NC0039187_Permit Issuance_20160108

Water Resources
ENVIRONMENTAL QUALITY
Mr. Charles W. Burkett, IV
Valley View of Asheville, LLC
1332 Biscaya Drive
Surfside, FL 33154-3318
Dear Mr. Burkett:
PAT MCCRORY
Gm,ernar
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
January 8, 2016 Director
Subject: Issuance of NPDES Permit NCO039187
Valley View Shopping Center WWTP
2212 Smokey Park Hwy (US 19/23), Candler 28715
Buncombe County
The Division of Water Resources (the Division) hereby issues the attached NPDES permit for the subject
facility. 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.
The Division understands that you have made no significant changes to your facility since the last permit
renewal. We have made the following updates to your previous permit:
• added parameter codes to Section A. (L)
• added Electronic Reporting - Discharge Monitoring Reports page [Section A. (2.)].
updated the facility map.
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.
The requirement to begin reporting discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report (eDMR) internet application has been added to your NPDES
permit. [See Special Condition A. (2.)] For information on eDMR, registering for eDMR and obtaining
an eDMR user account, please visit the following web page:
http://portal.ncdenr.org/web/wq/adminibog/ipu/edmr.
For information on EPA's proposed NPDES Electronic Reporting Rule, please visit the following web
site:
http://www2.epa.gov/compliance/proposed-npdes-electronic-reporting-rule.
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 North Carolina General Statutes, and you must file it with the Office of Administrative
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] \ Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer — Made in part by recycled paper

Mr. Burkett
January 8, 2016
Page 2 of 2
Hearings, 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such a demand is
made, this permit shall remain final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Resources or any
other Federal, State, or Local governmental permits that may be required.
If you have questions, or if we can be of further service, please contact Derek Denard at
[[e-mail]] or call [phone].
AJay
erman, 4P.G.,ctor
Division of Water Resources, NCDEQ
Enclosure: NPDES Permit NC0039187 (Issuance Final)
hc: Central Files
NPDES Program Files
ARO Files/ Attn: Landon Davidson

s
NPDES Permit NCO039187
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
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,
Valley View of Asheville, LLC
is hereby authorized to discharge wastewater from a facility located at the
Valley View Shopping Center-WWTP
2212 Smokey Park Highway (U.S. Highway 19/23), Candler 28715
Buncombe County
to receiving waters designated as an unnamed tributary to Hominy Creek 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 February 1, 2016.
This permit and authorization to discharge shall expire at midnight on October 31, 2020.
Signed this day January 8, 2016.
S. JWZimmerman, P.G., Director
-"
3sion of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 5

NPDES Permit NCO039187
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked, and as of this 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.
Valley View of Asheville, LLC
is hereby authorized to:
1. continue to operate an existing 0.01 MGD wastewater treatment facility with the following
components;
• manual bar screen
• aeration basin with dual blowers
• clarifier with skimmer and sludge returns
• tablet chlorinator
• chlorine contact chamber
• tablet dechlorinator
located at Valley View Shopping Center WWTP, 2212 Smokey Park Highway (U.S. Highway
19/23), Candler, Buncombe County,
2. discharge from said treatment works via Outfall 001, at the location specified on the attached map
into an unnamed tributary to Hominy Creek [6-76], a waterbody classified C located within
Subbasin 04-03-02 [HUC: 060101050502] of the French Broad River Basin.
Page 2 of 5

