WQ0022865_AROCompleteFile_20190207

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JUN 17 2060
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Ms. BARBARA MANOMOVICH
THE EMERALD MINE JEWELRY STORE
PO Box 249
Little Switzerland, NC 28749
Dear Ms. Mancjlovich:
June 16, 2008
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins., Director
Division of Water Quality
Subject: Permit No. WQ0022865
The Emerald Mine Jewelry Store
The Emerald Mine Jewelry Store Wastewater
Recycle Operation
Wastewater Recycle System
Mitchell County
In accordance with your permit renewal request received April 21, 2008, we are forwarding herewith
Permit No. WQ0022865, dated June 16, 2008, to The Emerald Mine Jewelry Store for the continued operation of
the subject wastewater recycle system.
This permit shall be effective from the date of issuance until May 31, 2013, shall void Permit No.
WQ0022865 issued September 19, 2003, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements in this permit. Failure to establish an
adequate system for collecting and maintaining the required operational information will result in future
compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit. This
request must be in the form of a written petition, conforming to Chapter 150B of North Carolina General Statutes,
and filed with the Office of Administrative Hearings, .6714 Mail Service Center, Raleigh, NC 27699-6714.
Unless such demands are made this permit shall be final and binding.
If you need additional information concerning this matter, please contact Chonticha McDaniel at (919)
715-6188 or email [e-mail].
for C;oleen H. Sullins
NoAhCarolina
JVaturdly
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC27699-1636 Telephone : [phone]
Internet: www.ncwaterguality.org Location: 2728 Capital Boulevard Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Customer Service: [phone]

cc: Mitchell County Health Department
�Ashe�ille R_e_gionaLO.ffice,-Aquifer-Protection_Section
Technical Assistance and Certification Unit
APS Central Files
LAU Files
2

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
RECYCLE SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as anmended,
and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
The Emerald Mine Jewelry Store
Mitchell County
FOR THE
continued operation of a 4,000 gallons, per day closed loop wastewater recycle system and consisting of the
recycling of water used to rinse a stone and soil mixture for the purpose of recovering_ gem, stones to serve The
Emerald Mine Jewelry Store with no discharge of wastes to the surface waters, pursuant to the application
received April 21, 2008, and subsequent additional information received by the Division, and in conformity with
the project plan, specifications, and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until May 31, 2013, shall void Permit No.
WQ0022865 issued September 19, 2003, and shall be subject to the : following specified conditions and
limitations:
1. This permit shall become voidable unless the recycle operations are carried out in accordance with the
conditions of this permit, the supporting materials, and in the manner approved by the Division.
2. This permit is effective only with respect to the nature and volume of wastes described in the application
and other supporting data.
3. The facilities shall be properly maintained and operated at all times.
4. There shall be no public access to the wastewater treatment equipment, wastewater storage structures or to
the wastewater within the closed-loop recycle facility.
5. No residuals shall be stored at the site after removal from the recycle system, unless written approval has
first been requested and obtained from the Division.
6. Proper records shall be maintained by the Permittee tracking all wastewater and residuals disposal. events.
These records shall include, but are not necessarily limited to, the date of disposal and location of disposal.
1

7. An Operation and Maintenance Plan of the wastewater recycle system shall be maintained for the facility and shall contain the following"
a) Description of the operation of the recycle system in sufficient detail to show what operations are
necessary for the facility to function and by whom the functions are to be conducted;
b) Description of anticipated maintenance of the system;
c) Provisions for safety measures, including restriction of access to the site and equipment, as
appropriate;
d) Spill Control provisions including:
i. Response to upsets and bypasses including control, containment, and remediation;
ii. Contact information for plant personnel, emergency responders, and regulatory agencies.
This permit is not transferable. In the event there is a desire for the facilities to change ownership, or there
is a name change of the Permittee, a formal permit request must be submitted to the .Division of Water
Quality (Division) .accompanied by an application fee, documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of the request will be considered on its merits
and may or may not be approved.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those actions that may be required by this
Division, such as the construction of additional or replacement treatment or disposal facilities.
10. The residuals generated from these treatment facilities must be disposed in accordance with General Statute
143-215.1 and in a manner approved by the Division.
11. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface or
groundwaters resulting from the operation of this facility.
12. The facilities shall be effectively maintained and operated as a non -discharge system to prevent the
discharge of any wastewater resulting from the operation of this facility.
13. Diversion or bypassing of untreated wastewater from the treatment facilities is prohibited.
14. Any monitoring deemed necessary by the Division to insure surface and ground water protection will be
established and an acceptable sampling reporting schedule shall be followed.
15. Adequate inspection, maintenance, and cleaning shall be provided by the Permittee to insure proper
operation of -the subject facilities.
16. The Permittee or his designee shall inspect the wastewater recycle facilities to prevent malfunctions and
deterioration, operator errors and discharges which may cause or lead to the release of wastes to the
environment, a threat. to human health, or a nuisance. The Permittee shall maintain an inspection log or
summary including at least the date and time of inspection, observations made, and any maintenance,
repairs, or corrective actions taken by the Permittee. This log of inspections shall be maintained by the
Permittee for a period of three years from the date of the inspection and shall be made available to the
Division or other permitting authority, upon request.
17. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the recycle system at any
reasonable time for the purpose of determining compliance with this permit, may inspect or copy any
records that must be maintained under the terms and conditions of this permit, and may obtain samples of
groundwater, surface water, or leachate.
18. The annual administering and compliance fee must be paid by the Permittee within thirty (30) days after
being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate action to
revoke this permit as specified by 15A NCAC 2H.0205 (c)(4).
2

19. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to an
enforcement action by the Division in accordance with North Carolina General Statute 143-215.6A to 143-
215.6C.
20. The issuance of this permit does not exempt the Permittee from complying with any and all statutes, rules,
regulations, or ordinances which may be imposed by other government agencies (local, state, and federal)
which have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B.0200,
erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under the Division's General
Permit NCGO10000, and any, requirements pertaining to wetlands under 15A NCAC 2B .0200 and 2H
.0500.20.
21. Noncompliance Notification:
The Permittee shall report by telephone to the Asheville Regional Office, telephone number (828) 296-
4500, as soon as possible, but in no case more than 24 hours or on the next working day following the
- occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the wastewater treatment facility which results_ in the treatment .of significant
amounts of wastes which are abnormal in quantity or characteristic, such as the dumping of the contents
of a basin or tank, the known passage of a slug of hazardous substance through the, facility, or any other
unusual circumstances;
b: Any process unit failure, due to known or,unknown reasons, that renders the facility incapable of
adequate wastewater treatment, such as mechanical or electrical failures of pumps, aerators,
compressors, etc.;
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or facility; or
d. Any time that self-monitoring information indicates that the facility is not in compliance with its permit
limitations.
Occurrences outside normal business hours may also be reported to the Division's Emergency Management
personnel at telephone number [phone], or [phone]. Persons reporting such occurrences by
telephone shall also file a written report in letter form within five (5) days following first knowledge of the
occurrence. This report must outline the actions taken or proposed to be taken to ensure that the problem
does not recur.
21. Upon classification of the wastewater treatment 'and spray irrigation facilities by the Water Pollution
Control System Operators Certification Commission (WPCSOCC),, the Permittee shall designate and
employ a certified operator to be in responsible charge (ORC) and one or more certified operator(s) to be
back-up ORC(s) of the facilities in- accordance with 15A NCAC 8G .0201. The ORC shall visit the
facilities in accordance with 15A NCAC 8G .0204 or as specified in this permit and shall comply with all
other conditions specified in these rules.

22. The Permittee, at least six (6) months prior to the expiration of this permit, shall request its extension.
Upon receipt of the request, the Commission will review the adequacy of the facilities described therein,
and if warranted, will extend the permit for such period of time and under such conditions and limitations as
it may deem appropriate.
Permit issued this the 16th day of June, 2008
NORTH C LINA E O ENTAL MANAGEMENT COMMISSION
�jColeen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0022865
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O� W ATF9 - Michael F. Easley, Governor .
C� Q William G. Ross Jr., Secretary
yNorth Carolina Department of Environment and Natural Resources
>_ Alan W. Klimek, P.E., Director.
p Division of Water Quality
September 19, 2003
MS. BARBARA MANOJLOVICH
THE EMERALD MINE JEWELRY STORE
POST OFFICE BOX 249
LITTLE SWITZERLAND, NC 28749
Subject: Permit No. WQ0022865
The -Emerald Mine Jewelry Store - -
The Emerald Mine Jewelry Store Wastewater
Recycle Operation
Wastewater Recycle System
Mitchell County
Dear Ms. Manojlovich:
In accordance with your permit application package received on July 3, 2003 we are forwarding
herewith a Permit No. WQ0022865 dated September 19, 2003, to The Emerald Mine Jewelry Store for
the operation of the subject wastewater recycle system.
This permit shall be effective from the date of issuance until August 31, 2008 and shall be subject
to the conditions and limitations as specified therein. Make note of this permit's expiration date and the
fact that a permit renewal application is due to the Division of Water Quality (Division) no later than six
months prior to that date (i.e., see Condition VI. 7.), as the Division does not send reminders to apply for
permit renewal.
Please take the time to review this permit thoroughly. Pay particular attention to the.
monitoring requirements. in this permit. Failure to establish an adequate system for collecting and
maintaining the required operational information may result in future compliance problems.
If any parts, requirements, and/or limitations contained in this permit are unacceptable, you have
the right to request an adjudicatory hearing upon written request within 30 days following receipt of this
permit. This request shall be in the from of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, North Carolina 27699-6714. Unless such demands are made, this permit shall be final
and binding.
- Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
DENR Customer Service Center
An Equal Opportunity Action Employer
i,' sEp ? 3 2003 i1 d
E
Internet http://h2o.enr.state.nc.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/10% post -consumer paper

s
If you need any additional information concerning this matter, please contact Mr. Duane Leith by
telephone at [phone], extension 370, or via e-mail at [e-mail].
Sincerel ,
for Alan W. Klimek, P.E.
cc: Mitchell County Health Department
Technical Assistance and Certification. Unit
Water Quality Central Files
NDPU Files
2

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
CLOSED LOOP RECYCLE OF WASTEWATER PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
The Emerald Mine Jewelry Store
Mitchell County .
FOR THE
operation of a 4,000 gallons per day closed loop wastewater recycle system for The Emerald Mine Jewelry
Store and consisting of the recycling of water used to rinse a stone and soil mixture for the purpose of
recovering gem stones, with no discharge of wastes to surface waters, pursuant to the permit application
package received on July 3, 2003 and in conformity with the project plan, specifications, and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until August 31, 2008 and shall be subject
to the following specified conditions and limitations:
I. PERFORMANCE STANDARDS
The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface waters or groundwater resulting from the operation of this recycle operation.
2. The facility shall be effectively maintained and operated as a non -discharge system to prevent
the discharge of any wastewater resulting from the operation of this facility.
3. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those actions that
may be required by this Division, such as the construction of additional or replacement
treatment or disposal facilities.
4. Diversion or bypassing of untreated wastewater from the treatment facilities is prohibited.
The residuals generated from this treatment facility must be disposed in accordance with
General Statute 143-215.1 and in a manner approved by the Division.

