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A23 135� � ;�f:' -' '� -v *rti^v�'+�..aY _ . . u �,�: ,.:i..�+#�Ww.L �i�+W� � `� '��' � I. �� Qo6� FuS,�r-�� Q ,� �if t �y�S�v ►-, i �rl, � � � W� � m �.�� s � ��u� �a �c� S�w.�� sysk� � P s� � ,�,r e w�e C9�-.� S' �� `,�-� � � � �� s� �� c. � �_��-�s � �, s�� w (��, � � ��r� �� C �� S.� � . .� � � � � � �� c �� C,� C�v',"-°�- S, �(o(,-er-. w� � � .,� s� {� �; CGes� a � � ��,,� � �( d �z��. � ��,� d r � � g �, . �. � cr a, � � � �� =5 � �� . �. �`fi"��' � �, . �C� �uc�, �� Y . � y �� s � e.�� `,Q � � �u e�-i� l;� Y� t,��5�• �� .� v�: � .�� , � �,�, ��--� . 0�-��'� �,�,"��'�"�''r" � ``�. G � t �,�,Lj �.c (�- � c, %e (�-� �'�-`�-9Q �' ��,� �,i,,,�,,,,:�`t - �j �l �,�c,�, � �i7 S �'r''� � �� ;��:,�L� es�.. � , `� z -. P��r.son County Health Department � Sewage System Improvements Permit Date: �' �� This Permit Void After 5 Years Permit # o Owner: Si-ev� QCS.rn ha r��' SR# -�� Location/Directions: — _� Subdivision Name: Lo� (/�-� ) ' ; Lot Size: /- a��ry{ S ype of Dwelling: �r`� .' Water Supply: Private: �_ Public: Community: Bedrooms: 3 Garbage Disposal Basement Basement F' s INFORMA N D B 5��: owner or repres�tadve REPAIIt: VALUATION: Size of Septic Tank: /[l(`/('J gallons Size of Pump Tank: � , Nitrification Line: / ' ' - Depth of Swne: 12 inches Max Depth of Trenches: - O- Altemative System: Conv. Pump LPP Pump Remarks: n i . � , ------------------------- Date Well Approved: Well should be 100 f� from any sewer system BY Sanitarian Date Sewage System Approved: BY Sanitarian �T�TCATE OF COMPLETTON ,.� Contractor. � t 1—p -�-�� C � -------------------------� Sewage System location, installation, and protection must meet state and local � regulations. Septic tank should be pumped out every 3 to 5 years and shall be maintained by owner in such manner as not to create a public health hazard. Septic tank and nitrification line must be inspected and approved by a member of the Person Counry Health Departrnent before any portion of the installation is covered and put into use. If the site plans ar intended use change this permit is subject to revocation. (G.S. 130 A-335F) Location of sewage disposal sewage system sketched on back. (OVER) .• _.Evaluation Application Date: T Fee Collected YES � NO S . �a - i�� APPLICATION FOR IMPROVEMENTS PERMIT 1. Permit requested by: Address: \Lr'I U�: Home Phone ��: c3.'� owner/prospectiv owner agent: 2. Name and address of current owner: Business Phone 4�: 3�to-��Z 3. Property Description: Lot size: �.i �� 1() �/ I Gj� _ , ��1 � (� 4. Tax map ��: Aa��3s Township: ��fivlv� Subdivision Name: %��./2 %/A C�� Lot ��: � 5. Directions to property: State Road �� & Road Names, etc. :,1 1 f% 6. Permit requested for: New Installation: �.1 Repair: Additional Renovation re-using present system: 7. Number of occupants or people to be served: T 8. Dimensions of Proposed Structure: Width: 'j�(� Depth: ��(e � 10. 11, What type (if any) additions, expansions, or replacement is anticipated to the struc- ture or facility that this sewage disposal system is intended to serve? q,�r� Water supply private? W� public? community? spring? Other source? (Specify): Are there any wells on adjoining property? If so, identify location: Type of structure or facili y: Proposed: Existing: Type of dwelling: House• Mobile Home: Business: _ Type of business: Number of Employees: Number of bedrooms: � � Garbage Disposal? Yes No Basement? Yes No V If so, number of basement fixtures: 12. Clearly stake all corners of the property and the corners of all proposed structures. . � I hereby make application to the Person County Health Department for a site evaluation or existing system evaluation for the on-site sewage disposal system for the above described property. I agree that the contents of this application are true and represent the maximum facilities to be placed on the property. I understand if the site is altered or the intended use changes, the permit shall.become invalid. Permits are valid for 60 months from date of issue. Permission is hereby granted to enter the property for the evaluation. G.S. 130A-335(F) 1 � . Signed 0 r or Authorizeci gent � � m H w �t � w d � Permit Issued lD�,n _ � a � � �� Permit Denied Plat Observed �//� ,w,� � � � � l ��'� � c,�� C� r � _..