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HomeMy WebLinkAboutNCG551335_NCG551335_Complete File_20131206_20131206Weaver, Charles From: Weaver, Charles Sent: Friday, December 06, 2013 11:08 AM To: 'kurtzbonnie@yahoo.com' Cc: Denard, Derek; Wiggs, Linda Subject: NCG551335 is now Inactive Importance: High Tracking: Recipient Delivery 'kurtzbonnie@yahoo.com' Denard, Derek Delivered: 12/6/2013 11:09 AM Wiggs, Linda Delivered: 12/6/2013 11:09 AM Mr. Kurtz — we have made the Certificate of Coverage for your property (at 957 Charlotte Highway in Fairview) Inactive. You are no longer bound by the requirements of General Permit NCG550000. Thanks for confirming that the site was never developed. Charles H. Weaver NPDES Unit 1 i NCG550000 N.O.I. Notice of Intent must be accompanied by a check or money order for $50.00 made payable to: NCDENR Mail three (3) copies of the entire nackaae to: 14 Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee the issuance of an NPDES permit Page 4 of 4 SWU-216-080102 Denard, Derek From: Bonnie Kurtz <kurtzbonnie@yahoo.com> Sent: Thursday, December 05, 2013 4:27 PM To: Denard, Derek Subject: General Permit NCG550000 Mr. Denard, This letter is to verify that we no longer intend on developing the property at 957 Charlotte Hwy., Fairview, NC. We returned the 2011 invoice marked please cancell, thinking that would take care of owing the fee. Thank you very much for looking into this matter for us. Wendell Kurtz — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — (Return This Portion With Check) ANNUAL PERMIT INVOICE Permit Number: NCG551335 Buncombe County 957 Charlotte Highway Wendell Kurtz 985 Charlotte Hwy Fairview, NC 28730 i2nud1N2 P Ra0 w41a1 Annual Fee Period: 2012-06-01 to 2013-05-31 Invoice Date: 05/03/12 Due Date: 06/02/12 Annual Fee: $60.00 Check Number: C200807900.597 SOSID: 0793877 Date Filed: 3/26/2008 11:41:00 AM Effective: 12/31/2007 Elaine F. Marshall State of North Carolina North Carolina Secretary of State Department of the Secretary of State C200807900597 ARTICLES OF DISSOLUTION OF LIMITED LIABILITY COMPANY Pursuant to §57C-6-06 of the General Statutes of North Carolina, the undersigned limited liability company hereby submits the following Articles of Dissolution for the purpose of dissolving the limited liability company. 1. The name of the limited liability company is: WEBO INVESTMENTS LLC 2. The dates of filing of its Articles of Organization and all amendments thereto are as follows: JULY 22 2005 3. The reason for filing the Articles of Dissolution is: (please check one of the following items) ❑ The time specified in the articles of organization or the company's written operating agreement has occurred. ❑ The happening of an event specified in the company's articles of organization or their written operating agreement. 0 The written consent of all members. ❑ The company no longer has any members. ❑ The entry of a decree of judicial dissolution under G.S. §57C-6-02. 4. The effective date (which shall be date certain) of the dissolution, as determined in accordance with N.C.G.S. §57C-6-01, is DECEMBER 31 2007 5. Attach any other information determined by the managers filing these articles. This the I-2) day of Mr. i, C.i'— 20 07 WEBO INVESTMENTS LLC Name of Limited Liability Company l Pi��Xn 4"tuere WENDELL J. KURTZ, MEMBER/MANAGER Type or Print Name and Title Notes: 1. Filing fee is S30. This document must be filed with the Secretary of State. CORPORATIONS DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622 (Revised January, 2002) (Form L-07) Buncombe County Tax Lookup - Property Card Page 1 of 1 COUNTY OF BUNCOMBE, NORTH CAROLINA Web Property Record Card lip 9676-78-7139-00000 Owner Information Date Printed: 11/26/2013 Parcel Information Total Property Value: 70,400 Status: Active Owners: WEBO INVESTMENTS LLC Account: 8203o69 Address: Deed Date: 8/19/2005 985 CHARLOTTE HWY Deed Book/Page: 4092 / 1873 FAIRVIEW NC 28730 Plat Book/Page: 0105 / 0072 Property Location:957 CHARLOTTE HWY Legal Reference: WARRANTY OR SPL/COMP Tl Taxing Districts Location: 957 CHARLOTTE HWY Class: VACANT LANDd* County: Buncombe County eighborhood: GAP CREEK AREA City: ubdivision: WENDELL & BONNIE KURTZ Fire: FAIRVIEW FIRE ub Lot: 1 CULTURE/RECREATION Y Ownership History Transfer te price Legal Reference Deed Book/Page Qualified Vacant When Sold Account Seller Names WARRANTY OR KURTZ $0 SPL/COMP 4092 / 1873 No: C Yes 8194325 LJ WEND08/19/05 TRANSFER KURTZ BONNIE L SHATTUCK 10/21/04 $50,000 SPL/ y OR 3815 / 0320 Yes Yes 8051623 FREDPARC W K JENNIFER L Assessment