6. In the event that the recycle system is not operated satisfactorily, including the creation of
nuisance conditions, the Permittee shall cease recycling wastewater, contact'the Water Quality
Section of the appropriate Division of Water Quality's (Division) regional office, and take any
immediate corrective actions as may be required by the Division.
II. OPERATION AND MAINTENANCE REQUIREMEN
1. The facilities shall be properly maintained and operated at all times.
2. No residuals shall be stored at the site after removal from the recycle system, unless written
approval has first been requested and obtained from the Division.
3. Appropriate measures shall be taken to control public access to the storage tanks and pumping
equipment of the recycle system. Such controls may include the posting of signs indicating
the activities being conducted at the site.
III. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (i.e., including groundwater, surface water, residuals, soil, or plant tissue
analyses) deemed necessary by the Division to ensure protection of the environment shall be
established, and an acceptable sampling and reporting schedule shall be followed.
2. Proper records shall be maintained .by the Permittee tracking all wastewater and residuals
disposal events. These records. shall include, but are not necessarily limited to, the date of
disposal and location of disposal.
3. Noncompliance Notification:
The Permittee shall report by telephone to the Water. Quality Section of the Division's
Asheville Regional Office at telephone number [phone], as soon as possible, but in no
case more than 24 hours or on the next working day following the -occurrence or first
knowledge of the occurrence of any, of the following:
a. Any occurrence at the wastewater treatment facility which results in the treatment
of significant amounts of wastes which are abnormal in quantity or characteristic,
such as the dumping of the contents of a basin or tank, the known passage of a
slug of hazardous substance through the facility, or any other unusual
circumstances;
b. Any process unit failure, due to known or unknown reasons, that renders the
facility incapable of adequate wastewater treatment, such as mechanical or
electrical failures of pumps, aerators, compressors, etc.;
C. Any time that self-monitoring information indicates that the facility is not in
compliance with its permit limitations.
Persons reporting such occurrences by telephone shall also file a written report in letter form
within five days following first knowledge of the occurrence. This report shall outline the
actions taken or proposed to be taken to ensure that the problem does not recur.
2

IV. GROUNDWATER REQUIREMENTS
Any groundwater quality monitoring, as deemed necessary by the Division, shall be provided.
V. INSPECTIONS
The Permittee or his designee shall inspect the wastewater recycle facilities to prevent
malfunctions and deterioration, operator errors and discharges which may cause or lead to the
release of wastes to -the environment, a threat to human health, or a nuisance. The Permittee
shall maintain an inspection log or summary including at least the date and time of inspection,
observations made, and any maintenance, repairs, or corrective actions taken by the Permittee.
This log of inspections shall be maintained by the Permittee for a period of three years from
the date of the inspection and shall be made available to the Division or other permitting
authority, upon request.
2. Any duly authorized officer, employee, or representative of the Division may, upon
presentation of credentials, enter and inspect any property, premises, or place on or related to
the recycle operation or facility at any reasonable time for the purpose of determining
compliance with this permit; may inspect or copy any records that must be kept under the
terms and conditions of this permit; and may obtain samples of groundwater, surface water, or
leachate.
VI. GENERAL CONDITIONS
1. This permit shall become voidable unless the recycle operations are carried out in accordance
with the conditions of this permit, the supporting materials, and in the manner approved by the
Division.
2. This permit shall be effective only with respect to the nature and volume of wastewater
described in the application and other supporting data.
Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina General
Statutes § 143-215.6A through § 143-215.6C.
4. The annual administering and compliance fee shall be paid by the Permittee within 30 days
after being billed by the Division. Failure to pay the fee accordingly may cause the Division
to initiate action to revoke this permit, as specified by 15 NCAC 2H,.0205 (c)(4).
5. The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(i.e., local, state, and federal) which have jurisdiction, including, but not limited to, applicable
river buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation control requirements
in 15A NCAC Chapter 4 and under the Division's General Permit NCGO10000, and any
requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC .0500.
6. This permit may be modified, revoked, and/or reissued to incorporate any conditions,
limitations and monitoring requirements the Division deems necessary in order to protect the
environment and public health adequately.

7. The Permittee, at least six months prior to the expiration of this permit,. shall request its
extension.. Upon receipt of the request, the Division shall review the adequacy of the facility
and the recycle system described therein, and if warranted, shall extend the permit for such
period of time and under such conditions and limitations as it may deem appropriate.
8. This permit shall not be automatically transferable. In the event that there is a desire for the
recycle system to change ownership or to change the name of the Permittee, a formal permit
request shall be submitted to the Division documentation from the parties involved and other
supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and may or may not be approved.
Permit issued this the 19'b day of September, 2003.
NORTH CARO A ENV ONMENTAL MANAGEMENT COMMISSION
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0022865
E

Beverly Eaves Perdue
Governor
NCENR a°�'a o J 2v t2
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild, P.E.`J
Dee Freeman
Director -_---------Secretary
�-�-----�---___
October 29, 2012
CERTIFIED MAIL # 7005 1300 0000 1106 6526
RETURN RECEIPT REQUESTED
Barbara Manojlovich
The Emerald Mine Jewelry Store
,Post Office Box 249
Little Switzerland, NC 28749
Subject: Rescission of Permit No. WQ0022865
The Emerald Mine Jewelry Store.
Closed -Loop Recycle
Mitchell County
Dear Ms. Manojlovich:
Per ' a request made by you on October 22, 2012, the Division of Water Quality is rescinding the subject recycle
system permit. In accordance with NC State Administrative Code 15A NCAC 02T, effective September 1, 2006,
the recycle system at The Emerald Mine Jewelry Store meets the requirements of Section .1003(a) for systems to be
deemed permitted. The recycle system at The Emerald Mine Jewelry Store is not required to apply for future
permit renewals or modifications provided that the facility continues to comply with the requirements of 15A
NCAC 02T.1000.
Please be advised that NC State Administrative Code 15A NCAC 02T .1003(a) requires that a Spill Control Plan be
maintained for the Facility. The Spill Control Plan shall at a minimum address the following items:
a. Contact phone numbers for 24-hour response, including weekends and holidays;
a. Contact phone number for the Division of Water Quality Regional Office;
b. Contact information for construction crews, contractors and/or engineers;
c. Expected response times;
d. Essential equipment list and spare parts inventory;
e. Location of clean up materials;
f. Site sanitation procedures; and
g. Post -response assessment and reporting.
If you have any questions or comments please feel free to contact Ed Hardee at [phone].
Sincerely,
�7-arl Wa Id, P. E.
cc: Fran McPherson, DWQ Budget Office
Asheville Regional_Office,_Aquifer_Protection Section_
Permit file WQ0022865
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] NofthCarofina
Internet: www.ncwaterouality.org
An Equal Opportunityl Affirmative Action Employer l

PPFPPP' aEcEIvEREN2M
OCT 22 2012
State of North Carolina Aquifer Protection Section
Department of Environment and Natural Resources
Invision of Nater Quality
INSTRUCTIONS FOR FORINT: CLRSRR 09-09
(CLOSED-LOOP RECYCLE SYSTEM RECISSION REQUEST)
For more information or for an electronic version of thisform, visit the Land Application Unit (LA U) web
site at:
This form is for the request to rescind Division of Water Quality wastewater recycle permits for systems
deemed permitted under Administrative Code Section 15A NCAC 02T enacted September ],.2006'
15A NCAC 02T.1003 PERMITTING BY REGULATION
(a) The following systems are deemed permitted pursuant to Rule .0113 of this Subchapter provided the
system meets the criteria in Rule .0113 of this Subchapter and all criteria required for the specific system in
this Rule:
(1) Return of wastewater contained and under roof within an industrial or commercial process where
there is no anticipated release of wastewater provided the facility develops and maintains a spill
control plan in the event of a release and no earthen basins are used.
(2) Recycling of rinse water at concrete mixing facilities for concrete mix removal from equipment
provided the wastewater is contained within concrete structures, there is sufficient storage capacity
to contain the runoff from a 24-hour, 25 -year storm event plus one foot freeboard and the facility
develops and maintains a spill control pian in the event of a wastewater release. The facility must
notify the appropriate Division regional office in writing noting the owner, location, and that the
design complies with the above criteria.
(3) Recycling of wash and rinse water at vehicle wash facilities provided the wastewater is contained
within concrete, steel or synthetic structures (i.e. not including earthen basins), all vehicle washing
is conducted under roof and there are no precipitation inputs (direct or indirect), and the facility
develops and maintains a spill control plan in the event of a wastewater release.
(4) The reuse or return of wastewater within the treatment works of a permitted wastewater treatment
system.
(b) The Director may determine that a system should not be deemed permitted in accordance with this Rule
and Rule .0113 of this Subchapter. This determination shall be made in accordance with Rule .0113(e) of
this Subchapter.
Note: Any invoiced annual fee dated prior to Division receipt of this application is still due.
A. Application Form (All Application Packages):
Submit one (1) original and two (2) copies of the completed and appropriately executed
application form. Any changes made to this form will result in the application package being
returned.
The application must be signed appropriately in accordance with 15A NCAC 2T .0106(b). An
alternate person may be designated as the signing official, provided that a delegation letter is
provided from a person who meets the referenced criteria. You may download an example
delegation letter from the LAU web site.
S Submit three (3) copies of the most recently issued existing permit.
GENERAL INFORMATION: ip �1
1. Permittee's name (Owner of the facility): !-'tel Rn a Rd 01 i /Y rl U V I CI)i
2. Complete mailing address of Permittee:f

City: LI ` Ji E 5Jf%1 Z4 -A - 9 h(D State: YC, Zip: 2,q -1q91
Telephone number: (UR -766 " i LZ J� Facsimile number: (_)
Email Address: [10O " 4 447 r",7 C� & S' Q E R � J N 1..1 ALL N E
Facility name (name of the subdivision, shopping center, etc.): If ilL49. `-291 D 1910-
4. Complete address of the physical location of the facility (if different from above):
%q 1�' r (& QX0K Kit, /'?IIP f y r & LVA hl )� MWE D171)
City: J /C r19 .5itJ11-7 rt? 4 t: l j2 State: Zip:
5. County where project is located: M1 f o1 a 1-
6. Name and affiliation of contact person who can answer questions about project:
& W1 aM HEN Email Address: U)09, P
II. PERMIT INFORMATION:
1. Existing permit number % � ,�, �J and the issuance date , Put: Q009
2. Existing permit type is deemed permitted by which subparagraph of Rule 15A NCAC 02T .1003
(presented on front page of application):
(a (a)(2) (a)(3) (a)(4)
3. Brief description of facility indicating how it meets the requirements of Rule 15A NCAC 02T
.1003:
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I7ECEIVEDIDENRIM
OCT 2 2 2012
Applicant's Certification [signing authority must be in compliance with 15A NCAC 02T d"&Protectl®11 Section
attest that this application for
(facility name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any
discharge of wastewater to surface waters or the land will result in an immediate enforcement action, which
may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Quality should a condition of this permit be violated. I also understand that if all
required parts of this application are not completed and that if all required supporting information and
attachments are not included, this application package will be returned to me as incomplete. I further
certify that the applicant or any affiliate has not been convicted of an environmental crime, has not
abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all
appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and do not
have any overdue annual fees under Rule 2T .0105. Note: In accordance with NC General Statutes 143-
215.6A and 143-215.6B, any person who knowingly makes any Use statement, representation, or
certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: �/ /./` Date:
THE COMPLETED RECISSION REQUEST SHALL BE SENT TO THE FOLLOWING
ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
By U.S. Postal Service: R
Courier/Special Delivery:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone] FAX
NUMBER: [phone]

__ -- �ECEIVE�/DEN
NORTH CAROLINA �D01p,�Q
ICT
22 2012
ENVIRONMENTAL MANAGEMENT COMMISSION40ifer
rotection Section
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
RECYCLE SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended,
and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
The Emerald Mine Jewelry Store
Mitchell County
continued operation of a 4,000 gallons per day closed loop wastewater recycle system and consisting of the
recycling of water used to rinse a stone and soil mixture for the purpose of recovering gem stones to serve The
Emerald Mine Jewelry Store with no discharge of wastes to the surface waters, pursuant to the application
received April 21, 2008, and subsequent additional information received by the Division, and in conformity with
the project plan, specifications, and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until May 31, 2013, shall void Permit No.
WQ0022865 issued September 19, 2003, and shall be subject to the : following specified conditions and
limitations:
1. This permit shall become voidable unless the recycle operations are carried out in accordance with the
conditions of this permit, the supporting materials, and in the manner approved by the Division.
2. This permit is effective only with respect to the nature and volume of wastes described in the application
and other supporting data.
3. The facilities shall be properly maintained and operated at all times.
4. There shall be no public access to the wastewater treatment equipment, wastewater storage structures or to
the wastewater within the closed-loop recycle facility.
5. No residuals shall be stored at the site after removal from the recycle system, unless written approval has
first been requested and obtained from the Division.
6. Proper records shall be maintained by the Permittee tracking all wastewater and residuals disposal events.
These records shall include, but are not necessarily limited to, the date of disposal and location of disposal.

