Former Culligan )
CUSTOMER
Operating Services, Inc., Water and Sewer Systems and )
NOTICE
Franchises in North Carolina, and for Approval of Rates )
BY THE COMMISSION: On July 18, 2012, A&D Water Service, Inc. (A&D), and
WASCO, LLC (WASCO), (collectively, the Applicants) filed an application with the
Commission, seeking authority to , transfer from . WASCO to A&D the systems and
franchises to provide water and sewer utility service in Buffalo Meadows Subdivision in
Ashe County, water utility service in Kirk Glen Subdivision and Rolling Acres Subdivision
in Buncombe County, water utility servic Sk view Park Subdivision in Gaston
Count and se it service in i e,r' n=abdivision and
�Ze
_�_iwhich were all formerly operated by Culligan
Orating Services, Inc. Concurrent with approval of the transfer; A&D seeks
authonty'to increase rates. WASCO currently serves approximately 317 customers in
these systems.
WASCO, an affiliate of Veolia Water North America —.South and Culligan, was
conveyed all the systems in 2008 without Commission approval. According to the cover
letter filed with the application, WASCO has committed to make substantial
improvements to each system in contemplation of transferring all the systems to A&D.
The present rates Were approved by the Commission for Hydrologic, Inc.
(HydroLogic), prior to Culligan's July 1997 acquisition of the systems from HydroLogic in
Docket No. W-1081, Sub 0.
Based upon the foregoing, the Commission is of the opinion that the .matter
should be scheduled for hearing and customers notified.

(34
MR ILL �S, HEREFQRE, ORDERED as follows:
*4M 4, @ W0g rpplication is scheduled for an evidentiary hearing.as follows:
.9Cp)tii ste35fl3Qj9 *TIN9OM
only:
F2ale-"ig'h At 10:00-a.m. on Thursday, May 30, 2013, in Commission
Hearing Room 2115, Dobbs Building, 430 N. Salisbury Street
2. That the following hearings are scheduled for public witness testimony
Gastonia: At 7:00 p.m. on Tuesday, April 30, 2013, in Gaston
County Courthouse, Courtroom 4D, 325 N. Marietta Street
Hendersonville: At 7:00 p.m. on Wednesday, May 1, 2013, in
Henderson County Courthouse, Courtroom #2, 200 N. Grove Street
Jefferson: At 7:00 p.m. on Tuesday, May 7, 2013, in Ashe County
Courthouse, 150 Government Circle
3. That the hearings scheduled for April 30, May 1, and May 7, 2013, shall
be for the purpose of receiving public witness testimony only. The hearing scheduled for
May 30, 2013, shall be for the purpose of receiving expert testimony of the Applicants,
the Public Staff, and any other parties of record. Customers or other public witnesses
who ,are -unable to attend the April 30, May 1, and May 7, 2013, hearings may also be
heard `at ttie May 30, 2013, hearing. The hearings may be canceled if no significant
protests are received subsequent to public notice.
4. That an officer or representative of the Applicants is required to appear in
person before the Commission at the time and place of the hearing"to testify concerning
any of the information contained in the application. If the Applicants desire ,to cross-
examine any witnesses at the hearing, the Applicants shall be represented by legal
counsel at this hearing.
5. That the Applicants are required to file a custome
addressing all customer service and/or service quality complaints
hearings held on April 30, May 1, May 7, and May 30, 2013, within
customer hearing wherein the complaint(s) was/were expressed.
r
response report
expressed at the
7 days after. each
2

0
6. That the Notice to Customers, attached as Appendix A, shall be mailed
with sufficient postage or hand delivered by the Applicants to all customers no later than
10 days after the date of this Order; and that the Applicants shall submit to the
Commission the attached Certificate of Service, properly signed and notarized not later
than 20 days after the date of this Order.
rb021813.02
ISSUED BY ORDER OF THE COMMISSION.
This the t:b day of , 2013.
NORTH CAROLINA UTILITIES COMMISSION
L t TO
Gail L. Mount, Chief Clerk r
Commissioner William T. Culpepper, III, did not participate.
3

STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
APPENDIX A
PAGE 1 OF 6
NOTICE TO CUSTOMERS
DOCKET NO. W-1049, SUB 16
DOCKET NO. W-1081, SUB 2
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
Notice is given that on July 18, 2012, A&D Water Service, Inc. (A&D), Post Office
Box 1407, Pisgah Forest, North Carolina 28768, and WASCO, L" LC (WASCO), c/o
Veolia Water North America — South, 14055 Riveredge Drive, Suite 240, Tampa, Florida
33637, filed an application with the Commission, seeking authority to transfer from
WASCO to A&D the systems and franchises to provide water and sewer utility service in
Buffalo Meadows Subdivision in Ashe County, water utility service in Kirk Glen
Subdivision and Rolling Acres Subdivision in Buncombe County, water utility service in
Skyview Park Subdivision in Gaston County, and sewer utility service in Hunter's Glen
Subdivision and Mountain Valley Subdivision in Henderson County, which were all
formerly operated by Culligan Operating Services, Inc. (Culligan). Concurrent with
approval of the transfer, A&D seeks authority to increase rates.
PRESENT RATES, PROPOSED RATES, AND EFFECT OF RATES
System Present Proposed
Buffalo Meadows —Water $13.80/mo. Base charge $15.50/mo.
Ashe County flat rate Commodity $5.90/1,000
gallons
Average Monthly Consumption = 4,200 gallons
Average monthly bill proposed rates $ 40.28
Average monthly bill present rate = 13.80
Increase $ 26.48 = 192%

APPENDIXA
PAGE 2OF6
System Present Proposed
Buffalo Meadows — $24.16/mo. flat Base.charge
Wastewater rate $28.75/mo.
Ashe County Commodity
$8.35/1,000 gallons
Average Monthly Consumption =. 4,200 gallons
-Average -monthly bill proposed rates, _ $ 63.8Z
Average monthly bill present rate 24.16
Increase $ 39.66 =.164%
Buffalo Meadows Water and Wastewater
Combined proposed rates
Combined present rates
, Increase
System Present
Kirk Glen — Water only. Base charge
Buncombe County $12.50/mo.
Water to be purchased from Commodity
Weaverville $3.29/1,000
gallons
Average Monthly Consumption = 4,410 gallons
Average monthly bill proposed rates
Average monthly bill present rates
Increase
$104.10
37.96
$ 66.14 = 174%
Proposed
Base charge
$30.00/mo.
Commodity
$17.70/1,000 gallons
$108.06
27:01
$ 81.05 = 300%

System
Rollinq Acres — Water
only
Buncombe County
Water to be purchased
from Weaverville
Present
$20.00/mo. flat
rate
Average Monthly Consumption = 3,990 gallons
Average monthly bill'proposed rates
Average monthly bill present rate
Increase
System - Present
Skyview Park — Water Base charge
MI $9.97/mo.
Gaston County Commodity
Water to be purchased $3.50/1,000
from Gastonia gallons
Average Monthly Consumption = 3,890 gallons
Average monthly bill proposed rates
Average monthly bill present rates
Increase
System
Henderson Countv
Residential
Commercial
Present
$41.75/mo.
flat rate
$7.94/1,000
gallons
($49.00/mo.
minimum)
Increase
APPENDIXA
PAGE 3OF6
Proposed
Base charge
$30.00/mo.
Commodity
$18.90/1,000 gallons
$105.47
= 20.00
$ 85.47 = 427%
Proposed
Base charge
$18.50/mo.
Commodity $7.00/1,000
gallons
$ 45.83
= 23.59
$ 22.24 = 94%
Proposed
$85.00/mo. flat rate
Base Charge
$41.75/mo.
Commodity
$15.20/1,000
gallons
$ 43.25 = 104%

��b stern,-.
61 aa�ns[i lei
�asat r l
fri"ersoCounty
�-
Present
$35.20/mo. flat
rate
Increase
APPENDIX A
PAGE 4OF6
Proposed
$59.75/mo. flat rate
$ 24.55 = 70%
The present rates were approved by the Commission for Hydrologic, Inc.
(HydroL ogic), prior to Culligan's July 1997 acquisition of the systems from HydroLogic in
Docket No. W-1081, Sub 0.
PROCEDURE FOR PUBLIC HEARING
The Commission has scheduled the application for an evidentiary hearing as
follows:
Raleigh, North Carolina: At 10:00 a.m., on Thursday, May 30,
2013, in Commission Hearing Room 2115, Dobbs Building, 430 N.
Salisbury Street
The following hearings are scheduled for public witness testimony only:
Gastonia: At 7:00 p.m., on Tuesday, April 30, 2013, in Gaston
County Courthouse, Courtroom 4D, 325 N. Marietta Street
Hendersonville: At 7:00 p.m., on Wednesday, May 1, 2013, in
Henderson County Courthouse, Courtroom #2, 200 N. Grove Street
Jefferson: At 7:00 p.m., on Tuesday, May 7, 2013,..in Ashe County
Courthouse, 150 Government Circle
The hearings scheduled for April 30, May 1, and May 7, 2013, shall be for the
purpose of receiving public witness testimony only. The hearing scheduled for
May 30, 2013, shall be for the purpose of receiving expert testimony of the Applicants,
the Public Staff, and any other- parties of record. Customers or other public witnesses
who are unable to attend the April 30, May 1, and May 7, 2013, hearings may also be
heard at the May 30, 2013, hearing. The hearings maV be canceled and the 'matter
decided on the filings if no significant protests are received within 30 days of the date of
this notice.

APPENDIXA
PAGE 5OF6
Pursuant to G.S. 14-269.4, absent certain specific exceptions, it is unlawful for
any person to possess, or carry, whether openly or concealed,' any deadly weapon, not
used solely for instructional or officially sanctioned ceremonial purposes; in any building
housing any court of the General Court of Justice. Therefore, , weapons are strictly
prohibited at the hearings scheduled in this docket in county courthouses. Everyone
entering the county courthouses shall have to pass through a metal detector, and any
weapons found will be seized.
Correspondence concerning the proposed rate increase, service problems, or the
public hearings should be directed to the Public Staff.
The Public Staff is authorized by statute to represent consumers in proceedings
before the Commission. Written statements/protests to the Public Staff should include
the name of the subdivision, contact information; and any information that the writer
wishes to be considered by the Public Staff in its investigation of the matter; and these
statements should be addressed to Mr. Robert Gruber, Executive Director, Public Staff,
4326 Mail Service Center, Raleigh, North Carolina 27699-4326. Written
statements/protests can also be faxed to [phone] or e-mailed to
[e-mail].
The. Attorney General is also authorized by statute to represent consumers in
proceedings before the Commission. Statements/protests to the Attorney General
should be addressed to The Honorable Roy Cooper, Attorney General, 9001 Mail
Service Center, Raleigh, North Carolina 27699-9001.
Written statements are not evidence unless those persons submitting the
statements appear at the public hearing and testify concerning the information
contained in their written statements.
Persons desiring to intervene in the matter as formal parties of record should file
a petition under North Carolina Utilities Commission Rules R1-5 and R1-19 no later than
10 days before the date of the hearing. These petitions should be filed with the North
.Carolina Utilities Commission, 4325 Mail Service Center, Raleigh, North Carolina
27699-4325.

APPENDIXA
PAGE 6OF6
Details of the proposed new rates have been filed with the North Carolina Utilities
Commission. A copy of the application and all filings in this matter .are available for
review by the public at the Office of the -Chief Clerk, 430 North Salisbury Street, Raleigh,
North Carolina. Information regarding this proceeding can also be accessed from the
Commission's website at www.ncuc.net under the docket number of this proceeding.
This the , IT day of , 2013.
NORTH CAROLINA UTILITIES COMMISSION
.I � .� •�OtJI.J^i�
Gail L. Mount, Chief Clerk..

CERTIFICATE OF SERVICE
I, mailed with sufficient
postage or hand delivered to all affected customers the attached Notice to Customers
issued by the North Carolina Utilities Commission in Docket No. W-1049, Sub 16, and
the Notice was mailed or hand delivered by the date specified in the Order.
This the day of , 2013.
By:
Signature
Name of Utility Company
The above named Applicant, , personally
appeared before me this day and, being first duly sworn, says that the required Notice
to Customers was mailed or hand delivered to all affected customers, as required by the
Commission Order dated in Docket No. W-1049, Sub 16.
Witness my hand and notarial seal, this the day of , 2013.
Notary Public
Address
(SEAL) My Commission Expires:
Date

FORTH CAR:OLINA
PUBLIC STAFF
UTILITIES CO3M ISSIO 1
January 27, 2010
mr, Tom =Kilpatrick
Tom -Ki patrick and Associates
P. 0, Box 679
_ _ _ Etowah,_ NC .28729
Re: Potential Transfer of Culligan Systems to A&D Water Service.
' _mac awlr a 7 _
Dear Tom:
Tom, sorry I have not responded earlier, but I've been sidetracked with the
Carolina Water rate case, the CWS Systems rate case filing, arid the Aqua rate .
case filing.
My concern/objection was and remains giving A&D a check to pay for
.repai.rs/im:rove.ments based on estimated costs. To do so will jeopardize the
utility by having a.ddiitiona.l repairs/improvements arise after said money is paid
and the seller has left the scene.
The method you propose in your e-mail and attached letter Is agreeable to
the Public Staff with the provisos that ,(1),,all repairs/improvements are identified
by -and -agreed to by the appropriate DENR Regional office (Asheville,
Mooresvi l.e, Winston-Salem?) prior to the work, (4that DENR issues any
necessary plan approval letters/permits for the work, (3)',that DENR approve all
afher-infrastr-u.cture-(we..as_s�l.me these costs will_be
aA_
-
included in the payments), and:(4)that DENR inspect and approve" the work
when completed. The Public Staff assumes such work, while performed by your
firm, will be for the CPCN holder for each system.
If. DENR signs off on the above, then the Public Staff will do what it can to
assist in an orderly and efficient transfer
St Staff will Culligan
erequired to notify&DustoAll
mers
parties must understand that the Public
of the transfers, that hearings may be required depending on customer response,
and that any increase in rates will, of necessity, require more time for review and
recommendation.
Executive Director communications Economic Research Legal
Transportation
733-2435 733-2810 733-2902 733-6110 733-7766
Accounting Consumer Services Electric
l 2�7 Natural 26 s r
733-56 Water
733-4279 733-9277
10
4326 Mail Service Center • Raleigh, North Carolina 27699-4326 • Fax [phone]
An Equal opportunity 1 Affirmation'Action Employer

Kilpatrick
Page 2 of 2
ity
l need an
As a side note, any systems o an Ownertransferred
Exempt from Regulationito belfiled with the
Application to Transfer t
�I NCUC.
The Public Staff will be recommending
eb�oudbe posted rage you ton the amount of
negotiatefor that
between $70,000 and $100,000. 9 Y
bond to be included in the amount to be paid by CulliganNiola.
An additional concern is how A&D will operate/oversee/manage the
systems in the counties removed from its current systems in Henderson.
Buncombe,. and Transylvania counties and again assume that will be settled at
the time of the transfer application.
While the NCUC does not regulate your firm, I do request that you keep
me informed as the repair/improvement projects proceed. I will be glad to
discuss any concerns -with you at any time and trust you feel free to call me about
them.
Otherwise, Tom, Godspeed and good luck.
Sincerely
Kenneth E. Rudder, Director
Public Staff - Water Division
C: Mr: Bill Grantmyre
Mr, Bruce Vaughan

Annual Wastewater Treatment System Performance Report
for
Mountain Valley Subdivision
C D V E J�
MAR - 9 201'2
WATER QUALITY SECTION
ASHEVILLE REGIONAL L OFFICE
for the Operating Period
uary thru December, 2011
Preface
RECEIVED
FEB 2 3 2612
CENTRAL FILES
L)WQ/B00
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 (DEHNR)
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.
k [E @ .(2 r
MAR - 8 2012
DENR-WATER QUALITY
POINT SOURCE BRANCH

I. General Information
Facility/System Name: Mountain Valley Subdivision
Cummings Road, Horse Shoe
Henderson County .
Responsible Entity: Veolia Water NA/ WASCO/Culligan Operating Services
Person(s) in Charge/Contact: Tom Kilpatrick - Operator -in -Responsible Charge (ORC)
& Systems Administrator
Applicable Permits: NPDES # NCO073741
Description of Treatment Process, Collection System and Facilities Served:
Treatment Process - The treatment facility is a typical "Extended Aeration" process capable
of treating .020 million gallons per day (MGD). The treated effluent is discharged to the
French Broad River, classified as a Class C stream, in the French Broad River Basin.
Collection System - The lower section of the collection system consist of approximately
1,100 feet of 3-inch forced main design with no manholes. The system is unusual in the
fact that homes have been allowed to place gravity taps on the force main section. There
is one main lift station located at the upper portion of the subdivision. The upper section
consists of approximately 1,500 feet of gravity lines which are standard 8-inch lines with
pre -cast manholes. Wastewater is collected at the lift station and pumped thru the 3-inch
line to the WWTP.
Facilities Served - This unit serves only the residents of the Subdivision.
II. WWTP Performance
We are pleased to report that the WWTP is in compliance with NPDES Permit Limits
for the Year.
We take pride in our efforts to protect the local environment and the quality of the waters in
our streams.
III. Collection System Performance
The collection system experienced no significant problems for. the reporting period. A new
sewage pump with grinder head was installed in the lift station in 2009. There have been no
blockages in the force main since that time.
The force main requires routine periodic pressure washing to maintain adequate service. The
gravity service connections on the 3-inch force main should have never been installed. At

some point, these residents may be required to install pressure pump systems.
Tom Kilpatrick & Associates maintains an Operation and Maintenance Plan and a Spill
Response Plan for the system
IV. 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:
Tom Kilpatrick & Associates
P.O. Box 679
Etowah, NC 28729
or by contacting the office at 828-890-4810.
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 Tom
Kilpatrick, System Administrator.
V. Certification
I certify that under penalty of law that this report is complete and accurate to the best of my
knowledge.
Tom Kilpatrick Date
This report prepared by:
Tom Kilpatrick
P.O. Box 679
Etowah, NC 28729
Phone: [phone]
January 31, 2011

Tom Kilpatrick & AssOci<ltes
P.O. Box 679
Etowah, NC 28729
828-890-4810
February 13, 2012
NOTICE
Annual Performance Report
Wastewater Treatment Systems
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
system is now available for review.
A copy of the full report is available to interested persons by contacting the office.
Tom Kilpatrick & Associates is pleased to be a part of this on -going environmental protection
effort.
Sincerely,
Tom Kilpatrick

AJ
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor - Director
December 29, 2011
5037
Mr. Tom Kilpatrick
Tom Kilpatrick & Associates
P.O. Box 679'
Etowah, NC 28729
Subject: Non -Compliant Sample(s)
Dear Mr. Kilpatrick:
-r s vN.-, s 4�0r +1he-
Ja. Son
Dee Freeman
Secretary
We have been notified that on December 27, 2011, you submitted a sample for analysis of Fecal
Coliform to ETS. At your request the sample was analyzed without proper preservation (residual
chlorine was present in the sample).
Please be advised that under provisions of N. C. Regulations 15A NCAC .0805 (a) (7) (N), any time a
laboratory receives samples that do not meet sample collection, holding time, or preservation
requirements, the laboratory must notify the sample collector or client and secure another sample if
possible. If another sample cannot be secured, the original sample may be analyzed but the results
reported (both client report and Discharge Monitorina Report) must be qualified with the nature of the
infraction(s), and the laboratory must notify the State Laboratory about the infraction(s). The notification
must include a statement indicating corrective actions taken to prevent the problem for future samples.
We are requesting that you take the appropriate steps to avoid a reoccurrence of this in the'future. All
sample preservation and holding requirements must be met in accordance with the Code of Federal
Regulations, Title 40, Parts 136 and 503; Federal Register Vol. 72, No. 47 and 57, March 12 and 26,
2007; Table Il. Failure to comply with these requirements may result in enforcement action.
Thank you for your time and cooperation. I can be contacted at [phone] if you have questions.
Sincerely,
Jason Smith
Certification Auditor
Laboratory Section
cc: Janet Cantwell
DENR DWQ Laboratory Section NC Wastewater/Groundwater Laboratory Certification Branch
1623 Mail Service Center, Raleigh, North Carolina 27699-1623 One
Location:4405 Reedy Creek Road. Raleigh, North Carolina 27607-6445 NorthCarolina
Phone: [phone] FAX: [phone]
Internet www.dwglab.org dAmall
An Equal Opportunity 1 Affirmative Action Employer Customer Service: 1-877-623-6748 www.ncwaterqualiV.org

^1;
WDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
October 14, 2011
Thomas W Kilpatrick
Veolia Water North America Operating Services
PO Box 679
Etowah NC 28729-0679
SUBJECT: Compliance Evaluation Inspection
Mountain Valley WWTP
Permit No: NCO073741
Henderson County
Dear Mr. Kilpatrick:
Enclosed please find a copy of the Compliance Evaluation Inspection conducted
on October 7, 2011. The right-of-way to the outfall should be maintained at all times. No
violations of permit requirements or applicable regulations were observed during this
inspection.
Please refer to the enclosed inspection report for additional observations and
comments. If you or your staff have any questions, please call m at 828-296-4500.
Sincerely, 1
Jeff Menzel
Environmental Specialist
Enclosure
SURFACE WATER PROTECTION — ASHEVILLE REGIONAL OFFICE pne
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778 NorthCarolina
Phone: [phone]\FAX: [phone]\Customer Service: 1-877-623-6748 J►�
Internet: www.ncwaterouality.org S:\SWP\Henderson\Wastewater\Minors\Mountain Valley 73741\CEI 2011:docx �/ V Ama[Ly

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
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 N I 2 U 31 NCO073741 111 121 11/10/07 117
L�J �t----�t
181 C l 191 c 1 201 I
U LJ IJ
Remarks
2111111111111111111111111111111111
Jill 111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA-----
67 I 169 70 L1 71 U 72 I N I
73 L Ij 74 751 I I I I I Li
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)
Mountain Valley WWTP
11:00 AM 11/10/07
11/07/01
Exit Time/Date
Permit Expiration Date
NCSR 1171
Etowah NC 28729
11:30 AM 11/10/07
15/11/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Thomas W Kilpatrick/ORC/828-890-4810/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Thomas W Kilpatrick,PO Box 679 Etowah NC 287290679//828-890-4810/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Operations & Maintenance 0 Effluent/Receiving Waters
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 I pector(s) Agency/Office/Phone and Fax Numbers
Date
Jeff Menzel �� ARO WQ//828-296-4500/
Signature of age e 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 NCO073741 I11 12, 11/10/07 1 17 181 _
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The right of way to the outfall should be maintained at all times.
No violations of permit requirements or applicable regulations were observed during this inspection.
Page # 2

Permit: NCO073741 Owner - Facility: Mountain Valley WWTP
Inspection Date: 10/07/2011 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 ■ ❑ ❑ ❑
Judge, and other that are applicable?
Comment:
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment: The right of way to the outfall should be maintained at all times.
Page # 3

F Ce
NCDENR
North Carolina Department.of Environment and Natural
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
April 6, 2011
Thomas W Kilpatrick
Veolia Water North America Operating Services
PO Box 679
Etowah NC 287290679
Dear Mr. Kilpatrick:
Resources
Dee Freeman
Secretary
SUBJECT: Compliance Evaluation Inspection
Mountain Valley WWTP
Permit No: NCO073741
Henderson County
Enclosed please find a copy'of the Compliance Evaluation Inspection Report from
the inspection conducted on March 11, 2011. The Compliance Evaluation Inspection was
conducted by Don Price and me of the Asheville Regional Office. The inspection was
performed in part due to the NC Public Staff Utilities Commission requesting Regional
Office input on recommended repairs to the plant prior to transfer of the system to A&D
Water Service. The facility was found to be in Compliance with permit NC0073741.
Please refer to the enclosed inspection report for additional observations and
comments. If you should have any questions, please do not hesitate to contact me at
828-296-4500.
Sincerely,
Keith Haynes
Environmental Sr. Specialist
Enclosure
cc: NC Utilities Commission
Central Files
= Asheville_Files -
S:\SWP\Henclerson\Wastewater\Minors\Mountain Valley 73741'\3-11-110EIletter.doc
SURFACE WATER PROTECTION — ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778 NorthCarollina
Phone: [phone]\FAX: [phone]\Customer Service: 1-877-623-6748 �atu1,Q[ /�
Internet: www.ncwaterouality.ora L

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 2 151 31 NCO073741 111 121 11/03/11 117 181 r1 191cl 2U1 I
u L= J I-
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA ---- Reserved-------
67 169 70 U 71 ! I 72) NI 73I ) 174 751 I I I I I I 180
L- 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)
Mountain Valley WWTP
09:45 AM 11/03/11
06/01/01
Exit Time/Date
Permit Expiration Date
NCSR 1171
Etowah NC 28729
10:20 AM 11/03/11
10/11/30
Name(s) of Onsite Representative(s)lfitles(s)/Phone and Fax Number(s)
Other Facility Data
Thomas W Kilpatrick/ORC/828-890.-4810/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Thomas W Kilpatrick,PO Box 679 Etowah NC 287290679//828-890-4810/ Contato
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit N Flow Measurement Operations & Maintenance 0 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
Don Price ARO WQ//828-296-4500/
Keith Haynes / ARO WQ//828-296-4500/ l(
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
0-r-Orr
Roger C Edwards ARO WQ//828-296-4500/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3' NCO073741 I11 12I 11/03/11 I17 18'_'
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The owner should consider some type of covering for the plant to prevent falling leaves from being an issue
during autumn. The region agrees with the recommendations that were submitted to the NC Utilities
Commission.
Page # 2

Permit: NCO073741 Owner - Facility: Mountain Valley WWTP
Inspection Date: 03/11/2011 Inspection Type: Compliance Evaluation
Flow Measurement - Effluent
Yes No NA
NE
# Is flow meter used for reporting?
0111111
Is flow meter calibrated annually?
■ ❑ ❑
❑
Is the flow. meter operational?
■ ❑ ❑
❑
(If units are separated) Does the chart recorder match the flow meter?
❑ ❑ ■
❑
Comment:
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 ■ ❑ ❑
❑
Judge, and other that are applicable?
Comment:
Yes No NA
NE
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?
00011
Is access to the plant site restricted to the general public?
■
❑ ❑
❑
Is the inspector granted access to all areas for inspection?
■
❑ ❑
❑
Comment: Permit is in draft
Aeration Basins
Yes
No NA
NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the, basin free of dead spots?
■
❑ ❑
❑
Are surface aerators and mixers operational?
❑
❑ ■
❑
Are the diffusers operational?
■
❑ ❑
❑
Is the foam the proper color for the treatment process?
■
❑ ❑
a
Does the foam cover less than 25% of the basin's surface?
■
❑ ❑
❑
Is the DO level acceptable?
❑
❑ ❑
■
Is the DO level acceptable?(1.0 to 3.0 mg/1)
❑
❑ ❑
■
Comment: Blowers are operated 30 minutes on and 30 minutes off
Secondary Clarifier
Yes
No NA
NE
Is the clarifier free of black and odorous wastewater?
■
❑ ❑
❑
Page # 3

Permit: NC0073741 Owner - Facility: Mountain Valley WINTP
Inspection Date: 03/11/2011 Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes
No
NA
NE
Is the site free of excessive buildup of solids in center well of circular clarifier?
®
Q
❑
El
Are weirs level?
■
D
Q
Is the site free of weir blockage?
❑
n
n
Is the site free of evidence of short-circuiting?
■
Is scum removal adequate?
■
❑
Q
0
Is the site free of excessive floating sludge?
■
0
❑
Q
Is the drive unit operational?
❑
❑
■
El
Is the return rate acceptable (low turbulence)?
le
n
p
n
Is the overflow clear of excessive solids/pin floc?
®
n
n
Q
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
❑
❑
Q
Comment:
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
®
n
n
n
Are the tablets the proper size and type?
®❑
n
n
Number of tubes in use?
2
Is the level'of chlorine residual acceptable?
i1
0
E!
■
Is the contact chamber free of growth, or sludge buildup?
®
0
00
Is there chlorine residual prior to de -chlorination?
❑
❑
Q
■
Comment:
Vac
Nn
NA
NF
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
■
n
Q
n
Is storage appropriate for cylinders?
®❑
0
# Is de -chlorination substance stored away from chlorine containers?
®
n
0
0
Comment:
Are the tablets the proper size and type?
■
n
0
n
Are tablet de -chlorinators operational?
■
n
0
n
Number of tubes in use?
2
Comment:
Effluent Pipe
Yes
No
NA
NE
Page # 4

Permit: NC0073741 Owner - Facility: Mountain Valley WWTP
Inspection Date: 03/11/2011 Inspection Type: Compliance Evaluation
Effluent Pip Yes No NA NE
Is right of way to the outfall properly maintained? Q ■ Q ❑
Are the receiving water free of foam other than trace amounts and other debris? ■ Cl ❑ Q
If effluent (diffuser pipes are required) . are they operating properly? ❑ ❑ ■
Comment: There was a small leak in the effluent plant directly below the plant. There
should be access to the discharge point at the receiving stream.
Page # 5