History Year Account Acres Land Bldgs Other Impr Assessed Desc Exemptions Deferred Taxable 2013 8203o69 1.66 35,200 0 35,200 70,400 0 0 70,400 2012 8203o69 1.66 51,400 0 42,800 94,200 0 0 94,200 2oli 8203o69 1.66 51,400 0 42,800 94,200 0 0 94,200 2010 8203o69 1.66 154,0000 0 154,000 0 0 154,000 20o9 8203o69 1.66 154,0000 0 154,000 0 0 154,000 20o8 8203o69 1.66 154,0000 0 154,000 0 0 154,000 2007 8203o69 1.66 154,0000 0 154,000 0 0 154,000 2oo6 8203o69 1.66 154,0000 0 154,000 0 0 154,000 20o5 8194325 1.66 38,200 0 0 38,200 0 0 38,200 Land Data Total Acres: 1.66 Land Value: Other Improvements Value: 35,200 1 Acres 35,200 Segment# I Units Description 1 ji.66 Acres LASS 1 Improv# Description Year Units 1 ARAGE k007 11240 Square Feet Total Building Value: o http://www.buncombetax.org/PropertyCard.aspx 11/26/2013 957 Charlotte hwy, Fairview NJ 28730 o,Windows Internet Explorer • ;� https=;','rna,_�s.google.comjrnaps?oe=UTF-8&q=957+Charlotte+h�%ly,+Fairview +NC+28730eie=UTF- I �� ; It I j X I ® 957 Charlotte hwy, Fairview MC 28730 File Eclit View Favorites Took Help Favorites I vi2; Q Suggested Site= - Web Sire Gallery • _j 957 Charlotte hwy, Fairview NC 28730 - Google Maps ! Page • Safety • Tools i Get directions 957 Charlotte hwy, Fairview NC 28730 W places 957 Charlotte Hwy tf' T Directions Search nearby more Maps Labs - help Google Maps - 402013 Google - Terms of Use - Privaai Edit in Google Map Maker Report a p Done Internet 957 Charlotte hwy, Fairview NC i .i•Windows Internet Explorer y� • `� https:,i�map:=google.comjrrap o,—= TF .g=957+Char1o!:te+hwy,+Fairview+NC+28730fiie=UTF '� 1� X 957 Charlotte hwy' Fairview NC 28730 i File Edit View Favorites Took Help Favorites 1 Q Suggested Sitef Wet, Slice Gallery 957 Charlotte hwy, Fairview NC 2873i l - Google MapCn to - Page - Safety - Took Go �Ie 957 Charlotte hwy, Fairview NC 28730 Get directions My places 957 Charlotte Hwy Fairvipw NC 9R7'ln Directions Search nearby more - Maps labs - Help Google?daps - 02013 Google - Terms of Use - Privacy man Report a problem Done Internet 14 PWIPS�ONG DA a � f '•9422# ' Af 1 h * 958 CHARLOTTE HWY y x \ T- Y ..A 1. 989 CHARLOTTE HWY m 0 0 45 90 180 Feet NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross, Jr., Secretary Coleen H. Sullins, Director July 27, 2007 Wendell Kurtz WEBO Investments, LLC 985 Charlotte Highway Fairview, NC 28730 Subject: Renewal of coverage / General Permit NCG550000 957 Charlotte Highway Certificate of Coverage NCG551335 Buncombe County Dear Permittee: In accordance with your renewal application [received on January 22, 20071, the Division is renewing Certificate of Coverage (CoC) NCG551335 to discharge under NCG550000. This CoC is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended]. If any parts, measurement frequencies or sampling requirements contained in this General Permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, the certificate of coverage shall be final and binding. Please take notice that this Certificate of Coverage is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the certificate of coverage. Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility. Regional Office staff will assist you in documenting the transfer of this CoC. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required. If you have any questions concerning the requirements of the General Permit, please contact Toya Fields [919 733-5083, extension 551 or tova.fields@ncmail.net] or Susan Wilson [919 733-5083, extension 510 or susan.a.wilson@ncmail.net]. Sincerely, for Coleen H. Sullins cc: Central Files Asheville Regional Office / Surface Water Protection NPDES file 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One 512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCarolina Phone: 919 733-5083 / FAX 919 733-0719 / Internet: www.ncwaterquality.org ;Vaturallff An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NCG550000 CERTIFICATE OF COVERAGE NCG551335 DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Wendell Kurtz WEBO Investments, LLC is hereby authorized to discharge domestic wastewater [800 GPD] from a facility located at 957 Charlotte Highway Fairview Buncombe County to receiving waters designated as Gap Creek in subbasin 04-03-02 of the French Broad River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This certificate of coverage shall become effective August 1, 2007. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day July 27, 2007. for Coleen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission North Carolina Department of Environment and Natural Resources Division of Water Quality RENEWAL FORM FOR EXISTING PERMITTED FACILITIES NPDES renewal application for continued coverage under General Permit NCG550000: Certificate of Coverage NCG551335 (Please verify the information in items 1 & 2 as correct, or note any corrections that should be made.) (Please print or type all other answers) 1) Mailing address* of property owner: Owner Name Wendell Kurtz / Street Address 985 Charlotte Hwy Address Fairview, NC 28730 Telephone (e-mail address) JAN 2 2 (Home) 5 G)-S _ ( ( I % (Mobile) 82 71-7-339 o Address to which all permit correspondence will be mailed 2) Location of facility producing discharge*: Facility ID WEBO Investments, LLC 957 Address: ._ 285 Charlotte Hwy, Fairview, NC 2\8730 (Buncombe County) Telephone (Home) _ '�,) % 9 ) (Mobil) � 1 3 92 * If the facility is not yet constructed, give x t street address or lot number where the structure will be built. NOT- cc) „�s 1 ", c_rc. a ,e-F 3) Description of Discharge: a) Type of facility producing waste (please check one): 4) ❑ Primary residence ❑Vacation/second home Da/"Undeveloped property ❑ Other [describe]: Please check the components that comprise the wastewater treatment system: PrS-eptic tank ❑ Dosing tank Primary sand'filter C Secondary sand filter El Recirculating sand filter(s) V Chlorination P filter ❑ Other form of disinfection: ❑ Post Aeration (describe) Page 1 of 2 NCG550000 renewal form 5) Other Information: a) When was the septic tank last pumped out? /` oT I ,, S-Ta l (.c I s NOTE: the septic tank must be pumped out at least once every 3-5 years b) Is the facility [home] occupied year-round, or only seasonally? /V//4 c) Approximately how many people use the facility when it is occupied? 00` d) When was the wastewater system installed? 6) Certification: I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: Q ti � e LL J `� / / 9/,rl (Signature of Applicant) (Date Signed) North Carolina General Statute 143-215.6 b (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document filed or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.) Mail this completed form and a copy of the receipt for your last septic service to: Mr. Charles H. Weaver, Jr. NC DENR / DWQ / NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 Page 2 of 2 OF WATER ,O� QG NCDENR d � Wendell Kurtz WEBO Investments, LLC 985 Charlotte Highway Fairview, North Carolina 28730 Dear Mr. Kurtz: Michael F. Easley Governor William G. Ross, Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E., Director Division of Water Quality June 12, 2006 Subject: General Permit No. NCG550000 Certificate of Coverage NCG551335 WEBO Investments, LLC Buncombe County General Permit Coverage. In accordance with your application for discharge, the Division is forwarding herewith the subject Certificate of Coverage to discharge under the subject state- NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General Statue 143-215 .1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated May 9, 1994 (or as subsequently amended). The following information is included with your permit package: ■ A copy of the Certificate of Coverage for your treatment facility ■ A copy of General Wastewater Discharge Permit NCG550000 ■ A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG550000 ■ Engineer's Certification to be completed and returned. If any parts, measurement frequencies or sampling requirements contained in this general permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, the certificate of coverage shall be final and binding. Please take notice that this Certificate of Coverage is not transferable except after notice to the Division of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required. N. C. Division of Water Quality / NPDES Unit Phone: (919) 733-5083 1617 Mail Service Center, Raleigh, NC 27699-1617 fax: (919) 733-0719 Internet: h2o.enr.state.nc.us DENR Customer Service Center: 1 800 623-7748 Authorization to Construct Permit. In accordance with your application for discharge, the Division is also authorizing the construction of a 1200 GPD wastewater treatment system consisting of one (1) existing septic tank, one three lateral line distribution box, one 40 X 18 foot primary sandfilter, one 30 X 12 foot secondary sandfilter, chlorinator, dechlorinator, and 20 X 5 foot rip rap aeration with a discharge of treated wastewater into Gap Creek, classified C Trout waters in the French Broad River Basin. All elbow piping must be of the long sweeping type. All cleanouts are to be housed in meter boxes below the surface. This system must be at least 10 feet from the dwelling and property lines and at least 100 feet from water supply wells on and off the site. The sandfilters must be lined top, bottom, and sides with a minimum 30 mil liner. The system must also be constructed and located above a 100-year flood. This Authorization to Construct permit is issued in accordance with Part III, Paragraph 2 of NPDES Permit No. NCG550000, and shall be subject to revocation unless the wastewater treatment facilities are constructed in accordance with the conditions and limitations specified in Permit No. NCG550000. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the Permittee shall take immediate corrective action, including those as may be required by this Division, such as the construction of additional or replacement wastewater treatment or disposal facilities. Failure to abide by the requirements contained in this Authorization to Construct may subject the Permittee to an enforcement action by the Division of Water Quality in accordance with North Carolina General Statute 143-215.6A to 143-215.6C. The Asheville Regional Office, telephone number 828/296-4500, shall be notified at least forty-eight (48) hours in advance of operation of the installed facilities so that an in -place inspection can be made. Such notification to the regional supervisor shall be made during the normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays. Upon completion of construction and prior to operation of this permitted facility, an Engineer's Certification must be received certifying that the permitted facility has been installed in accordance with the NPDES Permit, the Certificate of Coverage, this Authorization to Construct and the approved plans and specifications. A leakage test shall be performed on the septic tank and dosing tank to insure that any exfiltration occurs at a rate that does not exceed twenty (20) gallons per twenty-four (24) hour per 1,000 gallons of tank capacity. The Engineer's Certification will serve as proof of compliance with this condition. Mail the completed Engineer's Certification to the NPDES Unit, 1617 Mail Service Center, Raleigh, NC 27699- 1617. A copy of the approved plans and specifications shall be maintained on file by the Permittee for the life of the facility. NPDES Permit Contact. If you have any questions concerning the requirements of this permit, please contact Jacquelyn M. Nowell at telephone number 919-733-5083, extension 512. Sincerely, �I?— Al W. Klimek, P.E. cc: Central Files NPDES General Permit Files/ NCG551335 Asheville Regional Office/Surface Water Protection Buncombe County Health Department Technical Assistance and Certification STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY CERTIFICATE OF COVERAGE NCG551335 GENERAL PERMIT NO. NCG550000 TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Wendell Kurtz. is hereby authorized to construct and operate a wastewater treatment facility consisting of one septic tank, one primary filter, one secondary filter, tablet chlorinator, tablet dechlorinator and cascade aeration with rip rap, and associated appurtenances, and with the discharge of treated wastewater from a facility located at the WEBO Investments LLC 985 Charlotte Highway Fairview Buncombe County to receiving waters designated as Gap Creek in the French Broad River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV of General Permit NCG550000 as attached. This certificate of coverage shall become effective June 12, 2006 This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day June 12, 2006 Sj'_-1 64 - Ala . Klimek, P.E., Director Div lion of Water Quality By Authority of the Environmental Management Commission Facility Information Latitude: 35° 32' 23" Sub -Basin:: 04-03-02 Longitude: 822 26' 19.5" Quad #: E 9SW Stream Class: C Trout Receiving Stream: Gap Creek Facility Location ..} (�WEBO Investments, LLC NCG551335 . R..,rnmha ('nini inty NCG551335 - Buncombe Subject: NCG551335 - Buncombe From: Larry Frost <Larry.Frost@ncmail.net> Date: Tue, 16 May 2006 13:46:50 -0400 To: Jackie Nowell <Jackie.Nowell@ncmail.net> CC: Keith Haynes <Keith.Haynes@ncmail.net> Jackie I have reviewed the application, plans and made a site visit. I find all to be in order. The stream is of the appropriate size, they have no other alternatives and the plans appear to be complete. Please request that the permittee call me at the ARO for a final inspection prior to covering the system. FYI - a 30 mil liner is specified in the plans. Please let all know that Keith Haynes and I are the contacts