NCG070085_COMPLETE FILE - HISTORICAL_20181025

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v r1 Q0<&6
DOC TYPE
-5� HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ Cool a 10 c-A5
YYYYMMDD

ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S. REGAN
Secretary
WILLIAM E. (TOBY) VINSON, JR.
Interim Director
October 25, 2018
Hairfield Wilbert Burial Vault
Attention: Leslie Hairfield
Post Office Box 146
Morganton, North Carolina 28680
Subject: Compliance Evaluation Inspection
Permit: NCG070085
Burke County, North Carolina
Dear Mrs. Hairfield:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the
inspection I conducted at the subject facility on October 9, 2018.
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact me at [phone] or by email
at [e-mail].
Enclosure: Inspection Report
Since
Isaiah ReWMS4C
Environmental Specialist
Land Quality Section
D- E Q
NOPhi CA(i0i1NA
oeparunen� el FmYanun:nai Ousll�
North Carolina Department or Environmental Quality I Division of Energy, Mineral and Land Resources
Asheville Regional Office 1 2090 U.S. Highway 70 1 Swannanoa, North Carolina 28778
828,296.4500

Compliance Inspection Report
Permit: NGG070085 Effective; 06/01/18 Expiration: 05/31/23 Owner : Hairfield Wilbert Burial Vault
SOC; Effective: Expiration: Facility: Hairfield Wilbert Burial Vault
County: Burke 3098 Morganton Furniture
Region: Asheville
Morganton NC 28655
Contact Person: Leslie Hairiield Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 10/0912018
Primary Inspector: Isaiah L Reed
Secondary Inspector(s):
Certification:
Phone:
Entry Time: 01:30PM Exit Time: 02:30PM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stone, Clay, Glass, and Concrete Products Stormwater Discharge CQC
Facility Status: ❑ Compliant ® Not Compliant
Question Areas:
® Storm Water
(See attachment summary)
Page: 1

Permit: NCGO70085 Owner - Facility: Hairreld Wilbert Burial Vault
Inspection Date: 1010912018 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On October 9, 2018 this facility was inspected for compliance. I met with Leslie Hairfield on site. During the inspection, the
following issue was noted:
The concrete washout area is not sufficiently contained to prevent waste concrete from getting off site. The permitee is
directed to immediately begin designing and implementing a plan to implement additional stormwater control measures to
contain the waste concrete on site. This site will be re -inspected at a later date to confirm these measures have been
implemented.
If you have any questions, please contact this office at [phone]
Page: 2

Permit: NGG070085 Owner - Facility:Hairfield Wilbert Burial Vault
Inspection Dale: 1010912018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
®❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
®❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
® ❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
® ❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
®❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
M ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
®❑ ❑ ❑
# Does the Plan include a BMP summary?
® ❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
® ❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
®❑ ❑ ❑
# Does the facility provide and document Employee Training?
®❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
❑ ❑ ❑
# Is the Plan reviewed and updated annually?
■ ❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
®❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ ®❑ ❑
Comment: adequate measures have not been taken to prevent waste concrete from escaping the concrete
washout area.
Qualitative Monitoring
Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi`- annually? . ❑ ❑ ❑
Comment:
Analytical Monitorinq Yes No NA NE
Has the facility conducted its Analytical monitoring? 1111011
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ ® ❑
Comment:
Permit and Outfails Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? E ❑ ❑ ❑
# Were all outfalls observed during the inspection? 0 ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ U ❑
# Has the facility evaluated all illicit (non stormwater) discharges? E ❑ ❑ ❑
Comment:
Page: 3

Permit: NCG070085 Owner - Facility: Hairfield Wilbert Burial Vault
Inspection Rate: 10109/2018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
®❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
®❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
® ❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
® ❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
® ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
® ❑ ❑ ❑
# Does the Plan include a BMP summary?
® ❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
®❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
®❑ ❑ ❑
# Does the facility provide and document Employee Training?
❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
❑ ❑ ❑
# Is the Plan reviewed and updated annually?
®❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
E ❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ ®❑ ❑
Comment: adequate measures have not been taken to prevent waste concrete from escaoina the concrete
washout area.
Qualitative Monitorincl
Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi` -annually? ® ❑ ❑ ❑
Comment:
Analytical Monitoring Yes No NA Ns
Has the facility conducted its Analytical monitoring? ❑ ❑ ® ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ ® ❑
Comment:
Permit and Qutfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑
# Were all outfalls observed during the inspection? 0 ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ® ❑
# Has the facility evaluated all illicit (non Stormwater) discharges? M ❑ ❑ ❑
Comment:
Page: 3

