NCG550465_Complete File_20161108_20240227

` qo0 2,, PAT MCCRORY
DONALD R. VAN DER VAART
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL OUAL!1Y
l hr,, tr:r
November 8, 2016
Mr. Jerry Clark
P.O. Box 1402
Candler, NC 28715-1402
Subject:Rescission of Certificate of Coverage
NCG550465
Sams Branch Rd site
Buncombe County
Dear Mr. Clark:
Division staff has confirmed that the subject Certificate of Coverage (CoC)
is no longer required. Therefore, in accordance with your request, NPDES
CoC NCG550465 is rescinded, effective immediately.
If in the future you wish to discharge wastewater to the State's
surface waters, you must first apply for and receive a new NPDES
permit.
If you have any questions concerning this matter, please contact Charles H.
Weaver at [phone] or via e-mail [[e-mail]].
S ncerel ,
G
for S. Jay Zimme n, rector
Division of Water Resources
cc: Asheville Regional Office / Andrew Moore
NPDES Unit
Teresa Revis / Budget
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc. gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

Weaver, Charles
From: SANDY CLARK <[e-mail]>
Sent: Monday, November 07, 2016 4:48 PM
To: Weaver, Charles
Cc: Moore, Andrew W
Subject: Rescind permit number NCG550465 Sams Branch Road site
Dear Charles Weaver,
We would like to rescind the permit because we recently had a traditional septic system installed on our
property and no longer need the permit to discharge.
Thank you,
Jerry Clark
Jerry Clark
PO BOX 1402
Candler NC 28715
C.828-713-1962
H. 828-665-7875

Weaver, Charles
From: Moore, Andrew W
Sent: Monday, November 07, 2016 9:18 AM
To: Weaver, Charles; Sledge, Bob
Subject: RE: NCG550465 Permit Rescission
Attachments: Septic Permit-2016.pdf
Charles and Bob,
Thanks for the information. The ARO supports rescission of the subject permit as the Clarks have recently had an on -site
system installed. Attached is a copy of the permit from Buncombe County for your records.
I spoke to Jerry Clark this morning regarding sending Charles the email requesting permit rescission. I anticipate Charles
will receive the email within the next few days.
Thanks again,
Andrew W. Moore, P.G.
Environmental Specialist —Asheville Regional Office
Water Quality Regional Operations Section
NCDEQ — Division of Water Resources
828 296 4684 office
email: [e-mail]
2090 U.S. Hwy. 70
Swannanoa, N.C. 28778
Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
r.
From: Weaver, Charles
Sent: Monday, November 07, 2016 8:32 AM
To: Sledge, Bob <[e-mail]>; Moore, Andrew W <[e-mail]>
Subject: RE: NCG550465 Permit Rescission
Bob's right. An email to me is fine for a rescission request. As soon as the Regional Office concurs with such a request, I
can issue the rescission letter.
CHW
From: Sledge, Bob
Sent: Monday, November 07, 2016 6:49 AM

To: Moore, Andrew W <[e-mail]>
Cc: Weaver, Charles <[e-mail]>
Subject: NCG550465 Permit Rescission
Hi Andrew,
I picked up your voice mail message regarding this permit when I came in this morning. It looks like you've greased the
skids already on this one, so getting the permit rescinded should be pretty easy. I'll put my thoughts down, and Charles
can supplement or correct what I say
As far as process goes, we would want Mr. Clark to provide us with a brief statement requesting the permit:be resinded,
simply to have a request documented. If he could add a sentence explaining that he has installed a new onsite system
to serve the home, and therefore general permit coverage is no longer needed, that would also be helpful as
justification for the rescission decision. He can send us a letter requesting rescission of the permit, but I believe an email
to Charles would suffice. Once we receive that, we'll ask you to confirm the circumstances and agree the permit can be
rescinded. If you want to go ahead and send Charles that note, that could further expedite the process. When we have
the rescission request and the regional office's recommendation, Mr. Clark will be formally notified that the permit has
been rescinded.
In short, we just need a few items to document the rescission action. You've already done the hard work, shepherding
the situation to this point. The rest will probably take less time than it took for me to type this message.
Charles, please chime in if I've erred in my statements.
Please call or reply if you have any questions.
S
Bob Sledge
Environmental Specialist
Division of Water Resources — NPDES Compliance & Expedited Permitting Unit
North Carolina Department of Environmental Quality
919-807-6398
bob. sledge(a)ncdenr.gov
512 N. Salisbury Street
1617 Mail Service Center
Raleigh, NC 27699-1617
��''Nothing Compares
t
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