__�� _ ;�'�� 11 f v �- / �� ;; , • a � r rACTORS - SITE EVALUATION AREA 1 AREA 2 AREA 3 AREA 4 S S � S S 1. SLOPE (X) �y � pg U U �T 2. SGLL TEXTURE (i2-36 in. ) S S__� S S (Sandy, loamy, clayey, �', P� PS PS Note 2-1 clay) U U U U -? SOIL STRUCTUFtE (12-36 in. ) S. S � S � (Clayey soils) PS -� PS 4• SOIL DEPTH (in.) 5. RESTRICTIVE HORIZONS (in.) <Iur�ervious Strata� rock) 6. SOIL DRAIIZAGE/GROUNDWATER �(bcternal & Internal) 7. SOIL PERMEABILITY (Percolation Rate) S S � U S� s S S � U S S La 0 S �S u s U S � PS U S PS U S � PS ' U S PS u s $. OTHER (specify) PS PS PS PS � U U U U g. SITE CLASSIFICATION (See below) SOIL SERiES S- Suitable PS - Provisionally Suitable � U- Unsuitable RECOt�fEI1DATI0NS /COrR fEtiTS : S�TE CLASSIFICATION DIAGRAM (Include: Soil areas, property lines, roads, streams, gullies, aet areas, fill,areas, wells, water bodies, slope patterns, etc.) - /- - --- - - - _ _._._._.... -----------_—�--�,- � —. 0 0• '_ \' � ti � Q � "�' CNERYL 6ARK�R MOORE � '� `�g ! �� .D.B. IG9, P. 551 \ � ,,,J� ` ' \ ;, �_�: : . e?� �/a. , •L. . - G� I G.�`� . . �,:� ' o� 1.35 ACRES G��' o�- -- )UR = • .' 2 �IS PFRCLL TO BE tAED .. P , p�0� : � SO� .R IW. �• ;e9 ?�; � SL?iIC ORAIF£iR0 .t.�.�t � � � �"� : FOR l0T C OF •tER17ACE Hu�+pt' �`9 .00- � . ' Y_ - , PU7 C/.8 S PACE 620 . � . . � � . v '' '� `;';: : x �.,':�_�iC :t:•- p ��°�• . ! t.•. _- N � .., , Y ;} " � .... . � � .�`(� i:.!,�5.:� -� =:.�,�':�.'^.,� ; ^ �� ` A (�,45 � _ G Q N 5'OC'�F! . �:�:::• r,;Y c � 5-� 2 : - =� ;�.3 - C-1 �3 �2�� '� :�/O.�',�'. 'Y �z : `' . � w ..1.32�:'Ac,�' '` jl. �_2 :�� . � ��. .. �.�i`:"Ti:..._�'�i � � � �". \ �. ' : ' 1.-.� " ..Z;. - ^ O .. ' C::.j"y '1 ^.� .y:. _ �; . .. . , . . Fh ', . ` �.:;,(...` ; :iF'st6•aa2J-w. t�;: � ,�t=e:,^.i:r.=t � '� :^44.26' _ � X • �:•t•:,:i�_•_ - �:; �:� y., . ,y � . . ' V . _ ^— ' ' , . .1 :� � �� f t \" ' , �. p +� 1 �; �� ' � � � �,� � ,. . . . �� 1`1 j . � .� }"^� ..i i��.�' � . . 41 i 1 �� t ' '�G, p � `7- ��: � to - . h t �� V : ,� � . �=�' P% �:�: -�:•1. 'i? � r 'O i.� I P /� �' .(: . �/ v� 1.�.',O '.A . J . . : � � `i ., _ B f : :, o- :.s. . : : � ry p - c.rt�n en�ac� �eooRE ��. • % ' 1; = z h : •.O� 2 �• ". Ob. I69, P. 551. . �-� �:; �0.88 �kc: � . Ul Ac. L46 Ac. � . croua ----- -� , _�, ;�: �� : ., = , .Ja � - • O . `f? 3/�.'e�. . . a /' � 1398' - . �'� ��4y�' • -� � +�Ehsp28lv \ �6gbd. ' �i 578'162� Y�`1�. • ISS.Q4' SO.Of 9ZJ<' / l3� � : / 588�0'2 � % j " �'�. ' .. _ -- " � . � QPPROXtMATE WATER�� HYCO LAKE � � .. cP / � y �� J. yB. G(LfORO R CLARK `r 09.12� P.236 F Aooiicatfan DatQ: �'6� Amount �aid: 2�� e�� a�� 6 �� .�� - - � - �� E�-�� — -,— ��,.�.�.a ��.�.a� Improveme� Pe[mit-$i50.UU {Mobtie Home ReptacEmant/Addi�on) ��P� �9 3Ys6em Penr APPtICATION F'-0R SBZVICE�� 5150.D0($2�0.00 for i a� �i�an �: �.Z3 ��,�� r: I � 3 � !S,�.r � , 1� THE 1MFt7RibIA'tl�(V iPl TNE APP1,..1CATl�R! Fd]R �A1 iMPRi3VEiV(EiVT'P�flilIT 1S INCaRR��T ��L51F�E� CN�4NGE�. �R T�-iE S7T� IS .AL7'��tEi3 T'i�9�+1 'i�iE 1MPROV�iili�id'T' P�iflATi' �ND A�iJTF�ORfZ�T10N T� CL)PISTRlJCT SHALL BE�aI�E tAIVAL.lD. . � 'i) Permi$ reque:sted by: (Owneriagenilpras�iive awmerj: I�r'�^- ��""�r� s= Home Phone: �/� 7- S:� 7�-- . Address: • Business Pfiane: � � 2) Pdarn� and address of cvrreni ownea: ��Y� '—' 3) Praperty Description: Lat size: �1 3 y' Townshlp: �4..•-,-- ��.S �u d�'Nision: -�'�- � j�-13� # 1� . Directions to the properiy (lnduding road names�anc! num6ers): � d) pro�osed llse �nd Structur+e �escri�ation: answer cf� of the fallnwu'� questions: . � . a) Proposerl � Existing . Type af Strc�dure: S��GI� � f;'j�-� c� � Width• ' De�th: . b) Number Gf Hedrooms: 3 Number of flc�par�ts or peopie ta he ser.ved: c) Basemer� Yes �/. No Wiil tfiere be ptumbing in the basement?. d) cSarbage Disposal: Yes � I�lo J( . � �) Ulfa�er Su�aQ1y TJpe: Private �ew or e�s#ing_), Pubiic_, Communiiy_,_, Spring _ � Are any wells on adjoining property?; Yes_ No _ tFyes, please indicate aQpracimat� location on tf�e � �: 'si�e pian_ � : . . 6j Does you¢� prepeEty cantain �reviousiy ides� 't�'c�:d jueisdictionai we#iands? Yes_ Alc� Pt�ASE i��TTE THE FaL.LOWIfVG: ➢� PiAT 0� THE Pit�P9�'�Y OR S� F.i�RI IVIUST HE SU8[WiTTE� � T3�1S AP�P�iCAiiOA#. � PROP�?Y LlN1E� AI�lD C17RPlEi�S MUST HiE CLF�►RLY MIAR4CE�. . 