Annual Wastewater Treatment System Performance Report
for
Mountain Valley Subdivision
for the Operating Period f
'"_• :.,,,.r_o..,:e3::....•..v.:.tYi L.:r,...4Pa`..'. ,.,..-... a...:.;4<, ..i4rihl
January thru December, 2010m
u
i FED - 8 2011
Preface`
WATER QUALITY SECTION
ASHEVILLE REGIONAL 6 1-ICE
On July 20, 1999, the North Carolina General Assembly ratified House Bill 116014e'Clean Wafer
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 (DEHNR)
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.
D ry @ rNPROW11
l�
I FEB 0 3 2011
DENR-WATER QUALITY
POINT SOURCE BRANCH

I. General Information
Facility/System Name:
Responsible Entity:
Person(s) in Charge/Contact:
Applicable Permits:
Mountain Valley Subdivision
Cummings Road, Horse Shoe
Henderson County
Veolia Water NA/ WASCO/Culligan Operating Services
Tom Kilpatrick - Operator -in -Responsible Charge (ORC)
& Systems Administrator
NPDES # NC0073741
Description of Treatment Process, Collection System and Facilities Served:
Treatment Process - The treatment facility is a typical "Extended Aeration" process capable
of treating .020 million gallons per day (MGD). The treated effluent is discharged to the
French Broad River, classified as a Class C stream, in the French Broad River Basin.
Collection System - The lower section of the collection system consist of approximately
1,100 feet of 3-inch forced main design with no manholes. The system is unusual in the
fact that homes have been allowed to place gravity taps on the force main section. There
is one main lift station located at the upper portion of the subdivision. The upper section
consists of approximately 1,500 feet of gravity lines which are standard 8-inch lines with
pre -cast manholes. Wastewater is collected at the lift station and pumped thru the 3-inch
line to the WWTP.
Facilities Served - This unit serves only the residents of the Subdivision.
II. WWTP Performance
We are pleased to report that the WWTP is in compliance with NPDES Permit Limits
for the Year.
We take pride in our efforts to protect the local environment and the quality of the waters in
our streams.
III. Collection System Performance
The collection system experienced no significant problems for the reporting period. A new
sewage pump with grinder head was installed in the lift station in 2009. There have been no
blockages in the force main since that time.
The force main requires routine periodic pressure washing to maintain adequate service. The
gravity service connections on the 3-inch force main should have never been installed. At

some point, these residents may be required to install pressure pump systems.
Tom Kilpatrick & Associates maintains an Operation and Maintenance Plan and a Spill
Response Plan for the system
IV. Notification
A letter advising of the availability of this report will be hailed to each resident. A copy of this
report is available to interested persons in the offices of:
Tom Kilpatrick & Associates
P.O. Box 679
Etowah, NC 28729
or by contacting the office at 828-890-4810.
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 Tom
Kilpatrick, System Administrator.
V. Certification
I certify that under penalty of law that this report is complete and accurate to the best of my
knowledge.
Tom Kilpatrick Date
This report prepared by:
Tom Kilpatrick
P.O. Box 679
Etowah, NC 28729
Phone: [phone]
January 31, 2010
Filename: \\Tom\my files\Mtn. Va11ey\APR_'10.docx

El F
� r., _ 9
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
SURFACE WATER PROTECTION SECTION
September 14, 2010
Mr. Thomas W. Kilpatrick
Veolia Water North America Operating Services
PO Box 679
Etowah, NC 28729-0679
SUBJECT: Compliance Sampling Inspection
Mountain Valley VWVTP
Permit No: NCO073741
Henderson County
Dear Mr. Kilpatrick:
Enclosed please find a copy of the Compliance Sampling Inspection form from the
inspection conducted on August 25, 2010. The facility was found to be in compliance with permit
NC0073741.
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,
G�p �
Wanda P. Frazier
Environmental Specialist
Enclosure
cc: Central Files
�As,I ,e i1I F"i:lW
S:\SWP\Henderson\Wastewater\Minors\Mountain Valley 73741\CS1.8-25-10.doc
I
SURFACE WATER PROTECTION — ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778 NorthCarolina
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748 IvahlrQ f f1/
Internet: www,newaterguality.org
Pal

United States Environmental Protection Agency
Form Approved.
n Washington, D.C. 20460
EPA
Cf /"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 NI 2 15I 31 NCO073741 111 121 10/08/25 117 18I SI 191 SI 20III
Remarks
211111IIIIIIIIIIII IIIIIIII IIIIIIIIIIIIIIIII1111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --Reserved-- —
671 1. 0 169 70131 711 I 721 N I 73 I I 174 751 I I I I I I 180
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)
Mountain Valley WWTP
01:10 PM 10/08/25
06/01/01
Exit Time/Date
Permit Expiration Date
NCSR 1171
Etowah NC 28729
01:40 PM 10/08/25
10/11/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Thomas W Kilpatrick/ORC/828-890-4810/
Name, Address of Responsible Official/Title/Phone and Fax Number
Thomas W Kilpatrick,PO Box 679 Etowah NC 287290679//828-890-4810/ ContactedNo
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit N Operations & Maintenance N 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/
t� 6
G� /D
Ike
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
�y
l % 2-CO/V
U
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO073741 I11 121
10/08/25 117 18IS1
(cont.) 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
FACILITY DESCRIPTION:
The Veolia Water North America Operating Services — Mountain Valley Subdivision WWTP is a class
II facility rated as a 0.020 MGD (0.040 after A to C) Purestream® extended aeration package
plant consisting of: (no bar screen); 20,000 gallon aeration basin with dual blowers providing
diffused air; rectangular clarifier with skimmer and sludge returns; 5000 gallon aerobic
digestor with continuous overflow back into the aeration basin; tablet chlorinator; baffled
chlorine contact chamber; tablet dechlorinator; and Isco 3210 ultrasonic flow meter.
A to C: issued 9-14-1990.
Collection System: The lower section of the collection system consists of approximately 1100
feet of 3-inch pressure sewer with no manholes. Gravity taps have been allowed on the force
main section. The upper section consists of approximately 1500 feet of 8-inch gravity lines
with pre -cast manholes. There is one lift station located at the upper portion of the
subdivision. Wastewater is collected at the lift station and pumped thru a 3-inch force main to
the WWTP.
Annual average flow: 0.007 MGD for 2007-2010 (3 year average).
Development: Consists of 60 residential homes -100% domestic.
Sludge Management: Commercial hauler (Goldie & Associates) to the City of Hendersonville's WWTP.
Goldie & Associates - phone: [phone]
210 W. North Second Street, Seneca, SC 29678
PERMIT / INSPECTION / LOG:
A review of the files indicates that the last compliance evaluation inspection was conducted on
2-25-2009 by Janet Cantwell.
The permit expires on 11-30-2010. Your permit renewal request was received by the Division on
5-13-2010.
The daily operator log was present on -site and had good notation of daily events, process
control and field testing data.
FLOW MEASUREMENT:
The Isco 3210 ultrasonic flow meter was last calibrated in August 2010.
Page # 2

Permit: NCO073741
Inspection Date: 08/25/2010
Owner - Facility: Mountain Valley wwTP
Inspection Type: Compliance Sampling
EFFLUENT:
The effluent was clear and indicated compliance with permit limits.
Samples were collected on the day of the inspection. The results were as follows:
BOD = 27 mg/I
TSS = 13.8 mg/I
Fecal coliform = < 1 col/100 ml
OPERATIONS AND MAINTENANCE / EFFLUENT / SUMMARY:
Mr. Tom Kilpatrick, ORC, assisted in the inspection and appears to be operating and maintaining
the facility very well.
SYSTEM PERFORMANCE ANNUAL REPORT:
The 2009 System Performance Annual Report was received by the Division on 2-8-2010.
Page # 3

Permit: NCO073741 Owner - Facility: Mountain Valley WWTP
Inspection Date: 08/25/2010 Inspection Type: Compliance Sampling
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?
■
n
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? ■ ❑ n ❑
Comment:
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 ■ Q n ❑
Judge, and other that are applicable?
Comment:
enrnfinn Rncinc Yes No NA NE
Mode of operation
Type of aeration system
Is the basin free of dead spots?
Are surface aerators and mixers operational?
Are the diffusers operational?
Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin's surface?
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/1)
Comment:
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Page # 4

Permit: NC0073741 Owner - Facility: Mountain Valley WWTP
Inspection Date: 08/25/2010 Inspection Type: Compliance Sampling
Secondary Clarifier
Yes
No
NA
NE
Is the drive unit operational?
13000
Is the return rate acceptable (low turbulence)?
■
n
n
n
Is the overflow clear of excessive solids/pin floc?
■
n
n
n
Is the sludge blanket level acceptable? (Approximately'/ of the sidewall depth)
■
n
n
n
Comment:
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
■
n
n
n
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
n
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)?
❑
❑
■El
Is storage appropriate for cylinders?
00
■
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?
2
Comment:
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
■
fl
❑
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
•�'T u- i i
Page # 5

County:
HENDERSON
Sample ID:
AB62739
River Basin
FRB
QF V61A1£R
PO Number #
ARO
Q�
Report To
AROSP
`O�
�
r-
Date Received:
Time Received:
0812512010
15:50
Collector:
W FRAZIER
Labworks LoginlD
KJIMISON
Region:
ARIDReport
Generated:
9/21/10
Sample Matrix:
WASTEWATER
Date Reported:
09/21/2010
Loc.Type:
EFFLUENT
Emergency Yes/No
COC Yes/No
VisitlD
Loc. Descr.: LEY i1UWiTl�
Location ID:
NCO073741
Collect Date: 08f25/201'0
Collect Time: 13:20
Sample Depth
Result/
Method
Analysis
CAS # Analyte Name
PQL
Units
Validated by
—
Qualifier
Reference
Date
Others
Sample temperature at receipt by lab
1.9
°C
8/25/10
SMATHIS
BOD, 5-Day in liquid
2
','�7'
mg/L
APHA5210B
8/26110
CGREEN
Coliform, MF Fecal in liquid
1
B2
CFU/100ml
APHA9222D-20th
8/25/10
CGREEN
Residue —Suspended in liquid
6.2
IMP
mg/L
APHA2540D-20th
8/25/10
CGREEN
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes referto httP ports) nMenr.o=\vehA•mAah:-stnfiintrite=hassisgakat Q&La!ifier Crde«hflpaip n. —den—gL.H eh:4+nAan_<_1xH:nL�YFf)IASSISi?
Page 1 of 1

DIN., ION OF WATER QUALITY
I� `' Chemistry Laboratory Report! Water Quality El
COUNTY `,.f L�y4� YORITYSAMPLE TYPE
RIVERBASIN: D� I ( a QA STREAM EFFLUENT
REPORTTO ASh6,i11e 1 Cg: okf,ce SEP 2 7 2010 LLAIv<
Other L._.__ f�. GENC
COLLECTOR(S) : Wanda,F user-5�
��,+,yx'•3 A,S/F�f��V,.�.-=I._.._,_.'QUALITY
SECTION
E ?EGiO
IC
ALOFr
EEstimatedBODRange:
Seed:
Station g/Location Code Dafe egin (yylmm/dd) Date d (yy/ m/dd)
IV L lb o :73 too f-Z5
BOD 310 mg/L
COD High 340 mg/L
COD Law 335 mg/L
Col(form: MF Fecal 31616 /100ml
Coliform: MF Total 31504 /100ml
Coliform: tube Feca131615 /100ml
Coliform: Fecal Strep 31673 /100001
Residue: Total 500 mg[L
Volatile 505 mg/L
Fixed 510 mg/L
Residae: Suspended 530 m911,
Volatile 535 mg/L
Fixed 640 mgfL
pH 403 units
Acidity to pH 45 436 mg/L
.Acidity to pH 8.3 435 mg1L
Alkalinity to pH 8.3 415 mgfL
Alkalinity to pH 45 410 ml1L
TOC 680 mg/L
Turbidity 76 NTU
Coliform Total Tube /I00 ml
COMMENTS:
CHAIN OF CUSTODY LAKE INFLUENT
VISITID � ESTUARY El
Station0 Location: LM ,/eC,%( /
Remarks:
tTimeBegin Time Eod Depth - DM,DB, DBM Value Type - A, H, L
?o,yM lS�o9
Chloride 940 mg/L
Chlorophyll a EPA 445.0 modified option ug/L
Color. True 80 au.
Color(pH) 83 pH- c.u.
Color: pH 7.6 82 C.U.
Cyanide 720 mg/L
Fluoride 951 mg/L
Formaldehyde 71880 mg/L
Grease aad Oita 556 mg/L
Hardness Total900 mg/L
Specific Cand. 95 umhoslem
MBAS 38260 mg(L
Phenols 32730 ug/L
Sulfate 945 mg/L
Sulfide 745 mg/L
Baran
Taoain & Lignin ug/L
Hesavalent Chromium ug/L
Bicarbonate mg/L
Carbonate mg(L
Total Dissolved Solids mg/L
NH3 as N 610 mgfL
TKN an N 625 mg/L
NO2 plus NO3 as N 630 mg/L
P: Total as P 665 mg/L
PO4 as P 70507 mg/L
P: Dissolved as P 666 mg/L
K-Potassium mg/L
Cd-Cadmium 1027 ag/L
Cr-Chromium:Tatal1034 ug/L
Ca- Copper 1042 ug/L
Ni-Nickel 1067 ug/L
Pb- Lead 1051 ug/L
Zn- Zinc 1092 ug/L
V-Vanadium u€1L
Ag- Silver 1077 ng/L
Al- Aluminum 1105 ug/L
Be- Beryllium 1012 ug/L
Ca- Calcium 916 mg/L
Co- Cobalt 1037 ug/L
Fe- Iron 1045 ug/L
Mo-Molybdenum ug/L
Sb-Antimauy ug/L
Sn-Tin ug/L
TI-Thallium ug/L
Ti-Titanium ug/L
Hg-1631 ng/L
LabNumberl:
- �-
DateReceived:
Time Received
Received By
Data Released :
Date Reported c
Composite-T, S, B j Sample Type
C/s•-'add
Li -Lithium 1132 ug/L
Mg- Maguesium 927 mg/L
Mn-Manganese 1055 ug/L
Na- Sodium 929 mg/L
ArsenicTotal1002 ug/L
Se- Selenium 1147 ug/L
Hg- Mercury 71900 ug/L
Ba-Barium ug/L .
Organochlorine Pesticides
Orgauophosphorus Pesticides
Organonitragen Pesticides
Acid Herbicides
Base/Nentral&Acid Extract. Organics
TPH Diesel Range
Purgeable Organics (VOA bottle req'd)
TPH Gasoline Range
TPH/BTEX Gasoline Range
Phytoplankton
Temperature on arrival (°C):

E C'�.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director
June 9, 2010
Mr. Thomas W. Kilpatrick
Veolia Water North America Operating Services
P.O. Box 679
Etowah, North Carolina 28729-0679
Subject: NOTICE OF VIOLATION
NOV-2010-LV-0202
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
Dear Mr. Kilpatrick:
Secretary
A review of Mountain Valley WWTP's monitoring report for January 2010 showed the following violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
Broth,44.5C
01/19/10
400 #/100ml
410 #/100ml
Daily Maximum
Exceeded
Reminder. Holidays should be clearly marked on the appropriate monthly DMRs.
Remedial actions, if not already implemented, should be taken to correct any problem. Since the comments section
on the reverse of the relevant DMR provided an adequate explanation for the subject violation, it is not requested that a
response be submitted: however, should you have additional information concerning the violations or comments which you
wish to present, please submit them to the attention of Janet Cantwell.
The Division of Water Quality may pursue enforcement action for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Janet Cantwell at 828/296-4500.
Sincerely,
Fbk Roger C. dwards, Region Supervisor
Surface Water Protection Section
Asheville Regional Office
C��� �.�DWQ�Ashev„ille•_;Fi,les-
DWQ Central Files
St•.til�P'.}[ ndcrcnnit�'a ntsatcr:blinor'atouniain Valle 737-tl'N(?V-2UIU-I.V-0202-doe
No�rthCarolina
Naturally
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwaterguality.org FAX [phone]

11,om Kilpatrick & associates
PD. Box 679
Etowah, NC 28729
828-890-4810
February 1, 2010
NOTICE
Annual Performance Report
Wa.stew ter Treatment Systems
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.
We are pleased to report that the WWTP is in full compliance with NPDES Permit limits
for the operating year.
A'copy of the full report is available to interested persons by contacting the office.
Tom Kilpatrick & Associates is pleased to be a part of this on -going environmental protection
effort.
Sincerely,
Tom Kilpatrick

0
e Annual Wastewater Treatment System Performan-ce. RTort
for
Mountain Valley, $ubd
for the Operating Period
January thru December,
Preface
'I � V E
8-- 201 FEB 0
L
WATER QUALITY SECTION
ASHEVILLE REGIONAL 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 report is designed to meet the minimum requirements for the Annual Performance Report
established by the North Carolina Department of Environment and Natural Resources (DEHNR)
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,confidefice) in owners and operators of wastewater treatment systems and in their efforts to
protect the waters of the state.

I. General Information
Facility/System Name: Mountain Valley Subdivision
Cummings Road Horse Shoe
Henderson County
Responsible Entity: Veolia Water NA/ WASCO/Culligan: Operating Services .
Person(s) in Charge/Contact: Torn Kilpatrick - Operator -in -Responsible Charge (ORC)
& Systems Administrator
Applicable Permits: NPDES # NC0073741
Description of Treatment Process, Collection System and Facilities Served:
Treatment Process - The treatment facility is a typical "Extended Aeration" process'capable
of treating .020 million gallons per day (MGD). The treated effluent is_dischargedao the, .:.
French Broad River, classified as a Class C stream, in the French Broad River Basin.
Collection System - The lower section of the collection system consist -of approximately
1,100 feet of 3-inch forced main design with no manholes. The system is unusual in the
fact that homes have been allowed to place gravity taps on the force main section.: There
is one main lift station located at the upper portion of the subdivision. 'The upper §ection
consists of approximately 1,500 feet of gravity lines which are standard 8-inch lines with
pre -cast manholes. Wastewater is collected at the lift station and pumped thru the 3-inch
line to the WWTP. u
Facilities Served - This unit serves only the residents of the Subdivision.
11. WWTP Performance
We are pleased to report that the WWTP is in compliance with N —DES Permit:I:,im is
for the `Fear.
We take pride in our efforts to protect the local environment and the quality of the.waters in
our streams.
11I. Collection System Performance
The collection system experienced no significant problems for the reporting period. , A new
sewage pump with grinder head was installed in the lift station in 2009. There have been no
blockages in the force main since that time.
The force main requires routine periodic pressure washing to maintain adequate service.: The
gravity service connections on the .3-inch force main should have never been installed. At
some point, .these residents may be required to install pressure pump systems.

Tom Kilpatrick & Associates maintains an ,Operation and Maintenance Plan and a -Spill
Response Plan for the system
IV: 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:
Tom Kilpatrick & Associates
P.O. Box 679
Etowah, NC 28729
or by contacting the office at 828-890-4.810.
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 Tom -
Kilpatrick, System Administrator.
V: Certification
I certify that under penalty of law that this report is complete and accurate to the best of my
knowledge.
Tom Kilpatrick , Date.
This report prepared by:

DEcE
NC®EN� J U L 2 8 2009 i
North Carolina Department of Environment and Natura Re$ources
Division of Water Quality t------ WATER QUALITI eCC 17
Beverly Eaves Perdue Coleen H. Sullins i __`H_\/ : i_r f, :.Dee Fryman
Governor Director Secretary
I
July 23, 2009 /
Mr. Thomas W. Kilpatrick �`�� A-w //<-A its
Veolia Water North America Operating Services
P.O. Box 679
Etowah, North Carolina 28729-0679
Subject: NOTICE OF VIOLATION
NOV-2009-MV-0122
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
Dear Mr. Kilpatrick:
A review of Mountain Valley WWTP's monitoring report for May 2009 showed the following violation:
Parameter
Date
Measuring
Frequency
Violation
Continuous Flow
5/30/2009 - 5/31/2009
Continuous
Failure to Monitor
It was also noted that the Compliance box on the back of the DMR was marked "Compliant" when in fact it
should have been marked "Non -Compliant" with an explanation of the reason for the non-compliance.
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law.
To prevent further action, carefully review these violations and deficiencies and respond in writing to this
office within 10 working days of receipt of this letter. You should address the causes of non-compliance and all
actions taken to prevent the recurrence of similar situations.
If you should have any questions, please do not hesitate to contact Janet Cantwell at 828/296-4500.
Sincerely,
&`_> e . — _"
Roger C. Edwards, Regional Supervisor .
- Surface Water Protection Section -
cc: DWQ Asheville Files_
DWQ Central Files
G:\WPDATA\DEMWQ\Henderson\73741 Mountain Valley\73741 NOV-2009-MV-0122.doc NorthCarolina
�, Natlaaay
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwatergualitv.org FAX [phone]

I EFFU T AWE ND1 9 AD;D,FL-0�,, 0 . - W Q-A,T�A,FI�OR.5-/�3_©r&�5/�3i1�
NPDES PERMIT NO. NCO073741 DISCHARGE NO. 001 MONTH MAY YEAR 2009
FACILITY NAME MOUNTAIN VALLEY SUBDIVISION CLASS II COUNTY HENDERSON
OPERATOR IN RESPONSIBLE CHARGE (ORC) Tom Kilpatrick GRADE IV PHONE [phone]
CERTIFIED LABORATORIES (1) Environmental Testing Solutions (2)
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES Tom Kilpatrick
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIV OF ENVIRONMENTAL MANAGEMENT X J - %-
rc =
DEHNR (SIGNATURE OF OPERATOR gRESPONSIBCE CHARGE) DATE
P.O BOX 29535 BY THIS SIGNATURE, I CERTIFY THAT THE REPORT IS
RALEIGH, NC 27626-0535 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE
Hi
E
0oa vY
a
o
N
o
O
50050
00010
00400
50060
1 00310
1 00610
00530
31616
00300
00600
00655
W
n
CL U
g
W
S
2/W
i
o
S
7
W
o
m
2/Mo.
w0
o
It
Z
o
W
O
z w
n�
tO
to
J
O
F_
W
O a)
�
JU
Qo
LL
w
r
O
oQ
w
o
co
Fw
-
Z
F_o
0cv
F p
O a
toO
O
aF_a
ENTER
PARAMETER CODE
EFFFLOQW
Ell
Q
0
HRS
HRS
Y/N
MGD
'C
UNITS
uG/L
MG/L
MG/L
MG/L
#100ML
MG/L
MG/L
MG/L
t
1000
0.3
Y
0:.004
.
...........
..
.
2
0.005
3
. .,
4
1110
0.6
1 Y
0.005
<22
5
950
0.8
.: Y
: U A05.
18..•..,
7 1 :
; 22..
Z 0.
1 3.:.
7Q 0:
:.<1 ..
•::
�
.
��
6
1000
0.3
Y
0.004
7
830
0:3
Y
.::.:
8
1010
0.3
Y
0.004
/
v
%,
a
x
10
0.004
11
1010'
0.5
Y
12
930
0.5
Y
0.004
15
7.1
<22
7.0
1.4
8.2
C1
13
840
0.3
y
•� ;;;
14
1010
0.3
Y
0.003�.,;'
15
630
0.2
Y
0;003
.
16
0.004
17
0:004
18
1110
1
Y
0.004
<22
19
915
0.5
Y
0.004
15 :
6.8
20
910
0.3
Y
0.004
21
940
0.3
Y
0.001
1020
0.3
Y
0.004
t2324
O
7.
0.004
e ae•
m
• e e
�©
eee •
�®®®_��y�__��
_�
���©
eee •
-_®______________
•
e
e
e ae

Copyright © 1992-1998, ChemSW T", Inc.,[phone], All rights reserved. http:/Iwww.chemsw.com
Facility Status: (PI , check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation,
maintenance, etc., and a time table for improvements to be made.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction -or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate
the information submitted. Based on my inquiry of the person or persons who manage the system, or those
persons directly responsible for gathering the information, the information 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."
Tom Kilpatrick, Administrator for Culligan Operating Services
Permittee (Please print or type)
Tom Kilpatri�� j%./ rX, Z_ —7_
Signiture of Permittee`'` —/ Date
Tom Kilpatrick & Associates
P.O. Box 679, Etowah, INC 28729 828-890-4810
Permittee Address Phone Number
NOV. 30, 2010
Permit Exp. Date
PARAMETER CODES Forms by ChemSW(707)864-0845:pM 11158:v5.21.2/1/98
00010 Temperature
00556 Oil & Grease
00951 Total Flouride
01067 Nickel 50060 Total
00076 Turbidity
00600 Total Nitrogen
01002 Total Arsenic
01077 Silver Residual
00080 Color (Pt -Co)
00610 Ammonia Nitrogen
01092 Zinc Chlorine
00082 Color (ADMIT)
00625 Total Kjeldhal
01207 Cadmium
01105 Aluminum
Nitrogen
00095 Conductivity
00630 Nitrates/Nitrites
01032 Hexavalent Chromium
01147 Total Selenium 71880 E Id h d
00300 Dissolved Oxygen
03100 BOD5
00340 COD
00400 pH
00530 Total Suspended
Residue
00545 Settleable Matter
00665 Total Phosphorous
00720 Cyanide
00745 Total Sulfide
00927 Total Magnesium
00929 Total Sodium
00940 Total Chloride
01034 Chromium
01307 Total Cobalt
01042 Copper
01045 Iron
01051 Lead
31616 Fecal Coliform
32730 Total Phenolies
34235 Benzene
34481 Toluene
38260 MBAS
39516 PCBs
50050 Flow
orma e v e___
71900 Mercury
81551 Xylene
Parameter Code assistance may be obtained by calling the Waer Quality Compliance Group at [phone], extension 581 or 534
The monthly average for fecal colifrrom is to be reported as a GEOMETRIC mean. Use only units ,designated in the reporting
facility's permit for reporting data. r= -
' ORC mmust visit facility and document visitation of faciclity as required per 15 A NCAC 8A .0202 (b) (5) (B)
" If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b)
(2)(D)

r- °- E��
I
, AV
�® L
NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Coleen H. Sullins
Director
July 23, 2009
Mr. Thomas W. Kilpatrick
Veolia Water North America Operating Services
P.O. Box 679
Etowah, North Carolina 28729-0679
Subject: NOTICE OF VIOLATION
NOV-2009-MV-0122
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
Dear Mr. Kilpatrick:
Dee Freeman
Secretary
A review of Mountain Valley WWTP's monitoring report for May 2009 showed the following violation:
Parameter
Date
Measuring
Frequency
Violation
Continuous Flow
5/30/2009 - 5/31/2009
Continuous
Failure to Monitor
It was also noted that the Compliance box on the back of the DM was marked "Compliant" when in fact it
should have been marked "Non -Compliant" with an explanation of the reason for the non-compliance.
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law.
To -prevent further action, carefully review these violations and deficiencies and respond in writing to this
office within 10 working days of receipt of this letter. You should address the causes of non-compliance and all
actions taken to prevent the recurrence of similar situations.
If you should have any questions, please do not hesitate to contact Janet Cantwell at 828/296-4500.
Sincerely, /r
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
D� hevi� eNT765AW
es
DWQ Central Files
G:\WPDATA\DEMWQ\Henderson\73741 Mountain Valley\73741 NOV-2009-MV-0122.doc WorthCarolina
Jl�attrra!!y
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwaterauality.org FAX [phone]

n
County:
HENDERSON
River Basin
Report To
AROSP
Collector:
J CANTWELL
Region:
ARO
Sample Matrix:
SURFACEWATER
Loc. Type:
EFFLUENT
Emergency Yes/No
CDC Yes/No
Visitl D
Loc. Descr.: MTN VALLEY 73741
Sample ID:
AB41409
PO Number#
9W1583
Date Received:
03/06/2009
Time Received:
08:15
Labworks LoginlD
HPARKER
Date Reported:
3/17/09
Report Generated:
03/17/2009
'�'n
3 /S V
11 Location ID: MTNVALLEY73741 I Collect Date: 111WMI 1270 9 I Collect Time:: 12:00 I Sample Depth I
Sample Qualifiers and Comments
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwqlab.org under Staff Access
A -Value reported is the average of two or more determinations
N3-Estimated concentration is < PQL and >MDL
B1-Countable membranes with <20 colonies; Estimated
' NE -No established PQL
B2- Counts from all filters were zero.
P-Elevated PQL due to matrix interference and/or sample dilution
B3- Countable membranes with more than 60 or 80 colonies; Estimated
Qi-Holding time exceeded prior to receipt at lab.
B4-Filters have counts of both >60 or 80 and < 20; Estimated
Q2- Holding time exceeded following receipt�by lab
B5-Too many colonies were present; too numerous to count (TNTC)
PQL- Practical Quantitation Limit -subject to change due to instrument sensitivity
J2- Reported value failed to meet QC criteria for either precision or accuracy; Estimated
U- Samples analyzed for this compo d.but.not-detected
J3-The sample matrix interfered with the ability to make any accurate determination; Estimated p /7
Xi - Sample not analyzed for this co Ir
IL�� 1V(I
J6-The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
N1-The component has been tentatively identified based on mass spectral library search and has an estimated value
LAB
MAR 2 0 2009
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699.1623 [phone] Pagel of 2 - '