7:,' .' Mn Operation and Maintenance Plan of the wastewater recycle system shall be maintained for the facility
and shall contain the following"
a) Description of the operation of the recycle system in sufficient detail to show what operations are
,necessary for the facility to function and by whom the functions are to be conducted;
b) Description of anticipated maintenance of the system;
c) Provisions for safety measures, including restriction of access to the site and equipment, as
appropriate;
d) Spill Control provisions including:
i. Response to upsets and bypasses including control, containment, and remediation;
ii. Contact information for plant personnel, emergency responders, and regulatory agencies.
This permit is not transferable. In the event there is a desire for the facilities to change ownership, or there
is a name change of the Permittee, a formal permit request must be submitted to the Division of Water
Quality (Division) .accompanied by an application fee, documentation from the parties involved, and other
supporting materials as may be appropriate. The approval of the request will be considered on its merits
and may or may not be approved.
9. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those actions that may be required by this
Division, such as the construction of additional or replacement treatment or disposal facilities.
10. The residuals generated from these treatment facilities must be disposed in accordance with General Statute
143-215.1 and in a manner approved by the Division.
11. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface or
groundwaters resulting from the operation of this facility.
12. The facilities shall be effectively maintained and operated as a non -discharge system to prevent the
discharge of any wastewater resulting from the operation of this facility.
13. Diversion or bypassing of untreated wastewater from the treatment facilities is prohibited.
14. Any monitoring deemed necessary by the Division to insure surface and ground water protection will be
established and an acceptable sampling reporting schedule shall be followed.
15. Adequate inspection, maintenance, and cleaning shall be provided by the Permittee to insure proper
operation of the subject facilities.
16. The Permittee or his designee shall inspect the wastewater recycle facilities to prevent malfunctions and
deterioration, operator errors and discharges which may cause or lead to the release of wastes to the
environment, a threat. to human health, or a nuisance. The Permittee shall maintain an inspection log or
summary including at least the date and time of inspection, observations made, and any maintenance,
repairs, or corrective actions taken by the Permittee. This log of inspections shall be maintained by the
Permittee for a period of three years from the date of the inspection and shall be made available to the
Division or other permitting authority, upon request.
17. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises or place on or related to the recycle system at any
reasonable time for the purpose of determining compliance with this permit, may inspect or copy any
records that must be maintained under the terms and conditions of this permit, and may obtain samples of
groundwater, surface water, or leachate.
18. The annual administering and compliance fee must be paid by the Permittee within thirty (30) days after
being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate action to
revoke this permit as specified by 15A NCAC 2H.0205 (c)(4).

r
PP19.7ailwe to abide by the conditions and limitations contained in this permit may subject the Permittee to an
enforcement action by the Division in accordance with North Carolina General Statute 143-215.6A to 143-
215.6C.
20. The issuance of this permit does not exempt the Permittee from complying with any and all statutes, rules,
regulations, or ordinances which may be imposed by other government agencies (local, state, and federal)
which have jurisdiction, including but not limited to applicable river buffer rules in 15A NCAC 2B.0200,
erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under the Division's General
Permit NCG010000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200 and 2H
.0500.20.
21. Noncompliance Notification:
The Permittee shall report by telephone to the Asheville Regional Office, telephone number (828) 296-
4500, as soon as possible, but in no case more than 24 hours or on the next working day following the
occurrence or first knowledge of the occurrence of any of the following:
a.- - Any occurrence of the wastewater treatment facility which results in the treatment of significant
amounts of wastes which are abnormal in quantity or characteristic, such as the dumping of the contents
of a basin or tank, the known passage of a slug of hazardous substance through the facility, or any other
unusual circumstances;
b. Any process unit failure, due to known or unknown reasons, that renders the facility incapable of
adequate wastewater treatment, such as mechanical or electrical failures of pumps, aerators,
compressors, etc.;
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or facility; or
d. Any time that self-monitoring information indicates that the facility is not in compliance with its permit
limitations.
Occurrences outside normal business hours may also be reported to the Division's Emergency Management
personnel at telephone number [phone], or [phone]. Persons reporting such occurrences by
telephone shall also file a written report in letter form within five (5) days following first knowledge of the
occurrence. This report must outline the actions taken or proposed to be taken to ensure that the problem
does not recur.
21. Upon classification of the wastewater'treatment and spray irrigation facilities by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), the Permittee shall designate and
employ a certified operator to be in responsible charge (ORC) and one or more certified operator(s) to be
back-up ORC(s) of the facilities in accordance with 15A NCAC 8G .0201. The ORC shall visit the
facilities in accordance with 15A NCAC 8G .0204 or as specified in this permit and shall comply with all
other conditions specified in these rules.

22. The Permittee, at least six (6) months prior to the expiration of this permit, shall request its extension.
Upon receipt of the request, the Commission will review the adequacy of the facilities described therein,
and if warranted, will extend the permit for such period of time and under such conditions and limitations as
it may deem appropriate.
Permit issued this the 16'' day of June, 2008
NORTH C LINA E 0 AL MANAGEMENT COMMIS SION
Z�Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0022865
4

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bi

Beverly Eaves Perdu
Governor
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Perdue
Charles Wakild, P. E. Dee Freeman
Director Secretary
October 4, 2012
Barbara Manojlovich
The Emerald Mine Jewelry Store
Post Office Box 249
Little Switzerland, NC 28749
SUBJECT: September 12, 2012
Compliance Evaluation Inspection
The Emerald Mine Jewelry Store
Wastewater Recycle System
Permit No: WQ0022865
Mitchell County
Dear Ms. Manojlovich:
Enclosed please find a copy of the Compliance Evaluation Inspection Form from the inspection
conducted on September 12, 2012. The facility was found to be in Compliance with permit WQ0022865.
Now that your recycle tanks are completely covered with no precipitation inputs, your facility
meets the definition of "Permitting By Regulation" as described in 15A NCAC 02T .1003. Therefore, you
may request that the permit be rescinded. The rescission request Form can be found on our website at
the following address: http://portal.ncdenr.org/web/wq/aps/lau/applications Please let me know if you
have any trouble with the website.
Please refer to the enclosed inspection report for additional observations and comments. Thank
you for your assistance during the inspection. If you or your staff have any questions, please call me at
[phone].
Sincerely,
,3,1,J P"
Beverly Pn
Environmental Specialist
Enclosure
cc: APS Central Files
'"APS=Asheville=Files
AQUIFER PROTECTION SECTION —Asheville Regional Office (ARO)
2090 U.S. 70 Highway, Swannanoa, NC 28778-8211
Phone: [phone] FAX: [phone]
Internet: www.ncwaterauality.00
An Equal Opportunity 1 Affirmative Action Employer
N&Marolina
;VaNIVAY

Compliance Inspection Report
Permit: WQ0022865 Effective: 06/16/08 Expiration: 05/31/17 Owner: The Emerald Mine Jewelry Store
SOC: Effective: Expiration: Facility The Emerald Mine Jewelry Store Wastewater
Recycle Operation
County: Mitchell McKinney Mine Rd
Region: Asheville
Marion NC 28752
Contact Person: Barbara Manojlovich Title: Phone: [phone]
Directions to Facility:
From the intersection of the Blue Ridge Parkway and NCSR 1100 in Little Switzerland travel west on NCSR 100 approximately 1.2
miles. The site is on the left side of NCSR 1100.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name
On-site representative
Related Permits:
Inspection Date: 09/12/2012
Primary Inspector: Beverly Price
Secondary Inspector(s):
Barbara Manojlovich
Barbara Manojlovich
Entry Time: 12:30 PM
Reason for Inspection: Routine
Permit Inspection Type: Closed -Loop Recycle
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
0 Miscellaneous Questions 0 Record Keeping
(See attachment summary)
Exit Time: 01:00 PM
Phone: [phone]
Phone: [phone]
Phone: [phone]
Inspection Type: -Compliance Evaluation
Page: 1

Permit: WQ0022865 Owner - Facility: The Emerald Mine Jewelry Store
Inspection Date: 09/12/2012 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Inspection Summary:
The recycle tanks have been covered to prevent any precipitation inputs. This permit meets the requirements of 15A
NCACO2T .1003 (a)(1) Permitting by Regulation. The permit may be rescinded.
Page: 2

PF
PPF
Permit: WQ0022865 Owner -Facility: The Emerald Mine Jewelry Store
Inspection Date: 09/12/2012 Inspection Type: 'Compliance Evaluation
Reason for Visit:
Routine
Type
Yes No
NA NE
Infiltration System
❑
Lagoon Spray, LR
❑
Reuse (Quality)
❑
Activated Sludge Spray, LR
❑
Single Family Spray, LR
❑
Activated Sludge Drip, LR
❑
Activated Sludge Spray, HR
❑
Single Family Drip
❑
Recycle/Reuse
❑
Record Keeping
Yes No
NA NE
Is a copy of current permit available?
0 ❑
❑ ❑
Are monitoring reports present: NDMR?
❑ ❑
0 ❑
NDAR?
❑❑■❑
- Are flow rates less than of permitted flow?
■ ❑
❑ ❑
Are flow rates less than of permitted flow?
■ ❑
❑ ❑
Are application rates adhered to?
❑ ❑
E ❑
Is GW monitoring being conducted, if required (GW -59s submitted)?
❑ ❑
■ ❑
Are all samples analyzed for all required parameters?
❑ ❑
■ ❑
Are there any 2L GW quality violations?
❑ ❑
■ ❑
Is GW -59A certification form completed for facility?
❑ ❑
0 ❑
.Is effluent sampled for same parameters as GW?
❑ ❑
■ ❑
Do effluent concentrations exceed GW standards?
❑ ❑
■ ❑
Are annual soil reports available?
❑ ❑
E ❑
# Are PAN records required?
❑ ❑
E ❑
# Did last soil report indicate a need for lime? ..
❑ ❑
■ ❑
If so, has it been applied?
❑ ❑
■ ❑
Are operational logs present?
0 ❑
❑ ❑
Are lab sheets available for review?
❑ ❑
E ❑
Do lab sheets support data reported on NDMR?
❑ ❑
■ ❑
Page: 3

i
Permit: WQ0022865 Owner - Facility: The Emerald Mine Jewelry Store
Inspection Date: 09/12/2012 Inspection Type: Compliance Evaluation
Do lab sheets support data reported on GW -59s?
Are Operational and Maintenance records present?
Were Operational and Maintenance records complete?
Has permittee been free of public complaints in last 12 months?
Is a copy of the SOC readily available?
No treatment units bypassed since last inspection?
Comment:
Reason for Visit: Routine
Page: 4

Permit: WQ0022865
SOC:
County: Mitchell
Compliance Inspection Report
Effective: 06/16/08 Expiration: 05/31/17 Owner: The Emerald Mine Jewelry Store
Effective: Expiration: Facility: The Emerald Mine Jewelry Store Wastewater
Recycle Operation
McKinney Mine Rd
Region: Asheville
Marion NC 28752
Contact Person: Barbara Manojlovich Title: Phone: [phone]��7ti
Directions to Facility: rc -e
From the intersection of the Blue Ridge Parkway and NCSR 1100 in Little Switzerland travel west on NCSR 100 approximately 1.2
miles. The site is on the left side of NCSR 1100.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name Barbara Manojlovich Phone: [phone]
Related Permits:
Inspection Date: `r2/� 2 Entry Time: Exit Time:
Primary Inspector: Beverly Price --- Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine
Permit Inspection Type: Wastewater Recycling
Facility Status: N54ompliant Q Not Compliant
Question Areas:
0 Miscellaneous Questions N Record Keeping
(See attachment summary)
Inspection Type: Compliance Evaluation
[7-7/1 -Z_
b
covtrt,54 30
{nJUlV,S Ga Ori SGp�C� en's �erfv� t
Page: 1

Permit: WQ0022865 Owner - Facility: The Emerald Mine Jewelry Store
Inspection Date: Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Inspection Summary:
Record Keeping
Yes No
NA NE
Is a copy of current permit available?
❑
❑ ❑
Are monitoring reports present: NDMR?
❑ ❑
❑
NDAR?
0
❑
Are flow rates less than of permitted flow?
P ❑
❑ ❑
Are flow rates less than of permitted flow?
19 ❑
❑ ❑
Are application rates adhered to?
❑ ❑
❑
a
Is GW monitoring being conducted, if required (GW -59s submitted)?
❑ ❑
❑
Are all samples analyzed for all required parameters?
❑ ❑
❑
Are there any 2L GW quality violations?
❑ ❑
❑
Is GW -59A certification form completed for facility?
❑ ❑
❑
Is effluent sampled for same parameters as GW?
❑ ❑
❑
Do effluent concentrations exceed GW standards?
❑ ❑
❑
Are annual soil reports available?
❑ ❑
❑
# Are PAN records required?
❑ ❑
❑
# Did last soil report indicate a need for lime?
❑ ❑
❑
If so, has it been applied?
❑ ❑
❑
Are operational logs present?
U, ❑
0 ❑
Are lab sheets available for review?
❑
16 ❑
Do lab sheets support data reported on NDMR?
❑ ❑
r" ❑
Do lab sheets support data reported on GW -59s?
❑ ❑
❑
Are Operational and Maintenance records present?
,V ❑
❑ ❑
Were Operational and Maintenance records complete?
,j ❑
❑ ❑
Has permittee been free of public complaints in last 12 months?
❑
❑ ❑
Is a copy of the SOC readily available?
❑ ❑
)j ❑
No treatment units bypassed since last inspection?
/-1 ❑
❑ ❑
Comment:
Page: 2