Compliance Inspection Report
Permit: NCG070085 Effective: 06/01/18 Expiration: 05/31/23 Owner : Hairfield Wilbert Burial Vault
SOC: Effective: Expiration: Facility: Hairfield Wilbert Burial Vault
County: Burke 3098 Morganton Furniture
Region: Asheville
Morganton NC 28655
Contact Person: Leslie Hairfield Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 10/09/2018 EntryTime: 01730PM Exit Time: 02:30PM
Primary Inspector: Isaiah L Reed Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stone, Clay, Glass, and Concrete Products Stormwater Discharge COC
Facility Status: ❑ Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

Permit: NCG070085 Owner - Facility: Hairfield Wilbert Burial Vault
Inspection Date: 10/0912018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On October 9, 2018 this facility was inspected for compliance. I met with Leslie Hairfield on site. During the inspection, the
following issue was noted:
The concrete washout area is not sufficiently contained to prevent waste concrete from getting off site. The permitee is
directed to immediately begin designing and implementing a plan to implement additional stormwater control measures to
contain the waste concrete on site. This site will be re -inspected at a later date to confirm these measures have been
implemented.
If you have any questions, please contact this office at [phone]
Page: 2

Permit: NCG070085 Owner - Facility: Hairfield Wilbert Burial Vault
Inspection Date: 10/09/2018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
0 ❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
0 ❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
0 ❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
0 ❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
0 ❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
N ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
0 ❑ ❑ ❑
# Does the Plan include a BMP summary?
0 ❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑ ❑ ❑
# Does the facility provide and document Employee Training?
❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
0 ❑ ❑ ❑
# Is the Plan reviewed and updated annually?
❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ 0 ❑ ❑
Comment: adequate measures have not been taken to prevent waste concrete from escaping
the concrete
washout area.
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? 0 ❑ ❑ ❑
Comment:
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ ❑ ■ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ 0 ❑
Comment:
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ❑ ❑ ❑
# Were all outfalls observed during the inspection? ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ❑ ❑ ❑
Comment:
Page: 3

.r
August 7, 2018
Hairfield Wilbert Burial Vault
Attention: Leslie Hairfield
Post Office Box 146
Morganton, North Carolina 28680
Subject: Compliance Evaluation Inspection
Permit: NCG070085
Burke County, North Carolina
Dear Mrs. Hairfield:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
WILLIAM E. VINSON, 1R
Interim Director
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection I conducted at
the subject facility on Jult 31, 2018.
The report should be self-explanatory; however, should you have any questions concerning this report,
please do not hesitate to contact me at [phone] or by email at [e-mail].
Enclosure: Inspection Report
Sincero
Isaiah Reed, CEPSCI, MS4CE .I
Environmental Specialist
Land Quality Section
State of North Carolina I Environmental Quality I Fnergy, Mineral and Land Resources
2090 US 70 Highway I Swannanoa, NC 28778-821 1
828 296 4500 T
G

I
Compliance Inseection Report
Permit: NGG070085 Effective: 06101/18 Expiration: 05/31/23 Owner : Hairfield Wilbert Burial Vault
SOC: Effective: Expiration: Facility: Hairfield Wilbert Burial Vault
County: Burke 3098 Morganton Furniture
Region: Asheville
Morganton NC 28665
Contact Person: Leslie Hairfield Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 07/3112018
Primary Inspector: Isaiah L Reed
Secondary Inspector(s):
Certification:
Phone:
Entry Time: 01:00PM Exit Time: 02:OOPM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stone, Clay, Glass, and Concrete Products Stormwater Discharge COC
Facility Status: [] Compliant ® Not Compliant
Question Areas:
® Storm water
(See attachment summary)
Page: 1