9 T}�iE �ROP�SE� LOC,a�770fd OF ALl, STRUCTUR€5 t�IUST BE ST�i7 OR �..AG�€i�. ➢ i'i�lE SIT� �IAUST 8E R�ADILY a►C��S�HL� �R AA1 EVJALllA'j'iQt� H�( TiiE HE}�LTI-3 3�E.aARTiUi�1T 8TAF�. . I here�y mak� aQplicafinn tfl tfie Persan Courrty Healti� .Department for a sifie evaluation for the on-site sewage disposal system for the abw�-describe� proQerty. I agree that the cacitents of this appiic�ian are true and represen# the m�imum fac:liiies tn be pla�� on the praperty. I understand ir the siie is alieresi or the intendEci use ci-ianges, �he permn snali berAm.e irna�i�. . .�r ¢ i' %?��-.--- Cwner ct- Lega! Re�res�titative �l—b — C�� Daie �r:�D, ;�y. 06/Tr;02 . ��, ; ,�� .. �� `-'' ... : : _ � ��1�T�� _ :. : IC.�a�n�r�an.�rAca.a��s►.IL g-�a��.IL�lI�;:. WELL PERMIT PI,EASE SEE ATTACHED PLAN FOR WELL SITE LAYOUT �: Tax Map �.,s '� Applicant: Subdivision� S?N��. Sr�,� � �ype of Water Supply: � Individual _ Community Public Requirements: Site Approved By: � g- �o"o� Grouting Approved By: C'S Fs -�1-t� Well Log: L'S Q- (�-05 Pump Tag: TS Well Tag: Air Vent: � Hose Bib: �S Casing Height: 'S Concrete Slab: ,3� Well Driller: �� Well Approved ****See Attached Site Sketch**** � Liner: Installed by: Depth set: _ Grouted• _ Date: Water Sample: Wells must be 10 feet from property lines. Wells must be 100 feet from septic systems. Wells must be at least 25 feet from any building foundation. Other conditions: Date: 2B'vS PCHD rev O1/27/04 � :: �� . �� :�� .�M�� . .� � ��:��:�:�.::� ��: . . .: . .:.. ��.,��,.�..:i. ��r�.►�a�1�� : o�.�: �� I..a►�t�o�: $p�►div'idae: Pump Iustallation Gontractor: �tate Registtation Numb�: ,�, riu� Dopth; _ � S Pump M�Ict 8c Mod�1: ,� �r Pumg Siu and l�ating: � '�'u Map �_ P�rtel � ,�� Lot � Puinp Ine�t�Ilment ft 0 I.eve1: _ R � gpm I her�by ccrtify that this pump was installed �nd the weUhcad campleted accarding to the Persan Caunty Welt Rulcs in cffcct on this d�te and ttaat a copy of this recurd has b�n provid�d ta t�c w�ll awncr. Pr�nap In�t�l�er Si�a�ture �: � 9� D�t' 2zSr 0 ��.� 3� (� - ��'1-'1 �� r pt�m r.v oin�ro4 �� i �i �i v -�� URVE DAT DELTA � RADIUS �ARC \T-AN CHD-BRG � CHORD � �1. 76'34 50 50.00 66.83 �i9.47 SO4'58 12 E 61.96 C2 110'42'00" 50.00 96.60 72.34 N81'23'23"E 82.26 C3 48'11'23" 25.00 21.03 1� 18 N50'08'05"E 20.41 \ C4 24?'56" 175.00 74.57 37G86 N62'01'17"E 74.01 \ , \ C5 39'44" 150.00 72.42 36\93 N35'S8'S8"E 71.72 \ \ \ -� _.._,_ . \ � � � � \ � / PROPOSED � �- � PROPERTY \ 1 � N UNE I � ��..._ 0 \ SPRAY HEADS W/ RAIN81 D SLl.,2trirFi � I SBN.-1, 44DRI�L'"NOZZLE �/" ''' S0' SPRAY/ OIAMETER yIGHqST SPRINKLER ` � EL . OUND)=492.00 \ I�Y • �'" WEfTED AREA9 \ I I oY` 9,801 F (0.225 AC.) �i a`�� , � � 4' HIGH 2 ST �^�N•) � 58UFFERPTO BE I \ 150 BARBED WIRE FENC / ,/ PROP. LIAif OR EQUN. AROU�SPRAY WAIVED \ / BUFF'F,FE FIELD x / / / / . // x / /. . ;.,;'�'�..._, .;=:.. � . , � _ ri,.:;��-.. _. . / . � , ' � p�" , 1 � �' 50 � � , � � � ,', � �0' TO ANY Wf LL `'� r � :i i� �+ i � / f �� `S �� ' Y \ � � / t . \\ � �-- . k ,`„ C f I ., t � : G >.' , � { ,'� � '`�� i '^ G \ �.-'`" �� S6. �"' / APPU ATI0�1 AREA SHALL Be � ',' V` " , � �` '"� � g) ,``�, , PI�NTED �WITH FESCUE:�0R : �,>{ , ^ �;. Z,.�• ~ '�y �� SIMILAR VEGETATI�N IF � • � `' � � � � ?8 ` EXISTINQ VEGETATfON IS �� 4" PVC ��. �PARSE OR `t,JON�ESCISTENT. �50'/PROP. LINE '/r c�,I O� MIN. I / �� UFFER TO BE . � � 580' ��; SCH40 PVC PIPE � WAIVED 1 0 ACT CHAMBER / 36" MIN. C VER bR TO FROSTUNE i�',, 1,5 8 GAL � (WH�2HEVER IS'�REATER) WtTH / � � STO�GE � CHLORINATOR / WARNtNG TAPE 6" UNDERGROUND � TANK 1 � � WARNING OF UNDERGROUND PIPE/ 2� 0 GAL ' � � PU�M' � 50' SETBACK � � R�� t� . ,'�. TA►lK � FG'F. ?RERTME`!f , —� "�- f`:�� / Cni,,�oy;,;".�g � /` � � 4" X 3/4" 3/4" PVC�,TEE �o' �niN. f a�v wt+i. LpT l4� � � � '�-e,o' ° � \ � o p��.c.+� ,..-' � q:13' 45"W `''�e � _,:. �•-._. _ --.� !) 6' x 35' � ��. TO W S! s � � WELL� � 4ND FlLTERS I ELL � C3 � 1 LOCATION � c� I 1 DISTRIBUTION / �, � . � .�'S/ 1}¢" SCH40 PV� IBOX / � \ , � 1,000 GAL. � j p,'y � � ��n�' PUMP TANK � \ / r �6 6 �� I \� .o"' , s2�c T��K�/ � . � �,,� ' � , , LOT D ,� I .� / r � . � � � I �� 480 / � � � ,'�� w� .0. /4" � O 2% MI � �� / �,�,� LOT C \ �.\ ,� / � .� ,�Op �N � � � � 1�IN. HOU � I I 9F P� TO SEPTIC S PARA N/ !� __� � ,c� � o o ' ; � yv'�� / � % \�� I�` sF � / � ��- , � i ,� � �LIN � . —._ , _— _ \ ^- J ff w /•' �l ' ...