NCG550151_Permit (Issuance)_20120925

Aiff
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue, Governor Charles Wakild, P.E., Director Dee Freeman, Secretary
September 25, 2012
Judith K. Shults
41 Driftwood Ct
Asheville, NC 28805
Subject: Renewal of coverage/General Permit NCG550000
41 Driftwood Court
Certificate of Coverage NCG550151
Buncombe County
Dear Permittee:
In accordance with your renewal application [received on September 25, 2012], the Division is
renewing Certificate of Coverage (CoC)NCG550151 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 October 15, 2007 [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 Charles
Weaver of the NPDES staff[919 807-6391 or [e-mail]].
• ely,
or Charles Wakild, P.E.
cc: Asheville Regional Office/Surface Water Protection
INPDES fife,
L-
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 NorthCarolina
Phone: [phone]/FAX [phone]/Internet:www.ncwaterquality.org NaturallffAn 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 NCG550151
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,
Judith K. Shults
is hereby authorized to discharge domestic wastewater [<1000 GPD] from a facility located
at
41 Driftwood Court
Asheville
Buncombe County
to receiving waters designated as the Swannanoa River, a class C stream 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 September 25, 2012.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day September 25, 2012
_Z:-//e7/
for Ch s Wakild, P.E., Directo
Division of Water Quality
By Authority of the Environmental Management Commission

A71:21a Division of Water Quality/Water Quality Section
National Pollutant Discharge Elimination System
NC®EI�lR
NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES NCG550000
RENEWAL FORM FOR EXISTING PERMITTED FACILITIES
NPDES renewal application for continued coverage under General Permit NCG550000:
Certificate of Coverage NCG55®(5/
(Please verify the information in items 1 &2 as correct, or note any corrections that should be made.)
(Please print or type) ® © rynn
1) Mailing address* of property owner: IJ `f
Owner Name J3\`-X\W ����V\3 J J SEP 2 5 2012
Street Address '\ DE R-WAT R QUAL
POINT SOURCE BRANCH
City N\NWA(- L A� 0(`3
Telephone (Home) (Mobile) _ (9C:\
(e-mail address)
*Address to which all permit correspondence will be mailed
2) Location of facility producing discharge*: �� S4I
Street Address J�
City:
County
Telephone (Home) _ (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):
Primary residence
❑ Vacation/second home
0 Undeveloped property \��
❑ Other [describe]:bAs c t(Ad (kK h\''�eL) kwr 1`-)
Page 1 of 2

NCG550000 renewal form
4) Please check the components that comprise the wastewater treatment system:
❑ Septic tank ❑ Dosing tank rimary sand filter ❑ Secondary sand filter
❑ Recirculating sand filter(s) ❑ Chlorination ❑ Dechlorination
❑ Other form of disinfection: ❑ Post Aeration (describe)
5) Other Information:
a) When was the septic tank last pumped out? 9
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? &, ` G,) cL \'�,,}t
c) Approximately how many people use the facility when it is occupied?
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: KW,
c
(Signature of Applicant) ( ate 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 compl ed form and a copy of the receipt for your last septic service to:
Mr. Charles H. Weaver, Jr.
NC DENR/DWQ /NPDES
• 1617 Mail Servi C
�Q. aleigh, NC 27699-1617ceenter
k)svp. )
� Page 2 of 2
�� 2) � �� CHUM_acts\Ssor,‘

ArfrA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
E3 fff - ,lam,.z......
iT'W11
September 18, 2012 L
EP � 4 2012
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7010 1870 0003 0874 9353
Ms. Judith K. Shults
135 Washington Avenue
Newport, Tennessee 37821
Subject: NOTICE OF VIOLATION
NOV-2012-PC-0317
Complaint Inspection
41 Driftwood Court/ (Botany Woods,
Asheville NC, 28805)
Permit No. NCG550151
Buncombe County
Dear Ms. Shults:
Enclosed please find a copy of the Inspection Report from the inspection conducted
September 7, 2012, by Janet Cantwell and Jeff Menzel of the Asheville Regional Office. The
treatment facility was found to be in violation of Permit NCG550151 for the following:
Compliance issues found during the inspection are:
Inspection Area Compliance Issue
Facility Site Review Unable to locate sand filter bed and discharge pipe
Permit Permit has expired
As stated in the inspection report, an evaluation of your WWTP system should be done
and the septic tank should be pumped. Please keep the receipt from the septic pumper. It was
also noted that a renewal form was mailed to you at your address in Tennessee. Please send a
copy to this office when you send in your renewal form to Raleigh.
SURFACE WATER PROTECTION—ASHEVILLE REGIONAL OFFICE One
Location:2090 U.S.Highway 70,Swannanoa,NC 28778 NorthCarolina
Phone:[phone]FAX:[phone] '
Internet:www.ncwaterqualitv.org Naturally

