DWR Read File Archive Dec. 2016

l? sR ►
IS N R V k-
Certified Mail#7014 0510 0000 4466 4170 FedEx#8571 0672 2668—2nd Mail Attewt
Return Receipt Requested December 1,2016
October 31,2016
James Rice
Eaven Brice Partnership
329 Emma Rd
Asheville,NC 28806
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute(G.S.) 143-215.1(a)(6)
and NPDES WW Permit No.NCO067342
Eaven Brice Partnership
North View Mobile Home Park WWTP
Case No. LV-2016-0221
Buncombe County
Dear Permittee:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of$516.62($400.00 civil penalty+
$116.62 enforcement costs)against Eaven Brice Partnership.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report(DMR)
submitted by Eaven Brice Partnership for the month of June 2016. This review has shown the subject facility to be in
violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No.NC0067342. The
violations,which occurred in June 2016,are summarized in Attachment A to this letter.
Based upon the above facts,I conclude as a matter of law that Eaven Brice Partnership violated the terms, conditions or
requirements of NPDES WW Permit No.NCO067342 and G.S. 143-215.l(a)(6) in the manner and extent shown in
Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2),a civil penalty may be assessed
against any person who violates the terms, conditions or requirements of a permit required by G.S. 143-215.l(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources,I, G. Landon Davidson,
P.G.,Regional Supervisor,Asheville Regional Office hereby make the following civil penalty assessment against Eaven
Brice Partnership:
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

$400.00 2 of the 2 violations of 143-215.1(a)(6)and Permit No.NC0067342,by discharging waste
the waters of the State in violation of the Permit Daily Maximum for BOD-Conc.
$400.00 TOTAL CIVIL PENALTY
$116.62 Enforcement Costs
$516.62 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.1(b),which are:
(1) The degree and extent of harm to the natural resources of the State,to the public health, or to private property
resulting from he violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty(30) days of receipt of this notice,you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option l: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality(do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or newviolation(s).
Please submit payment to the attention of.-
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 1, 2016
DWR 4 16-1115
Rutherford County
Karilea and Kevin Rhea
253 Indian Cove Park Road
Hendersonville,NC 28739
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Rhea 104 Yacht Is Rd.
Dear Mr. and Mrs. Rhea:
You have our approval for the impacts listed below for the purpose described in your application
dated November 7,2016, and received by the Division of Water Resources (Division) on
November 15,2016. These impacts are covered by the attached Water Quality General
Certification Number 3898 and the additional conditions listed below. This certification is
associated with the use of General Permit Number 30 once it is issued by the U.S. Army Corps
of Engineers. Please note that you should obtain any other federal, state or local permits before
proceeding with your project, including those required by(but not limited to) Sediment and
Erosion Control,Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit, and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b)
and/or(c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool I Below Pool
0.0335 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold,the new owner must be given a copy of this approval letter and
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

............. .__ . .. ... ..._... .
Rhea 104 Yam,
DWR# 16-�.
401 Approva.
Page 2 of 3
General Certifications)/Permit/Authorization and is responsible for complying with all
conditions. [15A NCAC 02H .0507(d)(2)]
3. No Impacts Beyond those in Application
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian
areas beyond the footprint of the impacts depicted in the Pre-Construction
Notification. All construction activities, including the design,installation, operation, and
maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes, or rules occur.
The turbidity standard of 10 NTUs (Nephelometric Turbidity Units) shall not be
exceeded as described in 15 A NCAC 02B .0200. Appropriate sediment and erosion
control practices must be used to meet this standard. Lake Lure is classified as B; Trout
waters.
4. Stabilization techniques must meet the General Conditions listed in the Shoreline
Stabilization Technique Selection Process found in Duke Energy's Shoreline
Management Guidelines for the Catawba-Wateree river system 2006 Shoreline
Management Plan.
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing
n on for an administrative a written petition hearingto the Office of Administrative Hearings
gs
(hereby known as OAH)within sixty (60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at(919)431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc)
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DEQ:

Rhea 104 Yacht Is Dr.
DWR# 16-1115
401 Approval
Page 3 of 3
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
Kevi.n.mitchell(cr�,ncdenr.gov if you have any questions or concerns.
Sincerely,
2Pricc'jP E r,Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion
cc: David Brown—USACE Asheville Regulatory Field Office (via email)
Wade Harmon-Duke Energy(via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—DEMLR(via email)
Clint Calhoun-Town of Lake Lure (via email)
Karilea Rhea-Property owner(via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Rutherford\401s\Non-DOT\Rhea 104 Yact Is Dr\APRVL.Rhea 104 Yact Is Dr 12.01.2016.docx

i

. .. .......... ..... ...
PAT MCCRORY
a
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 1, 2016
John M. Olofson
Rock Star Marble&Granite
6 Fairview Road
Asheville, NC 28803
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-DV-0282
Incident Number: 201601617
Rock Star Marble&Granite
Buncombe County, N.C.
Dear Mr. Olofson,
As you are aware,the Division of Water Resources,Asheville Regional Office, issued you a Notice of Violation
(NOV) on September 26,2016 for discharging process wastewater without a permit. Action items contained in the
NOV include ceasing all wastewater discharges to the storm drain and parking lot and to eliminate the physical
connection between the interior floor drains and the outside stormwater inlet.
On November 18,2016, Regional Office staff inspected your facility to assess the level of compliance. It appears
that a Pristine®Water System Hydro-Tower was installed in late October 2016.The Hydro-Tower is a closed-loop
system the recycles process wastewater without generating a discharge. A sump box installed in the shop floor
captures all process wastewater before being pumped to the Hydro-tower.A secondary settling hopper is used to
separate the wastewater components and ultimately aids in the removal and proper disposal of the rock dust. I
also observed that the stormwater inlet was cemented over and is no longer connected to the interior floor drains.
Based on these observations,the Division is not pursuing further action at this time.
It is advisable that all measures should be taken to avoid any future impacts to groundwater and surface water
resources.Any violations of water quality standards could result in enforcement actions. If you should have any
questions, please do not hesitate to contact me at the Asheville Regional Office at 828-296-4681 or via email at
[e-mail].
Sincerely,
Brett ve
Water ality Regional Operations
Asheville Regional Office
cc:ARO files
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-2964500

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
.» Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 1, 2016
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Pamela Putman Leonard Wise LLC
Attn: Leonard Wise
200 Newstock Road
Asheville,NC 28804
Return Receipt#
7015 1520 0003 5463 1421
SUBJECT: NOTICE OF VIOLATION and
RECOMMENDATION FOR ENFORCEMENT
200 Newstock Road
NOV-2016-WP-0004
Failure to secure 401
Buncombe County
Response deadline: January 1,2017
Dear Mr. Wise and Ms. Putman:
On November 29, 2016, Kevin Mitchell from the Asheville Regional Office of the Division of
Water Resources (DWR) conducted a site inspection at 200 Newstock Road Parcel Identification
Number(9732-31-9992-00000) in Buncombe County.
401 Water Quality Certification(WQC)violations were noted during the inspection and file
review. Approximately 140 feet of stream were impacted by unauthorized placement of fill (rip-
rap)to Wagner Branch, classified C.
As a result of the site inspection and file review, the following violations were identified:
VIOLATIONS
I. Failure to Secure a 401 Water Quality Certification (WQC)
A review of records confirmed that neither the DWR nor the US Army Corps of
Engineers (USACOE)has received an application for a 404 Permit or 401 WQC,prior to
the impacts noted above. Such an application is required pursuant to Section 404 of the
Clean Water Act and Part 15A of North Carolina Administrative Code 2H .0500.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 1 Asheville,North Carolina 28778
828 296 4500

200 Newstock Road
December 1,2016
Page 2 of 3
REQUIRED RESPONSE
The DWR requests that you respond by January 1,2017. Your response should be sent to the
attention of Kevin Mitchell, Division of Water Resources, 2090 US HWY 70, Swannanoa,NC
28778. You are encouraged to secure an environmental consultant to assist with your plan
development and authorization necessary to achieve compliance. It is recommended that you
contact Kevin Mitchell for additional guidance during plan development. The response should
address the following items:
1. Failure to Secure a 401 Water Quality Certification
a. Please explain why the activity occurred without prior authorization.
Two (2) options exist to resolve the violations related to the 401 Water Quality
Certification:
1. Apply to the U.S. Army Corps of Engineers for and receive a 404 Permit
pertaining to the stream modifications or fill that has occurred. A 401 WQC will
be required if the activities are permitted by the Corps. The application process as
described does not guarantee the impacts will be approved.
2. Restore the stream to pre-existing conditions which includes the restoration of
streambanks and the removal of rip rap.
If pursuing Option 1:
a. Contact the U.S. Army Corps of Engineers to determine the permitting needs of
the activities you have undertaken. The Asheville office phone number is (828)
271-7980.
b. Provide a proposed schedule of when you expect to have the required Pre-
Construction Notification(401 WQC application) submitted to DWR.
If pursuing Option 2:
a. Please submit a Stream Restoration Plan to this office for review and approval.
The plan must include the restoration of the streambanks and buffer along
streams.

.Jck Road
jer 1,2016
a3of3
It is recommended that you contact Kevin Mitchell of the Asheville Regional
Office for additional guidance during plan development. The plan should include
the following:
b. A proposed schedule with dates that indicate when you expect to begin and
complete the restoration work.
c. Once the plan has been implemented and is complete, a final report documenting
restoration of the stream should be submitted to Kevin Mitchell.
Thank you for your attention to this matter. This Office is considering sending a
recommendation for enforcement to the Director of the Division of Water Resources regarding
these issues and any future/continued violations that may be encountered. Your above
mentioned response to this correspondence will be considered in this process.
This office requires that the violations, as detailed above,be abated immediately. Pursuant
to G.S. 143-215.6A,these violations and any future violations are subject to a civil penalty
assessment of up to $25,000.00 per day for each violation.
Should you have any questions regarding these matters,please contact Kevin Mitchell at(828)
296-4650 or kevin.mitchellgncdenr.gov.
Sincerely,
s
an Price, P.E., Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
cc: William Elliott—USACE (via email)
Andrea Leslie—NCWRC (via email)
Karen Higgins, 401 &Buffer Permitting Unit
ARO File Copy
G:\WR\WQ\Buncombe\Complaints\201602583 New Stock Road Wise\NOV-2016-WP-0004 12.1.2016.docx

PA , C
0 DERV
WOW ,
Certified Mail # 7014 0510 0000 4466 4361
Return Receipt Requested '
December 1, 2016
Bob B Leatherwood
Silver Bluff Realty`L.LC
100 Silver Bluff Dr
Canton, NC 28716
SUBJECT: NOTICE OF VIOLATION &INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2016-LV-0629
Permit No. NCO033600
Pigeon Valley Rest Home WWTP
Haywood County
Lear Permittee:
A review of the August 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day(20 Deg. C) - 8/10/2016 45 69.8 Daily Maximum Exceeded
Concentration (C0310)
001 Effluent BOD, 5-Day (20 Deg. C) - 8/17/2016 45 125 Daily Maximum Exceeded
Concentration (C0310)
001 Effluent BOD, 5-Day(20 Deg. C) - 8/31/2016 30 60.63 Monthly Average Exceeded
Concentration (C0310)
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty of not
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails
to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you wish to provide additional information regarding the noted violation, request technical assistance, L,
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the
violations. If no response is received in this Office within the 10-day period, a civil penalty
assessment may be,prepared.
Remedial'actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder: Pursuant to Permit Condition 6 in Section E. the:Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor '
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Gifford Raulerson/ ORC
G:\WR\WQ\Haywood\Wastewater\Minors\Silver Bluff-Pigeon Valley 33600\N0V-N0I-2016-LV-0629.rtf

no
air
Certified Mail # 7014 0510 0000 4466 4378
Return Receipt Requested
December 1, 2016
Eunice L Tingle
Royal Oaks Inc
200 Golfwatch Rd
Canton, NC 28716
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-MV-0063
Permit No. NCO040355
Springdale Country Club WWTP
Haywood County
Dear Permittee:
A review of the 3une 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the deficiency(s)
indicated below:
Monitoring Deficiencv(s):
Sample Monitoring
Location Parameter Date Frequency Type of Deficiency
001 Effluent pH (00400) Week ending 6/4/2016 Weekly Frequency Violation
001 Effluent Temperature, Water Deg. Week ending 6/4/2016 Weekly Frequency Violation
Centigrade(00010)
Please be aware that non-compliance with your permit could result in enforcement action by the Division of
Water Resources for these and any additional violations of State law. The Asheville Regional Office encourages
you to take all necessary actions to bring your facility into compliance.
If the above parameters were left off inadvertently, please send amended DMRs within 10 business days of receipt
'-his letter to Raleigh at the address found on the front page of your DMR and also a copy to this office.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you should need any assistance or would like to discuss this non-compliance situation, please contact Jai.
Cantwell of the Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement file
NPDES Compliance/Enforcement Unit Enforcement File
Gifford Raulerson/ ORC
r
G:\WR\WQ\Haywood\Waste+vater\Minorsl5pringdale Country Club 40355\NOD-2016-MV-0063.rtf

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY -
Director
December 2,2016
DWR# 16-1143
Rutherford County
Fred and Jacqueline Dunlop
23 Pine Briar Circle
Houston, TX 77056
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Dunlop 204 Pier Pointe Drive
Dear Mr. and Mrs. Dunlop:
You have our approval for the impacts listed below for the purpose described in your application
dated November 16, 2016, and received by the Division of Water Resources(Division) on
November 18, 2016,with additional information received on December 1, 2016. These impacts
are covered by the attached Water Quality General Certification Number 3898 and the additional
u conditions listed below. This certification is associated with the use of General Permit Number
30 once it is issued by the U.S. Army Corps of Engineers. Please note that you should obtain any
other federal, state or local permits before proceeding with your project, including those required
by-(but not limited to) Sediment and Erosion Control,Non-Discharge, Water Supply Watershed,
and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit,-and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b)
and/or(c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool Below Pool
0.0020 (acres) 0.0028 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project,you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold, the new owner must be given a copy of this approval letter and
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Dunlop 204
DWR# 16
401 Appro,,,
Page 2 of 3
General Certification(s)/Permit/Authorization and is responsible for complying with all
conditions. [15A NCAC 02H .0507(d)(2)]
3. No Impacts Beyond those in Application
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian
areas beyond the footprint of the impacts depicted in the Pre-Construction
Notification. All construction activities, including the design, installation, operation, and
maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes, or rules occur.
The turbidity standard of 10 NTUs (Nephelometric Turbidity Units) shall not be
exceeded as described in 15 A NCAC 02B .0200. Appropriate sediment and erosion
control practices must be used to meet this standard. Lake Lure is classified as B; Trout
waters.
4. Stabilization techniques must meet the General Conditions listed in the Shoreline
Stabilization Technique Selection Process found in Duke Energy's Shoreline
Management Guidelines for the Catawba-Wateree river system 2006 Shoreline
Management Plan.
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty (60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:OOpm, excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100, provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DEQ:

Dunlop 204 Pier Dr.
DWR# 16-1143
401 Approval
Page 3 of 3
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
Kevin.mitchell@,ncdenr.gov if you have any questions or concerns.
Sincerely,
Zan Price, P.E., Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion
- cc: David Brown—USACE Asheville Regulatory Field Office (via email)
Wade Harmon—Duke Energy(via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—DEMLR(via email)
Clint Calhoun—Town of Lake Lure(via email)
Kim Warner-Consultant(via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Rutherford\401s\Non-DOT\Dunlop 204 Pier Dr\APRVL.Dunlop 204 Pier Dr.12.02.2016.doex

..��
r.J1

PAT MCCR.ORY
covemor
DONALD R. VAN DER VAART
Seeretary
S. JAY ZI.MMERMA.N
Water kesources
ENVIRONMENTAL QUALITY Director
December 2, 2016
Jack Wallin, Mayor
Town of Marshall
Post Office Box 548
Marshall, NC,28753-0548
Subject: Permit No. WQ0038896
Town of Marshall
Phase II Water System Improvements
Wastewater Collection System Extension Permit
Madison County
Dear Mr. Wallin:
In accordance with your application received November 7, 2016, and additional information received on
November 21, 2016, we are forwarding herewith Permit No. WQ0038896 dated December 2, 2016, to
the Town of Marshall (Permittee) for the construction and operation upon certification of the subject
wastewater collection system extension. This permit shall be effective from the date of issuance until
`-% rescinded, and shall be subject to the conditions and limitations as specified therein. This cover letter
shall be considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition IIA: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T.0403 or any individual system-wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
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 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.
2090 U.S.70 Highway,Swannanoa,NC 28778
Phone:[phone]\Internet:www.ncwatergualitV.org
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

Town of Marshall
Permit No.WQ0038896
If you need additional information concerning this matter,.please contact Tim Heim at(828) 296-4500 or
via e-mail at [e-mail].
Sincerely,
forS.Jay7Zimmerman, P.G.
Director, onof Water Resources
G. Landon Davidson, Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: Mike Dowd, P.E.—McGill Associates, P.A. (electronic copy)
Regional Office Files
Water Resources Central Files
PERCS(electronic copy)
G:\WR\WQ\Madison\Collection Systems\Marshall Collection System\WQ0038896 Phase II Water Improvements.dou
Page 2 of 9

nvlr6nmenta
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION 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
Town of Marshall
Madison County
for the construction and operation of a 332—gallon per minute pump station with a simplex pump, as
well as approximately 1,930 linear feet of 6-inch force main (PVC and HDPE) to serve a groundwater
treatment filter backwash system as part of the Phase II Water System Improvements project, and the
discharge of 7,320 gallons per day of collected industrial wastewater into the Town of Marshall's
existing sewerage system, pursuant to the complete application received November 21, 2016 and in
conformity with 15A NCAC 2T;the Division's Gravity Sewer Minimum Design Criteria adopted February
12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting data subsequently
—� filed and approved by the Department of Environmental Quality and considered a part of this permit.
The pump station only serves the groundwater treatment system filters and is not required to have on-
site audible,visual high water alarms,telemetry, or backup power per approved variance.
This permit shall be effective- from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
for S.Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0038896
Permit Issued: December 2,2016
Page 3 of 9

SUPPLEMENT TO PERMIT COVER SHEET
Town of Marshall is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the Town of Marshall
Wastewater Treatment Facility in accordance with Permit Number NC0021733.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina-licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as-constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
1. As filter backwash originates from the water treatment system's greensand filters,the facility is
exempt from the design requirements associated with 15A NCAC 02T.0305(h)(1).The associated
force main shall continue to adhere to all applicable rules, regulations and design criteria.
2. No flow in excess of the quantity permitted herein, 7,320 gallons per day, shall be made tributary to
the subject sewer system until an application for permit modification for an increase in flow has
been submitted to and approved by the Division. [15A NCAC 02T.0304(b)]
I1. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by 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. [15A NCAC 02T.0104;G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
Page 4 of 9

4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 213 .0506(a), and public notice shall be provided as required by North
Carolina General Statute§143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors,enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems,the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map,which shall be maintained for the life of the system.
Page 5 of 9

5. The Permittee shall report by telephone to a water resources staff member at the Asheville Region,
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of,the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage,etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
733-3300: Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five 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. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215.1C(a1)]
6. Construction of the gravity sewers,.pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities,the completed ,
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
Page 6 of 9

source or pump is dedicated to multiple stations, an evaluation of all the pump stations'storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes,shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings,on the certification
in the space provided,or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested
modifications or variances to the Minimum Design Criteria will be reviewed on a case-by-case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After-construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification &activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis. Resolution of such request shall be evident prior to completing and
- submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and limitations containedin this permit; 15A NCAC. 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials 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, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. [15A
NCAC 02T.0104;15A NCAC 02T.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action,'including
those as may be required by this Division, such as the construction of additional or replacement
facilities. [15A NCAC 02T.0110; 15A NCAC 02T.0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal,State,of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 9

[THIS PAGE INTENTIALLY LEFT BLANK]
j
Page 8 of 9

FAST TRACK SEWER ENGINEERING CERTIFICATION
cRMITTEE: TOWN OF MARSHALL
PERMIT#: WQ0038896
PROJECT: PHASE II WATER SYSTEM IMPROVEMENTS
ISSUE DATE: December 2, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I,the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name,Title Signature Date
ENGINEERS CERTIFICATION
I, as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
Phase II Water System Improvements and location as referenced above for the above Permittee hereby
state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance of this
permit; 15A NCAC 02T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-
Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other
supporting materials.
......:.....................................................................
North Carolina Professional Engineer's Seal w/signature &date:
❑ Final ❑ Partial (include description)
.........................................................................
Certification Comments/Qualifiers(attach if necessary):
NC DWR—Water Quality Regional Operations Section 2090 US Hwy 70,Swannanoa, NC 28778
Asheville Regional Office Phone: [phone] FAX:[phone]

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PAT M.C:CRORY
7
DONALD R. VAN DER V AART
7 SST T��{Tc,f ASe,{ hr iy.
.�S, JAi Z.I. MFi .MAlY:.
;.. ENV1I2OMMENTAL 615E LITY _
November 21,2016
The Honorable Jack Wallin,Mayor
Town of Marshall
PO Box 548
Marshall, NC 28755
Subject: Variance Request Approval
3
Town of Marshall Backwash Pump Station
Madison County
Dear Mx.Wallin:
The Division of Water Resources(Division)has reviewed the submitted variance requestfor the subject project. The
Division will grant the variance request for Town of Marshall Backwash Pump Station with the following special
conditions incorporated into the permit:
• As filter backwash originates from the water treatment system's greensand filters, the facility is exempt
from the design requirements associated with 15A NCAC 02T.0305(h)(1). The associated force main shall
continue to adhere to all applicable rules,regulations and design criteria.
Regardless of the variance approval, in the event that the wastewater collection facilities fail to perform
-' satisfactorily, including the creation of nuisance conditions,the Permittee shall take immediate corrective action,
including those as maybe required by this Division,such as the construction of additional or replacement facilities.
All other elements of this,project shall be constructed in accordance with all applicable rules and statues including,
15A NCAC 2T;the Division of Water Resources'(Division)Gravity Sewer Minimum Design Criteria adopted February
12, 1996 as applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations
and Force Mains adopted June 1,2000 as applicable. Approval of the variance request does not constitute approval
of the permit.
if you have any questions, please contact Michael Leggett, P.E. at 919-807-6312 or via email at
michael.leg,[e-mail].
Sincerely,
forlayZimmerman,P.G.
Director, Division of Water Resources
by Deborah Gore,PERCS Supervisor
Division of Water Resources,NCDEQ
cc: Asheville Regional Office,Water Quality Section Regional Operations
PERCS Files(electronic copy)
State oflvorth Carolina I Environmental Quality I Water Resources
1611 Mail service Center I Raleigh:North Carolina 27699-1611
919 807 6300 ——

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PAT MCCRORY
Govemor
Id
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 2, 2016
Scott Keith Jones
1365 Walls Church Road
Ellenboro,NC 28040
Subject: Incident Closure
1365 Walls Church Road(PIN: 1647998)
NOV-2016-PC-0415
Rutherford County
Dear Mr. Jones:
On November 30,the Division of Water Resources received a final report and pictures of the
restoration activities that were conducted related to the Notice of Violation and Recommendation
for Enforcement NOV-2016-PC-0493.
The written response and restoration activities performed have satisfactorily resolved the
violations noted in the subject Notice of Violation and Recommendation for Enforcement.
Your attention and cooperation is greatly appreciated. Should you have any questions regarding
this matter or other water quality issues or concerns,please contact me at(828) 296-4650 or
[e-mail].
Sincerely,
Kevin Mitchell
Environmental Specialist
Water Quality Regional Operations
Asheville Regional Office
cc: David Brown—USACE (via email)
Stan Aiken—DEMLR(via email)
ARO File Copy
G:\WR\WQ\Rutherford\Complaints\1365 Walls Church Road\CLO.NOV-2016-PC-0415.Jones.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S Hwy 701 Swannanoa,North Carolina 28778
828 296 4500

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PAT MCCRORY
17 i
Governor
m DONALD R. VAN DER VAART
Secretary
✓VaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 2, 2016
DWR# 16-1143
Rutherford County
Fred and Jacqueline Dunlop
23 Pine Briar Circle
Houston, TX 77056
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Dunlop 204 Pier Pointe Drive
Dear Mr. and Mrs. Dunlop:
You have our approval for the impacts listed below for the purpose described in your application
dated November 16, 2016, and received by the Division of Water Resources (Division) on
November 18, 2016, with additional information received on December 1, 2016. These impacts
are covered by the attached Water Quality General Certification Number 3 898 and the additional
conditions listed below. This certification is associated with the use of General Permit Number
30 once it is issued by the U.S. Army Corps of Engineers. Please note that you should obtain any
other federal, state or local permits before proceeding with your project,including those required
by(but not limited to) Sediment and Erosion Control,Non-Discharge, Water Supply Watershed,
and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit, and/or Buffer.Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b)
and/or(c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool IBelow Pool
0.0020 (acres) 0.0028 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project,you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold,the new owner must be given a copy of this approval letter and
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Dunlop 204
DWR# 16
401 Approv,
Page 2 of 3
General Certification(s)/Permit/Authorization and is responsible for complying with all
conditions. [15A NCAC 02H .0507(d)(2)]
3. No Impacts Beyond those in Application
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian
areas beyond the footprint of the impacts depicted in the Pre-Construction
Notification. All construction activities, including the design, installation, operation, and
maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes,or rules occur.
The turbidity standard of 10 NTUs (Nephelometric Turbidity Units) shall not be
exceeded as described in 15 A NCAC 02B .0200. Appropriate sediment and erosion
control practices must be used to meet this standard. Lake Lure is classified as B; Trout
waters.
4. Stabilization techniques must meet the General Conditions listed in the Shoreline
Stabilization Technique Selection Process found in Duke Energy's Shoreline
Management Guidelines for the Catawba-Wateree river system 2006 Shoreline
Management Plan.
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:OOam and 5:OOpm, excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One(1) copy of the petition must also be served to DEQ:

Dunlop 204 Pier Dr.
DWR# 16-1143
401 Approval
Page 3 of 3
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
Kevin.mitchell@,ncdenr.gov if you have any questions or concerns.
Sincerely,
Zan Price, P.E., Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion
cc: David Brown—USACE Asheville Regulatory Field Office(via email)
Wade Harmon—Duke Energy(via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—DEMLR(via email)
Clint Calhoun—Town of Lake Lure(via email)
Kim Warner—Consultant(via email)
DWR.ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Rutherford\401s\Non-DOT\Dunlop 204 Pier Dr\APRVL.Dunlop 204 Pier Dr.12.02.2016.doex

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Certified Mail # 7014 0510 0000 4466 4446
Return Receipt Requested
December 2, 2016
Eunice L Tingle
Royal Oaks Inc
200 Golfwatch Rd
Canton, NC 28716
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0635
-" Permit No. NCO040355
Springdale Country Club WWTP
Haywood County
Dear Permittee:
A review of the August 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day(20 Deg. C) - 8/10/2016 45 54.6 Daily Maximum Exceeded
Concentration (C0310)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional.
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Gifford Raulerson/ ORC
G\WR\WQ\Haywood\Wastewater\Minors\Springdale Country Club 40355\NOV-2016-LV-0635.rtP

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Certified Mail # 7014 0510 0000 4466 4422
Return Receipt Requested
December 2, 2016
Ron Nalley, Town Manager
Town of Lake Lure
PO Box 255
Lake Lure, NC 287461-0255
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0633
Permit No. NCO025381
Lake Lure WWTP
Rutherford County
Dear Permittee:
A review of the August 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Flow, in conduit or thru 8/31/2016 0.495 0.5429 Monthly Average Exceeded
treatment plant(50050)
Remedial actions, if not already implemented, should betaken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations. If the violations are of
a continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent (SOC).
It was noted that the permit registration was still in Chris Braund's name, including all information connected
with the EDMR. Included with this letter are the forms"'Permit Name/ Ownership Change Request"and the
'Delegation of Signatory Authority".
aase fill these out and return to the address.found on the bottom of the second page. You may also go to the
web page and fill it out online. Please call Janet Cantwell/ 828-296-4667 of this Office for more information.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

Please review the Flows for the August 2616 EDMR and submit a written response within 10 days of re,-
this letter to this Office explaining why the Monthly Average Flow exceeded the permit limit by 9.68 %.
If you have any questions concerning this matter or to apply for an SOC, please contact Janet Cantwell of the
Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G.,. Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Attachments (Two)
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Byers Environmental/ ORC
G:\WRiWQIRutherford\WastewaterNMl inicipallLake Lure WWTP 25381\NOV-2016-LV-0633.rtf

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Certified Mail # 7014 0510 0000 4466 4385
Return Receipt Requested
December 2, 2016
Eunice L Tingle
Royal Oaks Inc
200 Golfwatch Rd
Canton, NC 28716
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-MV-0135
Permit No. NCO040355
' Springdale Country Club WWTP
Haywood County
Dear Permittee:
A review of the July 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Monitoring Violation(s�:
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent Coliform, Fecal MF, MFC Broth, 7/23/2016 Weekly Frequency Violation
44.5 C(31616)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
If the above parameter was left off inadvertently, please send amended DMRs within 10 business days of receipt of
this letter to Raleigh at the address found on the front page of your DMR and also a copy to this office.
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

..............
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Region.
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Gifford Raulerson/ ORC
G:\WR\WQ\Haywood\Wastewater\Minor\Springdale Country Club 4035%NOV-2016-MV-0135.rtf

Certified Mail # 7014 0510 0000 4466 4415
Return Receipt Requested
December 2, 2016
Mizpah Healthcare Inc
260 Center Way Dr.
Hendersonville, NC 28792
SUBJECT: NOTICE OF VIOLATION &INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2016-LV-0632
Permit No. NCO074110
Mountain View Assisted Living WWTP
Henderson County
`vear Permittee:
A review of the August 2016 Discharge Monitoring Report(DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day(20 Deg. C) - 8/3/2016 7.5 9.93 Daily Maximum Exceeded
Concentration (C0310)
001 Effluent BOD, 5-Day(20 Deg. C) - 8/11/2016 7.5 12.7 Daily.Maximum Exceeded
Concentration (C0310)
001 Effluent Solids,Total Suspended - 8/11/2016 45 61.9 Daily Maximum Exceeded
Concentration (CO530)
001 Effluent BOD, 5-Day(20 Deg. C) - 8/18/2016 7.5 32.2 Daily Maximum Exceeded
Concentration (C0310)
001 Effluent BOD, 5-Day(20 Deg. C) - 8/31/2016 5 12.52 Monthly Average Exceeded
Concentration (C0310)
l
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolir,.
Statute (G.S.) 143-215.1 and the facility's NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty of i,
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fair_
to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the
violations. If no response is received in this Office within the 10-day period, a civil penalty
assessment may be prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder: Pursuant to Permit Condition 6 in Section E. the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for'anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
Your facility will be required to report your Discharge Monitoring Reports electronically by Decembe---,,
21, 2016. i'
For more information, please visit the eDMR Website at the following address:
http://portal ncdenr org/web/wg/admin/bog/iau/edmr
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Reg�ionalup ' or
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit Enforcement File
James &James Environmental/ ORC
G:\NJR;WQ\Henderson\Wastewater;Minors\Mountain View Assisted Living 74110\N0V-N0I-2016-LV-0632.rtf

spa
Certified Mail # 7015 1520 0003 5463 1445
Return Receipt Requested
December 2, 2016
Laurence Harwood, Jr, General Partner
Meadows Partnership
P.O. Box 1327
Hixson, TN 37343
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-PC-0561
Permit No. WQ0036327
Mystic Meadows WWTF
Swain County
Dear Permittee:
A review of the February 2016 Non-Discharge Monitoring Report (NDMR) for the subject facility revealed the
violation(s) indicated below: _ --
Reporting Violation(s):
Date Type of Violation
2/2016 Late/Missing NDMR
Remedial actions, if not already implemented, should be taken to correct any noted problems. Please
submit a copy of the missing report to the Asheville Regional Office as well as to the Information
Processing Unit in Raleigh, within 10 days of receipt of this Notice. The Division of Water Resources
may pursue enforcement actions for this and any additional violations.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you have any questions concerning this, please contact Beverly Price of the Asheville Regional Office at
828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water.Resources, NCDEQ
Cc: Hugh Shannon, REHS Reuse Innovations, Inc. 71 Ledford Drive Franklin, NC 28734
WQS Asheville Regional Office - Enforcement File
Non-Discharge Compliance/Enforcement Unit - Enforcement File
G:\WR\WQ\Swain\Wastewater\Non-discharge\Mystic Lands,Inc\Word Docs\N0V-2016-PC-0561Af
1

i P e RO!
. �
PA im
Certified Mail # 7014 0510 0000 4466 4392
Return Receipt Requested
December 2, 2016
Mizpah Healthcare Inc
74 Lotus Lane
Hendersonville, NC 28792
SUBJECT: NOTICE OF VIOLATION &INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2016-LV-0630
Permit No. NCO071897
Henderson's Assisted Living WWTP
Henderson County
'-.gar Permittee:
A review of the August 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day(20 Deg. C) - 8/4/2016 7.5 16 Daily Maximum Exceeded
.Concentration (C0310)
001 Effluent BOD, 5=Day(20 Deg. C) - 8/11/2016 7.5 15.5 Daily Maximum Exceeded
Concentration (C0310)
001 Effluent BOD, 5-Day(20 Deg. C) - 8/18/2016 7.5 11.2 Daily Maximum Exceeded
Concentration (C0310)
001 Effluent BOD, 5-Day(20 Deg. C) - 8/24/2016 7.5 16.3 Daily Maximum Exceeded
Concentration (C0310)
001 Effluent BOD, 5-Day(20 Deg. C) - 8/31/2016 5 12.65 Monthly Average Exceeded
Concentration (C0310)
r
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina t
Statute (G.S.) 143-215.1 and the facility's NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty of not
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or falls
to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the
violations. If no response is received in this Office within the 10-day period, a civil penalty
assessment may be prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder:Pursuant to Permit Condition 6 in Section E. the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
Your facility will be required to report your Discharge Monitoring Reports electronically by Decembe J
21, 2016.
For more information, please visit the eDMR Website at the following address:
_ :=http://portal ncdenr org/web/wg/admin/bog/iou/edmr
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
James &James Environmental/ ORC
Gc\WR\WQ\Henderson\Wastewater\Minors\Henderson's Assisted Living 71897\N0V-N0I-2016-LV-0630.rtf

t T -
3
Certified (Nail # 7014 0510 0000 4466 4405
Return 'Receipt Requested
December 2, 2016
Nathan D Benson
PO Box 1090
Mountain Home, NC 28758-1090
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0631
Permit No. NCO066362
Benson Apartments WWTP
Henderson County
\�1ear Permittee:
A review of the June 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent pH (00400) 6/3/2016 6 0.3 Daily Minimum Not Reached
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
It was noted that the Compliance box on the back of the DMR was marked "Compliant." Please send an
explanation in writing within ten (10) days to this Office why the pH was 35% below the NPDES
permitted limit of 6.0 for pH.
It was also noted that the previous monthly DMR for May 2016 was marked""Compliant"with a pH of 5.9
on May 2, 2016, and a pH limit of 6.0.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

iY
i1
1
Your facility will be required to report your Discharge Monitoring Reports electronically by Dec,
21, 2016.
For more information, please visit the eDNIR Website at the following address:
http://porta.l.ncdelnr.org/web/wq/­"admin/­boci/ipu/­edmr.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson,`P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit- Enforcement File
James &James Environmental/ ORC
G:\WR\WQ\Henderson\VVastewater\Minors\Benson Apartments 66364N0V-2016-LV-0631.rtf

AIN
CERTIFIED MAIL #: 7015 1520 0003 5463 1452
RETURN RECEIPT REQUESTED
December 5, 2016
Thomas E Hartye, PE
Metropolitan Sewerage District of Buncombe County North Carolina
2028 Riverside Dr.
Asheville, NC 28804-3054
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-DV-0335
Sanitary Sewer Overflows - November 2016
Collection System Permit No. WQCS00004
MSD Buncombe County Collection System
Buncombe County
Dear Permittee:
The self-reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by Metropolitan Sewerage District of
Buncombe County North Carolina indicates violations of permit conditions stipulated in the subject permit and
North Carolina G.S. 143-215.1. Violations include failing to effectively manage, maintain, and operate the subject
collection system so that there is no SSO to the land or surface waters and making an outlet to waters of the
State for purposes of G.S. 143-215.1(a)(1), for which a permit is required.
Specific incident(s) cited in the subject report include the following:
Total Vol
Total Surface
Incident Start Duration Vol Water
Number Date (Mins) Location Cause (Gals) (Gals) DWR Action
201602459 11/4/2016 162 30 Lancelot Ln. Pipe Failure(Break) 393 393 Notice of Violation
Remedial actions, if not already implemented, should be taken to correct the above noncompliance.
l
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4560
. ...-...-....

If you have any questions, please do not hesitate to contact Linda Wiggs with the Water Quality Sectio
Asheville Regional Office at 828-296-4500 or via email at [e-mail].
Sincerely,
Fv r
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: Ken Stines, (e-copy)
Asheville Regional Office -WQS File
Central Files, Water Quality Section
G:\WR\WQ\Buncombe\Collection Systems\MSD Collection System WQCS00004\SSO's\NOV-2016-DV-0335.SSO 11-4-2016.rtf
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

S 01 .
j� l:iZt W�
Certified Mail # 7014 0510 0000 4466 4453
Return Receipt Requested
December 5, 2016
Nathan D Benson
PO Box 1090
Mountain Home, NC 28758-1090
SUBJECT: NOTICE'OF VIOLATION &INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2016-LV-0636
Permit No. NCO066362
Benson Apartments WWTP
Henderson County
Dear Permittee:
A review of the August 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s)-
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Solids,Total Suspended- 8/4/2016 45 78.9 Daily Maximum Exceeded
Concentration (C0530)
001 Effluent Solids,Total Suspended - 8/11/2016 45 73.3 Daily Maximum Exceeded
Concentration (CO530)
001 Effluent Solids, Total Suspended - 8/18/2016 45 66.2 Daily Maximum Exceeded
Concentration (CO530)
001 Effluent Solids, Total Suspended - 8/31/2016 30 60.24 Monthly Average Exceeded
Concentration (CO530)
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Caroline
Statute (G.S.) 143-215.1 and the facility's NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty of n%_
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails
to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the
violations. If no response is received in this Office within the 10-day period, a civil penalty
assessment may be prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder: Pursuant to Permit Condition 6 in Section E, the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
James &James Environmental/ ORC
G:�WR\bVQ\Hendersan\LNastewaterlMinors�fletcher Academy 36641\N0V-N0I-2016-LM-0068.rtf

P'
E
:
��F rce s
Certified Mail # 7014 0510 0000 4466 4439
Return Recent Requested
December 5, 2016
Ed Nunez, Registered Agent
Vista Developers, LLC
525 N Main St
Hendersonville, NC 28792
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0634
Permit No. NCO088056
Blacksmith Run WWTP
Henderson County
`near Permittee:
A review of the August 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Coliform, Fecal MF, MFC Broth, 8/9/2016 400 2,000 Daily Maximum Exceeded
44.5 C(31616)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
Your facility will be required to report your Discharge Monitoring Reports electronically by December
21, 2016.
For more information, please visit the eDMR Website at the following address:
http://portal.ncdenr.org/web/`wg/­admin/­boci/ipu/`edmr.
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
r—cs/
G. Landon Davidson, P.G:, Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
RPB Systems/ ORC
J
G:\�,VR\IPIQ\Henderson\Wastewater\Minors\Blacksmith Run 88056\NOV-2016-LV-0634.rtf

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources
ENVIRONMENTAL QUALITY - S. JAY ZIMMERMAN
Director
December 5, 2016
DWR# 16-0418-V2
Transylvania County
The Broadway Group, LLC
Attn: Melissa Ballard & Robert M. Broadway
216 West Side Square
Huntsville, AL, 35801
Subject: REQUEST FOR ADDITIONAL INFORMATION
New Retail Store—Brevard, NC
Dear Ms. Ballard & Mr. Broadway:
On November 8, 2016,the Division of Water Resources (Division) received your application
requesting a 401 Water Quality Certification from the Division for the above referenced project.
Additional information (signature page &agent authorization form) was received on November
9, 2016. The Division has determined that your application is incomplete and cannot be
processed.The application is on-hold until all of the following information is received:
1. Page 10 of 10 carries the signature of Jerry M. Cargile. In order for Jerry M. Cargile to sign,
the application package requires an agent authorization letter from the applicant. The
Agent Authorization form submitted authorizes Robert M. Broadway of the Broadway
Group for permit authorization. Please provide correct responsible party application
signature page or agent authorization form. A sample agent authorization letter can be
found on the USACE website. [15A NCAC 02H .0502(f)]
2. Please provide more details regarding avoidance and minimization of the stream impacts
for this project. [15A NCAC 02H .0506(f) and (g)] This should include alternative designs and
layouts of the commercial retail store. This Office believes that the Retail Store Building and
Parking area labeled on the plans can be moved or reconfigured to minimize the impacts to
the stream. Please revise the plans to minimize the impacts or provide a detailed
explanation of why this plan for the activity cannot be practically accomplished, reduced or.
reconfigured to better minimize disturbance to the stream.
3. Please provide a detailed engineering plan, profile view, and cross-section of all proposed
-' culverts and associated junction boxes. These drawings must include details regarding
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 Swannanoa,North Carolina 28778
828 296 4500

kT
U � '...
Certified Mail # 7014 0510 0000 4466 3906
Return Receipt Requested
December 5, 2016
Dr. Andrew Price, LFMC POA President
Linville Falls Club Property Association Inc
326 Blue Ridge Drive
Marion, NC 28752
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0638
Permit No. NCO080098
Linville Falls Mountain Club and Preserve WWTP
McDowell County
Dear Permittee:
A review of the August 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day (20 Deg. C) - 8/23/2016 7.5 9.3 Daily Maximum Exceeded
Concentration (C0310)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
It was also noted that the Compliance reference on the back of the eDMR was marked`Compliant"when in fact
it should have been marked "Non-Compliant"with an explanation for the violation.
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
James &James Environmental/ ORC
G:\WR,WQ\McDowell\Wastewater\Minors\Linville Falls Blue Ridge Country Club 80098\NOV-2016-LV-0638.rtf

a- 3' } ? I �
W " 2 I � 1
t
WOW
Certified Mail* 7014 0510 0000 4466 3913
Return Receipt Requested
December S, 2016
Martin J. Lashua
Transylvania Utilities Inc
PO Box 240908
Charlotte, NC 28224-0908
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-LV-0130
Permit No. NCO024295
Connestee Falls WWTP #1
Transylvania County
Dear Permittee:
A review of the June 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the deficiency(s)
indicated below:
Limit Exceedance Deficiency(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Deficiency
001 Effluent Coliform, Fecal MF, MFC Broth, 6/29/2016 400 412 Daily Maximum Exceeded
44.5 C(31616)
Please be aware that non-compliance with your permit could result in enforcement action by the Division of
Water Resources for these and any additional violations of State law. The Asheville Regional Office encourages
you to take all necessary actions to bring your facility into compliance.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you should need any assistance or would like to discuss this non-compliance situation, please contact Ja,.
Cantwell of the Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
David Medling/ ORC
G:\WR\WQ\Transylvania\Wastewater\Minors\Connestee Falls 24295\NOD-2016-LV-0130.rtf i

t
rJi .C'tw
.::...
Certified Mail # 7014 0510 0000 4466 4477
Return Receipt Requested
December 5, 2016
Scott Webber, Town Manager
Town of Spindale
PO Box 186
Spindale, NC 28160
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-MV-0136
Permit No..NCO020664
Spindale WWTP
Rutherford County
Dear Permittee:
A review of the June 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Monitoring Violation(s):
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent BOD, 5-Day(20 Deg. C) - 6/4/2016 5 X week Frequency Violation
Concentration (C0310)
001 Effluent Chlorine,Total Residual (50060) 6/4/2016 5 X week Frequency Violation
001 Effluent Coliform, Fecal MF, MFC Broth, 6/4/2016 5 X week Frequency Violation
44.5 C (31616)
001 Effluent Nitrogen,Ammonia Total (as N) - 6/4/2016 5 X week Frequency Violation
Concentration(C0610)
001 Effluent Oxygen, Dissolved (DO) (00300) 6/4/2016 5 X week Frequency Violation
001 Effluent pH(00400) 6/4/2016 5 X week Frequency Violation
001 Effluent Solids,Total Suspended - 6/4/2016 5 X week Frequency Violation
Concentration (C0530)
001 Effluent Temperature, Water Deg. 6/4/2016 5 X week Frequency Violation
Centigrade (00010)
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

.-_...-- ... .
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Divisi,
Water Resources may pursue enforcement actions for this and any additional violations. If the violations are
continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for Special Order by Consent (SOC).
Your facility will be required to report your Discharge Monitoring Reports electronically by December
21, 2016.
For more information, please visit the eDMR Website at the following address:
http://portal.ncdenr.org/web/wgZadminjbog/ipu/edmr.
If you have any questions concerning this matter or to apply for an SOC, please contact Janet Cantwell of the
Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File _
NPDES Compliance/Enforcement Unit - Enforcement File
Lance Mundy/ ORC �
G:\WR\WQ\Rutherford\Wastewater\Municipal\Spindale WWTP 20664\NOV-2016-MV-0136.rtf

i 'A
.S .
Certified Mail # 7014 0510 0000 4466 3890
Return Receipt Requested
December 5, 2016
D Marche Pittman
Polk County
PO Box 308
Columbus, NC 28722-0308
SUBJECT: NOTICE OF VIOLATION &INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2016-LV-0637
Permit No. NC0004464
Woodland Mills WWTP
Polk County
Dear Permittee:
A review of the August 2016 Discharge-Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Solids, Total Suspended - 8/1/2016 45 75 Daily Maximum Exceeded
Concentration (C0530)
001 Effluent Solids, Total Suspended - 8/11/2016 45 90 Daily Maximum Exceeded
Concentration (C0530)
001 Effluent Solids, Total Suspended - 8/30/2016 45 64 Daily Maximum Exceeded
Concentration (C0530)
001 Effluent Solids, Total Suspended - 8/31/2016 30 40.18 Monthly Average Exceeded
Concentration (C0530)
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolir,.
Statute (G.S.) 143-215.1 and the facility's NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty ofl,
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fail-
to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the
violations. If no response is received in this Office within the 10-day period, a civil penalty
assessment may be prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder: Pursuant to Permit Condition 6 in Section E, the Permittee is required to verbally notify the Regional .
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson,P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
James&James Environmental/ ORC
Gc\WR\4VQ\Polk`Wastewater\Minors,Woodland Mills 04464\N0V-N01-2016-1V-0637.rtf

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keg
Certified Mail # 7014 0510 0000 4466 3883
Return Receipt Requested
December 5, 2016
Vito Montaperto
Dana-Hill Corporation
1010 Dana Rd
Hendersonville, NC 28792
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-LV-0129
Permit No. NCO073393
Dana Hill WWTP
Henderson County
Dear Permittee:
A review of the August 2016 Discharge Monitoring Report(DMR) for the subject facility revealed the
_deficiency(s) indicated below:
Limit Exceedance Deficiency(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Deficiency
001 Effluent BOD, 5-Day (20 Deg. C) - 8/2/2016 45 46.5 Daily Maximum Exceeded
Concentration (C0310)
Please be aware that non-compliance with your permit could result in enforcement action by the Division of
Water Resources for these and any additional violations of State law. The Asheville Regional Office encourages
you to take all necessary actions to bring your facility into compliance.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you should need any assistance or would like to discuss this non-compliance situation, please contact Ja..
Cantwell of the Asheville Regional Office at 828-296-4500.
Sincerely,
Full
G. Landon Davidson, P.G., Regional Supervisor
Water Quality.Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
James &James Environmental/ ORC
G:\WR\1VQ\Henderson\Wastewater\Minors\Dana Hill 73393\H0D-2016-LV-6129.rtf

PAT MCCR.ORY
Governor
DONALD R. VAN DER VAART
,AdoSectrtan•
S. JAY ZIMMERMAN
Water Resources .
ENVIRONMENTAL QUALITY Director
December 6, 2016
Brett Cannady
Elk Mountain Business Associates
P.O. Box 16589
Asheville, NC, 28816
Subject: Permit No. WQ0038897
Elk Mountain Business Associates
Elk Mountain Business Park
Wastewater Collection System Extension Permit
Buncombe County
Dear Mr. Cannady:
In accordance with your application received November 22, 2016, we are forwarding herewith Permit
No. WQ0038897 dated December 6, 2016, to the Elk Mountain Business Associates (Permittee) for the
construction and operation upon certification of the subject wastewater collection system extension.
This permit shall be effective from the date of issuance until rescinded, and shall be subject to the
-' conditions and limitations as specified therein.This cover letter shall be considered a part of this permit
and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system-wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
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 30 days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150E 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.
2090 U.S.70 Highway,Swannanoa,NC 28778
Phone:[phone]\Internet:www.ncwaterguality.org
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

Elk Mountain Business Associates
Permit No.WQ0038897
If you need additional information concerning this matter, please contact Tim Heim at(828) 296-4500 or
via e-mail at [e-mail].
Sincerely,
for S.Jay Zimmerman, P.G.
Director, Division of Water Resources
G.Landon Davidson, Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: Gary D. Davis, P.E. - Davis Civil Solutions (electronic copy)
Kevin Johnson—MSD of Buncombe County
Regional Office Files
Water Resources Central Files
PERCS(electronic copy)
G:\WR\WQ\Buncombe\CollectionSystems\MSD Collection System WQCS00004\Fast Tracks Issued\WQ0038897 Elk Mountain Business Park.docx
Page 2 of 9

fa
w
Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION 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
Elk Mountain Business Associates
Buncombe County
for the construction and operation of approximately 121 linear feet of 6-inch gravity sewer to serve two
new office buildings with 48 employees as part of the Elk Mountain Business Park project, and the
discharge of 1,200 gallons per day of collected domestic and commercial wastewater into MSD of
Buncombe County's existing sewerage system, pursuant to the application received November 22, 2016
and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted
February 12, 1996 as applicable;the Division's Minimum Design Criteria for the Fast-Track Permitting of
Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting data
subsequently filed and approved by the Department of Environmental Quality and considered a part of
this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
for S.Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0038897
Permit Issued: December 6,2016
Page 3 of 9

SUPPLEMENT TO PERMIT COVER SHEET
Elk Mountain Business Associates is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the MSD of Buncombe County
Wastewater Treatment Facility in accordance with Permit Number NC0024911.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina-licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as-constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions identified
below.
I. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by 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. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with-the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.01101
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
4.. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
Page 4 of 9

An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 213 .0506(a), and public notice shall be provided as required by North
Carolina General Statute§143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems:
2. For privately owned collection systems,the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of.this-Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map,which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.;or
b. Any SSO and/or spill over 1,000 gallons;or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or.(919)
Page 5 of 9

733-3300. Persons reporting any of the above occurrences shall file a spill report by completing a�
submitting Part I of Form CS-SSO (or the most current Division approved form) within five 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. Part 11 of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215AC(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are -
provided as applicable. Supporting documentation shall include the following: i
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk)and are defined as the design.drawi.ngs.
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations'storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes, shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided,or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested J
Page 6 of 9

,nodifications or variances to the Minimum Design Criteria will be reviewed on a case-by-case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After-construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification&activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and Limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials 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, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. [15A
NCAC 02T.0104; 15A NCAC 02T.0108(b-c)]
l
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities. [15A NCAC 02T.0110; 15A NCAC 02T.0108(b_)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State,of Local government agencies: [G.S. 143-215.1(b)]
Page 7 of 9

............_._. _....... _ _ ____ _.... .__. ._
[THIS PAGE INTENTIALLY LEFT BLANK]
Page 8 of 9

FAST TRACK SEWER ENGINEERING CERTIFICATION
..MITTEE: ELK MOUNTAIN BUSINESS ASSOCIATES
PERMIT#: WQ0038897
PROJECT: ELK MOUNTAIN BUSINESS PARK
ISSUE DATE: December 6, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I,the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name,Title Signature Date
ENGINEERS CERTIFICATION
as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time)the construction of the Elk
Mountain Business Park and location as referenced above for the above Permittee hereby state that,to
the best of my abilities, due care and diligence was used in the observation of the construction such that
the construction was observed to be built within substantial compliance of this permit; 15A NCAC 02T;
the Division of Water Resources' (Division) Gravity Sewer Minimum Design Criteria adopted February 12,
1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump
Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
............................................................................
North Carolina Professional Engineer's Seal w/signature &date:
❑ Final ❑ Partial (include description)
...........................................................................
Certification Comments/Qualifiers(attach if necessary):
NC DWR—Water Quality Regional Operations Section 2090 US Hwy 70,Swannanoa, NC 28778
Asheville Regional Office Phone: [phone] FAX: [phone]

PAT MCCRORY
<._ LN_, Governor
DONALD R. VAN DER VAART
dc. Secretary
S. JAY ZIMMERMAN
Water Resources
ENVIRONMENTAL QUALITY
Director
December 6,2016
32 Pennsylvania LLC
Attention: Thomas Callahan
142 Bull Creek Road
Asheville,NC 28805
Subject: Stream Identification Request
Dear Mr. Callahan:
This letter provides the findings of a site visit to Buncombe County Parcel Identification Number 9648-
91-8283-00000 at 92 East Street in Asheville,NC conducted on December 5,2016 to provide a stream
determination. The stream feature is shown as a blue line on the Buncombe County GIS website(see
attached map)and enters the subject property at the southern property boundary and flows towards the
northern property boundary. The results of the stream determination were as follows:
Features Score Comments
GeomoThology 1.5
Hydrology 1.5
Biology 4
Total 7
Ephemeral
Determination: Stream
Determination
This on-site determination shall expire five(5)years from the date of this letter. Landowners or affected
parties that dispute a determination made by the Division of Water Resources(DWR)may request a
determination by the Director. An appeal request must be made within sixty(60)days of date of this
letter. A request for a.determination by the Director shall be referred to the Director in writing. If
sending via US Postal Service: c/o Karen Higgins;DWR 401 &Buffer Permitting Unit; 1617 Mail
Service Center;Raleigh,NC 27699-1617. If sending via delivery service(UPS,FedEx, etc.): Karen
Higgins;DWR-401 &Buffer Permitting Unit; 512 N. Salisbury Street;Raleigh,NC 27604.
This determination is final and binding unless, as detailed above, an appeal is requested within sixty(60)
days.
An Equal Opportunity/Affirmative Action Employer

December 6,2016
Page 2 of 2
Please contact me if I can be of any further assistance: 828-296-4662 or zan.price@:ncdenr.gov.
Sincerely,
Zan ce,PE
Assistant Regional Supervisor—Asheville Regional Office
Water Quality Regional Operation Section
NCDEQ—Division of Water Resources
Enclosures: Buncombe County GIS Map
GAWR\WQ\Buncombe\Stream Calls\92 East Street\StreamDetermination 92 East St.doex

Source: Buncombe County Online GIS ~ °
. Subject Parcel: 92,East Street, m N#964891828300000 \ \ 2 \

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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
- S. JAY ZIMMERMAN
Water Resources
Director
ENVIRONMENTAL QUALITY -
December 6, 2016
32 Pennsylvania LLC
Attention:Thomas Callahan
142 Bull Creek Road
Asheville,NC 28805
Subject: Stream Identification Request
Dear Mr. Callahan:
This letter provides the findings of a site visit to Buncombe County Parcel Identification Number 9648-
91-8283-00000 at 92 East Street in Asheville,NC conducted on December 5,2016 to provide a stream
determination. The stream feature is shown as a blue line on the Buncombe County GIS website(see
attached map)and enters the subject property at the southern property boundary and flows towards the
northern property boundary. The results of the stream determination were as follows:
Features Score Comments
GeomoMhology 1.5
Hydrology 1.5
Biology 4
Total 7
Ephemeral
Determination: Stream
Determination
This on-site determination shall expire five.(5)years from the date of this letter. Landowners or affected
parties that dispute a determination made by the Division of Water Resources(DWR)may request a
determination by the Director. An appeal request must be made within sixty(60)days of date of this
letter. A request for a.determination by the Director shall be referred to the Director in writing. If
sending via US Postal Service: c/o Karen Higgins;DWR-�-401 &Buffer Permitting Unit; 1617 Mail
Service Center;Raleigh,NC 27699-1617. If sending via delivery service(UPS,FedEx,etc.): Karen
Higgins;DWR—401 &Buffer Permitting Unit; 512 N. Salisbury Street;Raleigh,NC 27604.
This determination is final and binding unless, as detailed above,an appeal is requested within sixty(60)
days.
An Equal Opportunity/Affirmative Action Employer

December 6,2016
Page 2 of
Please contact me if I can be of any further assistance: 828-296-4662 or [e-mail].
Sincerely,
Zan 14 ce,PE
Assistant Regional Supervisor—Asheville Regional Office
Water Quality Regional Operation Section
NCDEQ—Division of Water Resources
Enclosures: Buncombe County GIS Map
GAWR\WQ\Buncombe\Stream Calls\92 East Street\StreamDetermination 92 East St.docx

Source: Buncombe County Online GIS
Subject Parcel: 92,East Street, PIN#964891828300000

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State of North Carolina
Department of Environmental Quality
Division of Water Resources
Water Quality Permitting
Regional Staff Report
December 6,2016
To: DWR Water Quay Permitting Section Central Office Application No.: WQ0004967
Attn: Ashley Kabat Regional Login No.:
From: Bev Price
Asheville Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? ®Yes or❑No
a. Date of site visit: 09/09/2016
b. Site visit conducted by: Bev Price
c. Inspection report attached? ®Yes or❑No
d. Person contacted: Juanita James,Environmental Management,Inc.and their contact information: SI
ORC(828)697-0063
e. Driving directions:-I-26 east to Hwy.64 toward Bat Cave. Turn right at the first stop light onto Sugarloaf
Road Follow signs to Alliuice.Facility is located approximately 3 miles on the.left.
H. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS
1. Facility Classification: (Please attach completed rating sheet to be attached to issued permit)
2. Are the new treatment facilities adequate for the type of waste and disposal system? ❑Yes or❑No
If no, explain;
3. Are site conditions(soils, depth to water table,etc)consistent with the submitted reports? ❑Yes ❑No ❑N/A
If no,please explain:
4. Do the plans and site map represent the actual site(property lines,wells,etc.)? ❑ Yes ❑No ❑N/A
If no,please explain:
5. Is the proposed residuals management plan adequate? ❑Yes ❑No ❑N/A
If no,please explain:
6. Are the proposed application rates(e.g.,hydraulic,nutrient)acceptable? ❑Yes ❑No ❑N/A
If no,please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? ❑Yes or❑No
If yes,attach a map showing conflict areas.
8. Is the proposed or existing groundwater monitoring program adequate? ❑Yes ❑No ❑N/A
If no, explain and recommend any changes to the groundwater monitoring program:
9. For residuals,will seasonal or other restrictions be required? ❑Yes ❑No ❑N/A
If yes, attach list of sites with restrictions(Certification B)
FORM:APSRSR 04-10 Page 1 of 4

...-_.__-...._.. ... --..-...
III.EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge(ORCs)for the facility? ®Yes ❑No ❑N/A
ORC: Juanita James Certificate#:SI 25034 Backup ORC: Davis James Certificate#:SI 1001739
2. Are the design,maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ®Yes or❑No
If no,please explain:
3. Are the site conditions(e.g., soils,topography, depth to water.table, etc)maintained appropriately and adequately
assimilating the waste? ❑ Yes or®No
If no,please explain: There are some lariie patches of weeds in the spray field The ORC has contacted the
Henderson County Extension Service for consultation The permittee should continue to work with the
Extension Service to determine the best course for eradication of the weeds in the field.
4. Has the site changed in any way that may affect the permit(e.g., drainage added,new wells inside the compliance
boundary,new development, etc.)? ❑Yes or®No
If yes,please explain:
5. Is the residuals management plan adequate? E Yes or❑No
If no,please explain:
6. Are the existing application rates(e.g.,hydraulic,nutrient)still acceptable? ®Yes or❑No
If no,please explain:
7. Is the existing groundwater monitoring program adequate? ❑Yes E No ❑N/A
If no, explain and recommend any changes to the groundwater monitoring program: Since 1987,there have
been 78 sampling events Fifty-six percent of the time,the background monitoring well(MVVI MW#1 has
been dry. The ARO is recommending replacement of the bac ¢round well The ARO could split samples
with Alliuice during the next sampling event(March 2017)to insure proper methods are being used. If at
that time,proper procedures are verified and no other method of securing a sufficient volume of water can �-
be achieved,then the Permittee would be required to install a new background MW
The ARO is recommending the addition of the following parameters to groundwater monitoring:
Ammonia Nitrogen,Nitrite Nitrogen,Manganese,Sodium and possibly VOC's The ARO could sample for
VOC's during the next sampling.event(March 2017)and if there are exceedances,VOC's would be added
to the permit.
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑Yes or®No
If yes,attach a map showing conflict areas. Please note Condition 11..10 in the current permit regarding
setbacks.
9. Is the description of the facilities as written in the existing permit correct? ®Yes or❑No
If no,please explain:
10. Were monitoring wells properly constructed and located? ®Yes❑No ❑N/A
If no,please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑Yes ®No❑N/A
If no, lease corn lete the following(ex and table if necessary):
Monitoring Well Latitude Longitude
MW#1 35020' 55.17 " -82024'18.30"
MW#2 35020' 50.74 " -82024' 17.57"
MW#3 35°20' 55.23 " -820 24' 10.87
12. Has a review of all self-monitoring data been conducted(e.g.,NDMR,NDAR, GW)? ® Yes or❑No
Please summarize any findings resulting from this review: GW-59 7-2016 Iron We): 637 mg/L,Fe has
historically exceeded the 2L standard at this facility.
FORM:APSRSR 04-1.0 Page 2 of 4

(here any permit changes needed in order to address ongoing BIMS violations? ®Yes or❑No
-t yes,please explain: Remove sampling requirements for MW#4 and reinstate monitoring requirements
for MW#3.
14. Check all that apply:
®No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑Notice(s)of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments(i.e.,NOV,NOD, etc.)
15. Have all compliance dates/conditions in the existing permit been satisfied? ❑Yes ❑No Z N/A
If no,please explain:
16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑Yes ®No ❑N/A
If yes,please explain:
W.REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑Yes or Z No
If yes,please explain:
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item Reason
Because of rip rap and water levels during the last inspection,it could not
be determined whether a synthetic liner exists in the pond. The ORC
indicated that the pond is lined. Based upon a file review it appears that
the pond was never lined.Permit cover letters from 1994, 1996, 1998 and
Verify lagoon liner 2002 indicated that a lagoon liner would be required prior to processing
whole fruit(not just concentrate). This language was not in the 2003
permit cover letter. The permittee does not process whole fruit.
Groundwater standard violations have been documented in the past in
MW#2 adjacent to the lagoon.
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition Reason
I. Schedule 1.&2. MW#4 was installed and then abandoned as required by the ARO.
Current map shows MW#1,#2 and#3.
I. Schedule 3.&4. MW#3 was not abandoned and sampling has resumed at MW#3.
III.6. Change calibration requirement from once per year to once per permit
c cle.
Attachment A Change the 4x/year monitoring months to March,July,September and
November to more closely align with groundwater monitoring.
IV.8.d. The facility does not have an alternate power supply. See application cover
letter#5.
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
I. Schedule 1. If the split sampling event in March 2017 indicates proper sampling
rocedures and no other method of securin a sufficient volume of water
FORM:APSRSR 04-10 Page 3 of 4

can be achieved,then the permittee would be required to install a L
background MW.
If the split sampling event in March 2017 shows exceedances of 2L
I. Schedule 2. Standards for VOC's,then VOC's would be added to the groundwater
monitoring requirements.
5. 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(Please state reams: )
6. Signature of report pre parer:
�t�
P p P
Signature of APS regional supervisor:
Date: Lip
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
The flow meter that is used to measure flow through the system and reported on the NDMR is the same flow
meter that is used to measure flow to the spray field. There has never been an influent flow meter at this
facili
FORM:APSRSR 04-10 Page 4 of 4

P� DR
f._
�D YYPyI T
Certified Mail # 7015 1520 0003 5463 1469
Return Receipt Requested
December 06, 2016
Joshua P Ward, Town Manager
Town of Bryson City
PO Box 726
Bryson City, NC 28713
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-PC-0614
(Follow Up to 2015 Collection System Inspection)
Permit No, WQCS00170
Bryson City Collection System
Swain County
"near Permittee:
The North Carolina Division of Water Resources conducted an inspection of the Bryson City Collection System on
November 8, 2016. This inspection was conducted to verify that the facility is operating in compliance with the
conditions and limitations specified in Collection System Permit No. WQCS00170. A summary of the findings and
comments noted during the inspection are provided in enclosed copy of the inspection report.
The Collection System inspection was conducted by Division of Water Resources staff from the Asheville
Regional Office. The following violation(s) were noted during the inspection:
Inspection Area Description of Violation
Operation & Maintenance- A diesel by-pass pump is kept on site at all times in the event of a duplex pump failure.The
Pump Station - Wastewater wet well cover is open at all times to allow for the diesel by-pass pump pipe. This represents
Treatment Plant (WWTP) a safety hazard for any operator.The electrical panel door was propped open to allow a small
portable fan to cool the panel to prevent the breakers from tripping. A plastic tarp was
draped over the electrical panel to keep the rain out due to thedoor being propped open for
the fan.
Visual alarm was not working.
Backflow was not operable.
Comparison between pump run times could not be made as the hour gauges were not
working.
;onitoring and Reporting The Annual Report is not being reported.
Requirements
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

Inspection Area Description of Violation
Operation&Maintenance The Governor's Island pump station inspection log book had not been documented sine.
Requirements August 2016.
Records The collection system map had not been updated to include the pipe age, number of
service taps and pump stations&capacities
In addition, the issue below must also be addressed:
Compliance Issue(s):
It is our understanding that the Town is planning to replace the pump station located at the WWTP
and that funds have been budgeted for the project. This pump station appears to be reason for the
frequent SSO's at Manhole #2 located just prior to the WWTP. Please submit a timeline update for
this project by January 30, 2017. Additionally,the diesel by-pass pump should only be used in case
of emergency.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
To prevent further action, please respond in writing to this office by January 30, 2017 regarding your plans or
measures to be taken to address the indicated violations and other identified issues, if applicable. ,
If you should have any questions, please do not hesitate to contact Beverly Price with the Water Quality
Regional Operations Section in the Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources; NCDEQ
ATTACHMENT
Cc: Tom Shook, ORC w/Attachment
WQS Asheville Regional Office Enforcement File
PERCS Unit - Enforcement File
G:\WR\WQ\Swain\Collection Systems\Bryson City Collection System\Word Docs\CEI16 NOV-2016-PC-0614.rtf

