NCG550152_Permit (Issuance)_20121010

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A
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
October 10, 2012
Jorge L. Diaz
CAC Diaz LLC
508 Savona Ave
Coral Gables, FL 33146
Subject: Renewal of coverage/General Permit NCG550000
43 Driftwood Ct
Certificate of Coverage NCG550152
Buncombe County
Dear Permittee:
In accordance with your renewal application [received on October 2, 2012], the Division is renewing
Certificate of Coverage (CoC)NCG550152 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]].
Sincerely,
Y1,
for Charles Wakild, P.E.
cc: Asheville Regional Office/Surface Water Protection
NPDES file
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 North Carolina
Phone: [phone] I FAX [phone] I Internet:www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550152
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,
Jorge L. Diaz
CAC Diaz LLC
is hereby authorized to discharge domestic wastewater [<1000 GPD] from a facility located
at
43 Driftwood Ct
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 October 10, 2012.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day October 10, 2012
,/,44164 &fax,
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

ADivision of Water Quality/Water Quality Section
//
NCDENR National Pollutant Discharge Eliminat'• • -
NORTN CAROLINA DEPARTMENT OE n E c r a d S
ENVIRONMENT AND NATURAL RESOURCES NCG550000
1� OCT 0 2 2012
RENEWAL FORM FOR EXISTING PERMITTED FACIL I I NR-WATER QUALITY
NPDES renewal application for continued coverage under General Per .' '►`' _ _ • `. : :BRANCH
Certificate of Coverage NCG55 v kS 2\
(Please verify the information in items 1 & 2 as correct, or note any corrections that should be made.)
(Please print or type)
1) Mailing address* of property owner:
Owner Name L I A'Z. L. (, Ak+.
Street Address
soB 6puoPA- A- Ve."
City Co a_qr(. cD S le�S Ln ii O A .
Telephone (Home) 3 o S (*GC 3%88 (Mobile) it` •2-( #8- 0
(e-mail address) q 2- r a L..U ge_ a o L . Co AA
* Address to which all permit correspondence vyill be mailed
2) Location of facility producing discharge*:
Street Address LA 1 O r r+v o 6.4 G T .
City: Pr S
County V\ vl.N. 15 C.
Telephone (Home) $(' X. 8-0 `l 3 (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
❑ Undeveloped property
❑ Other [describe]:
Page 1 of 2
1

NCG550000 renewal form
11
4) Please check the components that comprise the wastewater treatment system:
Teptic tank 0 Dosing tank 0 Primary sand filter N4econdary sand filter
❑ Recirculating sand filter(s) 0 Chlorination 0 Dechlorination
❑ Other form of disinfection: 0 Post Aeration(describe)
5) Other Information:
a) When was the septic tank last pumped out? ‘ Y is kr N'%c D
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? 5 0-A 5 o'14 ‘ —7- '"`-O^.
c) Approximately how many people use the facility when it is occupied? 2
d) When was the wastewater system installed? 1 `\ S 0
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: ..1 o f j e. eD 1 At Z
(Signature of Applicant) (Date Signed)
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any
application, record, report,plan or other document filed or required to be maintained under Article
21 or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or
method required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C.
Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more
than 5 years, or both,for a similar offense.)
Mail this completed form and a copy of the receipt for your last septic service to:
Mr. Charles H. Weaver, Jr.
NC DENR/DWQ/NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Page 2 of 2
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AftiA
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
RECEIVED
September 18, 2012 SEP 2 6 2012
®QiL
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 7010 1870 0003 0874 9346
CAC Diaz LLC
508 Savona Avenue
Coral Cables, Florida 33146
Subject: NOTICE OF VIOLATION
NOV-2012-PC-0319
Complaint Inspection
43 Driftwood Court / (Botany Woods,
Asheville NC, 28805)
Permit No. NCG550152
Buncombe County
Dear Mr. Diaz:
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 NCG550152 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.
A Renewal Form and a copy of your permit are enclosed. Please send a copy of the
renewal form to this office when you send in your form to Raleigh.
SURFACE WATER PROTECTION—ASHEVILLE REGIONAL OFFICE One
Location:2090 U.S.Highway 70,Swannanoa,NC 28778 North Carolina
Phone:[phone]\FAX:[phone]v Naturally
www.ncwatercuality.orq