NPDES Permit NC0039187
PART I
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, the
Permittee is authorized to discharge from outfall 001. Such discharges shall be limited, monitored and
reported' by the Permittee as specified below:
EFFLUENT;CHARACT.ERISTIC.S:.
Parameter Code,
LIMITS:
MONIT.ORI_NG, REQUIREMENTSI.
Monthly
. _,Avera e,. _
`Daily, =
.. ,Maximum .
Measurement
Frequenc _
Sample Type
`Sample =
I .. .
Location
Flow (MGD) 50050
0.01 MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5-day (20°C) (mg/L) C0310
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Suspended Solids (mg/L) C0530
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
NH3 as N (mg/L)
(April 1— October 31 C0610
7.0 mg/L
35.0 mg/L
Weekly
Grab
Effluent
( as (November —r I — March 31 C0610
No
Novemb
18.0 mg/L
35.0 mg/L
Weekly
Grab
Effluent
Fecal Coliform 2 (#/100m1) 31616
2001100 ml
400 / 100 ml
Weekly
Grab
Effluent
Total Residual Chlorine3 (pg/L) 50060
28 pg/1-3
2/Week
Grab
Effluent
Temperature (°C) 00010
Monitor & Report
Weekly
Grab
Effluent
pH (su) 00400
>— 6.0 & 5 9.0 Standard Units
Weekly
Grab
Effluent
Footnotes:
1. No later than 270 days from the effective date of this permit, begin submitting discharge monitoring
reports electronically using NC DWR's eDNR application system. See Condition A. (2.).
2. Fecal Coliform shall be calculated using the geometric mean, according to the procedure detailed in Part H.
Section A.
3. The Division shall consider all effluent TRC values reported below 50 µg/L to be ui compliance with the
permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina
certified laboratory (including field certified), even if these values fall below 50 µg/L.
Conditions:
• There shall be no discharge of floating solids or foam visible in other than trace amounts.
Page 3 of 5

NPDES Permit NCO039187
A. (2.) 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 adopted
these regulations in 2013.
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.)
• Section D. (6.)
• Section E. (5.)
Reporting
Records Retention
Monitoring Reports
I. Reporinnr: [Supersedes Section D. (2.) and Section E. (5.) (a)l
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 / DWR / Information Processing Unit
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the
facility being physically located in an area where less .than 10 percent of the households have
broadband access, then a temporary waiver from the NPDES electronic reporting requirements
may be granted and discharge monitoring data may.. be submitted on paper DMR forms (MR 1, 1.1,
2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be submitted to
the mailing address above.
Requqsts 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 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.
Page 4 of 5

NPDES Permit NCO039187
A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS, continued
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.org/web/wq/admin/bov,/ipu/edmi
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)1
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part
II, Section B. (11.)(a) or by a duly authorized representative of that person as described in Part II,
Section B. (11.)(b). A person, and not a position, must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit
the following web page:
http://portal.ncdenr. ora/web/wq/admin/bog/ipu/ed=
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification [40 CFR 122.221. NO OTHER STATEMENTS. OF
CERTIFICATION WILL BE ACCEPTED:
'V 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 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 5 of 5

up
•,, .!
4;-
14.
. y
Smokey Park. Hwy (US: Hwy 19/23
•� '>� 4::J 3j Approximate,."
Facility Boundai
16
19
UT'to Hbm' Iny Cree41
k fa z _: r _ � 4 �� :; `� . i. >�►
[flow•§ southeak],
,., t - _ N
F .� Nr .•� � �� �.J�rr� r•k `� F
ti, y � by � S •- '"'.`�.i.. t- � 'S �� Fs'
Outfa11,001 ," : ��-
i ...� j -9l 1 dk ?; "Sr 1 " ...d; .r.,;j s.. a day.
Jr ) [flows southeast] 3x .b .,sd. q Jy - �.�',�" * ''� a r'y f
ow-
�S� a ^ >t f Y ,J� ✓ 7 r- � h.�a� t '�� 4 _. +3' Y.. L �.- } +�S! _
s �
., ■ ■ " Hominy Creek
w
■l■ '' '~ [flows east]
Valley View of Asheville, LLC
Valley View Shopping Center WWTP
2212 Smokey Park Hwy (US Hwy 19/23); Candler 28715
Receiving Stream: UT to Hominy Creek Stream Class: C
Stream Segment: 6-76 Sub -Basin: 04-03-02
Drainage Basin: French Broad RUC: 060101050502
Latitude: 350 32' 34" Longitude: 820 43' 52"
State Grid/USGS Quad: E8SW / Enka, NC
Location
Scale tQp9n57grQL?F1Cj°QaQ
000�,
Buncombe County

