WQCSD0283_Regional Office Physical File Scan Up To 12/2/2020

NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
August 29, 2014
Audrey Deaver, Owner
A&D Water Service, Inc.
Post Office Box 1407
Pisgah Forest NC 28768
SUBJECT: Collection System Inspection
Mountain Valley WWTP
Permit No: WQCSD0283
Henderson County
Dear Mr. Deaver:
Enclosed please find a copy of the Collection System Inspection Form from the inspection conducted on 7/29/2014. The facility was
found to be non -compliant with the Deemed Collection System requirements.
The requirements for your sewerage collection system can be found in 15A NCAC 02T .0403, Permitting By Regulation. These
regulations place significant operation, maintenance and reporting requirements on those entities that own or operate a wastewater
collection system with average daily flows of less than 200,000 gallons per day. I have included a copy of the regulations for your
reference.
The following items were deficient at the time of the inspection:
1. The telemetry system at the lift station was not fully functional. The float valve and visual alarm was not working. Also, the
coupling to pump #1 was leaking and should be repaired.
2. The manhole at 310 Wendy Knoll had an excessive amount of grease.
If you have any questions concerning the regulations or those items that were deficient, please do not hesitate to contact me.
Please refer to the enclosed inspection report for additional observations and comments. The assistance of Mr. Tom Kilpatrick was
greatly appreciated during the inspection. If you or your staff have any questions, please call me at [phone].
Sincerely,
�r
Beverly Price
Environmental Specialist
Enclosures
cc: Tom Kilpatrick, WWTP ORC
MSC 1617-Central Files -Basement
�ahe��ll Fii1�s
G:\WR\WQ\Henderson\Collection Systems\Mountain Valley WQCSD0283\WQCSDO283 CEI14.doc
Water Quality Regional Operations —Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://poaal.ncdenr.org/web/wq
An Equal Opportunity \ Affirmative Action Employer

Permit: WQCSD0283
SOC:
County: Henderson
Region: Asheville
V)*
Compliance Inspection Report
Effective: 10/31/07 Expiration: Owner: A&D Water Service Inc
Effective: Expiration: Facility: Mountain Valley WWTP
NCSR 1171
Contact Person: Audrey Deaver
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name
On -site representative
Related Permits:
Inspection Date: 07/29/2014
Primary Inspector: Beverly Price
Secondary Inspector(s):
Etowah NC 28729
Title: Owner
Certification:
Thomas W Kilpatrick
Thomas W Kilpatrick
Entry Time: 01:OO1'M Exit Time: 02:OOPM
Phone: [phone]
Phone:
828-890-4810
828-243-1784
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Deemed permitted collection system management and operation
Facility Status: ❑ Compliant ® Not Compliant
Question Areas:
0 Miscellaneous Questions ® Inspections Manhole
(See attachment summary)
Page: 1

if
permit; WQCSD0283 Owner- Facility:A&D Water Service Inc
Inspection Date: 07/29/2014 Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary
The system consists of 7 manholes, 1500' of 8" line and 1100' of force main, 1 lift station with 2 submersible pumps and
telemetry. The owner has developed an Operation & Maintnenace Plan, Spill Response Plan with emergency contact
numbers and equipment list.
Grease control information will go out to homeowners in the August.
High priority lines are checked every 6 months - last inspection entry was 3/7/14.
Lift station is checked every Monday per maintenance log.
The telemetry system at the lift station was not working at the time of the inspection. The visual alarm and float valve were
not working. A pipe coupling to pump #1 was leaking.
The manhole at 310 Wendy Knoll had an excessive amount of grease.
According to a letter in file dated August 24, 2000, and the 2007 inspection notes, there were seven residences that were
gravity flow to the force main. According to the ORC, there are still 5 residences that remain tied to the force main via
gravity sewer. These remaining homeowners should construct individual orjoint pump stations to alleviate potential
problems.
Page: 2

Permit: WQCSD0283 Owner- Facility: & Water Service Inc
Inspection Date: 07/29/2014 Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Inspections
Are maintenance records for sewer lines available?
Are records available that document pump station inspections?
Are SCADA or telemetry equipped pump stations inspected at least once a week?
Are non-SCADA/telemetry equipped pump stations inspected every day?
Are records available that document citizen complaints?
# Do you have a system to conduct an annual observation of entire system?
# Has there been an observation of remote areas in the last year?
Are records available that document inspections of high -priority lines?
Has there been visual inspections of high -priority lines in last six months?
Comment:
310 WENDY KNOLL - Wen(
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment: Excessive grease.
Yes No NA NE
❑ ❑ ❑
®❑❑❑
®❑❑❑
❑ ❑ © ❑
❑ ❑ N ❑
Yes No NA NE
❑ ❑ ❑
®❑❑❑
® ❑ ❑ ❑
M ❑ ❑ ❑
® ❑ ❑ ❑
❑ ® ❑ ❑
❑ ® ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
M ❑ ❑ ❑
Page: 3

Revised: 1 /01 /07
Tom Kilpatrick & Associates
P. O. Box 679.
Etowah, NC 28729
WASTEWATER COLLECTION SYSTEM
OPERATION & MAINTENANCE PLAN
FOR
MOUNTAIN VALLEY S/D
Tom Kilpatrick & Associates provides the following services:
1. Maintains qualified staff and/or subcontractors for O&M activities;
l . Provides a 24 hour emergency contact list;
2.. Provides necessary equipment and repair parts or have access to same;
4. Provides lift station O&M; Lift stations with telemetry are checked 1/wk.; Lift stations w/o telemetry
are checked daily (7/wk.);
5. Maintains a set of system maps;
6. Provides the annual observation inspection, the high priority semi-annual inspection and "spot"
inspections as needed;
7. Provides for right-of-way maintenance;
8. Provides I/I evaluation, manhole inspections and sewer line cleaning on an "as needed" basis;
9. Provides a Grease Control Program; Grease education materials are distributed biannually;
10. Spills and overflows are reported as required; Public notice is provided if required;
11. Maintains logs and/or records as required to demonstrate compliance;
12. Provides other services as Owner desires.
EMERGENCY CONTACT LIST
NAME TITLE
AREA
CELL
HOME OFFICE
Tom Kilpatrick ORC
Any
828-243-1784
828-890-4810 828-890-4810
Aubrey Deaver A&D
Any
828-507-9853
828-696-9391 828-884-9772
Aubrey Deaver Jr. A&D
Any
828-243-2562
828-884-9772
EQUIPMENT LIST
Service Trucks (2)
Vacuum Truck
3" trash pump
1 " trash pump
Manhole blower
Tripods/harness/air packs
Lime & chlorine for cleanup
Hard hats/gloves/hand tools
Test Equipment
Location
A&D Office at 305 Colwell St., Brevard, NC
Contractor
A&D Office
A&D Office
A&D Office
A&D Office
A&D Office
A&D Office
Main Office

0C W ArF� Michael F. Easley, Governor
el
Q
G II jI� William G. Ross Jr., Secretary
op� North Carolina Department of Environment and Natural Resources
]9
Coleen H. Sullins, Director
Division of Water Quality
November 1, 2007
Mr. Tom Kilpatrick
Veolia Water North America Operating Services
Post Office Box 679
Etowah, North Carolina 28729-679
Subject: Compliance Evaluation Inspection
Wastewater Collection System
Permit Number WQCSD0283
Mountain Valley
Henderson County
Dear Mr. Kilpatrick:
Attached is the report resulting from my October 31, 2007 Compliance Evaluation
Inspection of the wastewater collection system serving Mountain Valley. The inspection
consists of a review of mapping and documents relating to collection system operational
and maintenance activities at Mountain Valley. I determined that the operation of the
Mountain Valley collection system meets the requirements of North Carolina
Environmental Management Commission regulation 15A NCAC 02T.0403. I appreciate
the fine job your are doing.
For your future reference I have assigned "Deemed" Permit Number WQCSD0283 to the
Mountain Valley collection system. Should you have need to discuss these matters please
do not hesitate to call me at 828-296-4659.
Sincerely,
Roy M. Davis
Environmental Engineer
C: Surface Water Protection Central File
PERCS Unit
NoirthCarolina
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, NC 28778 Phone [phone] Customer Service
Internet: www..ncwaterquality.org FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

Permit: WQCSD0283
SOC:
County: Henderson
Region: Asheville
Compliance Inspection Report
Effective: 10/31/07 Expiration: Owner: Veolia Water North America Operating
Services
Effective: Expiration: Facility: Mountain Valley WWTP
NCSR 1171
Contact Person: Thomas W Kilpatrick
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Title:
Inspection Date: 10/30/2007 Entry Time: 09:00 AM
Primary Inspector: Roy M Davis
Secondary Inspector(s): RINN�
Etowah NC 28729
Phone: [phone]
Certification:
Exit Time: 10:00 AM
Phone:
Phone: [phone]
Ext.4659
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Deemed permitted collection system management and
operation
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
■ Miscellaneous Questions
(See attachment summary)
Page: 1