Beverly Eaves Perdue
Governor
August 16, 2010
Barbara Manojlovich
The Emerald Mine Jewelry Store
Post Office Box 249
Little Switzerland, NC 28749
SUBJECT: August 5, 2010
Compliance Evaluation Inspection
The Emerald Mine Jewelry Store
Wastewater Recycle System
Permit No: WQ0022865
Mitchell County
Dear Ms. Manojlovich:
Dee Freeman
Secretary
Enclosed please find a copy of the Compliance Evaluation Inspection form from the
inspection conducted on August 5, 2010. The facility was not in Compliance with permit
WQ0022865. The following issue should be addressed before the next inspection:
An Operation & Maintenance Plan and Inspection Log should be generated for the facility
(see Permit Conditions 7. & 16.).
Please refer to the enclosed inspection report for additional observations and comments.
I have enclosed a copy of the permit for your records. Thank you for your assistance during the
inspection. If you have any questions, please call me at [phone].
Sincerely,
Beverly P ' e.
Environmental Specialist
Enclosure
cc: APS Central Files
,.-AP-�Ashervt#le=Files
AQUIFER PROTECTION SECTION —Asheville Regional Office (ARO)
2090 U.S. 70 Highway, Swannanoa, NC 28778-8211
Phone: [phone] l FAX: [phone]
Customer Service: 1-877-623-6748
Internet: www.ncwaterauality.org
An Equal Opportunity l Affirmative Action Employer
NorthCarohn.a
—
I'LL �
L
j V_
N CDENR
L",
-
North Carolina Department of Environment and
Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
August 16, 2010
Barbara Manojlovich
The Emerald Mine Jewelry Store
Post Office Box 249
Little Switzerland, NC 28749
SUBJECT: August 5, 2010
Compliance Evaluation Inspection
The Emerald Mine Jewelry Store
Wastewater Recycle System
Permit No: WQ0022865
Mitchell County
Dear Ms. Manojlovich:
Dee Freeman
Secretary
Enclosed please find a copy of the Compliance Evaluation Inspection form from the
inspection conducted on August 5, 2010. The facility was not in Compliance with permit
WQ0022865. The following issue should be addressed before the next inspection:
An Operation & Maintenance Plan and Inspection Log should be generated for the facility
(see Permit Conditions 7. & 16.).
Please refer to the enclosed inspection report for additional observations and comments.
I have enclosed a copy of the permit for your records. Thank you for your assistance during the
inspection. If you have any questions, please call me at [phone].
Sincerely,
Beverly P ' e.
Environmental Specialist
Enclosure
cc: APS Central Files
,.-AP-�Ashervt#le=Files
AQUIFER PROTECTION SECTION —Asheville Regional Office (ARO)
2090 U.S. 70 Highway, Swannanoa, NC 28778-8211
Phone: [phone] l FAX: [phone]
Customer Service: 1-877-623-6748
Internet: www.ncwaterauality.org
An Equal Opportunity l Affirmative Action Employer
NorthCarohn.a

Compliance Inspection Report
Permit: WQ0022865 Effective: 06/16/08 Expiration: 05/31/16 Owner: The Emerald Mine Jewelry Store
SOC: Effective: Expiration: Facility The Emerald Mine Jewelry Store Wastewater
Recycle Operation
County: Mitchell
Region: Asheville
Contact Person: Barbara Manojlovich Title: Phone: [phone]
Directions to Facility:
From the intersection of the Blue Ridge Parkway and NCSR 1100 in Little Switzerland travel west on NCSR 100 approximately 1.2
miles. The site is on the left side of NCSR 1100.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name
On-site representative
Related Permits:
Inspection Date: 08/05/2010
Primary Inspector: Beverly Price
Secondary Inspector(s):
Barbara Manojlovich
Barbara Manojlovich
Entry Time: 10:30 AM
Reason for Inspection: Routine
Permit Inspection Type: Wastewater Recycling
Facility Status: Q Compliant ■ Not Compliant
Question Areas:
Miscellaneous Questions 0 Treatment
(See attachment summary)
Exit Time: 11:00 AM
Phone: [phone]
Phone: [phone]
Phone: [phone]
Inspection Type: Compliance Evaluation
0 Record Keeping
Page: 1

\ Es
Permit: WQ0022865 Owner - Facility: The Emerald Mine Jewelry Store
Inspection Date: 08/05/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
There was no discharge to surface waters.
No maintnenace/inspection records.
Page: 2

Permit•• %A/()0022865•
Y• �Y 0022865 Owner - Facilit The Emerald Mine Jewel Store
Recycle/Reuse
■
Inspection Date: 08/05/2010 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Type
Yes No NA NE
Reuse (Quality)
n
Infiltration System
n
Lagoon Spray, LR
Activated Sludge Spray, LR
0000
Single Family Spray, LR
n
Activated Sludge Drip, LR
n
Activated Sludge Spray, HR
n
Single Family Drip'
n
Recycle/Reuse
■
Treatment
Yes
No NA
NE
Are Treatment facilities consistent with those outlined in the current permit?
■
n
Do all treatment units appear to be operational? (if no, note below:)
0000
Comment:
Record Keeping
Yes
No NA
NE
Is a copy of current permit available?
n
■ n
n
Are monitoring reports present: NDMR?
n
n ■
n
NDAR?
n
n ■
n.
Are flow rates less than of permitted flow?
n
n ■
n
Are flow rates less than of permitted flow?
n
n ■
n
Are application rates adhered to?
n
n ■
n
Is GW monitoring being conducted, if required (GW -59s submitted)?
n
n ■
n
Are all samples analyzed for all required parameters?
n
n ■
n
Are there any 2L GW quality violations?
n
n ■
n
Is GW -59A certification form completed for facility?
n
n ■
n
Is effluent sampled for same parameters as GW?
n
n ■
n
Do effluent concentrations exceed GW standards?
nn■n
Are annual soil reports available?
110
■
n
# Are PAN records required?
n
n ■
n
# Did last soil report indicate a need for lime?
n
n ■
n
Page: 3

Permit: W00022865 Owner - Facility: The Emerald Mine Jewelry Store
.Inspection Date: 08/05/2010 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
If so, has it been applied?
n
n
■
n
Are operational logs present?
n
■
n
0
Are lab sheets available for review?
n
n
■
0
Do lab sheets support data reported on NDMR?
n
n
■
n
Do lab sheets support data reported on GW -59s?
n
n
■
n
Are Operational and Maintenance records present?
n
■
n
n
Were Operational and Maintenance records complete?
fl
■
n
n
Has permittee been free of public complaints in last 12 months?
■
n
n
n
Is a copy of the SOC readily available?
n
n
■
n
No treatment units bypassed since last inspection?
■
n
n
n
Comment: No maintenance/inspection records.
Page: 4

PPFPP"
Compliance Inspection -Report
Permit: WQ0022865 Effective: 06/16/08 Expiration: 05/31/16 Owner: The Emerald Mine Jewelry Store
SOC: Effective: Expiration: Facility: The Emerald Mine Jewelry Store Wastewater
Recycle Operation
County: Mitchell
Region: Asheville
Contact Person:. Barbara Manojlovich Title: Phone: [phone]
Directions to Facility:
From the intersection of the Blue Ridge Parkway and NCSR 1100 in Little Switzerland travel west on NCSR 100 approximately 1.2
miles. The site is on the left side of NCSR 1100.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name
On-site representative
Related Permits:
Inspection Date: 08/05/2010
Primary Inspector: Beverly Price
Secondary Inspector(s):
Barbara Manojlovich
Barbara Manojlovich
Entry Time: 10:30 AM
Reason for Inspection: Routine
Permit Inspection Type: Wastewater Recycling
Facility Status: Q Compliant Not Compliant
Question Areas:
Miscellaneous Questions 0 Treatment
Exit Time: 11:00 AM
Phone: [phone]
Phone: [phone]
Phone: [phone]
Inspection Type: Compliance Evaluation
(See attachment, summary) I
nq-iA yv-\N� At'-- d-V-'c�
Page: 1

1 �
Permit: WQ0022865 Owner - Facility: The Emerald Mine Jewelry Store
Inspection Date: 08/05/2010 Inspection Type: Compliance Evaluation
Inspection Summary:
Treatment
Are Treatment facilities consistent with those outlined in the current permit?
Do all treatment units appear to be operational? (if no, note below.)
Comment:
I
Reason for Visit: Routine
n■■Q
0000
Page: 2

��
PPPPPAQUIFER PRN -F. ECTION REGIONAL SZ �"-F REPORT
Date: 5/19/2008 County:Mitchell
To: Aquifer Protection Central Office Permittee:Emerald Mine Jewelry Store
Central Office Reviewer: Chonticha McDanielProject Name: Emerald Mine Jewelry Store
Regional Login No: Application No.:W00022865
L GENERAL INFORMATION
1. This application is (check all that apply): ❑ New ® Renewal
❑ Minor Modification ❑ Major Modification
❑ Surface Irrigation ❑ Reuse ® Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included ❑ 503 regulated ❑ 503 exempt
❑ Distribution of Residuals ❑ Surface Disposal
❑ Closed-loop Groundwater Remediation. ❑ Other Injection Wells (including in. situ remediation)
Was a site visit conducted in order to prepare this report? ® Yes or ❑ No.
a. Date of site visit: 4/17/08
b. Person contacted and contact information: Barbara Manoilovich 828-765-6832,
c. Site visit conducted by: Bev Price-
d. Inspection Report Attached: ® Yes or ❑ No.
2. Is the following information entered into the BIMS record for this application correct?
❑ Yes or ® No. If no, please complete the following or indicate that it is correct ori the current application.
For Treatment Facilities:
a. Location: McKinney Mine Road & George St. Little Switzerland, NC
b. Driving Directions: From the Blue Ridge Parkway in Little Switzerland turn right onto Chestnut
Grove Church Road, turn left on McKinney Mine Road. Go approximately 1 mile, facility is located
an the left.
c. USGS Quadrangle Map name and number: Little Switzerland, NC
d. Latitude: 35' 51' 25" Longitude: 82° 06' 29"
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater): correct
in BIMS
For Disposal and Injection Sites:
(If multiple sites either indicate which sites the information applies to, co-ov and paste a new section into the
document for each site, or attach additional pages for each site)
a. Location(s):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
IL NEWAND MAJOR MODIFICATIONAPPLICATIONS (this section not needed for renewals or minor
modifications, skip to next section)
Description Of Waste(S) And Facilities
FORM: WQ0022865staffreport08.doc