�. 4.� �/ � ^� .,...r F 50' SETBACK � \ � --' --`_ �r '�� . � �, � � PROP. OR TREATMENT ^"t"�QI .W � \ WELL � ��' UNITS � � ,� � LOCATIO ��O � _ 'L� � � �0 ¢ � ROP, � ¢ �OP�- — 460 _____ % \ �`ip, \ '��^ � \ ,"`O� �� F � ��US�M �- �� \ oo� � � \ EX. \ Z � � -�i, \ ��• \ � ��S� LOCATIO�Q M �-- �---� .� \ y \ \ i— ¢_.--. .�- ; �_ 41 U. \ �� \ WELL � � � '' d HIGH 1�ATER \ �� LOCATION ' :R CPdcL � � � -� r GREG OHAI�TEDE � � \ _ _ _ — — — — "- -' I -� � '-" � hA0 9-1174) � `s? � •� _ _. _ — — -' '_ ,�- �� - ..� \ H68 �8'4 � '_ _ � — �-- --'-- N81'5 r E�_ , P�� N - � - � � ? � � 18 92, R\ —, ��• , '� 6' 2o„W 130. � 43 ,. . _--. .. .,,,\ \ N69 08 42 ` _ 57g � � .._. �RAPHIC SCALE �' �S S88'10'23"W 133 09' S88'10'23" , /- � , ;, 25 �'-._.._., gp�,__.- � 100 �. 98" • �� _0 . � �- •�` __, �— `--- _'—. �� / . ^ , 1 inch = �i0 -ft' ___. _._. �� \ � ' * 100 YEAI�'��'LgOD ELEVATION PER •• �`. : ' .. ' �'` �E�Ip IyIAP�.�7��45C0075 B DATED -- .. .. .__.. _., ,•_FEBRUARY 199Q IS 414 FEET " , n _ �" � � — •• � — � •• / • • � � 09/06/2005 07:44 4773708 �`�.�. ..� I�,�II��T "��..Jl�� sa,�aar�o►�+�.•��.aa.�6wS �+�.wIl�3�. Subdiviaio,nr HUDSON WELL CO 1�1 i � ' , i C:� • �I► ,� , �� , r, ,� , , � «.� t�,��:�� ; , well Lo� PAGE 01 Tmc Map � parcel # /� w�u c� `�hce From n�arc�a Propa�rty ,Line (Mimmum t o fea) � Disaacx fi�om S�c Syst�em (Min,uanum �0 foec) . Total Depth; o? 8'Yiald (}PM Static �azaar Lavel: R We�tdr H�ing 7�s: Depth ft_,�0� $,�� $ � C~asln�: �e 3 I7rrspth: Ft+dxn �_ to �_ t�. Di�paaetes: Le � Ia 'lj►pe: C3alvaaized Sta�d �-� Weight: .,._Q�,5�'Tbi�a: .. 6! Haight above Grauad: �.,y in ZkivC Sh�e: ✓ Yes Nn Any prablt� eon�auatareci whila aetting ca�ing7 Yas � if `�rea" give rr,aaon: Gxo�i: Nr�at: San,d/Ce�,eat __. Coacre� C�veLCeme�tt Aanuter sp�ce Wid�h - -- inchav wAter in Aaaul�pr SpAae Yca No Me+uiod t�f C3�ro� Y�pec3 Ps+e�sur� i'oured Dq�th �� F�. Mrtex�xb Usdd: No. Hag� Parttead c�u�nt 'Woight of 1 Ba� � Pau�#s If mi�cture (�d,;rav�e2, cuttinga} -- Ratao t+� iD pl�s: „_ Ye�a � No � x 4 slsb ,,,� Yea � No DrWir�� i.� Lar.�t�t Drsa�iaa� ,,, �� "� ., � •� .� �""��ii�i� ,�.� �� <_.A + - � ' � � �f � �iil� r � � , �.� / : .R ' �� Y�_!�..I .. � • . r ��,�i. � �� T bc�cby certifj► that thc above inforraation ia carr� and th�t thi� vvell aratt coc�tru�t�d in accoxdA�ct'��ith re$ulatians set fort?i by tlze Parso� Cownty Heakh Deps�ra'�t.a�►t_ Sigaotura of t'antrsctdr ,�-�a - i� �� Drt� �" � Q�Jr PCfID r4w o1�1d'o2 Pat McCrory Governor �� ,_,.,.r r� --r►�- NCDENR North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality Programs Thomas A. Reeder Director October 25, 2013 Todd and Deborah Morris 3232 English Court Burlington, NC 27215 Dear Mr. and Nlrs. Morris: 3 _► 3 .� John E. Skvarla, III Secretary Subject: Permit No. WQ0022310 Todd and Deborah Morris SFR Single-Family Residence Wastewater Irrigation System Person County In accordance with your renewal request received September 18, 2013, we are forwarding herewith Permit No. WQ0022310, to Todd and Deborah Morris for the continued operation of the subject single-family residence wastewater treatment and irrigation facilities. Please note that this renewal permit shall become effective on March 1, 2014, (i.e. the day after the expiration date of the existing permit), which may differ from the issuance date of this letter. This permit shall be effective from March 1, 2014, until February 28, 2019, shall void Permit No. WQ0022310 issued November-23, 2010,-and - shall _be subject_to the conditions and limitations as specified therein. An extension shall be requested at least six months prior to the expiration of this permit. Upon receipt of the request, the Commission will review the adequacy of the facility described therein and, if warranted, will extend the permit for such period of time and under such conditions and limitations as it may deem appropriate. Please pay particular attention to the operation and maintenance requirements listed in Section III for they may differ from the previous permit issuance. Failure to establish an adequate system for collecting and maintaining the required operational information shall result in future compliance problems. , If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee has the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Offce