Permit: WQCSD0283 Owner - Facility: Veolia Water North America Operating Services
Inspection Date: 10/30/2007, Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Tom Kilpatrick is doing a good job of taking care of the wastewater collection system serving Mountain Valley. The system
consists of 1,150 feet of 8-inch diameter gravity sewer and 1,100 linear feet of force main. The upper section of the
development is gravity. There are seven gravity taps to the force main. Tom has developed an "Operational Plan", a
system map, inspects the telemetry served pump station weekly, inspects annually the portion of the gravity line not
routinely seen by residents, and includes advice on proper disposal of residential grease in the annual report going out to
each resident. The system has no high -priority lines nor does it have commercial sources of cooking grease. Operation
and maintenance of the system is in compliance with the requirements of 15A NCAC 02T.0403.
Page: 2

- - - -
�-
c

r�
Michael F. Easley, Governor
f'F1/. e ? William G. Ross Jr., Secretary
Nor„ ffarolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
September 6, 2007
Mr. Kilpatrick
Veolia Water North America Operating Services
PO Box 679
Etowah, NC 287290679
SUBJECT: Wastewater Collection System
Owner & Operator Requirements
Mountain Valley WWTP
NCO073741
Henderson County
Dear Mr. Kilpatrick:
I would like to take this opportunity to discuss the requirements for sewerage collection
systems that were first established in 15 NCAC .02H .0200 in March 2000 and are now found in
15 NCAC 2T .0403, Waste Not Discharged to Surface Waters, which became effective
September 1, 2006. These Regulations place significant operation, maintenance and reporting
requirements on those entities that own or operate a wastewater collection system with average
daily flows of less than 200,000 gallons per day.
These regulations are applicable to your facility. This letter is provided as guidance
to assist you in complying with the new reporting and operations and maintenance (O&M)
requirements and to advise you that you are subject to system review, inspections and possible
enforcement, if the system is not in compliance with the regulation.
For your convenience and easy reference, a highlight of these requirements and the
following guidance are offered (see enclosed). You may find the regulations using the following
web site: http://h2o.enr.state.nc.us/peres/Collection%2OSystems/CollectionSVstemsHome.htmI
The Asheville Regional Office will be increasing the level of oversight, compliance
activities and enforcement relating to collections systems, therefore, we wanted to be sure you
are aware of the requirements for these systems. We will be performing NPDES Wastewater
Collection System inspections sometime in the near future.
Nolr hCarolina
Natumlly
North Carolina Division of Water Quality 2090 US Hwy 70; Swannanoa, NC 28778 Phone [phone]
Internet: www..ncwaterquality.org Customer Service 1-877-623-6748 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

September 6, 2007
Page 2 of 2
If this Office has not previously inspected your wastewater collection system and records
of same, you should be prepared to demonstrate compliance with all criteria listed above.
Enclosed is an inspection form that you can use to assemble your records prior to an inspection
by the staff of this Office.
This Office has a Wastewater Treatment Plant Consultant on staff to offer assistance to
you in complying with the requirements of these regulations. Should you have questions or
need __additional -information -regarding this _issue., -please contact Don_P_rice_at.(.828)_29.6=4500.._._._ _
Should you have any other questions concerning this correspondence or the
requirements relating to collection systems, please contact Roy Davis or Keith Haynes at 828-
296-4500.
Sincerely,
Roger C. Edwards, Supervisor
Surface Water Protection Section
cc Deborah Gore PERCS.-U.nit - w/out_enclosures _
Ashevi'IIeuRegion'al -Off ice facility file -"w/out enclosures-
DWQ - SWPS - Central Office Files - w/out enclosures

WA] - _ Michael F. Easley, Governor
��p ppYY William G. Ross Jr., Secretary
o C. E]FILE
C ®•Ndi-th Carolina tment of Environment and Natural Resources
PColeen H. Sullins, Director
i Division of Water Quality
April 23, 2008
CERTIFIED MAIL
RETURN RECEIPT REQUESTED - 7002 0460 0001 9899 7712
Mr. Tom Kilpatrick
Viola Water North America Operating Services
Post Office Box 679
Etowah, North Carolina 28729-679
Subject: NOTICE OF VIOLATION
Permit No. WQCSD0283
Mountain Valley
Mountain Valley Collection System
Henderson County
Dear Mr Kilpatrick:
A review has been conducted of the Mountain Valley's Collection System self reported
Sanitary Sewer Overflow (SSO) 5-Day Report. This review has shown the. subject__ .
.facility to be in violation of the requirements found in,G.S. 143-215.1(a)(1). The
violation is summarized below:
NOV#
Violation
Location
Cause
Volume
Date
NOV-2008-DV-0189
02/07/2008
Collection. System
Pump Station
21000 gal
Equipment
Failure
The Division of Water Quality may pursue enforcement action for this and any
additional violations of State law. You should take remedial action in response to these.
incidents. Remedial action should include identification of the cause of the SSOs and
implementation of all measures necessary to prevent recurrence.
NoolhCarolina
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, NC 28778 Phone [phone] Customer Service Naturallr�
Internet: wwwncwaterquality.org FAX [phone]

Civil penalties _may be assessed for SSOs based on volume, volume reaching surface
waters, duration, gravity, impacts to public health, fish kills, or recreation area closures.
Other factors considered in determining the amount of the civil penalty are the violator's
spill history, the cost of rectifying the damage, whether the spill was intentional and
whether money was saved by non-compliance.
If you have any question regarding this NOV or our policy relating to issuance of NOVs
or Civil Penalties for SSOs please contact Roy Davis at 828-296-4659.
G:\WPDATA\DEMWQ\Henderson\Mountain Valley Collection System\NOV-2008-DV-0189.doc
No ` Carolina
�tura!!rff

lm
12
i
- COII
WATER QUALITY SECTION
ASHEVII-LE �,FG ^' �r''IF
--- -.
This form shall be submitted to the appropriate DWQ Region
the sanitary sewer overflow ((S�SO).
Permit Number: (WQCS# if active, otherwise
Facility:
Owner:l�.i/irk /Z'1ZZ'
City: T-
T
Source of SSO (check applicable) : Sanitary Sewer
SPECIFIC location of the SSO (be cons
Manhole at Westall & Bragg Street, etc.)
Latitude (degrees/minute/second):
Form CS-SSO
Sanitary Sewer Overflow Reporting Form
five daysof the first knowledge of
treatment plant NC/WQ#)
Incidenf
©Pump Station
Region: 1
County: --1 V
m past reports or documentation - i.e. Pump Station 6,
Lgngitude(degrees/minute/second):
Incident Started Dt: �� Time:-,� �lrCl '�� Incident End-
dd ) hh:mm AM/PM (mm-dd-yyyy)
PART I
Time:
hh:mm AM/PM
(mm -yyyy
Estimated volume of the SSO: ;�a 1 gallo Estimated Duration (Round to nearest hours-= =—
vc jig, 17E7 i d ur . /
S1d /✓E7— LOq/Ti.Jeauua' 7Nsf'Ayfr:z / 7n;�� f-/�1�,� OAT_ �� l T
� .- Oars 6?.a C c��
Describe how the volume was determined: / -� ``
Weather conditions during SSO event: -
Weather ( S'�uD'ia J = avd n •a� /J�^�� `' c�<�
Did SSO reach surface waters? Yes �"No U Unknown Volume reaching surface waters (gallons):
Surface water name:
Did the SSO result in a fish kill?
❑ Yes ❑ No ❑ Unknown/ If Yes, what is the estimated number offish killed?
SPECIFIC cause(s) of the SSO: .
El Severe Natural Condition
❑ Inflow and Infiltration
Vandalism
Immediate 24-hour verbal notification reported to:
❑ DWQ ❑ Emergency Mgmt.
❑�Grease
Q Pump Station Equipment Failure
11 Debris in line
❑ Roots
❑ Power outage
❑ Other (Please explain in Part II)
Date (mm-dd-yyyy): Time (hh:mm AM/PM): j /j
If an SSO is ongoing, please notify Regional Office on a daily basis until SSO can be stopped.
Per G.S. 143-215.1 C(b), the responsible party of a discharge of 1,000 gallons or more of untreated wastewater to surface
waters shall issue a press release within 48-hours of first knowledge to all print and electronic news media providing general
coverage in the county where the discharge occurred. When 1.5,000 gallons or more of untreated wastewater enters surface
waters, a public notice shall be published within 10 days and proof of publication shall be provided to the Division within 30 days.
Refer to the referenced statute for further detail.
The Director Division of Water Quality, may take enforcement action for SSOs that are required to be reported to Division unless it
is demonstrated that:
1) the discharge was caused by severe natural conditions and there were no feasible alternatives to the discharge; or
2) the discharge was exceptional, unintentional, temporary and caused by factors beyond the reasonable control of the Permittee
and/or owner, and the discharge could not have been prevented by the exercise of reasonable control.
Part II must be completed to provide a justification claim for either of the above situations. This information will be the basis
for the determination of any enforcement action. Therefore, it is important to be as complete as possible.
WHETHER OR NOT PART II IS COMPLETED, A SIGNATURE IS REQUIRED AT THE END OF THIS FORM.
CS-SSO Form October 9, 2003 Page 1