Permit: NGG070085 Owner - Facility: Hairfield Wilbert Burial Vault
Inspection Date: 07/3112018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On July 31, 2018 this facility was inspected for compliance. I met with Leslie Hairfieid on site. During the inspection, the
following items were noted.
1) An accurate SWPPP could not be made available during the inspection. The permitee is directed to produce and maintain
a Stormwater Pollution Prevention Plan to be made available at the next inspection.
2) An area of concrete disposal and washout wash observed at the rear of the facility. This area shall be contained and
managed. Not concrete residue should be able to leave the facility.
This site will be re -inspected on or after August 28, 2018. Please address the above items before the re -inspection date.
Please contact this office if you have any questions. 828-296-4614.
Page: 2

5
Permit: NCG070085 Owner - Facility: Hairfield Wilbert Burial Vault
Inspection Date: 07/3112018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pcllution Prevention Plan?
❑ ®❑ ❑
# Does the Plan include a General Location (USGS) map?
❑ [2 ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
❑ [19 ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
❑ ®❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ ®❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
❑ IN ❑ ❑
# Does the facility provide al; necessary secondary containment?
❑ B ❑ ❑
# Does the Plan include a BMP summary?
❑ ®❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑ 0 ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑ IM ❑ ❑
# Does the facility provide and document Employee Training?
❑ ®❑ ❑
# Does the Plan include a list of Responsible Party(s)?
❑ ®❑ ❑
# Is the Plan reviewed and updated annually?
❑ ON El ❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑ ®❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ ®❑ ❑
Comment: See summary for more information.
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ❑ N ❑ ❑
Comment: See summary for more information.
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ®❑ ❑ ❑
# Were all outfalls observed during the inspection? ® ❑ 1111
# if the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ® ❑
# Has the facility evaluated all illicit (non slormwater) discharges? ®❑ ❑ ❑
Comment:
Page: 3

Compliance Inspection Report
Permit: NCG070085 Effective: 06/01/18 Expiration: 05/31/23 Owner: Hairliield Wilbert Burial Vault
SOC: Effective: Expiration: Facility: Hairfield Wilbert Burial Vault
County: Burke 3098 Morganton Furniture
Region: Asheville
Morganton NC 28655
Contact Person: Leslie Hairfield Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 07/3112018 Entry Time: 01:OOPM Exit Time: 02:OO1'M
Primary Inspector: Isaiah L Reed Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stone, Clay, Glass, and Concrete Products Stormwater Discharge CDC
Facility Status: ❑ Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

Permit: NCG070085 Owner - Facility: NaIr ield Wilbert Burial Vault
Inspection Date: 07/31/2018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On July 31, 2018 this facility was inspected for compliance. I met with Leslie Hairfield on site. During the inspection, the
following items were noted.
1) An accurate SVVPPP could not be made available during the inspection. The permitee is directed to produce and maintain
a Stormwater Pollution Prevention Plan to be made available at the next inspection.
2) An area of concrete disposal and washout wash observed at the rear of the facility. This area shall be contained and
managed. Not concrete residue should be able to leave the facility.
This site will be re -inspected on or after August 28, 2018. Please address the above items before the re -inspection date.
Please contact this office if you have any questions. 828-296-4614.
Page: 2

Permit NCG070085 Owner - Facility: Hairfield Wilbert Burial Vault
Inspection Date: 07/31/2018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
❑ N ❑ ❑
# Does the Plan include a General Location (USGS) map?
❑ 0 ❑ ❑
# Does the Plan include a "Narrative Description of Practices'?
❑ 0 ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
❑ E ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ 0 ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
❑ 0 ❑ ❑
# Does the facility provide all necessary secondary containment?
❑ ❑ ❑
# Does the Plan include a BMP summary?
❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑ E ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑ 0 ❑ ❑
# Does the facility provide and document Employee Training?
❑ 0 ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
❑ 0 ❑ ❑
# Is the Plan reviewed and updated annually?
❑ 0 ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑ 0 ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ E ❑ ❑
Comment: See summary for more information.
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Comment: See summary for more information.
Yes No NA NE
❑■❑❑
Permit and Outfalls
Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ❑ ❑ ❑
# Were all outfalls observed during the inspection? ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ E ❑
# Has the facility evaluated all illicit (non stormwater) discharges? 0 ❑ ❑ ❑
Comment:
Page: 3

