NCG551793_Certificate of Coverage (COC)_20240219

DocuSign Envelope ID: 52B2B90C-OOD6-45E5-A2D8-025946AFBA8E
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Mitchell County Animal Rescue
ATTN: Amber Lowery, Executive Director
2492 US Highway 19E
Spruce Pine, NC 28777
Dear Ms. Lowery:
NORTH CAROLINA
Environmental Quality
2/17/2024
Subject: Issuance to Certificate of Coverage (COC) /
Authorization to Construct (ATC)
NPDES General Permit NCG551793
under General Permit NCG550000
2492 US Highway 19E, Spruce Pine
Mitchell County
In accordance with your application for discharge under the subject NPDES General Permit, the Division
of Water Resources (DWR) herewith forwards a Certificate of Coverage (COC) and Authorization to
Construct (ATC) permit for new facilities. We issue this permit pursuant to the requirements of North
Carolina General Statue 143-215 .1, the Memorandum of Agreement between North Carolina and the US
Environmental Protection Agency (EPA) dated October 15, 2007 (or as subsequently amended).
Your permit package includes:
• Certificate of Coverage (COC) /Authorization to Construct (ATC)
• Operation & Maintenance Instructions
• A copy of Wastewater Discharge General Permit NCG550000
• A copy of the approved plans and specifications (signed May 20, 2022).
• Engineer's Certification form (to be returned to DWR upon project completion).
To maintain your Certificate of Coverage (COC), you must remit an annual fee of $60, due each year on
the date of this letter, to the Division of Water Resources. Please include the COC number NCG551793
on your check. Mail your Annual Fee to:
NCDEQ / DWR / NPDES / SFR Permitting
Attn. Wren Thedford
1617 Mail Service Center
Raleigh, NC 27699-1617
DWR understands that the subject property has been judged "unsuitable" for a ground -absorption sewer
system by the Mitchell County Health Department. Therefore, your authorized consultant, Lash
Engineering, Inc., intends to upgrade/install a wastewater treatment system designed to discharge to
Surface Waters of the State in accord with plans and specifications signed by the engineer on May 20,
2022. Compliance under General Permit NCG550000 restricts discharge flow, not to exceed 1,000
D E Q fJ North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORTHCAROUNA 919.707.9000
Department ofEnvlronmantal Duali�

DocuSign Envelope ID: 52B2B90C-OOD6-45E5-A2D8-025946AFBA8E
gallons per day. This ATC covers treatment facilities for a commercial facility estimated to discharge 650
gpd (25 gpd for 10 employees and public uses).
Please note that you must provide regular treatment -system operation, maintenance and inspections in
accord with manufacturer's recommendations and this ATC; all records, water analyses, and logs to be
kept onsite available for DWR inspection [NCG550000, Section A. (2.)].
Operation and Maintenance. The Permittee is responsible to maintain all components of the
approved treatment system, designed to meet Surface Water -Quality Standards. Compliance includes
following the manufacturer's guidelines, conducting and documenting inspections, establishing sources
for OEM spare parts and supplies, taking samples for analyses, making necessary repairs, and
documenting said maintenance for the duration of the permit. Please note that the receiving stream is
currently classified and governed as C; Tr (Class C Waters; Trout Waters)
If DWR determines that your discharge contributes to future degradation or impairment of this
waterbody, an individual NPDES permit may be mandatory. Upon DWR's request, the Permittee must
provide records and demonstrate regular efforts to maintain the approved treatment system. The
Division recommends that the Permittee solicit manufacture -certified training, or a qualified contractor
or service to regularly inspect and maintain this treatment system.
Authorization to Construct (ATC) Permit. This ATC details the conditions of installation and
operation. Before startup, activation requires notice to the Asheville Regional Office (Office Phone
Number 828-296-4500), attention Andrew Moore, a minimum of three (3) days in advance of discharge.
Such notification shall be made during normal office hours from 8:00 a.m. until 5:00 p.m. Monday
through Friday, excluding State holidays. The attached Engineer's Certification form, must be returned to
DWR by the Engineer, documenting compliance "as built" in accord with this ATC and approved plans
and specifications submitted to DWR on May 20, 2022. No changes may be made without prior approval.
Therefore, in accord with the application and the attached approved plans and specifications, DWR
hereby authorizes the installation of upgrades to the existing surface -water discharge treatment system
described as:
• Aqua -Safe Model AS750 EZ TOP unit
• UV disinfection
Compliance with the above shall include a leakage test performed on reused tanks and proposed new
tanks, or leak -certified new by the manufacture not to exceed an exfiltration rate of twenty (20) gallons
per twenty-four (24) hours per 1,000 gallons of tank capacity. The Engineer's Certification shall serve as
proof of compliance with this condition. Mail the completed Engineer's Certification to:
DEQ / DWR/ NPDES Program
1617 Mail Service Center
Raleigh, NC 27699-1617
❖ The Permittee shall, for the life of the treatment facility, maintain on site a copy
of the approved plans and specifications available for DWR inspection.
All elbow piping must conform to the long -sweeping type. All cleanouts must be housed in meter boxes
below grade. This treatment system shall be located at least 15 feet away from a dwelling, at least 100
feet from any water -supply well either on- or off -site. The system shall also be located and constructed
above any applicable 100-year flood line; 50-ft setback from property lines.
D E Q�� North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORTH CAROLINA - 919.707.9000
Depanmem of Envlmnmenml Dual