PAT MCCRORY
Water Resources
ENVIRONMENTAL QUALITY
June 20, 2016
Jerry Clark
P.O. Box 1402
Candler, NC 28715
SUBJECT: Compliance Sampling
NOV-2016-PC-0044
Sams Branch Road Site
Permit No: NCG550465
Buncombe County
Dear Mr. Clark:
DECEIVED
JUN 2 4 2016
CENTRAL FILES
DWR SECTION
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
On April 19, 2016, I conducted compliance sampling of the subject wastewater treatment system. The
compliance sampling was conducted to evaluate the effectiveness of the corrective actions you have taken in
response to the subject Notice of Violation, issued February 11, 2016.
Due to the minimal effluent flow, and the orientation of your effluent pipe, the effluent sample was collected
from a hole excavated on a sand bar within South Hominy Creek directly below the effluent pipe. The effluent
sample was analyzed for biochemical oxygen demand and fecal coliform bacteria. The analyzed parameters
have daily maximum limits in the subject permit, which are included in the table below. The results are as
follows:
Parameter
Date
Limit Value
Result
Limit Type
Biochemical Oxygen
4/19/2016
45.0 mg/1
150 mg/l
Daily
Demand
Maximum
Fecal Coliform Bacteria
4/19/2016
400/100 ml
6,000/100 ml
Daily
Maximum
The effluent sample results indicate the corrective actions implemented, as of the time of effluent sample
collection, did not bring your effluent water quality into compliance with permit requirements.
If you have not already done so, it is recommended that you contact Buncombe County Environmental Health
to determine whether a traditional septic system can be installed on your property.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. Highway 70 Swannanoa, NC 28778
828 296 4500

Jerry Clark
June 20, 2016
Page 2 of 2
This office will conduct one additional compliance sampling event to evaluate the effectiveness of the corrective
actions taken. If the next compliance sampling results in any exceedance of permit limits, you will be required
to take additional actions to address the violation. If you should have any questions, please do not hesitate to
contact me at 828-296-4684.
Sincerely,
Andrew Moore
Environmental Specialist
Water Quality Regional Operations
Enclosure.
cc: MSC 1617-Central Files -Basement
Asheville Regional Office Files
G:\WR\WQ\Buncombe\Wastewater\General\NC055 Single Family Residence\550465 Jerry Clark\550465 CS14-19-16 .docx

AC28443
Loc. Descr.:
County:
Region:
River Basin
Emergency
COC Yes/No
North Carolina Division of Water Resources Water Sciences Section Laboratory Results
34 SAMS BRANCH RD CANDLER 28715
BUNCOMBE Collector:
A MOORE
VisitlD
ARO Report To
ARO
Location ID:
1PO11NCG550406
FRB Collect Date:
04/1912016
Priority
COMPLIANCE
Collect Time:
09_46
Sample Matrix:
SURFACEWATER
Sample Depth
Loc. Type:
RIVER/STREAM
Final Report
Sample ID:
AC28443
PO Number #
ARO
Date Received:
04/19/2016
Time Received:
10:60
Labworks LoginlD
KJIMISON2
Delivery Method
Hand delivered
Final Report Date:
6/9116
Report Print Date:
06/1612016
If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes.
Result/
Method
Analysis
CAS # Analyte Name PQL
Qualifier
Units
Reference
Date
Validated by
ARO
BOD, 5-Day in liquid 2.0
150
mg/L
APHA5210B
4/20/16
ESTAFFORDI
Coliform, MF Fecal in liquid 1
6000 B5
CFU/100ml
APHA9222D-20th
4/19/16
ESTAFFORDI
Sample temperature at receipt by lab
5.1
°C
4/19/16
RBYRD
WSS Chemistry Laboratory» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
"Not Detected" or "U" does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 1