Compliance Inspection Report
Permit: WQCS00170 Effective: 06/01/13 Expiration`: 05/31/21 Owner: Town of Bryson City
SOC: Effective: Expiration: Facility: Bryson City Collection System
PO Box 726
County: Swain
Region: Asheville
Contact Person: Joshua P Ward Title: Town Manager Phone: [phone]
Directions to Facility:
System Classifications:. CS1,
Primary ORC: Thomas Leslie Shook Certification: 989194 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Thomas Leslie Shook 828-488-3335
On-site representative Thomas Leslie Shook 828-488-3335
Related Permits:
NC0026557 Town of Bryson City-Bryson City WWTP
Inspection Date: 11/08/2016 Entry Time: 09:30AM Exit Time: 11:30AM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Daniel J Boss 103
- Reason for Inspection: Follow-up Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: Compliant ® Not Compliant
Question Areas:
Miscellaneous Questions Performance Standards Operation&Maint Reqmts
Records Monitoring&Rpting Reqmts ® Inspections
Pump Station Manhole
(See attachment summary)
Page: 1

Permit: WQCS00170 Owner-Facility:Town of Bryson City
Inspection Date: 11/08/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Follow-up
Inspection Summary:
The inspection was conducted by Beverly Price and Dan Boss of the Asheville Regional Office. Mr. Tom Shook assisted
with the inspection. This was a follow up to the 2015 non-compliant inspection.
The Town has had several SSO's at Manhole#2, located just upstream of the VWVTP. The issues appear to be related to
the pump station located at the VWVTP. The Town has contracted with McGill&Associates to design a replacement pump
station. $500,000 has been budgeted for this project and according to Mr. Shook, it is ready to go to bid. The Division
appreciates the efforts the Town has put forward in dealing with this issue. The ARO would like to see an updated timeline
for this project by January 30, 2017.
The following items have been addressed since the last inspection:
1.The CIP was updated(September 2016):
2. Governor's Island pump station-Emergency notification sign was installed. The audible alarm was repaired.
3. Pump station inspection logs are in place.
4. The VWVTP pump station inspection log is now on-site.
5. General observation of the entire collection system is now documented.
The following issues were noted during the last inspection but not corrected:
Monitoring&Reporting:
The Annual Report is not being reported.
Operation&Maintenance.-
The visual alarm was not working at the VWVTP pump station.
Records:
The map was not updated to include the number of service taps, pipe age, pump stations and capacities.
The following issues were newly observed violations:
Operation&Maintenance:
1.The Governor's Island pump station inspection log book had not been documented since August 2016.
2.WWTP Pump Station:
A.A comparison could not be made between pump.run times as the hour gauges were not working.
B.A diesel by-pass pump is kept on site at all times in the event of a failure of the duplex pumps. The wet well cover is
open at all times to allow for the diesel by-pass pump pipe. This represents a safety hazard for any operator.
C. The electrical panel door was propped open to allow a small portable fan to cool the panel to prevent the breakers from
tripping. A plastic tarp was drapped over the electrical panel to keep the rain out due to the door being proped open for the
fan.
D. The backflow device did not appear to be functioning properly.
Page: 2

Permit: WQCS00170 owner-Facility:Town of Bryson City
Inspection Date: 11/08/2016 Inspection Type.Collection System Inspect Non Sampling Reason for Visit: Follow-up
Inspections Yes No NA NE
Are maintenance records for sewer lines available? ® ❑ ❑ ❑
Are records available that document pump station inspections? ® ❑ ❑ ❑
Are SCADA or telemetry equipped pump stations inspected at least once a week? ® ❑ ❑ ❑
Are non-SCADA/telemetry equipped pump stations inspected every day? ® ❑ ❑ ❑
Are records available that document citizen complaints? ❑ ❑ ❑
#Do you have a system to conduct an annual observation of entire system? ® ❑ ❑ ❑
#Has there been an observation of remote areas in the last year? ® ❑ ❑ ❑
Are records available that document inspections of high-priority lines? ® ❑ ❑ ❑
Has there been visual inspections of high-priority lines in last six months? ® ❑ ❑ ❑
Comment:
Monitorinq and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available? ■ ❑ ❑ ❑
Are public notices and proof of publication available? M ❑ ❑ ❑
#Is an annual report being prepared in accordance with G.S. 143-215.1 C? ❑ M ❑ ❑
#Is permittee compliant with all compliance schedules in the permits? ❑ ❑ ❑
If no,which one(s)?
The Annual Report is not being reported.
Comment:
Operation&Maintenance Requirements Yes No NA NE
Are all log books available? S ❑ ❑ ❑
Does supervisor review all log books on a regular basis? ® ❑ ❑ ❑
Does the supervisor have plans to address documented short-term problem areas? 0 ❑ ❑ ❑
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
Quarterly
Are maintenance records for equipment available? ❑ ❑ ❑
Is a schedule maintained for testing emergency/standby equipment? ■ ❑ ❑
What is the schedule for testing emergency/standby equipment? Stationery
equipment is
excercised every
2 weeks(auto
cycle);mobile unit
is exercised
quarterly.
Do pump station logs include:
Page: 3

Permit: WQCS00170 Owner-Facility:Town of Bryson City
Inspection Date: 11/08/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Follow-up
Operation&Maintenance Requirements Yes No NA NE
Inside and outside cleaning and debris removal? 0 ❑ El ❑
Inspecting and exercising all valves?
Inspecting and lubricating pumps and other equipment? ® �
Inspecting alarms,telemetry and auxiliary equipment? ® 0
Is there at least one spare pump for each pump station w/o pump reliability? ❑ El ® p
Are maintenance records for right-of-ways available? ® El El El
Are right-of-ways currently accessible in the event of an emergency? ® El 0 El
Are system cleaning records available? ® El El El
Has at least 10%of system been cleaned annually?
What areas are scheduled for cleaning in the next 12 months?
Is a Spill Response Action Plan available? ® El 0 0
Does the plan include:
24-hour contact numbers e
Response time ■
El El El
Equipment list and spare parts inventory ■ El 0r
i
Access to cleaning equipment EJ El 0j
Access to construction crews,contractors,and/or engineers 0 El El El
Source of emergency funds 0 ■ EJ El
Site sanitation and cleanup materials
Post-overflow/spill assessment ■
EJ El El
Is a Spill Response Action Plan available for all personnel?
Is the spare parts inventory adequate? i
0 El El
Comment: Emergency funds source was not listed in the Spill Response Plan
Performance Standards Yes No NA NE
Is Public Education Program for grease established and documented? .
What educational tools are used?
Brochures are available at Town Hall-this is indicated on the back of the water bill. Information is also
available on the Town's website.
Is Sewer Use Ordinance/Legal Authority available?
Does it appear that the Sewer Use Ordinance is enforced? .
El El n
Is Grease Trap Ordinance available? ■
El 0 El
Is Septic Tank Ordinance available(as applicable,i.e.annexation) ■
El
List enforcement actions by permittee,if any,in the last 12 months
Page: 4

Permit: WQCS00170 Owner-Facility:Town of Bryson City
Inspection Date: 11/08/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Follow-up
Performance Standards Yes No NA NE
Has an acceptable Capital Improvement Plan(CIP)been implemented? ® ❑ ❑ ❑
Does CIP address short term needs and long term\"master plan\"concepts? ® ❑ ❑ ❑
Does CIP cover three to five year period? ® ❑
0 El
Does CIP include Goal Statement? ® ❑ ❑ ❑
Does CIP include description of project area? ® ❑ ❑ ❑
Does CIP include description of existing facilities? ® ❑ ❑ ❑
Does CIP include known deficiencies? ❑ ® ❑ ❑
Does CIP include forecasted future needs? ® ❑ ❑ ❑
Is CIP designated only for wastewater collection and treatment? ❑ ® ❑ ❑
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment? $555,000.00
CIP Comments
CIP was updated September 2016.
CIP did not include the pump station at the WW>-P although the project has been budgeted.
Is system free of known points of bypass? ■ ❑ ❑
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? ® ❑ ❑ ❑
#Does the sign include:
Instructions for notification? ® ❑ ❑ ❑
Pump station identifier? ® ❑ ❑ ❑
24-hour contact numbers ® ❑ ❑ ❑
If no,list deficient pump stations
#Do ALL pump stations have an"auto polling"feature/SCADA? ❑ e ❑ ❑
7
Number of pump stations
Number of pump stations that have SCADA o
Number of pump stations that have simple telemetry 5
Number of pump stations that have only audible and visual alarms 2
Number of pump stations that do not meet permit requirements o
#Does the permittee have a root control program? ❑ M ❑ ❑
#If yes,date implemented?
Describe:
Comment: Pump stations are equipped with simple telemetry or audiolvisual alarms.
Records Yes No NA NE
Page: 5

Permit: WQCS00170 Owner-Facility:Town of Bryson City
Inspection Date: 11/08/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Follow-up
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? 0 El EJ El
Are records of SSOs that are under the reportable threshold available?
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? ® �
If yes,,is there a corrective action plan? ® EJ
Is a map of the system available? ® El El n
Does the map include:
Pipe sizes ® �
Pipe materials ® �
Pipe location El
® �
Flow direction ® El
El El
Approximate pipe age ❑ ®
El
Number of service taps ® �
Pump stations and capacity El
® �
If no,what percent is complete? approximately 80
List any modifications and extensions that need to be added to the map
Governors Island Pump Station&Powell Lumber Pump Station upgrades.
i
#Does the permittee have a copy of their permit? e ❑
11
Comment: The pipe age, number of service taps and pump station capacities should be added to the map
GOVERNOR'S ISLAND -
Pump Station
Yes No NA NE
Pump station type Duplex
Are pump station logs available? .
El El
Is it accessible in all weather conditions? n On
.
#Is general housekeeping acceptable? 1:1■ n
Are all pumps present? ■
Are all pumps operable? .
Are wet wells free of excessive debris? ■
El El El
Are upstream manholes free of excessive debris/signs of overflow? ■
Are floats/controls for pumps/alarms operable? .
El 0 El
Is"auto polling"feature/SCADA present? 10 El ■
Is"auto polling"feature/SCADA operational? El 0 ■
Is simple telemetry present? ■
Is simple telemetry operational?
1
Are audio and visual alarms present?
Page: 6

Permit: WQCS00170 Owner-Facility:Town of Bryson City
Inspection Date: 11/08/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Follow-up
GOVERNOR'S ISLAND -
Pump Station Yes No NA NE
Are audio and visual alarms operable? 0 ❑'❑ El
Is the Pump station inspected as required? ❑ ® ❑ ❑
Are backflow devices in place? ® ❑ ❑ ❑
Are backflow devices operable? ® ❑ ❑ ❑
Are air relief valves in place? ❑ ❑ ❑
Are air relief valves operable? ❑ ❑ El 0
# Is an emergency generator available? ® ❑ ❑ ❑
Can the emergency generator run the pumps? ® ❑ ❑ ❑
Is the pump station equipped for quick hook-up? ❑ ❑ ® ❑
Is the generator operable? ® ❑ ❑ ❑
#Is fuel in tank and sufficient? ® ❑ ❑ ❑
Is the generator inspected according to their schedule? ® ❑ ❑
Is a 24-hour notification sign posted? ® ❑ ❑ ❑
Does it include:
Instructions for notification? ® ❑ ❑ ❑
Pump station identifier? ® ❑ ❑ ❑
Emergency phone number ■ ❑ ❑ ❑
Is public access limited? ® ❑ ❑ ❑
Is pump station free of overflow piping? ® ❑ ❑ ❑
Is the pump station free of signs of overflow? M ❑ ❑ ❑
Are run times comparable for multiple pumps? 2.5 hours each
Comment: Inspection logs were availabe but inspections had not been documented since August 2016.
MH#2 - Just prior to the WWTP.
Manhole Yes No NA NE
Is manhole accessible? ❑ ❑ ❑
#Is manhole cover/vent above grade? ❑ ■ ❑ ❑
Is the manhole free of visible signs of overflow? ■ ❑ ❑ ❑
Is the manhole free of sinkholes and depressions? M ❑ ❑ ❑
Is manhole cover present? M ❑ ❑ ❑
#Is manhole properly seated? 0 ❑ ❑ ❑
#Is manhole in good condition? ■ ❑ ❑ ❑
#Is invert in good condition? ❑ ❑ ❑
Is line free-flowing and unrestricted in manhole? ❑ ❑ ❑
Is manhole free of excessive amounts of grease? ❑ O ❑ ❑
Page: 7

Permit: WQCS00170 Owner-Facility:Town of Bryson City
Inspection Date: 11/08/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Follow-up
MH#2 - Just prior to the WWTP.
Manhole
Yes No NA NE
Is manhole free of excessive roots?
Is manhole free of excessive sand? ® �
Is manhole's extended vent screened?
Are vents free of submergence? 0 El N El
Are manholes free of bypass structures or pipes? ® El
Comment: The manhole appeared to have an excessive grease/sand mixture The manhole was cleaned
in the spring of 2016 and will be cleaned again in 2017
WWTP - inside the fence at WWTP
Pump Station Yes No NA NE
Pump station type Duplex
Are pump station logs available? ■
Is it accessible in all weather conditions? ® El
#Is general housekeeping acceptable? ® 1:1
Are all pumps present? ■ 0 El El
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable? 01:1
Is"auto polling"feature/SCADA present? ® 0.0 ❑
Is"auto polling"feature/SCADA operational? El 0 ■ El
Is simple telemetry present? ■
Is simple telemetry operational? i
Are audio and visual alarms present? N El El El
Are audio and visual alarms operable? El ■
Is the Pump station inspected as required?
Are backflow devices in place? .
El El 0
Are backflow devices operable? ■
Are air relief valves in place? El El ■ El
Are air relief valves operable? .
# Is an emergency generator available? i
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable? i 11 n '\
#Is fuel in tank and sufficient? . El El El `
Page: 8

Permit: WQCS00170 Owner-Facility:Town of Bryson City
Inspection Date: 11/08/2016 Inspection Type:Collection:System Inspect Non Sampling Reason for Visit: Follow-up
WWTP - inside the fence at WWTP
Pump Station Yes No NA NE
Is the generator inspected according to their schedule? M ❑ ❑ ❑
Is a 24-hour notification sign posted? ® ❑ ❑ ❑
Does it include:
Instructions for notification? ® ❑ ❑ ❑
Pump station identifier? ® ❑ ❑ ❑
Emergency phone number ® ❑ ❑ ❑
Is public access limited? ® ❑ ❑ ❑
Is pump station free of overflow piping? ® ❑ ❑ ❑
Is the pump station free of signs of overflow? ® ❑ ❑ ❑
Are run times comparable for multiple pumps? Hour gauges were
not working;pump
run time could not
be compared.
Comment: A diesel by-pass pump is kept on site at all times in the event of a duplex pump failure The wet
well cover is open at all times to allow for the diesel by-pass pump pipe. This represents a
safety hazard for any operator.The electrical panel door was propped open to allow a small
portable fan to cool the panel to prevent the breakers from tripping A plastic tarp was drapped
over the electrical panel to keep the rain out due to the door being propped open for the fan.
Visual alarm was not working.
Backflow was not operable.
Comparison between pump run times could not be made as the hour gauges were not working.
Page: 9

PTR
yauA�'.ITe9 ���yLGjI3igey.4.'casis "
y LLY
StiPIcI"M A y 8€?�Iy� t
December 6,2016
Stephen R Goldie
Jacabb Utilities LLC
210 W N 2nd St
Seneca, SC 29678
SUBJECT: Compliance Evaluation Inspection
Riverwind Mobile Home Park WWTP
Permit No:NCO076708
Henderson County
Dear Mr. Goldie:
Enclosed please find a copy of the Compliance Evaluation Inspection conducted on November 30,2016. The facility
appeared well maintained and operated and was found to be in compliance with permit NCO076708 for the Riverwind
Mobile Home Park Wastewater Treatment Plant. Record keeping by Mr.Andrew Hooper, ORC was excellent.
The following additional items were noted during the inspection:
• The spacing on the manual bar screen allows a significant amount of pass-through potential for rags and other
materials. Consider retrofitting the bar screen for more effective removal.
• The composite effluent sampler should be.maintained at or below 6°C.Install a thermometer to verify that these
conditions exit.Reference General Permit Conditions,40 CFR part 122.41 and 40 CFR Part 136 Table II footnote
- 2(Required preservation for 40 CFR part 136 approved wastewater methods).
• It is understood that a recent investigation of the collection system showed several below-grade manholes which
contribute significant inflow to the facility during rain events.The manholes should be modified to reduce or
eliminate inflow.
Please refer to the enclosed inspection report for additional observations and comments. The assistance provided by Mr.
Andrew Hooper during the inspection was greatly appreciated. If you or your staff have any questions,please call me at
828-296-4500.
Sincerely,
Tim Heim,P.E.
Environmental Engineer
Enc.
cc: Andrew Hooper, ORC
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Henderson\Wastewater\Minors\Riverwind HOA 76708\2016 CEI\CEI letter 11-30-2016.doc
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

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United States Environmental Protection Agency Form Approved.
_P A Washington,D.C.20460 OMB No.2040-0057
�1 Water Compliance Inspection Report Approval expires8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 u 3 I N00076708 111 12 16/1 1/30 117 18 u 191 20 u
211 1 1 1 1 I I I I I � I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 t66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------Reserved —
67 70I_1 71 Ity 72 uN 73I I 74 7511 JI—1 I I 1__U80
Section B:Facility Data
J-1_
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 10:o0AM 16/11/30 16/03/01
Riverwind Mobile Home Park
Exit Time/Date Permit Expiration Date
NCSR 1205
12:OOPM 16/11/30 20/11/30
Greensboro NC 27417
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Andrew Duane Hooper/ORC/864-903-4637/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Andrew Hooper,210 W N Second St Seneca SC 29678/Field
No
Manag er/864-903-4637/8648820851
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Operations&Maintenance ® Facility Site Review ® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date /
Timothy H Heim ARO WQ//828-296-4665/
r ,�✓
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
3I NCO076708 I11 12 16/11/30 17 18 JCJ
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Tim Heim of the Asheville Regional Office performed a Compliance Evaluation Inspection on November
30th, 2016.Andrew Hooper(ORC) assisted with the inspection and with records review.The permitted
discharge facility appeared well maintained and operated at the time of the inspection,and in
compliance with Permit N00076708.
Page# 2

Permit: NCO076708 Owner-Facility: Riverwind Mobile Home Park
Inspection Date: 11/30/2016 Inspection Type: Compliance Evaluation
Operations& Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS,MCRT, Settleable ® ❑ ❑ ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: The facility appeared to be well maintained and operated at the time of the inspection.
Pump Station -Influent Yes No NA NE
Is the pump wet well free of bypass lines or structures? ® ❑ ❑ ❑
Is the wet well free of excessive grease? ® ❑ ❑ ❑
Are all pumps present? 0 ❑ ❑ ❑
Are all pumps operable? ® ❑ ❑ ❑
Are float controls operable? ® ❑ ❑ ❑
Is SCADA telemetry available and operational? O ❑ ❑
Is audible and visual alarm available and operational? ❑ ❑ ® ❑
Comment:
Equalization Basins Yes No NA NE
Is the basin aerated? ❑ ❑ ❑
Is the basin free of bypass lines or structures to the natural environment? . ❑ ❑ El
Is the basin free of,excessive grease? ® ❑ .❑ ❑
Are all pumps present? ❑ ❑ ❑
Are all pumps operable? ❑ ❑ ❑ e
Are float controls operable? ❑ ❑ ❑ 0
Are audible and visual alarms operable? ❑ ❑ ■ ❑
#Is basin size/volume adequate? ® ❑ ❑ ❑
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system Diffused
Is the basin free of dead spots? 0 ❑ ❑ ❑
Are surface aerators and mixers operational? ❑ ❑ ❑
Are the diffusers operational? ❑ ❑ ❑
Is the foam the proper color for the treatment process? 0 ❑ ❑ ❑
Page# 3

Permit: N00076708 Owner Facility: Riverwind Mobile Home Park
Inspection Date: 11/30/2016 Inspection Type: Compliance Evaluation
Aeration Basins Yes No NA NE
Does the foam cover less than 25%of the basin's surface?
Is the DO level acceptable? N El ❑ EJ
Is the DO level acceptable?(1.0 to 3.0 mg/1) El E ❑
Comment:
Disinfection UV Yes No NA NE
Are extra UV bulbs available on site?
Are UV bulbs clean? ® ❑
Is UV intensity adequate?
Is transmittance at or above designed level?
Is there a backup system on site?
Is effluent clear and free of solids? El n
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? El
Are the receiving water free of foam other than trace amounts and other debris? El
If effluent (diffuser pipes are required) are they operating properly? E
Comment:
Page# 4

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 6, 2016
DWR# 16-1147
Rutherford County
Moncure Properties, LLC
Attn: Andrew Weathersbee
2223 Croydon Road#403
Charlotte,NC 28207
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Moncure Properties, LLC—201 Lake Blvd.
Dear Mr. Weathersbee:
You have our approval for the impacts listed below for the purpose described in your application
dated November 19,2016, and received by the Division of Water Resources (Division) on
November 21, 2016. These impacts are covered by the attached Water Quality General
Certification Number 3898 and the additional conditions listed below. This certification is
associated with the use of General Permit Number 30 once it is issued by the U.S. Army Corps
of Engineers. Please note that you should obtain any other federal, state or local permits before
proceeding with your project, including those required by (but not limited to) Sediment and
Erosion Control,Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit, and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b)
and/or(c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool Below Pool
0.0057 (acres) 0.0057(acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project,you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold,the new owner must be given a copy of this approval letter and
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Moneure Properties,LLC—201 L�,
DWR# 16-_
401 Approv,
Page 2 of 3
General Certification(s)/Pennit/Authorization and is responsible for complying with all
conditions. [15A NCAC 02H .0507(d)(2)]
3. No Impacts Beyond those in Application
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian
areas beyond the footprint of the impacts depicted in the Pre-Construction
Notification. All construction activities, including the.design, installation, operation, and
maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes, or rules occur.
The turbidity standard of 10 NTUs (Nephelometric Turbidity Units) shall not be
exceeded as described in 15 A NCAC 02B .0200. Appropriate sediment and erosion
control practices must be used to meet this standard. Lake Lure is classified as B; Trout
waters.
4. Stabilization techniques must meet the General Conditions listed in the Shoreline
Stabilization Technique Selection Process found in Duke Energy's Shoreline
Management Guidelines for the Catawba-Wateree river system 2006 Shoreline
Management Plan.
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by —
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60)calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at(919)431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DEQ: ,,__J

Moncure Properties,LLC—201 Lake Blvd
DYM 16-1147
401 Approval
Page 3 of 3
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
kevin.mitchellLa-)ncderlr.gov if you have any questions or concerns.
Sincerely,
Zan Price, P.E., Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion
cc: David Brown—USACE Asheville Regulatory Field Office (via email)
Wade Harmon—Duke Energy(via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—DEMLR(via email)
Clint Calhoun—Town of Lake Lure (via email)
Andrew Weathersbee—Property Manager(via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
GAWR\WQ\Rutherford\401s)Non-DOT\Moncure Properties LLC-201 Lake Blvd\APRVL.Moncure Properties LLC-201 Lake Blvd
12.06.2016.docx

....._._... ..
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PAT-.MCCRORY
Governor
DONALD R. VAN DER. VAART
adO Secrcrary
S. JA.Y ZIMMERMA.N
Water Resources
ENVIRONMENTAL QUALITY Dirvotor
December 8, 2016
Dan Harbaugh, Executive Director
Tuckaseigee Water&Sewer Authority
1246 West Main Street
Sylva, NC,28779
Subject: Permit No. WQ0038917
Tuckaseigee Water&Sewer Authority
Western NC Church of God- Relocation
Wastewater Collection System Extension Permit
Jackson County
Dear Mr. Harbaugh:
In accordance with your application received November 28, 2016, we are forwarding herewith Permit
No. WQ0038917 dated December 8, 2016, to the Tuckaseigee Water &Sewer Authority (Permittee) for
the construction and operation upon certification of the subject wastewater collection system
extension. This permit shall be effective from the date of issuance until rescinded, and shall be subject
to the conditions and limitations as specified therein.This cover letter shall be considered a part of this
permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition Ii.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system-wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement.
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
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 30 days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150E 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.
2090 U.S.70 Highway,Swannanoa,NC 28778
Phone:[phone]\Internet:www.ncwaterguality.org
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

Tuckaseigee Water&Sewer Authority
Permit No.WQ0038917
If you need additional information concerning this matter, please contact Tim Heim at(828) 296-4500 or
via e-mail at [e-mail].
Sincerely,
for S.Jay Zimmerman, P.G.
Director, Division of Water Resources
G. Landon Davidson, Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc: Justin Church, P.E.—BREC(electronic copy)
Regional Office Files
Water Resources Central Files
PERCS(electronic copy)
G:\WR\WQ\Jackson\Collection Systems\Whittier Sanitary District Collection System\WQ0038917 WNC Church of God Reloc.docx
Page 2 of 9

s
Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION 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
Tuckaseigee Water&Sewer Authority
Jackson County
for the construction and operation of approximately 393 linear feet of 8-inch gravity sewer to serve an
existing church as part of the Western NC Church of God - Relocation project, and the discharge of zero
additional gallons per day of collected domestic wastewater into Tuckaseigee Water & Sewer
Authority's (Whittier) existing sewerage system, pursuant to the application received November 28,
2016 and in conformity with 15A NCAC 2T; the Division's, Gravity Sewer Minimum Design Criteria
adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-Track
Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other supporting
data subsequently filed and approved by the Department of Environmental Quality and considered a
� part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
for S.Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0038917
Permit Issued: December 8,2016
Page 3 of 9

SUPPLEMENT TO PERMIT COVER SHEET
Tuckaseigee Water & Sewer Authority is hereby authorized to:
Construct, and then operate won certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the Tuckaseigee Water&Sewer
Authority Wastewater Treatment Facility in accordance with Permit Number NC0087602.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T, the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina-licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as-constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions identified
below.
I. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by 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. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1; 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
Page 4 of 9

An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections
are documented.
f. Ageneral observation of the entiresewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a),and public notice shall be provided as required by North
Carolina General Statute §143 215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors,enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems,the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
.of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map,which shall be maintained for the Life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage,etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
Page 5 of 9

..... .---_.___....
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing a..
submitting Part I of Form CS-SSO (or the most current Division approved form) within five 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. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215AC(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge.of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on.the plans..or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations'storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes,shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested
Page 6 of 9

modifications or variances to the Minimum Design Criteria will be reviewed on a case-by-case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After-construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification&activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. if there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials 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, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. [15A
- NCAC 02T.0104; 15A NCAC 02T.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
- facilities. [15A NCAC 02T.0110; 15A NCAC A2T.0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State,of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 9

[THIS PAGE INTENTIALLY LEFT BLANK]
F
Page 8 of 9

FAST TRACK SEWER ENGINEERING CERTIFICATION
_RMITTEE: TUCKASEIGEE WATER&SEWER AUTHORITY
PERMIT'#: WQ0038917
PROJECT: WESTERN NC CHURCH OF GOD-RELOCATION
ISSUE DATE: December 8, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I,the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name,Title Signature Date
ENGINEERS CERTIFICATION
asa duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe(❑ periodically,❑ weekly, ❑ full time) the construction of the
Western NC Church of God - Relocation and location as referenced above for the above Permittee
hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance of this
permit; 15A NCAC 02T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-
Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other
supporting materials.
..........................................................................
North Carolina Professional Engineer's Seal w/signature&date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC DWR—Water Quality Regional Operations Section 2090 US Hwy 70,Swannanoa, NC 28778
Asheville Regional Office Phone: [phone] FAX:[phone]
...__... . -..... . .....-.... . .........

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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 8th, 2016
Jeffrey C Hall
648 Macedonia Rd
Asheville,NC 28804
SUBJECT: Compliance Evaluation Inspection
648 Macedonia Road
Permit No: NCG550425
Buncombe County
Dear Mr. Hall:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
11/7/2016. While no water quality violations were observed, the facility was found to be out of compliance
with permit NCG550425 due to unpaid permit fees.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
,__.')have any questions,please call me at 828-296-4658. For questions about paying your bill,please contact Bob
Sledge at 919-807-6398.
Sincerely,
Daniel J Boss
Environmental Specialist
Asheville Regional Office
Enclosed: Inspection Report
cc: MSC 1617-Central Files-Basement
Asheville Files
---l G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residence\550425 Jeffrey Hal1\CEI.11072016\Insp.cover letter 12-5-16.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

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United States Environmental Protection Agency Form Approved.
A Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 1 3 I NCG550425 I11 12 16/11/07 117 18 ICI 19 I Gj 20'
21111111 111111111 111111111 1 111111 1111111 II I _ f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----Reserved---
671 70 Lj 71 u f 72 I N l 73 LU74 75 III 1 1 80
Section B:Facility Data ;
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 04:20PM 16/11/07 16/06/29
648 Macedonia Road
Exit Time/Date Permit Expiration Date
648 Macedonia Rd
05:05PM 16/11/07 18/07/31
Asheville NC 28804
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
i i
Contacted
Jeffrey C Hall,648 Macedonia Rd Asheville NC 28804///
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Permit ® Operations&Maintenance ® Records/Reports Self-Monitoring Program
® Facility Site Review ® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Linda S Wiggs ARO WQ//828-296-4500 Ext,4653/
Daniel J Boss ARO WQ//828-296-4658/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
l/ EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1'

NPDES yr/mo/day Inspection Type
(Cont.)
3 NCG550425 12 16/11/07 17 18 ICI
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
On 11/7/2016 Dan Boss and Linda Wiggs conducted a Compliance Evaluation Inspection at 648
Macedonia Rd in Buncombe County. The owner, Jeff Hall,was present for the duration of the
inspection. The property and treatment system appeared to be well maintained overall. Mr. Hall is
pumping the septic system on a three year schedule. The owners were not aware of the annual
effluent sampling requirements, but they now plan to get the required lab tests done and monitor the
effluent pipe for any discharge.
Mr. Hall told us that the treatment system only had a problem one time when tree roots had infiltrated
the effluent of the sand filter and clogged it up, resulting in ponding on the sand filter. He had the roots
removed and the ponding problem went away.
The end of the effluent pipe was in the stream, but it was a flexible, corrugated plastic pipe that could
easily be adjusted or truncated for sampling.
Page# 2

Permit: NCG550425 Owner-Facility: 648 Macedonia Road
Inspection Date: 11/07/2016 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ 0 ❑
application?
Is the facility as described in the permit? ® ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ❑ ® ❑
Is access to the plant site restricted to the general public? ❑ ❑ ® ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ® ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ ® ❑
Solids, pH,DO, Sludge Judge, and other that are applicable?
Comment:
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ ® ❑
Is septic tank pumped on a schedule? ® ❑ ❑, ❑
Are pumps or syphons operating properly? ❑ ❑ ® ❑
Are high and low water alarms operating properly? ❑ ❑ ® ❑
Comment: The septic tank is pumped every three Years according to the owner.
Sand Filters (Low rate) Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational? ❑ ❑ E ❑
Is the distribution box level and watertight? ❑ ❑ ❑
Is sand filter free of ponding? ® ❑ ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ ® ❑
#Is the sand filter surface free of algae or excessive vegetation? ® ❑ ❑ ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ ■ ❑
Comment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ® ❑
Is sample collected below all treatment units? ❑ ❑ ® ❑
Is proper volume collected? ❑ ❑ i ❑
Page# 3

Permit: NCG550425 Owner-Facility: 648 Macedonia Road
Inspection Date: 11/07/2016 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
Is the tubing clean? ❑ ❑ ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ 0 ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ 0 ❑ ❑
representative)?
Comment: The owner needs to start sampling for required parameters if there is a discharge of effluent
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ® ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ® ❑
Comment:
Page# 4

Certified Mail # 7014 0510 0000 4466 3920
Return Receipt Requested
December 8, 2016
Danny McIntosh, Mayor
Town of Burnsville
PO Box 97
Burnsville, NC 28714-0097
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-MV-0137
Permit No. NCO020290
Burnsville WWTP
Yancey County
Dear Permittee:
A review of the June 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Monitoring Violation(s):
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent Cadmium,Total (as Cd) (01027) 6/30/2016 Monthly Frequency Violation
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement;actions for this and any additional violations. If the violations are of a
continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent (SOC).
Your facility will be required to report your Discharge Monitoring Reports electronically by December
21, 2016.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you have any questions concerning this matter or to apply for an SOC, please contact Janet Cantwell o
Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P. eg��araal �tpervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
WQ Lab &Operations/ ORC
G:\WR\WQ\Yancey\Wastewater\Municipal\Burnsville WWTP 20290\NOV-2016-MV-0137.rtf

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op
19 `
Certified Mail # 7015 1520 0003 5463 1476
Return Receipt Requested
December 08, 2016
Michael A. Cornblum
Conleys Creek Limited Partnership
1112 Conley's Creek Rd
Whittier, NC 28789
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-PC-0641
(Follow up to 2015 Inspection)
Permit No. NCO084441
Smoky Mountain Country Club
Swain County
Dear Permittee:
The North Carolina Division of Water Resources conducted an inspection of the Smoky Mountain Country Club on
November 10,2016 - This inspection was conducted to verify that the facility is operating in compliance with the
conditions and limitations specified in NPDES WW Permit No. NC0084441. A summary of the findings and
comments noted during the inspection are provided in the enclosed copy of the inspection report.
The Compliance Evaluation inspection was conducted by Division of Water Resources staff from the Asheville
Regional Office. The following violation(s) were noted during the inspection:
Inspection Area Description of Violation
Flow Measurement - Effluent The chart recorder did not appear to match the meter readings.
Operations &Maintenance The WWTP splitter box is rusted and should be painted.
Leaf debris is still an issue particularly at the effluent weir.
The tubing for the composite sampler needs to be changed.
Safety grates are needed to cover the pump area of the EQ basin and the aeration basin (2
grates needed).
Safety railing should be installed around both clarifiers.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

Remedial actions should have already been taken to correct this problem and prevent further occurrenc,-
future. The Division of Water Resources may pursue enforcement action for this and any additional violab'-
State law.
To prevent further action, please respond in writing to this office within 30 days upon your receipt of this Notice
of Violation regarding your plans or measures to be taken to address the indicated violations and other identified
issues, if applicable.
If you should have any questions, please do not hesitate to contact Beverly Price with the Water Quality
Regional Operations Section in the Asheville Regional Office at 828-296-4500.
Sincerely,
L on Davidson;P.G. ional Supervisor
Water Quality Regional Operatlons�Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
G:\WR\WQ\Swain\Wastewater\Minors\Smoky Mtn Country Club 84441\Word Docs\84441 CEI 16 follow up NOV-2016-PC-0641.rtf
r �
I

United States Environmental Protection Agency Form Approved.
_PA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN ( 2 15 1 3 ( NCO064441 I11 12 16/11/10 17 18 ICI 19 I Gj 20I I
21'
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------Reserved-------------
67 70IL J 71 I—J 72 _N 73I 74 751 1 1 I 1 80
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,.also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 10:00AM 16/11/10 13/01/01
Smoky Mountain Country Club
1112 Conleys Creek Rd Exit Time/Date Permit Expiration Date
Whittier NC 28789 11:15AM 16/11/10 17/10/31
Name(s)of Onsite Representative(s)/Tities(s)/Phone and Fax Number(s) Other Facility Data
Mark Fredrick Teague/ORC/828-293-9396/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Michael A Cornblum,1112 Conley's Creek Rd Whittier NC 28789/General
Partner/828-497-2772/8284971111 Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Flow Measurement ® Operations&Maintenance ® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Beverly Price ARO WQ//828-296-4500/ a 2 A f!�
Signature Managemel t Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/rno/day Inspection Type 1
(Cont.)
31 N00084441 h 1 1 16/11/10 2 17 18 ICI
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The inspection was conducted by Beverly Price and Mikal Wilimer of the Asheville Regional Office.
Mark Teague and Michael Cornblum assisted with the inspection. This inspection was a follow up to
the 2015 inspection.
The Asheville Regional Office(ARO) appreciates the response to 2015 Notice of Violation (NOV).
While some issues were completely resolved, others still need attention.
The following issues still need to be resolved:
Operations&Maintenance:
1. The exterior of the WWTP was painted; however, the splitter box is also rusted. Any part of the
WWTP that has significant rust should be painted.
2. The tubing for the composite sampler needs to be changed.
3. Safety grates were placed over a portion of the EQ basin; however, additional grates are needed.
Grates are needed to cover the pump area of the EQ basin and the aeration basin (2 grates).
4. Leaf debris was removed as required but remains an issue particularly at the effluent weir.
Flow Measurement:
Repairs/adjustments were made to the effluent meter; however, the chart recorder still does not
appear to match the readings from the flow meter.
Operation &Maintenance: Not noted during the 2015 inspection.
Safety railing should be installed at the clarifiers.
Page# 2

Permit: NCO084441 Owner-Facility: Smoky Mountain Country Club
Inspection Date: 1 111 0/2 01 6 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ 0 ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT;Settleable ® ❑ ❑ ❑
Solids, pH,DO, Sludge Judge,and other that are applicable?
Comment: The exterior of the WWTP was painted as required in the previous NOV; however, the
splitter box is also rusted. Any part of the WWTP that has significant rust should be painted.
Leaf debris was removed as required in the previous NOV; however, at the time of the
follow up inspection, leaf debris was still an issue particularly at the effluent weir.
The tubing for the composite sampler needs to be changed:
Safety grates were replaced over a portion of the EQ basin as required by the previous
NOV; however,additional grates'are needed. Grates are also needed to cover the pump
area of the EQ basin and the aeration basin (2 grates needed).
Safety railing should be installed around both clarifiers.
Flow Measurement- Effluent Yes No NA NE
#Is flow meter used for reporting? ® ❑ ❑ ❑
Is flow meter calibrated annually? ® ❑ ❑ ❑
Is the flow meter operational? ® ❑ ❑ ❑
(If units are separated)Does the chart recorder match the flow meter? ❑ ® ❑ ❑
Comment: Jim Queen made repairs/adjustments to the flow meter during December 2015&January
2016: however, at the time of the inspection the chart recorder did not appear to match the
meter readings.
Standby Power Yes No NA NE
Is automatically activated standby power available? ® ❑ ❑ ❑
Is the generator tested by interrupting primary power source? ! ❑ ❑ ❑
Is the generator tested under load? ❑ ❑ ❑ M
Was generator tested&operational during the inspection? ❑ ® ❑ ❑
Do the generator(s)have adequate capacity to operate the entire wastewater site? ® ❑ ❑ ❑
Is there an emergency agreement with a fuel vendor for extended run on back-up power? ❑ ❑ ❑
Is the generator fuel level monitored? ■ ❑ ❑ ❑
Comment: The transfer switch was not working. A breaker has been purchased and the permittee has
contracted with an electrician to meet with the power company and make repairs.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ■ ❑
Page# 3

Permit: NCO084441 Owner-Facility: Smoky Mountain Country Club
Inspection Date: 11/10/2016 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Comment:
Page# 4

. '
Certified Mail # 7014 0510 0000 4466 3937
Return Receipt Requested
December 9, 2016
Aubrey L Deaver
A&D Water Service Inc
PO Box 1407
Pisgah Forest, NC 2876$
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-MV-0138
Permit No. NCO059421
Sapphire Lakes Plant WWTP #1
Transylvania County
Dear Permittee:
A review of the March 2016 Discharge Monitoring Report (DMR) for the subject facility-revealed the`violation(s)
indicated below:
Monitoring Violation(s):
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent Nitrogen, Ammonia Total (as N) - 3/31/2016 2 X month Frequency Violation
Concentration (C0610)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations. -
Your facility will be required to report your Discharge Monitoring Reports electronically by December
21, 2016.
For more information, please visit the eDMR Website at the following address:
ht+p_//portal ncdenr.org/web/wq/admin/boa/ipu/edmr.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If the above parameter was left off inadvertently, please send amended DMRs within 10 business days ,
of this letter to Raleigh at the address found on the front page of your DMR and also a copy to this office.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional'Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
j;
G:\WR;WQ`,Transylvania,,Wastevsterimitiors�Sapphirz Lakes WVVTP#1 59421\Saphire Lakes Trans.Countyt.NOV-2015-MV-0138.4

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources
FNviRONMFNTAt_QUALITY - S. JAY ZIMMERMAN.
Director
December 9,2016
Sam Ray
511 Price Road
Hendersonville,NC 28739
RE: Additional Sampling Requirement
Rays Mobile Home Park-Lloyd Griffin Drive
Henderson County
Dear Mr.Ray,
The Asheville Regional Office recently sent you a letter indicating that the water supply well currently
servicing the mobile home park was acting as a conduit for groundwater contamination. You were
required to either repair the exiting well or construct a new water supply well.This office was made
aware that Merrill Drilling and Water Systems installed a packer-liner system in the existing well on
November 23, 2016.According to Jerry Merrill, the packer-liner system was installed to a depth of
30 feet,which extends past the estimated 23 feet of original steel casing. A cement-type grout was
used to seal the annular space between the original casing and the liner.
In order to evaluate the effectiveness of the repair,the Asheville Regional Office is requiring access
to the well so that additional water samples can be collected. Ideally, coliform bacteria and metal
samples would be collected in January 2017. I will contact you after the holidays to schedule a site
visit. If you have any additional questions or concerns, please contact me at [phone] or
[e-mail]. -
Sincerely,
i
Brett Lave
Water Quality Regional Operations
Asheville Regional Office
cc: ARO file
Seth Swift-Henderson County Health Department
John Brooks-NC Department of Health and Human Service
Scott Sheppard-Lloyd Griffin Drive resident
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70,Swannanoa,North Carolina 28778
828-296-4500

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PAT MCCRORY
Governor
4fi
DONALD R. VAN DER VAART
Secretary
F S. JAY ZIMMERMAN
Water Resources Director
ENVIRONMENTAL QUALITY - -
December 9, 2016
Dan Harbaugh,Executive Director
Tuckaseigee Water&Sewer Authority,
1246 W.Main Street
Sylva,North Carolina 28779
SUBJECT: Compliance Evaluation Inspection
Tuckaseigee Water& Sewer Authority Collection',System(Whittier Sanitary.District)
Permit No: WQCSDO023
Jackson County
Dear Mr. Harbaugh:
On December 7, 2016, I conducted a Compliance Evaluation iInspection of the Tuckaseigee Water & Sewer
Authority Wastewater Collection System in Whittier. Based on records reviewed, on-site visits to system
components and interviews with staff,the Wastewater Collection System was determined to be in compliance with
permit WQCSD0023. A report is attached for your records with findings summarized. The collection system
appears to be well maintained and operated, and record keeping by your staff was excellent. The following items
were noted during the inspection:
• A portable emergency generator is no longer present in they Cashiers area. Only one of the six pump stations
has a dedicated emergency generator.A portable generator that is compatible with all pump stations in the
collection system should be readily available and within easy access.
• Continue to operate and maintain the collection system in with the requirements outlined in
1 SA NCAC 02T for Wastewater Collection Systems. I
The assistance of Mr.Troy Ammons during the inspection was greatly appreciated,Mr.Ammons has very detailed
knowledge of the collection system. If there are questions or additional information is needed regarding system
operation,maintenance, or permit questions,please feel free to cont act me at 828-296-4500.Please refer to the
enclosed inspection report for additional observations and comments.
Sincerely,
Tim Heim,P.E.
Environmental Engineer
Enc.
cc: Troy Ammons, ORC
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Jackson\Collection Systems\Whittier Sanitary District Collection System\CEI letter 12-07-2016.doc
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

Compliance Inspection Report
ermit: WQCSDO023 Effective: 03/01/00 Expiration: Owner: Tuckaseigee Water&Sewer Authority
SOC: Effective: Expiration: Facility: Cashiers Collection System
County:Jackson
Region: Asheville
Contact Person: Dan Harbaugh Title: Executive Director Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
Troy Eugene Ammons 995178 828-586-5189
On-Site Representative(s):
Related Permits:
Inspection Date: 12/07/2016 Entry Time: 11:00AM Exit Time: 03:OOPM
Primary Inspector: Timothy H Heim Phone: [phone]
Secondary Inspectors):
Reason for Inspection: . Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Deemed permitted collection system management and operation
Facility Status: ■ Compliant Not Compliant
Question Areas:
Miscellaneous Questions Operation&Maint Reqmts ■ Records
Inspections ■ Pump Station
(See attachment summary)
Page: 1

Permit: WQCSDO023 Owner-Facility:Tuckaseigee Water&Sewer Authority
Inspection Date: 12/07/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
Tim Heim of the Asheville Regional Office performed a Compliance Evaluation Inspection on December 7th,2016.Troy
Ammons(ORC)assisted with the inspection and with records review.The.permitted collection system appeared well
maintained and operated at the time of the inspection, and in compliance with Permit WQCSD0023.
The following item of significance was noted during the inspection:
A portable emergency generator is no longer present in the Cashiers area.Only one of the six pump stations has a
dedicated emergency generator.A portable generator that is compatible with all pump stations in the collection system
should be readily available and within easy access.
Page: 2

Permit: WQCSDO023 Owner-Facility:Tuckaseigee Water&Sewer Authority
inspection Date: 12/07/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspections Yes No NA NE
Are maintenance records for sewer lines available? ® ❑ ❑ ❑
Are records available that document pump station inspections? ® ❑ ❑ ❑
Are SCADA or telemetry equipped pump stations inspected at least once a week? ® ❑ ❑ ❑
Are non-SCADA/telemetry equipped pump stations inspected every day? . ❑ ❑ ❑
Are records available that document citizen complaints? ® ❑.❑ ❑
#Do you have a system to conduct an annual observation of entire system? ® ❑ ❑ ❑
#Has there been an observation of remote areas in the last year? ® ❑ ❑ ❑
Are records available that document inspections of high-priority lines? ® ❑ ❑ ❑
Has there been visual inspections of high-priority lines in last six months? ® ❑ .❑ ❑
Comment: Record keeping by TWASA is excellent.
Operation&Maintenance Requirements Yes No NA NE
Are all log books available? ❑ ❑ ❑
Does supervisor review all log books on a regular basis? 0 ❑ ❑ ❑
Does the supervisor have plans to address documented short-term problem areas? E ❑ ❑ ❑
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
Daily basis:
Are maintenance records for equipment available? ❑ ❑ ❑
Is a schedule maintained for testing emergency/standby equipment? 0 ❑ ❑ 11
What is the schedule for testing emergency/standby equipment? Monthly
Do pump station logs include:
Inside and outside cleaning and debris removal? ❑ ❑ ❑
Inspecting and exercising all valves? 0 ❑ ❑ ❑
Inspecting and lubricating pumps and other equipment? 0 ❑ ❑ ❑
Inspecting alarms,telemetry and auxiliary equipment? E ❑ ❑'
Is there at least one spare pump for each pump station w/o pump reliability? 0 ❑ ❑ ❑
Are maintenance records for right-of-ways available? 0 ❑ ❑ ❑
Are right-of-ways currently accessible in the event of an emergency? M ❑ ❑ ❑
Are system cleaning records available? ■ ❑ ❑ ❑
Has at least 10%of system been cleaned annually? N ❑ ❑ ❑
What areas are scheduled for cleaning in the next 12 months?
Next area in sequence and specific lines as needed.
- Is a Spill Response Action Plan available? N ❑ ❑ ❑
Does the plan include:
Page: 3

Permit: WQCSDO023 Owner-Facility:Tuckaseigee Water&Sewer Authority
Inspection Date: 12/07/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Operation&Maintenance Requirements Yes No NA NE
24-hour contact numbers
Response time ® El
Equipment list and spare parts inventory 0 0 El El
Access to cleaning equipment ® �
Access to construction crews,contractors,and/or engineers ® �
Source of emergency funds ® El
Site sanitation and cleanup materials ® �
Post-overflow/spill assessment
Is a Spill Response Action Plan available for all personnel? ® E] 0 ❑
Is the spare parts inventory adequate? ® �
Comment:
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? 01:1
Are records of SSOs that are under the reportable threshold available? ■ El El 0 \
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? —'
If yes,is there a corrective action plan?
Is a map of the system available? O ❑ 0 El
Does the map include
Pipe sizes . El ❑ El
Pipe materials ■
Pipe location ■ El
Flow direction ■
Approximate pipe age ® El 0
Number of service taps ■ El
Pump stations and capacity . El 0
If no,what percent is complete?
List any modifications and extensions that need to be added to the map
#Does the permittee have a copy of their permit? M El El ❑
Comment:
.PS#17 SLABTOWN -
Pump Station Yes No NA NE � \
Pump station type Duplex
Page: 4

Permit: WQCSDO023 Owner-Facility:Tuckaseigee Water&Sewer Authority
Inspection Date: 12/07/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
PS#17 SLABTOWN -
Pump Station Yes No NA NE
Are pump station logs available? ® ❑ ❑ ❑
Is it accessible in all weather conditions? ® ❑ ❑ ❑
#Is general housekeeping acceptable? ® ❑ ❑ ❑
Are all pumps present? ® ❑ ❑ ❑
Are all pumps operable? ® � ❑
Are wet wells free of excessive debris? ® ❑ ❑ ❑
Are upstream manholes free of excessive debris/signs of overflow? ® ❑ ❑ ❑
Are floats/controls for pumps/alarms operable? ® ❑ ❑ ❑
Is"auto polling"feature/SCADA present? ❑ ❑ ❑
Is"auto polling"feature/SCADA operational? ❑ ❑
Is simple telemetry present? ® ❑ ❑ ❑
Is simple telemetry operational? ® ❑ ❑ ❑
Are audio and visual alarms present? ® ❑ ❑ ❑
Are audio and visual alarms operable? 0 ❑ ❑ ❑
Is the Pump station inspected as required? M ❑ ❑ ❑
Are backflow devices in place? 0 ❑ ❑ ❑
Are backflow devices operable? ■ ❑ ❑ ❑
Are air relief valves in place? ■ ❑ ❑ ❑
Are air relief valves operable? ® ❑ ❑ ❑
# Is an emergency generator available? ® ❑ ❑ ❑
Can the emergency generator run the pumps? . ❑ ❑ ❑
Is the pump station equipped for quick hook-up? ■ ❑ ❑ ❑
Is the generator operable? ❑ ❑ ❑ 0
#Is fuel in tank and sufficient? ❑ ❑ ❑
Is the generator inspected according to their schedule? ■ ❑ ❑ ❑
Is a 24-hour notification sign posted? ■ ❑ n ❑
Does it include:
Instructions for notification? ® � ❑
Pump station identifier? ❑ ❑
Emergency phone number 0 ❑ ❑ ❑
Is public access limited? ❑ ❑ ❑
Is pump station free of overflow piping? ■ ❑ ❑ ❑
Is the pump station free of signs of overflow? ❑ ❑ ❑
Are run times comparable for multiple pumps?
Page: 5

Permit: WQCSDO023 Owner-Facility:Tuckaseigee Water&Sewer Authority
Inspection Date: 12/07/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
PS#17 SLABTOWN -
Pump Station
' Yes No NA NE
Comment: A portable emergency generator is no longer present in the Cashiers area Only one of the six
pump stations has a dedicated emergency generator.A portable generator that is compatible
with all pump stations in the collection system should be readily available and within easy
access.
Page: 6

PAT .MCCR.ORY
Governor
DONALD R. VAN DER. VAA.:RT
Secretary
S. JAY Z1MMERMA.N
WaterReso rces
ENVIRONMENTAL QUALITY Director
December 9,2016
Marcus A.Jones, P.E.,Director of Engineering
Henderson County
1 Historic Courthouse Square
Hendersonville, NC, 28792
Subject: Permit No. WQ0038924
Henderson County
Proposed Sanitary Sewer to Serve Bojangles
Wastewater Collection System Extension Permit
Henderson County
Dear Mr.Jones:
In accordance with your application received December 1, 2016,and additional information received on
December 7,2016,we are forwarding herewith Permit No.WQ0038924 dated December 9, 2016,to the
Henderson County (Permittee) for the construction and operation upon certification of the subject
wastewater collection system extension. This permit shall be effective from the date of issuance until
rescinded, and shall be subject to the conditions and limitations as specified therein. This cover letter
shall be considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system-wide collection system
permit issued to the Permittee.
it shall be responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
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 30 days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150E 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.
i
2090 U.S.70 Highway,Swannanoa,NC 28778
Phone:[phone]\Internet:www.ncwaterguality.org
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

. .. ... ......
Henderson County
Permit No.WQ0038924
If you need additional information concerning this matter, please contact Tim Heim at(828) 296-4500 or
via e-mail at [e-mail].
Sincerely,
for S.Jay Zimmerman, P.G.
Director, Division of Water Resources
G. Landon Davidson, Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
cc; Brian T. Upton, P.E.—The Isaacs Group(electronic copy)
Kevin Johnson- MSD of Buncombe County(electronic,copy)
Regional Office Files
Water Resources Central Files
PERCS(electronic copy)
G:\WR\WQ\Henderson\Collection Systems\Cane Creek Water&Sewer District\W00038924 San Sewer to Serve Bojangles.docx
ji
Page 2 of 9

'r
Nc.
Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION 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
Henderson County
for the construction and operation of approximately 1,300 linear feet of 8-inch gravity sewer to serve a
78-seat restaurant with seven drive-in spaces as part of the Proposed Sanitary Sewer to Serve Bojangles
project, and the discharge of 1,910 gallons per day of collected domestic wastewater into MSD of
Buncombe County's existing sewerage system, pursuant to the completed application received
December,7, 2016 and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design
Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-
Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other
supporting data subsequently filed and approved by the Department of Environmental Quality and
considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
for S.Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0038924
Permit Issued: December 9,2016
Page 3 of 9

...... .... . .
SUPPLEMENT TO PERMIT COVER SHEET
Henderson County is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the MSD of Buncombe County
Wastewater Treatment Facility in accordance with Permit Number NC0024911.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC`2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina-licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as-constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below.
I. SPECIAL CONDITIONS
1. This permit shall become voidable unless the agreement between Henderson County and MSD of
Buncombe County for the collection and final treatment of wastewater is in full force and effect.
[15A NCAC 02T.0304(h)j ,-
II. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by 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. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 15A NCAC2T, the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.01101
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
Page 4 of 9

a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections
are documented.
f. Ageneral observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 26 .0506(a), and public notice shall be provided as required by North
Carolina General Statute§143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
\ biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors,enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map,which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office,telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
Page 5 of 9

.. ...._.._.... _.
a. Any process unit failure, due to known or unknown reasons, that renders the facial,
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage,etc.; or
b. Any SSO and/or spillover 1,000 gallons;or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information.is permissible, but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five 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. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215AC(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities,the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes; etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel ,
timeframes, shall be provided.
Page 6 of 9

c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings,on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested
modifications or variances to the Minimum Design Criteria will be reviewed on a case-by-case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After-construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification&activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T.0116]
J ' 10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials 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, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. [15A
NCAC 02T.0104; 15A NCAC 02T.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities. [15A NCAC 02T.0110; 15A NCAC 02T.0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State,of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 9

. . ..... .. .. ....._..__._._ .
[THIS PAGE INTENTIALLY LEFT BLANK]
Page 8 of 9

FAST TRACK SEWER ENGINEERING CERTIFICATION
cRMITTEE: HENDERSON COUNTY
PERMIT#: WQ0038924
PROJECT: PROPOSED SANITARY SEWER TO SERVE BOJANGLES
ISSUE DATE: December 9, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition- of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I,the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
- Printed Name,Title Signature Date
ENGINEERS CERTIFICATION
I, as a duly registered Professional-Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
Proposed Sanitary Sewer to Serve Bojangles and location as referenced above for the above Permittee
hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance of this
permit; 15A NCAC 02T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-
Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other
supporting materials.
...........................................................................
North Carolina Professional Engineer's Seal w/signature&date:
❑ Final ❑ Partial(include description)
Certification Comments/Qualifiers(attach if necessary):
NC DWR—Water Quality Regional Operations Section 2090 US Hwy 70,Swannanoa, NC 28778
Asheville Regional Office Phone: [phone] FAX:[phone]

__ ___
���
_,
�.J

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
: Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY -
Director
December 9, 2016
Jerry Cook
220 Kirk Way
Candler,NC 28715
SUBJECT: Compliance Evaluation Inspection
220 Kirk Way
Permit No:NCG551217
Buncombe County
Dear Mr. Cook:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
12/8/2016. Your facility was found to be in compliance with permit NCG551217.
Please refer to the enclosed inspection report for additional observations and comments. If you have any
questions,please call me at 828-296-4658.
Sincerely,
Daniel J Boss
Environmental Specialist
Asheville Regional Office
Enclosed: Inspection Report
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residence\551217 Jerry Cook\CEI.12.08.2016\Inspection Cover Letter.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Flighway 70 Swannanoa,NC 28778
828 296 4500

r���
�_,\
��

United States Environmental Protection Agency Form Approved.
C P/� Washington,D.C.20460 OMB No.2040-0057
/1 Water Compliance Inspection Report Approval expires 6-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day; Inspection Type Inspector Fac Type
1 IN 1 2 IF I 3 I NCG551217 I11 12 16/12/08 17 181 1 191 c 1 201 1
211II111 111111I II I1 -III I I I I I I I I I I I I I I I I I I II 11166
Inspection Work Days Facility Self-Monitoring Evaluation Rating I B1 I QA Reserved-----
67 70 1 I 71 LJ 72 u 731 I 174 751 ( 1 1 I I � (80
L-1 Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 04:30PM 16/12/08 16/10/05
220 Kirk Way
Exit Time/Date Permit Expiration Date
220 Kirk Way
05:OOPM 16/12/08 18/07/31
Candler NC 28715
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
-- Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry Ray Cook,220 Kirk Way Candler NC 28715///
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Permit' Operations&Maintenance ® Records/Reports ® Self-Monitoring Program
Facility Site Review Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Daniel J Boss ARO WQ//828-296-4658/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type
31 NCG551217 I11 12 16/12/OS u 17 18 '^' (Cont.)
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
On December 8, 2016 Dan Boss conducted a Compliance Evaluation Inspection at 220 Kirk Way in
Buncombe county. The owner, Jerry Cook was present for the duration of the inspection. The system
appeared well maintained and functional. There was no evidence of ponding over the sand filters or
septic failure. Mr. Cook has the septic pumped on a regular schedule. The most recent pumping was
in spring of 2016. The chlorination tubes were discovered empty, but Mr. Cook refilled them during the
inspection and he is using the correct size and type of tablet. Mr. Cook is making regular checks of the
outfall and has never seen a discharge from the system, even after running several loads of wash. He
has sample bottles on hand in the event that his system does begin discharging.
j
Page# 2

Permit: NCG551217 Owner-Facility: 220 Kirk Way
Inspection Date: 12/08/2016 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or Jess). Has the permittee submitted a new ❑ ❑ M ❑
application?
Is the facility as described in the permit? ® ❑ `❑ ❑
#Are there any special conditions for the permit? ❑ ❑ ® ❑
Is access to the plant site restricted to the general public? ❑ ❑ ® ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ® ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ® ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ 0 ❑
\\ / Is septic tank pumped on a schedule? i ❑ ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ ■
Are high and low water alarms operating properly? ❑ ❑ ® ❑
Comment:
Sand Filters (Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational? ❑ ❑ 0 ❑
Is the distribution box level and watertight? ❑ ❑ ❑
Is sand filter free of ponding? ® ❑ ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ M ❑
#Is the sand filter surface free of algae or excessive vegetation? ❑ ❑ ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ ® ❑
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ■ ❑ ❑ ❑
Are the tablets the proper size and type? ❑ ❑ ❑
Number of tubes in use? 2
Page# 3

Permit: NCG551217 Owner-Facility: 220 Kirk Way
Inspection Date: 12/08/2016 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth, or sludge buildup? ® ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ® ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ® ❑
Comment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ❑
Is sample collected below all treatment units? ❑ ❑ 0 ❑
Is proper volume collected? ❑ ❑ ■ ❑
Is the tubing clean? ❑ ❑ ■ ❑ -
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ ■ ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ® ❑ ❑ 11
representative)?
Comment: Mr. Cook makes regular checks of the effluent pipe and has not vet seen a discharge so no
sampling has been required.
i
Page# 4

PAT MCCRORY
Governor
n�
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 9, 2016
Jeff Cobb
224 Kirk Way
Candler,NC 28715
SUBJECT: Compliance Evaluation Inspection
224 Kirk Way
Permit No:-NCG551228
Buncombe County
Dear Mr. Cobb:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
12/8/2016. Your facility was found to be in compliance with permit NCG551228.
Please refer to the enclosed inspection report for additional observations and comments. If you have any
Juestions,please call me at 828-296-4658.
Sincerely,
Daniel J Boss
Environmental Specialist
Asheville Regional Office
Enclosed: Inspection Report
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residence\551228 Jeff Cobb;Fm.Merle&Michele Kepley\CEI.12.08.2016\Inspection Cover Letter.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swaunanoa,NC 28778
828 296 4500

�.,,
`�
F
'L_%

United States Environmental Protection Agency Form Approved.
_n/�/-1 Washington,D.C.20460 OMB No.2040-0057
f Water Compliance Inspection Report Approval expires8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN I 2 15 I 3 I NCG551228 I11 12 16t12/08 17 181'1 19I c I 201
21 II1 I t I I I III I I I I L I I I I I I I I I I I I I I-iiiii-i—L I 1166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -----Reserved---
67 70� 71 I I 72 �L�,J] 73�74 75 80
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 04:30PM 16/12/08 13/08/01
224 Kirk Way
Exit Time/Date permit Expiration Date
224 Kirk Way
OS:OOPM 16/12/08 16/07/31
Candler NC 28715
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
j Contacted
Merle Lee Kepley,23 Spencer Rd Candler NC 28715//828-665-6556/
No
Section C:Areas Evaluated During.Inspection(Check only those areas evaluated)
® Permit ® Operations&Maintenance ® Records/Reports ® Self-Monitoring Program
■ Facility Site Review Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Daniel J Boss FI ARO WQ//828-296-46581
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

......_. ..... _................._.. ....._.... ...._ _....
NPDES yr/mo/day Inspection Type
31 NCG551228 I11 12 16/12/08 17 18 C (Cont.) 1
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
On December 8, 2016 Dan Boss conducted a Compliance Evaluation Inspection at 224 Kirk Way in
Buncombe County. The owner, Jeff Cobb was present for the duration of the inspection. The overall
appearance of the system was clean and well maintained. The septic tank is being pumped on a
regular schedule. The last pumping was spring of 2016. No ponding, excessive vegetation, or sewage
smell was observed at any part of the system. Chlorination tubes contained tablets of the correct size
and type which were in contact with the effluent. I told Mr. Cobb he could keep one chlorination tube
filled with tablets instead of two, since he is the only individual on the system. System was not
discharging at the time of the inspection.Mr. Cobb makes regular checks of the effluent pipe and has
sample bottles on hand for collection in the event of a discharge.
Page# 2

Permit: NCG551228 Owner-Facility: 224 Kirk Way
Inspection Date: 12/08/2016. Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ MEJ
application?
Is the facility as described in the permit? ® ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ❑ ■ ❑
Is access to the plant site restricted to the general public? ❑ ❑
Is the inspector granted access to all areas for inspection? ® ❑ El ❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ . ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment:
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ 0 ❑
Is septic tank pumped on a schedule? ■ ❑ ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ 0 ❑
Are high and low water alarms operating properly? ❑ ❑ ❑
Comment:
Sand Filters (Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational? ❑ ❑ ❑
Is the distribution box level and watertight? ❑ ❑
El M
Is sand filter free of ponding? 0 ❑ ❑ ❑
Is the sand filter effluent re-circulated at valid ratio? ❑ ❑ M ❑
#Is the sand filter surface free of algae or excessive vegetation? ❑ ❑ ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ e ❑
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? M ❑ ❑ ❑
Are the tablets the proper size and type? M ❑ ❑ ❑
Number of tubes in use? 2
Page# 3

. ._...__..._ ....
. ..... . ...._ . ............ .
Permit: NCG551228 Owner-Facility: 224 Kirk Way
Inspection Date: 12/08/2016 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth,or sludge buildup? ® ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑
Comment: I told the owner. Mr. Cobb that he could use one chlorination tube rather than two since he
is the only individual on the system.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ® ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ■ ❑
Comment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ 0 0
Is sample collected below all treatment units? ❑ ❑ ❑
Is proper volume collected? \
Is the tubing clean? ❑ ❑ 0 ❑
Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ 0 ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ■ ❑ ❑ ❑
representative)?
Comment: Mr. Cobb makes regular checks of the effluent pipe but has never seen a discharge so no
sampling has been required.
Page# 4

taT TOC
Certified Mail # 7014 0510 0000 4466 3944
Return Receipt Requested
December 9,2016
Ronnie E Hedrick
Riverside at Tapoco LLC
PO Box 756
Robbinsville, NC 28771
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-MV-0139
Permit No. NCO023281
Tapoco Lodge &Village WWTP
Graham County
i
bear Permittee:
A review of the January 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Monitoring Violation(s):
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent BOD, 5-Day(20 Deg. C) —Week ending 1/2/2016 Weekly Frequency Violation
Concentration (C0310)
001 Effluent Solids,Total Suspended - Week ending 1/2/2016 Weekly Frequency Violation
Concentration (C0530)
001 Effluent Temperature,Water Deg. Week ending 1/2/2016 Weekly Frequency Violation
Centigrade (00010)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
Your facility will be required to report your Discharge Monitoring Reports electronically by December
21, 2016.
i�._._%more information, please visit the eDMR Website at the following address:
http://portal.ncdenr.org/web/M/``­`admin/­boci/­`ipu/`edmr.
State of North Carolina I Environmental QualityI Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

..............-..-__-.. _ _ _ _ _.-.._.. ......._. .-.. ..... .-..........._-.-.. ......-......
If the above parameters were left off inadvertently, please send amended DMRs within 10 business days
of this letter to Raleigh at the address found on the.front page of your DMR and also a copy to this office.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water. Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Lamar Williams/ ORC
G:\WR\WQ\Graham\Wastewater\Minors\Tapoco Lodge 23281\NOV-2016-MV-0139.rtf