facility Name:r
Permit€l:
Time in/ooutt.:,
Date:
1 a�'• /lJ„�11rt ��
I
Stormwater Pollution Prevention Plan
Does the site have a SWPPP?
Does the Plan include a General Location (USGS) map?
.Does the Plan include a "Narrative Description of Practices"?
Does the Plan include a detailed site map including outfall locations and drainage areas?
Does the Plan include a list of significant spills occurring during the past 3 years?
Has the facility evaluated feasible alternatives to current practices?
Does the facility provide all necessary secondary containment?
Does the Plan include a BMP summary?
Does the Plan include a Spill Prevention and Response Plan (SPRP)?
Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
Does the facility provide and document Employee Training?
Does the Plan include a list of Responsible Party(s)?
Is the Plan reviewed and updated annually?
Does the Plan include a Stormwater Facility Inspection Program?
'Has the Stormwater Pollution Prevention Plan been implemented?
Comments
Ctualitative Monitoring
'Has the facility condusted its Qualitative monitoring semi-annually?
-omments
N3 rcGc-
Energy, Mineral
and Larxi Resources
EN YInnNrvttln ink OUALITY
Yes No NA
NE
Yes No NA NE
A_nalytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? R R
•�Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Comments
Permit and outfalls
Yes No NA NE
Is a copy of the Permit and the Certificate of Coverage available at this site?
Were all outfalls observed during the inspection?
If the facility has representative outfall status, is it properly documented by the Division?
Has the facility evaluated all illicit (non Stormwater) discharges?
'omments and Others Present:
Will V'f;v Vdj, aA g-z 9-1
Po 64,x I LA ( (,A 01 � $1.8Z

ROY COOPER
Governor
ja MICHAEL S. REGAN
Secretary
WILLIAM E. VINSON, JR
Energy, Mineral
and Land Resources In7erinr DireGw
ENVIRONMENTAL QUALITY
.Tune 18, 2018
Hairfield Burial Vault
Attention: Leslie Hairfield
Post Office Box 146
Morganton, North Carolina 28680
Subject: Compliance Evaluation Inspection
Permit: NCG070085
Burke County, North Carolina
Dear Mrs. Hairfield:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection I conducted at
the subject facility on .Tune 13, 2018.
The report should be self-explanatory; however, should you have any questions concerning this report,
please do not hesitate to contact me at [phone] or by email at [e-mail].
Enclosure: Inspection Report
ZSince y,
�y
Isaiah Reed, CEPSCI
Environmental Specialist
Land Quality Section
Slate of North Carolina I Environmental Quality I Energy. Miucral and Land Resources
2090 US 70 Highway I Swannanca, NC 28778-8211
8292964500 T

Compliance Inspection Retort
Permit: NCG070085 Effective: 06/01/18 Expiration: 05/31123 owner: Hairfeld Wilbert Burial Vault
$00: Effective: Expiration: Facility: Hairfield Wilbert Burial Vault
County: Burke 3098 Morganton Furniture
Region: Asheville
Morganton NC 28655
Contact Person: Leslie Hairfield Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Represontative(s):
Related Permits:
Inspection Date: 06/13/2018
Primary Inspector: Isaiah L Reed
Secondary Inspector(s):
Certification:
Phone:
Entry Time: 03:30PM Exit Time: 04:OOPM
Phone: [phone] t 4
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stone, Clay, Glass, and Concrete Products Stormwater Discharge CQC
Facility Status: ❑ Compliant Not Compliant
Question Aroas:
® Storm Water
(See attachment summary)
Page: 1

N
Permit: NCG070085 Owner- Facility: Hairtield Wilbert Burial Vault
Inspection irate: 0611312018 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On June 13, 2018 this site was visited for a compliance evaluation. Records and monitoring data could not be produced, so
tine full inspection was rescheduled for June 21, 2018.
Page: 2

w-
Permit: NCG070085 Owner • Facility: Haitfield Wilbert Burial Vault
Inspection Date: 0611312018 Inspection Type: Compliance Evaluation Reason (or Visit: Routine
Stormwater Pollution Prevention Plan
Does the site have a Stormwater Pollution Prevention Plan?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including oulfall locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives 10 current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
# Does the Plan include a Spilt Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility inspection Program?
Has the Stormwater Pollution Prevention Plan been implemented?
Comment: See comments for further information.
Qualitative Monitoring_
Has the facility conducted its Qualitative Monitoring semi-annually?
Comment: See comments for further information.
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Comment, See comments for further information.
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all oulfalls observed during the inspection?
# If the facility has representative outfatl status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment:
Yes No NA NE
❑■❑❑
❑■❑❑
❑■❑❑
❑E ❑ ❑
❑ N ❑ ❑
❑■❑❑
❑ E ❑ ❑
❑ N ❑ ❑
❑■❑❑
❑ ❑ ❑
❑■❑❑
❑■❑❑
❑■❑❑
❑ E ❑ ❑
Yes No NA NE
❑■❑❑
Yes_No_NA NE
❑■❑❑
❑■❑❑
Yes No NA NE
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
Page: 3