DocuSign Envelope ID: 52B2B90C-OOD6-45E5-A2D8-025946AFBA8E
Upon completing construction and prior to operating this permitted facility, a North Carolina -
registered engineer shall sign and submit to DWR the attached Engineer's Certification form, thereby
certifying that the permitted facility has been installed in accordance with the NPDES Permit, this
Certificate of Coverage, this Authorization to Construct, and the approved plans and specifications.
This ATC permit is issued in accordance with Part III, Paragraph 2 of NPDES General Permit
NCG550000, and is subject to revocation unless wastewater treatment facilities are constructed in
accordance with the conditions and limitations specified in this General Permit. In the event that the
facilities fail to perform satisfactorily, including creating nuisance conditions, the Permittee shall take
immediate corrective action as may be required by this Division, such as the construction of additional or
replacement wastewater treatment(s) or disposal facilities. Failure to abide by the requirements of this
ATC permit may subject the Permittee to an enforcement action by the Division of Water Resources in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
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.
This COC is not transferable except after notice to the Division of Water Resources. The Division may
modify or revoke and reissue this COC. This COC does not affect your legal obligation to obtain other
permits that may be required by the Division of Water Resources, the Division of Energy, Mineral and
Land Resources, the Coastal Area Management Act, or any other Federal or Local government.
NPDES Contact. If you have any questions concerning the requirements of this Certificate of Coverage
or Authorization to Construct (ATC) permit, please contact Siying Chen at [e-mail] or
[phone].
Sincerely,
Docu/Signed by:
8328B44CE9EB4A1...
John Hennessy
Division of Water Resources
Attachments: COC; Engineer's Certification form (to be signed and returned to DWR)
cc: NC DEQ Asheville Regional Office [Laserfiche]
NPDES General Permit Files [Laserfiche]
Lash Engineering, Inc. — Michael Lash [[e-mail]]
D E Q�� North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORTH CAROLINA - 919.707.9000
Depanmem of Envlmnmenml Dual

DocuSign Envelope ID: 52B2B90C-OOD6-45E5-A2D8-025946AFBA8E
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
CERTIFICATE OF COVERAGE - NCG551793
Under GENERAL PERMIT NCG550000
TO DISCHARGE 100%-DOMESTIC AND SIMILAR WASTEWATERS
UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NEDES)
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Mitchell County Animal Rescue
are hereby authorized to operate a wastewater treatment facility consisting of Aqua -Safe Model AS750 EZ TOP
unit and UV disinfection discharging from facilities located at the
2492 US Highway 19E
Spruce Pine
Mitchell County
to receiving waters designated as Unnamed Tributary to English Creek [Stream Index: 7-2-42], a waterbody
currently classified C; Tr located within sub -basin 04-03-06 [HUC: 0601010801 ] of the French Broad River Basin,
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, H, III
and IV of General Permit NCG550000 as attached.
This Authorization to Construct (ATC) shall become effective March 1, 2024
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 17, 2024
DocuS'i/gned by:
8328B44CE9EB4A1...
John Hennessy
Division of Water Resources
By Authority of the Environmental Management Commission

DocuSign Envelope ID: 52B2B90C-OOD6-45E5-A2D8-025946AFBA8E
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Permittee-
NPDES COC/ATC Number:
Coun
Engineer's Certification:
\f QUAMNa j
NORTH CAROLINA
Environmental Quality
Mitchell County Animal Rescue (MCAR)
NCG551793
Mitchell
I, , a duly registered Professional Engineer
in the State of North Carolina, as authorized by the Permittee to observe [ daily, part time, full time ]
the construction of the project, ,
Project Name
Location
do hereby state that to the best of my abilities, I practiced due care and diligence to observe the construction of
said project such that it was advanced and completed in accordance and in compliance with the NPDES Permit,
approved plans and specifications, Authorization to Construct Permit, and General Permit Certificate of Coverage
issued by the Division of Water Resources.
Signature
Registration No.
Date
[Stamp]
[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
$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.]
D E Q��/ 919.707.9000 North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
lf�ov.-—
NORTH CAROLINA
Oepertme�rt of EnvlmnmeMal �usl�

DocuSign Envelope ID: 52B2B90C-OOD6-45E5-A2D8-025946AFBA8E
US-19£
Site
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UNITlReRIMW
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CLIENT:
Mitchell County Animal Shelter
2492 US Highway 19E
Spruce Pine, N.C.
28777
Contact Person:
INFOOMITCHELLCOUNTYANIMALRESCUE.ORG
[phone]
Date: 5-30-22
Scale: 1" =1W
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Direct Discharge
Wastewater Facility for:
MCAR
2492 US Highway 19E
Spnice Pine, NC
LASH
ENGINEERING
ConeulUng CPA Engineer/Planner
1104 CinclJr Carr Drhro
Matthews, N C. 28105
Phone: 704/b49-3031
mialL mlkelfteherVlneerNig.com
Lloenee #G2453
General - Page 1