CAC Diaz LLC
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,
M j
Chuck Cranford, Regional Supervisor
Surface Water Protection Section
Attachment
cc: DWQ Asheville Files w/ attachment
DWQ Central Files w/ attachment
Point Source / Enforcement w/ attachment
S:\SWP\Buncombe\Wastewater\General\NCG55 Single Family Residence\550152 David Reboussin\NOV-2012-PC-0319.doc

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
I Approval expires 8-31-98
Water Compliance Inspection Report
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 N 2 1 51 31 NCG550152 111 121 12/09/07 1 17 181 C 1 191 S 1 201 1
Remarks
211II1II1I I I I 1 I 1 I 1 1 I I I I I I 1 I I 1 I III11I1I11IIIIII II16"
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
671 169 70 11 711 I 721 N 1 731 1 1 74 751 1 1 1 1 1 1 180
Section B: Facility Data 1
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)
03:25 PM 12/09/07 07/08/01
43 Driftwood Court
43 Driftwood Ct Exit Time/Date Permit Expiration Date
Asheville NC 28805 03:50 PM 12/09/07 12/07/31
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
• 1 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 Inspec s Agency/Office/Phone and Fax Numbers ate
Janet Can ARO WQ//828-296-4500 Ext.4667/
Jeff Menzel ARO WQ//828-296-4500/
T� �/Z
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 1
3 NCG550152 111 12I 12/09/07 117 181
CI 1'
Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The permit has expired.
A completed renewal form must be submitted.
Inspectors were unable to locate the WWTP system /septic tank/sand filter and the discharge pipe.
An evaluation of your WWTP system should be done and the septic tank may need to be pumped.
Page# 2

1
Permit: NCG550152 Owner-Facility: 43 Driftwood Court
•r Inspection Date: 09/07/2012 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? norm
Is access to the plant site restricted to the general public? n ■ n n
Is the inspector granted access to all areas for inspection? ■ n n n
Comment: The permit for your WWTP/septic tank/sand filter has expired.
A completed renewal form must be submitted.
Inspectors were unable to locate the WWTP system /septic tank/sand filter and the
discharge pipe.
An evaluation of your WWTP system should be done and the septic tank may need to
be pumped.
Page# 3

T
)50/52, •
:.1 Weaver, Charles
From: David M. Reboussin [[e-mail]]
Sent: Tuesday, February 28, 2012 3:00 PM
To: Barnett, Kevin
Cc: Weaver, Charles; Haynes, Keith
Subject: RE: Change of ownership for certificate of coverage
Kevin—thanks. I forgot to mention that this is a residence, and the permit is for the septic system. Dave
From: Barnett, Kevin [mailto:kevin.barnettncdenr.gov]
Sent: Tuesday, February 28, 2012 2:40 PM
To: David M. Reboussin
Cc: Weaver, Charles; Haynes, Keith
Subject: RE: Change of ownership for certificate of coverage
Good Afternoon Mr. Reboussin:
Thanks for getting in touch with me regarding your desire to change ownership on this wastewater treatment facility. I
have cc'ed Charles Weaver in our Central Office for processing of this request.
Charles, please let me know if you need anything from ARO on this.
Thanks,
kevin
Kevin Barnett- [e-mail]
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Water Quality-Water Quality Section
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel:[phone]
Fax: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: David M. Reboussin jmailto:drebouss@ wakehealth.edul
Sent: Tuesday, February 28, 2012 2:26 PM
To: Barnett, Kevin
Subject: Change of ownership for certificate of coverage
Dear Mr. Barnett—I just left you a voicemail and then found your email address. I'm completing the attached form to
transfer ownership of a CoC for 43 Driftwood Ct, Asheville 28805, and wanted to check with you to make sure it's in
order. If I understand it, I need to send this to the new owner for his signature,and he will send it to the NC DENR with
legal documentation of the sale.
Thanks for your help!
Dave Reboussin
1

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Scenic Wolf Mountain WWTP— NC0088188
1. Facility
Location
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USGS Quad Name:Sams Gap Lat.: 35°56'39"
Receiving Stream:Puncheon Fork Creek Long.: 82°31'35"
Stream Class:C;Tr
Subbasin:French Broad-04 03 04 N I 11 Not to SCALE
I