Compliance Inspection Report
Permit: NCG070085 Effective: 06/01/18 Expiration: 05/31/23 Owner : Hairfield Wilbert Burial Vault
SOC: Effective: Expiration: Facility: Hairfield Wilbert Burial Vault
County: Burke 3098 Morganton Furniture
Region: Asheville
Morganton NC 28655
Contact Person: Leslie Hairfield Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 0611312018
Primary Inspector: Isaiah L Reed
Secondary Inspector(s):
Certification:
Phone:
Entry Time: 03:30PM Exit Time: 04:00PM
Phone: [phone]
Reason for Inspection: - Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stone, Clay, Glass, and Concrete Products Stormwater Discharge COC
Facility Status: ❑ Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

Permit: NCG070085 Owner - Facility:HairrieldWilbert Burial Vault
Inspection Date: 06/1312018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On June 13, 2018 this site was visited for a compliance evaluation. Records and monitoring data could not be produced, so
the full inspection was rescheduled for June 21, 2018.
Page: 2

Permit: NCG070085 Owner - Facility: Hairfeld Wilbert Burial Vault
Inspection Date: 06113/2018 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
❑ 0 ❑ ❑
# Does the Plan include a General Location (USGS) map?
❑ 0 ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
❑ 0 ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
❑ E ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑0 ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
❑0 ❑ ❑
# Does the facility provide all necessary secondary containment?
❑ E ❑ ❑
# Does the Plan include a BMP summary?
❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑ ❑ ❑
# Does the facility provide and document Employee Training?
❑ 0 ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
❑ ❑ ❑
# Is the Plan reviewed and updated annually?
❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑0 ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ 0 ❑ 0
Comment: See comments for further information.
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ❑ E ❑ ❑
Comment: See comments for further information.
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ 0 ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ 0 ❑ ❑
Comment: See comments for further information.
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at'the site? ❑ ❑ ❑ ❑
# Were all outfalls observed during the inspection? ❑ ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ❑ ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ❑ ❑ ❑ ❑
Comment:
Page: 3

(� WATE Michael F. Easley, Governor
`O�Q RpG North CWilliam G. Ross Jr., Secretary
Noarolina Department of nvironment and Natural Resources
UJ r Alan W. Klimek, P.E., Director
Division of Water Quality
O �
September 4, 2002
LESLIE A HAIRFIELD
HAIRFIELD WILBERBURIAL VAULT g `I' s P
PO BOX 146 ct
MORGANTON, NC 28680
Subject: NPDES Stormwater Permit Coverage Renewal
Hairfield Wilbert Burial Vault
COC Number NCG070085
Burke County
Dear Permittee:
Your facility is currently covered for stormwater discharge under General Permit NCG070000. This permit expires
on March 31, 2003. The Division staff is currently in the process of rewriting this permit and is scheduled to have
the permit reissued by early spring of 2003. Once the permit is reissued, your facility would be eligible for
continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the Division of Water
Quality (DWQ) for renewal of your permit coverage. To make this renewal process easier, we are informing you in
advance that your permit coverage will be expiring. Enclosed you will find a Permit Coverage Renewal
Application Form. The application must be completed and returned by October 2, 2002 in order to assure
continued coverage under the general permit. Due to staff and budget constraints, letters confirming our receipt of
the completed application will not he sent.
Failure to request renewal within the time period specified, may result in a civil assessment of at ]east $250.00,
Larger penalties may he assessed depending on the delinquency of the request. Discharge of stormwater from your
facility without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1
and could result in assessments of civil penalties of up to $10,000 per day.
Please note that recent federal legislation has extended the "no exposure exclusion" to all operators of industrial
facilities in any of the I I categories of "storm water discharges associated with industrial activity," (except
construction activities). ]f you feel your facility can certify a condition of "no exposure", i.e. the facility industrial
materials and operations are not exposed to stormwater, you can apply for the no exposure exclusion. For additional
information contact the Central Office Stormwater Staff member listed below or check the Stormwater & General
Permits Unit Web Site at http:Hh2o.enr.state.nc.uslsu/stortnwater.html
If the subject stormwater discharge to waters of the state has been terminated, please complete the enclosed
Rescission Request Form. Mailing instructions are listed on the bottom of the Iorm. You will he notified when the
rescission process has been completed.
If you have any questions regarding the permit renewal procedures please contact Jim Reid of the Asheville
Regional Office at 828-251-6208 or Mack Wiggins of the Central Office Stormwater Unit at [phone], ext.
542
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Asheville Regional Office © A
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 800-623-7748