of Administrative Hearings at 6714 Mail Service Center, Raleigh, NC 27699-b714. Unless such demands are made, this permit shall be final and binding. WATER QUALITY PERMITTING SECTION 1636 Mail Service Center, Raleigh, North Carotina 27699-1636 Location: 512 N. Salisbury St., Raleigh, North Carolina 27604 Phone: 919$07-64641 FAX: 919�07-6496 Intemet htta:Uportal.ncdenr.orqlweblwq An Equal Opportunity \ Affirmative AcGon Employer Mr. and Mrs. Morris October 25, 2013 Page 2 of 2 If you need additional information concerning this matter, please contact staff at (919) 807-6464. Sincerely, ��,�� Thomas A. Reeder � cc: Person County Health Department Raleigh Regional Office Permit File WQ0022310 Notebook File WQ0022310 NORTH CAROLINA ENVIItONMENTAL MANAGEMENT COMIVIISSION DEPARTMENT OF ENVIItONMENT AND NATURAL RESOURCES RALEIGH SINGLE-FAMII�Y RESIDENCE WASTEWATER IRRIGATION SYSTEM PERNIIT 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 Todd and Deborah Morris Person County FOR THE continued operation of a 480 gallon per day (GPD) single-family residence wastewater treatment and irrigation facility consisting of a1,250 gallon baffled septic tank with effluent filter, a 1,000 gallon pump tank, dual 210 square foot sand filters, a tablet chlorinator disinfection unit, a 1,578 gallon storage tank, a 2,440 gallon pump tank, approximately 580 linear feet of 3/<-inch force-main, a 9,817 square foot spray filed irrigated by 5 nozzles, and all associated piping and appurtenances to serve the 383 Clearwater Lan.e residence, with no discharge of wastes to surface waters, pursuant to the application received September 18, 2013, and in conformity with the project plans, specifications, and other supporting data subsequently filed and approved by the Department of Environment and Natural Resources and considered a part of this permit. This permit shall be effective from March 1, 2014 until February 28, 2019, shall void Permit No. WQ0022310 issued November 23, 2010, and shall be subject to the following specified conditions and limitations: I. SCHEDITLES 1. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of this permit on official Division forms. Upon receipt of the request, the Division will review the adequacy of the facilities described thereiri, and if warranted, will renew the permit for such period of time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application. 2. In accordance with 15A NCAC 02T .0607, if a public or community sewage system is or becomes available, the subject single-family residence wastewater treatment and imgation facilities shall be closed and all wastewater shall be discharged into the public or community sewage system within 180 days of its availability. Prior to the initiation of these connection activities, appropriate Division approval shall be received. WQ0022310 Version 2.0 Shell Version 131016 Page 1 of 6 II. PERFORMANCE STANDARDS 1. The subject non-discharge facilities shall be effectively maintained and operated at all times so there is no discharge to surface waters, nor any contravention of groundwater or surface water standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions due to improper operation and maintenance, or failure of the irrigation areas to adequately assimilate the effluent, the Permittee shall take immediate corrective actions including Division required actions, such as the constructiori of additional or replacement wastewater treatment or disposal facilities. 2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface water resulting from the operation of this facility. 3. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in the following table: Field TABLE 1— APPLICATION LIMITATIONS Parameter 01284 — Non Discharge Application Rate Hourly Rate Yearly Max 0.25 30.3 Units inches 4. The subject facility has been approved to land apply wastewater effluent on the following fields: TABLE 2- IRRIGATION AREA INFORMATION Field Owner County Latitude Longitude Net Dominant Acrea e Soil Series 1 Todd and Deborah Morris Person 36.31.03 79.04.20 0.23 SmF Total 0.23 5. The Operation and Maintenance Agreement (attached) between the Permittee and the Division of Water Resources is incorporated herein by reference and shall be a condition of this permit. Noncompliance with the terms of the Operation and Maintenance Agreement shall subject the Permittee to all sanctions provided by North Carolina General Statutes § 143-215.6A to § 143-215.6C for violation of or failure to act in accordance with the terms and conditions of this permit. 