I
DEQ / DWR / NPDES
EXPEDITED FACT SHEET - NPDES PERMIT DEVELOPMENT
NPDES Permit NCO034304
Derek Denard, Com Hance & Expedited Permitting Unit / 919-807-6307 29Dec201
s ° Facility Inoxmation•
Applipant/Facility Name ,
Young Life
Windy Gap Camp WWTP
Applicant 'Address ,•: t
120 Coles Cove Road, Weaverville, NC 28787
Facility Address
120 Coles Cove Road, Weaveiville, NC 28787
'PernittedFlow,(MGD) .., ,
0.050
;Type of Waste
Discharging 100% Domestic < 1MGD
Facility Class _
WW-2
County
Buncombe
Permit Status
Renewal
Regional'.
Office
ARO
Stream Characteristics
Receiving Stream n
Coles Cove Branch
Stream Classification -
C
Stream Segment
[6-88-1]
Drainage basin
French Broad
�S.unmi& 7Q10 (as),
0.14
Subbasin [HUC]
04-03-02
[060101050904]
Winter 7Q10 (cfs)
0.28
Use `S.upport
Supporting (Cat 2)
30Q2t(cfs) •
0.33
),Listed
Average Flow (cfs)
1.8
State Grid
E8NE
�IWC`(%) .,
35.63%
USGS.Top�o�Quad,
Weaverville,NC
5
This facility is a minor commercial facility (flow <1 MGD) that receives 100% domestic waste serving a
Windy Gap.Camp with 25 employees and 475 guests. The design capacity of the treatment system is 0.05
MGD. No significant changes have been made to this facility since the last permit renewal. -
The facility consists of the following wastewater treatment units:
• bar screen
• comminutors & splitter box
• two (2) aerated flow equalization tanks
• dual extended aeration units
• tablet chlorinator with chlorine contact chamber
• dechlorination
• post -aeration
• sludge holding.
Monthly, average FLOW (MGD) — Last 36 months Oct2012-Sep2015:
[Ave 0.0172 MGD; Maximum, Monthly average flow = 0.0343 MGD]
Fact Sheet
Renewal 2015 -- NPDES Permit NCO034304
Page 1

Data review
DMRs were reviewed for the period of October 2012 to September 2015. DMR data is summarized in
Table I & 11 below:
Table I (based on daily values)
Fecal
Total
Flow
Temperature
BOD
TSS
NH3-N
Colrm
Residual
pH
(MGD)
(°C)
(mg/L)
(rmg/L)
(mg/1)
(//100 #HIOO MI)
Chlorine
(su)
1)
Average
0.0173
17.51
6.39
9.93
0.34
8.03*
19.48
7.54
Maximum
LLA.0U
27.3
23.7
31.7
6.9
833
29
7.8
Minimum
1 0.001
1 5
< 2
4.5
< 0.1
2
4
7.39
* Geometric Mean
Table I based on daily values)
DO
(m /L)
TN
(m /L)
TP
(m )
Average
4.97
9.47
1.80
Maximum
8.9
24.9
6.1
Minimum
2.1
t 0.1
0.2
Toxici - Not required
Renewal Summate- This pen -nit reflects discharge at Outfall 001. DWR updated the following:
added parameter codes to Section A. (1.)
added Electronic Reporting - Discharge Monitoring Reports page [Section A. (2.)].
updated the facility map.
Stream - Discharge from Windy Gap Camp WWTP for outfall 001 is into Coles Cove Branch [Stream
Segment 6-88-1]. The segment is listed as "Supporting (Cat 2)" in the 2014 Integrated Report 305(b).
RPA - A Reasonable Potential Analysis (RPA) was not applicable for any parameters for this permit
renewal.
Implementation of 2012 Statewide Mercury TMDL - Windy Gap Camp WWTP was not required to sample
for mercury in the previous permit. Monitoring for Mercury is not required for this permit because the
WWTP does not serve a municipality. The renewal application indicated "other" for the facility generating
wastewater and "separate (sanitary sewer only)" for type of collection system. The WWTP serves Windy
Gap Camp with 25 employees and 475 guests.
Compliance History -See attachments for Violation History 1/01/201 Ito 09/30/2015.
Fact Sheet
Renewal 2015 -- NPDES NC0034304
Page 2