war '
Form CS-SSO
Collection System Sanitary Sewer Overflow Reporting Form
PART I I
ANSWER THE FOLLOWING QUESTIONS FOR EACH RELATED CAUSE CHECKED IN -PART I OF THIS FORM
AND INCLUDE THE APPROPRIATE DOCUMENTATION AS REQUIRED OR DESIRED
COMPLETE ONLY THOSE SECTIONS PERTAINING TO THE CAUSE OF THE SSO AS CHECKED IN PART I
In the check boxes below, NA = Not Applicable and NE = Not Evaluated
A HARDCOPY OF THIS FORM SHOULD BE SUBMITTED TO THE APPROPRIATE DWQ REGIONAL OFFICE
UNLESS IT HAS BEEN SUBMITTED ELECTRONICALLY THROUGH THE ONLINE REPORTING SYSTEM
Severe Natural Condition (hurricane, tornado, etc.)
Describe the "severe natural condition" in detail.
How much advance warning did you have and what actions were taken in preparation for the event?
Comments:
Grease (Documentation such as cleaning, inspections, enforcement
actions; past overflow reports, educational material and distribution date,
etc should be available upon request.)
When was the last time this specific line (or wet well) was cleaned?,,.,-: —
Do you have an enforceable grease ordinance that requires. new or retrofit of grease traps/interceptors?
11Ye5C No11NA11NE
Have there been recent inspections end/or enforcement actions taken on nearby restaurants or other ❑Yes[] No NA�NE
nonresidential grease contributors?
Explain. �I
Have there been other SSOs or blockages in this area that were also caused by grease? ❑Yes1u No ❑NA ❑ NE
When?
If yes, describe them:
Have cleaning and inspections ever been increased at this location? []Yes[] No QNA ❑ NE
Explain.
CS-SSO Form October 9, 2003 Page 2

Have educational materials about grease been distributed in the past?
When?
and to whom?
Explain?
If the SSO occurred at a pump station, when was the wet well and pumps last checked for grease
accumulation?
Were the floats clean?
Comments:
Roots
Do you have an active root control program?
[]Yes[:] No❑NA❑NE
❑Ye,D No❑NA❑NE
❑Yes❑ No❑NA❑NE
Describe
Have cleaning and inspections ever been increased at this location because of roots? ❑Yes[] No DNA UN
Explain:
What corrective actions have been accomplished at the SSO location (and surrounding system if
associated with the SSO)?
What corrective actions are planned at the SSO location to reduce root intrusion?
Has the line been smoke tested or videoed within the past year? ❑Yes❑ No ❑ NA ❑ NE
If Yes, when?
Comments:
Inflow and Infiltration
Are you under an SOC (Special Order by Consent) or do you have a schedule in any permit that ❑Yes No ❑NA ENE
addresses I/I?
CS-SSO Form October 9, 2003 Page 3

Explain if Yes:
What corrective actions have been taken to reduce or eliminate I & I related overflows at this spill location
within the last year?
Has there been any flow studies to determine 1/1 problems in the collection system at the SSO location?
❑Yes NoEINAUNE
If Yes, when was the study completed and what actions did it recommend?
❑YesE] NoEINA11NE
Has the line been smoke tested or videoed within the past year?
If Yes, when and indicate what actions are necessary and the status of such actions:
Are there 1/1 related projects in your Capital Improvement Plan?
LJYesO No0NA0NE
If Yes, explain:
11YX NoEINAINE
Have there been any grant or loan applications for 1/1 reduction projects?.
If Yes, explain:
❑Yes[I N,EINAONE
Do you suspect any major sources of inflow or cross connections with storm sewers?
If Yes, explain:
Have all lines contacting surface waters in the SSO location and upstream been. inspected recently?
❑Yes[] NoQNAEINE
If Yes, explain:
What other corrective actions are planned to prevent future 1/1 related .SSOs at this location?
Comments:
Pump Station Equipment Failure (Documentation of testing, records etc.,
V/ shoul be provided upon request.)
What kind of notification/alarm systems are present?
DYes
Auto-dialer/telemetry (one-way communication)
Page 4
CS-SSO Form October 9, 2003

Mountain Valley SSO - Chronology of events:
(times are approximate)
TUE 02-05-08
1000: Got a phone call report of a broken manhole on Pump House Road in Mountain
Valley Subdivision; new construction area with very new driveway grading work; found
manhole flowing at lid rim base - possible construction damage; manhole is full - not
broken; rim grout is cracked; soft soil shows evidence of overflow; overflow flows onto
a wooded area.
Checked lift station - three quarters full, pumps running bit not moving any water;
Assumed impellers partially clogged (surmised that recent 2 inch and subsequent 1 inch
rain events in the past 4 day period flushed collection line debris into lift station; I/I has
not been a problem on this system but there is one manhole located in a ditch line).
Toggled pumps off and on several times. Cycling pumps appears to have relieved
problem - pumps now moving water. Called for pump maintenance.
1600: Maintenance crew reports pumps running and appear normal.
WED 02-06-08
1000: WWTP influent flow past 24 hrs. - .008 mgd; situation appears normal. Total flow is as
expected (average daily flow is .005 gpd); Lift station is pumped down.
1600: Got a call from resident of audible and visual alarm at lift station.
Note: Auto dialer did not call with high water alarm condition;
Found pumps running but not moving much water; Lift station is 3/4 full; The
assumption is that the force main has a partial blockage (this line has a sag point under
the highway and has a history of blockages; it gets flushed as needed). Called Roto-
Rooter. Roto-Rooter could not come until next morning. Left pumps running; manhole
not overflowing; got no calls overnight of slow or backed up sewers.
Checked auto -dialer - not functioning. Will alert maintenance.
THUR 02-07-08
1040: WWTP influent flow - .003 mgd; Lift station full; Manhole overflowing - estimated 1
gallon per minute; flow is .002 mgd lower than average daily flow.
1130: Roto-Rooter flushed force main; exposed only minor debris but action appears to have
cleared the blockage. Pumps discharging but appear to have slightly lower than normal
discharge volume??
1300: Pumps running; discharge volume still appears to be lower than normal??? Called pump
maintenance. Maintenance crew scheduled for Friday - am.
1515: Phoned DENR to report overflow situation.

FRI 02-08-08
1030: Pump Maintenance Crew arrives on site; checked both pumps - both pumping.
Septage pump truck arrives to pump lift station;
After some puzzled discussion, maintenance crew cycled pumps off and on. This time,
pumps did not move water??? #1 pump will pressurize the discharge line but will not
move water to the WWTP; Maintenance opinion is that force main is still blocked.
HOWEVER, after additional puzzled discussion, maintenance man ran a hooked "fish
tape" thru the discharge valve and discovered a mass of rags and plastic debris hung in
the discharge valve. The mass was approximately 1.5 inches x 6 inches long. This mass
appears to have acted in a fluctuating manner - at times allowing water to pass and at
other times no water would pass thru the line. It was an unusual situation. Blockage was
cleared and pump placed on line by 1130 am.
1130: #2 pump clogged; pulled pump, removed a rock and plastic debris from impeller; pump
placed in service.
1200: Pump truck removes sand and other debris from bottom of lift station. Maintenance crew
checks auto -dialer; auto -dialer has no dial tone; called AT&T for line repair service.
1600: AT&T repairs phone line; Auto -dialer functional and back in service.
All conditions have now returned to normal.
1800: Follow-up check; all conditions normal.
SAT 02-09-08:
1100: Follow-up check; all conditions normal.

Audible Elyes
Visual
❑Yes
SCADA (two-way communication) Yes
Emergency Contact Signage ❑Yes
Other ❑Yes
Describe the equipment that failed?
What kind of situations trigger an alarm condition at this station (i.e. pump failure, power failure, high
water, etc.)?
i✓%� �s11� i J ,i
Were notification/alarm systems operable? ❑YesNo❑NAUNE
If no, explain:
if a pump failed, when was the last maintenance and/or inspection performed?
What specifically was checked/maintained?
If a valve failed, when was it last exercised?
Were all pumps set to alternate?
Did any pump show above normal run times prior to and during the SSO event?
Were adequate spare parts on hand to fix the equipment (switch, fuse, valve,. seal, etc.)?
Was a spare or portable pump immediately"available?
If a float problem, when were the floats last tested? How?
If an auto -dialer or SCADA, when was the system last tested? How?
Comments:
LJYeE No❑NA❑NE
11 YX No&NA11NE
LllYes❑ No ❑ NA ❑ NE
5kes❑ No❑NA❑NE
CS-SSO Form October 9, 2003 Page 5

Power outage (Documentation of testing, records, etc., should be
provided of alternative power source upon request.)
What is your alternate power or pumping source?
• •w/ATS
Did it function properly? ❑Yes❑ No ❑NA ❑ NE
Describe?
When was the alternate power or pumping source last tested under load? -
If caused by a weather event, how much advance warning did you have and what actions were taken to
prepare for the event?
Comments:
Vandalism
Provide police report number:
Was the site secured?
❑Yes❑ No❑NA❑NE
If Vcc hn%A/)
Padlocked Control Panel
Have there been previous problems with vandalism at the SSO location? Yes❑ No NA ONE
If Yes, explain:
What security measures have been put in place to prevent similar occurrences in the future? ❑Yes[] No ❑ NA ❑ NE
Comments:
Debris in line (Rocks, sticks, rags and other items not allowed in the
collection system, etc.)
What type of debris has been found in the line?
How could it have gotten there?
Are manholes in the area secure and intact? Li YesLi No L NA LJ NE
CS-SSOForm October 9, 2003 Page 6