for all NCG5---- permits. Larry Larry Frost - Larry.Frost@ncmail.net North Carolina Dept. of Environment and Natural Resources Asheville Regional Office Division of Water Quality - Water Quality Section 2090 U.S. 70 Highway Swannanoa, NC 28778 Tel: 828-296-4500 Fax: 828-299-7043 Larry Frost <Larry.Frostnncmail.net> NC DENR - Asheville Regional Office Division of Water Quality - Water Quality Section of 1 5/16/2006 1:47 PM NCG551335 - Buncombe Subject: NCG551335 - Buncombe From: Larry Frost <Larry.Frost@ncmail.net> Date: Tue, 04 Apr 2006 08:05:57 -0400 To: Jackie Nowell <Jackie.Nowell@ncmail.net> CC: Roger Edwards <Roger.Edwards@ncmail.net>, Keith Haynes <Keith.Haynes@ncmail.net> Jackie I have reviewed the application/plans for the Wendell Kurtz property. The only thing that appears to have been missed is a tablet dechlorinator, because this is trout waters. Otherwise, I think this is good. Larry Larry Frost - Larry.Frost@ncmail.net North Carolina Dept. of Environment and Natural Resources Asheville Regional Office Division of Water Quality - Water Quality Section 2090 U.S. 70 Highway Swannanoa, NC 28778 Tel: 828-296-4500 Fax: 828-299-7043 ..............................................._.__................................................................ _.......-- -- .............. Larry Frost <Larry.Frost@ncmail.net> NC DENR - Asheville Regional Office Division of Water Quality - Water Quality Sections gvv 111 S11- a,)-- I . d. D � gv AT 5o U 30>< 0 1� fd- A I o 1, 1 4/4/2006 9:37 AM NCDENR NORTr GRD - DEPA r- O ENv1RONRENT AND NWl1RK RESOIMGE$ Division of Water Quality / Water Quality Section National Pollutant Discharge Elimination System NCG550000 FOR AGENCY USE ONLY Date Received Year Month Da Certificate of Coverage Check M Amount D.D a Permit Assigned to NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under General Permit NCG550000: Single Family Domestic Units and/or facilities discharging less than 1000 gallons per day of domestic wastewater and similar point source discharges (Please print or type) 1) Region contact (Please note: This application will be returned if you have not met with a representative from the appropriate regional office): Please list the NCDENR Regional Office representative(s) with whom you have met: Name:Date: �� .'�/C' ,7G�%"✓C` 2) Mailing address of owner/operator: Owner Name: Street Address: City: Telephone No: (Home) 3) Location of facility producing discharge: (work) Contact Person (if different than above): Street Address: City: State: ZIP Code: County: Telephone No: Fax 4) Permit Contact (complete this section if permit contact is different from facility contact) : Contact Person: Street Address: -t% City: _tr% State: ZIP Code: ,,-K County: Telephone No:Fax - G; -57* - 13 5) Physical location information: A copy of an USGS quad map or county map with the facility clearly located on the map IS REQUIRED to be submitted with this application. Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). serffJj% f-�tiy Page 1 of 4 roenr n�c na n�nn NCG550000 N.OJ. 6) ThisNPDDES permit application applies to which of the following: 9- New or Proposed (system not constructed) ❑ Existing (system constructed); If previously permitted by local or county health department, please provide the permit number and issue date ❑ Modification; please describe the nature of the modification: 6) Description of Discharge: a) Amount of wastewater to be discharged:'' Number of bedrooms . x 120 gallons per bedroom = gallons per day to be permitted b) Type of facility producing waste (please check one): ❑ Pr�i 'ary residence ❑ Vacation/second home M—,"Other: 7) Please check the components that comprise the wastewater treatment system: 9—! eptic tank ❑. Dosing tank primary sand filter secondary sand filter ❑ Recirculating sand filter(s) Wr(_:hbrination chlorination ❑ Other form of disinfection: 1145'o-s-t Aeration (specify type): -,r7 1' �i %jzi€� � f1_-:6' 8) For new or proposed systems only - Please address the feasibility of alternatives to discharging for the following options in the cover letter for this application: .fie a) Connection to a Regional Sewer Collection System. b) Letter from local or county health department describing the suitability or non -suitability of the site for all types of wastewater ground adsorption systems. c) Investigate Land Application such as spray irrigation or drip irrigation. 