Permit Reviewer Notes - Derek Denard
Permit Number:
Applicant/ acility Name: C / /f t4Wce it 60!
Permit Status:
/(L► h.
Regional ffice:
Latitude:
Longitude:
Facility Class:
K/ �✓ r Z
County:
PC4 v1 Go
Outfall: D,
Flow: au` D b ODG
,
Applicant Address:
2 9i.5-c of 32 1.sLY
Facility Address:
"S l f w
ype of Waste:
r 1 C •tt✓ • C v� l- - 7 C, C C l
Stream Notes
Receiving m: Strea
- -
Stream Segment: /
Stream Classification:
Drainage Basin: ���,���
Summer 7Q10 (cfs):
0,12
Subbasin: / , _ O7_ d -2
Winter 7Q10 (cfs):
v
HUC Code:
30Q2 (cfs):
State Grid:
Average Flow (cfs):
C/
USGS Topo Quad:
� L
IWC (%):
303 (d):
Use:
Notes '
'k"-1 11/'73)
za7ir

' . FACT SHEET FOR EXPEDITED PERMIT RENEWALS
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
Bob Sledge/ August 17, 2010
Permit Number
NC0039187
Facility Name
Valleyview Shopping Center WWTP
Basin Name/Sub-basin number
French Broad/040302
Receiving Stream
UT to Hominy Creek
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
Yes, add TRC language below
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
what parameter?
Yes, add 303(d) language below. Turbidity,
Biological integrity - benthos
Any obvious compliance concerns?
No enforcements, only 2 violations during
permit cycle
Any permit mods since lastpermit?
Ownership/name change
Current expiration date
October 31, 2010
New expiration date
October 31, 2015
Comments received on Draft Permit?
Yes No If Yes, discuss response with
Supervisor
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".
o TRC laneuaae 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 below 50 ug/1 will be treated as zero
for compliance purposes."
BIMS Compliance Download: Queries>Reports>Violations>Monitor Report Violations>Limit
Violations for Past 3 Years
Reminder: Permits that are not subject to expedited renewal include the following: 1) Major
Facility (municipal/industrial); 2) Minor Municipals with pretreatment program; 3)
Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS, etc); 4)
Limits based on reasonable potential analysis (metals, GW remediation organics); 5)
Permitted flow > 0.5 MGD (requires full Fact Sheet); 6) permits determined by Supervisor to be
outside expedited process.
Note: This sheet is located on NPDES Server/CurrentVersions/Expedited Fact Sheet May2010