When was the area last checked/cleaned?
Have cleaning and inspections ever been increased at this location due to previous problems with debris? [1YesD No DNA D NE
Explain:
Are appropriate educational materials being developed and distributed to prevent future similar ❑YesU No DNA DNE
occurrences?
Comments:
Other (Pictures and a police report should be available upon request.)
Describe:
Were adequate equipment and resources available to fix the problem? []Yes[] No D NA D NE
If Yes, explain:
If the problem could not be immediately repaired, what actions were taken to lessen.the impact of the
SSO?
Comments:
For DWQ Use Only:
DWQ Requested an Additional Written Report:
If Yes, What Additional Information is Needed:
Comments:
11Yes(] NoDNADNE
CS-SSO Form October 9, 2003 Page 7

As a representative for the responsible party, I certify that the information contained in this report is true and accurate
to the best of my knowledge. /
Person submitting claim: K; /Go '��" Date:
r
Signature: % D�. ��� Title:
Telephone Number: eG
Any additional information desired to be submitted should be sent to the appropriate Division Regional Office within five days of first
knowledge of the SSO with reference to the incident number (the incident number is only generated when electronic entry of this form
is completed, if used).
CS-SSO Form October 9, 2003 Page 8

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
November 1, 2007
Mr. Tom Kilpatrick
Veolia Water North America Operating Services
Post Office Box 679
Etowah, North Carolina 28729-679
Subject: Compliance Evaluation Inspection
Wastewater. Collection System
Permit Number WQCSD0283
Mountain Valley
Henderson County
Dear Mr. Kilpatrick:
Attached is the report resulting from my October 31, 2007 Compliance Evaluation
Inspection of the wastewater collection system serving Mountain Valley. The inspection
consists of a review of mapping and documents relating to collection system operational
and maintenance activities at Mountain Valley. I determined that the operation of the
Mountain Valley collection system meets the requirements of North Carolina
Environmental Management Commission regulation 15A NCAC 02T.0403. I appreciate
the fine job your are doing.
For your future reference I have assigned "Deemed" Permit Number WQCSD0283 to the
Mountain Valley collection system. Should you have need to discuss these matters please
do not hesitate to call me at 828-296-4659.
Sincerely,
Roy M. Davis
Environmental Engineer
C: Surface Water Protection Central File
PERCS Unit
No hCarolina
atura!!y
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, NC 28778 Phone [phone] Customer Service
Internet: www..ncwaterquality.org FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

C� Q ho�Ps- ao
For those who have, or are thinking of getting'
GPS equipment, please note that the intersection of
Cummings Road and Mountain Valley Drive located
Mountain Valley O 3t roughly 35 Degrees 19.390 minutes North
Latitude and 82 Degrees 34.475 minutes West
Subdivision �� Longitude.
C
GJ� BOORS -
Notes 101
9,90 SAWYER
1 . Issue date September 28, CF9
1998.
This map is for the exclusive O ST 1�&o 9yop MOU 369
AlIV
use of residents of the 6 9y° ?s WATKINS CRAB -
Mountain Valley Subdivision JE112 �ACyO 24D 365 TREE
and is intended only for 113 ti MARX LUNSFORD
general Information and MILKS 239 238 DYKE
orientation. REAMER VA 238
116 3 H1 » 362
3. Absolutely no guarantees GHAN
RISER C UETTE 'Q FOOR
are made, or are Intended to 349 360 be made, regarding the 120 HAYS ODINETZ U 233 LOWRY
location or accuracy of road MARTIN > KING RUFATTI
and lot boundaries. .W124 i [i
125 231 '� Q
4. The Scale of the ma is LEAP MARTIN GREEN > 3
45
P 1 TOP >_ GRUNDY
approximately 1 inch equals z / W 346
129 r4 30 L10NETTI
237 feet. 12g GARDEN, 227 6v 335 9�4 SUt.�t_ J 341 >
ADAMS WIES Z Q BENSON t� VA Q HOUSE- r-
5. Please contact Hu h Lowr 342
891-3188, with any correc- 132 133 ^y�Q�'�5 2 OG > WORTH CRONE 5
MESSEN MATHES 223 363 2
tions and / or suggestions. GER PALUMBO ( JONES �� p �P� ��` 337 f
137 `' 0 �� O Q RICHARD_ aSCHER- 1 `0Q Aw�JQ F' SON
C4�A�s BARTH ASCIONI �� a Q2 \ ��P `� Q m
335 BERG-
O n334
North ��<<. JONES 9y Q r ��Q t C1 �` O KELLNER GREN
140 t�� pRfV WYCKOF �O\ �96Gt> LIGAN SHO_ GR FFO
WILSON 145 O
SMITH Oy P 201 ALTMANN WALTER
149 WINGER- �hQQ 200 SLOCUMB
HARP TER �� BROGAN `317
204 o��QO COHOON152
�O
KAMIN FL[ISCHMAN 313
SCHWARTZ 156 USH NDYKNOLL DR
BYRD � �q, HO188 LCOMB KL303 EEB
ova / Tq
•1 -
JACOBS MORONI
r
I '
r

DDK Environmental Inc.
1 King Rd.
Pisgah Forest, NC 28768
[phone]
Fax- [phone]
SPILL / BYPASS RESPONSE PLAN
Step 1: RECEIVE NOTIFICATION ABOUT SPILUBYPASS
Step 2: CONTACT OPERATOR OF PLANT CORRESPONDING TO COLLECTION SYSTEM
Step 3: OPERATOR GOES TO SPILL SITE TO MAKE AN ASSESSMENT OF THE SPILL
Step 4: OPERATOR CONTACTS DWQ OFFICE TO ADVISE ABOUT SPILL
Step 5: PEOPLE AND EQUIPMENT ARE GATHERED TO STOP SPILL
Step 6: SPILL /BYPASS IS CONTAINED
Step 7: CLEANUP OF SITE
Step 8: CONTACT DIVISION OF WATER QUALITY AT CORRESPONDING REGIONAL OFFICE
WITHIN 24 HOURS OF FIRST NOTIFICATION OF THE SPILL
Step 9: FOLLOW-UP WITH WRITTEN REPORT WITHIN 5 DAYS - IF REQUIRED (Form Attached)
24 Hour Contact List
NAME
TITLE
AREA
PAGER
HOME
FAX
Mike Dodson
Pres.
Any
877-364-5166
828-884-6090
828-884-8632
Aubrey Deaver
Vice Pres.
Any
800-614-0112
828-696-9391
828-884-8632
Tom Kilpatrick
Vice Pres.
Any
877-364-5165
828-891-8165
828-884-8632
Mike Holder
Operator
Any
888-962-1005
828-966-4771
828-884-8632
Butch Howell
Operator
West Jefferson
336-957-5516
336-877-1466
336-384-4948
Richard Hughes
Operator
Gastonia area
888-962-1006
704-474-3014
828-884-8632
Rick Murrin
Operator
Highlands area
877-364-5168
828-586-1928
828-884-8632
Tom Good
Operator
Yancey County
877-364-5167
828-675-9185
828-884-8632
Tony Badurina
Operator
Raleigh area
888-962-1002
919-775-2138
828-884-8632
Kevin White
Operator
Henderson County
888-962-0994
828-286-0583
828-884-8632
EQUIPMENT LIST
Location
Vacuum Truck Main Office
3" trash pump Main Office
1" trash pump Main Office
Manhole blower Main Office
Tripods/harness/air packs/SCBA Main Office
Lime & chlorine for cleanup Main Office
Hard hats/gloves/hand tools, etc. Main Office

i
- - UH
LJ&IA� cs"tJ �Yi. b ��- ' Ge
-C6�ff
— �-✓ � �� - � ��-,,�,-�- .fee- � --- � �l�

r
IRA

Richardson 890-0112 Rob & Watkins 891-5731 Charlie & Connie
337 Mcmntain Valley Dr 369 Moaaritain Vallee PL.
Ert�ail ricia 6svrrclaren zr sn com Email ccw.a
tl;ins2nwnct
Riser 891-5743 Clint &Anne Weller 890-0426 BiR &n2_aa
116 Mountain Valley Dr. 238 Circle Tog Dr.
Email gd r4fa?unchsLco
-bVies 891-8395 James &Connie
Roach 891-1871 Jima & Merriii 227 MKfa train Valley Coed
196 Mountain Valley Dr.
Williams Ronald & MwIha
Rufath 890-4657 Dario& Ella 235 Mountain -Valley Court
360 mountain Valle-v Dr.
Wingerter 891 2585ItnZph & Molly
Rush 891-9442 Jack &Ginger f-nserter• 891 2585 b oliymmne & Ariel
313 Mountain Vallev Dr 153 Mountain Valkev QP%
Email Alginaanbrinel c�asg _Enzail vviugerter3rtrnchsi.cor
San-xr- 890-2.515 Sin & I isa Wodwk 891-1539 Biff & Pat
101. kzmtahi Valley Dr. 334 Mountain Valley Dr
Scherharth 891 244? Jim &Mary fyckoff 8915404 Jack &Amu
137 Mourztairx Vatley Dr; ISO Mountain Valley Dr
Schneider° 891-6452 Gene & Dorothy _WMes 891-4248 John & Linda
354 Mountain Valley Dr 104 Mountain f alleu Dr.
Enuzil gdsucrg)mchsi.cQ�
Sho14-alter 890 5564 Harold & Linda �} I �3 l
3291+dourriaiD n Valley r l I
Emtail' \
OL—
Slacwnb 891-3708 Lee & Mane
201 Mountain Valley Dr.
A� &riih 891-4801 Bergen
{' 145 Mountain Vallev Dr
Strc miberg-h 891-2483 Vic & Dorothy
109 Mountain Valley Lh% �U
Sullivan 891-9052 Lativrence & Ruth�-
300 Circle Top Dr.
Van Dell 890-0003 Ail & �inrzubeile
561 Circle Top Lh:
Vaughan 891-4137 Paul &imet
238 Mountain Valley Court

Jdv 2002..
AbenmWe 891-2183
Bowles 012183*
185 Aft—utak MiWDr
Adams 991-w=O.' Gordon
128 Mountain Yall a Dr.
ALM—mn 891-6503
321 ALoz"ain &�-Dr.
Email condorl89
Bailey -M9 73501 Don & Elaine
406 Dallas Cowl
_Baehr 37 David& DaHene
140Moupdain Lalle
Eynail baphd I fv�)Ynchsi. com
Borden -- 891-1103 Mchael
129 Mountain Laney Court
Bewr--r,.. 8915614'. 1�-gd &Betiy
239 Llotmtdn Vallej- Dr.
.Benson � �91 -942 7.. Jii&
335 cir
cle To
p
Is
-Best
357 Mountain MalleyDr
Blumer - 891-5023 Leo& Dixid''
160Mountain �11
Boers: 891-8374 -Ral c�eiiv
loom
kittain 8914839.Jim .&JOAnn
189 Mountain
R--Ozm2 890-3477 Tom&
200 WesT, Elstanj,
Email j2hqom(a;bjng.c6.m
By 890-2843 rharh-g: R- PKbara.
156Moun �jqjj dar.
Emil ef b-rhiet com
Clemmons 897-5431 Roy & Gail . .. .. ...
372 Mountain Rdley
Cahoon 7581 Glenn jam
&
373 -A&zymain VaUg Dr.
Crawford 890-M -Cecflik-
361 Moowz& �41.,Qr.
Email mgqchcOLnM com
Crone 890-0522 Forrest &Ann
342MbuwWnVaIIevDr,-'-`-. ._
Garvin $90-1426 Lee, & 07c7-16ttg
188 Mountain
-
BEOLI tee Fg �jn (a, �61.
Green 891-8371 Crq*oqn'&P
za
231 Mountain EalleE Cow
E ffio 891-9447 Xm& -Jel4n
330 Mountain Valley Dr.
Email ,cant a gawws
Grundy 891-7.524 Ralph A,
345 Mo
untain Valley Dr.
Hams 891-2027 Dr.
121 Mountain Trailer.

Housevvorih . 891-1347 C='eoP " &Bons -
341 MoltiitiBiri`Yal�y I.3r .
Thant S91 7735 .Toe & Malls , .
401 Drallns Cori =
Blyd .7aynes & Jzua'ith
I25 Mozvatain i'adle►� 1?r
hgeeb 891-9713 l db7f&'Gertnidi
loeni 89Zt-804ti �P;x &.�'�z�a _.
141 Mountaita.Padley Dr.
IiY'ei�st3112r2 890-iJ$18 Gk,[� Eat"
OU YL VaIlLV 1�r
Martin 890- 3877-Ba .Carla
-12(I Mountain Yc�dley l�r'>; .
Email binesl(a7otrs2i-cow
sdoW 890-0126 An ela A�1�t
2.191VIoeritsairlTfadley
Mathes 891-3764 Mark,
133 IVioaeraiain °Yalley ��
McEverett .Tok & IZholh `
248 Circle ToT� �:
Messenger 891 987fi CIO, & Leonia`
132 .t1loz�atain Ijalley Dr.
Nle�er 891-�098 �l�t,� Giruzy - -
328 Mozaragat n Leal &'
Email ar i�tt��l5riz�ei.co� _
1�lilks 891-8642 RoliertA I3rerzirt r`
1131b1ourz6ain Yallev Dr. -
r
Milligan 890-5904 Frank & Aaiun
125144ourrwin Yalley
Email raaldii(a�%ac ccsr _.
Molnet Unlisted Emil & 1�1ctr°�uertte �__ _
1921 dountain YaZZey Dr
Moroni 890-4775 Bob & Aran
310 wh2r1yr1y Krzoli 1r
Mulder 8912184 Irene
Trenterinv S91-21$4= Meru &Ri�har
18'Z �ssuratrrinr Yaldey.-l3r' "_. _. _ _ _ .
Mynatt 890494' Michael &' Prrt :.. ,
168 Mountain Vallovr
Email !rachg9raal.com
Pa7aarrbo 891-5341 Nick & TT OMY
223 Mountain Vail
PetriZZt7-890-0157 B'rank& Vera-.
405 IJaddas Dr.
Email. c%cl�aveFaCearilil�l.et
Pitildi 891-1145 winnie
108 Mountain YOU Dr.
pressf ' 89y4OI-I - Donald & a2rence
136 Mountain T/alley 17r

R-iO 1

:n NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
ASHEVILL.E REGIONAL OFFICE
WATER QUALITY SECTION
August 24, 2000
Mr. Ralph and Mrs. Mollie Wingerter
i53 Mountain Valley Drive
Hendersonville, North Carolina 28739
Dear Mr. & Ms
Subject
Wingerter:
Mountain Valley Subdivision
Sewage Force Main
NPDES Permit Number NCO073741
Henderson County
I'am in receipt of your letter of August 17, 2000 in
which you discuss various options relating to solving the
problem of the clogging sewage force main at Mountain
Valley. Information available to me indicates that flows,
and therefore velocities, through the line are insufficient
to keep the line scoured clean in low places. The
introduction of sewage from seven residences by gravity into
a force main defies all engineering logic. Under the best
of circumstances pump energy is wasted pushing sewage up one
or more of the seven gravity lines. This pump energy would
otherwise be available to keep velocities in the line up.
Under the worst'of circumstances, when the force main is
partially or completely clogged, sewage is. forced back up
the gravity lines above the clog with sometimes disastrous
results.
It gives me no pleasure to tell you that, in my
opinion, the best solution is for the owners of the seven
gravity connections to the force main to construct
individual or joint sewage pumping stations which would
discharge into the force main. Pumping is the only.logical
way to introduce sewage into a force main. When the force
main is clogged sewage cannot be backed past the individual
pump stations. I have to believe that individual pump
stations would result in generally higher velocities in the
force main thereby helping to reduce the accumulation of
material which could cause blockages. Experience tells us
that the system of flapper valves does not work.
T
2 0 1 0�
INTERCHANGE BUILDING, 59 WOODFIN PLACE, ASHEVILLE, NORTH CAROLINA 28801-2414
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/1 Oho POST -CONSUMER PAPER

Ralph and Mollie Wingerter
August 24, 2000
Page Two
U.S. Filter needs to initiate a program of force main
cleaning of sufficient frequency to prevent the formation of
blockages. By copy of this letter I am communication this
need to U. S. Filter.
I encourage you to distribute copies of this letter to
your neighbors who connect by gravity to the force main.
Should they or you need to discuss this matter in greater
detail please do not hesitate to call me at 828-251-6208.
Sincerely,
Roy M. Davis
Environmental Engineer
xc: Tom Kilpatrick
Kevin M. Jones
Dan Ducote
Sam Laughter
73741LET.00