9) Receiving waters: a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility _ wastewater discharges end up in?f✓��i�-yf`��G" b) Stream Classification (WS-IV, C, NSW, etc., if known): (' 10) The application must include the following or it will be returned: a) For Certificates of Coverage: C original letter and two (2) copies requesting a general permit. signed and completed original and two (2) copies of this document. tom' A check or money order for the permit fee of $50.00 made payable to NCDENR. ,. ❑ Invoice showing that the septic tank has been pumped and serviced within the last 2 years (for existing facilities only). Page 2 of 4 NCG550000 N.O.I. Newor proposed facilities must also include: [�/Letter from the county health department evaluating the proposed site for all types of ground j�bsorption systems. Evaluation of connection to a regional sewer system (approximate distance & cost to connect). b) For an Authorization to Construct (ATC) only: ❑ A letter requesting an ATC ❑ Three sets of plans and specifications of proposed treatment system (see Permit Application Checklist and Design Criteria for Single Family Discharge) ❑ Invoice showing that the septic tank has been pumped and serviced (for existing septic tanks). Note: There is no fee when requesting an Authorization to Construct 11) Additional Application Requirements: a) If this application is being submitted by a consulting engineer (or engineering firm), include documentation from the applicant showing that the engineer (or firm) submitting the application has been designated an authorized Representative of the applicant. b) If this application is being submitted by a consulting engineer (or engineering firm), final plans for the treatment system must be signed and sealed by a North Carolina registered Professional Engineer and stamped - "Final Design - Not released for construction". c) If this application is being submitted by a consulting engineer (or engineering firm), final specifications for all major treatment component: must be signed and sealed by a North Carolina registered Professional Engineer and shall include a narrative description of the treatment system to be constructed. 12) Certification: i certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: Title: e5g;661 (Da a Signed) North Carolina General Statute 143-215.6 b (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document fried or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.) Page 3 of 4 C�AII 1 "1�C 110I11 /�7 /if/0 T,/r),T *TM C) %150 FEEI 1 500 WD V F T F R S Map created with TOPO!@ @2003 National Geographic (www.rmtionalgeographic.corrdtopo) CIVIL/ENVIRONMENTAL/WATER/WASTEWATER JOHN T. COXEY CONSULTING ENGINEERING, P.A. April 10, 2006 Ms. Jacquelyn Nowell NCDENR Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: General Permit COC# NCG551335 Our file 06003 Dear Ms. Nowell: rAPR 13 M DENR • WATER QUALITY POINT SOURCE BRANCH With regard to your letter of March 30, 2006, a cost estimate for the above referenced system is attached. Please call my office if there are further questions. JTC/pc Enclosure cc: Wendell Kurtz JOHN T. COXEY, P.E. PRESIDENT 53 FOX CHASE RD. WEST ASHEVILLE, N.C. 28804 Sincerely, John T. Coxey Co ulting Engineering, P. A. John T. Cox , P. E. PHONE (828) 645-4046 FAX (828) 658-1304 Construction Cost Estimate COC#NCG551335 WEBO Investments, LLC 1. 1,200 Gallon Septic Tank $ 1,000.00 2. Two (2) Distribution Boxes $ 800.00 3. Primary Filter complete $12,000.00 4. Secondary Filter Complete $ 8.000.00 5. Chlorinator and Pad $ 500.00 6. Manhole $ 700.00 7. Declorinator and Pad $ 500.00 8. 4" Pipe $ 750.00 9. Rip Rap $ 300.00 Total Construction Cost Estimate $24,550.00 3/15/06 John T. Coxey Consulting Engineering, P.A. 53 Fox Chase Rd., W. Asheville, NC 28804 Re: Wastewater Treatment System To Whom It May Concern, This letter is to authorize John Coxey, Consulting Engineering, P.A. to design and apply to the state for a 800 gallon per day waste water system on the property at 985 Charlotte Highway, Fairview, NC 28730. Pin # 9676.08-78-6136.000. Thank You, Wendell Kurtz WEBO INVESTMENTS, LLC Station and Force Main Alternative for Waste Disposal Approximately 4,000 L.F. to Metropolitan Sewerage District of Buncombe County (MSD) gravity sewer line. Pump station and force main would have to be designed to MSD standards for take over and encroachment permit in DOT right-of-way. Cost Estimate 1. Pump Station $ 3 5, 000.00 2. Sitework $ 7,500.00 3. Stand-by Generator $ 13,000.00 4. Telemetry $ 7,500.00 5. Electrical $ 4,000.00 6. 