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Public Notice
North Carolina
Environmental Management
Commission/N PDES Unit
1617 Mail Service Center
Raleiggh NC 27699.1617
Notice of intent to issue a NPDES Wastewater
Permit
North Carolina Environmental Mananem
to review information
irmation on NPDES perr
lay be found on our
denr.org/ geb//wqQ//swp!ps/
by caling (919) W7-6304.
,e Home Owners Associa
larl fodermit N00087556
n WWPeisisgn eerivisitr.!mit
ater to Cane Creek in thi
in.
NC�003918, foC tt�ieu Valli
er WWTP in Buncombe
discharge is treated wa:
tributary to Hominy Cree
ver Basin.
requested renewal of
its Windy Gap Camp N
nty; this permitted disct
tic wastewater to Cole
inch Broad River basin.
t requested renewal of
.he Days Inn West WWTP
; this permitted disch.
!C, wastewater to George
ASHFVTf T E
CITIZEN ZTNES
VOICE OF THE MOUNTAINS e CITIZEN T IMES.com
AFFIDAVIT OF PUBLICATION
BUNCOMBE COUNTY
SS.
NORTH CAROLINA
Before the undersigned, a Notary Public of said County and
State, duly commissioned, qualified and authorized by law
to administer oaths, personally appeared Rene Simpson,
who, being first duly sworn, deposes and says: that she is
the Finance Manager of The Asheville Citizen -Times,
engaged in publication of a newspaper known as The
Asheville Citizen -Times, published, issued, and entered as
first class mail in the City of Asheville, in said County and
State; that she is authorized to make this affidavit and
sworn statement; that the notice or other legal
advertisement, a true copy of which is attached hereto, was
published in The Asheville Citizen -Times on the
following date: November 6th 2015. And that the said
newspaper in which said notice, paper, document or legal
advertisement was published was, at the time of each and
every publication, a newspaper meeting all of the
requirements and qualifications of Section 1-597 of the
General Statues of North Carolina and was a qualified
newspaper within the meaning of Section 1-597 of the
General Statutes of North Carolina.
Signed this 6lh day of November, 2015
(Signrure of p6rson making alNavit)
Sworn to and subscribed before me the 6th day of
November, �
My Com#nission expires the 5th day of October, 201
[phone] 1 [phone] FAX NOTARY
14 O. HENRY AVE. I P.O. BOX 2090 1 ASHEVILLE, NC 28802 1 [phone]
PUBLIC
iC )i GAM M --�
E �.

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
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
Bob Sledge 11/3/2015
Permit Number
NCO039187
Facility Name
Valley View Shopping Center WWTP
Basin Name/Sub-basin number
French Broad/040302
Receiving Stream
UT to Hominy Creek
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No — already included
Does permit need TRC limits/language?
No — already included
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)?
No
Any obvious compliance concerns?
No. Facility is currently not in operation.
Monitoring & reporting su ended
Any permit mods since last permit?
No
Current expiration date
October 31, 2015
New expiration date
October 31, 2020
Comments received on Draft Permit?
Yes No If Yes, discuss response with
Supervisor

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.01KOV
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit INC0039187
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next, To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name Charles W. Burkett, IV - Burkett Corp.
Valley View Shopping Center EIVE„QGNR WR
1332 Biscaya Drive
Surfside
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Florida 33154 ri VV�ate Q Qualily
305-534-0102
305-673-2075
charles(k,burkettcompanies.com
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road US Highway 19/23
City
State / Zip Code
County
Candler
NC 28715
Buncombe
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility
referring to the Operator in Responsible Charge or ORC)
Name Charles W. Burkett, IV - Burkett Corp
Mailing Address 1332 Biscaya Drive
City Surfside
State / Zip Code Florida 33154
Telephone Number 305-534-0102
Fax Number 305-673-2075
e-mail Address charles��burkettcompanies.com
(Note that this is not
1 of 3 Form-D 11/12