CERTIFIED MAIL #: 7015 1520 0003 5463 1483_
RETURN RECEIPT REQUESTED
December 12, 2016
Thomas E Hartye,-PE
Metropolitan Sewerage District of Buncombe County North Carolina
2028 Riverside Dr.
Asheville, NC 28804-3054
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-DV-0018
Sanitary Sewer Overflows - November 2016
Collection System Permit No. WQCS00004
MSD Buncombe County Collection System
` Buncombe County
Dear Permittee:
The self-reported Sanitary Sewer Overflow.(SSO) 5-Day Report submitted by Metropolitan Sewerage District of
Buncombe County North Carolina indicates violations of permit conditions stipulated in the subject permit and
North Carolina G.S. 143-215.1. Violations include failing to effectively manage, maintain, and operate the subject
collection system so that there is no SSO to the land or surface waters and making an outlet to waters of the
State for purposes of G.S. 143-215.1(a)(1), for which a permit is required.
Specific incident cited in the subject report include the following:
Total Vol
Total Surface
Incident Start Duration Vol Water
Number Date (Minn) Location Cause (Gals) (Gals) DWR Action
201602553 11/19/2016 80 179 State St Debris 598 150 Notice of Deficiency
Remedial actions, if not already implemented, should be taken to correct the above noncompliance. The Division of
Water Resources may pursue enforcement action for this and any additional violations of State law.
State of North Carolina Environmental Quality(Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you have any questions, please do not hesitate to contact Linda Wiggs with the Water Quality Sectio,.
Asheville Regional Office at 828-296-4500 or via email at [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: Ken Stines, ORC(e-copy)
Asheville Regional Office - WQS File
"Central Files, Water Quality Section
G:\WR\WQ\Buncombe\Collection Systems\MSD Collection System WQCS000041SSO's\NOD-2016-Dv-0018.SSO.11-19-2016.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

PAT MCCRORY
:. Govemor
DONALD R. VAN DER VAART
® Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY -
Director
December 12, 2016
Seth Eckard
Town of Sawmills
4076 US Hwy 321-A
Granite Falls,NC 28630
SUBJECT: Collection System Inspection
Sawmills Collection System
Permit No: WQCS00318
Caldwell County
Dear Mr. Eckardt
On November 16, 2016, I conducted an inspection of the Town of Sawmills Collection System Program._
Present during the inspection were Dan Boss with the Division of Water Resources and Steve Coonse and Terry
Brown with the Town of Sawmills. The program appeared to be in compliance with permit WQCS00318.
Please refer to the enclosed inspection report for observations and comments. If you or your staff have any
questions,please call me at 828-296-4500.
Sincerely,
lir
Linda Wiggs
Environmental Senior Specialist
Asheville Regional Office
Enc.Inspection Report
cc: Steve Coonse,ORC(e-copy)
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Caldwell\Collection Systems\Sawmills Collection System\11-16-2016 I1spect\CEI.11-16-2016.Ltr.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

Compliance Inspection Report
Permit: WQCS00318 Effective: 06/01/13 Expiration: 05/31/21 Owner Town of Sawmills
SOC: Effective: Expiration: Facility: Sawmills Collection System
County:Caldwell
Region: Asheville
Contact Person: Seth Eckard Title: Town Manager Phone:' 828-396-7903
Directions to Facility:
System Classifications: CS1,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
NCO023736 City of Lenoir-Gunpowder Creek WWTP
WQCS00035 City of Lenoir-Lenoir Collection System
Inspection Date: 11/16/2016 Entry Time: 10:OOAM Exit Time: 02:30PM
Primary Inspector: Linda S Wiggs_,j Phone: [phone] Ext.4653
Secondary Inspectors):
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type:' .Collection system management and operation
Facility Status: ®Compliant Not Compliant
Question Areas:
■ Miscellaneous Questions Performance Standards Operation&Maint Reqmts
Records ® Monitoring&Rpting Reqmts Inspections
Pump Station ■ Manhole Lines
(See attachment summary)
t
Page: 1

Permit: WQCS00318 Owner-Facility:Town of Sawmills
Inspection Date: 11/16/2016 Inspection Type Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
Present during the inspection were Terry Brown and Steve Coonse with the Town of Sawmills, Linda Wiggs(Inspector)and
Dan Boss with DWR.
The system consists of-58,000'of gravity lines;the Duff Drive Extension has been included(67 homes).
Industries include Automated Solution, Marx, Precision and Pactive; Kohler Campbell is no longer open.
We talked about noting on the PS log sheets when the floats are lifted/maintained or valves are exercised/maintained.
Current use of additives in the PS include Pursuit, Devour and a bacteria block for grease.
The Spill Response Action Plan needs to be updated with current names.Also,an email was sent to Steve Coo rise on
12/6/2016 with the DEQ website for SSO's and the updated reporting requirements.
i
Page: 2

Permit: WQCS00318 Owner-Facility:Town of Sawmills
Inspection Date: 11/16/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspections Yes No NA NE
Are maintenance records for sewer lines available? ® ❑ ❑ ❑
Are records available that document pump station inspections? ® ❑ ❑ ❑
Are SCADA or telemetry equipped pump stations inspected at least once a week? ® ❑ ❑ ❑
Are non-SCADA/telemetry equipped pump stations inspected every day? ® ❑ ❑ ❑
Are records available that document citizen complaints? ® ❑ ❑
#Do you have a system to conduct an annual observation of entire system? ® ❑ ❑
1-1
#Has there been an observation of remote areas in the last year? ® ❑ ❑ ❑
Are records available that document inspections of high-priority lines? 0 ❑ ❑ ❑
Has there been visual inspections of high-priority lines in last six months? M ❑ ❑ ❑
Comment:
Monitoring and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available? ❑ ❑ 0 ❑
Are public notices and proof of publication available? ❑ ❑ S ❑
#Is an annual report being prepared in accordance with G.S. 143-215.1 C? M ❑ ❑ ❑
#Is permittee compliant with all compliance schedules in the permits? ❑ ❑ ❑
If no,which one(s)?
Comment: _
Operation&Maintenance Requirements Yes No NA NE
Are all logbooks available? M ❑ ❑ ❑
Does supervisor review all log books on a regular basis? ■ ❑ ❑ ❑
Does the supervisor have plans to address documented short-term problem areas? ® ❑ ❑ ❑
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
This is a small municipality,staff are in daily contact.
Are maintenance records for equipment available? 0 ❑ ❑ ❑
Is a schedule maintained for testing emergency/standby equipment? ❑ ❑ ❑
What is the schedule for testing emergency/standby equipment? wkly self test,yrly
professional maint.
Do pump station logs include:
Inside and outside cleaning and debris removal? 0 ❑ ❑ ❑
Inspecting and exercising all valves? ❑ M ❑ ❑
Inspecting and lubricating pumps and other equipment? ❑ 0 ❑ ❑
Inspecting alarms,telemetry and auxiliary equipment? ❑ ❑ ❑
Page: 3

Permit: WQCS00318 Owner-Facility:Town of Sawmills
Inspection Date: 11/16/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Operation&Maintenance Requirements Yes No NA NE
Is there at least one spare pump for each pump station w/o pump reliability? ® El El El
Are maintenance records for right-of-ways available? ® 0 El EJ
Are right-of-ways currently accessible in the event of an emergency? ® El El EJ
Are system cleaning records available? ® El
Has at least 10%of system been cleaned annually? ® �
What areas are scheduled for cleaning in the next 12 months?
Spring take,Helena,Cedar Valley
Is a Spill Response Action Plan available? ® El El El
Does the plan include:
24-hour contact numbers ® �
Response time ® n On
Equipment list and spare parts inventory -■
El El El
Access to cleaning equipment ® El El 0
Access to construction crews,contractors,and/or engineers El n
Source of emergency funds ■
Site sanitation and cleanup materials ■ 11 El
Post-overflow/spill assessment _ ■
Is a Spill Response Action Plan available for all personnel? ■
Is the spare parts inventory adequate? 0 El El El
Comment: Names need to be updated.
Most current SSO reporting requirement was sent via email to Steve Coonse
Performance Standards Yes No NA NE
Is Public Education Program for grease established and documented?
What educational tools are used?
Annual mailings,Flyers,poster on Town Hall bulletin.Staff is going to include on the website soon:
Is Sewer Use Ordinance/Legal Authority available? ■
El El 0
Does it appear that the Sewer Use Ordinance is enforced? ■
Is Grease Trap Ordinance available? 1:1 El
■
Is Septic Tank Ordinance available(as applicable,i.e.annexation) .
List enforcement actions by permittee,if any,in the last 12 months
Has an acceptable Capital Improvement Plan(CIP)been implemented?
Does CIP address short term needs and long term\"master plant/concepts?
Does CIP cover three to five year period? .
Does CIP include Goal Statement? .
El 0 El
Page: 4

Permit: WQCS00318 Owner-Facility:Town of Sawmills.
Inspection Date: 11/16/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Performance Standards Yes No NA NE
Does CIP include description of project area? ® '❑ ❑ ❑
Does CIP include description of existing facilities? ® ❑ ❑
Does CIP include known deficiencies? ® ❑ ❑
Does CIP include forecasted future needs? ® ❑ ❑ a
Is CIP designated only for wastewater collection and treatment? ® ❑ ❑ ❑
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
Is system free of known points of bypass? ® ❑ ❑ ❑
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? ® ❑ ❑ ❑
#Does the sign include:
Instructions for notification? • ❑ ❑
FJ
Pump station identifier? ❑ ❑ ❑
24-hour contact numbers . ❑ ❑ ❑
If no,list deficient pump stations
#Do ALL pump stations have an"auto polling"feature/SCADA? ❑ M ❑ ❑
Number of pump stations a
Number of pump stations that have SCADA 0
Number of pump stations that have simple telemetry 3
Number of pump stations that have only audible and visual alarms 1
Number of pump stations that do not meet permit requirements 0
#Does the permittee have a root control program? ❑ ❑ ❑
#If yes,date implemented?
Describe:
Town has rodding device.
Comment: SUO is enforced by Lenoir.
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? ❑ ❑ ❑
Are records of SSOs that are under the reportable threshold available? ❑ ❑ M ❑
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? ❑ ❑ ❑
If yes,is there a corrective action plan? ❑ ❑ M
Is a map of the system available? ❑ ❑ ❑
Page: 5

Permit: WQCS00318 Owner-Facility:Town of Sawmills
Inspection Date: 11/16/2016 Inspection Type Collection System Inspect Non Sampling Reason for Visit: Routine
Records Yes No NA NE
Does the map include:
Pipe sizes ❑ ❑ ❑
Pipe materials ® ❑ ❑ ❑
Pipe location ® ❑ ❑ ❑
Flow direction ® ❑ ❑ ❑
Approximate pipe age ® ❑ ❑ ❑
Number of service taps ® ❑ ❑ ❑
Pump stations and capacity ® ❑ ❑ ❑
If no,what percent is complete?
List any modifications and extensions that need to be added to the map
#Does the permittee have a copy of their permit? ® ❑ ❑ ❑
Comment: There have not been any SSO's in last 12 months
BELOW INDUSTRY -
Manhole Yes No NA NE
Is manhole accessible? ■ ❑ ❑ ❑
#Is manhole cover/vent above grade? . ❑ ❑ ❑
Is the manhole free of visible signs of overflow? ■ ❑ ❑
Is the manhole free of sinkholes and depressions? ® ❑ ❑
Is manhole cover present? ■ ❑ ❑
#Is manhole properly seated? ■ ❑ ❑
#Is manhole in good condition? . ❑ ❑ ❑
#Is invert in good condition? ■ ❑ ❑ ❑
Is line free-flowing and unrestricted in manhole? ■ ❑ ❑ ❑
Is manhole free of excessive amounts of grease? e ❑ ❑ ❑
Is manhole free of excessive roots? ■ ❑ ❑
Is manhole free of excessive sand? ■ ❑ ❑
Is manhole's extended vent screened? ❑ ❑ ■ ❑
Are vents free of submergence? ❑ ❑ . ❑
Are manholes free of bypass structures or pipes? ■ ❑ ❑ ❑
Comment:
BY MARX AND GROCERY -
Manhole Yes No NA NE
Is manhole accessible? M ❑ ❑ ��--�
Page: 6

Permit: WQCS00318 Owner Facility:Town of Sawmills
Inspection Date: 11/16/2016 - Inspection Type c Collection System Inspect Non Sampling Reason for Visit: Routine
BY MARX AND GROCERY -
Manhole Yes No NA NE
#Is manhole cover/vent above grade? ® ❑
Is the manhole free of visible signs of overflow? . ❑ ❑ ❑
Is the manhole free of sinkholes and depressions? ® ❑ ❑ El
Is manhole cover present? ® ❑ ❑ ❑
#Is manhole properly seated? ® ❑ ❑ ❑
#Is manhole in good condition? ® ❑ ❑ ❑
#Is invert in good condition? ® ❑ ❑ ❑
Is line free-flowing and unrestricted in manhole? ® ❑ ❑ ❑
Is manhole free of excessive amounts of grease? N ❑ ❑ ❑
Is manhole free of excessive roots? ® ❑ ❑ ❑
Is manhole free of excessive sand? ■ ❑ ❑ ❑
Is manhole's extended vent screened? ❑ ❑
Are vents free of submergence? ❑ ❑ ® ❑
Are manholes free of bypass structures or pipes? ® ❑ ❑ ❑
Comment:
MAYFIELD
Pump Station Yes No NA NE
Pump station type
Are pump station logs available? ❑ ❑ ❑
Is it accessible in all weather conditions? ■ ❑ ❑ ❑
#Is general housekeeping acceptable? ❑ ❑ ❑
Are all pumps present? ® ❑ ❑ ❑
Are all pumps operable? ❑ ❑ ❑
Are wet wells free of excessive debris? ❑ ❑ ❑
Are upstream manholes free of excessive debris/signs of overflow? ■ ❑ ❑ ❑
Are floats/controls for pumps/alarms operable? N ❑ ❑ ❑
Is"auto polling"feature/SCADA present? ❑ ❑ N ❑
Is"auto polling"feature/SCADA operational? ❑ ❑ N ❑
Is simple telemetry present? N ❑ ❑ ❑
Is simple telemetry operational? 0 ❑ ❑ ❑
Are audio and visual alarms present? ❑ ❑ ❑
Are audio and visual alarms operable? ❑ ❑ ❑
Is the Pump station inspected as required? N ❑ ❑ ❑
Are backflow devices in place? N ❑ ❑ ❑
Page: 7

Permit: WQCS00318 Owner-Facility:Town of Sawmills
inspection Date: 11/16/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
MAYFIELD -
Pump Station Yes No NA NE
Are backflow,devices operable? ® 0
El FJ
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available? ® El ❑
Can the emergency generator run the pumps? ® Q
Is the pump station equipped for quick hook-up?
Is the generator operable? ® El El 0
#Is fuel in tank and sufficient? 1:1 El
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted? ® El El 0
Does it include:
Instructions for notification?
Pump station identifier? ® �
Emergency phone number ■
Is public access limited? ® El El n
Is pump station free of overflow piping? ■
Is the pump station free of signs of overflow? 01:1 ❑
Are run times comparable for multiple pumps? yes
Comment:
Page: 8

PAT MCCRORY
Governor
.A*
' N DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 9, 2016
Stephen Yaw
218 Kirk Way
Candler,NC 28715
SUBJECT: Compliance Evaluation Inspection
218 Kirk Way
Permit No:NCG551216
Buncombe County
Dear Mr. Yaw:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
12/8/2016. Your facility was found to be in compliance with permit NCG551216.
Please refer to the enclosed inspection report for additional observations and comments. If you have any
questions,please call me at 828-296-4658.
`-Sincerely,
Daniel J Boss
Environmental Specialist
Asheville Regional Office
Enclosed: Inspection Report
cc: MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Buncombe\Wastewater\General\NCG55 Single Family Residence\551216 Stephen Yaw\CEI.12.08.2016\lnspection Cover Letter.doex
State of North Carolina I Environmental Quality I Water Resources
2090 US.Highway 70 Swannanoa,NC 28778
828 296 4500

. . .._..._.._._..._ . _ _ _ __ __ _ _ _
_ _
_.__
__
_ �-�,
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United States Environmental Protection Agency Form Approved.
_r-'/�/1 Washington,D.C.20460 OMB No.2040-OD57
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 2 15 1 3 I NCG551216 �11 12 16/12/08 17 18 JCJ 19 1 0 1 201
2111111 1 11111111111111111111111111111 . IIII f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ---- ----Reserved-- —
671 70 Lj 71 u 72 1 'N I 731' i 174 75 80
Section 13:facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 04:30PM 16/12/08 16/10/05
218 Kirk Way
Exit Time/Date Permit Expiration Date
218 Kirk Way
05:OOPM 16/12/08 18/07/31
Candler NC 28715
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Stephen Yaw,218 Kirk Way Candler NC 28715///
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Permit - ® Operations&Maintenance 0 Records/Reports ®Self-Monitoring Program
Facility Site Review ® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
P ,-o
Daniel J Boss .L j ARO WQ//826-296-4658/
Signat anagement Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.)
31 NCG551216 I1 12 16/12/08 17 18 1
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
On December 8, 2016 Dan Boss conducted a Compliance Evaluation Inspection at 218 Kirk Way. The
owner, Stephen Yaw was not present for the inspection, but I spoke with Mr.Yaw on the phone while
on site and his neighbor, Jerry Cook, showed me a file containing his paperwork. Mr.Yaw faxed me a
copy of his most recent septic tank pumping which was on May 5, 2016. Overall the system appeared
well maintained. There was no evidence of septic failure or sand filter ponding. The chlorination tubes
were filled with tablets of the proper size and type. Mr.Yaw has a record of outfall checks he is
making. He says he has never seen a discharge from the effluent pipe, but he has sample bottles on
hand in the event his system begins discharging.
Page# 2

Permit: NCG551216 Owner-Facility: 218 Kirk Way
inspection Date: 12/08/2016 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ ® ❑
application?
Is the facility as described in the permit? ® ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ❑ ® ❑
Is access to the plant site restricted to the general public? ❑ ❑ ® ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ ® ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ ■ ❑
Is septic tank pumped on a schedule? 0 ❑ El El
Are pumps or syphons operating properly? ❑ ❑ ■ ❑
Are high and low water alarms operating properly? ❑ ❑ ® ❑
Comment:
Sand Filters (Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational? ❑ ❑ M ❑
Is the distribution box level and watertight? ❑ ❑ ❑
Is sand filter free of ponding? ® ❑ ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ 0 ❑
#Is the sand filter surface free of algae or excessive vegetation? 0 ❑ ❑ ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ ® ❑
Comment:
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? M ❑ ❑ ❑
Are the tablets the proper size and type? M ❑ ❑ ❑
Number of tubes in use? 2
Page# 3

. ..... ...... ...._._---.-...... ......... .... .
Permit: NCG551216 Owner-Facility: 218 Kirk Way
Inspection Date: 12/08/2016 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth,or sludge buildup? ® ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ® ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ® ❑
Comment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ® ❑
Is sample collected below all treatment units? ❑ ❑ . ❑
Is proper volume collected? ❑ ❑ ■ ❑
Is the tubing clean? ❑ ❑ 0 ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ® ❑ ❑ ❑
representative)?
Comment.- Mr.Yaw makes regular checks of the effluent pipe but has never seen a discharge so no
sampling has been required.
Page# 4

C� ­4ZE-
4­4
Certified Mail # 7014 0510 0000 4466 3951
Return Receipt Requested
December 9, 2016
Brian Osteen
Greystone Enterprises Inc
PO Box 2059
Hendersonville, NC 28793-2059
SUBJECT: NOTICE OF VIOLATION &INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2016-MV-0140
Permit No. NCO068799
Greystone Subdivision WWTP
Henderson County
._gar Permittee:
A review of the May 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Monitoring Violation(s):
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent Chlorine,Total Residual (50060) 5/7/2016 2 X week Frequency Violation
001 Effluent Chlorine,Total Residual (50060) 5/14/2016 2 X week Frequency Violation
001 Effluent Chlorine,Total Residual (50060) 5/21/2016 2 X week Frequency Violation
001 Effluent Chlorine,Total Residual (50060) 5/28/2016 2 X week Frequency Violation
A Notice of Violation/Intent to Issue Civil Penalty is"being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty of not
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails
to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.
If the above parameter was left off inadvertently, please send amended DMRs within 10 business days of receipt
of this letter to Raleigh at the address found on the front page of your DMR and also a copy to this office.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you wish to provide additional information regarding the noted violation, request technical assistance,
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the
violations. If no response is received in this Office within the 10-day period, a civil penalty
assessment may be prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder: Pursuant to Permit Condition 6 in Section E. the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities,taking units off-line, etc.
Your facility will be required to report your Discharge Monitoring Reports electronically by December
21, 2016.
For more information, please visit the eDMR Website at the following address:
http://portal.ncdenr..org/web/wq/`­­admin/­­bog/ipu/­``edmr.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office Enforcement File
NPDES Compliance/Enforcement Unit Enforcement File
James &James Environmental/ ORC
G:\WR\WQ\Henderson\Wastewater\Minors\Greystone Subdivision 68799\N0V-N01-2016-MV-0140.rtf

,t
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 12, 2016
Timothy Gauthier
Town of Weaverville
PO Box 338
Weaverville,NC 28787
SUBJECT: Compliance Evaluation Inspection
Lawrence T. Sprinkle Jr. WTF
Permit No:NCO085154
Buncombe County
Dear Mr. Gauthier:
On November 29, 2016, 1 conducted a Compliance Evaluation Inspection of the wastewater system at the
subject facility. Present during the inspection was Jared "Trent" Duncan. The facility appeared to be in
" compliance with permit NC0085154.
Please refer to the enclosed inspection report for observations and comments. If you or your staff have any
questions,please call me at 828-296-4500.
Sincerely,
Linda Wiggs
Environmental Senior Specialist
Asheville Regional Office
Enc.Inspection Report
cc: Jared"Trent"Duncan,ORC(e-copy)
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Buncombe\Wastewater\Municipal\Ivy River(Weaverville)WTP 85154\Inspect 11-29-2016\CEI.11-29-2016.Ltr.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

NPDES yr/mo/day Inspection Type
31 NC0085154 h 12 16/11/29 117 18 ICI
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Present during the inspection.were Linda Wiggs(Inspector)and Jared"Trent' Duncan the ORC.
Overall the wastewater system appeared to be well managed. Solids management is ongoing which
appears to be a good technique. Impacts to the receiving stream (UT to Ivy River)were not apparent.
Page# 2

Permit: NCO085154 Owner-Facility: Lawrence T.Sprinkle Jr.VVTF
Inspection Date: 11/29/2016 Inspection Type: Compliance Evaluation
Operations& Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT,Settleable ® ❑ ❑ ❑
Solids, pH, DO,Sludge Judge, and other that are applicable?
Comment: PH,TRC
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑
0 El
application?
Is the facility as described in the permit? ® ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ❑ ® ❑
Is access to the plant site restricted to the general public? ® ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment:
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? ® ❑ ❑ ❑
Is all required information readily available, complete and current? . ❑ ❑ ❑
Are all records maintained for 3 years(lab. reg. required 5 years)? ® ❑ ❑ ❑
Are analytical results consistent with data reported on DMRs? ® ❑ ❑ ❑
Is the chain-of-custody complete? ❑ ❑ ❑
Dates,times and location of sampling ❑
Name of individual performing the sampling ❑
Results of analysis and calibration ❑
Dates of analysis ❑
Name of person performing analyses
Transported COCs ❑
Are DMRs complete:do they include all permit parameters? e ❑ ❑ ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ ■ ❑
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator ❑ ❑ M ❑
on each shift?
Is the ORC visitation log available and current? ® ❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ ❑
Is the backup operator certified at one grade less or greater than the facility classification? ❑ El El
Is a copy of the current NPDES permit available on site? ■ ❑ ❑ ❑
Page# 3

Permit: NCO085154 owner-Facility: Lawrence T.Sprinkle Jr.WTF
Inspection Date: 11/29/2016, Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review?
Comment: Good records.
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? ® El 0 ,E]
Is the site free of excessive buildup of solids in center well of circular clarifier? El
Are weirs level?
Is the site free of weir blockage? El El ® ❑
Is the site free of evidence of short-circuiting? ET El
Is scum removal adequate?
Is the site free of excessive floating sludge? 0 El El n
Is the drive unit operational? ❑
Is the return rate acceptable(low turbulence)? ❑
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable?(Approximately Y4 of the sidewall depth) ® ❑
Comment: 24'depth, 6'sludge blanket. Solids are removed regularly —6 loads/week. ``-
De-chlorination Yes No NA NE
Type of system? Gas
Is the feed ratio proportional to chlorine amount(1 to 1)?
Is storage appropriate for cylinders? ■
#Is de-chlorination substance stored away from chlorine containers? ■
Comment:
Are the tablets the proper size and type? El M
Are tablet de-chlorinators operational? 0 El ■
Number of tubes in use?
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? E
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly? 1111 E D
Comment: Receiving stream looks good.
Page# 4

Permit: NCO085154 Owner-Facility: Lawrence T.Sprinkle Jr.wTF
Inspection Date: 11/29/2016 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ® ❑
Is sample collected below all treatment units? ® ❑ ❑
Is proper volume collected? ❑ ❑ ❑
Is the tubing clean? ❑ ❑ N ❑
#.Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ® ❑ ❑ ❑
representative)?
Comment: Grab samples are collected. Flow is estimated.
Page# 5

ti
PAT MCCRORY
Govemor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY -
Director
December 12, 2016
DWR# 16-1169
Polk County
John R. and Mary Kay Watts
220 Canoe Drive
Mill Spring, NC 28756
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH ADDITIONAL
CONDITIONS
220 Canoe Drive Shoreline Stabilization
Dear Mr. and Mrs. Watts:
You have our approval for the impacts listed below for the purpose described in your
application dated November 2,2016, and received by the Division of Water Resources
(Division) on November 28, 2016, with additional information received December 7, 2016.
-� These impacts are covered by the attached Water Quality General Certification Number 3885
and the additional conditions listed below. This certification is associated with the use of
Nationwide Permit Number 13 once it is issued to you by the U.S. Army Corps of Engineers.
Please note that.you should get any other federal, state or local permits before proceeding with
your project, including those required by(but not limited to) Sediment and Erosion Control,
Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certifications) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification aremet. No other impacts are approved,
including incidental impacts. [15A NCAC 02H .0506(b) and/or (c)]
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

220 Canoe Drive Shoreline Stabilization
DWR#16-1169
401 Approval
Page 2 of 3 ,
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Open Water
Impact 01 0.01 acres
2. This approval is for the purpose and design described in your application.The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate
fee. If the property is sold, the new owner must be given a copy of this approval letter
and General Certifications) and is responsible for complying with all conditions. [15A
NCAC 02H .0507(d)(2)]
3. All banks shall be laid back to at least a 2:1 (length : height) slope and riprap applied at
the water/land interface. Riprap shall be placed as a linear protective measure upon
the regraded slopes. Stone used in stabilization shall be of a size and density sufficient
to prevent movement by wave or current action or stream flow and shall consist of �-
clean rock or masonry material free of debris or toxic pollutants. The riprap shall be
installed over a toed in filter fabric to prevent soil erosion behind the stabilized area.
This authorization shall in no way be construed as allowing the installation of a
bulkhead or seawall. [15A NCAC 02H .0507(c)]
4. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources Commission (NCWRC) comment letter dated November 30, 2016
(attached) to the maximum extent practicable. [15A NCAC 02H .0506(b)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH) within sixty(60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at [phone] for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH during
normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding official
state holidays).

220 Canoe Drive Shoreline Stabilization
DWR#16-1169
401 Approval
Page 3 of 3
The petition maybe faxed to the OAH at [phone], provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh, NC 27699-6714 Raleigh, NC 27609-6285
One (1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
,! This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Andrew.Moore at 828-296-4684 or
[e-mail] if you have any questions or concerns.
Sincerely,'
Za )Price, P.E., Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3885
Certificate of Completion
NCWRC Comment Letter dated November 30, 2016
cc: David Brown—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie—NCWRC (via email)
Cathy Ruth— Polk County Planning (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit (via email)
G:\WR\WQ\Polk\401s\Non-DOT\220 Cane Drive Shoreline Stabilization\APRVL.220CanoeDriveShorelineStabilization.12-12-2016.docx

__
__
��
J

�' 0 _
AMU
Certified Mail # 7014 0510 0000 4466 3968
Return Receipt Requested
December 12, 2016
Charles Vines
Town of Bakersville
PO Box 53
Bakersville, NC'28705
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-MV-0141
Permit No. NCO025461
Bakersville WWTP
Mitchell County
-gear Permittee:
A review of the April 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Monitoring Violation(s):
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent Solids,Total Suspended -Week ending 4/2/2016 Weekly Frequency Violation
Concentration (C0530)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations. If the violations are of a
continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent (SOC).
If the above parameter was left off inadvertently, please send amended DMRs within 10 business days of receipt
of this letter to Raleigh at the address found on the front page of your DMR and also a copy to this office.
Your facility will be required to report your Discharge Monitoring Reports electronically by December
2016.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

For more information, please visit the eDMR Website at the following address:
http://portal.ncdenr.org/web/wq/admin/boa/ipu/edmr
If you have any questions concerning this matter or to apply for an SOC, please contact Janet Cantwell of the
Asheville Regional Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
WQ Lab &Operations/ ORC
G:\VJR\VVQ\Mitchell\LVasteviater\Municipal\25461 Bakersville,NOV-2016-MV-01,4l.rti

y p�
It 'AAR
Certified Mail#7014 0510 0000 4466 3982
Return Receipt Requested
December 12,2016
Michael D Molling
D O I National Park Services
199,Hemphill Knob Rd
Asheville,NC 28803
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute(G.S.) 143-215.1(a)(6)
and NPDES WW Permit No.NCO072729
D O I National Park Services
Mt. Pisgah Lodge&Recreation Area WWTP
Case No.LV-2016-0248
Haywood County
Dear Permittee:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of$216.62($100.00 civil penalty+
$116.62 enforcement costs)against D O I National Park Services.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report(DMR)
submitted by D O I National Park Services for the month of July 2016. This review has shown the subject facility to be in
violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No.NC0072729. The
violations,which occurred in July 2016,are summarized in Attachment A to this letter.
Based upon the above facts,I conclude as a matter of law that D O I National Park Services violated the terms,conditions
or requirements of NPDES WW Permit No.NCO072729 and G.S. 143-215.1(a)(6)in the manner and extent shown in
Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2),a civil penalty may be assessed
against any person who violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources,I,G.Landon Davidson,
P.G.,Regional Supervisor,Asheville Regional Office hereby make the following civil penalty assessment against D O I
National Park Services:
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

$100.00 1 of the 2 violations of 143-215.1(a)(6)and Permit No.NC0072729,by discharging waste water lit,
the waters of the State in violation of the Permit Daily Maximum for FCOLI BR.
$100.00 TOTAL CIVIL PENALTY
$116.62 Enforcement Costs
$216.62 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.I(b),which are:
(1) The degree and extent of harm to the natural resources of the State,to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty(30) days of receipt of this notice,you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option 1: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality(do.not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

.on 2: Submit a written request for remission or mitigation including a detailed justification for such
request:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing;
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and ,
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted;and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved,the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 14313-282.1(b)was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status,directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions(Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission you must complete and submit the enclosed"Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing and Stipulation of Facts form within thirty(30)days of receipt of this
notice The Division of Water Resources also requests that you complete and submit the enclosed"Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

Option 3: File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with-
the Office of Administrative Hearings within thirty(30)days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m, and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile(fax)or electronic mail by an attached file(with restrictions)-provided
the signed original,one(1)copy and a filing fee(if a filing fee is required by NCGS§150B-23.2)is received in the
Office of Administrative Hearings within seven(7)business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh,NC 27699-6714
Tel: [phone]
Fax: [phone]
One(1)copy of the petition must also be served on DEQ as follows:
Mr. Sam M.Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,North Carolina 27699-1601
Please indicate the case number(as found on page one of this letter)on the petition.
Failure to exercise one of the options above within thirty(30)days of receipt of this letter,as evidenced by an internal
date/time received stamp(not a postmark),will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions,please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at(828)296-4667 or via email [e-mail].
Sincerely,
G.Landon Davidson,P.G.,Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources,NCDEQ
ATTACHMENTS
Cc: WQS Asheville Regional Office-Enforcement File
NPDES Compliance/Enforcement Unit-Enforcement File
G.`4Vft.1YQiHiyhc+ad�bVastewaier`vtilinocs,LYt.Yisea6 Lodge&Res Arca'72729`:LV-21p1G-0249,tf

JUSTIFICATION FOR REMISSION REQUEST
.use Number: LV-2016-0248 County: Haywood
Assessed Party: D O 1 National Park Services/Mt.Pisgah Lodge&Recreation Area WWTP
Permit No.: NC0072729 Amount Assessed: $216.62
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts"form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S.§ 143B-282.1(c);remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation,including copies of supporting documents, as to why the
factor applies(attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282.1(b)'were wrongfully applied to the
detriment of the petitioner(the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation(i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident(i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION•

.......... ..............
STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF HAYWOOD
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
D O I National Park Services )
Mt.Pisgah Lodge&Recreation Area WWTP )
PERMIT NO.NCO072729 ) CASE NO. LV-2016-0248
Having been assessed civil penalties totaling$216.62 for violation(s)as set forth in the assessment document of the Division
of Water Resources dated December 12,2016,the undersigned, desiring to seek remission of the civil penalty, does hereby
waive the right to an administrative hearing in the above-stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty(30)days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after(30)days from the receipt of the
notice of assessment.
This the day of 20
SIGNATURE
ADDRESS
TELEPHONE

ATTACHMENT A
D O 1 National Park Services
CASE NUMBER: LV-2016-0248
PERMIT: NCO072729 REGION: Asheville
FACILITY: Mt. Pisgah Lodge& Recreation Area WWTP COUNTY: Haywood
LIMIT VIOLATION(S)
SAMPLE LOCATION: Outfall 001 -Effluent
Violation Report Unit of Limit Calculated %Over Violation Penalty
Date Month/Yr Parameter Frequency Measure Value Value Limit Type Amount
7/5/2016 7-2016 Coliform, Fecal MF, Weekly #/100ml 400 600 50.0 Daily Maximum $100.00
MFC Broth,44.5 C Exceeded
7/19/2016 7-2016 Coliform, Fecal MF, Weekly #/100ml 400 440 10.0 Daily Maximum $0.00
MFC Broth,44.5 C Exceeded

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY - Director
December 13, 2016
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Gayle Sams
2292 Cedar Creek Road
Lake Lure,NC 28746
Return Receipt#
70151520 0003 54631490
Barbara Rouse Sams
2290 Cedar Creek Road
Lake Lure,NC 28746
Return Receipt
70151520 0003 54631506
SUBJECT: NOTICE OF VIOLATION and
RECOMMENDATION FOR ENFORCEMENT
2290 Cedar Creek Road
NOV-2016-SS-0018
Removal of Best Usage
Rutherford County
Response deadline: January 13,2017
Dear Ms. Sams:
On December 7,2016, Kevin Mitchell from the Asheville Regional Office of the Division of
Water Resources (DWR) conducted a site inspection at 2290 Cedar Creek Road Parcel Number
(1614812)in Rutherford County.
Stream standard violations were noted during the inspection and file review. Approximately 500
feet of stream were impacted by excavation and removal of stream bed substrate in Cedar Creek,
classified C; Tr Trout.
As a result of the site inspection and file review,the following violations were identified:
VIOLATIONS
I. Removal of Best Usage- 15A NCAC 02B.0211 (2)—Title 15A North Carolina
Administrative Code 02B .0211 (2)requires that"The waters shall be suitable for
State of North Carolina I Environmental Quality I water Resources
2090 U.S.Highway 70 1 Asheville,North Carolina 28778
828 296 4500

2290 Cedar Creek Road
December 13,2016
Page 2 of 3
aquatic life propagation and maintenance of biological integrity, wildlife,
secondary recreation, and agriculture; sources of water pollution which preclude
any of these uses on either a short-term or long-term basis shall be considered to
be violating a water quality standard."
REQUIRED RESPONSE
The DWR requests that you respond by January 13, 2017. Your'response should be sent to the
attention of Kevin Mitchell, Division of Water Resources, 2090 US HWY 70, Swannanoa,NC
28778. You are encouraged to secure an environmental consultant to assist with your plan
development and authorization necessary to achieve compliance. It is recommended that you
contact Kevin Mitchell for additional guidance during plan development. The response should
address the following items:
1. Please explain why the activity occurred without prior authorization.
2. Please submit a Restoration Plan to this office for review and approval. You are
encouraged to secure a consultant to assist you with your plan development and with �)
obtaining any permit, certification, and/or authorization necessary to achieve compliance.
The plan should include the following:
a. Please immediately stabilize the exposed stream banks.
b. Please provide a map of the project area and all impacted areas.
c. Please indicate in your response a schedule with dates detailing when the
restoration will be accomplished.
d. Once the work is complete, a final report documenting the results of the stream
stabilization should be submitted to Kevin Mitchell.
Thank you for your attention to this matter. This Office is considering sending a
recommendation for enforcement to the Director of the Division of Water Resources regarding
these issues and any future/continued violations that may be encountered. Your above-
mentioned response to this correspondence will be considered in this process.
This office requires that the violations, as detailed above, be abated immediately. Pursuant
to G.S. 143-215.6A, these violations and any future violations are subject to a civil penalty
assessment of up to $25,000.00 per day for each violation.

2290 Cedar Creek Road
December 13,2016
Page 3 of 3
Should you have any questions regarding these matters,please contact Kevin Mitchell at(828)
296-4650 or kevin.mitchell@,ncdenr.gov.
Sincerely,
Zan Price, P.E., Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
cc: David Brown—USACE (via email)
Karen Higgins, 401 &Buffer Permitting Unit
ARO File Copy
G:\WR\WQ\Rutherford\Complaints\2292 Cedar Creek Road-Sams\NOV-2016-SS-0018 12.13.2016.docx

D`O1+1
Certified Mail#7014 0510 0000 4466 3999
Return Receipt Requested
December 13,2016
Roger C Floren,II
Flesher's Fairview Rest Home
PO Box 1160
Fairview,NC 28730-1160
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute(G.S.) 143-215.1(a)(6)
and NPDES WW Permit No.NCO034924
Flesher's Fairview Rest Home
Flesher's Fairview Rest Home WWTP
Case No. LV-2016-0250
Buncombe County
Dear Permittee:
This.letter transmits a Notice of Violation and assessment of civil penalty in the amount of$316.62($200.00 civil penalty+
$116.62 enforcement costs)against Flesher's Fairview Rest Home.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report(DMR)
submitted by Flesher's Fairview Rest Home for the month of August 2016. This review has shown the subject facility to be
in violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No.NC0034924. The
violations,which occurred in August 2016,are summarized in Attachment A to this letter.
Based upon the above facts,I conclude as a matter of law that Flesher's Fairview Rest Home violated the terms, conditions
or requirements of NPDES WW Permit No.NCO034924 and G.S. 143-215.1(a)(6)in the manner and extent shown in
Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2),a civil penalty may be assessed
against any person who violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance,with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources,I, G.Landon Davidson,
P.G.,Regional Supervisor,Asheville Regional Office hereby make the following civil penalty assessment against Flesher's
Fairview Rest Home:
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

$200.00 2 of the 2 violations of 143-215.1(a)(6)and Permit No.NC0034924,by discharging waste water ii..
the waters of the State in violation of the Permit Daily Maximum for BOD -Cone.
$200.00 TOTAL CIVIL PENALTY
$116.62 Enforcement Costs
$316.62 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.1(b),which are:
(1) The degree and extent of harm to the natural resources of the State,to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty(30)days of receipt of this notice,you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option 1: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality(do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

-,on 2: Submit a written request for remission or mitigation including a detailed justification for such
request:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such arequest must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted,and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved,the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b)was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status,directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions(Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission you must complete and submit the enclosed"Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing and Stipulation of Facts"form within thirty(30)days of receipt of this
notice The Division of Water Resources also requests that you complete and submit the enclosed"Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

Option 3: File a petition for an administrative hearinL with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with the Office of Administrative Hearings within thirty(30)days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m.,except for official state
holidays. The petition may be filed by facsimile(fax)or electronic mail by an attached file(with restrictions)-provided
the signed original, one(1)copy and a filing fee(if a filing fee is required by NCGS §150B-23.2)is received in the
Office of Administrative Hearings within seven(7)business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh,NC 27699-6714
Tel: [phone]
Fax: [phone]
One(1)copy of the petition must also be served on DEQ as follows:
Mr. Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,North Carolina 27699-1601
Please indicate the case number(as found on page one of this letter)on the petition.
Failure to exercise one of the options above within thirty(30)days of receipt of this letter, as evidenced by an internal
date/time received stamp(not a postmark),will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions,please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at(828)296-4667 or via email [e-mail].
Sincerely,
m
G. Landon Davidson,P.G.,Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources,NCDEQ
ATTACHMENTS
Cc: WQS Asheville Regional Office-Enforcement File ! ..
NPDES Compliance/Enforcement Unit-Enforcement File
James&James Environmental/ORC
Ci.,btR\�VQ`.[3unc�mbc`1�'astewater'.\•liners rlesher's Rest Home 3493+\t:.�='6i<.i-025QaF -

JUSTIFICATION FOR REMISSION REQUEST
ase Number: LV-2016-0250 County: Buncombe
Assessed Party: Flesher's Fairview Rest Home
Permit No.: NCO034924 Amount Assessed: $316.62
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts"form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 143B-282.1(c),remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies(attach additional pages as needed).
_ (a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.1(b)were wrongfully applied to the
detriment of the petitioner(the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation(i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
—' (c) the violation was inadvertent or a result of an accident(i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF BUNCOMBE
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
Flesher's Fairview Rest Home )
Flesher's Fairview Rest Home WWTP )
PERMIT NO.NCO034924 ) CASE NO. LV-2016-0250
Having been assessed civil penalties totaling$316.62 for violation(s)as set forth in the assessment document of the Division
of Water Resources dated December 13,2016,the undersigned, desiring to seek remission of the civil penalty, does hereby
waive the right to an administrative hearing in the above-stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty(30)days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after(30)days from the receipt of the
notice of assessment.
This the day of 20
SIGNATURE
ADDRESS
TELEPHONE
l

ATTACHMENT A
Flesher's Fairview Rest Home
CASE NUMBER: LV-2016-0250
PERMIT: NCO034924 REGION: Asheville
FACILITY: Flesher's Fairview Rest Home COUNTY: Buncombe
LIMIT VIOLATION(S)
SAMPLE LOCATION: Outfall 001 -Effluent
Violation Report Unit of . Limit Calculated %Over Violation Penalty
Date Month/Yr Parameter Frequency Measure Value Value Limit Type Amount
8/23/2016 8-2016 BOD, 5-Day(20 Deg. Weekly mg/I 45 64.30 42.9 Daily Maximum $100.00
C)-Concentration Exceeded
8/30/2016 8-2016 BOD, 5-Day(20 Deg. Weekly mg/I 45 66.20 47.1 Daily Maximum $100.00
C)-Concentration Exceeded

__ ___ _
�:,1
�`^�\
�'�_

r
f•-
Xl-
'x
Certified Mail#7014 0510 0000 4466 4002
Return Receipt Requested
December 13,2016
Stephen J Hutchins, General Manager
Blue Ridge Paper Products Inc
175 Main St
Canton,NC 28716
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute(G.S.) 143-215.1(a)(6)
and NPDES WW Permit No.NC0000272
Blue Ridge Paper Products Inc
Canton Mill
Case No, LV-2016-0251
Haywood County
Dear Permittee:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of:$366.62($250.00 civil penalty+
$116.62 enforcement costs)against Blue Ridge Paper Products Inc.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report(DMR)
submitted by Blue Ridge Paper Products Inc for the month of May 2016. This review has shown the subject facility to be
in violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No.NC0000272. The
violations,which occurred in May 2016, are summarized in Attachment A to this letter.
Based upon the above facts,I conclude as a matter of law that Blue Ridge Paper Products Inc violated the terms,
conditions or requirements of NPDES WW Permit No.NC0000272 and G.S. 143-215.l(a)(6)in the manner and extent
shown in Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2), a civil penalty maybe
assessed against any person who violates the terms,conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources,I, G.Landon Davidson,
P.G.,Regional Supervisor,Asheville Regional Office hereby make the following civil penalty assessment against Blue Ridge
Paper Products Inc:
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

$250.00 1 of the 1 violations of 143-215.1(a)(6)and Permit NO.NC0000272,by discharging waste water i�_
the waters of the State in violation of the Permit Daily Maximum for FCOLI BR.
$250.00 TOTAL CIVIL PENALTY
$116.62 Enforcement Costs
$366.62 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.1(b),which are:
(1) The degree and extent of harm to the natural resources of the State,to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty(30)days of receipt of this notice,you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option 1: Submit payment of the penalty:
Payment should be made directly to the°order of the Department of Environmental Quality(do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

.n 2: Submit a written request for remission or mitigation including a detailed justification for such
.equest:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted,and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved,the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 14313-282.1(b)was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations;or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status,directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions(Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission you must complete and submit the enclosed"Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts form within thirty(30)days of receipt of this
notice The Division of Water Resources also requests that you complete and submit the enclosed"Justification for
Remission Request.,,
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

..._........_.__.._..... _ _ _
Option 3: File a petition for an administrative hearinLy with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with_
the Office of Administrative Hearings within thirty(3 0)days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings.during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile(fax)or electronic mail by an attached file(with restrictions)-provided
the signed original,one(1)copy and a filing fee(if a filing fee is required by NCGS §150B-23.2)is received in the
Office of Administrative Hearings within seven(7)business days following the faxed or electronic transmission. You
should contact the Office,of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh,NC 27699-6714
Tel: [phone]
Fax: [phone]
One(1)copy of the petition must also be served on DEQ as follows:
Mr. Sam M.Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,North Carolina 27699-1601
Please indicate the case number(as found on page one of this letter)on the petition.
Failure to exercise one of the options above within thirty(30)days of receipt of this letter,as evidenced by an internal
date/time received stamp(not a postmark),will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions,please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at(828)296-4667 or via email [e-mail].
Sincerely,
G. Landon Davidson,P.G.,Regional u isor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources,NCDEQ
ATTACHMENTS
Cc: WQS Asheville Regional Office-Enforcement File t
NPDES Compliance/Enforcement Unit-Enforcement File
G1LVR`;4VQ`,Haywood'`.4Vasteevuter'htdistrizl`BL;eRidge Paper002'72.LV-2016-ii?51 of

JUSTIFICATION FOR REMISSION REQUEST
use Number: LV-2016-0251 County: Haywood
Assessed Party: Blue Ridge Paper Products Inc
Permit No.: NC0000272 Amount Assessed: $366.62
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts"form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant toN.C.G.S. § 14313-282.1(c),remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies(attach additional pages as needed).
_ (a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.l(b)were wrongfully applied to the
detriment of the petitioner(the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation(i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident(i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

.. .......... ......_. .
.. . _._....
STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF HAYWOOD
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
Blue Ridge Paper Products Inc )
Canton Mill )
PERMIT NO.NC0000272 ) CASE NO. LV-2016-0251
Having been assessed civil penalties totaling$366.62 for violation(s)as set forth in the assessment document of the Division
of Water Resources dated December 13,2016,the undersigned, desiring to seek remission of the civil penalty, does hereby
waive the right to an administrative hearing in the above-stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty(30)days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after(30)days from the receipt of the
notice of assessment.
This the day of 20
SIGNATURE
ADDRESS
TELEPHONE

ATTACHMENT A
Blue Ridge Paper Products Inc
CASE NUMBER: LV-2016-0251
PERMIT: NC0000272 REGION: Asheville
FACILITY: Canton Mill COUNTY: Haywood
LIMIT VIOLATION(S)
SAMPLE LOCATION: Outfall 001 -Effluent
Violation Report Unit of Limit Calculated.%Over Violation Penalty ,
Date Month/Yr Parameter Frequency Measure Value Value Limit Type Amount
5/27/2016 5-2016 Coliform, Fecal MF, Weekly #/100ml 400 2420 505.0 Daily Maximum $250.00
MFC Broth,44.5 C Exceeded
j

vli
Certified Mail#7014 0510 0000 4466 4019
Return Receipt Requested
December 13, 2016
Stephen J Hutchins, General Manager
Blue Ridge Paper Products Inc
175 Main St
Canton,NC 28716
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute(G.S.) 143-215.1(a)(6)
and NPDES WW Permit No.NC0000272
Blue Ridge Paper Products Inc
Canton Mill
Case No. LV-2016-0252
_ Haywood County
Dear Permittee:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of_$616.62 ($500.00 civil penalty+
$116.62 enforcement costs)against Blue Ridge Paper Products Inc.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report(DMR)
submitted by Blue Ridge Paper Products Inc for the month of June 2016. This review has shown the subject facility to be
in violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No.NC0000272. The
violations,which occurred in June 2016,are summarized in Attachment A to this letter.
Based upon the above facts,I conclude as a matter of law that Blue Ridge Paper Products Inc violated the terms,
conditions or requirements of NPDES WW Permit No.NC0000272 and G.S. 143-215.I(a)(6)in the manner and extent
shown in Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2),a civil penalty maybe
assessed against any person who violates the terms,conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources,I,G.Landon Davidson,
P.G.,Regional Supervisor,Asheville Regional Office hereby make the following civil penalty assessment against Blue Ridge
Paper Products Inc:
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

$500.00 2 of the 3 violations of 143-215.1(a)(6)and Permit No.NC0000272, by discharging wastewater ii..
the waters of the State in violation of the Permit Daily Maximum for FCOLI BR.
$500.00 TOTAL CIVIL PENALTY
$116.62 Enforcement Costs
$616.62 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.1(b),which are:
(1) The degree and extent of harm to the natural resources of the State,to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty(30) days of receipt of this notice,you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing —'
Option 1: Submit payment of the penalty:
Payment should be-made directly to the order of the Department of Environmental Quality(do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

_,In 2: Submit a written request for remission or mitigation including a detailed justification for such
request:
Plea se.be,aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted, and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved,the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b)was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding.the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions(Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore,it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission you must complete and submit the enclosed"Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing, and Stimulation of Facts"form within thirty(30)days of receipt of this
notice The Division of Water Resources also requests that you complete and submit the enclosed"Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

Option 3: File a petition for an administrative hearinL with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with
the Office of Administrative Hearings within thirty(30) days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m.and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile(fax)or electronic mail by an attached file(with restrictions)-provided
the signed original,one(1)copy and a filing fee(if a filing fee is required by NCGS §150B-23.2)is received in the
Office of Administrative Hearings within seven(7)business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding the filing fee and/or the details of the
filing process:
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh,NC 27699-6714
Tel: [phone]
Fax: [phone]
One(1)copy of the petition must also be served on DEQ as follows:
Mr. Sam M.Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,North Carolina 27699-1601
Please indicate the case number(as found on page one of this letter)on the petition.
Failure to exercise one of the options above within thirty(30)days of receipt of this letter, as evidenced by an internal
date/time received stamp(not a postmark) will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions,please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at(828)296-4667 or via email [e-mail].
Sincerely,
G. Landon Davidson,P.G.,Regional Sup e or
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources,NCDEQ
ATTACHMENTS
Cc: WQS Asheville Regional Office-Enforcement File
NPDES Compliance/Enforcement Unit-Enforcement File
Ci:44'R`:.4YQ';H;�ywn<�d'th851CR,'910f`Lidirstrial`Blcie Ridge Paper 00273`.LV-2016-v252.rd'

JUSTIFICATION FOR REMISSION REQUEST
ase Number: LV-2016-0252 County: Haywood
Assessed Party: Blue Ridge Paper Products Inc
Permit No.: NC0000272 Amount Assessed: $616.62
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts"form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 14313-282.1(c),remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation,including copies of supporting documents, as to why the
factor applies(attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.1(b)were wrongfully applied to the
detriment of the petitioner(the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation(Le., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident(Le., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
_ (e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

.....__._ _.....
. ...__....._....
STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF HAYWOOD
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
Blue Ridge Paper Products Inc )
Canton Mill )
PERMIT NO.NC0000272 ) CASE NO. LV-2016-0252
Having been assessed civil penalties totaling$616.62 for violation(s)as set forth in the assessment document of the Division
of Water Resources dated December 13,20161 the undersigned, desiring to seek remission of the civil penalty, does hereby
waive the right to an administrative hearing in the above-stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty(30)days of receipt of the notice
of assessment. No new evidence in'support of a remission request will be allowed after(30)days from the receipt of the
notice of assessment.
This the day of ,20
SIGNATURE
ADDRESS
TELEPHONE
f

ATTACHMENT A
Blue Ridge Paper Products Inc
CASE NUMBER: LV-2016-0252
PERMIT: NC0000272 REGION: Asheville
FACILITY: Canton Mill COUNTY: Haywood
LIMIT VIOLATION(S)
SAMPLE LOCATION: Outfall 001 -Effluent
Violation Report Unit of Limit Calculated %Over Violation Penalty
Date MonthNr Parameter Frequency Measure Value Value Limit Type Amount
6/2/2016 6-2016 Coliform, Fecal MF, Weekly #/100ml 400 600 50.0 Daily Maximum $250.00
MFC Broth,44.5 C Exceeded
6/9/2016 6-2016 Coliform, Fecal MF, Weekly #/100ml 400 1410 252.5 Daily Maximum $250.00
MFC Broth,44.5 C Exceeded
6/16/2016 6-2016 Coliform,Fecal MF, Weekly #/100ml 400 435 8.7 Daily Maximum $0.00
MFC Broth,44.5 C Exceeded

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
�^ Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY -
Director
December 13, 2016
DWR# 16-1163
Macon County
Marcus Whitener
404 Notre Dame Street, Penthouse 3
New Orleans, LA 70130
Subject:. APPROVAL OF 401 WATER QUALITY CERTIFICATION
Whitener 814 Lakeshore Drive—Lake Nantahala
Dear Mr. Whitener:
You have our approval for the impacts listed below for the purpose described in your application
dated November 8, 2016, and received by the Division of Water Resources (Division) on
November 28, 2016. These impacts are covered by the attached Water Quality General
Certification Number 3898 and the additional conditions listed below. This certification is
associated with the use of General Permit Number 30 once it is issued by the U.S. Army Corps
_ of Engineers.Please note that you should obtain any other federal, state or local permits before
proceeding with your project, including those required by (but not limited to) Sediment and
Erosion Control,Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s).or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit, and/or Buffer Rules are met. No
other impacts are approved,including incidental impacts. [1SANCAC 02H .0506(b)
and/or(c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool Below Pool
0.0300(acres) 0.0300 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division and
you may be required to submit a new application package with the appropriate fee. If the
property is sold,the new owner must be given a copy of this approval letter and General
Certification(s)/Permit/Authorization and is responsible for complying with all
conditions. [15A NCAC 02H .0507(d)(2)]
State of North Carolina I Environmental Quality I Water Resources
2090 US Hwy 70 1 Swannanoa,North Carolina 28778
828 296 4500

Whitener 814 Lakeshore Drive
DWR# 16-1163
401 Approval
Page 2of3
3. All banks shall be laid back to at least a 2:1 (length : height) slope and riprap applied at
the water/land interface (at fall pool). Riprap shall be placed as a linear protective
measure upon the regraded slopes. Stone used in stabilization shall be of a size and
density sufficient to prevent movement by wave or current action and shall consist of
clean rock or masonry material free of debris or toxic pollutants. The rip-rap shall be
installed over a toed in filter fabric to prevent soil erosion behind the stabilized area. This
authorization shall in no way be construed as allowing the installation of a bulkhead or
seawall. [15A NCAC 02H .0507 (c)]
4. Replant or allow the re-establishment of native vegetation in areas within the project
boundary where it has been removed per Duke Power Nantahala Area Shoreline
Management Guidelines.
5. The permitee shall require its contractors and/or agents to comply with the terms and
conditions of this permit in the construction and maintenance of this project, and shall
provide each of its contractors and/or agents associated with the construction or
maintenance of this project with a copy of this Certification. A copy of this
Certification, including all conditions shall be available at the project site during the
construction and maintenance of this project. [15A NCAC 02H .0507 (c) and 15A
NCAC 02H .0506 (b)(2) and (c)(2)]
6. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources Commission(NCWRC)comment letter dated December 9, 2016
(attached)to the maximum extent practicable. [15A NCAC 02H .0506(b)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty (60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAR filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five(5)
business days following the faxed transmission. --
Mailing address for the OAH:

Whitener 814 Lakeshore Drive
DWR# 16-1163
401 Approval
Page 3 of 3
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DEQ:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
[e-mail] if you have any questions or concerns.
i
Sincerely,
Z Price, P.E., Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion:
cc: Bob Martin—The Seawall Company(via email)
Kevin Holland—Duke Energy(via email)
David Brown—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—DEMLR(via email)
DWR ARO files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Macon\401s\Non-DOT\Whitener 814 Lakeshore Drive\APRVL.401 Whitener 814 Lakeshore Drive 12.13.16.docx

PST
ft
TA ii
Certified Mail#7014 0510 0000 4466 3975
Return Receipt Requested
December 13,2016
Matthew Knauer
Young Life Ministries
120 Coles Grove Rd
Weaverville,NC 28787
SUBJECT: Notice of Violation and Assessment of Civil Penalty
.for Violations of North Carolina General Statute(G.S.) 143 215.1(a)(6)
and NPDES WW Permit No.NCO034304
Young Life Ministries
Windy Gap Camp WWTP
Case No.LM-2016-0030
Buncombe County
Dear Permittee:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of$316.62($200.00 civil penalty+
$116.62 enforcement costs)against Young Life Ministries.
This assessment is based upon the following facts: a review has been conducted of the discharge monitoring report(DMR)
submitted by Young Life Ministries for the month of July 2016. This review has shown the subject facility to be in violation
of the discharge limitations and/or monitoring requirements found in NPDES WW Permit No.NC0034304. The violations,
which occurred in July 2016, are summarized in Attachment A to this letter.
Based upon the above facts,I conclude as a matter of law that Young Life Ministries violated the terms, conditions or
requirements of NPDES WW Permit No.NCO034304 and G.S. 143-215.1(a)(6)in the manner and extent shown in
Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2),a civil penalty maybe assessed
against any person who violates the terms, conditions or requirements of a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the Secretary
of the Department of Environmental Quality and the Director of the Division of Water Resources,I,G.Landon Davidson,
P.G.,Regional Supervisor,Asheville Regional Office hereby make the following civil penalty assessment against Young
Life Ministries:
State of North Carolina Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

$200.00 2 of the 2 violations of 143-215.l(a)(6)and Permit No.NC0034304, by discharging waste water
the waters of the State in violation of the Permit Daily Maximum for FCOLI BR.
$0.00 0 of the 1 violations of 143-215.1(a)(6)and Permit No.NC0034304,by discharging wastewater into
the waters of the State in violation of the Permit Monthly Geometric Mean for FCOLI BR.
$0.00 for 0 of the l failures to properly monitor DO in violation of Permit No.NC0034304.
$200.00 TOTAL CIVIL PENALTY
$116.62 Enforcement Costs
$316.62 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.1(b),which are:
(1) The degree and extent of harm to the natural resources of the State,to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty(30)days of receipt of this notice,you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission,OR
(3) Submit a written request for an administrative hearing
Option L• Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality(do not include waiver.
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

.,n 2: Submit a written request for remission or mitigation including a detailed justification for such;
request:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may,
relate to the reasonableness of the amount of the civil penalty assessed'. Requesting remission is not the proper
procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted,and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved,the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b)was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations;or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions(Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore,it is very important that you prepare a complete and
thorough statement in support of your request for remission.
J In order to request remission you must complete and submit the enclosed"Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts"form within thirty(30)days of receipt of this
notice The Division of Water Resources also requests that you complete and submit the enclosed"Justification for
Remission Request." -
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh,North Carolina 27699-1617

....__.... ...
Option 3: File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with,
the Office of Administrative Hearings within thirty(30)days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile(fax)or electronic mail by an attached file(with restrictions)-provided
the signed original, one(1)copy and a filing fee(if a filing feeds required by NCGS §15013-23.2)is received in the
Office of Administrative Hearings within seven(7)business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding-the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh,NC 27699-6714
Tel: [phone]
Fax: [phone]
One(1)copy of the petition must also be served on DEQ as follows:
Mr. Sam M.Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,North Carolina 27699-1601
Please indicate the case number(as found on page one of this letter)on the petition.
Failure to exercise one of the options above within thirty(30) days of receipt of this letter, as evidenced by an internal
date/time received stamp(not a postmark),will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions,please contact Janet Cantwell with the Division of Water Resources staff of the Asheville
Regional Office at(828)296-4667 or via email [e-mail].
Sincerely,
G. Landon Davidson,P.G.,Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources,NCDEQ
ATTACHMENTS
Cc: WQS Asheville Regional Office-Enforcement File
NPDES Compliance/Enforcement Unit-Enforcement File
t;.'4V}L444t1 Blmcombe�.t4'asrau-arer'.�iinorslFounE Life Windy Gap 4364\l_N.i-'n1G-Op30.;Yf

JUSTIFICATION FOR REMISSION REQUEST
use Number: LM-2016-0030 County: Buncombe
Assessed Party: Young Life Ministries
Permit No.: NCO034304 Amount Assessed: $316.62
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts"form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s)occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document." Pursuant to N.C.G.S. § 14313-282.1(c),remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies(attach additional pages as needed).
(a) one or more of the civil penalty assessment factors inN.C.G.S. 14313-282.1(b)were wrongfully applied to the
detriment of the petitioner(the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation(i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident(i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

....... . ..... .. ..__....... .. .._......
STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF BUNCOMBE
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL,PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
Young Life Ministries )
Windy Gap Camp WWTP )
PERMIT NO.NCO034304 ) CASE NO. LM-2016-0030
Having been assessed civil penalties totaling$316.62 for violation(s)as set forth in the assessment document of the Division
of Water Resources dated December 13,2016,the undersigned, desiring to seek remission of the civil penalty, does hereby
waive the right to an administrative hearing in the above-stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty(30)days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after(30)days from the receipt of the
notice of assessment.
This the day of 120
i
SIGNATURE
ADDRESS
TELEPHONE
J

ATTACHMENT A
Young Life Ministries
CASE NUMBER: LM-2016-0030
PERMIT: NCO034304 REGION: Asheville
FACILITY: Windy Gap Camp WWTP COUNTY: Buncombe
LIMIT VIOLATION(S)
SAMPLE LOCATION: Outfall 001 -Effluent
Violation Report Unit of Limit Calculated %Over Violation Penalty
Date MonthNr Parameter Frequency Measure Value Value Limit Type Amount
7/14/2016 7-2016 Coliform, Fecal MF, Weekly #/100ml 400 400 Daily Maximum $100.00
MFC Broth,44.5 C Exceeded
7/28/2016 7-2016 Coliform, Fecal MF, Weekly #/100ml 400 400 Daily Maximum . $100.00 -
MFC Broth,44.5 C Exceeded
7/31/2016 7-2016 Coliform, Fecal MF, Weekly #/100ml 200 236.40 18.2 Monthly $0.00
MFC Broth,44.5 C Geometric
Mean
Exceeded
I!r--t,ITORING VIOLATION(S)
SAMPLE LOCATION: Outfall 001 -Effluent
Violation Report Unit of Limit Calculated %Over Violation Penalty
Date MonthNr Parameter Frequency Measure Value Value Limit Type Amount
7/2/2016 7-2016 Oxygen, Dissolved Weekly mg/l Frequency $0.00
(DO) Violation

.....__._._.. .. _ __ _ ____ _ _ _ _ _ _ _
__.
_ .
__
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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterRESourceS
S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 14,2016
Dirk Cody
Crown Food Mart
P.O.Box 218
Robbinsville,NC 28771
Re: Well Construction Permit WR0100054
Crown Food Mart-Graham County Government;Phillips Real Estate,LLC; and Jordan
Properties
Graham County
Dear Mr. Cody,
In accordance with the application submitted on your behalf by Robert Martin,received on September 28,
2016,with additional information received December 12,2016,we are forwarding well construction
permit WR0100054 dated December 14,2016. The permit is for the construction of three recovery well
systems on Graham County Government;Phillips Real Estate,LLC; and Jordan properties.
The application was submitted after-the-fact as the recovery wells were previously installed to address a
petroleum release associated with the Crown Food Mart.A well construction variance application was
also submitted and the variance will be issued under separate cover.
If you should have any questions or need additional information contact Andrew Moore at 828-296-4684.
Sincerely,
y
I
G.Landon Davidson,P.G.
Regional Supervisor
Water Quality Regional Operations Section
cc: ARO File
Robert Martin—Martin and Slagle GeoSciences, PA(via email)
li
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

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NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES—WATER QUALITY SECTION
PERMIT FOR THE CONSTRUCTION OF RECOVERY WELL(S)
In accordance with the provisions of Article 7, Chapter 87, North Carolina General Statutes, and other applicable Laws,
Rules and Regulations.
PERMISSION IS HEREBY GRANTED TO
Dirk Cody
FOR THE CONSTRUCTION OF THREE RECOVERY WELL SYSTEMS owned by Dirk Cody, P.O. Box 218,
Robbinsville, NC 28771. The wells will be located in Robbinsville, North Carolina on property owned by Graham
County Government located at 300 Rodney Orr Bypass; Phillips Real Estate,LLC located at 424 Rodney Orr Bypass; and
Billy Ray and Mildred B. Jordan located at 121 Jordan Street. This Permit is issued in accordance with the application
received on September 28, 2016, with additional information received December 12, 2016, in conformity with
specifications and supporting data, all of f which are filed with the Department of Environmental Quality and are
considered integral parts of this Permit.
This Permit is for well construction only,and does not waive any provision or requirement of any other applicable law or
regulation. Construction of any well under this Permit shall be in strict compliance with the North Carolina Well
Construction Regulations and Standards (15A NCAC 02C .0100), and other State and Local Laws and regulations
pertaining to well construction.
If any requirements or limitations specified in this Permit are unacceptable, you have a right to an adjudicatory hearing
upon written request within 30 days of receipt of this Permit. The request must be in the form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings,
5714 Mail Service Center, Raleigh,North Carolina 27699-6714. Unless such a demand is made, this Permit is final and
,finding.
This Permit will be effective for one year from the date of its issuance and shall be subject to other specified conditions,
limitations,or exceptions as follows:
1. The well(s) shall be located and constructed as shown on the attachments submitted as part of the permit
application.
2. Well construction records (GW-1) for each well shall be submitted to the Division of Water Resources'
Information Processing Unit within 30 days of well completion.
3. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued by another
agency.
4. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C .0108(o).
5. The recovery well shall be maintained in accordance with 15A NCAC 02C .0108.
6. When the well is discontinued or abandoned, it shall be abandoned in accordance with the well
construction variance dated December 14, 2016, and a well abandonment record (GW-30) shall be
submitted to the Division of Water Resources' Information Processing Unit within 30 days of well
abandonment.
Permit issued the 14'day of December,2016
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Landon Davidson,Regional Supervisor
Division of Water Resources
Water Quality Regional Operations Section
By Authority of the Environmental Management Commission
Permit No.#WR0100054

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PAT MCCRORY
Governor
o
W;.
DONALD R. VAN DER VAART
" Secretary
WaterResources
ENVIRONMENTAL:QUALITY S. JAY ZIMMERMAN
Director
December 14,2016
Dirk Cody
Crown Food Mart
P.O. Box 218
Robbinsville,NC 28771
Re: Well Construction Variance No. WV0100061
Variance Request to Rule 15A NCAC 02C .0108
Crown Food Mart
Graham County
Dear Mr. Cody,
On September 28,2016,the Asheville Regional Office of the Division of Water Resources(DWR)
received your request for a variance to the well construction standards in Title 15A of the North Carolina
Administrative Code(NCAC)02C .0108.The variance request is for three emergency recovery well
systems to address a petroleum release impacting surface water that serves as water supply to the Town of
Robbinsville.Verbal approval for the recovery well systems was granted by the DWR prior to variance
and recovery well application submittal Therefore,the variance application is an after-the-fact submittal.
Additional required information in support of the application was received November 18,December 2,
and December 7,2016.
The installed recovery well systems vary from a number of requirements in Title 15A NCAC 02C .0108,
namely parts,(g), (h), (i),and(1).Based upon the information provided, it is my finding that the factors are
sufficient to satisfy the conditions for approval of a variance as defined in 15A NCAC 02C .0118.As the
well system has no grout seal to prevent the vertical migration of contaminants from the land surface to
the subsurface,it poses a risk to groundwater quality.As such, additional permit conditions must be
followed.
This variance shall be subject to the following specified conditions as follows:
1. The recovery well system risers shall be secured with locking well caps as required in 15A
NCAC 02C .0108(k).
2. Any damage to the recovery well system due to the lack of a steel outer well casing or flush-
mount cover shall be repaired immediately,or the recovery well system shall be abandoned as
described in number 4 below.
3. The recovery well system shall be abandoned,as described below,prior to December 14,2017.If
you wish for the recovery well systems to remain in place after December 14,2017,you shall
provide a request in writing to this office justifying the need for the recovery wells.
4. The recovery well systems shall be abandoned by completely removing all vertical risers from the
systems.The horizontal components of the system shall be completely filled with cement-type
grout. Any hole excavated to remove the vertical risers or access the horizontal components shall
be filled with grout or material excavated during construction of the recovery well systems.
5. The ground surface above the horizontal components of the recovery well systems shall be graded
to promote positive drainage.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Dirk Cody
December 14,2016
Page 2 of 3
The granting of this variance in no way relieves the owner or agent from other requirements of the North
Carolina Well Construction Standards, or any other applicable law,rule or regulation that may be
regulated by other agencies,nor does it imply sufficient water quality or quantity.If you are dissatisfied
with this decision,you may commence a contested case by filing a petition under G.S. 150-23 within
sixty(60)days after receipt of the decision.A copy of this permit,which includes a variance, should be
attached to the required Well Construction Record(GW-1).
If you have any questions regarding this variance,please contact Andrew Moore at 828-296-4684.
Sincerely,
G.Landon Davidson,P.G.
Regional Supervisor
Water Quality Regional Operations Section
cc: ARO File
Robert Martin—Martin and Slagle GeoSciences,PA(via email)

5 /
C� TAZ r
Certified Mail # 7014 0510 0000 4466 4026
Return Receipt Requested
December 14, 2016
Paul P Vest
YMCA of Western North Carolina
53 Asheland Ave Ste 105
Asheville, NC 28801
SUBJECT: NOTICE OF VIOLATION &INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2016-LV-0656
Permit No. NCO089478
Camp Watia WWTP
Swain County
Dear Permittee:
A review of the July 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Nitrogen, Ammonia Total (as 7/7/2016 35 43.9 Daily Maximum Exceeded
N) - Concentration (C0610)
001 Effluent Nitrogen, Ammonia Total (as 7/31/2016 13 23.3 Monthly Average Exceeded
N) - Concentration (C0610)
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES Permit. Pursuant to G.S. 143-215.6A, a civil penalty of not
more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails
to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

.............
If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten (10) business days after receipt of this Notice.
A review of your response will be considered along with any information provided on the submitted Discharge
Monitoring Report(s). You will then be notified of any civil penalties that may be assessed regarding the
violations. If no response is.received in this Office within the 10-day period, a civil penalty
assessment-may be prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law.
Reminder: Pursuant to Permit Condition 6 in Section E, the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Superviso
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office -Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Lance Ingram/ ORC
G:\LVR\WQ\Sv4ain\Wastewater\Minors\YWCA Camp WaUa\N0V-N0I-2016-LV-0656.rtf

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 15, 2016
CERTIFIED MAIL
RETURN RECEIPT REQUESTED 70151520 0003 54631513
Burton& Caroline Edwards
152 Sanibel Lane
Maggie Valley,NC 28751
SUBJECT: NOTICE OF VIOLATION and
RECOMMENDATION FOR ENFORCEMENT
Tiny Drive Parcel (7697-38-9816)
NOV-2016-PC-0644
Stream Standard Violation- Other Waste(In-stream sediment)
Failure to Secure 401
Haywood County
Response deadline: 21 Days from Receipt
Dear Burton& Caroline Edwards:
On December 7, 2016, Tim Fox from the Asheville Regional Office of the Division of Water
Resources (DWR) conducted a site inspection at your property on Tiny Drive Parcel(7697-38-
9816)in Haywood County.
Stream standard and 401 Water Quality Certification(WQC)violations were noted during the
inspection and file review. Sediment impacts to an un-named tributary to Germany Cove Branch
a Classified C; Trout water were documented. Two large excavated basins and associated fill
were observed and constructed in jurisdictional waters.
As a result of the site inspection and file review,the following violations were identified:
VIOLATIONS
I. Stream Standard Violation - Other Waste (In-stream sediment) 15A NCAC 02B
.0211 (12)—An undetermined length of an un-named tributary to Germany Cove Branch,
a classified C; Trout water was impacted by sediment deposition measured to be between
four to seven inches in depth throughout the stream reach, representing Water Quality
Stream Standard violation of 15A NCAC 02B .0211 (12).
State of North Carolina I Environmental Quality I Water Resources
Asheville Regional Operations Center
2090 US 70 Highway,Swannanoa,North Carolina 28778
828/296-4500

Burton & Caroline Edwards
December 15, 2016
Page 2
II. Failure to Secure a 401 Water Quality Certification (WQC)
A review of records confirmed that neither the D WR nor the US Army Corps of
Engineers (USACOE)has received an application for a 404 Permit or 401 WQC,prior to
the impacts noted above. Such an application is required pursuant to Section 404 of the
Clean Water Act and Part 15A of North Carolina Administrative Code 2H .0500.
REQUIRED RESPONSE
The DWR requests that you respond by the response deadline. Your response should be sent to
the attention of Tim Fox,Division of Water Resources, 2090 US HWY 70, Swannanoa,NC
28778 and should address the following items:
1. Stream Standard - Other Waste (In-Stream Sediment)
a. Stabilize the site in accordance with the corrective actions outlined in the Notice
of Violation for Mining by the Division of Energy, Mineral, and Land Resources
(DEMLR) dated December 13, 2016.
b. Please provide a map of the project area. The map must include all streams and
wetlands, detailing impacts both on- and off-site.
c. Please-submit a Sediment Removal Plan(Plan)to this office for review and
approval. The Plan must address removal of accumulated sediment from all
surface waters. You must secure an environmental consultant experienced in
stream restoration to assist you with developing your Plan, and obtaining any
necessary approvals. It is recommended that your consultant contact Tim Fox of
the Asheville Regional Office for additional guidance during Plan development.
The Plan should include:
• A narrative explaining how sediment will be removed including techniques,
manpower and tools to be used.
• A proposed schedule with dates that indicate when you expect to begin and
complete the removal of sediment.
• A diagram of the stream channel,referenced with photo documentation of
sediment impacts before and after removal.
• A narrative explaining how and where the removed sediment will be disposed r
and stabilized.