Ms. Judith K. Shults
September 18, 2012
Page Two
Please refer to the enclosed Inspection Report for any additional observations and
comments.
To prevent further action, carefully review these violations and deficiencies and respond in
writing to this office within fifteen (15) working days of receipt of this letter. You should
address the causes of noncompliance and all actions taken to prevent the recurrence of similar
situations. If you should have any questions, please do not hesitate to contact Janet Cantwell
at 828/296-4500.
Sincerely,
Chuck Cranford, Regional Supervisor
Surface Water Protection Section
Attachment
cc: DWQ Asheville Files w/attachment
DWQ Central Files w/attachment
Source/MEnfo cerriert vu/-a- hment
S:\SVVP\BuncombetWastewater\General\NCG55 Single Family Residence\550151 Judith Shults\NOV-2012-PC-0317.doc

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 INI 2 15 I 31 NCG550151 111 121 12/09/07 117 181 J I 19I S I 20I I
Remarks
211 1 1 1 I I I I IIIIIIIIIIIIIIIIIIII I I I I I I I I I I I I 1 I I I I I ,I66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA --Reserved
671 169 70I I 711 I 72I N I 731 1174 751 I I I I I I 180
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)
03:50 PM 12/09/07 97/09/01
41 Driftwood Court
41 Driftwood Ct Exit Time/Date Permit Expiration Date
Asheville NC 28805 04:00 PM 12/09/07 02/07/31
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
Contacted
Judith K Shults,41 Driftwood Ct Asheville NC 28805//704-299-1820/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
.Permit ■Facility Site Review
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 Agency/Office/Phone and Fax Numbers ate
/ate
Janet Cantwel ARO WQ//828-296-4500 Ext.4667/
Jeff Menzel ARO WQ//828-296-4500/ ,74'PA1—
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# 1

NPDES yr/mo/day Inspection Type (cont.) 1 '
31 NCG550151 111 12I 12/09/07 117 181
J
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Ms. Judith Kaye Shults, owner, called this office on September 11, 2012, and spoke with Mr. Chuck
Cranford. She now lives at 135 Washington Avenue, Newport, TN 37821. Since the permit has expired, a
new application form was mailed to her on 9/11/2012.
Mr. Chuck Cranford, with whom she spoke, suggested she have the system evaluated and the septic tank
pumped.
The area of the sand filter needs to be kept clear of weeds, brush and trees which would damage the filter.
The inspectors were unable to locate where the facility had been sited and no discharge pipe could be
found.
Page# 2

Permit: NCG550151 Owner-Facility: 41 Driftwood Court
Inspection Date: 09/07/2012 Inspection Type: Complaint
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? ❑ • ❑ n
Is the facility as described in the permit? ❑ ❑ n •
#Are there any special conditions for the permit? fl ■ ❑ 11
Is access to the plant site restricted to the general public? ❑ ■ ❑ ❑
Is the inspector granted access to all areas for inspection? ■ n n n
Comment: Ms. Judith Kaye Shults, owner, called this office on September 11, 2012.
She now lives at 135 Washington Avenue, Newport, TN 37821. Since the permit has
expired, a new application form was mailed to her on 9/11/2012.
Mr. Chuck Cranford, with whom she spoke, suggested she have the system evaluated
and the septic tank pumped.
The area of the sand filter needs to be kept clear of weeds, brush and trees which
would damage the filter.
The inspectors were unable to locate where the facility had been sited and no discharge
pipe could be found.
Page# 3

ACM witrCENT ALE
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
To: Ms. Judith Kaye Shults
41 Driftwood Court
Asheville, NC 28805-1614
From: Wanda Frazier 7A.)/�'. RECEIVED
Environmental Specialist JUL 19 2011
Asheville Regional Office
CENTRAL FILES
Re: Single Family Residence Perm51 DWQ/Boo.
(for the treatment and disposal of wastewater)
Date: July 1 , 2011
I have been trying to contact you recently about your permit, which has
expired. I spoke with your neighbor (Rebecca) today, who said that you
didn't live there now.
Please complete and return the enclosed renewal application, with a current
mailing address, for your Single Family Residence Permit (NCG550151). No
fee is required at this time. If you can't provide a deed, please just return the
completed form. The new permit will cover the next 5 year period.
Please feel free to contact me directly with any questions that you may have
( 828-296-4226).
Thank you.
S:\SWP\Buncombe\Wastewater\General\NCG55 Single Family Residences\550151 Judith Shults\permit renewal request 7-1-11.doc
SURFACE WATER PROTECTION SECTION—ASHEVILLE REGIONAL OFFICE One
Location:2090 U.S.Highway 70,Swannanoa,North Carolina 28778 NorthCarolina
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 y
natural
Internet: www.ncwaterquality.org Naturally
L
An Equal Opportunity 1 Affirmative Action Employer