WC WQ, Laboratory Section Results Sample ID AB41409
Location ID: MTNVALLEY73741 Collect Date: 02/25/2009
Loc. Descr.: , MTN VALLEY 73741 Collect Time:: 12:00
Visit ID
CAS # Analyte Name
PQL Resnit Qualifier
Units Analyst/Date
Approved E
Sample temperature at receipt by lab
Method Reference
32
°C HPARKER
3/6/09
SMATHIS
316/09
NUT
as,N IIlq.ld'�-
Method Reference LaclO-107-06-1-J
0.02 4,23s . •
mg/L as N MAJAYI
3/6/09
CGREEN
3116/09
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]'
Page 2 of 2

9 Vo 1�-v
DIVISION OF WATER QUALITY WATER QUALITY FIELD -LAB FORM (DM1) For Lab Use ONLY
,COUNTY T �/�.
PRIORITY
SAMPLE TYPE
/
RIVER BASIN .
t.
❑ AMBIENT
❑ STREAM
FFLUENT
REPORT T . ARO RO htRO RRO WaRO WiRO WSRO TS
AT BM
❑ COMPLIANCE
❑ LAKE
❑ INFLUENT
Other
Shipped by: Bus, Courier, Staff, Other
❑
Lab Number:
Date Received:
— Tim ' 15
Rec'd b
DATA ENTRY
From: Bus ourier- and Del.
Y: CK:
DATE REPORTED:
�^ C `. EMERGENCY ❑ ESTUARY
COLLECTOR(S):SL��/ /�
Estimated BOD Range: 0-5/5-25/25-65/40-130 or 100 plus STATION LOCATION: /OJT/IPA {//¢1 -7—A/
Seed: Yes ❑ No ❑ Chlorinated: Yes ❑ No ❑
REMARKS:
Station H Date Begin (yy/nmm/dd) Time Begin I Date End Time End Depth DM DB DBM I Value Type Composite Sample Type
I
BOD5 310 mg/L
2
COD High 340 mg/L
3
COD Low 335 mg/L
4
Coliform: MF Fecal 31616 /100ml
5
Coliform: MF Total 31504 /100ml
6
Coliform: Tube Fecal 31615 /100ml
7
Coliform: Fecal Strep 31673 100ttil
8
Residue: Total 500 mg/L
9
Volatile 505 mg/L
10
Fixed 510 nmg%L
I I
Residue: Suspended 530 mg/L
12
Volatile 535 mg/L
13
Fixed 540 mg/L
14
pH 403 units
15
Acidity to pH 4.5 436 mg!L
16
Acidity to pH 8.3 435 mg/L
17
Alkalinity to pH 8.3 415 mg/L
18
Alkalinity to pH 4.5 410 mg/L
19
TOC 680 mg/L
20
Turbidity 76 N U
Chloride 940 mg/L
Chla 70953 µg/L
Color: True 80 Pt -Co
Color:(pH ) 83 ADMI
Color:pH 7 6 82 ADMI
Cyanide 720 mg/L
Fluoride Q51 mg/L
Formaldehyde 71880 mg(L
Grease and Oils 556 mg/L
Hardness Total 900 mg/L
Specific Cond. 95
MB AS 38260 mg/L
Phenols 32730 pg/L
Sulfate 945 mg/L
Sulfide 745 mg/L
A H L I T S B IC - G GNXX
_NH3 as N 610 ntg/L
TKN as N 625 mg/L
NO2 plus NO3 as N 630 mg/L
P: Total as P 665 mg/L
PO4 as P 665 mg/L
P: Dissolved as P 666 mg/L
Cd-Cadmium 1027 µg/L
Cr-ChrontuuttTotal 1034 µg/L
Cu-Copper1042 pg/L
Ni-Nickel 1067 µg/L
Pb-Lead 1051 µg/L
Zn-Zinc 1092 µg/L
Ag-Silver 1077 pg/L
AI -Aluminum 1105 µg/L
Be -Beryllium 1012 µg/L
Ca -Calcium 916 mg/L
Co -Cobalt 1037 ltg/L
Fe -Iron 1045 µg/L
Li -Lithium 1132
g-Magnesium 927 mg/L
Mn-Manganese 1055 µg/L
Na-Sodium 929 mg/L
Arseuic:Total 1002 pg/L
Se -Selenium 1147 µg/L
Hg-Mercury 71900 µg/L
Organochlorine Pesticides
Organophosphorus Pesticides
Acid Herbicides
BaseiNeutral Extractable Organics
Acid Extractable Organics
Purgeable Organics (VOA bottle req'd)
Phytoplankton
Lab Use Only
Temperature on arrival:
Sampling Point %
Conductance at 25°C
Water Temperature °C
D.O. mg/L
H
Alkalinity
Acidity
Air Temperature °C
PH 8.3 pH 4.5
pH4.5 PH 8.3
2
94
0
300
400
82244 431
82243 82242
20
Salinity %o
Precipitation (in/day)
Cloud Cover %
Wind Direction (Deg)
Stream Flow Severity
Turbidity Severity
Wind Velocity
Mean Stream Depth ft.
Stream Width ft.
80
5
2
6
1351
1350
35
64
4

NC DENR/DWQ Chemistry Laboratory
to: ARO SWP Sample Condition Upon Receipt Anomaly Report (SCUR)
Lab Number: AB41409-2009ft
Sample ID:A-1, A-2 Station Location: Mtn Valley 73741, Etowah 71323
3ounty: Henderson
Collector: J Cantwell
Priority: none
Affected Parameter(s)
NH3 as N
Region: ARO Sample Type: Effluent
Date/Time collected: 2/25/2009 0:00
Date/Time received: 03/06/2009 0815
Thgycondition of these samples were not acceptable because (check all that apply): Excel Macro "CTRL+ z" ✓
Coolers ❑ Samples (affected samples are described below)
❑ Samples. were not received on wet ice ❑ Samples not received, but listed on fieldsheet
r o mpera ure 51an T51a ,"iti .dEfsee co, Qnts,: ❑ Samples received, but not listed on fieldsheet
Sample T° reading: 3.2 °C ❑ Samples not received, but listed on COC
❑ CoolerT° reading: °C ❑ Samples received, but not listed on CDC
❑ Temperature >6°C. T° reading: °C ❑ Mislabeled as to tests, preservatives, etc.
❑ Samples frozen ❑ Holding time expired
❑ Containers
❑ Leaking
❑ Broken
❑ Without labels
❑ VOA vials with headspace
❑ Sulfide samples with headspace
❑ Container Labels
❑
Not the same ID/info. As on COC
❑
Not the same ID/info. As on fieldsheet
❑
Incomplete. Missing the following:
❑ Station # / Sample ID
❑ Collection date
❑ Collector
❑ Analysis
❑ Preservative
❑ Other:
❑
Markings smeared or illegible
❑
Torn
❑ Improper container used
❑ Insufficient quantity for analysis
❑ Chain of Custody
❑ . No custody seals
❑ Custody seals not intact
❑ Not relinquished.
❑ No date/time relinquished
❑ No signature
❑ Incomplete informatiori
LP/Documentation
❑ ieldsheet wet/illegible
1c bieldsheetiameomplete Ndiiii- ecorded
❑ Records not written in indelible ink
❑ Sample(s) submitted without fieldsheet
❑ Other (specify):
Comments: Temp was obtained from sample bottle. Samples were received on wet ice. A temp blank must be sub-
mitted with samples. Also, there was no time recorded for collection of samples on either the fieldsheet or fieldtag.
Corrective Action:
❑ Samples were rejected by DWQ Lab. Authorized by:
❑ Accepted and analyzed per collector's request after notifying the collector
❑ Accepted and analyzed after notifying the client and determining that another sample could not be secured.
�
❑, ample(s) on hold until:
ample(s) accepted and analyzed. No notification required.
❑ Other (explain):
Person Contacted:
Form completed by:
ad Chemist Review (initial):
F. BIOCHEM ❑ VOA
❑ MET ❑ SVOA
Branch Head Review (initial) :
QA/QC (initial)
i
Date:—/—/
Date: 3 / 6 /
01
❑ PEST
Logged into database by (initial): / a 6-0
SCUR form Feb09

c
N (1) VQ LaboratoaSection Wesurts
County:
HENDERSON
Sample ID:
AB41147
River Basin
FRB
v',IA F
PO Number #
ARO
02/25/2009
Report To
AROSP
_����
Date Received:
r
Time Received:
15:00
Collector:
J CANTWELL
_
`{
't
Labworks LoginlD
KJIMISON
Region:
ARO
"
Date Reported:
3/13/09
Sample Matrix:
WASTEWATER
Loc. Type:
EFFLUENT
Report Generated:
03/13/2009
Emergency Yes/No
COC Yes/No
VisitlD
Loc. Descr.: MOUNTAIN VALLEY WWTP
�
13
0
Location ID:
NCO073741
Collect Date: 0212512009 Collect Time:: 12:00
Sample Depth
Sample Qualifiers and Comments
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwqlab.org under Staff Access
A -Value reported is the average of two or more determinations
N3-Estimated concentration is < PQL and >MDL
B1-Countable membranes with <20 colonies; Estimated
NE -No established PQL
B2- Counts from all filters were zero.
P-Elevated PQL due to matrix interference and/or sample dilution -
B3- Countable membranes with more than 60 or 80 colonies; Estimated
Q1-Holding time exceeded prior to receipt at lab.
B4-Filters have counts of both >60 or 80 and < 20; Estimated
Q2-Holding time exceeded following receipt by lab
B5-Too many colonies were present; too numerous to count (TNTC)
PQL- Practical Quantitation Limit -subject to change due to instrument sensitivity
J2- Reported value failed to meet QC criteria for either precision or accuracy; Estimated
U- Samples analyzed for this cdrt ,'6ynd-,but not detected
J3-The sample matrix interfered with the ability to make any accurate determination; Estimated " " ' "-' - •- ,
X1- Sample not analyzed for thiscompound
J6-The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
NI -The component has been tentatively identified based on mass spectral library search and has an estimated value
ARO
i MAR 1 7 2009
Laboratory Section 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone] WA>=tibR ICOVALITY SECTION I
ASHEVILLE REGIONAL OFFICE `

Sample ID AB41147
XC WQQ Laboratory Section Results
Location ID: NC0073741 Collect Date: 02/2512009
Loc. Descr.: MOUNTAIN VALLEY WWTP Collect Time:: 12:00
.Visit ID
CAS # Analyte Name
PQL 1e u Qualifier
Units
Analyst/Date
Approvea my wave
Sample temperature at recelpt by lab
3.1
°C
KJIMISON
SMATHIS
Method Reference
2125109
3/3/09
5 JD, EElDayInliquid
2.0 77
mg/L
KJIMISON
CGREEN
Method Reference APHA5210B
2127/09
3/12109
CrTiiomi; PvIF`F&al In liquid
1 � Min
CFU/100ml
KJIMISON
CGREEN
Method Reference APHA9222D-20th
2/25/09
313/09
du i sspende& liquid'
6.2 12 11
mg/L
KJIMISON
CGREEN
2126109
319/09
Laboratory Section 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone] Page 2 of 2

WATER 17ALITY FIELD -LAB FORM (DM1) For Lab Use ONLY
DIVISION OF WATER QUALITY
Q
c0u1. rY ®a 6 w
PRIORITY
SAM?LE 7YPE
UFFL.UENT
® d
r
RIVER BASIV�� �p ®.,.�
A,vlg(E;vT
STREAM
REPORT TO: xAROtFRO MR0 RRO WaRO W:RO WSRO TS
.A.T 3 A
C01lPL(A.NCE
❑ LAKE
I_I NFLUENT
Other
Lab dumber: M5yil
Date Received: (• jx :
G `3 Time: I ��
Rec'd by:
DATA ENTRY BY:
From: Bus -Courier -Hand Del.
CK: I
DATE REPORTED:
1
�
Shipped by Bus, Courier. Staff Other EVERGENCY L ESTUARY
COLLECTOR(51:�
Estimated BOD Range:
^0-5/5 25/25-W4.0-130 or 100 olus STATION LOC 4 iON A77i
Seed: Yes ❑ �c iJ Chiornated: Yes ❑ N��o l_1
REMARKS:
S moron �' Dite Be�ir. (vyrnun�dd) Time 3z�in Dzte End Time End I Depth D�1 D3 DBf • Value Type Composite I Sample Type
102 I e. 00 I { A H L I T S B j C G GIN
mg/L
D High340 mg1L
aDS310
D Lot+ 335iform:
MF Fecal 31616 �a OCnil
5 {
IColifor:n:
m-7 Total 31504 ii00t:1
6
ICoii
forru: Tube Fecal 31615 J.100m1
7 t
Col form: Fecal Strep 31673 1IOO:r1
8-1
Residue: Total 50C m^_%
9 {
Volatile 505 me.•L
10 I
Fixed 510 mOL
i 1
' &.<I
Residuc: Suspended 530 ms1L
12
Volatile 535 m_/L
13
1
Fixed 540 tng/L
14
pH 403 units
15
Acidity to pH 4.5 436 me/L
i 6
I
Acidity to pH 8.3 435 mg/L
17T
Alkalinity to pH 8.3 413 rn iL
18
Alkalinity to pH 4.5 410 mg/L
19
TOC 680 mg/L
20
Turbidiry 76 N'Tu
Chloride 44G
mgiL
j Chi z 70953
ug/L
l
CCior: True 30
PI -CC
Color:(PH ) M
ADMI
Color.ph 76 32
ADMi
I Cyanide 720
i Fhmridc 951
mg/L
Forrmldehyde 71880
nigf- 1
Grease and Oils 556
mg/L
Hardness Totzi 900
t i Specific Cond. 95
I
l MBAS 38260
mg%L
Phencls 32730
µg;L
i 5ulf=945
mg;L
{ Sulfide 745
mglL
I
I
Nv as N 610 mg/L
TK.V as N 625 mg/L
:�02 plus � O3 as N 630 rrgL
P: Total as P 665 m"'L
PO4 as P 665 IllJL
P: Dissolved as P 666 mg/L
Cd-Cadmium 1027 ug!L
Cr{Itr rr:nnl:lo:al l034 pC,•
Cu-Ccpper 1042 p iL
Ni MekelIC67 pg/L
Pb-i..ead 1051 perL.
Zn-Zinc 1092 p;L
AL -Silver 1077 141
Ai -Aluminum 1105 pc1L
Be -Beryllium 1012 p'_•ti
Ca -Calcium 916 m=+L
Co -Cobalt 1037 ggIL
Fe-I:oa 1045 nIL
f�
Li -Lithium 1132 m�
VIA \iagne5ium 927 m JL
41n-vlanganese 1055 k+.1L
Na-Sodium 929 mg/L
Arsenic:Total 1002 4+giL I
Sc-Selenium 1147 gg;L
I I :I_ Vtt.cury 7i900 pg/L
Organechlcrinc Pestiv idt5
Organophosphotus Pesneldes t
Acid Herbicides
i
BasdVeutral Extractable Orcanics
{ Acid Extractable Organics _ i
' Pureeable Organics (VOA bottle req'd)
Phytoplankton
Lab Use Onlv 3 y
Temperature on arrival: I

AleaO 73 it A�D
Annual Wastewater Treatment System Performance Report
for
Mountain Valley Subdivisio
P C' E IV'
I for the Operating Period
MAR 1 8 2009
U ; January thru December, 2008
MAR. 2 0 2009
DENR - WATER QUALITY
M'
V`aiEy�QNPLITYSECTION POINT SOURCE BRANCH.
P gHE`IILLE REGIGN_IOFFICE
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 (DEHNR)
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.

I. General Information
Facility/System Name
Responsible Entity:
Person(s) in Charge/Contact
Applicable Permits:
Mountain Valley Subdivision
Cummings Road, Horse Shoe
Henderson County
Veolia Water NA/ WASCO/Culligan Operating Services
Tom Kilpatrick - Operator -in -Responsible Charge (ORC)
& Systems Administrator
NPDES # NC0073741
Description of Treatment Process, Collection System and Facilities Served:
Treatment Process - The treatment facility is a typical "Extended Aeration" process capable
of treating .020 million gallons per day (MGD). The treated effluent is discharged to the
French Broad River, classified as a Class C stream, in the French Broad River Basin.
Collection System - The lower section of the collection system consist of approximately
1,100 feet of 3-inch forced main design with no manholes. The system is unusual in the
fact that homes have been allowed to place gravity taps on the force main section. There
is one main lift station located at the upper portion of the subdivision. The upper section
consists of approximately 1,500 feet of gravity lines which are standard 8-inch lines with
pre -cast manholes. Wastewater is collected at the lift station and pumped thru the 3-inch
line to the WWTP.
Facilities Served - This unit serves only the residents of the Subdivision.
II. WWTP Performance
We are pleased to report that the WWTP is in compliance with NPDES Permit Limits
for the Year.
We take pride in our efforts to protect the local environment and the quality of the waters in
our streams.
III. Collection System Performance
The collection system experienced no significant problems for the reporting period. A new
sewage pump with grinder head was installed in the lift station in 2003. There have been no
blockages in the force main since that time.
The force main requires routine periodic pressure washing to maintain adequate service. The
gravity service connections on the 3-inch force main should have never been installed. At
some point, these residents may be required to install pressure pump systems.

Tom Kilpatrick & Associates maintains an Operation and Maintenance Plan and a Spill
Response Plan for the system
IV. 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 -
Tom Kilpatrick & Associates
P.O. Box 679
Etowah, NC 28729
or by contacting the office at 828-890-4810.
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 Tom
Kilpatrick, System Administrator.
V. Certification
I certify that under penalty of law that this report is complete and accurate to the best of my
knowledge.
Tom Kilpatrick 0 Date
This report prepared by:
Tom Kilpatrick
P.O. Box 679
Etowah, NC 28729
Phone: [phone]
February 28, 2009
Filename: \\Tom\my files\Mtn. Va11ey\APR_'08.doex

Torn Ki patrick. & ,associates
P.O. Box 679
Etowah, NC 28729
828-890-4810
March 15, 2009
NOTICE
Annual Performance Report
Wastewater Treatment Systems
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.
We are pleased to report that the WWTP is in full compliance with NPDES Permit limits
for the operating year.
A copy of the full report is available to interested persons by contacting the office.
Tom Kilpatrick & Associates is pleased to be a part of this on -going environmental protection
effort.
Sincerely,
Tom Kilpatrick

;a
jM
MCDEN1
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor . Director
February 27, 2009
Mr. Thomas W. Kilpatrick
Veolia Water North America Operating Services
P.O. Box 679
Etowah, North Carolina 287290679
Dear Mr. Kilpatrick:
Natural Resources
n
y ui��� C09IT-111f
Dee Freeman
Secretary
SUBJECT: Compliance Sampling Inspection
Status: Compliant
Mountain Valley WWTP
Permit No: NCO073741
Henderson County
Enclosed please find a copy of the Compliance Sampling Inspection form from the
inspection conducted on February 25, 2009. The facility appeared to be in compliance
with permit NC0073741.
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, Ext.
4667.
Sincerely,
o��
iJ et Ca ell
nvironmental Specialist
Enclosure
I�'W�� As�hev!lie File-
—DVV entraFiles
G:\WPDATA\DEMWQ\Henderson\73741 Mountain Valley\73741-CS1.09.doc
SURFACE WATER PROTECTION — ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778
Phone: [phone]\FAX: [phone]\Customer Service: 1-877-623-6748
Internet: www.ncwaterauality.org
NorthCarohna
;Vatlfralllf
a

United States Environmental Protection Agency
Form Approved.
P fl Washington, D.C. 20460
EPA/�
OMB No. 2040-0057
Water Compliance inspection Report
Approval expires 8-31798
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 NCO073741 111 121 09/02/25 117 18I Gt 191 GI 201I
J LJ _J
Remarks
21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved ----------------------
67I 169 70 .71 I I 72I N � 73[ I 174 75I I I I I I 80
—� u J I 1
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Mountain Valley WWTP '
11:05 AM 09/02/25
06/01/01
Exit Time/Date
Permit Expiration Date
NCSR 11.71
Etowah NC 28729
.11:30 AM 09/02/25
10/11/30
Name(s) of Onsite Representative (s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Thomas W Kilpatrick/ORC/828-890-4810/
Name, Address of Responsible Officiai/Title/Phone and Fax Number
Thomas W Kilpatrick, PO Box 679 Etowah NC 287290679//828-890-4810/ ContactedNo
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ® Flow Measurement ® Operations & Maintenance ® Records/Reports
Self -Monitoring Program ® 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/Phorie and Fax Numbers Date
Janet Cantwell ARO WQ//828-296-4500 Ext.4667/
S ature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
/ao
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NC0073741. I11 12I 09/02/25 I17 18IS1
(cont.) 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Tom Kilpatrick/ORC assisted in the inspection of this facility.
The previous compliance evaluation inspection was conducted on 9/18/08 by Wanda Frazier.
A review of the files indicates that the permit expires 11/30/2010.
Please request a permit renewal 180 days prior to expiration.
The Annual Performance Report has been filed for the year.
A thermometer should be kept in the composite sampler during sampling.
A refrigerated sampler would be an ideal solution.
Sampling was.done during the inspection and the results will be sent separately.
This facility appears to be well operated and the operator is doing a good job.
Page # 2

Permit: NCO073741
Inspection Date: 02/25/2009
Owner - Facility: Mountain Valley WVVfP
Inspection Type: Compliance Sampling
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
❑
❑
IN
❑
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:
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 ®❑
❑
❑
Judge, and other that are applicable?
Comment:
Record.!eepinn(
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
®❑
❑
❑
Is all required information readily available, complete and current?
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
❑
❑
❑
Is the chain=of-custody complete?
❑
❑
❑
Dates, times and location of sampling
❑
Name of individual performing the sampling
❑
Results of analysis and calibration
❑
Dates of analysis
❑
Name of person performing analyses
❑
Transported COCs
❑
Are DMRs complete: do they include all permit parameters?
®❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
®❑
❑
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
❑
❑
M
Cl
Is the ORC visitation log available and current?
®
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
®❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
®❑
❑
❑
Is a copy of the current NPDES permit available on site?
❑
■
❑
❑
Page # 3

Permit: NCO073741
Inspection Date: 02/25/2009
Owner - Facility: Mountain Valley WWTP
Inspection Type: Compliance Sampling
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? us ❑ ❑
Comment: Operator has copy of permit at the.office and will suppy a copy to the
facility.
• V.. Kln N8 NF
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
®❑
❑
❑
Are surface aerators and mixers operational?
Cl
❑
®
❑
Are the diffusers operational?
®❑
❑
❑
Is the foam the proper color for the treatment process?
®❑
❑
❑
Does the foam cover less than 25% of the basin's surface?
a
❑
❑
Is the DO level acceptable?
❑
❑
❑
Is the DO level acceptable?(1.0 to 3.0 mg/I)
❑
❑
❑
Comment:
Secondary Clarifier
Yes
No
NA
NE
Is the clarifier free of black and odorous wastewater?
®❑
Cl
❑
Is the site free of excessive buildup of solids in center well of circular clarifier?
❑
❑
®
❑
Are weirs level?
®❑
❑
❑
Is the site free of weir blockage?
®❑
❑
❑
Is the site free of evidence of short-circuiting?
®❑
❑
❑
Is scum removal adequate?
■
❑
❑
❑
Is the site free of excessive floating sludge?
■
❑
❑
❑
Is the drive unit operational?
❑
❑
®
❑
Is the return rate acceptable (low turbulence)?
®❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
®❑
❑
❑
Is the sludge blanket level acceptable? (Approximately'/4 of the sidewall depth)
❑
❑
❑
Comment:
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
■
❑
Cl
❑
Is flow meter calibrated annually?
■
❑
❑
❑
Page # 4

Permit: NCO073741 Owner - Facility: Mountain Valley WWfP
Inspection Date: 02/25/2009 Inspection Type: Compliance Sampling
Flow Measurement - Effluent Yes No NA NE
Is the flow meter operational? ®❑ ❑ ❑
(If units are separated) Does the chart recorder match the flow meter? ® Cl ❑ ❑
Comment: Flow meter was calibrated 8/28/08.
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Comment:
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:
®000
2
H 0 0 0
❑❑❑
®❑00
®❑ ❑ 0
❑ ❑ ® ❑
®❑ ❑ ❑
®❑ 0 0
®0❑0
2
Page # 5

EF,+r'AE COPY 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
Asheville Regional Office
SURFACE WATER PROTECTION SECTION
September 30, 2008
Mr. Thomas W. Kilpatrick
Veolia Water North America Operating Services
PO Box 679
Etowah, NC 28729-0679
SUBJECT: Compliance Sampling Inspection
Mountain Valley WWTP
Permit No: NCO073741
Henderson County
Dear Kilpatrick:
. Enclosed please find a copy of the Compliance Sampling Inspection form from the
inspection conducted on September 18, 2008. The facility was found to be in Compliance with
permit NC0073741.
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 828-296-4500 ext.4662.
Enclosure
I =
G:\WPDATA\DEMWQ\Henderson\73741 Mountain Valley\73741 CSI 2008.doc
Sincerely,
Wanda P. Frazier
Environmental Specialist
None Carolina
Ntcrra!!y
2090 US Hwy 70, Swannanoa, NC 28778
Customer Service 1-877-623-6748
Telephone: [phone]
Fax: [phone]

United States Environmental Protection Agency
Form Approved.
E n A 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 2 ! 53I NCO073741 U 20L
- 1819J
Remarks
211 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1, 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 .1 1 1 1 1 1 1 1 1 16
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------------Reserved--------
671 1.0 169 70 i 3 71 U 72 U 73 W 74 751 I I I 11 I 180
t�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)
12:10 PM 08/09/18
06/01/01
Mountain Valley WWTP
Exit Time/Date
Permit Expiration Date
NCSR 1171
Etowah NC 28729
12:50 PM 08/09/18
10/11/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Thomas W Kilpatrick/ORC/828-890-4810/
Name, Address of Responsible OfficiaUTitle/Phone and Fax Number
Contacted
Thomas W Kilpatrick,PO Box 679 Etowah NC 287290679//828-890-4810/ 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(ow Agency/Office/Phone and Fax Numbers Date
Wanda P Frazier ARO WQ//828-296-4500 Ext.4662/ .
0
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
o3� n�
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

d
NPDES . yr/mo/day Inspection Type 1
3I. NC0073741 I11 12I 08/09/18 I17 18'_,
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
At the time of the inspection, the facility was producing a clear effluent, indicating compliance with permit
limits.
Effluent samples were taken. Results will be forwarded, if found to be non -compliant.
The facility appears to be properly operated and well maintained.
Page # 2

Permit: NCO073741 Owner - Facility: Mountain Valley WWTP
Inspection Date: 09/18/2008 inspection Type: Compliance Sampling
Permit Yes No NA NE
(if the present permit expires in 6 months or less). Has the permittee submitted a new application? Q ❑ ® Q
Is the facility as described in the permit? ®C1 0 O
# Are there any special conditions for the permit? ❑ ■ 0 Q
TO
Is access to the plant site restricted to the general public? ®11
Is the inspectorgranted access to all areas for inspection? ®�
Comment:
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 ® Q ❑ 0
Judge, and other that are applicable?
'Comment:
Page # 3

WC DWO La6oratory Section Wesults
County:
HENDERSON
Sample ID:
AB35701
River Basin
FRB
b�„ ��
PO Number #
ARO
Report
Re p
AROSP
xv` `�"�j;,
Date Received:
0911812008
v
Collector:
W FRAZIER
g'
t
Time Received:
15:55
Region:
ARO
4
Labworks LoginlD
KJIMISON
Sample Matrix:
WASTEWATER
Date Reported:
10/3/08
Loc. Type:
EFFLUENT
Report Generated:
10/03/2008
Emergency Yes/No
COC Yes/No
Visi
Loc. Desc r. MOUNTAIN VALLEY WWTP
/
Location ID:
NCO073741
Collect Date: 09118I200$ Collect Time:: 12:10
Sample Depth
Sample Qualifiers and Comments
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwqlab.org under Staff Access
A -Value reported is the average of two or more determinations
B1-Countable membranes with <20 colonies; Estimated N3-Estimated concentration is < PQL and >MDL
B2-Counts from all filters were zero. NE -No established PQL_ �.-:.-,:.:-::.�,�..,.;; ; ,_.,., -..,; ,.,, _._,��__„_• _ _
P-Elevated PQL due to,matriX`intertience andlorsample dilution: s 3''
B3- Countable membranes with more than 60 or 80 colonies; Estimated >�
Q1-Holding time exceeded prior to receilftattati.'
B4-Filters have counts of both >60 or 80 and < 20; Estimated -
B5-Too many colonies were present; too numerous to count (TNTC) Q2- Holding time exceeded ollow pp pp
J2- Reported value failed to meet QC criteria for either precision or accuracy; Estimated PQL- Practical Quantitation ino
7bj;toThngj ueins(jjJmeEse 'tiv
U- Samples analyzed for thi - u no a ec a VVJ3-The sample matrix interfered with the ability to make any accurate determination; Estimated
X1- Sample not analyzed for tpound
J6-The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated off l _ � ��
N1-The component has been tentatively identified based on mass spectral library search and has an estimated value cT
J
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
ARO t
Laboratory Section 1623 Mail Service Center, Raleigh, NC 27699.1623 [phone] w Page 1 of 2