-WPDES. APPL.ICATION, - FORM _ D-
For pAvately-6,wn6d Upat, 6 gpi$ - treating 0 - dom!c�
yAt 10 W
1
4. besctiption of, w_aste*Atez;..
Facility GenetatiiikW"teivvAtet(chec'k-,-al1--that apply):
Industrial
Number of EMP103yees
.Comm.erdial x
Number: of- Employees
kesidential
IN, r.6f-Homes
School
Number of Students/staff
—aff
-.pnts/St
-Other ri
Expla ir.r.
Describe the sources) :of -,wastewater .(example:' subdivision, mobifie homg pa#, shopping,. centers,
restaurants, etq. 'C'J�
Shop
ping
Number -1(-(-C C4-C
5., Type ;of collection g"teml
X SepanqLt6, (sanitary-.s6wet only) 11 '1'.Combined (storrmso,0er­.=, d.., . s4nitaxsewer).
6. Ontfall Information;
Xumber of separate .discharge points, 1
OutfaU.14entifiqation numbpr(d). 001
Is the outfaU eqWppeck:w-ItA4 diffuser- E1 Yes XXo
7. Name of,recdiVing stream(s). Ll�t W'qpplf6ants; Provide, a map showing the,exact--'I'O'cd#6n6f.,Od6h-
outfaIlr
]Unnamed tiibutary.'to: Homi0y Czeekin- the. Fronc4.iBroad River 1p. f
8: Frequencyof . Discharge : "X -0,.ontj# s
Out
If intermittent:
Days per week dischar& odcqr-,s--
9,.-. Dasoribefhe treatment isyit6m
d'
List all install6d components,-indhiding.ca 'd d ' -removal.fibrBW TS&-nifti pact esprouL e! e��fgu;
phosphorus.. If the: svacepro no
vido&is.::. tsuffim'.eilt, attach, the; 40sck(ption, of7ihe treatment,41i
separate sheet of paper..
A 0.01 MGD facility -with meamnali biriicr.06n, aeratidiibagin: With 4uaV_b1ow6r0' .01444"
with -skimmer and shidge returns, tablet. chlorinator "11 ri"' -6 - b
skimmer _j 16 o no contact chabab rjAd let
dechlorinator.
b 2 of 3 tF .1112

NPI)E$ APNPTjCAITI0N.,,.w D'
For privately-owned4-rcatmeiitsyg tregitirig.,,166, evvi imp
Treatmentolant,,Vtsign.Ab*_q.;01 MGD
An.n.t.ud-Avergge, (for the.w.eviQus-.8 year§),.
w fd .(for the previ, 3-years -,
axImum-.4aAy::fl0w.,..,NwvLm
II: Iw,-th ,fa loc*tO4 indiA uo#y!
ts cilltr PkA A -co
D Y16.8 x "NO
,6. 2fo.rdy- bhe aru
g-as _:-..s7zhg, e
VaKiinum
Biochemical 0*ge4.D"pd(BOPS):
NO. FLOW
F6cai, Colifoiln
Total Suspended Solids
i O-FLOW
Teinperaturd (sumpm-ei),
NO FLOW
Teimp6rature.cw. t4l*
NO FLOW'
PH
i1f0` FLOW
. NO, FLOW
MC
N
w
'NO FLOW -,C,
NO PLOVIr
List all. Permits, construc
tion approvals and/ ora licat
Tj
'Permit. �,pe Number Type Permit Number
Hazaxdoixs Waste.(RQRA,) INESHAPS,'(QAA)
Utp ($]DWA)- Ocean Dumping (IVIPRSA).
NMES -NCO Dredgebfrlil,(Section -4 4 or CuiA)'
-Other
Non�attainmerit.;program. (CAA)
14. APPLICANT'CERTIFICATION
certifythit I 0= tlhmfflar with the.infoirhiation jqqntA. nei
0 XMY
best f :,know gd,Ah such*� `�tion Is 0
Printed. name 6fTergonSigning Title, V—ZY-R-,
A
Signature of Ay(pIkAnt
North Carolina P
enaral'Statute-,14-21U
application, r:report, pian, or pther:;d
Win mie,- :Implementing Wjh8'tArticle;. or
required bare operated or n4undi
at ,.
PS .:4y--p qt,,s.oTwho kr
't,flies ;,or rbquired•Ao be v
Isrfles., tampers with; or kn
1621 6r,6 ­06tbfi$, 6'f the E
t exceed �or byin
P`q�".p X... !
goylaes.-al unisom htby�g.,fj V.rlotmore $25,000: Plirn as.on e g .P . .0 than p b Wn ntnotmot hg?5 at$ tbdth,se
3V 3-