Burton & Caroline Edwards
December 15, 2016
Page 3
• Please explain how turbidity standards will not be exceeded.
d. Once the work is complete, a final report documenting the results of the sediment
removal activities should be submitted to Tim Fox.
2. Failure to Secure a 401 Water Quality Certification
a. Please explain why the two excavated basins and associated fill were constructed
in the stream channel without prior authorization.
Two (2) options exist to resolve the violations related to the 401 Water Quality
Certification:
1. Apply to the U.S. Army Corps of Engineers for and receive a 404 Permit
pertaining to the stream and wetland modifications or fill that has occurred. A
401 WQC will be required if the activities are permitted by the Corps. The
application process as described does not guarantee the impacts will be approved.
2. Restore the stream to pre-existing conditions.
a. includes the restoration of stream channels as well as the restoration of
streambanks and buffers along streams.
If pursuing Option 1:
a. Contact the U. S. Army Corps of Engineers to determine the permitting needs of
the activities you have undertaken. The Asheville office phone number is (828)
271-7980.
b. Provide a proposed schedule of when you expect to have the required Pre-
Construction Notification(401 WQC application) submitted to DWR.
If pursuing Option 2:
a. Please submit a Stream Restoration Plan to this office for review and approval.
You must secure an environmental consultant experienced in stream restoration to
assist you with development of your plan and authorization necessary to achieve
compliance.

Burton & Caroline Edwards
December 15, 2016
Page 4
The plan must include the restoration of stream channels as well as the restoration
of the streambanks and buffer along streams.
It is recommended that your consultant contact Tim Fox of the Asheville Regional
Office for additional guidance during plan development. The plan should include
the following:
b. A proposed schedule with dates that indicate when you expect to begin and
complete the restoration work.
c. Once the plan has been implemented and is complete, a final report documenting
restoration of the stream should be submitted to Tim Fox.
Thank you for your attention to this matter. This Office is considering sending a
recommendation for enforcement to the Director of the Division of Water Resources regarding
these issues and any future/continued violations that may be encountered. Your above-
mentioned response to this correspondence will be considered in this process. This office
requires that the violations, as detailed above,be abated immediately. These violations and
any future violations are subject to a civil penalty assessment of up to $25,000.00 per day
for each violation. Should you have any questions regarding these matters,please contact Tim
Fox at(828) 296-4500 or tim.foxoncdenngov.
Sincerely,
an Price, P.E.,Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
cc: David Brown—USACE (email copy)
Andrea Leslie—NCWRC (email copy)
Stan Aiken—DEMLR(email copy)
Marc Pruett—Haywood County Erosion Control (email copy)
Karen Higgins - 401 &Buffer Permtting Unit
ARO File Copy
G:\WR\WQ\Haywood\Complaints\Burton Edwards Tiny Drive\NOV-2016-PC-0.644.BurtonEdwardsl2-13-2016.doex

TA U o i
I 'D Ix A
acre
� r
Certified Mail # 7014 0510 0000 4466 4033
Return Receipt Requested
December 15, 2016
Peter G Watson, President
Ledgestone Property Owners Association
PO Box 21
Fairview, NC 28730
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-MV-0142
Permit No. NCO087556
Ledgestone Subdivision WWTP
Buncombe County
Dear Permittee:
A review of the July 2016 Discharge Monitoring Report (DMR) for the subject facility revealed the violation(s)
indicated below:
Monitoring Violation(s):
Sample Monitoring
Location Parameter Date Frequency Type of Violation
001 Effluent Chlorine,Total Residual (50060) Week ending 7/2/2016 2 X week Frequency Violation
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations.
Your facility/will be required to report your Discharge Monitoring Reports electronically by December
21, 2016.
For more information,please visit the eDMR Website at the following address:
http://portal ncdenr.orci/web/wq admin/bog/ipu/edmr.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If the above parameter was left off inadvertently, please send amended DMRs within 10 'business days of receipt of
this letter to Raleigh at the address found on the front page of your DMR and also a copy to this office.
If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regio -Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit Enforcement File
James &James Environmental/ ORC
G:\WR\WQ\Buncombe\Wastewater\Minors\i_edgestone Subdivision 87556\NOV-2016-MV-0142.rtf

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 15, 2016
DWR# 16-1061
Jackson'County
Fairway Hamlets Property Owners Association
Attn: DeWayne Mills
80 St.Andrews Drive
Sapphire, NC 28774
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH ADDITIONAL
CONDITIONS
Fairway Hamlets Pond Dredging
Dear Mr. Mills:
You have our approval for the impacts,listed below for the purpose described in your
application dated October 27, 2016, and received by the Division of Water Resources (Division)
on November 2, 2016 with additional information received via email on December 5, 2016.
These impacts are covered by the attached Water Quality General Certification Numbers 3888
& 3883 and the additional conditions listed below. This certification is associated with the use
of Nationwide Permit Numbers 3 & 16 once it is issued A o you by the U.S.Army Corps of
Engineers. Please note that you should get any other federal,state or local permits before
proceeding with your project, including those required by(but not limited to)Sediment and
Erosion Control, Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification are met. No other impacts are approved,
including incidental impacts. [15A NCACO2H .0506(b) and/or (c)]
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Fairway Hamlets Pond Dredging
DWR#16-1061
401 Approva l
Page 2 of 4 -
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Open Waters
Impact 01 0.06 Dredging
Impact 02 0.00.8 Diversion Channel
2. This approval is for the purpose and design described in your application.The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate
fee. If the property is sold, the new owner must be given a copy of this approval letter.
and General Certifications) and is responsible for complying with all conditions. [15A
NCAC 02H .0507(d)(2)]
3. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants, hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill, the permitee/contractor shall immediately contact the
Division of Water Quality, between the hours of 8 am to 5 pm at the Asheville Regional
Office at 828.296.4500 and after hours and on weekends call [phone].
Management of such spills shall comply with provisions of the North Carolina Oil
Pollution and Hazardous Substances Control Act. [15A NCAC 02H .0506 (b)(3) and
(c)(3), 15A NCAC 02B.0200(3)(f), and GS 143 Article 21A]
4. Fueling, lubrication and general equipment maintenance should not take place within
50 feet of a waterbody or wetlands to prevent contamination by fuel and oils. [15A
NCAC 02H .0506 (b)(3)and (c)(3) and 15A NCAC 026 .0200 (3)(f)]
5. The permitee shall require its contractors and/or agents to comply with the terms and
conditions of this permit in the construction and maintenance of this project, and shall
provide each of its contractors and/or agents associated with the construction or
maintenance of this project with a copy of this Certification. A copy of this
Certification, including all conditions shall be available at the project site during the
construction and maintenance of this project. [15A NCAC 021-1 .0507 (c) and 15A NCAC
02H .0506 (b)(2) and (c)(2)]
6. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources Commission (NCWRC) comment letter dated November 14, 2016
(attached)to the maximum extent practicable. [15A NCAC 02H .0506(b)(2)] -'

Fairway Hamlets Pond Dredging
DWR#16-1061
401 Approval
Page 3 of 4
This approval and its conditions are final and binding unless contested. [G.S. 143-215.51
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH) within sixty(60)calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at [phone] for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH during
normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding official
state holidays).
The petition may be faxed to the OAH at [phone], provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five.(5)
business days'following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service(UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh, NC 27699-6714 Raleigh, NC 27609-6285
One (1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601

.. ..-._. ._- .._-.--.. .
Fairway Hamlets Pond Dredging
DWR#16-1061
401 Approva l
Page 4 of 4
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Tim Fox at 828-296-4664 or
[e-mail] if you have any questions or concerns.
Sincerely,
2anrice, P.E., Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3888 & 3883
Certificate of Completion
NCWRC Letter dated November 14, 2016
cc: Clement Riddle—ClearWater Environmental Consultants, Inc. (via email)
David Brown—USACE Asheville Regulatory Field Office (via email),
f'
Andrea Leslie—NCWRC(via email)
Stan Aiken—Division of Energy, Mineral, and Land Resources (via email)
Steve Beasley-Jackson County Erosion Control (via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit (via email)
G:\WR\WQ\Jackson\401s\Non-DOT\Fairway Hamlets Pond Dredging\APRVL.401FairwayHamlets Pond Dredgingl2-13-2016.docx
/_1

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 16, 2016
DWR# 16-1099
Buncombe County
Mountain Housing Opportunities, Inc
Attn:Joe Quinlan
64 Clingman Avenue, Suite 101
Asheville, NC 28801
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH ADDITIONAL
CONDITIONS
New Homes at North Main
Dear Mr. Quinlan:
You have our approval for the impacts listed below for the purpose described in your
application dated November 1, 2016, and received by the Division of Water Resources
(Division) on November 3, 2016 with additional information received on December 7, 2016 and
December 16, 2016.These impacts are covered by the attached Water Quality General
Certification Number 3890 and the additional conditions listed below. This certification is
associated with the use.of Nationwide Permit Number 29 once it is-issued-to you_by the U 5 ..... .,
Army Corps of Engineers. Please note that you should get any other federal, state or local
permits before proceeding with your project, including those required by(but not limited to)
Sediment and Erosion Control, Non-Discharge, Water Supply Watershed, and Trout Buffer
regulations.
This approval requires you to follow the conditions listed in the enclosed certifications) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification are met. No other impacts are approved,
including incidental impacts. [15A NCAC 02H .0506(b) and/or (c)]
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Streams
Impact S1 148 (linear feet)
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

New Homes on North Main
DWR#16-1099
401 Approval
Page 2 of 3
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are,incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify.the Division
and you may be required to submit a new application package with the appropriate
fee. If the property is sold, the new owner must be given a copy of this approval letter
and General Certification(s) and is responsible for complying with all conditions. [15A
NCAC 02H .0507(d)(2)]
3. The Stormwater Management Plan (SMP) approved by Buncombe County on November
16, 2016 meets the requirements of the 401 Certification Program. The SMP may not
be modified without prior written authorization from Buncombe County. A copy of the
approval letter and the modified SMP shall be submitted to the DWR 401 & Buffer
Permitting Unit (1617 Mail Service Center, Raleigh, NC 27699-1617) prior to the
commencement of the modifications. [15A NCAC 02H .0506(b)(5)]
4. Fueling, lubrication and general equipment maintenance should not take place within
50 feet of a waterbody or wetlands to prevent contamination by fuel and oils. [15A
NCAC 02H .0506 (b)(3) and (c)(3) and 15A NCAC 02B .0200 (3)(f)]
5. All temporary impacted areas shall be restored to pre-construction natural conditions
upon completion of the project. Native vegetation shall be used for stream bank
stabilization. [15A NCAC 02H .0506 (b)(2) and (c)(2)]
6. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants, hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill,the permittee/contractor shall immediately contact the
Division of Water Quality, between the hours of 8 am to 5 pm at the Asheville Regional
Office at 828.296.4500 and after hours and on weekends call [phone].
Management of such spills shall comply with provisions of the North Carolina Oil
Pollution and Hazardous Substances Control Act. [15A NCAC 02H .0506 (b)(3) and
(c)(3), 15A NCAC 02B .0200 (3)(f), and GS 143 Article 21A]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60)calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at [phone] for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH during

New Homes on North Main
DWR#16-1099
401 Approval
Page 3 of 3
normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding official
state holidays).
The petition may be faxed to the OAH at [phone], provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh, NC 27699-6714 Raleigh, NC 27609-6285
One (1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Zan Price at 828-296-4662 or
[e-mail] if you have-any-questions or concerns. - -
Sincerely,
Zan Price,P.E., Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3890
Certificate of Completion
cc: Warren Sugg, PE—Civil Design Concepts (via email)
William Elliott—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie—NCWRC(via email)
Buncombe County(via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Buncombe\401s\Non-DOT\New Homes North Main\APRVL.New Homes North Main.docx

..... _........... .
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.... . . . ...... .......
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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 16, 2016
DWR# 16-1164
Jackson County
Donald R. Feury
4930 S. Sanford Avenue
Sanford,FL 32773
Doyle Alexander
2476 Pine Creek Road
Cullowhee,NC 28723
Subject APPROVAL OF 401 WATER QUALITY CERTIFICATION
Feury 2476 Pine Creek Road—Lake Glenville
Dear Mr. Feury and Mr. Alexander:
You have our approval for the impacts listed below for the purpose described in your application
dated October 27, 2016, and received by the Division of Water Resources (Division) on
November 28,2016. These impacts are covered by the attached Water Quality General
Certification Number 3898 and the additional conditions listed below. This certification is
associated with the use of General Permit Number 30 once it is issued by the U.S. Army Corps
of Engineers. Please note that you should obtain any other federal,-state or local permits before
proceeding with your project, including those required by (but not limited to) Sediment and
Erosion Control,Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit, and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b)
and/or(c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool Below Pool
0.0023(acres) 0.0023 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division and
State of North Carolina I Environmental Quality I Water Resources
2090 US Hwy 701 Swannanoa,North Carolina 28778
828 296 4500

Feury 2476 Pine Creek Roan
DWR# 16-1164
401 Approval
Page 2 of 4
you may be required to submit a new application package with the appropriate fee. If the
property is sold,the new owner must be given a copy of this approval letter and General
Certifications)/Permit/Authorization and is responsible for complying with all
conditions. [15A NCAC 02H .0507(d)(2)]
3. All banks shall be laid back to at least a 2:1 (length : height) slope and riprap applied at
the water/land interface (at full pool). Riprap shall be placed as a linear protective
measure upon the regraded slopes. Stone used in stabilization shall be of a size and
density sufficient to prevent movement by wave or current action and shall consist of
clean rock or masonry material free of debris or toxic pollutants. The rip-rap shall be
installed over a toed in filter fabric to prevent soil erosion behind the stabilized area. This
authorization shall in no way be construed as allowing the installation of a bulkhead or
seawall. [15A NCAC 02H .0507 (c)]
4. Replant or allow the re-establishment of native vegetation in areas within the project
boundary where it has been removed per Exhibit 1 of the Duke Shoreline Management
Guidelines.
5. The permitee shall require its contractors and/or agents to comply with the terms and
conditions of this permit in the construction and maintenance of this project, and shall
provide each of its contractors and/or agents associated with the construction or
maintenance of this project with a copy of this Certification. A copy of this
Certifications including all conditions shall be available at the project siteduring the
construction and maintenance of this project. [15ANCAC 02H .0507 (c) and 15A
NCAC 02H .0506 (b)(2) and(c)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919) 431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:OOam and S:OOpm, excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission. J
Mailing address for the OAH:

Feury 2476 Pine Creek Road
DWR#16-1164
401 Approval
Page 3 of 4
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DEQ:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
kevin.mitchellCnedenr. ov if you have any questions or concerns.
Sincerely,
Z Price, P.E.,Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion:
cc: Bob Martin—The Seawall Company(via email)
Kevin Holland—Duke Energy(via email)
David Brown—USACE Asheville Regulatory Field Office(via email)
Andrea Leslie—NCWRC (via email)
Stan Aiken—DEMLR(via email)
DWR ARO files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Jackson\40ls\Non-DOT\Feury 2476 Pine Creek Road\APRVL.401 Feury 2476 Pine Creek Road 12.16.16.docx

__
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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
, secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY - ..
December 16, 2016 Director
Charles Tuttle
491 South Valley View Drive
Mars Hill,NC 28754
Re: Water Supply Well Analytical Results
Sample IDs: AC33427 and AC33428
491 South Valley View Drive
Madison County
Dear Mr. Tuttle:
Please find attached the analytical results for two water samples collected at the referenced
address on November 1, 2016. The water samples were collected as part of an investigation of
the BioShield Groundwater Protection System, which you have installed on your well. As we
have previously discussed,the BioShield system uses the sanitizer HaloSan, which has not been
approved for use in North Carolina,to disinfect the well.
Two water samples were collected from your residence. The first sample(Sample ID-AC33428;
Location ID-491SOUTHVALLEYVIEW)was collected at your wellhead following an
approximately 100-gallon purge. The second water sample (Sample ID-AC33427; Location ID-
491 SOUTHVALLEYVIEW-Tr)was collected immediately after passing through your water
treatment system. The water samples were submitted for laboratory analysis of total organic
carbon(TOC), a variety of pre-selected metals, volatile organic compounds (VOCs), and semi-
volatile organic compounds (SVOCs). A copy of the laboratory analytical report for each sample
is attached.
A summary of the results is presented in the table below. The results of the analyses were
compared to Title 15A of the North Carolina Administrative Code (NCAC) Subchapter 02L
groundwater standards (2L standards) and the Environmental Protection Agency's (EPA's)
maximum contaminant level (MCLs). 2L standards are North Carolina's maximum allowable
concentrations which may be tolerated without creating a threat to human health or which would
otherwise render the groundwater unsuitable for its intended best usage. EPA MCLs are the
water quality standards applied to public water systems to protect the public health. They are not
enforceable for your well,but are presented as a standard by which to compare the
concentrations detected in your water. Note that only the analytes that were detected in at least
one sample are included on the table.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

.. .._. ..... __.. .
Charles Tuttle
December 16,2016
Page 2 of 3
Post-
Wellhead Treatment
2L Standard EPA MCL AC33428 AC33427
(µg/1) (!ag/1) (µg/1)
Aluminum NE NE 70 ND
Calcium NE NE 40,000 ND
Copper. 1,000 1,300 8.7 4.1
Iron 300 NE 180 ND
Potassium NE NE 3,000 740
Magnesium NE NE 9,900 ND
Manganese 50 NE 11 ND
Sodium NE NE 20,000 90,000
Zinc 1,000 1,000 13 ND
Dantoin DMH NE NE 340 N1 24 N1
Tribromomethane 4 NE 9.6 Nl ND
Acetone 6,000 NE 110 N1 12 N1
Bromoform 4 * 17 1.8 N3
Dibromochloromethane 0.4 * 2.3 ND
Total NE 80 19.3 1.8 N3
Trihalomethanes
NE-Not Established.
ND-Not Detected.
N1-Presumptive evidence and estimated value.The component has been tentatively identified based on mass -
spectral library.
M-The estimated concentration is less than the laboratory's practical quantitation limit.
*-One of four trihalomethanes regulated by the EPA.
Note that tribromomethane and bromoform refer to the same compound, but are detected using
different laboratory techniques.
The water sample results were provided to a toxicologist with the North Carolina Department of
Health and Human Services (DHHS) for a health risk evaluation (HRE). The HRE, which is
attached, completed for the inorganic chemicals indicates the concentration of sodium detected
exceeds the EPA's Health Advisory level. Based on the concentration of sodium detected, the
North Carolina Division of Public Health recommends that individuals on no or low sodium
restricted diets not use the water for drinking or cooking. In addition, sodium concentrations over
30 milligrams per liter(mg/1) may cause aesthetic problems such as bad taste or odor. Note that
the concentration of sodium present in.you water post-treatment is likely due to your water
softener, which functions by exchanging calcium and magnesium ions for sodium ions. The HRE
completed for the organic chemical analyses indicates the water is safe for cooking, drinking,
bathing, and showering.
If you have any questions regarding the HRE,please contact Kennedy Holt at(919) 707-5910.

—narles Tuttle
December 16,2016
Page 3 of 3
If you have any questions regarding the results,please contact me at(828) 296-4684.
Sincerely,
Andrew Moore
Environmental Specialist
Water Quality Regional Operations Section
Asheville Regional Office
Attachment: Laboratory Analytical Results
Health Risk Evaluation
cc: Don Wooten—Don Wooten Well Pumps & Water Filters (via email)
Debra Watts Groundwater Protection Unit
Madison County Environmental Health Department
ARO File

.. ........_._._........__ _ _ _ _ _ __ _ __ _ _
_ _ - __
_ _
,- ,
l

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
;scr.: 491 SOUTH VALLEY VIEW DRIVE,MARS HILL,NC 28764 Sample ID: AC33428
aunty: MADISON Collector: AMOORE VisitlD PO Number#
R- ",n: ARO Report To ARO Location ID: , 491S6UTHVALLEYVIEM Date Received: 11/03/2016
I 3asin FRB Collect Date: 1110112016 Priority ROUTINE Time Received: 08_30
Emergency Collect Time: 14_12 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
COC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 12/9116
Report Print Date: 12/12/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Units Method Analysis
CAS# Analyte Name PQL Qualifier Reference Date validated by
LAB
Sample temperature at receipt by lab 2.1 °C 11/3/16 MSWIFT
MIC
TOC in liquid 2 5.6 mg/L SM 5310 B-2000 11/9/16 ESTAFFORD1
MET
7429-90-5 AI by ICP 50 70 ug/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-38-2 AS by furnace 2.0 2.0 U ug/L EPA200.9 Rev2.2 11/18/16 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 40 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 8.7 ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 180 ug/L EPA200.7 Rev4A 11/16/16 ESTAFFORD1
7-' -19-7 K by ICP 0.10 3.0 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
74<_ a5-4 Mg by ICP 0.10 9.9 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORDI
7439-96-5 Mn by ICP 10 11 ug/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 20 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2,0.11.11 ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 13 ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 Acenaphthene 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected Z2 ug/L EPA62518270D 11/15/16 CJOHNSON
62-53-3 Aniline 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
120-12-7 Anthracene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected Z2 Ng/L EPA62518270D 11/15/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene. 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected Z2 ug/L EPA62518270D 11/15/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected Z2 Ng/L EPA62518270D 11/15/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected Z2J2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
111-91-1 BIs(2-Chloroethoxy)methane 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
14' `4 Bis(2-chloroethyl)ether 10 Not detected Z2 ug/L EPA625/8270D 11/15/16 CJOHNSON
39b-'32-9 Bis(2-chloroisopropyl)ether 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL:
Page 1 of 6

AV 1DWX Laboratory Section Resufts/Sampre Comments/QuaCfi`er Definitions
Sample ID: AC33428
CAS# A_ nalyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
106-47-8 Chloroanlllne, 4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
91-58-7 Chloronaphthalene, 2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
95-57-8 Chlorophenol,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
218-01-9 Chrysene 20 Not detected Z2 pg/L EPA625/3270D 11/15/16 CJOHNSON
Dantoin DMH 340 N1 pg/L EPA625/8270D 11/15/16 CJOHNSON
53-70-3 Dlbenzo(a,h)a nth race ne 20 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
91-94-1 Dichlorobenzidine,3,3'- 30 Not detected Z2J2 pg/L EPA625/8270D 11/15/16 CJOHNSON
120-83-2 Dichlorophenol, 2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
131-11-3 Dlmethyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
105-67-9 Dimethylphenol, 2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
534-52-1 Dlnitro-2-methyl phenol,4,6- 50 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
51-28-5 Dinitrophenol, 2,4- 50 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
121-14-2 Dinitrotoluene,2,4- 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
606-20-2 Dinitrotoluene,2,6- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
86-73-7 Fluorene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON.
118-74-1 Hexachlorobenzene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
87-68-3 Hexachlorobutadiene(SV) 10 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
77-47-4 I-Iexaehlorocyclopentadlene 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
193-39-5 Indeno(1,2,3-ed)pyrene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
78-59-1 Isophorone 10 Not detected Z2 _ pg/L EPA625/8270D 11/15/16 CJOHNSON
91-57-6 Methylnaphthalene, 2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
95-48-7 Methylphenol, 2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
106-44-5 Methylphenol, 4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
99-09-2 Nitroaniline, 3- 50 Not detected Z2J2 pg/L EPA625/8270D 11/15/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected Z2J2 pg/L EPA625/8270D 11/15/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
88-75-5 Nitrophenol, 2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 6

.9VC VX La6oratory Section q�?sufts/Sample Comments/QualifierDefinitions
Sample ID: AC33428
Result/ Method Anal sis
CAS# Analyte Name PQL
Qualifier Units Reference Date validated by
'-7 Nitrophenol,4- 50 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
621-64-7 N-nitrosodl-n-propylamine 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
86-30-6 N-nitrosodiphenylamine 10 Not detected Z2 Ng/L EPA62518270D 11/15/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected Z2 Ng/L EPA62518270D 11/15/16 CJOHNSON
85-01-8 Phenanthrene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
108-95-2 Phenol 10 Not detected Z2 pg/L EPA625/8270D 11115/16 CJOHNSON
129-00-0 Pyrene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
tribromomethane 9.6 N1 pg/L EPA625/8270D 11/15/16 CJOHNSON
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
95-95-4 Trichlorophenol,2,4,5- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
88-06-2 Trichlorophenol, 2,4,6- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
VOL
Volatile Orqanics in liquid
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
630-20-6 1,1,1,2-Tetraehioroethane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
71-55-6 1,1,1-Trichloroethane 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
79-00-5 1,1,2-Trichloroethane 1.0 Not detected pg/L EPA624/8260C 1113116 CJOHNSON
75-34-3 1,1-Dlchloroethane 1.0 Not detected pg/L EPA624/8260C 11/3116 CJOHNSON
75-35-4 1,1-DIChloroethene 1.0 Not detected pg/L EPA624/8260C 1113/16 CJOHNSON
563-58-6 1,1-Dichloropropene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
£ 1,2,3-Trichlorobenzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
96-18-4 1,2,3-Ticchloropropane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
120-82-1 1,2,4-Trichlorobenzene 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
95-63-6 1,2,4-Trimethylbenzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
96-12-8 1,2-Dibromo-3-Chloropropane 5.0 Not detected, pg/L - EPA624/8260C _ 11/3/16 CJOHNSON
107-06-2 1,2-Dlchloroethane 1.0 Not detected pg/L EPA62418260C 1113/16 CJOHNSON
78-87-5 1,2-Dichloropropane 1.0 Not detected pg/L EPA624/8260C 1113/16 CJOHNSON
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
142-28-9 1,3-Dichloropropane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
594-20-7 2,2-Dichloropropane 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
95-49-8 2-Chlorotoluene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
106-43-4 4-Chlorotoluene 1.0 Not detected p9/L EPA624/8260C 1113/16 CJOHNSON
Acetone 110 N1 pg/L EPA624/8260C 11/3/16 CJOHNSON
71-43-2 Benzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
108-86-1 Bromobenzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
74-97-5 Bromochloromethane 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
75-27-4 Bromodichloromethane 1.0 Not detected pg/L EPA624/8260C 11/3116 CJOHNSON
75-25-2 Bromoform 2.0 17 pg/L EPA624/8260C 11/3/16 CJOHNSON
74-83-9 Bromomethane . 2.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
56-23-5 Carbon Tetrachloride 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
10P-R0-7 Chlorobenzene 1.0 Not detected pg/L EPA624/8260C 1113/16 CJOHNSON
7<. Chloroethane 2.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 6

NC 1DMR La6oratory Section Resufts/Sample Comments/Quafifier Definitions
Sample ID: AC33428
CAS# Analyte Name PQL Result/ Method Analysis
- Qualifier Units Reference Date Validated by
67-66-3 Chloroform 1.0 Not detected Ns/L EPA624/8260C 11/3/16 CJOHNSON
74-87-3 Chloromethane 2.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
156-59-2 CIS-1,2-Dlchlor0ethene 1.0 Not detected Ng/L EPA624/82600 11/3/16 CJOHNSON
10061-01-5 cis-13-Dichloropropene 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
124-48-1 Dibromochloromethane 2.0 2.3 pg/L EPA624/8260C 11/3/16 CJOHNSON
74-95-3 Dibromomethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
75-71-8 Dichlorodifluoromethane 2.0 Not detected Ng/L -EPA624/8260C 11/3/16 CJOHNSON
100-41-4 Ethylbenzene 1.0 Not detected Ng/L EPA62418260C 11/3116 CJOHNSON
87-68-3 Hexachlorobutadiene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
98-82-8 Isopropylbenzene 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
108-38-3 m,p-Xylene 2.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
541-73-1 m-Dichlorobenzene(1,3) 1.0 Not detected ug/L EPA624/8260C 11/3116 CJOHNSON
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected ug/L EPA624/8260C 11/3116 CJOHNSON
75-09-2 Methylene Chloride 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
91-20-3 Naphthalene 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
104-51-8 n-Butylbenzene 1.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
103-65-1 n-Propylbenzene 1.0 Not detected hg/L EPA624/8260C 11/3/16 CJOHNSON
95-50-1 o-Dichlorobenzene(1,2) 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
95-47-6 o-Xylene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
106-46-7 p-Dichlorobenzene(1,4) 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
99-87-6 p-Isopropyltoluene 1.0 Not detected Ng/L EPA62418260C 1113/16 CJOHNSON
135-98-8 sec-Butylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
100-42-5 Styrene 1.O Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
98-06-6 tert-Butylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
127-18-4 Tetrachloroethene 1.0 Not detected Ng/L EPA62418260C 11/3116 CJOHNSON
108-88-3- - Toluene .1 0` Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON---'
156-60-5 trans-1,2-DichIoroethene 1.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
79-01-6 Trichloroethene 1.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
75-69-4 Trichlorofluoromethane 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
75-01-4 Vinyl Chloride 2.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U'does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 6

WC 00K Ga6oratory Section"12esufts/Sampfe Comments/Quafifier Definitions
Sample ID: AC33428
C Result/ Method Analysis
AS# Analyte Name PQL
Qualifier Units Reference Date Validated by
Sample Comments
VOL:VOA-N1-estimated-tentatively identified by MS library search.
SEWSW2-estimated-4 analyte(s)failed<"LCL in the CV2.
SEM:SV-Z2-rejected-surrogate recovery<10%o due to matrix
interference.Presence of residual chlorine.
SEM:SV-NI-estimated-tentatively identified by MS library search.
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a°U".The PQL is used for the qualified result(S)to call
B1 Coliform-Countable membranes with less than 20 colonies.Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies. The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this c(
MPN-No wellsor tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than°<"valu,
BB2 MPN-All wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
G1 BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea:
-G3 BOD=No sample.di'lution-met the requirement of a DO depletion of at least 2:0 mg/L and/or a DO residual of at Ieast.1.0 mg/L.
G4 BOD-Evidence of toxicity.This is generally characterized by significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198 t 30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated for
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab, pl
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J10 Unidentified peak;estimated value.
J11 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J 12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control'.The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower
N1 Presumptive evidence and estimated value.The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present,but quality control requirements for confirmation were not met(i.e., presence of e
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
'11; The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 5 of 6

NC Dot,La6oratory Section Resufts/Sampfe Comments/QuaC�r Definitions
Sample ID: AC33428
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 (91.9)733-3908
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 6 of 6

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
_scr.: 491 SOUTH VALLEY VIEW DRIVE,MARS HILL,NC 28754 Sample ID: AC33427
,ounty: MADISON Collector: AMOORE VisitlD PO Number#
R ',n: ARO Report To ARO Location ID: 491SOUTHVALLEYVIEIA Date Received: 11/03/2016
3asin FRB Collect Date: 11/01/2016 Priority ROUTINE Time Received: 08:30
Emergency Collect Time: 14_40 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
COC Yes/No Sample Depth Loc.Type: Water Suppiv Delivery Method NC Courier
Final Report Date: 1218/16
Report Print Date: 1 2/1 212 01 6
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
Units CAS# Anaiyte Name PQL Qualifier Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.1 °C 11/3/16 MSWIFT
MIC
TOC in liquid 2 6.8 mg/L SM 5310 B-2000 11/9/16 ESTAFFORD1
MET
7429-90-5 Al by ICP 50 50 U ug/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-38-2 As by furnace 2.0 2.0 U ug/L EPA200.9 Rev2.2 11/18/16 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 0.10 U mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA 200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 6.0 U ug/L EPA 200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 4.1 ug/L EPA 200.8 Rev5A 11/18/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 50 U ug/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7A" -119-7 K by ICP 0.10 0.74 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
74-_.-j5-4 Mg by ICP 0.10 0.10 U mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7439-96-5 Mn by ICP 10 10 U ug/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1,
7440-23-5 Na by ICP 0.10 90 mg/L EPA 200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-02-0 Ni by,ICPMS 2.0 _ 2.0 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7439-92-1 Pb by1CPMS 2.0 2.0 U ug/L EPA 200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 10 U ug/L EPA 200.8 Rev5.4 11/18/16 ESTAFFORD1
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 ACenaphthene 10 Not detected Ug/L EPA625/8270D 11/14/16 CJOHNSON
208-96-8 ACenaphthylene 20 Not detected ug/L EPA625/8270D 11/14/16 CJOHNSON
62-53-3 Aniline 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
120-12-7 Anthracene 20 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected J2 Ng/L EPA625/8270D 11/14/16 CJOHNSON
111-91-1 Bis(2-Chloroethoxy)methane 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
11 `4 BIs(2-Chioroethyl)ether 10 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
76b: 32-9 Bis(2-chioroisopropyl)ether 10 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL
Page 1 of 6

NC D'D X L a 6oratorySection Wfsufts/Sample Comments/QuaCifier Definitions
Sample ID: AC33427
CAS# Anaivte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
91-58-7 Chloronaphthalene, 2- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
95-57-8 Chlorophenol,2- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
218-01-9 Chrysene 20 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
Dantoi❑ DIVIH 24 N1 pg/L EPA625/8270D 11/14/16 CJOHNSON
53-70-3 Dibenzo(a,h)anthracene 20 Not detected pg/L EPA62518270D 11/14/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
95-50-1 Dlchlorobenzene, 1,2- 10 Not detected pg/L EPA62518270D 11/14/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
106-46-7 Dlchlorobenzene, 1,4- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
91-94-1 Dichlorobenzldine, 3,3'- 30 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
120-83-2 Dichlorophenol, 2,4- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
131-11-3 Dimethyl phthalate 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
105-67-9 Dimethylphenol, 2,4- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
51-28-5 Dinitrophenol,2,4- 50 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
121-14-2 Dinitrotoluene,2,4- 20 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
606-20-2 Dinitrotoluene,2,6- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
117-84-0. Di-n-octyl phthalate 10 Not detected pg/L EPA625/8-270D 11/14/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
86-73-7 Fluorene 20 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
118-74-1 Hexachlorobenzene 20 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
87-68-3 Hexachlorobutadiene(SV) 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
77-47-4 Hexachlorocyclopentadiene 10 Not detected pg/L EPAS25/8270D 11/14/16 CJOHNSON
67-72-1 Hexachioroethane 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
193-39-5 indeno(1,2,3-cd)pyrene 20 Not detected ug/L EPA625/8270D 11/14/16 CJOHNSON
78-59-1 Isophorone 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
91-57-6 Methyl naphthalene,2- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
95-48-7 Methylphenol,2- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
99-09-2 Nitroaniline, 3- 50 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected pg/L EPA625/8270D 11/14/16 GJOHNSON
98-95-3 Nitrobenzene 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
88-75-5 Nitrophenol,2- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON \
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 (919)7333908
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 6

NC(DWI(La6oratory Section Resufts/Sampre Comments/QuaC�roefinitions
Sample ID: AC33427
CAS# Analyte Name PQL Result/ Method Anal sis
Qualifier Units Reference Date validated by
'-7 Nitrophenol, 4- 50 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
621-64-7 N-nitrosodi-n-propylamine 10 Not detected Ns/L EPA625/8270D 11/14/16 CJOHNSON
86-30-6 N-nitrosodlphenylamine 10 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
85-01-8 Phenanthrene 20 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
108-95-2 Phenol 10 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
129-00-0 Pyrene 20 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected ug/L EPA625/8270D 11/14/16 CJOHNSON
95-95-4 Trichlorophenol,2,4,5- 10 Not detected Ng/L EPA625/8270D 11/14/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected pg/L EPA625/8270D 11/14/16 CJOHNSON
VOL
Volatile Organics in liquid
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
630-20-6 1,1,.1,2-Tetrachloroethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
71-55-6 1,1,1-Trichloroethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
79-00-5 1,1,2-Trichloroethane 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
75-34-3 1,1-Dlchloroethane 1.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
75-35-4 1,1-Dlchloroethene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
563-58-6 1,1-Dichloropropene 1.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
87-61-6 1,2,3-Trichlorobenzene 1.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
1,2,3-Trichloropropane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
120-82-1 1,2,4-Trichlorobenzene 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
95-63-6 1,2,4-Tflmethylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
96-12-8 1,2-Dibromo-3-Chloropropane 5.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
107-06-2_ 1,2-Dlchloroethane, 1:0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON ,
78-87-5 1,2-DIchloropropane 1.0 Not detected Ng/L EPA62418260C 1113116 CJOHNSON
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
142-28-9 1,3-DIchloropropane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
594-20-7 2,2-DIchloropropane 2.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
95-49-8 2-Chlorotoluene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
106-43-4 4-Chlorotoluene 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
Acetone 12 N1 Ng/L EPA624/8260C 11/3/16 CJOHNSON
71-43-2 Benzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
108-86-1 Bromobenzene 1.0 Not detected wg/L EPA624/8260C 11/3/16 CJOHNSON
74-97-5 Bromochloromethane 1.0 Not detected Ng/ EPA624/8260C 111/3/16 CJOHNSON
75-27-4 Bromodichloromethane 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
75-25-2 Bromoform 2.0 1,8 N3 Ng/L EPA624/8260C 1113/16 CJOHNSON
74-83-9 Bromomethane 2.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
56-23-5 Carbon Tetrachloride 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
108-90-7 Chlorobenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
Chioroethane 2.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
s Chloroform 1.0 Not detected Ng/L EPA62418260C 1113/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 6

. ...... ...... .....
NC( MM� La6oratory Section Resutts/Sampee Cbmments/QuaCfiCer Definitions
Sample ID: AC33427
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
74-87-3 Chloromethane 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
156-59-2 CIS-1,2-Dichloroethene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
10061-01-5 :CIS-1,3-Dlchloropropene 2.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
124-48-1 Dibromochloromethane 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
74-95-3 Dibromo(nethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
75-71-8 Dichlorodifluoromethane 2.0 Not detected pg/L EPA624/8260C 11/3116 CJOHNSON
100-41-4 Ethylbenzene 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
87-68-3 Hexachlorobutadiene 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
98-82-8 Isopropylbenzene 1.0 Not detected Ng/L EPA62418260C 11/3116 CJOHNSON
108-38-3 rn,p-Xylene 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
541-73-1 m-Dichlorobenzene(1,3) 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
75-09-2 Methylene Chloride 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
91-20-3 Naphthalene 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
104-51-8 n-Butylbenzene 1.0 Not detected ug/L EPA62418260C 11/3/16 CJOHNSON
103-65-1 n-Propylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
95-50-1 o-Dichlorobenzene(1,2) 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
95-47-6 o-Xylene 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
106-46-7 p_Dichlorobenzene(1,4) 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
99-87-6 p-Isopropyltoluene 1.O Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
135-98-8 sec-Butyl benzene 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
100-42-5 Styrene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
98-06-6 tert-Butylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
127-18-4 Tetrachloroethene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
108-88-3 Toluene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
156-60-5 - trans-1,2-Dlchloroethene 1.0 Not detected Ng/L EPA624/8260C _ 11/3/18 CJOHNSON
10061-02-6 trans-1,3-Dlchloropropene 2.0 Not detected ug/L EPA624/8260C 1113/16 CJOHNSON
79-01-6 Trichloroethene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
75-69-4 Trichlorofluoromethane 2.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
75-01-4 Vinyl Chloride 2.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 6

NC D C'k La6oratory Section Resufts/Sampfe Comments/Quahfi*er[0efinitions
Sample ID: AC33427
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Sample Comments
VOLMOA-N1-estimated-tentatively identified by MS library search.
VOLMOA-N3-estimated-Level too low to permit accurate
quantification;concentration is less than the laboratory
PQL limit and greater than the laboratory MDL
SEM:SV-N 1-estimated-tentatively identified by MS library search.
SEM:SV-J2-estimated-1 analyte failed<LCL in the CV2
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U".The PQL is used for the qualified result(S)to call
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
Ir Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this c(
;I MPN-No wells or tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than"<"valu,
BB2 MPN-All wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
G1 BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/Land/or a DO residual of at lea:
G3 BOD-No sample.dilution met the requirement of a DO depletion of at least 2.0.mg/L and/or a'DO residual of at least 1.0 mg/L.
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated foi
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value,
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab, pl
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
H This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>60C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J10 Unidentified peak;estimated value.
J11 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control'.The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower 1
N1 Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met(i.e., presence of E
N3 This code shall be used if the level is too low to permit accurate quantification,but the estimated concentration is less than the labor
This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
`raj The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 5 of 6

.-_-.. . -.-..._....
NC DTVK Laboratory Section&suits/Sample Comments/Quahfier Definitions
Sample ID: AC33427
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U'does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 6 of 6

PrivateWell Information
human sorvieaa d Use Recommendations
of has !ih snd
For Inorganic Chemical Contaminants
County: M�,� sue, —� Name: I S.i, I Viev 19,
Sample ID#:( :46 33q q,­) Reviewer: M
71
TEST RESULTS AND USE RECOMMENDATIONS
i. ❑Your well water meets federal drinking water standards for-Inorganic chemicals. Your water can be used for
drinking,cooking,washing,cleaning,bathing,and showering based on the lnarganlc chemical results only.You may
have other water sampling results that are not taken into account in this report.
2. ❑The following substance(s)exceeded federal drinking water standards or the North Carolina 2L calculated health
levels.The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking,unless you install a water treatment system to remove the circled substanee(s).However,it may be used for
washing,cleaning,bathing and showering based on the inorganic chentleal results only.
arsenic Barium Cadmium Chromium Copper Fluoride Lead Iron
Man anese I Mercury Nitrate/Nitrite 1.Selenium I Silver I Magnesium I Zinc pH
3.E3 a.Sodium levels exceed the U.S.Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/l. The North Carolina-Division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cooking. It may be used for washing,cleaning,bathing,and showering based on
the Inorganic chemical results only.
b. Levels over 30 mg/l may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc.
4. ❑ Re-sampling is recommended in months.
5. ❑ Re-sample for lead and/or copper. Take a first draw, 5 minute,and 15 minute sample inside the house(preferably
the kitchen)and it possible a first draw,5 minute and a 15 minute sample at the well head to determine the source of the
lead and/or copper.
6. ❑The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results only,but aesthe is problems
such as bad taste,odor,staining of porcelain,etc.may occur. You may want to install a household water treatment system
to'address aesthetic problems.
Barium I Cadmium J..Chromium Fluoride Iron Magnesium
Man anese Selenium Silver 1131 Zinc
For more information regarding your well water results,please call the North Carolina Division:of Public Health at 919-707-5900.

___ _
....._.._._ .
....... .._......
...__.__.. .
. ..._. .....
1
��__�
�'�

Information, and Recommendations for Uses of Primate Well Wafter
For Organic Ch6micals Found In Water
North Carolina Occupational and.Environmental Epidemiology Bfanch (OEEB)
For Additional Information call 919-707-5900-
Name• 4/q 1 So,-A fi, VtVle4 y'� p�+ County s /'I A J,son
---r
Sample identification-Numbers
Information on Your Private Well Water
Your well water was laboratory tested for chemical contaminants. Drinking water may contain chemical
contaminants which can occur naturally or be introduced Into water from manmade sources. The
chemicals found In your well were Introduced from man-made sources, In order to evaluate your laboratory
results for chemical contaminants,your water results were compared to the national primary drinking water
standards or maximum contaminant levels (MCLs) (see website for basis for each MCL at
httn-,//www epa goy/s-ofewatter/ggntaminantstindex,htralgmcls). MCLs are nation0drinking water standards
that are required to be met,by municipal water supplies. If an MCL was not avall'able, your water results
were compared to the North Carolina 2L Groundwater Standards.
Recommendations for Uses of Your Private Well Water
/The concentrations found In our well water do
Y not exceed the recommended EPA levels/North
�s Carolina 2L Groundwater Standards.Therefore, your water could be used for drinking, cooking,
- washing dishes, bathing, and showering.
Contaminant concentrations found in your well water are higher than the EPA recommended levels
for drinking and cooking. These contaminants include
Your.vyel.l water should not be used for-drinking or cooking. If you have-been'drinking *
_
the well water and are pregnant,nursing, or have a child under 5 years of age, inform
your physician of the results.
Because of the low levels, some absorption of these chemicals is expected
through intact skin and exposure to water vapor..Therefore, limit showering
and bathing time to less than 10 minutes.
Because of the high levels, absorption of these chemicals could occur through
intact skin and exposure to water vapor. Therefore, limit showering and
bathing time to less than & minutes.
Because of the very high levels,significant absorption of these chemicals could
occur through intact skin and exposure to water vapor, Therefore,this water
should not be used for showering and bathing.
. You may want to purchase a water treatment device, drill a new well that Is distantly located from
the groundwater contaminatlon, use bottled water, or connect to a.public water supply.
Resampling Is recommended in months.
ether Comments

__ _.
......_..........__.._ .......
��;
'� ��
r-�
i

PAT MCCRORY
x Governor
ot DONALD R. VAN DER.VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY -
December 16, 2016 Director
Jim McCoun
5124 Meadowbrook Circle
Suwanee, GA 30024
Re: Water Supply Well Analytical Results
Sample IDs:AC33429, AC33430, and AC33431
48 Up The Creek Lane
Yancey County
Dear Mr. McCoun:
Please find attached the analytical results for three water samples collected at the referenced
address on November 1, 2016. The water samples were collected as part of an investigation of
the BioShield Groundwater Protection system, which you have installed on your well. As we
have previously discussed,the BioShield system uses the sanitizer HaloSan, which has not been
approved for use in North Carolina,to disinfect the well.
Three water samples were collected from your residence. The first sample (Sample ID
AC33431; Location ID-48UPTHECREEK)was collected at your wellhead following an
approximately 90-gallon purge. The second water sample (Sample ID-AC33430;Location ID-
48UPTHECREEK-Tr)was collected after passing through your water treatment system and
following an additional 180-gallon purge through the treatment system. The third water sample
(Sample ID-AC33429; Location ID-48UPTHECREEK)was collected at your wellhead
following another 120-gallon purge. The water samples were submitted for laboratory analysis
of total organic carbon(TOC), a variety of pre-selected metals,volatile organic compounds
(VOCs), and semi-volatile organic compounds (SVOCs). A copy of the laboratory analytical
report for each sample is attached.
A summary of the results is presented in the table below. The results of the analyses were
compared to Title 15A of the North Carolina Administrative Code(NCAC) Subchapter 02L
groundwater standards(2L standards) and the Environmental Protection Agency's (EPA's)
maximum contaminant level (MCLs). 2L standards are North Carolina's maximum allowable
concentrations which may be tolerated without creating a threat to human health or which would
otherwise render the groundwater unsuitable for its intended best usage. EPA MCLs are the
water quality standards applied to public water systems to protect the public health. They are not
enforceable for your well, but are presented as a standard by which to compare the
concentrations detected in your water. Note that only the analytes that were detected in at least
one sample are included on the table.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

..._ ....... . _
Jim McCoun
December 16,2016
Page 2 of 3
Post-
Wellhead Treatment Wellhead
2L Standard EPA MCL AC33431 AC33430 AC33429
Aluminum NE NE 140 88 210
Calcium NE NE 14,000 ND 15,000
Copper 1,000 1,300 7.6 9.0 7.4
Iron 300 NE 310 390 580
Potassium NE NE 1,300 ND 1,300
Magnesium NE NE 440 ND 560
Manganese 50 NE ND 11 ND
Sodium NE NE 8,900 25,000 8,600
Zinc 1,000 NE 13 ND ND
Dantoin DMH NE NE 480 N1 ND 540 N1
Tribromomethane 4 NE 140 NI ND 22 N1
Acetone 6,000 NE 36 N1 19 Ni 33 N1
Bromoform 4 * 12 7.1 13
Dibromomethane 70** NE 0.75 N3 ND ND
Total NE 80 12 7.1 13
Trihalomethanes
NE-Not Established.
ND-Not Detected.
N1-Presumptive evidence and estimated value.The component has been tentatively identified based on mass
spectral library.
N3-The estimated concentration is less than the laboratory's practical quantitation limit.
*-One of four trihalomethanes regulated by the EPA.
**-Interim Maximum Allowable Concentration.
The water sample results were provided to a toxicologist with the North Carolina Department of
Health and Human Services (DHHS) for a health risk evaluation (HRE). The HRE, which is
attached, completed for the inorganic chemicals indicates the concentration of sodium detected
exceeds the EPA's Health Advisory level. Based on the concentration of sodium detected, the
North Carolina Division of Public Health recommends that individuals on no or low sodium
restricted diets not use the water for drinking or cooking. Note that the concentration of sodium
present in your water post-treatment is likely due to your water softener, which functions by
exchanging calcium and magnesium ions for sodium ions. The HRE also indicates that based on
the concentration of iron detected, you may experience aesthetic problems such as bad taste and
odor.
The HRE completed for the organic chemical analyses recommends the water not be used for
drinking or cooking because of the presence of bromoform in your finished or treated drinking
water. An additional recommendation limits exposure during bathing and showering because of
risks associated with skin absorption and the inhalation of vapor. Bromoform is a disinfection
byproduct that was likely produced as a result of the HaloSan system. The EPA does not r
specifically regulate bromoform,but rather regulates a group of disinfection byproducts known

.am McCoun
December 16,2016
Page 3 of 3
as total trihalomathanes, of which bromoform is a member. The EPA MCL for total
trihalomethanes is 80 micrograms per liter(ug/1), which is above the concentration of bromoform
detected in your drinking water.North Carolina's 2L groundwater standard for bromoform is 4
ug/l,which is lower than the concentration detected in your drinking water.
If you have any questions regarding the HRE,please contact Kennedy Holt at(919) 707-5910.
If you have any questions regarding the results,please contact me at(828) 296-4684.
Sincerely,
ILL04
kw.(-/
Andrew Moore
Environmental Specialist
Water Quality Regional Operations Section
Asheville Regional Office
Attachment: Laboratory Analytical Results
Health Risk Evaluation
cc: Don Wooten—Don Wooten Well Pumps & Water Filters (via email)
Debra Watts—Groundwater Protection Section
Yancey County Environmental Health Department
ARO File

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
.scr.: 48 UP THE CREEK LANE,BURNSVILLE,NC 28714 Sample ID: AC33431
.ounty: YANCEY Collector: AMOORE VisitlD PO Number#
R, --n: ARO Report To ARO Location ID: 48UPTHECREEK Date Received: 1110 3/20 1 6
K asin FRB Collect Date: 11/01/2016 Priority ROUTINE Time Received: 08_30
Emergency Collect Time: 11_05 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
COC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 1219/16
Report Print Date: 12/12/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes,
Result/ Units Method Analysis
CAS# Analyte Name PQL Qualifier Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.1 °C 11/3(16 MSWIFT
MIC
TOC In liquid 2 6.0 mg/L SM 5310 B-2000 11/9/16 ESTAFFORDI
MET
7429-90-5 Al by ICP 50 140 _ ug/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-38-2 AS by furnace 2.0 2.0 U ug/L EPA200.9 Rev2.2 11/18/16 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 14 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORDI
7440-50-8 Cu by ICPMS 2.0 7.6 ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORDI
7439-89-6 Fe by ICP 50 310 ug/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7,J -9-7 K by ICP 0,10 1.3 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORDI
74�0 -j5-4 Mg by ICP 0.10 0.44 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORDI
7439-96-5 Mn by ICP 10 10 U ug/L EPA200.7 Rev4.4 11/16/16 `ESTAFFORDI
7440-23-5 Na by ICP 0.10 8.9 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7439-92-1 Pb by ICPMS 2,0 2.0 U ug/L EPA200.8 Rev5A 11/18/16 ESTAFFOR51
7440-66-6 Zn by ICPMS 10 13 ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORDI
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 ACenaphthene 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected Z2 ug/L EPA62518270D 11/15/16 CJOHNSON
62-53-3 Aniline 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
120-12-7 Anthracene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
191-24-2 Benzo(g,h,l)perylene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected Z2J2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
11.1-91-1 Bis(2-chloroethoxy)methane 10 Not detected Z2 Ns/L EPA625/8270D 11/15/16 CJOHNSON
11 f Bis(2-chloroethyl)ether 10 Not detected Z2 Ng/L EPA62518270D 11J15/16 CJOHNSON
396 0-32-9 Bis(2-Chloroisopropyl)ether 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 (919)7333908
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 6

. . ._.._._...... .
NC 1n`G�Ga6oratory Section 12,esutts/Sample r;omments/QyaffierDefinitions
Sample ID: AC33431
CAS# AnalVte Name PQL Result/ Method Analysis
— Qualifier Units Reference Date Validated by
117-81-7 Bls(2-ethyihexyl)phthaIate 30 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
101-55-3 Bfomophenyl phenyl ether,4 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected Z2 pg/L EPA62-5/8270D 11/15/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
106-47-8 Chloroaniline,4- 10. Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
91-58-7 Chloronaphthalene,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
95-57-8 Chlorophenol,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
218-01-9 Chrysene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
Dantoin DMH 480 N1 pg/L EPA625/8270D 11/15/16 CJOHNSON
53-70-3 Dibenzo(a,h)anthracene 20 Not detected Z2 ug/L EPA625/8270D 11/15/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
91-94-1 Dichlorobenzidine,3,3'- 30 Not detected Z2J2 pg/L EPA625/8270D 11/15/16 CJOHNSON
120-83-2 Dichlorophenol, 2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
131-11-3 Dimethyi phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
105-67-9 Dimethylphenol,2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
51-28-5 Dinitrophenol,2,4- 50 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
121-14-2 Dinitrotoluene, 2,4- 20 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
606-20-2 Dinitrotoluene,2,6- 10 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON -
206-44-0 Fluoranthene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
86-73-7 Fluorene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
118-74-1 Hexachlorobenzene 20 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
87-68-3 Hexachlorobutadiene(SV) 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
77-47-4 Hexachlorocyclopentadiene 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected Z2 p9/L EPA625/8270D 11/15/16 CJOHNSON
193-39-5 indeno(1,2,3-cd)pyrene 20 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
78-59-1 Isophorone 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
91-57-6 Methyinaphthalene,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
95-48-7 Methylphenoi,2- 10 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
99-09-2 Nitroaniline,3- 50 Not detected Z2J2 pg/L EPA625/8270D 11/15/16 CJOHNSON
100-01-6 Nitroaniline,4 50 Not detected Z2J2 pg/L EPA625/8270D 11/15/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON � 1
88-75-5 Nitrophenol,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 6

XC(DW,Laboratory Section R,esufts/Sampfe Comments/Qualifier lnefinitions
Sample ID: AC33431
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
1-7 Nitrophenol,4- 50 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
621=64-7 N-nitrosodi-n-propylamine 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
86-30-6 N-nitrosodiphenylamine 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
85-01-8 Phenanthrene 20 Not deteCted Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
108-95-2 Phenol 10 Not detected Z2 pg/L` EPA625/8270D 11/15/16 CJOHNSON
129-00-0 Pyrene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
tribrornornethane 140 N1 pg/L EPA626/8270D 11/15/16 CJOHNSON
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
95-95-4 Trichlorophenol,2,4,5- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
VOL
Volatile Organics in liquid
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
630-20-6 1,1,1,2-Tetrachloroethane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
71-55-6 1,1,1-Tfichloroethane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
79-00-5 1,1,2-Trichloroethane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
75-34-3 1,1-DIChloroethane 1.0 Not detected pg/L EPA624/8260C 1113/16 CJOHNSON
75-35-4 1,1-Dlchloroethene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
563-58-6 1,1-Dichloropropene 1.0 Not detected pg/L EPA624/8260C 1113116 CJOHNSON
8. 1,2,3-Trichlorobenzene 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
96-18-4 1,2,3-Trichooropropane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
120-82-1, 1,2,4-Trichlorobenzene 1.0 Not detected pg/L EPA624/8260C 1113116 CJOHNSON
95-63-6 1,2,4-Trimethylbenzene 1.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
96-12-8 1,2-Dibronlo-3-Chloropropane 5.0 Not detected pg/L EPA624/8260C - 11/3116 CJOHNSON
107-06-2 1,2-Dlchloroethane 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
78-87-5 1,2-Dichloropropane 1.0 Not detected Ng/L EPA624/8260C 11/3116, CJOHNSON
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
142-28-9 1,3-Dichloropropane 1.0 Not detected pg/L EPA624/8260C 1113/16 CJOHNSON
594-20-7 2,2-Dichloropropane 2.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
95-49-8 2-Chlorotoluene 1.0 Not detected pg/L EPA62418260C 1113/16 CJOHNSON
106-43-4 4-Chlorotoluene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
Acetone 36 N1 pg/L EPA62418260C 1113/16 CJOHNSON
71-43-2 Benzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
108-86-1 Bromobenzene 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
74-97-5 Bromochloromethane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
75-27-4 Bromodichloromethane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
75-25-2 Bromoform 2.0 12 pg/L EPA624/8260C 11/3/16 CJOHNSON
74-83-9 Bromomethane 2.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
56-23-5 Carbon Tetrachloride 1.0 Not detected pg/L EPA624/8260C 11/3116 CJOHNSON
10F^ -7 Chlorobenzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
Chloroethane 2.0 Not detected pg/L EPA624/82600 11/3116 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 6