17 August 2000
To: Roy Davis
Environmental Engineer
Asheville Regional Office
N.C. Dept. Environmental and Natural Resources
50 Woodfin Place, Asheville, N.C. 28801
Re: Sewerage Disposal System for the Mountain Valley Sub -Division,
and N.C.
Thank you for your response to our notification of operational difficulties with the sewerage system of the
Mountain Valley Subdivision.
Brief History:
Originally all homes were on a septic tank with leach bed system. Eleven or twelve years ago, in anticipation of
building homes further up the mountain that would not have soil for leach beds, a grinder - pump station and a
disposal unit was installed to accept raw sewerage, process it and discharge the treated water into the French
Broad River.
At that time there were houses still being built that would be below the grinder station. Options were offered to
the owners of these homes. They could have a leach bed or be connected to the sewer line. Seven such homes
were connected.
There has been a 10 year history of problems of errors of judgement or expertise causing the sewer line 3 times to
become inoperative. However, these were mistakes and not due to the design of the system. While costly and
annoying to the septic tank victims the problems were handled by Dan Ducote. The system was eventually sold to
the Culligan Water Treatment Company for $ 1.00.
Now, however there has been two recent problems indication that the system will not operate without periodically
being lugged with sediment gathering in the lower section of the sewer pipe. ' "'iscausby the combination
fseuen gravjty'fow be sysfems�coabmed-vcnth_presspre puYnp systernt This is the current opnion of Elie
technicians engaged recently to open the fine and Tom KilpatiYck; manager of the Blue Mountain Utilities.
The sewer line was originally planned to follow the easement along Danielle Drive and then to follow the lot lines
down to the easement along Cummins Rd. to the disposal unit. However, because it evidently was more
expedient, the line was run down through the middle of the back yard of 153 Mountain Valley Drive and 145
Mountain Drive. We do not know whether the line follows the lot lines between 149 Mountain Valley Drive and
136 Mountain Valley Drive.
Current corrective action taken:
After the third time the back yard of 153 Mountain Valley Drive was dug up to correct problems, I requested a
clean out valve be installed. This has been opened to relieve pressure when the line is plugged with the sewerage
then running into the nearby storin sewer drain which empties into the French Broad River.
After the second stoppage this year Bergen Smith had a clean out installed in his back yard at 145 Mountain
Valley Drive. This permits an extended coverage of the reverse flow Roto-Rooter snake to clear the line.
These are only band -aid corrections. It is the opinion of the experts (?) that there will continue to be stoppages
because the seven septic systems act as a sponge reducing the pressure supplied by the grinder system allowing
silt to stop the line.

Proposals:.
1. It has been.proposed sail epticsysterris on the se; er ine install p SsSs
s¢oaadapressta�t .the
sewer line to. help. keep the line open. Cost would be abou a.thousand dbll`ars pei` mstallarion. Of course the full
amount would be at the homeowner's expense. Neither Culligan nor Blue Mountain has ever reimbursed any of
the expenses incurred by the homeowners due to the back-up problems.
This proposal is not acceptable because:
This will not guarantee that the line will not be plugged. Even with a pressure system the discharge from the
house will back up. This will back up in the house bathtubs and toilets and cause the septic tank to overflow.
2. Improved type back flow flapper valve protection.
This proposal is not acceptable because:
Flapper valves, regardless of type, can be jammed by material not completely pulverized by the grinder. Back -
flows into my septic tank from the grinder have included condoms, sanitary napkins and other solids. Despite
having to pay additional costs for septic tank maintenance (This last back-up septic cost was $350.00) we are
required to pay the same fee as those without septic tanks.
3. Build leach beds for those with septic tanks.
This is a possible solution for those with adequate space. In my situation I have enough space in my back yard
but some may not. However, if I install the leach bed then I will cap the sewer- line and a new line will have
to be installed following the original maps. There is no variance or easement for the line to be run through my
yard.
4. Final Proposal:
This proposal comes from no specific source. It may have been a quote from Poor Richarson's Almanac or
something I read in Don Quotte. " If you don't like the way the Mountain is -run, go -back to where you -come
from."
This proposal is also not acceptable because in all good conscious, I could not sell my property unless this
problem had been adequately solved.
My Proposal:
1. Where the sewer line makes the 90-degree turn to follow Cummins Rd. to the disposal unit, install an old-
fashioned manhole or collector with a warning device to indicate a back up. Install at this point a pressure
pump to prevent the accumulation or residue in the lower section of the sewer line. (or)
2. Install clean -outs at no less than ever hundred feet and at and turn of more than 30 degrees. Then, using the
available video system, scan the line. and locate those sections, that are causing a trap in the line for residue
and replace them. This may not be possible if the height of the line at the 90-degree turn is, lower than the
outlet at the disposal station. `
,� 7/ ity �
rip and Mollie W' erter
153 Mountain Valley Drive
Hendersonville, NC 2,8739
Copies of this letter will be mailed to all homeowners, Dan Ducote, the County Inspector and Tom Kilpatrick,

November 11, 1999
Mr. Roy Davis
NCDEHNR/DWQ/Asheville Regional Office
59 Woofm Place
Asheville, NC 28801-2414
RE: Spill Response Plans
Dear Roy,
Attached are revised and updated Spill Response Plans for the following systems:
Etowah Sewer Company
Mountain Valley
Hunters Glen
Riverwind
Blue Star Camps
I If you have any questions, please feel free to call me a 828-884-5589.
Kindest regards,
4.4c�
Tom Kilpatrick, Vice President
Director of -Operations
1999
5 NOV ( ;
sa°34
VW'k

DAN L DUCOTE CONSTRUCTION CO.
P.O.. BOX 364
ETOWAH, NC. 28729
LICENSE # 14929
PHONE [phone]. HOME 891-4119
07/26/94
Forrest Westall,
As per our conversation of 7/25/94 this is a written request for a "tap" into
the main sewer line of Mountain Valley Subdivision. I have sold 3.71 acres to Al
Slocumb and have contracted to build his home on this property. This parcel of
land is adjacent to lot # 66 and lot # 67 phase III of Mountain Valley that has been
approved for sewer. We are asking for permission to run a 2 inch pressure line
from a grinder pump system designed by Engineer Jon Laughter up the lot # 66 /
67 right of way and tap into the main sewer line. This system will be complete with
check valves. It is also noted that only one residence will go on this 3.71 acres.
Enclosed is the approval for the sewer line extension of Phase V Mountain
Valley Subdivision (permit # WQ0000399) authorizing a discharge of 40,000 GPD
of collected domestic wastewater into the Ducote Wastewater Treatment Plant that
is permitted and designed for a flow of 40,000 GPD. We currently have one
20,000 GPD Phase in place.
Bob Barr of Hydrologic Inc. has informed me that in late March 1994 the
flow was monitored for five days with an average flow of only 2,200 GPD. He said
if you have any questions to call him at 704-254-5169.
I would like to obtain approval for this "tap" in order to pick up my permits
at the Henderson County Environmental Dept. and Inspection Dept.
Sincerely
Dan Ducote.
�-r-q'y

State of North CarolinalS
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Mr. Dan L. Ducote
Dan L. Ducote Construction, Inc.
Post Office Box 1599
Etowah, North Carolina 28729
Dear Mr. Ducote:
E H P4
10,
July 8, 1994
Subject: Permit No. WQ0000399, -
Dan L. Ducote Qlonsffiiction,,Inc..
Phase V, . Mountain Valley S,ubchvision
Sewer ,,Ext6nsioh.,,,
Hendersori County,,
In accordance with your application received February 14, 1994, we are -forwardm`g,,herewith,�'
Permit No. WQ0000399 dated July 8, .1994 to Dan L. Ducot6 Construction, Inc. for the construction and -
operation of the subject sewer extension to serve 19, lots of Phase V* of the Mountain Valley, Subdivision.-,
This permit also, authorizes the continued operation of the sewer collection system for Phase III, of.this,.
Subdivision. The previous permit, Permit No.W.Q0000399, issued November, 2, 1988; authorized the-,
discharge of 40,000 GPD of collected domestic wastewater into the Ducote Wastewater Treatment Plant'
'64:
which is permitted, and designed for a flow of 40,006 GPD, to _,be,built in.2 000 GPD phas6s. P lease note
the permittee i . s charged with keeping, track of .the "allocated". 6cated", GPD,, flow. The. total ..sewer il6wg,�'writteli-ImI
all the permits for this, subdivision shall not be greater I than the capacity I of the eifsting.treatinent;planti.,
This pen -nit shall be effective from the date of issuance. until rescinded and shall be subject to,the.
(conditions and limitations as specified therein. ''Issuance' of this permit hereby voids Permit.,
No.WQ0000399 issued November 2,1988.
-If any parts, requirements, or limitations contained in thispermitare unacceptable, you, have' -the-` -
right I to request an adjudicatory hearing upon written- request within -thirty-'(30) days following 'r6ceipt,of
this permit. This request must be in the form of a written'petition, confonning',to Chapter 150B,ofthey"
North' Carolina General Statutes, and filed with, the Office of Administrative Hearings, ,P.DDrawer
-
'final arid , bindi-
27447, Raleigh, NC 27611-7447. Unless such demand&are made this permit shall be
J.
One set of approved plans and specifications is being forwarded to you. - If you need: additional ,;,',,
information concerning this matter, please contact Mr. John Seymour at• [phone].
Sincerely,
Preston Howard, Jr., P.E.
cc: Henderson County Health Department
Asheville Regional Office
.44ughte'' Austin and Associates, P.A.,
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone], FAX 919-7,33 99 19"a"'.a.''l,
An Equal Opportunity Affirmative Action Employer 50% recycled/ 1 o% post -consumer paper