6. In accordance with 15A NCAC 02L .0107(i), the compliance boundary is established at the property boundary. Any exceedance of standards at the compliance boundary shall require action in accordance with 15A NCAC 02L .0106. 7. In accordance with 15A NCAC 02L .0108, the review boundary is established midway between the compliance boundary and the effluent disposal area. Any exceedance of groundwater standards at the review boundary shall require action in accordance with 15A NCAC 02L .0106. 8. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to any sale or transfer of property affecting a compliance boundary. 9. The facilities permitted herein shall be constructed according to the following setbacks: a. The setbacks for inigation sites permitted prior to September l, 2006 shall be as follows (all distances in feet): i. Any habitable residence or place of public assembly under separate ownership: ii. Any private or public water supply source: iii. Surface waters: iv. Any wetl with exception of monitoring wells: v. Any property line: 400* 100 100 100 150* WQ0022310 Version 2.0 Shell Version 131016 Page 2 of 6 vi. Any swimming pool: 100 vii. Public right of way: 50 b. The setbacks for storage and treatrnent units permitted prior to September 1, 2006 shall be as follows (all distances in feet): i. Any private or public water supply source: ii. Any well with exception of monitoring wells: iii. Any property line: 100 100 50 *A variance has been granted to these items with respect to the north and south boundaries of the spray field. Spraying will be allowed to the property line along these boundaries. The deeds of the adjacent properties must be modified to note these variances. The Engineer's Certification will serve as evidence that this condition has been met. III. OPERATION AND MAINTENANCE REOUIltEMENTS 1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively maintained and operated as a non-discharge system to prevent the discharge of any wastewater resulting from the operation of this facility. The Permittee shall maintain an Operation and Maintenance Plan pursuant to 15A NCAC 02T .0604( fl. 2. Upon the Water Pollution Control System Operators Cert�cation Commission's (WPCSOCC) classification of the subject non-discharge facilities, in accordance with 15A NCAC 08G .0200 the Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or more certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the previously cited rules. A suitable year round vegetative cover shall be maintained at all times, such that crop health is optimized, allows for even distribution of effluent and allows inspection of the irrigation system. 4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites listed in Table 2 of Condition II.4. 5. Irrigation shall not be performed during inclement weather or when the ground is in a condition that will cause ponding or runoff. 6. Only effluent from the 382 Clearwater Lane residence shall be imgated on the sites listed in Table 2 of Condition II.4: 7. No. automobiles or machinery shall be allowed on the irrigation sites except during equipment installation or while maintenance is being performed. 8. Public access to the irrigation sites and wastewater treatment facilities shall be prohibited. Fencing shall be provided to prevent access to the irrigation site (minimum 2-strand wire) and treatment units shall be secured with locks on all tank accesses and control panels. 9. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in accordance with 15A NCAC 02T .1100. � 10. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is prohibited. 