DocuSign Envelope ID: 52B2B90C-OOD6-45E5-A2D8-025946AFBA8E
ems'
9 9 N
a
Surrey Not=
1. MITCHELL WUNTY. ONE PARCEL OF LAND:
W PARCEL 007B911O1151486 2.OD- BILIZO/P9.95
2 Add— 2492 U.S. HWY 19L SPRING TIME. W- 2B2T7
3. ALL CORNERS ARE LPEI(F) UNLESS OTHERWISE NOTED.
{. ALL CORNEAS WERE RECENTLY RAGGED.
5. ALL DISTANCES ARE HORIZONTAL DISTANCES UNLESS OTHERWISE NOTED.
6. AREAS BY GIS; DISTANCE & BEARING PER SURVEY,
7, PROPERTY S1B.ECT TO ANY VALD & ENFORCEABLE EASEW"TS. RE51RIC1DN5 &
RIGHTS OF WAY OF RECORD SHOWN OR NOT SHOWN.
& SIBECT PROPERTY IS NOT LOCATED IN A SPECIAL ROOD HAZARD AREA AS
DETERMINED BY FLOOD INS I RICE RATE MAP 3710074900J.
EXISTING GREEK FLOWS YEAR ROM 9. THIS LOT IS NOT LOCATED WITHIN AN EXISTING SUBDIVISION OF LAND.
10. WATERSHED TOPO ACQUIRED FROM NOOOT AND TRANSFM TO PLANS.
11. POTABLE WATER IS SUPPLIED BY AN COSTING ONI WATER RIM AS 900 ON
THE PLANS.
12. BUILDING WAS BUILT N 2OW.
'CTEAT PROPERTY LLC
078900273282
1
1
II
1
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NOTES
I. TRY TO AVOID PI,WTING TREES WTNN 30' OF TANKS OR PIPING OF
WASTEWATER SYSTEM.
2. TRADES AROUND UNITS SHWLD GRAN STORMINATER AWAY FROM ME TANS
1 All PPE TO SE S2f.40 PVC. (CLUED JOINTS) - UNLESS NOTED OTHERWISE.
{. ALL PPE TO HAVE WATERTIGHT CONJECTWS.
5. CONTROL PANEL IS TO MONITOR UV AND AGUASAFE UNIT. N CASE OF ANY
FAILURE THE M7FM IS TO ACTIVATE THE ALARMS,
THE SETBACK REQUIREMENTS FOR A DPP SYSTEM ARE APPLICABLE TO THIS
SYSTEM. THE SETBACK REQUIREMENTS FOR A SPRAY SYSTEM WLL NOT BE
USED.
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DocuSign Envelope ID: 52B2B90C-OOD6-45E5-A2D8-025946AFBA8E
AQUA SAFE CONTROL PANEL
ot,
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SERVICE FROM
BUILDING
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PLAN VIEW
,• i i
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SCHEMATIC LAYOUT (NTS)
M.dWAS750.5•CU EZ TOP
nYyr"ecwry: Tw(w
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PROPOSED USE.
ANIMAL RESCUE CENTER
—RONNc Ri IEQ
(F EDA)
2 IIY W1NE WIFAAL fal BAIXiILL FiM MO OnCHeC;
RRtxFglr NACTD AAI mxrACTm. xft•P EIIGVATAx
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1 USE TxAIO m AD(K 9 VIVU. CIONIP.-
REQUIRED FLOW CALCULATIONS:
1lxala tE CSNPACND BADI
1 SDI mPE390N IS [ssanu FDI —1
Ca6wCYal xa�
I. NE sn IS uslr A=S— rw DAwaxc a OI—noi
1 BATHROOM ANIMAL RESCUE - 650 9Pt
ISS1RMIt.
e. BADuu BEivm+ NSEI —1 coBBE1E eADQwxc,
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smEWs Aro —OBcvrs slAu E Bil— ix A¢vATAIXc
NL AIWCAx( AECUUeMS AIYI MAHDACnNSn5 IN51nUCPale
TOTAL flow FOR SYSTEM . 850 gpd.
111D1�E
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a Au cots BOO 9EBS eE w BY 9—A R
OEBMI FLOW REPORT IS PART a ME
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Scale 1" = 20'

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Mitchell County Animal Rescue n
2492 US Highway 19E ' V
Spruce Pine, NC 28777
NPDES Permit NCG551793
Receiving Stream: UT to English Creek Stream Class: C; Tr
Stream Segment: 7-2-42 Sub -Basin #: 04-03-06 Facility Location
River Basin: French Broad HUC: 0601010801 Scale Mitchell County
County: Mitchell 1:24,000 Discharge Point: 350 54' 17.9676" N, 821 6' 9.6048" W
USGS Quad: Spruce Pine