AQUIFER PROTECTION REGIONAL STAFF REPORT
1. Please attach completed rating sheet. Facility Classification:
2. Are the new treatment. facilities adequate for the type of waste and disposal system?
❑ Yes ❑ No ❑ N/A. If no, please explain:
3. Are the new site conditions (soils, topography, depth to water table, etc) consistent with whatwas reported by
the soil scientist and/or Professional Engineer? ❑ Yes ❑ No ❑ N/A. If no, please explain:
4. Does the application (maps, plans, etc.) represent the actual site (property lines, wells, surface drainage)? ❑
Yes ❑ No ❑ N/A. If no, please explain:
5. Is the proposed residuals management plan adequate and/or acceptable. to the Division. ❑ Yes ❑ No ❑
N/A. If no, please explain:
6. Are the proposed application rates for new sites (hydraulic or nutrient) acceptable?
❑ Yes ❑ No ❑ N/A. If no, please explain:
7. Are the new treatment facilities or any new disposal sites located in a 100 -year floodplain?
❑ Yes ❑ No ❑ N/A. If yes, please attach a map showing areas of 100 -year floodplain and please explain
and recommend any mitigative measures/special conditions in Part N:
8. Are there any buffer conflicts (new treatment facilities or new disposal sites)? ❑ Yes or ❑ No. If yes, please
attach a map showing conflict .areas or attach any new maps you have received from the applicant to be
incorporated into the permit:
9. Is proposed and/or existing groundwater monitoring program (number of wells, frequency of monitoring,
monitoring parameters, etc.) adequate? ❑ Yes ❑ No ❑ N/A. Attach map of existing monitoring well
network if applicable. Indicate the review and compliance boundaries. If No, explain and recommend any
changes to the groundwater monitoring program:
10. For residuals, will seasonal or other restrictions be required? ❑ Yes ❑ No ❑ N/A If yes, attach list of sites
with restrictions (Certification B?) .
M. RENEWAL AND MODIFICATIONAPPLICATIONS (use previous section for riew or major modification
systems)
Description Of Waste(S) And Facilities
1. Are there appropriately certified ORCs,-for the facilities? ❑ Yes or ❑ No. NA
.Operator in.Charge: Certificate M .
Backup- Operator in Charge: Certificate #:
2. Is the design, maintenance and operation ' (e.g. adequate aeration, sludge wasting, sludge storage, effluent
storage, etc) of the treatment facilities adequate for the type of waste and disposal system? ® Yes or ❑ No.
If no, please explain:
FORM: WQ0022865staffreport08.doc 2

PPPFF
AQUIFER PR; -,r ECTION REGIONAL ,-'F REPORT
3. Are the site conditions (soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ❑ Yes or ❑ No. If no, please explain: NA
4. Has the site changed in any way that may affect permit (drainage added, new wells inside the compliance
boundary, new development, etc.)? If yes, please explain. NA
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
❑ Yes or ❑ No. If no, please explain: NA
6. Are the existing application rates (hydraulic or nutrient) still acceptable? ❑ Yes dor ❑ No. If no, please
explain: NA
7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring, monitoring
parameters, etc.) adequate? ❑ Yes ❑ No ® N/A. Attach map of existing monitoring well network if
applicable. Indicate the review and compliance boundaries. If No, explain and recommend any changes to the
groundwater monitoring program:
8. Will seasonal or other restrictions be required for added sites? ❑ Yes ❑ No ® N/A If yes, attach list of sites
with restrictions (Certification B?)
9. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or ❑ No. If yes, please attach a
map showing conflict areas or attach any new maps you have received from the applicant to be incorporated
into the permit: NA
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit correct? ❑
Yes or ❑ No. If no, please explain:
11. Were monitoring wells properly constructed and located? ❑ Yes or ❑ No ® N/A. If no, please explain:
12. Has a review of all self-monitoring data been conducted (GW, NDMR, and NDAR as applicable)? ❑ Yes or
❑ No ® N/A. Please summarize any findings resulting from this review:
13. Check all that apply: ® No compliance issues; ❑ Notice(s) of violation within the last permit cycle; ❑
Current enforcement action(s) ❑ Currently under SOC; ❑ Currently under JOC; ❑ Currently under
moratorium. If any items checked, please explain and attach any documents that may help clarify
answer/comments (such as NOV, NOD etc): Have all compliance dates/conditions in the existing permit,
(SOC, JOC; etc.) been complied with? ❑ Yes ❑ No ❑ Not Determined ❑ N/A.. If no, please explain:
14. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑
Yes or ❑ No ® N/A. If yes, please explain:
FORM: WQ0022865staffreport08.doc 3

AQUIFER PROTECTION REGIONAL STAFF REPORT
IV INJECTION WELL PERMIT APPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed-loop groundwater remediation effluent injection wells, in situ remediation injection wells, and heat
pump injection wells.)
Description Of Well(S) And Facilities — New, Renewal, And Modification
1. Type of injection system:
❑ Heating/cooling water return flow (5A7)
❑ Closed-loop heat pump system (5QM/5QW)
❑ In situ remediation (51)
❑ Closed-loop groundwater remediation effluent injection (5L/"Non-Discharge")
❑ Other (Specify:
2. Does system use same well for water source and injection? ❑ Yes ❑ No
3. Are there any potential pollution sources that may affect injection? ❑ Yes ❑ No
What is/are the pollution source(s)? What is the distance of the injection well(s) from the pollution
source(s)? . ft. . .
4. What is the minimum distance of proposed injection wells from the property boundary? . ft.
5. Quality of drainage atsite: ❑ Good ❑ Adequate ❑ Poor
6. Flooding potential of site: ❑ Low ❑ Moderate. ❑ High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? ❑ Yes ❑ No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program:
8. Does the map presented represent the actual site (property lines; wells, surface drainage)? ❑ Yes or ❑ No. If
no or no map, please attach a sketch of the site. Show property boundaries, buildings, wells, potential pollution
sources, roads, approximate scale, and north arrow.
Infection Well Permit Renewal And Modification Only:
1 For heat pump systems, are there any abnormalities in heat pump or injection well operation (e.g. turbid water,
failure to assimilate injected fluid, poor heating/cooling)?
❑ Yes ❑ No. Ifexplain:
2. For closed-loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? ❑.Yes ❑ No. If yes, explain:
3. For renewal or modification of groundwater remediation permits (of any type), will
continued/additional/modified injections have an adverse impact on migration of the plume or management of
the contamination incident? ❑ Yes ❑ No. If yes, explain:
4. Drilling contractor: Name:
FORM: WQ0022865staffreport08.doc 4

FPPPPFAQUIFERPRS-- ECTION REGIONAL S]"---" F REPORT
Address:
Certification number:
5. Complete and attach Well Construction Data Sheet.
FORM: WQ0022865staffreport08.doc 5

AQUIFEli PROTECTION REGIONAL STAFF REPORT`
E VAL UA TION AND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.:
2. Attach Well Construction Data Sheet - if needed information is available
.3. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes ® No. If yes, please explain
briefly.
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
ro
Condition Reason
Recommendation: ❑ Hold, pending receipt and review of additional information by regional office; ❑ Hold,
pending review of draft permit by regional office; ❑ Issue upon receipt of needed additional information; ❑
Issue; ❑ Deny. If deny, please state reasons:
8. Signature of report preparer(
Signature of APS regional st
Date: ov` ( C1
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: WQ0022865staffreport08.doc 6

Ppppr,
_'losed-Loop Recycle System
Permit Rescission Form for Deemed Permitted Systems
Information to be filled out by Central Office:
Facility Name: The Emerald Mine Jewelry Store Wastewater Yo e- 4
C,
Permit Number: WQ0022865 b L� WA
r..�s
Regional Office: Asheville
d �
County: Mitchell
Date Rescission Requested: I A ri1.21, 2008
Permit Expiration: August 31, 2008
Received Original Request: OCentral Office ORegional Office
Form of Received Request: 0 Application Letter
Information to be filled out by Region:
Please Check -Appropriately:
Site Visit Performed within 6 months of rescission request: Date of Visit 17
The above referenced permitted recycle system meets the requirements of 15A NCAC 02T .1003 to
be deemed permitted.
Yes, Facility meets the requirements of 15A NCAC 02T .1003.
® No, Facility does not meet the requirements of 15A NCAC 02T .1003.
Recommendation:
0 Rescind Permit.
0 Hold, pending receipt and review of additional information by Regional Office.
Deny. (If facility does not meet 15A NCAC 02T.1003, explain below).
Note: If approved, this permit will become inactive in the BIMS database and will not be billed
through the division billing system.
Comments: _TrXC �6C 1 v 6 kowe' eai4e^ bp' SI res ko u"e-ue, iJN
ne-w1304s►r,s bre, nod Gof,pj,,-�Jand do 1,'ece.1y,2
%-+ � r -„/ L �s: 1E !2!r w c,1 -e 4icv_ t' �, ; % r) Gj- 0061-)-ec y
f Q CL.. ;z rU r4C-e,
Signature of Certifier:
Date Certified:
Return Completed and Signed Form to the Aquifer Protection Program Section

ppppr,
Compliance Inspection Report
Permit: WO0022865. Effective: 09/19/03 Expiration: 08/31/08 Owner: The Emerald Mine Jewelry.Store
SOC: Effective: Expiration: Facility: The Emerald Mine Jewelry Store Wastewater
Recycle Operation
County: Mitchell
Region: Asheville
Contact Person: Barbara Manojlovich Title: Owner Phone: [phone]
Directions to Facility:
From the intersection of the Blue Ridge Parkway and NCSR 1100 in Little Switzerland travel west on NCSR 100 approximately 1.2
miles. The site is on the left side of NCSR 1100.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name
On-site representative
Related Permits:
Inspection Date: 04/17/2008
Primary Inspector: Beverly Price
Secondary Inspector(s):
Barbara Manojlovich
Barbara Manojlovich
i
Entry Time: 09:30 AM
Reason for Inspection: Routine
Permit Inspection Type: Wastewater Recycling
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions E Treatment
(See attachment summary)
Exit Time: 09:45 AM
Phone:
Phone:
Phone: [phone]
Inspection Type: Compliance Evaluation
Page: 1

Permit: WO0022865 Owner - Facility: The Emerald Mine Jewelry Store
Inspection Date: 04/17/2008 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Inspection Summary:
The facility appears to be operating according to permit conditions with no discharge to surface waters. As discussed
during the inspection the permit expires in August; please submit the renewal application.
Type
Yes No NA NE
Lagoon Spray, LR
Q
Infiltration System
Q
Reuse (Quality)
Q
Activated Sludge Spray, HR
Activated Sludge Spray, LR
Single Family Spray, LR
fl
Activated Sludge Drip, LR
Q
Single Family Drip
Recycle/Reuse ■
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? ■
'Do all treatment units appear to. be operational? (if no, note below.) ■ ❑ ❑ ❑
Comment:
Page: 2

J 41 LL EC E CJ ED
PPPPFP' AQUIFER PROTECTION SECTION APR 2 9 2068
APPLICATION REVIEW REOUEST FORM
Date: April 28, 2008
Asheville Regional Office
Aqm l er Protection
tion
To: ® Landon Davidson, ARO -APS
❑ David May, WaRO-APS
❑ . Art Barnhardt, FRO -APS_
❑ Charlie Stehman, WiRO-APS
❑ � Andrew_Pitner,lVIRO-APS -
❑ Sherri.Knight, WSRO-APS
❑ Jay ZimmermanRRO-APS
From: Chonticha McDaniel, Land Application Unit
Telephone: (919,) 715-6188
Fax: [phone]
E -Mail: chonticha.mcdanielna,ncmail.net
--_- ----A. Permit -Number-: WQ0022865-- -- ----- — -
--_- --- --- - - ---- - -- ---
B. Owner: The Emerald Mine Jewelry Store
C. Facility/Operation: The Emerald Mine Jewelry Store Wastewater
❑ Proposed ® Existing ® Facility ❑ Operation
D. Application:
I. Permit Type: E] Animal ❑ Surface Irrigation ❑ Reuse ❑ H -R Infiltration
® Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
❑ UIC - (5QW) closed loop water only geothermal
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ❑ New ❑ Major Mod. ❑ Minor Mod. ® Renewal ❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
This facility may be deemed permitted if it meets the requirements of 15A NCAC 02T .1003, please see
the attached rescission form and give me a call if you have M questions. Thank you.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
® Return a Completed Form APSARR.
❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification by the LAPCU.
❑ Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office -Aquifer Protection Section contact person
listed above. r/
RO-APS Reviewer: Date: 0s
FORM: APSARR 02/06 Page 1 of 1