11. Pump/dosing tanks shall have audible and visual alarms external to any structure. WQ0022310 Version 2.0 Shell Version 131016 Page 3 of 6 12. The Permittee is responsible for the operation and maintenance of the entire treatment and disposal� � system including, but not limited to, the following items: a. The septic tank shall be checked annually and pumped out as needed. The septic tank effluent filter shall be checked and cleaned at the same frequency as the septic tank. b. The tablet chlorinator shall be checked weekly. Wastewater grade chlorine tablets (calcium hypochlorite) shall be added as needed to provide proper chlorination. Pool chlorine tablets shall not be used. c. The storage, pump, and alann systems shall be inspected monthly. The scum layer shall be removed at the same interval as the septic tank is cleaned out. d. The system shall be inspected monthly to make certain of the proper operation of the spray heads, that the system is free of leaks, that the vegetative growth allows a proper spray pattern, that the soil is assimilating the disposed treated wastewater with no surface runoff, and that no objectionable odors are being generated. IV. MONTTORING AND REPORTING REOUIl2EMENTS 1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water analyses) necessary to ensure groundwater and surface water protection shall be established, and an acceptable sampling reporting schedule shall be followed. 2. Noncompliance Notification: The Pe�nittee shall report by telephone to the Raleigh Regional Office, telephone number (919) 791- 4200, as soon as possible, but in no case more than 24 hours, or on the next working day following the occurrence or first knowledge of the occurrence of any of the following: a. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons, rendering the facility incapable of adequate wastewater treatment. b. Any facility failure resulting in a by-pass directly to receiving surface waters. c. Any time self-monitoring indicates the facility has gone out of compliance with its permit limitations. d. Ponding in or runoff from the irrigation sites Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency Response personnel at telephone number (800) 662-7956, (800) 858-0368, or (919) 733-3300. Persons reporting such occurrences by telephone shall also file a written report in letter form within five days following first knowledge of the occurrence. This report shall outline the actions taken or proposed to be taken to ensure the problem does not recur. V. INSPECTIONS 1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the wastewater treahnent and irrigation facilities. 2. The Permittee or their designee shall inspect the wastewater treatment and irrigation facilities to prevent malfunctions, facility dete�ioration and operator errors resulting in discharges, which may cause the release of wastes to the environment, a threat to human health or a public nuisance. The Permittee shall maintain an inspection log that includes, at a minimum, the date and time of inspection, observations made, and any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log for a period of five years from the date of the inspection, and this log shall be made available to the Division upon request. WQ0022310 Version 2.0 Shell Version 131016 Page 4 of 6 �' '•3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect any property, premises or place on or related to the wastewater treatment and irrigation facilities permitted herein at any reasonable time for the purpose of determining compliance with this permit; may inspect or copy any records required to be maintained under the terms and conditions of this permit, and may collect groundwater, surface water or leachate samples. VI. GENERAL CONDTTIONS 1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to an enforcement aotion by the Division in accordance with North Carolina General Statutes 143- 215.6A to 143-215.6C. 2. This permit shall become voidable if the permitted facilities are not constructed in accordance with the conditions of this permit, the Division approved plans and specifications, and other supporting documentation. 3. This permit is effective only with respect to the nature and volume of wastes described in the permit application, Division approved plans and specifications, and other supporting documentation. No variances to applicable rules governing the construction or operation of the permitted facilities are granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T .0105(n). 