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State of North Carolina
Department"of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
SL
L7EHNR
February 17, 1994
MR DAN L DUCOTE
DAN L. DUCOTE CONSTRUCTION CO.
PO BOX 364
ETOWAH, NORTH CAROLINA 28729
Subject: Application No. WQ0000399
Mt. Valley Phase V
Sewers -Private
Henderson County
Dear MR DUCOTE:
The Division's Permits and Engineering Unit acknowledges receipt of your permit application and
supporting materials on February 14,.1994. This application has been assigned the number shown
above. Please refer. to this number when making inquiries on this project.
Your project has been assigned to John Seymour for a detailed engineering review. Should there be any
questions concerning your project, the reviewer will contact you with an additional information letter.
Be aware that the Division's regional office, copied below, must provide recommendations from the
Regional Supervisor or a Procedure Four Evaluation for this project, prior to final action by the
Division.
If you have any questions, please contact John Seymour at [phone].
Sincerely,
C Caskill
Supervisor, State Engineering Review Group
cc: Asheville Regional Office
Laughter, Austin & Associates
FEB 21PA
Pollution Prevention Pays
i
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733,,IA '.t;' SECT ION
7055° OL„
An Equal Opportunity Affirmative Action Employer ti E�4 vpL~t�lDi''1L �E�

�ii-fi;�0RAVrrY.:,SEWER FXTE1& PUMP STATIONW -PERMIT APPLICATION PROCESSING FEES
(effective October 1, 1990)
CATEGORY
> 1,000,000 GPD
Industrial
Domestic/Cooling Water
NEW APPLICATIONS
MODIFICATIONS
I I
, H 10
RENEWALS WITHOUT
MODIFICATIONS
$300
$300.-..
-10,001 - 1,000,000 GPD.
Industrial
$400
$250
Domestic/Cooling Water
$400
$250
17001 - 10,000 GPD
Industrial
$400
$200
Domestic/Qo6link waer­: t.
$400
$200
< or 1,000'GPI) and
Single Family Pwelling.:
$240
$120
Sludge < or = 300 Acres
$400
$250
Sludge > 300 Acres
$400
$250
Sewer Extensions
(nondelegated)
$400
0
Sewer Extensions
(delegated) $200 0
Closed -Loop Recycle
or Evaporative $400 $200
NOTE: The Fees for Soil Remediation Projects are the same as for Sludges.
Under the Sewer Extension Fee,, "delegated to municipalities" applies
-
only. to those governmental jurisdictions that have specific delegation
review authority, as granted by ''the Division of Environmental
Management.
10 of. 10

GRAVITY: SEWER EXTENSWN & PUMP STATION
tPAGE 9 (4/91)..7.
Name and Complete Address of Engineering Firm: Laughter, Austin Associates, P. A.
131 Fourth Avenue East
City: Hendersonville State: N. C. Zip: 28792
Telephone No. _. (7 0 4) 6 9 2- 9 0 8 9
Professional Engineer's Certification:
I, Jon H . Laughter , attest that this application for
Dan L. Ducote has been reviewed by me and is accurate
and complete to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with the applicable regulations. Although certain
portions of this submittal package may have been developed by other professionals, inclusion of
these materials under my signature and seal signifies that I have reviewed this material and have
judged it to be consistent with the proposed design.
North Carolina Professional Engineer's Registration No. 4066
Print Name of Engineer Jon H . Laughter
Seal and Signature (specify date):
a`
SEAL.
�! NO. 40 36
t
93s 0
AppIicant's Certification:
I, Dan L. Ducote
Dan L. Ducote Constructio
IV..' -
A' L A0 -
attest that this application for —
�, '::Inc, .. : .
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed and that if all required supporting
information and attachments are not included, this application package will be returned as
incomplete.
Signature
C
Date—
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
512 NORTH SALISBURY STREET
RALEIGH, NORTH CAROLINA 27626-0535
TELEPHONE NUMBER: 919/733-5083
9 of 10

r �,GRAVITY:SEWER EXT]
PAGE 8 (4/91)
ON & PUMP STATION
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE
DIVISION OF ENVIRONMENTAL MANAGEMENT UNLESS ALL OF
THE APPLICABLE ITEMS ARE INCLUDED WITH THE SUBMITTAL
Required Items
a. One original and three copies of the completed and appropriately executed application form.
b. Three sets of detailed plans and specifications signed and sealed by a North Carolina .
Professional Engineer. The plans must include a general location map, a plan view of the
sewer extension, a profile of the sewer extension, details on the pump station, and must
show the proximity of the sewer extension to other utilities and natural features.
Specifications may be omitted for delegated authorities. Each sheet of the plans and the first
page of the specifications must be signed and sealed. Three copies of the existing permit if
a renewal or modification.
C. Three copies. of all calculations, including pump selection, friction calculations, cycle
time, pump curves (including system curves applicable with one pump running, two
pumps running, three pumps running, etc.), and evaluation of downstream pump stations.
These items must be submitted under the signature and seal of the North Carolina
Professional Engineer.
d. The appropriate permit processing fee, in accordance with 15A NCAC 2H .0205(c)(5).
e. If the owner/authority of the wastewater treatment facility (WWTF) that will be accepting
the wastewater flow from this project is different from the applicant of the project, then a
letter must be provided from the owner/authority of the WWTP specifying the volume of
flow that will be accepted. The letter should be a recent letter and should refer to the project
by the same name as that identified on the application and the plans/specifications.
f. An Operational Agreement (original and two copies) must be submitted if the sewer
extension will be serving single family residences, condominiums, mobile homes, or town
houses and if the subject sewer extension is owned by the individual residents, a
homeowners association, or a developer.
8 of 10

DIVISION OF ENVIRONMENTAL MANAGEMENT REGIONAL OFFICES (4/91)
Asheville Regional WQ Super.
Washington Regional WQ Super.
Raleigh Regional WQ Super.
59 Woodfin Place
P O Box 1507
3800 Barrett Dr., Suite 101
Asheville, NC 28802
Washington, NC 27889
Raleigh, NC 27609
704/251-6208
919/946-6481
919/133-2314
Avery Macon
Beaufort Jones
Chatham Nash
Buncombe Madison
Berne Lenoir
Durham Northampton
Burke McDowell
Camden Martin
Edgecombe Orange
Caldwell ` Mitchell
Chowan Pamlico
Franklin Person
Cherokee Polk
Craven Pasquotank
Granville Vance
Clay Rutherford
Currituck Perquimans
Halifax Wake
Graham Swain
Dare Pitt
Johnston Warren
Haywood Transylvania
Gates Tyrell
Lee Wilson
Henderson Yancy
Greene Washington
Jackson-
Hertford Wayne
Hyde
Fayetteville Regional WQ Super. Mooresville Regional WQ Super.
Wachovia Building, Suite 714 919 North Main Street
Fayetteville, NC 28301 Mooresville, NC 28115
919/486-1541 704/663-1699
Anson
Moore
Alexander
Mecklenburg
Bladen
Robeson
Cabamis
Rowan
Cumberland
Richmond
Catawba
Stanly .
Harnett
Sampson
Gaston
Union
Hoke
Scotland
Iredell
Cleveland
Montgomery
Lincoln
Winston-Salem Regional WQ Super.
8025 North Point Boulevard, Suite 100
Winston-Salem, NC 27106
919/161-2351
Alamance Rockingham
Alleghany Randolph
Ashe
Stokes
Caswell
Sung
Davidson
Watauga
Davie
Wilkes
Forsyth
Yadkin
Guilford
A
Wilmington Region. WQ Super.
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
919/395-3900
Brunswick New Hanover
Carteret Onslow
Columbus Pender
Duplin
7of10

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TO: REGIONAL 'WATER' QUALITY SUPERVISOR
Please provide me with the classification of the surface waters identified in number 5
below and on the attached map segment:
Name of surface waters: French Broad River
.• Pl
Classification (as established by the Environmental Management Commission): C
i
Proposed Classification, if applicable: All��e
Signature of regional office personnel: Z2�Date: Ak
INSTRUCTIONS TO ENGINEER
In order to determine whether provisions for dual or standby power may be required for the
subject facility, the classification of the closest downslope surface waters (the surface waters that
any overflow from the facility would flow toward) must be determined. You are required to
submit this form, with items 1 through 10 completed, to the appropriate Division of Environmental
Management Regional Water Quality Supervisor (see attached listing). At a minimum, you must
include an 8.5" by 11" copy of the portion of a 7.5 minute USGS Topographic Map which shows
the subject surface waters. You must identify the location of the facility and the closest downslope
surface waters (waters for which you are requesting the classification) on the submitted mWcopy.
The application may not be submitted until this form is completed and included with the submittal.
1.
Applicant (corporation, individual,orother)pan L. Ducote .Construction,_ Inc.' ..
2.
Name and Complete Address of Engineering Firm: Laughter, Austin & Associates, P.A.
131 Fourth Avenue East
City: Hendersonville State: N. C.
Zip: 28792
Telephone No. (7 0 4) 6 9 2- 9 0 8 9•'
3.
Project Name: Mountain Valley Subdivision,
Section V
4.
Pump station design flow: 6 8 4 0 GPD;
12 GPM
5.
Name of closest downslope surface waters: French
Broad River
6.
County(s) where project and surface waters are located:
Henderson
7.
Map name and date: Horse Shoe (TVA 193-SE)
Photo revised 1978
8.
North Carolina Professional Engineer's Registration No.
4066
9.
Print Name of Engineer Jon H . Laughter
10.
Seal and Signature (specify date):
6of10