o��F W A_T� -
�tt
o
Barbara Manojlovich
The Emerald Mine Jewelry Store
PO Box 249
Little Switzerland, NC 28749
— Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
April 25, 2008
Subject: Acknowledgement of Application No. WQ0000865
The Emerald Mine Jewelry Store Wastewater
-------Wastewater-Reeycling - ----------- - - -- —
Mitchell
Dear Ms. Manojlovich:
Coleen H. Sullins Director
Division of Water Quality
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit
application and supporting materials on April 21, 2008. This application package has been assigned the number
listed above and will be reviewed by Chonticha McDaniel.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary.
To ensure the maximum efficiency in processing permit applications, the Division requests your assistance in
providing a timely and complete response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, mustprovide recommendations prior to fmal
action by the Division. Please also note at this time, processing permit applications can take as long as 60 - 90 days
after receipt of a complete application.
If you have any questions, please contact Chonticha McDaniel at 919-715-6188 or via e-mail at
[e-mail]. If the reviewer is unavailable, you may leave a message, and they will respond
promptly. Also note that the Division has reorganized. To review our new organizational chart, go to
http://h2o.enr.state.nc.us/documents/dwq_or cg hart.pdf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS
PROJECT.
Sincerely,
e U;`'k
for Kim H. Colson, PE
Supervisor
cc: heville Regional,0_ffic_e, Aqui fer:Pro_tection.Section�
Permit Application File WQ0000865
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636
Internet: www.ncwaterauality.org Location: 2728 Capital Boulevard Raleigh, NC 27604
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper
NorthCarolina
Ivatura!!y
Telephone: [phone]
Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

ppprp, State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
INSTRUCTIONS FOR FORM: WWR 09-06
(RENEWAL WITHOUT MODIFICATION OF WASTEWATER NON -DISCHARGE SYSTEMS)
For more information or for an electronic version of this form, visit the Land Application Unit (LA U) web site at:
http:Ilh2o. enr.state. nc. us/lau/maiii. html
This form is for renewal without modification for all wastewater non -discharge systems. Wastewater non -discharge
systems include: High Rate Infiltration Systems; Infiltration/Evaporation Lagoons; Reclaimed Water Utilization
Systems; Wastewater Recycle Systems; Single Family Surface Irrigation Systems; and Surface Irrigation Systems.
This application may not be used for. renewal _of Land Application of Residuals Permits.
A. Application Form (All Application Packages):
✓ Submit one (1) original and two. -(2) copies of the completed and appropriately executed application form.
Any -changes made -to -this -form -will -result -in -the -application -package -being -returned.- - --- -- -
✓ If the Applicant is a corporation or company, it must be registered for business with the NC Secretary of
State (http://www.secretM.state.nc.us/Corporations/CSearch.aspx).
✓ If the Applicant is a partnership, sole proprietorship, trade name, or d/b/a enclose a copy of the certificate
filed with the register of deeds in the county of business.
✓ The application must be signed appropriately in accordance with 15A NCAC 2T .0106(b). An alternate
person may be designated as the signing official, provided that a delegation letter is provided from a person
who meets the referenced criteria. You may download an example delegation letter from the LAU web site.
✓ Submit three (3) copies of the most recently issued existing permit.
B. Additional Forms (Single Family Residence Surface Irrigation Systems Only):
✓ Submit one (1) original and two (2) copies of a completed and -properly executed FORM: SFR O&M. This
Form may be downloaded at: li"://h2o.enr.state.nc.us/lau/applications.html#Single
C. Site Ma RECEIVED / DENR / DWQ
Map uifer Fro�ec1%onk
✓ Submit three (3) copies of an updated site map if required as part of th a origina su mifccordance
with 15A NCAC 2T .0105(d). APR 212008
I. GENERAL INFORMATION: qq J
1. Permittee's name (Owner of the facility): 1 �_f �r,L, %e Y)C f�
2. Complete mailing address of Permittee:
City: fit �L�� ;7%1�� R / Y AI D State: j Zip: '7
Telephone number: (923)%�= 11u er: �E'����.
Email Address:
3. Facility name (name of the subdivision, shopping center, etc.):
4. Complete address of the physical location of the facility (if different from above):
Mr-KINMEe NIMC % ,7 GA G€ :S7 , tZv
City: L State: Zip:
5. County where project is located:L-
6. Name and affiliation of contact person who can answer questions about project:
MaN n—N-oyi C o, 011 M Email Address:
FORM: WWR 09-06 . Page 1

11. PERMIT INFORMATIG'-.. -_
1. Existing permit number and the issuance date Ise—A,1
2. Existing permit type:
❑ High -Rate Infiltration ❑ Evaporation Lagoons
❑ Single Family Surface Irrigation ❑ Surface Irrigation
❑ Reclaimed Water Utilization
AWastewater Recycle
3. Has the treatment and disposal system been constructed? .4 Yes ❑ No .
4. If the system has not been constructed, would you like to rescind your permit (i.e. the permitted facilities
will not be needed)? ❑ Yes ❑ No
5. Has the wastewater system been connected to a municipal or community sewer system? ❑ Yes 0 No
Applicant's Certification [signing authority must be in compliance with 15A NCAC 2T .0106(b)]:
I,
1t9��_01/ffif�(241iing authority name and title)
attest that this application for
(facility name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge
of wastewater from this non -discharge system to surface waters or the land will result in an immediate enforcement .
action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against
the Division of Water Quality should a condition of this permit be violated. I also understand that if all required
parts of this application package are not completed and that if all required supporting information and attachments
are not included, this application package will be returned to me as incomplete. I further certify that the applicant or
any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
compliant with any active compliance schedule, and do not have any overdue annual fees under Rule 2T .0105.
Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any
false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor,
which may include a fine not to exceed $10,000 as well as civi penalties up to $25,000 per violation.
Signature: r Date:
THE COMPLETED RENEWAL APPLICATION SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
FORM: WWR 09-06 Page 2
By Courier/Special Delivery:
2728 CAPITAL.BOULEVARD
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]

Michael F. Easley, Governor
-William G. Ross Jr., Secretary
y North Carolina Department of Environment and Natural Resources
r
� Coleen H. Sullins, Director
Division of Water Quality
AQUIFER PROTECTION
April 24, 2008
Barbara Manojlovich
The Emerald Mine Jewelry Store
Post Office Box 249
Little Switzerland, NC 28749
SUBJECT: April 17, 2008
Compliance Evaluation Inspection
The Emerald Mine Jewelry Store
Permit No: WQ0022865
Mitchell County
Dear Ms. Manojlovich:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the
inspection that I conducted on April 17, 2008. The facility was found to be in Compliance with
permit WQ0022865. As discussed during the inspection, the permit expires on August 30,
2008. Please complete the permit renewal application as soon as possible.
Please refer to the enclosed inspection report for additional observations and comments.
If you or your staff has any questions, please call me at [phone].
Sincerely,
M1�
-WiG�J A
'tom—�
Beverly Price
Environmental Specialist
Enclosure
cc: APS Central Files
APS Asheville Files
One
NCarolina
'VaiUAW119
North Carolina Division of Water Quality — Asheville Regional Office 2090 U.S. Highway 70 Swannanoa, NC 28778 Phone [phone]
Aquifer Protection Section FAX [phone]
Customer Service 1-877-623-6748
Internet: h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

Compliance Inspection Report
Permit: W00022865 Effective: 09/19/03 Expiration: 08/31/08 Owner: The Emerald Mine Jewelry:Store
SOC: Effective: Expiration: Facility: The Emerald Mine Jewelry Store Wastewater
Recycle Operation
County: Mitchell
Region: Asheville
Contact Person: Barbara Manojlovich Title: Owner Phone: [phone]
Directions to Facility:
From the intersection of the Blue Ridge Parkway and NCSR 1100 in Little Switzerland travel west on NCSR 100 approximately 1.2
miles. The site is on the left side of NCSR 1100.
System Classifications:'
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name
On-site representative
Related Permits:
Inspection Date: 04/17/2008
Primary Inspector: Beverly Price
Secondary Inspector(s):
Barbara Manojlovich
Barbara Manojlovich
Entry Time: 09:30 AM
Reason for Inspection: Routine
Permit Inspection Type: Wastewater Recycling
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions E Treatment
(See attachment summary)
Exit Time: 09:45 AM
Phone:
Phone:
Phone: [phone]
Inspection Type: Compliance Evaluation
r
Page: 1

Permit: WQ0022865 Owner - Facility: The Emerald Mine Jewelry Store
Inspection Date: 04/17/2008 Inspection Type: Compliance Evaluation
'i
Reason for Visit: Routine
Inspection Summary:
The facility appears to be operating according to permit conditions with no discharge to surface waters. As discussed
during the inspection the permit expires in August; please submit the renewal application.
Type
Yes No NA NE
Lagoon Spray, LR _
❑
Infiltration System
❑
Reuse (Quality)
❑
Activated Sludge Spray, HR
❑
Activated Sludge Spray, LR
❑
Single Family Spray, LR
❑
Activated Sludge Drip, LR
❑
Single Family Drip
❑
Recycle/Reuse
■
Treatment
Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit?
■ ❑ ❑ ❑
Do all treatment units appear to be operational? (if no, note below.)
■ ❑ ❑ ❑
Comment:
Page: 2

F .,
PPP
u
AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FO
Date: April 28, 2008
To: ®
Landon Davidson, ARO -APS
❑
. Art Barnhardt, FRO -APS.
❑
Andrew Pitner,.MRO-APS
❑
Jay Zimmerman,.RRO-APS
APR 2 9 2068
❑ David May,. WaRO-APS
❑ Charlie Stehman, WiRO-APS
❑ Sherri Knight, WSRO-APS
From: Chonticha McDaniel , Land Application Unit
Telephone: ,(919)715=6188 Fax: [phone]
E -Mail: chonticha..mcdaniel(a�,ncmail.net
A. Permit Number: W00022865
B. Owner: The Emerald Mine Jewelry Store
C. Facility/Operation: The Emerald Mine Jewelry Store Wastewater
❑ Proposed ® Existing ®Facility ❑ Operation
D. Application:
1. Permit Type: ❑
Animal
❑ Surface Irrigation ❑ Reuse
❑ H=R Infiltration
®
Recycle
❑ I/E Lagoon ❑ GW Remediation (ND)
❑
UIC - (5QW) closed loop water only geothermal
For Residuals:
❑
Land App. ❑ D&M
❑ Surface Disposal
❑
503 ❑ 503 Exempt
❑ Animal
2. Project Type: ❑
New ❑
Major Mod. ❑ Minor Mod. ® Renewal
❑ Renewal w/ Mod.
E. Comments/Other Information:. ❑ I would like to accompany you on a site visit.
This facility may be deemed permitted if it meets the requirements of 15A NCAC 02T .1003, please see
the attached rescission form and give me a call if you have any questions. Thank you.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
® Return a Completed Form APSARR.
❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification by the LAPCU.
❑ Issue an Attachment B Certification from the RO*.
* Remember that you will be .responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office -Aquifer Protection Section contact person
listed above.
RO-APS Reviewer: Date: 0's-
FORM: APSARR 02/06 Page 1 of 1

pppppp"
Compliance inspection Report
Permit: WQ0022865 Effective: 09/19/03 Expiration: 08/31/08 Owner: The Emerald Mine Jewelry Store
SOC: Effective: Expiration: Facility:
The Emerald Mine Jewelry Store Wastewater
Recycle Operation
County: Mitchell
Region: Asheville
Contact Person: Barbara Manojlovich Title: Owner Phone: [phone]
Directions to Facility:
From the intersection of the Blue Ridge Parkway and NCSR 1100 in Little Switzerland travel west on NCSR 100 approximately 1.2
miles. The site is on the left side of NCSR 1100.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 04/17/2008 Entry Time: 09':30 AM
Primary Inspector: Beverly Price
Secondary Inspector(s):
Reason for Inspection: Routine
Permit Inspection Type: Wastewater Recycling
Facility Status: " Compliant C3 Not Compliant
Question Areas:
0 Miscellaneous Questions E Treatment
(See attachment summary)
N +c, r-n.eW
Exit Time: 09:45 AM
Phone: [phone]
Inspection Type: Compliance Evaluation
Page: 1

. "444q
Permit: WQ0022865 Owner - Facility: The Emerald Mine Jewelry Store
Inspection Date: 04/17/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Are Treatment facilities consistent with those outlined in the current permit?
Do all treatment units appear to be operational? (if no, note below.)
Comment:
Yes No NA NE
0 Q ■
n❑n
Page: 2
J
F