4,000 L.F. force main $ 80,000.00 Total Construction $147,000.00 Contingencies (10%) $ 14,700.00 Engineering $ 15,000.00 Total Project Cost $176,700.00 CIVIL/ENV IRONMENTAL/WATER/WASTEWATER JOHN T. COXEY CONSULTING ENGINEERING, P.A. March 17, 2006 Storm Water and General Permits Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Wendell Kurtz-WEBO Investments, LLC Dual Subsurface Sand Filter Our file 06003 YAR 2 0 2006 To Whom It May Concern: Please find attached the following items for the above referenced project. 1. $50.00 Application fee 2. One (1) original and two (2) copies of NCG550000 3. Letter authorizing John T. Coxey, P. E. to make submittal 4. Three (3) copies of plans 5. USGS map showing site 6. Correspondence from local Health Department 7. Evaluation of connecting to regional sewer district This letter is to request issuance of a general permit for this project. Construction of a dual subsurface sand filter and related treatment was recommended by the Asheville Regional Office in lieu of conventional septic and drainfield system as well as spray or drip irrigation. The system is for 800 gallons per day (GPD) of domestic waste generated from a light commercial business establishment. There will be a maximum of twenty (20) employees at 40 GPD for the project. The project consists of a 1,200 gallon septic tank, primary and secondary subsurface sand filter, chlorination and dechlorination with tablet chlorinators/dechlorinators, and post aeration by discharging over riprap. Please call my office regarding your review comments or questions. JTC/pc JOHN T. COXEY, P.E. PRESIDENT 53 FOX CHASE RD. WEST ASHEVILLE, N.C. 28804 Sincerely, John T. Coxey Consulting Engineering, P. A. 4 John T. Coxey, . E. PHONE (828) 645-4046 FAX (828) 658-1304 North Carolina Public Health Everywhere. Everyday. Everybody. September 27, 2005 Wendell Kurtz 985 Charlotte Highway Fairview, NC 28730 BUNCOMBE COUNTY HEALTH CENTER 35 Woodfin Street, Asheville, NC 28801-3075 Telephone: (828) 250-5016 FAX: (828) 250-6161 George F. Bond, Jr., MPH Paul C. Tax, MPA William M. Fowler, R.S. Health Director Assistant Health Director Environmental Health Director Re: Application for Improvement/Authorization to Construct for Charlotte Hwy Office Bldg Parcel Identification No. 9676-08-78-6017 Dear Mr. Kurtz: The Buncombe County Health Center, Environmental Health Division on September 20, 2005 evaluated the above -referenced property at the site designated on the plat/site plan that accompanied your application. According to your application the site is to serve a 17-employee office building. The evaluation was done in accordance with the laws and rules governing wastewater systems in North Carolina General Statute 130A-333 and related statutes and Title 15A, Subchapter 18A, of the North Carolina Administrative Code, Rule. 1900 and related rules. Based on the criteria set out in Title 15A, Subchapter 18A, of the North Carolina Administrative Code, Rules .1940 through .1948, the evaluation indicated that the site is UNSUITABLE for a ground absorption sewage system. Therefore, your request for an improvement permit is DENIED. The site is unsuitable based on the following: Unsuitable soil topography and/or landscape position (Rule .1940) Unsuitable soil characteristics (structure or clay mineralogy) (Rule .1941) ____X_ Unsuitable soil wetness condition (Rule .1942) Unsuitable soil depth (Rule .1943) Presence of restrictive horizon (Rule .1944) _X_ Insufficient space for septic system and repair area (Rule .1945) _X_ Unsuitable for meeting required setbacks (Rule .1950) Other (Rule .1946) The site evaluation included consideration of possible site modifications, and modified, innovative or alternative systems. However, the Buncombe County Health Center has determined that none of the above options will overcome the conditions on this site. A possible option might be a system designed to dispose of sewage to another area of suitable soil or off -site to additional property. The Buncombe County Health Center, does not discriminate on the basis of rwa. color, national origin, sex, religion, age or disability, in er Noyment or the provision of services. (2) A site classified as UNSUITABLE may be classified as PROVISIONALLY SUITABLE if written documentation is provided that meets the requirements of Rule .1948(d). A copy of this rule is enclosed. You may hire a consultant to assist you if you wish to try to develop a plan under which your site could be reclassified as PROVISIONALLY SUITABLE. You have a right to an informal review of this decision. You may request an informal review by the soil scientist or environmental health supervisor at the Buncombe County Health Center. You may also request an informal