NC DM(Laboratory Section Resufts/Sampfe Comments/QuaC�r Definitions
Sample ID: AC33431
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
67-66-3 Chloroform 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
74-87-3 Chloromethane 2.0 Not detected pg/L EPA624/8260C 1113/16 CJOHNSON
156-59-2 CIS-1,2-Dlchloroethene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON.
10061-01-5 Cis-1,3-Dichloropropene 2.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
124-48-1 Dibromochloromethane 2.0 Not detected p9/L EPA624/8260C 11/3/16 CJOHNSON
74-95-3 Dlbromomethane 1.0 0.75 N3 pg/L EPA624/8260C 11/3/16 CJOHNSON
75-71-8 Dichlorodifluoromethane. 2.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
100-41-4 Ethylbenzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
87-68-3 Hexachlorobutadiene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON.
98-82-8 Isopropyl benzene 1.0 - Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
108-38-3 rn p-Xylene 2.0 Not detected p9/L EPA62418260C 11/3/16 CJOHNSON
541-73-1 m-Dlchlorobenzene(1,3) 1.0 Not detected pg/L EPA624/8260C 11/3116 CJOHNSON
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
75-09-2 Methylene.Chloride 1.0 Not detected pg/L EPA624/8260C 1113/16 CJOHNSON
91-20-3 Naphthalene 2.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
104-51-8 n-Butylbenzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
103-65-1 n-Propylbenzene 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
95-50-1 o-Dlchlorobenzene(1,2) 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
95-47-6 o-Xylene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
106-46-7 p-Dichlorobenzene(1,4) 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
99-87-6 p-lsopropyltoluene 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
135-98-8 sec-Butylbenzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON i
100-42-5 Styrene 1.0 Not detected pg/L EPA62418260C 11/3/16 CJOHNSON
98-06-6 tert-Butylbenzene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
127-18-4 Tetrachloroethene 1.0 Not detected pg/L EPA624/8260C 1113/16 CJOHNSON
108-88-3 Toluene - 1,0 Not detected pg/L EPA624/8260C 11/3/16 ,_CJOHNSON
156-60-5 trans-1,2-DichIoroethene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected pg/L EPA624/8260C 11/3116 CJOHNSON
79-01-6 Trichloroethene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
75-69-4 Trichlorofluoromethane 2.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
75-01-4 Vinyl Chloride 2.0 Not detected pg/L EPAS24/8260C 11/3/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected.at or above the PQL.
Page 4 of 6

NC DWX La6oratory Section Resufts/Sampfe Comments/Quahfi*er Definitions
Sample ID: , AC33431
GAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Sample Comments
VOL:VOA-N 1-estimated-tentatively identified by MS library search.
VOL:VOA-N3-estimated-Level too low to permit accurate
quantification;concentration is less than the laboratory
PQL limit and greater than the laboratory MDL.
SEM:SV-J2-estimated-4 analyte(s)failed<LCL in the CV2.
SEM:SV-Z2-rejected-surrogate recovery<10%due to matrix
interference.
SEM:SV-N1-estimated-tentatively identified by MS library search.
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U".The PQL is used for the qualified result(S)to calf
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
MPN-No wells or tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than"<"valu.
B62 MPN-All wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
Gl BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea;
G3 BOD-No sample dilution met the requirement of aDO depletion of at least 2.0 mg/L and/or a DO residual of atleast 1.0 mg1L.
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0..6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated fol
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
11 Surrogate recovery limits.have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab, pl
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J10 Unidentified peak;estimated value.
J11 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control'.'.The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower�
N1 Presumptive evidence and estimated value.The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present,but quality control requirements for confirmation were not met(i.e., presence of e
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 (919)7333908
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 5 of 6

XC D X Ga6oratory Section Resufts/Sample Comments/QuahfierDefinitions
Sample ID: AC33431
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
i
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 6 of 6

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
-scr.: 48 UP THE CREEK LANE,BURNSVILLE,NC 28714 Sample ID: AC33430
-ounty: YANCEY Collector: AMOORE VisitlD PO Number#
R� n: ARO Report To ARID Location ID: 48UPTHECREEK TR Date Received: 11/03/2016
F. asin FRB Collect Date: 11/01/2016 Priority ROUTINE Time Received: 08_30
Emergency Collect Time: 11_46 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
COC Yes/No Sample Depth. Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 1218/16
Report Print Date: 12/12/2016
Final Report
if this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Units Method Analysis
CAS# Analyte Name PQL Qualifier Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.1 oC 1113/16 MSWIFT
MIC
TCC in liquid 2 6.4 mg/L SM 5310 B-2000 11/9/16 ESTAFFORD1
MET
7429-90-5 Al by ICP 50 88 ug/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-38-2, AS by furnace 2.0 2.0 U ug/L EPA200.9 Rev2.2 11/18/16 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 0.10 U mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0.50 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 9.0 ug/L EPA 200.8Rev5.4 11/18/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 390 ug/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
74- -�9-7 K by ICP 0.10 0.10 U mg/L EPA 200.7 Rev4.4 11/16/16 ESTAFFORD1
74s5-4 Mg by ICP 0.10 0.10 U mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7439-96-5 Mn by ICP 10 11 ug/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 25 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2,0 2.0,lJ_ , ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 10 U ug/L EPA 200.8 Rev5.4 11/18/16 ESTAFFORD1
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 Acenaphthene 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected Z2 Ng/L EPA62518270D 11/15/16 CJOHNSON
62-53-3 Aniline 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
120-12-7 Anthracene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 - CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected Z2 ug/L EPA625/8270D 11/15/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
65-85-0 Benzoic acid 50 '- Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected Z2J2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
111-91-1 BIs(2-Chloroethoxy)methane 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
1V 4 Bis(2-chloroethyl)ether 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
396:0=32-9 Bis(2-Chloroisopropyl)ether 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 6

. ._ ......... ..
NC D$VK Laboratory Section Resufts/Sampfe Comments/Qua1Ifi'er Definitions
Sample.ID: AC33430
CAS# Analyte Name PQL Result/ Method Analysis
— Qualifier Units Reference Date Validated by
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
106-47-8 Chloroanillne,4 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
91-58-7 Chloronaphthalene, 2- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
95-57-8 Chlorophenyl,2- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4 20 Not detected Z2 Ng/L EPA62518270D 11/15/16 CJOHNSON
218-01-9 Chrysene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
53-70-3 Dibenzo(a,h)anthracene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected Z2 ug/L EPA625/8270D 11/15/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected Z2 ug/L EPA625/8270D 11/15/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
91-94-1 Dichlorobenzidine, 3,3'- 30 Not detected Z2J2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
120-83-2 Dichlorophenol, 2,4- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected Z2 Ng/L EPA62518270D 11/15/16 CJOHNSON
131-11-3 Dlmethyl phthalate 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
105-67-9 Dimethylphenol, 2,4- 10 Not detected Z2 Ng/L EPA62518270D 11/15/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected Z2 Ng/L EPA62518270D 11/15/16 CJOHNSON
534-52-1 Dlnitro-2-methyl phenol,4,6- 50 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
51-28-5 Dinitrophenol,2,4- 50 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON J
121-14-2 Dinitrotoluene,2,4- 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
606-20-2 Dinitrotoluene,2,6- 10 Not detected Z2 ug/L EPA625/8270D 11/15/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
206-44-0. Fluoranthene 20 Not detected Z2 Ng/L ' EPA625/8270D 11/15/16 CJOHNSON
86-73-7 Fluorene 20 Not detected Z2 Fig/L EPA625/8270D 11/15/16 CJOHNSON
118-74-1 Hexachlorobenzene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
87-68-3 Hexachlorobutadiene(SV) 10 Not detected Z2 leg/L EPA625/8270D 11/15/16 CJOHNSON
77-47-4 Hexachlorocyclopentadiene 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected Z2 ug/L EPA625/8270D 11/15/16 CJOHNSON
193-39-5 Indeno(1,2,3-cd)pyrene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
78-59-1 Isophorone 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
91-57-6 Methylnaphthalene,2- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
95-48-7 Methylphenol,2- 10 Not detected Z2 ug/L EPA625/8270D 11/15/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
99-09-2 Nitroaniline, 3- 50 Not detected Z2J2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected Z2J2 ug/L EPA625/8270D 11/15/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected Z2 Pg/L EPA625/8270D 11/15/16 CJOHNSON
88-75-5 Nitrophenol,2- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
100-02a Nitrophenol,4- 50 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
WSS Chemistry laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 6

9NrC(D%�k La6oratory Section&sufts/Sampfe Comments/QualC r lnefinitions
Sample ID: AC33430
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
f. -7 N-nitrosodi-n-propylamine 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
86-36-6 N-nitrosodlphenylamine 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
85-01-8 Phenanthrene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
108-95-2 Phenol 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
129-00-0 Pyrene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
95-95-4 Trichlorophenol,2,4,5- 10 Not detected Z2 N9/L EPA625/8270D 11/15/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected Z2 pg/L EPA625/6270D 11/15/16 CJOHNSON
VOL
Volatile Organics in liquid
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
630-20-6 1,1,1,2-Tetrachloroethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
71-55-6 1,1,1-Trichloroethane 1.0 Not detected N9/L EPA624/8260C 11/3/16 CJOHNSON
79-34-5 1,1,2,2-Tetrachloroethane- 1.0 Not detected Ng/L EPA624/8260C 11/3N6 CJOHNSON
79-00-5 1,1,2-Trichloroethane 1.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
75-34-3 1,1-Dichloroethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
75-35-4 1,1-DIChloroethene 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
563-58-6 1,1-Dlchloropropene 1.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
87-61-6 1,2,3-Trichlorobenzene 1.0 Not detected Ng/L EPA62418260C 1113/16 CJOHNSON
96-18-4 1,2,3-Trichloropropane 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
1! 1 1,2,4-Trichlorobenzene 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
i
95-63-6 1,2,4-Trimethylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
96-12-8 1,2-Dibromo-3-Chloropropane 5.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
107-06-2 1,2-Dichloroethane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
78-87-5 1,2-Dichloropropane - 1.0 Not detected Ng/L EPA624/8260C 11/311.6 CJOHNSON
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
142-28-9 1,3-Dichloropropane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
594-20-7 2,2-Dichloropropane 2.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
95-49-8 2-Chlorotoluene 1.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
106-43-4 4-Chlorotoluene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
Acetone 19 N1 pg/L EPA624/8260C 11/3116 CJOHNSON
71-43-2 Benzene 1.0 Not detected N9/L EPA624/8260C 11/3116 CJOHNSON
108-86-1 Bromobenzene 1.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
74-97-5 Bromochloromethane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
75-27-4 Bromodichloromethane 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
75-25-2 Bromoform 2.0 7.1 Ng/L EPA624/8260C 11/3/16 CJOHNSON
74-83-9 Bromomethane 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
56-23-5 Carbon Tetrachloride 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
108-90-7 Chlorobenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
75-00-3 Chloroethane 2.0 Not detected Ng/L EPA624/826QC 11/3/16 CJOHNSON
67-°`.3 Chloroform 1.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
74. Chloromethane 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 6

.-.-..._...
9VC TI` f1,Ga6oratorySection R,esutts/Sample Comments/QuaC�r(Definitions
Sample ID: AC33430
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
156-59-2 Cis-1,2-Dlchloroethene 1.0 Not detected u9/L EPA624/8260C 11/3/16 CJOHNSON
10061-01-5 CIS-1,3-Dlchloropropene 2.0 Not detected N9/L EPA624/8260C 11/3/16 CJOHNSON
124-48-1 Dlbfomochloromethane 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
74-95-3 DlbrofnOmethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
75-71-8 Dlchlorodifiuoromethane 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
100-41-4 Ethylbenzene 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
87-68-3 HeXachlorobutadlene 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
98-82-8 Isopropylbenzene 1.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
108-38-3 m,p-Xylene 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
541-73-1 fin-DIChlorobenzene(1,3) 1.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
75-09-2 Methylene Chloride 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
91-20-3 Naphthalene 2.0 Not detected N9/L EPA624/8260C 1113/16 CJOHNSON
104-51-8 n-Butylbenzene 1.0 Not detected ug/L EPA62418260C 1113/16 CJOHNSON
103-65-1 n-Propylbenzene 1.0 Not detected N9/L EPA624/8260C 11/3/16 CJOHNSON
95-50-1 o-DIChlorobenzene(1,2) 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
95-47-6 o-Xylene 1.0 Not detected N9/L EPA624/8260C 11/3/16 CJOHNSON
106-46-7 p-Dichlorobenzene(1,4) 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
99-87-6 p-Isopropyltoluene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
135-98-8 Sec-Butylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16` CJOHNSON
100-42-5 Styrene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
98-06-6 tert-Butylbenzene 1.0 Not detected N9/L EPA624/8260C 11/3/16 CJOHNSON
127-18-4 Tetrachloroethene 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
108-88-3 Toluene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
156-60-5 trans-1,2-Dichloroethene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
10061-02-6 trans-1,3-DIChloropropene - 2.0 Not detected Ng/L EPA624/8260C 11/3/.16 CJOHNSON
79-01-6 Trichloroethene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
75-69-4 Trichlorofluoromethane 2.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
75-01-4 Vinyl Chloride 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
f
WSS Chemistry laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"Ll"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 6

NC DUX Ga6o rat oay Section ResuCts/Sampfe Comments/Quarifier Definitions
Sample ID: AC33430
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Sample Comments
VOL:VOA-N1-estimated-tentatively identified by MS library search.
SEM:SV-J2-estimated-4 analyte(s)failed<LCL in the CV2.
SEM:SV-Z2-rejected-surrogate recovery<10%due to matrix
interference.Presence of residual chlorine.
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U".The PQL is used for the qualified result(S)to cal(
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present-,too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
66 Coliform-Estimated Value. Blank contamination evident.
Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. in this c(
A MPN-No wells or tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than"<`valu,
BB2 MPWAII wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory-,value is estimated.
G1 BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea:
G3 BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.Q mg/L.
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated foi
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab,pl
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J10 Unidentified peak,-estimated value.
J11 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control'.The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower
N1 Presumptive evidence and estimated value. The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present,but quality control requirements for confirmation were not met(i.e., presence of e
r'3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
1,0 The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NO 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 5 of 6

NC(DUX L a 6oratorySection Resufts/Sample Comments/QuaCfiCer 1oefinitions
Sample ID: AC33430
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 6 of 6

North Carolina Division of Water Resources Water Sciences Section Laboratory.Results
.dcr.: 48 UP THE CREEK LANE,BURNSVILLE,NC 28714 Sample ID: AC33429
.ounty: YANCEY Collector: A MOORE VisitlD PO Number#
R,-',)n: ARO Report To ARO Location ID:, 48UPTHECREEK Date Received: 11/03/2016
i 3asin FRB Collect Date: 1110112016 Priority ROUTINE Time Received: 08_30
Emergency Collect Time: 12_30 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
COC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 12/9/16
Report Print Date: 12H212016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use-for Regulatory purposes.
Result/ Method Analysis
CAS# Analyte Name PQL Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.1 °C 11/3/16 MSWIFT
MIC
TOC in liquid 2 5.9 mg/L SM 5310 B-2000 11/9/16 ESTAFFORD1
MET
7429-90-5 -Al by ICP 50 210 ug/L EPA200-7 Rev4A 11/16/16 ESTAFFORDI
7440-38-2 As by furnace 2.0 2.0 U ug/L EPA200.9 Rev2.2 11/18/16 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 15 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-43-9 Cd by ICPMS 0.50 0..50 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 6.0 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 7.4 ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 680 ug/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7g "19-7 _K by ICP 0.10 1.3 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7,,,-._j5-4 Mg by ICP 0.10 0.66 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7439-96-5 Mn by ICP 10 10 U ug/L EPA200-7 Rev4.4 11/16/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 8.6 mg/L EPA200.7 Rev4.4 11/16/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA 200.8 Rev5.4 11/18/16 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA 200.8 Rev5.4 11/18/16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 10 U ug/L EPA200.8 Rev5.4 11/18/16 ESTAFFORD1
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 Acenaphthene 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
62-53-3 Aniline 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
120-12-7 Anthracene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected Z2 Ng/L EPA62518270D 11/15/16 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected Z2J2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
111-91-1 BIs(2-Chloroethoxy)methane 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
11' '4 Bis(2-chloroethyl)ether 10 Not detected Z2 ug/L EPA625/8270D 11/15/16 CJOHNSON
39i;.g2-9 Bis(2-chloroisopropyl)ether 10 Not detected Z2 N9/L EPA625/8270D 11/15/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 6

......_.. . _ ..._...
..._ .__.. .
NC VK�Ladoratory Section 12esults/Sample Comments/Quali r 1�efinitions
Sample ID: AC33429
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
117-81-7 Bis(2-ethylhexyl)phthalate 30 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
101-55-3 Bromophenyl phenyl ether,4 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
106-4778 Chloroaniline,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
.91-58-7 Chloronaphthalene, 2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
95-57-8 Chlorophenol,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
218-01-9 Chrysene 20 Not detected Z2 pg/L EPA62518270D 11/15/16 CJOHNSON
Dantoin DMH 540 N1 pg/L EPA625/8270D 11/15/16 CJOHNSON
53-70-3 Dibenzo(a,h)anthracene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
91-94-1 Dichlorobenzidine,3,3'- 30 Not detected Z2J2 pg/L EPA625/8270D 11/15/16 CJOHNSON
120-83-2 Dichlorophenol, 2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
131-11-3 Dlmethyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
105-67-9 Dimethylphenol,2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
64-74-2 Di-n-butyl phthalate 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
534-52-1 Dlnitro-2-methyl phenol,4,6- 50 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
51-28-5 Dlnitrophenol, 2,4- 50 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
121-14-2 Dinitrotoluene, 2,4- 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 _ CJOHNSON
606-20-2 Dinitrotoluene,2,6- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
117-84-0 Dl-n-octyl phthalate 10 Not detected Z2 Ng/L EPA625/8270D - 11/15/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
86-73-7 Fluorene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
118-74-1 Hexachlorobenzene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
87-68-3 Hexachlorobutadiene(SV) 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
77-47-4 Hexachlorocyclopentadiene 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
193-39-5 Indeno(1,2,3-Cd)pyrene 20 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
78-59-1 Isophorone 10 . Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
91-57-6 Methyl naphthalene,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
95-48-7 Methylphenol, 2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
99-09-2 Nitroaniline, 3- 50 Not detected Z2J2 pg/L EPA625/82700 11/15/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected Z2J2 pg/L EPA625/8270D 11/15/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
88-75-5 Nitrophenol,2- 10 Not.detected Z2 pg/L EPA625/8270D 11/15/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 6

NC DT(�(Ga6oratory Section Xesults/Sampk Comments/QualifierDefinitions
Sample ID: AC33429
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
2-7 Nltrophenol,4- 50 Not detected Z2 Fig/L EPA625/8270D 11/15/16 CJOHNSON
621-64-7 N-nitrosodl-n-propylamine 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
86-30-6 N-nitrosodiphenylamine 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
85-01-8 Phenanthrene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
108-95-2 Phenol 10 Not detected Z2 N9/L EPA625/8270D 11/15/16 CJOHNSON
129-00-0 Pyrene 20 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
tribromomethane 22 N1 Ng/L EPA625/8270D 11/15/16 CJOHNSON
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected Z2 Ng/L EPA625/8270D 11/15116 CJOHNSON
95-95-4 Trichlorophenol, 2,4,5- 10 Not detected Z2 Ng/L EPA625/8270D 11/15/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected Z2 Wg/L EPA625/8270D 11/15/16 CJOHNSON
VOL
Volatile Organics in liquid
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
630-20-6 1,1,1,2-Tetrachloroethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
71-55-6 1,1,1-Trichloroethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected Ng/ EPA62418260C 1113/16 CJOHNSON
79-00-5 1,1,2-Trichloroethane 1.0 Not detected Ng/L EPA624/8260C 1113116 CJOHNSON
75-34-3 1;1-Dichloroethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
75-35-4 1,1-Dlchloroethene 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
563-58-6 1,1-Dichioropropene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
E 1,2,3-Trichlorobenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
96-18-4 1,2,3-Trichloropropane 110 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
120-82-1 1,2,4-Trichlorobenzene 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
95-63-6 1,2,4-Trimethylbenzene 1.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
96-12-8 1,2-Dibromo-3-Chloropropane 5.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
107-06-2 1,2-Dlchloro.ethane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
78-87-5 1,2-Dichioropropane 1.0 Not detected ug/L EPA62418260C 11/3/16 CJOHNSON
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
142-28-9 1,3-Dichloropropane 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
594-20-7 2,2-DIChloropropane 2.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
95-49-8 2-Chlorotoluene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
106-43-4 4-Chlorotoluene 1.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
Acetone 33 N1 pg/L EPA62418260C 11/3/16 CJOHNSON
71-43-2 Benzene 1.0 Not detected Ng/L EPA62418260C 11/3116 CJOHNSON
108-86-1 Bromobenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
74-97-5 Bromochloromethane 1.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
75-27-4 Bromodichloromethane 1.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
75-25-2 Bromoform 2.0 13 Ng/L EPA624/8260C 11/3/16 CJOHNSON
74-83-9 Bromomethane 2.0 Not detected Ng/L EPA624/8260C 1113116 CJOHNSON
56-23-5 Carbon Tetrachloride 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
109 1077 Chlorobenzene 1.0 Not detected Ng/L EPA62418260C 1113/16 CJOHNSON
Ta:_.13 Chloroethane 2.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 2 7 699-1 62 3 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 6

9VC(DU t�;Laboratory Section Resufts/Sampfe Comm ents/Qualifier Definitions
Sample ID: AC33429
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
67-66-3 Chloroform 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
74-87-3 Chloromethane 2.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
156-59-2 cis-1,2-Dlchloroethene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
10061-01-5 CIS-1,3-Dichlotopropene 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
124-48-1 Dibromochloromethane 2.0 Not detected Ng/L EPA624/8260C 1113/16 CJOHNSON
74-95-3 Dlbromomethane 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
75-71-8 Dichlorodlfluoromethane 2.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
100-41-4 Ethylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
87-68-3 Hexachlorobutadiene 1.0 Not detected ug/L EPA624/8260C 11/3/16 CJOHNSON
98-82-8 Isopropylbenzene 1.0 Not detected Ng/L EPA62418260C 11/3116 CJOHNSON
108-38-3 m,p-Xylene 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
541-73-1 m-Dichlorobenzene(1,3) 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected N9/L EPA624/8260C 11/3116 CJOHNSON
75-09-2 Methylene Chloride 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
91-20-3 Naphthalene 2.0 Not detected pg/L EPA624/8260C 11/3/16 CJOHNSON
104-51-8 n-Butylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
103-65-1 n-Propylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
95-50-1 o-Dichlorobenzene(1,2) 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
95-47-6 o-Xylene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
106-46-7 p-Dichlorobenzene(1,4) 1.0 Not detected ug/L EPA624/8260C 11/3116 CJOHNSON
99-87-6 p-Isopropyltoluene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
135-98-8 sec-Butylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
100-42-5 Styrene 1.0 Not detected Ng/L EPA62418260C 11/3/16 CJOHNSON
98-06-6 tert-Butyl benzene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
127-18-4 Tetrachloroethene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
108-88-3 Toluene 1:O Not detected' " 'Ng/L. EPA624/8260C' 11/3/16 CJOHNSON
156-60-5 trans-1,2-Dichloroethene 1.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
79-01-6 Trichloroethene 1.0 Not detected Ng/L EPA624/8260C 11/3116 CJOHNSON
75-69-4 Trichlorofluoromethane 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
75-01-4 Vinyl Chloride 2.0 Not detected Ng/L EPA624/8260C 11/3/16 CJOHNSON
` f
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 (919)7333908
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 6

NC01K ,La6oratorySection 12esufts/Sample Comments/Qualifierdefinitions
Sample ID: AC33429
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Sample Comments
VOL:VOA-N 1-estimated-tentatively identified by MS library search:
SEM:SV-J2-estimated-4 analyte(s)failed<LCL in the CV2.
SEM:SV-Z2-rejected-surrogate recovery<10%due to matrix
interference.Presence of residual chlorine.
SEM:SV-NI-estimated-tentatively identified by MS library search.
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U".The PQL is used for the qualified result(S)to cali
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2_ Coliform-Counts from all filters were zero. The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this c(
_ MPN-No wells or tubes gave a positive reaction. Value based upon the appropriate MPN Index and reported as a less than"<"valu.
B82 MPN-All wells or tubes gave positive reactions.Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
G1 BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea,,
G3 `BOD-No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 mg/L..
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated foi
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g.,composite sample was collected instead of grab, pl
J5 Temperature limits exceeded(samples frozen or WC)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J10 Unidentified peak;estimated value.
J11 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control".The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower
Nl Presumptive evidence and estimated value.The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met(i.e., presence of a
This code shall be used if the level is too low to permit accurate quantification., but the estimated concentration is less than the labol
This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
\No' The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or".U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 5 of 6

NC 1n Wyk La6oratory Section Resufts/Sample Comments/Quaf#ier Definitions
Sample ID: AC33429
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repo
X1 Sample not screened for this compound.,
X2 Sampled,but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
Q
WSS Chemistry laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 6 of 6

Private Wei Information
human survtt s f
and d Use Recommendations
o health and
For Inorganic Chemical Contaminants
County: y1_ e1 Name: L e' l-n
Sample)D#: Reviewer: K A1
TEST RESULTS AND USE RECOMMENDATIONS
1. ❑ Your well water meets federal drinking water standards for inorganic chemicals. Your water can be used for
drinking,cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results only.You may
have other water sampling results that are not taken into account in this report.
2.❑The following substance(s)exceeded federal drinking water standards or the North Carolina 2L calculated health
levels.The North Carolina Division of Public Health recommends that your wel l water not be used for drinking and
cooking,unless you install a water treatment system to remove the circled substance(s).However,it may be used for
washing,cleaning,bathing and showering based on the inorganic chemical results only.
Arsenic Barium Cadmium Chromium I Copper Fluoride Lead Iran
1 Manganese Mercury Nitrate/Nitrite Selenium Silver Ma nesium I Zinc pH
3.2 a.Sodium levels exceed the U.S.11nvironmental Protection Agency's(USEPA)Health Advisory level for sodium of
2-0 mg/l.-The North Carolina DivisiotrofPubl c Health recommends_that only individuals on-no or low sodium restricted
diets not use this water for drinking or cooking. It may be used for washing,cleaning,bathing,and showering based on
the Inorganic chemical results only.
❑ b. Levels over 30 mg/I may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc.
4.❑ Re-sampling is recommended in months.
5:❑ Re--sample for lead and for copper. Take a first draw,5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw, 5 minute and a IS minute sample at the well head to determine the source of the
lead and/or copper.
6. 52 he following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results only,but a sa thetic problems
such as bad taste,odor,staining of porcelain,etc.may occur. You may want to install a household water treatment system
to'address aesthetic problems.
Barium Cadmium Chromium I Fluoride ron Ma esiutn
Manganese Selenium Silver PH Zjnc
For utore information regarding your well water results,please call lire North Carolina Division of Public Health at 919-707-5900.

_ ___ __
__
,,�
�.,1
i

Information. and Recommendations for Uses of Private Well Water
For Organic Chemicals Found in Water
North Carolina Occupational and ftvironmentai Epidemiology Branch (OEEB)
For Additional Information call 919,-`707-5900-
Name:_ W1 (l4 Ike GrteK L/*\ County ! 4 e:l
Sample Identlflcatlon Number: 4-G 53 ti 30
Information on Your Primate Well Water
Your well water was laboratory tested for chemical contaminants, prinking water may contain chemical
contaminants which can occur naturally or be Introduced into water from man-made sources, The
chemicals found In your well were Introduced from man-made sources, In order to evaluate your laboratory
results for chemical contaminants, your water results were compared to the national primary drinking water
standards or maximum contaminant levels(MCLs) (see website for basis for each MCL at
h,ttp;l/www,ep _.goyt afgn ter/contaminantslindgX h. tml#mrcl ,), MCLs are nationa€'drink€ng water standards
that are required to be met_by municipal water supplies, If an MCL was not available, your water results
were compared to the North Carolina 2L Groundwater Standards.
Recommendations for Uses of Your Private Well Water
The concentrations found In your well water do not exceed the recommended EPA levels/North
Carolina 2L Groundwater Standards, Therefore, your water could be used for drinking, cooking,
washing dishes, bathing, and showering,
Contaminant concentrations found in your well water are higher than the EPA recommended levels
for drinking and cooking. These contaminants include 1��
Your well water should not be used for drinking or cooking.- If you have been-drinking
the well water and are pregnant, nursing, or have a child under 5 years of age, inform
your phy clan of the results.
e Because of the low levels, some absorption of these chemicals Is expected
through intact skin and exposure to water vapor.-Therefore,limit showering
and bathing time to less than iA minutes.
Because of the high levels, absorption of these chemicals could occur through
intact skin and exposure to water vapor. Therefore, limit showering and
bathing time to less than 5 minutes.
Because of the very high levels,significant absorption of these chemicals could
occur through intact skin and exposure to water vapor, Therefore,this water
should not be used for showering and bathing,
�..�.• You may want to purchase a water treatment device, drill a new well that Is distantly located from
the groundwater contamination, use bottled water, or connect to a public water supply,
Resampling Is recommended In months,
'ather Comments

Permit: WQ0004797 Owner-Facility:Clement Pappas NC LLC
Inspection Date: 12/02/2016 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Record Keeping Yes No NA NE
Are annual soil reports available?
#Are PAN records required.? ® �
#Did last soil report indicate a need for lime? N EI ❑
If so,has it been applied?
Are operational logs present? ® p El EJ
Are lab sheets available for review?
Do lab sheets support data reported on NDMR? ® El El 0
Do lab sheets support data reported on GW-59s? ® El
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? ® El El n
Comment: Groundwater is not sampled for BOD/TSS/TKN/Na/Ca/Total N/Mg/COD
PAN records not required.
One odor complaint-one aerator was being replaced
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.) ■
El El 0
Comment:
Treatment Flow Measurement-Effluent Yes No NA NE
Is flowmeter calibrated annually? ■
El El El
Is flowmeter operating properly? EEl El ❑
Does flowmeter monitor continuously? 0 El ❑ Q
Does flowmeter record flow?
Does flowmeter appear to monitor accurately? ® 11
El 11
Comment:
Treatment Flow Measurement-Influent Yes No NA NE
Is flowmeter calibrated annually? ■
1:1 El El
Is flowmeter operating properly? ■
El 1:10
Page: 4

Permit: WQ0004797 Owner-Facility:Clement Pappas NC LLC
Inspection Date: 1 2102/2 01 6 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Treatment Flow Measurement-Influent
Yes No NA NE
Does flowmeter monitor continuously? 0 ❑ ❑ ❑
Does flowmeter record flow? ® ❑ ❑ ❑
Does flowmeter appear to monitor accurately? E ❑ ❑ ❑
Comment:
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? ❑ ❑ ® ❑
Are the daily average values properly calculated? ❑ ❑ ® ❑
Comment:
TILL Yes No NA NE
Single Family Spray,LR ❑
Infiltration System ❑
Reuse(Quality) ❑
.,Activated Sludge Spray, HR ❑
Activated Sludge Spray,LR ❑
Recycle/Reuse " ❑
Activated Sludge Drip,LR El
Single Family Drip ❑
Lagoon Spray,LR
AERATED LAGOON -
Treatment Lagoons Yes No NA NE
Lagoon Type Aerated
Primary/Secondary Primary.
Influent structure ® ❑ ❑ ❑
Banks/berms(seepage and erosion) ❑ ® ❑ ❑
Vegetation(excessive vegetation on banks/berms) ❑ ❑ ❑
Liner ® ❑ ❑ ❑
Liner Type Fun,clay
Baffles/curtains ❑ ❑ ® ❑
Freeboard Marker ■ ❑ ❑ ❑
Page: 5

permit: WQ0004797 Owner-Facility:Clement Pappas NC LLC
Inspection Date: 12/02/2016 - Inspection Type:Compliance Evaluation Reason for Visit: Routine
AERATED LAGOON -
Treatment Lagoons Yes No NA NE
Required freeboard 2
Feet
Actual freeboard 3.3
Feet
Are increments clearly marked on gauge at adequate intervals? 0 ❑ ❑ ❑
Has the water level gauge been surveyed w/respect to lowest point on dike?wall? ❑ ❑ ❑
No Evidence of overflow M ❑ ❑ ❑
Acceptable color ® ❑ ❑ ❑
Floating mats ❑ ® ❑ ❑
Excessive solids buildup ❑ ® ❑ ❑
Aerators/mixers ® ❑ ❑ ❑
Effluent structure ® ❑ ❑ ❑
Lagoon cover ❑ ❑ ® ❑ -
l
I
Page: 6

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
" Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY -
Director
December 16, 2016
.Peter Watson, President
Ledgestone Property Owners Association
PO Box 21
Fairview,NC 28730
SUBJECT: Compliance Evaluation Inspection
Ledgestone Subdivision WWTP
Permit No:NCO087556
Buncombe County
Dear Mr. Watson:
On December 13, 2016, I conducted a Compliance Evaluation Inspection at the subject facility. The facility
\ ippeared to be in compliance with permit NC0087556.
Please refer to the enclosed inspection report for observations and comments. If you or your staff have any
questions,please call me at 828-296-4500.
Sincerely,
Linda WiggslL
Environmental Senior Specialist
Asheville Regional Office
Enc.Inspection Report
cc: Shannon James,ORC(e-copy James and James)
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Buncombe\Wastewater\Minors\Ledgestone Subdivision 87556\12-13-2016Inspect\CEI.12-20l6.Ltr.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

United States Environmental Protection Agency Form Approved.
EPA
P/� Washington,D.C.20460 OMB No.2040-0057
/ Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector FacType
1 H 2 15 1 3 I NCO087556 I11 12 16/12/13 17 181 r+1 191 S I 20I__�
211 I I 1 I I I I I I II I1 I I I I I I I I I I I III I I I I I I LIB I I I � �6
Inspection Work Days facility Self-Monitoring Evaluation Rating B1 QA -- --------------Reserved-----------
67 I 70 L_j71 L_j72 ,, 731 I 174 75� Lj
80
Section B:Facility Data I 1 1
Name and Location of Facility Inspected(For Industrial Users discharging toPOTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 10:00AM 16/12/13 16/02/01
Ledgestone Subdivision WWTP
Exit Time/Date permit Expiration Date
Miller Rd
11:30AM 16/12/13 20/12/31
Fairview NC 28730
Name(s)of Onsite Representative(s)/Tities(s)/Phone and Fax Number(s) Other Facility Data
1/1
-. Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Juanita Reed James,PO Box 1354 Mountain Home NC 2 87 5 8 1 354//8 2 8-6 97-0 0 6 3/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Permit ® Operations&Maintenance ® Records/Reports ® Self-Monitoring Program
® Facility Site Review ® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Linda S WiggsT;/'e ARO WQ//828-296-4500 Ext.4653/
�....:; r
Signature of ManagementQ A Reviewer Agency/Office/Phone and Fax Numbers Date
/ z
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type 1
(Cont.)
3I NCO087556 I11 12 16/12/13 17 18 'c,
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The inspector(Linda Wiggs) met onsite with Shannon James(ORC).
Items noted in the previous inspection and complaints were followed up on.
The log book was well documented, the proper tablets were in use and the effluent was clear. The
clarifier did not have a clear supernatant; it was a bit murky, but it was not losing solids. Due to the
Asheville Laboratory Holiday scheduling, effluent samples were not obtained. In 2016, there have not
been any effluent limit violations reported on the monitoring reports(DMR).
Raleigh Central Office staff, Bob Sledge, has been in conversation with the Permittee and the adjacent
landowner regarding issues over the effluent pipe location. Mr. Sledge remains the primary contact
person for this, however the inspector did observe the effluent pipe. The effluent pipe remains in the
same location;to date an Authorization to Construct(change the location of the effluent pipe) has not
been received by the Division. No stream impacts were apparent.
Page# 2

Permit: NCO087556 Owner-Facility: Ledgestone Subdivision WWTP
Inspection Date: 1 2/1 312 0 1 6 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable M ❑ ❑ ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: Settleable Solids, PH, DO.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ 0 ❑
application?
Is the facility as described in the permit? 0 ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ❑ ® ❑
Is access to the plant site restricted to the general public? ® ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment: The effluent pipe remains in the same location`to date an Authorization to Construct
(change the location of the effluent pipe) has not been received by the Division.
Record Keeping Yes No NA NE
i Are records kept and maintained as required by the permit? ® ❑ ❑ ❑
Is all required information readily available, complete and current? ® ❑ ❑ ❑
Are all records maintained for 3 years(lab. reg. required 5 years)? ® ❑ ❑ ❑
Are analytical results consistent with data reported on DMRs? ❑ ❑
Is the chain-of-custody complete? ❑ ❑
Dates,times and location of sampling ❑
Name of individual performing the sampling ❑
Results of analysis and calibration ❑
Dates of analysis ❑
Name of person performing analyses ❑
Transported COCs ❑
Are DMRs complete: do they include all permit parameters? ❑ ❑ ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ i ❑
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator ❑ ❑ 0 ❑
on each shift?
Is the ORC visitation log available and current? ■ ❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? ® ❑ ❑ ❑
Is the backup operator certified at one grade less or greater than the facility classification? ® ❑ ❑ ❑
Is a copy of the current NPDES permit available on site? M ❑ ❑ ❑
Page# 3

......__....._.
Permit: NCO087556 Owner-Facility: Ledgestone Subdivision WWTP
Inspection Date: 12/13/2016 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? ❑ M ❑
Comment:
Bar Screens Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical ❑
Are the bars adequately screening debris? ❑
Is the screen free of excessive debris? ® ❑ ❑
Is disposal of screening in compliance? ® ❑ ❑ ❑
Is the unit in good condition? ® ❑ ❑ ❑
Comment:
Equalization Basins Yes No NA NE
Is the basin aerated? ® ❑ ❑ —
Is the basin free of bypass lines or structures to the natural environment? ® ❑ ❑ ❑
Is the basin free of excessive grease? ® ❑ ❑ ❑
Are all pumps present? ® ❑ ❑
Are all pumps operable? ® ❑
Are float controls operable? El ❑ ❑
Are audible and visual alarms operable? 0 ❑ ❑
#Is basin size/volume adequate? ® ❑ ❑
Comment:
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system Diffused
Is the basin free of dead spots? ❑ ❑ ❑
Are surface aerators and mixers operational? ❑ ❑ ® ❑
Are the diffusers operational? ® ❑ ❑
El
Is the foam the proper color for the treatment process? ❑ ❑ ® ❑
Does the foam cover less than 25%of the basin's surface? El El 0
Is the DO level acceptable? ❑ ❑ ❑ .
Page# 4

Permit: NCO087556 Owner-Facility: Ledgestone Subdivision WWTP
Inspection Date: 12/13/2016 Inspection Type: Compliance Evaluation
Aeration Basins Yes No NA NE
Is the DO level acceptable?(1.0 to 3.0 mg/1) El El El 0
Comment: ORC states she has timer set for 30 minutes on/30 minutes off,alternatinq blowers:
No foam was present.
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? 0 ❑ ❑
Is the site free of excessive buildup of solids in center well of circular clarifier? ❑ ❑ 0 ❑
Are weirs level? 0 ❑ ❑ ❑
Is the site free of weir blockage? 0 ❑ ❑
Is the site free of evidence of short-circuiting? ® ❑ ❑ ❑
Is scum removal adequate? ® ❑ ❑ ❑
Is the site free of excessive floating sludge? ® ❑ ❑ ❑
Is the drive unit operational? ❑ ❑ ❑
Is the return rate acceptable(low turbulence)? ❑ ❑ ❑
Is the overflow clear of excessive solids/pin floc? ® ❑ ❑ ❑
Is the sludge blanket level acceptable?(Approximately'/<of the sidewall depth) ❑ ❑ ❑
Comment: Solids were not apparent in the overflow.
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? ❑ ❑ ® ❑
Is storage appropriate for cylinders? ❑ ❑ ® ❑
#Is de-chlorination substance stored away from chlorine containers? ® ❑ ❑ ❑
Comment:
Are the tablets the proper size and type? ® ❑ ❑ ❑
Are tablet de-chlorinators operational? ® ❑ ❑ ❑
Number of tubes in use? 2
Comment: Tablets were present in the tubes.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ® ❑ ❑ ❑
Are the tablets the proper size and type? ® ❑ ❑ 1-1
Number of tubes in use? 2
Page# 5

Permit: NC0087556 Owner-Facility: Ledgestone Subdivision VWVTP
Inspection Date: 12/13/2016 Inspection Type: Compliance Evaluation
Disinfection-Tablet Yes No NA NE
Is the level of chlorine residual acceptable? El El ❑
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de-chlorination? El El El N
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? El 0 El
Are the receiving water free of foam other than trace amounts and other debris? 1:1 El
If effluent (diffuser pipes are required) are they operating properly? 1:1 ❑
Comment: See summary.
The inspector was able to observe the effluent pipe
1
Page# .6

PAT MCCRORY
Govemor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 16, 2016
Clark Wyatt
Buncombe County Schools
175 Bingham Rd
Asheville,NC 28806
SUBJECT: Complaint Inspection
Cane Creek Elementary School
Permit No:NCO086436
Buncombe County
Dear Mr. Wyatt:
On December 7, 2016, I conducted an inspection at the.subject facility. The inspection was initiated due to a
omplaint received in the Asheville Regional Office regarding waste paper products at the effluent discharge
'pipe. The complaint was unsubstantiated and the facility appeared to be in compliance with permit NC0086436.
We corresponded recently regarding updating the name associated with the Buncombe County Schools permits
since Belvin Hall has retired. Your attention to that matter is appreciated. Another item I noted during the
inspection were areas of rust on the wastewater plant. The maintenance/repair needs associated with this should
be evaluated.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call me at 828-296-4500.
Sincerely,
Linda Wiggs
Environmental Senior Specialist
Asheville Regional Office
Enc. Inspection Report
cc: Richard Schilling,ORC(e-copy RPB systems)
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Buncombe\Wastewater\Minors\Cane Creek Mlddie Sch 86436\12-7-2016 site visit\CEI.12-2016.Ltr.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

/_.
�_-,�.
I
�\\__.
��\

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac,Type
1 IN I 2 15 I 3 I N00086436 I11 12 16i12/07 17 18 Lj 19 1 s t 20)
211 1 1 1 1 I I I 1 1 11 1 I 1 1 I 1 1 I I _I I I I I I I 1 1 1 I I 1 I 11 III 1 1 f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ---------------------Reserved------------
67 70 L_j 71 u 72 I i;, I 731 I 174 751 I ( ( 1 1 (80
Section'B:Facility Data L_J
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
12:10PM 16/12/07 16/01/01
Cane Creek Elementary School
570 Lower Brush Creek Rd Exit Time/Date Permit Expiration bate
Fletcher NC 28732 01:20PM 16/12/07 20/12/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
- Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Belvin Hall,175 Bingham Rd Asheville NC 28806/Associate
Director/828-232-4244/8282324249 Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
.Flow.Measurement ®.Operations&Maintenance ®.Facility Site Review ®.EfBuent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Linda S Wiggs ARO WQ#828-296-4500 Ext.4653/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.) 1
31 NCO086436 �11 12 16/12/07 17 18 ' 1 '
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The inspector(Linda Wiggs) met onsite with Richard Shilling (ORC). A complaint came into the
Asheville office that there were paper products at the effluent pipe of this WWTP. What was thought to
be waste paper product was an old white trash bag embedded in the streambank at the discharge
pipe.The discharge pipe has a flap valve and there was no paper product debris lodged in this pipe.
The ORC stated solids were pumped from the WWTP digester quarterly. Note: In a follow up
conversation,the ORC had Mike's Septic pump a load from the WWTP on 12-12-2016.
The WWTP has large areas of rust;when school is out in 2017 this needs to be evaluated for repair.
Page# 2

Permit: NCO086436 Owner-Facility: Cane Creek Elementary School
Inspection Date: 12/07/2016 Inspection Type: Complaint
Operations& Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable N ❑ ❑ ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: pH, DO, sludge iudge
Bar Screens Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical
Are the bars adequately screening debris? ® ❑ ❑ ❑
Is the screen free of excessive debris? ® ❑ ❑ ❑
Is disposal of screening in compliance? ® ❑ ❑ ❑
Is the unit in good condition? N ❑ ❑ 11
Comment: A lot of paper product and hygiene products are coming into this plant. Bathroom signage
may be needed.
Equalization Basins Yes No NA NE
Is the basin aerated? ® ❑ ❑ ❑
Is the basin free of bypass lines or structures to the natural environment? ® ❑ ❑ ❑
Is the basin free of excessive grease?
Are all pumps present? ® ❑ ❑ ❑
Are all pumps operable? ® ❑ ❑ ❑
Are float controls operable? 0 ❑ ❑ ❑
Are audible and visual alarms operable? ® ❑ ❑ ❑
#Is basin size/volume adequate? ® ❑ ❑ El
Comment:
Aeration Basins Yes No NA NE
Mode of operation
Type of aeration system Diffused
Is the basin free of dead spots? ❑ ❑ ❑
Are surface aerators and mixers operational? ❑ .❑ ® ❑
Are the diffusers operational? ❑ ❑ ❑ ■
Is the foam the proper color for the treatment process? ❑ ❑ ❑
Page# 3

. .................. .. . _ _ __ _
Permit: NCO086436 -Owner-Facility: Cane Creek Elementary School
Inspection Date: 12/07/2016 Inspection Type: Complaint
Aeration Basins Yes No NA NE
Does the foam coverless than 25%of the basin's surface? ❑ ❑ ❑
Is the DO level acceptable? ❑ ❑ ❑
Is the DO level acceptable?(1.0 to 3.0 mg/1) ❑ ❑ ❑
Comment: ORC stated air cycle is-30 minutes on, —1.5 hr off and there are no issues currently with
this component. The air came on as the inspector was leaving. The inspector did not ask
the ORC to turn on the air. There was no foam noted. A blanket had settled —6-8"
supernatant was observed.
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? ® ❑ ❑ ❑
Is the site free of excessive buildup of solids in center well of circular clarifier? ❑ ❑ ® ❑
Are weirs level? ❑ ❑ ® ❑
Is the site free of weir blockage? ❑ ❑ ® ❑
Is the site free of evidence of short-circuiting? ❑ ❑ ® ❑
Is scum removal adequate? ❑ ❑ ❑
Is the site free of excessive floating sludge? ® ❑ ❑ ❑
Is the drive unit operational? ❑ ❑ ® ❑Is the return rate acceptable(low turbulence)? ❑ ❑ ❑
Is the overflow clear of excessive solids/pin floc? ® ❑ ❑ ❑
Is the sludge blanket level acceptable?(Approximately%of the sidewall depth) ❑ ® ❑ ❑
Comment: The ORC measured a sludge judge; —10'water depth, —1-2' supernatant.The ORC stated
the blanket would settle more.
The inspector spoke with the ORC on 12-13-2016 and he had the digester pumped'(Mike's
Septic)on 12-12-2016.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ® ❑ ❑ ❑
Are the tablets the proper size and type? 0 ❑ ❑ ❑
Number of tubes in use? 2
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth, or sludge buildup? ® ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑
Comment:
De-chlorination Yes No NA NE
Page# 4

Permit: NC0086436 Owner-Facility: Cane Creek Elementary School
Inspection Date: 12/07/2016 Inspection Type Complaint
De-chlorination Yes No NA NE
Type of system ? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? ❑ ❑ 0 ❑
Is storage appropriate for cylinders? ❑ ❑ ® ❑
#Is de-chlorination substance stored away from chlorine containers? ❑ ❑ ❑
Comment:
Are the tablets the proper size and type? 0 ❑ ❑
Are tablet de-chlorinators operational? 0 ❑ ❑
Number of tubes in use? 1
Comment.-
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ® -❑
Comment:
Page# 5

PAT MCCRORY
-Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 16, 2016
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Return Receipt
70151520 0003 54631568
Raymond J. Jones
PO Box 1958
New Smyrna Beach, FL 32170
SUBJECT: NOTICE OF VIOLATION and
RECOMMENDATION FOR ENFORCEMENT
0 Cedar Creek Road
NOV-2016-SS-0019
Removal of Best Usage
Rutherford County
Response deadline: January 16,2017
Dear Mr. Jones:
On December 7, 2016,Kevin Mitchell from the Asheville Regional Office of the Division of
Water Resources (DWR) conducted a site inspection at 0 Cedar Creek Road Parcel Number
(1614813) in Rutherford County.
Stream standard violations were noted during the inspection and file review. Approximately 500
feet of stream were impacted by excavation and removal of stream bed substrate in Cedar Creek,
classified C; Tr Trout.
As a result of the site inspection and file review,the following violations were identified:
VIOLATIONS
I. Removal of Best Usage- 15A NCAC 02B.0211 (2)—Title 15A North Carolina
Administrative Code 02B .0211 (2) requires that"The waters shall be suitable for
aquatic life propagation and maintenance of biological integrity,wildlife,
secondary recreation, and agriculture; sources of water pollution which preclude
any of these uses on either a short-term or long-term basis shall be considered to
be violating a water quality standard."
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 1 Asheville,North Carolina 28778
828 296 4500

0 Cedar Creek Road
December 16,2016
Page 2 of 3
REQUIRED RESPONSE
The DWR requests that you respond by January 16,2017. Your response should be sent to the
attention of Kevin Mitchell, Division of Water Resources, 2090 US HWY 70, Swannanoa,NC
28778. You are encouraged to secure an environmental consultant to assist with your plan
development and authorization necessary to achieve compliance. It is recommended that you
contact Kevin Mitchell for additional guidance during plan development. The response should
address the following items:
1. Please explain why the activity occurred without prior authorization.
2. Please submit a Restoration Plan to this office for review and approval. You are
encouraged to secure a consultant to assist you with your plan development and with
obtaining any permit, certification, and/or authorization necessary to achieve compliance.
The plan should include the following:
a. Please immediately stabilize the exposed stream banks.
� i
b. Please provide a map of the project area and all impacted areas.
c. Please indicate in your response a schedule with dates detailing when the
restoration will be accomplished.
d. Once the work is complete, a final report documenting the results of the stream
stabilization should be submitted to Kevin Mitchell.
Thank you for your attention to this matter. This Office is considering sending a
recommendation for enforcement to the Director of the Division of Water Resources regarding
these issues and any future/continued violations that may be encountered. Your above-
mentioned response to this correspondence will be considered in this process.
This office requires that the violations, as detailed above, be abated immediately. Pursuant
to G.S. 143-215.6A,these violations and any future violations are subject to a civil penalty
assessment of up to $25,000.00 per day for each violation.
Should you have any questions regarding these matters,please contact Kevin Mitchell at(828)
296-4650 or kevin.mitchell(a�nedenngov.

Cedar Creek Road
December 16,2016
Page 3 of 3
Sincerely,
Z rice, P.E.,Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
cc: David Brown-USACE (via email)
Stan Aiken—DEMLR(via email)
Karen Higgins, 401 & Buffer Permitting Unit
ARO File Copy
G:\WR\WQ\Rutherford\Complaints\2292 Cedar Creek Road Sams\Jones\NOV-2016-SS-0019 12.16.2016.docx

PAT MCCRORY
Governor
I
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Water Resources Director
ENVIRONMENTAL QUALITY
December 30, 2016
Steve Hooper, Mayor
Town of Robbinsville
PO Box 126
Robbinsville,NC 28771
SUBJECT: Compliance Evaluation Inspection
Robbinsville WTP
Permit No: NCO083071
Graham County
Dear Mayor Hooper:
On December 9, 2016, I conducted a Compliance Evaluation Inspection of the NPDES
Discharge Permit that serves the Robbinsville WTP. Based on records reviewed, on-site
evaluation and interviews with staff,the system was determined to be in compliance with
Permit NC0083071. The system and its components appear to be well maintained and
operated.
The assistance of Michael Ladd (ORC) in conducting the inspections was greatly
appreciated. Please refer to the enclosed inspection report for additional observations and ,
recommendations. If there are questions or additional information is needed,please feel free
to contact me at 828-296-4500.
Sincerely,
Mikal illmer
Environmental Specialist
Asheville Regional Office
Enclosure:Inspection Report
cc: MSC 1617-Central Files-Basement
WQ Asheville Files
Michael Ladd,ORC
G:\WR\WQ\C1aG:\WR\WQ\Graham\Wastewater\Municipal\Robbinsville Water Plant 83071\Inspect.December 9,2016\CEI
letter 12-9-2016.doc

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 ' 3 1 N00083071 11 12 16/12/06 17 18 L' 19 ' G ' 20 LJ
21I1111I IIIIII1III1IIIIII1IIIIIII IIIIIIIII � 1 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA __---Reserved---- I
67 1 70 L_j 71 Lj 72 1 N � 73I I 174 751 I 1 ' I I I ISO
Section B:Facility Data L-1
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
11:OOAM 16/12(06 13/02/01
Robbinsville WTP
Long Creek Rd NCSR 1110 Exit Time/Date Permit Expiration Date
Robbinsville NC 28771 12:OOPM 16/12/06 17/11/30
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Michael J.Ladd/ORC/828-360-6401/
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Michael J.Ladd,PO Box 126 Robbinsville NC 287710126/ORC/828-479-2886/
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
®:Permit ® Flow Measurement ® Operations&Maintenance ® Records/Reports
Self-Monitoring Program ® Sludge Handling Disposal ® Facility Site Review Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Mika[ Willmer ARO WQ//828-296-4686/
�r
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.) 1
31 NCO083071 I11 12 16/12/06 17
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
The Inspector, Mikal Willmer with the Asheville Regional Office conducted a Compliance Evaluation
Inspection (CEI) of the NPDES Discharge Permit that serves the Robbinsville WTP on December 9,
2016. Michael Ladd, ORC,was present and assisted in the inspection.
The Town of Robbinsville may wish to clarify the means of dechlorination in future permit renewals.
Sludge is being removed from the WTP lagoon as needed and hauled to Robbinsville WWTP. Overall
the facility appeared well operated and maintained and in compliance with NPDES Permit No.
NC0083071.
, i
Page# 2

Permit: NCO083071 Owner-Facility: Robbinsville wrP
Inspection Date: 12/06/2016 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ® ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS,_MCRT,Settleable ❑ ® ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: The property around the lagoon and WTP is well maintained. ORC, Mike Ladd, does not -
perform process control,this plant is physical/chemical treatment only.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ ®. ❑
application?
Is the facility as described in the permit? ® ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ ® ❑ ❑
Is access to the plant site restricted to the general public? ® ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? ■ ❑ ❑ ❑
Comment: Facility is as described in permit. The method of dechlorination was not listed in the most
recent permit application and permit.The Town of Robbinsville may wish to clarify the
process for future reference.
Lagoons Yes No NA NE
Type of lagoons?
#Number of lagoons in operation at time of visit? 1
Are lagoons operated in?
#Is a re-circulation line present? ❑ ❑ M ❑
Is lagoon free of excessive floating materials? ® ❑ ❑ ❑
#Are baffles between ponds or effluent baffles adjustable? ❑ ❑ ■ ❑
Are dike slopes clear of woody vegetation? ® ❑ ❑ ❑
Are weeds controlled around the edge of the lagoon? ® ❑ ❑ ❑
Are dikes free of seepage? ® ❑ ❑ ❑
Are dikes free of erosion? M ❑ ❑ ❑
Are dikes free of burrowing animals? ❑ ❑
#Has the sludge blanket in the lagoon(s)been measured periodically in multiple ❑ ❑ ❑
locations?
#If excessive algae is present, has barley straw been used to help control the growth? ❑ ❑ 0 ❑
Is the lagoon surface free of weeds? ❑ ❑ ❑
Is the lagoon free of short circuiting? 0 ❑ ❑ ❑
Page# 3

Permit: NCO083071 Owner-Facility: Robbinsville WTP
Inspection Date: 12/06/2016 Inspection Type: Compliance Evaluation
Lagoons Yes No NA NE
Comment: The lagoon is lined and shallow.The sludge blanket is visible from the edge of the lagoon
Town maintenance hauls the sludge to the Robbinsville WWTP as needed A total of 62,000
gallons of sludge was hauled in October of this year.The ORC stated they have not
experienced any problems with animals around the lagoon.
Flow Measurement-Effluent Yes No NA NE
#Is flow meter used for reporting? ® ❑ ❑ ❑
Is flow meter calibrated annually? ® ❑ ❑ ❑
Is the flow meter operational? ® ❑ ❑ ❑
(If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ® ❑
Comment: A flow totalizer is used for permit reporting. The plant has the meters calibrated every six
months by Ken Street. It was last calibrated on December 5 2016 The plant discharges
approximately 6000 GPD every 24 hrs for 30 to 60 minutes.
De-chlorination Yes No NA NE
Type of system? Liquid
Is right of way to the outfall properly maintained? ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑ ❑
Is the feed ratio proportional to chlorine amount(1 to 1)? ❑ ❑ ❑
Is storage appropriate for cylinders? ❑ ❑ M ❑
#Is de-chlorination substance stored away from chlorine containers? ® ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ . ❑
Are the tablets the proper size and type? ❑ ❑ 0 ❑
Comment: The WTP plant only feeds 0.56 mg/L of free chlorine into the distribution system The
wastewater is dechlorinated with calcium thiosulfate before discharge
Are tablet de-chlorinators operational? ❑ ❑ ® ❑
Number of tubes in use?
Comment: Access to the effluent pipe is well maintained.The outfall discharges onto rip rap above
Rock Creek. The receiving creek did not appear to be visually impaired by the discharge
Comment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ S ❑
Is sample collected below all treatment units? ❑ ❑ ❑
Is proper volume collected? ❑ ❑ ❑
Is the tubing clean? ❑ ❑ ❑
Page# 4

Permit: N00083071 Owner-Facility: Robbinsville VVTP
Inspection Date: 12/06/2016 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ 0 ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ® ❑ ❑ ❑
representative)?
Comment: Permit requires grab samples.
Record Keeping Yes No NA NE
Are records kept and maintained as required bythe permit? ® ❑ ❑ ❑
Is all required information readily available, complete and current? ® ❑ ❑ ❑
Are all records maintained for 3 years(lab. reg. required 5 years)? ® ❑ ❑ ❑
Are analytical results consistent with data reported on DMRs? ® ❑ ❑ ❑
Is the chain-of-custody complete? ® ❑ ❑ ❑
Dates,times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters? ® ❑ ❑ ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ ❑
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator ❑ ❑ 0 ❑
on each shift?
Is the ORC visitation log available and current? ❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? ® ❑ ❑ ❑
Is the backup operator certified at one grade less or greater than the facility classification? ® ❑ ❑ ❑
Is a copy of the current NPDES permit available on site? ❑ ® ❑ ❑
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑ ■
Comment: A copy of the permit is kept on file with all other documentation. Mr. Ladd uses the DMR as
his operator's log for the VVI-P.Any comments or adjustments are recorded on the DMR.
Standby Power Yes No NA NE
Is automatically activated standby power available? 0 ❑ ❑ ❑
Is the generator tested by interrupting primary power source? 0 ❑ ❑ ❑
Is the generator tested under load? . ❑ ❑ ❑
Page# 5

Permit: NC0083071 Owner-Facility: Robbinsville wTP
Inspection Date: 1 210 6/2 0 1 6 inspection Type: Compliance Evaluation
Standby Power Yes No NA NE
Was generator tested&operational during the inspection? ❑ ❑ ❑
Do the generator(s)have adequate capacity to operate the entire wastewater site? ❑ ❑
Is there an emergency agreement with a fuel vendor for extended run on back-up power? ® ❑ ❑ ❑
Is the generator fuel level monitored? ® ❑ ❑ ❑
Comment: The Town of Robbinsville has a maintenance contract to have the generator serviced
annually.The generator self-tests every Tuesday morning under load.
Page# 6

PAT MCCRORY
,z
Governor
rax'
DONALD R. VAN DER VAART
WMW„ Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 16, 2016
Alan Chapman
NCDEQ-DSCA Program
1646 Mail Service Center
Raleigh,NC 27699
Re: Well Construction Permits: WM0100398 and WM0100399
DSCA Site 12-0003
KWW Association and State of NC Broughton Hospital',Properties
Property PINS`. 2703433730 and 2703517663
Burke County
Dear Mr. Chapman,
In accordance with the application submitted on your behalf by Jason Soban,we are forwarding well
construction permits WM0100398 and WM0100399 dated December 16,2016. The permits are for the
construction of one temporary direct push technology(DPT)well on the KWW Association property and
three temporary DPT wells on the State of North Carolina Broughton Hospital property as described in
the applications and the attached permits.
The permits will be effective from the date of issuance for a period of one year and are subject to the
conditions and limitations asspecified therein.A Well Construction Record shall be completed and
signed by the certified drilling contractor for each well.This form shall be submitted to the Division of
Water Resources upon completion of each well and shall reference the permit number.Please review the
attached permit conditions.
If you should have any questions or need additional information contact Andrew Moore at 828-296-
4500.
Sincerely,
G.Landon Davidson,P.G.
Regional Supervisor
Water Quality',,Regional Operations Section
cc: ARO file
Jason Soban—Hart&Hickman,P.C. (via email)
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy 70 1 Swannanoa,North Carolina 28778
828 296 4500
i

NORTH CAROLINA _*
DEPARTMENT OF ENVIRONMENTAL QUALITY i
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF MONITORING WELL
In accordance with the provisions of Article 7, Chapter 87, North Carolina General Statutes, and other
applicable Laws,Rules and Regulations.
PERMISSION IS HEREBY GRANTED TO
NCDEQ-DSCA Program
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of one temporary monitoring well
owned by NCDEQ-DSCA, 1646 Mail Service Center,Raleigh,NC 27699-1646.The well will be located on
property owned by KWW Association located in Burke County(PIN#2703433730).This Permit is issued in
accordance with the application received on December 14,2016, in conformity with specifications and supporting
data,all of which are filed with the Department of Environmental Quality and are considered integral parts of this
Permit.
This Permit is for well construction only,and does not waive any provision or requirement of any other applicable
law or regulation. Construction of any well under this Permit shall be in strict compliance with the North Carolina
Well Construction Regulations and Standards (15A NCAC 02C .0100), and other State and Local Laws and
regulations pertaining to well construction.
If any requirements or limitations specified in this Permit are unacceptable,you have a right to an adjudicatory hearing
upon written request within 30 days of receipt of this Permit. The request must be in the form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative
Hearings,6714 Mail Service Center,Raleigh,North Carolina 27699-6714. Unless such a demand is made,this Permit
is final and binding.
This Permit will be effective for one year from the date of its issuance and shall be subject to other specified conditions,
limitations,or exceptions as follows:
1. Issuance of this Permit does not supersede any other agreement,permit, or requirement issued by
another agency.
1 The well(s)shall be located and constructed as shown on the attachments submitted as part of the
Permit application.
3. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C
.0108(0)where applicable.
4. The monitoring well shall be maintained in accordance with 15A NCAC 02C.0108.
5. A Well Construction Record (GW-1) for each well shall be submitted to the Division of Water
Resource's Information Processing Unit within 30 days of the well completion in accordance with
15A NCAC 02C.0114.
6. When the well is discontinued or abandoned,it shall be abandoned in accordance with 15A NCAC
02C .0113 and a well abandonment record,(GW-30) shall be submitted to the Division of Water
Resource's Information Processing Unit and the property owner within 30 days of the well
abandonment in accordance with 15A NCAC 2C.0114.
Permit issued the 16th day of December,2016
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Landon Davi son, egional Supervlso
Water Quality Regional Operations Section
By Authority of the Environmental Management Commission
Permit No. #WM0100398

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF MONITORING WELL
In accordance with the provisions of Article 7, Chapter 87, North Carolina General Statutes, and other
applicable Laws,Rules and Regulations.
PERMISSION IS HEREBY GRANTED TO
NCDEQ-DSCA Program
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of three temporary monitoring
wells owned by NCDEQ-DSCA, 1646 Mail Service Center,Raleigh,NC 27699-1646.The wells will be located on
property owned by the State of NC Broughton Hospital located in Burke County(PIN#2703517663).This Permit is
issued in accordance with the application received on December 14,2016, in conformity with specifications and
supporting data,all of which are filed with the Department of Environmental Quality and are considered integral
parts of this Permit.
This Permit is for well construction only, and does not waive any provision or requirement of any other applicable
law or regulation. Construction of any well under this Permit shall be in strict compliance with the North Carolina
Well Construction Regulations and Standards (15A NCAC.02C .0100), and other State and Local Laws and
regulations pertaining to well construction.
If any requirements or limitations specified in this Permit are unacceptable,you have a right to an adjudicatory hearing
upon written request within 30 days of receipt of this Permit. The request must be in the form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative
Hearings,6714 Mail Service Center,Raleigh,North Carolina 27699-6714. Unless such a demand is made,this Permit
is final and binding.
� This Permit will be effective for one year from the date of its issuance and shall be subject to other specified conditions,
limitations,or exceptions as follows:
1. Issuance of this Permit does not supersede any other agreement,permit, or requirement issued by
another agency.
2. The well(s)shall be located and constructed as shown on the attachments submitted as part of the
Permit application.
3. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C
.0108(0)where applicable.
4. The monitoring well shall be maintained in accordance with 15A NCAC 02C.0108.
5. A Well Construction Record (GW-1) for each well shall be submitted to the Division of Water
Resource's Information Processing Unit within 30 days of the well completion in accordance with
15A NCAC 02C.0114.
6. When the well is discontinued or abandoned,it shall be abandoned in accordance with 15A NCAC
02C .0113 and a well abandonment record (GW-30) shall be submitted to the Division of Water
Resource's Information Processing Unit and the property owner within 30 days of the well
abandonment in accordance with 15A NCAC 2C.0114.
Permit issued the 16th day of December,2016
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Landon Davidson,Regional Supervisor------__
upervis r
Water Quality Regional Operations Section
By Authority of the Environmental Management Commission
Permit No. #WM0100399

PAT MCCRORY
^v Governor
DONALD R. VAN DER VAART
Secretary
WGaterReSourceS
ENVIRONMENTAL QUALITY S. JAY ZIMMERMAN
December 19, 2016 Director
John Parker
38 Deerhaven Lane
Asheville,NC 28803
Re: Water Supply Well Analytical Results
Sample IDs:AC33773 and AC33776
38 Deerhaven Lane
Buncombe County
Dear Mr. Parker:
Please find attached the analytical results for two water samples collected at the referenced
address on November 15, 2016. The water samples were collected as part of an investigation of
the BioShield Groundwater Protection System, which you have installed on your well.As we
have previously discussed,the BioShield system uses the sanitizer HaloSan, which has not been
approved for use in North Carolina,to disinfect the well.
Two water samples were collected from your residence. The first sample (Sample ID-AC33776;
Location ID-38DEERHAVEN)was collected at your wellhead following an approximately 50-
gallon purge.The second water sample (Sample ID-AC33773; Location ID-38DEERHAVEN-
Tr)was collected immediately after passing through your water treatment system following an
additional approximately 50-gallon purge. The water samples were submitted for laboratory
analysis of total organic carbon(TOC), a variety of pre-selected metals, volatile organic_
compounds (VOCs), and semi-volatile organic compounds (SVOCs). A copy of the laboratory
analytical report for each sample is attached.
A summary of the results is presented in the table below. The results of the analyses were
compared to Title 15A of the North Carolina Administrative Code(NCAC) Subchapter 02L
groundwater standards (2L standards) and the Environmental Protection Agency's (EPA's)
maximum contaminant level (MCLs). 2L standards are North Carolina's maximum allowable
concentrations which may be tolerated without creating a threat to human health or which would
otherwise render the groundwater unsuitable for its intended best usage. EPA MCLs are the
water quality standards applied to public water systems to protect the public health. They are not
enforceable for your well,but are presented as a standard by which to compare the
concentrations detected in your water. Note that only the analytes that were detected-in at least
one sample are included on the table.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