State of North Carolina
/ Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
April 30, 1998
LESLIE A. HAIRFIELD
HAIRFIELD-WILBERT BURIAL VAULT
PO BOX 146
MORGANTON, NC 28680
Awft% aooftft I
C) E N R
Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NCGO70085
Burke County
Dear Permittee:
In response to your renewal application for continued coverage under the subject permit, the Division
of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit
is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency
dated December 6, 1983.
The following information is included with your permit package:
■ A copy of the stormwater general permit.
■ A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
permit. This form must be completed and returned to the Division within 30 days of receipt of
this letter. DO NOT send the SPPP with the signed form.
■ Five copies of Analytical Monitoring forms.
■ Five copies of Qualitative Monitoring forms.
■ A copy of a Technical Bulletin on the stormwater program which outlines program components
and addresses frequently asked questions.
■ A corrected Certificate of Coverage if you indicated a name or, address change on the Renewal
Form returned to the Division.
Your certificate of coverage is not transferable except after notice to DWQ. The Division of Water
Quality may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by
DWQ or permits required by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the ."
Stormwater and General Permits Unit at telephone number (9I9) 733-5083
Sincerely,
f oA- Preston Howard, Jr., P. E.
P.O. Box 29535, Raleigh, North. Carolina 27626-0535 Telephone 9I9-733-5083 FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
April 28, 2003
Joseph Hairfield
Hairfield Wilbert Burial Vault
PO Box 146
Morganton, NC 28680
Subject: NPDES Stormwater Permit Renewal
Hairfield Wilbert Burial Vault
COC Number NCG070085
Burke County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG070000, the
Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This
permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection
Agency, dated December 6, 1983.
The following information is included with your permit package:
A new Certificate of Coverage
• A copy of General Stormwater Permit NCG070000
• A copy of the Analytical Monitoring Form (DMR)
A copy of the Qualitative] Monitoring Form
• A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division
may require modification or revocation and reissuance of the Certificate of Coverage. This permit does
not affect the legal requirements to obtain other permits which may be required by the Department of
Environment and Natural Resources, or relieve the permittee from responsibility for compliance with any
other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact Mack Wiggins of the Central
Office Stormwater and General Permits Unit at [phone], ext. 542.
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Asheville Regional Office
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
Customer Service
1 800 623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070085
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Hairfield Wilbert Burial Vault
is hereby authorized to discharge stormwater from a facility located at
Hairfield Wilbert Burial Vault
3098 Morganton Furniture
Morganton
Burke County
to receiving waters designated as a UT to East Prong Hunting Creek, a class WS-IV stream, in
the Catawba River Basin in accordance with the effluent limitations, monitoring requirements,
and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG070000
as attached.
This certificate of coverage shall become effective May 1, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