4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes, rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies (e.g., local, state, and federal). Of particular concem to the Division are applicable river buffer rules in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under the Division's General Permit NCGO10000; any requirements pertaining to wetlands under 15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of the General Statutes. 5. In the event the pertnitted facilities change ownership or the Permittee changes their name, a formal permit modification request shall be submitted to the Division. This request shall be made on official Division forms, and shall include appropriate property ownership documentation and other supporting documentation as necessary. The Permittee of record shall remain fully responsible for maintaining and operating the facilities pertnitted herein until a permit is issued to the new owner. 6. The Permittee shall retain a set of Division approved plans and specifications for the life of the facilities permitted herein. 7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or permitted under another permit issued by the appropriate permitting authority pursuant to 15A NCAC o2T .oios�). 8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division Director, in whole or part for the requirements listed in 15A NCAC 02T A 110. 9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b). 10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to pay the annual fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A NCAC 02T .0105(e)(3). WQ0022310 Version 2.0 Shell Version 131016 Page 5 of 6 Permit issued this the 25`� day of October, 2013 . NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION � ._ homas A. Reeder, Director Division of Water Resources By Authority of the Environmental Management Commission Permit Number WQ0022310 WQ0022310 Version 2.0 Shell Version 131016 Page 6 of 6 . • State of North Carolina Department of Environment and Natural Resources Division af Water Resources 15A NCAC 02T .0600 — SINGLE-FAMI'L�I' RESIDENCE WASTEWATER IItR1GATiON SYSTEMS OPERATION AND FMAINTE S�C�IS O&M 08-13 .;: r ' ' �.. ., y � _, »a� ' . '�Dtvis[on of Water Resources � Permit No. � v � �� Property owner(s) as appearing on the recorded deed: Mailing address: _� Facility address: �t'a�`-��i►r l; County: . � Irrigation Met��}--��PRAY ❑ DRIP \3 I/ We agree to operate and maintain the single-family residence wastewater treatment and irriga.tion system as follows: 1. The Pernuttee is responsible for the operation and maintenance of the entire wastewater treatment and irrigation system including, but not limited to, the following items: a. The septic tank shall be checked annually and pumped out as needed. b, The septic tank effluent filter sha11 be checked ancl cleaned annually. c. Accessible sand filter surfaces shall be raked and leveled every six months and any vegetative growth shall be removed manually. d, e tablet chlorinator shall be checked weekly. Wastewater grade tablets (calcium hypochlorite) shall be a needed to provide proper chlorination (pooi chlorine tablets shall not be used), OR �The ultraviolet disinfec6on unit shall be checked weekly. The. lamp(s) and quartz sleeve(s) shall be eaned or replaced as needed ta ensure proper disinfection. e. All pump and alann systems shall be inspected monthly. f. The irrigation system sha11 be inspected monthly to ensure tY�at the system is free of leaks, that all irrigation equipment is operating as designed, that vegetative growth does not interfere with the system inspection or operation, that the soil is assimilating the disposed treated wastewater with no visible runoff or ponding, and that no objectionable odors are being generated. 2. Failure to pay the annual fee shall be cause for the Division to revoke the permit pursuant to 15A NCAC 02T .O 105(e)(3). 3. The Permittee's failure to properly operate this system is subject to a penalty up to $25,000 per day. 4. Failure to meet the permit conditions or vio]ation of the State's surface water or groundwater regulations may void the permit. All owners a earin on t le all recorded ro er deed shalt si n this O eration & Maintenance A reement I/ We understand t e above requ' nts n agr e t t s terms as part of the issued permit. Date: �� Owner Signature: E .�.c�� Y'� C�� C� � Owne.r Signature: Date: FORM: SFKW WIS O&M 08-13 Page 1 of 1 � ��