John Parker
December 19,2016
Page 2 of 3
Post-
Wellhead Treatment
2L Standard EPA MCL AC33776 AC33773
(µg/l) (µg/1) (µg/1) (1g/1)
Calcium NE NE 20,000 ND
Copper 1,000 1,300 25 3.9
Iron 300 NE 300 ND -
Potassium NE NE 2,400 180
Magnesium NE NE 3,400 ND
Manganese 50 NE 28 ND
Sodium NE NE 5,400 47,000
Zinc 1,000 1,000 23 ND
Hydantoin MDM NE NE 37 N1 ND
Acetone 6,000 NE 5.4 N1 4.1 N1
Bromoform 4 * 3.2 5.1
Total NE 80 3.2 5.1.
Trihalomethanes
NE-Not Established.
ND-Not Detected.
NI-Presumptive evidence and estimated value.The component has been tentatively identified based on mass
spectral library.
*-One of four trihalomethanes regulated by the EPA. ,
The water sample results were provided to a toxicologist with the North Carolina Department of
Health and Human Services (DHHS) for a health risk evaluation (HRE). The HRE, which is
attached,,completed .for .the inorganic results indicates the_concentration of sodium detected
exceeds the EPA's Health Advisory level. Based on the concentration of sodium detected,the
North Carolina Division of Public Health recommends that individuals on no or low sodium
restricted diets not use the water for drinking or cooking.In addition, sodium concentrations over
30 milligrams per liter (mg/1) may cause aesthetic problems such as bad taste or odor. Note that
the concentration of sodium present in your water post-treatment is likely due to your water
softener, which functions by exchanging calcium and magnesium ions for sodium ions. The HRE
completed for the organic chemical analyses indicates the water is safe for cooking, drinking,
bathing,and-showering.
If you have any questions regarding the HRE,please contact Kennedy Holt at(919) 707-5910.

ohn Parker
December 19,2016
Page 3 of 3
If you have any questions regarding the results,please contact me at(828)296-4684.
Sincerely,
Andrew Moore
Environmental Specialist
Water Quality Regional Operations Section
Asheville Regional Office
Attachment: Laboratory Analytical Results
Health Risk Evaluation
cc: Don Wooten—Don Wooten Well Pumps &Water Filters (via email)
Debra Watts—Groundwater Protection Unit
Buncombe County Environmental Health Department
ARO File

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North Carolina Division of Water Resources Water Sciences Section Laboratory Results
.escr.: 38 DEEHAVEN LANE,ASHEVILLE,NC 28803 Sample ID: AC33776
.bounty: Buncombe Collector: AMOORE VisitlD PO Number#
-pion: ARO Report To ARO Location ID: 38DEERHAVEN Date Received: 11/17/2016
Basin FRB Collect Date: 11/16/2016 Priority ROUTINE Time Received: 08_30
Emergency Collect Time: 09_62 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
COC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 12/14/16
Report Print Date: 12/14/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Units Method Analysis
CAS# Analyte Name PQL Qualifier Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.2 oc 11/17/16 MSWIFT
MIC
TOC In liquid 2 2.0 U mg/L SM 5310 B-2000 12/1116 ESTAFFORD1
MET
7429-90-5 AI by ICP 50 50 U ug/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-38-2 AS by ICPMS 2.0 2.0 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 20 mg/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 25 ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 300 ug/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-09-7 K by ICP 0.10 2.4 mg/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
-" 'n-95-4 Mg by ICP 0.10 3.4 mg/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
-96-5 Mn by ICP 10 28 ug/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 5.4 mg/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAF CIRD1
EPA Rev5.4 11/23/16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 23 uglL
SEM
Semivolatile Orcianics(BNAs)in liquid
63-32-9 Acenaphthene 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
208-96-6 Acenaphthylene 20 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
62-53-3 Aniline 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
120-12-7 Anthracene 20 Not detected Z2 Ng/L EPA62518270D 11/23/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
50-32-8 Renzo(a)pyrene 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected Z2J2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected Z2 Ng/L EPA62518270D 11/23/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected Z2J2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
111-91-1 BIS(2-chloroethoxy)methane 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
111-44-4 Bis(2-chloroethyl)ether 10 Not detected Z2 ug/L EPA62518270D 11/23/16 CJOHNSON
8-32-9 Bis(2-chloroisopropyl)ether 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
1 =i31=7 Bis(2-ethylhexyl)phthalate 30 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 6

NC 1DWW_Laboratory Section 12esafts/Sampfe Comments/QuaC�r Definitions
Sample ID: AC33776
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected Z2 p9/L EPA625/8270D 11/23/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
91-58-7 Chloronaphthalene,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
95-57-8 Chlorophenol,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
218-01-9 Chrysene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
53-70-3 Dibenzo(a,h)anthracene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected Z2 pg/L EPA62518270D 11/23/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
91-94-1 Dichiorobenzidine, 3,3' 30 Not detected Z2J2 pg/L EPA625/8270D 11/23/16 CJOHNSON
120-83-2 Dichlorophenol,2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected Z2 pg/L EPA62518270D 11/23/16 CJOHNSON
131-11-3 Dimethyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
105-67-9 Dimethyiphenol,2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
51-28-5 Dinitrophenol,2,4- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
121-14-2 Dinitrotoluene,2,4- 20 Not detected Z2 pg/L EPA625/8270D 11l23/16 CJOHNSON
606-20-2 Dinitrotoluene, 2,6- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
206-44-0, Fluoranthene 20 Not detected Z2 pg/L" EPA625/8270D 11/23/16 CJOHNSON
86-73-7 Fluorene 20 Not detected Z2 pg/L EPA625/8270D 14/23/16". CJOHNSON
118-74-1 Hexachlorobenzene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
87-68-3 Hexachlorobutadiene(SV) 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
77-47-4 Hexachlorocyclopentadiene 10 Not detected Z2" pg/L EPA625/8270D 11/23/16 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
Hydantoin MDM 37 N1 pg/L EPA625/8270D 11/23/16 CJOHNSON
193-39-5 Indeno(1,2,3-cd)pyrene 20 Not detected Z2J2 pg/L EPA625/8270D 11/23/16 CJOHNSON
78-59-1 Isophorone 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
91-57-6 Methyl naphthalene,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
95-48-7 Methylphenol,2- 10 Not detected Z2 ` pg/L EPA625/8270D 11/23/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 - CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
99-09-2 Nitroaniline,3- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
88-75-5 Nitrophenol, 2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON �' \
100-02a Nitrophenol,4- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
WSS Chemistry Laboratory»1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 6

NC 1O`k( Laboratory Section 12esuCts/Sampfe Comments/Qualifi'er Definitions
Sample ID: AC33776
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
34-7 N-nitrosodi-n-propylamine 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
86-30-6 N-nitrosodiphenylamine 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
85-01-8 Phenanthrene 20 Not detected Z2 Ng/L. EPA625/8270D 11/23/16 CJOHNSON
108-95-2 Phenol 10 Not detected Z2 pg/L EPA625/8270D 11123/16 CJOHNSON
129-00-0 Pyrene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
120-82-1 Trichlorobenzene; 1,2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
95-95-4 TnChlorophenol,2,4,5- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
VOL
Volatile Organics in liquid
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
630-20-6 1,1,1,2-Tetrachloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
71-55-6 1,1,1-Trichloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
79-34-5 1,1,2,2-Tetrachioroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
79-00-5 1,1,2-Trichloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-34-3 1,1-DIChloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-35-4 1,1-DIChloroethene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
563-58-6 1,1-Dichloropropene 1.0 Not detected pg/L EPA624/8260C 11/18116 CJOHNSON
87-61-6 1,2,3-Trichlorobenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
96-18-4 1,2,3-Trichooropropane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
2-1 1,2,4-Trichlorobenzene 1.0 Not detected p9/L EPA62418260C 11/18/16 CJOHNSON
95-63-6 1,2,4-Trlmethylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
96-12-8 1,2-Dibromo-3-Chloropropane 5.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
107-06-2. 1,2-Dichloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
78-87-5 -•- 1,2-DiChloropropane 1.0 Not detected --- -,pg/L EPA62418260C 11/18/16 CJOHNSON
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
142-28-9 1,3-Dichloropropane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
594-20-7 2,2-DiChloropropane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
95-49-8 2-Chlorotoluene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
106-43-4 4-Chlorotoluene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
Acetone 5.4 N1 pg/L EPA624/8260C 11/18/16 CJOHNSON
71-43-2 Benzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
108-86-1 Bromobenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
74-97-5 Bromochloromethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-27-4 Bromodichloromethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-25-2 Bromoform 2.0 3.2 pg/L EPA624/8260C 11/18/16 CJOHNSON
74-83-9 Bromomethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
56-23-5 Carbon Tetrachloride 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
108-90-7 Chlorobenzene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
75-00-3 Chloroethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
F'-6-3 Chloroform 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
-3 Chloromethane 2.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 276991623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 6

NC(MAX Laboratory Section Resufts/Sample Comments/QuaCifier Definitions
Sample ID: AC33776
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
156-59-2 Cis-1,2-Dichloroethene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
10061-01-5 cis-1,3-Dichloropropene 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
124-48-1 Dibromochloromethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
74-95-3 Dibromomethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-71-8 Dichlorodifluoromethane 2.0 Not detected lag/L EPA624/8260C 11/18/16 CJOHNSON
100-41-4 Ethylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
87-68-3 Hexachlorobutadiene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
98-82-6 Isopropylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
108-38-3 m,p-Xylene 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
541-73-1 m-Dlchlorobenzene(1,3) 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-09-2 Methylene Chloride 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
91-20-3 Naphthalene 2.0 Not detected pg/L EPA624/8260C. 11/18/16 CJOHNSON
104-51-8 n-Butylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
103-65-1 n-Pfopylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
95-50-1 o-Dichlorobenzene(1,2) 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
95-47-6 o-Xylene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
106-46-7 p-Dichlorobenzene(1,4) 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
99-87-6 p-Isopropyltoluene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
135-98-8 sec-Butylbenzene 1.0 Not detected Fag/L EPA624/8260C 11/18/16 CJOHNSON
100-42-5 Styrene 1.0 Not detected Fag/L EPA624/8260C 11/18/16 CJOHNSON
98-06-6 tert-Butylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON--'�
127-18-4 Tetrachloroethene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
108-88-3 Toluene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
156-60-5 trans-1,2-Dichloroethene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
79-01-6 Trichloroethene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-69-4 Trichlorofluoromethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-01-4 Vinyl Chloride 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 6

NC D$Vk Ga6oratory Section Resufts/Samp(z Comments/Quahfi'er Definitions
Sample ID: AC33776
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
Sample Comments
VOLVOA-W-estimated-tentatively identified by MS library search.
SEM:SV-N1-estimated-tentatively identified by MS library search.
SEM:SV-J2-estimated-4 analyte(s)failed<LCL in the CV2.
SEM:SV-Z2-<10%surrogate recovery.
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U". The PQL is used for the qualified result(S)to call
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smalle,
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
�31 MPN-No wells or tubes gave a positive reaction.Value based upon the appropriate MPN Index and reported as a less than"<"valu,
BB2 MPN-All wells or tubes gave positive reactions. Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
G1 BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea:
G3 BOD-,No sample dilution met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0 m.g/L
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated fol
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g.,composite sample was collected instead of grab, pl
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J10 Unidentified peak;estimated value.
J11 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control'.The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower 1
N1 Presumptive evidence and estimated value.The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met(i.e., presence of e
N3 This code shall be used if the level is too low to permit accurate quantification,but the estimated concentration is less than the labor
This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
r'45 The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 5 of 6

NC DWk Ga6oratory Section 12esufts/Sampfe Comments/QuaC�r Definitions
Sample ID: AC33776
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*. The number value repot
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 6 of 6

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
,ascr.: 38 DEEHAVEN LANE,ASHEVILLE,NC 28803 Sample ID: AC33773
-ounty: Buncombe Collector: AMOORE VisitlD PO Number#
P^iion: ARO Report To ARO Location ID: 38DEERHAVEN TR Date Received: 11/17/2016
Basin FRB Collect Date: 11/16/2016 Priority ROUTINE Time Received` 08_30
Emergency Collect Time: 10_35 Sample Matrix: GROUNDWATER Labworks LoginlD MSW.IFT
COC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 12/14/16
Report Print Date: 1 211 4/2 0 1 6
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analyte Name PQL Qualifier Units Reference Date Validated by
LAB
Sample temperature at receipt by lab 2.2 °C 11/17/16 MSWIFT
MIC
TOC in liquid 2 5.1 mg/L SM 5310 B-2000 12/1/16 ESTAFFORD1
MET
7429-90-5 Al by ICP 50 50 U ug/L EPA200.7 Rev4.4 11/28116 ESTAFFORD1
7440-38-2 As by furnace 2.0 2.0 U ug/L EPA 200.9 Rev2.2 11/28/16 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 0.10 U mg/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 3.9 ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 50 U ug/L EPA 200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-09-7 K by ICP 0.10 0.18 mg/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
q-95-4 Mg by ICP 0.10 0.10 U mg/L EPA200.7 Rev4A 11/28/16 ESTAFFORDI
-J-96-5 Mn by ICP 10 IOU ug/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 47 mg/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORDI
7439-92-1 Pb by ICPMS 2.0 2.0 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 10 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
SEM
Semivolatile Organics(BNAs)in liquid
63-32-9 Acenaphthene 10 Not detected Z2 Ng/L EPA62518270D 11/23/16 CJOHNSON
208-96-6 Acenaphthylene 20 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
62-53-3 Aniline 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
120-12-7 Anthracene 20 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
56-55-3 Benzo(a)anth race ne 20 Not detected Z2 ug/L EPA625/8270D 11/23/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected Z2 us/L EPA625/8270D 11/23/16 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected J2Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected Z2 ug/L EPA625/8270D 11/23/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected Z2 Ng/L EPA62518270D 11/23/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected J2Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected Z2 Ng/L EPA62518270D 11/23/16 CJOHNSON
111-44-4 Bis(2-Chloroethyl)ether 10 Not detected Z2 ug/L EPA625/8270D 11/23/16 CJOHNSON
-8-32-9 BIs(2-chloroisopropyl)ether 10 Not detected Z2 pg/L EPA62518270D 11/23/16 CJOHNSON,
61-7 Bis(2-ethylhexyl)phthalate 30 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 6

NC U4(Laboratory Section Xesufts/Sampfw Comments/Quafifier Definitions
Sample ID: AC33773
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
85-68-z Butyibenzyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected Z2 pg4L EPA625/6270D 11/23/16 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
91-58-7 Chloronaphthalene,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
95-57-8 Chlorophenol,2- 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected Z2 pg/L EPA62518270D 11/23/16 CJOHNSON
218-01-9 Chrysene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
53-70-3 Dibenzo(a,h)a nth race ne 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
95-50-1 Dlchlorobenzene, 1,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
541-73-1 Dlchlorobenzene, 1,3 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23116 CJOHNSON
91-94-1 Dichlorobenzldine,3,3'- 30 Not detected J2Z2 pg/L EPA62518270D 11/23/16 CJOHNSON
120-83-2 Dichlorophenol,2,4- 10 Not detected Z2 pg/L EPA62518270D 11/23/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
131-11-3 Dlmethyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
105-67-9 Dimethylphenol,2,4 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON`
84-74-2 Di-n-butyl phthalate 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
51-28-5 Dinitrophenol,2,4- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
121-14-2 Dinitrotoluene, 2,4- 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON l�
606-20-2 Dinitrotoluene, 2,6- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
86-73-7 Fluorene 20 "Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
118-74-1 Hexachlorobenzene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
87-68-3 Hexachlorobutadiene(SV) 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
77-47-4 Hexachlorocyclopentadiene 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
193-39-5 Indeno(1,2,3-cd)pyrene 20 Not detected J2Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
78-59-1 Isophorone 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
91-57-6 Methylnaphthalene,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
95-48-7 Methylphenol,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected Z2 pg/L EPA625/82700 11/23/16 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
99-09-2 Nitroaniline, 3- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
88-75-5 Nitrophenoi, 2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
100-02-7 Nitrophenol,4- 50 Not detected Z2 pg/L EPA625/8270D 11/23A6 CJOHNSON
621-64-7 N-nitrosodi-n-propylamine 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 6

NC D W t� Laboratory Section 9ZfsuCts/Sampee Comments/QuaC�r Definitions
Sample ID: AC33773
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
1-6 N-nitrosodiphenylamine 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
85-01-8 Phenanthrene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
108-95-2 Phenol 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
129-00-0 Pyrene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
95-95-4 Trlchlorophenol,2,4,5- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
VOL
Volatile Organics in liquid
106-93-4 (EDB)1;2-Dibromoethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
630-20-6 1,1,1,2-Tetrachloroefhane 1.0 Not detected p9/L EPA624/8260C 11/18/16 CJOHNSON
71-55-6 1,1,1-Trcchooroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
79-00-5 1,1,2-Trichloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-34-3 1,1-Dichloroethane 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
75-35-4 1,1-Dichloroethene 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
563-58-6 1,1-Diehl o ropropene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
87-61-6 1,2,3-Trichlorobenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
96-18-4 1,2,3-Tnchloropropane 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
120=82-1 1,2,4-Trichlorobenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
-6 1,2,4-Trlmethylbenzene 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
96-12-8 1,2-Dlbrom0-3-Chloropropane 5.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
107-06-2 1,2-Dichloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
78-87-5 1,2-DIChloropropane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected pg/L. _ EPA624/8260C. 11/18/16 CJOHNSON
142-28-9 1,3-Dlchloropropane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
594-20-7 2,2-Dichloropropane 2.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
95-49-8 2-Chlorotoluene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
106-43-4 4-Chlorotoluene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
Acetone 4.1 N1 pg/L EPA624/8260C 11/18/16 CJOHNSON
71-43-2 Benzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
108-86-1 Bromobenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
74-97-5 Bromochloromethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-27-4 Bromodichloromethane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
75-25-2 Bromoform 2.0 5.1 pg/L EPA624/8260C 11/18/16 CJOHNSON
74-83-9 Bromomethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
56-23-5 Carbon Tetrachloride 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
108-90-7 Chlorobenzene 1.0 Not detected pg/L EPA624/6260C 11/18/16 CJOHNSON
75-00-3 Chloroethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
67-66-3 Chloroform 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
74-R7-3 Chloromethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
8 2 CIS-1,2-Dichloroethene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 6

NC D`A,Ga6oratory Section Resufts/Sampfe Comments/Quahfier Definitions
Sample ID: AC33773
CAS# Analyte Name PQL. Result/ Method Analysis
Qualifier Units Reference Date Validated by
10061-01-5 Cis-1,3-Dichloropropene 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
124-48-1 DlbromOChloromethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
74-95-3 Dlbromomethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-71-8 Dichlorodifluoromethane 2.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
100-41-4 Ethylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
87-68-3 Hexachlorobutadiene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
98-82-8 I sop ropy]benzene 1.0 Not detected pg/L EPA624/8260C 11/18116 CJOHNSON
108-38-3 map-Xylene 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
541-73-1 rn-Dichlorobenzene(1,3) 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-09-2 Methylene Chloride 1.0 Not detected pg/L EPA624/8260C. 11/18/16 CJOHNSON
91-20-3 Naphthalene 2.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
104-51-8 n-Butylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
103-65-1 n-Propylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
95-50-1 o-Dichlorobenzene(1,2) 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON'
95-47-6 o-Xylene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
106-464 p-Dichlorobenzene(1,4) 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
99-87-6 p-Isopropyltoluene _ 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
135-98-8 sec-Butylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
100-42-5 Styrene 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
98-06-6 tert-Butylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/18 CJOHNSON
127-18-4 Tetrachloroethene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON �J
108-88-3 Toluene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
156-60-5 trans-1,2-Dichloroethene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
79-01-6 Trichloroethefle' 1.0 Not detected pg/L EPA624/8260C 14/18/16. ; .CJOHNSON
75-69-4 Trichlorofluoromethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-01-4 Vinyl Chloride 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
`\ J
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 6

.NC OUX La6oratory Section R,esufts/Sampre Comments/Quafifier Definitions
Sample ID: AC33773
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Sample Comments
VOL:VOA-N1-estimated-tentatively identified by MS library search.
SEM:SV-J2-estimated-4 analyte(s)failed<LCL in the CV2.
SEM:SV-Z2-<10%surrogate recovery.
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U".The PQL is used for the qualified result(S)to cal(
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
`7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
,31 MPN-No wells or tubes gave a positive reaction. Value based upon the appropriate MPN Index and reported as a less than`<"valu,
BB2 MPN-All wells or tubes gave positive reactions. Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
Gl BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea:
G3 BOD-No sample dilution..met the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of.at least 1,.0 mg/L- ,., .
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated fol
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g.,composite sample was collected instead of grab, pl
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
A Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J10 Unidentified peak;estimated value.
ill The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control". The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower
N1 Presumptive evidence and estimated value.The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met(i.e., presence of s
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
1 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
�45 The component has been tentatively identified based on a retention time standard.
Ql Holding time exceeded prior to receipt by lab.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL
Page 5 of 6

NC D X Laboratory Section R,esufts/Sampfe Comm ents/QuafifierDefinitions
Sample ID: AC33773
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL"due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repot
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 (919)7333908
"Not Detected"or"Ll"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 6 of 6

Private WII Information
no da r
humanR arvicar and Use Recommendations
imonf
of has th and
For Inorganic Chemical Contaminants"
County: tj".1t„m Q Name:r
Sample ID#; AC 3 Reviewer: K" 11.
7 TEST RESULTS AND USE RECOMMENDATIONS
I. Your well water meets federal drinking water standards for inorganic chemicals. Your water can be used for
drinking,cooking,washing;cleaning,bathing,and showering based on the inorganic chemical results only.You may
have other water sampling results that are not taken into account in this report.
2.[]The following substance(s)exceeded federal drinking water standards or the North Carolina 2L calculated health
levels.The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking,unless you install a water treatment system to remove the circled substanee(s).However,it may be,used for
washing,cleaning,bathing and showering based on the iing anic chemical results only.
arsenic Barium Cadmium Chromium Copper Fluoride Lead iron
"Manganese I Mercury Nitrate/Nitrite I Selenium I Silver _ Magnesium IZinc H
3. U a. Sodium levels exceed the U.S.Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/l-, The.North Carolina Division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cooking. It may be used for washing,cleaning,bathing,and showering based on
the lnor anic f3ka-mical results only.
Levels over 30 mg/1 may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc.
4, F� Re-sampling is recommended in months.
5.❑ Re-sample for lead and/or copper. Take a first draw, 5 minute,and 15 minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a 15 minute sample at the well head to determine the source of the
lead and/or copper.
6. []The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results only,but aesthetic problems
such as bad taste,odor,staining of porcelain,etc.may occur. You may want to install a household water treatment system
to'address aesthetic problems.
Barium Cadmium Chromium Fluoride Iron __ Ma esium
Manganesei Selenium Silver I pH [Zinc
' -7p7-59©0.
For more information regarding your well water results,please call the North Carolina Division of Public Mail lr a1419

Information and Recommendations for Uses of Private Well Water
For Organic Chdmicals Found in Water
North Carolina Occupational and.Environmental Epidemiology l3'ranch (a E13)
For Additional information call 919-707-5900-
Name > 5t'�nuv�,� Countyt�nLy
Sample Identification Number: G 33-?7
Information on Your P.rlVate Well Water
Your well water was laboratory tested for chemical contaminants. Drinking water may contain chemical
contaminants which can occur naturally or be Introduced Into water from man-made sources. The
chemicals found In your well were Introduced from man-made sources, In order to evaluate your laboratory
results for chemical contaminants, your water results were compared to the national primary drinking water
standards or maximum contaminant levels (MCLs) (see website for basis for each MCL at
ht P://www.epa.gov/al('owatOE�cpnttominants/Index, tml#mcisl. MCi s are nationai'dri.nking water standards
that are required to be met.by municipal water supplies, If an MCL was not avaNable, your water results
were compared to the North Carolina 2L Groundwater Standards.
Recommendations for Uses of Your Private Well Water
The concentrations found In your well water do not exceed the recommended EPA levels/North
Carolina 2L Groundwater Standards. Therefore, your water could be used for drinking, cooking,
washing dishes, bathing, and showering.
i
Contaminant concentrations found In your well water are higher than the EPA recommended levels
for drinking and cooking. These contaminants Include
_Your wail water.shouid not be used for drinking or cooking. If y®u have been drinking
the well water and are pregnant,nursing, or have a child under 5 years of age, Inform
your physician of the results.
Because of the low levels, some absorption of these chemicals Is expected
through intact skin and exposure to water vapor..Therefore, limit showering
and bathing time to less than 10 minutes.
Because of the high levels, absorption of these chemicals could occur through
Intact skin and exposure to water vapor. Therefore, limit showering and
bathing time to less than S minutes.
•*�®• Because of the very high levels,significant absorption of these chemicals could
occur through intact skin and exposure to water vapor. Therefore,this water
should not be used for showering and bathing.
�..A� You may want to purchase a water treatment device, drill a new well that Is distantly located from
the groundwater contamination, use bottled water, or connect to a public water supply.
Resampling is recommended.in months.
,Other Comments

PAT MCCRORY
y
Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY _
Director
December 19, 2016
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Daniel Jimenez
Delray at Patton Avenue, LLC
715 North Church Street, Suite 110
Charlotte,NC 28202
Return Receipt#
70151520 0003 54631544 -
Brad Goodson, President
Tennoca Construction Company
PO Box 2379
Candler,NC 28715
Return Receipt#
70151520 0003 54631551
SUBJECT: NOTICE OF VIOLATION and
RECOMMENDATION FOR ENFORCEMENT
Patton Place Apartments
NOV-2016-SS-0020
Stream Standard Violation Other Waste (In-stream sediment)
Stream Standard Violation=Removal of Best Usage
Buncombe County
Response deadline: January 23, 2017
Dear Mr. Jimenez and Mr. Goodson:
On December 19, 2016, Zan Price from the Asheville Regional Office of the Division of Water
Resources (DWR) conducted a site inspection at your property on 248 Patton Avenue(PIN
9648-19-4641-00000)in Asheville,North Carolina.
During the site inspection, anun-named tributary.to the French Broad River(Classification B)
was observed to have been impacted by sediment deposition from construction runoff originating
from your property. Recently deposited sediment was observed in the un-named tributary
measuring up to nine inches in depth. The impacted stream was observed at the outfall just west
of the Aston Park tennis courts. As a result of the site inspection and file review, the following
violations were identified:
State of North Carolina I Environmental Quality I Water Resources
Asheville Regional Operations Center
2090 US 70 Highway,Swannanoa,North Carolina 28778
828/296-4500

Patton Place Apartments
December 19,2016
Page 2 of.3
VIOLATIONS
I. Stream Standard Violation - Other Waste (In-stream sediment) 15A NCAC 02B
.0211 (12)—An undetermined length of an un-named tributary to the French Broad
River, classified B waters, was impacted by sediment deposition measured up to nine
inches in.depth, representing Water Quality Stream Standard violation of 15A NCAC
02B .0211 (12).
II. Removal of Best Usage—15A NCAC 02B .0211 (2) -Title 15A North Carolina
Administrative Code 02B .0211 (2)requires that"The waters shall be suitable for aquatic
life propagation and maintenance of biological integrity, wildlife, secondary recreation,
and agriculture; sources of water pollution which preclude any of these uses on either a
short-term or long-term basis shall be considered to be violating a water quality
standard."The sediment deposition in the un-named tributary to the French Broad River
represents a removal of best usage.
REQUIRED RESPONSE
Accordingly, you are directed to respond to this letter in writing by January 23, 2017. Your
response should be sent to this office at the footer address or via email to zan.pricegncdenr.gov
and include the following:_ ,
l. Please coordinate with the City of Asheville to bring the site into compliance with your
grading permit to prevent additional sedimentation.
2. Please provide a map of the project area and impacted areas downstream of the site. The
map must include all streams and wetlands, detailing impacts both on- and off-site.
Please provide an estimate of impacted stream length and depth of sediment deposition.
3. Please submit the following documents for review and approval:
a. Stream Restoration Plan-Sediment impacts to the stream onsite and downstream
of the site must be removed. As a part of this plan,you should provide the amount
(depth) of material that has been deposited in the stream. This information should
be depicted on a map you provide. It is recommended that you use hand labor
(buckets, shovels,and wheelbarrows)to remove deposited sediment from the
channel. The sediment should be removed from the channel,taken to high ground
away from the stream channel a minimum of thirty feet, and stabilized. The plan
must address the measures that will be used for temporary stabilization/sediment
control while this work is under way. You must secure a consultant experienced

Batton Place Apartments
December 19,2016
Page 3 of 3
in stream restoration to assist you with your plan development and authorization
necessary to achieve compliance.
b. Please include in your response a detailed schedule with dates explaining when
the restoration will be accomplished.
Once the work is complete, a final report documenting the results of the restoration should be
submitted to Zan Price.
Thank you for your attention to this matter. This Office is considering sending a
recommendation for enforcement to the Director of the Division of Water Resources regarding
these issues and any future/continued violations that may be encountered. Your above-
mentioned response to this correspondence will be considered in this process. This office
requires that the violations, as detailed above, be abated immediately. These violations and
any future violations are subject to a civil penalty assessment of up to $25,000.00 per day
for each violation. Should you have any questions regarding these matters,please contact me at
[phone] or [e-mail].
Sincerely,
rice, P.E.,Assistant Regional Supervisor -
Water Quality Regional Operations
Asheville Regional Office
cc: Ric Ledford—City of Asheville(email copy)
Karen Higgins-401 & Buffer Permtting Unit
ARO File Copy
G:\WR\WQ\Buncombe\Complaints\Patton Place Apartments 248 Patton Ave\NOV-2016-SS-0020-Patton Place Apartments.docx

�.
r^�

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Water Resources Director
ENVIRONMENTAL QUALITY
December 19, 2016
Eunice Tingle
Royal Oaks-Springdale Country Club
200 Golfwatch Rd.
Canton,NC 28716
SUBJECT: Compliance Evaluation Inspection
Royal Oaks-Springdale Country Club
Permit No: NCO040355
Haywood County
Dear Ms. Tingle:
On November 30, 2016 Dan Boss and I conducted a Compliance Evaluation Inspection
(CEI) of the NPDES Discharge Permit that serves the Springdale Country Club. Based on
records reviewed,on-site evaluation and interviews with staff,the system was determined to
be in compliance with Permit NC0040355. During the inspection there were a few
maintenance items discussed that should be addressed to help maintain continued
compliance. Please refer to the inspection report for additional observations and
recommendations.
Also of note, the Laboratory Certification Group was notified that samples from November
16, 2016 did not meet preservation criteria upon arrival in the laboratory. The temperature,
for the samples on the day in question, was >6 degrees Celsius. All 24-hour composite
samples are to be maintained < 6 degrees Celsius during the entire composition time and
immediately placed on ice for transportation to the laboratory. During the inspection, the
sample refrigerator read.5 degrees Celsius and appeared to be operating normally. It is good
practice to have thermometers calibrated at least annually to maintain accuracy of
measurement. If samples are not being maintained < 6 degrees Celsius during composition,
the refrigerator may not be able to adequately cool the amount of effluent being collected.
The assistance of Gifford Raulerson (ORC) and Mike Deaver (Springdale Maintenance) in
conducting the inspection was greatly appreciated. If you should have any questions or
additional information is needed,please feel free to contact me at 828-296-4500.
State of North Carolina I Environmental Quality f Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

Sincerely,
Mikal Willmer
Environmental Specialist
Asheville Regional Office
Enclosed:Inspection Report
15A NCAC 02T.0403 Permitting by Regulation
cc: MSC 1617-Central Files-Basement
Asheville Files
Gifford Raulerson,BORC
G:\WR\WQ\Haywood\Wastewater\Minors\Springdale Country Club 40355Unspect.November 30,2016\CEI letter 11-30-16.doc

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fee Type
1 IN 1 2 15 I 3 I NCO040355 111 12 16/11/30 17 18 1 r t 191 G t 20 Lj
2111111111111' 1111111111111111111111111111111 f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating 81 CA -----Reserved
67 70 Lj 71 ', t 72 �N 73 80) ( I I
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
09:30AM 16/11/30 11l07/01
Springdale Country Club WWTP
Springdale Country Club Exit Time/Date Permit Expiration Date ,
Canton NC 28716 10:30AM 16/11/30 16/01/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
—' Gifford C Raulerson,200 Goifwatch Rd Canton NC 2 8 71 6//8 2 8-23 5-8 4 51!
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Flow Measurement Operations&Maintenance Records/Reports
Self-Monitoring Program Sludge Handling Disposal _ Facility Site Review Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Daniel J Boss l6 ARO WQ//828-296-4658/
Mikal Willmer ARO WQ//828-296-4686/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers g_ Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.)
31 NCO040355 h 12 16/11/30 17 18
Section D:Summary of Finding/Comments(Attach additional sheetsof narrative and checklists as necessary)
Inspectors, Dan Boss and Mikal Willmer with the Asheville Regional Office(ARO)conducted a
Compliance Evaluation Inspection (CEI) of the Springdale Country Club Wastewater Treatment Plant
on 11/30/2016. Gifford Raulerson(ORC) and Mike Deaver(Springdale Country Club Maintenance)
were present and assisted in the inspection.
Several of the treatment units are no longer in use or are repurposed. Currently the EQ basin is not
being used for flow equalization. The basin is full and feeds into the splitter box before distribution into
the 0.015 and 0.025 MGD aeration basins.An old tertiary filter is now used as a facultative digester.
The facility does not have standby power, but the ORC believes there is adequate holding capacity in
the event of a power failure. During the inspection there were a few maintenance items discussed that
should be addressed to help maintain continued compliance.
*The last inspection conducted on 12/11/2013 indicated the facility still had rust issues and should be
repainted to extend the overall lifespan of the plant. Rust was still evident in the aeration basins and EQ
basin during the most recent inspection. Inspectors suggested, at a minimum,the 0.025 and 0.015
MGD package plants should be repainted.
*As mentioned in the previous inspection, the roof of the main building should be repaired to prevent
further water intrusion and degradation. Currently there is only one small shed to house the composite
sampler.
*Access should be maintained to the effluent pipe for routine monitoring and maintenance.While
inspectors were able to see the outfall, overgrown brush and thorns made accessing the pipe difficult.
*All floats and alarms for the EQ basin should be kept in working order.
Maintenance of the deemed collection system was also discussed during the inspection. Mr. Deaver
stated they had a root issue in the past, but have used RotoRooter any time an issue arises. Previous
limit violations mentioned upsets possibly due to chemicals and cleaning products being dumped down
the drain. ORC and Springdale staff were unable to determine the root cause of the previous BOD
violations. Mr. Deaver and Mr. Raulerson mentioned they sent out literature to residents about ten years
ago, but have not recently. Discussed the need for distributing educational material at least twice a
year.There are approximately 30 full time residents.A copy of the regulations pertaining to deemed
collection systems is attached.
i
Page# 2

Permit: NCO040355 Owner=Facility: Springdale Country Club wWTP
Inspection Date: 11/30/2016 Inspection Type: Compliance Evaluation
Operations &Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? M ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS,MCRT, Settleable 0 ❑ ❑ ❑
Solids,pH, DO, Sludge Judge,and other that are applicable?
Comment: The plant is maintained in operating condition. Gifford Raulerson, current ORC, measures_
DO and settleability on basins.There is visible rust throughout the treatment units.
Recommended the two primary aeration basins be repainted to extend the life of the
treatment plant.The building that houses the flow meter and sample fridge is in good
condition.The main building that housed paperwork at one time is still in need of repair.
ORC stated the plant only needs solids hauledonce ayear due to low flow. Last pumped at
the end of September.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑
application?
Is the facility as described in the permit? ❑ M ❑ ❑
#Are there any special conditions for the permit? ❑ M ❑ ❑
Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑
Is the inspector granted access to-all areas for inspection? M ❑ , ❑. ❑
Comment: New permit is currently in review. Existing permit lists only three package plants There are
actually four total Two 0.0075 MGD one 0.025 MGD and a 0.015 MOD. The plants actual
treatment units should be clarified in future permits.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? ❑ ❑ ❑
Is all required information readily available, complete and current? 0 ❑ ❑ ❑
Are all records maintained for 3 years(lab.reg. required 5 years)? 0 ❑ ❑ ❑
Are analytical results consistent with data reported on DMRs? 0 ❑ ❑ ❑
Is the chain-of-custody complete? M ❑ ❑ ❑
Dates,times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete:do they include all permit parameters? M ❑ ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ ❑
Page# 3

Permit: NCO040355 Owner-Facility: Springdale Country Club WWTP
Inspection Date: 11/30/2016 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator, ❑ ❑ 11 ❑
on each shift?
Is the ORC visitation log available and current? ❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? 0 ❑ ❑ ❑
Is the backup operator certified at one grade lessor greater than the facility classification? 0 ❑ E] E]
Is a copy of the current NPDES permit available on site? ❑ ❑ ❑
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑
Comment: Analytical reports and COCs were available for review during the inspection.
Bar Screens Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical ❑
Are the bars adequately screening debris? ❑ ❑ ❑
Is the screen free of excessive debris? M ❑ ❑ ❑
Is disposal of screening in compliance? ❑ ❑ ❑ �'`
Is the unit in good condition? ® ❑ El El
Comment: Rust evident, but there did not appear to be an issue with solids in the EQ and Aeration
Basins. Solids from bar screen are disposed of in the dumpster.
Equalization Basins Yes No NA NE
Is the basin aerated? ❑ E] 0
Is the basin free of bypass lines or structures to the natural environment? 0 ❑ ❑ ❑
Is the basin free of excessive grease? 0 ❑ ❑ ❑
Are all pumps present? M ❑ ❑ ❑
Are all pumps operable? 0 ❑ ❑ ❑
Are float controls operable? ❑ 0 ❑ ❑
Are audible and visual alarms operable? ❑ ❑ ❑
#Is basin size/volume adequate? 0 ❑ ❑ ❑
Comment: The plant has one 20.000 gallon EQ basi.n. Aeration is set on a timer. ORC stated he did
not use the EQ basin for flow equalization.Audible and visual high water alarms are not
operable. The basin was full and was flowing into the spiitter box before distribution into the
aeration basins.
Aeration Basins Yes No NA NE
Page# 4

Permit: NCO040355 Owner-Facility: Springdale Country.ClubWWrP
Inspection Date: 11/30/2016 Inspection Type: Compliance Evaluation
Aeration Basins Yes No NA NE
Mode of operation Ext.Air
Type of aeration system Diffused
Is the basin free of dead spots? 0 ❑ ❑ ❑
Are surface aerators and mixers operational? ❑ ❑ 0 ❑
Are the diffusers operational? 0 ❑ ❑ ❑
Is the foam the proper color for the treatment process? 0 ❑ ❑ ❑
Does the foam cover less than 25%of the basin's surface? 0 ❑ ❑
Is the DO level acceptable? ❑ 0 ❑ ❑
Is the DO level acceptable?(1.0 to 3.0 mg/1) ❑ M ❑ ❑
Comment: Only two of the four basins are currently being used The two 0.0075 mqd basins have not
been used in several years Rust is evident around the inside of both the basins in use.The
basins appeared to be free of dead spots however, a couple of the diffusers appeared to
have limited air flow, possibly because of corrosion. Mr. Raulerson said DO has been
around 2 mg/L in the 0.025 MGD basin and was 5 mg/L in the 0.015 MGD`basin.The ORC
believes the higher DO was because of the low temperatures experienced recently. Blowers
are on timers to cycle on and off throughout the day. Settleabil tyis usually—500 mL after 30
minutes.
-' Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? E ❑ ❑ ❑
Is the site free of excessive buildup of solids in center well of circular clarifier? ❑ ❑ ❑
Are weirs level?
❑ ❑ ❑
Is the site free of weir blockage? N ❑ ❑ ❑
Is the site free of evidence of short-circuiting? E ❑ ❑ ❑
Is scum removal adequate? 0 ❑ ❑
Is the site free of excessive floating sludge? ❑ ❑
Is the drive unit operational? ❑ ❑ 0 ❑
Is the return rate acceptable(low turbulence)? ❑ ❑ ❑
Is the overflow clear of excessive solids/pin floc? ❑ ❑ ❑
Is the sludge blanket level acceptable?(Approximately%of the sidewall depth) ❑ ❑
El 0
Comment:
Aerobic Digester Yes No NA NE
Is the capacity adequate? ❑
Is the mixing adequate? ❑ ❑ ❑
Is the site free of excessive foaming in the tank? ® ❑ ❑ ❑
Page# 5

Permit: NG0040355 Owner-Facility: Springdale Country Club WWTP
Inspection Date: 11/30/2016 Inspection Type: Compliance Evaluation
Aerobic Digester Yes No NA NE
#Is the odor acceptable? 0 D D El
#Is tankage available for properly waste sludge? 0 0 El (]
Comment: The digester is a tertiary filter no longer in use Can be aerated but It is currently being used
as a facultative digester.Very little solids due to low flow conditions No apparent odor
coming from digester.Water appeared clear.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational?
Are the tablets the proper size and type? [�
Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup? M [] ❑
Is there chlorine residual prior to de-chlorination 11 E El 0
Comment: Tablet chlorinator was in use and operational. There are two chlorination tubes but only one
Was in use at the time of the inspection.
De-chlorination Yes No NA NE
Type of system? Tablet
Is the feed ratio proportional to chlorine amount(1 to 1)? 0 [) []
Is storage appropriate for cylinders. - 0 0 •.
#Is de-chlorination substance stored away from chlorine containers? 0
Comment:
Are the tablets the proper size and type? El
Are tablet de-chlorinators operational? [�
Number of tubes in use? 1
Comment: Dechlorination chamber was in use and operational There are two dechlorination tubes but
only one was in use at the time of the inspection
Flow Measurement-Effluent Yes No NA NE
#Is flow meter used for reporting?
Is flow meter calibrated annually?
Is the flow meter operational? 0 E
(If units are separated)Does the chart recorder match the flow meter? ❑ El M 0
Page# 6

Permit: NCO040355 Owner-Facility: Springdale Country Club WWTP
Inspection pate: 11/30/2016 Inspection Type: Compliance Evaluation
Flow Measurement-Effluent Yes No NA NE
Comment: The ultrasonic flow meter was last calibrated 4/19/2016 by Thurman Horne. Meter read 0.3_
GPM at the time of the inspection.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ 0 ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment: Inspectors were able to visually see the pipe. Mr. Raulerson and Mr. Deaver were aware of
the effluent pipe location.The area leading down to the effluent pipe was overgrown.
Inspectors asked the ORC and Mr. Deaver to clear a path down to the effluent pipe for
routine maintenance and monitoring.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? 0 ❑ ❑ ❑
Is sample collected below all treatment units? 0 ❑ ❑ ❑
Is proper volume collected? ❑ ❑ ❑
Is the tubing clean? ❑ ❑ ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ❑ ❑
representative)?
Comment: The sample fridge was at 5.0 degrees Celsius at the time of the inspection.Tubing
appeared clean and well maintained. Very little flow present.
Standby Power Yes No NA NE
Is automatically activated standby power available? ❑ ❑ ❑
Is the generator tested by interrupting primary power source? ❑ ❑ 0 ❑
Is the generator tested under load? ❑ ❑ M ❑
Was generator tested&operational during the inspection? ❑ ❑ M ❑
Do the generator(s)have adequate capacity to operate the entire wastewater site? ❑ ❑ ❑
Is there an emergency agreement with a fuel vendor for extended run on back-up power? ❑ ❑ M ❑
Is the generator fuel level monitored? ❑ ❑ M ❑
Comment: Currently the VWVTP does not have standby power. Mr. Raulerson believes there is
adequate storage capacity in the event of a power failure.The plant has an average flow of
3000 GPD.
Page# 7

15A NCAC 02T.0403 PERMITTING BY REGULATION
(a) Collection systems having an actual,permitted or Division approved average daily flow less than 200,000gallonsper
day are deemed permitted pursuant to Rule.0113 of this Subchapter provided the system meets the erkria hPule.0113 of
this Subchapter and all specific criteria required in this Rule:
(1) The sewer system is effectively maintained and operated at all times to prevent discharge to land or
surface waters, and to prevent any contravention of groundwater standards or surface water
standards.
(2) A map of the sewer system has been developed and is actively maintained.
(3) An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
(4) Pump stations that are not connected to a telemetry system(i.e.,remote alarm system)are inspected by
the permittee or its representative every day(i.e.,365 days per year). Pump stations thataeconnected
to a telemetry system are inspected at least once per week.
(5) High-priority sewers are inspected by the permittee or its representative at least once every six-nnnths
and inspections are documented.
(6) A general observation by the permittee or its representative of the entire sewer systemis conductedat
least once per year.
(7) Overflows and bypasses are reported to the appropriate Division regional office in accordance with
15A NCAC 02B.0506(a),and public notice is provided as required by G.S.143-215.1C.
(8) A Grease Control Program is in place as follows:
(A) Forpublicly owned collection systems,the Grease Control Programshall include at leastbi-
annual distribution of educational materials for both commercial and residentialusers andthe
legal means to require grease interceptors for new construction and retrofit,if necessary,of
grease interceptors at existing establishments.The plan shall also include legal means for
inspections of the grease interceptors, enforcement for violators and the legal means to
control grease entering the system from other public and private satellite sewer systems.
(B) For privately owned collection systems,the Grease Control Program shall include at leastbi-
annual distribution of grease education materials to users ofthe collection system by the
permittee or its representative.
(C) Grease education materials shall be distributed more often than required in Parts(A)and(B)
- ofthis Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
(9) Right-of-ways and easements are maintained in the full easement width for personnel and equipment
accessibility.
(10) Documentation shall be kept for Subparagraphs(a)(1)through(a)(9)of this Rule for anihh unofthree
years with exception ofthe map,which shall be maintained for the life ofthe system.
(b) Private collection systems on a single property serving an industrial facility where the domestic wastewater
contribution is less than 200,000 gallons per day shall be deemed permitted.
(c) The Director may determine that a collection system should not be deemed to be 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.
History Note: Authority G.S. 143-215.1(a);143-215.3(a);143-215.9B;
E .September],2006:

- /�\
- -
f �
���

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
y" Secretary
2terResources S. JAY ZIMMERMAN
gib_ _,RONMENTAL QUALITY Director
December 19, 2016
Mark and Mary Richmond
80 Millbrook Dr.
Brevard,NC 28712
SUBJECT: Compliance Evaluation Inspection
Single Family Residence Permit:
80 Millbrook Dr.
Permit No: NCG550814
Transylvania County,NC
Dear Mr. and Mrs. Richmond:
On December 2, 2016, Dan Boss and I conducted a Compliance Evaluation Inspection (CEI) of
the Single Family Residence (SFR) wastewater system located at 80 Millbrook Dr. The property
and system were well maintained and appeared to be in compliance with NPDES Permit No
NCG550814.
Please refer to the enclosed inspection report for additional observations and recommendations. I
have also attached a Name/Ownership Change Form should you wish to sell the property in the
future. If you have any questions, please feel free to contact me at 828-296-4686 or by email at
[e-mail].
Sincerely,
MikZW�ihner
Environmental Specialist
Asheville Regional Office
Enclosure:Inspection Report
Name/Ownership Change Form
cc: MSC 1617-Central Files
WQ Asheville Files
G:\WR\WQ\Transylvania\Wastewater\General\NCG55 SFR\SFR's NCG55\NCG550814-Richmond\lnspect.December 2,
2016\CEI Letter 12-2-2016.docxx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

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United States Environmental Protection Agency Form Approved..
EPA
Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires B-31-98
Section A:National Data System Coding(i.e.,-PCS)
Transaction Code NPDES yr/mo/day Inspection Type inspector Fac Type
1 IN 1 2 15 ( 3 L NCG550814 �11 12, 16/12/02 17 181 r•l 19 1 I 201
211111111111111111111111111111111111111 _11111 f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating 61 QA -----Reserved --
67 701 I 71 li I 1 72 1 L�, I 73' 74 75 80
lJ Section B:Facility Data _J L_tJ
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 09:50AM 16/12/02 13/08/01
80 Millbrook Drive
Exit Time/Date Permit Expiration Date
80 Millbrook Dr
10:10AM 16/12/02 18/07/31 ;
Brevard NC 28712
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s). Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Mark Richmond,100 Millbrook Dr Brevard NC 28712M
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
® Permit ® Operations&Maintenance ® Self-Monitoring Program ® Facility Site Review
® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Mikal Willmer ARO WQ//828-296-4686/
Signat n viewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
(Cont.)
31 NCG550814 11 12 16/12/02 17 18 1(-,
Section D:Summary of Find ing/Comments.(Attach additional sheets of narrative and checklists as necessary)
Inspectors, Mika[Willmer and Dan Boss with the Asheville Regional Office (ARO) conducted a
Compliance Evaluation Inspection(CEI)of the Single Family Residence(SFR)Wastewater Treatment
System located at 80 Millbrook Dr. on 12/02/2016. Mary Richmond (permittee)was present and
assisted in the inspection.
The system appeared to be well maintained and in compliance with the requirements of the NPDES
General NCG550000 permit. The permittees have the system serviced and sampled annually.
Replacement UV bulbs are kept onsite. The sand filter was completely redone within the past few
years.
Page# 2

Permit: NCG550814 Owner-Facility: 80 Millbrook Drive
Inspection Date: 12/02/2016 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT,Settleable ❑ ❑ ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: The treatment system and property were well maintained. Permittees use A&D Maintenance
and Levi Environmental for annual maintenance.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ ❑
application?
Is the facility as described in the permit? ® ❑ ❑ ❑
#Are there any special conditions for the permit? ❑
Is access to the plant site restricted to the general public? ❑ ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment: Fees are paid to date.
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ® ❑ ❑
Is septic tank pumped on a schedule? ❑ ❑ ❑
Are pumps or syphons operating properly? ® ❑ ❑ ❑
Are high and low water alarms operating properly?. J ❑-
Comment: The permittees had the septic tank pumped two years ago The entire system is serviced
annually.There are audible and visual alarms but they are currently not in use.
Disinfection -UV Yes No NA NE
Are extra UV bulbs available on site? ® ❑ ❑ ❑
Are UV bulbs clean? ❑ ❑ ❑
Is UV intensity adequate? ❑ ❑ ❑
Is transmittance at or above designed level? ❑ ❑ ❑ ■
Is there a backup system on site? ® ❑ ❑ ❑
Is effluent clear and free of solids? ® ❑ ❑ ❑
Comment: Mrs Richmond stated they have to replace the UV bulbs about every two years.The bulbs
are checked when the system is serviced annually. Extra bulbs are kept onsite in case they
need replacing.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ® ❑ ❑ ❑
Page# 3

Permit: NCG550814 Owner-Facility: 80 Millbrook Drive
Inspection Date: 1 210 2/2 0 1 6 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ❑
Comment: The effluent pipe is accessible for sampling and routine monitoring There did not appear to
be any visual impairment to the receiving stream
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? El ❑
Is sample collected below all treatment units? ® ❑ ❑ ❑
Is proper volume collected? ® ❑ ❑ ❑
Is the tubing clean? ❑ ❑ ® ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ ® ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ® ❑ ❑ ❑
representative)?
Comment: System was discharging at the time of the inspection Mrs Richmond stated the system
discharges regularly. Samples are taken annually from the discharge pipe Results are
within permit limits.
1
Page# 4

Cy � z
CERTIFIED MAIL: 7015 1520 0003 546.3 1537
RETURN RECEIPT REQUESTED
December 19, 2016
Bruce Briggs
Junaluska Sanitary District
PO Box 35
Lake Junaluska, NC 28745-0035
SUBJECT: NOTICE OF VIOLATION &INTENT TO ISSUE CIVIL PENALTY
Tracking No.: NOV-2016-DV-0350
Sanitary Sewer Overflows -'November 2016
Collection System Permit No. WQCS00182
Junaluska Collection System
Haywood County
�r Permittee:
A review has been conducted of the self-reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by
Junaluska Sanitary District. The Division's Asheville Regional Office concludes that the Junaluska Sanitary District
violated Permit Condition T (2) of Permit No. WQCS00182 by failing to effectively manage, maintain, and operate
their collection system so that there is no SSO (Sanitary Sewer Overflow) to the land or surface waters and the
SSO constituted making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for which a permit
is required by G.S. 143-215.1.
The Asheville Regional Office is providing the Junaluska Sanitary District an opportunity to provide evidence and
justification as to why the Junaluska Sanitary District should not be assessed a civil penalty for the violation that
is summarized below:
Total Vol
Total Surface
Incident Start Duration Vol Water
Number Date (Mins) Location Cause (Gals) (Gals) DWR Action
201602594 11/30/2016 1,070 Below 485 Loop Rd Debris in line 10,710 10,710 Notice of Violation
between branch leading
to Richland Creek
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

This Notice of Violation / Notice of Intent to Enforce (NOV/NOI) is being issued for the noted violation. r.
to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be assesSt,
against any person who violates or fails to act in accordance with the terms, conditions, or requirements of any
permit issued pursuant to G.S. 143-215.1.
This office requests that you respond to this Notice, in writing, within 10 business days of its
receipt. In your response, you should address the causes of non-compliance, remedial actions, and all other
actions taken to prevent the recurrence of similar situations. The response to this correspondence will be
considered in this process. Enforcement decisions will also be based on volume spilled,volume reaching surface
waters, duration and gravity, impacts to public health, fish kills or recreational area closures. Other factors
considered in determining the amount of the civil penalty are the violator's history of non-compliance, the cost of
rectifying the damage, whether the spill was intentional and whether money was saved by non-compliance.
If you have any questions, please do not hesitate to contact Mikal Willmer with the Water Quality Section in the
Asheville Regional Office at 828-296-4500 or via email at [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regio upervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: Asheville Regional Office-WQS File
Central Files,Water Quality Section
James Stinnett,ORC
G:\WR\WQ\Haywood\Collection Systems\Junaluska Sanitary District WQCS00182\SSO\NOV-2016-DV-0350 (NOI) 11-30-16.docx

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
" Secretary
Water Resources
ENVIRONMENTAL QUALITY S. JAY:ZIMMERMAN
December 19, 2016 Director
William Schroeder
136 Lakeside Drive
Marion,NC 28752
Re: Water Supply Well Analytical Results
Sample IDs:AC33774 and AC33775
136 Lakeside Drive
McDowell County
Dear Mr. Schroeder:
Please find attached the analytical results for two water samples collected at the referenced
address on November 15, 2016. The water samples were collected as part of an investigation of
the BioShield Groundwater Protection System, which you have installed on your well. As we
have previously discussed,the BioShield system uses the sanitizer HaloSan, which has not been
approved for use in North Carolina,to disinfect the well.
Two water samples were collected from your residence. The first sample (Sample ID-AC33774;
Location ID-136LAKESIDE)was collected at your wellhead following an approximately 75-
gallon purge.The second water sample (Sample ID-AC33775; Location ID-136LAKESIDe-TR)
was collected immediately after passing through your water treatment system following an
additional-approximately 50-gallon purge. The water samples were submitted for laboratory
analysis of total organic carbon(TOC),a variety of pre-selected metals, volatile organic
compounds (VOCs), and semi-volatile organic compounds (SVOCs). A copy of the laboratory
analytical report for each sample is attached.
A summary of the results is presented in the table below. The results of the analyses were
compared to Title 15A of the North Carolina Administrative Code (NCAC) Subchapter 02L
groundwater standards (2L standards) and the Environmental Protection Agency's (EPA's)
maximum contaminant level (MCLs). 2L standards are North Carolina's maximum allowable
concentrations which may be tolerated without creating a threat to human health or which would
otherwise render the groundwater unsuitable for its intended best usage. EPA MCLs are the
water quality standards applied to public water systems to protect the public health. They are not
enforceable for your well, but are presented as a standard by which to compare the
concentrations detected in your water. Note that only the analytes that were detected in at least
one sample are included on the table.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 I Swannanoa,North Carolina 28778
828 296 4500

William Schroeder
December 19, 2016
Page 2 of 3
Post-
Wellhead Treatment
2L Standard EPA MCL AC33774 AC33775
(µgel) (µgel) (µgel) (µgel)
Calcium NE NE 37,000 ND
Copper 1,000 1,300 40 2.5
Iron 300 NE 2,300 240
Potassium NE NE 1,200 230
Magnesium NE NE 3,300 ND
Manganese 50 NE 20 ND
Sodium NE NE 5,000 63,000
Zinc 1,000 1,000 34 ND
Hydantoin MDM NE NE 17 N1 17 NI
Acetone 6,000 NE 17 N1 6.3 N1
Bromoform 4 * 5.0 ND
Total NE 80 5.0 ND
Trihalomethanes
NE-Not Established.
ND-Not Detected.
NI-Presumptive evidence and estimated value.The component has been tentatively identified based on mass
spectral library.
*-One of four trihalomethanes regulated by the EPA.
The water sample results were provided to a toxicologist with the North Carolina Department of
Health and Human Services (DHHS) for a health risk evaluation (HRE). The HRE, which is
attached, completed for the inorganic results indicates the concentration of sodium detected
exceeds the EPA's Health Advisory level. Based on the concentration-of sodium detected, the
North Carolina Division of Public Health recommends that individuals on no or low sodium
restricted diets not use the water for drinking or cooking. In addition, sodium concentrations over
30 milligrams per liter (mg/1) may cause aesthetic problems such as bad taste or odor. Note that
the concentration of sodium present in your water post-treatment is likely due to your water
softener,which functions by exchanging calcium and magnesium ions for sodium ions. The HRE
completed for the organic chemical analyses indicates the water is safe for cooking, drinking,
bathing, and showering.
If you have any questions regarding the HRE,please contact Kennedy Holt at(919) 707-5910.