oQ1-
�W ArE�T'
LESLIE A HAIRFIELD
HAIRFIELD WILBERT BURIAL VAULT
PO BOX 146
MORGANTON, NC 28680
Dear Permittce:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
September 4, 2002
Subject: NPDES Stormwater Permit Coverage Renewal
Hairfield Wilbert Burial Vault
COC Number NCG070085
Burke County
Your facility is currently covered for stormwater discharge under General Permit NCG070000. This permit expires
on March 31, 2003, The Division staff is currently in the process of rewriting this permit and is scheduled to have
the permit reissued by early spring of 2003. Once the permit is reissued, your facility would he eligible for
continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the Division of Water
Quality (DWQ) for renewal of your permit coverage. To make this renewal process easier, we are informing you in
advance that your permit coverage will be expiring. Enclosed you will find a Permit Coverage Renewal
Application Form. The application must be completed and returned by October 2, 2002 in order to assure
continued coverage under the general permit. Due to staff and budget constraints, letters confirming our receipt of
the completed application will not be sent.
Failure to request renewal within the time period specified, may result in a civil assessment of at least $250.00.
Larger penalties may be assessed depending on the delinquency of the request. Discharge ol' stormwater from your
facility without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1
and could result in assessments of civil penalties of up to $10,000 per day.
Please note that recent federal legislation has extended the "no exposure exclusion" to all operators of industrial
facilities in any of the I I categories of "storm water discharges associated with industrial activity," (except
construction activities). If you feel your facility can certify a condition of "no exposure", i.e. the facility industrial
materials and operations are not exposed to stormwater, you can apply for the no exposure exclusion. For additional
information contact the Central Office Stormwater Staff member listed below or check the Storrttwater & General
Permits Unit Web Site at http://h2o.enr.state.nc.us/su/stormwater.htnil
If the subject stormwater discharge to waters of the state has been terminated, please complete the enclosed
Rescission Request Form. Mailing instructions are listed on the bottom of the form. You will he notified when the
rescission process has been completed.
If you have any questions regarding the permit renewal procedures please contact Jim Reid of the Asheville
Regional Office at 828-251-6208 or Mack Wiggins of the Central Office Stormwater Unit at [phone], ext.
542
%���t CL,� ,1 l]i',2YtaG'
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Asheville Regional Office
®011�CDE NNR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1-800-623-7748

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
April 30, 1998
LESLIE A. HAIRFIELD
HAIRFIELD-WILBERT BURIAL VAULT
PO BOX 146
MORGANTON, NC 28680
A 4
logo%
� E N R
Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NCG070085
Burke County
Dear Permittee:
In response to your renewal application for continued coverage under the subject permit, the Division
of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit
is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency
dated December 6, 1983.
The following information is included with your permit package:
■ A copy of the stormwater general permit.
■ A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
permit. This form must be completed and returned to the Division within 30 days of receipt of
this letter. DO NOT send the SPPP with the signed form.
■ Five copies of Analytical Monitoring forms.
■ Five copies of Qualitative Monitoring forms.
■ A copy of a Technical Bulletin on the stormwater program which outlines program components
and addresses frequently asked questions.
■ A corrected Certificate of Coverage if you indicated a name or- address change on the Renewal
Form returned to the Division.
Your certificate of coverage is not transferable except after notice to DWQ. The Division of Water
Quality may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by
DWQ or permits required by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater and General Permits Unit at telephone number [phone]
Sincerely,
&y
for Preston Howard, Jr., P. E.
P.O. Box 29535, Raleigh, North. Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 101-7o post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
October 28, 1994
Leslie A. Hairfield
Hairfield-Wilbert Burial Vault
P.O.Box 146
Mirganton, NC 28680
Subject: General Permit No. NCG070000
Hairfield-Wilbert Burial Vault
COC NCG070085
Burke County
Dear Leslie A. Hairfield :
_ In accordance with your application for discharge permit received on 06/06/94, we are forwarding
�lierewitli the subjecf certificate of coverage to disctiacge under the subject state=NPDES-general permit: ___--
This permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Division of Environmental Management may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Environmental Management or permits required by the Division of Land Resources, Coastal
Area Management Act or any other Federal or Local governmental permit that may be required.
If you have any question concerning this permit, please contact Ms. Aisha Lau at telephone number
919/733-5083,
Sincerely,
Original Silg ip # By
David A, Gcody
A. Preston Howard, Jr. P.E.
cc: Asheville Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NC,Q070000
CERTIFICATE OF COVERAGE No. NCG070085
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE_ ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Joseph B. Hairfield
is hereby authorized to discharge stormwater from a facility located at
Hairfield-Wilbert Burial Vault Co.
3098 Morganton Furniture Road
Morganton
Burke County
to receiving waters designated as an unnamed tributary to East Prong Hunting Creek in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG070000 as attached.
This certificate of coverage shall become effective October 28, 1994,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 28, 1994.
i),jvid A.
A. Preston Howard, Jr., P.E.
Division of Environmental Management
By Authority of the Environmental Management Commission

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