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires B-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 1 3 I NCG550465 I11 12 16/04/19 17
18 Li 19 Li 201
211 I I I I I I I I I 11I I I I I I I I I I I I 1 I I I I
I I I I I I 11 I I I I I f6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA
---------- ------ -- Reserved ---------------- —
L I 72 ,
67 70 I 1 71 J
LJ LJ
731 I 174 751 I I I I I I I8O
I I I
Section B: FacilityData
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:15AM 16/04/19
13/08/01
Sams Branch Road site
Exit Time/Date
Permit Expiration Date
Sams Branch Rd
10:OOAM 16/04/19
18/07/31
Candler NC 28715
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry Clark,PO Box 1402 Candler NC 28715N828-713-1962/
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date
Robert Topolski ARO WQH828-296-45001
ARO WQ//828-296-4684/
6 G'O/%kj
Andrew W Moor
;aL A,
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type (Cont.)
31 NCG550465 I11 12 16/04/19 17 18 1 c, I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On April 19, 2016, Andrew Moore and Rob Topolski returned to the Clark residence to collect an
effluent sample as a follow-up to the sampling conducted February 2, 2016, which resulted in Notice of
Violation (NOV) NOV-2016-PC-0044. The follow-up effluent sampling was conducted to evaluate the
status and effectiveness of the corrective actions taken in response to the Notice of Violation. Note that
the water sample collected February 2nd was collected from an unpermitted discharge from the
system as the effluent pipe was buried. Following receipt of the abovementioned NOV, Mr. Clark dug
out the effluent pipe, which was in the vicinity of the previously observed unpermitted discharge. Due to
the orientation of the effluent pipe, we were unable to collect the sample directly from the effluent pipe.
Rather, we dug a hole in the alluvium below the effluent pipe in order to allow an adequate volume of
effluent to collect. The effluent sample was collected from the pool and analyzed for biochemical
oxygen demand and fecal coliform bacteria. Biochemical oxygen demand was detected at 150
milligrams per liter (mg/1) with a permit limit of 45 mg/I. Fecal coliform bacteria were detected at 6,000
colony forming units per 100 milliliters (CFU/100 ml) with a permit limit daily maximum of 400 CFU/100
MI.
Page#

PAT MCCRORY
Govemor
Water Resources
ENVIRONMENTAL QUALITY
February 11, 2016
Jerry Clark
P.O. Box 1402
Candler, NC 28715
SUBJECT: NOTICE OF VIOLATION
NOV-2016-PC-0044
Compliance Evaluation Inspection
Sams Branch Road Site
Permit No: NCG550465
Buncombe County
Response Deadline: March 15, 2016
Dear Mr. Clark:
DONALD R. VAN DER VAART
Secretary
1 S. JAY ZIMMERMAN
Director
T� N
FEB 16 Mb
CENTRAL- FILES
pNJR SECTION
On January 29, 2016, Andrew Moore from the Asheville Regional Office (ARO) of the Division of Water
Resources (DWR) conducted a compliance evaluation inspection of the subject wastewater treatment system.
During the inspection.a white liquid discharge was observed emanating from the streambank and entering South
Hominy Creek. The effluent pipe could not be located at the time of the inspection.
On February 2, 2016, Andrew Moore returned and collected a water sample of the discharge. The water sample
was analyzed for biochemical oxygen demand (BOD), total suspended solids (TSS), and fecal coliform bacteria.
The analyzed parameters have daily maximum limits in the subject permit. However, the daily limits are
applicable solely to the effluent discharging from the permitted outfall and are only included for reference. The
results are as follows:
Parameter
Date
Limit Value
Result
Limit Type
Biochemical Oxygen
2/2/2016
45.0 mg/1
260 mg/1
Daily
Demand
Maximum
Total Suspended Solids
2/2/2016
45.0 mg/1
81 mg/1
Daily
Maximum
Fecal Coliform Bacteria
2/2/2016
400/100 ml
4,100/100 ml
Daily
Maximum
The water sample results indicate that wastewater is circumventing the wastewater treatment system and
discharging directly to the stream channel.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. Highway 70 Swannanoa, NC 28778
828 296 4500