Sample ID AB357O1
NC DWQQ .Laboratory Section ResultsLocation ID: NC0073741 Collect Date: 09/18/2008
Loc. Descr.: MOUNTAIN VALLEY WWTP
Collect Time:: 12:10
Visit ID
CAS # Analyte Name PQL IMPsult " Qualifier Units Analyst/Date Approved By (Date
Method Reference
9118108
9119/08
BOp5 tDay in liquid
2.0 2,, U
mg/L
KJIMISON
MOVERMAN
Method Reference APHA52108
9/18/08
10/2108
(Alfioim_ MF?Fecal liquid
1 1" B2
CFU/100ml
KJIMISON
MOVERMAN
Method Reference APHA92220-20th
9/18/08
9/25/08
FtesidusL usp'e�d� Cn liquid
6.2
mg/L
KAMISON
MOVERMAN
Method Reference APHA2540D-20th
9/23/08
1012/OB
Laboratory Section 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone] Page 2 of 2

, 7 SI'd ,
COUNTY I /
RIVER BASIN: Er
REPORTTO ' ' Regrional Office
Other
COLLECTOR(S)
Estimated BOD Range:
Sued: __.L ! Chlorinated: V
BOD 310 mg/L
COD High 340 m�L
COD Low 335 mg/L
Coliform: MF Fecal 31616 /100
Coliform: MF Total 31504 1100ml
Coliform: tube Fecal 31615 / I oom[
Coliform: Fecal Strep 31673 /loom[
Residue: Total 500 mg/L
Volatile 505 mg/L
Fixed 510 mg/L
Residue: Suspended 530 mg/L
Volatile 535 mg/L
Fixed 540 mg/L
pH 403 units
Acidity to pH 4.5 436 _ mg/L
Acidity to pH 8.3 435 mg/L
Alkalinity to pH 8.3 415 mg/L
Alkalinity to pH 4.5 410 mg/L
TOC 680 mg/L
Turbidity 76 NTU
Coliform Total Tube /100 ml
COMMENTS:
DIVISION OF WATER QUALITY
Chemistry Laboratory Report / Water Quality
SAMPLE TYPE
PRIORITY �
El AMBIENT 0 QA El STREAM [j;j4FFLUENT
COMPLIANCEF7 CI4AIN OF CUSTODY LAKE 17INFLUENT
EMERGENCY VISIT ID ESTUARY
Station Location: z oohZw(
Remarks:
Time Begin I Time End I Depth - DM, DB, DBAI Value Type - A, H, L
Chloride 940 mg/L
Chlorophyll a EPA 445.0 modified option ug/L
Color: True 80 C.U.
Color: (pH ) 83 PH. C.U.
Color: pH7.6 82 C.U.
Cyanide 720 mg/L
Fluoride 951 mg/L
Formaldehyde 7 1880 mg/L
Grease and Oils 556 mg/L
Hardness Total900 mg/L
Specific Cond. 95 umhos/cm
MBAS 38260 mg/L
Phenols 32730 ug/L
Sulfate 945 mg/L
Sulfide 745 mg/L
Boron
Tannin & Lignin ug/L
Hexavalent Chromium ug/L
Bicarbonate mg/L
Carbonate mg/L
Total Dissolved Solids mg/L
NH3 as N 610 mg1L
TKN an N 625 mg1L.
NO2 plus NO3 as N 630 mg/L
P: Total as P 665 mg/L
PO4 as P 70507 mg/L
P: Dissolved as P 666 mg/L
K Potassium mg/L
Cd- Cadmium 1027 ug/L
Cr-Chromium:Total 1034 ug/L
Cu- Copper 1042 ug/L
Ni-Nickel 1067 ug/L
Pb-Lead 1051 ug/L
Zn- Zinc 1092 ug/L
V-Vanadium ugIL
Ag-Silver 1077 ug/L
AI -Aluminum 1105 ug/L
Be- Beryllium 1012 ug/L
Ca- Calcium 916 mg/L
Co- Cobalt 1037 ug/L
Fe- Iron 1045 ug/L
Mo-Molybdenum ug/L
Sb-Antimony ug/L
Sn-Tin ug/L
TI-Thallium ug/L
Ti-Titanium_ ug/L
Hg-1631 ng/L
3',-167I
Lab Number
Date Received
Time Received:
Received By :.
Data Released
Date Reported
Composite-T, S, B I Sam
Je Type
Li -Lithium 1132 ug/L
Mg- Magnesium 927 mg/L
Mn-Manganese 1055 ug/L
Na- Sodium 929 ntt/L
Arsenic:Total 1002 ug/L
Se- Selenium 1147 . ug/L
Hg-Mercury71900 ug/L
Ba-Barium ug/L
Organochlorine Pesticides
Organophosphorus Pesticides
Organonitrogen Pesticides
Acid Herbicides
Base/Neutral&Acid Extractable Organics
TPH Diesel Range
Purgeable Organics (VOA bottle req'd)
TPH Gasoline Range
TPH/BTEX Gasoline Range
Phytoplankton
Temperature on arrival (°C): l

AMA
NCDENR
North Carolina Department of Environment and Natural Resources
,Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
May 26, 2011
Veolia Water North America
Represented by Tom Kilpatrick & Associates
Tom Kilpatrick, Manager / ORC
P.O. Box 679
Etowah, North Carolina 28729
Dee Freeman
Secretary
Subject: Issuance of NPDES Permit
Permit NCO073741— Class 2
Mountain Va11ey.Subdivision WWTP
Henderson County
Dear Mr. Kilpatrick:
The Division of Water Quality (the Division) hereby issues the attached NPDES permit for the
subject facility. We issue this permit 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.
The Division understands that you have made no significant alterations to your wastewater treatment
facilities during the previous permit cycle. Based on your renewal application received March 13, 2010, we
have therefore made only minimal changes to your permit by updating your facility map, treatment -
component description, and adding parameter codes to the effluent monitoring page. We have also added a
footnote regarding compliance to Total Residual Chlorine [see Section, A. (1.)].
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable, you have the right to an adjudicatory hearing, upon written request submitted within
thirty (30) days after receiving this letter. Your request must take the'form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes, and you must file it with the
office of Administrative Hearings, 6714 Mail Service Center, Raleigh, I_ o9l � cal rsa.�7599yf �
Unless such a demand is made this permit shall be final and binding..,
5..• U 1(
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 —I
.Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 O T QU I.ITY SECTION
Phone: [phone] FAX: 919-807-fi.4921Customer Service: 1-877-623-6748 � �= N �ffoiAL OFFICE
Internet: www.ncwaterquality.org q 1;
�l NLf klliti
An Equal Opportunity 1 Affirmative Action Employer

This permit is not transferable except after notifying the Division of Water Quality. The Division
may require permit modification, or revocation and re -issuance. Please note that this permit does
not affect your legal obligation to obtain other permits required by the Division of Water Quality,
the Division of Land Resources, the Coastal Area Management Act, or other federal or local
governments.
If you have questions, or if we can further assist you, please contact Joe Corporon at
fioe.corporon(a,ncdenr.gov] or call [phone].
H. Sullins
Enclosure: NPDES Permit NCO073741 (FINAL)
hc: Central Files
NPDES Program Files
AROQISWP.S Attu Keith`Ha_Les-
ec: CG&L Attn: Kim Colson
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX [phone] Customer Service: 1=877-623-67h
Intemet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
o� W A
O�rFR9G
O S
Nonene
rthCarolina '
IN
aturall�

Permit NC0073741
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT ' .
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NEDES)
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,
Veolia Water North America
is hereby authorized to discharge wastewater from a facility located at the
Mountain Valley Subdivision WWTP
NCSR 1171
east of Etowah
Henderson County
to receiving waters designated as the French Broad River in the French Broad River Basin, in accordance
with effluent limitations, monitoring requirements, and other conditions set forth in Parts I,11, III and IV
hereof.
This permit shall become effective, July 1, 2011
This permit and authorization to discharge shall expire at midnight on November 30, 2015.
Signed this day May 26, 2011.
By Authority of the Environmental Management Commission
t

Permit NC0073741
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 anddischargefrom this facility arises unc}er the
permit conditions, requirements, terms, and provisions included herein.
Veolia Water North America
is hereby authorized to:
1. continue to operate an existing 0.024 MGD extended -aeration wastewater treatment plant (WWTP)
to treat 100 % domestic wastes, consisting of
• aeration basin
• clarifier
sludge holding basin
• chlorine -contact chamber with tablet chlorination
• dechlorinator (tablet)
• effluent flow meter
• sludge -holding basin
located east of Etowah at Mountain Valley Subdivision, off NCSR 1171, in Henderson County, and
2. after applying for and receiving an Authorization to Construct permit from the Division of Water
Quality's Construction Grants and Loans (CG&L), construct additional facilities to increase plant
capacity up to 0.040 MGD, and after submitting to the Division an Engineer's Certification Form,
3. discharge from said treatment works, at the location specified on the attached map, into the French
Broad River [stream segment 6-(47.5)], a waterbody currently classified WS-IV', B within subbasin
04-03-02 of the French Broad River Basin.

4:
1 ` !
Horse Shoff —fir
US Hwy 64
+ Ir- V i 7
ri
�-• �%1 1 . � �� � � � �.'� r S F; ) 'i 8 i r' s7 � � J 1 9 .� i°�
\ c.IFT) ! ,
r
alp i� • • �y •. r. P ° J �� . . • ; j F,, ` Approximate .t
_��< <{; l / •{. i Subdivision Boundary
KO.Vl4"' • �I rt7"s� ° $tr r 'z 1i. Wr d� yr it } Y
• f Y p7'k�.
• • W � •.� i11 Y °�/� t 'Sli t =„6 $f J J„ r � '•
° -�.�f � �Y ♦BY t ° f� •l�� a: P j $ 7a., � �r �r.; r tit ro � '� s�+�a' =p�� $ r
� t�x7 S sP :k„„: 4 h 1 1 s �I • y �%y3 1 S ! x wi N 6 ��i t7/ )') j� VYx
+ • ± 3 t ■ t Ifr 7s f a r. i ,� � '� _� ''�s � / � i, err � YS 1 a;
4.
• • • g ' � � rt3 •�t � �. ti :r � a 1 ��'.. �`. .. ..,. 4 �', rays:..
• ' � � � _ � �°j Outfa11001
�` �� • ' /�,n� T-
(flows north)
LY�� U ,+�� • s��i =_ • / ° ♦ �S. � '� b p,. �� Si 1 !�. � } y3 � 4Y (�'°r lVe�^� �q�1+�,
xs �`nt A;s'. �\` `� � i S'� 3' `� �.k J m4.� �r � �"$'ix" a,y r«; 4f.. •L3,j �'.
French Broad River
..• ! k res • ° /��c� ______`
J
-' t1205
` i1n�P
Veolia Water North America
Mountain Valley Subdivision WWTP
State Grid / USGS Quad: F 8 SE / Horse Shoe, NC Stream Class: WS-IV, B
Latitude: 35' IS' 55" N Longitude: 82° 34' 43" W
Receiving Stream: French Broad River[sgmt 6-(47.5)]; Sub -Basin: 04-03-02
Drainage Basin: French Broad River Basin HUC: 06010105
Facility a'
Location
(not to scale)
N lth NPDES Permit NCO073741
Henderson County

Permit-NC0073741
A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning upon expansion above 0.024 MGD 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:
_ ,,. „ ,......
~EFFLUENT '-
CHARACTERISTICS
{Parameter:Cotles]' {:
LIMITS
MONITORING
REQUIREMENTS
_ Monthly
; Average
i Daily r
Maximum :
Measurement
Frequency'
Sample
Type
Sample
;Location
[50056] Flow
0.040 MGD
Continuous
Recording
Influent
or Effluent
[C0310] BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
[00400] pH
Not < 6.0 nor > 9.0 standard units
Weekly
Grab
Effluent
[31616] Fecal Coliform (geometric mean)
200/100 nil
400/100 nil
Weekly
Grab
Effluent
[00010] Temperature (°C)
Weekly
Grab
Effluent
[C05301 Total Suspended Solids .
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
[50060] Total Residual Chlorine
28 µg/L 1
2/Week
Grab
Effluent
[C0610] NH3 as N
2/Month
Composite
Effluent
Footnotes:
2. Total Residual Chlorine (TRC) monitoring is required only if chlorine is used by the facility for
primary or backup disinfection. Because of difficulty quantifying TRC in a wastewater matrix, the
Division will consider all North Carolina -certified test -method values reported below 501tg/L to be
compliant with this permit. However, the. Permittee shall continue to submit all values reported above the
test -method minimum detection limit, even if these levels fall below 50µg/L, and use these actual values
when calculating averages, if any.
Condition:
The Permittee shall discharge no floating solids or foam visible in other than trace amounts
A. (3.) ENGINEERING ALTERNATIVES ANALYSIS (EAA)
Prior to constructing additional facilities, the Permittee shall submit a letter justifying the need for
additional flow. The Permittee. shall also prepare an Engineering Alternatives Analysis (EAA) to
evaluate surface discharge alternatives, in compliance with the Division's guidance document for
EAA's, to include the feasibility of a non -discharge system on adjacent property.

Permit NCO073741
A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration or expansion
above 0.024 MGD, the Permittee is authorized to discharge from Outfall 001. Such discharges shall be
limited and monitored by the Permittee as specified below:
a 1
EFFLUENT
CHARACTERISTICS.
[Parameter Codes]
LIMITS.
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum .
Measurement-
Frequency
Sample
Type
Sample-
Location
[50050] Flow
0.020 MGD
Continuous
Recording
Influent
or Effluent
[C0310] BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
[00400] pH
Not < 6.0 nor > 9.0 standard units
Weekly
Grab
Effluent
[31616] Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
[00010] Temperature ('C)
Weekly
Grab
Effluent
[C0530] Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
[50060] Total Residual Chlorine
28 µg/L 1
2/Week
Grab
Effluent
[C0610] NH3 as N
2/Month
Composite
Effluent
Footnotes:
l . Total Residual Chlorine (TRC) monitoring is required only if chlorine is used by the facility for
primary or backup disinfection. Because of difficulty quantifying TRC in a wastewater matrix, the
Division will consider all North Carolina -certified test -method values reported below 50µg/L to be
compliant with this permit. However, the Permittee shall continue to submit all values reported
above the test -method minimum detection limit, even if these levels fall below 50µg/L, and use
these actual values when calculating averages, if any.
Condition:
The Permittee shall discharge no floating solids or foam visible in other than trace amounts

PDES 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
(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
Version 1012912010

PDES Permit Standard Conditions
Page 2 of 18
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. 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)
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.
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).
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
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.
Version 1012912010

PDES Permit Standard Conditions
Page 3 of 18
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, the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Quality.
Quarterly Average (concentration limit)
The average 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, the geometric mean of such discharges.
Section B. General Conditions
Duty to Comply
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a
violation of the CWA and is grounds for enforcement action; for permit termination, revocation and
reissuance, or modification; or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or
prohibitions or standards for sewage sludge use or disposal, even if the permit has not yet been modified
to incorporate the requirement.
b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402,
or any requirement imposed in a pretreatment program approved under sections 402 (a) (3) or 402 (b) (8)
of the Act, is subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1319 (d)
and 40 CFR 122.41 (a) (2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of
the Act, or any condition or limitation implementing any of such sections in a permit issued under section
402 of the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3)
or 402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
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. [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
Version 1012912010

PDES Permit Standard Conditions
Page 4 of 18
penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or
both. [33 USC 1319 (c) (2) and 40 CFR 122.41 (a) (2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act,
and who knows at that time that he thereby places another person in imminent danger of death or serious
bodily injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not
more than 15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment
violation, a person shall be subject to a fine of not more than $500,000 or by imprisonment of not more
than 30 years, or both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon
conviction of violating the imminent danger provision, be subject to a fine of not more than $1,000,000 and
can be fined up to $2,000,000 for second or subsequent convictions. [40 CFR 122.41 (a) (2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such
sections in a permit issued under section 402 of this Act. Administrative penalties for Class I violations are
not to exceed $16,000 per violation, with the maximum amount of any Class I penalty assessed not to
exceed $37,500. Penalties for Class II violations are not to exceed $16,000 per day for each day during
which the violation continues, with the maximum amount of any Class II penalty not to exceed $177,500.
[33 USC 1319 (g) (2) and 40 CFR 122.41 (a) (3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment
[40 CFR 122.41 (d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on 'Bypassing" (Part II. C. 4), "Upsets" (Part II. C. 5) and 'Power
Failures" (Part II. C. 7), nothing in this permit shall be construed to relieve the Permittee from any
responsibilities, liabilities, or penalties for noncompliance pursuant to NCGS 143-215.3,143-215.6 or Section 309
of the Federal Act, 33 USC 1319. Furthermore, the Permittee is responsible for consequential damages, such as
fish kills, even though the responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS
143-215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any
exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor
any infringement of Federal, State or local laws or regulations [40 CFR 122.41 (g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
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].
Version 1012912010

PDES Permit Standard Conditions
Page 5 of 18
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. 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 122.221
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]
Version 1012912010

PDES Permit Standard Conditions
Page 6 of 18
d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the
following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE
ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned
changes or anticipated noncompliance does not stay any permit condition [40 CFR 122.41 (f)].
13. Permit Modification, Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the
permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and
regulations contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North
Carolina Administrative Code, Subchapter 2H.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 2H.0105
(b) (2) may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
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. Back-up 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 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 8G.0204.
The ORC of each Class II, III and IV facility 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 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
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.
Version 1012912010

PDES Permit Standard Conditions
Page 7 of 18
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)].
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.
(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.
Version 1012912010

PDES Permit Standard Conditions
Page 8 of 18
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.
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.0124) to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by
means of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
Representative Sampling
Samples collected and measurements taken, as required herein, shall be 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 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:
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
Version 1012912010

PDES Permit Standard Conditions
Page 9 of 18
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].
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;
Version 1012912010

PDES Permit Standard Conditions
Page 10 of 18
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 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).
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 approval from 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 CWA [40 CFR 122.41 (1) (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.
Version 1012912010

PDES Permit Standard Conditions
Page 11 of 18
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.
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 11. 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.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the
offices of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly
making any false statement on any such report may result in the imposition of criminal penalties as provided
for in NCGS 143-215.1(b)(2) or in Section 309 of the Federal Act.
11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certification
in any record or other document submitted or required to be maintained under this permit, including
monitoring reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of
not more than $25,000 per violation, or by imprisonment for not more than two years per violation, or by both
[40 CFR 122.41].
Version 1012912010

PDES Permit Standard Conditions
Page 12 of 18
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
Version 1012912010

PDES Permit Standard Conditions
Page 13 of 18
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 process(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 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 ug/L);
(2) Two hundred micrograms per liter (200 pg/L) for acrolein and acrylonitrile; five hundred micrograms per
liter (500 pg/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 pg/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. 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
terms 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
adverse impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit
continue at the permitted facility.
Version 1012912010

PDES Permit Standard Conditions
Page 14 of 18
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 (j)]
TntarfPrPncp
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 POTW's NPDES Permit or prevents sewage sludge
use or disposal in compliance with specified applicable State and Federal statutes, regulations, or permits. [15A
NCAC 2H.0903 (b) (13)]
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 POTW's NPDES permit, or of an instream water quality standard. [15A NCAC 2H.0903 (b) (23)]
Publicly Owned Treatment Works (POTW)
A treatment works as defined by Section 212 of the CWA, owned by a State or local government entity. 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 sewers, pipes, and other conveyances only if they
convey wastewater to a POTW. The term also means the local government entity, 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. [15A NCAC 2H.0903 (b) (27)]
"Significant Industrial User" or "SIU"
An industrial user that discharges wastewater into a publicly owned treatment works and that [15A NCAC
2H.0903 (b) (34)]:
(a) discharges an average of 25,000 gallons or more per day of process wastewater to the POTW (excluding
sanitary, noncontact cooling and boiler blowdown wastewaters) or;
(b) contributes more than 5 percent of the design flow of the POTW treatment plant or more than 5 percent of the
maximum allowable headworks loading of the POTW treatment plant for any pollutant of concern, or;
(c) is required to meet a national categorical pretreatment standard, or;
(d) is, regardless of Parts (a), (b), and (c) of this definition, otherwise determined by the POTW, the Division, or
the EPA to have a reasonable potential for adversely affecting the POTW's operation or for violating any
pretreatment standard or requirement or POTW's receiving stream standard, or to limit the POTW's sludge
disposal options.
Section B. Publicly Owned Treatment Works (POTWs)
All POTWs are required to prevent the introduction of pollutants into the POTW which will interfere with the
operation of the POTW, including interference with its use or disposal of municipal sludge, or pass through the
treatment works or otherwise be incompatible with such treatment works. [40 CFR 403.2]
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.
Version 1012912010

PDES Permit Standard Conditions
Page 15 of 18
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 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. Prohibited Discharges
a. Under no circumstances shall the Permittee allow 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 2H.0900 and 40 CFR 403. [40 CFR 403.5 (a) (1)]
b. Under no circumstances shall the Permittee allow 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;
(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; and 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,
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 discharging to the POTW to meet Federal Pretreatment
Standards developed under Section 307(b) of the Act as amended (which includes categorical standards and
Version 1012912010

PDES Permit Standard Conditions
Page 16 of 18
specific local limits, best management practices and narrative requirements). Prior to accepting wastewater
from any Significant Industrial User, the Permittee shall either develop and submit to the Division a new
Pretreatment Program or a modification of an existing Pretreatment Program, for approval as required under
section D below as well as 15A NCAC 2H.0907 (a) and (b). [40 CFR 122.44 (j) (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 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. [40 CFR 122.44 (j) (2)]
The Permittee shall operate its approved pretreatment program in accordance with Section 402 (b) (8) of the CWA,
40 CFR 403, 15A NCAC 2H.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 2H.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 2H.0905 and .0906; 40 CFR 403.8 (f) (1) and 403.9 (b) (1), (2)]
2. Industrial Waste Survey (IWS)
The permittee shall implement an IWS consisting of the survey of users of the POTW, as required by 40 CFR
403.8 (f) (2) (i-iii) and 15A NCAC 2H.0905 [also 40 CFR 122.44 (j) (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 SILT. 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.
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.5.). [15A NCAC 2H.0906 (b) (2) 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 2H.0909, specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5 (a) and (b) and 15A NCAC 2H.0909. Pursuant to 40 CFR 403.5, local limits are
enforceable Pretreatment Standards as defined by 40 CFR 403.3(1).
Industrial 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 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
Version 1012912010

PDES Permit Standard Conditions
Page'17 of 18
all IUPs. Permitted IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the, HWA. [1'5A NCAC 2H.0909,.0916, and .0917; 40 CFR 403.51403.8'(f) (1),(iii); NCGS 143-
215.67
,6. Authorization to Construct (AtC)
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 2H.0906 (b) (6) and .0905; NCGS
143-215.1 (a) (8)]
7. POTW Inspection & Monitoring of their lUs
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 b ' y industrial
users, compliance with applicable, pretreatment standards. [15A NCAC 2H .0908(d); 40 CFR 403-.8(f)(2)(v)j
The Permittee must:
a. Inspect all Significant, Industrial. Users (SlUs) at least once per calendar year; and
b. Sample all Significant Industrial Users (SlUs) at least twice per calendar year for all permit -limited
pollutants, once during the period from January I through June 30 and once during, the period from July I
through December 31, except for organic compounds which shall be sampled at least once per calendar
year; For the purposes of this paragraph, "organic compounds" means the types
40 CR 1363(a), Tables IC, ID, and IF, as amended. pes of compounds listed in
F -
8. IU 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. [15A NCAC 2H .0906(b)(4) and .0905; 40 CFR 403.8(f)(1)(v) and (2)(iii); 40 CFR
122.44(j)(2) and 40 CFR 403.121
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 Clean Water Act (40 CFR 405 et. seq.), prohibitive
discharge standards as set forthin 40 CFR 403.5 and 15A NCAC 2H .0909, and specific local limitations. All
remedies, enforcement actions and other, shall be consistent with the Enforcement Response Plan (ERP)
approved by the, Division. [15A NCAC 2H.0906(b)(7) 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 2H .0908. In lieu of submitting
annual reports, Modified Pretreatment Programs developed under 15A NCAC 2H.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 twelve months to the Division at the
following address:
NC DENR / Division of Water Quality /,Surface Water Protection Section
Pretreatment, Emergency Response, and Collection Systems (PERCS) Unit
1617 Mail Servke Center
Raleigh, North Carolina 27699-1617
These reports shall be, submitted according toa 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 SignificantIndustrialUsers (SlUs) in
Significant Non-Comphance (SNC);
Version 1,012912010

PDES Permit Standard Conditions.
Page 18 of 18
b.) Pretreatment Program Summary (PPS)
A pretreatment program summary (PPS) on specific forms approved by the Division;
c.) Slgilificant. Non -Compliance Report (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 (IDSF)
Monitoring data from samples collected by both 'the POTW and the Significant Industrial User (SIU) in
SNC.'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. [15A NCAC .2H .0903(b)(35), .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. [15A NCAC 2H .0908(f); 40 CFR 403.12(o)]
13. Funding and Financial Report
The Permittee shall maintain adequate funding and staffing levels to accomplish the objectives of its approved
pretreatment program. [15A NCAC 2H .0906(a) 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 shal be governed by 40 CFR 403.18, 15 NCAC 2H .0114 and 15A NCAC
2H .0907.
Version 1012912010

t
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
TOM KILPATRICI
MANAGER AND ORC
TOM KILPATRICK AND ASSOCIATES
PO BOY 679
ETOWAH NC 28729
.Dear Mr. Kilpatrick:
Dee Freeman
Secretary
May 13, 2010 Fj.
1 4 2010
WATER ER QUALITY SECTION
', , A•SI'=�!ILLE RL"G ONIAL OFFICE
Subject: Receipt of permit renewal application'
NPDES Permit NCO073741
Mountain Valley WWTP
Henderson County
The NPDES Unit received your permit renewal application on May 13, 2010. 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 Joe Corporon
at [phone].
Sincerely,
L.�� jjo'�
Dina Sprinkle
Point Source Branch
cc: CENTRAL FILES
A>shevi]Le�RegiQnal�O"fftce/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
NofthCarolina
W111rdly
4�1

I
P0<8oxi679: .
Etowah, NO 26729'
82"GO-4810
May 7 20 f 6" "
--- z
D)UGLoYE
Mrs Dina Sprinkle s
NCDENR/DWQ/Point Source Branch . d ` MAY 7 4 201110
1*617 _Mail Services Center s
Raleigh, NC 27699-1617 -
Re: NPDES Permit Renewal Application..
NPDES Permit # NCO073741
Mountain Valley Subdivision
Henderson County
Dear, Mrs. Sprinkle:
Please consider this a request for renewal of the subject NPDES permit. A completed Short
Form D (the original and two copies) is enclosed. There have been no changes made to the
facility- since the last renewal.
Sludge- generated at the WWTP is pumped and hauled by a commercial hauler (Goldie and
Associates) to a Class IV facility (the City of Hendersonville WWTP) in Henderson County for
additional treatment and final disposal.
If you:have any questions or need additional information, please feel free to call me at 828-890
4810.
Sincerely,.
Tom Kilpatrick
Manager & ORC
cc; Carol -Rogers, Veolia Water North America Operating Services

NPDES Al 1CATION FOR PERMIT RENE-:..L - FORM D
For:privately owned treatment systems treating 100% domestic wastewaters <0.1 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 0073741
If you"are co. mpleting 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.
Y. Contact Information
Owner Name
Facility Name
Mailing Address
City
State / Zip Code
Telephone- Number
Fax Number
e-mail-Address
VEOLIA WATER NORTH AMERICA
MOUNTAIN VALLEY SUBDIVISION WWTP
P. O. BOX 679
ETOWAH
NC 28729
828 890-4810 [ d
[phone]
AI AV 1 A pn1 I i
twklca morrisbb.net
2.­L06 Ionof-facility producing discharge:
Cleck,here if same address as above ❑
Street Address or State Road NCSR 1171
City east of ETOWAH
State / Zip Code NC 28729
County HENDERSON
WATER QUALITY SECTION
,r• ASHEVILLE REGIONAL OFFICE � S
3. °Operator- Information:
Naive- 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 TOM KILPATRICK & ASSOCIATES
Mailing'A'ddress P.O. BOX 679
City
State / Zip, Code
Telephone Number
Fax Number
ETOWAH
D,
NC 28729
[phone]
[phone]
DENR-WrTE OUAI_IiY
POINT SOURCE BRANCH
1 of Form=D 1/06