NCDENR
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
February 2, 2007
CERTIFIED MAIL-RETURN RECEIPT REQUESTED
Judith Kaye Shults
41 Driftwood Ct
Asheville, NC 28805
Subject: Renewal Notice/General Permit NCG550000
Certificate of Coverage NCG550151
Buncombe County
Dear Sir or Madam:
You are receiving this notice because Buncombe County tax records indicate that you own
the property at:
41 Driftwood Ct
Asheville, NC 28805
The property was previously covered under General Permit NCG550000 for the discharge
of domestic wastewater. That coverage expired on July 31, 2002; the owner who obtained
coverage did not respond to renewal notices from the Division. If this property is still
discharging wastewater,you must renew coverage under NCG550000.
The Certificate of Coverage (CoC) specific to your property [NCG550151] was last issued
on July 21, 1997. The Division needs information from you to determine if coverage under
NCG550000 is still necessary.
> If your property still has a wastewater system like the ones described in the
enclosed Technical Bulletin, you must renew the subject CoC. Complete the
enclosed form and submit it to the address on the form.
> If you are not sure what type of system your property has, contact Larry Frost in
the NC DENR Asheville Regional Office at [phone]. That person [or other
staff members] can help you determine if you should renew your CoC.
> If you know that your property no longer discharges wastewater, contact me at
the address or phone number listed below to request rescission of the CoC.
> If you have already mailed a renewal request, you may disregard this
notice.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
512 North Salisbury Street,Raleigh,North Carolina 27604 ' On IN �Carolina
Phone: [phone],extension 511/FAX [phone]/[e-mail] Naturally
An Equal Opportunity/Affirmative Action Employer—250%Recycled/10%Post Consumer Paper

NCG550151 renewal notice
Page 2
The attached application form shows the information the Division has on file for your
property. Please verify that the provided information is correct, or make corrections on the
form. Complete the additional questions, then sign and date the form.
The completed form should be submitted to the address listed below the signature block.
If you have any questions concerning this matter, please contact me at the telephone
number or e-mail address listed below. Please reference CoC number NCG550151 when
you make contact. (If it is difficult to reach me, please be aware that your facility is one of
over 1100 that I am contacting regarding the renewal of NCG550000.)
Thanks for your attention to this matter.
Sincerely,
)7.
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
Asheville Regional Office/Larry Frost

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete Signature
item 4 if Restricted Delivery is desired. X ❑AgentAddressee
• Print your name and address on the reverse 1�
so that we can return the card to you. g ived b tilqted Namel ate of Deliv
• Attach this card to the back of the mailpiece, 1
or on the front if space
permits.ermits. Y\L
D. Is delivery d different from item l
1. Article Addressed to: If YES,ent�de'very address below: ❑ No
r=i Zp�
Judith Kaye Shults �- C— �`
41 Driftwood Ct 0) a
Asheville NC 28805 1.1r0
3. Se price Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number /�7
(Transfer from service label) • / 16E3 (0( 9
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 11
i I
J

f' R'
UNITED STATES POSTAL SERVICE First-Class Mai{
tags&•F0"§-rents
':�f"i�1::;;�:_'�:£.,�.. .�':: }'��k.:. a� " »"fir .,,..»„,
21.10 tf
• Sender: Please print your name, address,'and ZCP+4.in-ttris box
NC DENR/DWQ/NPDES
1617 MAIL SERVICE CENTER
RALEIGH NC 27699-1617'
ATTN CHARLES WEAVER