William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
FIL
Ei
AQUIFER PROTECTION
May. 26, 2006
Barbara Manojlovich
The Emerald Mine Jewelry Store
PO Box 249
Little Switzerland NC 28749
Alan W. Klimek, P.E. Director
Division of Water Quality
Asheville Regional Office
SUBJECT: Compliance Evaluation Inspection
The Emerald Mine Jewelry Store
Wastewater Recycle Operation
Permit No: WQ0022865
Mitchell County -
Dear Ms. Manojlovich,
Enclosed please find a copy of the Compliance Evaluation Inspection form from the
inspection conducted on May 26, 2006_ The Compliance Evaluation Inspection was
conducted by Ed Williams of the Asheville Regional Office. The facilitywas found to be in
Compliance with permit WQ0022865.
Please refer to the enclosed inspection report for additional observations and
comments. If you have any questions, please call me at 828/296-4500
Sincerely,
Ed Williams
Enclosure
cc: Central Files
fa4h--e-iI iles
Noe Carolin
iurall�
North Carolina Division of Water Quality — Asheville Regional Office 2090 U.S. Highway 70 Swannanoa, NC 28778 Phone [phone]
Aquifer Protection Section FAX [phone]
Customer Service 1-877-623-6748
Internet: h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employe -50% Recycled/10% Post Consumer Paper

PPP
'Compliance Inspection Report
Permit: WQ0022865 . Effective:. 09/19/03 Expiration: 08/31/08 Owner:. The Emerald Mine Jewelry Store
SOC: Effective: Expiration: Facility- The Emerald Mine Jewelry Store Wastewater
Recycle Operation
County: Mitchell
Region: Asheville:
Contact Person: Barbara Manojlovich . Phone: [phone]
Directions to Facility:
From the intersection of the Blue Ridge Parkway and NCSR 1100 in Little Switzerland travel west on NCSR 100 approximately 1.2
miles. The site is on the left side of NCSR 1100.
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 05/26/2006 Entry Time: 11:30 AM Exit Time: 12:10 PM
Primary Inspector: Edward M Williams Phone:
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Wastewater Recycling
Facility Status: ■Compliant n Not Compliant
Question Areas:
Miscellaneous Questions Treatment
(See attachment summary)
I

Permit: WQ0022865 Owner - Facility: The Emerald Mine Jewelry Store
Inspection Date: 05/26/2006 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The closed loop 1200 gpd treatment facility appeared to be in good working order.
No leaks in the system were noted.
Type
Yes No NA NE
Lagoon Spray, LR
J
Q
Infiltration System
Reuse (Quality)
0
Activated Sludge Spray, LR
fl
El
Single Family Spray, LR
0
Activated Sludge Spray, HR
Activated Sludge'Drip, LR
Recycle/Reuse
0
n
Single Family Drip
Treatment
Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit?
■ ❑ Q
Do all treatment units appear to be operational? (if no, note below.)
■ El Cl n
Comment:
Page: 2

11GE REGIONAL WATER QUALITY
ORT AND RECOMMENDATIONS
Date: August 20, 2003 County: Mitchell
To: Non -Discharge Permitting Unit Permittee: Barbara Manoilovich,The Emerald Mine
Jewlery Store
NDPU Reviewer: Duane Leith Application No.: W00022865
Regional Login No:
GENERAL INFORMATION
1. This application is (check all that apply): ® New ❑. Renewal
El Minor Modification ❑Major Modification ..
❑ Surface Irrigation ❑ Reuse ® Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included as appropriate ❑ 503 regulated ❑ 503 exempt
❑ Distribution of Residuals' ❑ Surface Disposal
2. Was a site visit conducted in order to prepare this report? . Z'Yes or ❑ No.
a. Date of site visit: June 24, 2003
b. Person contacted and contact information: Barbara Manojlovich
c.. Site visit conducted by: Michael R. Parker
d. Inspection Report Attached: ❑ Yes or ® No.
3. Is the following information entered into the BIMS record for this application correct?
❑ Yes or 0 No. If no, please complete the' following or indicate that it is correct on the current
application.
For Treatment Facilities:
a. Location: Little Switzerland. N. C: .
b. Driving Directions: From the intersection of the Blue Ridge Parkway and NCSR 1100 in Little
Switzerland, N. C. travel west on NCSR 1100 approximately 1.2 miles. The site is on the left
side of NCSR 1100.
c. USGS Quadrangle Map name and number: Little Switzerland, N. C. D l OSE
d. Latitude: 355125 Longitude:' 820629
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
Tourist Gem Mine -Recycle wastewater
For Disposal Sites:
(If multiple sites either indicate which sites the information applies to, copy and paste a new section
into the document for each site, or, attach additional pages for each site)
a. Location(s):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
FORM: NDSRR 03/02
1

NON -DISCHARGE REGIONAL WATE
STAFF REPORT AND RECOMMEP
d. Latitude: Longitude:
NEWAND MAJOR MODIFICATIONAPPLICATIONS (this section not needed for renewals or
minor modifications, skin to next section)
DESCRIPTION OF WASTES) AND FACILITIES
1. Please attach completed rating sheet. Facility Classification: NA
2. Are the new treatment facilities adequate for the type of waste and disposal system?
® Yes ❑ No ❑ N/A. If no, please explain: ,
.3. Are the new, site conditions (soils, topography, etc) consistent with what was reported by the soil
scientist and/or Professional Engineer? ❑ Yes ❑ No ® N/A. If no, pleaseexplain:
4. Is the proposed residuals management plan for the adequate'and/or acceptable to the Division.
® Yes ❑ No ❑ N/A. If no, please explain: .
5. Are the proposed application rates for new sites (hydraulic or nutrient) acceptable?
❑ Yes ❑ No ® N/A. If no, please explain:
6. Are the new treatment facilities or any new disposal sites located in a 100 -year floodplain?
❑ Yes ® No ❑ N/A. If yes, please attach a map showing areas of 100 -year floodplain and please
explain and recommend,any mitigative measures/special conditions in Part IV:
7. Are there any buffer conflicts (new treatment facilities or new disposal sites)? ❑ Yes or ® No. If
t.
yes, please attach a map showing conflict areas or attach any new maps you have received from the
applicant to be incorporated into the permit:
FORM: NDSRR 03/02 2

8
I.GE REGIONAL WATER QUALITY
'ORT AND RECOMMENDATIONS
RENEWAL AND MODIFICATIONAPPLICATIONS (use previous section for new or maior
modification systems)
DESCRIPTION OF WASTES) AND FACILITIES'
1. Are there an appropriately certified ORCs for the facilities? ❑ Yes or ❑- No.
Operator:in.Charge: - ' Certificate #:
Back -;Operator in Charge: Certificate #:
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge' storage,
effluent storage, etc) of the treatmentfacilities adequate for the type of waste and disposal system?
❑ Yes or ❑ No. If, no, please explain:
3. Are the site conditions ,(soils, topography, etc) maintained appropriately and adequately assimilating
the waste? ❑ Yes or ❑ No. If no, please explain:.
4. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
❑ Yes or ❑ No. If no, please explain:
5. Are the existing application rates. (hydraulic or. nutrient) still acceptable? ❑ Yes. or, ❑ No. If no, .
please explain: .
6. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or ❑ No. If yes, please
attach. a map showing conflict areas or'attach any new maps you have received from the applicant to
be incorporated into the.'permit:
7. Is the type and/or volume of waste(s)'as written in the existing .permit correct? ❑ Yes of ❑ No. If
no, please explain: _
8. Is the description of the facilities as written in the existing permit. correct? ❑ Yes or ❑ No. If no,
please explain:
.9. Hasa review of all self monitoring data been conducted? ❑ Yes or ❑ No. Please- summarize any
findings resulting from this review:. .
10. Check all that apply:. ❑ No compliance issues; ❑ Notice(s) of violation within the last permit cycle;
❑ Current enforcement actions) ❑ Currently under SOC; ❑ Currently under JOC; ❑ .Currently,
under moratorium. If any items checked, please explain and attach any documents that. may help
clarify,answer/comments (such" NOV, NOD etc): .
11. Have all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with?
❑ Yes or ❑ No. If no, please explain:
12. Are thereany issues related to compliance/enforcement that should be resolved before issuing this
permit? ❑ Yes or ❑ No. If yes, please explain:
FORM: NDSRR 03/02 3

NON -DISCHARGE REGIONAL. WATER QUALITY
STAFF REPORT -AND RECOMMENDATIONS
EVALUATION AND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.:
2. List any items that you would like NDPU to obtain through an additional information request. Make
sure that you provide a reason for each item:
3. List specific Permit conditions that you recommend to be removed from the permit when issued.
Make sure that you provide a reason for each condition:
Condition Reason
4. List specific special conditions or compliance schedules that you recommend to be included in the
permit when issued. Make sure that you provide a reason for each special condition:
; Condition - '
Reason
Require condition that the system be operated as a
nondischarge recycle system.
Solids removed from the settling tank shall be
disposed of in a manner that they can not enter
surface waters.
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review of draft permit by regional office; ® Issue; ❑ Deny. If deny, please state
reasons:
6. Signature of report preparer:
Signature of WQS regional si
FORM: NDSRR 03/02 4

pp
P.ppp
ON-DISCHARGE REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS

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NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
Date: July, 29, 2003
To: ® Forrest Westall, ARO-WQS ❑ Debra Watts, CO -GWS
❑ Paul Rawls, FRO-WQS
❑ Rex Gleason, MRO-WQS Copies Sent to CO -GWS: 0
❑ Ken Schuster, RRO-WQS
❑ Jim Mulligan, WaRO-WQS
❑ Rick Shiver, WiRO-WQS Copies Sent to RO-WQS: 1
❑ Steve Mauney, WSRO-WQS ❑ Distribute 1 Copies to RO-GWS .
From: Duane Leith, Non -Discharge Permitting Unit
Telephone: [phone] ext. 370 Fax: (919)'715-6048
E -Mail: [e-mail]
A. Permit Number: W00022865
B. Owner: Barbara Manojlovicli
C. Facility/Operation: The Emerald Mine Jewelery Store Wastewater Recycle System ,
❑ Proposed E Existing ❑ Facility, ® Operation
D. Application:
1. Permit Type: ❑ CS (O&M), ❑ Surface Irrigation ❑ Reuse 0, -H -R Infiltration
®, Recycle ❑ I/E Lagoon ❑ . GW Remediation (ND)
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ -503 ❑ 503 Exempt ❑ Animal
2. Project Type: ® New ❑ Major Mod. ❑ Minor Mod. ❑ Renewal ❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would' like to accompany you on a site visit.
No residuals are generated, all solids and wastewater are recycled.
Attached, you will find all information. submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
For RO-WQS:
® Return a Completed Form NDSRR. ❑ 'Attach Attachment B for Certification by the NDPU.
❑ Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating. site visits, reviews, as well as additional
information requests with other RO-WQS and RO-GWS representatives in order to prepare a complete
Attachment B for certification. Refer to the RPP SOP for additional detail.
For CO -GWS:
® Return a Memorandum with Permit Condition Recommendations.
When you receive this request form; please write your name and dates in thl spaces below, make a copy
of this sheet, and return it to the appropriate Non-Disch a Pe t oritact person listed above.
a �
RO-WQS Reviewer:
CO -GWS Reviewer: Date:
FORM: NDARR 09/02 Page 1 of I

Program Category
Status Project Type
Non -discharge ..
In review New Project -
Permit Type : -
Version _ Permit Classification
Wastewater Recycling Individual
Primary Reviewer
Permit Contact Affiliation
duane.leith
Permitted Flow
Facility
Facility Name
Major/Minor Region
The Emerald Mine Jewelry Store Minor Asheville .
Location Address.'
County.
Mitchell
Facility Contact Affiliation
Owner
Owner Name
Owner Type
The Emerald Mine Jewelry Store Non -Government
Owner Affiliation, .
Barbara Manojlovich .
PO Box 249
Little Switzerland NC . 28749 .
Dates/Events
Scheduled
Orig Issue App Received
Draft Initiated Issuance Public Notice Issue Effective . Expiration
07/03/03
Regulated Activities
Requested/ReceivedEvents
Commercial or. industrial, other Groundwater comments received
RO staff report received .
R0:staff report requested
Additional information requested
Additional information received
Groundwater comments requested
Outfall NULL:
Waterbody Name
s Subbasin
��) 3459
THE WORLD OF GEMS INC. " — `'v�
P.O. Box 249 f5 tSZL531
Little Switzerland, NC 28749 t
BRANCH 30151
DATE
MYTOTHE
T/�DOLLARS
Flat UNon LJatlDna/ Bank
-
.
'
FO Gv'i'►''1 /
i:0531016261:200000111376le 4 9
- --