NPDES, Al 4CATION FOR PERMIT RENE' . cL - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <0.1 MGD
4: Description of wastewater:
Facility-Generatina Riastewater(check all that applyr
Industrial Number of Employees
/Vo n e --3 Commercial 2 Number of Employees
Residential Number of Homes 60
School ❑ Number of Students/Staff _
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
1.00% domestic sources
r Nr.
Population served: 100 + -
5." -Type of collection system
M' - Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Oudi 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 streams) (Provide a map showing the exact location of each outfallp.
FRENCH BROAD RIVER
S_ . Frequency -of Discharge: ® Continuous ❑ Intermittent
if.interrriittent:
Days^per week discharge occurs: Duration: _
9D.escrilie the'treatment system
List all ih.§talled,components, including capacity, provide design removal forBOD, TSS, nitrogen .and
Phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
ERisting`Treatment. System:
1. Aeration $asin;
2. Rectangular Clarifier;
3. TabletFeed .Chlorinator,, Chlorine Contact Chamber;
4' Tablet Feed -De Chlorinator;
-5.'Efflueut Flow Meter;.
6. =Sludge Holding Basin.
2 of 4 Form-D 1'/06

NPDES AU - ICATION FOR PERMIT RENE 1L - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <0.1 MGD
10. Flow Information:
Treatment Plant Design flow 0.025 MGD
Annual Average daily flow 0.007 MGD (for the previous 3 years)
Maximum daily flow 0.012 MGD (for the previous 3 years)
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. Effluent testing data must be based on at least three samples
and must be no more than four and one half years old.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Number of
Samples
Biochemical Oxygen Demand
(BOD5)
34
18
mg/1
12
Fecal Coliform
1
1
col. / 100m1
5
Total Suspended Solids
17
12
mg/l
5
Temperature (Summer)
24
22
C
4
Temperature (Winter)
8
7
C
4
pH
7.1
6.9
S.U.
5
13. -List all- permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous.. Waste (RCRA) NESHAPS (CAA)
UIC (SDWA)
NPDES
PSD.(CAA)
Non -attainment program (CAA)
NCO073741
14. APPLICANT CERTIFICATION
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Special Order of Consent (SOC)
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.
TOM KILPATRICK Manager and ORC
Printed' name of Person Signing Title
3 of 4 Form-D 1/06

NPDES Al _-ACATION FOR PERMIT RENE..L - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <0.1 MGD
Signature,
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.)
4 of 4 Form-D 1 /06

l�at�s� Aasoceates
.s4
May 7, 2010
Sludge Management Plan
For
Mountain Valley Subdivision WWTP
.0 Boz 679
towah; NC 28729
82846o 4g10
Sludge generated at the Mountain Valley WWTP is pumped and hauled by a commercial hauler
(.Goldie-and Associates) to a Class IV facility (the City of Hendersonville WWTP) in Henderson
County for additional treatment and final disposal.
Tom Kil1krick
Manager & ORC

Ahl�
tI
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
December 14, 2005
Mr. Tom Kilpatrick
Veolia Water North America Operating Services
P. O. Box 679
Etowah, NC 28729
Subject: Issuance of NPDES Permit NCO073741
Mountain Valley Subdivision WWTP
Henderson County
Dear Mr. Kilpatrick:
I
D EC 1 6 2005
-- _I
U.1
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
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 changes from the draft permit sent to you on October 12, 2005.
Please be aware of the following changes found in this permit that are not contained in the
current permit:
• A Total Residual Chlorine (TRC) daily maximum limit has been added; however the
limit will not become effective until July 1, 2007 (18 months following the effective
date of the permit).
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 legalrequirements 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.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 �TOne
512 N. Salisbury St., Raleigh, North Carolina 27604 NOfthCar011na
Phone: [phone] / FAX [phone] / Intemet:: h2o:enr.state.nc.us,
yr l
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper vVatu` a" ly

Mr: Tom Kilpatrick
NPDES Permit NCO073741 Renewal
p2
If you have any questions concerning this permit, please contact Bob Sledge at telephone
number [phone], extension 547.
Sincerely,
�2Alan W. Klimek; P.E.
cc: Central Files
NPDES Unit

I
Permit NCO073741
STATE OF NORTH CAROLINA
DEPARTMENT 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,
Veolia Water North America. Operating Services
is hereby authorized to discharge wastewater from a facility located at the
Mountain Valley Subdivision.
NCSR 1171
east of Etowah
Henderson County
to receiving waters designated as the French Broad -River in the French Broad 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 January 1, 2006:
This permit and authorization to discharge shall expire at midnight on November 30, 2010.
Signed this day December 14, 2005.
Alan W. Klimek, P.E.,.Directo.r
Division of Water Quality
By Authority of the Environmental Management Commission

I
Permit NCO073741
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.
Veolia Water North America Operating Services is hereby authorized to:
1. Continue to operate an existing 0.020 MGD extended aeration wastewater treatment system
consisting of the following components:
♦ Aeration basin
♦ Clarifier
♦ Sludge holding basin
♦ Tablet chlorination
♦ Effluent flow metering
The facility is located east of Etowah at Mountain Valley Subdivision off NCSR 1171 in
Henderson County.
2. After receiving an Authorization to Construct from the Division. of Water Quality, construct
additional facilities to increase plant capacity up to 0.04 MGD.
3. Discharge from said treatment works at the location specified .on the attached map into the French
Broad River, classified WS-IV, B waters in the French Broad River Basin.

Permit NCO073741
A. (1.) . EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS = FINAL
During the period beginning on the effective date of this permit and lasting until expiration or
expansion above 0.02 MGD, the Permittee is authorized to discharge from outfall 001. Such
discharges shall be limited and monitored by the Permittee as specified below:,
<Y'✓ ='� ifi- z}, M
EFFLUENT,,�hx s ftr
:is"" t .
p= LIMITS a
a MONITORINGREAUIREMENTS
6xM
tmu
f
a ti k,r t o
;i.'� , " *� : i 2 d '4 -
!,� _�. 3
z
fC x, r _
II
i f
;CHARACTERISTICS
4�-` e7,a3• -
�, ��x�'4
d
f x
Dait �=�`
��� Measurement �
�, �-Sam fe
�' ampi
�, p,
�requericy �'
�$ Typ ,
�
t,'f.x,u'`c +.. d.. ''.C.tA i✓r.
a�ge�R.-
��`Maximum��
Flow
0.02 MGD
Continuous
Recording
Influent or Effluent
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
NH3 as N
2/Month
Composite
Effluent
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
Total Residual Chlorine'
28 pg/L
2/Week
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent
Weekly
Grab
Effluent
pH2
Footnotes:
1. The Total Residual Chlorine limit will become effective on July 1, 2007 (18 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 standaid units.
There shall be no discharge of floating solids or visible foam in other than trace amounts

;Z/—
H-6rse
D3
g,
..... .. . ...
to
I
n4l\
p
0 4
0
Facility Information
U 126
81
U
oil
WIN
Latitude:
35'18'55" Sub -Basin: 04-03-02
Longitude:
8234'13"
Quad Name:
Horse Shoe
Stream Class:
WS-IV, B
Receiving Stream:
French Broad River
0
7- 'a01
111�-W?i�� -I'M
l
�,;gi ugm
Facility
e 2"a
OA
rl
o, NtE
Location k
ti
Mountain Valley Subdivision
No rth NCO073741
Henderson County

Permit NC0073741
A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS — FINAL
During the period beginning upon expansion above 0.02 MGD 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:
EFFLUENT t 'x� "
s
; A v
,t` ,kg , MONITORING
REQUIREMENTS
CHaARACTEaISTICS
�L'IMITSy,
,
d
ti
MN ;
Monthly
�JDaily `rrMeasurement
Samplefi ,
;y 4Sample Location r°Y
Averagerrx)Naxamum
Frequency`
TYPes
.... ,
L`
Flow
0.04 MGD
Continuous
Recording
Influent or Effluent
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
NH3 as N
2/Month
Composite
Effluent
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml .
Weekly
Grab
Effluent
Total Residual Chlorine
28 tag/L
2/Week
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent
pH1
Weekly
Grab
Effluent
Footnotes:
1. 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
A. (3.) ENGINEERING ALTERNATIVES ANALYSIS
Prior to construction of additional facilities, the permittee is required to submit a letter of justification
to show that the additional flow is needed and that a non -discharge system on the adjacent property is
not feasible. An Engineering Alternatives Analysis (EAA) shall be prepared in compliance with the
Division's guidance document for EAA's.

State of North Carolina a
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Kerr T. Stevens, Director
March 30, 2001
r. Kent Richardson
VIL Culligan Operating Services, Inc.
14950 Heathrow Forest Parkway
Suite 200
Houston, Texas 77032
Subject:
Dear Mr. Richardson:
M�w W W �Wf
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND. PtATURAL_RESOURCES-
fl
}
APR 9 2001
NPDES Permit Modification — Name/Ownership Change
Permit NCO073741
Culligan Operating Services Inc.
(Formerly Blue Mountain Urtilities, Enc.)
Henderson County
In accordance with -your request received February 26, 2001', the Division is forwarding the subject permit
modification. This modification documents the (change in name/ownership at the subject facilityS' AIMbther tcrins;land
conditions in the original permit remain unchanged and in full effect.- This permit modification is issued under the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement betvaeen Norrth Carolina and
the U. S. Environmental Protection Agency dated December 6, 1983:
If any parts, measurement frequencies or sampling requirements contained in this permit modification are
unacceptable to you, you have the right to an adjudicatory hearing upon written request-within'thirtyi((30) days following
receipt of this letter. This request must be a writtnen petition conforming to Chapter 150B of the Nortdh Caroluna General
Statutes, filed with the Office of Administrative Hearings, Post Office Drawer 27447, Raleigh, North Carolinta 27611-7447.
Unless such demand is made, this decision shall .be final and binding.
This permit does not affect the legal requirement to obtain other permits which may be required by tlhe Division of
Water Quality, the Division of Land Resources, Coastal Area Management Act, or any other Federal or Locall government
permit that may be required. If you have any quiestions concerning this permit, please contact Valery, Stepheens at the
telephone number or address listed below.
Sincerely,
CW' err T. Stevens
cc: Central Files
Asheville Regiona ]Offce, Water Quality Section
NPDES Unit
Point Source Compliance Enforcement Unitt
1617 Mail Service Center, Raleigh, North Carolina 27/699-1617 919 733-5083, extension 520 (fa)x) 919 73340719
VISIT US ON THE INTERNET @ http://h2o.enr.state.nc.us/ [e-mail]
CC ,

s
emit Number NCO073741
f
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations
promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution
Control Act, as amended,
Culligan Operating Services, Inc.
is hereby authorized to discharge wastewater from a.facility located at
Mountain Valley Subdivision
NCSR 1171
East of Etowah
Henderson County
to receiving waters designated as French Broad River in the French Broad. 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 March 30, 2001.
This permit and authorization to discharge shall expire at midnight on November 30, 2005.
Signed this day March 30, 2001.
A (,
�Q(yKerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment •
and Natural Resources Aw-ft
Division of Water Qualityvwhm�
James B. Hunt, Jr., Governor ACDENi
Bill Holman, Secretary NORTH CAROLINA DEPARTMENT OF
Kerr T. Stevens, Director IVIRONMENT AND NATURAL RESOURCE
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NCO073741 (Mountain Valley WWTP)
1. Permit holder's name: Blue Mountain Utilities. Inc.
2. Permit's signing official's name and title: Tom Kilpatrick
(Person legally responsible for permit)
Vice President
(Title)
3. Mailing address: P.O. Box 679 City: Etowah
State: NC Zip Code: 28729 Phone: [phone]
E-mail address: ddenvirO-citcom.net
IL NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
X c. Other (please explain): To put the NPDES Permit in the name of the legal Owner
New owner's name (name to be put on permit):
Culligan ODeratina Services, Inc.
3. New owner's or signing official's name and title: w. Chrigtopher Chisholm
(Person legally responsible for permit)
_Vice President
Send to: Kent Richardson (Title)
4. Mailing address: 14950 Heathrow Forest Pk,,Viy_. Houston
State:_ X Zip Code: 77032 Phone:( 281 ) 985-5439
E-mail address: RJcharKS@jj,-,fj1ter.com
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer paper
ZO'd ttE:9-990 616 aZ)LA-kas dO NV0I11r10 dSl:tO TO-£Z-clad

PERMIT NAME / OWNERSHIP CHANGE FORM
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER QUALITY
UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
This completed application form
Legal documentation of the transfer of ownership (such as a contract, deed, articles of
incorporation)
For changes of ownership, this form must be completed and signed by both the current permit
holder and the new owner of the facility.
For name change only, the current permit holder must complete and sign the Applicant's
Certification.
Current Permittee's Certification:
1, ,� t �� �S'; r i� , attest that this application for
name/ownership change has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this application are not completed and
that if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature: ,� Date:
Applicant's Certification:
ri Si0 kv, Ck'Sko Ivvl , attest that this application for a
name/ownership' change has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this application are not completed and
that if all required supporting information and attachments are not included, this application
package will be returoq -3s4ncgmplete.
Signature
THE COMPLETED APPLICXnON PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEN R / DWQ
NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina27699-1617
Version 9-99
£o,d VvE:9-993 616 0:3Ln.Aas dO NVUIiino dsi:vo io-£t-qaA

t
STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
DOCKET NO. W-1132.
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
In the Matter of
Application by Blue Mountain Utilities Inc., 1 King )
Road, Pisgah Forest, North Carolina, for Authority )
to Transfer the Franchises to Provide. Water and/or )
Sewer Uiility Service in Buffalo Meadows )
Subdivision in Ashe County, Skyview Park ) ORDER CLOSING
Subdivision in Gaston County, Kirk Glen and Rolling ) DOCKET
Acres Subdivision in Buncombe County, and )
Hunter's Glen and Mountain Valley Subdivision in )
Henderson County, North Carolina, from Culligan )
Operating Services, Inc., and for Approval of Rates )
BY THE COMMISSION: On April 19, 2000, an Order was entered approving the
application for transfer of the Certificates of Public Convenience and Necessity and the
utility assets to provide water and/or sewer utility service in Buffalo Meadows Subdivision
in Ashe County,- Skyview Park Subdivision in Gaston County, Kirk Glen and Rolling Acres
Subdivision in Buncombe County, and Hunter's Glen and Mountain Valley Subdivision in
Henderson County, North Carolina, om Aga Ojeating enriae ,= lue
O'BEtataiM W&tilitid- 6— iblue Mountain) contingent upon Blue Mountain complying with the
Commission's bonding requirements.
On August 23, 2000, 9- a Moun ffiff d2�Eletter w+thz-the-C:ommissaon=advising=th'at it `
Qa fs_ order to complete the transfer,.
Accordingly,. the Commission cone! -,des that the Order of April 19,.2000, should be
considered null and void and the docket closed.
IT IS, THEREFORE, SO ORDERED.
ISSUED BY ORDER OF THE COMMISSION.
This sf day of December, 2000.
NORTH CAROLINA UTILITIES COMMISSION.
Geneva S. Thigpen, Chief Clerk
dh121900.01

NORTH CAROLINA DEPARTMENT OF
(ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
ASHEVILLE REGIONAL OFFICE
WATER QUALITY SECTION
August 3, 2000
Mr. Mike Dodson
Mountain Valley Subdivision
Number 1 King Road
Pisgah Forest, North Carolina 28768
Subject: Permit Revision
Mountain Valley Subdivision
NPDES Permit Number NCO073741
Henderson County
Dear Mr. Dodson:
- The Division of Water Quality is recommending the reclassification of
the French Broad River and Bent Creek from Class C to Class B. The Class B
classification is assigned to streams whose best usage is determined to be
recreational, including swimming. Extensive sampling of the French Broad
River and Bent Creek revealed that they meet the Fecal Coliform requirements
associated with the Class B classification.
Your NPDES wastewater discharge permit is up for renewal in the near
future. Your wastewater treatment plant does not presently provide effluent
disinfection. Treated wastewater discharged to streams used for recreational
purpose is required to be disinfected for human body contact recreation. We
wanted to give you advanced notification that we plan to renew your NPDES
permit with a time schedule by which you will be required to construct and
place in operation reliable effluent disinfection facilities.
If you would like to discuss this matter further, please contact
Mr. Roy Davis or Ms. Linda Wiggs at 8281251-6208.
Sincerely,
Roy M. Davis
Environmental Engineer
,y
xc: Linda Wiggs
INTERCHANGE BUILDING, 59 WOODFIN PLACE, ASHEVILLE, NORTH CAROLINA 28BOT-2414
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST -CONSUMER PAPER

SOC PRIORITY PROJECT: 1) No
IF YES, SOC NUMBER
TO: PERMITS AND ENGINEERING UNIT
WATER QUALITY SECTION
ATTENTION: Susan Robson
DATE: March 6, 1995
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Henderson
PERMIT NUMBER NCO073741
PART I - GENERAL INFORMATION
Fv
2.
3.
4.
Facility and Address: Mountain Valley Subdivision
Hydrologic, Inc.
P. O. Box 18029
Asheville, N. C. 28814-0029
Date of Investigation: December 28, 1994
Report Prepared By: Paul White
Persons Contacted and Telephone Number: Thomas J. Barr
(not contacted)704-254-5169
5. Directions. to Site: Facility is located east of Etowah, about 1
mile south of Hwy 64 on SR 1171 ( Cummings Road) , adjacent to the
west side of the road. The discharge point is about 50 feet
behind the plant.
6. Discharge Point(s), List for all discharge points:
Latitude: 350 18' 58" Longitude: 820 34' 44"
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. F8SE U.S.G.S. Quad Name Horseshoe
7. Site size and expansion area consistent with application?
Yes No If No, explain: Little if any area is available
for expansion - at the current treatment plant site. However,
additional area may be available near the subdivision.
Page 1
%off

8. Topography (rel__ _.onship to flood plain ir,_<___,'_lded) : The treatment
plant is at the foot of a ridge adjacent to the French Broad
River. It is built on fill, but may be affected by 100 year
f lood .
9. Location of nearest dwelling: 200 feet
10. Receiving stream or affected surface waters: French Broad River
a. Classification: C
b. River Basin and Subbasin No.-: 040302
C. Describe receiving stream features and pertinent downstream
uses: Receiving stream flood plain is used for timber and
agriculture. Uses of the receiving stream in the immediate
area include aquatic and wildlife habitat, fishing, hunting,
canoeing, and agriculture. The WS-IV protected area for the
City of Asheville's proposed intake begins approximately 3.5
miles downstream. The Asheville Buncombe Water Authority has
requested that this section of the French Broad River be
reclassified to WS-IV.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1.
a. Volume of wastewater to be permitted. Existing permit is
0.040 MGD (Ultimate Design Capacity)
b. What is, the current permitted capacity of the Wastewater
Treatment facility? 0.040 MGD
C. Actual treatment capacity of the current facility (current
design capacity 0.020 MGD
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two years:
Permit WQ0000399 was issued on July 8, 1994 for sewers
projected to contribute 6,850 gpd to the treatment system.
e. Please provide a description of existing or substantially
constructed wastewater treatment facilities: Existing
facilities consist of a 5,500 gallon sludge holding tank; a
19,700 gal. aeration basin; an 84 sq. ft. clarifier with
sludge return and a 7.5 foot weir at each end; a V-notch weir
with continuous recording flow measurement; a 440 gal.
chlorine contact chamber; and effluent discharge line to the
French Broad River.
f. Please provide a description of proposed wastewater treatment
facilities: An A/C was issued September 14, 1990 for dual
20,000 gpd facilities, although the existing facility had
already been constructed at that time. No expansion of
facilities is currently underway.
g. Possible toxic impacts to surface waters: Ammonia, chlorine,
household chemicals.
Page 2.

h. Pretreatment Program (POTWs only): n/a
in development approved
should be required not needed
2. Residuals handling and utilization/disposal scheme: None
specified.
a. If residuals are being land applied, please specify DEM
Permit Number
Residuals Contractor
Telephone Number
b. Residuals stabilization: PSRP PFRP OTHER
C. Landfill:
d. Other disposal/utilization- scheme (Specify): Contract
operator typically contracts with septage hauler to pump
sludge from facility on an as needed basis.
3. Treatment plant classification (attach completed rating sheet): II
4. SIC Codes(s): 4952
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 05 Secondary
Main Treatment Unit Code: 0607
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds
or are any public monies involved. (municipals only)? no
2. Special monitoring or limitations (including toxicity) requests:
None
3. Important SOC, JOC, or Compliance Schedule dates: (Please
indicate) n/a
Date
Submission of Plans and Specifications
Begin Construction
Complete Construction
Page 3

4. Alternative Analysis Evaluation: Has the facility evaluated all
of the non -discharge options available. Please provide regional
perspective for each option evaluated.
Spray Irrigation: Adjacent land may be available for spray
irrigation.
Connection to Regional Sewer System: Not feasible.
Subsurface: Adjacent land may be available for subsurface
disposal, however, failing septic tanks was listed as reason for
applying for initial permit.
Other disposal options:
5. Other Special Items:
PART IV - EVALUATION AND RECOMMENDATIONS
The facility was originally permitted for construction as a
40,000 gpd plant. Instead, a 20,000 gpd plant was installed.
Revised plans and were received for dual 20,000 gpd plants and an
engineer's certification was received for one 20,000 gpd plant.
Based on this, a revised A/C, was issued on September 14, 1990 for
dual 20,000 gpd plants. A sewer line permit was issued on July 8,
1994 for 6,850 gpd. The maximum monthly flow in 1994 was 7000
gpd-
On October 29, 1992, the permit was transferred to Thomas J.
Barr with HydroLogic, Inc. HydroLogic is also the contract
operations firm. Asheville Regional Office files contain a
document indicating that HydroLogic, Inc. received a Certificate
of Public Convenience and Necessity to provide sewer service to 46
lots in Mountain Valley Subdivision. Design flows from 46 lots at
360 gpd/lot would be around 16,500 gpd. Apparently only a small
portion of the lots are contributing flows. However, a
conversation with Mr. Barr in 1993 indicated that other homes in
addition to the 46 lots currently listed may need to connect in
the future due to failing septic tanks.
Since only 20,000 GPD of the 0.040 MGD permitted capacity has
been constructed, it is recommended that only 20,000 gpd be viewed
as "existing". Based on the low flows to date, the possibility of
alternatives to discharge, and due to the fact that the existing
treatment capacity is 20,000 gpd, it is recommended that
justification for the requested flow be received prior to renewal
of the permit at 0.040 MGD. Unless the flow can be justified, the
permit should be renewed at 0.020 MGD. If the information
received for the renewal in 1993 is still considered sufficient to
renew the permit at 0.040 MGD, a separate effluent limitations
page should be included for 0.020 MGD, as was done in the current
permit.
Page 4

Also, a requirement should be included for submission of
plans and specifications for expansion, or justification for not
expanding, when plant, flow reaches 800 - 900-o of. permitted
capacity. Although the current permit now requires submission of
plans and specifications for the next 20,000 gpd phase, it is
recommended that this be further clarified since an A to C exists
for two 20,000 gpd plants. Additional plans are needed since the
ARO does not have adequate approved plans for the two plants,
including flow splitting and flow measurement.
Signature of Report Preparer
ter QualAty'Regional Supeivisor
Date
Page 5

NPDES WASTE LOAD ALLOCATION
PERMIT NO.: NCO073741
PERMITTEE NAME: Hydrologic, Inc.
FACILITY NAME: Mountain Valley Subdivision
Facility Status: Existing
Permit Status: Renewal
Major
Minor _1
Pipe No.: 001
Design Capacity: 0.04 MGD
Domestic (% of Flow): 100 %
Industrial (%, of Flow):
;1
Comments:
RECEIVING STREAM: French Broad River
Class: C
Sub -Basin: 04-03-02
Reference USGS Quad: F8SE (please attach)
County. Henderson
Regional Office: Asheville Regional Office
Previous Exp. Date: 7/29/93 Treatment Plant Class: H?
Classification changes within three miles:
Z- ]G-73
Requested by: n/ Susan Robson Date: 1-97' 9�
Prepared by:: t / Date:
Reviewed �6 J ( �� Date: 1-4 a
Modeler I Date Rec. I #
.TM AJ i 6 A 3 1 7.3
FMAY - 61993
2 - VVNIL'K UUl3Lil`," JtL wiv
Drainage Area (mi ) 3/ J Avg. S_trora: e flow (cfs �
7Q10 (cfs) .22� Winter 7Q10 (cfs) .2-77 30Q2 (cfs) %/ 7
Toxicity Limits: IWC % Acute/Chronic
Instream Monitoring:
Parameters
Upstream Location
Downstream Location
Effluent
Characteristics
Summer
Winter
BOD5 (mg/1)
NH3-N (mg/1)
D.O. (mg/1)
hr
TSS (mg/1)
00
F. Col. (/100 ml)
h�
pH (SU)
Comments:

Facility Name:
NPDES No.:
Type of Waste:
Facility Status:
Permit Status:
Receiving Stream:
Stream Classification:
Subbasin:
County:
Regional Office:
Requestor:
Date of Request:
Topo Quad:
FACT SHEET FOR WASTELOAD ALLOCATION
Hydrologic -Mountain
NCO073741
Domestic - 100%
Existing
Renewal
French Broad River
C
040302
Henderson
ARO
Robson
2/16/93
F8SE
Request # 7339
Valley Subdivision
Stream Characteristic:
US GS #
Date:
Drainage Area (mi2):
318 }
Summer 7Q10 (cfs):
226 ;
Winter 7Q10 (cfs):
277
Average Flow (cfs):
1046
30Q2 (cfs):
417
IWC (%):
Wasteload Allocation Summary
(approach taken, correspondence with region, EPA, etc.)
Facility requesting renewal of existing NPDES permit. ARO indicates that only 50% of permitted
flow has been constructed and plant currently averages 1600 gpd of flow. They request that
Hydrologic provide justification of the need for the additional 20,000 gpd permitted to them.
Model results indicate that secondary limits would protect at both flows.
Special Schedule Requirements and additional comments from Reviewers:
Recommended by: Date: 4/5/93
Reviewed by n
Instream Assessment:
Regional Sup or.
Permits & Engineerin
RETURN TO TECHNICAL SERVICES BY: MAY 1993
APR 1 4.19M

2
Existina Limits:
Wasteflow (MGD):.
BOD5 (mg/1):
NH3N (mg/1):
DO (mg/1):
TSS (mg/1):
Fecal Col. (/100 ml):
pH (SU):
Temperature (C):
Oil & Grease (mg/1):
TP (mg/1):
TN (mg/1):
Recommended Limits:
Wasteflow (MGD):
BOD5 (mg/1):
NH3N (mg/1):
DO (mg/1):
TSS (mg/1):
Fecal Col. (/100 ml):
pH (SU):
Temperature (C):
Oil & Grease (mg/1):
TP (mg/1):
TN (mg/1):
CONVENTIONAL PARAMETERS
Monthly Average
Summer Winter
0.040
30
monitor
nr
30
nr
nr
monitor
Monthly Average Monthly Average
WQ or EL WQ or EL
0.020
30 EL
monitor
nr
30 EL
nr
nr
monitor
Limits Changes Due To:
Change in 7Q10 data
Change in stream classification
Relocation of discharge
Change in wasteflow
Other (onsite toxicity study, interaction, etc.)
Instream data
New regulations/standards/procedures
New facility information
0.040
30
monitor
nr
30
nr
nr
monitor
EL
WOR
Parameter(s) Affected
Parameter(s) are water quality limited. For some parameters, the available load capacity of
the immediate receiving water will be consumed. This may affect future water quality based
effluent limitations for additional dischargers within this portion of the watershed.
.fin
_N_ No parameters are water quality limited, but this discharge may affect future allocations.

INSTREAM MONITORING REQUIREMENTS
Upstream Location:
Downstream Location:
Parameters:
Special instream monitoring locations or monitoring frequencies:
MISCELLANEOUS INFORMATION & SPECIAL CONDITIONS
Adequacy of Existing Treatment
Has the facility demonstrated the ability to meet the proposed new limits with existing treatment
facilities? Yes No L j L�t�75 C �6�lVGC.
If no, which parameters cannot be met?
Would a "phasing in" of the new limits be appropriate? Yes No
If yes, please provide a schedule (and basis for that schedule) with the regional
office recommendations:
If no, why not?
Special Instructions or Conditions
Wasteload sent to EPA? (Major) (Y or N)
(If yes, then attach schematic, toxics spreadsheet, copy of model, or, if not modeled, then old
assumptions that were made, and description of how it fits into basinwide plan)
Additional Information attached? (Y or N) If yes, explain with attachments.