!A TF Michael F.Easley,Governor
G -,. �Q William G.Ross Jr.,Secretary
O ` N QA.G North Carolina Department of Environment and Natural Resources
• Cpt r Alan W.Klimek,P.E.Director
j `"` €..- i Division of Water Quality
---- � Asheville Regional Office
SURFACE WATER PROTECTION
August 30, 2006
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7005 0390 0001 3553 1381
Judith K Shults
41 Driftwood Ct
Asheville NC 28805
Subject: NOTICE OF VIOLATION
NOV-2006-PC-0354 .
Compliance Evaluation Inspection
Shults Judith K- Residence
Permit No. NCG550151
Buncombe County
Dear Ms. Shults: .
Enclosed please find a copy of the Inspection Report from the inspection conducted on
August 21, 2006. The Compliance Evaluation Inspection was conducted by Keith Haynes of the
Asheville Regional Office. The treatment facility was found to be in violation of Permit NCG550151
for the following:
Inspection Area Compliance Issue
Permit This permit is expired.
Please refer to the enclosed Inspection Report for any additional observation and comments.
To prevent further action, carefully review these violations and deficiencies and respond in
writing to this office within fifteen (15) working day of receipt of this letter. You should submit the
attached renewal form. If you should have any questions, please do not hesitate to contact Mr.
Haynes at 828/296-4500.
Sincerely,
e &ellitakS
Roger C. Edwards, Regional Supervisor
Surface Water Protection
Attachment
cc: WQ Central Files w/ attachment
ARO w/ attachment
Tear clo ement-w/-attachment'_ ,
2090 U.S.Highway 70,Swannanoa,N.C.28778 Telephone:[phone] FAX: [phone] Customer Service:877/623-6748 N nAhcarorna
Vatura!!j

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 I NI 2 11 31 NCG550151 111 121 06/08/21 17 181 rI 19 GI 201 I
Remarks lJ ! L_!
211 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 [ I I I I I I I I 1 _I I I I I I I I 1 I 1 I 1 L I 1 1 I I 1 1"
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA — Reserved
671 169 7011 711 1 721A 731 I 174 751 I__I I I _I I 180
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)
12:35 PM 06/08/21 97/09/01
Shults Judith K- Residence
41 Driftwood Ct Exit Time/Date Permit Expiration Date
Asheville NC 28805 12:45 PM 06/08/21 02/07/31
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
Contacted
Judith K Shults,41 Driftwood Ct Asheville NC 28805//704-299-1820/
No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
VI Permit ®Operations&Maintenance ®Facility Site Review
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
Keith Haynes ARC WQ//828-296-4500/ - ack`0
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Wes- 1/a day ,C'
Roger C Edwards ARO irlQ//8?8-296-4500/ cJC� c,�(„1
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG550151 111 12I 06/08/21 1
17 1811/4-1
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
This facility is operating without a current permit. The permit should be renewed as quickly as possible. A
renewal form is attached. The discharge pipe should be located by the home owner.
•
Page# 2

Permit: NCG550151 Owner-Facility: Shults Judith K-Residence
Inspection Date: 08/21/2006 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ n
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑ n ® n
Judge, and other that are applicable?
Comment:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? n ■ n
rl
Is the facility as described in the permit? ❑ ❑ ti
#Are there any special conditions for the permit? n n ■ n
Is access to the plant site restricted to the general public? n n ■ ❑
Is the inspector granted access to all areas for inspection? n n ■ n
Comment: This permit is expired.
Page# 3

State of North Carolina
Department of Environment i •
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor t1CDEI'1R
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Alan W. Klimek, P.E., Director ENVIRONMENT AND NATURAL RESOURCES
GENERAL PERMIT Certificate of Coverage RENEWAL FORM
I. CURRENT PERMIT INFORMATION:
Certificate of Coverage (CoC) Number: NCG5
Owner's name (name to be put on permit):
•
Owner's or signing official's name and title:
(Person legally responsible for permit)
(Title)
Mailing address:
City: State: Zip Code:
Phone: ( )
E-mail address:
Applicant's Certification:
I, , attest that [to the best of my
knowledge] the property previously covered by the Certificate of Coverage (CoC) listed above
is under my ownership/control. I hereby request renewal of the CoC listed above and assume
responsibility for wastewater discharge[s] from the site.
Signature: Date:
Send this completed form and a copy of the property deed to:
Mr. Charles H. Weaver, Jr.
NC DENR/ DWQ / NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
•
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