Jerry Clark
February 11, 2016
Page 2 of 2
As a result of the site inspection and review of the water sample results, the following violation was identified:
VIOLATION
I. Illegal Discharge of Waste to Waters — North Carolina General Statute (hereby known as G.S.) 143-
215.1(a)(6) requires that no person shall cause or permit any waste, directly or indirectly, to be
discharged to or in any manner intermix with the waters of the State in violation of the water quality
standards applicable to the assigned classifications or in violation of any effluent standards or limitations
established for any point source, unless allowed as a condition of any permit, special order or other
appropriate instrument issued or entered into by the Commission under the provision of the Article.
To prevent further action, you must address the illegal discharge. This office recommends the following
course of action:
1. Evaluate and assess the system to determine whether the system can be brought into compliance. Note
that it is not permissible to alter, extend, or change the construction or method of operation of any
sewer system in the State without the appropriate permit.
2. If you determine that the system cannot be brought into compliance, contact Buncombe County
Environmental Health to determine whether a traditional septic system can be installed on your
property.
3. If you cannot address the illegal discharge via 1 or 2 above, you will be required to replace your
wastewater treatment system. The permit requires that systems replaced after August 1, 2007, must meet
the requirements for new systems.
Please respond in writing to this office to the address noted in the footer by March 15, 2016. The response
should summarize the course of action you plan to take to address the violation and an anticipated schedule. If
you should have any questions, please do not hesitate to contact Andrew Moore at 828-296-4684.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosure.
cc: MSC 1617-Central Files -Basement
Asheville Regional Office Files
G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residence\550465 Jerry Clark\NOV-2016-PC-0044.docx

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 U 2 15 I 3 I NCG550465 I11 12 16/01/29 17
18 I C I 19 I G I 201
2111I1 I I I I I I II l l LI I I I I I I I I I I I I I
I I I I I I II I I I I I f6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA
------------------Reserved ------ ------
67
70 I I 71 � 72 L N J
LJ L
731 I 174 75
I I I
80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
10:45AM 16/01/29
13/08/01
Sams Branch Road site
Exit Time/Date
Permit Expiration Date
Sams Branch Rd
11:00AM 16/01 /29
18/07/31
Candler NC 28715
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry Clark,PO Box 1402 Candler NC 28715N
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Operations & Maintenance 0 Records/Reports N Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date
Andrew W Moore ARO WQ//828-296-4684/
.2—
112t, /kl---
Signature of Mana A Reviewer Agency/Office/Phone and Fax Numbers
Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type (Cont.) 1
31 NCG550465 I11 12 16/01/29 17 18 U
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On January 29, 2016, 1 (Andrew Moore) of the Asheville Regional Office conducted a compliance
evaluation inspection of the Clark residence wastewater treatment system. The Clark's were contacted
via phone prior to the inspection. The permittee was not present at the time of the inspection. However,
Mr. Clark's father, who lives in a separate residence on the same parcel, was present.
The septic tank was reportedly pumped three years ago. No signs of system failure were observed in
the area of the sand filter.
While looking for the effluent pipe, I observed a white, foul-smelling, liquid emanating from the stream
bank in the area I would anticipate the effluent pipe being located. The effluent pipe was never located. I
returned 2/2/2016 to collected a sample of the discharge for analysis of biochemical oxygen demand
(BOD), fecal coliform bacteria, and total suspended solids (TSS). See 2/2/2016 inspection report.
Page#

Permit: NCG550465
Inspection Date: 01/29/2016
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Owner - Facility: Sams Branch Road site
Inspection Type: Compliance Evaluation
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Septic Tank
(If pumps are used) Is an audible and visual alarm operational?
Is septic tank pumped on a schedule?
Are pumps or syphons operating properly?
Are high and low water alarms operating properly?
Comment:
Yes No NA NE
■ ❑ ❑ ❑
❑ ❑ N ❑
Yes No NA NE
❑ ❑ N ❑
■ ❑ ❑ ❑
❑ ❑ ■ ❑
❑ ❑ ■ ❑
Effluent Pipe
Yes No NA NE
Is right of way to the outfall properly maintained?
❑
❑
0
❑
Are the receiving water free of foam other than trace amounts and other debris?
❑
N
❑
❑
If effluent (diffuser pipes are required) are they operating properly?
❑
❑
0
❑
Comment: The effluent pipe was not found A white discharge was observed emanating
from the
streambank in the area where the effluent pipe was expected.
Page# 3