.rilliam Schroeder
December 19,2016
Page 3 of 3
If you have any questions regarding the results,please contact me at(828) 296-4684.
Sincerely,
Andrew Moore
Environmental Specialist
Water Quality Regional Operations Section
Asheville Regional Office
Attachment: Laboratory Analytical Results
Health Risk Evaluation
cc: Don Wooten—Don Wooten Well Pumps & Water Filters (via email)
Debra Watts—Groundwater Protection Unit
McDowell County Environmental Health Department
ARO File

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North Carolina Division of Water Resources Water Sciences Section Laboratory Results
.escr.: 136 LAKESIDE DRIVE,MARION,No 28752 Sample ID: AC33774
-ounty: McDowell Collector: AMOORE VisitlD PO Number#
Region: ARO Report To ARO Location ID: 136LAKESIDE Date Received: 11/17/2016
r Basin CTB Collect Date: 11/15/2016 Priority ROUTINE Time Received: 08_30
Emergency Collect Time: 13_36 Sample Matrix: GROUNDWATER Labworks LoginlD MSWIFT
COC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 12/14/16
Report Print Date: 12/14/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analyte Name PQL Qualifier Units Reference Date validated by
LAB
Sample temperature at receipt by lab 2.2 °C 11/17/16 MSWIFT
MIC
TOC In liquid 2 2.3 mg/L SM 5310 B-2000 12/1/16 ESTAFFORD1
MET
7429-90-5 Al by ICP 50 50 U ug/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-38-2 AS by furnace 2.0 2.0 U ug/L EPA200.9 Rev2.2 11/28/16 ESTAFFORD1
7440-70-2 Ca by ICP 0.10 37 mg/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7440-50-8 Cu by ICPMS 2.0 40 ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 2300 ug/L EPA 200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-09-7 K by ICP 0.10 1.2 mg/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
Mg by ICP 0.10 3.3 mg/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
-96-5 Mn by ICP 10 20 ug/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 5.0 mg/L EPA200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7439-92-1 Pb by ICPMS 2.0_ 2.0 U ug/L EPA 200 8 Rev5.4 11/23/16 ESTAFFORD1
7440-66-6 Zn by ICPMS 10 34 ug1L EPA 200.8 Rev5.4 11/23/16 ESTAFFORD1
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 ACenaphthene 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
62-53-3 Aniline 10 Not detected Z2 ug/L EPA62518270D 11/23/16 CJOHNSON
120-1.2-7 Anthracene 20 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
56-55-3 Benzo(a)anthracene 20 Not detected Z2 Yg/L EPA625/8270D 11/23/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
191-24-2 Benzo(g,h,i)perylene 20 Not detected Z2J2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected Z2J2 N9/L EPA625/8270D 11/23/16 CJOHNSON
111-91-1 BIs(2-ChloroethoXy)methane 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
111-44-4 BIs(2-Chloroethyl)ether 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
,9-32-9" Bis(2-chloroisopropyl)ether 10 Not detected Z2 ug/L EPA625/8270D 11/23/16 CJOHNSON
BIs(2-ethylhexyl)phthalate 30 Not detected Z2 Ng/L EPA62518270D 11/23/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 6

XC DW,La6oratory Section Resufts/Sampfe Comments/QuaCier Definitions
Sample ID` AC33774
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
101-55-3 Bromophenyl phenyl ether,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected Z2 pg/L EPA62518270D 11/23/16 CJOHNSON
106-47-8 Chloroaniline,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
91-58-7 Chloronaphthalene,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
95-57-8 Chlorophenol,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
218-01-9 Chrysene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
53-70-3 Dibenzo(a,h)a nth racene 20 Not detected Z2 pg/L EPA62518270D 11/23/16 CJOHNSON
132-64-9 Dibenzofuran 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
95-50-1 Dlchlorobenzene, 1,2 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
541-73-1 Dichiorobenzene, 1,3 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
91-94-1 Dichlorobenzidine;3,3'- 30 Not detected Z2J2 pg/L EPA625/8270D 11/23/16 CJOHNSON
120-83-2 Dichlorophenol,2,4- 10 Not detected Z2 pg/L EPA62518270D 11/23/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
131-11-3 Dimethyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
105-67-9 Dimethylphenol,2,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
534-52-1 Din itro-2-m ethyl phenol,4,6- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
51-28-5 Dinitrophenol,2,4- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
121-14-2 Dinitrotoluene,2,4- 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
606-20-2 Dinitrotoluene, 2,6- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected Z2 . pg/L EPA625/8270D 11/23/16 CJOHNSON
86-73-7 Fluorene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
118-74-1 Hexachlorobenzene 20 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
87-68-3 Hexachlorobutadiene(SV 10 Not detected Z2 pg/L EPA625/8270D 11/23116 CJOHNSON
77-47-4 Hexachlorocyclopentadiene 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
Hydantoin MDM 17 N1 pg/L EPA625/8270D 11/23/16 CJOHNSON
193-39-5 lndeno(1,2,3-cd)pyrene 20 Not detected Z2J2 pg/L EPA625/8270D 11/23/.16 CJOHNSON
78-59-1 Isophorone 10 Not detected Z2 pg/L EPA625/8270D' 11/23/16 CJOHNSON
91-57-6 Methyl naphthalene, 2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
95-48-7 Methylphenol,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
106-44-5 Methylphenol,4- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
99-09-2 Nitroaniline, 3- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected Z2 p9/L EPA625/8270D 11/23/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
88-75-5 Nitrophenol,2- 10 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON
100-02-7 Nitrophenol,4- 50 Not detected Z2 pg/L EPA625/8270D 11/23/16 CJOHNSON \ /'
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 (919)7333908
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 6

NC DIVP ;Ga6oratory Section 12esurts/Sampre Comments/QuaCfiCer Definitions
Sample ID: AC33774
C Result/ Method Analysis
AS# Analyte Name PQL
Qualifier Units Reference Date Validated by
34-7 N-nitrosodi-n-propylamine 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
b-A-6 N-nitrosodiphenylamine 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
85-01-8 Phenanthrene 20 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
108-95-2 Phenol 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
129-00-0 Pyrene 20 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected Z2 N9/L EPA625/8270D 11/23/16 CJOHNSON
95-95-4 Trichlorophenol,2,4,5- 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
88-06-2 Trichlorophenol,2,4,6- 10 Not detected Z2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
VOL
Volatile Organics in liquid
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
630-20-6 1,1,1,2-Tetrachloroethane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
71-55-6 1,1,1-Trichloroethane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
79-34-5 1,1,2,2-Tetrachioroethane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
79-00-5 1,1,2-Trichloroethane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
75-34-3 1,1-Dlchloroethane 1.0 Not detected ug/L EPA624/8260C 11/18/16 CJOHNSON
75-35-4 1,1-Dichloroethene 1.0 Not detected Ug/L EPA62418260C 11/18/16 CJOHNSON
563-58-6 1,1-Dichloropropene 1.0 Not detected ug/L EPA624/8260C 11/18/16 CJOHNSON
87-61-6 1,2,3-Trichlorobenzene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
96-18-4 1,2,3-Trichloropropane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
1,2,4-Trichlorobenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
95-63-6 1,2,4-Trimethylbenzene 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
96-12-8 1,2-Dibromo-3-Chloropropane 5.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
107-06-2 1,2-Dichloroethane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
78-87-5 . 1,2-Dichloropropane 1.0 Not detected Ng/L EPA624/8260C 11/1 811 6- CJOHNSON
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
142-28-9 1,3-Dichloropropane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
594-20-7 2,2-Dlchloropropane 2.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
95-49-8 2-Chlorotoluene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
106-43-4 4-Chlorotoluene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
Acetone 17 N1 Ng/L EPA624/8260C 11/18/16 CJOHNSON
71-43-2 Benzene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
108-86-1 Bromobenzene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
74-97-5 Bromochloromethane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
75-27-4 Bromodichloromethane 1.0 Not detected Ng/L EPA62418260C 11/18/16 CJOHNSON
75-25-2 Bromoform 2.0 5.0 Ng/L EPA62418260C 11/18/16 CJOHNSON
74-83-9 Bromomethane 2.0 Not detected Ng/L EPA624182600 11/18/16 CJOHNSON
56-23-5 Carbon Tetrachloride 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
108-90-7 Chlorobenzene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
75-00-3 Chloroethane 2.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
67-66-3 Chloroform 1.0 Not detected ug/L EPA624/8260C 11/18H6 CJOHNSON
3 Chloromethane 2.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 (919)7333908
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 6

NC(D4IZ,Laboratory Section 12,esufts/Sampfe Comments/Qualifier Definitions
Sample ID: AC33774
CAS# Analvte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
156-59-2 CIS-1,2-Dichloroethene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
10061-01-5 CIS-1,3-Dichloropropene 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
124-48-1 Dibromochloromethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
74-95-3 Dibromomethane 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
75-71-8 Dlchlorodifluoromethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
100-41-4 Ethylbenzene 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
87-68-3 I-IeXachlorobutadlene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
98-82-8 Isopropylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
108-38-3 m,p-Xylene 2.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
541-73-1 m-Dichlorobenzene(1,3) 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
75-09-2 Methylene Chloride 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
91-20-3 Naphthalene 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
104-51-8 n-Butylbenzene 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
103-65-1 n-Propylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
95-50-1 o-Dichlorobenzene(1,2) 1.0 Not detected p9/L EPA624/8260C 11/18/16 CJOHNSON
95-47-6 o-Xylene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
106-46a p-Dichlorobenzene(1,4) 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
99-87-6 p-Isopropyltoluene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
135-98-8 Sec-Butylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
100-42-5 Styrene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
98-06-6 tert-B utyl benzene 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON �
i
127-18-4 Tetrachloroethene 1.0 Not detected Ng/L EPA62418260C 11/18/16 CJOHNSON
108-88-3 Toluene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
156-60-5 trans-1,2-Dichloroethene 1.0 Not detected p9/L EPA624/8260C 11/18/16 CJOHNSON
10061-02-6 trans-1,3-Dichloropropene " 2.O Not detected Ng/L EPA624/8260C 1111&/18 CJOHNSOM
79-01-6 Trichloroethene 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
75-69-4 Trichlorofluoromethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-01-4 Vinyl Chloride 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
i
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 6

9VC DUk Laboratory Section 9 esuCts/Sample Comments/Qualifier Definitions
Sample ID: AC33774
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Sample Comments
C0L:V0A-N1-estimated-tentatively identified by MS library search.
SEM:SV-J2-estimated-4 analyte(s)failed<LCL in the CV2.
SEM:SV-Z2-<10%surrogate recovery.
SEM:SV-N1-estimated-tentatively identified by MS library search.
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U".The PQL is used for the qualified result(S)to call
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
R7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
31 MPN-No wells or tubes gave a positive reaction. Value based upon the appropriate MPN Index and reported as a less than"<"valu,
13132 MPN-All wells or tubes gave positive reactions. Value based upon the MPN Index and reported as a greater than°>"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
G1 BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea:
G3 BOD-No sample dilution met-the,requir..ernent of a.D0 depletion of at least 2.0 mg/Land/or a DO residual of_at least 1:O;mglL:
G4 BO.D-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated fol
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value:
11 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab, pl
J5 Temperature limits exceeded(samples frozen or>6°C)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
Jl0 Unidentified peak;estimated value.
J11 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control'.The sample is non-homogenous(erg.,VOA soil).The reported value is the lower
N1 Presumptive evidence and estimated value.The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present, but quality control requirements for confirmation were not met(i.e., presence of a
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labol
1 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
6 The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 5 of 6

WC�( R La6oratory Section&sults%Sample Comments/Quafor Definitions
Sample ID: AC33774
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*.The number value repot
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL*due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
J
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 6 of 6

North Carolina Division of Water Resources Water Sciences Section Laboratory Results
.scr.: 136 LAKESIDE DRIVE,MARION,NO 28752 Sample ID: AC33775
-ounty: McDowell Collector: AMOORE vsitlD PO Number#
Region: ARO Report To ARO Location ID: 13GLAKESIDE TR Date Received: 11/17/2016
r Basin CTB Collect Date: 11/15/2016 Priority ROUTINE Time Received: 08:30
Emergency Collect Time: 14_00 Sample Matrix: GROUNDWATER Labwotks LoginlD MSWIFT
COC Yes/No Sample Depth Loc.Type: Water Supply Delivery Method NC Courier
Final Report Date: 12/14/16
Report Print Date: 12H4/2016
Final Report
If this report is labeled preliminary report,the results have not been validated. Do not use for Regulatory purposes.
Result/ Method Analysis
CAS# Analyte Name PQL Qualifier Units Reference Date validated by
LAB
Sample temperature at receipt by lab 2.2 °C 11/17/16 MSWIFT
MIC
TOC In liquid- 2 4.0 mg/L SM 5310 B-2000 12/1/16 ESTAFFORD1
MET
7429-90-5 AI by ICP 50 50 U ug/L EPA 200.7 Rev4.4 11/28/16 ESTAFFORDI
7440-38-2 AS by furnace 2.0 _ 2.0 U ug/L EPA200.9 Rev2.2 11/28/16 ESTAFFORDI
7440-70-2 Ca by ICP 0.10 0.10 U mg/L EPA 200.7 Rev4.4 11/28/16 ESTAFFORDI
7440-47-3 Cr by ICPMS 5.0 5.0 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORDI
7440-50-8 Cu by ICPMS. 2.0 2.5 ug/L EPA 200.8 Rev5.4 11/23/16 ESTAFFORD1
7439-89-6 Fe by ICP 50 240 ug/L EPA 200.7 Rev4.4 11/28/16 ESTAFFORDI
7440-09-7 K by ICP 0.10 0.23 mg/L EPA 200.7 Rev4.4 11/28/16 ESTAFFORDI
7AIg-95-4 Mg by ICP 0.10 0.10 U mg/L EPA 200.7 Rev4.4 11/28/16 ESTAFFORD1
-96-5 Mn by ICP 10 10 U ug/L EPA 200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-23-5 Na by ICP 0.10 63 mg/L EPA 200.7 Rev4.4 11/28/16 ESTAFFORD1
7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7439-92-1 Pb by.ICPMS 2.0 2.0 U _ ug/L EPA200.8 Rev5.4 11/23/16 ESTAFFORD1
7440-66=6 Zn by ICPMS 10 10 U ug/L EPA 200.8 Rev5.4 11/23/16 ESTAFFORD1
SEM
Semivolatile Organics(BNAs)in liquid
83-32-9 ACenaphthene 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
208-96-8 Acenaphthylene 20 Not detected Ng/L EPA62518270D 11/23/16 CJOHNSON
62-53-3 Aniline 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
120-12-7 Anthracene 20 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
56-55-3 Benzo(a)anth race ne 20 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
50-32-8 Benzo(a)pyrene 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
205-99-2 Benzo(b)fluoranthene 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
191-24-2 Benzo(g,h,l)perylene 20 Not detected J2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
207-08-9 Benzo(k)fluoranthene 30 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
65-85-0 Benzoic acid 50 Not detected Ng/L EPA62518270D 11/23/16 CJOHNSON
100-51-6 Benzyl alcohol 30 Not detected J2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
111-91-1 Bis(2-chloroethoxy)methane 10 Not detected ug/L EPA626/8270D 11/23/16 CJOHNSON
111-44-4 Bis(2-Chloroethyl)ether 10 Not detected Ng/L EPA625/8270D 11/23)16 CJOHNSON
?-8-32-9 Bis(2-chloroisopropyl)ether 10 Not detected N9/L EPA625/8270D 11/23/16 CJOHNSON
_A-7 B is(2-ethylhexyl)phthal ate 30 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 1 of 6

. ._--._._._ .... .
.............. ..
5VC 1DW(Laboratory Section&suits/Sampee Comments/QuaC%r Definitions
Sample ID: AC33775
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
101-55-3 Bromophenylphenyl ether,4- 10 Not detected vg/L EPA62518270D 11/23/16 CJOHNSON
85-68-7 Butylbenzyl phthalate 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
59-50-7 Chloro-3-methyl phenol,4- 10 Not detected ug/L EPA625/8270D 11/23/16 CJOHNSON
106-47-8 Chloroanlllne,4- 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
91-58-7 Chloronaphthalene,2- 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
95-57-8 Chlorophenol, 2- 10 Not detected ug/L EPA625/8270D 11/23/16 CJOHNSON
7005-72-3 Chlorophenyl phenyl ether,4- 20 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
218-01-9 ChrySene 20 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
53-70-3 Dlbenzo(a,h)anthracene 20 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
132-64-9 Dlbenzofuran 20 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
95-50-1 Dichlorobenzene, 1,2- 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
541-73-1 Dichlorobenzene, 1,3 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
106-46-7 Dichlorobenzene, 1,4- 10 Not detected ug/L EPA625/8270D 11/23/16 CJOHNSON
91-94-1 Dichlorobenzidine, 3,3'- 30 Not detected J2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
120-83-2 Dichlorophenol,2,4 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
84-66-2 Diethyl phthalate 20 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
131-11-3 Dlmethyl phthalate 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
105-67-9 Dimethylphenol,2,4- 10 Not detected pg/L EPA625/8270D 11/23/16 CJOHNSON
84-74-2 Di-n-butyl phthalate 20 Not detected pg/L EPA625/8270D 11/23/16 CJOHNSON
534-52-1 Dinitro-2-methyl phenol,4,6- 50 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
51-28-5 Dinitrophenol, 2,4- 50 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
A�
121-14-2 Dinitrotoluene, 2,4- 20 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
606-20-2 Dinitrotoluene,2,6- 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
117-84-0 Di-n-octyl phthalate 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
206-44-0 Fluoranthene 20 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
86-73-7 Fluorene 20 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
118-74-1 Hexachlorobenzene 20 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
87-68-3 Hexachlorobutadiene(SV) 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
77-47-4 Hexachlorocyclopentadiene 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
67-72-1 Hexachloroethane 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
Hydantoin MDM 17 N1 Ng/L EPA625/8270D 11/23/16 CJOHNSON
193-39-5 Indeno(1,2,3-cd)pyrene 20 Not detected J2 Ng/L EPA625/8270D 11/23/16 CJOHNSON
78-59-1 Isophorone 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
91-57-6 Methyl naphthalene,2- 10 Not detected pg/L EPA625/8270D 11/23/16 CJOHNSON
95-48-7 Methylphenol,2- 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHN80N
106-44-5 Methylphenol,4- 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
91-20-3 Naphthalene(SV) 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
88-74-4 Nitroaniline,2- 10 Not detected ug/L EPA62518270D 11/23/16 CJOHNSON
99-09-2. Nitroaniline,3- 50 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
100-01-6 Nitroaniline,4- 50 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
98-95-3 Nitrobenzene 10 Not detected Ng/L EPA62518270D 11/23/16 CJOHNSON
88-75-5 Nitrophenol,2- 10 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON
100-02-7 Nitrophenol,4- 50 Not detected Ng/L EPA625/8270D 11/23/16 CJOHNSON-,,
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 2 of 6

NC lDWX L a 6oratorySection Resufts/SampCe Comments/Quafifier Definitions
Sample ID: AC33775
C Result/ Method Analysis
AS# Analyte Name PQL
Qualifier Units Reference Date validated by
-64-7 N-nitrosodi-n-propylamine 10 Not detected p9/L EPA625/8270D 11/23/16 CJOHNSON
-30-6 N-nitrosodiphenylamine 10 Not detected pg/L EPA625/8270D 11/23/16 CJOHNSON
87-86-5 Pentachlorophenol 30 Not detected pg/L EPA625/8270D 11/23/16 CJOHNSON
85-01-8 Phenanthrene 20 Not detected pg/L EPA625/8270D 11/23/16 CJOHNSON
108-95-2 Phenol 10 Not detected pg/L EPA625/8270D 11/23/16 CJOHNSON
129-00-0 Pyrene 20 Not detected pg/L EPA625/8270D 11/23/16 CJOHNSON
120-82-1 Trichlorobenzene, 1,2,4- 10 Not detected pg/L EPA625/8270D 11/23/16 CJOHNSON
95-95-4 Trlchlorophenol,2,4,5- 10 Not detected pg/L EPA625/8270D 11/23/16 CJOHNSON
88-06-2 Trichlorophenol, 2,4,6- 10 Not detected pg/L EPA625/8270D 11/23/16 CJOHNSON
VOL
Volatile Organics in liquid
106-93-4 (EDB)1,2-Dibromoethane 1.0 Not detected p9/L EPA62418260C 11/18/16 CJOHNSON
630-20-6 1,1,1,2-Tetrachioroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
71-55-6 1,1,1-Trichloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
79-34-5 1,1,2,2-Tetrachloroethane 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
79-00-5 1,1,2-Trichloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-34-3 1,1-DlChloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-35-4 1,1-Dichloroethene 1.0 Not detected p9/L EPA624/8260C 11/18/16 CJOHNSON
563-58-6 1,1-Dichioropropene 1.0 Not detected pg/L EPA624/8260C` 11/18/16 CJOHNSON
87-61-6 1,2,3-Trichlorobenzene 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
96-18-4 1,2,3-Trichloropropane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
32-1 1,2,4-Trichlorobenzene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
95-63-6 1,2,4-Trimethylbenzene 1.0 Not detected Ng/L EPA624/8260C 11/18/16 CJOHNSON
96-12-8 1,2-Dibromo-3-Chloropropane 5.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
107-06-2 1,2-DlChloroethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
78-87-5t 1;2-Dichloropropane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON -
108-67-8 1,3,5-Trimethylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
142-28-9 1,3-Dichloropropane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
594-20-7 2,2-Dichloropropane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
95-49-8 2-Chlorotoluene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
106-43-4 4-Chlorotoluene 1.0 Not detected p9/L EPA624/8260C 11/18/16 CJOHNSON
Acetone 6.3 N1 pg/L EPA624/8260C 11/18/16 CJOHNSON
71-43-2 Benzene 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
108-86-1 Bromobenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
74-97-5 Bromochloromethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-27-4 Bromodichloromethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-25-2 Bromoform 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
74-83-9 Bromomethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
56-23-5 Carbon Tetrachloride 1.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
108-90-7 Chlorobenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-00-3 Chloroethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
67-66-3 Chloroform 1.0 Not detected pg/L EPA624/8260C 11/18/16, CJOHNSON
-3 Chloromethane 2.0 Not detected pg/L EPA62418260C 11/18/16 CJOHNSON
WSS Chemistry Laboratory>>1623 Mail Service Center;Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 3 of 6

✓`VC DTOX Laboratory Section 12,esults/Samprz Comments/Qualifier Inefinitions
Sample ID: AC33775
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
156-59-2 CIS-1,2-Dichloroethene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
10061-01-5 CIS-1,3-Dichloropropene 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
124-48-1 Dibromochloromethane 2.0 Not detected p9/L EPA624/8260C 11/18/16 CJOHNSON
74-95-3 Dibromomethane 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-71-8 DIChlorodifluoromethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
100-41-4 Ethyibenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
87-68-3 Hexachlorobutadiene 1.0 Not detected pg/L EPAS2418260C 11/18/16 CJOHNSON
96-82-8 I sop ropylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
108-38-3 m,p-Xylene 2.0 Not detected p9/L EPA624/8260C 11/18/16 CJOHNSON
541-73-1 m-Dichlorobenzene(1,3) 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
1634-04-4 Methyl Tert-Butyl Ether 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-09-2 Methylene Chloride 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
91-20-3 Naphthalene 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
104-51-8 n-Butylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
103-65-1 n-Propylbenzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
95-50-1 o-Dichlorobenzene(1,2) 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
95-47-6 o-Xylene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
106-46-7 p-Dichlorobenzene(1,4) 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
99-87-6 p-lsopropyltoluene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
135-98-8 Sec-Butyl benzene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
100-42-5 Styrene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
98-06-6 tert-Butylbenzene 1.0 Not detected p9/L EPA624/8260C 11/18/16 CJOHNSON <
Jl
127-18-4 Tetrachloroethene 1.0 Not detected pg/L EPA624/8260C 11/18A6 CJOHNSON
108-88-3 Toluene 1.0 Not detected pg/L EPA624/8260C 11/18/16 cJOHNSON
156-60-5 trans-1,2-Dichloroethene 1-0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
10061-02-6 trans-1,3-Dichloropropene 2.0 Not detected pg/L EPA624/6260C 11/18/16- CJOHNSON
79-01-6 Trichloroethene 1.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-69-4 Trichlorofluoromethane 2.0 Not detected pg/L EPA624/8260C 11/18/16 CJOHNSON
75-01-4 Vinyl Chloride 2.0 Not detected pg/L EPA624/6260C 11/18/16 CJOHNSON
i
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 4 of 6

NC lDWK,Ga6oratory Section&sufts/Sampfe Comments/Quafifier Definitions
Sample ID: AC33775
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date validated by
Sample Comments
JOL:VOA-N1-estimated-tentatively identified by MS library search.
SEM:SV-NI-estimated-tentatively identified by MS library search.
SEM:SV-J2-estimated-4 analyte(s)failed<LCL in the CV2.
NCDEQ-WSS-Chemistry Lab Data Qualifiers
Al The reported value is an average,where at least one result is qualified with a"U".The PQL is used for the qualified result(S)to call
B1 Coliform-Countable membranes with less than 20 colonies. Reported value is estimated or is a total of the counts on all filters repor
B2 Coliform-Counts from all filters were zero.The value reported is based on the number of colonies per 100 ml that would have been
B3 Coliform-Countable membranes with more than 60 or 80 colonies.The value reported is calculated using the count from the smaller
B4 Coliform-Filters have counts of both>60 or 80 and<20. Reported value is estimated or is a total of the counts on all filters reported
B5 Coliform-Too many colonies were present;too numerous to count(TNTC).TNTC is generally defined as>150 colonies.
B6 Coliform-Estimated Value. Blank contamination evident.
R7 Coliform-Many non-coliform or non-enterococcus colonies or interfering non-coliform or non-enterococcus growth present. In this cc
31 MPN-No wells or tubes gave a positive reaction. Value based upon the appropriate MPN Index and reported as a less than"<"valu,
8132 MPN-All wells or tubes gave positive reactions. Value based upon the MPN Index and reported as a greater than">"value.
C Total residual chlorine was present in sample upon receipt in the laboratory;value is estimated.
G1 BOD-The dissolved oxygen(DO)depletion of the dilution water blank exceeded 0.2 mg/L.
G2 BOD-The bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at lea:
G3 BOD-No sample.dilution met-the requirement of a DO depletion of at least 2.0 mg/L and/or a DO residual of at least 1.0,mg/L. .
G4 BOD-Evidence of toxicity.This is generally characterized by a significant increase in the BOD value as the sample concentration de
G5 BOD-The glucose/glutamic acid standard exceeded the range of 198±30.5 mg/L.
G6 BOD-The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
G7 BOD-Less than 1 mg/L DO remained for all dilutions set.The reported value is an estimated greater than value and is calculated fol
G8 BOD-Oxygen usage is less than 2 mg/L for all dilutions set.The reported value is an estimated less than value and is calculated for
G9 BOD-The DO depletion of the dilution water blank produced a negative value.
J1 Surrogate recovery limits have been exceeded.
J2 The reported value failed to meet the established quality control criteria for either precision or accuracy.
J3 The sample matrix interfered with the ability to make any accurate determination.
J4 The data is questionable because of improper laboratory or field protocols(e.g., composite sample was collected instead of grab,pl
J5 Temperature limits exceeded(samples frozen or WC)during transport or not verifiable(e.g., no temperature blank provided): non-
J6 The laboratory analysis was from an unpreserved or improperly chemically preserved sample.The data may not be accurate.
J7 This qualifier is used to identify analyte concentration exceeding the upper calibration range of the analytical instrument/method.Th
J8 Temperature limits exceeded(samples frozen or>6°C)during storage,the data may not be accurate.
J9 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J10 Unidentified peak;estimated value.
J11 The reported value is determined by a one-point estimation rather than against a regression equation.The estimated concentration
J12 The calibration verification did not meet the calibration acceptance criterion for field parameters.
M Sample and duplicate results are"out of control".The sample is non-homogenous(e.g.,VOA soil).The reported value is the lower
N1 Presumptive evidence and estimated value.The component has been tentatively identified base on mass spectral library.
N2 There is an indication that the analyte is present,but quality control requirements for confirmation were not met(i.e., presence of s
N3 This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
t This code shall be used if the level is too low to permit accurate quantification, but the estimated concentration is less than the labor
:i The component has been tentatively identified based on a retention time standard.
Q1 Holding time exceeded prior to receipt by lab.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 5 of 6

NC 1DUk La6oratory Section Resufts/Sampfe Comments/QuaC�r Definitions
Sample ID: AC33776
CAS# Analyte Name PQL Result/ Method Analysis
Qualifier Units Reference Date Validated by
Q2 Holding time exceeded following receipt by lab.
P Elevated PQL*due to matrix interference and/or sample dilution.
S Not enough sample provided to prepare and/or analyze a method-required matrix spike(MS)and/or matrix spike duplicate(MSD).
U Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit.The number value repol
X1 Sample not screened for this compound.
X2 Sampled, but analysis lost or not performed-field error.
X3 Sampled, but analysis lost or not performed-lab error.
V Indicates the analyte was detected in both the sample and the associated method blank. Note:The value in the blank shall not be s
Y Elevated PQL"due to insufficient sample size.
Z1 Inability to analyze the sample.
Z2 Questions concerning data reliability.
WSS Chemistry Laboratory>>1623 Mail Service Center,Raleigh,NC 27699-1623 [phone]
"Not Detected"or"U"does not indicate the sample is analyte free but that the analyte is not detected at or above the PQL.
Page 6 of 6

Private Wl l Information
ne dapartmenf f
1 1 Use Recommendations
o haaltte and
human sarvlees
For Inorganic Chemical Contaminants
County: Ve it J Name. jai,
Sample iD#: A7 G 33-7?5� Reviewer: ✓�^
TEST RESULTS AND USE RECOMMENDATIONS
I. 7Yourll water meets federal drinking water standards for inorganic chemicals. Your water can be used for
drinking,cooking, washing,cleaning,bathing,and showering based on the inorganic chemical results only.You may
have other water sampling results that are not taken into account in this report,
2.❑The following substance(s)exceeded federal drinking water standards or the North Carolina 2L calculated health
levels.The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking,unless you install a water treatment system to remove the circled substance(s).However,it may be used for
washing,cleaning,bathing and showering based on the inorganic chetnieal results only.
'Arsenic Barium Cadmium Chromium I Copper Fluoride Lead Iron
-`Man anese Mercu Nitrate/Nitrite I Selenium Silver Ma nesiUnt Zinc pH
3.3 a. Sodium levels exceed the U.S.Environmental Protection Agency's(USEPA)Health Advisory level for sodium of
20 mg/l. The North Carolina Division of Public Health recommends that only individuals on no or low sodium restricted
diets not use this water for drinking or cooking. It may be used for washing,cleaning,bathing,and showering based on
the Inoreanle chemical results.only.
b. Levels over 30 mg/1 may pose aesthetic problems such as bad taste,odor,staining of porcelain,etc. .
4. ❑ Re-sampling is recommended in months.
S.❑ Re-sample for lead and/or copper. Take a first draw,5 minute,and IS minute sample inside the house(preferably
the kitchen)and if possible a first draw,5 minute and a IS minute sample at the well head to determine the source of the
lead and/or copper.
6. ❑The following substance(s)exceeded federal drinking water standards. Your water can be used for drinking,
cooking,washing,cleaning,bathing,and showering based on the inorganic chemical results only,but aesthe 'c problems
such as bad taste,odor,staining of porcelain,etc.may occur. You may want to install a household water treatment system
to'address aesthetic problems.
Barium Cadmium Chromium Fluoride Iron Magnesium
Manganese 1.Selenium Silver PH Zinc
-For snore informatlon regarding your well water results,please call the North Carolina Division of Public Healtli at 919-707 5900.

��1
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��

Information. and Recommendations for Uses of Private Well Waxer
For Organic Ch6micals Found in Water
North Carolina Occupational and-Environmental Epidemiology 0ranch (OEEB)
For Additional, Information call 919-707-5900
Name: 136 "ke St'je D/-, County /i'lc j)owclf
Sample Identification Number:
Information on Your Private Well Water
Your well water was laboratory tested for chemical contaminants, prinking water may contain chemical
contaminants which can occur naturally or be Introduced Into water from man-made sources. The
chemicals found In your well were Introduced from man-made sources, In order to evaluate your laboratory
results for chemical contaminants, your water results were compared to the national primary drinking water
standards or maximum contaminant levels (MCts) (see website for basis for each MCL at ,
httu.1/www.ena.aovlsafewater/contominantsi dex,htM1gmcL$), MCLs are nationaildrinking water standards
that are required to be met by municipal water supplies. If an MCL was not avallhble, your water results
were compared to the North Carolina 2L Groundwater Standards.
Recommendations for Uses of Your Private Well Water
The concentrations found in your well water do not exceed the recommended EPA levels/North
Carolina 2L Groundwater Standards.Therefore, your water could be used for drinking, cooking,
washing dishes, bathing, and showering.
�••�•+ Contaminant concentrations found In your well water are higher than the EPA recommended levels
for drinking and cooking. These contaminants Include
- Your well water should not be used for drinkingor cooking if you have beenr drinking
the well water and are pregnant,nursing,or have a child under 5 years of age, Inform
your physician of the results.
Because of the low levels, some absorption of these chemicals Is expected
through intact skin and exposure to water vapor..Therefore,limit showering
and bathing time to less than 10 minutes.
Because of the high levels, absorption of thew chemicals could occur through
Intact skin and exposure to water vapor. Therefore, limit showering and
bathing time to less than 9 minutes.
Because of the very high levels,significant absorption of these chemicals could
occur through intact skin and exposure to water vapor. Therefore,this water
should not be used for showering and bathing.
You may want to purchase a water treatment device, drill a new well that Is distantly located from
the groundwater contamination, use�bottied water, or connect to a public water supply.
Resampling Is recommended in months,
3ther Comments

��
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i

PAT MCCR.OR.Y
n.�. (_;avetnrr
F
DONALD R. VAN DER. VAA..
Serrehxry
S. JAY 7INIMERNiA.N
rater kesources
ENVIRONMENTAL QUALITY - Director
December 20, 2016
Lee Smith,Utilities Director
City of Hendersonville
305 Williams Street,Ste 119
Hendersonville, NC, 28792
Subject: Permit No. WQ0038935
City of Hendersonville
Innovative High School Sewer Extension
Wastewater Collection System Extension Permit
Henderson County
Dear Mr. Smith:
In accordance with your application received December 12, 2016, we are forwarding herewith Permit
No. WQ0038935 dated December 21, 2016, to the City of Hendersonville (Permittee) for the
construction and operation upon certification of the subject wastewater collection system extension.
This permit shall be effective from the date of issuance until rescinded, and shall be subject to the
conditions and limitations as specified therein. This cover letter shall be considered a part of this permit
and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition IIJ: This permit shall not be automatically transferable; a request must be made and
approved.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system-wide collection system
permit issued to the Permittee.
It shall be the responsibility of the Permittee to ensure that the as-constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina-licensed Professional Engineer to
the licensing board.
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 30 days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150E 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.
2090 U.S.70 Highway,Swannanoa,NC 28778
Phone:[phone]\Internet:www.ncwaterguality.org
An Equal Opportunity\Affirmative Action Employer—Made in part by recycled paper

City of Hendersonville
Permit No.WQ0038935
If you need additional information concerning this matter, please contact Tim Heim at(828) 296-4500 or
via e-mail at [e-mail].
Sincerely,
for S.Jay Zimmerman, P.G.
Director, Division of Water Resources
G. Landon Davidson, Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEq
cc: William R. Buie, P.E.—WGLA Engineering, PLLC
Regional Office Files
Water Resources Central Files
PERCS(electronic copy)
G:\WR\WQ\Henderson\Collection Systems\Hendersonville WQCS00070\WQ0038935 Innovative HS Sewer Ext.docx
Page 2 of 9

Environmental
Quality
WASTEWATER COLLECTION SYSTEM EXTENSION 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
City of Hendersonville
Henderson County
for the construction and operation of approximately.1,675 linear feet of 8-inch gravity sewer to serve a
500 student high school as part of the Innovative High School Sewer Extension project, and the
discharge of 7,500 gallons per day of collected domestic wastewater into the City of Hendersonville's
existing sewerage system, pursuant to the application received December 12, 2016 and in conformity
with 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations and
Force Mains adopted June 1, 2000 as applicable; and other supporting data subsequently filed and
approved by the Department of Environmental Quality and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
for S.Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of The Environmental Management Commission
Permit Number: WQ0038935
Permit Issued: December 20,2016
Page 3 of 9

................_---.-...
SUPPLEMENT TO PERMIT COVER SHEET
City of Hendersonville is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection extension.
The sewage and wastewater collected by this system shall be treated in the City of Hendersonville
Wastewater Treatment Facility in accordance with Permit Number NC0025534.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and the Division's Minimum Design Criteria for the Fast-Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina-licensed Professional
Engineer in the application. It shall be the Permittee's responsibility to ensure that the as-constructed
project meets the appropriate design criteria and rules.
Construction and operation is contingent upon compliance with the Standard Conditions identified
below.
1. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by 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. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless the wastewater collection facilities are constructed in
--- accordance with the conditions of this permit; 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for
the Fast-Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T.0110]
4. The wastewater collection facilities shall be properly maintained and operated at all times. The
Permittee shall maintain compliance with an individual system-wide collection system permit for the
operation and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
permit is not required,the following performance criteria shall be met: [15A NCAC 02T.0108(b)]:
a. The sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
Page 4 of 9

c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.
e. High-priority sewer lines shall be inspected at least once per every six-months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 213 .0506(a), and public notice shall be provided as required by North
Carolina General Statute§143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors,enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems,the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease-related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility.
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map,which shall be maintained for the life of the system.
5. The Permittee shall report by telephone to a water resources staff member at the Asheville Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24 hours,
following the occurrence or first knowledge of the occurrence of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume,that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number [phone] or (919)
Page 5 of 9

733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five 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. Part 11 of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215AC(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities,the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewater collection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes, etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
source or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, include travel
timeframes,shall be provided.
c. Changes to the project that do not result in non-compliance with this permit, regulations, or the
Minimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested -'
Page 6 of 9

modifications or variances to the Minimum Design Criteria will be reviewed on a case-by-case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After-construction
requests are discouraged by the Division and may not be approved, thus requiring replacement or
repair prior to certification&activation. [15A NCAC 02T.0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not be certified
until corrected. If there is an unforeseen obstacle in the field where all viable solutions have been
examined,a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case-by-case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T.0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast-Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other supporting materials 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, construction of additional or replacement wastewater collection facilities,
and/or referral of the North Carolina-licensed Professional Engineer to the licensing board. [15A
NCAC 02T.0104;15A NCAC 02T.0108(b-c)]
11. In the event that the wastewater collection facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective action, including
those as may be required by this Division, such as the construction of additional or replacement
facilities. [15A NCAC 02T.0110; 15A NCAC_02T.01.08(b)]:..
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State,of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 9

[THIS PAGE INTENTIALLY LEFT BLANK]
li
Page 8 of 9

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE: CITY OF HENDERSONVILLE
PERMIT#: WQ0038935
PROJECT: INNOVATIVE HIGH SCHOOL SEWER EXTENSION
ISSUE DATE: December 20, 2016
This project shall not be considered complete nor allowed to operate in accordance with Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents,the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Regional Operations Section at the address at
the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee.is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERMITTEE'S CERTIFICATION
I,the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee is prepared to operate& maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name,Title Signature Date
ENGINEERS CERTIFICATION
as a duly registered Professional Engineer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, ❑ full time) the construction of the
Innovative High School Sewer Extension and location as referenced above for the above Permittee
hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance of this
permit; 15A NCAC 02T; the Division of Water Resources' (Division) Gravity Sewer Minimum Design
Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the Fast-
Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 as applicable; and other
supporting materials.
:............................
................
.............
................
North Carolina Professional Engineer's Seal w/signature&date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers(attach if necessary):
NC DWR—Water Quality Regional Operations Section 2090 US Hwy 70,Swannanoa, NC 28778
Asheville Regional Office Phone: [phone] FAX:[phone]

PAT MCCRORY
+ Governor
DONALD R. VAN DER VAART
Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 21, 2016
DWR# 16-1160
Jackson County
Dave &Donna Jones
7440 Wildercliff Drive
Atlanta, GA 30328
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION
Jones 154 Wayside Ln.
Dear Mr. and Mrs. Jones:
You have our approval for the impacts listed below for the purpose described in your application
dated November 18, 2016, and received by the Division of Water Resources(Division)on
November 28, 2016. These impacts are covered by the attached Water Quality General
Certification Number 3898 and the additional conditions listed below. This certification is
associated with the use of General Permit Number 30 once it is issued by the U.S. Army Corps
of Engineers. Please note that you should obtain any other federal, state or local permits before
proceeding with your project, including those required by (but not limited to) Sediment and
Erosion Control,Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval--requires you to follow the conditions listed in the enclosed certification(s)or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit, and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b)
and/or(c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool Below Pool
0.0568(acres) 0.0568(acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division and
you may be required to submit a new application package with the appropriate fee. If the
property is sold,the new owner must be given a copy of this approval letter and General
Certification(s)/Permit/Authorization and is responsible for complying with all
conditions. [15ANCAC 02H .0507(d)(2)]
State of North Carolina I Environmental Quality I Water Resources
2090 US Hwy 701 Swannanoa,North Carolina 28778
828 296 4500

Jones 154 Wayside Lr..
DWR# 16-1160
401 Approval
Page 2 of 3
3. All banks shall be laid back to at least a 2:1 (length : height) slope and riprap applied at
the water/land interface (at full pool). Riprap shall be placed as a linear protective
measure upon the regraded slopes. Stone used in stabilization shall be of a size and
density sufficient to prevent movement by wave or current action and shall consist of
clean rock or masonry material free of debris or toxic pollutants. The rip-rap shall be
installed over a toed in filter fabric to prevent soil erosion behind the stabilized area. This
authorization shall in no way be construed as allowing the installation of a bulkhead or
seawall. [15A NCAC 02H .0507 (c)]
4. Replant or allow the re-establishment of native vegetation in areas within the project
boundary where it has been removed per Exhibit 1 of the Duke Shoreline Management
Guidelines.
5. The permitee shall require its contractors and/or agents to comply with the terms and
conditions of this permit in the construction and maintenance of this project, and shall
provide each of its contractors and/or agents associated with the construction or
maintenance of this project with a copy of this Certification. A copy of this
Certification, including all conditions shall be available at the project site during the
construction and maintenance of this project. [15A NCAC 02H .0507 (c) and 15A
NCAC 02H .0506 (b)(2) and (c)(2)]
6. The proposed project shall follow the recommendations stated in the North Carolina
Wildlife Resources Commission(NCWRC) comment letter dated December 9, 2016
(attached)to the maximum extent practicable. [15A NCAC-02H .0506(b)(2)]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty (60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAR

Jones 154 Wayside Ln.
DWR# 16-1160
401 Approval
Page 3 of 3
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DEQ:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
kevin.mitchell@ncdenr. )ov_ if you have any questions or concerns.
Sincerely,
Zan Price, P.E., Assistant Regional7pervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion:
cc: Ben Odom—Odom's Landscaping (via email)
Kevin Holland—Duke Energy (via email)
David Brown—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie-NCWRC (via email)
Stan Aiken—DEMLR(via email)
DWR ARO files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQVackson\401s\Non-DOT\Jones 154 Wayside Ln\APRVL.401 Jones 154 Wayside Ln 12.21.2016.docx

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.dlitchell, Robert K
rom: Fox,Tim
-Sent: Monday, December 12, 2016 12:43 PM
To: Mitchell, Robert K
Subject: FW: Dave and Donna Jones Shoreline Stabilization
Tim [e-mail]
North Carolina Dept.of Environmental Quality
Asheville Regional Office
Division of Water Resources—Water Quality Programs
2090 U.S.70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax:[phone]
,w thl mp r .
4.
Notice: Email correspondence to and from this address may be subject to the NC Public Records Law and may be
sclosed to third parties.
From: Ben And Carol [mailto:[e-mail]]
Sent: Monday, December 12, 201612:22 PM
To: Leslie,Andrea J<[e-mail]>
Cc: Fox,Tim<[e-mail]>
Subject: Re: Dave and Donna Jones Shoreline Stabilization
Got it.Thanks for your input.
Will continue to use best methods and practices in accordance with NC Wildlife,Army Corps,and Duke Energy.
Ben Odom
On Dec 9, 2016, at 2:37 PM, Leslie,Andrea 1<[e-mail]>wrote:
Hi Tim,
I have reviewed the information sent to me on the Dave and.Donna Jones Project on Lake
Glenville in Jackson County. The applicant proposes to stabilize 620 feet of shoreline on Lake
Glenville with riprap.
1

We do not object to the project as long as it addresses an.active and.appreciable shoreline
erasion problem. The photos provided show some areas that appear to be gently sloping rocky
shoreline;these do:not appear to be eroding.
The shoreline provides important habitat for wildlife. Fallen trees and other large woody debris
along the shoreline are especially important,providing cover for various sunfish, largemouth
bass, and other fishes in the lake. In addition, trees and shrubs above the waterline not only
stabilize banks but also serve as habitat for wildlife such as song birds.
We offer the:following recornmendations to minimize impacts to terrestrial and.aquatic wildlife:
1. Limit the area of work to the areas of shoreline that are actively eroding.
2. Where stabilization is needed, we prefer that bioengineering techniques such as bank
sloping and native vegetation be used. If.hard stabilization structures are needed, we
recommend the use of dry-stack boulders with a rip rap apron the base.
3. Large woody debris should.be left.in place or moved temporarily and replaced after
stabilization work is complete.
4. We:recommend that the landowner:retain as many shoreline trees and shrubs as possible,
as they not only stabilize banks but also serve as habitat for wildlife such as song birds.
Thank you for the opportunity to review and comment on these projects. Please contact me if
you have any questions about these comments or need further assistance.
Andrea
Andrea Leslie
Mountain Habitat Conservation.Coordinator
NC Wildlife Resources Commission
20830 Great Smoky Mountain Expressway
Waynesville,NC 28786
828-558-601.1; 828-400-4223 (cel1)
www.ncwildlife.org
<image001.png><image002.pngximage003.png><image004.jpg><image005.png>
Get NC Wildlife Update delivered to your inbox from the N.C.Wildlife Resources Commission.
Erna.il correspondence to and firom.this sender is subject to the N.C.Public Records Law and may be disclosed to third.parties.
2

__
__
__
........._.__........ .
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PAT MCCRORY
Governor
0 t DONALD R. VAN DER VAART
`" Secretary
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY -
Director
December 21, 2016
DWR# 15-0047-V2
Rutherford County
Thomas Paige Gibson
P.O. Box 1882
Marion,NC 28752
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Gibson Property—Lake Lure
Dear Mr. Gibson:
You have our approval for the impacts listed below for the purpose described in your application
dated December 9, 2016, and received by the Division of Water Resources (Division) on
December 12, 2016. These impacts are covered by the attached Water Quality General
Certification Number 3898 and the additional conditions listed below. This certification is
associated with the use of General Permit Number 30 once it is issued by the U.S. Army Corps
of Engineers. Please note that you should obtain any other federal, state or local permits before
proceeding with your project, including those required by (but not limited to) Sediment and
Erosion Control,Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit, and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b)
and/or (c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool I Below Pool
0.0051 (acres) 10.0028 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold, the new owner must be given a copy of this approval letter and
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Gibson Property
DWR# 15-0047-V2
401 Approval
Page 2 of 3
General Certifications)/Permit/Authorization and is responsible for complying with all
.conditions.[15A NCAC 02H .0507(d)(2)]
3. No Impacts Beyond those in Application
No waste, spoil, solids, or fill of any kind shall occur in wetlands,waters, or riparian
areas beyond the footprint of the impacts depicted in the Pre-Construction
Notification. All construction activities, including the design, installation, operation, and
maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes, or rules occur.
The turbidity standard of 10 NTUs (Nephelometric Turbidity Units) shall not be
exceeded as described in [15A NCAC 02B .0211 (21)]. Appropriate sediment and
erosion control practices must be used to meet this standard. Lake Lure is classified as
B; Trout waters.
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty (60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the `_!
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may be faxed to the OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DEQ:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601 �_ 1

Gibson Property
DWR# 15-0047-V2
401 Approval
Page 3 of 3
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
kevin.mitchell,cancdenr.gov if you have any questions or concerns.
Sincerely,
7ZanPrice,PE., Assistant Regiona upervisor
r Quality Regional Operati s
ville Regional Office
Enclosures: GC 3898
Certificate of Completion
cc: David Brown—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie—NCWRC (via email)
Clint Calhoun—Town of Lake Lure (via email)
Stan Aiken—DEMLR(via email)
Paige Gibson—Owner(via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Rutherford\401s\Non-DOT\Gibson Property\APRVL.Gibson Property 12.21.2016.doex

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY -
Director
December 21, 2016
DWR 4 16-1177
Rutherford County
Tom.and Vicki Rogers
530 Brown Sugar Retreat
Mt. Pleasant, SC 29464
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Rogers 185 Blarney Road—Lake Lure
Dear Mr. and Mrs. Vickers:
You have our approval for the impacts listed below for the purpose described in your application
dated November 25, 2016, and received by the Division of Water Resources (Division) on
November 30, 2016, with additional information received on December 15, 2016. These impacts
are covered by the attached Water Quality General Certification Number 3898 and the additional
conditions listed below. This certification is associated with the use of General Permit Number
30 once it is issued by the U.S. Army Corps of Engineers.Please note that you should obtain any
other federal, state or local permits before proceeding with your project, including those required
by(but not limited to) Sediment and Erosion Control,Non-Discharge, Water Supply Watershed,
and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit, and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b)
and/or(c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool Below Pool
0.0430 (acres) 0.0532 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold,the new owner must be given a copy of this approval letter and
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Rogers 185 Blarney Roar,
DWR# 16-1177
401 Approval
Page 2of3
General Certification(s)/Permit/Authorization and is responsible for complying with all
conditions. [15A NCAC 02H .0507(d)(2)]
3. No Impacts Beyond those in Application
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian
areas beyond the footprint of the impacts depicted in the Pre-Construction
Notification. All construction activities, including the design, installation, operation, and
maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes, or rules occur.
The turbidity standard of 10 NTUs (Nephelometric Turbidity Units) shall not be
exceeded as described in [15A NCAC 02B .0211 (21)]. Appropriate sediment and
erosion control practices must be used to meet this standard. Lake Lure is classified as
B; Trout waters.
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty (60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:OOam and 5:OOpm, excluding
official state holidays).
The petition may be faxed to the OAH at(919)431-3100, provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five(5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DEQ:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601

Rogers 185 Blarney Road
DWR# 16-1177
401 Approval
Page 3 of 3
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
kevin.mitchell@ncdenr. g€,ov if you have any questions or concerns.
Sincerely,
F '�
Zan Price,P.E.,Assistant Regional S pervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion
cc: David Brown—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie-NCWRC (via email)
Clint Calhoun—Town of Lake Lure (via email)
Stan Aiken-DEMLR(via email)
Vince Wiegman—Wiegman Architecture, PA(via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Rutherford\40ls\Non-DOT\Rogers 185 Blarney Road\APRVL.Rogers 185 Blamer Road 12.21.2016.docx

__
......._. _
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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Water Resources
ENVIRONMENTAL QUALITY Director
December 21,2016
Gemini Properties and Investments LLC
155 Windover Drive
Asheville,NC 28803
Subject: Stream Identification Request
Dear Sir:
This letter provides the findings of a site visit to Buncombe County Parcel Identification Number 9663-
28-6635-00000 at 12 King Heights in Asheville,NC conducted on December 21,2016 to provide a
stream determination. The stream feature is shown as a blue line on the Buncombe County GIS website
(see attached map). The results of the stream determination were as follows:
Features Score Comments
Geomorphology 3.5
Hydrology 0
Biology 2
Total 5.5
Ephemeral
Determination: Stream
Determination
This on-site determination shall expire five(5)years from the date of this letter. Landowners or affected
parties that dispute a determination made by the Division of Water Resources(DWR)may request a
determination by the Director. An appeal request must be made within sixty(60)days of date of this
letter. A request for a determination by the Director shall be referred to the Director in writing. If
sending via US Postal Service: c/o Karen Higgins; DWR-401 &Buffer Permitting Unit; 1617 Mail
Service Center;Raleigh,NC 27699-1617. If sending via delivery service(UPS,FedEx,.etc.): Karen
Higgins;DWR—401 &Buffer Permitting Unit; 512 N. Salisbury Street;Raleigh,NC 27604.
This determination is final and binding unless, as detailed above, an appeal is requested within sixty(60)
days.
An Equal Opportunity/Affirmative Action Employer

. . .........._....
December 21,2016
Page 2 of 2
Please contact me if I can be of any further assistance: 828-296-4662 or [e-mail].
Sincerely,
Zan Price,PE
Assistant Regional Supervisor-Asheville Regional Office
Water Quality Regional Operation Section
NCDEQ—Division of Water Resources
Enclosures: Buncombe County GIS Map
GAWR\WQ\Buncombe\Stream Calls\12 King Heights\StreamDetermination_12 King Heights.docx
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Source: Buncombe County GIS
PIN:966328663500000

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PAT MCCRORY
Governor
j DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Water Resources Director
ENVIRONMENTAL QUALITY
December 22,2016
Dan Harbaugh,Executive Director
Tuckaseigee Water& Sewer Authority
1246 W.Main Street
Sylva,North Carolina 28779
SUBJECT: Compliance Evaluation Inspection
Tuckaseigee Water& Sewer Authority Collection System(Cashiers)
Permit No: WQCSDO023
Jackson County
Dear Mr. Harbaugh:
On December 7, 2016, I conducted a Compliance Evaluation Inspection of the Tuckaseigee Water & Sewer
Authority Wastewater Collection System in Cashiers. Based on records reviewed, on-site visits to system
components and interviews with staff, the Wastewater Collection System was determined to be in compliance with
permit WQCSD0023. A report is attached for your records with findings summarized. The collection system
appears to be well maintained and operated, and record keeping by your staff was excellent. The following items
were noted during the inspection:
• A portable emergency generator is no longer present in the Cashiers area. Only one of the six pump stations
has a dedicated emergency generator.A portable generator that is compatible with all pump stations in the
collection system should be readily available and within easy access.
• Continue to operate and maintain the collection system in compliance with the requirements outlined in
15A NCAC 02T for Wastewater Collection Systems.
The assistance of Mr.Troy Ammons during the inspection was greatly appreciated,Mr.Ammons has very detailed
knowledge of the collection system. If there are questions or additional information is needed regarding system
operation,maintenance, or permit questions,please feel free to contact me at 828-296-4500.Please refer to the
enclosed inspection report for additional observations and comments.
Sincerely,
Tim Heim,P.E.
Environmental Engineer
Enc.
cc: Troy Ammons,ORC
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Jackson\Collection Systems\TWASA#3 Collection System\CEI letter 12-07-2016.doc
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

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Compliance Inspection Report
Permit: WQCSDO023 Effective: 03/01/00 Expiration: Owner: Tuckaseigee Water&Sewer Authority
SOC: Effective: Expiration: Facility: Cashiers Collection System
County:Jackson
Region: Asheville
Contact Person: Dan Harbaugh Title: Executive Director Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
Troy Eugene Ammons 995178 828-586-5189
On-Site Representative(s):
Related Permits:
Inspection Date: 12/07/2016 Entry Time: 11:00AM Exit Time: 03:00PM
Primary Inspector: Timothy H Heim Phone: [phone]
Secondary Inspectons►:
Reason for Inspection`: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Deemed permitted collection system management and operation
Facility Status: ® Compliant Not Compliant
Question Areas:
Miscellaneous Questions Operation&Maint Reqmts Records
Inspections M Pump Station
(See attachment summary)
Page: 1

Permit: WQCSDO023 Owner-Facility:Tuckaseigee Water&Sewer Authority
Inspection Date: 12/07/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
Tim Heim of the Asheville Regional Office performed a Compliance Evaluation Inspection on December 7th,2016.Troy
Ammons(ORC)assisted with the inspection and with records review.The permitted collection system appeared well
maintained and operated at the time of the inspection, and in compliance with Permit WQCSD0023.
The following item of significance was noted during the inspection:
A portable emergency generator is no longer present in the Cashiers area. Only one of the six pump stations has a
dedicated emergency generator.A portable generator that is compatible with all pump stations in the collection system
should be readily available and within easy access.
i
1
Page: 2

Permit: WQCSDO023 Owner-Facility:Tuckaseigee Water&Sewer Authority
Inspection Date: 12/07/20.16 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspections Yes No NA NE
Are maintenance records for sewer lines available? ® ❑ ❑ ❑
Are records available that document pump station inspections? ® ❑ ❑ ❑
Are SCADA or telemetry equipped pump stations inspected at least once a week? ® ❑ ❑ ❑
Are non-SCADA/telemetry equipped pump stations inspected every day? ® ❑ ❑
Are records available that document citizen complaints? ® ❑ ❑ ❑
#Do you have a system to conduct an annual observation of entire system? ® ❑ ❑ ❑
#Has there been an observation of remote areas in the last year? ® ❑ ❑ ❑
Are records available that document inspections of high-priority lines? ® ❑ ❑ ❑
Has there been visual inspections of high-priority lines in last six months? ®_❑ ❑
El
Comment: Record keeping by TWASA is excellent.
Operation&Maintenance RequirementsYes No NA NE
Are all log books available? ® ❑ ❑
Does supervisor review all log books on a regular basis? ® ❑ ❑ ❑
`Does the supervisor have plans to address documented short-term problem areas? ® ❑ ❑ ❑
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
Daily basis.
Are maintenance records for equipment available? ® ❑
Is a schedule maintained for testing emergency/standby equipment? ® ❑ ❑ ❑
What is the schedule for testing emergency/standby equipment? Monthly
Do pump station logs include:
Inside and outside cleaning and debris removal? ® ❑ ❑ ❑
Inspecting and exercising all valves? ❑ ❑ ❑
Inspecting and lubricating pumps and other equipment? ® ❑ ❑ ❑
Inspecting alarms,telemetry and auxiliary equipment? ■ ❑ ❑ ❑
Is there at least one spare pump for each pump station w/o pump reliability? 0 ❑ ❑ ❑
Are maintenance records for right-of-ways available? N ❑ ❑ ❑
Are right-of-ways currently accessible in the event of an emergency? 0 ❑ ❑ ❑
Are system cleaning records available? ■ ❑ ❑ ❑
Has at least 10%of system been cleaned annually? . ❑ ❑
What areas are scheduled for cleaning in the next 12 months?
Next area in sequence and specific lines as needed.
Is a Spill Response Action Plan available? ■ ❑ ❑ ❑
Does the plan include:
Page: 3

_.... ...._... .. ._....... ..__.. _ _ _ _
._..... . ...._.....
Permit: WQCSDO023 Owner-Facility:Tuckaseigee Water&Sewer Authority
Inspection Date: 12/07/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Operation&Maintenance Reouirements Yes No NA NE
24-hour contact numbers
Response time ® ❑ El ❑
Equipment list and spare parts inventory ® ❑ ❑
Access to cleaning equipment ® ❑ ❑
Access to construction crews,contractors,and/or engineers ■ El ❑
Source of emergency funds ■ ❑ ❑ ❑
Site sanitation and cleanup materials ■ ❑ ❑ ❑
Post-overflow/spill assessment ■ ❑ ❑ ❑
Is a Spill Response Action Plan available for all personnel? ® ❑ ❑ ❑
Is the spare parts inventory adequate? ■ ❑ ❑ ❑
Comment:
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? ■ ❑ 0 ❑
Are records of SSOs that are under the reportable threshold available? ■ ❑ ❑ ❑
Do spill records indicate repeated overflows(2 or more in 12 months)at same location?
❑ ❑ ■ ❑ J
If yes,is there a corrective action plan? ❑ ■ ❑
Is a map of the system available? ■ ❑ ❑
Does the map include:
Pipe sizes ■
Pipe materials ■ ❑ ❑ ❑
Pipe location M n ❑ ❑
Flow direction ■ ❑ ❑
Approximate pipe age ■ ❑ ❑ ❑
Number of service taps ■ 11 ❑ ❑
Pump stations and capacity ■ ❑ ❑ ❑
If no,what percent is complete?
List any modifications and extensions that need to be added to the map
#Does the permittee have a copy of their permit? ■ ❑ ❑ ❑
Comment:
PS#17 SLABTOWN -
Pump Station -
Yes No NA NE
Pump station type Duplex
Page: 4

Permit: WQCSDO023 Owner-Facility:Tuckaseigee Water&Sewer Authority
Inspection Date: 12/07/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
PS#17 SLABTOWN -
Pump Station Yes No NA NE
Are pump station logs available? ® El ❑ ❑
Is it accessible in all weather conditions? ® ❑ ❑ ❑
#Is general housekeeping acceptable? ® ❑ ❑ ❑
Are all pumps present? ® ❑ ❑ ❑
Are all pumps operable? ® ❑ ❑ ❑
Are wet wells free of excessive debris? ® ❑ ❑ ❑
Are upstream manholes free of excessive debris/signs of overflow? ® ❑ ❑ ❑
Are floats/controls for pumps/alarms operable? ® ❑ ❑ ❑
Is"auto polling"feature/SCADA present? ❑ ❑
M El
Is"auto polling"feature/SCADA operational? ❑ ❑ ® ❑
Is simple telemetry present? ® ❑ ❑ ❑
Is simple telemetry operational? ® ❑ ❑ ❑
Are audio and visual alarms present? ® ❑ ❑ ❑
Are audio and visual alarms operable? ® ❑ ❑ ❑
Is the Pump station inspected as required? ® ❑ ❑ ❑
Are backflow devices in place? ® ❑ ❑ ❑
/ Are backflow devices operable? ■ ❑ ❑ ❑
Are air relief valves in place? ® ❑ ❑ ❑
Are air relief valves operable? ■ ❑ ❑ ❑
# Is an emergency generator available? ® ❑ ❑ ❑
Can the emergency generator run the pumps? ® ❑ ❑ ❑
Is the pump station equipped for quick hook-up? • ❑ ❑ ❑
Is the generator operable? El El ❑
#Is fuel in tank and sufficient? ❑ ❑ ❑
Is the generator inspected according to their schedule? ® ❑ ❑ ❑
Is a 24-hour notification sign posted? ® ❑ ❑ ❑
Does it include:
Instructions for notification? • ❑ ❑ ❑
Pump station identifier? ❑ ❑ ❑
Emergency phone number ® ❑ ❑ ❑
Is public access limited? ❑ ❑
Is pump station free of overflow piping? ❑ ❑ ❑
Is the pump station free of signs of overflow? ■ ❑ ❑ ❑
Are run times comparable for multiple pumps?
Page: 6

....._.... . ..._......
Permit: WQCSDO023 Owner-Facility:Tuckaseigee Water&Sewer Authority
Inspection Date: 12/07/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
PS#17 SLABTOWN -
Pump Station Yes No NA NE
Comment: A portable emergency generator is no longer present in the Cashiers area Only one of the six
pump stations has a dedicated emergency generator.A portable generator that is compatible
with all Dump stations in the collection system should be readily available and within easy
access.
Page: 6

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
WaterRes©urces S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 22, 2016
DWR# 16-1055
McDowell County
Kevin McLean
213 Whitestone Drive
Kennet Square, PA 19348
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
McLean Old Wildlife Club Lot 23 Lake James
Dear Mr. McLean:
You have our approval for the impacts listed below for the purpose described in your application
dated August 29, 2016 and received by the Division of Water Resources (Division)on October
31, 2016,with additional information received on December 20, 2016. These impacts are
covered by the attached Water Quality General Certification Number 3898 and the additional
conditions listed below. This certification is associated with the use of General Permit Number
30 issued by the U.S. Army Corps of Engineers. Please note that you should obtain any other
federal, state or local permits before proceeding with your project, including those required by
_..(but not limited to) Sediment and Erosion Control,Non-Discharge, Water Supply Watershed,
and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit, and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b)
and/or(c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool Below Pool
0.0121 (acres) 0.0241 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold,the new owner must be given a copy of this approval letter and
State of North Carolina I Environmental Quality I Water Resources.
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

McLean Old Wildlife Club Lot 23
DWR# 16-1055
401 Approval
Page 2of3
General Certification(s)/Permit/Authorization and is responsible for complying with all
conditions. [1.5A NCAC 02H .0507(d)(2)]
3. The proposed project must comply with the McDowell County local riparian buffer
ordinance approved by the Division of Water Resources under the Catawba River Basin:
Protection and Maintenance of Existing Riparian Buffers, 15A NCAC 02B.0243(3)(b).
4. Stabilization techniques must meet the General Conditions listed in the Shoreline
Stabilization Technique Selection Process found in Duke Energy's Shoreline
Management Guidelines for the Catawba-Wateree river system 2006 Shoreline
Management Plan.
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919) 431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays). -i
The petition may be faxed to the OAH at(919) 431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DEQ:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601

McLean Old Wildlife Club Lot 23
DWR# 16-1055
401 Approval
Page 3 of 3
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
[e-mail] if you have any questions or concerns.
Sincerely,
Zan Price, P.E.,Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion
cc: William Elliott—USACE Asheville Regulatory Field Office (via email)
Wade Harmon—Duke Energy(via email)
Andrea Leslie—NCWRC (via email)
Ron Harmon-McDowell County Planning (via email)
Cathleen Adkins—Catawba Valley Property Management(via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\McDowell\401s\Non-DOT\McLean Old Wildlife Club Lot 23\APRVL.McLean Old Wildlife Club Lot 23 12.22.2016.doex

PAT MCCRORY
Governor
r
�;. DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Water Resources Director,
ENVIRONMENTAL QUALITY
December 22,2016
Lee Smith,Utilities Director
City of Hendersonville
305 Williams Street, Ste. 119
Hendersonville,NC 28792
SUBJECT: Compliance Evaluation Inspection
Hendersonville Collection System
Permit No:WQCS00070
Henderson County
Dear Mr. Smith:
On December,14, 2016, I conducted a Compliance Evaluation Inspection of the City of Hendersonville Wastewater
Collection System. Based on records reviewed, on-site visits to system components and interviews with staff, the
Wastewater Collection System was determined to be in compliance with permit WQCS00070.A report is attached
for your records with findings summarized. The collection system appears to be well maintained and operated, and
record keeping by your staff was excellent.The following items were noted during the inspection:
• Continue to operate and maintain the collection system in compliance with the requirements outlined in
15A NCAC 02T for Wastewater Collection Systems.
The assistance of Mr.Tim Sexton,Mr.Dwayne,Jones and their staff during the inspection was greatly appreciated.
If there are questions or additional information is needed regarding system operation,maintenance,or permit
questions,please feel free to contact me at 828-296-4500.Please refer to the enclosed inspection report for
additional observations and comments.
Sincerely,
Tim Heim,P.E.
Environmental Engineer
Enc.
cc: Tim Sexton, ORC
MSC 1617-Central Files-Basement
Asheville Files
G:\WR\WQ\Henderson\Collection Systems\Hendersonville WQCS00070\CEI letter 12-14-2016.doc
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

_.
_.
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Compliance Inspection Report
Permit: WQCS00070 Effective: 08/01/15 Expiration: 07/31/23 Owner: City of Hendersonville
SOC: Effective: Expiration: Facility: Hendersonville Collection System
County: Henderson PO Box 1670
Region: Asheville
Nendersonvlle NC 287931670
Contact Person: Lee Smith Title: Utilities Director Phone: [phone]
Directions to Facility:
System Classifications: CS2,
Primary ORC: Timothy Samuel Sexton Certification: 996717 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
NC0025534 City of Hendersonville-Hendersonville WWTP
Inspection Date: 12/14/2016 Entry Time: 09:OOAM Exit Time: 03:OOPM
Primary Inspector: Timothy H Heim Phone: [phone]
Secondary Inspector(s):
Daniel J Boss
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: . Compliant Not Compliant
Question Areas:
Miscellaneous Questions Performance Standards ® Operation&Maint Reqmts
Records Monitoring&Rpting Reqmts Inspections
® Pump Station ® Manhole ® Lines
(See attachment summary)
Page: 1

.... .........
Permit: WQCS00070 Owner-Facility:City of Hendersonville
Inspection Date: 12/14/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspection Summary:
Tim Heim of the Asheville Regional Office performed a Compliance Evaluation Inspection on December 14th, 2016. Lee
Smith(Utilities Director),Tim Sexton, (ORC)and other members of the City of Hendersonville Public Works staff assisted
with the inspection and with records review.The permitted collection system appeared well maintained and operated at the
time of the inspection,and in compliance with Permit WQCS00070. Record keeping and orgnaization are excellent.
i
Page: 2

Permit: WQCS00070 Owner-Facility:City of Hendersonville
Inspection Date: 12/14/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspections Yes No NA NE
Are maintenance records for sewer lines available? ® ❑ ❑ ❑
Are records available that document pump station inspections? ® ❑ ❑ ❑
Are SCADA or telemetry equipped pump stations inspected at least once a week? ® ❑ ❑ ❑
Are non-SCADA/telemetry equipped pump stations inspected every day? ❑ ❑ ® ❑
Are records available that document citizen complaints? ® ❑ ❑ ❑
#Do you have a system to conduct an annual observation of entire system? ® ❑ ❑ ❑
#Has there been an observation of remote areas in the last year? ® ❑ ❑ ❑
Are records available that document inspections of high-priority lines? ® ❑ ❑ ❑
Has there been visual inspections of high-priority lines in last six months? ® ❑ ❑ ❑
Comment: Record keeping is excellent The city has recently purchased a drone to aid in observing remote
ROW areas and reduce risk to workers.
Monitoring and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available? ❑ ❑ ❑
Are public notices and proof of publication available? ® ❑ El ❑
#is an annual report being prepared in accordance with G.S. 143-215.1C? ■ ❑ ❑ ❑
#Is permittee compliant with all compliance schedules in the permits? . ❑ ❑ ❑
If no,which one(s)?
Comment:
Operation&Maintenance Requirements Yes No NA NE
Are all log books available? ® ❑ ❑ ❑
Does supervisor review all log books on a regular basis? ® ❑ ❑
Does the supervisor have plans to address documented short-term problem areas? ® ❑ ❑ ❑
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
Electronic WO and record keeping system allows supervisor to review records at any time.
Are maintenance records for equipment available? ■ ❑ ❑ ❑
Is a schedule maintained for testing emergency/standby equipment? ❑ ❑ ❑
What is the schedule for testing emergency/standby equipment? Weekly
Do pump station logs include:
Inside and outside cleaning and debris removal? ® ❑ ❑ ❑
Inspecting and exercising all valves? ❑ ❑ ❑
Inspecting and lubricating pumps and other equipment? ■ ❑ ❑
El
Page: 3

Permit: WQCS00070 Owner-Facility:City of Hendersonville
Inspection Date: 12/14/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Operation$Maintenance Requirements Yes No NA NE
Inspecting alarms,telemetry and auxiliary equipment? M n
Is there at least one spare pump for each pump station w/o pump reliability? ® 1:1
Are maintenance records for right-of-ways available? ® p
Are right-of-ways currently accessible in the event of an emergency? ® �
Are system cleaning records available? ® �
Has at least 10%of system been cleaned annually? ® E]
What areas are scheduled for cleaning in the next 12 months?
Next area in sequence and specific lines as needed.
Is a Spill Response Action Plan available? ® p
Does the plan include:
24-hour contact numbers
Response time ® p ❑ ❑
Equipment list and spare parts inventory ® p
Access to cleaning equipment ® 11
El El
Access to construction crews,contractors,and/or engineers
Source of emergency funds ® p El 0
Site sanitation and cleanup materials
Post-overflow/spill assessment ■
Is a Spill Response Action Plan available for all personnel? 0 ❑
Is the spare parts inventory adequate? El El
Comment: Emergency Action Plan is complete and up to date Warehouse and sDare Darts inventory are
well organized and supplied.
Performance Standards Yes No NA NE
Is Public Education Program for grease established and documented? 0 DO
What educational tools are used?
Educational flyers.
Is Sewer Use Ordinance/Legal Authority available? ■ ❑ El
Does it appear that the Sewer Use Ordinance is enforced?
Is Grease Trap Ordinance available? ■
El E10
Is Septic Tank Ordinance available(as applicable,i.e.annexation)
List enforcement actions by permittee,if any,in the last 12 months
Has an acceptable Capital Improvement Plan(CIP)been implemented?
Does CIP address short term needs and long term\"master plan\"concepts? f�
Does CIP cover three to five year period? ■
Page: 4

Permit: WQCS00070 Owner-Facility:City of Hendersonville
Inspection Date: 12/14/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Performance Standards Yes No NA NE
Does CIP include Goal Statement? 0 El ❑
Does CIP include description of project area? ® ❑ ❑ ❑
Does CIP include description of existing facilities? ® ❑ ❑ ❑
Does CIP include known deficiencies? ® ❑ ❑ ❑
Does CIP include forecasted future needs? ® ❑ ❑ ❑
Is CIP designated only for wastewater collection and treatment? ® ❑ ❑ ❑
Approximate capital improvement budget for collection system? $3,671,000.00
Total annual revenue for wastewater collection and treatment?
CIP Comments
The city maintains and updates their CIP on a regular basis.
Is system free of known points of bypass? ® ❑ ❑
El
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? ® ❑ ❑
#Does the sign include:
Instructions for notification? ® ❑ ❑ ❑
El
Pump station identifier? ® ❑ ❑
- 24-hour contact numbers ® ❑ ❑ ❑
If no,list deficient pump stations
#Do ALL pump stations have an"auto polling"feature/SCADA? ® ❑ ❑ ❑
30
Number of pump stations
Number of pump stations that have SCADA 30
Number of pump stations that have simple telemetry
Number of pump stations that have only audible and visual alarms 0
Number of pump stations that do not meet permit requirements 0
#Does the permittee have a root control program? ® ❑ 0 ❑
#If yes,date implemented?
Describe:
The city self performs root control and owns and maintains appropriate equipment for this operation.
Comment: The city has-been self performing root control for a number of years.
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? 0 ❑ ❑ ❑
Are records of SSOs that are under the reportable threshold available? ■ ❑ ❑ ❑
Do spill records indicate repeated overflows(2 or more in 12 months)at same location? ❑ ❑ ® ❑
Page: 5

_....... . .._...._._. ... ....... .
Permit: WQCS00070 Owner-Facility:City of Hendersonville
Inspection Date: 12/14/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Records
Yes No NA NE
If yes,is there a corrective action plan?
Is a map of the system available? M M ❑ El
Does the map include:
Pipe sizes ® 0 El 0
Pipe materials 0 n El F1
Pipe location ® 1:1Ej ❑
Flow direction ® 1:1
Approximate pipe age M 0 El El
Number of service taps ■ ❑
El n
Pump stations and capacity. ® El 0 El
If no,what percent is complete?
List any modifications and extensions that need to be added to the map
#Does the permittee have a copy of their permit? ® p
Comment:
Page: 6