F I r a 9 r'. r� M_ M PM
packagP sewage
-I- P
teat, ern lanlLs
Effective Treatment for ...
small municipalities
subdivisions
mobile home parks
long-term
construction sites
r '
.. i
i

Weatherproof
I
I
Hypochlorination
Unit (fiberglass construction)
Airlift Sludge
Return Pump
` Electrical
Blower/Motor Unit 1
Control Panel
inWeatherproof housing
f/
(Optional)
Safety Grating
)utlet
(covers entire plant)
Skimmer Return
Jlagnesium
anode Package
Removable /
Diffuser Assembly
I
Submerged Bar Screen
(optional)
I
8 r -ti115
Inllet
i

Wastewater Treall ent
Systems
DESIGN DATA
t LN lJ J r., 1,., l
J'013 N°, S8- 215
I. Estimated Flow and Runoff
Period
(a) Design basis = 40 000 gallons per day (GPD) per 124- hour
(This information can be o tained from Purestream Guide for stimattng ewage Flows)
(b) Estimated Daily Flow
gpd per x units = gpd
(c) Runoff period = hours
(Runoff period is the number of hours per day in which total flow is received)
II. Estimated Biochemical Oxygen Demand (BOD)
Design standard - BOD is a measure of the strength of the waste, domestic sewage has approxi-
mately 1. 98 pounds of 5-day BOD per thousand gallons of waste - based on 240 parts per million
sewage strength.
(a) Total pounds of BOD =
Estimated Daily Flow x 1.98 lbs. BOD/l,000 gallons
4o, 000 gals/day x 1. 98 lbs. BOD/1, 000 gale = ? lbs. BOD/day.
(b) If sewage strength is estimated to be other than 240 ppm, parts per million can be converted
to pounds:
pounds of BOD ppm BOD
Estimated daily flow x 8. 34 lbs/gal'L. 000, 000 lbs of water
Total pounds of BOD - ppm BOD x Estimated daily flow x 8.34 lbs/gal
1, 000, 000 lbs, of water
Total pounds
ppm x gpd x 8. 34 lb/gal.
=
1, 000, 000 lbs, of water lbs. BOD/day,
III, Air Requirements
Design standard - common air supply design is 2, 100 cu. ft. of air per pound of BOD to be treated.
(a) Total air required - 2, 100 cu.ft, x 60 lbsBOD/day = IGZ,"320 cu. ft. /day.
'Z Z, 32C7 cu. ft. /day = 1, 440 minutes /day = S.CJ cu, ft, /min.
(CFM)
(b) Air Supplied
Air supplied by each blower
Q positive displacement blower operating @ psi
Oring pressure and a speed of AS RE4PUIRED rpm.
200 CFM per blower.
(Air supplied is generally higher than air required - this is done to allow for intermittent
operation of the sewage treatment plant during lower periods of flow)
OUNAM
PH1111; Inc.
WASTEWATER TREATMENT EQUIPMENT
P.O. Box 6115 Florence, KY 41042 Phone [phone]
037

IV. Aeration Chamber Design
Design standard common aeration chamber loading is 15 lbs. of BOD per day per 1, 000 cu. ft.
of aeration chamber.
(a) Required volume = Total ounds BOD
15
_ lb BOD
5
(b) Supplied volume
4oi Qfo gallons
V. Settling Chamber Design
x 1,000 cu.ft. x 7.5 gal/cu.ft.
x 1, 000 x 7. 5 = 40, 000 gallons
Design standard - common settling chamber design is to allow for 4 hour retention of the daily
flow if the runoff period (see section I) is 24 hours. If the runoff period in lees than 24 hours,
allow for 2 1A hour minimum retention time during the runoff period.
Est. daily flow x Settlina retention time x 24 hrs/da
ka) Required volume :7 Z4 hoursjday Total runoff time
4i C gpd x 4- hr. s x 24 _ G J G7o gale
24 4 hre.
(b) Supplied volume
Gj Co-70 gallons.
VI. Chlorine Contact. Chamber Design
Design standard - common chlorine contact chamber design is to allow for 30 minute retention
of the daily flow. As high as 2 - 3 hours retention time may be required based on the local re-
quirements.
(a) Required volume = Est. daily flow x Retention time (in minutes)
1,440 minutes ay
_ 4o,ao0 gpd x �30 minutes — $3�- gallons
(b) Supplied volume
83+ gallons.
VII. Sludge Holding Chamber Design
Design standard - common sludge holding chamber design is to allow for 2 cu.ft. of holding
chamber volume per 100 gallons of daily flow. From 1 - 4 cu.ft. may be required based on
local requirements.
(a) Required volume = Chamber loading rate (in cu.ft. /100 gal) x 7.5 gal/cu.ft. x Est. daily flow.
2 cu. ft. x 7. 5 x 40, WO gpd Gi DOO gallons.
(b) Su lied volum 100
pp e
Cpi000 gallons Gi 000 Aerated Non Aerated
VIII. Additional Design Data

. ._
_ EQUIPMEDTT SPECIFICATION DATA
-
Design Flow"_
Plant
Aeration
Clarifier
Blower
Froth
No. of
No. of
No. of
Basic
Gals/Day__•_�,�_•
Model #
Volume
Volume
Unit
Control
-Anodes
Sludge
Skimmers", Tank Weight '-
y
CFM
HP
GPM
iIP_,v_ -_. _. _b . _
Puinps._--
24, 000 .- ::.
PT-24-5
24,000
4,000
120 `,
5
20
1/3
6 -
2- . -
1
~_
22,400.
25, 000 .^(
PT-25-5
25, 000
4,170
125 ,
5 -
20
1/3
6
2'
1 ��--
23, 500- _
26, 000_ ;;
PT-26-5
26,000
4,340
130 =
5
20
1/3
6 =
2'., .'.
2
24,800
27, 000---­--
PT-27-5 • - -.-
27,000 ... _v
. 4,500 _ ''-
135
5
20
1/3
6.
2 _.-
2 "
26,500
28,000.
PT-28-5
28,000
4,670
140..
_
5
20
1/3
5._
2 "'
.__ _. 2_.__
28, 000 -
29,000
PT-29-5
29,000
4,840
145
5
20
1/3
6
2
2 -
29,400
__ 30, 000- __..__
PT-30
30,000
5,000
150,,
5 _
20
1/3 . ___
r 8
2
__2
30, 500
35, 000 " " - ..,
=-
PT-35-7 1/2
35, 000
5, 830
175 '
-
7 1/2 '
30
1/3_ _
8
2-�
2 - " `'
34, 400'
-
200=-7
1%2 :,
30
1/3
'
10
2
2 =
_
37, 360 - -
45, 000 :. �,-PT=45-7
- = -10------ 2-_-,-_.
1/2 ~� 45, 000 -- - 7.500 -- - 225 7 -1/2 - - 30-- 1/3
-2
2
50,000
PT-50-10 _
50,000
8,340
250
10
40
1/3
10
2
2
43,600-
55,000%-,.•
PT-55-10 '
55,000
9,190 "
275
10
40
1/3
12-
2-
2 =
51,500 :
60,000 .".-
PT-60-10'
60,000
10.000
300-
10
40:
1/3
12
2
2
56,000'
65, 000_­­_'­
PT-65-10-...._ -_...
65, 000-------,
10,845 .. ._
.. 325_._
45 :
1/3.___
12
2' _
2
59,400:'
70,000
PT-70-15
70,000
11,690
350 _
15
45 -
1/2
_....
14
.._.. ,.
2.- _
-~- 2 _' J -. '
-- 62, (i00; _' 7'
75,000
PT-75-15 -
75, 000---
12,500
375 -
.15
50.
1/2--­ 14 ... ____.,_
2_...2 .._...__.__- _a. _.._ 71, 800 ._ _.�.... _
80,000
PT-80-15
80,000
13,540
400
15
60
1/2
16
2
2
74,600
85,000
PT-85-15
85,000
14,190
425
15
60
1/2-'.
16`.-
- 2
2
77,800 =•
90,000
PT-90-15
90,000
15,000
450
15
60
1/2
16
2
2
80,800
95,000
PT-95-15
95,000
15,850 _
475
15
60
1/2
18
2
2
84,000
100,000
•PT-100-15.
100,000
16,700
500
15
65
1/2
18
2
2
87,006
NOTEi All plants above 30,000 GPD will have clarifier hoppers that penetrate.the foundation pad.
MIDI)NTAIN V46Ley Ill
86 -2 r5

4t1
I-u
CHLCRINE CONTACT TANK' ANODE PACKAGE -
OPTIONAL SAFTY GRATING 1 II FOR CATHODIC
ALL TANK OPENINGS I.- 12 _ Q� PROTECTION (TYPI
SLUDGE RETURN SERVICE GRATINGr I � MA.na.0 _ -• •
B LINES I .IL GROUT RING T -- B
L wIR »E KSR E-fIC
AERATION 1 —: I t strc j i' • I �. _ —) tY
Q RING CHAMBER I—L--7�- _ --- r 1 _ `- I� II - •.>.:I i L L
j m / ` 7KIMMEa - J J II e I ! 1 �' i
N RETURN LclEs f jQ- --
-� - -- Imo. '�r� I. 1p STa1JCT US/.� -,�L
��. 1`_I _ _� i— % F.i=V. I ; I TiEINFOa EW- 1
CLARIFIER /CHAMBER r A �1
• a' (Z \ - <
ADJ EFFLUENT• FLOW CONTRC BAFFLE\
WEIR TROUGH FOR MI %ING OF CHLORINE 701LT10N
PLAN VIEW
SECTION B - 8
WEATHER PROOF
CONTROL PANEL
AIR LNE.S AND NCCESSAM CONTROL VALVES
IASLUDGE RCTURNA SKIMMER PUMPS
EER TANK SECTION
SUBMERGED OPTIONAL HORIZONTAL REINFORCEMENT WEATHER PROCF WEATHER Fiia'F
214 RUC. DO.t BEAU CONTROL R% EL
R SCREEN COMMINUTOR- J BLOWER MOTOR LCUT)d OF $ELd+DAR!
""' B R TOR -
3� --'--------L—"�►o'—o' �ci o c '
j�,(I-3u CP�i I-l►I17ni - — 2•C20_-oj -- -
I r
'FOUNDATION PAD THICKNESS
DETERMINED BY ENGINEER
BA5ED ON COCAL SOIL CONOITION5 SECTION A - A
PLANT DIMEN51O1`E5
I_ PLANT DESIGN DATA
"MODEL NUMBER
PT,—�o—�
000 14o 000 I Gpo o l rLno
+�®
K
4hLCPIh. -1�5 h�USIN�.
W L_
j
Ji I Wi
Cl
d 1.7
10 V I EOVNWT ONIIID i'� I I�
OTHERS
1.0A'C MO UN
YIHEN REOD
I
OPTgNAL FROTn
CONTROL SYSTEM
Z'AIRLIFT SKIMMER
RS) le" orneKs)
2 TANK DRAT }lam � I I : �•� V ' � - A :
I`
�,ROVT fRLJ-
K �" OTHERS'
SECTION C - C
1
®� industries ine_
PG17]TEELEATMENT ])STEM
SEEWWA8RIAGE TREATMENT
W/ CHLORINE CONTACT TANK
REVISED
DATE
SCALE•l`ION E
DATE-3/3C/78
F
C t7
DR M-;Aien.
Arvo
M
GENERAL DETAILS
DRAWING NUMBER_" -- -
-EA-35/55-T WC —
MOUNTAIN VILLEY =: 020
88—V15

•mot; abTuop mloq 4Z ;o uoTavaaas a;nuTm Of uo pa*aq
a" aaumToe *z8:1-T.ZOTgD TTK
•E
---
- •:Iv*Td ;o gs*d TesbaauT *T Xu*4 auTsoTq, aa;QoTPuT sagwnu
buT#wsp saa;a OR *saaaaT aqy
'Z
'AOT; ubTaap Inoq 4Z uo pa**q as *amnion TTV
'T :agog
-, -, -, -,
r
ST-OOT-i-d
000 00T
- - . -.TT -.6 E-,S 9-,6 0-. t 0. 4Z 6-.LS
i-
-
0
- - 8-,6 O-,tt S-.6 6-,4 9-.6 0-.Zt 0-.4Z 6-.4S
Si 054
088'T
000'ST
000'06
r
Si-06-Jd
000 06
_, -,- -, -, -, -, -.
SLL T
OcTrfT
000 se
r
ST-S -.Ld
0 0 S
•
- - -. 0-.TT S-,6 t-,4 9-,6 0-. t 0-,4Z 6-.84
4 i
w
S.- -.Ed
000 0
- - 8-,6 0-.TT S-.6 L-.E 9-.6 0-.ZT 0-,4Z 9-.S4
ST SLf
005'ZT
000 SL
r
ST-SL-.Ld
00 0 sr-
- - 8-.6 0-.11 S-.6 Z-.E 9- A 0-.ZT 0-.4Z 9-.Z4
ST OSE
091, T
069 TT
00010L
ST-OL-.Ld
- - 8-.6 O-.TT S-.6 Or-. Z 9-.6 0-. T 0-,4 9-.6E
OT SZE
S48 OT
000 S9
w
OT-S9-Zd
000 59
-
- - - -, -, -. 9-, 9-. -, T -. 9-.9E
OT OOE
OSZ'T
000101
000 09
• LOOT 09va
OT-09-Sd_
000 109
,' -. -, -.TT -,4 -, -. T -. t -. 9
OT SLZ
SLt T
06T'6
000 ssr
OT-SS-Zd
0 S
OT-.9 0-,f 8-.6 O-.TT 8-.L 0-.4 9-.6 0-.OT 0-,ZT 9-.T9
Ot OSZ
OSO T
04E 8
r
OT-OS-sd
0
9-,8 O-,Z 8-,6 0-.TT 8-.L 4-.E 9-.6 0-,OT 0-,ZT E-.SS
L SZZ
046
005 L
000 st
r
rt L-St-.Ld
000 §F
6-.L 0-9Z 8-.6 O-,TT 8-#L L-,Z 9-,6 0-.OT O-.ZT E-.64
L OR
st
OL9 9
000 04
w
- -
00
0-,L 0-.Z 8-.6 0-,TT 8-.L.L-.Z 9-.6 0-.01 O-.ZT 0-.£4
L SLT
SZL
000 SE
OH-.L-SS SEVZ
9i L-SE-.Ld
0067SE
.L-ss/sfrrs
S-.L 0-.Z 8-,6 0-.TT 0-.9 9-.E 9-,6 0-.8 0-. i 0-,LE
S OST
SZ9
000 5
000 OE
w.
S-OE-dd
000 OE
•
E-.L O-.Z 8-.6 0-,TT 0-.9 9-.E 9-.6 0-.8 0-. T 6-.GC
S S4T
OT9
lv-
000 br
w
S-6Z-dd
0 00 6Z
T-,.L O-,Z 8-.6 0-.11 0-.9 9-.E 9-.6 0-.8 0-.Z1 9-.4E
S 04T
O85
M
000
T1-.9 0-. 8-.6 0-..TT 0-.9 9-.E 9-.6 0-. 0-. T C--EE
S SET
095
OOSIV
000 LZ-w
S-LZ-.Ld
000 L
-,9 _, -, -,ii -., -, -• -• -•". -•
S OET
045
04£ 6
000 9Z
- YS
S-9Z-1d
000 9
s-OE/9ZKg
O-:Z B-,6 0-.TT S-.E 1-.9 9-.6 0-.L 0-.Zt 6-.OE
S SZt
T 4
000 SZ
r
;-sz-la
000 Gz
_
0-.S 0-. 8-.6 0-.TT S-.E 1-.99-.6 0-.L 0-,ZT 9-.6Z
9 OZt
005
000 11
000 4
OM-.L-SZ TZB3
-- -
0 4
S-SZ/TZK7
X. H 0 i $ Q O e
•d•x way
�s
awn o
T n
awn A o
i
daQ *.a
/ t
sNOIswmaa XNV.1
JOmOT9 auTIOM
saT;T"T,
uOTIVXOV
'bNQ
�k TaPow
noTg ubT*aQ
7�+'D3S VjVCj 9 NOISNSFIIQ 9EIINrida
= _ .

.-NORTH CAROLINA DEPARTMENT OF NATURAL RESOUR.ES AND COMMUNITik DEVELOPMENT,,
DIVISION OF ENVIRONMENTAL MANAGEMENT
NONDISCHARGE APPLICATION FORM ATTACHMENT
GRAVITY SEWERS
1. Owner/Project Name (as shown on application): MOUNT-AIN VALE`(
• SU(3f�lVl�alarl — SEG'j'�brl .1�1 I '..
2.
Total length of sewer pipe (by diameter slze):
C Slope Minimum
Diameter Length Material Factor Minimum Maximum Cover.
(Inches) (Lineal Ft)'.'
I
.(Inches);
s
8 13 9 _PUG 150
Q�4'q.%
►S.GI % 3�
L-
3.
Maximum sewer reach length between manholes 3 3 $.
lineal feet
Does the Owner/Operator have the ability to clean this
length ✓ Yes No''
4.'
Sewer subject to existing on planned traffic bearing
loads?' ✓ Yes•�.No
5.
Outside drop manholes provided where inveri
separations exceed N A Feet', ;
6.
I
Maximum allowable infiltration/exfiltration test rate
00 GPD/in/mile.',
7.
Minimum separation distances as shown on the plans or
addressed in the
specifications.
,
a) 100 ft. horizontal separation from wells or
other water supplies
✓ Yes' No
b) 12 in. vertical separation from storm -sewer
✓ Yes No
or ferrous pipe sanitary sewers specified
✓ Yes 'No
c) 10 ft. horizontal separation from water mains
✓ Yes No
or 18 in. vertical separation
✓ Yes No
or ferrous pipe sanitary sewers specified
—Yes No `.
8.
Are manholes subject to flooding? ;
Yes ✓ No
If yes, are manhole rim elevations
1'foot above 100-year flood level?
Yes No
Or are the manholes vented and water tight?
Yes No
Engineer's
'Certification 1 ,A
I JON
N. LAUGHTER
It he State
as a duly registered Professional Engineer in
of North Carolina, hereby certify that the plans and specifications
attached
hereto are c istent with the above summary.
Signature
Registration
Number.
40G ro
PA-1R(8-1-8
i(

rZ5_Z15
NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
NONDISCHARGE APPL'ICA'TION FORM, ATTACHMENT
PUMP STATION AND FORCE MAIN
1. Owner/Project Name (as shown on application): MOUNTAIN VAU-F-Y
Sv3oIV►SIOKI — e,E07-101-11 ►►I
2. Pump Station # I (Please submit a separate sheet for each pump station
and a project location map showing the location of the pump station and closest
creek, river, lake, etc.)
3. Number and size of pumps: Number 2- GPM T each
Maximum Capacity of Station 4 61000 GPD
4. Check if provided at pump station:
Alternate Power Source )(
Wet Well Vented with Screen y�
Fillets in Wet Well X
Air Release Valves (number)
Check Valves and Gate Valves X
Security Fencing
Lockable Wet Well Cover X
Area Light
110V Convenience Outlet at Control Panel
Flood/Buoyancy Protection
}sigh Water Alarms Audible X Visual
5. Pumping cycles per hour at design flow rate:
6. Force Main: Diameter ':�' I.O.
Length _ I DC; 5
Material >OIAEO. 4o PvG
Minimum Cover 3 G INcNes
High Point 204' EL.
Low Point -i, I81 EL,
Total Dynamic Head (Design) _ 10' $8 GPM
X
7. Is pump station subject to flooding? Yes
�Vo No
8. If yes, specify 100-year flood elevation Feet MSL
yi�ineer`s Certification
I JotJ H, LAUGHTEP, as a duly registered Professional Engineer in
the State of North Carolina, hereby certify that the plans and specifications
attached h�eto are consistent with the above summary.
Signature__\\AST Registration Number 4o 6 G
PA-2R (8-1-87)

�MINE SUBMERSIBLE 'SEWAGE PUMP..
MODEL 4V SPEED 1150 RPM
MAX. SOLIDS: 311 SPHERE
DATE: AUGUST 12 980
mMIGNE WINoo�
�INE 7®
wvom,�MENo�
Now LIIMM►�� ��o��!o.
iiiiii►:��.®Niommomm MEN ME
i�►
ENEEMEs000®NoW eo
MENEEM000MoM000i� ,WN.URNM■ No vo
oa�oo�00000000s000. = - _� oo■ oo�o �-
■■iiiiii®�i®oCoiol/`�r®■ ��■ o�o�
.. ..
._MOVIE•.
e r. -

Certified Mail # 7015 1520 0003 5463 0097
Return Receipt Requested
October 17, 2016
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 28768
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES WW Permit No. NCO073741
A&D Water Service Inc
Mountain Valley WWTP
Case No. LV-2016-0207
Henderson County
Dear Permittee:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $316.62 ($200.00 civil penalty +
$116.62 enforcement costs) against A&D Water Service Inc.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report (DMR)
submitted by A&D Water Service Inc for the month of June 2016. This review has shown the subject facility to be in
violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No. NC0073741. The
violations, which occurred in June 2016, are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that A&D Water Service Inc violated the terms, conditions or
requirements of NPDES WW Permit No. NCO073741 and G.S. 143-215. 1 (a)(6) in the manner and extent shown in
Attachment A. In accordance with the maximums. established by G.S. 143-215.6A(a)(2), a civil penalty maybe assessed
against any person who violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a). .
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources, I, G. Landon Davidson,
P.G., Regional Supervisor, Asheville Regional Office hereby make the following civil penalty assessment against A&D
Water Service Inc:
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500
WAR

$100.00 1 of the 2 violations of 143-215. 1 (a)(6) and Permit No.N00073741, by discharging waste water into
the waters of the State in violation of the Permit Daily Maximum for FCOLI BR.
$100.00 1 of the 2 violations of 143-215. 1 (a)(6) and Permit No.N00073741, by discharging waste water into
the waters of the State in violation of the Permit Daily Maximum for TSS - Cone.
$0.00 0 of the 1 violations of 143-215. 1 (a)(6) and Permit No.N00073741, by discharging waste water into
the waters of the State in violation of the Permit Monthly Average for BOD - Conc.
$200.00 TOTAL CIVIL PENALTY
$116.62 Enforcement Costs
$316.62 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty (30) days of receipt of this notice, you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option 1: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality (do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Option 2: Submit a written request for remission or mitigation including a detailed justification for such
request:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative bearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted, and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved, the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.l(b) was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission of Civil Penalties,
Waiver of Riaht to an Administrative Hearing. and Stipulation of Facts" form within thirty (30) days of receipt of this
notice. The Division of Water Resources also reauests that you complete and submit the enclosed "Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Option 3: File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with
the Office of Administrative Hearings within thirty (3 0) days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile (fax) or electronic mail by an attached file (with restrictions) - provided
the signed original, one (1) copy and a filing fee (if a filing fee is required byNCGS §15013-23.2) is received in the
Office of Administrative Hearings within seven (7) business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Tel: [phone]
Fax: [phone]
One (1) copy of the petition must also be served on DEQ as follows:
Mr. Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (3 0) days of receipt of this letter, as evidenced by an internal
date/time received stamp (not a postmark), will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions, please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at [phone] or via email [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
NPDES Compliance/Enforcement Unit - Enforcement File
Ga4R;�yQlHenderson`S�'v[ewarar'a�•tinnr�_�li�witnin Valley 737411LV 2016-02u7.nf

JUSTIFICATION FOR RENIISSION REQUEST
Case Number: LV-2016-0207
Assessed Party: A&D Water Service Inc
Permit No.: NC0073741
County: Henderson
Amount Assessed: $316.62
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission.. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed.. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 143B-282.1(c), remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.l(b) were wrongfully applied to the
detriment of the petitioner (the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation (i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i. e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

STATE OF NORTH CAROLINA
COUNTY OF HENDERSON
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST
A&D Water Service Inc
Mountain Valley WWTP
PERMIT NO. NCO073741
DEPARTMENT OF ENVIRONMENTAL QUALITY
WAIVER OF RIGHT TO AN
ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
CASE NO. LV-2016-0207
Having been assessed civil penalties totaling $316.62 for violation(s) as set forth in the assessment document of the Division
of Water Resources dated October 17, 2016, the undersigned, desiring to seek remission of the civil penalty, does hereby
waive the right to an administrative hearing in the above -stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty (30) days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after (30) days from the receipt of the
notice of assessment.
This the
day of
V11N131.11�1.Y
TELEPHONE
SIGNATURE
20

ATTACHMENT A
A&D Water Service Inc
CASE NUMBER: LV-2016-0207
PERMIT:
NCO073741
REGION: 'Asheville
FACILITY:
Mountain Valley WWTP
COUNTY:
Henderson
LIMIT VIOLATION(S)
SAMPLE LOCATION:
Outfall 001 - Effluent
Violation
Report
Unit of
Limit
Calculated
% Over
Violation
Penalty
Date
MonthNr
Parameter
Frequency
Measure
Value
Value
Limit
Type
Amount
6/30/2016
6-2016
BOD, 5-Day (20 Deg.
Weekly
mg/I
30
32.60
8.7
Monthly
$0.00
C) - Concentration
Average
Exceeded
6/2/2016
6-2016
Coliform, Fecal MF,
Weekly
#/100m1
400
600
50.0
Daily Maximum
$100.00
MFC Broth, 44.5 C
Exceeded
6/30/2016
6-2016
Coliform, Fecal MF,
Weekly
#/100m1
400
440
10.0
Daily Maximum
$0.00
MFC Broth, 44.5 C
Exceeded
6/2/2016
6-2016
Solids, Total
Weekly
mg/I
45
52
15.6
Daily Maximum
$0.00
Suspended-
Exceeded
Concentration
6/16/2016
6-2016
Solids, Total
Weekly
mg/I
45
59
31.1
Daily Maximum
$100.00
Suspended-
Exceeded
Concentration

DIVISION OF WATER RESOURCES - CIVIL PENALTY ASSESSMENT (File)
Violator: A&D Water Service Inc
Facility Name: Mountain Valley WWTP
Permit Number: NCO073741
County: Henderson
Case Number: LV-2016-0207
ASSESSMENT FACTORS
1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
All effluent violations may be detrimental to the receiving stream but may not be immediately quantified.
2) The duration and gravity of the violation;
One Monthly e� BOD exceeded the permit limit by 8.66%.
Two Daily Max Fecals exceeded the permit limit by 50% & 10%.
Two Daily Max TSSs exceeded the permit limit by 15.5 % & 31.1%.
3) The effect on ground or surface water quantity or quality or on air quality;
All effluent violations may be detrimental to the receiving stream but may not be immediately quantified.
4) The cost of rectifying the damage;
The cost is unknown.
5) The amount of money saved by noncompliance;
The amount of money saved would include the cost of excess solids removal and additional aeration. It
would also include more operating and maintenance time on site and the cost of additional chemical
treatment.
The amount of money saved would include the cost of collection of the additional samples and the cost of
analyzing them at a certified lab.
6) Whether the violation was committed willfully or intentionally;
It does not appear to be either.
7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
There have been no civil penalty enforcements in the twelve months prior to this violation.
8) The cost to the State of the enforcement procedures.
$116.62
/-0-/'Q . (a
Date
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ

EFFLUENT
NPDES PERMIT NO.—NCO073741 DISCHARGE NO.—
1 MONTH JUNE YEAR 2016
FACILITYNAME MOUNTAIN VALLEY S/D
CLASt II COUNTY_ Henderson
CERTIFIED LABORATORY (1) Environmental Testing
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (C TOM KILPATRICK
GRADE 4 CERTIFICATIONNC 5983
PERSON(S) COLLECTING SANT VI T EDWARDS
ORC PHO ,- 828-243-1784
CHECK BOX IF ORC HAS CHANGED`
LOB W /DISCHARGE FROM SITE,,
Mail ORIGINAL and ONE COP Q '�
ATTN: CENTRAL FILES l.e tl
DIVISION OF WATER QUALITY
ATURLrOYOPEICOR
IN RES ONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER
Y THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH NC 27699-1617
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
m
E
50050
00010
00400
50060
00310
00610,
00530
31616
00300
00600
00665
00076
A
4)..I
E
c
FLOIfl!
W
? Z
p
w
ENTER PARAMETER CODE ABOVE NAME AND
I vo
a
EFF
F�
y
iv
W
D
Lu
(jW
Jo
Q�
UNITS BELOWO
AWF
O
OO
F
�Y
OaJ
�
C41INIF
3
adisin(ec-ao
TURB.
HRS
III 'YB
MGD
C
UNITS
UG/L
MG/L
MG/L
MG/L
#/100ML
MG/L
MG/L
MG/L
' NTU
•`: ::::::
'::i
21 6:1510.51
B
1 0.005
..........
1
36
5.5
It 52
11-600 0
4
1
1
0.004
: 5 :91)4
w—
EEMM::EiE:E
6 7:25
0.5
B
0.006
7 Sp/E2QOils
8 5:55
0.3
B
0.004
M
NEE
10
0.005
121
1
1
1 0.005
6:05
0.31
B
1 0.003
�28
&ilk:
f23
b005E
:'• E
i '•5
6:15
0.4
B
0.006
36
0.005
59 11 82
.�.+.emc w..:.aa�ansaeasee6e8t�81f83�1ff9l1i9i7
LAZY
MMMMM
6:05 0.31 B 1 0.003
615 Fi3 EiE�i6' isEE E:;EEEEfEiE;EEi
6:25 0.31 B 0.006 42
AVERAGE 0.005 24.25 28 32.60 2.
I�ftA7E1M1'fi1�EiEOiQQ9::�E��•�::E':::i; :•:��:::�'.:� • E:�=::�:�:�:�:' • :�:�E�:::'�
MINIMUM 0.002 23 6.2 1 Z 28 11 0.1
30
7
;.45 140.84 #DIV/01
2.7 32 0
30 200/100 S
D Q Form MR-1 (11/04)�—
RMILMARARRSHMAZIM
_iz,
AUG w 1 201
lihi Regional 0P81114710ns 1