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 I 3 I NCG550465 I11 12 16/02/02 17
18 I S I 19 1 G 201 I
211 I I I I I I I I I 11 1 1 I I I I I I I I I I I I I I I
I I I I I I 11 I 1 1 I I l66
Inspection Work Days Facility Self -Monitoring Evaluation Rating 61 CIA
-----------------Reservec1 -------------------
671 70I I 71 I I 72 1 n 1
L L_J LJ
73I I I74 751 I I I I I I I80
W
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:15AM 16/02/02
13/08/01
Sams Branch Road site
Exit Time/Date
Permit Expiration Date
Sams Branch Rd
09:45AM 16/02/02
18/07/31
Candler NC 28715
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry Clark,PO Box 1402 Candler NC 28715///
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date
Robert Topolski ARO WQ//828-296-4500/
Andrew W Moore ARO WQ//828-296-4684/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
• v O
Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type (Cont.)
31 NCG550465 I11 12I 16/02/02 117 18 I S
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
On February 2, 2016, Andrew Moore and Rob Topolski returned to the Clark residence to collect a
water sample of the white discharge observed emanating from the stream bank. The white discharge
was initially observed during a compliance evaluation inspection on January 29, 2016. The water
sample was analyzed for biochemical oxygen demand (BOD), total suspended solids (TSS), and fecal
coliform bacteria. BOD was detected at 260 milligrams per liter (mg/I). TSS were detected at 81 mg/I.
Fecal coliform bacteria were detected at 4,100 colony forming units per 100 milliliters (ml). Though not
collected from the effluent pipe, all results exceeded the permit limits for effluent discharge.
Page#

IL
Amn-IwA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
July 27, 2007
Jerry & Sandra Clark
P.O. Box 1402
Candler, NC 28715
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
Subject: Renewal of coverage / General Permit NCG550000
Sams Branch Road site
Certificate of Coverage NCG550465
Buncombe County
Dear Permittee:
In accordance with your renewal application [received on January 25, 20071, the Division is renewing
Certificate of Coverage (CoC) NCG550465 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 [e-mail]] or Susan Wilson [919 733-5083, extension 510
or [e-mail] l.
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
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
NorthCarolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550465
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,
Jerry & Sandra Clark
is hereby authorized to discharge domestic wastewater [450 GPD] from a facility located at
Sams Branch Road site
Candler
Buncombe County
to receiving waters designated as Hominy 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 NCG550465
(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 Jerry Sandra Clark /
Street Address P.O. Box 1402
Address Candler, NC 287l15 /
Telephone (Home) >Lt (kIs .7 L (Mobile)
(e-mail address)
* Address to which all permit correspondence will be mailed
2) Location of facility producing discharge*:
Facility ID Clark Jerry- Residence
Address: Sams Branch Rd,
Candler, NC 28715 (Buncombe County)
Telephone (Home) _ 47 L � S % 1S - (Mobile)
* If the facility is not yet constructed, give the street address or lot number where the structure will be
built.
3) Description of Discharge:
a) Type of facility producing waste (please check one):
;K Primary residence
❑ Vacation/second home
❑ Undeveloped property
❑ Other [describe]:
4) Please check the components that comprise the wastewater treatment system:
ET"
Septic tank ❑ Dosing tank ❑ Primary sand filter ❑ Secondary sand filter
❑ Recirculating sand filter(s) ❑ Chlorination ❑ Dechlorination
❑ 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?� O f�
NOTE: the septic tank must be pumped out at least once every 3-5 years
s�jjI
b) Is the facility [home] occupied year-round, or only seasonally? vl P(J V 20 U"(\C
c) Approximately how many people use the facility when it is occupied?
d) When was the wastewater system installed? iq 1� 91:�
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: ��� ( �_ I L
1- l�q - o
nt) (Date Signed)
North Carolina General Statute 143-215.6 b W 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