. WA1
• 0 - 9 Michael F.Easley,Governor
Off' Q
• y William G.Ross Jr.,Secretary
-I North Carolina Department of Environment and Natural Resources
O - r. -°,-
Alan W.Klimek,P.E.Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
February 16, 2005
Judith Kaye Shults
41 Driftwood Court
Asheville, North Carolina 28805-1614
• Subject: Certificate of Coverage No. NCG550151
Sewage Treatment System
Residence at 41 Driftwood Court
Buncombe County
Dear Ms. Shults;
The sewage treatment system serving your Residence at 41 Driftwood Court (Buncombe
County Parcel Identification Number 9679.17-00-1785.000) was constructed under the provisions of
Certificate of Coverage Number NCG550151. This permit has now expired. Attached is a copy of
your partially completed RENEWAL FORM, which is to be used to request renewal of your Certificate
of Coverage. Please return the completed-form to the Raleigh address indicated.
Please understand that such a discharge without a valid permit constitutes a violation of North
Carolina General Statute (NCGS) 143-215.1; enforceable under provisions of NCGS 143-215.6A as
administered by this Agency.
I am sure you will have questions regarding this matter so please do not hesitate to call me at
[phone].
Sincerely, 9 1 Ii \ rpL Frost :.,;
rr-i---,-, �'�' 1 FEB 2 1 2005
nvironmental Chemist
D'r_�IR - ;,?.= -r: QU,\LITY
r'tiiN I SOURCE DRA;i9CH
Enclosure
io,,eaa-lnarilesttlea'�ri>�1� - - - _;
No a Carolina
Vatura!!y
North Carolina Division of Water Quality 2090 U.S.Highway 70 Swannanoa,NC 28778 Phone[phone] Customer Service
Internet h2o.enr.state.nc.us FAX [phone]
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

State of North Carolina
Department of Environment 199F
and Natural Resources Alf
Division of Water Quality
Michael F. Easley, Governor I'iCDEI'IR
William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF
Alan W. Klimek, P.E., Director ENVIRONMENT AND NATURAL RESOURCES
GENERAL PERMIT Certificate of Coverage RENEWAL FORM
I. CURRENT PERMIT INFORMATION:
Certificate of Coverage (CoC) Number: NCG5 5 b/ 5 /
Owner's name (name to be put on permit):
Owner's or signing official's name and title:
(Person legally responsible for permit)
(Title)
Mailing address:
City: State: Zip Code:
Phone: ( )
E-mail address:
Applicant's Certification:
I, , attest that [to the best of my
knowledge] the property previously covered by the Certificate of Coverage (CoC) listed above
is under my ownership/control. I hereby request renewal of the CoC listed above and assume
responsibility for wastewater discharge[s] from the site.
Signature: Date:
Send this completed form and a copy of the property deed to:
Mr. Charles H. Weaver, Jr.
NC DENR/ DWQ/ NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Telephone[phone] FAX[phone]
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•
State of North Carolina
Department of Environment • y
and Natural Resources
„wily"
Division of Water Quality
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
4/23/2002
CER 1'IFIED MAIL
RETURN RECEIPT REQUESTED
ATTN: JUDITH SHULTS
SHULTS,JUDITH K.-RESIDENCE
41 DRIFTWOOD CT
ASHEVILLE, NC 28805
Subject: NOTICE OF VIOLATION
FAILURE TO SUBMIT RENEWAL APPLICATION
SHULTS,JUDITH K.-RESIDENCE
NCG550000
COC NUMBER NCG550151
BUNCOMBE COUNTY
Dear Permittee:
This letter is to inform you that,as of the date of this letter,the Division of Water Quality has not received a
renewal request for the subject permit certificate of coverage. This is a violation of NCGS §143.215.1 (c)(1)which
states"All applications shall be filed with the commission at least 180 days in advance of the date on which it is
desired to commence the discharge of wastes or the date on which an existing permit expires,as the case may be".
Any permittee that has not requested renewal at least 180 days prior to expiration or permittee that does not have a
permit after the expiration and has not requested renewal at least 180 days prior to expiration,will be subjected to
enforcement procedures as provided in NCGS §143-215.6 and 33 USC 1251 et.seq.
In order to prevent continued,escalated action,including the assessment of civil penalties you must submit a
completed permit coverage renewal application to the attention of the"Stormwater and General Permits Unit" at
the letterhead address within ten(10)days of your receipt of this letter(renewal application enclosed).
If the subject discharge has been terminated,please complete the enclosed rescission request form. Mailing
instructions are listed on the bottom of the rescission request form. You will be notified when the rescission
process has been completed.
Thank you for your prompt attention to this situation. If you have any questions regarding this matter,please
contact Mack Wiggins of the central office Stormwater and General Permits Unit at 919-733-5083,ext.542.
Sincerely,
r4ete1 yL)-11,14g51—
for Gregory J.Thorpe,Ph.D.
Acting Director,Division of Water Quality
cc: Stormwater and General Permits Unit Files
Central Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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