V. PUMP STATION INFORMATION
1. Pump -Station No.: 1 (A separate sheet V.1 through V.15 should be
submitted for each pump station)
2. Name of closest downslope surface waters: French Broad River
3. Classification of closest downslope surface waters: (as established
by the Environmental Management Commission & specified on page 6 of this applic.)..
4. If a power failure at this pump station could impact waters classified as WS, SA, B, or
SB,.describe .which of the measures are being implemented to prevent such impact, as
required in 15A NCAC 2H .0200:
5. What size pumps are provided? _
6. How many pumps are provided?
7.
8.
9.
10.
28
2
What is the maximum capacity of the pump station?
What is the design total dynamic head? 45
How many pumping cycles will occur at the design flow rate?
Check if provided at pump station:
I
Alternate Power Source
X
Wet Well Vented with Screen
X
Fillets in Wet Well
X
Check Valves and Gate Valves
X
Security Fencing
X
Lockable Wet Well Cover
X
Area Light
X
110V Electrical Convenience Outlet
X
Flood/Buoyancy Protection
High Water Alarm X Audible and Visual
GPM
GPD
feet
cycles per hour
Auto Dialer
11. Summary of force main (by diameter size and pipe material):
Diameter Length Pipe High Low Minimum Maximum Minimum
(Inches) (Linear Ft) Material Elevation Elevation Velocity(fps) Vel.(fps) Cover (in)
2 1175 PVC 487.5 455 2.0 36"
12. Are air release valves provided at all high points along the force main (must be provided
where the elevation difference exceeds 10 feet)? yes X no
13. Is pump station subject to flooding? yes X no. If yes, what measures are
being taken to protect against flooding?
14. If subject.to flooding, specify the 100-year flood elevation: NIA Feet MSL
15. Are there existing or planned pump stations downstream of this station? X yes — no
If yes, the engineer shall evaluate the ability of those pump stations to adequately handle
the subject flows.

F�.vr...s' at''xr • - - -- _
- ? ,GRAVITY;SEWER EXTI DN & PUMP STATION
PAGE 414/91)
11. Maximum allowable infiltradon/exfiltration test rate: 10.0 GPD/ pipe dia. in-/ mile.
Note: Must not exceed 200 GPD/ pipe dia. in./ mile.
12. Minimum separation distances as shown on the plans or addressed in the specifications:
a) 100 ft. horizontal separation from wells or other water supplies? X Yes _ No
b) 12 in. vertical separation from storm sewer or ferrous pipe
sanitary sewer specified? X Yes —No
c) 10 ft horizontal separation from water mains or 18 in. vertical
separation (water over sewer) or ferrous pipe specified? X ' Yes —No
13.. Are manholes subject to flooding? _Yes X No
14. If yes, are manhole rim elevations 1 foot above 100-year flood level, N/A Yes =} No
(100 year flood elevation should be -indicated on plans)
15. Or are manholes watertight and vented 1 foot above the 100-year
flood elevation ( should be shown on plans): N/A Yes _ No
16. Identify (by manhole number) those manholes that.are vented: N/A
17. Does this project involve any stream crossings? _ yes X no. If yes, what precautions
or special features have been utilized to ensure protection of the sewer line and not
restrict stream flow? Identify the sheet of the plans and station number where stream
crossings are located: N/A
4 of 10

.3.. Summary of sewer pipe by diameter size and pipe material.. Indicate here whether C
factor or N factor is used and circle C or N below: C
Dia.
Length
Pipe
C or N
Min. Max. Minimum Max.
Minimum
(In.)
(Lin. Ft)
Material
Factor
Slope % Slope % Velocity (fps) Vel.(fps)
Cover (in)
8
1040
-PVC _
150
2.0
36
8
80
DIP j
140
15.31 15.31 2.0
18
NOTE: The minimum velocity must not be less than 2 fps.
For public sewers the minimum diameter is 8 inches.
4. Anchors shall be provided for sewers with slopes greater than 20 %. The anchor
spacing shall be as follows:
a. 36 feet separation for slopes of 21% to 35%;
b. 24 feet separation for slopes of 36% to 50%;
c. 16 feet separation for slopes of 50% and greater.
For velocities greater than 15 fps, it is strongly recommended that measures be
considered which will protect. the sewers and manholes from erosion. For velocities
greater than 20 fps, erosion control measures must.be specified
For any excessive slopes or velocities that will occur in. any sewer line segment, what
measures have been taken to protect the sewer pipe and manholes?
Provide D.I.P. and securely anchor mains with concrete
collars cast immediately downhill from bells.
5. Maximum sewer reach length between manholes: 310 linear feet.
6. This sewer line segment occurs between manhole no. 1 B and manhole no. 2 B
7. Does the owner/operator have the ability to clean this length? X Yes No.
8. Sewer subject to existing or planned traffic bearing loads? Yes X . No.
If yes, what measures are being taken to enable the sewers to withstand the loads?
9. Outside drop manholes are provided where invert separations exceed: N/A feet.
10. Identify (by manhole number) those manholes that have drop connections: N/A
3of10

�io
k RAVI'1',:SEWER EXTF' N & �'UMP STATION 4
PAGE 2 (4/91)'�_
III. INFORMATION ON WASTEWATER: ' ,
1. Nature of Wastewater: ; 10 0 % Domestic; % Commercial;
% Industrial; % Other waste (specify):
2. Please provide a one or two word description specifying the origin of the wastewater,
such as school, subdivision, hospital, commercial, industrial, apartments, etc.:
Subdivision-
3. Indicate any parameter, (and its concentration) that will be greater than normal domestic
levels: N/A
4. If wastewater is not domestic in nature, what level of pretreatment has been provided to
ensure protection of the,receiving wastewater treatment facility?
N/A
5. Volume of wastewater generated by this project: 6840 gallons per day
6. Explanation of how wastewater volume was determined:
19 lots being served by 360 gpd/lot = 19x360 = 6840 gpd
IV. DESIGN INFORMATION:
1. Brief project description: 8" diameter gravity collection mains to
serve 19 lots. Du lex Submersible Pump Station and 2"
-meter PVC force main tto x ttin r v tt co ection s stem
eing treated at approved 2�5,��0 galg aWW1Py y
2. Name of wastewater treatment facility receiving wastewater: Mountain Valley
a. Facility permit 'no.:
ACA073741
b. Engineer should provide statement of his evaluation of downstream sewers to
accept the wastewater:
2 of 10

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
Non -Discharge Permit Application
r! J
(THIS -FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
GRAVITY SEWER EXTENSION
%0 'C", r±`R
PUMP STATIONS, AND PRESSURE SKWERS
zc L'J P7
I. GENERAL INFORMATION:
-tea
y
1.
Applicant (corporation, individual, or other ):Dan L . Ducote Construction, -.Inc.''
2.
Print Owners or Signing Official's Name and Title (the person who is legally
responsible for the facility and its compliance): Dan L . Ducote
3.
Mailing Address: P. 0. Box 364
City: Etowah State: N. C. Zip: 28729
Telephone No.:( 7 04 )" 8 91- 4119
4.
Project Name (subdivision, facility, or establishment name - should be consistent with
project name on plans/specs., letters of flow acceptance, Operational Agreements, etc.):
Mountain Valley, Phase VZZ
5.
Application Date: 6. Fee Submitted: $400.00
7.
County where project is located: Henderson
II. PERMIT INFORMATION:
1.
Permit No. (will be" completed by DEM):
2.
Specify whether project is: new; renewal*; XX modification.
*If renewal, complete only sections I through III and applicant signature
(on pg.9). Submit only pgs. 1, 2, 9 (original and 3 copies of each). Engineer
signature not required for renewal.
3.
If this application is being submitted_ as a result of a renewal or modification to an
existing permit, list the existing permit numberWQ 0 0 0 03 99 and issue date 11- 2 - 8 8
.4.
Specify whether the applicant is public or XX private.
FORM:
GSPS 4/91 Page 1 of 10

■ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired. „ / ❑ Agent
■ Pliftour name and address on the reverse ❑ Addressef
__AdW we can return the card to you. __I R R�-01 r,� i a edNameI C. Date of Deliver)
North Carolina Department of
Environment and Natural Resources
Division of Water Quality
Surface Water Protection Section
2090 U.S. Highway 70, Swannanoa, NC 28778
Mr. Tom Killiatrick
Viola, Water North America 0peratin
Post Office Box 67� `
Etowah, North Carolina 28729-679�
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fill' ice Type
Certified Mail ❑ Express a r-
❑ Registered —1 Retum Receipt for Merchandise
❑ Insured Mail ❑ .O.D.
4. Restricted Delivery? (Extra Fee) Yes
PSI Forin 38:1I1.1FetiruaN,, 2004 1 11 DdrAestic Return'Rxeint

UNITED STATES P,¢SifiL .$EIUJG�� - ;. Fi#st:Cias
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MR. ROY DAVIS
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SWANNANOA NC 28778
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