W A TFRQG
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
Asheville Regional Office
SURFACE WATER PROTECTION
Mr. Jerry Clark
Post Office Box 1402
Candler, North Carolina 28715
Dear Mr. Clark:
December 8, 2005
SUBJECT: Compliance Evaluation Inspection
Clark - Residence
Permit No: NCG550465
Buncombe County
Enclosed please find a copy of the Compliance Evaluation Inspection form from
the inspection conducted on December 6, 2005. Larry Frost of the Asheville Regional
Office conducted the Compliance Evaluation Inspection. The facility was found to be in
Compliance with permit NCG550465.
Please refer to the enclosed inspection report for additional observations and
comments. If you have any questions, please call me at [phone].
Sincerely,
Lar Fro
vironmental Engineer
Enclosure
cc: NPDES Permitting Unit
Central Files
Asheville Files
2090 U.S. Highway 70, Swannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1 877 623-6748
NorthCarolina
Naturally

United States Environmental Protection Agency
EPA Washington, D.C. 20460
Form Approved.
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 151 31 MCG550465 111 121 05/12/0, 117
18I CI 191 SI 20I II
Remarks
21LIIIIIIIIIIIIIII
IIIIIIIIIIIIIIII
I I I I I I I I I I I I II16
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA
--------------------------- Reserved ----------- ----------
67I 169 701 I 711 I 721 N I
73ILI' 74 751 I I I I I I 180
—LJ
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Clark Jerry- Residence
01:30 PM 05/12/06
02/08/01
Exit Time/Date
Permit Expiration Date
Sams Branch Rd
Candler NC 28715
01:45 PM 05/12/06
07/07/31
Name(s) of Onsite Representative (s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Jerry Sandra C1ark,PO Box 1402 Candler NC 28715//704-665-7875/ Contacted
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit E Operations & Maintenance 0Facility Site Review
Section D: Summary of Find in /Comments Attach additional sheets of narrative
and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Keith Haynes k ARO WQ///
Date
/pl �• ��
Larry Frost ' �y ARO WQ//828-296-4500 Ext.9658/
/ Z�
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Roger C Edwards ARO WQ///
J7iAG-5
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCG550465 I11 12I 05/12/06 I1' 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The system appears to be well maintained and operation properly.
I recommend that you pump your septic tank every 3 to 5 years, that you protect the surface of your sand
filter form distrubance and roots and you maintain and protect your discharge pipe at the stream. These
recommendation will increase the life of your system and help protect our surface waters.
Page # 2

Permit: NCG550465 Owner - Facility: Clark Jerry- Residence
Inspection Date: 12/06/2005 Inspection Type: Compliance Evaluation
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n
■
n
Is the facility as described in the permit?
■
n
n
n
# Are there any special conditions for the permit?
❑
■
n
n
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection? ■ ❑ 0 ❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ p
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑ 0 ■ ❑
Judge, and other that are applicable?
Comment:
Page # 3

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, P.E., Director
July 26, 2002
JERRY SANDRA CLARK
CLARK JERRY- RESIDENCE
PO BOX 1402
CANDLER, NC 28715
uAlfwx
00
Asl IF
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Wastewater Discharge Permit
Clark Jerry- Residence
COC Number NCG550465
Buncombe County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG550000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued wastewater general permit Certificate of Coverage
(COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency,
dated May 9, 1994 (or as subsquently 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
Your coverage under this general permit is not transferable except after notice to DWQ. The Division 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 DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or
decree.
Please note that effective January 1, 1999 the fees for all permits issued by DWQ were changed. This changed the
fee for your wastewater general permit coverage from a $240 fee paid once every five years to a yearly fee of $50.
If you have not already been billed this year for the yearly fee, you will receive a bill later this year.
If you have any questions regarding this permit package please contact Mack Wiggins of the Central Office
Stormwater and General Permits Unit at [phone], ext. 542
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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 NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG550465
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,
JERRY CLARK
is hereby authorized to operate a domestic wastewater treatment facility which includes a septic tank, sand filter,
and associated appurtenances with discharge of treated domestic wastewater from the facility located at
CLARK JERRY- RESIDENCE
SAMS BRANCH RD
CANDLER
BUNCOMBE COUNTY
to receiving waters designated as South Hominy Creek, a class C Tr water, 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 No. NCG550000 as attached.
This certificate of coverage shall become effective August 1, 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 26, 2002.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
Jerry & Sandra Clark
P.O. Box 1402
Candler, NC 28715
Dear Permittee:
AF1.9;VA
14
EDEHNR
July 21, 1997
Subject: Certificate of Coverage No. NCG550465
Renewal of General Permit
Clark, Jerry - Residence
Buncombe County
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31, 2002. 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 December 6,1983. If any
parts, measurement frequencies or sampling requirements contained in this 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, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, 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 this permit, please contact the NPDES Group at the address below.
Sincerely,
A. Preston Howard, Jr., P.E.
cc: Central Files
Asheville Regional Office
NPDES Group
Facility Assessment Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX [phone] p&[e-mail]
An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550465
TO DISCHARGE DOMESTIC WASTEWATERFROM 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,
Jerry & Sandra Clark
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility
located at
Clark, Jerry - Residence
Sams Branch Road
Candler
Buncombe County
to receiving waters designated as subbasin 40302 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 No. NCG550000 as attached.
This certificate of coverage shall become effective August 1, 1997.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21, 1997.
T�
A. Preston Howard, Jr., P.E., Director �
Division of Water Quality
By Authority of the Environmental Management Commission