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) E�]
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 time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time
the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit..
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I "am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations"
A & D Water Service, Inc.
Permittee (Please print or type)
Signature of Pe ttee*** Date
(Required unless submitted electronically)
P.O. Box 1407 Pisgah Forest, NC 28768 ...[phone] ... admaint(c),citcom.net Oct. 31 2015
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
http://portal.ncdenr.org/web/wq/swp/ps/npdes/appforms.
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
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

Vincent Edwards
3790 Willow Rd.
Hendersonville NC, 28739
[e-mail]
7/12/16
ATTN. CENTRAL FILES
DIVISION OF WATER QULITY
1617 MAIL SERVICE CENTER
RALEIGH, NC, 27699-1617
Subject: Non -Compliance
JUNE 2016
NPDES # NC0073741
Dear Sir or Madam;
Mountain Valley S/D (NC0073741) was in Non -Compliance for a monthly BOD and
weekly Total Suspended Solids and Fecal for the month of June 2016. The volation was due to
Mt. Valley WWTP became upset, to correct the problem I seeded the plant on June 21st and
also increast the timer on the blower to increast DO.
If you have any question or require additional information, please feel free to contact me at
[phone].
Sincerely, W
Vincent Edwards
1

-rterReraurc�s
1VY.tR0 ki£ttlALdtJ4UIti
Certified Mail # 7015 1520 0003 5463 0097
Return Receipt Requested
October 17, 2016
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 28768
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.l(a)(6)
and NPDES WW Permit No. NCO073741
A&D Water Service Inc
Mountain Valley WWTP
Case No. LV-2016-0207
Henderson County
Dear Permittee:
P?T MCGRgR
<iiifaast�trr
'1 1M fERIi1i; 1V
�},9C;iidF
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $316.62 ($200.00 civil penalty +
$116.62 enforcement costs) against A&D Water Service Inc.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report (DMR)
submitted by A&D Water Service Inc for the month of June 2016. This review has shown the subject facility to be in
violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No. NC0073741. The
violations, which occurred in June 2016, are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that A&D Water Service Inc violated the terms, conditions or
requirements of NPDES WW Permit No. NCO073741 and G.S. 143-215.1(a)(6) in the manner and extent shown in
Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2), a civil penalty may be assessed
against any person who violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources, I, G. Landon Davidson,
P.G., Regional Supervisor, Asheville Regional Office hereby make the following civil penalty assessment against A&D
Water Service Inc:
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

$100.00 1 of the 2 violations of 143-215.1(a)(6) and Permit No.NC0073741, by discharging wastewater into
the waters of the State in violation of the Permit Daily Maximum for FCOLI BR.
$100.00 1 of the 2 violations of 143-215.l(a)(6) and Permit No.NC0073741, by discharging waste water into
the waters of the State in violation of the Permit Daily Maximum for TSS - Cone.
$0.00 0 of the 1 violations of 143-215.1(a)(6) and Permit No.NC0073741, by discharging waste water into
the waters of the State in violation of the Permit Monthly Average for BOD - Cone.
$200.00 TOTAL CIVIL PENALTY
$116.62 Enforcement Costs
$316.62 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282. 1 (b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
(2) The duration and, gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty (30) days of receipt of this notice, you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option 1: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality (do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Option 2: Submit a written request for remission or mitigation including a detailed justification for such
request:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted, and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved, the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b) was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form within thigy Q 0) days of receipt of this
notice. The Division of Water Resources also requests that you complete and submit the enclosed "Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Option 3: File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with
the Office of Administrative Hearings within thirty (3 0) days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile (fax) or electronic mail by an attached file (with restrictions) - provided
the signed original, one (1) copy and a filing fee (if a filing fee is required by NCGS §150B-23.2) is received in the
Office of Administrative Hearings within seven (7) business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Tel: [phone]
Fax: [phone]
One (1) copy of the petition must also be served on DEQ as follows:
Mr. Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this letter, as evidenced by an internal
date/time received stamp (not a postmark), will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions, please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at [phone] or via email [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
C.i` �VR\4VO\I-iendcrsun\�4astcwai<r\ Minor J[ountnin Vnllcp 7374]XIN-2016-020 of

JUSTIFICATION FOR REMISSION REQUEST
Case Number: LV-2016-0207
Assessed Party: A&D Water Service Inc
Permit No.: NC0073741
County: Henderson
Amount Assessed: $316.62
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 14313-282.1(c), remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282.1(b) were wrongfully applied to the
detriment of the petitioner (the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation (i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (Le., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

STATE OF NORTH CAROLINA
COUNTY OF HENDERSON
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST
A&D Water Service Inc
Mountain Valley WWTP
PERMIT NO. NCO073741
DEPARTMENT OF ENVIRONMENTAL QUALITY
WAIVER OF RIGHT TO AN
ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
CASE NO. LV-2016-0207
Having been assessed civil penalties totaling $316.62 for violation(s) as set forth in the assessment document of the Division
of Water Resources dated October 17, 2016, the undersigned, desiring to seek remission of the civil penalty, does hereby
waive the right to an administrative hearing in the above -stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty (30) days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after (30) days from the receipt of the
notice of assessment.
This the day of , 20
SIGNATURE
ADDRESS
liJIt"0:1612111

ATTACHMENT A
A&D Water Service Inc
CASE NUMBER: LV-2016-0207
PERMIT: NCO073741
REGION:
Asheville
FACILITY: Mountain Valley WWTP
COUNTY:
Henderson
LIMIT VIOLATION(S)
SAMPLE LOCATION: Outfall 001 - Effluent
Violation Report
Unit of Limit Calculated % Over
Violation Penalty
Date MonthNr Parameter
Frequency Measure Value Value Limit
Type Amount
6/30/2016 6-2016 BOD, 5-Day (20 Deg.
Weekly mg/I 30 32.60 8.7
Monthly $0.00
C) - Concentration
Average
Exceeded
6/2/2016
6-2016
Coliform, Fecal MF,
Weekly
#/loom[
400
600
50.0
Daily Maximum
$100.00
MFC Broth, 44.5 C
Exceeded
6/30/2016
6-2016
Coliform, Fecal MF,
Weekly
#/loom[
400
440
10.0
Daily Maximum
$0.00
MFC Broth, 44.5 C
Exceeded
6/2/2016
6-2016
Solids, Total
Weekly
mg/I
45
52
15.6
Daily Maximum
$0.00
Suspended-
Exceeded
Concentration
6/16/2016
6-2016
Solids, Total
Weekly
mg/I
45
59
31.1
Daily Maximum
$100.00
Suspended-
Exceeded
Concentration

EFFLUENT
NPDES PERMIT NO.—NCO073741 DISCHARGENO._
1 MONTH JUNE YEAR 2016
FACILITYNAME MOUNTAIN VALLEY S/D
CLAS' II COUNTY_ Henderson
CERTIFIED LABORATORY (1)_ Environmental Testing
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (C TOM KI LPATRIC
GRADF 4 CERTIFICATION NC 5983
PERSON(S) COLLECTING SAW VINCENT EDWARDS
ORC PH O 828-243-1784
C P
CHECK BOX IF ORC HAS CHANGED O
LOW / DISCHARGE FROM SITE * 0
Mail ORIGINAL and ONE COPPp: r
ATTN: CENTRAL FILES 1�
X
/)
DIVISION OF WATER QUALITY
A O PE
OR IN RESPONSIBLE CHARGE) DATE -
1617 MAIL SERVICE CENTER
Y THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH NC 27699-1617
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
m
E
50050 1 00010
00400
1 50060
00310
006104
00530
;31616
00300
00600
1 00665
100076
r3,FLOW
>
F'
w
Q _Z
p
N
ENTER PARAMETER CODE ABOVE NAME AND
o
oINF
EFF
�u�-i
G
w=
a W
00
J G
J
III 2
J W
UNITS BELOW
A
RI
a
Oo
mw
la-w
O=
UIOi
111
p0
F�-O
O~
laa
oa
OC.
a
��
wU
❑UV
aZ
a0
oN
p0
36 1 5.5
4 1 1 1 0.004
6 7:25 0.5 B 1 0.006
8 5:5510.31 B 1 0.004
6:05 0.31 B 1 0.009
S$51 44EE4E005 E
1:00 0.31 B 1 0.006
am
g888
1 11 •fit
;
�
"
. i 7
i
IIIIIIIIIIIIIIJA��.<Io�ltl3-may
II I —__-
tiamP+i4 :a RraP:. - �? � �:�:�:�:�:::::. �:::�::E:i:i�i .�� ::::::::::: ..:::::::::: ...:::::::;:;: �;:::;:;:;:; :;::::;::: - - - •::r: v:::a>.;.;;•:•:•:;:;;;;;:;;;:::;::;;:.;.;.:.;
Monthly t .OZOMGD 6.0-90 281 30 1 30 200/100 K.
'1✓°T
AUG m0::
G
/� l;l,J Rnmonal opera4ions t
D Q Form MIt 1 (I1/04) ,/Q �� /� /R V/

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) El
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements F7
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 time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time
the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part H.E.6 of the NPDES permit.,
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
A & D Water Service, Inc.
Permittee (Please print or type)
00
ignature of Pe ttee*** Date
(Required unless submitted electronically)
P.O. Box 1407 Pisgah Forest, NC 28768 ...[phone] ... admaintna citcom.net Oct. 31 2015
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
http://portal.ncdenr.org/web/wq/swp/ps/npdes/appforms.
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
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

Vincent Edwards
3790 Willow Rd.
Hendersonville N.C. 28739
[e-mail]
7/12/16
ATTN. CENTRAL FILES
DIVISION OF WATER QULITY
1617 MAIL SERVICE CENTER
RALEIGH, NC, 27699-1617
Subject: Non -Compliance
JUNE 2016
NPDES # NC0073741
Dear Sir or Madam;
Mountain Valley S/D (NC0073741) was in Non -Compliance for a monthly BOD and
weekly Total Suspended Solids and Fecal for the month of June 2016. The violation was due to
Mt. Valley WWTP became upset, to correct the problem I seeded the plant on June 21st and
also increast the timer on the blower to increast DO.
If you have any question or require additional information, please feel free to contact me at
[phone].
Sincerely,
Vincent Edwards
1

Permit Enforcement History Details by Owner
10/1712016
1
Owner:
A&D Water Service Inc
Facility :
Mountain Valley WWTP
Permit:
NCO073741
Region :
Asheville
County Henderson
Penalty
Remission Enf
Enf
EMC EMC OAH
Collection
Has
Assessment
Penalty
Enforcement Request Conf
Remission
Hearing Remission Remission
MemoSent
Total
Balance Pmt Case
Case
MR Approved
PP
Amount
Damages Received Held
Costs
Amount
Held Amount Amount
To AGO
Paid
Due Plan Closed
Number
LV-2002-0293 8/12/02
$250.00
$122.04
$372.04
$0.00 No 8/27/02
Total Cases:
1 Total Penalty Amount:
$250 Total Enforcement Cost:
$122.04
Sum Of Total Paid: $372.04
Total Balance Due:
$0.00
Sum of Total Case Penalties:
$372.04
Total Penalties After Remissions:
$372.04

DIVISION OF WATER RESOURCES - CIVIL PENALTY ASSESSMENT (File)
Violator: A&D Water Service Inc
Facility Name: Mountain Valley WWTP
Permit Number: NCO073741
County: Henderson
Case Number: LV-2016-0207
ASSESSMENT FACTORS
1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
All effluent violations may be detrimental to the receiving stream but may not be immediately quantified.
2) The duration and gravity of the violation;
One Monthly Average exceeded the permit limit by 8.66%.
Two Daily Max Fecals exceeded the permit limit by 50% & 10%.
Two Daily Max TSSs exceeded the permit limit by 15.5 % & 31.1%.
3) The effect on ground or surface water quantity or quality or on air quality;
All effluent violations may be detrimental to the receiving stream but may not be immediately quantified.
4) The cost of rectifying the damage;
The cost is unknown.
5) The amount of money saved by noncompliance;
The amount of money saved would include the cost of excess solids removal and additional aeration. It
would also include more operating and maintenance time on site and the cost of additional chemical
treatment.
The amount of money saved would include the cost of collection of the additional samples and the cost of
analyzing them at a certified lab.
6) Whether the violation was committed willfully or intentionally;
It *does not appear to be either.
7) The prior record of the violator in complying or failing to comply with programs over which the Environmental,
Management Commission has regulatory authority; and
There have been no civil penalty enforcements in the twelve months prior to this violation.
8) The cost to the State of the enforcement procedures.
$116.62
Date G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ

Certified Mail # 7014 0510 0000 4466 4504
Return Receipt Requested
September 14, 2016
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 28768
SUBJECT: NOTICE OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2016-LV-0511
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
Dear Permittee:
A review of the June 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample
Limit
Reported
Location
Parameter
Date
Value
Value
Type of Violation
001 Effluent
Coliform, Fecal MF, MFC Broth,
6/2/2016
400
600
Daily Maximum Exceeded
44.5 C (31616)
001 Effluent
Solids, Total Suspended -
6/2/2016
45
52
Daily Maximum Exceeded
Concentration (CO530)
001 Effluent
Solids, Total Suspended -
6/16/2016
45
59
Daily Maximum Exceeded
Concentration (CO530)
001 Effluent
BOD, 5-Day (20 Deg. C) -
6/30/2016
30
32.6
Monthly Average Exceeded
Concentration (C0310)
001 Effluent
Coliform, Fecal MF, MFC Broth,
6/30/2016
400
440
Daily Maximum Exceeded
44.5 C (31616)
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty of not
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails
to act in accordance with the terms, conditions, .or requirements of any permit issued pursuant to G.S.
143-215.1.
If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the
violations. If no response is received in this Office within the 10-day period, a civil penalty
assessment may be prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder: Pursuant to Permit Condition 6 in Section E. the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
Please refer to the latest letter titled "Electronic Reporting Requirements" dated March 31, 2016, concerning_
registering to use the Division's new a-DMR system for the completion and electronic submittal of monthly
Discharge Monitoring Reports (DMRs).
Your facility will be required to report your Discharge Monitoring Reports electronically by December 21, 2016.
For more information, please visit the eDMR Website at the following address:
http://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville -Regional Ofhce =Enforcement
NPDES Compliance/Enforcement Unit - Enforcement File
G:\WR\WQ\Henderson\VJastewater\Minors\Mountain Valley 73741\NOV-NOI-2016-1V-0511.rtf

Certified Mail # 7014 0510 0000 4466 4804
Return Receipt Requested
September 14, 2016
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 28768
P, T ZviCGRC3R�
�Th T �r _ �•+ p S t Grii:�rnar
b►uecl�
SUBJECT: NOTICE OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2016-LV-0511
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
Dear Permittee:
A review of the June 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent
Coliform, Fecal MF, MFC Broth,
6/2/2016
400
600
Daily Maximum Exceeded
44.5 C (31616)
001 Effluent
Solids, Total Suspended -
6/2/2016
45
52
Daily Maximum Exceeded
Concentration (CO530)
001 Effluent
Solids, Total Suspended -
6/16/2016
45
59
Daily Maximum Exceeded
Concentration (CO530)
001 Effluent
BOD, 5-Day (20 Deg. C) -
6/30/2016
30
32.6
Monthly Average Exceeded
Concentration (C0310)
001 Effluent
Coliform, Fecal MF, MFC Broth,
6/30/2016
400
440
Daily Maximum Exceeded
44.5 C (31616)
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty of not
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails
to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the
violations. If no response is received in this Office within the 10-day period, a civil penalty
assessment may be prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder: Pursuant to Permit Condition 6 in Section E, the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
Please refer to the latest letter titled "Electronic Reporting Requirements" dated March 31, 2016, concerning
registering to use the Division's new a-DMR system for the completion and electronic submittal of monthly
Discharge Monitoring Reports (DMRs).
Your facility will be required to report your Discharge Monitoring Reports electronically by December 21, 2016.
For more information, please visit the eDMR Website at the following address:
http://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
G:\WR\WQ\Henderson\Wastewater\Minors\Mountain Valley 73741\N0V-N0I-2016-LV-0511.rtf

Certified Mail # 70151520 0003 5463 4743
Return Receipt Requested
April 04, 2017
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 28768
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES WW Permit No. NCO073741
A&D Water Service Inc
Mountain Valley WWTP
Case No. LV-2017-0105
Henderson County
Dear Permittee:
_.This=letter..trangniits"a Notice: of Violationand ass..essment of civil penalty_in_the_aino>uit of $216:62 ($100:00."civil_ penalty,+_
$116.62 enforcement costs) against A&D Water Service Inc.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report (DMR)
submitted by A&D Water Service Inc for the month of September 2016. This review has shown the subject facility to be in
violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No. NC0073741. The
violations, which occurred in September 2016, are summarized in Attachment. A to this letter.
Based upon the above facts, I conclude as a matter of law that A&D Water Service Inc violated the terms., conditions or
requirements ofNPDES WW Permit No. NCO073741 and G.S. 143-215. 1 (a)(6) in the manner and extent shown in
Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2), a civil penalty may be assessed
against any person who violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources, I, G. Landon Davidson,
P.G., Regional Supervisor, Asheville Regional Office hereby make the following civil penalty assessment against A&D
Water Service Inc:
State of North Carolina 1. Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

$100.00 1 of the 1 violations of 143-215. 1 (a)(6) and Permit No.N00073741, by discharging wastewater into
the waters of the State in violation of the Permit Daily Maximum for FCOLI BR.
$0.00 0 of the 1-violations of 143-215.l(a)(6) and Permit No.N00073741, by discharging waste water into
the waters of the State in violation of the Permit Daily Maximum for TSS - Cone.
$100.00 TOTAL CIVIL PENALTY
$116.62 Enforcement Costs
$216.62 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty (30) days of receipt of this notice, you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option I: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality (do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Option 2: Submit a written request for remission or mitigation including a detailed justification for such
request:
Please be aware that a request -for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted, and submit it to the Division of Water Resources at the address listed below.
In determining whether a -remission request -will be approved, the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b) was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) -whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted -in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form within thiM (30) dgys of receipt of this
notice. The Division of Water Resources also requests that you complete and submit the enclosed "Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Option 3: File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form,from the Office of Administrative Hearings. You must file the petition with
the Office of Administrative Hearings within thirty (3 0) days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile (fax) or electronic mail by an attached file (with restrictions) - provided
the signed original, one (1) copy and a filing fee (if a filing fee is required by NCGS §150B-23.2) is received in the
Office of Administrative Hearings within seven (7) business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Tel: [phone]
Fax: [phone]
One (1) copy of the petition must also be served on DEQ as follows:
Mr. William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise.one of the options above within thirty (30) days of receipt of this letter, as evidenced by an internal -
=date/time received stanip-(not a:postmark);will result in this matter being referred to the Attorney General's Office -for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions, please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at [phone] or via email [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
`h1tQS:A-le Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Vincent Edwards/ ORC
G:iWR\4VQiHendecsuniWnstex;3ter\D•tinors;fligh Vista Falls 890951VN 2017-0103.nf

JUSTIFICATION FOR REMISSION REQUEST
Case Number: LV-2017-0105 County: Henderson
Assessed Party: A&D Water Service Inc/ Mountain Valley WWTP
Permit No.: NC0073741 Amount Assessed: $216.62
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.5. § 143B-282.1(c), remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.1(b) were wrongfully, applied to the
detriment of the petitioner (the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation (i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations; .
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment'of the civil penalty willprevent event you from performing the activities necessary to achieve
compliance).
EXPLANATION:

STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF HENDERSON
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
A&D Water Service Inc )
Mountain Valley WWTP )
PERMIT NO. NCO073741 ) CASE NO. LV-2017-0105
Having been assessed civil penalties totaling $216.62 for violation(s) as set forth in the assessment document of the Division
of Water Resources dated April 04, 2017) the undersigned, desiring to seek remission of the civil penalty, does hereby
waive the right to an administrative hearing in the above -stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty (30) days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after (30) days from the receipt of the
notice of assessment.
This the day of .520
SIGNATURE
ADDRESS
TELEPHONE

ATTACHMENT A
A&D Water Service Inc
CASE NUMBER: LV-2017-0105
PERMIT: - NCO073741
FACILITY: Mountain. Valley WWTP
LIMIT VIOLATION(S)
SAMPLE LOCATION: Outfall 001 - Effluent
REGION: Asheville
COUNTY: Henderson
Violation
Date
Report
Month/Yr
Parameter
Frequency
Unit of
Measure
Limit
Value
Calculated
Value
% Over
Limit
Violation
Type
Penalty
Amount
9/1/2016
9-2016
Coliform, Fecal MF,
Weekly
#/100ml
400
600
50.0
Daily
$100.00
MFC Broth, 44.5 C
Maximum
Exceeded
9/22/2016
9-2016
Solids, Total
Weekly
mg/I
45
50
11.1
Daily
$0.00
Suspended-
Maximum
Concentration
Exceeded

bIVISION OF WATER RESOURCES - CIVIL PENALTY ASSESSMENT (File)
Violator: A&D Water Service Inc
Facility Name: Mountain Valley WWTP
Permit Number: NCO073741
County: Henderson
Case Number: LV-2017-0105
ASSESSMENT FACTORS
1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;.
All effluent violations may be detrimental to the receiving stream but may not be immediately quantified.
2) The duration and gravity of the violation;
One Daily Max Fecal Coliform exceeded the permit limit by 50 %.
One Daily Max TSS exceeded the permit limit by 11.11%.
3) The effect on ground or surface water quantity or quality or on air quality;
All effluent violations may be detrimental to the receiving stream but may not be immediately quantified.
4) The cost of rectifying the damage;
The.cost is unknown.
5) The amount of money saved by noncompliance;
The amount of money saved is unknown.
The amount of money saved would include the cost of excess solids removal and additional aeration. It
would also include more operating and maintenance time on site and the cost of additional chemical
treatment.
The amount of money saved would include the cost of collection of the additional samples and the cost of
analyzing them at a certified lab.
6)- Whether the violation was committed willfully or, intentionally;
It does not appear to be either.
7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
There has been one civil penalty enforcement in the twelve months prior to this violation.
8) The cost to the State of the enforcement procedures.
$116.62
Date G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ

;1�Ol�;,CQCIPEI�
MTHt�Es, R>dGA%i
Jam -
Certified Mail # 7015 1520 0003 5463 4743
Return Receipt Requested
April 04, 2017
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 28768
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES WW Permit No. NCO073741
A&D Water Service Inc
Mountain Valley WWTP
Case No. LV-2017-0105
Henderson County
Dear Permittee:
penalty in the_amount of .$216.62 $100 00 civil enal,. +
This..letter.transmits a Notice of Violation and assessment of civil p ty::. _ _ _ (-, .. p ty .
$116.62 enforcement'costs) against A&D Water Service Inc.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report (DMR)
submitted by A&D Water Service Inc for the month of September 2016. This review has shown the subject facility to be in
violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No. NC0073741. The
violations, which occurred in September 2016, are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that A&D Water Service Inc violated the terms, conditions or
requirements of NPDES WW Permit No. NCO073741 and G.S. 143-215.1(a)(6) in the manner and extent shown in
Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2), a civil penalty maybe assessed
against any person who violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources, I, G. Landon Davidson,
P.G., Regional Supervisor, Asheville Regional Office hereby make the following civil penalty assessment against A&D
Water Service Inc:
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

$100.00 1 of the 1 violations of 143-215.1(a)(6) and Permit No.NC0073741, by discharging wastewater into
the waters of the State in violation of the Permit Daily Maximum for FCOLI BR.
$0.00 0 of the 1 violations of 143-215.1(a)(6) and Permit No.N00073741, by discharging waste water into
the waters of the State in violation of the Permit Daily Maximum for TSS - Conc.
$100.00 TOTAL CIVIL PENALTY
$116.62 Enforcement Costs
$216.62 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty (30) days of receipt of this notice, you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option 1: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality (do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

ption 2: Submit a written request for remission or mitigation including a detailed justification for such
request:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted, and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved, the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282. 1 (b) was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form within thirty (30) days of receipt of this
notice. The Division of Water Resources also requests that you complete and submit the enclosed "Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Option 3: File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with
the Office of Administrative Hearings within thirty (3 0) days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile (fax) or electronic mail by an attached file (with restrictions) - provided
the signed original, one (1) copy and a filing fee (if a filing fee is required by NCGS § 150B-23.2) is received in the
Office of Administrative Hearings within seven (7) business days following the faxed or electronic transmission. • You
should contact the Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Tel: [phone]
Fax: [phone]
One (1) copy of the petition must also be served on DEQ as follows:
Mr. William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this letter, as evidenced by an internal
-date/time received 'stamp(not-a postmark), wil-result in this -matter being referred -to the Attorney General's Office -for -
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions, please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at [phone] or via email [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Vincent Edwards/ ORC
ti.tiVR\NQ\Henderson',Wastewater\\-finor.,\fiigh Vista Falls 39005\LV-2017-0105.rtF

JUSTIFICATION FOR REMISSION REQUEST
Case Number: LV-2017-0105 County: Henderson
Assessed Party: A&D Water Service Inc/ Mountain Valley WWTP
Permit No.: NC0073741 Amount Assessed: $216.62
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 143B-282.1(c), remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282.1(b) were wrongfully applied to the
detriment of the .petitioner (the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation (i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing theactivities necessary to achieve
compliance).
EXPLANATION:

STATE OF NORTH CAROLINA
COUNTY OF HENDERSON
IN THE MATTER OF ASSESSMENT
OF CIVIL PENALTIES AGAINST
A&D Water Service Inc
Mountain Valley WWTP
PERMIT NO. NCO073741
DEPARTMENT OF ENVIRONMENTAL QUALITY
WAIVER OF RIGHT TO AN
ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
CASE NO. LV-2017-0105
Having been assessed civil penalties totaling $216.62 for violation(s) as set forth in the assessment document of the Division
of Water Resources dated April 04, 2017, the undersigned, desiring to seek remission of the civil penalty, does hereby
waive the right to an administrative hearing in the above -stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty (30) days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after (30) days from the receipt of the
notice of assessment.
This the
day of
ADDRESS
TELEPHONE
SIGNATURE
20

ATTACHMENT A
A&D Water Service Inc
CASE NUMBER: LV-2017-0105
PERMIT:
NCO073741
REGION:
Asheville
FACILITY:
Mountain
Valley WWTP
COUNTY:
Henderson
LIMIT VIOLATION(S)
SAMPLE LOCATION:
Outfall 001 - Effluent
Violation
Report
Unit of Limit Calculated % Over
Violation
Penalty
Date
MonthNr
Parameter
Frequency Measure Value
Value` Limit
Type
Amount
9/1/2016
9-2016
Coliform, Fecal MF,
Weekly #/100ml 400
600 50.0
Daily
$100.00
MFC Broth, 44.5 C
Maximum
Exceeded
9/22/2016
9-2016
Solids, Total
Weekly mg/I 45
50 11.1
Daily
$0.00
Suspended-
Maximum
Concentration
Exceeded