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Waterkesources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 29, 2016
DWR# 15-1297 V2
Buncombe County
Urbana Cliffs, LLC
Attn: Mr. Richard Hubble
PO Box 1047
Travelers Rest, SC, 29690
Sunrise Income, LLC
Attn: Mr. Bob Turner
704 Craggyside Lane
Arden, NC 28704
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH ADDITIONAL
CONDITIONS
Walnut Cove
Dear Mr. Hubble and Mr.Turner:
YoU have:our approval for the impacts listed below for the purpose described in your
application dated August 2, 2016, and received by the Division of Water Resources (Division) on
November 18, 2016 with additional information received on December 16, 2016 and December
19, 2016.These impacts are covered by the attached Water Quality General Certification
Number 3890 and the additional conditions listed below. This certification is associated with
the use of Nationwide Permit Number 29 once it is issued to you by the U.S. Army Corps of
Engineers. Please note that you should get any other federal, state or local permits before
proceeding with your project, including those required by (but not limited to) Sediment and
Erosion Control,Non-Discharge, Water Supply Watershed, and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification are met.. No other impacts are approved,
including incidental impacts. [15A NCAC 02H .0506(b) and/or(c)]
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Walnut Cove
DWR#15-1297 V2
401 Approval
Page 2 of 3
Type of Impact Amount Approved Amount Approved
(units) (units)
Permanent Temporary
Streams
Impact S1 40 (linear feet)
Impact S2 40 (linear feet)
2. Mitigation must be provided for the proposed impacts as specified in the table below.
The Division has received an acceptance letter from the NC Division of Mitigation
Services (DMS)to meet this mitigation requirement. Until the DMS receives and clears
your payment, and proof of payment has been provided to this Office, no impacts
specified in this Authorization Certificate shall occur. For accounting purposes, this
Authorization Certificate authorizes payment to the DMS to meet the following
compensatory mitigation requirement [15A NCAC 02H .0506 (b)(6)]:
Compensatory Mitigation River& Sub-basin
Required Number
Stream 80 (feet) French Broad
06010105
3. This approval is for the purpose and design described in your application.The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate
fee. If the property is sold, the new owner must be given a copy of this approval letter
and General Certification(s) and is responsible for complying with all conditions. [15A
NCAC 02H .0507(d)(2)]
4. Stormwater Management Plan (SMP)Approval from Buncombe County Required
You are required to provide one copy of the approved SMP, including plan details on
full-sized plan sheets, with proof of Buncombe County's approval. The approved SMP
shall be submitted to the DWR 401 & Buffer Permitting Unit (1617 Mail Service Center,
Raleigh, NC 27699-1617) before any impacts authorized in this certification occur.
After it is approved and submitted to the Division, the SMP may not be modified
without prior written authorization from Buncombe County. If the SMP.is modified in
the future, then you shall provide one modified SMP with proof of approval to the DWR
401 & Buffer Permitting Unit prior to the commencement of the modifications. [15A
NCAC 02H .0506(b)(5)] `'
i

Walnut Cove
DWR#15-1297 V2
401 Approval
Page 3 of 3
5. The turbidity standard of 50 NTUs (Nephelometric Turbidity Units) shall not be
exceeded as described in 15 A NCAC 0213 .0200.'Appropriate sediment and erosion
control practices must be used to meet this standard. [15A NCAC 02B .0200]
6. Fueling, lubrication and general equipment maintenance should not take place within
50 feet of a waterbody or wetlands to prevent contamination by fuel and oils. [15A
NCAC 02H .0506 (b)(3) and (c)(3) and 15A NCAC 02B .0200 (3)(f)]
7. All temporary impacted areas shall be restored to pre-construction natural conditions
upon completion of the project. Native vegetation shall be used for stream bank
stabilization. [15A NCAC 02H .0506 (b)(2) and (c)(2)]
8. Any additional impacts to streams and/or wetlands as a result of future roads,
buildings, driveways, utility lines or other development related activities within this
subdivision will require a modification of this 401 Water Quality Certification approval.
[15A NCAC 02H .0506(4) and 15A NCAC 02H .0501 and .05021
9. All mechanized equipment operated near surface waters or wetlands will be regularly
inspected and maintained to prevent contamination of waters and wetlands from fuels,
lubricants, hydraulic fluids or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill, the permittee/contractor shall immediately contact the
- Division of Water Quality, between the hours of 8 am to 5 pm at the Asheville Regional
Office at 828.296.4500 and after hours and on weekends call [phone].
Management of such spills shall comply with provisions of the North Carolina Oil
Pollution.:and,Hazardous Substances Control Act. [15A NCAC 02H .0506 (b)(3) and --- -
(c)(3), 15A NCAC 02B .0200 (3)(f), and GS 143 Article 21A]
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided. in Articles 3 and 4 of General Statute 150E by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH) within sixty(60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at [phone] for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH during
normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding official
state holidays).
The petition may be faxed to the OAH at [phone], provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:

Walnut Covt
DWR#15-1297 V2
401 Approval
Page 4 of 3
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh, NC 27699-6714 Raleigh, NC 27609-6285
One (1) copy of the petition must also be served to DENR:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Zan Price at 828-296-4662 or
[e-mail] if you have any questions or concerns.
Sincerely,
Z n Price, P.E., Assistant Regional Supervisor
- Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3890
Certificate of Completion
cc: Jennifer Robertson —Atlas Environmental, Inc (via email)
William Elliott—USACE Asheville Regulatory Field Office(via email)
Andrea Leslie—NCWRC(via email)
Buncombe County(via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Buncombe\401s\Non-DOT\Sumerset at Walnut Cove\Version 2\APRVL.Sumset at Walnut Cove V2.docx

PAT MCCRORY
Governor
y
DONALD R. VAN DER VAART
Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 30, 2016
DWR# 16-1177
Rutherford County
Tom and Vicki Rogers
530 Brown Sugar Retreat
Mt. Pleasant, SC 29464
Subject: APPROVAL MODIFICATION OF 401 WATER QUALITY
CERTIFICATION WITH ADDITIONAL CONDITIONS
Rogers 185 Blarney Road-Lake Lure
Dear Mr. and Mrs. Vickers:
You have our approval for the impacts listed below for the purpose described in your application
dated November 25, 2016, and received by the Division of Water Resources (Division) on
November 30, 2016,with additional information received on December 15,2016. This approval
modification replaces the original approval issued on December 21, 2016. These impacts are
covered by the attached Water Quality General Certification Number 3898 and the additional
conditions listed below. This certification is associated with the use of General Permit Number
30 once it is issued by the U.S. Army Corps of Engineers. Please note that you should obtain any
other federal, state or local permits before proceeding with your project, including those required
by(but not limited to) Sediment and Erosion Control,Non-Discharge, Water Supply Watershed,
and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions;
1 The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit, and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H .0506(b)
and/or(c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool Below Pool
0.0368 (acres) 0.0470 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

Rogers 185 Blarney Roaa
DWR# 16-1177
401 Approval
Page 2 of 3
If the property is sold,the new owner must be given a copy of this approval letter and
General Certification(s)/Permit/Authorization and is responsible for complying with all
conditions. [15A NCAC 02H .0507(d)(2)]
3. No Impacts Beyond those in Application
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian
areas beyond the footprint of the impacts depicted in the Pre-Construction
Notification. All construction activities, including the design, installation, operation, and
maintenance of sediment and erosion control Best Management Practices, shall be
performed so that no violations of state water quality standards, statutes, or rules occur.
The turbidity standard of 10 NTUs (Nephelometric Turbidity Units) shall not be
exceeded as described in [15ANCAC 02B .0211 (21)]. Appropriate sediment and
erosion control practices must be used to meet this standard. Lake Lure is classified as
B; Trout waters.
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919)431-3000 for information. A petition is considered filed when the
original and one (1)copy along with any applicable OAH filing fee is received in the OAH
during normal office hours (Monday through Friday between 8:OOam and 5:OOpm, excluding
official state holidays).
The petition maybe faxed to the OAH at [phone],provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DEQ:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601

Rogers 185 Blarney Road
DWR# 16-1177
401 Approval
Page 3 of 3
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650 or
kevin.mitchell&cdenngov if you have any questions or concerns.
Sincerely,
rice,P.E.,Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion
cc: David Brown—USACE Asheville Regulatory Field Office (via email)
Andrea Leslie-NCWRC (via email)
Clint Calhoun—Town of Lake Lure (via email)
Stan Aiken—DEMLR(via email)
Vince Wiegman—Wiegman Architecture, PA(via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\Rutherford\401s\Non-DOT\Rogers 185 Blarney Road\APRVL.Rogers 185 Blamer Road 12.21.2016.docx

. .. .... ........... ......._._.._ ____ _ _ _
.............. . .......
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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
\ Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 30, 2016
DWR# 16-1054
McDowell County
Ryan Cook
PO Box 789
Morganton,NC 28680
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH
ADDITIONAL CONDITIONS
Cook 22 Old Wildlife Club POA—Lake James
Dear Mr. Cook:
You have our approval for the impacts listed below for the purpose described in your application
dated October 1, 2016, and received by the Division of Water Resources (Division) on October
31, 2016, with additional information received on December 20, 2016. These impacts are
covered by the attached Water Quality General Certification Number 3898 and the additional
conditions listed below. This certification is associated with the use of General Permit Number
30 issued by the U.S. Army Corps of'Engineers. Please note that you should obtain any other
federal, state or local permits before proceeding with your project, including those required by
(but not limited to) Sediment and Erosion Control,Non-Discharge, Water Supply Watershed,
and Trout Buffer regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit, and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts. [15A NCAC 02H,.0506(b)
and/or(c)]
Type of Impact Amount Approved
Permanent
Open Waters Above Pool Below Pool
0.0196 (acres) 0.0393 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the
Certification/Authorization. If you change your project, you must notify the Division
and you may be required to submit a new application package with the appropriate fee.
If the property is sold,the new owner must be given a copy of this approval letter and
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 1 Swannanoa,North Carolina 28778
828 296 4500

.....__.__...._....... .
Cook 22 Old Wildlife Club POA
DWR# 16-1054
401 Approval
Page 2 of 3 ;
General Certification(s)/Permit/Authorization and is responsible for complying with all
conditions. [15A NCAC 02H .0507(d)(2)]
3. The proposed project must comply with the McDowell County local riparian buffer
ordinance approved by the Division of Water Resources under the Catawba River Basin:
Protection and Maintenance of Existing Riparian Buffers, 15A NCAC 02B .0243(3)(b).
4. Stabilization techniques must meet the General Conditions listed in the Shoreline
Stabilization Technique Selection Process found in Duke Energy's Shoreline
Management Guidelines for the Catawba-Wateree river system 2006 Shoreline
Management Plan.
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH)within sixty(60) calendar days.
A petition form may be obtained from the OAH at http://www.ncoah.com/or by calling the
OAH Clerk's Office at(919) 431-3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH
duringnormal office hours (Monday through Friday between 8:OOam and S:OOpm, excluding
official state holidays).
The petition may be faxed to the OAH at(919)431-3100,provided the original and one copy of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service: If sending via delivery service (UPS,
FedEx, etc):
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Road
Raleigh,NC 27699-6714 Raleigh,NC 27609-6285
One (1) copy of the petition must also be served to DEQ:
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh,NC 27699-1601

Cook 22 Old Wildlife Club POA
DWR# 16-1054
401 Approval
Page 3 of 3
This letter completes the review by the Division under section 401 of the Clean Water Act as
described in 15A NCAC 02H .0500. Please contact Kevin Mitchell at 828-296-4650.or
kevin.mitchell;@ncdenr.€,ov if you have any questions or concerns.
Sincer
z
ly,
c
, Assistant Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3898
Certificate of Completion
cc: William Elliott—USACE Asheville Regulatory Field Office (via email)
Wade Harmon—Duke Energy(via email)
Andrea Leslie—NCWRC (via email)
Ron Harmon—McDowell County Planning (via email)
Cathleen Adkins—Catawba Valley Property Management(via email)
DWR ARO 401 files
DWR 401 and Buffer Permitting Unit(via email)
G:\WR\WQ\McDowell\401s\Non-DOT\Cook 22 Old Wildlife Club Lot 22\APRVL.Cook 22 Old Wildlife Club POA 12.23.2016.docx

State of North Carolina
Department of Environmental Quality
Division of Water Resources
- Water Quality Permitting
Regional Staff Report
December 30,2016
To: DWR Water Quality Permitting Section Central Office Application No.: W00033804
Attn: Alice Wessner Regional Login No.:
From: Bev Price
Asheville Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? ®Yes or❑No 2015 Annual Compliance Inspection
a. Date of site visit: 5/19/2015
b. Site visit conducted by: Bev Price
c. Inspection report attached? ®Yes or❑No
d. Person contacted: Bob Barr,RPB Systems and their contact information: [phone]
e. Driving directions: From I-26 take the Marshall Exit (US Hwy 70/25). Go approximately 3.5 miles and
exit right onto Sheppard Branch Road (SR 1741) Go 0.25 miles to Lower Sheppard Branch Road.
Facility is on the left.
H. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS
1. Facility Classification: (Please attach completed rating sheet to be attached to issued permit)
2. Are the new treatment facilities adequate for the type of waste and disposal system? ❑Yes or❑No
If no, explain:
3. Are site conditions(soils, depth to water table,etc)consistent with the submitted reports? ❑Yes ❑No ❑N/A
If no,please explain;
4. Do the plans and site map represent the actual site(property lines,wells,etc.)? ❑ Yes ❑No❑N/A
If no,please explain:
5. Is the proposed residuals management plan adequate? ❑Yes ❑No ❑N/A
If no,please explain:
6. Are the proposed application rates(e.g.,hydraulic,nutrient) acceptable? ❑Yes ❑No ❑N/A
If no, please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? ElYes or❑No
If yes, attach a map showing conflict areas.
8. Is the proposed or existing groundwater monitoring program adequate? ❑Yes ❑No ❑N/A
If no, explain and recommend any changes to the groundwater monitoring program:
9. For residuals,will seasonal or other restrictions be required? ❑Yes❑No❑N/A
If yes,attach list of sites with restrictions(Certification B)
FORM:APSRSR 04-10 Pagel of 3

III.EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS
l. Are there appropriately certified Operators in Charge(ORCs)for the facility? ® Yes ❑No ❑N/A
ORC: Richard Swilling Certificate#: SI993157 Backup ORC: Bob Barr Certificate#: SI24262
2. Are the design,maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? M Yes or❑No
If no,please explain:
3. Are the site conditions (e.g., soils,topography, depth to water table, etc.)maintained appropriately and adequately
assimilating the waste? ®Yes or No
If no,please explain:
4. Has the site changed in any way that may affect the permit(e.g., drainage added,new wells inside the compliance
boundary,new development, etc.)? ❑Yes or N No
If yes;please explain:
5. Is the residuals management plan adequate? ®Yes or❑No
If no,please explain:
6. Are the existing application rates(e.g.,hydraulic,nutrient)still acceptable?® Yes or❑No
If no,please explain:
7. Is the existing groundwater monitoring program adequate? ❑ Yes❑No H N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑Yes or®No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? Z Yes or❑No
If no,please explain: However only four cabins have been built;buildout is for 25 cabins
10. Were monitoring wells properly constructed and located? ❑Yes ❑No ®N/A
If no,please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑Yes ❑No ®N/A.
If no,please complete the following(expand table if necessary):
Monitoring Well Latitude Longitude
O I it O / //
12. Has a review of all self-monitoring data been conducted(e.g.,NDMR,NDAR, GW)? ®Yes or❑No
Please summarize any findings resulting from this review:
13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or®No
If yes,please explain:
14. Check all that apply:
❑No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑Notice(s)of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments(i.e.,NOV,NOD, etc.)
The facility did exceed the daily maximum and monthly averne for BOD for the month of September
2016. An NOV/NOI will be issued for these violations.
15. Have all compliance dates/conditions in the existing permit been satisfied? ❑Yes ®No ❑N/A
If no,please explain: Schedule I.1. states in part... "upon completion of construction and prior to operation of
Fields IA, 113,2,3, 4 and 5, a certification shall be submitted from a licensed North Carolina Professional
Engineer". These fields have not been certified. The ARO recommends leaving this Schedule as well as the
current permit limit of 2170 GPD in place until the additional fields are certified
FORM:APSRSR 04-10 Page 2 of 3

16. Are there any issues related to compliance/enforcement that should be resolved'before issuing this permit?
❑ Yes ®No ❑N/A
If yes,please explain:
IV. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? 0 Yes or®No
If yes,please explain:
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item Reason
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
5. Recommendation: ❑Hold,pending receipt and review of additional information by regional office
Z Hold,pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
❑ Issue
❑Deny(Please state reasons: )
6. Signature of report preparers J
Signature of APS regional supervisor: / ��^L v ctv z�s�"�
Date:
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM:APSRSR 04-10 Page 3 of 3

North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R,van der Vaart
Governor Secretary
.Tune 30,2015
Kathleen A Drysdale
NC Asset Mgnt LLC
12502 Carriage Hill Drive
Houston, TX 77077
SUBJECT: Compliance Evaluation Inspection
Deerborne Cottages
Permit No: WQ0033804
Wastewater Irrigation System
Buncombe County
Dear Ms Drysdale:
'Enclosed please find a copy of the Compliance Evaluation.Inspection Form from the inspection conducted on
-�/19/2015. The facility was found to be in compliance with permit WQ0033804.
The following item was noted during the inspection and should be addressed.A maintenance log is required for
documenting all maintenance/operations activities. Please see permit conditions: IV.9. and V.2.
Please refer to the enclosed inspection.report'for additional observations and comments. If you or your staff
have any questions,please call me at 828-296-4500.
Sincerely;
Beverly Pn e
Environmental Specialist
Enc.
cc: Bob.Barr,RPB Systems
MSC 1617-Central Files-Basement
Asheville Files `
G:\WR\WQ\Buncombe\Wastewater\Non-discharge\Deerborne Cottages,LLC\CEI15.docx
.2090 US.Hwy.70,Swannanoa,North Carolina 28778
Phone:[phone]\Internet:www.ncdenr,gov
An Equal Opportunity�Affirmative Action Employer—Made in part by recycled paper

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Compliance Inspection Report
Permit: WQ0033804 Effective: 06/11/14 Expiration: 12/31/16 Owner NC Asset Mgnt LLC
SOC: Effective: Expiration: Facility: Deerborne Cottages
6 Deerbome Ln
County: Buncombe
Region: Asheville
Weaverville NC 28787 .
Contact Person: Kathleen A Drysdale Title: Member Phone: [phone]
Directions to Facility:
From Weaverville,exit 1-26 headed west on Weaver Blvd(US 70 f25). Drive for approximately`3.5 miles and exit right onto Sheppard
Branch Rd(SR 1741). Go 0.25 miles-and turn a hard right onto Lower Sheppard Branch.Facility is on the left.
System Classifications: SI,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s): -
24 hour contact name Richard Morgan Swilling 828-251-1900 `
On-site representative Robert P Barr 828-251-1900
On-site representative Richard Morgan Swilling 828-251-1900
Related Permits:
Inspection Date: 05/19/2015 Entry Time: 09:30AM Exit Time: 10:30AM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Wastewater Irrigation
Facility Status: Compliant [] Not Compliant
Question Areas:
Treatment Flow Measurement-Effluent Treatment Flow Measurement-Influent Miscellaneous Questions
Treatment Flow Measurement-Water. Treatment Treatment Filters
Use Records
Record Keeping End Use-Irrigation Treatment Disinfection
Treatment Flow Measurement
(See attachment summary)
Page: 1

permit: WQ0033804 Owner-'Facility:NO Asset Mgnt LLC
Inspection Date: 05/19/2.015 Inspection Type:Compliance Evaluation Reason for visit: Routine
Inspection Summary:
The permitted flow for this facility has been reduced from 5360 gallons per day to 2170 gallons per day as of the permit
renewal June 11,2014. When irrigation Zones 1A, 1B,2,3,4 and 5 have been certified and a start-up inspection has been
completed,the flow will return to the original permitted rate.
Soils Report: 12/12/14
Alarm(visual&audible)for the dosing tank were working.
The lid for the dosing tank is broken. According to the ORC,a replacement has been purchased and is on-site at RPB
facility.
The turbidity meter was calibrated 6/14/2015.
The flow meter was calibrated 5/18/2015.
Drip Field#6-all effluent is going to this field. All leaks were repaired the week prior to inspection. There were still several
leaks in the drip line at the time of inspection. There is ample evidence that the drip lines are being chewed by some
animal(s). This field was hand cleared during the summer 2014.
The soils analysis indicates the need for lime at 0.8T/ac to fields 6(pH 4.9),7(pH 4.7)and 8(5.0). Lime was not added as
this area is mostly in pines and naturally acidic.
June 2015 NDMR was reviewed for consistency with lab sheets.
Residuals none have been removed so far because there has been very little flow through the system since facility began
operating. There are currently 4 cabins being rented and they have septic tanks.
The storage pond was empty. "The weeds/woody vegetation inside the fence need to be cut.
The generator is operable. The fuel(LP gas)level read 80%full.
An operation/maintenance log needs to be developed for this facility-see permit conditions:1V.9.and V.2
r\
pH measured at the dosing tank was 6.4 @ 19.5 degrees C.
i
/ r
3
Page: 2

Permit: WQ0033804 owner-Facility:NC Asset Mgnt LLC
Inspection Date: 05/19/2015 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Type Yes No NA NE
Lagoon Spray,LR El
Infiltration System El
Reuse(Quality) ❑
Activated Sludge Spray,LR
Single Family Spray,LR ❑
Activated Sludge Spray,HR ❑
Single Family Drip ❑
Recycle/Reuse
Activated Sludge Drip,LR
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.) ❑ N ❑ ❑
Comment: Irrigation Zones 1A 1 B 2 3 4 and 5 have not been certified.
Treatment Flow Measurement-Influent Yes No NA NE
Is flowmeter calibrated annually? - ❑ ❑
IN n
Is flowmeter operating properly? ❑ ❑ ❑
Does flowmeter monitor continuously? 0 ❑ ❑
Does flowmeter record flow? ❑
Does flowmeter appear to monitor accurately? El ❑
Comment:
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? ❑ ❑
Are the daily average values properly calculated? 1:10 E
Comment:
Treatment Flow Measurement-Effluent Yes No NA NE
Is flowmeter calibrated annually?: ❑ ❑ 0
Is flowmeter operating properly? ❑
Does flowmeter monitor continuously? ❑ ❑ '
Does flowmeter record flow? ❑ O" ❑
Does flowmeter appear to monitor accurately? ❑
0 El
Comment: -
-Treatment Filters Yes No NA NE
Is the filter media present? ❑ ❑
Page: 3

Permit: WQ0033804 Owner-Facility:NC Asset Mgnf LLC
Inspection Date: 05/19/2015 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Is the filter media the correct size and type? M ❑ 0 ❑
Is the air scour operational? ❑ ❑ ❑
Is the scouring acceptable? El 0 E El
Is the clear well free of excessive solids? ❑ ❑ 0 ❑
Is the mud well free of excessive solids and filter media? ❑ [] M El
Does backwashing frequency appear adequate? 0 ❑ ❑ ❑
Comment:
Treatment Disinfection Yes No Na NE
Is the system working? ❑ ❑`❑
Do the fecal coliform results indicate proper disinfection? 0 ❑ ❑ 0
Is there adequate detention time(> 30 minutes)? 0 El ❑ El
Is the system properly maintained? 0 EJ El ❑
If gas,does the cylinder storage appear safe? ❑ ❑ E n
Is the fan in the chlorine feed room and storage area operable? ❑ ❑ 0 ❑ .
,j
Is the chlorinator accessible? El El 0 El
If tablets,are tablets present? ❑ ❑ ❑
Are the tablets the proper size and type? ❑ D ❑
-Is contact chamber free of sludge,solids,and growth? ❑ [� ❑
If UV,are extra UV bulbs available? N ❑ ❑ ❑
If UV,is the UV intensity adequate? ❑ ❑ ❑ ❑
#Is it a dual feed system?
❑'0 a_❑
Does the Stationary Source have more than 2500 Ibs of Chlorine(CAS No.7782-50-5)? ❑ [l N []
If yes,then is there a Risk Management Plan on site? ❑ [�
If yes,then what is the EPA twelve digit ID Number?(1000-=_)
If yes,then when was the RMP last updated?
Comment:
f
Record Keeping Yes No NA NE
Is a.copy of.current permit available? ❑:
Are monitoring reports present: NDMR? 0El
NDAR? N ❑ ❑ ❑
Are flow rates less than of permitted flow? N 11 El El
Are flow rates less than of permitted flow? ❑ ❑ ❑
Are application rates adhered to? 0 00
Is GW monitoring being conducted,if required(GW-59s submitted)? ❑ 0 On .
�.. A
Are all samples analyzed for all required parameters? ❑ El 11
Are there any 2L GW quality violations? ❑ ® ❑
Page: 4

permit: WQ0033804 Owner-Facility:NC Asset Mgnt LLC
Inspection Date: 05/19/2015 Inspection Type,.Compliance Evaluation Reason for Visit: Routine
Is GW-59A certification form completed for facility? ❑ ❑ M ❑
Is effluent sampled for same parameters as GW? ❑ ❑ ❑
Do effluent concentrations exceed GW standards?
Are annual soil reports available? `❑ ❑ ❑
#Are PAN records required? 0 11 ❑
#Did last soil report indicate a need for lime? ❑ ❑
If so,has it been applied? ❑ 11 ❑ ❑
Are operational logs present? ❑
Are lab sheets available for review? 1110 ❑ ❑
Do lab sheets support data reported on NDMR? ❑ ❑ ❑
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? ❑ Ell ❑
No treatment units bypassed since last inspection? ❑ ❑ ❑
Comment: The ORC should have a copy of the most recent permit.
Most operation/maintenance items are documented but there is no formal
operation/maintenance log Some maintenance items for example the repairs to the.drip lines,
were not recorded All maintenance should be documented in a maintenance/inspection log.
End Use-irrigation Yes No NA NE
Are buffers adequate? ❑ ❑ ❑
Is the cover crop type specified in permit? ❑ ❑
Is the crop cover acceptable? ❑ ❑ ❑
Is the site condition adequate? ❑ ❑ ❑
Is the site free of runoff/ponding?. ❑ ❑ ❑
Is the acreage specified in the permit being utilized?
Is the application equipment present? ❑ ❑
Is the application equipment operational? ❑ ❑ ❑
Is the disposal field free of limiting slopes? ❑
Is access restricted and/or signs posted during active site use? ❑ ❑ ❑
Are any supply wells within the CB? ❑ ❑
Are any supply wells within 250' of the CB? N El❑ ❑
How close is the closest water suppiy.well?
Is municipal water available in the area? ❑ ❑
#Info only:Does the permit call for monitoring wells? El ❑
1-1
Are GW monitoring wells located properly w/respect to RB and CB? ❑ ❑
Page: 5

- a
Permit: WQ0033804 Owner-.Facility:NC Asset Mgnt LLC
Inspection Date: 0 511 9/20 1 5 Inspection Type:Compliance Evaluation Reason for visit: Routine
Are GW monitoring wells properly constructed,including screened interval? []
Are monitoring wells damaged? El El M FJ
Comment: The permit does not specify the crop type The drip field is a mixture of pine and hardwoods
There are no water_supply wells within the Compliance Boundary.
There are no supply wells within 250 ft of the zones(6,7&8)currently permitted to receive
effluent water.
Page: 6

State of North Carolina
Department of Environmental Quality
Division of Water Resources
JW- IR
WATER QUALITY REGIONAL OPERATIONS SECTION
NON-DISCHARGE APPLICATION REVIEW REQUEST FORM
Division of Water Resources
November 30,2016
To: ARO-WQROS:Landon Davidson/Zan Price'`
From: Alice Wessner,Water Quality Permitting Section-Non-Discharge Permitting Unit
Permit Number: WQ0033804 Permit-Type: Wastewater Irrigation
Applicant: NC Asset Mgnt,LLC Project Type:Renewal
Owner Type: Organization Owner in BIMS?Yes
Facility Name: Laurel Mountain Retreat Facility in BIMS?Yes
Signature Authority: Kathleen A.Drysdale Title: Owner
Address: 12502 Carriage Hill Drive,Houston,Texas 77077 County: Buncombe
Fee Category: Non-Discharge Minor Fee Amount: $0
Comments/Other Information:
Attached, you will find all information submitted in support of the above-referenced application for your review,
comment, and/or action. Within 45 calendar days,please take the following actions:
® Return this form completed. Z Return a completed staff report.
❑ Attach an Attachment B for Certification. ❑ Issue an Attachment B Certification.
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 Water Quality Permitting Section contact person listed above.
RO-WQROS Reviewer:
Date:
r- - RECEIVED
t jon of Water Resours
m 2 2016
ses Zits 0h,Rogionai Operations
offic®.
FORM:WQROSNDARR 09-15 Page 1 of 1

+ �
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I�va�917rYL ,. >.
Ny
At
CERTIFIED MAIL #: 7015 1520 0003 5463 2541
RETURN RECEIPT REQUESTED
December 30, 2016
Town of Granite Falls
Randy Smith
PO Box 10
Granite Falls, NC 28630
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-DV-0019
Sanitary Sewer Overflows - December 2016
Collection System Permit No. WQCS00145
Granite Falls Collection System
Caldwell County
Dear Permittee:
The self-reported Sanitary Sewer Overflow (SSO) 5-Day Report submitted by Granite Falls indicates violations of
permit conditions,stipulated in the subject permit and North,Carolina G.S. 143-215.1.Violations include failing to
effectively manage, maintain, and operate the subject collection system so that there is no SSO to the land or
surface waters and making an outlet to waters of the State for purposes of G.S. 143-215.1(a)(1), for which a
permit is required.
Specific incident cited in the subject report include the following:
Total Vol
Total Surface
Incident Start Duration Vol Water
Number Date (Mins) Location Cause (Gals) (Gals) DWR Action
201602633 12/12/2016 55 4279 Hickory Blvd Debris 250 75 Notice of Deficiency
Remedial actions, if not already implemented, should be taken to correct the above noncompliance. The Division of
Water Resources may pursue enforcement action for this and any additional violations of State law.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

If you have any questions, please do not hesitate to contact Linda Wiggs with the Water Quality Section in the
Asheville Regional Office at 828-296-4500 or via email at [e-mail].
Sincerely,
f--J r
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
Cc: Asheville Regional Office
Central Files, Water Quality Section
G:1WRIWQ\Caldwell\Collection Systems\Granite Falls Collection System)NOD-2016-DV-0019.SSO.12-12-2016.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources
ENVIRONMENTAL QUALITY S. JAY ZIMMERMAN
Director
December 30,2016
CERTIFIED MAIL 70151520 0003 5463 2558 211 Mailing
RETURN RECEIPT REQUESTED
Mr.George A.(Tony)Nesbitt
440 Lower Branch Road
Fletcher,NC North Carolina 28732
Subject: NOTICE OF VIOLATION
NOV-2016-PC-0529
Administrative Code 15A NCAC 2T.13 04
(T&C Dairy)Facility No. 11-6 General Permit No.AWG200000
Certificate of Coverage No.AWC 110006
Buncombe County
Dear Mr.Nesbitt:
On September 28, 2016, staff of the NC Division of Water Resources (DWR), Water Quality Regional Operations
Section(WQROS), inspected the T&C Dairy Farm and the permitted waste disposal system. We wish to thank you
for assisting during the inspection.
As a result of this inspection,you are hereby notified that,having been permitted to have a non-discharge permit for
the subject animal waste disposal system pursuant to 15A NCAC 2T .1304,you have been found to be in violation
of your Certified Animal Waste Management Plan (CAWMP) and the Cattle Waste_Management System General
Permit No.AWG200000 as follows:
Violation 1:
Failure to collect a waste analysis within 60 days (before or after) of the date of application in accordance with
Condition I11. 5.of the Cattle Waste Management System General Permit No.AWG200000.
On September 28, 2016, staff completed a records review and found that there were no waste analyses to cover the
Winter 2015 or Spring 2016 applications.
Required Corrective action for Violation 1:
In the future,you must collect waste samples within 60 days(before or after)of application.
Violation 2:
Failure to only apply waste to areas included in the Waste Utilization Plan(WUP) in accordance with Condition II.
2.of the Cattle Waste Management System General Permit No.AWG200000.
On September 28, 2016 staff noted during a site visit to the application fields,that not all fields are included in the
WUP.
Required Corrective Action for Violation 2:
Please update the WUP to include all fields that receive animal waste.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Hwy.70 I Swannanoa,North Carolina 28778
828 296 4500

Violation 3:
Failure to make "major changes", "revisions" or "amendments" to the W , as defined in Section VII,
"Definitions", of the General Permit, in order to address any changes needed to maintain compliance with the
Certificate Of Coverage and the General Permit. "Major changes",revisions" and"amendments"to the WUP must
be documented, dated, and included as part of the WUP in accordance with Condition I.'3. of the Cattle Waste
Management System General Permit No.AWG200000.
On September 28, 2016 staff noted during the records review that the WUP had not been updated to include the
change in crops(corn silage/winter wheat to vegetables)and the removal of the irrigation system for the GA Nesbitt
field.
Required Corrective Action for Violation 3:
Please update the WUP to reflect current crops and application methods.
The Division of Water Resources requests that, in addition to the specified corrective action above, please submit
the following items within 30 days of receipt of this Notice:
1. A copy of the updated WUP
2. Updated lease agreements for land application fields.
You are required to take any necessary action to correct the above violations and to provide a written
response within 30 days of receipt of this Notice. Please include in your response all corrective actions already
taken and a schedule for completion of any corrective actions not addressed.
Failure to comply with the State's rules, in the manner and time specified,may result in the assessment of additional
civil penalties and/or the use of other enforcement'mechanisms available to the State.
Failure to comply with conditions in a permit may result in a recommendation of enforcement action,to the Director
of the Division of Water Quality who may issue a civil penalty assessment of not more that twenty-five thousand
($25,000) dollars against any "person" who violates or fails to act in accordance with the terms, conditions, or
requirements of a permit under authority of G.S. 143-215.6A.
If you have any questions concerning this Notice,please contact Beverly Price or me at(828)296-4500.
Sincerely,
FUG
G.Landon Davidson,P.G.
Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
cc: Christine Lawson,DWR Animal Operations Program
Gary Higgins,Buncombe County SWCD
Asheville Regional Office File
GAWR\WQ\Buncombe\CAFOs\T&C Dairy\CEI.09-28-16-NOV-2016-PC-0529.doc

� �u � N
s7i , ..
Certified Mail # 7015 1520 0003 5463 1520
Return Receigt Requested
December 30, 2016
Jerry Brown
1045 Wilson Rd
Pisgah Forest, NC 28768
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-PC-0578
Permit No. NCG550772
1083 Wilson Road
Transylvania County
Dear Mr. Brown:
e North Carolina Division of Water Resources conducted a Compliance Evaluation Inspection of the Single Family
residence (SFR) wastewater treatment system located at 1083 Wilson Road on December 13, 2016. This
inspection was conducted to verify that the facility is operating in compliance with the conditions and limitations
specified in NPDES WW Permit No. NCG550772. A summary of the findings and comments noted during the
inspection are provided in the enclosed copy of the inspection report.
The Compliance Evaluation inspection was conducted by Division of Water Resources staff from the Asheville
Regional Office (ARO). The following deficiencies were noted during the inspection:
Inspection Area Description of Deficiency
Effluent Sampling Annual sampling records were not available at the time of the inspection. [NCG550000 Part
I.A. Effluent Limitations and Monitoring Requirements (see
table in NCG550000 permit)]
Septic Tank Septic tank maintenance records were not available at the time of the inspection.
[NCG550000 Part I.A. 3. Permit Conditions(Operations&Maintenance) Septic
tanks shall be inspected at least yearly to determine if solids must be removed or
if other maintenance is necessary. Septic tanks shall be pumped out every five
years or when the solids level is found to be more than 1/3 of the liquid depth in
any compartment.
Operations &Maintenance The treatment units appeared to be in a state of disrepair. [NCG550000 Part I.A. 4.
(Operations&Maintenance)All system components, including but not necessarily
limited to, septic tanks, surface sand filters, other filter components,
pump/recirculation tanks, disinfection units and the outfalls shall be maintained
at all times and in good operating order.]
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

�►t Pipe Unable to locate effluent.pipe. [NCG550000 Part I.A.4. (Operations&Maintenance)
All system components, including but not necessarily limited to,septic tanks,
surface sand filters, other filter components, pump/recirculation tanks,
disinfection units and the outfalls shall be maintained at all times and in good
operating order.]
Corrective pleasures for the deficiencies noted above:
Effluent Sampling: Sample or document no discharge and submit to ARO.
Effluent Pipe: Locate the effluent pipe and submit a sketch of the location to ARO.
Operation & Maintenance: Vegetation should be removed from the surface of the sand filter beds.
Septic Tank: Submit receipt of septic tank pumping and/or maintenance records to ARO.
Compliance Issues:
In addition to the items stated above, the overall treatment system should be maintained in operable condition.
Sand filter beds, pumps and UV bulbs should be checked regularly and serviced as needed.
Remedial actions should have already been taken to correct these problems and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this-and any additional violations of
State law.
o prevent further action, please respond in writing to this office within 30 days upon receipt of this Notice
regarding your plans or measures to be taken to address the indicated deficiencies and compliance issues.
A Name/Ownership Change Form is attached should the property be sold in the future. Please reference the
enclosed inspection_report for, and recommendations. If you should have any questions,
please do not hesitate to contact Mikal Willmer with the Water Quality Regional Operations Section in the Asheville
Regional Office at 828-296-4686 or by email at [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regional fvisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS: Inspection Report
Name/Ownership Change Form
Cc: WQS Asheville Regional Office-Enforcement File
NPDES Compliance/Enforcement Unit- Enforcement File
G:\WR\WQ\Transylvania\Wastewater\General\NCG55 SFR\SFWs NCG55\NCG550772-Brown Construction\Inspect. December 13,2016\NOD-
2016-PC-0578.docm

United States Environmental Protection Agency Form Approved.
EPA
Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 E 2 15 I 3 ( NCG550772 I11 12 16/12/13 17 18 1 C 1 19 LGj 201
211 I I I I 1 1 1 1 11 1 1 1 1 1 1 1 I I I I I I I I I I I 1 1 I I I 11 I I I f6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -- ---Reserved------
67 70 L_1 1 1 71 Lj 72 Li 73[JJ74 751 11 I I 1 1 I80
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 10:50AM 16/12/13 13/08/01
1083 Wilson Road
1083 Wilson Rd Exit Time/Dater Permit Expiration Date
11:10AM 16/12/13 18/07/31
Pisgah Forest NC 28768
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry Brown,1045 Wilson Rd Pisgah Forest NC 28768//828-88 3-2 847/8 2886 25 5 1 8
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
®Permit :.. N Operations&Maintenance ® Self-Monitoring Program, ® Facility Site Review
® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Mikal Willmer ARO WQ//828-296-4686/
--/-y -3 1
Signature of Management�Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.)
3 NCG550772 12 16/12/13 117 18 1 C 1
Section D:Summary of Finding/Comments(Attach additional sheetsof narrative and checklists as necessary)
Inspectors, Mikal Willmer and Tim Heim with the Asheville Regional Office(ARO) conducted a
Compliance Evaluation Inspection (CEI) of the Single Family Residence (SFR)wastewater treatment
system located at 1083 Wilson Rd. on December 13, 2016. Inspectors were unable to contact and
meet onsite with the current owner, Jerry Brown.The number on file may be invalid, no voicemail
present.Permittee contact information should be verified and updated with the Division of Water
Resources.
This property appeared to be used as a business or for storage. The treatment system maintenance
appeared to be minimal. Inspectors were unable to determine whether or not the system is currently
functional.As stated in the previous inspections,there was a waste odor coming from the area around
the treatment units.Annual sampling and septic tank maintenance records were not available of the
time of the inspection. Inspectors were unable to locate the effluent pipe and general discharge
location.
The permittees should locate, maintain and identify all treatment units associated with the permitted
system. Sand filters should be kept free of vegetation for proper operation. The septic tank should be
checked annually and pumped every three to five years. If UV disinfection is used, bulbs should be
checked regularly and backups should be kept onsite.Access should be maintained at all times to the
effluent pipe for routine monitoring and maintenance.
Page# 2

Permit: NCG550772 Owner-Facility: 1083 Wilson Road
Inspection Date: 12/13/2016 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ ® ❑
Solids,pH, DO, Sludge Judge,and other that are applicable?
Comment: The treatment units appeared to be in a state of disrepair. Inspectors were unable to contact
and meet onsite with the current permittee, Jerry Brown.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ ® ❑
application?
Is the facility as described in the permit? ❑ ❑ ® ❑
#Are there any special conditions for the permit? ❑ ❑ ® ❑
Is access to the plant site restricted to the general public? ❑ ❑ ® ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment: There is very little information on file for this.permit.During the inspection,the above ground
spray sand filter beds were visible. There.were also four concrete chambers which may
have housed access to the septic tank and UV unit. Inspectors were unsure if this system
had a recirculating pump tank.
Septic Tank Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational? ❑ ❑ ❑ 0
Is septic tank pumped on a schedule? - ❑ ® ❑ ,0
Are pumps or syphons operating properly? ❑ ❑ ❑
Are high and low water alarms operating properly? ❑ ❑ ❑ e
Comment: Septic tank maintenance records were not available at the time of the inspection.
Sand Filters (Low rate) Yes No NA NE
(If pumps are used)Is an audible and visible alarm Present and operational? ❑ ❑ ❑ ■
Is the distribution box level and watertight? ❑ ❑ ❑
Is sand filter free of ponding? ❑ ❑ ❑
Is the sand filter effluent re-circulated at a valid ratio? ❑ ❑ ❑ ■
#Is the sand filter surface free of algae or excessive vegetation? ❑ ■ ❑ ❑
#Is the sand filter effluent re-circulated at a valid ratio?(Approximately 3 to 1) ❑ ❑ ❑ 0
Comment: The sand filter boxes were beginning to rot and there were visible holes in the lids.Weeds
were visible within the sand filter beds. Unable to tell if the spray heads and filters were
operational
Page# 3

Permit: NCG550772 Owner-Facility: 1083 Wilson Road
Inspection Date: 12/13/2016 Inspection Type: Compliance Evaluation
Disinfection -UV Yes No NA NE
Are extra UV bulbs available on site? ❑ ❑ ❑
Are UV bulbs clean? ❑ ❑ ❑
Is UV intensity adequate? ❑ ❑ ❑
Is transmittance at or above designed level? ❑ ❑
Is there a backup system on site? ❑ ❑ ❑
Is effluent clear and free of solids? ❑ ❑ ❑
Comment: The concrete lids were not lifted to identify if a UV system was still present and in operation
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? . ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ M 11
Comment: Unable to locate effluent pipe. Unsure of exact discharge location on property.
Effluent Sampling Yes No NA NE
i
Is composite sampling flow proportional? ❑ ❑ ■ ❑
Is sample collected below all treatment units? ❑ ❑ O
Is proper volume collected? ❑ ❑ M ❑
Is the tubing clean? ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ 0 ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ 0 ❑ ❑
representative)?
Comment: Annual sampling records were not available at the time of the inspection
Page# 4

PAT MCCRORY
(rnr<srntlr
y .
DONALD R. VAN DER. VAAR.T
Water-Resources S. JAY ZIMMERMAN
ENVIRONMENT"AL QUALITY
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00 / / / / or NCG5 / / / /
1. Facility Name:
IL NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
c. Other(please explain):
2. New owner's name(name to be put on permit):
3. New owner's or signing official's name and title:
(Person legally responsible for permit)
(Title)
4. Mailing address: City:
State: Zip Code: Phone: ( )
E-mail address:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
http://portaLncdenr.org/web/Wq

Applicant's Certification:
attest that this application for a
name/ownership change has.been reviewed and is accurate and complete to the best of my
knowledge. I 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 as incomplete.
Signature: Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ/ DWR/ NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 1212015

Certified Mail # 7015 1520-0003 5463 2565
Return Receipt Requested
December 30, 2016
Zack 011is, Manager Town
Town of Tryon
301 N Trade St
Tryon, NC 28782
SUBJECT: NOTICE OF DEFICIENCY
Tracking Number: NOD-2016-PC-0586
Permit No. WQCS00111
Tryon Collection System
Polk County
gar Mr. 011is:
The North Carolina Division of Water Resources conducted an inspection of the Tryon Collection System on
December 7, 2016. This inspection was conducted to verify that the facility is operating incompliance with the
-conditions and limitations specified-in-Collection System Permit No. WQCS00111. A summary of the findings and
comments noted during the inspection are provided in the enclosed copy of the inspection report.
The Collection System inspection was conducted by Division of Water Resources staff from the Asheville Regional
Office. The following deficiency(s) were noted during the inspection:
Inspection Area Description of Deficiency
Operation&Maintenance Equipment&right-of-way maintenance needs to be documented.
Requirements Response time should be added to the Spill Control Plan.
Records SSO's that are below threshold need to be documented.
The map needs to be updated to include the following: pipe size, pipe material, approximate
pipe age and the number of service taps.
Performance Standards The Capital Improvement Plan should cover a 3-5 year period.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

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y
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,c Pipe Unable to locate effluent.pipe. [NCG550000 Part I.A. 4. (Operations&Maintenance)
All system components, including but not necessarily limited to,septic tanks,
surface sand filters, other filter components, pump/recirculation tanks,
disinfection units and the outfalls shall be maintained at all times and in good
operating order.]
Corrective Measures for the deficiencies noted above:
Effluent Sampling: Sample or document no discharge and submit to ARO.
Effluent Pipe: Locate the effluent pipe and submit a sketch of the location to ARO.
Operation & Maintenance: Vegetation should be removed from the surface of the sand filter beds.
Septic Tank: Submit receipt of septic tank pumping and/or maintenance records to ARO:
Compliance Issues:
In addition to the items stated above, the overall treatment system should be maintained in operable condition.
Sand filter beds, pumps and LIV bulbs should be checked regularly and serviced as needed.
Remedial actions should have already been taken to correct these problems and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this-and any additional violations of
State law.
o prevent further action, please respond in writing to this office within 30 days upon receipt of this Notice
regarding your plans or measures to.be taken to address the indicated deficiencies and compliance issues.
A Name/Ownership Change Form is attached should the property be sold in the future. Please reference the
enclosed inspection:report for additional-.observations and recommendations. If you should have any questions,
please do not hesitate to contact Mikal Willmer with the Water Quality Regional Operations Section in the Asheville
Regional Office at 828-296-4686 or by email at [e-mail].
Sincerely,
G. Landon Davidson, P.G., Regionalpewisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS: Inspection Report
Name/Ownership Change Form
Cc: WQS Asheville Regional Office-Enforcement File
NPDES Compliance/Enforcement Unit- Enforcement File
G:\WR\WQ\Transylvania\Wastewater\General\NCG55 SFR\SFWs NCG55\NCG550772-Brown Construction\Inspect. December 13,2016\NOD-
2016-PC-0578.docm

_.
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I

Compliance Inspection Report
Permit: WQCS00111 Effective: 04/01/09 Expiration: 03/31/17 Owner: Town of Tryon
SOC: Effective: Expiration: Facility: Tryon Collection System
County: Polk 423 N Trade St
Region: Asheville
Tryon NC 28782
Contact Person: Zack 011is Title: Town Manager Phone: [phone]
Directions to Facility:
System Classifications: CS2,
Primary ORC: Andrew Lee McCallister Certification: 9951,72 Phone: [phone]
Secondary ORC(s);
Bobby Vance Waters 990124 828-859-6880
On-Site Representative(s):
24 hour contact name Andrew McCallister 828-859-5626
On-site representative Deborah M Bradley 828-859-5626
On-site representative Andrew McCallister 828-859-5626
Related Permits:
NCO021601 Town of Tryon-Tryon WWTP
Inspection Date: 12/07/2016 Entry Time: 09:OOAM Exit Time: 01:OOPM
Primary Inspector: Beverly Price Phone:. [phone]
Secondary Inspector(s):
Daniel J Boss
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: Compliant ■ Not Compliant
Question Areas:
® Miscellaneous Questions ® Performance Standards ® Operation&Maint Reqmts
® Records ® Monitoring&Rpting Reqmts Inspections
Manhole Lines
(See attachment summary)
Page: 1

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Permit: WQCS00111 Owner-Facility:Town of Tryon
Inspection Date: 1 2/0712 01 6 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Inspections Yes No NA NE
Are maintenance records for sewer lines available? ® ❑ ❑ 1-1
Are records available that document pump station inspections? ❑ ❑ ® ❑
Are SCADA or telemetry equipped pump stations inspected at least once a week? ❑ ❑ 0 El
Are non-SCADA/telemetry equipped pump stations inspected every day? ❑ ❑ ® ❑
Are records available that document citizen complaints? ® ❑ ❑ ❑
#Do you have a system to conduct an annual observation of entire system? ❑ ® ❑ ❑
#Has there been an observation of remote areas in the last year? ® ❑ ❑ ❑
Are records available that document inspections of high-priority lines? ® ❑ ❑ ❑
Has there been visual inspections of high-priority lines in last six months? ® ❑ ❑ ❑
Comment: Approximately 75%of the system inspected annually as there are only 3 employees maintaining
this system.
Monitoring and Reporting Requirements yes No NA NE
Are copies of required press releases and distribution lists available? ❑ ❑ ❑
Are public notices and proof of publication available? ■-❑ ❑ ❑
#Is an annual report being prepared in accordance with G.S.143-215.1 C? ® ❑ ❑ ❑
#Is permittee compliant with all compliance schedules in the permits? ❑ ❑ ■ ❑
If no,which one(s)?
Comment:
Operation&Maintenance Requirements Yes No NA NE
Are all log books available? ■ ❑ ❑ ❑
Does supervisor review all log books on a regular basis? ® ❑ ❑ ❑
Does the supervisor have plans to address documented short-term problem areas? ® ❑ ❑ ❑
What is the schedule for reviewing inspection,maintenance,&operations logs and problem areas?
Reviews are ongoing problem areas are addressed as soon as they arise.
Are maintenance records for equipment available? ❑ ❑ ❑
Is a schedule maintained for testing emergency/standby equipment? ❑ ❑ ® ❑
What is the schedule for testing emergency/standby equipment? No pump stations
in this system so
there are no
backup generators
Do pump station logs include:
Inside and outside cleaning and debris removal? ❑ ❑ 0 ❑
Inspecting and exercising all valves? ❑ ❑ M ❑
Page: 3

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Permit: WQCS00111 Owner-Facility:Town of Tryon
Inspection Date: 12/07/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: Routine
Performance Standards
Yes No NA NE
Does CIP address short term needs and long term\"master plan\"concepts? M n On
Does CIP cover three to five year period? ❑ ® p El
Does CIP include Goal Statement? ® ❑
Does CIP include description of project area? ® 1:1 ❑ El
Does CIP include description of existing facilities?
Does CIP include known deficiencies? ® �
Does CIP include forecasted future needs?
Is CIP designated only for wastewater collection and treatment? ® �
Approximate capital improvement budget for collection system? $159,540.00
Total annual revenue for wastewater collection and treatment?
CIP Comments
The CIP cover's the next 20 years and projects are listed in order of priority;however,it is not specific for the
next 3-5 yr.period.
Is system free of known points of bypass? ® E]
If no,describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations?
#Does the sign include:
Instructions for notification? El 11 .
Pump station identifier? ❑ ,11 ■
24-hour contact numbers
If no,list deficient pump stations
#Do ALL pump stations have an"auto polling"feature/SCADA?
Number of pump stations
Number of pump stations that have SCADA
Number of pump stations that have simple telemetry
Number of pump stations that have only audible and visual alarms
Number of pump stations that do not meet permit requirements
#Does the permittee have a root control program? ■ ❑ El ❑
#If yes,date implemented?
Describe:
The root control program was implemented approximately 10 years ago;solvents and roof cutters are used.
Comment: CIP also includes water system infrastructure.
Records Yes No NA NE
Are adequate records of all SSOs,spills and complaints available? ❑
Page: 5

__
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Permit: WQCS00111 Owner-Facility:Town of Tryon
Inspection Date: 12/07/2016 Inspection Type:Collection System Inspect Non Sampling Reason for Visit: .Routine
PACKARD WOODWORKS - S.Trade Street
Manhole
Yes No NA NE
#Is manhole cover/vent above grade? ❑ N 0 ❑
Is the manhole free of visible signs of overflow? ® ❑ ❑
Is the manhole free of sinkholes and depressions? -
® El nn
Is manhole cover present? ® ❑ ❑ ❑
#Is manhole properly seated? ® � ❑ ❑
#Is manhole in good condition? ® El ❑ ❑
#Is invert in good condition? ® �:❑ ❑
Is line free-flowing and unrestricted in manhole? ® ❑ ❑ ❑
Is manhole free of excessive amounts of grease? ® � ❑
Is manhole free of excessive roots? ® El El EJ
Is manhole free of excessive sand? ® ❑ ❑ ❑
Is manhole's extended vent screened? ❑ ❑ ® ❑
Are vents free of submergence? ❑ ® ❑
Are manholes free of bypass structures or pipes? ® ❑ ❑ ❑
Comment: This manhole is at grade.
POLK CO COMMUNITY FO - Carson &S.Trade Streets
Manhole Yes No NA NE
Is manhole accessible? ■ ❑ ❑
#Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow? ® ❑
Is the manhole free of sinkholes and depressions?
Is manhole cover present? ■ ❑ ❑ ❑
#Is manhole properly seated? ® ❑ ❑
#Is manhole in good condition? ❑ ❑
#Is invert in good condition? ■ ❑ ❑
Is line free-flowing and unrestricted in manhole? ■ ❑ ❑ ❑
Is manhole free of excessive amounts of grease? ■ ❑ ❑ ❑
Is manhole free of excessive roots? e ❑ ❑ ❑
Is manhole free of excessive"sand? . ❑ ❑ ❑
Is manhole's extended vent screened? ❑ El ■ ❑
Are vents free of submergence? ❑ ❑ ■,❑
Are manholes free of bypass structures or pipes? . ❑ ❑ ❑
Comment: This manhole is at grade.
Page: 7

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PAT'MCCRORY
Governor
DONALD R. VAN DER VAART
" Secretary
zterResources S. JAY ZIMMERMAN
Eh vIRONMENTAL QUALITY
Director
December 30, 2016
Eunice Ayers
387 Kelly Ln.
Pisgah Forest,NC 28768
SUBJECT: Compliance Evaluation Inspection
Single Family Residence
387 Kelly Ln.
Permit No: NCG550458
Transylvania County,NC
Dear Mrs. Ayers:
On December 14, 2016, I conducted a Compliance Evaluation Inspection (CEI) of the Single
Family Residence (SFR) wastewater system located at 387 Kelly Ln. The property and system
were well maintained and appeared to be in compliance with NPDES Permit No.NCG550458.
Please refer to the enclosed inspection report for additional observations and recommendations. I
have also attached a Name/Ownership Change Form should you wish to sell the property in the
future. If you have any questions, please feel free to contact me at 828-296-4686 or by email at
[e-mail].
Sincerely,
e 1
Mikal Willmer
Environmental Specialist
Asheville Regional Office
Enclosure: Inspection Report
Name/Ownership Change Form
cc: MSC 1617-Central Files
WQ Asheville Files
G:\WR\WQ\Transylvania\Wastewater\General\NCG55 SFR\SFR's NCG55\NCG550458-Ayers\Inspect.December 14,2016\CEI
Letterl2-14-2016.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Repoli Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day _ Inspection Type Inspector Fac,Type
1 IN 1 2 15 1 3 I ` NCG550458 I11 12 16/12/14 J17 18 I r I 19 1 G I 20H
211 1 1 1 1 1 1 1 1 1 11 1 1 1 I I I I I I 1 I I I I I I 1 I I I 1 1 1 11 1 1 1 1 1 f
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ---------Reserved -
67 70IJ 71 L 72 L � 73I I 174 75 80
Section B:Facility Data J I 1
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 10:50AM 16/12/14 13/08/01
387 Kelly Lane
Exit Time/Date Permit Expiration Date
387 Kelly La
11:10AM 16/12/14 18/07/31
Pisgah Forest NC 28768
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Eunice Ayers,387 Kelly Ln Pisgah Forest NC 28768//828-884-6858/
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
- ®Permit ® Operations&Maintenance ® Self-Monitoring Program ® Facility Site Review
® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Mikal Willmer ARO WQ//828-296-4686/
Signature Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
(Cont.)
31 NCG550458 I11 12 16/12/14 17 18
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Inspector, Mikal Willmer with the Asheville Regional Office conducted a Compliance Evaluation
Inspection (CEI)of the Single Family Residence(SFR)wastewater treatment system located at 387
Kelly Ln on December 14, 2016. Mrs.Ayers was present and assisted in the inspection.
The property and system were well maintained. Mrs.Ayers is currently the only full-time resident. The
septic system was last pumped three years ago. The chlorination tubes are checked regularly and
restocked as needed. Little to no flow present in the chlorination chamber. System was not discharging
at the time of the inspection.Previous inspections reported no discharge. Mrs.Ayers was asked to
shorten the current effluent pipe so it is visible in low and normal flow conditions.
Mrs.Ayers was provided a Name/Ownership Change Form in case she wishes to add an additional
permittee.
J
Page# 2

Permit: NCG550458 Owner-Facility: 387 Kelly Lane
Inspection Date: 12/14/2016 Inspection Type: Compliance Evaluation
Operations &Maintenance Yes No NA' NE
Is the plant generally clean with acceptable housekeeping?' ® ❑ ❑ ❑
Does the facility analyze process control parameters for ex: MLSS, MCRT, Settleable ❑ ❑ ® ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: Property is well maintained.
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ ® 0
application?
Is the facility as described in the permit? ❑ ❑ ® ❑
#Are there any special conditions for the permit? ❑ ❑ ® ❑
Is access to the plant site restricted to the general public? ❑ ❑ ® ❑
1s the inspector granted access to all areas for inspection? ❑ ❑ ❑
Comment: All permit fees are paid to date. Discussed with Ms.Ayers (permittee) about adding her
daughter to the permit.
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ 0 ❑
Is septic tank pumped on a schedule? ® ❑ ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ ® ❑
Are high and low water alarms operating properly? _ ❑ ❑ ® ❑
Comment: This property has two septic systems. Septic system nearest house is connected to the
second tank which then drains into the sand filter trenches.The system was last pumped
three years ago. Ms.Ayers is currently the only full-time resident.
Disinfection-Tablet Yes No NA NE
Are tablet chlorinators operational? ® ❑ ❑ ❑
Are the tablets the proper size and type? ■ ❑ ❑ ❑
Number of tubes in use? 1
Is the level of chlorine residual acceptable? ❑ ❑ ❑
Is the contact chamber free of growth,or sludge buildup? ■ ❑ ❑ ❑
Is there chlorine residual prior to de-chlorination? ❑ ❑ ❑ ■
Comment: Very little flow present in chlorination chamber. Only one tube in use at the time of the
inspection. Mrs.Ayers stated she checks the chlorine tubes regularly and restocks as
needed.
Page# 3

Permit: NCG550458 Owner-Facility: 387 Kelly Lane
Inspection Date: 12/14/2016 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ® ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ N El
Comment: The PVC effluent pipe was visible and extended out into the.creek.Asked Ms.Avers to cut
back the pipe so the end of the pipe was visible during normal flow conditions. No flow
present during the inspection.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ® ❑
Is sample collected below all treatment units? ❑ ❑ ® ❑
Is proper volume collected? ❑ ❑ ® ❑
Is the tubing clean? ❑ ❑ ® ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ . ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ■ ❑ ❑
representative)?
Comment: Currently only one full-time resident. Little to no flow present in chlorine chamber. The
maiority of flow is likely absorbed into the ground.This system consists of two septic tanks, -
a sand filter trench and chlorine disinfection.
Page# 4

PAT MCCRORY
Governor
DONALD R. VAN DER. VAAR.T
W Yecr:itat y
WaterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY Director
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00 / / / / or NCG5 / / /
1. Facility Name:
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
c. Other(please explain):
2. New owner's name (name to be put on permit):
3. New owner's or signing official's name and title:
(Person legally responsible for permit)
(Title)
4. Mailing address: City:
State: Zip Code: Phone: ( )
E-mail address:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
http://portal.nedenr.org/web/wq

Applicant's Certification:
I, attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of my
knowledge. I 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 as incomplete.
Signature: Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ/ DWR/ NPDES
1617 Mail Service Center
Raleigh, North,Carolina 27699-1617
Version 1212015

��— PAT MCCRORY
i" Governor
rn DONALD R. VAN DER VAART
Secretary
aterResources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
December 30, 2016
Larry Black
1981 Everett Rd.
Pisgah Forest,NC 28768
SUBJECT: Compliance Evaluation Inspection
Single Family Residence Permit:
1981 Everett Rd.
Permit No: NCG550542
Transylvania County,NC
Dear Mr. Black:
On December 13, 2016, Tim Heim and I conducted a Compliance Evaluation Inspection(CEI) of
the Single Family Residence (SFR) wastewater system located at 1981 Everett Rd. The property
and system were well maintained and appeared to be in compliance with NPDES Permit No
NCG550542.
Please refer to the enclosed inspection report for additional observations and.recommendations. I
have also attached a Name/Ownership Change Form should you wish to sell the property in the
future. If you have any questions, please feel free to contact me at 828-296-4686,or by email at
[e-mail].
Sincerely,
Mikal Willm?er
Environmental Specialist
Asheville Regional Office
Enclosure:Inspection Report
Name/Ownership Change Form
cc: MSC 1617-Central Files
WQ Asheville Files
G:\WR\WQ\Transylvania\Wastewater\General\NCG55 SFR\SFR's NCG55\NCG550542-Black\Inspect.December 13,2016\CEI
Letter 12-13-2016.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.70 Highway,Swannanoa,NC 28778
828-296-4500

>.
i
�� �
��

United States Environmental Protection Agency Form Approved,
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code ' NPDES yr/molday Inspection Type Inspector Fac Type
1 IN 1
2 15 I 3 I NCG550542 111 12 16/12/13 17 18 Li 19 ( s 20 H
211III I I 1 I I III I I I I I I I I I III I I I I I I I I I I III 1111 1 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA -- ----Reserved
67 70 LJ 71 L_j 72 (_J L �, � 73 Lj_j74 751 III I 11 180
Section B:Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 10:10AM 16/12/13 13/08/01
1981 Everett Road
1981 Everett Rd Exit Time/Date Permit Expiration Date
Pisgah Forest NC 28768 10:40AM 16/12/13 18/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
!/1 y
Name,Address of Responsible Official/Title/Phone and Fax Number
Larry B Black,1981 Everett Rd Pisgah Forest NC 28768!/770-434-3392/ Contacted
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
®Permit ® Operations&Maintenance ® Self-Monitoring Program ® Facility Site Review
® Effluent/Receiving Waters
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Timothy H Heim ARO WQ//828-296-4665/
Mikal Willmer ARO WQH828-296-4686/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
0 a d
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type (Cont.)
3' NCG550542 I11 12 16/12/13 17 18
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Inspectors, Mikal Willmer and Tim Heim with the Asheville Regional Office conducted a Compliance
Evaluation Inspection (CEI) of the Single Family Residence(SFR)wastewater treatment system
located at 1981 Everett Rd on December 13, 2016.The permittee, Larry Black,was present and
assisted in the inspection.
The property and the system appeared to be well maintained. Mr. Black has the septic system serviced
and checked annually as required by permit.The system receives little flow as only two people
currently reside at the home. The permittee stated he doesn't believe he has ever seen the septic tank
fill up to the point of discharge since purchasing the property in 2003.
Mr. Black was aware of the general location of all the treatment units, however, inspectors could not
visually locate the effluent pipe.Tim.Heim provided the permittee with dye tabs to help locate the
effluent pipe. Mr. Black said he would attempt to locate the pipe and let us know if he can find it.
Page# 2

Permit: NCG550542 Owner.Facility: 1981 Everett Road
Inspection Date: 1 211 3/20 1 6 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? E ❑ ❑ ❑
Does the facility analyze process control parameters,for ex: MLSS,MCRT, Settleable ❑ ❑ ® ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment: Property surrounding treatment units is well maintained This system conists of a pump
tank, septic tank,two sand filter trenches and discharge pipe
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ ® ❑
application?
Is the facility as described in the permit? ❑ ❑ ® ❑
#Are there any special conditions for the permit? ❑ ❑ ® ❑
Is access to the plant site restricted to the general public? ❑ ❑ ® ❑
Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑
Comment: Fees are:paid to date
Septic Tank Yes No NA NE
(If pumps are used)Is an audible and visual alarm operational? ❑ ❑ ❑ ■
Is septic tank pumped on a schedule? ® ❑ ❑ ❑
Are pumps or syphons operating properly? ❑ ❑ ❑ ■
Are high and low water alarms operating properly? ❑ ❑ ❑
Comment: Mr. Black has the septic system serviced annually. It was last checked this summer by AAA
Septic. The tank did not need to be pumped during the last maintenance visit Mr. and Mrs
Black are the only two residents.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ® ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ® ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment: We were able to locate a vent pipe near the discharge location. Could not visually locate the
effluent pipe. Mr. Black had a general idea of the location. Inspector Tim Heim provided the
owner with dye tabs to help him locate the effluent pipe.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ❑
Is sample collected below all treatment units? ❑ ❑ ® ❑
Is proper volume collected? ❑ ❑ ❑
Page# 3

Permit: NCG550542 Owner-Facility: 1981 Everett Road
Inspection Dater 12/13/2016 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
Is the tubing clean? ❑ ❑ M ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ N El
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type ❑ ® - ❑ ❑
representative)?
Comment: There are currently only two people residing at this home.The septic tank is checked
annually and had very little wastewater present. Inspectors asked Mr. Black to ocassionally
monitor the effluent location for discharge.This system has the original sand filter trenches
which often allow water to absorb into the surrounding ground.
Page# 4

PAT M.CCRORY
s Governor
DONALD R.. VAN DER. VAAR.T
'" Secretary
Water Resources
S. JAY ZIMMERMAN -
ENVIRONMENTAL.QUALITY Director
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NC00 / / / / or NCG5 ` / / / /
1. Facility Name:
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
c. Other(please explain):
2. New owner's name (name to be put on permit):
3. New owner's or signing official's name and title:
(Person legally responsible for permit)
(Title)
4. Mailing address: City:
State: Zip Code: Phone: ( )
E-mail address:
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
[see reverse side of this page for signature requirements]
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
http://portal.nedenr.org/web/wq

Applicant's Certification:
attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of my
knowledge. I 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 as incomplete.
Signature: Date:
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ/ DWR/ NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 1212015