Letter to JERRY & SANDRA CLARK
NCG550465
February 7, 1997
INVOICE FOR RENEWAL OF
NPDES PERMIT
Check here if you do NOT wish to renew this permit.
Please return this page along with a letter documenting your reasons
for not requesting renewal to:
Mr. Charles H. Weaver, Jr.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
12 Check here if you wish to renew this permit.
Please verify the following information and revise any incorrect entries:
Mailing Address
JERRY & SANDRA CLARK
J � No revision required.
CLARK, JERRY - RESIDENCE
P.O. BOX 1402
CANDLER, NC 28715 Revision required. (Please specify below.)
Phone number: [phone]
Fax number:
e-mail address:
Facility Location
JERRY & SANDRA CLARK
SAMS BRANCH ROAD
CANDLER, NC 28715
FlNo revision required.
Revision required. (Please specify below.)
Please return this page with your letter requesting renewal, and $240 fee (payable to NCDEHNR) to:
Mr. Charles H. Weaver, Jr.
Division of Water Quality/WQ Section
NPDES Group
Post Office Box 29535
Raleigh, North Carolina 27626-0535
Signature of applicant or authorized representative
Date

State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor R. Paul Wilms
,- February 1S, 1988
S. Thomas Rhodes, Secretary Director
Mr. Jerry Clark
P. 0. Box 1402
Candler, NC 28715
SUBJECT: Permit No. NC0072435
Authorization to Construct
Clark Residence
Wastewater, -Treatment Facility
Buncombe County
Dear Mr. Clark:
A letter of request for an Authorization to Construct was received December 22,
1987, by the Division and final plans and specifications for the subject project have
been reviewed and found to be satisfactory. Authorization is hereby granted for the
construction of a 360 GPD wastewater treatment facility consisting of a 1,200 gallon
septic tank and a 396 square foot sand filter.
This Authorization to Construct is issued in accordance with Part III paragraph C
of the NPDES Permit No. NC0072435 issued January 11, 1988, and shall be subject to
revocation unless the wastewater treatment facilities are constructed in accordance
with the conditions and limitations specified in Permit No. NC0072435.
The sludges generated from these
accordance with G.S. 143-215.1 and in
Division of Environmental Management.
treatment faci-lities must be disposed of in
a manner approyable by the North Carolina
The Asheville Regional Office, telephone number 704/251-6208 shall be notified at
least in advance of backfilling of the installed system so that an in -place inspection
can be made. Such notification to the Regional Supervisor shall be made during the
normal office hours.
In event the facilities fail to perform satisfactorily in meeting its NPDES
permit effluent limits, the Permittee shall take such immediate corrective action as
may be required by this Division, including the construction of additional wastewater
treatment and disposal facilities.
The septic tank must be pumped once a year and the filters must be rehabilitated
as needed but should be inspected no less than once every three years of operation.
i
Pollution Prevention Pays:=.
P.O. Boot 27697,- Raleigh, North Carolina 27611-7697:. Tekphonc 919-733-7015 -

The sand media of the sub -surface filter must comply with the Division's sand
specifications.
If you have any questions or need additional information, please contact Mrs.
Babette Mckemie, telephone number 919/733-5083, ext. 170.
Sincerely yours,
R. Paul Wilms /
cc: Buncombe County Health Department
Asheville Regional Supervisor'
Dennis Ramsey