review by the N.C. Department of Environment and Natural Resources regional soil specialist. A request for informal review by the regional soil specialist must be made in writing to the Buncombe County Health Center. You also have a right to a formal appeal of this decision. To pursue a formal appeal, you must file a petition for a contested case hearing with the Office of Administrative Hearings, 6714 Mail Center, Raleigh, N.C. 27699-6714. To get a copy of a petition form, you may write the Office of Administrative Hearings or call the office at (919) 733-0926 or from the OAH web site at www.oah.state.nc.us/form.htm. The petition for a contested case hearing must be filed in accordance with the provision of North Carolina General Statutes 130A-24 and 150B-23 and all other applicable provisions of Chapter 150B. N.C. General Statute 130A-335 (g) provides that your hearing would be held in the county where your property is located. Please note: If you wish to pursue a formal appeal, you must file the petition form with the Office of Administrative Hearings WITHIN 30 DAYS OF THE DATE OF THIS LETTER The date of this letter is September 27, 2005. Meeting the 30-day deadline is critical to your right to a formal appeal. Beginning a formal appeal within 30 days will not interfere with any informal review that you might request. Do not wait for the outcome of any informal review if you wish to file a formal appeal. If you file a petition for a contested case hearing with the Office of Administrative Hearings, you are required by law (N.C. General Statute 15013-23) to send a copy of your petition to the North Carolina Department of Environment and Natural Resources. Send the copy to: Office of General Counsel, N.C. Department of Environment and Natural Resources, 1601 Mail Service Center, Raleigh, N.C. 27699-1601. Do NOT send the copy of the petition to the Buncombe County Health Center. Sending a copy of your petition to the Buncombe County Health Center will NOT satisfy the legal requirement in N.C. General Statute 150B-23 that you send a copy to the Office of General Counsel, NCDENR. You may call or write the local health center if you need any additional information or assistance. Sincerely, Eric: (Copy of Rule .1948) .I948 SITE CLASSIFICATION (a) Sites classified as SUITABLE may be utilized for a ground absorption sewage treatment and disposal system consistent with these Rules. A suitable classification generally indicates soil and site conditions favorable for the operation of a ground absorption sewage treatment and dispgsal'system or have slight limitations that are readily overcome by proper design and installation. (b) Sites classified as PROVISIONALLY SUITABLE may be utilized for a ground absorption sewage treatment and disposal system consistent with these Rules but have moderate l imitations. S ites classified P rovistonally S uitable require some modifications and careful planning, design, and installation in order for a ground absorption sewage treatment and disposal system to function satisfactorily. (c) Sites classified UNSUITABLE have severe limitations for the installation and use of a properly functioning ground absorption sewage treatment and disposal system. An improvement permit shall not be issued for a site which is classified as UNSUITABLE. However, where a site is UNSUITABLE, it may be reclassified PROVISIONALLY SUITABLE if a special investigation indicates that a modified or alternative system can be installed in accordance with Rules .1956 or .1957 of this Section. (d) A site classified as UNSUITABLE may be used for a ground absorption sewage treatment and disposal system specifically identified in Rules .1955, .1956, or .1957 of this Section or a system approved under Rule .1969 if written documentation, including engineering, hydrogeologic, geologic or soil studies, indicates to the local health department that the proposed system can be expected to function satisfactorily. Such sites shall be reclassified as PROVISIONALLY SUITABLE if the local health department determines that the substantiating data indicate that: (1) a ground absorption system can be installed so that the effluent will be non-pathogenic, non-infectious, non -toxic, and non- hazardous; (2) the effluent will not contaminate groundwater or surface water; and (3) the effluent will not, be exposed on the ground surface or be discharged to surface waters where it could come in contact with people, animals, or vectors. The State shall review the substantiating data if requested by the local health department.