EFFLUENT
NPDES PERMIT No.— NCO073741 DISCHARGER- 1 MONTH SETEMBEFYBAR 2016
FACILTTYNAME MOUNTAIN VALLEY S%D CLASS II COUNTY_ Henderson
CERTIFIED LABORATORY (1)_ Environmental Testing
(list additional laboratories on the backside/page 2 of this form) 0 C T 2 7 2016
OPERATOR IN RESPONSIBLE CHARGE (OF VINCENT EDWA DS GRADE 4 CERTIFICATION NC 10940
PERSON(S) COLLECTING SAMPL VINCENT EDWARDS RC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED OW / DISCHARGE FROM SITE * CI
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES x
DIVISION OF WATER QUALITY ( A OF OPERATOR IN RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH NC 27699-1617 ACCURATE AND C TETHE BEST OF MY KNOWLEDGE.
d
E
50050
1 00010
00400
1 50060
00310
00610
oo536W
316164
00300
00600
1 00665
00076
F
U
a o
ao
p
d
E
�'
G
x
c
y
:tg>
y
O
O
FLOW
�
~2
�wx
aW
°
J W
Q Z
>
W0
tYv
�nteehou
GV
Oo00
ma
Q
Z
gam':
ZV
J<-Z
g
.QO
WJ'
p'
W Z
jW
0}0}HOi-ad
NX
G
Z
QO
OR
rn
QO
Oy
iF
ENTER PARAMETER CODE ABOVE NAME AND
UNITS BELOW
EFF ❑
INF
TURB.
�w
GF
HRS
YB
MGD
° C
UNITS
UG/L
I MG/L
MG/L
MG&A
_
MG/L
-MG/L
MG/L
NTU
7, 05
two
:� 3..:
- i
Y,x� Q�zS.s..
'Yi F C {
'>•<�: ,P ...'.x
7'] k 3' `t' i
ir,... .j
yak_ as
hr.;.24_.„..
,6.QV4'��.i.�,t
2
0 006
23
4
0.006
Kh
-::
'Y
nnO,V6
Ft sQ L1.:
6
10:33
0.3
0.004
23
6.6
28
r;7
n°8,07,
;i 3
s.YG.
g.,xQ��04d{,
ir' ,✓m fs i:;fi
�rw.�aYsi`,� says �r
; .,t'28,.t, it
i,b�'F :�w
1 ta�h;"si`;.
�i 2,�,??�Sfi� rt�
�>nn ;�.r":,.
,�. `:'*��a5
�' �x.�+;��
I�,.tz4`�',",
�{#"ir �F�i
, tikt�riti�„>
�'� 2,, v .5,
wNwz + u_tr4i��,
8
801
03
Y
0005
12
0.17
11
f:•r
._
�}
_,- Y�n%
-
.!s sf y .Y >{y
V
5 LT.t3
F r M -. t'
{
,j
✓
'k:
A } e R
10
0.005
A
O2G'03{
`x�
{ Q UQ51a,
r...._n �,
r...w
.�.,,��.�
�"�..::r�
��.a.:F";�
s ,,.
rr3, s �.,,w,
:�.�, N`
e.�..,
:�
:��as •��F�7:t�
�;},
a�.�� �,,.�.i,r:.
12
7:35
0.3
Y
0.006
13
-_
d723.
RENN
u c t 3
16
0.005
i 7
Z ..
r,
'� ✓,
., t�
n3'�..;,.
3++� 0 Gf
1txYQJ,,�.
Mt' 4'W . k:..
_..w..
.fit..:;
ii h5 rr'f
.,. d; _ „ ..,�
4"`
. ,
ry i ; )
... SJ.,.. ,�, ,
18
0.005
20
14:35
0.5
Y
0.004
25
6.5
28
T. <
22
8:05
0.4
Y
0.000n4
14
50
2
21
"1143
'0` Q-dzr't:.lj
}
24
16:21
0.3
Y
0.004
< 8.6
'3
{ a }i
r�8. �r�
r� r
7,r.:-i
z s
a ��:.
°�, ,
.:a:0A06 ,.::
26
11:31
0.5
Y
0.006
28
7:58
0.4
Y 1
0.005
28
Nam
30
10:50
0.3
Y
0.005
3.1,_
b[1 S a! 3�`f[
b ,` �
�1.� �
rf.L
�-�i f t S,.Ii J'...
S { i;�, f�ia t5 '`f,`.
Fk�J "'L�?c`�i
F R `.,:4'�
''' � _i
I V* i+ if.
-rS � [�
} ��f
'•;a'AY. F'�
, :r[ S' SM1'}.a
�' i
.i';.
y �7.�-} 7 1
AVERAGE
0.005
25
{ 28
14.40
0.2
19.64
6.931
#DIV/01
_
MIIVntsUM
0 003
23
6.5
28
10
017
7
11
0
Monthly Limit
.01oMGD
6.0-90
28
30
30
200/100
F.//,
c OCT 3 1 201600 /,
/Water 01.fality Regional Operations
Ashevllfe flegional Otrice
DWQ F rm MR-1 (11/04) �--- ____

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) Fx
Compliant
All monitoring data and sampling frequencies do NOT meet permit require nts
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance th tt potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours`&© time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time
the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
A & D Water Service, Inc.
Permittee (Please print or type)
Signatur fPermittee*** Date
(Required unless submitted electronically)
P.O. Box 1407 Pisgah Forest, NC 28768 ...[phone] ... [e-mail] Oct. 31,2015
Permitt Adricess -. Phoue Number • - c-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
http://portal.ncdenr.org/wpb/wq/swp/ps/npdes/appforms.
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
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

Permit Enforcement History Details by Owner
4/3/2017
1
Owner:
A&D Water Service Inc
Facility :
Mountain Valley WWTP
'
Permit:
NCO073741
Region :
Asheville
County Henderson y
Penalty
Remission ' Enf Enf EMC EMC OAH Collection
Has
Assessment
Penalty Enforcement Request Conf Remission Hearing Remission Remission MemoSent Total
Balance Pmt Case
Case
MR Approved
PP
Damages Received Held Amount Held Amount Amount To AGO, Paid
Amount Costs
Due Plan Closed
Number
LV-2002-0293 8/12/02
$250.00 $122.04 $372.04
$0.00 No 8/27/02
LV-2016-0207 6-2016 10/17/16 $200.00 $116.62 3/15/17 $316.62 No
LV-2017-0105 9-2016 3/31/17 $100.00 $116.62 $216.62 No
Total Cases: 3 Total Penalty Amount: $550 Total Enforcement Cost: $355.28 Sum Of Total Paid: $372.04 Total Balance Due: $533.24
Sum of Total Case Penalties: $905.28 Total Penalties After Remissions: $905.28
s

DIVISION OF WATER RESOURCES - CIVIL PENALTY ASSESSMENT (File)
Violator: A&D Water Service Inc
Facility Name: Mountain Valley WWTP
Permit Number: NCO073741
County: Henderson
Case Number: LV-2017-0105
ASSESSMENT FACTORS
1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
All effluent violations may be detrimental to the receiving stream but may not be immediately quantified.
2) The duration and gravity of the violation;
One Daily Max Fecal Coliform exceeded the permit limit by 50 %.
One Daily Max TSS exceeded the permit limit by 11.11%.
3) The effect on ground or surface water quantity or quality or on air quality;
All effluent violations may be detrimental to the receiving stream but may not be immediately quantified.
4) The cost of rectifying the damage;
The cost is unknown.
5) The amount of money saved by noncompliance;
The amount of money saved is unknown.
The amount of money saved would include the cost of excess solids removal and additional aeration. It
would also include more operating and maintenance time on site and the cost of additional chemical
treatment.
The amount of money saved would include the cost of collection of the additional samples and the cost of
analyzing them at a certified lab.
Whether the violation was committed willfully or intentionally;
It does not appear to be either.
7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
There has been one civil penalty enforcement in the twelve months prior to this violation.
8) The cost to the State of the enforcement procedures.
$116.62
Date G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ

Certified Mail # 7015 1520 0003 5463 2770
Return Receipt Requested
February 7, 2017
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 28768
SUBJECT: NOTICE'OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2017-LV-0098
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
Dear Permittee:
Q review of the September 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the
violation(s) indicated below:
Limit Exceedance Violation(s):
Sample = _
Location Parameter Date
001 Effluent Coliform, Fecal MF, MFC Broth, 9/1/2016
44.5 C (31616)
-Limit _ Reported <--- --- --
Value Value Type of Violation
400
600 Daily Maximum Exceeded
001 Effluent . Solids, Total Suspended - 9/22/2016 45 50 Daily Maximum Exceeded
Concentration (C0530)
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's. NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty of not
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails
to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
Your facility was required to begin reporting your Discharge Monitoring Reports electronically by December 21,
2016, using the EDMR system.
It is noted that as of today this facility has not been registered for EDMR. Please call Janet Cantwell at this office
for information on registering your facility for EDMR.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your responsevill be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the
violations. If no response is received in this Office within the 10-day period, a civil penalty
assessment may be prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder: Pursuant to Permit Condition 6 in Section E, the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
NPDES Compliance/Enforcement Unit - Enforcement File
Vincent Edwards/ ORC
G:\WR\WQ\Henderson\Wastewater`Minors\Mountain Valley 73741�NOV-N0I-2017-LV-0098Af

Permit No.: NCO073741 Version: 4.00 Permt Status: Active
Owner/Permittee
Responsible Official:
Resp. Official Title:
Facility Name:
Facility Address:
A&D Water Service Inc
Aubrey L.Deaver
Owner
Mountain Valley WWTP
NCSR 1171
Etowah, NC 28729
Registered for eDMR? : No .
Facility Classification: WW-2
ORC Name Certification # Cert Status ORC Designation
Edwards, Vincent L. WW-4. / 10940 Active ORC
Chovan, Scott W. WW-4. / 7107 Active Backup
Page # : 5
Date: 2/7/2017

IM�te�~�orr�s�
Certified Mail # 7015 1520 0003 5463 2770
Return Receipt Requested
February 7, 2017
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 28768
SUBJECT: NOTICE OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2017-LV-0098
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
Dear Permittee:
p y, COOPER.
v
M'1'.0 lily G YV�f lti
;�dcrntet•�a;
_ w4
�irec�trii°<'
A review of the September 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the
violation(s) indicated below:
Limit Exceedance Violationlsl:
Sample _ Limit. Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Coliform, Fecal MF, MFC Broth, 9/1/2016 400 600 Daily Maximum Exceeded
44.5 C (31616)
001 Effluent Solids, Total Suspended - 9/22/2016 45 50 Daily Maximum Exceeded
Concentration (C0530)
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty of not
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails
to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
Your facility was required to begin reporting your Discharge Monitoring Reports electronically by December 21,
2016, using the EDMR system.
It is noted that as of today this facility has not been registered for EDMR. Please call Janet Cantwell at this office
for information on registering your facility for EDMR.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the,
violations. If no response is received in this Office within the 10-day period, a civil penalty
assessment may be prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder_: Pursuant to Permit Condition 6 in Section E. the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of -any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Vincent Edwards/ ORC
G:\WR\WQ\Henderson\Wastewater\Minors\Mountain Valley 73741\NOV-NOI-2017-1V-0098.rtf

. DocuSign Envelope ID: E023128F-9A1 E-4954-9380-505EFBCA8D7C
1�0
i^e YtYm�r;
Mt�iKaxlEcr
LRM CtMFERER--
Ixatar��tA'yaxroir
Certified Mail # 7017 2620 0000 9759 3806
Return Receipt Requested
October 29, 2018
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 28768-1407
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for. Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES WW Permit No. NC0073741
A&D Water Service Inc
Mountain Valley WWTP
Case No. LV-2018-0253
Henderson County
Dear Permittee:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $318.68 ($200.00 civil penalty
+ $118.68 enforcement costs) against A&D Water Service Inc.
This assessment is based upon the following facts: a review has been conducted of the Discharge Monitoring Report
(DMR) submitted by A&D Water Service Inc for the month of April 2018. This review has shown the subject facility to
be in violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No. NC0073741.
The violations, which occurred in April 2018, are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that A&D Water Service Inc violated the terms, conditions or
requirements of NPDES WW Permit No. NC0073741 and G.S. 143-215.1(a)(6) in the manner and extent shown in
Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2), a civil penalty maybe
assessed against any person who violates the terms, conditions or requirements of a permit required by G.S.
143-215.1(a).
North Carolina Department of Environmental Quality I Division of Water Resources
2090 U.S. 70 Highway, Swannanoa, NO 28778
828-296-4500

DocuSign Envelope ID: E023128F-9A1E-4954-9380-505EFBCA8D7C
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the
Secretary of the Department of Environmental Quality and the Director of the Division of Water Resources, I, G.
Landon Davidson, P.G., Regional Supervisor, Asheville Regional Office hereby make the following civil penalty
assessment against A&D Water Service Inc:
$200.00 2 of 2 violations of G.S. 143-215.1(a)(6) and Permit No. NC0073741, by discharging waste water
into the waters of the State in violation of the Permit Daily Maximum for Coliform, Fecal MF,
MFC Broth, 44.5 C
$200.00 TOTAL CIVIL PENALTY
$118.68 Enforcement Costs
$318.68 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 14313-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty (30) days of receipt of this notice, you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option 1: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality (do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of.
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

,. DocuSign Envelope ID: E023128F-9A1E-4954-9380-505EFBCA8D7C
Option 2: Submit a written request for remission or mitigation including a detailed justification for such
request:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted, and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved, the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b) was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form within thirty (30) days of receipt of this
notice. The Division of Water Resources also requests that you complete and submit the enclosed "Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

DocuSign Envelope ID: E023128F-9A1E-4954-9380-505EFBCA8D7C
Option 3: File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with
the Office of Administrative Hearings within thirty (30) days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile (fax) or electronic mail by an attached file (with restrictions) - provided
the signed original, one (1) copy and a filing fee (if a filing fee is required by NCGS § 15013-23.2) is received in the
Office of Administrative Hearings within seven (7) business days following the faxed or electronic transmission. You'
should contact the Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
6714 Mail Service Center
Raleigh, NC 27699 6714
Tel: [phone]
Fax: [phone]
One (1) copy of the petition must also be served on DEQ as follows:
Mr. William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this letter, as evidenced by an internal
date/time received stamp (not a postmark), will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions, please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at [phone] or via email [e-mail].
Sincerely,
DocuSigned by:
E \1-
7E617A38285848C...
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
Ec: DWQ Laserfiche
G:•�\'R1WQ`}lendarson Wastewater\hlinors!Lfoimtun Valley73741\3O181029_N00073741_LV20180253.nf

,. DocuSign Envelope ID: E023128F-9A1 E-4954-9380-505EFBCA8D7C
JUSTIFICATION FOR REMISSION REQUEST
Case Number: LV-2018-0253 County: Henderson
Assessed Party: A&D Water Service Inc/ Mountain Valley
Permit No.: NC0073741 Amount Assessed: $318.68
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 14313-282.1(c), remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282. 1 (b) were wrongfully applied to the
detriment of the petitioner (the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation (i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

DocuSign Envelope ID: E023128F-9A1E-4954-9380-505EFBCA8D7C
STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF HENDERSON
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
A&D Water Service Inc )
Mountain Valley WWTP )
PERMIT NO. NCO073741 ) CASE NO. LV-2018-0253
Having been assessed civil penalties totaling $318.68 for violation(s) as set forth in the assessment document of the Division
of Water Resources dated October 29, 2018, the undersigned, desiring to seek remission of the civil penalty, does hereby
waive the right to an administrative hearing in the above -stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty (30) days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after (30) days from the receipt of the
notice of assessment.
This the day of 20
SIGNATURE
ADDRESS
TELEPHONE

DocuSign Envelope ID: E023128F-9A1 E-4954-9380-505EFBCA8D7C
ATTACHMENT A .
A&D Water Service Inc
CASE.NUMBER:. LV-2018-0253
PERMIT: NCO073741
FACILITY: Mountain Valley WWTP
LIMIT VIOLATION(S)
REGION: Asheville
COUNTY: Henderson
SAMPLE LOCATION:
Outfall 001 - Effluent
Violation
Report
Unit of
Limit
Calculated % Over
Violation
Penalty
Date
MonthNr
Parameter
Frequency
Measure
Value
Value Limit
Type
Amount
4/5/2018
4-2018
Coliform, Fecal MF,
Weekly
#/100ml
400
600 50.0
Daily
$100.00
MFC Broth, 44.5 C
Maximum
Exceeded
4/12/2018
4-2018
Coliform, Fecal MF,
Weekly
#/100ml
400
600 50.0
Daily
$100.00
MFC Broth, 44.5 C
Maximum
Exceeded

DocuSign Envelope ID: E023128F-9A1E-4954-9380-505EFBCA8D7C
DIVISION OF WATER RESOURCES - CIVIL PENALTY ASSESSMENT (File)
Violator: A&D Water Service Inc
Facility Name: Mountain Valley WWTP
Permit Number: NC0073741
County: Henderson
Case Number: LV-2018-0253
ASSESSMENT FACTORS
1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
All Effluent violations may be detrimental to the receiving stream but may not be immediately quantified.
2) The duration and gravity of the violation;
Two Daily Max Fecals each exceeded the permit limit by 50%.
3) The effect on ground or surface water quantity or quality or on air quality;
All effluent violations may be detrimental to the receiving stream but may not be immediately quantified.
4) The cost of rectifying the damage;
The cost is unknown.
5) The amount of money saved by noncompliance;
The amount of money saved is unknown.
The amount of money saved would include the cost of excess solids removal and additional aeration. It
would also include more operating and maintenance time on site and the cost of additional chemical
treatment.
The amount of money saved would include the cost of collection of the additional samples and the cost of
analyzing them at a certified lab.
6) Whether the violation was committed willfully or intentionally;
It does not appear to be either.
7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
There have been no civil penalty enforcements in the twelve months prior to this violation.
8) The cost to the State of the enforcement procedures.
$118.68
DocDocuSigned by:
10/29/2018 E-•�-� A�
7E617A36285846C...
Date G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ

r aMP., g.svtfttgs
+i,a�earr�i�
Certified Mail # 7016 1370 0001 6572 0419
Return Receipt Requested
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 28768-1407
R y� COOP
' � MICA S,�REGAN
LIiDAPEFFR
. , . '.�trfeprrnDr�e�r
July 5, 2018
SUBJECT: NOTICE OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2018-LV-0483
Permit No. NCO073741
Mountain Valley WWTP
Henderson County
DearPermittee:
A review of the April 2018 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date. Value Value Type of Violation
001 Effluent Coliform, Fecal MF, MFC Broth, 4/5/2018 400 600 Daily Maximum Exceeded
44.5 C (31616)
001 Effluent Coliform, Fecal MF, MFC Broth, 4/12/2018 400 600 Daily Maximum Exceeded
44.5 C (31616)
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES WW Permit. Pursuant to G.S. 143-215.6A, a civil penalty of
not more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or
fails to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828-296-4500

If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Monitoring
Report(s). You will then be notified of any civil penalties that may be assessed regarding the violations. If no
response is received in this Office within the 10-day period, a civil penalty assessment may be
prepared..
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder: Pursuant to Permit Condition 6 in Section E, the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional Office
at 828-296-4500.
Sincerely,
For: G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Ec: DWQ Laser ache
G:\WR\WQ\Henderson\Wastewater\Minors\Mountain Valley 73741\20180705 NC0073741_NOVN0I2018LV0483.rtf

■ Cute items 1, 2, and 3.
■ Print your name and addre
so that we can return thwW
Aubrey Lewis D ver�O,i
A & D Water ervicnJ°'�nc.
%
1111111111111111111111111111111111111111
9590 94021846 6104 5560 84
7015 15801 0003 8- 46
i1l-iril' FE I p
Agent
❑ Addresse
ite of Deliver
1? ❑ Yes
\ ❑ No
a---Oervice ryP
28
Priority Mail Express®
❑ Adult Signature % O>3
❑Registered Mailrm
❑ Adult Signature Restricte a every
❑ Registered Mail Restrict
gCertified Mail@
Delivery
ertifled Mail Restricted Delivery
C Return Receipt for
❑ Collect on Delivery
`Merchandise
❑ Collect on Delivery. Restricted Delivery ❑ Signature ConfirmationT
T ; "'; 'vlail ; i i
❑ Signature Confirmatigq
j; i t f 4
a Restricted Delivery E
; 'I Restricted Deliv?Wp
l

USPS TRACKING #
ltw-
9590 9402 1846 6104 5560 84
United States I •Sender: Please print your name, address, and ZIP+4 in this box*
Postal Service
.IANET CANTWELL
NCOEO-0WR.WGROS ----
2090 U.S.HIGHWAY 70
SWANNANOA NC 28778
-11111tri1i11if! III Ihi!II!IIIIII IIliI!]'I! IIIIII!!ill IIdIIIIIli11

North Carolina Department of Environmental Quality 0 Agent
Division of Water Resources
0 Addressee
Water Quality Regional Operations Section
2090 U.S. Highway 70
Iec .* ed (Pub Na C. Date p� Delivery
01
XV
Swarmanoa, North Carolina 28778
del eK from ite?Rl? L3,yes
A"alpTifferent
YL ery address below:\ 0 No
Aubrey Lewis Deaver
A & D Water Service, jn Inc
117 Kira Lane
10�
Hendersonville, NC 28739-0318
Z'!—t' 8, ice Type [I Priority Mail Express@
-
'q
Adult Sign El Registered Mall
I EI'Adult Signature
gn:ttuurr: R.Ad'6.11very 0 Registered Mail Restricts
9590 9403 0672 5196 989 66
ht6ertifiedIVIdle e" Delivery
ied M ' a"belivery ��trum_Rdecelptfor
ItItt Ise
Merchandise
0 C61le -an D21ttri
ery,,'
- - td-1- JAh ❑ Delivery Restricted Delivery 0 Signature Confirmation"
- I I 17a][;j Sj Confirmation
7LIA-1191 BA 611 o'dO 2 111 �16 511612' 031 Jail estficteld!Dellivetlyl I I I I NeZIureedCDelivery _'
P-cz r:.,m _qA1 I Anmiqn-tr D41,1*,7i;lNh-n9-rirtt-cirig;a1t111k'*Js ?All- - i %,*. Y,, ?�_11 f-7 n--tie Pt- P ... i

UNITED STATES gAt 91='i = First -Class Mail
Postage & Fees is
USPS
i� ►t`}l ':% Permit No. G-10
Sender: Please print your name, address, and ZIP+4® in this box*
JANET CANTNIELL
E::::
NCOEO.OWR-WORDS
2898 U.S. HIGFIWAY 78
SWANPIANOA NC 28778
pl��'�IIIIIII�NV��I�IN�

Vorth Carolina Department of EnVirWental Quality
iaLui c
13 Agent
�L
Division of Water Resources =_
( ❑ Addressee
JVater Quality -Operations Section
I ' ed by (rimed Name) C. Date of Delivery
2090 U.S. Highway 70 -
6at, D
5wannanoa; NC 28778 z��
elivery �- d-- differenffrom Item 1 Ye
-
address below: ❑/No
_very
oc'
Nubrey Lewis Deavero�,
4 & D Water Service, Inc.
`4a Q
'ost Office Box 1407
'isgah Fnr�--R+e-28768-1407 v" -
— "" I c r�•�
�y
_
_0
li l IIIIII IIII III I I I I I LI llll II IIII III II IIII III
3.
13 ❑ u]t Signature Restricted Deli i registvi4 Type ered M Mail prnR ss®
Registered Mal Restricts
9590 94t33 0672 5196 9545 31
Ce d Mail® Delivery
ifle Re ell (SpPteturnReceipt for
—Art7clasiumlidr_lTransfar_fmm_cercir_er/a _ti I I
I I 1 ,II�� �! �, r 1
o 0 0 5 4-3 9 7o.fl
❑ Col`Iecton Der Merchandise'
❑ Collect on Delivery Re*Icted Dell ery 0 Signature Confirmation"
i i i I ,ail I I I I I I ❑'Signature Confirmation
RestriotedDelive
7 015 15 C U U
Restricted Delivery'
)S Fnrm 3811. Anril 917115 PSN 7530-024100-9053 1 %/ 1 n I - - /% n n n Domestic Return etc t

UNITED STATES �f `�S°rI ER' V
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4® in this box•
6. JA ET CANTWELL
i [7Cl]�,O-0WR-WORDS
[::2
'. 2080 U.S. HIGHWAY 70
SNIFNI�ANOA NC 28778
USPS TRACKING#
959(] 94�3
(]672
5196
9545 31

_ s�qg"" _�ignaiure-
North Carolina Department of Environme Qt�l�ry7 I �� ❑ Agent
Division of Water Resources `� _ ❑ Addressee
Water Quality Regional Operations n .� eceivJdby rioted Nam . Date of Delivery
2090 U.S. Highway 70 I
Swannanoa, North Carolina 2877�'—
%� delivery �ddre erqW from item 1 ❑ Yes
YES, enfer elt e D ress below: No
Aubrey Lewis Deaver
A & D Water Service, Inc.
Post Office Box 1407
Pisgah Forest, NC 28768-1407
011-11111111llllil�lnl�tllttlt�nitt�itnii�117llIf I GQ
lilllllll IIII (IIII III II IIII II IIII I IIIIII III III
V3wQ Z14two kJ67e— 5190 Woe+I I f ❑ Certifi Mall
❑ Collect q De
❑ Collect on e
.Mai
4;8 0 4 .4 l.4 I liailll
710114j 05110, � ❑;000� 14466
Service Type
Q` . rlority Mail Express@
199 c Registered MailTm
e� 11`e6,e ❑ Registered Mail Restricte
y.+ 4eu
P ry etum Receipt for
P Merchandise'
noted Delivery
13 Signature Confirmatlonr'
❑ Signature Confirmation
De!l ieryi I f
f l Restricted Delivery A
in IA /I) .,U 1 Io n14) k"1 1 Domestic Return

UNITED STATES MWE: W"E
SC
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
Sender: Please print your name, address, and ZIP+4® in this box•
JANET„CANIWELL '
NCOEO-0WR-WpROS
_
2090 U.S. HIGHWAY 70 --
5WANN4NGANC28778
USPS TRACKING#
9590 9403 ❑ i2�lS17E It,�•4�,,itttlf,i:i,�],li,,ili„i��i�ft��ii

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
Aubrey Lewis Deaver
A & D Water Service, Inc.
Post Office Box 1407
Pisgah Forest, NC 28768-1407
illirlllllli�:Illlrlllnllrllrrlrinl�rrlrlllilllllLri
s
\
❑ Agent
❑ Addressee
ate of Delivery
Alelivery'address different m.r� '1? ❑ Yes
ES, a ter delivery add be'To ❑ No
n
>
S�ertSig TYPee
❑ Priority Mail
IN
I
111111111111
IIIII
II I
I
❑ Adult Signature
ajlTmExpressO
❑ Registered MaiITM
I�
I IIIIII
IIII'I
I III
I II
I I II
❑ Adult Slgiiature Restricted Delivery
❑ Registered Mail Restricts
Certified MaN
Deliivery
9590 9402 2119 6132 6485 77
rtified Mall Restricted Delivery
_ (7etum Receipt for h
❑ Collect on Delivery
�� IVMterchandlse
701510�.00031.
❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationT"
— MCI e r i ❑ Signature Confirmafioh
4 9, 3 101i 413 I 1 0) l,Restrict2c{ Del'Ne M' � � � Restricted Delivery \
bob-9o53 U1. ,3n 1n � 1 sic Domestic Return Rec pt

USPSTRACKING 11
First' -Class Mail
irst
Postage &.Pe6s Paid
USPS
Permit No. G-10
9590 /402 6132 6485 77
unite cips • Sen :.Please print your name, address, and ZIP+4® in this box*
Post Ovice,
unite Post
a
JANErCANTWELL
CDE"VVR4VQROS
2090 U.S. HIGHWAY 70
SWANNANOA NC 28778
J
idi III! ijlili ii flill ji il h! lia-flu 11jj d !Ill..! I 1pilliji lifillij
I

Complete items 1, 2, and 3. 11A
Print your name and address on the reverse
so that we can return the card to you.
B'. I
_______..�_.._.......�..,..u.....v._.,
u rey Lewis Deaver
A & D Water Service, Inc.
Post Office Box 1-407
Pisgah Forest, NC 28768-1407
tii�alli�lllltl�liil�tlltllt�iilttlil�'�iill�ll�lil�ir;.:$
IIIII�III III IIIIIII I II I III III I III III
9590 9402 1846 6104 5561 07
701
3
0 Agent
'❑ Addressee
ate of Delivery
Fli address differ t il)1gn 1? Yes
Mndeliverydelivery d beloNo
3. ervice Type ❑ Priority Mail Express@
❑ Adult Signature ❑ Registered'MaiITM
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricts
ZCerfified Mail@
tified Mail Restricted Delivery 8
❑ Collect on Delivery f/\
❑ Collect on Delivery Restricted Delivery ❑
[7 `ail ❑
.�:1 Oee.Fdi.+.-..+ I1nliinwe �
ConfirmationT11
IS Form.381.1...J.uly 2015 PSN.7,530T02-000,-9053 h'dnb,.-2v1r) - I U.. G S'eA' Domestic Return

LISPS TRACKING #
•�.cR:�,:-,.��:a�•:"�"' First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10.
I 6'104 5561'07
�nited States
Sender: Please print your name, address, and ZIP+4®in this box•
stal SerNice
a
m
N.
'1y
03
JANET CANTWELL
NCDEG-0OW-WGROS
0
,,,,���'�(pp1H
2O90 U.S. HIGHWAY 70
SWANNANOA NC 28770
P— C=>
A Q J
t#Iij�f�,ff�f�f#ffj��ff#f,rff�lfl�#ill"#.�lf��,f'iff}ffflf