{Jo-� •. C� aaG ro To Gwen -ate PEe,,.J:T o a � D ate
/VG 46 5-
Fac i I i ty Name:lJ4WIkK+Q� Permi t:
4-o3a
Receiving Stream:__ T Ciass:CSub-Basins} 2
County:, 1�]tlw�lt(,�(y.�2+� Regional Off ice: A 10
Reference USGS Quad: Cayso' N C- Existing: Proposed: ✓
O ► L
Elevation: Drainage Area: >(b 7'k22�
Hydrologic Group: Design Temperature: �c_ o
Slope: /� '_ Comments:
5dt l7l� 'r�K� C�t�.� �- �G►'r�`p Z;U3 ia- / C .A-k --h A. f etft-(
y"MV..alt O , l n-k� -S+ttla� (I ^' C-G-� S OL-W
RECOMMENDED EFFLUENT LIMITS
Wasteflow (gpd): ¢So
BOD5 (mg/1): 30
NH3-N (mg/1):
D.O. (mg/1): -
pH (SU):
Fecal Coli C/100ml):
TSS
RECOMMENDED BY: ?
APPROVED BY:
Recjonal EEngineer: _ Daie O
Regional Supervisor:
Date:
ROUTE to Technical Supwort Grcu. and Permits & Engineering Unit
(Enclose copy of USGS topographical map showing location of discharger)

r A
TO- PERMITS AND ENGINEERING UNIT
WATER QUALITY SECTION
DATE: June 23, 1992
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Buncombe
PERMIT NUMBER NCO072435 ° 1 Vk'
SEP<p e
PART I - GENERAL INFORMATION
LGHNICAL SUPPORT BRANCH
1. Facility and Address: Clark Residence "'"`
P.O. Box 1402
Candler, N.C. 28716
2. Date of Investigation: 8-15-91
3. Report Prepared -By: Linda Wiggs, K. Becker inspected
4. Persons Contacted and Telephone Number: Jerry Clark
704-665-7875
5. Directions to Site: Access to the site is from NCSR 1108
(Sams Branch Road). Site is west, approximately 0.1 mile,
from intersection of NCSR 1108 and 1103.
6. Discharge Point(s), List for all discharge points:
Latitude: 350 28' 27" Longitude: 820 45' 15"
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. U.S.G.S. Quad Name Cruso, N.C.
7. Size (land available for expansion and upgrading): Approx. .75
acres
8. Topography (relationship to flood plain included):
9. Location of nearest dwelling:
Page 1.

.10-. 'Receiving stream or affected surface waters: South Hominy Creek
a. Classification: "C"Trout
b. River Basin and Subbasin No.: 040302
C. Describe receiving stream features and pertinent downstream
uses: Creek is used for wildlife, agriculture and fishing.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100 % Domestic
Industrial
a. Volume of Wastewater: 0.000450 MGD (Design Capacity)
b. Types and quantities of industrial wastewater:
C. Prevalent toxic constituents in wastewater:
d. Pretreatment Program (POTWs only):
in development approved
should be required not needed
2. Production rates (industrial discharges only) in pounds per day:
a. Highest month in the past 12 months: lbs/day
b. Highest year in the past 5 years: lbs/day
3. Description of industrial process (for industries only) and
applicable CFR Part and Subpart:
4. Type of treatment (specify whether proposed or existing):
Existing system consists of septic tank/subsurface sand filter.
5. Sludge handling and disposal scheme: septic tank pumping
company.
6. Treatment plant classification (attach completed rating sheet):
7. SIC Codes(s): 4952
Wastewater Code(s): Primary 04 Secondary
Main Treatment Unit Code: 440-7
Page 2

PART*III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant funds
(municipals only)?
2. Special monitoring requests:
3. Additional effluent limits requests:
4. Other:
PART IV - EVALUATION AND RECOMMENDATIONS
ARO considers this system to be in compiance with its NPDES
permit and recommends the permit be reissued.
ell
Signature of Report P eparer
r
Wa er Qu ity Regional Supervisor
Date

NORTH CAROLING.",`^�,
• 7.5•MINUTE SERIES (TGPO-Cr'APHIC) 184 NE ,E`'4li
' 139 _ } j-88-0�.000 FEET 141 82"45'
3929
3028
MVP
50.000
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IL
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