Barbara Manojlovich
The Emerald Mine Jewelry Store
P.O.Sox 249
Little Switzerland, NC 28749
N.C,Dept.of Environment and Natural
Div, of Water duality
1.61 .7 TIai 1 Service Center
4ale�rgh, NC 27699-1617
r c�
� w
Resources`
RE: Cover Letter for Form RFA 01-02
Dear Sir:
This project is called "The Emerald Mine", as per NC Dept..
of 4evenue. State Retail Sales Tax License, because it is designed.
to teach tourists about rough gemstones so that they will Cie interested
In buying jewelry from our jewelry store..
The tourist buys a bucket of dist with rough gemstones and.
ns!ieS it in our wooden trough with water flowing due to gravity.
.L.e'sc•rape the solid mud residue (only pollutant added to this
.-systeml out of th.e trough and the first tank which is for the residue
to settle In ;and reuse it to make new buckets with gemstones in them
to sell),, so that clean water from the overflow (second tank) tank can
,be pumped to the beginning of the system. Thus no solids and no water is
released into the environment and neither solids nor water can reach the
natural water supply.
We are including one original and four copies of:
1..) Thi's 'cover letter
2.1 .Foam RFA 0102
3.1 A'Flow Diagram required by this form, and
4, A c.h°ack for $300,00, which Mr,, Mike Parker of the Asheville
office of the Div.of [eater Quality said was what was required...
Thank you for your attention, t
July 1, 2003 Barbara Manojlovich

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
WASTEWATER RECYCLE SYSTEMS
(THIS FORMMAY BE PHOTOCOPIED FOR IISEASAN ORIGINAL)
Application Number:
L GENERAL INFORMATION:
1. Project Name:
(to be completed by DWQ)
2. Applicant's name (Name of the owner of the facility. If a company or corporation it must be registered
with the Secretary of State): T nm afiza Mf bl a o w r N
3.- Name and complete mailing address of applicant: Iva
City: i i° %V 1 r tom` I t State: Zip: _ 2 $ 71
Telephone number: (W) 7Cz6:— /F� Facsimile number:(
Email Address:
4. Project name (name of the facility): -r)-IE : MER1212 % j 4[r_„7'f1A1,FLt S:�Wj
5. Complete address of the physical location of the facility if different from mailing address of applicant:
City: 4 / il% S lU IlZ e N i A„d State: AX Zip: a. S Z�29
6. County where project is located: MITCHELL
7. Name and complete address of engineering or consulting firm:
City:
Telephone number: (
State: Zip:
Facsimile number: (
8. Name and affiliation of contact person who can answer questions about project:
IL PERMIT INFORMATION:
1. Project is: new; modification; renewal without modification
Note: Renewals without modifications should just fill out sections I & U; sign the applicants signature on Page 5.
2. Fee submitted: $ '300,00 (See Instruction C.)'
3. If this application is being submitted as a result of a modification to an existing permit, provide:
existing permit number
4. Applicant is: _V public,
private
and the issuance date
5. If project disturbs more than one acre, provide date when an erosion and sedimentation control plan was
submitted to the Division of Land Resources, or local delegated program, for approval:
- 10E5 NST-- ��Ti� �l�z�i- 11 . .
6. If project includes any stream or wetland impacts, provide date when Nationwide 12 or 404 permit was
submitted for approval: ROT CONAZECTE- a =CAM r9R UZETL E& P
7. Provide buffers used to maintain compliance with any applicable river basin rules in 15A NCAC 2B.0200
(e.g., Neuse River basin buffer rules, etc.):
FORM: RFA 01-02
Page 3 of 5

INFORMATION ON WASTEWATER:
Please provide a one- or two -word description specifying the origin of the wastewater (school,
hospital, commercial facility, industry, apartments, condominiums_ etc )-
2. Volume of wastewater recycled by this project: '7, 000 gallons per day
3. Explanation of how wastewater flow was determined (15A NCAC 2H .0219(1)):'L6 l&P 24+P / ayr5 /D0r 6f'U-4'Y5
4. Nature of wastewater: % Domestic/Commercial; % Industrial; P'X Do only EA HOl%RS
%Other waste -specify:7 .Tiacrw - j
1. Brief project description (attach a flow diagram of process to assist in explanation):
CR<pc T171 T'1 IT1q%�411& Y 1 sHFs
IT I AI iV MFN 0116H Mon 15 CtEfl MER "FROM ulOQ7LT,� -,�� SfiT�Ildfi
SRC RE5t�L1E SE7TlE TQ 73E osL-D //V r&F7V
1s P(/NIPEI? T/1&0# P016E ©F9WZT 0W14/n�1-:'- 5 f CONfilly4p
2. Provide the number of earthen impoundments in the system: -X
IV. DESIGN INFORMATION:
3. How are impoundments lined? (see Instruction 11): _
4. What is the designed freeboard of each impoundment?
5. Are any impoundments designed to receive adjacent surface runoff?
If so, please specify the drainage area: square feet.
6. a. 100 -year flood elevation: feet mean sea level
b. Finish grade elevation of the impoundments: feet
c. Measures taken to protect the impoundments against flooding:
7. How are requirements of 15A NCAC 211.02190)(3) to be met? T H is R syszgN I S
CO%tPl zT/V SELF rr1A/TAtn1r-n 'An171 ihncc n1AJ nrf-
ELyMIAIMENT. MAD IS 8,00 FROM 73Uc1�/��i/�,D R1►'lOV ))
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FORM: RFA 01-02
Page 4 of 5

Professional Engineer's Certification:
1, , attest that this application for
has been reviewed by me and is
accurate, complete and consistent with the information supplied in the engineering plans, calculations, and all
other supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with this application and its instructions as well as all applicable
regulations and statutes. Although certain portions of this submittal package may have been developed by other
professionals, inclusion of these materials under my signature and seal signifies that I have reviewed this material
and have judged it to be consistent with the proposed design. Note: In accordance with NC General Statutes 143-
215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or certification in
any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as
civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification:
I, TO PURRS .ML2VJ r. H , attest that this application for
G (.Y (.Lt Y 5 /V/ has been reviewed by me and is
accurate and complete to the best of my knowledge. I understand that any discharge of wastewater to surface
waters or the land will result in an immediate enforcement action which may include civil penalties, injunctive
relief, and/or criminal prosecution. I will make no claim against the Division of Water Quality should a condition
of this permit be violated. I also understand that if all required parts of this application are not completed and that
if all required supporting information and attachments are not included, this application package will be returned
to me as incomplete. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who
knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: Zhla 5
FORM: RFA 01-02 Page 5 of 5

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THE WORLD OF GEM,g INC.
P.O.'Box 249
Little Switzerland,'NQ`28749
ORDER
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DATE
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66-162/531
BRANCH 30151
VDOLLARS

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Barbara Manojlovich
The Emerald Mine Jewelry Store
PO Box 249
Little Switzerland, NC 28749
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
July 22, 2003
Alan W. Klimek, P.E., Director
Division of Water Quality
Subject: Acknowledgement of Application No. WQ0022865
The Emerald Mine Jewelry Store
Wastewater Recycle System
Mitchell County
Dear Ms..Manojlovich:
The Non -Discharge Permitting Unit of the Division of Water Quality (Division) acknowledges receipt of
your permit application and supporting materials on July 3, 2003. This application package ,has been
assigned the number listed above and will be reviewed by Duane Leith.
The reviewer will perform a detailed review and contact you with a request for additional information if
necessary. To ensure the maximum efficiency in processing permit applications, the Division requests
your assistance in providinga timely and complete response to any additional information requests.
Please note at this time processing permit applications can take as. long as 60 - 90 days after receipt of a
complete application.
If you have any questions, please .contact Duane Leith at 919-733-5083, extension 370, or via e-mail at
[e-mail]. If the reviewer is unavailable, you may leave a message, and they will respond
promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER IN CORRESPONDENCE AND WHEN
MAKING INQUIRIES ON THIS PROJECT. To check the status of this permit application, go to
http://h2o.enr.state.nc.us/bims/Reports/reportsPermits.html and check pending permits for the Non -
Discharge program in the pertinent region. Projects are listed (as facility) in alphabetical order.
Sincerely,
1
S Kim H. Colson, P.E.
1
i� Supervisor
cc: cAsheville-Regiona Office, Water Quality-Sectioli
Permit Application File WQ0022865
Non -Discharge Permitting Unit Internet http://h2o.enr.state.nc.us/ndpu NOMA
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

NON -DISCHARGE APPLICATION REVIEW REQUEST FORM li e�,�
3 0 2003
Date: July 29, 2003
To: ®Forrest Westall, ARO-WQS
❑ Paul Rawls, FRO-WQS
❑ Rex Gleason, MRO-WQS
❑ Ken Schuster, RRO-WQS
❑ Jim Mulligan, WaRO-WQS
❑ Rick Shiver, WiRO-WQS
❑ Steve Mauney, WSRO-WQS
From: Duane Leith, Non -Discharge Permitting Unit
Telephone: [phone] ext. 370
E -Mail. [e-mail]
t,
nt,-.,.
❑ Debra Watts, CO-GWS-�
Copies Sent to CO -GWS: 0
Copies Sent to RO-WQS: 1
❑ Distribute 1 Copies to RO-GWS
Fax: [phone]
A. Permit Number: W00022865
B. Owner: Barbara Manojlovich
C. Facility/Operation: The Emerald Mine Jewelery Store Wastewater Recycle System
❑ Proposed ® Existing ❑ Facility ® Operation
D. Application:
1. Permit Type: ❑ CS (O&M) ❑ Surface Irrigation ❑ Reuse ❑ H -R Infiltration
® Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal-,,.
2. Project Type: ® New ❑ Major Mod. ❑ Minor Mod. ❑ Renewal ❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
No residuals are generated all solids and wastewater are recycled.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
For RO-WQS:
® Return a Completed Form NDSRR. ❑ Attach Attachment B for Certification by the NDPU.
❑ Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-WQS and RO-GWS representatives in order to prepare a complete
Attachment B for certification. Refer to the RPP SOP for additional detail.
For CO -GWS:
® Return a Memorandum with Permit Condition Recommendations.
When you receive this request form, please write your name and dates in the spaces below,' make a copy
of this sheet, and return it to the appropriate Non -Discharge Permitting Unit contact person listed above. ,
RO-WQS Reviewer:
CO -GWS Reviewer:
FORM: NDARR 09/02 Page 1 of 1
Date:
Date:

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�) NON -DISCHARGE APPLICATION REVIEW REQUEST FORM t <. �d�
Date: July 29, 2003
To: ® Forrest Westall, ARO-WQS
❑ Paul Rawls, FRO-WQS
❑ Rex Gleason, MRO-WQS
❑ Ken Schuster, RRO-WQS
❑ Jim Mulligan, WaRO-WQS
❑ Rick Shiver, WiRO-WQS
❑ Steve Mauney, WSRO-WQS
From: Duane Leith, Non -Discharge Permitting Unit
❑ Debra Watts, CO -GWS
Copies Sent to CO -GWS: 0
Copies Sent to RO-WQS: 1
❑ Distribute 1 Copies to RO-GWS
Telephone: [phone] ext. 370 Fax: [phone]'
E -Mail. [e-mail]
A.. Permit Number: W00022865
B. Owner: Barbara Manojlovich
C. Facility/Operation: T e, merald-Mine-Jewelet Stor6iWastewater Recycle System
❑ Proposed _ ® Existing ❑ Facility ® Operation
D. Application:
1. Permit Type: ❑ CS (O&M) ❑ Surface Irrigation ❑ Reuse ❑ H -R Infiltration
® Recycle ❑ UE Lagoon ❑ GW Remediation (ND)
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ® New ❑ Major Mod. ❑ Minor Mod. ❑ Renewal ❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
No residuals are generated, all solids and wastewater are recvcled.
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within 30 calendar days, please take the following actions:
For RO-WQS:
® Return a Completed Form NDSRR. ❑ Attach Attachment B for Certification by the NDPU.
❑ Issue an Attachment B Certification from the RU*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-WQS and RO-GWS representatives in order to prepare a complete
Attachment B for certification. Refer to the RPP SOP for additional detail.
For CO=GWS:
® Return a Memorandum with Permit Condition Recommendations.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Non -Discharge -Permitting Unit'contact person listed above.
RO-WQS Reviewer: Date:
CO -GWS Reviewer: Date:
FORM: NDARR 09/02 Page 1 of 1